NURSING INFORMATICS
Association, 2009)
 ▪Evolved from the French word
“informatics”
 ▪Referred to the field of applied
computer science ▪Concerned with
the processing of information such
as nursing information
INFORMATICS
Information + Automatic
science of automating information
interactions
▪Nursing informatics is the specialty that
integrates nursing science with multiple
information management and analytical
sciences to identify, define, manage, and
communicate data, information,
knowledge, and wisdom in nursing
practice. Nelson’s Continuum.
Nursing Informatics: Scope and Standards
of Practice, 2nd Edition, ANA 2015
Definitions
 Combining nursing, information, and
computer sciences for managing
and processing data into knowledge
for using in nursing practice
(Murphy, 2010)
 A specialty that integrates nursing
science, computer science, and
information science to manage and
communicate data, information,
knowledge, and wisdom in nursing
practice (ANA, 2008)
 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 worldwide
(American Medical Informatics
Computers
 First introduced into healthcare
facilities in the 1960s
 For the processing of basic
administrative tasks
 The computer is an essential tool in
HIT systems
Health Information Technology
 Captures health information
 Processes health information
 Generates health information
▪A shift toward
 Integrating multiple technologies and
telecommunication devices
 Invisible storage devices such as
cloud storage
 User-friendly, menu-driven,
touchscreen manipulation methods
Health Information Technology
 Provision and documentation of
patient care
 Education of healthcare providers
Scientific research for advancing
healthcare delivery
 ▪Administration of healthcare
delivery services
 Reimbursement for patient care
Legal and ethical implications
 Safety and quality issues
Health Information Technology
▪Computers in nursing are used for
 Managing patient care information
 Monitoring quality
 Evaluating outcomes
 Communicating data and messaged
via the Internet ▪Accessing
resources
 Interacting with patients on the Web
 Documenting and processing real-
time plans of care
 Supporting nursing research
 Testing new systems
  Designing new knowledge
databases
 Developing data warehouses
 Advancing the role of nursing in the
healthcare industry and nursing
science
Major Historical Perspectives of Nursing
and Computers Seven Time Periods
Prior to the 1960s
Computers in healthcare were used for
administrative and accounting functions
classification schemes that could be used
for the computer based patient record
systems
▪In 1985, the ANA approved the formation of
the Council on Computer Applications in
Nursing (CCAN)
1990s
▪Legislative activity in the mid-1990s paved
the way for electronic health records
through the Health Insurance Portability
and Accountability Act (HIPAA) of 1996

1960s ▪In 1992, the ANA recognized nursing

informatics as a new nursing specialty
▪ The nurses’ station was viewed as the separate Scope of Nursing Informatics
most appropriate center for the Practice Standards, and also established a
development of computer applications specific credentialing examination for it

▪ Increased time devoted to documentation 1990s

and a rise in medication errors prompted the
investigation of emerging computer-based  PCs became smaller
information systems  Computer notebooks became
affordable
1970s  Computers were linked through
Computer-based information systems networks
 The Internet became mainstream
(1) Physician order entry  The World Wide Web (WWW)
(2) Results reporting increased access to information
(3) Pharmacy
(4) Laboratory 2000s
(5) Radiology reports
▪Smaller mobile devices with wireless or
(6) Information for financial and
Internet access increased access to
managerial purposes
information for nurses within hospitals and
(7) Physiologic monitoring systems in
in the community
the intensive care units
▪The use of bar coding and radio-frequency
1970s
identification (RFID) emerged as a useful
▪A few systems started to include technology

 Care planning ▪The nursing informatics research agenda

 Decision support
 Interdisciplinary problem lists
▪Nurses were often involved
implementing systems
▪The opportunity to improve education using
computer technology also began
1980s
▪The nursing profession needed to update
its practice standards and determine its
data standards, vocabularies, and
promoted the integration of nursing care
data in HIT systems that would also
generate data for analysis, reuse, and
in aggregation
2010
▪Nursing Minimum Data Set (NMDS)
▪National Committee on Health Policy
▪National Committee on Health Standards
which outlined and designed the focus for
the “Meaningful Use” (MU) legislation
NI in the Philippines “Why is healthcare still predominantly using
paper-based records when so many new
 Participation of the Philippine Nurses computer-based information technologies
Association (PNA) in the are emerging?”
development of Standards for Health
Information in the Philippines(SHIP) Computer-Based Patient Record Institute
in 1999
▪Created in 1992
 Master of Science in Health
Informatics(MSHI) which began in ▪Given the mission to initiate and coordinate
2005 the urgently needed activities to develop,
 "nursing informatics“ were unfamiliar deploy, and routinely use CPRs to achieve
among the nursing community until improved outcomes in healthcare quality,
the year 2008 cost, and access.
 Philippine Nursing Informatics
Association(PNIA) in 2010 as a sub- ▪Provided a framework through which to
specialty organization of PNA for view an implementation of computerized
nursing informatics records

NI in the Philippines

▪In 2008, Nursing Informatics course in the

undergraduate curriculum was defined by
the Commission on Higher Education
(CHED) Memorandum Order 5 Series
of2008.

▪Lack of certification and credentialing

programs in post-graduate levels are also
absent with the scarcity of local nursing
informatics experts.

Electronic Health Records from a

Historical Perspective

Electronic Health Record

In 1989, the Institute of Medicine (IOM)

convened a committee and asked the
question,