Copyright © 2016 Wolters Kluwer Health Lippincott Williams.docx

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams
& Wilkins
Chapter 1:
Introduction to Nursing
Informatics: Managing Healthcare Information
Dr. Bridget A. Leonard DNP
NUR 2120- Nursing Informatics
January 10, 2018
Copyright © 2016 Wolters Kluwer • All Rights Reserved
InformaticsUse of information technology in healthcare.Focus
on information management, not computers.Information
management is a part of nursing.Historically: recording and
keeping information on paper chart.Today: well-designed
information systems. Two roles: informatics specialist; clinician
who must use health information technology.
Strategic Plan for Health Information TechnologyInform
clinical practice with use of electronic health records
(EHR).Interconnect clinicians so that they can exchange health

information using advanced and secure electronic
communication.Personalize care with consumer-based health
records and better information for consumers.Improve public
health through advanced biosurveillance methods and
streamlining the collection of data for quality measurement and
research.
Health InformaticsUmbrella term: capture, retrieval, storage,
presentation sharing, and use of biomedical information, data,
and knowledge for providing care, solving problems, and
making decisionsPurpose: improve use of healthcare data,
information, and knowledge in supporting patient care,
research, and educationFocus: subject and information, not the
tool (computer)Subspecialties (e.g., nursing informatics)
Nursing InformaticsSubspecialty of nursing recognized by the
ANAFocus: information management related to
nursingAcquisition, manipulation, storage, presentation, and use
of information Goals: user-friendly data input; information
presented that is timely and useful for clinical nurseDefinition
difficult; initial definitions with technology focus; continually
evolving definitionsCurrent practice: capturing data at the point
of care and presenting it to facilitate care of an individual
patientConsiderations for secondary data; aggregated data
Question Is the following statement true or false?
Health informatics is a subspecialty under nursing informatics.

AnswerFalse
Rationale: Health informatics is the umbrella term under which
nursing informatics is a subspecialty.
Driving Forces National forcesCreation of ONC (Office of the
National Coordinator for Health Information Technology)and
groups to study standardizing terminologyIOM (Institute of
Medicine) reports: informatics as a core competency for all
healthcare professionalsNursing forcesNational Center for
Nursing Research program goalsNational Informatics Agenda
for Education and Practice AACN’s (American Assn of Critical-
Care Nurses) list of core competenciesANA (American Nurses
Association)Nursing shortageTIGER (Technology Informatics
Guiding Education Reform) initiative
Driving Forces (cont.)Other forcesPatient safetySafety
databasesBarcoding for medication administrationQSEN
(Quality and Safety Education for Nurses)Costs Leapfrog Group
Information Management Tool: ComputersFirst computerized
information management task: numeric manipulationUse of
computers beginning in late 1950s and early 1960s to manage
financial information; then a few computerized patient care

applicationsEarly healthcare informatics systemsPROMIS (with
POMR: Problem oriented medical record)- Patient Reported
Outcomes Measurement Information SystemsHelp Evaluation
through Logical Processing (HELP) SystemSystem
progressionInitially process oriented; now introduction of data
standards in terminology and protocols; aggregated data
Benefits of Informatics: Healthcare in GeneralImprove patient
outcomes:Creating and using aggregated data, preventing errors,
easing work conditions, and providing better
documentation.Buried data now usable: provide information
about problems, show patterns Improved communication among
all healthcare providersEasy, quick storage, and retrieval of
healthcare recordsSaving of time and money with
computerization of tasks; easier method for recording charges
(no lost charges)
Question Is the following statement true or false?
Health informatics today is process oriented.
AnswerFalse
Rationale: Historically, health informatics was process oriented,
but today, it focuses on data standards in areas such as
terminology and protocols.

Benefits of Informatics: NursingEnhances practice and allows
nursing science to developImproves documentation; decreases
time spent on documentationUses data for quality control and
research due to complete documentationBuilds evidence-based
nursing knowledgeFive components to provide evidence-based
careFormulate an answerable questionFind the best available
evidenceAppraise the evidenceImplement the evidenceEvaluate
the Outcome
Competencies Four levels of informatics
competenciesBeginning nurse has basic information
management and computer technology skills.Experienced nurse
is highly skilled at using information management and computer
technology to support major area of practice.Nursing
informatics specialist is able to meet information needs of
practicing nurses by integrating and applying information,
computer, and nursing science.Informatics innovator conducts
informatics research and generates informatics theory.
Competencies (cont.)Computer fluencyGraphical
interfacesApplication programs (word processing, spreadsheets,
databases, presentation programs)
Information literacyAbility to know when information is needed
and how to locate, evaluate, and use it effectively Critical
thinking and problem solving Part of foundation for evidence-
based practice

QuestionWhich of the following would a nurse identify as a
benefit of informatics to nursing?
A. Less data to review for quality control
B. More time to permit complete documentation
C. Less communication needed among providers
D. Easier retrieval of healthcare information
AnswerD. Easier retrieval of healthcare information
Rationale: Benefits include easier retrieval of healthcare
information, improved documentation with less time spent on
documentation, more complete data that can be used for quality
control and research, and improved communication among all
healthcare providers.
Original Work, NO PLAGERIESM, Cite Reference, USE PPT
ATTACHED
Case Study, Chapter 1, Introduction to Nursing Informatics:
Managing Healthcare Information
As a nurse practicing in today’s healthcare delivery systems,
Martha knows she must recognize the role played by informatics
and understand the importance of acquiring and utilizing the
skills required of nursing and its role in the management of
healthcare information. Martha is asked to explain to a new
nurse, Richard, the need for all nurses to have basic skills in
informatics (Learning Objectives: 2 and 4).
a. What definition of informatics should Martha provide to
Richard, and how should she describe the role informatics plays
in nursing healthcare delivery?
b. How should Martha explain to Richard the skills the nurse
must possess and implement in order to manage healthcare

information using informatics?
1

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