nursing tics new

7/31/2019 Nursing tics NEW

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What does informatics

Mean for Nursing

Use of artificial intelligence or

decision making systems for use of

nursing process

Use of computer based scheduling

package to allocate staff in a hospital Use of computers for patient education


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What does informatics

Mean for Nursing

(Contd.) Use of computer decisions and how those

decisions are made

Use of computer assisted learning inNursing Education

For Hospital Information System

ResearchInformation nurses use inmaking patient care decisions and howthose decisions are made


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INTEGRATING

INFORMATICS

MULTI SYSTEMS APPROACH

FINANCIAL FLOW


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INTEGRATING INFORMATICSMULTI SYSTEMS APPROACH


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COMMUNICATION FLOW


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MANAGEMENT FLOW


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MEDICAL FLOW


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COMPARISON OF NURSING PROCESS TO CLASSICSYSTEM DEVELOPMENT LIFE CYCLE

OBSERVE REQUIREMENTS DEFINITION

NUR- ASSESS ANALYSIS

SING DIAGNOSEPRO-

CESSPLAN PRELIMINARY DESIGN

DETAIL DESIGN

IMPLEMENT CODING

TESTING

EVALUATE IMPLEMENTATION


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MAJOR PHASES IN SYSTEM

DEVELOPMENT

PLANNING SYSTEM DESIGN

PROGRAMMING SYSTEM CODE

IMPLEMENTATION SYSTEM IN USE


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PLANNING PROCESS

P ------------ STRATEGIC PLANNING INSTITUTIONOBJECTIVES

L

A ANALYSIS DETAILED

REQUIREMENTS

N

N

I

N

G --------- DESIGN USER INTERFACE


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NURSING DATA ELEMENTS

EXAMPLES OF DATA SETS

PATIENT DEMOGRAPHICS

AGE AND DATE OF BIRTH SEX

RESIDENCE

LANGUAGE

RELIGION

OCCUPATION

EDUCATION LEVEL


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(Contd.)

CARE ITEMS

NURSING DIAGNOSIS

NURSING INTERVENTIONS

CIENT OUTCOMES

NURSING INTENSITY

SERVICE ITEMS MAIN NURSE PROVIDER


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(Contd.)

MAIN DOCTOR

ADMISSION DATE AND HOUR

LENGTH OF STAY

DISCHARGE DATE AND HOUR

MAIN PATIENT SERVICE

RESPONSIBILITY FOR PAYMENT


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NANDA-NURSING MINIMUM

DATA SET ELEMENTS

NURSING ELEMENTS PATIENT DEMOGRAPHIC SERVICE

ELEMENTS ELEMENTS

NURSING DIAGNOSIS PERSONAL IDENTIFICATION SERVICE AGENCY

NUMBER

NURSING INTERVENTION DATE OF BIRTH PATIENT HEALTH

RECORD NUMBER

NUMBER OF MAIN RN

EPISODE

NURSING OUTCOME SEX ADMISSION OR

ENCOUNTER DATE

INTENSITY OF NURSING CARE RACE AND ETHNICITY DISCHARGE OR

TERMINATION DATE

DISPOSITION OFPATIENT

EXPECTED PAYOR OFBILL


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DRAFT UNIFORM DATA SET

INDIVIDUAL LEVEL-PATIENT DATA

DEMOGRAPHIC CLINICAL ITEMS SERVICE ITEMS

PERSONAL IDENTIFICATION MEDICAL ITEMS PROVIDER

IDENTIFICATION

ADMISSION DATE

DATE OF BIRTH SURGICAL DIAGNOSIS DISCHARGE DATE

EPISODE OF CARE

RELIGION LENGTH OF CARE

LENGTH OF STAY

SEX NO. OF HOSPITAL

ADMISSIONS


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DRAFT UNIFORM DATA SET

INDIVIDUAL LEVEL-PATIENT DATA (Contd.)

DEMOGRAPHIC CLINICAL ITEMS SERVICE ITEMS

LOCATION OF RESIDENCE REASON FOR DISCHARGEDISCHARGE DISPOSITION

EXPECTED PAYOR

UNIT OF SERVICE-VISIT

UNIT OF SERVICE-HOUR

UNIT OF SERVICE PERDISCIPLINE

NO. OF DAYS PER LEVELOF HOSPICE CARE


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THE OMAHA SYSTEM

It is a research-based, comprehensive

taxonomy that consist of the Problem

Classification Scheme, the InterventionScheme, and the Problem Rating Scale for

Outcomes


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THE OMAHA SYSTEM

(Contd.) It is based on the dynamic, interactive nature of

the nursing or problem solving process, the

clinician-client relationship, and concepts ofdiagnostic reasoning, clinical judgement, and

quality improvement.

It follows taxonomic or classification principles, it

consists of terms and codes arranged from generalto specific.


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THE OMAHA SYSTEM

(Contd.)

The goal of this system was to develop a

taxonomy that would provide a useful guidefor practice, a method for documentation,

and a framework for information

management


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PROBLEM CLASSIFICATION

SCHEME It is a comprehensive client-focused

taxonomy that describes clients health

related concerns and problems. It consists of four levels: domains,

problems, modifiers, and signs/symptoms.

The domains are Environmental,Psychosocial, Physiological, and HealthRelated Behaviours.


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SCHEME (Contd.) Client problems, the second level of the Scheme,

are the 40 nursing diagnoses that represent matters

of difficulty and concern to the client. Two sets of modifiers appear at the third level of

the Scheme and are used in conjunction with

problems. The user identifies a problem as either

an individual or family problem and as either ahealth promotion, potential, or actual problem.


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SCHEME (Contd.) Using two modifiers with a problem increases

applicability across the health-illness continuum

and adds specificity to the problem. The fourth level of the Scheme involves a cluster

of signs and symptoms specific to each problem.

For eg: signs and symptoms for the problem,

Income, include uninsured medical expenses anddifficulty buying medicines or other supplies.


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INTERVENTION SCHEME

The terms, codes, and definitions of the Scheme

are designed to help users identify and document

both plans and interventions for clients specificproblems or nursing diagnoses.

The four categories in the first level of the scheme

are Health Teaching, Guidance, and Counseling;

Treatments and Procedures; Case Management ;and Surveillance.


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INTERVENTION SCHEME (Contd.)

The second level of the scheme is analphabetical listing of 62 targets

Targets are defined as objects of healthrelated interventions or activities, andfurther describe problems-specificintervention categories

The third level of the Intervention Schemeis designed for client-specific information


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PROBLEMS RATING SCALE FOR

OUTCOMES It is a comprehensive framework designed to

measure clients health related changes

It is a 5-point, ordinal scale comprised ofKnowledge, Behavior, and Status subscales

Status is the condition of the client, in relation toobjective and subjective defining characteristics

For eg. for problems such as Grief andCirculation, the user would identify and documentbaseline Knowledge, Behavior, and Status ratingsduring the first home visit, hospital shift, or clinic

encounter


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NURSING INFORMATION

SYSTEM (NIS)EVALUATED ON THE AVAILABILTY

OF FOLLOWING

A CARE PLAN

A NURSING WORK SHEET

AN ASSESSMENT DOCUMENT

A DISCHARGE PLANNING GUIDE FOR

A SPECIFIC PATIENT


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NURSING INFORMATION (NIS)

(Contd.) A QUALITY ASSURANCE RECORD

A NURSE CHARTING RECORD

IS THE CHARTING SYSTEM FLEXIBLE TOADAPT TO DIFFERENT APPROACHES(SOAP)

IS THE CARE PLANNING SYSTEM

FLEXIBLE TO ADAPT TO DIFFERENTAPPROACHES (DIAGNOSIS ORIENTEDPROBLEM ORIENTED)


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NURSING INFORMATION (NIS)

(Contd.) Are physician orders automatically loaded into the

NIS application and available in the care plan,nursing worksheet, assessment report, and

discharge planning record without any redundantentry?

Spend a minimum 1 hour on the patient care unit

Go to at least two patient care areas. See whetherthe system is fully operational on more than oneunit

Meet nursing officer and gain feedback

nursing tics new

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