Nursing informatics is another important career choice for nurses. The nurses need to be techno-savvy to become more competent for patient care.

1. NURSING INFORMATICS IN HOSPITAL ANDCOMMUNITY
BY,
MS SHWETA GEJAM

2. OBJECTIVES
• Define nursing informatics.
• Discuss history of nursing informatics
• Discuss the benefits of nursing informatics.
• Explain functions of nursing informatics.
• Discuss importance of nursing informatics.
• Explain nursing informatics in hospital.
• Explain nursing informatics in community.
• Describe the impact of nursing informatics in nursing
profession.
• Describe role of nurse in nursing informatics.
• Discuss the difference between Health Care informatics
and Nursing Informatics.

3. MEANING
•Informatics comes from the French word
“informatique” which means “computer science”.
• Informatics is defined as computer science+
information science.

4. DEFINITION
•Hebda (1998), defines
nursing informatics as “the
use of computers technology
to support nursing, including
clinical practice,
administration, education and
research.”

5. •ANA (American Nurses Association) 1994, has
defined nursing informatics as the development and
evaluation of applications, tools, processes and
structures which assist nurses with the management of
data in taking care of patients or supporting the
practice of nursing.

6. HISTORY OF NURSING INFORMATICS

7. •Florence nightingale has been recognized as an early
informatics nurse because of her use of data to inform
knowledge and change nursing practices.

8. •In 1863, she was very clear in her desire to collect,
retrieve and analyze data to be able to recognize trends
in illness and treatments to improve the quality of
care.
•In 1950s and 1960s many significant changes were
underwent for the health care and for the nursing
profession in developing countries.
•In 19770s the nursing staff became instrumental in
development of nursing application for hospital
information systems.

9. • In the 1970s and early 1980s nursing informatics was
broadly defined as the use of computers technology to
support all aspects of nursing practice, and it was
frequently confused with computer literacy skills of
the nurse.
• During 1990s and beyond the internet became the
tool for web based clinical applications for health care
professional.
•In 1996 truly introduced a model that illustrate the
interaction of the sciences that contribute to nursing
informatics, computer science, language processing
and visual attention.

10. BENEFITS OF COMPUTER AUTOMATION IN
HEALTH CARE
1) Decreased redundancy of
data entry
2) Decreased time spent in
documentation
3) Increased time for client
care

11. 4) Facilitation of data collection for research
5) Improved communication and decreased potential
for error
6) Creation of a lifetime clinical record facilitated by
information systems

12. FUNCTIONS OF NURSING INFORMATICS
•Nursing informatics allows nurses to access health
information in order to develop, implement, and
evaluate methods of patient care or treatment.

13. •Nurses are able to review all information related to
particular patient, which can lead to more efficient,
which can lead to more efficient communication and
care.

14. IMPORTANCE OF NURSING INFORMATICS
•Enables the appropriate
flow of data collected by
nurses, improving access
to patient information at
the point of care, and
enhancing nursing
abilities to benchmark,
monitor and audit quality
measures.

15. •Aids to collect, store, process, display, retrieve and
communicate timely data and information in and
across health care facilities designed to
Administer nursing services and resource.
Manage delivery of patient and nursing care
including documentation and planning.
Link research resources and finding to nursing
practice
Apply educational resources to nursing education.

16. •Facilitates the integration of data, information and
knowledge to support client, nurses and other provider
in their decision making in all roles and settings.
•Promotes the generation, management and processing
of relevant data in order to use information and
develop knowledge that supports nursing in all
practice domains to improve practice and deliver
better nursing care.

17. •This knowledge is useful to nurses in decision
making at the operational and strategic planning levels
of health care.
•Nursing informatics allows for the evaluation of
nursing practice.

19. NURSING INFORMATICS
IN HOSPITAL

20. 1) Storage of Patient Data:
 Store note of the patient observe during round.
 Access the right medical information at the right
time.
 To access information when you need to be quick,
efficient and accurate.

21. 2) Computerized Presentations:
 Computerized power point presentations are much
more efficient and has more impact on the receiver
when it comes to presenting data.
 Even in the field of nursing education, computers
help the nursing tutors/educators to present the large
and complicated detailed form of data, which of
course is a part of the medical study, in a very
simplified and effective form.

22. 3) Teaching nurses through
Simulations:
 The field of medicine involves the
concept of "hands-on work".
 Nursing education therefore, must
involve a lot of practice programs to
make the students efficient to face the
real life scenario.
Computer programs which enable
simulate such procedures therefore are of
great use.

23. 4) Computerized Self Evaluation
 Computers also contribute and help the students
know their strengths and weaknesses.
There are many computerized quiz and medical tests
with immediate feedback that can help you brush and
develop your medical facts and requirements without
any delay.

24. 5) Medical Data
Every day hospitals and clinics which are attached to
it churn out enormous volumes of data regarding
patients, prescriptions, medications, medical billing
details, etc.
Such medical records, are now a day‘s recorded into
medical billing software. Such mammoth databases
are known as Electronic Medical Records (EMR) and
Electronic Health Records (EHR).

25. 6) Medical Imaging:

26. 7) Medical Examination:
 Medical monitoring which will help humans to
properly monitor their own health.
 Such systems and procedures include, bone scan
procedure, prenatal ultrasound imaging, blood
glucose monitors, advanced endoscopy which is
used during surgery and blood pressure monitors.
 Basically these medical tests and tools provide
significant convenience to medical practitioners.

27. Other uses of computer in hospital
•Assessment:
•Patient monitoring:
•Documentation:
•Nursing minimum data sheet:
•Telemedicine:
•Electronic Medical Records (EMR):
 Increased efficiency:
Improved documentation:
Improved quality of care:
Improved security:
Reduced documentation expenses:

28. NURSING INFORMATICS IN COMMUNITY
Computer networks are being used in innovative ways in
home setting.
The main uses of computers in community are:
•A computer placed in high risk clients home allows them to
access information on a variety of health topics.

29. •They can record data about their health status that can
be transmitted to the health care providers at the
central network computer.
•Advances telenursing or telehealth.
•Gathering of epidemiological and administrative
statistics.
•Patient appointments- identification system.
•Patient assessment and data gathering.
•Monitoring.
•Documentation.

30. National Rural Health Mission (NRHM)
•The Accredited Social Health Activist (ASHA)- in each of the
6 lakh villages of the country so that the medical needs of the
people living in remote areas could be taken care of.
•ASHA would be connected with a telephone as well as a
computer with the rest of the facilities in the public health care
chain.

31. Primary health center
•Designed to lessen the paperwork responsibility, get
better data accuracy, and facilitate village health
worker to provide timely care and information to the
rural and semi urban population.
•2 projects were designed for this.
1.Health Management Research Institute
2.Emergency Management Research Institute

32. Other uses in community
•Community information
•Monthly report (no of birth, immunization,
communicable disease, deaths, delivery)
•Planning for program
•Planning for mobile clinic with regard to the
information
•Vital statistics
•Hospital statistics
•Community mapping
•Research Epidemic outbreak
•Demographic characteristics of population
•Mass education

33. IMPACT OF NURSING INFORMATICS IN
NURSING PROFESSION
The nursing profession is rapidly changing to keep up
with advancements and new challenges in the
healthcare field. As direct caregivers, nurses are in the
front lines of patient care and consequently often feel
the impact of changes in best practices more
immediately than other healthcare professionals.

34. Assistant Professor of Biomedical and Health Information
Sciences at the University of Illinois at Chicago, reported that
there are three specific challenges that healthcare is currently
facing:
The aging population
The incidence and prevalence of chronic diseases – such
as cardiovascular disease, diabetes and pulmonary
disease
The shortage of doctors and nurses.

35. “A lot of these challenges can be supported by the
avocation of information and communication
technologies, particularly as hospitals are becoming
more and more interested in reducing their costs and
shifting care from hospital care to home care,”
“Information and communication technologies, mobile
health devices, wearable technologies are all becoming
very, very important for supporting remote patient
monitoring and home care.”

36. •One of the primary ways that informatics has changed
nursing practice is through documentation.
•Health informatics is also an important part of care
coordination in nursing.
•The ability to track staffing, workflow and
communication can help nurses to identify areas where
current processes can be improved. This can also help
ensure that staffing levels remain adequate, which is
critical for providing patients with the best possible
care.

37. Disadvantages of Technology in Nursing
Set Up and Internet Access: An important disadvantage of
technology in nursing is that some patients may not be savvy
with technology. Some patients may not have mobile phones
or Internet access, making applications and video visits useless
for them.
At the Mercy of the Server/Power: If either of these things
goes down due to weather, connectivity problems, or natural
disasters, you’re basically unable to do anything at all. This
would be especially problematic in a nursing classroom setting
if simulations and virtual technologies are being used as well
as in a hospital when conducting video calls or procedures that
require machinery.

38. Potential Lack of Attention to Detail: While technology in
nursing should lead to fewer medical errors, there is no
guarantee that it will eradicate ALL errors. Human efficiency
and thought are still important, which is why nurses, doctors,
and patients must remember that technology does not always
have the final say. There is still plenty of room for error, and
all diagnoses, treatments, and care plans should be double and
triple checked to ensure safety an accuracy overall.
Malfunctioning Equipment: One of the biggest headaches of
technology is what happens when technology just doesn’t
work.

39. ROLE OF NURSE IN NURSING INFORMATICS
Nurse Informaticists are often perceived as the
“techy” nurse, “super-user”, or the “go-to” person
when new technology is implemented.
They are often referred to as “bi-lingual” nurses who
can speak the nursing process and information
technology language.
Being an expert in both fields and a liaison between
the two worlds, nurses have assumed different roles
and positions in the arena of informatics.

40. A recent survey conducted by Healthcare Information and
Management Systems Society (HIMSS) revealed that 14% of
nurses are in nursing informatics role.
Nurses comprise the biggest workforce in healthcare. This
being said, nurses are the largest work-group of end-users of
electronic medical record and clinical information systems;
therefore, it is imperative that nurses are well-represented in
the selection, design, implementation, and evaluation of
clinical information systems.
Evidence has shown that nurses who were involved in the
clinical information system cycle have more buy-in, user-
acceptance, and positive perception – all are precursors to
successful implementation.

41. Difference between health care informatics
and nursing informatics

42. HEALTH CARE INFORMATICS NURSING INFORMATICS
FOCUS
Numerous roles within health care,
emphasizing compliance with
regulations and improving hospital
finances.
Patient focused, emphasizing
improvement in patient care.
RESPONSI
B-ILITIES
 Work at the intersection of
computer science, information
technology, and health care
administration.
 Implement electronic health
records and understand how they
impact organizational,
operational, and staffing needs.
 Manage, interpret, and
communicate data to improve
patient outcomes.
 Ensure compliance of data
and meaningful use initiatives.
 Work at the intersection of
computer science, information
technology, and nursing.
 Assess hospital and patient
needs as well as business and IT
needs.
 Develop efficient clinical
workflow to assess gaps in
health care delivery system and
create ways to address them.
 Manage, interpret, and
communicate data to improve
clinical practice.

43. JOB TITLES
TO
EXPLORE
 Coordinate hardware,
software, regulatory
requirements, and
infrastructure of a hospital or
health system.
 Work with staff education to
design training programs for
staff when implementing a
new electronic health records
system.
 Integrate ICD-10 into systems.
 Chief clinical informatics
officer
 Director of clinical informatics
 Project manager
 Clinical manager
 Program director
 Verify that electronic health
records capture information at
the point of care accurately and
in a standardized format.
 Support continuity and quality of
care across caregivers.
 Integrate ICD-10 into systems.
 Assist in staff training programs
on electronic health record
systems.
 Nursing informatics specialist
 Director of clinical informatics
 Clinical analyst
 Consultant
 Clinical informatics specialist
Chief nursing informatics officer

44. RESEARCH

45. The Role of Nursing Informatics on Promoting
Quality of Health Care and the Need for
Appropriate Education
Asieh Darvish,1 Fatemeh Bahramnezhad,1 Sara
Keyhanian,2 and Mojdeh Navidhamidi1,3
Glob J Health Sci. 2014 Nov; 6(6): 11–18.
In today’s dynamic health systems, technology plays
an important role in education and nursing work. So it
seems necessary to study the role of nurses and
highlight the need for appropriate information
technology educational programs to integrate with the
ever-increasing pace of technology.

46. METHOD
An extensive literature search was performed by using
databases Pubmed, Google Scholar, Ovid, Science
Direct and SID. Search terms were “education,
nursing”; “quality of health care”; “nursing
informatics” and technology. The study was carried
out from January to April, 2014. A library search was
also performed. As many as 135 articles were
retrieved. With a critical point of view, 40 articles in
English were selected that specifically focused on
nursing informatics education and its influence on
nursing outcomes and the quality of health care.

47. CONCLUSION
In today’s world the potential for information and
communication technology application is increasing so
that it can enhance the quality of nursing domains
outcome (McNelis et al., 2012). Nurses have the most
communication with patients, and interact with
technology more frequently. Using technology should
create a positive attitude in nursing productivity. It is
essential for nurses to be involved in the initial design
of systems to improve the quality of health care and
change their culture in this regard (Darvish & Salsali,
2010), (Jenkins et al., 2007).

48. SUMMARY
Today we have seen definition of nursing informatics,
history of nursing informatics, importance, benefits,
functions of nursing informatics, nursing informatics
in hospital and community and impact of nursing
informatics in nursing profession.

49. CONCLUSION
Informatics is changing the face of healthcare. As
technology advances, healthcare organizations and
providers are able to collect, analyze data more
effectively, influencing the way care is delivered,
resources are managed and teams operate each
day. One specific area that health informatics is having
a significant impact on is the practice of nursing.
Though the mission of nursing remains unchanged, the
daily work of these professionals is being strongly
influenced by informatics, with particular attention to
the accuracy and communication of patient data and
care.

50. CAREER OPPORTUNITIES IN NI
Nursing informatics can be a highly paid field
compared to other healthcare careers.
Nurse informatics
Nursing informatics specialist
Nursing informatics clinician
Clinical informatics coordinator
Clinical analyst
Clinical nurse informatics specialist
IT clinical nurse
Preoperative informatics nurse

51. BIBLIOGRAPHY
Joginder vati, Principles and practice of Nursing
management and administration, Jaypee Brothers Medical
Publishers, first edition, Page No -631-638
Mr. Anoop.N, Mr. Chetan Kumar.M.R, Mr. Deepak.K, Mr.
Lingaraju.C.M, Mr. Mithun Kumar.B.P, Mr. Sarath
Chandran.C, A Text book on Nursing Management,
padmashree institute of nursing, Page no 672-680
https://michellannsarabia.wordpress.com
https://www.slideshare.net
https://healthinformatics.uic.edu
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825491/
https://www.capella.edu/blogs/cublog/healthcare-
informatics-vs-nursing-informatics/