nursing tics in europe

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    GROUP 1, 2BSN4

    MABALOT,RHONIDA

    MACAALAY,

    SHEMIAH CHEN

    MACARAEG,LIEZL MAE G.

    MAMORNO,RONEDELCLAUDINE

    MANAOIS,ELEANOR

    REPATO ,

    SHANIE LEY

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    Nursing Informatics in Europe

    Europe is a continent with over 750 million inhabitants in about 50 countries with

    many different languages, cultures, social systems and other living condition.

    Widespread of use of IT in healthcare services is very limited in comparison to other

    areas of society.

    The main mission in Europe is to establish a stable infrastructure that improves

    healthcare quality, facilitates the reduction of errors and delivery of evidenced based

    and cost effective care.

    The Europe Union (EU) is a driving force of healthcare informatics development by

    funding projects that are all cross- cultural involving healthcare professional users,

    educators, and administrators, always with three or more countries participating.

    Telemedicine or telehealth, which is the practice of medicine and nursing over a

    distance where data and documents are transmitted through telecommunication

    system, is widely disseminated in parts over Europe.

    Electronic Patient Record

    All RN in Sweden are by law, since 1986, obliged to document nursing care (SFS,

    1985)

    Regulations emphasize that RNs have an autonomous responsibility for planning,

    implementing and evaluating nursing care and that nursing diagnoses in the patient

    record is a part of that responsibility (SOSFS, 1990).

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    Nursing Practice in Europe

    Association for Common European Nursing Diagnoses Intervention and outcomes

    (ACENDIO), which was established in 1995. The aim of the association is to support

    the development of standardized classifications, terminologies, and data sets for

    sharing and comparing nursing data.

    ACENDIO

    Supports the development of nursing informatics by biannual conferences,

    publications and presentations to advance understanding.

    Serves as a network for nurses in different European countries so that they can share

    knowledge about developments.

    Provides resources such as reference lists and sample Methodologies for developing

    and evaluating nursing vocabularies and by providing interpretation of international

    standard for terminologies and classifications.

    NURSING INFORMATICS IN THE PACIFIC RIM

    Trends in Healthcare

    New Zealand has seen more collaborative approach resulting in integrated care

    being seen as a priority. Integrated care is being supported by technology.

    The Web environment and the use of powerful integration engines, is now

    providing contextual views of data that is browser- based and single logon. Placed

    over multiple hospital information systems this connection provides a single patient

    view of data across all medical applications. Online technologies provide products

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    and services that enhance patient care and improve clinical outcomes through

    evidence-based health information and decision support systems.

    Although New Zealand is a small country, it has a surprising number of health

    IT companies who are producing software that is being used both locally and

    internationally, the i-Health.

    Technology Trends

    New Zealand has been embracing changes in technology. No longer is

    information restricted to individuals and organizations. Higher speed networks

    including wireless and broadband are enabling information in a variety of formats to be

    shared. Exploration into telehealth has occurred in a number of fields including

    teledermatology, teleradiology, telepsychiatry, and telepediatrics (Oakley, 2001).

    Improvements in portability are now allowing the use of technology in a greater

    range of settings. Personal Digital Assistants (PDAs) and tablets are being used in the

    clinical setting by students and healthcare professionals. Some Australian nurses are

    using PDAs for point-of-care information and clinical documentation for communityand acute hospital nursing, hospital-based infection control and wound management.

    Funding for the use of the technologies is probably one of the biggest

    limitations imposed in embracing new technologies to enhance care delivery.Nurses

    need to be prepared to work alongside and use technology to best care for clients.

    Current National Initiatives

    The New Zealand Ministry of Health, in 2001, prepared a 5-year broad strategic

    directive for information and technology developments, referred to as The WAVE

    Report. The report was produced by means of collaboration among industry,

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    clinicians, government and healthcare managers. The report has also formed the

    foundations for long-term issues such as EHRs.

    Following the WAVE report, the drive for collaboration from the bottom-up has

    consolidated as the district health boards (DHBs) replace their isolated departmental

    systems with more integrated and dynamic Web-based technologies that support a

    more connected delivery network. Such arrangements have reduced duplication and

    contributed to more effective and efficient management of infrastructure.

    1993 Establishment of the National Health Data Dictionary.

    1999 The first national strategic information action plan, Health Online was

    initiated. This was followed by a number of projects initiated by the Australian

    government: HealthConnect, MediConnect,the provision of quality health

    information for consumers known as HealthInsite, along with more than 360

    projects.

    2005 It was expected that a strengthened governance model with greater

    central leadership will be implemented to enable better use of informationtechnologies. The overall aim is to improve health outcomes while containing

    cost increases driven by advances in medical technologies and an ageing

    population.

    Standards Development and Adoption

    The minister of health directed that a WAVE working group, the Ministerial

    Committee on a Health Information Standards Organization (HISO), be established to

    investigate the implications of establishing a nonstatutory organization to manage

    health information standards.

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    The scope of development activities that HISO will be involved with includes standards

    associated within the following categorization scheme:

    Records structure and content data formats.

    Vocabulary codes for medical and other healthcare terms.

    Messaging standards used for interchange of data.

    Security and privacy how access to information is managed.

    HISO, and supported by the Ministry of Health produced the New Zealand Draft

    National Health Standards Information Plan (NZHSP) to assist in its role of developing

    health information standards for the health and disability sector. HISO enhances the

    New Zealand e- Government Interoperability Framework (e-GIF) direction.

    The HZHSP proposes a framework for describing the sector priorities, standards

    development processes, governance and leadership, and presents a clear statement

    of the proposed plan.HISOs role is aimed at the acceptance throughout the health and health-related

    industries of such standards. The availability of detailed and clinically relevant data is

    essential for clinical care decisions and for oversight groups making decisions related

    to the quality of that care.

    Standardized terminology systems are essential to permit the use and

    exchange of clinical data across applications and IT systems.

    Give point-of-care documentation, technology is now available to build electronic

    health information systems that will efficiently meet a variety of needs. This includes

    providing immediate feedback to care providers by, for example, exchanging critical

    patient information in a timely manner across the healthcare continuum, and reducing

    provider burden associated with current documentation requirements.

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    Archetypes are constraint-based models of domain entities and were first

    defined by the Australian-based OpenEHR group, an international not-for-profit

    foundation working toward interoperable lifelong EHRs. In July 2004, NHIG endorsed

    L7 as the standard for healthcare messaging in Australia. This represents a small step

    toward the implementation and an increase in the adoption of available standards.

    Research

    Health-related information has a number of uses. Apart from the direct use of

    information in the care of clients, there is a growing awareness of the need for timely

    and accurate data for research. Two specific areas that are currently gaining more

    attention within NI are clinical pathways and evidence-based practice. In the New

    Zealand, this is demonstrated by The Centre for Evidence Based Nursing Aotearoa

    (CEBNA) and the New Zealand Guidelines Group (NZGG).

    CEBNA is a partnership between the Auckland District Health Board and the

    University of Auckland, School of Nursing. It collaborates with the Joanna Briggs

    Institute for Evidence Based Nursing and Midwifery, the lead, centre, in anAutralasian-wide collaboration, that includes centers throughout Australia, Hong Kong,

    and Singapore. These centers are committed to an evidence-based approach to

    healthcare and to promoting an evidence-based culture in nursing.

    NZGG is an informal network of expertise and information on guidelines

    development and implementation. It is funded by the Ministry of Health and through

    contracts with other health agencies such as ACC.

    HISA organizes an annual conference where between 40 and 60 papers are

    presented each year. These are indexed in CINAHL and provide a good overview of

    progress in health informatics in Australia. Health informatics does not exist as a

    research category for the major government research funding organizations which

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    makes it difficult to obtain research funds from these organizations. It is anticipated

    that this will change in the near future as part of the Australian governments health

    workforce capacity building initiative.

    Education

    In New Zealand, NI has been recognized as significant by the Ministries of

    Health and Education since the early 1990s. A national Guidelines for Teaching

    Nursing Informatics curriculum was introduced into the undergraduate preparation of

    nurses programs in 1991. Undergraduate nurse education reflects the need for

    computer literacy. The new nursing student, most commonly from secondary school,

    enters with increased computer skills than ever before.

    Since the mid-1990s nurses registering for practice in New Zealand also

    complete an undergraduate degree. Furthermore, the changes in health service

    delivery in New Zealand and the establishment of new roles and career opportunities

    for nurses are drivers for an increased demand for postgraduate nursing education.

    Yet there have been barriers to nurses accessing postgraduate education, which is

    generally based in urban areas. Nurses are found throughout the country and thenature of nursing necessitates shift work.

    While NI as a postgraduate specialist subject has not been recognized in New

    Zealand, nurses are favouring the health informatics options. In 1998, the University of

    Otago offered for the first time a diploma in health informatics. The University of

    Auckland commenced offering postgraduate programs that include courses in health

    informatics in 2001. Both tertiary education providers have given nurses the

    opportunity to study informatics in abroad context alongside other healthprofessionals.

    The first Australian experiences of nurses using computers were compiled into

    a edited text by Graham MacKay and Anita Griffin in 1989. Informatics education for

    nurses in Australia varies considerably from one university to another. Most have one

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    person attempting the impossible, often in environments where fellow nurse

    academics have little or no knowledge of informatics. In some instances, there is

    active resistance to its introduction.

    Some schools of nursing integrate informatics into their undergraduate nursing

    program to some extent. Most universities offer one unit of study within their

    undergraduate nursing pre- and postregistration programs as an elective. This

    enables all registered nurses either to obtain a double degree or convert their hospital-

    based certificate into a Bachelors degree.

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    LATEST NEWS ABOUT INFORMATICS IN EUROPE

    Innovations in E-Health & Informatics Europe

    Monday, 16 May 2011

    20 - 22 September 2011, London, UK.

    Healthcare providers across the continent are looking forward to the day when EU-wide

    eHealth collaboration is a reality, when data can flow freely yet securely across

    institutional and international boundaries, thus increasing efficiency and improving

    patient outcomes - and healthcare IT and informatics personnel are working toward this

    goal by the careful selection, implementation and improvement of informatics.

    Through attending Innovations in EHealth and Informatics Europe you will hear

    aspirational and instructional case studies from best-of-breed organisations, learn about

    both mistakes and best practices, meet face-to-face with healthcare IT experts and walk

    away with practical ideas and solutions you can implement in your home institution.

    The expert speaker faculty will show you how to:

    Practice advanced interoperability and seamless information management by

    aligning your ICT to existing and emerging standards with Bernd Blobel of the

    eHealth Competence Center, University Hospital Regensburg

    Implement the latest innovations: hear about pilot projects run by Claus Duedal

    Pedersen at Odense University Hospital, Alberto Sanna at Scientific Institute San

    Raffaele, Otto Larsen at NSI and more in 5 best-of-breed case studies Institute the best techniques for information security, disaster management, data

    recovery and patient privacy: Catherine Chronaki of HL7 and FORTH and Neal

    Mullen of St. Vincent's Healthcare Group show you how

    Effectively align your informatics with your EHR: benchmark your deployment

    with Uwe Buddrus of HIMSS Analytics Europe

    Get the budget and support you need for your informatics deployment from both

    upper management and clinicians with the help of University College London

    Hospitals NHS Foundation Trust's Simon Mortimore

    These are just some of the most pressing issues currently affecting healthcare ITprofessionals; join Innovations in E-Health & Informatics Europe conference to

    investigate how to solve present challenges and position your organisation to

    achieve future eHealth goals.

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    First HYDMedia Systems in France Will Support the 'Zero-Paper' Hospital and

    Regional Hospital Networks

    Friday, 20 May 2011

    Agfa HealthCare announces that the Centre Hospitalier Als-Cvennes

    (CH Als) and the Centre Hospitalier Jean Monnet in Epinal (CH Jean

    Monnet), both in France, are extending their existing Agfa HealthCare

    solutions with an electronic archiving solution.

    Amongst other advantages, CH Als was particularly attracted by the ability to collect all

    types of documents to create and share complete archived medical records within the

    hospital and with other regional healthcare providers, while CH Jean Monnet cites how

    the solution will support its drive for a paperless environment.

    Implementation will begin in Q3 of 2011 and is expected to be completed in Q1 2012.

    Share archived medical records regionally

    CH Als is a 724-bed hospital, with 16 associated healthcare facilities. To address the

    needs of its various activities, it uses a mix of different vendors' IT solutions - including

    Agfa HealthCare's hospital information system (HIS) and laboratory information system

    (LIS)[1]. CH Als is very active in leading innovative projects as part of a regional

    hospital network (Communaut Hospitalire de Territoire - CHT), which includes other

    hospitals of the Gard dpartement.

    "The HYDMedia solution is 'CHT-ready'," explains Mr. Gil, Deputy Director Finance and

    IT of CH Als. "It will support us in sharing medical archive records with other regional

    hospitals within the framework of the CHT. That, combined with our excellent

    relationship with Agfa HealthCare, was a key factor in our decision to implement

    HYDMedia."

    Reduce costs and eliminate paper

    The CH Jean Monnet in Epinal, together with the Centre Hospitalier Intercommunal de

    Golbey (CHI Golbey), counts some 696 beds. It is expanding its existing Agfa

    HealthCare ORBIS hospital information system / clinical information system (HIS/CIS)with HYDMedia, as part of its efforts towards a full electronic hospital and zero-paper

    environment. "HYDMedia offers us the opportunity to reduce our costs while also

    creating a paper-free hospital," comments Mr. Gebel, Director of CH Jean Monnet.

    "With it, we can collect all types of information from all sources in a single archived

    medical record - and share the information, as well."

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    HYDMedia1: electronic archiving for healthcare facilities of all sizes

    HYDMedia enables hospitals and care facilities of all sizes to create a complete

    electronic archived of patient records, combining their paper-based and electronic

    documentation - such as diagnoses, modality print-outs, microfilms and clinical and

    administrative records - while making it available across the organization.

    In this way it partially reduces the need for physical archiving space and time, cuts down

    retrieval time for information and reduces associated costs significantly. HYDMedia has

    been specially developed for healthcare environments and is fully integratable with

    existing hospital IT solutions and workflows.

    Improved productivity, with fast access to archived records

    "We are very pleased to implement these first HYDMedia solutions in France with our

    long-term customers CH Als and CH Jean Monnet," comments Philippe Blanco,

    Managing Director of Agfa HealthCare France. "With the move towards the CHT

    framework, supported by the French health ministry, and the increasing demand for

    paper-free hospitals, HYDMedia clearly meets a growing market demand. Furthermore,

    it not only helps reduce costs but it increases productivity as well, by making archived

    medical records quickly available in different places at the same time."