nursing tics in europe
TRANSCRIPT
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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."