Lecture given to

1.
Masters
of
Nursing
Science
NURS90054
Nursing
and
the
Health
Care
System
2–
(5
Sept
2012)
Overview
of
Nursing
Informa2cs
(NI)
Prof.
Fernando
Mar-n-­‐Sanchez
Health
and
Biomedical
Informa-cs
Research
(HBIR)
Unit
Melbourne
Medical
School
FMDHS
The
University
of
Melbourne

2. Outline
• Health
and
Biomedical
Informa-cs
– Ra-onale
– Defini-on
• Nursing
Informa-cs
– Defini-on
and
evolu-on
– Skills
and
roles
– Core
areas
of
work
• Relevant
organiza-ons
and
ini-a-ves
in
NI

3. Outline
• Health
and
Biomedical
Informa-cs
– Ra-onale
– Defini-on
• Nursing
Informa-cs
– Defini-on
and
evolu-on
– Skills
and
roles
– Core
areas
of
work
• Relevant
organiza-ons
and
ini-a-ves
in
NI

4. Ra-onale
• Background
- Health
care,
Biomedical
research
and
Public
Health
are
informa-on
intensive
ac-vi-es:
- Medical
images
and
clinical
records
- DNA
sequencing,
molecular
data
- Literature
and
public
databases
- Clinical
trials,
biobanks,...
- New
data
types
(extremely
complex
and
heterogeneous)
are
being
generated
at
an
unprecedented
pace
- Nurses
spend
roughly
15%
of
their
-me
with
pa-ents
whereas
50%
is
spent
on
documenta-on.
(Kenny
&
Androwich,
2009).
4

5. Biomedical
Informa-cs
• Informa-cs
is
the
science
of
informa-on
• Informa-on
is
data
plus
meaning
• Biomedical
informa-cs
is
the
science
of
informa-on
as
applied
to
or
studied
in
the
context
of
biomedicine.
• Informa-cians
study
informa-on
(data
+
meaning,
in
contrast
to
focusing
exclusively
on
data).
• Thus,
prac--oners
must
understand
the
context
or
domain
(biomedicine).
• Bernstam EV, Smith JW, Johnson TE. (2010) What is Biomedical Informatics . Journal of
Biomedical Informatics; 43 104-110.
• Hersh W. (2009). A Stimulus to define Informatics and Health Information Technology . BMC
Medical Informatics and Decision Making. 9:24.
• Groth DP and MacKie-Mason JK. (2010) Why an Informatics degree? Communications of the
5
ACM. 53 (2) 26-28

6. Defini-on
by
AMIA

7. Health
and
Biomedical
Informa-cs
!

8. New
scope
• In
the
future
nursing
informa-cs
will
also
be
more
involved
with
other
biomedical
informa-cs
fields
such
bioinforma-cs
and
public
health
fields.
• “Nursing
informa-cs
should
encompass
emergency
preparedness,
biodefense,
and
public
health
nursing…
since
nurses
serve
as
gene-c
counselors
in
many
environments,
nurses
must
stay
informed
about
computa-onal
biology,
genomics
and
proteomic”
(
McCormick
et
al.,
2007,
p.21).

9. Outline
• Health
and
Biomedical
Informa-cs
– Ra-onale
– Defini-on
• Nursing
Informa-cs
– Defini-on
and
Evolu-on
– Catalogues
– Integrated
search
engines
– Main
databases
• Relevant
organiza-ons
and
ini-a-ves
in
NI

10. Nursing
Informa-cs
NI
is
the
"science
and
prac0ce
(that)
integrates
nursing,
its
informa0on
and
knowledge,
with
management
of
informa0on
and
communica0on
technologies
to
promote
the
health
of
people,
families,
and
communi0es
worldwide.”
(AMIA
NI
WG)
Digitalnurse.org

11. Nursing
Informa-cs
• Nursing
Informa-cs
(NI)
-­‐
clinical
specialty
in
the
1970’
• In
1992,
the
American
Nurses'
Associa-on
recognized
nursing
informa-cs
as
a
professional
specialty,
and
cer-fica-on
is
now
available.
• The
first
two
graduate
NI
programs
were
introduced
at
the
University
of
Maryland
and
the
University
of
Utah
in
1989.
• The
first
doctoral
program
was
offered
in
1991
at
the
University
of
Maryland.
• The
job
market
for
nurses
in
informa-cs
is
growing
at
a
faster
pace
than
the
supply
of
nurses
qualified
to
fill
available
posi-ons.
• Educa-on
programs
are
now
available
in
many
countries
• In
1981
there
were
only
15
nurses
with
exper-se
in
informa-cs
in
USA.
In
2008
that
number
had
grown
to
almost
9,000.
(Saba
&
McCormick,
2006;
HRSA,
2010
)

13. NI
–
essen-al
skill
set
for
nurses
•
The
American
Associa-on
of
College
of
Nursing
(AACN)
has
developed
informa-cs
studies
in
Bachelor,
Master’s,
and
Doctoral
programs.
•
QSEN:
The
has
developed
a
3
phase
project
funded
by
the
Robert
Wood
Johnson
founda-on
to
prepare
nurses
with
the
proper
Knowledge,
Skills,
Antude.
•
6
Core
competencies
of
QSEN
(Quality
and
Safety
Educa-on
of
Nurses)
:
•
Pa-ent
centered
care
•
Teamwork
and
collabora-on
•
Evidence
based
prac-ce
•
Quality
improvement
•
Informa-cs
•
Safety

14. Roles
• Roles
include:
– systems
analyst,
– project
manager
– developers
of
communica-on
and
informa-on
technologies,
– informa-on
systems
trainer
and
educators,
– researchers,
– chief
nursing
officers,
– chief
informa-on
officers,
– sopware
engineers,
– implementa-on
consultants,
– policy
developers,
– business
owners

15. Core
areas
of
work
• Concept
representa-on
and
standards
to
support
evidence-­‐
based
prac-ce,
research,
and
educa-on
• Data
and
communica-on
standards
to
build
an
interoperable
na-onal
data
infrastructure
• Research
methodologies
to
disseminate
new
knowledge
into
prac-ce
• Informa-on
presenta-on
and
retrieval
approaches
to
support
safe
pa-ent
centered
care
• Informa-on
and
communica-on
technologies
to
address
inter-­‐
professional
work
flow
needs
across
all
care
venues
• Vision
and
management
for
the
development,
design,
and
implementa-on
of
communica-on
and
informa-on
technology
• Defini-on
of
healthcare
policy
to
advance
the
public’s
health…

16. Standardized
terminologies
for
nursing
• Since
the
early
1970s
there
has
been
a
concerted
effort
to
develop
standardized
terminologies
for
nursing.
§
The
American
Nursing
Associa-on
(ANA)
currently
recognizes
12
standardized
languages.
§
Several
prominent
standard
nursing
language
include:
§
North
American
Nursing
Diagnosis
Associa-on
(NANDA)
§
Clinical
Care
Classifica-on
(CCC)
§
Omaha
System
§
Interna-onal
Classifica-on
of
Nursing
Prac-ce
(ICNP)
§
Nursing
Interven-on
Classifica-on
(NIC)
§
Nursing
Outcome
Classifica-on
(NOC)

17. Safety,
Efficiency
&
Quality
Improvement
– Computer
technologies
can
place
safety
barriers
within
high
risk
processes
to
improve
pa-ent
safety
– Moving
away
from
paper
records
–
improves
access
to
the
data
you
need
without
flipping
through
a
bulky
pa-ent
record
– Easier
retrieval
of
data
associated
with
a
par-cular
process
– Data
sharing
-­‐
Measurement
of
performance
against
standards
of
prac-ce
to
iden-fy
systems
issues
and
opportuni-es
for
improvement
(VA
eHealth
University,
2010)

18. Decision
support
• assist
the
clinician
in
making
care
decisions
• error
preven-on,
and
care
coordina-on
• Clinical
flows
CIO
CNIO
CMIO

19. Evidence
Based
Nursing
Prac-ce
•
In
Evidence
Based
Prac-ce,
a
nurse
is
able
to
formulate
a
ques-on
that
is
relevant
to
a
pa-ent’s
care,
conduct
research
and
evaluate
how
the
evidence
relates
to
the
pa-ent’s
specific
situa-on
and
apply
the
best
op-on
to
the
pa-ent’s
care.
• There
are
many
posi-ve
benefits
for
evidence
based
nursing
including:
• Helping
improve
pa-ent
care
• Ability
to
implement
the
most
current
and
innova-ve
treatments
• Allows
nurses
to
stay
up
to
date
on
new
research
and
increase
their
exper-se
• Promotes
the
opportunity
for
collabora-on
between
nurses,
their
pa-ents
and
other
medical
staff
(Kelly,
Mallon,
Musi-ef,
Paton,
2011)

20. Telehealth
-­‐
Telenursing
• Telehealth ,
referring
to
a
wide
range
of
health
services
that
are
delivered
by
telecommunica-ons-­‐ready
tools,
such
as
the
telephone,
videophone,
and
computer.
• NBN
/
IBES
§ The
prac-ce
of
nursing
over
a
distance
using
telecommunica-on
technology
(Na-onal
Council
of
State
Boards
of
Nursing
NCSBN,
1997)

21. Par-cipatory
Health
• à
Pa-ents
empowered,
informed
and
involved
in
decision
making,
preven-on
and
learning
self
tracking
devices
Social
web
games
Participatory Health
mobile
Internet
of
things
sensors
PCEHR

22. HIMSS
Nursing
Informa-cs
101
• Standardized
Documenta2on
ØThe
collec-on
tool
for
informa-on
management
• Informa2on
Management
ØKey
role
for
Nursing
Informa-cs
ØKey
to
research
and
evidence
collec-on
• Process
Re-­‐engineering
ØKey
to
successful
implementa-on
• Research
and
Evidence
Collec2on
ØKey
to
repeatable,
standardized
care
and
improved
outcomes

23. Respondents
were
asked
to
iden-fy
their
base
salary
as
of
Dec
1,
2010.
The
average
salary
of
the
respondents
in
the
survey
was
$98,703.
This
is
substan-ally
higher
than
the
average
salary
iden-fied
in
the
2007
($83,675)
and
2004
surveys
($69,500).

24. Outline
• Health
and
Biomedical
Informa-cs
– Ra-onale
– Defini-on
– Main
areas
of
work
• Nursing
informa-cs
– Defini-on
and
evolu-on
– Skills
and
roles
– Core
areas
of
work
• Relevant
organiza-ons
and
ini-a-ves
in
NI

25. 21
June
1991
21
anniversary
NIA-­‐HISA

26. Health
Informa-cs
Society
of
Australia

27. Proceedings
Book
HIC
2012
IOS
Press
-­‐178

28. NIA
Conference
@
HIC2012
NIA
has
94
members
in
all
states
and
territories.

29. NIA
Conference
@
HIC2012
Nurses
are
the
largest
group
of
healthcare
professionals
with
over
300,000
registered
nurses
who
collect,
maintain
and
use
health
informa-on
more
than
any
other
health
professional.
The
implementa-on
of
health
informa-on
technology
over
the
past
few
years
and
the
government’s
commitment
to
e-­‐health
now
and
in
the
future
requires
nurses
to
have
more
input
into
any
future
developments
and
to
be
poli-cally
ac-ve
in
pursuing
the
needs
of
the
profession
to
ensure
that
healthcare
consumers
get
the
best
possible
health
outcomes.
The
change
in
focus
to
primary
healthcare
and
telehealth,
digital
smart
homes
and
ageing
in
place
are
all
changing
how
we
prac-ce.
We
must
have
input
and
control
over
how
we
see
nursing’s
future.

30. NIA
Chair
Lis
Herbert
CommiKee
Member
Donna
Barton
CommiKee
Member
Sharon
Downman
CommiKee
Member
Trevor
Hoare
CommiKee
Member
Marian
Linnane
CommiKee
Member
Ping
Yu
Secretary
Joanne
Foster
Treasurer
Susan
McIndoe

33. IMIA
–
NI
SIG
–
Working
Groups
• Consumer/Client
Health
Informa2cs
Co-­‐Chair:
Strachan,
Heather
Co-­‐Chair:
Bürkle,
Thomas
• NI-­‐Educa2on
Chair:
Skiba,
Diane
Co-­‐Chair:
Honey,
Michelle
• NI-­‐Evidence
Based
Prac2ce
Chair:
Weaver,
Charlote
Co-­‐Chair:
Cook,
Robyn
• NI-­‐Health
Informa2cs
Standards
Chair:
Bakken,
Suzanne
Co-­‐Chair:
Hardiker,
Nicholas
– NI-­‐Nursing
Concept
Representa2on
merged
into
NI
Health
Informa-cs
Standards
– Process
Driven
Implementa2on
Strategies
merged
into
NI
Health
Informa-cs
Standards

35. • Preparing
nurses
to
use
technology
&
informa-cs
to
improve
pa-ent
care
• I.
Define
and
publish
the
10-­‐year
vision
and
3-­‐year
ac-on
plan
to
raise
awareness
of
the
need
for
informa-cs
competencies
for
all
nurses

36. TIGER

37. www.the-gerini-a-ve.org
TIGER

46. Opportuni-es
for
engagement
• History
of
MI
project
–
HISA,
IMIA
• HBIR
subjects
– eHealth
and
Biomedical
Informa-cs
Systems
(basic)
-­‐
2013
– eHealth
and
Biomedical
Informa-cs
Methods
(advanced)
–
30
October
–
30
Nov
2012
– Master
of
IT
(Health)
–
2013
• HBIR
Research
supervision
• Links
with
TIGER…
IMIA,
AMIA,
HISA

48. Thank
you
for
your
aten-on!
©
Copyright
The
University
of
Melbourne
2011

49. Comments,
questions?