This document outlines a nursing informatics course that teaches students to apply concepts of informatics in nursing care. The course covers topics such as the history of computers in nursing, computer hardware and software, clinical information systems, nursing data standards, and informatics applications in different nursing specialties and settings. Students are expected to create their own nursing informatics webpage and do an individual or group presentation to pass the course. The document emphasizes that as information doubles every few years, nurses need informatics skills to effectively manage patient data and provide evidence-based care using technology.

1. NURSING INFORMATICS Are you into IT?? Jhessie L. Abella RN.RM.MAN

2. Course Description: This course deals with the use of information technology system and data standards based on nursing informatics principles/theories. It further deals with the utilization of clinical information systems in the management and decision-making of patient care. Course Objectives: At the end of the course and given relevant actual or simulated situations/conditions, the student will be able to: 1. Apply concepts, theories and principles of informatics in nursing and health care 2. Discuss issues and trends in informatics relevant to nursing and health

3. A. Computers and nursing 1. Computers and nursing 2. Historical perspectives of nursing and the computer 3. Electronic health record from a historical perspective B. Computer system 1. Computer hardware 2. Computer software and systems 3. Open source and free software 4. Data processing 5. The internet: a nursing resource 6. PDA and wireless devices 7. Incorporating evidence: use of computer-based clinical decision support system for health professionals C. Issues in informatics 1. Nursing informatics and healthcare policy 2. The role of technology in the medication-use process 3. Healthcare data standards 4. Electronic health record systems: U.S. federal initiatives and public/private partnerships 5. Dependable systems for quality care 6. Nursing minimum data set systems D. Informatics theory 1. Theories, models and frameworks 2. Advanced terminology systems 3. Implementing and upgrading clinical information systems

4. E. Practice application 1. Practice application 2. Critical care applications 3. Community health applications 4. Ambulatory care systems 5. Internet tools for advanced nursing practice 6. Informatics solutions for emergency preparedness and response 7. Vendor applications F. Consumer’s use of informatics 1. Consumer and patient use of computers for health 2. Decision support for consumers G. International perspectives 1. Nursing informatics in Canada 2. Nursing informatics in Europe 3. Pacific Rim 4. Nursing informatics in Asia 5. Nursing informatics in South America H. The future of informatics 1. Future directions Course Requirement: To pass the course the students are expected to; Post their own reaction/s posted on the NURSING INFORMATICS page created by the students themselves. Individualized/Group Reporting Video presentation

5. “Computersare incredibly fast , accurate and stupid. Human beings are incredibly slow , inaccurate and brilliant . Together they are powerful beyond imagination” Albert Einstein

6. Why do we NEED to study N.I? In the 21st Century, information is doubling every 5yrs , if not tripling in quantity and quality. Information is POWER Technology also facilitates the creative process in nurses, affording amazing vehicles for patient education , teaching and learning , and providing general health promotion and prevention information on a global scale.

7. “THE HIGH TECH AND THE HIGH TOUCH” This can only become a common reality if nurses are comfortable working with computers and advanced technology while providing evidence based care for their clients . The healthcare of our clients is largely dependent on information. Every action taken depends on previous information and knowledge.

8. Definition: American Nurses Association's Scope and Standards for Nursing Informatics Practice (2008) : “ Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice.”

9. Standard Areas of NURSING: Nursing Practice Nursing Education Nursing R esearch Nursing Administration.

10. COMPUTERS IN NURSING EDUCATIONS COMPUTER Assisted Education PDA (Personal Digital Assistants) LCD Projectors Wireless Routers Desktops Laptops Smartphone VIDEOS/ANIMATIONS Distance learning Testing (NCLEX) Student and course record management

11. COMPUTERS IN NURSING PRACTICE Functions Records client information Provides access to other departments Used to manage client scheduling DOCUMENTAION OF CLIENT STATUS AND MEDICAL RECORDS KEEPING Provides access to standardized forms, policies and procedures Access data about client that may be somewhere in the medical record or elsewhere in health care agency.

13. BEDSIDE DATA ENTRY records clients assessments, medication administration, progress notes, care plan updating, client acuity and accrued charges COMPUTER BASED CLIENT RECORD EMRs/CPRs Provides easy retrieval of specific data such as trends in vital signs, immunization records, current problems It can be designed to work providers about conflicting medications or client parameters that indicate dangerous conditions ELECTRONIC ACCESS TO CLIENTS Used extensively in health care to assess and monitor clients conditions Data accumulated from various electronic devices are stored for research purposes Can monitor client Computerized diagnosis Telemedicine PRACTICE MANAGEMENT Used to order supplies, tests, meals, and services, from other departments Allows nursing service to determine the most costly items used by a particular nursing unit. May provide information or decisions to modify budget, provide different staffing, move supplies to different locations, or make other changes for more efficient and higher quality care

15. COMPUTERS IN NURSING PRACTICE A. Human resources All employers must maintain a data a database on each employee Administrators can use this database to communicate with employees, examine staffing patterns, and create budget programs B. Medical records management Allow client records to be searched for trends, number of cases, most expensive cases, and client outcomes. Nurse informat icistcan assist administrators with the design and implementation of systems that allow such searches to be generated, analyzed, printed, and distributed.

16. COMPUTERS IN NURSING PRACTICE C. Facilities management heating, air conditioning, ventilation, alarm systems are computer controlled. D. Budget and finance claims are transmitted much more quickly Can also effect cost-savings by reducing the desired services time needed for accounts payable and receivables.

17. COMPUTERS IN NURSING PRACTICE 1. problem identification Useful in locating current literature about the problem and related concepts Helps in searching for existing documents, and e-mail to colleagues. 2. literature review Software facilitate searches, contains thesauruses so that the most appropriate terms can be selected.

18. COMPUTERS IN NURSING PRACTICE 3. research design Search literature for instruments that have already been established or to design and test instruments that need to be developed for past study. 4. Data collection and analysis Helps create form for the collection of data such as informed consent, demographic data, and recording forms. Commonly used software for quantitative data analysis: SPSS ( statistical package for social sciences), SAS ( statistical analysis system), Sys STAT, MYSTAT 5. Research dissemination computer word processing programs are used to author the final reports of research and send research to various readerships. Help speeds completion or research projects

19. WHAT DO WE NEED TO ACHIEVE NURSING INFORMATICS?

21. “Nursing practice will be revolutionized and we will truly be a profession of nurses with our own classification systems, bibliographic systems, and payment systems .”

22. We need to think outside the box?

23. We need to use the Internet to enhance our practice and provide tele-nursing care . We need to become wireless and conduct our services using all the newer IT tools. “ We have a long way to go, but if we utilize information technology effectively, informatics will become an integral part of our profession and the health care industry. I do believe we have the knowledge and perseverance and I am convinced it will come to pass.”-Dr. Virginia Saba