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Foundations of Nursing Informatics
Scope of Nursing Informatics
The scope of Nursing Informatics is to : Focus on Care of Individuals, families and communities
To maintain &recover optimal quality of life from birth to death
Conduct research and to develop healthcare policies
What is Nursing Informatics?
Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. It facilitates integration of data, information, knowledge & wisdom to support patients and nurses. This support is accomplished through the use of information structures, information processes, and information technology.”
(ANA Scope & Standards of Nursing Informatics Practice, 2008)
Framework for Nursing Informatics
The framework for nursing informatics relies on the central
concepts of data, information and knowledge:A DATA is defined as discrete entities that are described objectively
without interpretation
An INFORMATION as data that is interpreted, organized or
structured
A KNOWLEDGE as information that has been synthesized so that
interrelationships are identified and formalized
Application of Nursing Informatics
Nursing Informatics can be applied to all areas of nursing practice, which include; clinical practice, administration, education, and research.
Computers can perform a wide range of activities that save time
and help Nurses provide quality nursing care.
COMPUTERS in NURSING
NURSING PRACTICE
NURSING EDUCATION NURSING
MANAGEMENTNURSING
RESEARCH
Nursing Clinical PracticeWork lists to remind staff of planned nursing interventionsComputer generated client documentationElectronic Medical Record &Computer-Based Patient RecordingComputer - generated nursing care plans and critical pathways
Nursing Administration
Automated staff schedulingE-mail for improved communicationCost analysis and finding trends for budget purposesQuality assurance and outcomes analysis
Change Lives, Build a Healthier World - Nursing Programs
Nursing Education
Computerized record-keepingComputerized-assisted instructionInteractive video technologyDistance Learning-Web based courses and degree programsInternet resources-CEU's & formal nursing coursesPresentation software for preparing slides & handouts-PowerPoint & MS Word
BEFORE
AFTER
Nursing Research
Computerized literature searching-CINAHL, Medline & Web Sources Adoption of standardized language related to nursing terms-NANDA The ability to find trends in aggregate data, that is data derived from large population groups-Statistical Software, SPSS
Determine relative importance of causes of
illness, disability & deathDisease DALYs*
(000)Mortality (000)
Tuberculosis 7577 421Measles 6471 190Malaria 577 20
Benefits of Computer Automation in Health Care
Many of the benefits have came about with the development of the Electronic Medical Record (EMR), which is the electronic version of the client data found in the traditional paper record.
EMR - Benefits Improved access to the medical record
The EMR can be accessed from several different locationsDecreased redundancy of data entry
For e.g. allergies & vital signs need to be entered onceDecreased time spent in documentation
Automation allows direct entry from monitoring equipment
Increased time for client careMore time is available for client care because less time is required for documentation
Role of Nursing Informatics Specialist
(NIS) The NIS is a nurse who has formal education, certification and
practical experience in using computers in patient care settings
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Theory development : NIS contributes to the base of nursing informaticsAnalysis of information needsSelection of computer systemsGuidance in making informed decisions related to the purchase of computer systems
Roles of Support Personnel
Support for computer systems and networks includes: Planning System Upgrades Installation of Upgrades for Operating Systems Troubleshooting User Education & Training
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