2010

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA

Essay – Nursing Informatics

LIBIN PALLUPPETTAYIL JOSE ID NUMBER: 30084198 SCHOOL OF NURSING, UNIVERSITY OF BALLARAT
2/26/2010

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 2

Essay – Nursing Informatics Abstract Information technology is a part of health care now. Health Informatics and Nursing Informatics are essential to improved patient care. Before 50 years no health professional had interest to use IT in health care, but now 86.3% nurses are working with IT. Health informatics is a research filed in Australia. Nursing Informatics Australia is putting lot efforts in improving patient care with IT. EMR has its own opportunities and threats. But threats are minimal and avoidable. Nursing informatics is mainly concentrated into proper documentation of the care because it is the key of interdisciplinary communication. Main application areas of NI are clinical practice, administration, education and research. Mobile health care is a new innovation into the practice. Telemedicine plays vital role in provision of E – Health. There are many ways to ensure that the nurses are utilizing IT for the better patient care: eg video monitoring. Health informatics plays a vital role in programmed decision making frame work utilization. NI gives more time for patient care at bedside by reducing the documentary works. Whatever may come nurse can’t be replaced by any machine or ROBO NURSES.

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 3

Essay – Nursing Informatics

TITLE PAGE CONTENTS OF THE ESSAY
• Information technology in health care • Movement of nursing informatics • Current statistics of IT in nursing • How IT influenced nursing practice • How to ensure nurses utilize IT for better patient care • Prove that nursing informatics won’t remove nurses from bedside nursing.

SUBMITTED TO Mr. Marcus Hovey, Unit coordinator HCGEN 1121, Professional Nursing in Australia PREPARED BY
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 4

Essay – Nursing Informatics

Libin Palluppettayil Jose ID No. 30084198

Re Entry Student, January Intake. PRESENTED ON February 26, 2010
Introduction Information technology (IT) is a field concerned with the use of technology in managing and processing information. IT provides supports to use electronics, computers and software to convert, store, protect, process, transmit and retrieve information. This essay will explore about Health Information Technology (HIT) [Health Informatics (HI)], Nursing Informatics (NI), what are the current trends in HI and NI, what influence had the IT made into Nursing Practice. In the essay, the author is trying to ensure that Nurses uses IT for better patient care. The author also makes a trial to prove that IT and NI won’t remove nurses from bedside nursing.

Health and IT – terms needs to be clarified.
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 5

Essay – Nursing Informatics 1. HIT - Health Information Technology Health Information Technology is the application of information processing involving both computer hardware and software that deals with storage, retrieval sharing and use of health care information, data and knowledge for communication and decision making.

2. NI - Nursing Informatics Nursing Informatics is the specialty of HI which deals with the support of nursing by information systems by delivery, documentation, administration, and evaluation of patient care and prevention of disease. The American Nurses Association defines nursing informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information and knowledge to support patients, nurses and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.” Movement of Nursing Informatics
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 6

Essay – Nursing Informatics IT was well developed before 50 years, but Health care Professionals were slow to utilize IT. The term nursing informatics was originated by Scholes and Barber in 1970. NI movement began in the early 1970s in different countries in different health care settings and different areas of health care and IT advanced in both national and international level. Currently in Australia Health Informatics Society of Australia and Nursing informatics Australia are functioning towards a better achievement of informatics into health care and nursing practice. Current Trends The recent survey conducted by Eley. R. et al (2007) reveals that 86.3% of the respondents were using computers for their work related activities. Between 4 – 17% of the nurses received training in generic computer skills and 12 – 30% gained skills in the continuing nursing education. Health informatics is included in the research topics under library and information studies (080702 Health Informatics). Simpson. R.L. (1997) finds that majority of the respondents (56%) are putting heavy emphasis on improving the quality and access to clinical data. It must be noted that IT made more efforts in developing an Electronic Medical Record (EMR), with which there are more good aspects into the patient care. Major benefits of maintaining an EMR are as follows. It gives improved access to medical record. It decreases duplication of care, misuse of addictives, and
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 7

Essay – Nursing Informatics potential for data errors. It increases time for patient care by decreasing works on documentation. EMR are life time records and can be accessed any time. EMR stays as a tool for education and research for future. On the other hand, it has its own hazards like there are chances that the privacy of the patient may be breached. Because while in the hospital, when the health care worker is accessing the information about a patient and the visitor or an ancillary worker may see that and there are chances that the information may be passed to others. Relating to this, usually information in EMR are passed by intranet and if a hacker accessed it, then it will be in internet or they may misuse or destroy it and no further data will be there regarding that person, causes serious privacy breaches. Documentation is a primary emphasis in nursing informatics, because quality care depends on effective communication among healthcare providers. Since healthcare providers communicate primarily through the notes they write in a patient’s chart, nurse informaticists seek to continually improve the speed, timeliness and accuracy of patient charting. When health workers have access to more up-to-date, complete patient notes, they can make better decisions about a patient’s care. Nursing informatics looks for ways to simplify and enhance documentation using advanced computer and information technologies. Instead of spending each shift handwriting notes into every patient’s chart, nursing informatics makes it possible to record notes sooner and faster using computers,
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 8

Essay – Nursing Informatics handheld devices, voice recognition and other tools. The goal of nurse informaticists is to design and implement systems that improve documentation accuracy, eliminate unnecessary work, enhance accuracy and enable analysis of clinical data. Main application areas of nursing informatics are clinical practice, administration, education and research. In the clinical practice NI can be used in allotting work to the nurses, computer generated patient documentation and handing over sheets, using in EMR, computer monitored physical monitoring devices and even for the automatic documentation of the signs and findings. This may be even used in automatic billing and automatic appointment generations for the future care or follow ups. In the nursing administration, NI helps in automatically scheduling the duty list, and this gives a chance for the nurses to make any changes or request for changes if they needed. E mail is allowing easy and improved communication. To find out the trends and to make a budget that suits for the health care agency, analyzing of the cost involved in the provision of the care helps. NI also plays a role in nursing education. It is helping in computerized record keeping for the enrolled students and staff. Computer assisted education is another important aspect of NI. IT helps to do interactive nursing education

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 9

Essay – Nursing Informatics sessions for the students with which patient care is improved. Distance learning and online educations are the essentials of today’s life. NI has its own role in nursing research. It includes computerized literature searching (CINAHL, MEDLINE etc), adoption of a standardized language related to nursing terms eg. NANDA and the use of excel spread sheet and statistical software for research and the list goes on. Another aspect of technology is mobile and PDA devices, which has got an important role in the health care provision. For instance, MIMS is available in mobile will help a health care professional to use critical thinking in relation to the medication for the patient. PDA devices are also doing the same in effect. There is another area, that is telemedicine, where the patient is benefitted via internet based health care. To say more on that, a patient in UK need a help of a specials in Australia, then by video conferencing either the patient or another doctor who is treating the patient currently can get advice from the doctor. The test reports can be scanned and sent to the doctor who needs it via email. All these will enable the doctor Australia to finalize the care needed for the patient in UK. IT is changing nursing practice at the point of care. IT makes more need based care at the bedside or the point of care. It helps to avoid duplication of the care, makes documentation easier and increasing a chance for a discussion of the
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 10

Essay – Nursing Informatics nursing care needed even at the delivery point. The technology is driving through the safety of the patient care. By the way of illustration bar coding in the patient wrist band, patients’ documents, medication and on the nurses’ badge ensures that right patient receives right drug in right dose at right time. A camera - monitor system at the patient bedside ensures the Dr./NUM that the medicine has given in the right route and correct documentation is done. Taylor.P (2006) supports that, health informatics is excellent in working with in the decision making framework in practice, which actually saves time and thus the life of the patient. For quoting an example, the AED automatically analyze the patient’s heart rhythm and acts according to the pre programmed decision making frame work to decide whether to advice a shock or not. But this doesn’t remove the nurse from the area, because to activate the system and to follow the prompts of the machine properly a RN is needed. For instance, the improved technology in the monitoring of vitals by an automatic machine is making the nurses duty easier where she need to connect the adaptors in the correct position and set up the machine to work in the adjusted time to obtain the information at right intervals, especially in case of post operative monitoring or where it needs continuous documentation. Even then, the accuracy of the documentation is not there as the author felt in practice, because, the full

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 11

Essay – Nursing Informatics utilization of the system is not yet done practically. No nurse is taking initiatives to do the printing work also from the machine for better accurate results. The use of new technology gives more time for the nurses to work in the patient bedside and thus they will get more time to attend for the psychological needs of the patient. This in another way aids in faster gaining of health. Because health is not only just physical it also includes mental and social well being. Whatever may come in the health care industry, how much ever the new technology might had improved also, the need for a registered nurse to assess the patient, diagnose the needs and plan a care according to the need for the patient can’t be avoided. Though there are machines to work for getting information, the nurse must be there to interpret that and to initiate a treatment in time. For example, the new tympanic thermometer needs a registered nurse to operate it and to gain the results and to interpret the result. By self it can do nothing. Sullivan (2006) had a positive attitudes towards E – Health with which, the patient will actually being in home and the doctors giving explanations about the condition of the patient with the help of the implanted devices within the patient, via websites online and prescribe medicines to the pharmacy and the pharmacy delivers the medicine to the patient. But one thing is sure; nothing can replace the nursing services. The author don’t rely on the ROBO NURSES expected to come
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 12

Essay – Nursing Informatics in the near future, because nursing is not a programmed service it is a service which needs lot of changes according to the patient. Individual patient needs individualized care.

Conclusion = crtl + A +∑ To put everything into a hard disk, IT had played an important role in the health care. There are both positive and negative impacts for the sharing of patient’s details by means of EMR. But the positive aspects are covering up the negative aspects. But threats are minimal and avoidable. NI is a developing branch of HIT which by all means is becoming the key for the patient care by EMR. Nursing informatics is concerned about proper documentation because it is the key of interdisciplinary communication. NI is mainly applied in clinical practice, administration, education and research. NI gives more time for patient care at bedside by reducing the documentary works. The introduction of new technology had not taken the nurses to the desk; instead it had improved the bedside nursing
SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 13

Essay – Nursing Informatics care, not only in physical ways but also in the psychological and social aspects of nursing care.

References
1.

American Nurses Association. (2001). Scope and Standards of Nursing Informatics Practice. Page 17.

2.

Australian Bureau of Statistics. (2008). 1297.0 – Australian and New Zealand Standard Research Classification (ANZSRC),2008 Retrieved on February 20, 2010 from

http://www.abs.gov.au/ausstats/abs@.nsf/Products/1297.0~2008~Chapter~G ROUP+0807+LIBRARY+AND+INFORMATION+STUDIES? OpenDocument#PARALINK63

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 14

Essay – Nursing Informatics 3. Courtney.K.L, Demiris.G, Alexander.G.L (2005). Information technology: changing Nursing Process at the point of care. Nursing Administration Quartterly, 29(4), 315 -322.
4.

Eley.R, Fallon.T, Soar.J, Buikstra.E, Hegney.D. (2008). Nurses’ confidence and experience in using information technology. Australian Journal of Advanced Nursing. 25(3), 23 -35.

5.

Office of the Privacy Commissioner. (2002). My health my privacy my choice – a consumer guide to privacy and health information Retrieved on February 20, 2010 from

http://www.privacy.gov.au/materials/types/brochures/view/6483
6.

Perry, P. & King, M. (June, 2009). Course development: Nursing informatics. Online Journal of Nursing Informatics (OJNI), 13, (2). Retrieved on February 20, 2010 from http://ojni.org/13_2/Perry_King,pdf

7.

Saba. V.K. (2001). Nursing informatics: yesterday, today and tomorrow. International Nursing Review, 48, 177- 187.

8.

Siau.K, Shen.Z.(2006). Mobile healthcare informatics. Medical informatics and the internet in medicine. 31(2), 89 – 99.

9.

Simpson. R.L. (1997). Technology: Nursing the system. CIOs and Trends in health care Computing. Nursing Management, 28(9), 20 – 21.

SCHOOL OF NURSING, UNIVERSITY OF BALLARAT | BALLARAT HEALTH SERVICES

HCGEN 1121: PROFESSIONAL NURSING IN AUSTRALIA
LIBIN PALLUPPETTAYIL JOSE 30084198 ID NUMBER: 15

Essay – Nursing Informatics 10. Sullivan. F, Wyatt. J. C, (2006), ABC of Health Informatics. Carlton, Australia: Blackwell
11. Taylor

P, (2006), From Patient Data to Medical Knowledge the Principles

and Practice of Health Informatics. Carlton, Australia: Blackwell
12. The

free dictionary.(2010). Nursing Informatics Retrieved on February 20,

2010 from http://encyclopedia.thefreedictionary.com/Nursing+Informatics
13. Wikipedia.

(2010). Health Information Technology Retrieved on February

20, 2010 from http://en.wikipedia.org/wiki/Health_information_technology
14. Wikiversity.

(2010). School : information technology Retrieved on February

20, 2010 from http://en.wikiversity.org/wiki/Information_Technology
15. Wilhoit.

K. (2006). How does technology Drive safely? Travel to a patient

culture. IT Solutions October 2006. 8,10,12,30.

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