Team Project – Group #3 - Nursing Informatics Presentation INFO 648 - Winter 2013

1. Nursing Informatics
Team Project – Group #3
Mary Anderson
Shirley Dash
Dimitar Dimitrov
Ryan Moffat

2. An Overview
1. Historical Context
2. Nursing Informatics Defined
A. Competencies
1. Technical
2. Utility
3. Leadership
B. Education
C. Roles
D. Skills
3. Future Outlook for Nurse Informaticians
4. Evidence Base Practice
A. Evidence Base Practice with Patients
5. Healthcare Information Technology Images: Alarms & Monitoring
Systems
6. Healthcare Information Technology Tools
7. Socio-Technical Issues
8. Foundations-Committees-Workgroups
9. Present and Future Agenda
10. References

3. Historical Context
• 1970’s: The nursing profession became involved in
the design, purchase, and implementation of
information systems.
• 1980’s: The emergence of nursing informatics
specialties. Introduction of the Personal Computer.
• 1990’s: Telemedicine emerged as a specialty. The
first Nursing Informatics certification exam was
administered
• Post-2000: Exponential growth in the use and
sophistication of computer hardware and software
o JULIE A. KENNEY and IDA ANDROWICH

4. Nursing Informatics
Defined
• “Nursing informatics is a specialty that integrates
nursing science, computer science, and information
science to manage and communicate data,
information, and knowledge in nursing practice.
Nursing informatics facilitates the integration of
data, information, and knowledge to support
patients, nurses, and other providers in their decision
making in all roles and settings. This support is
accomplished through the use of information
structures, information processes, and information
technology.”
o NANCY STAGGERS, PHD, RN, FAAN, CHERYL BAGLEY THOMPSON, PHD, RN

5. Nursing Informatics Competencies
1) Technical
1) “Technical competencies are related to the actual psychomotor use of
computers and other technological equipment. Specific nursing informatics
competencies include the ability to use selected applications in a
comfortable and knowledgeable way.”
2) Utility
1) “Utility competencies are related to the process of using computers and
other technological equipment within nursing practice, education, research
and administration. Specific nursing informatics competencies include the
process of applying evidenced based practice, critical thinking, and
accountability in the use of selected applications in a comfortable and
knowledgeable way.”
3) Leadership
1) Leadership competencies are related to the ethical and management issues
related to using computers and other technological equipment within nursing
practice, education, research and administration. Specific nursing informatics
competencies include the process of applying accountability, client privacy
and confidentiality and quality assurance in documentation in the use of
selected applications in a comfortable and knowledgeable way.
June Kaminski RN MSN PhD(c) 2000 – 2012. Nursing Informatics Competencies: Self – Assessment. http://nursing-
informatics.com/niassess/index.html

6. Nursing Informatics
Education
• “Many nurse informaticists have advanced
degrees, such as a Masters or Ph.D. in nursing or
another field. The number of nurse informaticists
with an advanced degree rose 4% between 2007
and 2011, according to HIMSS. A nurse informaticist
can also be certified by the American Nurses
Association or obtain a certification through HIMSS.
An RN must hold a bachelor’s degree to sit for the
ANA exam. The certification must be renewed
every five years.”
Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degree
http://work.chron.com/salaries-nurses-informatics-degree-1893.html

7. Nursing Informatics
Education con’t
“The ANCC Web site details the nursing candidate’s qualifications
for the informatics nurse certification exam as:
• a baccalaureate or higher
• an active RN license, with at least 2 years of professional practice
• practice of at least 2,000 hours of
• NI within the last 3 years
Or
• 12 hours of graduate work and 1,000 hours of NI practice
Or
• completion of a graduate program in NI that included at least
200 hours of clinical practicum
• completion of 30 continuing education contact hours in specialty
area within the last 3 years for those who haven’t completed a
graduate informatics program.
Karen Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI: 10.1097/01.NUMA.0000262926.85304.a6
http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf

8. Nursing Informatics Roles
• Project Managers
• Nursing Informatics Specialist
• Clinical analyst
• Clinical Project Manager
• Nursing Informatics Manager
• Clinical IT Directors
• Chief Information Officers
• Chief Nurse Officers

9. Nursing Informatics Skills
• Encompass project management.
• Health information system management.
• Writing requests for proposals or returns on investments.
• Developing educational programs.
• Evaluating work process flows.
• Writing policies.
• Aiding in the design and content of an organization’s
intranet.
• Making recommendations to chief nurse officers/chief
executive officers on a preferred clinical system
for nursing.

10. Future Outlook for Nurse
Informaticians
The skills and knowledge of Nurse Informaticians make
them valuable assets to any organization and to the future
development of the field. Some of the areas where their
expertise can be of great benefit are:
• Use and analysis of clinical data for secondary purposes
(research, etc)
• Patient record management
• Creation and implementation of standards, processes
and procedures
• Security, Privacy, and Confidentiality of patient
information
• Focus on public health and advancement of community
health initiatives

11. Evidence Based Practice
Evidence Based Practice is defined as “the conscientious, explicit and
judicious use of current best evidence in making decisions about the
care of the individual patient. It means integrating individual clinical
expertise with the best available external clinical evidence from
systematic research.”
Nurses and nurse informaticians have the ability to implement changes
and see the evidence in the outcomes of the patient cares by:
- Utilizing available patient history information
- Utilizing available research data
- Utilizing their expert knowedge of the nursing field
- Utilizing clinical decision support tools
- Creating a more personal relationship with the patient and their
families
• Sackett, D. Evidence-based Medicine - What it is and what it isn't. BMJ 1996; 312:71-72. http://www.bmj.com/cgi/content/full/312/7023/71

12. Evidence Based Practice
with patients
• The nursing field is developing on a regular basis.
o New technologies and the skills to access information, research and
knowledge are the basic fundamentals of EBP that can help nurses in the
overall care of their patients.
o Nurses will have a new empathy and compassion for patients while giving
them expert advice and care.
o Nurses now have the strongest trends in health care systems with EBP
because it allows them to apply their evidence based practices to
research and administration to patients and their care.
o Evidence based practices has become a benchmark for nurses credibility
and respect. They are, beyond nurses, information leaders, and have the
ability to show that through research and now patient/nurse inteactions.

13. Healthcare Technology Images:
Alarms & Monitoring Systems

14. Healthcare Information
Technology Tools:
• Computerized physician order entry (CPOE)
• Electronic Health Record (EHR)
• Electronic Medical Record (EMR)
• Personal Health Record (PHR)
• EPIC Systems
• Nursing Interventions Classification System (NIC)
Terminology
• Nursing Outcomes Classification System Terminology
(NUC)

15. Socio-Technical Issues
• Social technologies a way to stay connected to the
world. Having online technologies like blogs, wikis, and
forums can bring groups of people together all over the
world. For nurses, systems like these can allow for
communication across the board throughout different
health networks and other systems. Collaboration is key
in any hospital setting and socio-technologies can help
advance that idea. Project planning can be moved
even further ahead when you have the options of
sharing information with other clinicians across the
globe. With nurses actively participating in online systems
like these, they will have the capabilities to move further
ahead in patient care and consideration.

16. Foundations, Committees,
Workgroups
• TIGER Foundation: Advancing the integration of
health informatics to transform practice, education
and consumer engagement
• AMIA: American Medical Informatics Association:
Leading the way in transforming health care
through trusted science, education, and the
practice of informatics.

17. Present & Future Agenda
• Professional Practice
• Research
• Technological Innovations
• Preparedness
• Educational Preparation
• Administrative Competencies
• Decision Support Systems

18. References
1. Karen Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI:
10.1097/01.NUMA.0000262926.85304.a6
http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf
2. Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degree.
http://work.chron.com/salaries-nurses-informatics-degree-1893.html
3. June Kaminski RN MSN PhD(c) 2000 – 2012. Nursing Informatics Competencies: Self – Assessment.
http://nursing-informatics.com/niassess/index.html
4. McGonigle, Dee. Nursing Informatics and the Foundation of Knowledge . 2. Massachusetts : Jones and
Bartlett Learning , 2012. Print.