Informatics applications in evidence-based nursing practice Flashcards
• Study of the structure, behavior, and interactions of natural and engineered computational systems.
• Studies the representation, processing, and communication of information in natural and engineered systems
• Has computational, cognitive and social aspects.
informatics
interdisciplinary study of the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, & planning
health informatics
practice & science of integrating nursing information & knowledge with technology to manage & integrate health information
• goal is to improve the health of people and communities while reducing costs.
nursing informatics
“specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice.”
nursing informatics
Field of nursing that incorporates nursing, computer, & information sciences to maintain & develop health data and systems to support the practice of nursing, and to improve patient outcomes
nursing informatics
why the trends towards informatics?
increasingly present in our profession due to rapidly changing technologic advances
• Healthcare systems are assimilating technology into daily practice at a quick pace
• Security and patient privacy must be upheld while achieving the goal of transforming data into useful knowledge
role of informatics in nursing
• information is readily available
• data are interpreted, systematized, & arranged
• formalize an appropriate plan of action
• standardizing nursing language
• enhance nursing practice
•quicker access to patient information
• improve overall efficiency
•reduction in potential errors
• reduces health care error and costs
•provides training and learning based on objective data
Informatics (IT)
• 2 units lecture, 1 unit SL
• Use of IT system and data standards based on nursing informatics principles and theories
CMO No. 14
Series of 2009
CHED Commission on Higher Education
Memorandum Order
Career focuses on how to boost the management of information and communications in the field of nursing
• Specialists facilitate data integration, information and knowledge so that they provide better support to patients, nurses and other health care providers
Nurse Informatics
Nursing Informatics
(NCM 110)
• 3 units
CMO No. 15
Series of 2017
advantages of N.I
• shared data
• centralized control
• disadvantages of redundancy control
• improved data integrity
• improved data security, & database systems
• flexible conceptual design
Disadvantages of N.I
• a complex conceptual design process
• the need for multiple external databases
• the need to hire database-related employees
• high DATABASE MANAGEMENT SYSTEMS (DBMS) acquisition costs
• a more complex programmer environment
• potentially catastrophic program failures
• a longer running time for individual applications
• highly dependent DBMS operations
• Focused on patient care
• Optimizing the technology used by nurses
nursing informatics
• Focused on administration concerns
• Examples: Data security, technology compliance reports
health informatics
Way NI will have better results
• Policy writing
• Training & supporting systems users
• Designing systems
• Quality control
• Project management
• Choosing & implementing systems
traits of a nurse informatics
Analytical
• Problem solving skills
Great listener
• Excellent communication skills
Active learner
• Curious mind; inquisitive
Original thinker
• Generate fresh ideas
Organized
• Structured approach to work
Initiator
• Readiness to identify problems & suggest solutions
ethical principles in N.I
• Beneficence
• Non-maleficence
• Respect for autonomy
• Informed consent
• Privacy & confidentiality
• Justice
• Risks to benefit ratio
• Veracity
• Fidelity
evidence based
1.computer generated nursing care plans
2.critical pathways
3.clinical guidelines
4.e-journals
–systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.
clinical guidelines
periodical publication which is published in electronic text (e.g.
PDF) or hypertext format and is available for access in electronic format e.g. on the Internet or on a CD-ROM.
electronic journal
electronic journal
• Is accessible through Web
• Has the features of a journal, magazine or a newsletter
• Should have an ISSN number
automated medication dispensing system supporting decentralized medication management. it helps clinician safely and efficiency dispense the right medications, for the right patient at the right time
BD Pyxis machine
• develop telehealth applications from people’s very own problem-solving contributions and translate research into practice by deploying ICT solutions to communities where needed most
• mainstream this cause by advocating concrete policies to strengthen
ICT4Health
UP Manila- National Telehealth Center
• multi-component program (biomedical device, electronic medical record system and telemedicine training)
• to provide better access to life-saving health care services in isolated & disadvantaged communities nationwide
• Department of Science and Technology’s efforts for a “Smarter Philippines”
• support the Department of Health’s call for Kalusugang Pangakalahatan or Universal
Health Care
RxBox (Doc in a box)
telemedicine device capable of capturing medical signals through built-in medical medical record (Community earthic
Information Tracking System -CHITS), and transmitting health information via internet to a clinical specialist in the Philippine General Hospital for expert advice
RXBOX
Rxbox built in sensors
• Blood pressure monitor
• Pulse oximeter
• Electrocardiogram (ECG)
• Fetal heart monitor
• Maternal tocometer
• mother’s uterine contractions during labor delivery, enabling early detection of distress to the mother and/or the baby
• Temperature sensor
rxbox partners
• Department of Science and Technology
• Philippine Council for Health Research and Development
• Philippine Council for Industry, Energy and Emerging Research and Development
• Advanced Science and Technology Institute
• Information and Communications
Technology Office
• University of the Philippines
Diliman
video consultations with doctors, comprehensive patient education, remote monitoring from a smartphone device, delivery of prescriptions and medications, lab tests results, and doctors/nurse home visits 24/7 in selected metro areas
• US-based company Avizia,
• a pioneer in the delivery of a telehealth platform
• works with large health systems and insurance providers to connect patients to healthcare specialists anywhere in the world
• via apps in Google Play, Apple Stores
MyDocNow (2016)
• real-time monitoring of maternal and child health indicators through the Community Health Information Tracking
System (CHITS)
• 3 project sites (Gamay, Northern Samar, Sto. Domingo, Albay, and Glan, Sarangani)
• + 10 sites
• Lebak and Kalamansig in Sultan Kudarat, Malungon in Saranggani Province, Midsayap, Aleosan, Arakan and President Roxas in North Cotabato, Puerto Princesa City, Davao City and Quezon City
rCHITS (2011)
AeHIN
Asia E-Health Information Network
• telehealth services have been offered to more than 350
doctors to the barrios (DTTBs) and municipal health officers through various government initiatives
• including the current
Department of Health (DOH)
National Telehealth Service Program
Teaching strategies for NI
Excel & Google Sheets
• Electronic Health Record
• Electronic Medical Record
• SKYPE, ZOOM app, FB messenger,
Facetime, Smart phone
• Telehealth Nursing
• Webinars
• Case studies
• Simulation
• Interdisciplinary collaboration
• LGU / non-LGU collaboration
• E-gadgets, WIFI
outcome assessments
Performance task (PeTa) / Course Inquiry Project/ Outcomes Task
• Description
• Objectives
• Detailed instructions
• Target date / deadline
• How to submit (Hard &/ Soft copy)
• Product
• Rubrics
• Person in charge of Grading
Self & Peer Assessment
