Week Twelve Flashcards
Goal of Nursing Informatics
To improve the health of populations, communities, families, and individuals by optimizing information management and communication.
Nursing Informatics
Nursing Informatics science and practice integrates nursing, its information and knowledge and their management with information and communication technologies to promote the health of people, families and communities world wide
A specialty area of nursing practice dedicated to the optimal use of technology to support professional practice and optimal patient outcomes
integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.
Facilitates the integration of data, information, and knowledge to support clients, nurses, and other providers in their decision-making
Sciences that go into Nursing Informatics
Computer Science
Nursing Science
Information Science
How to meet the goals of nursing informatics
⏩by using information and technology in the direct provision of care
⏩establishing effective administrative systems, in managing and delivering educational experiences
⏩supporting life long learning
⏩supporting nursing research
What is the Canadian Institutes of Health Information?
National not-for-profit body that records, analyses, and disseminates essential data on Canada’s health system and Canadians’ health
Not initially geared to nursing data, but became more important to several issues directly influencing nursing (nursing workforce recruitment and retention)
What is the Canada Health Infoway?
Has National mandate to generate consensus on health information standards
Partnership between federal, provincial and territorial government
Has agenda/is the reason that EHR is being developed
What is the Electronic Health Record?
aka EHR Has six components: Patient registry Provider registry Diagnostic images Laboratory Results Drugs dispensed Clinical reports/immunization
What are the three components of the EHR that need development?
Storage
Point of care systems
Connection
What are the core components of the electronic health record?
Patient Registry Provider Registery Diagnostic Images Laboratory Results Drugs Dispensed Clinical Reports and immunization record
Informatics in the Canadian Health Care System
Standardizes nursing language
Increases visibility of nursing
Creation of Nursing Minimum Data Set
Health Information: Nursing Components
Client status
Nursing interventions
Client outcomes
Nursing intensity
Primary Nurse Identified
International Classification of Nursing Practice (ICNP)
Created in response to invisibility of nursing care
Standardization of nursing data for comparison, analysis and support of evidence-based practice
Capture nursing practice across practice settings, cultures, or languages and geographical settings
Health outcomes for better information and care project (HOBIC)
Project initiated by Ontario to enhance patient outcomes using nursing outcome documentation as indicators of success or to assist in areas for improvement
Multi-sectorial implementation
National e-Nursing Strategy
Nurses integrating ICT
Nurses have the information and knowledge
HR planning is supported
New models of nursing practice are supported
Nursing groups are well connected
ICT will improve quality of work environments
Canadian nurses will contribute to the global nursing community
NurseOne
Professional links
Professional development
Library
NurseConnect
Four SRNA Tech Competencies
- Demonstrates critical inquiry in relation to new knowledge and technologies as it relates to nursing practice
- Demonstrates and utilizes nursing informatics and other information communications technology in promoting and providing safe nursing care
- Uses existing health and nursing information systems to manage nursing and health care data during client care
- Uses technology appropriately, ensuring client safety
Having a voice in informatics
Nurses comprise the largest group of health care providers
Nurses spent the most time in direct care of clients = a critical position to influence Health Informatics
Sensmeier thoughts on nursing and technology
Value of nursing in informatics: crossroads of technology and patient care, integral part of healthcare delivery and transformation
Connecting the Consumer: teams not bound by physical space, digital patient engaging tools
Implications of time and place care: A technological revolution of the delivery of healthcare, physical location for the delivery of care is changing
Call to action: need more nurse informaticists, academic organizations should integrate informatics content throughout curriculum
Technology impacts
Delivery if care
Communications
Professional development
Patient morbidity and mortality
E-health
In Saskatchewan e-health is working towards EHR
SNOWMED-CT
Clinical terminology standard that Infoway chose to go with
Health Information: Nursing Components
Patient status Nursing interventions Patient outcome Nursing intensity Primary nurse identifier
Patient Status
Label for a set of indicators that reflect phenomena for which nurses provide care. Is basically a nursing diagnosis, but a bit broader
HI:NC
Nursing Interventions
Purposeful and deliberate health-affecting interventions
HI:NC
Patient Outcome
Client status at defined points following intervention
HI:NC
Nursing intensity
Refers to amount and type of nursing
HI:NC
Primary Nurse Identifier
A single, unique, lifetime identification number for each nurse
HI:NC
What is ICNP
International classification for nursing practice
Like snowmed-ct, but preferred by nurses. Is part of C-HOBIC
What is C-HOBIC?
Canadian health outcomes for better information and care project
Addresses gaps in health information related to nursing’s contribution to patients outcomes and the need for standardized nursing data for inclusion in admission/discharge summaries