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Midterm Concepts Principles Theories in Nursing Informatics

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57 views75 pages

Midterm Concepts Principles Theories in Nursing Informatics

Uploaded by

Nazire
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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HOPE LULET A.

LOMIOAN, RN
College Instructor
Saint Tonis College, Inc.

CONCEPTS, PRINCIPLES AND


THEORIES IN NURSING INFORMATICS
Nursing Informatics
• “The combination of nursing, information, and
computer sciences for managing and processing
data into knowledge for using in nursing
practice.” (Murphy, 2010)
• “A specialty that integrates nursing science,
computer science, and information science to
manage and communicate data, information,
knowledge, and wisdom in nursing practice.”
(American Nurses Association, 2008)
• “Nursing Informatics science and practice
integrates nursing, its information and
knowledge and their management, with
information and communication
technologies to promote the health of
people, families and communities
worldwide.” (American Medical Informatics
Association, 2009, para. 1)
Components of Nursing Informatics
• It was identified by the Institute of Medicine
(IOM) report in 2001 that a transformation in
healthcare is needed. Included in this report was
a call for the use of health information
technology (IT) to enhance the quality, safety
and efficiency of healthcare. This transformation
includes improving communication between
providers and patients, automating clinical
information, reducing errors, and promoting
EBP.
Components of Nursing Informatics
• Informatics nurses are those who have
extensive clinical practice, are considered
experts in using the nursing process, and
have additional experience and education
with technology (Healthcare Information and
Management Systems Society [HIMSS],
2012).
Components of Nursing Informatics
• NI supports the decision-making of patients,
nurses and other providers in all roles and
settings. This assistance is achieved through
the use of information structures, processes
and technology.
Test Yourself
Which of the following is NOT considered part of the
definition of nursing informatics?
a. Information science
b. Social science
c. Computer science
d. Nursing science
Theories with Nursing
Informatics (Baker, 2012)
Building Blocks of Nursing
Communications
• Data

• Information

• Knowledge
Systems Theory
• Looks at interacting parts within boundaries, and can
be seen with the use of technology and the body
systems of patients.
Cognitive Theory
• Related to input, output and processing.
Change Theory
• Applied in looking at the dynamic processes that are
incorporated with nursing informatics
Sample Applications of Nursing
Informatics
Clinical Practice Administration
• Recording of patient assessment • Analysis of MIS reports generated from a
data in an electronic health record spreadsheet software application.
• Review of outcome indicators using a
• Recording of workload and decision-support software application.
interventions as a by-product of • Recording of workload and interventions
electronic charting as a by-product of electronic charting.

Education Research
• Distance learning/teaching via the • Evaluation of nurse-sensitive outcome
measures using a standard minimum data
internet. set.
• Recording of workload and • Use of knowledge bases via the internet.
interventions as a by-product of • Recording of workload and interventions
electronic charting as a by-product of electronic charting.
Meaningful Use
Three Components of Meaningful Use
1. Use of an electronic health record (EHR) in
a meaningful manner;
2. Use of EHR technology for electronic
exchange of information; and
3. Use of EHR technology to submit clinical
quality measures.
Meaningful Use
Meaningful Use Hospital Menu Objectives
Stage 1
• Drug formulary checks
• Record advanced directives for patients 65 years
or older
• Incorporate clinical lab test results as structured
data
• Generate lists of patients by specific conditions.
• Use certified EHR technology to identify
patient-specific education resources and
provide to patient, if appropriate.
• Medication reconciliation
• Summary of care record for each transition
of care/referrals
• Capability to submit electronic data to
immunization registries/systems.
• Capability to provide electronic submission
of reportable lab results to public health
agencies.
• Capability to provide electronic syndromic
surveillance data to public health agencies
Meaningful Use Core Objectives Stage 1
• Computerized provider order entry (CPOE)
• Drug-drug and drug-allergy interaction
checks
• Record demographics
• Implement one clinical decision support
rule.
• Maintain up-to-date problem list of current
and active diagnoses.
• Maintain active medication list.
• Maintain active medication allergy list.
• Record and chart changes in vital signs.
• Record smoking status for patients 13 years
or older.
• Report hospital clinical quality measures to
CMS or States.
• Provide patients with an electronic copy of
their health information, upon request.
• Provide patients with a copy of their
discharge instructions at time of discharge,
upon request.
• Capability to exchange key clinical
information among providers of care and
patient-authorized entities electronically.
• Protect electronic health information.
(CMS, 2010)v
Test Yourself
Meaningful use incorporates an electronic health record (EHR)
for use in a meaningful manner and which other two purposes?
a. Upholding core measures and submission of clinical quality
measures.
b. Submission of clinical quality measures and protection of
patient privacy.
c. Protection of patient privacy and electronic exchange of
information.
d. Electronic exchange of information and submission of clinical
quality measures.
Competencies of Nursing
Informatics
Categories of Competencies
1. Basic computer skills
2. Information literacy
3. Information management
Nursing informatics assists nurses to
communicate with all other clinical disciplines,
coordinate patient care, and manage the information
related to patient care and the nursing process.
(HIMSS, 2012)
Competency: Basic Computer Skills

• Information and communication technology concepts


• Computer use and managing files
• Word processing
• Spreadsheets
• Database use
• Presentation
• Communication and web browsing
Competency: Information Literacy

• Establish the character and extent of the information


needed.
• Efficiently and effectively access needed information.
• Appraise information and the sources critically, and
integrates appropriate information into his/her
knowledge base and value system.
• Use information effectively, as an individual or team
member, to achieve a specific purpose.
• Evaluate outcomes of information use.
Competency: Information
Management
• Verbalize the importance of health information
systems with clinical practice;.
• Have knowledge of types and clinical and
administrative uses of health information systems.
• Ensure confidentiality of protected patient health
information.
• Assure access control in the use of health
information systems
• Ensure the security of health information systems.
• Have user skills, including navigation, decision
support, and output reports.
• Understand the principles of health information
system use by healthcare professionals and
consumers are based.
Responsibilities within Nursing
Informatics
• Analyze both clinical and financial data
• Endorse and facilitate resource and
reference access
• Deliver nursing content to standardized
languages
• Improve quality of care
• Enhance relationships between providers
and patients
• Support cost savings and goals for productivity
• Sustain nursing work processes using
technology
• Redesign clinical workflow
• Assist with change management
• Encourage provision of high quality, evidence-
based care.
• Facilitate true interdisciplinary care
Test Yourself
Categories of competencies with nursing informatics
include basic computer skills, information
management, and which of the following?
a. Workflow redesign
b. Health literacy
c. Information literacy
d. Leadership skills
Roles within Nursing Informatics
• Leadership, including management and
administration
• Analysis
• Integrity and compliance management
• Consultation
• Patient care coordination
• Data integration
• Educational and professional development
• Policy development and advocacy
• Research and evaluation
• Systems integration
• Clinical application support
• Process and workflow design
• Clinical transformation
• Information technology security
• Clinical champion
• User training
History of Nursing Informatics
1992
• The ANA recognized nursing informatics as a
specialty, which includes demonstrating a
distinguished practice base, identifying educational
programs, and support from nationally recognized
organizations
1995
• The American Nurses Credentialing Center (ANCC)
created a certification in nursing informatics because
of the increased recognition and educational
programs focused on nursing informatics.
Frameworks and Models of
Nursing Informatics
Source:
https://www.slideshare.net/minettedin/theories-
models-frameworks
Assignment
To be submitted on Monday…

• Open the site:


https://www.informationq.com/about-the-basic-parts-
of-a-computer-with-devices/
• Copy and paste the basic parts of a computer with
their corresponding photos. Use short/letter-sized
bond paper.
• Apply your basic computer skills in the use of
Microsoft Word.

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