Slides NI 2 for students

1. NURSING INFORMATICS Theories, Models, and Frameworks

3. NURSING INFORMATICS Is an established and growing area of specialization in nursing All nurses employ information technologies in their practice.

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. WHAT DO WE NEED TO ACHIEVE NURSING INFORMATICS?

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

11. We need to think outside the box?

12. 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

13. INFORMATICS

14. What is informatics 1957 - First coined by Karl Steinbuch as “informatiks”. 1962 – Phillipe Dreyfus used “informatique” Walter Bauer – translated it into “informatics”

15. What is informatics Combined the terms “information” and “automation” which means automatic information processing.

16. What is informatics A science that combines a domain science, computer science, information science and cognitive science. Multidisciplinary science drawing from varied theories and knowledge applications.

17. What is informatics a broad academic field encompassing human-computer interaction, information science, information technology, algorithms, and social science

18. What is informatics Computer science, the study of complex systems, information and computation using applied mathematics, electrical engineering and software engineering techniques.

19. What is informatics Information science is the study of the processing, management, and retrieval of information

20. In 1980, Scholes and Barber applied this new term to the art and science of nursing, coining the term, “nursing informatics”, which they defined as “...the application of computer technology to all fields of nursing-- nursing services, nurse education, and nursing research”.

21. WHAT IS HEALTH INFORMATICS

22. HEALTH INFORMATICS Integration of healthcare sciences, computer science, information science, and cognitive science to assist in the management of healthcare information. A subdiscipline of informatics…

23. ACTIVITY Present an illustration using the description delineating Health Informatics and its sub disciplines. Health informatics have subdomains such as medical informatics, dental informatics, pharmacy informatics, nursing informatics, etc. Each of these subdomains have integrated content and which are collaboratively working with each other.

24. ACTIVITY Limit your illustration using only circles, squares and arrows and texts. Use any application (paint, Msword, Ppt) in making your diagram. Finally present the illustration using powerpoint. Further explain your diagram.

25. CORRECT HEALTH INFORMATICS Dental Informatics Medical Informatics Nursing Informatics Pharmacy Informatics

26. NURSING INFORMATICS 1985 – Kathryn Hannah;..is the use of information technologies in relation to any nursing functions.

27. NURSING INFORMATICS 1989 – Graves & Corcoran .. Is a combination of computer science, information science and nursing science designed to assist management and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care.

28. NURSING INFORMATICS 1994– ANA .. Specialty that integrates nursing science, computer science, and information science in identifying, collecting, processing, and managing data and information to support nursing practice, administration, education, research and the expansion of nursing knowledge.

29. NURSING INFORMATICS 2001– ANA ..a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information and knowledge in nursing practice…

30. NURSING INFORMATICS 2001– ANA ..facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings. The support is accomplished through the use of information structures, information processes, and information technology

31. Differentiate

32. SCOPE OF PRACTICE P RACTICE E DUCATION R ESEARCH A DMINISTRATION

33. NURSING INFORMATICS SCOPE

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

35. 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

36. 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.

38. 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

39. 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

41. 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 informaticist can assist administrators with the design and implementation of systems that allow such searches to be generated, analyzed, printed, and distributed.

42. 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.

43. COMPUTERS IN RESEARCH 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.

44. COMPUTERS IN RESEARCH 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

45. NI as a SPECIALTY 1992 – ANA established nursing informatics as a distinct specialty in nursing with a distinct body of knowledge.

46. INDIVIDUAL ACTIVITY Use a Word Processor Explain how nursing informatics is considered as a distinct specialty. Specifically describe the role of informatics nurses compared to nurses of other fields of nursing. 200 words minimum..

47. INDIVIDUAL ACTIVITY Use a Word Processor Use Times New Roman Font Size: 12.5 Line Spacing: 1.5 1 tab indent each paragraph Justify each paragraph Margins: 0.75” top, 0.75” bottom, 1” left; 1” right. Orientation: Portrait Paper Size: Long Bond Paper Title at Center (Make your own) Save File: Act1YourName.doc

48. Informatics Nurse Specialists Is a professional with a formal RN graduate degree and passed the credentialing in nursing informatics of a state.

49. Informatics Nurse Specialists Nursing informatics specialists practice in a wide variety of roles that are ultimately aimed at improving patient care delivery and the nursing practice experience.

50. Informatics Nurse Specialists Some of those roles are: Project manager Educator Product developer Decision support/outcomes manager Systems analyst Consultant Programmer Advocate/policy developer Web developer CIO, CEO, CNO Entrepreneur Researcher Sales and marketing

51. COMPONENTS of PRACTICE Transformation of Data to Wisdom Data – discrete entities that are described objectively without interpretation. ex. A systolic blood pressure, a nursing intervention, a patient problem, an outcome

52. COMPONENTS of PRACTICE Transformation of Data to Wisdom Information– reflects interpretation, organization, or structuring of data. - are processed data - data with meaning

53. COMPONENTS of PRACTICE Transformation of Data to Wisdom Knowledge–transformation of information. - information that is synthesized so that relationships are identified and formalized

54. COMPONENTS of PRACTICE Transformation of Data to Wisdom WISDOM–highest form of data transformation. - is the application of ethics in using knowledge.

55. COMPONENTS of PRACTICE Wisdom Knowledge Information Complexity Data Human Intellect

56. Group Activity

57. NURSING INFORMATICS COMPONENTS

58. CORRECT As an example, a single instance of vitals signs – heart rate, respirations, temperature and blood pressure – for a single patient can be considered a set of data.

59. CORRECT A series of vital signs taken over time, placed into a context, and compared is considered information.

60. CORRECT However, a dropping blood pressure, increasing heart rate, respiratory rate, and fever in an elderly, catheterized patient are recognized as being out of the norm. The recognition that this patient may be septic and in need of nursing and medical interventions reflects information synthesis (knowledge).

61. REGISTERED NURSES as KNOWLEDGE WORKERS Knowledge work is the exercise of specialist knowledge and competencies.

62. ACTIVITY 3 Discussion Boards Check out our discussion board on facebook (NI Page) Post your ideas under this topic Nurses as knowledge workers 250 words minimum

63. COMPETENCIES Research; Article search (Use of internet) Staggers, Gassert, and Curran, 2001 ANCC Informatics Exam Content HIMSS (Healthcare Information and Management Systems Society)

64. TERMINOLOGIES What is the use of standard terminologies/languages? What is a data set? What is nursing minimum data set (NMDS)? Enumerate the different ANA-recognized terminologies. Describe each briefly.