MIDTERMS Applications in evidence based practice Flashcards
Who spoke about the clinical
importance of nursing informatics in patient
care?
Florence Nightingale
“Decision making must be based upon the use
of accurate data”
Ulrich, 1992
Who also spoke of difficulties of extracting such
critical patient-related data from hospital
records
Florence Nightingale
“In attempting to arrive at the truth, I have
applied everywhere for information, but in
scarcely an instance have I been able to obtain
hospital records for any purposes of
comparison. If they could be obtained they
would enable us to decide many other
questions besides the ones alluded to.”
Florence Nightingale, 1859
What year does the 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, and research happen?
1992
When does supports the practice of nursing specialties
in all sites and settings whether at the basic or
advanced levels. The practice includes the
development of applications, tools, processes
and structures that assist nurses with
management of data in taking care of patients or
in supporting their practice of nursing happened?
1994
When does NI became a specialty that integrates nursing
science, computer science, and information
science to manage and communicate data,
information, and knowledge in nursing
practice.
2001
It facilitates the integration of data,
information, and knowledge to support
patients, nurses and other providers in their
decision making in all roles and settings.
Nursing Informatics
What are the Essential elements of nursing informatics: dynamic interactions?
- Nurse
- Patient
- Health
- Environment
- Metastructures
- Scientific foundations
- Tools from information science and computer science
It Improve the health of populations,
communities, families, and individuals by
optimizing information management and
communication.
goals of nursing informatics
Using technology in the direct provision of care
Goal of nursing informatics
Establishing administrative systems
Goal of NI
Managing and delivering educational experiences
Goal of NI
Supporting life-long learning
Goal of NI
Supporting nursing research
Goal of NI
Clinical and non-clinical aspects of practice
Key tenets of contemporary NI
Importance of human factors (human
computer interaction, ergonomics and
usability) in decision-making
Key tenets of contemporary NI
Focus on delivering the right information to
the right person at the right time
Key tenets of contemporary NI
Concerns about and commitment to ensuring
the confidentiality and security of health care
data and information and advocating privacy
Key tenets of contemporary NI
The central emphasis on the improvement of
the quality of patient care, welfare of the
health care consumer, and patient outcomes
Key tenets of contemporary NI
Importance of collaboration with other areas
within healthcare informatics
Key tenets of contemporary NI
Identifying information to collect and process
General field of health informatics
Creating databases
General field of health informatics
Developing user-friendly data entry and retrieval
screens
General field of health informatics
Educating users to work with and maximize
available information resources
General field of health informatics
Installing and maintaining hospital information
systems
General field of health informatics
Developing distance education and telehealth
systems for information exchange
General field of health informatics
Bringing specific values and beliefs
Nursing health informatics
Bringing a specific practice base that produces
unique knowledge
Nursing health informatics
Focusing attention on specific phenomenon
Nursing health informatics
Providing a unique language and word context
Nursing health informatics
What is the role that information plays in the nursing practice?
Develop skills in managing and communicating
information
Differentiate the nurse who are not nursing
informatics specialist from those who are
– Not NI: information system, structure, applications & presentation of information
– NI : optimize structures, applications and technology for use in patient care setting
What is the foci of nursing?
a. Nursing
b. Nurses, patients, health environment
c. Content of
information
d. Using information applications and technology
What is the foci of nursing informatics?
a. Nursing Informatics
b. Nursing data, information, and knowledge
c. Design, structure and presentation of information for nurses’ decision making
d. Optimizing information structure, applications and technology for use in managing and communicating data, information and knowledge
What are the competencies of informatics?
- Computer literacy skills
- Information literacy skills
- General informatics competencies
Basic computer skills
Computer literacy skills
Use of word processor
Computer literacy skills
Access a database
Computer literacy skills
Create spreadsheet
Computer literacy skills
Communicate with e-mail
Computer literacy skills
Interact with clinical documentation
Computer literacy skills
Ability to recognize the need for information
Information literacy skills
Skill to evaluate and interpret information correctly
Information literacy skills
Determining the extent of information needed
Information literacy skills
Determining the extent of information needed
Information literacy skills
Accessing that information efficiently and effectively
Information literacy skills
Evaluating the information and its sources critically
Information literacy skills
Incorporating information into one’s own knowledge base
Information literacy skills
Using information to accomplish a designated purpose
Information literacy skills
Understanding the economic, legal and social issues involved with the use of information
Information literacy skills
Using information in ethical and legal ways
Information literacy skills
Identifying, collecting and recording data relevant to nursing care of patients
General informatics competencies
Analyzing and interpreting patient and nursing
information
General informatics competencies
Using applications of informatics as an integral
part of the nursing process
General informatics competencies
Implementing institutional and public policies
regarding privacy, confidentiality and security of
information
General informatics competencies
“The nurse
should be able to see relationships among data
elements, make judgments based on trends and
patterns with the data, use current informatics
solutions, and also collaborate with the
informatics nurse specialist.”
Staggers, Curran & Gassert (2001)
“Not only knowing about specific
functioning of technology, but also the
interrelatedness between the technology people,
and system that interact with this technology and
how this translates into outcomes”
Kerfoot (2000)
An electronic journal is a periodical
publication which is published in
electronic format, usually on the
Internet.
E-journals
You can search the contents pages and/or the full text of journals to find articles on a certain subject.
Electronic journals advantages
You can read journal articles on your desktop, you don’t have to be in the Library.
Electronic journals advantages
You can e-mail articles to yourself or download them for printing
Electronic journals advantages
The article that you want to read will always be available, even when the Library is closed
Electronic journals advantages
Hypertext links allow you to move to different sections within individual journals or articles and can link you to related resources on the Internet.
Electronic journals advantages
Journals can include more images and audio-visual material.
Electronic journals advantages
Journals can be interactive - you can e-mail the author or editor with your comments.
Electronic journals advantages
It is is an expanding online collection of academic publications of different higher educational institutions and professional organizations.
Philippine E-journals
Its sophisticated database allows users to easily locate abstracts, full journal articles, and links to related research materials.
Philippine E-journals
Promotes research done by Filipino scholars
Philippine E-journals
Improves online visibility and readership of the local academic journals in the worldwide research community
Philippine E-journals
Offers electronic publishing as an alternative, cost-
efficient method of supporting and promoting academic publications
Philippine E-journals
It is a healthcare management plans
that specify patient goals and
the sequence and timing of
actions necessary to achieve
these goals with optimal
efficiency.
Critical pathways
They are care plans that detail the essential steps in patient care with a view to describing the
expected progress of the patient.
Critical pathways
It is the use of critical pathways reduces the cost of care and the length of patient stay in hospital.
Critical pathways
It is the use of critical pathways reduces the cost of care and the length of patient stay in hospital.
Critical pathways
It is a multidisciplinary healthcare management tool based on healthcare plans for a specific group of patients with a predictable clinical course
Care Pathway
It is the different tasks or interventions by the professionals involved in the patient care
Care Pathway
It is the different tasks or interventions by the professionals involved in the patient care
Care Pathway
Aims of Care Pathway
aim is to enhance the quality of care across the continuum by improving:
– risk-adjusted patient outcomes,
– promoting patient safety,
– increasing patient satisfaction,
– optimizing the use of resources
- Represents the ideal way to manage a patient
population with a specific problem or long-term
condition. - provides recommendations
which should be included
a care plan.
Care Pathway
- For an individual.
- Care pathway enacted within a care plan
Care Plan
Statements that include recommendations intended to optimize patient care.
Clinical practice guidelines
Informed by a systematic review of evidence, and an assessment of the benefits and harms of alternative care options.
Clinical practice guidelines
“systematically developed statements to assist practitioner decisions about appropriate health care for specific clinical circumstances.”
Clinical practice guidelines
Reduce inappropriate variations in practice
Clinical practice guidelines
Promote the delivery of high quality, evidence-based health care.
Clinical practice guidelines
Developed by multi-disciplinary
subcommittees using an
evidence-based approach,
combining the best research
available with expert consensus
on best practice.
Clinical practice guidelines
- Offer information that is adapted to local contexts
- Reflects the agreed-upon approach for a specific practice
.
Protocol
