Introduction to Nursing Informatics Flashcards
Nursing Informatics (NI) is a title that evolved from the French word
informatique
the field of applied computer science concerned with the processing of information such as nursing information
Nursing Informatics
is a discipline that studies information processing
Information Science
hardware and software
Information System
general term for information processing with computers
Information Technology
Process of turning data into information and knowledge
Information Management
combines the study of information processing and computers
Informatics
is the 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
is an established and growing area of specialization in nursing. All nurses employ information technologies in their practice
Nursing Informatics
are key persons in the design, development, implementation, and evaluation of these technologies and in the development of the specialty’s body of knowledge.
Informatics nurses
is a combination of computer science, information science and nursing science designed to assist in the management of and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care
Nursing Informatics
“Nursing Informatics is a combination of computer science, information science and nursing science designed to assist in the management of and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care”
Graves and Corcoran, 1989
“is the application of computer technology to all fields of nursing-nursing service, nurse
education, and nursing research”
Scholes and Barber (1980)
“Branch of informatics concerned with nurses’ use of computer technology & management of information technology & management of information that facilitates nursing practice and enhances nursing knowledge.”
McCormick and Saba (1996)
Why is Nursing Informatics important?
- Improved patient outcomes
- Enhanced communication and collaboration
- Increased efficiency and productivity
- Reduced errors and improved safety
- Contribution to evidence-based practice
1st Nurse Informatician
Florence Nightingale
1st journal dedicated to medical informatics
1978
El Camino Hospital (Mt. View, California), National Institute of Health, VA, Department of Defense develop Health Information System.
1970’s
1st NI conference at St. Agnes, Baltimore
1982
University of Maryland School Of Nursing started 1st NI program
1989
Nancy Staggers 1st PhD in NI
1991
American Nurses Association (ANA) recognizes NI specialty
1992
ANA scope & standards of NI Practice
1994
Development of national health information systems and adoption of early data processing techniques.
1950s - 1960s
Introduction of computers into hospitals and healthcare settings, primarily for administrative tasks.
1970s - 1980s
Nursing informatics gains recognition. The American Nurses Association (ANA) designates it as a specialty practice, sparking awareness in the Philippines.
1992
First faculty members focused on nursing informatics at the University of Washington inspire early pioneers in the Philippines
1998
Participation in developing the Standards for Health Information in the Philippines (SHIP) marks a significant collaboration between nurses and information specialists.
1999
Proposal for a Master of Science in Health Informatics with a major in medical informatics at UP-Manila paves the way for advanced education.
2003
Formation of the Philippine Nursing Informatics Association (PNIA) by dedicated nurses like Evelyn Protacio, marking a turning point in creating a community for the field.
2005-2006
Implementation of Memorandum Order 5 Series of 2008 establishes Nursing Informatics as a core subject in nursing curriculum.
2010
what memorandum establishes Nursing Informatics as a core subject in nursing curriculum.
Memorandum Order 5 Series of 2008
Establishment of the Center for eHealth and Telemedicine by the Department of Health (DOH) further propels informatics initiatives.
2013
Launch of the Philippine Health Information Exchange (PHIE) aims to connect healthcare institutions and improve data sharing.
2016
Nursing informatics roles, such as Clinical Informatics Nurse Specialists, gain traction in hospitals and healthcare organizations.
Present
Other Names and Scope of Informatics
- Health Informatics
- Nursing Informatics
- Medical Informatics
- Clinical Informatics
- Consumer Informatics
- Biodmedical Informatics
- Public Health Informatics
Role of Nurses
- Basic User
- Informatics Champion
- Change Agent
- Data Analyst
- Leader
- Knowledge Worker
Utilizes EHRs and other technologies to document care and access patient information.
Basic User
Promotes the effective use of technology within the nursing unit.
Informatics Champion
Participates in the implementation and evaluation of new technologies.
Change Agent
Contributes to research and quality improvement initiatives using healthcare data.
Data Analyst
Advances the use of nursing informatics to improve patient care and healthcare outcomes
Leader
Knowledge Worker-RNs roles in patient care:
Data gatherer, Information user, Knowledge user, and Knowledge builder.
Can support the efforts of the nurse and health care team in the care of patients. Good information is essential in caring for patients. Inaccurate data leads to medical errors. Nurses rely on their own knowledge, but need access to other information in order to provide safer patient care. Nurses use data and information from multiple sources which is converted to knowledge.Nurse then acts upon this knowledge by initiating a plan of care, updating an existing one or maintaining status quo. Nurses detect patterns in data and information to create new knowledge.
Information Management in health care
Opportunities in Nursing Informatics
Clinical Informatics Nurse Specialist
Nurse Informaticist
Research Informaticist
Education Informaticist
Entrepreneur
Provides expertise in the use of technology in clinical settings.
Clinical Informatics Nurse Specialist
Develops, implements, and manages health information systems.
Nurse Informaticist
Conducts research using healthcare data to improve patient care and healthcare delivery.
Research Informaticist
Develops and implements technology-based educational programs for nurses
Education Informaticist
Creates and develops innovative healthcare technology solutions.
Entrepreneur
Informatics Competencies
Staggers et al. (2002)*
*Staggers, Gassert, and Curran (2002)
● Beginning Nurse
● Experienced Nurse
● Informatics Nurse specialist (INS)
● Innovator Nurse
Informatics Competencies
ANA (2008)**
**Nursing Informatics, Scope and Standards of Practice (ANA, 2008)
● Entry level
● Experienced Nurse
● Informatics Nurse
● Informatics Nurse Specialist (INS)
Informatics Benefits
● Support for work processes
● Improved records
● Decreased redundancy
● Increased convenience
● Improved data collection
● Prompts to improve documentation
● Improved safety with decision support
● Improved communication and access
Challenges in Nursing Informatics
● Resistance to change
● Lack of training and education
● Data privacy and security concerns
● Interoperability issues between different systems
● Ethical considerations
Nursing Informatics Today
ROLES
- Chief Information Officer
- Project Manager
- Product Developer
- Analyst
- Consultant
- Educator
- Researcher
- Policy Development
Nursing Informatics Today
ORGANIZATIONS
- International Medical Informatics Association
- American Medical Informatics Association
- Health Information Medical System Society
- American Nursing Informatics Association
Future of Nursing Informatics
● Artificial intelligence (AI) and machine learning (ML)
● Big data and analytics
● Telehealth and virtual care
● Wearable devices and sensors
● Personalized medicine and precision healthcare
is a combination of computer science, information science and nursing science designed to assist in the management of and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care
Nursing Informatics
seeks to both describe and explain. It’s the most complex and it’s testable.
theory
should help you predict and examine which factors influence your outcome.
theory
describes but doesn’t explain.
model
It’s commonly used to describe, or even simplify, the process of translating research into practice.
model
describes but doesn’t explain factors believed to influence an outcome.
framework
It provides a big picture overview of various descriptive categories and how they might relate to one another
framework
is used to show the relations of concepts, it gives an overall picture of the possible courses of action
framework
is something used to represent or explain the operation and mechanism of something else
model
They can emerge from models but they are prescriptive, not merely descriptive; therefore, they can be tested.
theory
By James P. Turley, according to this model nursing informatics is the intersection between the discipline-specific science (nursing science) and the area of informatics. And in this model, there are 3 core components of informatics, namely -Cognitive science -Information science -Computer science.
Conceptual Model of Nursing Informatics
Conceptual Model of Nursing Informatics is by
James P. Turley
Conceptual Model of Nursing Informatics By James P. Turley, according to this model nursing informatics is the intersection between the discipline-specific science (nursing science) and the area of informatics. And in this model, there are 3 core components of informatics, namely:
- Cognitive science
- Information science
- Computer science
James P. Turley, presents “_____________________”, without it , decision-making, information processing, construction of tools and computer interfaces would be difficult.
cognitive science
These concepts can help nurses understand the decision-making and information processing done by nurses and, subsequently, assist in the creation of appropriate tools to support nursing processes.
Conceptual Model of Nursing Informatics
is integrated within each elements, depicting nursing informatics as the proper management of knowledge, from data as it is converted into information and knowledge.
Management processing
is a way to understand how information can be processed
DIKW framework
This is the same as GRAVES AND CORCORAN’S MODEL except there is an addition of a new element which is WISDOM.
Data-Information-Knowledge Model Theory
Data-Information-Knowledge Model Theory is the same as GRAVES AND CORCORAN’S MODEL except there is an addition of a new element which is
WISDOM
the appropriate use of data, information, and knowledge in making decisions and implementing nursing actions.
Wisdom
It includes the ability to integrate data, information, and knowledge with professional values when managing specific human problems.
Wisdom
explains that data lead to information, information to knowledge, and knowledge to wisdom.
DIKW framework
represents the relationships between data, information, knowledge andwisdom. Each building block is a step towards a higher level
DIKW Pyramid
Nursing informatics involves identification of information needs, resolution of the needs, and attainment of nursing goals/objectives.
Schiwirian’s Model
proposed a model intended to stimulate and guide systematic research in nursing informatics, a model/framework that enables identification of significant information needs, that can foster research (somewhat similar to Maslow’s hierarchy of needs).
Patricia Schwirian
Schiwirian’s Model contains four primary elements arranged to form a pyramid. These elements are:
1.the “raw material;’ which is nursing related information
2.the technology, which is a computing system
3.the users, who are nurses/students within the context of their personal andprofessional systems
4.the goal or objective toward which the three preceding elements are directed.
The placement of the goal at the apex of the pyramid is intended to
show the importance of the ultimate goal of any NI activity.
This pyramid provides an appropriately flexible four-dimensional structure in which to devise and locate meaningful NI research.
Schiwirian’s Model
In the ___________________, the computer was introduced into healthcare facilities for the processing of basic
administrative tasks.
early 1960s
Today, computers in nursing are used to
manage patient care information, monitor quality, and evaluate outcomes.
Some trace this back to a ________________ published in _______; ______________ first coined the term in the _____’s; Applications to various disciplines.
Russian document; 1968; Europeans; 1980
1982 1st NI conference at
St. Agnes, Baltimore
what school in 1989 started 1st NI program
University of Maryland School of Nursing
1st PhD in NI
Nancy Staggers
without it , decision-making, information processing, construction of tools and computer interfaces would be difficult.
cognitive science
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. Nursing informatics facilitates the integration of data, information, knowledge, and wisdom to support patients, nurses, and other providers in their decision-making in all roles and settings. This support is accomplished through the use of __________________________________________________________________. (American Nurses Association, 2008)
information structures, information processes, and information technology;