NURSING INFORMATIC LEC

MODULE 1
AN OVERVIEW OF NURSING INFORMATICS NURSING KNOWLEDGE
NURSING INFORMATICS ….is derived from the practice of nursing science. It
As defined by American Nurses Association (ANA represents the rules, relationships, and experiences
2001) by which data becomes information. Using their
- “a specialty that integrates nursing science, knowledge, nurses synthesize information so that the
computer science, and information science to patterns, relationships, and themes are identified,
manage and communicate data, and knowledge in
nursing practice. Nursing informatics integration of INFORMATION SYSTEM
data, information and knowledge to support nurses …. used in health care include the people, structures,
and other providers in their decision-making in all processes, and manual as well as automated tools
roles settings. This support is accomplished through that collect, store, interpret, transform, and report
the use of structures, information practice and management information.

THE GOALS OF NURSING INFORMATICS NURSING WISDOM

1. Improved Patient Outcomes ….is knowing when and how to use knowledge. It
2. Efficient Workflows develops through praxis, and requires knowledge,
3. Better Communication values, and nursing experience coupled with
4. Data-Driven Decision reflection on one’s own practice.
5. Education and Professional Development
PRIVACY, SECURITY, CONFIDENTIALITY
As given by Canadian Nursing Informatics Association • Protected by Policies & Procedures
• is to improve the health of populations, • Security refers to technological,
communities, families, and individuals by optimizing organizational, or administrative processes designed
information management and communication. This to protect data systems from unwarranted access,
includes the use of information and technology in the disclosures, modification, or destruction
direct provision of care, in establishing effective
administrative systems, in managing and delivering HISTORY OF NURSING INFORMATICS
educational experiences, in supporting lifelong 1. Early Developments (1950s, 1960s and 1970s)
learning, and in supporting nursing research”
2. The Rise of Nursing Informatics (1980s-1990s)
NURSING INFORMATICS AN EMERGING FIELDS • 1982: The term "Nursing Informatics" was
In all types of health care organizations, formally coined by Dr. Virginia Saba, a pioneering
nursing is the hub of the information flow. Developing figure in the field, to describe the use of information
the science and technology of nursing informatics will technology in nursing practice and education.
enhance the information available to nurses for • 1985: The American Nurses Association (ANA)
clinical practice, management, education, and established the first framework for nursing
research and will facilitate the role of nurses as informatics, which laid the foundation for the
communicators." specialty.

KEY ASPECTS OF NURSING INFORMATICS AS AN 3. Expansion and Integration (2000s-2010s)

EMERGING FIELDS • 2000s: There was a rapid increase in the
Data Management adoption of EHRs and health information systems
Technology Integration across healthcare organizations. As technology
Patient-Centered Care became more advanced, the role of nurses in
Collaboration informatics became more vital to ensuring the
systems were designed and implemented effectively
NURSING INFORMATICS TRIAD to improve patient care.
1. Nursing Science • 2001: The first certification in Nursing
2. Information Science Informatics was established by the American Nurses
3. Computer Science
Credentialing Center (ANCC), providing a formal • Documentation can be more timely, more
recognition for nurses working in the field. complete, and more accurate when captured at the
• 2010: The U.S. government passed the Health “point of origin”, usually the client’s bedside in acute
Information Technology for Economic and Clinical care settings.
Health (HITECH) Act, which incentivized the adoption
of health information technology, including EHRs, and KEY FEATURES AND FUNCTIONS OF A NURSING
contributed to the widespread integration of INFORMATION SYSTEM
informatics across healthcare systems.
Electronic Health Records (EHR)
4. Modern Day (2020s-Present) . Patient Care Management
. Nursing Documentation
THE FRENCH CONNECTION . Medication Management
• Francois Gremy, a Frenchman, is credited with . Clinical Decision Support
first coining the phrase "informatique medical." This . Reporting and Analytics
term, when translated to English language, means . Communication and Collaboration
medical informatics.
ELECTRONIC HEALTH RECORD (EHR)
• The term was subsequently defined as • When time and energy are at a premium,
information technologies relating to the care of using a Nursing Information System (NIS) in acute care
patients. Such information was aimed at helping with settings can assist in applying nursing knowledge and
the medical process of decision-making. wisdom to everyday care

THE TOKYO MEDINFO • Documentation can be more timely, more

• The language of nursing informatics was first complete, and more accurate when captured at the
used in 1980 in an address presented at the Tokyo “point of origin”, usually the client’s bedside in acute
MEDINFO Conference by M. Scholes and B. Barber. As care settings.
the nursing profession continued to take on more
significance to post-industrialized societies, it became • The EHR has the ability to generate a
necessary to develop a body of language dealing with complete record of a clinical patient encounter, as
the nursing profession. well as supporting other care-related activities directly
• Nursing Informatics evolved during the or indirectly via interface - including evidence- based
second half of the 20th century decision support, quality management, and outcomes
• Medical informatics began to take off in the reporting.
US in the 1950s with the rise of computer
 Early names for medical informatics included ENGAGING WITH THE “VIRTUAL” CLIENT
medical computing. Early names for medical • While engaging with the virtual
informatics included medical computing, medical representation of a client, the nurse must strive to
computer science, computer medicine, medical envision and experience the client's three-
electronic data processing, medical automatic data dimensional body and being in order to accurately
processing, medical information processing, medical advise, assess, diagnose, and interact fully and
information science, medical software engineering, dynamically.
and medical computer technology. • This perceiving must occur within a virtual
• Since the 1970s the coordinating body has network environment, where both body-sense and
been the International Medical Informatics body- awareness are combined with digital
Association (IMIA) information.

NURSING INFORMATION SYSTEM NURSING ROLE IN E-HEALTH

• When time and energy are at a premium, E-health is a client-centered World Wide Web- based
using a Nursing Information System (NIS) in acute care network where clients and health care providers
settings can assist in applying nursing knowledge and collaborate through ICT mediums to research, seek,
wisdom to everyday care manage, deliver, refer, arrange, and consult with
others about health-related information and concerns
NURSING ROLE IN E-HEALTH
• Health advisors
• Internet guides to help clients select reliable
information resources
• Support group liaisons
• Web information providers
• Nurses need to be involved in the design and
implementation of E-health portals and programs that
provide the best possible experience for health care
clients.

CLIENT EDUCATION ROLE FOR NURSES

• Health advisors
• Internet guides to help clients select reliable
information resources
• Support group liaisons
• Web information providers
• Nurses need to be involved in the design and
implementation of E-health portals and programs that
provide the best possible experience for health care
clients.

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