Hello TDCIans! Welcome to this course.

This course deals with

Nursing Informatics

Course overview: At the end of this course, given simulated

conditions/situations, the student will be able to:
1. Apply knowledge of physical, social, natural, and health sciences and
humanities in nursing informatics.
2. Provide safe, appropriate, and holistic care to individuals, families,
population group, and community utilizing the
nursing informatics.
3. Practice nursing in accordance with existing laws, legal, ethical, and
moral principles related to nursing informatics.
4. Communicate effectively in speaking, writing, and presenting using age
and culturally appropriate language in nursing
informatics.
5. Document client care in nursing informatics accurately and
comprehensively.
6. Work effectively in collaboration with inter-, intra-, and multidisciplinary
and multi-cultural teams in providing nursing
informatics.
7. Practice beginning management and leadership skills using systems
approach in nursing informatics.
8. Engage in lifelong learning with a passion to keep current with national
and global development in general, and in nursing
informatics in particular.

LET’S BEGIN!

UNIT 1: Introduction to Nursing Informatics

Chapter 1: Introduction to Nursing Informatics (Week 2)

Intended Learning Outcomes (ILO)

At the end of the chapter, you are expected to:

1. discuss the importance of nursing informatics;

2. analyze what are the responsibilities as a Nurse
Informaticist; and
3. examine how nursing informatics is important to Filipino
Nurses.

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Introduction

At present, nursing informatics (NI) was one of the lesser known nursing
specialties, even though it's been a recognized specialty for over 30 years.
The Healthcare Information and Management Systems Society (HIMSS)
defines NI as “a specialty that integrates nursing science, computer science,
and information science to manage and communicate data, information,
knowledge, and wisdom in nursing practice.”
Please proceed immediately to the “Unlocking of Difficulties” part since
the first lesson is also definition of essential terms.

Unlocking of Difficulties

To attend the following intended learning outcomes for the first

lesson of the course, you need to fully understand the following essential
knowledge that will be laid down in the succeeding pages. Please note that
you are not limited to exclusively refer to these resources. Thus, you are
expected to utilize other books, research articles and other resources that
are available in the library in the internet

Key Terms

 Nursing Informatics – it 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.

 Health Team – it is regardless of whether you're treated at a large

academic institution or a small, rural private practice, is the group of
professionals who contribute to your care and treatment as a
patient. Typical members of a healthcare team are a doctor and a
registered nurse.

 Specialist – it focuses on a specific area of medicine or a group of

patients to diagnose, manage, prevent or treat certain types of
symptoms and conditions. A non-physician specialist is a provider
who has more training in a specific area of health care.

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Lecture Notes

1. What is Nursing Informatics?

 Nursing Informatics or Healthcare informatics or biomedical

informatics is the branch of science and engineering that apply
informatics fields to medicine. The health domain provides an
extremely wide variety of problems that can be tackled using
computational techniques.

https://online.alvernia.edu/program-resources/what-is-nursing-informatics/

 Nursing informatics can be applied to several areas of nursing

practice. Clinically, informatics involves technologies and
solutions like electronic health records, computer-generated
client documentation, automatic billing and monitoring devices
that take measurements and place them directly into the medical
record. In nursing administration, informatics solutions include
automatic staff scheduling, cost analysis, communication
solutions and quality assurance.

2. What’s It Like to Work as a Nurse Informaticist?

 You probably already know that a career in nursing can take you
way beyond the hospital bedside. Your nursing passion can
translate into a variety of job roles, both patient-facing and
beyond the bedside.
 One popular, behind-the-scenes role? Nursing informatics. As a
nurse informaticist, you’ll analyze data to improve patient care
and help your healthcare facility implement new patient care
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 technology. Unlike the one-on-one care of a traditional nursing
role, you’ll advocate for patients by taking steps to improve
outcomes and safety in your entire unit, facility, or even
healthcare system.
 The Healthcare Information and Management Systems Society
(HIMSS), a non-profit association that advocates for
improvements in healthcare using technology, describes nurse
informaticists as the driving force behind the development,
implementation, and optimization of electronic medical and
health records, nursing clinical documentation, point-of-care
clinical decision support, and computerized practitioner order
entry.

https://www.allnursingschools.com/nursing-informatics/job-description/

3. Nursing informatics in the Philippines

 The words "nursing informatics" were unfamiliar among the

nursing community until the year 2008. There were only a
handful of people with knowledge and experience in nursing
informatics. The discipline has not yet found its recognition as a
sub-specialty of nursing arts and science in the country.
 The Philippine Medical Informatics Society (PMIS) and its
founders had strong influence in the development of health
informatics in the Philippines. The PMIA was officially registered
under the Securities and Exchange Commission in 1996 by its
board composed of eleven physicians. The organization was
headed by Dr. Alvin Marcelo.

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Chapter 2: Informatics Nurse Specialist Standards of Practice (Week 3)
Intended Learning Outcomes (ILO)

At the end of the chapter, you are expected to:

1. discuss the Standards of Practice for Informatics Nurse

Specialist;
2. identify the scope and standards development process; and
3. highlight and list the NI standards of practice and
professional
performance.

Introduction

Nursing professionals within this specialty are positioned at the

intersection of nursing science, computer science, and information science,
where they are able to “better manage and communicate information, data
and knowledge in the practice of nursing. Nursing informatics specialists
facilitate data integration, information and knowledge so that they provide
better support to patients, nurses and other health care providers” (Nurse
Journal, 2019). One thing on which they spend a lot of their energy is
documentation, because “high quality care is fully dependent upon strong
communication among the wide variety of health care providers. As health
care providers communicate via notes on a chart, a nurse informatics
analyst wants to increase the speed and accuracy of the charting process.
This means that health care workers have better access to patient notes,
and can mean better decisions about care”.

Unlocking of Difficulties

The ANA (American Nurses Association) Scope and Standards of

Practice has listed the major functional areas for informatics
nurses, which include:

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  Administration, leadership and management – either directly with
clinical informatics departments or in combination with other
functional areas such as serving as project managers.

 Analysis – using data to synthesize knowledge, inform decision

support, and manage outcomes as well as taxonomies.

 Compliance and integrity management - helping make sure

organizations are meeting all the national laws and standards such as
HIPAA, FDA, Joint Commission, etc.

 Consultation - serving both internally or externally as a resource.

Coordination, facilitation, and integration - serving as the translator
between end-users and IT experts.

 Development - translating user requirements into solutions.

Education and professional development - ranges from teaching the
end-user to use a device or application to educating the next
generation of nurses and the general public.

 Policy development and advocacy - being an advocate for

consumers, hospital units, and the institution as a whole; also helping
shape policies and standards at the state, national and organizational
level.

 Research and evaluation - conducting research in a variety of

informatics topics that impacts both caregivers and consumers.

Lecture Notes

Standards of Practice (Nursing Process)

 Standard 1. Assessment - The informatics nurse collects

comprehensive data, information, and emerging evidence.
 Standard 2. Diagnosis, Problems, and Issues Identification - The
informatics nurse collects comprehensive data, information, and
emerging evidence.
 Standard 3. Outcomes Identification - The informatics nurse
identifies expected outcomes for a plan individualized to the
healthcare consumer or the situation.

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 Standard 4. Planning - The informatics nurse develops a plan that
prescribes strategies, alternatives, and recommendations to attain
expected outcomes.
 Standard 5. Implementation - The informatics nurse implements the
identified plan.
 Standard 5A. Coordination of Activities - The informatics nurse
coordinates planned activities.
 Standard 5B. Health Teaching and Health Promotion - The
informatics nurse employs informatics solutions and strategies for
education and teaching to promote health and a safe environment.
 Standard 5C. Consultation - The informatics nurse provides
consultation to influence the identified plan, enhance the abilities of
others, and effect change.
 Standard 6. Evaluation - The informatics nurse evaluates progress
toward attainment of outcomes.
 Standard 7. Ethics - The informatics nurse practices ethically.
 Standard 8. Education - The informatics nurse attains knowledge and
competence that reflect current nursing and informatics practice.
 Standard 9. Evidence - Based Practice and Research - The informatics
nurse integrates evidence and research findings into practice.
 Standard 10. Quality of Practice - The informatics nurse contributes
to quality and effectiveness of nursing and informatics practice.
(Includes certification for informatics nurse specialist)
 Standard 11. Communication - The informatics nurse communicates
effectively in a variety of formats in all areas of practice.
 Standard 12. Leadership - The informatics nurse demonstrates
leadership in the professional practice setting and the profession.
 Standard 13. Collaboration - The informatics nurse collaborates with
the healthcare consumer, family and others in the conduct of nursing
and informatics practice.
 Standard 14. Professional Practice Evaluation - The informatics
nurse evaluates their own nursing practice in relation to professional
practice standards and guidelines, relevant statutes, rules, and
regulations.
 Standard 15. Resource Utilization - The informatics nurse employs
appropriate resources to plan and implement nursing informatics
and associated services that are safe, effective, and fiscally
responsible.
 Standard 16. Environmental Health - The informatics nurse supports
practice in a safe and healthy environment.
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Model of Professional Nursing Practice Regulation

http://s3.amazonaws.com/rdcms-himss/files/production/public/FileDownloads/Nursing_Scope%20and
%20Standards%20of%20Practice,%20Second%20Edition_1417020998703_1.pdf / © 2014 American
Nurses Association

These documents also serve as the embodiment of the bottom tier of the
pyramid; the highest level of the pyramid—Self Determination—is the key
focus of the ANA Leadership. It is within this model and at this level that the
ANA Leadership has established its work to help the nurse leader prepare
and enhance the leadership qualities, abilities and impact of the nursing
profession for the health of society.

The Nursing Standards of Practice and Standards of Professional

Performance include competencies required of registered nurses. The
Standards of Professional Performance contains ten standards that dovetail
with the ANA Leadership competencies that were selected from the Center
for Creative Leadership’s (CCL®) Competency Library and serve as the
foundation for all courses, programs and offerings.

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Scope of Practice Statement Addresses Who, What, When,
Where, How, Why, and Functional Roles

• Clinical nurse – need for informatics competencies addressed

• Informatics Nurse (IN) – experience based
• Informatics Nurse Specialist (INS) – graduate level preparation
• Brief descriptions of diverse functional roles
• Enumeration of NI competencies resources
• Discussion of the nine Code of Ethics provisions

https://sites.google.com/site/nursingb1g/module-one/nursing-and-computers

Standards of Professional Practice

• Clinical nurse – need for informatics competencies addressed
• Informatics Nurse (IN) – experience based
• Informatics Nurse Specialist (INS) – graduate level preparation
• Brief descriptions of diverse functional roles
• Enumeration of NI competencies resources
• Discussion of the nine Code of Ethics provisions

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2005-2006
By the year 2003, a master of science in health informatics was proposed to offered by UP-
Manila college of medicine (major inmedical informatics) and the

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