Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate clinical data to support patient care and the practice of nursing. The document discusses the history and evolution of nursing informatics, including how early computer nurses helped implement new technologies in hospitals. It also outlines the roles of nurse informaticists in helping design health IT systems, train other nurses to use technologies, and ensure the secure management of patient data. The overall goal of nursing informatics is to improve population health outcomes by optimizing the use of information and communication technologies in healthcare.

1. Nursing Informatics
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2. Nursing Profession has Transformed
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3. Information technology
• Any technology which
processes and
communicates data,
includes:
– computers, voice, data
and image sensing and
communications
devices, graphics
devices, multi-media
storage, etc.
– pen, paper, telephones
and fax machines
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4. Dr.T.V.Rao MD 4

5. Dr.T.V.Rao MD 5

6. Health (Medical) Informatics
Simplistic definition:
• Medical informatics is the application of
computers, communications and
information technology and systems to
all fields of medicine - medical care,
medical education and medical
research.
MF Collen, MEDINFO '80, Tokyo
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7. Definitions
• 1989—Graves and Corcoran defined Nursing
Informatics as
–“Computer science, information science,
and nursing science combined to assist in
the management and processing of nursing
data, information and knowledge to
support the practice of nursing and the
delivery of nursing care.”
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8. Nursing Informatics Defined
• Nursing informatics is the integration
of nursing, its information, and
information management with
information processing and
communication technology, to
support the health of people world
wide.
• International Medical Informatics Association – Nursing Informatics Special
Interest Group (IMIA-NI),adopted August 1998, Seoul, Korea
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9. New Definition - ANA
• “Nursing Informatics is
a specialty that
integrates nursing
science, computer
science, and
information science to
manage and
communicate date,
information, and
knowledge in nursing
practice. ANA (2001). 17
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10. How it all began….
• Late 1960’s first
computer systems
were implemented in
hospitals
• Computer nurses
began to appear in
hospitals
– Excellent clinicians
– Technically curious and
willing to try new
things
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11. Nursing Informatics:
• Nursing informatics can
be applied to model the
human processing of
data, information, and
knowledge within a
computer system in
order to automate the
processing of nursing
data to information and
the transformation of
nursing information to
nursing knowledge. Dr.T.V.Rao MD 11

12. Informatics Nurse Specialist
1. Improving patient safety, particularly in drug
delivery and clinical records are maintined
correctly.
2. Improve workflow, with a display of
information and processes that appear in the
order in accordance with the activities of nurses.
3. Improving the implementation of the new
system, involving nursing staff in the design it.
4. Improve the effectiveness of the system.
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13. Who Should Become a Nurse
Informaticist?
• You do not have to be a computer expert
to consider a career as a nurse
informaticist. Everyone must start
somewhere. If you see the computer as a
problem-solving tool instead of an
inconvenience, then you are a prime
candidate to be a nurse informaticist
(Bridges, 2007).
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14. Nurse Informaticist? Works with
WWW support
• In education, the nurse
informaticist works with
online, hybrid, and web
supported courses. This
may include putting
courses up on the
internet and assisting
faculty with
determining what
should go on the web
support sites.
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15. Need for Nursing Informatics:
• "In the current Information Age, the
doubling of knowledge every five
years ? and the increased
specialization of knowledge make it
imperative that nurses have access
to the latest scientific information to
assist in the delivery of high quality
care," (Hudgings, 1992,).
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16. Nursing Informatics:
• Information systems
used in health care
include the people,
structures, processes,
and manual as well as
automated tools that
collect, store, interpret,
transform, and report
practice and
management
information.
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17. Knowledge is exploding and
Patients are demanding
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18. The Benefits of Nursing
Informatics
• In the practice of
professional
nursing
• In the delivery
of patient care in
the healthcare
continuum
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19. Nursing Process
• Communicate &
coordinates care with
ALL other clinical
disciplines
• – Coordinate discharge
planning, education &
teaching, transition of
care
• – Manages ALL
information related to
the nursing process and
patient Dr.T.V.Rao MD 19

20. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date, accurate
information of each
step of the Nursing
Process is the Power
behind safe, high
quality patient-
centered care!
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21. What Does a Nurse Informaticist Do?
• Nurse informaticists, also known as nurse
informatics specialists, are specially trained to
help manage, interpret and communicate the
vital medical data and information that flows into
and out of doctor's offices, hospitals, clinics and
other health care facility computer systems.
Nurse informaticists are skilled in three primary
areas: computer science, information
technology and nursing science
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22. What Does a Nurse Informaticist Do?
• They may also make
recommendations as to
how to improve the
processes and uses of
computer programs in
order to improve
patient outcomes. For
this reason, many nurse
informaticists work as
consultants.
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23. What Does a Nurse Informaticists Do?
• Nurse informaticists work in an
administrative capacity, and contribute to
decision-making on medical information
technology. Some nurse informaticists
educate nurses on how to effectively
enter medical information into a
computer system, as well as train nurses
how to use new technology.
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24. Information/Database Management
• Understand database architecture—how
data is stored and accessed
• Nursing structure
–Nomenclature/vocabulary
–Taxonomies and Coding Schemes
• ICD-P, CPT
–Nursing Minimum Data Sets
• NIC,NOC, NANDA,
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25. Computer Technology
• Understanding of the actual
technology Networks
–Personal computers
–Portable devices
–Operating systems
–Software
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26. Exam Focus Areas
• System Analysis and Design
• System Implementation and Support
• System Testing and Evaluation
• Human Factors
• Computer Technology
• Information/Database Management
• Professional Practice/Trends and Issues
• Theories
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27. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date, accurate
information of each
step of the Nursing
Process is the Power
behind safe, high
quality patient-
centered care
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28. The Value of Nurse Informaticists
• Support nursing work processes using
• technology
• – Design systems to match clinical workflows
• Telehealth
• Home health
• Ambulatory care
• Long-term care
• Acute care – all specialties
• Outpatient settings
• Software development
• Redesign work flows
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29. The Value of Nurse Informaticists
• Increase the accuracy and completeness
• of nursing documentation
• • Improve the nurse’s workflow
• – Eliminate redundant documentation
• • Automate the collection and reuse of nursing data
• • Facilitate analysis of clinical data
• – JCAHO indicators, Core Measures, federal or state
• mandated data and facility specific data
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30. The Benefits of Nurse Informaticists
• Nurse Informaticists
promote and
facilitate
Access to resources
and references for
nurses and the entire
interdisciplinary team
in both clinical and
administrative settings
Change Dr.T.V.Rao MD 30

31. The Benefits of Nurse Informaticists
• Benefits for nurses and the interdisciplinary team:
• Support for their mission to deliver high quality,
evidence-based care Support for better service by
facilitating true interdisciplinary care
• Promotes improvement in key relationships with
• physicians
• peers
• interdisciplinary care team members
• patients
• families
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32. The Benefits of Nurse Informaticists
• Benefits in the
administrative
setting
• Support for cost
savings and
productivity goals
• Facilitate change
management
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33. What Does the Nurse Informaticist Do?
• The role of the nurse informaticist is partially
dependent on the place of employment. In
acute and long term care, the role is to be a
liaison between the IT department and
nursing. This nurse assists in choosing the
appropriate system for electronic health
records and then works with the nursing staff
to use the system in providing patient care.
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34. Nurses Influencing Change curriculum
• Taught since 2005 to 4th
Year Nursing Students
• The use of information
and communication
technologies has become
a strong thread woven
through out this course,
with the premise that the
“media” is a powerful
force in both preventing
and initiating social
change

35. The Many Roles of a
Nurse Informaticist
• Vendors
• Acute care - Hospital
Systems
• Consultant
• Education/Research
• Long-term care
• Ambulatory
• Home care
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36. The Many Roles of a
Nurse Informaticist
• Hospital Systems
Analyst –
Support/Implement
Systems
Directors/Managers of
Nursing Informatics
Project Managers
CIO (Chief Information
Officer)
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37. The changing role of Nursing
• Software
Implementation
• Software/System
Solution Selection
• Process
Improvement
• Project
Management
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38. The Many Roles of a
Nurse Informaticist
• Other -
Education/Research
• Compilation/Analysis
of Data Public Policy
Government
HealthCare IT
initiative
Insurance
organizations
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39. Patients are keen to know more about their Problem
Are we well Equipped
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40. Online Journal of Nursing Informatics
• The Online Journal of Nursing Informatics
(OJNI) is a free, international,
professional, refereed publication that
focuses on nursing informatics in all
practice settings. OJNI is committed to
addressing the theoretical and practical
aspects of nursing informatics as it
relates to the art of nursing. CINAHL
indexes the journal.Dr.T.V.Rao MD 40

41. Professional Organizations
• The Alliance for Nursing
Informatics is a collaboration of
over 25 organizations,
representing a unified voice for
nursing informatics. Join one
today!
www.allianceni.org
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42. Point to Consider.....
“What narrative will capture the imaginations,
feelings, intellect and will of political decision-
makers and the broader public and inspire them to
action?” (World Health Organization's Commission
on the Social Determinants of Health, 2005, p. 44).
This is a critical point for nursing educators to
consider in the context of education students to
engage in social justice and societal change

43. What are objectives of Nursing
• 1Nurses should achieve higher levels of education
and training through an improved education
system that promotes seamless academic
progression
• 2)Nurses should be full partners, with physicians
and other healthcare professionals in the
redesigning of health care in the United States
• 3)Effective workforce planning and policy making
require better data collection and an improved
information infrastructure
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44. Nursing Informatics - Goals
• The goal of Nursing Informatics is to improve the
health of populations, communities, families, and
individuals by optimizing information
management and communication. This includes
the use of technology in the direct provision of
care, in establishing effective administrative
systems, in managing and delivering education
experiences, in supporting life-long learning, and
in supporting nursing research.
• Scope of Standards of Nursing Informatics Practice - American Nurses
Association 200
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45. Nursing Informatics becomes
Nursing
• Take the challenge! Learn all you
can about nursing informatics,
ask questions, and offer your
ideas. Nursing informatics will
continue to grow and be an
integral partner in nursing
practice everywhere!
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46. WEB Resources
• Alliance for Nursing Informatics
• http://www.allianceni.org
• American Nurses Association
• http://www.nursingworld.org
• American Nurses Credentialing Center
• http://www.nursecredentialing.org/
• CPHIMS http://himss.org/ASP/certificationHome.asp
• HIMSS Nursing Informatics Community
• http://www.himss.org/ni
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47. Empower with Digital Revolution
Thank Q
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