The American Psychological Association (APA) updated its style manual in

the fall of 2019. 

INFORMATICS INVOLVED IN: PEOPLE, PROCESSES AND TECHNOLOGIES.

TECHNOLOGIES USED BY NURSES: ELECTRONIC HEALTH RECORD OR EHR

SYSTEM, HEALTH CARE PROCESSES SUCH AS NURSING
DOCUMENTATION.

INFORMATICS IN NURSING: THE FOCUS IS ON NURSES AND HOW

TECHNOLOGIES SUPPORT AND FACILITATE EFFECTIVE AND SAFE
PATIENT CARE.
IT SUPPORTS:

EABLING:
TO ACHIEVE:
ROLES OF INFORMATIC NURSE:
WHY ARE NURSING INFORMATICS COMPETENCIES VITAL FOR ALL
PRACTICING NURSES?

SO WHAT NURSING INFORMATICS COMPETENCIES DO ALL PRACTICING

NURSES NEED?
COMPONENTS OF NURSING SCIENCE: NURSING SCIENCE, COMPUTER
SCIENCE, COGNITIVE SCIENCE AND INFORMATION SCINECE

NURSING SCIENCE- is an ethical application of knowledge acquired through

education research and practice to provide services and interventions to
patients to maintain, enhance or restore their health to advocate for health
and to acquire process, generate and disseminate nursing knowledge to
advance the nursing profession.
Example of nursing science: when you go to school, when you learn
pthophysiology, when you learn everything about like the 4 year program Is
we discuss about the science of care too
Computer science: a branch of engineering studies the theoritical foundation
of information and computation and their imolementation and application in
computer systems. The study of storage memory conversion and
transformation and transfer of transmission of data in machines which
algorithms, through algorithms and practical implemntation problems. To
make it simple it is the software and hardware mechanism of the system.

INFORMATION SCIENCE: studying the application and usage of informationa

nd knowledge in organizaton and the interfacing of interaction between people
organizations and information systems. Input process, output and feedback.

Cognitive science- 4th building blocks. is an interdisciplinary field that studies

the mind intelligence and behaviorfrom an information processing perspective.

SITUATION:
THE SITUATION IS THE PATIENT FEELS WARM, THE SKIN IS PINKISH.
AND NOTED THAT THE PATIENT IS SWEATING THEN TOOK THE VITALS
MACHINE AND CHECKED THE PATIENT’S TEMPERATURE AND THE
REMAINING VITAL SIGNS. I LEARANED THAT THE PATIENTS TEMP IS 38
DEGREES CELSIUS AND THERE ARE SLIGHT VARIATIONS IN OTHER
VITALS . SO I ENTERED ALL THE DATA IN THE ROVER. A ROVER IS AN
ELECTRONIC EQUIVALENT TO A PATIENT’S CHART. USUALLY A
CELLPHONE. USING THE COMPUTER WE TAKE A LOOK AT THE
MORNING BLOOD WORK AND IT WAS STILL PENDING AND THEN LOOK
AT THE TREND IN THE TEMP FOR THE PAST 24 HOURS AND NOTED
THAT THE INCIDENT IS A NEW OCCURRENCE AND I TAKE A LOOK AT
THE DOCTOR’S ORDERS AND FOUND A PROTOCOL THTA SAYS TO SEND
BLOOD SAMPLES FOR CULTURE AND MAY GIVE TYLENOL 500
MILLIGRAM OR PER PO OR PER RECTUM EVERY FOUR HOURS IF
TEMPERATURES GO BEYOND 38 AND ABOVE. I GIVE A NURSING
DIAGNOSIS TO THE PATIENT AS HAVING ALTERED THERMOREGULATION
(A FANCY TERM FOR FEVER) AND THEN RECALL EVERYTHING I
LEARNED FROM MY NURSING PROGRAM ON THE PATHOPHYSIOLOGY OF
FEVER. NURSING INTERVENTIONS PHARMAOLOGY, MICROBIOLOGY ANF
MY EXERIENCE TAKING CARE OF PATIENTS. KNOWING THAT HEAT
TRANSFER MECHANISM I PLAN TO REMOVE EXTRA BLANKETS, ADVISE
THE PATIENT TO DRINK PLENTY OF FLUIDS AND APPLY A TIPID
SPLASH BATH, GIVE TYLENOL AND SEND A BLOOD SAMPLE FOR
CULTURE AND WELL MONITOR THE PATIENT’S TEMPERATURE IN THE
NEXT HOUR. I THEN IMPLEMENTED MY PLAN AND WENT TO THE
COMPUTER AND DOCUMENTED MY INTERVENTIONS. AN HOUR LATER I
REASSESSED THE PATIENT AND LEARNED THAT THE FEVER WAS STILL
AT 38.1 DEGREES CELSIUS AND HAD SOME FATIGUE AND SHE DID NOT
EAT EITHER. I INFORMED THE DOCTOR ABOUT THE FINDINGS AND SENT
BLOOD SAMPLES FOR CUKTURE. I EXPRESS MY CONCERN THAT THE
PATIENT MIGHT BE HAVING SEPSIS BASED ON MY ASSESSMENT AND
PREVIOUS EXPERIENCE. WHILE THE DOCTOR AND I WERE STILL ON THE
PHONE, A NOTIF CAME UP ON THE SCREEN , SAYING THAT THE WBC
WAS ABNORMALLY HIGH. THE DOCTOR AGREED WITH THE THEME AND
ORDERED ANTIBIOTICS TO BE STARTED JUST BEFORE WE ENDED UP
OUR CONVERSTION. THE ARTIFICIAL INTELLIGENCE OF THE HOSPITAL
INFORMATION KICKED IN AND NOTIFIED BOTH DOCTORS AND I. ABOUT
THE LIKELIHOOD OF THE PATIENT HAVING SEPSIS AND THE AI
SUGGESTS A CARE PLAN FOR THE PATIENT WHICH THE DOCTOR AND I
APPROVE. SO WHICH ASPECT OF THE STORY IS IN NURSING SCIENCE?
Which part is the computer science? Information science? Cognitive science?

Example why nursing informatics is more easier: before it was paper format.
You need to have a form and in order to have that form approved u have to
pass through a lot of bureaucracies. It takes a long time. It’s not
automated. The computer cannot detect any changes in the trend so
information process is delayes and also the knowledge is very slow and the
wisdom may not be wisdom anymore. So we use computer process.

Key terms for nursing informatics are: data, information, knowledge and
wisdom

Data integrity can be compromised and these are the ff: by human error,
viruses (computer viruses), worms, computer bugs, crashes and hardware
failures, transmission errors,

The safeguards for data integrity: backing up files, detecting errors for
transmission and creating a good graphic user interface to hlp people enter
data correctly.

How rover can affect nurses works? No flipcharts anymore, don’t have to fo
to the nurses station. Everyone can use the patients chart all at once. And
everyone can write notes all at once.

In order for the information to be meaningful it must be accesible, accurate,

timely , complete, cost effective, flexibel, reliable, relevant and verifiable.
Example the patient is having fever so u have to take a look at the trend
and temp.

Example of knowledge and wisdom is when you see a patient and u already
know what to do.

The purpose of nursing informatics is to acquire that wisdom and share it to

other people the thing about the older the previous system is that those
wisdom stays int he skull of those nurses and sometimes they don’t share it
so, using computers, or nursing information system. Now wea re able to
accquire that wisdom and that wisdom can also be replicated and applied to
other patients. If we can replicate the wisdom of a mature well asistant
seasoned nurse. Example your dean is a very intelligent person, we can
duplicate that ind of wisdom ad use that in the clinical setting (bed side)

SO HERE COMES THE COMPUTER SCIENCE where we store that into a

storage media and process it. We manage and study the info.

Different types of informatics: medical, nursing and consumer

What is informatics? Is defined as the art and science of turning data into
information.

Medical informatics: is a sub discipline of health informatics where skills in

both medical and computer science come together to imprve health care and
patient outcomes. Facilitate the integration of data information, knowledge
and wisdom to support patients, nurses and other providers in their decision
making in all roles and setting. It is accomplished by using info structiures,
info processes and info technology

Informatic nurse: they are intereseted in both computer automaation and

the provision of healthcare. This group of nurses will become even more
important, they are bridging the gap between clinical skills and technology.
They are responsible for providing clinical info and data analysis for effective
patient care and monitoring the role of thisnurse information.

Iformation nurse specailist: employ informatics theories, cocpets , methods

and tools to analyze info and system requirements. To facilitate the creation
of new nursing knowledge.

REASONS WHY WE PUSH INFORMATION TECHNOLOGY IN THE

HEALTHCARE ENVIRONMENT:
1. PATIENT SAFETY COMES FIRST
2. THE SHORTAGE OF NURSING STAFF
3. THE APPLICATION OF EVIDENCE-BASED ON PRACTICE OR
TRANSFERRING INFORMATION
4. WE CALL GENOMICS OR TARGETED MEDICINE (DESIGNER DRUG)
5. THE DEMAND OF COST EFFICIENT AND QUALITY CARE
6. RESEARCH PERFORMANCE BASED PAY
7.
1. Discuss how the building blocks of nursing informatics influence Tom’s
action in the situation?
The building blocks of nursing informatics influence Tom’s action by having a
better access to evidence one is by using pulse oximeter to immediately
measure the oxygen level of the blood. He also continues to assess the
patients’s status and made some additional interventions which imporoves
patient care. It improved the overall of effectiveness of patient care delivery
by ensuring that t he data generated is of a high quality.

2. Yes, because when he identify potential problems, nurse Tom was able to
use his knowledge to formalize an appropriate plan of action.

3. Tom was thinking critically and putting all the pieces together. He make
sure to look all aspects. He had strong strong interpersonal skills, ability to
solve problems and have advaced technology training. He was able to work
with different health data systems and electronic medical records.

WHAT IS INFORMATICS?
VERY MISUNDERSTOOD SPECIALTY, MANY PEOPLE FEEL THAT THIS
SPECIALTY IS NEW BECAUSE THEY’RE SEEING A RESURGENCE OF
IMPLEMENTATION OF COMPUTERS IN THE HOSPITALS. THEYRE FINALLY
SEEING THE NURSE INFORMACIST COMING FORWARD BUT THIS
PSECIALYT ACTUALLY DATES BACK TO THE 60’S WHEN COMPUTER
STARTED TO MAKE THEIR WAY TO THE HOSPITALS MAINLY FOR
PAYING BILLS OR THAT KIND OF THING. IN THE 60’S A WORD
INFORMATICS COINED IT WAS ACTUALLY FRENCH OR RUSSIAN WORD
THAT ESSENTIALLY LOOKE AT HOW WE TURN DATA INTO
INFORMATION. IN THE 80’S VERY GORWARD THINKING GROUP OF
NURSE LEADERS TRIED TO TAKE THAT WORD AND FIGURE OUT HOW
WOULD THAT APPLY IN THE NURSES WHO WORK IN THE HOSPITALS
AND AMBULATORY CENTERS, SO THEY STARTED T CRAFT A MODEL
BASED ON THESE NEW COMPUTERS THAT WERE COMING INTO THE
HOSPOTALS THAT REALLY LOOKED AT HOW THEY COULD TURN DATA
TO INFORMATION TO KNOWLEDGE. IN THE 90’S ANOTHER GROUP OF
ADVANCED NURSE LEADERS STARTED LOOKING AT HOW CAN WE
ACTUALLY CRAFT AROLE A S PECIALIZATION WITHIN NURSING AT THE
GRADUATE LEVEL FOR NURSES WHO WOULD LEAD THESE ENDEAVORS
FOR USING THESE NEW SYSTEMS TO TURN DATA TO INFOR TO
NOWLEDGE, SO INFORMATICSAS IS AS OLD AS THE COMPUTERS THAT
HAVE BEEN IN HOSPITALS WERE JUST SEEING IT MORE NOW BECAUSE
OF THE INCREASED IMPLEMENTATION OF VARIOUS SYSTEMS WITHIN
THE HEALTHCARE SETTINGS WHETHER THAT’S AMBULATORY OR ACUTE
CARE OR OUT IN THE COMMUNITY.

DEFINTION OF NURSING INFORMATICS IN AMERICAN NURSING

ASSOCIATION:
SCOPE AND STANDARD OF PRACTICE AND IT HAS GONE THROUGH
MANY REVISION AS COMPUTER SYSTEMS BECOME MORE
SOOHISTICATED BUT IT’S ESSENTIALLY THE COMBINATION OF
COMPUTER SCIENCE, INFO SCIENCE, NURSING SCIENCE, COGNITIVE
SCIENCE IN THE APPLICATION TO ASSIST BETTER OUTCOMES AMONG
PATIENTS, PROVIDERS, COMMUNITIES, ALL THE PEOPLE WE CARE FOR
AS NURSES.

HOW INFORMATICS HAS EVOLvED AS OUR TECHNOLOGY?

IN THE 1980’S THAT GROUP OF FORWARD THINKING NURSE
VISIONARIES BEGAN TO TAKE THAT MODEL OF DATA TOINFO TO
KNOWLEDGE AND SOME EARLY THINKING ABOUT THE ROLE AND THEY
CRAFTED THE SCOPE AND STANDARDS OF PRACTICE IN THE AMERICAN
NURSES ASSOCIATION AND ACTUALLY CREATED A GRADUATE LEVEL
SPECIALTY OF NURSING INFORMATICS WITH SIXTEEN SCOPE AND
STANDARDS AND COMPETENCIES AND EXPECTATIONS. THE FIRST SCOPE
AND STANDARS OF PRACTICE FOR NURSING INFORMATICS
SPECIALIZATION WAS IN 1994. THEN IN 2008 IT WAS PDATED.
IN 2011 IT WAS UPDATED
AND WE ARE ONCE AGAIN WE ARE UPDATING THE SCOPE AND
STANDARDS OF OUR TO MEET THE CURRENT TECHNOLOGY NEEDS OF
TODAY AND THE NEEDS OF PATIENTS TODAY.

ONE OF THE FIRST SCHOLS TO OFFER A MASTERS PROGRAM IN

NURSING INFORMATICS WAS THE UNIVERSITY OF MARYLAND SCHOOL
OF NURSING FOLLOWED BY UTAH

WHAT ARE THE OTHER TECHNOLOGIES THAT YOUR SPECIALTY WORKS

WITH?
A LOT OF NURSE INFORMATICS SPECIALIST WORK WITH ELECTRONIC
HEALTH RECORDS THAT TENDS TO BE THE TECHNOLOGY THAT MOST
PEOPLE ASSOCIATE WITH THE INFORMATICS NURSE. HOWEVER THAT’S
NOT THE ONLY TECHNOLOGY.

NURSING INFORMATICISTS WORKS WITH PERSONAL HEALTH RECORDS.

YOU MAY HAVE ONE FROM YOUR OWN PROVIDER. WHERE YOU GET UR
INFORMATION IN DATA AFTER YOUR CARE. THEY WORK WITH MOBILE
APPLICATIONS , WITH SOCIAL NETWORKING. MANY PEOPLE GO TO FB
AND GOOGLE TO GET THEIR HEALTH INFO. SO WE HAVE
INFORMATIVISTS TRYING TO USE THOSE PLATFORM TO ACTUALLY
CHANGE BEHAVIOR AND HEALTH OUTCOMES.

ONE OF THE VERY IMPORTANT ROLES OF THE GRADUATE LEVEL NURSE

THIS SPECIALTY IS WORKING IN SOCIAL NETWROKING BECAUSE 70 TO
80 PERCENT OF PEOPLE EITHER BEFORE THEY SEE THEIR PROVIDER,
GO TO THE INTERNET OR AFTER THEY SEE THEIR PROVIDER THEY GO
TO THE INTERNET TO ANSWER THE QUESTIONS THEY DID NOT ASK
WHILE THEY WERE THERE. THEY MAKE DECISIONS BASED OFF OF INFO
THEY GET FROM THE INTERNET. SO THE INFORMATICS NURSE CAN USE
THEIR SKILLS OF NURSING AND THEY CAN USE THEIR SKILLS OF THAT
PLATFORM TO ALLOW PEOPLE TO BECOME ENGAGED IN THEIR OWN
HEALTHCASE, ACTIVATED IN THEIR OWN HEALTHCARE EDUCAATED BUT
INA SAFE WAY SO THAT THEY CAN EXPLORE AND LEARN USING
INTERNET BASED RESOURCES BUT THEYRE DOING IT WITH SAFE SITES
THAT ARE PROVIDING LEGITEMATE INFORMATION THAT ARE
MONITORED AND MENTORED BY SOMEONE WHO KNOWS SOMETHING
ABOUT THE TOPIC.

EXPLAIN ABOUT THE TERMINOLOGY THAT SURRONDS THE FIELD OF

INFORMATICS?
THIS CREATES A LOT OF CONFUSION, OUR SPECIALTY THE
INFORMATICS NURSE SPECIALISTS IS MUCH LIKE THE CLINICAL NURSE
SPECIALISTS WHICH MANY ARE FAMILIAR WITH THAT IS A FRADUATE
DEGREE NURSE WHO HAS A SPECIALIZATION, WHO HAS TAKEN A
CERTIFICATION EXAM. HOWEVER IF NURSES WHO WORK IN THIS FIELD
WITH GRADUATE TRAINING OFTEN COME WITH A VARIETY OF TITLES
DEPENDING ON WHAT THEIR JOB HAS CALLED IT. SOME ARE CALLED
NURSE INFORMATICISTS OTHERS ARE CALLED CLINICAL ANALYSTS. BUT
THE TITLE OF INFORMATICS NURSE SPECIALIST REALLY IS ONLY
SUPPOSED TO BE FOR THE NURSE WHO HAS GOTTEN THE GREADYATE
DEGREE IN INFORMATICS FROM A PROGRAM INAN ACREDITED SCHOOL
AND HAS TAKEN THE CERTIFICATION EXAM.

IS THERE ANOTHER INFORMATICS IN OTHER FIELD?

YES, WE WORK IN WITHA LARGE INTERPROFESSIONAL TEAM. MANY OF
THE OTHER HEALTH CARE PROVIDER TYPES, PHYSICIANS,
PHARMACISTS, SOCIAL WORKERS, NUTRITIONAISTS HAVE CARVED OUT
INFORMATICS AS A ROLE WITHIN THEIR SPECIALIZATION TRACT
BECAUSE THERE’S SUCH A NEED TO FIGURE OUT HOW TO USE THESE
TECHNOLOGIES AND THE DATA AND INFO AND KNOWLEDGE TO
SUPPORT THEIR SPECIFIC PROFESSIONS SO WE WORKD WITH OUR
COLLEAGUES WHO AR EMEDICAL INFORMATICISTS, BIMODEICAL
INFORMATICISTS, PHARMACY INFORMATICCISTS AS ONE TEAM TO MAKE
PRODUCTS THAT TOUCH ALL THESE VENUES.

WHAT DOES LICENSING LOOK LIKE, POST RECEIVING HIGHER EDUCATION

AND INFORMATICS?
ONE MUST HOLD A BACHELORS OF SCIENCE AND NURSING AND HAVE
AN LICENSURE. HOWEVER UPON GRADUATION FROM UR MASTERS
PROGRAMS, THE PERSON WHO HAS STUDIED INFORMATICS NURSING
INA
GRADUATE PROGRAM IS FACE WITH SEVERAL CERTIFICATIONS THAT
THEY CAM TAKE. THE ANCC OFFERS CERTIFICATION AND A NUMBER OF
GRADUATE NURSING SPECIALTIES INCLUDING MANY OF THE NURSE
PRACTITIONERSS. THEY ALDO OFFER CERTIFICATION IN NURSING
INFORMATICS. IT REQUIRES A MASTERS DEGREE, IT REQUIRES SO MANY
CEU’S IN ORDER TO BE ELIGIBLE TO TAKE IT. AND 200 HOURS OF
PRECEPTED MENTORSHIP AS PART OF YOUR EDUCATION.

WHTA’S THE MOST IMPORTANT ABOUT NURSES TO KNOW ABOUT

WHAT THEIR NURSING INFORMATICS AT THEI HOSPITAL DOES?
FIRST OF ALL THEY SHOULD KNOW THEIR NURSE INFORMATITION. THE
NURSE AT THE BEDSIDE TODAYWILL NOT ESCAPE TECHNOLOGY OR THE
DATA COLLECTION PROCESS. SO THEY NEED TO BE ABLE TO WORK
WITH THESES TECHNOLOGIES. THEY NEED TO BE ABLE TO FIT THEM IN
WITH THEIR WORK FLOW AND THEIR DATA COLLECTION NEEDS,
INCORPORATING THEM IN WITH THEIR CARE OF THEIR PATIENT. IN
ORDER TO DO THAT, THEY SHOUDL BE WORKING HAND IN GLOVE WITH
THE TRAINED NURSE INFORMATICITIAN OR THE INFORMATICS NURSE
SPECIALIST. IN ORDER THAT TO MAKE THAT HAPPEN.

WHAT ARE SOME COMMON MISCONCEPTIONS ABOUT INFORMATICS?

First taht it is new and its not its as old as computers coming into
hospitals. Some of the misconceptions is that We are the computer repair
people, no. There are computer repair people on site and some of informatics
nurse specialists and repair computers. That theyre the programmer, which
not really the role either. A nurse with abackground of computer
programming and have combined this degree with their nursing degree.

How does a nurse informaticists work wih an interprofessional team?

We have to work as a team, the informatics nurse specialist will lead an
entire project or lead parts of a project but can only do that with the hand
and glove work with the clinical colleagues that may be nurses. It could also
be pharmacists or social workers. They wor with clinical colleagues as part of
the team same as computer scientists. It takes this entire team in order to
make this project successful. From the very smallest contained project to the
lasrgest ehr implementation which cost millions of dollars. The team working
together to make this product work for everyone.

WHAT KIND OF EXCITING OPPORTUNITIES DO U SEE COMING FOR THIS

FIELD
This field never changes. We’re revisiting the whole field of the elctronic
health record implementation because were having some issure burnout and
documentation burden. Often withing the realm of electronic documentation.
Its very easy to build new forms and new screens for ppl to complete
without really considering what that has to o and what that does to the
bedside caregiver. Adding more burden to their day. So there are a group of
very forward thinkinf nurse who are working ont hat whole are of taking a
step back and looking at these EHR;s that we have implemented and
determining. It’s exciting because that is forcing us to Relook what the
elctronic health worker does. The whole field of robotics is really exciting. We
have older caregivers that are trying to provide car to patients in the home
or in the hospital setting. Some of them cat be lifting patients and moving
them aroun so theres a whole research arm thats looking at the use of
robots to help with these mechanical things that we have to do to prevent
injuries to nurses.

HOW WOULD YOU ENCOURAGE NURSES IN THE FIELD TO THRIVE

WITHIN THATS TECHNOLOGY REVOLUTION?
To join a professional organization and there are several that focus on nursing
informaticists because our field is not stagnant it is always changing and
devoloping. In order for them to stay at the top of their game and to
undderstand what outs there, they have to involve themselves in a
professional organization. They have to attend the meetings, to hear what
their colleagues are doing and consider how that gets translated and move
into their own work.

We use technologies to create data, to make information, to form knowledge

and ultimately wisdome about our field. It’s what have been about since
1968. we are nurses, we are still supporting our clinical bedside colleagues.
Were considered in direct care providers, leaders.

Week 1 | Individual Discussion / Activity Part 2

1. Why is nursing informatics a misunderstood specialty?

- The reason why informatics a misunderstood specialty because many people
feel that it is new as they are seeing a resurgence of implementation of
computers in the hospitals. They are finally seeing the nurse informacists
coming forward but little do they know that this actually dates back to the
60’s.

2. Based on the video, what is the definition of nursing informatics?

-Nursing informatics is a scope and standard of practice and it has gone
through many revision as computer systems become more sophisticated but
it’s essentially the combination of computer science, information science,
nursing science and cognitive science in tthe application to assist better
outcomes among patient’s providers, communities and all the people we care
for as nurses.

3. How has informatics evolved?

-In the 1980’s, that group of forward thinking nurss began to take that
bodel of data to information to knowledge and some early thinking about the
role and they crafted the scope and standards of practice in the American
Nurses Association and actually created a graduate level specialty of nursing
ingormatics with 16 scope and standards, competencies and expectations. The
first scope and standards of practice for nursing informatics specialization was
in 1994. then in 2008 it was updated same as 2011. And still updating to
meet the current technology needs of today and the need of patients today.

4. What are other technologies informatics specialists work with?

-A LOT OF NURSE INFORMATICS SPECIALIST WORK WITH ELECTRONIC
HEALTH RECORDS THAT TENDS TO BE THE TECHNOLOGY THAT MOST
PEOPLE ASSOCIATE WITH THE INFORMATICS NURSE. HOWEVER THAT’S
NOT THE ONLY TECHNOLOGY.

5. What does a nursing informaticist do? Whom do they work with?

-Nursing informacist work as developers of communication and information
technologies. They work with personal health records. Where they may have
one from your own provider, where you get your information in data after
your car. They work with mobile applications, with social networking.

6. Explain the terminology that surrounds the field of informatics?

-The informatics nurse specialists is much like the clinical nurse specialists
which many are familiar with graduate degree nurse who has a specialization,
who has taken a certification exam. However if nurses who work in this field
with graduate training often come with a variety of titles depending on what
their job has called it. Some are called nurse informaticists, others are called
clinical analysts. But the title of informatics nurse specialist really is only
supposed to be for the nurse who has gotten the graduate degree in
informatics from a program in an acredited school and has taken the
certification exam.

7. What are the misconceptions that are coming to the field of nursing
informatics?
-First that it is new and its not its as old as computers coming into
hospitals. Some of the misconceptions is that they are the computer repair
people, but no it’s not. There are computer repair people on site and some
of informatics nurse specialists and repair computers.
 8. What kind of opportunities are coming to the field of nursing
informatics?
-This field never changes. They’re revisiting the whole field of the electronic
health record implementation because they’re having some issue burn out and
documentation burden. Often within the realm of electronic documentation.
Its very easy to build new forms and new screens for people to complete
without really considering what that has to do and what that does to the
bedside caregiver. They have older caregivers that are trying to provide care
to patients in the home or in the hospital setting. Some of them can’t be
lifting patients and moving them around so there’s a whole research arm
thats looking at the use of robots to help with these mechanical things that
they have to do to prevent injuries to nurses.

9. How can nurses thrive with the technology revolution?

-To join a professional organization and there are several that focus on
nursing informaticists because the field is not stagnant it is always changing
and developing. In order for them to stay at the top of their game and to
understand what’s out there, they have to involve themselves in a
professional organization. They have to attend the meetings, to hear what
their colleagues are doing and consider how that gets translated and move
into their own work

10. Are you interested in nursing informatics?

- Yes because I think it is a fun field, to be able to work with technologies
where we can create data, make information, to form knowledge and
ultimately wisdom about the field. Where It allows you to be both healthcare
and tech professional, practically at the same time.

COMPUTERS IN NURSING DOCUMENTATION AND HEALTH CARE

BLAISE PASCAL AND GOTTFRIED LEIBNITZ

-they were the first developed the machines that performs arithmetic
calculations in the early 1600s.
CHARLES BABBAGE
- he developed the analytical engine in 1883. known as the earliest computer
HERMAN HOLLERITH
-the first one to implement the electromechanical calculating machine during
the 1890s/.
MARK 1
-the first automatic calculator in the 1930s. it used electromagnetic relays
and counters for performing calculations.
ENIAC
- contracture of electronic numerical integrattor and calculator developed in
the mid 1940s. it uses vacuum tubes.
EDSAC
-electronic delay storage automatic computer. The first stored program
computer in 194.
UNIVAC
-the universal automatic computer. First generation computer in 1951-1958.
it uses vacuum tubes to control internal operations faster than earlier
machines.
THE SECOND GENERATION COMPUTER (1959-1964)
-relied on transistors for controlling internal operations. Aside from
transistors, these computers has high level programming languages, modular
hardware design and they improve input output systems.
THIRD GENERATION COMPUTER (1965-1980)
-uses solid state integrated circuits. Rather than transistor to obtain
reductions in size and cost together with increased reliability and speed. Have
larger storage capacity too. Supported by a more sophisticated software
tasks handled by humans.
PRESENT
-our computer uses semiconductors and large scale integrated lsi as well as
very large scale VLSI circuit enhance the development of minature devices
such as laptops, mp3 player, pda’s,
HISTORY OF THE USE OF COMPUTERS IN NURSING AND NURSING
INFORMATICS

WHAT IS A COMPUTER?
-are devices that collect store process and retireve data and are composed of
hardware and software in data. Each year newer and more powerful
computers are emerge with significant innovations in hardware and software.

-1946 was compter first developed.

COMPUTER IS COMPOSED OF SEVERAL FUNCTIONING PARTS:

Hardware, software, open source and free software, data assessmend,

personal, professional, educational informatics

1. HARDWARE- input devices allow users to submit data to the computer

examples are eyboard, mouse, trackball, digital pens, scanner, reader, web cam
are the most common input devices. Common output devices are: monitors,
projectors, printers, speakers.

-the computers brain is called the CPU or the central processing unit- it
determines the speed of the computer.

-motherboard: the central nervous system of the computer because it

facilitates communications among all of the computer components.

-storage devices: storees ur dta even when ur computer is off. Examples are:
hard disk drive.

-SSD: the solid state drive, it has the absence of the spinning disc thats
why its very fast. If u buy external drives always choose the ssd not hdd
-virtualy memory: is a particular type of memory stored on hard disk to
provide temporary data storage that can be swapped in and out of ram as
needed.

-usb flash drives: universal serial bus.

-cloud drives: these are virtual storage devices hosted through the internet
for free or subscription. An example is google drive, apple, iclou.

-PERIPHERAL HARDWARE: is a general term to describe hardware connected

to the computer like monitors, keyboards mice and other printing devices.
1. What is the .TXT bit called?

2. 2. you have the following window open: what is this called?

3. What is the name of this dialog box in Windows?
4. You press a key and see a list of all the programs currently running
appear in the middle of your screen. Which key did you press?
5. You're about to click on the symbol shown: what will happen?

6. You see this option next to a program: what words appear next to it?
7. You see a drop down in the address bar of your browser: what are the
things that it contains called?

8. Which one of these is not a benefit of the prime service?

9. A typical sign-in screen for a website is shown below: usually, which of
the things shown are case sensitive?
10. Consider the website below: what site is this?
11. The address of a webiste is shown below: what’s another name for a
website address like this?
12. A typical windows dialog box is shown below: if you presses the ESC key,
what would happen?

13. Below is the icon for microsoft word for windows. What is the google
open docs equivalent application called?
The wikipedia definition of a printing font at the time of writing is shown
below: you decide to write an email in the arial font. Which of the following
statements must be true about what you’ve written?
You see the following file in explorer: what is likely to happen when you selct
it and press enter?
You have the following keys on your keyboard: you press the top left key,
but it takes you home rather tha typing in the number 7. which other key
(not shown) that you could press would be most likely to press to change
this behaviour?
This lis (taken from wikipedia) is showing the top 6 manufacturers of something in 2016: what’s the something?
Consider the picture below: which of the following is not a standar way to refer to this?
What does the SS stand for?
If you let your mouse hover over the middle icon, what tooltip might it be likely to say?

Why?
What windows feature might you have chosen?
What does google show the options shown?

What website is this from?

What website is this from?
What does the ASPX tell you?
Who will get it?

Which of these is a difference between windows and linux?

What other technique workds in most programs?

Which of the statement is true?

Whic one is made up (doesn’t exist)?

Which of the following is not a standard way to refer this?

Which of the following methods would not scroll down?
What will happen?
Which folder, by deafult, will these be sotred in?

If you change the name to PASSWORDS.XYZ, then double-click on the file to open it, what will happen?
What’s it called?
What word is hidden?
What is the microsoft version called?
This allows you to search anonymously. Which of the following also allows you to do this?
What option did the sender use?

what would happen if you were to click on one of the symbols shown?

what is this?
How is wikipedia funded?
Which of these is not an unusual feature of this video-sharing site?
Which of these is also a common programming language?
What are these?
Which letter wouldn’t appear?
what is the top thing commonly known as?
Place them in order of size, with the smallest first.

Which of the amounts o f memory shown above is it most likely to have had?
What does this show?

Which of the following is not indicated?

What windows feature does this use?

What words are hidden behind the boxes ?

If you click on REMEMBER ME, what will the website store on your computer?
Which key combination could you press in most browsers?
What’s the opposite way?
Instead of clicking on the icon, what shot-cut key could you press instead in most windows applications?

Which of the following is true?

With the mouse positioned on the icon, what should you do?

In which root-level folder is this stored?

What would you be most likely to share on this?
What’s it describing?

Which of the following would you be most likely to use to read printed output?
How many powerpoint versions are there between these two?
https://www.bbc.co.uk/bitesize/guides/zhppfcw/revision/8

https://www.redhat.com/sysadmin/cpu-components-functionality
https://www.blog.qualitypointtech.com/2010/12/basic-computer-hardware-quiz-questions.html
Types of softwares:
Os software, prouctivity, creativity and communication software, commenrcial
software.

One of the most expensive software is : adobe photoshop and adobe deluxe.

Mobile computer: is a technology that allows human computer interaction

wherever you are by transporting the capability of transmitting date voice
with you wherever you are.
The difference between wifi and your mobile computing:
Mobile is provided with connectivity even if you are moving or walking or
going somewhere bt your wifi you home wifi or wireless, stays at home even
if we don’t necessarily have wires.

NFC: near field communication.

In computer system we have:

Hardware, software, open soruce and free software, mobile computing,
bandwith, broadband and mobile broadband vs wireless broadband, cloud
computing, looking in the future.

MOBILE BROADBAND VS WIRELESS BROADBAND

Mobile broadbands ability to access the high speed internet from different
locations can be due to the ability of the technology 2g, 3g,4 g and 5g.
phone can access into the lte or access to the 4g internet but when u go to
the united state, phone will access the 5g interenet connection. While
wireless broadband means that the wires and cables are not needed to acess
the internet but nlike the mobile broadband, wireless broadband does not
allow users to move arou nd.

CLOUD COMPUTING
It has a web browser based login accessible data software and hardware that
can be accessed and used using the cloud systems can be linked together. It
refers to storing and accessing data and programs over the internet instead
on a computer’s hard drive. Example: new microsoft word with the online
version which is free.

EXAMPLES OF LOOKING INTO THE FUTER COMPUTER SYSTEM

1. Voice activated communicators
2. Game and simulation technology
3. Virtual reality
1. Dan still wants to learn more about computer. What will be yur
recommendations?
- Persnally speaking, there are multiple ways, it judt depend on how you
learn best. He can use a search engine desktop tool. Dan should strat with
what he know or want to know and branvh out from there. Everything is
computers is interconnected, so he’s bound to eventually bump into every
topic as time goes. He may ended up wanting to learn about various types
od monitors and in the end got that down, as well as some networking
information. The key is continuing to ask question and don’t settle for
simple cookie cutters. When he get into the hardware of things, grab an old
computer and tinker around. If he’s into more software, download various
programs and play around. Reme,ber google and youtube are your friends.

2. Which of the four categroies software discussed in this chapter would

benefit the most in all his studies.
Productivity software, because it helps you in monitoring the productive
and nonproductive activities it provides all the information in the form of
intelligent reports. Actually one of the productivity app I am using today is
EVERNOTE because for me it is considered as one of the best note-taking
apps avaiable.it has tones of features and is compatible with almost every
smartphone and computer. It allows users to scribble down notes in its paper
like interface or just type in characters.

3. How could dan afford to install software from all four groups on his new
laptop?
Dan can afford to install software because the software which he install
should be in his pen drive or CDROM. It always connect in our pen drive in
the laptop to install any kind of sofwateres, once you connect the pendrive
to the laptop so that it can be easily detect the pen drive and he can install
the necessary software which is required to install from the pen in earlier we
use CDROM as they can store the data of arounf 700mb where he can take
his cdrom with you.