Nursing_Informatics.pptx for Nursing students
- 1. Some question before – we go • What are the differences among • NI, health informatics, and consumer health informatics? • Did you know nursing informatics is a discipline unto itself? • How -nursing informatics might apply to your practice? • What are some of the skills taken from NI that you might use?
- 2. Questions – for those who want to learn - • What are some of the benefits of a new EHR? • Will there be training and support available – for new system? • If training is available, how long will it take? • Is that on-hand practice in hospital is not enough • What are the first basic skills needed -- in the new system?
- 3. Is nursing informatics • a distinct specialty within nursing • Is it applies in all the nursing duties • Data/Information- intensive
- 4. combining nursing, information, and computer sciences for managing and processing data into knowledge Basically inter-disciplinary
- 5. History and definition Many aspects-- such as • patient care, • decision support systems, • imaging informatics, • electronic patient records, • intelligent systems, • e-learning and • Tele-nursing
- 6. IT integration By 2006 • IT was integrated in all aspects of nursing • Clinical nursing, • Nursing management, • Research work in nursing • Nursing education (Guenther & Peters, 2006).
- 7. Nursing -- as a Science Unifies with analytical sciences •to identify, define and manage data •within nursing practice.
- 8. Evolution IT in nursing informatics • In the 1960s, • computer systems – in hospitals for financial and billing purposes • In the 1970s, nurses • Involved in designing and applying information technology in hospitals • In the 1980s, nurses used • to assist with patient care; for example, admissions, food, and medication administration (Murphy, 2010). • Of late -- transformed and changed the healthcare sector • in all areas and became part of routine work
- 9. Nursing Knowledge Pool • Is on par with other science and technology • Yes it has its • own body of knowledge –using empirics (based on experiences and observation) • Own way of doing things and applying knowledge • Own way of interaction between consumers and the nurse
- 10. Visible change in IT application • Rising adoption rates of electronic health records • Nursing professionals – have intimate understanding of workflow --- Usability of the software – is very important • Technology is not being • incorporated into everyday nursing practice in a way it has to be
- 11. Expectation - from Nurses • Safe, competent and Compassionate care • Specifically in electronic environment • By Using Information technology -efficiently
- 12. Routine input from Nursing professional • Collect data --- While assessing and monitoring • Record their observation in-patient chart • Exchange service requests with • Clinical laboratory • Radiology • other department • Recieve and review the admission data and discharge summaries • Summarize, calculate and interpret -- workload • for their nursing units for monitoring and management purposes • Co-clinical guidelines --- consult evidence based and protocols to guide their practice
- 13. Advantage of Nursing Informatics • automation of clinical data records, • accessing patient information any time, • enhancing real time clinical communication, • reducing documentation and clinical error, • minimizing paper use, • making data collection and analysis easier, • tracking the patient care process, • supporting decision-making processes, and • enhancing hospital operation and management (Eley, Soar, Buikstra, Fallon, & Hegney, 2009; Crist-Grundman & Mulrooney, 2011; Mays, Kelley, & Sanford, 2008; Piscotty & Tzeng, 2011; Sweis et al., 2014 & Turner, Kitchenham, Brereton, Charters & Budgen, 2010).
- 14. Nurses -to use • Evidence –based practice • Clinical-decision support tools • EHR – Electronic Health Records
- 15. Skills required • Technical skills --- to manage equipment and perform procedures • Virtual interaction skills – to interact appropriately • Cognitive skills --- to observe, recognize, collect, analyze and interpret data • To reach conclusion --- which form decision support • Nursing is information intensive profession
- 16. Competencies at different level Competencies required • Beginner nurse, • experienced nurse, • informatics specialist, • informatics innovator
- 17. Nurses got many roles Nurses got many roles • knowledge workers --- • Generating and working with information • Knowledge as a Product • Knowledge acquirer • --- capturing and storing of knowledge • Knowledge user • --- started deriving value for information • Knowledge engineers • Designing, developing, implementing and • maintaining knowledge • Knowledge Managers--- • capturing and processing collective expertise • and distributing it
- 18. Approach to Nursing Informatics • Technology -oriented, • Conceptually oriented, • Role-oriented definitions
- 19. Information Technology–oriented • Application of computer technology to all fields of nursing • nursing service, • nurse education, • nursing research • in some cases are overstated • In some cases –over-emphasized
- 20. Conceptually Oriented • Beyond just a focus on technology • how clinical nurses structure clinical problems • how they ask questions of the information system • how captured data are used in decision making • clinical decision-making process in the design of information systems • focus from technology to information concepts by expressly incorporating information science
- 21. Nursing Informatics – as distinct specialty • Conceptual analysis • supported the need for -- distinct spatiality • Placed the concepts of • nursing data, • decisions, and processes in a theoretical model --- flow of data, information, and knowledge • relationships among these key nursing processes
- 22. Role-oriented Definitions • informatics nurse specialists • -- prevalent • A specialty Integrates • nursing science, • computer science, • information science in • identifying, collecting, processing, and managing data and information • to support nursing practice, administration, education, and research and to expand nursing knowledge
- 23. Latest developments • Become Integral part of clinical Information • Enhance quality • Reduce mistakes • Improve Information flow
- 24. Electronic patient records • became ---- integral part of clinical information systems.
- 25. How nursing Informatics enhance Quality • improving patient care -- from • accuracy and precision in complex tasks, • clinical decision-making, • communication between caregivers/ medical experts to streamlining medical procedures and streamlining patient records management • – among many other advantages
- 26. Enhance quality care delivery • Reducing mistakes • Information flow can be improved • Improving patient record storage • Empowering patients • Save time
- 27. Reducing Mistakes • Mistakes can be very expensive --to both patients and providers alike. • An error could harm them directly, while procedures or treatments may need to be repeated or changed altogether, leaving many at risk. • Eventually, patients or their families might even file suits to seek justice against providers and health organizations for such negligence.
- 28. Clinical decision support systems (CDSSs), • Can aid nurses -- in making key decisions -- more easily • To use such health information technologies effectively for patient care purposes requires being knowledgeable of • how and where data comes from in order to interpret and utilize its meaning in an optimal fashion with hands-on experience.
- 29. Improve Information Flow • Previously -- health system was --organized as silos; • Now, it works more effectively, allowing patients to track their own health while physicians can check records from multiple specialties with one visit; patients also benefit from seeing multiple medical specialists within an office visit.
- 30. Benefits of nursing informatics • to access, share and disseminate patient records more efficiently – • without errors and with greater ease • including notes about special cases such as discharge instructions, or preventive services that need sharing among doctors or clinical staff in healthcare organizations
- 31. Improves Patient Record Storage • Before this change was implemented, large medical facilities typically stored patient records in filing cabinets that took medical staff hours or days to access all information – which caused delays when diagnosing and treating patients due to having all information updated simultaneously with treatment details shared immediately after being updated or shared at all. This was greatly inefficient when large facilities tried storing details about patients securely online instead. • Nursing informatics improves care quality by securely storing and sharing patient records electronically, thus decreasing nurse workload and the potential risk of errors or delays.
- 32. Empower Patients • Patients often find health care confusing if they can’t access or recall past diagnoses and patient safety issues in nursing easily, • making accessing all their medical info, • such as past treatments, • easier access to all the relevant details pertaining to them and their care plan – including treatment history if applicable. • Patients who maintain medical records can more easily keep track of symptoms and medications while reaching out to healthcare professionals when needed.
- 33. Saving Time • Nurses need to understand contraindications – symptoms or medical conditions which interact negatively with certain treatments – which could limit patient treatment options and can take considerable time and resources when searching through manual records or trying to comprehend divergent data on contraindications. • Nurse informatics – particularly its automation of a broad range of medical tasks, such as warning treating medical professionals of potential contraindications – is an efficient and time-saving solution that improves patient care in a range of settings.
- 34. became integral to health care • Address the following • First– role of patients in nursing for informatics • Second, in the clinical setting, nurses are information integrators at the patient level • Third - inter-relationships --addressed • Fourth, the role of knowledge building through research
- 35. Finally -- to • To consider • pertinent theories, • concepts, • tools, and • structures ---- useful to the informatics nurse specialist— • information structures (taxonomies and other meaningful organization of information), • information technology, • communication of information
- 36. Education and competencies -- required • Many aspects are identified in healthcare informatics • data recovery, • ethics, • patient care, • decision support systems, • human-computer interaction, • information systems, • imaging informatics, • computer science, • information science, • security, • electronic patient records, • intelligent systems • e-learning and telenursing
- 37. Competencies of nursing informatics specialists • Three categories including • computer skills, • informatics knowledge • informatics skills.
- 38. Computer Skills • Computerized searches and retrieving patient demographics data, • Use of telecommunication devices, • Documentation of patient care • Use of information technologies for improving nursing care • Use of networks and computer technology safely.
- 39. Informatics Knowledge • nursing data for improving practice • formulation of ethical decisions in computing • value of clinicians' involvement in the design, selection, implementation, and evaluation of systems in health care
- 40. Informatics Skills • Interpretation of information flow within the organization • preparation of process information flow charts for all aspects of clinical systems • development of standards and database structures to facilitate clinical care, education, administration or research • development of innovative and analytic techniques for scientific inquiry in nursing informatics and new data organizing methods and research designs • conducting of basic science research to support the theoretical development of informatics • Information literacy skills, competencies, and knowledge
- 41. Nursing informaticist • American Medical Informatics Association defines the nurse informaticist’s • To support evidence-based practice, research and education • To build an interoperable national data infrastructure • To disseminate new knowledge into practice • Information retrieval to support safe patient-centered care • To address interprofessional work flow needs across all care venues • Design and implementation of ICT • Definition of health care policy to advance the public’s health
- 42. What do the work • Managing EMR/ EHR • Updating the National Database of health care information • Evaluating clinical statistics • Assisting -in data interpretation and use • Analyzing the success and quality of health care initiatives • Improving the use of technology within the organization, including clinical practices and workflows
- 43. Where do nurse informaticists work? • hospitals -in business, industry and academic settings • IT company, medical school, long-term care facility, clinic or university
- 44. Skills for a nurse informaticist • To locate and evaluate the data in information banks and medical databases • Collecting and using patient data • for analysis and dissemination, • developing analytic techniques • designing research • data organizing methods • To identify gaps and trends • determine ways to simplify storing and retrieving data • Skills – in optimization of patient care -in an organization
- 45. Research skills • To find an answer – day-in and day-out questions or problems • gather information about a topic, • review that information • analyze and interpret -to support a solution
- 46. Conclusion • Nursing Informatics acts as • agent for change in the nursing profession and healthcare management. • recognize the significance of nursing careers and patient care and understand its potential benefits and impact.
- 47. 2017 –survey by HIMSS (sample response 660) Education (of the sample in USA) • 57% - have a PG in NI • 41% -planned to pursue additional informatics education and training • Increased – by 3 percentage -between the 2014 and 2017 • PG nursing informatics or other informatics • 49% - some certification • 51% - pursuing some type of certification within the next year
- 49. Essential informatics nurse skills include: • Clinical experience - understanding of the information needs • Proficiency in EHRs, data analytics, and other health care technologies • An ability to adapt to emerging technology and skills in data analysis and interpretation • Project management skills related to system implementation, upgrades, or process improvements • Strong communication skills – to collaborate with interdisciplinary teams • The ability to promote advocacy for nursing ethics and patient safety and privacy
- 50. Driving Forces Driving Forces • Quality Improvement (QI) and • informatics skills and competencies • Communication, • Managing knowledge, • Mitigating error, and • Supporting decision-making
- 52. • To support process and structure of nursing information to support • Clinical decision making and delivery of nursing care • It support • information structures, • information processes, • information technology
- 53. 2017 –survey by HIMSS (sample response 660) Education (of the sample in USA) • 57% - have a PG in NI • 41% -planned to pursue additional informatics education and training • Increased – by 3 percentage -between the 2014 and 2017 • PG nursing informatics or other informatics • 49% - some certification • 51% - pursuing some type of certification within the next year
- 54. • Thank you