Async Group 3 Topic:

VI.

Question #1: @abcdianefg asks, wth is a computer-generated nursing care plan?

Computer-generated nursing care plan

The essence of nursing job is care, and one of the most significant functions of this profession is
care management.
Computer-generated progress notes automatically filter and print out patient data, such as drug
administration, therapies, and vital signs, making recording more efficient and accurate.

II. COMPUTERIZED NURSING CARE PLANS ACHIEVING QUALITY NURSING CARE

Patient care plans that are well-thought-out are an important part of providing high-quality
nursing care. Writing care plans, on the other hand, can be a time-consuming and complex
undertaking.

• Demonstrates a commitment to care continuity

• Directs nursing action in a safe and effective manner
• Care provided has a legal record
•Compliance with policies and procedures is improved
• Reduces risk by detecting and tracking problems early

The Advantages and Disadvantages

The speed quality, comprehensiveness, and efficacy of

establishing patient-specific care plans can all benefit from computerization. More efficient use
of nursing resources,more enecuve use of nursing skills and knowledge, and greater patient
management are all advantages for nursing administrators.

Using technology as the interface of care, particularly for elderly nurses, can lead to confusion
and imitation, as well as misinterpretation of treatment an Pallent
compliance.

a. Critical pathways
 b. Clinical guidelines

@bangbang_in_2the_r00m asks what is “clinical guidelines” and why is

informatics involved in this?
Clinical guidelines are statements about a patient's condition and the care they should
receive. They are developed systematically to ensure quality and provide access to
evidence-based care. Nursing informatics supports the development, use, and
evaluation of clinical guidelines by providing strategies that aid in accessing,
communicating, and evaluating them.

@raikantopeni_musaprusyam-timiayusipsampi asks what are the functions of the

clinical guidelines?

1. Knowledge browsing (Improving access to clinical

guidelines)
- Knowledge browsing aims to enhance access to clinical guidelines and evidence by
utilizing informatics. Current methods primarily offer access to the guidelines without
providing efficient access to the knowledge they contain. One proposed solution involves
indexing the knowledge with keywords, enabling practitioners to quickly locate and
retrieve the information they require.
2. Messaging (Implementing Clinical Guidelines)
- Informatics enables efficient communication in healthcare, supporting the
implementation of clinical guidelines. Decision-making, a complex process, is facilitated
by decision support systems, which provide evidence from guidelines and accommodate
patient preferences. There's a need to improve how knowledge is presented to align with
user preferences, and informatics can adapt national guidelines for local use.

VI. Informatics Application in Evidence-Based Nursing

Computer-generated nursing care plan

Critical pathways

Clinical guidelines
Clinical guidelines consist of statements pertaining to various aspects of a patient's condition
and the recommended care to be provided. They are considered to be comprehensive
summaries of evidence, addressing the challenges faced by individual practitioners in accessing
care-related evidence efficiently. The systematic approach employed in the development of
clinical guidelines ensures that they uphold the quality of knowledge derived from existing
research.

THE ROLE OF INFORMATICS IN IMPLANTING CLINICAL GUIDELINES

1. Knowledge browsing (Improving access to clinical guidelines)

 Knowledge browsing in informatics involves accessing information from a knowledge
base, such as clinical guidelines. To ensure easy access to guidelines and the
embedded knowledge, informatics offers indexed access through keywords. This allows
practitioners and patients to selectively retrieve the relevant sections of guidelines,
improving their access to evidence-based information. By utilizing informatics, accessing
clinical guidelines and other forms of evidence becomes more efficient, enhancing the
decision-making process for healthcare professionals and patients alike.
2. Messaging (Implementing Clinical Guidelines)
Messaging in informatics refers to the exchange of information, such as through records,
assessments, and referrals. Once clinical guidelines are accessed, they can be
implemented in practice by assisting in decision-making and providing guidance.
Informatics supports guideline implementation through messaging, which involves
communicating information in formats that support decision-making and care planning.
Healthcare decision-making is a complex process involving various phases, including
recognizing the need for a decision, identifying available options, assessing their
consequences, evaluating desirability, considering gains and losses, and assessing the
ability to implement choices. Decision support systems aim to present the evidence from
clinical guidelines in a format that assists practitioners and patients in making informed
decisions. These systems can also prompt the inclusion of patient preferences during
interviews or care provision. However, there is a need to improve how knowledge is
represented to ensure it aligns with the preferences of practitioners and patients in
accessing and using it. The interactive potential of informatics can also facilitate the
adaptation of nationally developed clinical guidelines for local use, enhancing their
applicability and relevance.
3. Counting (Evaluating Clinical Guidelines)

Counting in informatics involves analyzing data to assess the impact of clinical guidelines on care
quality. Guidelines based on strong evidence set standards of care and help measure practitioners'
performance. Informatics collects data on guideline adherence and outcomes, linking inputs,
processes, and outcomes in care. Acting on evaluation results is key to enhancing care quality. In the
absence of guidelines, accessing other evidence through computers is crucial. Informatics aids in
identifying research priorities and strengthens the link between guidelines and research, improving
care quality.

@BAMBIM490380948_ ask what are the components of the critical pathway and its
definition?????
COMPONENTS OF CRITICAL PATHWAY

So there are 4 components of critical pathway, first is the….

1.Timeline - Define the coverage as well as other time elements to be considered in any of the
steps or procedures it has.
2. Categories of Care - Sets of care together according to distinct categories which may
include, but are not limited to the following
• Assessment
• Diagnosis
• Diet therapy
• Nursing Care
• Medical Regimen etc.
3. Intermediate and long-term outcome criteria - this provides clear expected health
outcomes through a list to aid the healthcare provider in evaluating care and patient
4. Variance Record - this requires documentation of variance. Variance?? – a quality that is
divergent or inconsistent with the
expected outcome.

@userambotueh09090 now that i knw the components, how about the OPTIMUM
DEVELOPMENT AND IMPLEMENTATION STRATEGIES??/?

Best practices for creation and execution mostly rely on the situation, be it business, project, or
objective-oriented. Optimizing development and implementation outcomes may be achieved by
customizing these tactics which is;

• Selecting a Topic - Topic of high-volume, high-cost diagnoses and procedures.

• Selecting a team - Active physician participation and leadership is crucial and
Representatives from all groups or clinical department
• Evaluate the Current Process of Care - to understanding current variation and it needs a
careful review of medical records, identification of the critical intermediate outcomes,
rate-limiting steps, and high-cost areas on which to focus.
• Evaluate Medical Evidence and External Practices - it needs to evaluate the literature to
identify evidence of best practices in the absence of evidence, comparison with other
institutions, or "benchmarking," is the most reasonable method to use.
• Determine the Critical Pathway Format - the format of the pathway includes a task-time
matrix spectrum of pathways of the medical record used as a simple checklist.
• Document and Analyze Variance - The most important processes in the clinical pathway. It
process the identification of factors the key features in process improvement.

@userambotueh09090_ so what are its benefits>>? Of critical pathway

That is a good question, what are the benefits of critical pathway?? Well, its benefits of critical
pathways, offer several benefits in various fields, particularly project management and
healthcare. One benefit is it help in the quality of care, improving the quality of care which may
reduce risk for patients and will promote a nice way to support clinicals.

However, it may have several benefit. It has also a limitation. Its limitation is;\ No thorough
investigation has identified a crucial route to lessen duration of stay, cut down on resource use,
or enhance care satisfaction.

Question: @KittyChichaAmatayakul asks, what even are e-journals in nursing

informatics?

So e journals in nursing informatics is

E. journals

Definition
● Electronic journals enable electronic writing, editing, refereeing, and distribution
without paper intermediaries, providing a wide range of subject areas on the
rapidly growing publishing platform of the Internet.
● Even with high caliber academic content, certain internet publications might not
go through the same thorough review process like print journals.

Question: @sweetTothie asks, what are the types of e-journals publications in

nursing informatics??!??
So here are the types of E - journal publications, so the 1st one is

TYPES OF E-JOURNAL PUBLICATIONS

1. Offline the CD-ROM version

- CD-ROM has a high storage capacity and reliability, cost-effective, portable and has the ability
to store graphic data.

2. Online or Internet-based journals

- Online journals allow remote and timely access. wherein more than one user can use it
simultaneously. E-Journals support different searching capabilities and save physical storage.

Question: @bmeg asks, what are the classification of e-journals in nursing

informatics??!??

CLASSIFICATIONS OF E JOURNAL

● Classic e-journals or Internet e-journals

- Classic e-journals, or internet e-journals, are electronic journals distributed via email, now
available on the web for free with only new issue announcements.

● Parallel e-journals
- Parallel e-journals are published simultaneously in print and electronic formats,
including full text, selected article (table of content) TOC, and print excerpts.

● Database Model and Software Model

- The database model stores articles in a centralized database, accessible by
subscribers. The software model provides an internet-connected software that connects
to the database, allowing users to search and download information encrypted and with
an expiration date.

● CD-ROM journals
- Commercial publishers have also made journals titles available on CD-ROM. The full text of
journals and newspapers has been made available on CD-ROM. In many cases these
duplication print titles.

Question: @BuumTaratTarat asks, what are d disadvantages and advantages of E

Journal?

ADVANTAGES OF E-JOURNAL
E-journals present numerous advantages over traditional print journals, offering
efficiency by quickening the publishing process, accessibility for multiple users
simultaneously, content flexibility with no space restrictions, global access regardless of
location, multimedia integration for enhanced content, space efficiency requiring
minimal storage, cost-effectiveness with no extra charges for color figures, subscription
flexibility allowing users to pay for single articles, and free access to some online
e-journals without subscription fees, widening their reach compared to printed journals.

DISADVANTAGES E-JOURNAL

E-journals face challenges in credibility, accessibility, and permanence compared to

print journals. They may lack academic recognition, be less discoverable, and raise
concerns about long-term preservation and accessibility. Issues like peer interest,
indexing, and technological adaptability impact their acceptance and sustainability in
scholarly communication.

Question: @Dudung asks, what are d examples of E Journal?

EXAMPLE OF E- JOURNAL
The Journal of Infectious Diseases focuses on topics like the SARS-CoV-2 outbreak and genetic
diversity of the virus, providing comprehensive reviews and insights into infectious diseases. On
the other hand, the Online Journal of Issues in Nursing addresses critical topics such as nurse
safety and offers a platform for discussions through letters to the editor, enhancing knowledge
and awareness in the nursing field.

VII. Critical care applications

VII. CRITICAL CARE APPLICATIONS

CRITICAL CARE APPLICATIONS

- Areas where patients require complex assessment, high-intensity medication,
continuous therapy, and interventions
- as we handle patients like this, as nurses, we must be attentive and watch them
continuously

CRITICAL CARE NURSING

Is the field of nursing that focus on human responses to life-threatening problems
- So, when we say life-threatening, it can be an illness or injury
- Data must be accessible at the point of care
- Examples of Critical Care units: Intensive Care Units (ICU), Pediatric Intensive Care
Units (PICU),
Neonatal Intensive Care Units (NICU)
More e.g., Cardiac Care Units, telemetry
Units, ER, and Recovery room

CRITICAL CARE NURSE

To make sure that critically ill patients are conditioned individuals and in optimal health
- Make sure that families of medically ill patients receive optimal care
- Rely on knowledge, skills, and experience, and automated system support and
intelligent system

CRITICAL CARE INFORMATION SYSTEM (CCIS)

- Is a system designed to collect, store, organize, retrieve, and manipulate all data related
to care of the critically ill patient
- It also produces speed, accuracy, convenience, and less errors
- Is the organization of patient’s current and historical data Indicators such as bed
occupancy, delayed discharges, readmission rate, and outcomes
- Allows the flow of data between the critical care unit and other departments
- So, each patient’s data can be accessed from any terminal workstation. This can extend
across units or restricted to a single unit
- Provides rich repository of patient information that can be integrated use in our outcomes
management

Question: @BaekHong1031 asks, what is a Medical Information Bus?

MEDICAL INFORMATION BUS (MIB)

This technology provides a standardized way to connect patient monitoring devices to a single
interface, eliminating the need for customized connectors and software. It also includes features
such as filtering, storing, and selecting information to be included in the clinical medical record.

Question: @1031germany asks, what it the examples of Medical Information Bus?

Examples: Infusion pump, pulse oximetry, mechanical ventilator

ADVANTAGES OF CRITICAL CARE INFORMATION;

ADVANTAGES OF CRITICAL CARE INFORMATION SYSTEM

The text outlines the features and benefits of a clinical repository system. The system integrates and
processes physiologic and diagnostic information and stores it securely. It uses alarms and alerts to
show deviations from established ranges and trends data in a graphical presentation. The system
also accepts and keeps patient care documents for a lifetime and provides clinical decision support
through alerts, alarms, and protocols. It allows access to vital patient information from any location,
both inside and outside of the critical care setting. The system can analyze patient outcomes in a
comparative manner and present clinical data based on concept-oriented views.

Narrative: critical care

Critical care nursing is a specialized field that responds to life-threatening situations. The goal is to
provide the best care to critically ill patients and their families. There are various types of intensive
care units. Critical care areas that require immediate attention for proper automation and
computerization are cardiac care units, cardiac catheter labs, telemetry units, progressive care units,
emergency departments, and recovery rooms. It involves complex assessments, high-intensity
medication, continuous therapy and interventions. It is a challenging field that requires focus and
dedication.

Critical care providers and nurses rely on their expertise and technology to provide compassionate
care to patients. Technology advancements in healthcare are keeping more patients at home or
making it easier for them to recover. Future hospitals are expected to be large critical care units,
while other types of care will be provided in alternative locations.

REFERENCES

Technologies, O. O. I. (n.d.). University of Maryland School of Nursing. Copyright (C)

2011, UM SON. All Rights Reserved.

https://cf.son.umaryland.edu/NURS310/module7/subtopic2.htm