Professional Documents
Culture Documents
- The very basic objective of the **How will the administrative application
automated ambulatory care information of nursing informatics for nurse managers
system is to easily integrate the data to the help?
other data and easily translate these data - In hospital nurses took hours of making
into information. the paperwork of each patient which is
- The effective transformation of data can really disturbing. NI has a lot to offer this
be integrated to the other processes to could to save time that could help in giving
transform it into knowledge. the care and safety that patient needs. The
nurse managers can use the system in
- The ambulatory care nurse and other collecting the data needed in planning,
health care provider should be capable reporting and budgeting
enough to implement the process
effectively.
processing of nursing data to information
and the transformation of nursing
information to nursing knowledge.
Nursing Informatics
WHY IS IT IMPORTANT?
- A specialty that integrates nursing
o Nurses need to develop
science, computer science and information
competencies in informatics.
science to manage and communicate data,
o Informatics enables nurses to use
information, and knowledge in nursing
information and communications
practice to support patients, nurses, and
technologies in the:
other providers in their decision-making in
collection of data
all roles and settings.” -
use of information
(American Nurses Association, 2008)
generation of knowledge to
Scholes and Barber (1980) support nursing practice
- “ It is the application of computer Therefore, NI competencies need to
technology to all fields of nursing - include both knowledge and skills
nursing service, nurse education, and required:
nursing research”
o To use information and
- a combination of computer science, communication technologies to
information science and nursing science enter, retrieve and manipulate data.
designed to assist in the management and o To interpret and organize data into
processing of nursing data, information, information to affect nursing
and knowledge to support the practice of practice.
nursing and the delivery of nursing care o To combine information to
(Graves & Corcoran, 1989) contribute to knowledge
- “Nursing Informatics (NI) is the development in nursing.
application of computer science and
information science to nursing. NI
promotes the generation, management and SCOPE OF NURSING INFORMATICS
processing of relevant data in order to use P Practice
information and develop knowledge that E Education
supports nursing in all practice domains” R Research
(Hebert, 2000) A Administration
WHAT IS INFORMATION?
THEREFORE WE CAN CONCLUDE communication or reception of
THAT…… knowledge or intelligence
- Nursing informatics can be applied to a collection of facts from which
model the human processing of data, conclusions may be drawn
information, and knowledge within a Any fact or set of facts, knowledge,
computer system in order to automate the news, or advice, whether
communicated by others or Information on the client is
obtained by personal study and required for his/her individual care.
investigation; any datum that The assessment process consists of
reduces uncertainty about the state gathering information.
of any part of the world; The use of technology can assist in
intelligence; knowledge derived collecting this information.
from reading, observation, or Information on the client can be
instruction. found in the patient record, the
patient’s history, lab results.
THE IMPORTANCE OF
Information on the client changes
INFORMATION
and grows over time.
The healthcare of our clients is
largely dependent on information.
Every action taken depends on THE IMPORTANCE OF
previous information and INFORMATION
knowledge.
Provider
The delivery of health care requires
information about: Information about the provider of
o Science of type of care care helps determine the type of
(nursing) assessment and the focus of care
o Patient or client given.
o Provider The provider can be an individual
o Outcomes professional such as a nurse, a
o Process and systems for physician, a physiotherapist.
delivery of care The provider can also be the
facility in which care is provided
such as a public health unit, a
THE IMPORTANCE OF hospital.
INFORMATION
The science of care (nursing) THE IMPORTANCE OF
The “science of care” refers to the INFORMATION
scientific foundations of the Outcomes
profession that provides healthcare.
Science helps determine the body The outcome of treatment and care
of knowledge, language, and focus now requires more attention than
of that profession. ever.
Scientific rationale or evidence There is a growing interest in
provides a foundation for decision- ensuring that care results in quality
making within that profession. outcomes in a cost-efficient
manner.
Outcomes can be difficult to
THE IMPORTANCE OF measure.
INFORMATION Technology can assist in measuring
because it can enhance gathering,
Patient or Client
analysis and dissemination of o Practitioners update
outcomes themselves of new
developments through
journals, conferences,
continuing education
sessions.
o The information is varied
THE IMPORTANCE OF and copious.
INFORMATION o There is a need to find the
relevant evidence in a
Process and systems for delivery of care
timely
Information about the process and
systems for delivery of care assists
in deciding on the type and the Telemedicine
amount of care required.
What is Telemedicine?
This is the tracking on
interventions and the process used - Telemedicine is the remote delivery of
for each intervention. healthcare services and clinical
Information about each of these information using telecommunications
areas have an impact on the type technology. This includes a wide array of
and the amount of care given. clinical services using internet, wireless,
Information must be: satellites and telephone media.
✔Accurate ✔Timely
✔Accessible ✔Understandable Definition by WHO
- Delivery of healthcare services, where
distance is a critical factor, by all
THE FIVE RIGHTS OF healthcare professionals using information
INFORMATION and communication technology for
exchange of valid information for
Information has five rights:
diagnosis, treatment and prevention of
✔Right information diseases and injuries, research and
✔Right person evaluation, and for continuing education of
✔Right time healthcare providers, all in the interests of
✔Right place advancing the health of individuals and
✔Right amount their communities.
USING INFORMATION
Evidence-based practice leads to: History of Telemedicine
o Determining standards and
o 1905 – William Einthoven transfers
guidelines
electrocardiogram s electronically
o Guide for decision-making
o 1960s – First used by NASA to
process
monitor health of astronauts in space
o Determines best practice
o 1990s – Telemedicine matures; wide-
spread acceptance of teleradiology
Nursing informatics can enable
practices
dissemination of new knowledge.
o Now – Telemedicine seen as a viable AIM
means for improving access,
- To deliver specialized medical care and
decreasing costs.
advice within reach of patient at distant
places
OBJECTIVES
o To provide specialized medical advice
o To monitor patient condition
FATHER OF TELEMEDICINE
o To guide other medical staff about
- First setup of telemedicine Boston Logan treatment procedure
Airport to Massachusetts General Hospital o Share patient data among institutions
1967 for research purpose
- Dr. Jay Sanders MD President and CEO
of The Global Telemedicine Group
FUNCTIONS
Specialties in Telemedicine
• Video Conferencing between patient
& specialist doctors
▪ Allergy/Immunology ▪ Internal Medicine
• Video conferencing between
▪ Anesthesia ▪ Neurology different specialist and other
healthcare professionals
▪ Cardiology ▪ Oncology/Hematology
• Monitoring patient vitals and
▪ Critical Care ▪ Ophthalmology statistics in ICU’s
▪ Dermatology ▪ OB/GYN • Security in data connection
• Transfer of Patient’s medical data
▪ Otolaryngology (ENT) ▪ Pediatrics among hospitals
▪ Emergency Medicine ▪ Psychiatry • Storage of information
▪ Endocrinology ▪ Pulmonology
- “78 % of ER, urgent care, and doctors 2. Economic for hospital and patient
visits can be handled safely and effectively 3. Reduce the stress in patient and relatives
over the phone. – (American Medical
Association) 4. Save travel time of specialist and patient
5. Good for education and research Fear of Technology
purpose
Low Rates of Utilization
Infrastructure
Patient Acceptance
- Two of the most frequent causes of poor BENEFITS OF TELENURSING
Internet performance are spyware and
- When patient stand seeing of their own
viruses. Spyware can slow your system by
day, they stand connecting the data above
interfering with your browser and
their processes.
monopolizing your Internet connection.
Spyware monitors your Internet use and - Managing their disease better reduce
keystrokes, which adds delays. Computer their utilization of acute case services such
viruses can also cause poor Internet as emergency department visits &
performance Hospitalization
TeleNursing - Saving time achievable because driving
time to reach patient residence by
Definition of Telenursing
significally reduced.
- Telenursing is a subset of tele health in
- Nurses are able to spend more time on
which the focus is an nursing practice via
direct patient care.
telecommunication. - By American Nurses
Association Telehealth Nurses Provide Nursing Care
by
- Tele nursing is defined as the practice of
nursing using protocols through - Using Clinical Algorithms, protocols, or
telecommunication technology. - Arkansas guidelines to systematically Assess Patient
Staff Board of Nursing needs and symptoms.
- Prioritizing the urgency of patients needs.
THE PRACTICE OF TELEPHONE - Collaborating & Developing a plan of
NURSING care with the patient and supportive,
disciplines which may include
o Standards and Quality Center is
recommendation for cure, call back
Telephone Nursing.
educations.
o Competencies Required in
Telephone Nursing “Telemedicine: one small step for the IT
o High Quality Practice Settings. industry, a giant leap for Healthcare!”
o Decision Support Systems
o Using Nursing Titles applies to
telephone nursing practice. Theories, Frameworks, and Models of
Nursing Informatics
Theory
CLINICAL FUNCTIONS OF THE
TELEHEALTH NURSES - An idea that is suggested or presented as
possibly true but that is known or proven
- Telehealth nurses are monitoring patients to be true
with chronic diseases.
Models/Frameworks
- Helping patterns manage their symptoms
and co-ordinations care of patients who - A three-dimensional representation of a
require service from homeruns health person or thing or of a proposed structure,
professionals. typically on a smaller scale than the
original.
- A basic concept structure of ideas.
Nursing Informatics Models
o Graves and Corcoran’s model
o Schiwirian’s model
o Turley’s model
o Data Information Knowledge (D-I-
K) model
o Benner’s Novice to Expert model
Benner’s Novice to Expert model
- Nursing informatics as the linear
progression, from data into information
TURLEY’S MODEL (1996)
and knowledge. Management processing is
integrated within each elements, depicting - Nursing informatics is the intersection
nursing informatics as the proper between the discipline-specific science
management of knowledge, from data as it (nursing) and the area of informatics
is converted into information and
knowledge. Core components of informatics:
o Cognitive science
o Information science
o Computer science