Name: Christelle Anne Babon

nformatics Subject: NCM 110- Nursing Informatics

Course/Yr./Sec.: BSN 2-N
Nursing I Date: April 28, 2023

INTERNATIONAL PERSPECTIVE
COUNTRIES/ GOALS
CONTINENTS YEAR STARTED PROBLEMS/ ISSUES NI INITIATIVES FUTURE DEVELOPMENT
(ADVANTAGES)

Improving patient care

Nursing informatics in Development of nursing informatics
outcomes - By leveraging Lack of health information
the Philippines started curriculum - Several nursing schools in Adoption of electronic health records (EHRs) - The Philippines is
PHILIPPINES technology to enhance data technology infrastructure
to gain recognition the Philippines have developed nursing working towards the adoption of EHRs to improve the accuracy
collection, analysis, and
Limited nursing informatics informatics curriculum to provide and completeness of patient health records, facilitate care
and attention in the communication, nursing
early 2000s. In 2003, education and training students with knowledge and skills in the coordination, and support clinical decision making.
informatics can help improve
the Philippine Nurses patient care outcomes by
Limited interoperability use of health information technology. Use of telehealth technology - Telehealth technology is expected
Association (PNA) Limited funding Implementation of electronic medical to play a larger role in nursing informatics in the Philippines,
providing timely, accurate, and
created a Nursing Data privacy and security concerns records (EMRs) - Several hospitals and providing nurses with access to patient data and allowing them
relevant information to
Informatics healthcare facilities in the Philippines to deliver care remotely to patients in remote or underserved
healthcare providers.
Committee to explore have implemented EMRs to improve the areas.
Enhancing efficiency and
the potential of accuracy and completeness of patient Implementation of health information exchange (HIE) - The
productivity - Nursing
technology in data, as well as to facilitate care Philippines is also working to establish a national HIE system to
informatics can help streamline
improving nursing coordination and clinical decision- facilitate the sharing of patient data among healthcare providers,
clinical workflows, reduce errors,
practice and patient making. improving care coordination and patient outcomes.
and automate routine tasks,
care. which can enhance efficiency
and productivity for nurses and
other healthcare providers.

Foster the integration of Canada Health Infoway: Canada Health

CANADA Nursing informatics in
nursing informatics into
Canada began to
emerge in the 1970s and nursing practice, education,
research, and administration
1980s when hospitals
Promote the development and
started implementing use of standardized
computer systems to
terminologies, data sets, and
manage patient data. information exchange
standards to support
interoperability and data
sharing across healthcare
systems
Promote research and
evaluation of nursing
informatics interventions and
technologies to generate
evidence-based best practices
for nursing informatics in
Canada.
Lack of standardization: There is still a
lack of standardized terminologies,
data sets, and information exchange
standards across healthcare systems in
Canada, which can create challenges
for interoperability and data sharing.
Limited interoperability: While there
has been progress in implementing
electronic health records (EHRs) and
other health information systems,
there are still challenges in achieving
full interoperability between systems,
which can limit the effectiveness of
nursing informatics interventions.
Infoway is a non-profit organization that
focuses on accelerating the
development and adoption of digital
health solutions across Canada.
Provincial and territorial initiatives: Many
provinces and territories in Canada have
their own nursing informatics initiatives.
For example, the Ontario Nursing
Informatics Group is a professional
association that focuses on promoting
the integration of nursing and
information management in Ontario.
Artificial intelligence and machine learning: There is growing
interest in using artificial intelligence (AI) and machine learning
(ML) to improve healthcare delivery and patient outcomes.
Interoperability: As healthcare organizations in Canada continue
to adopt digital health solutions, there will be a growing need for
these systems to be interoperable. This means that different
systems need to be able to exchange information with each other
seamlessly. Nursing informatics professionals will play a key role
in ensuring that systems are able to communicate effectively,
which will be essential for improving patient care and outcomes.

COUNTRIES/ YEAR STARTED
GOALS
CONTINENTS (ADVANTAGES)
1. UNITED Nursing informatics Enhancing clinical decision-
KIGDOM began to emerge in making by providing nurses
the United Kingdom with access to accurate and
in the late 1980s and timely information.
early 1990s, although it
Supporting the development
wasn't until the 2000s of new models of care that
that it became more leverage technology to
widely recognized as a improve patient outcomes.
distinct field. Providing nurses with the
skills and knowledge needed
to effectively use technology
in their practice.
Nursing informatics in Developing and implementing
Finland started in the electronic health records (EHRs)
2. FINLAND late 1980s, but it was
to enable the sharing of patient
not until the 1990s that
data between healthcare
nursing informatics was
providers.
recognized as an
Improving the quality and safety
essential area of nursing
of patient care by reducing
practice in the country.
medical errors and adverse
events through the use of ICT
tools and decision support
systems.
Nursing informatics in Integration of information and
Germany started to communication technologies
3. GERMANY gain momentum in the into nursing practice
late 1990s and early Development of standardized
2000s. However, it nursing terminologies and
wasn't until the early classifications to support
2010s that the German communication and data
Society for Nursing exchange across healthcare
Science (DGP) officially settings
recognized nursing Support for nursing research
informatics as a field of and education through the use
expertise within nursing of technology-enhanced
science. learning environments and
tools.
E U R O P E
PROBLEMS/ ISSUES
Limited interoperability
Cost and resource constraints
Cybersecurity risks
Data quality and integrity:
Lack of standardized electronic
health records (EHRs) across different
healthcare organizations. This can
make it difficult to share patient
information and collaborate
effectively.
The need for better integration of
nursing informatics education into
nursing curricula and continuing
education programs to ensure that
nurses have the necessary skills and
knowledge to effectively use
technology in their practice.
Data security and privacy: Ensuring
patient data security and privacy is a
crucial issue in nursing informatics,
and Germany has strict data
protection regulations.
Lack of standardization: Different
hospitals and healthcare facilities may
use different systems, leading to a lack
of standardization in data collection
and communication.
NI INITIATIVES
The NHS Digital Academy: This is an
initiative that aims to develop digital
leadership skills in healthcare professionals,
including nurses.
The NHS App: This is a mobile application
that allows patients to access their medical
records, book appointments, and order
repeat prescriptions online. Nurses can use
the app to communicate with patients and
provide them with remote consultations
The National Institute for Health and Care
Excellence (NICE): This organization provides
guidance and advice to healthcare
professionals on the use of digital
technologies and informatics in patient care.
Finnish Nursing Informatics Association
(FINIA): FINIA was established to promote the
development of nursing informatics in Finland.
National Health Information Infrastructure:
The National Health Information Infrastructure
(Kanta) is a centralized electronic patient
record system that allows health care
providers to access and share patient
information securely.
Mobile health (mHealth) applications: Several
mHealth applications have been developed in
Finland to support self-management of
chronic conditions and provide remote
monitoring and support for patients.
Development of electronic health records:
Germany has been working on
implementing electronic health records to
improve patient care and reduce
administrative burden on healthcare
providers.
Promotion of Health IT Adoption: The
government has also provided funding and
incentives for
FUTURE DEVELOPMENT
Integration of electronic health records (EHRs): The UK is already
making progress in implementing EHRs, but there is still much work to
be done.
Development of artificial intelligence (AI) tools: AI has the potential to
revolutionize healthcare by improving diagnosis, treatment, and
patient outcomes.
Advancements in telehealth and telemedicine: With the ongoing
COVID-19 pandemic, there has been an increased interest in telehealth
and telemedicine technologies.
Increased use of data analytics: With the growing amount of health
data being generated, nursing informatics will play a key role in helping
to analyze this data and use it to improve patient care outcomes.
Embracing new technologies, such as artificial intelligence and
machine learning, to support decision-making and enhance
clinical workflows.
Developing and implementing standardized clinical terminologies
and classifications to support data-driven healthcare and improve
quality of care.
Investing in digital literacy and education for healthcare
professionals to ensure they have the skills and knowledge
necessary to effectively use digital tools and technologies in their
work.
Exploring the use of telehealth and remote patient monitoring to
improve access to care for patients living in remote or
underserved areas.
Artificial intelligence (AI) and machine learning (ML) could be
used to analyze large amounts of patient data, identify patterns
and trends, and provide personalized treatment plans.
Blockchain technology could be used to securely store and
share patient health information, improving privacy and data
security.
The use of virtual and augmented reality could help simulate
patient care scenarios, provide training for nurses, and improve
patient outcomes.
COUNTRIES/ GOALS PROBLEMS/ ISSUES NI INITIATIVES FUTURE DEVELOPMENT
YEAR STARTED
CONTINENTS (ADVANTAGES)

4. ITALY Nursing informatics Improving patient safety: By
began to emerge in implementing electronic health
Italy in the 1990s, records (EHRs) and other
particularly in advanced technologies,
academic settings nursing informatics can help
where nursing reduce medication errors,
informatics education prevent adverse events, and
and research were improve overall patient safety.
developed. Enhancing clinical workflows:
Nursing informatics can help
optimize clinical workflows and
make them more efficient,
leading to improved patient
outcomes and reduced costs.
One issue that may affect nursing
informatics in Italy, as well as other
countries, is a shortage of qualified
nursing informatics professionals. This
shortage can lead to a lack of
expertise in implementing and
maintaining health information
systems, which can result in
suboptimal patient care and safety.
The use of technology in healthcare
and nursing informatics must also
consider digital divides and health
disparities, including issues of
accessibility and affordability of
technology for underserved
communities.
National Health Information System: The Mobile Health (mHealth): Mobile health apps and platforms could
Italian Ministry of Health has developed a be used to provide patients with self-management tools, such as
National Health Information System (NSIS) to medication reminders and symptom tracking, and provide nurses
improve the quality of healthcare and patient with remote access to patient data and communication with
safety. The NSIS is an integrated system that patients.
collects and stores patient data, making it Artificial Intelligence (AI) and Machine Learning: AI and machine
available to healthcare professionals across learning are increasingly being used in healthcare to help manage
the country. patient data and improve patient outcomes. In nursing
Nursing Informatics Education: Universities informatics, AI and machine learning could help nurses identify
and nursing schools in Italy offer courses and trends in patient data, predict health issues before they arise, and
training programs in nursing informatics to develop personalized care plans.
help prepare future nurses to work with
health information systems and technology.
Health Information Exchange: Efforts are
being made to improve the exchange of
health information between healthcare
providers and facilities in Italy. This will allow
nurses to access complete patient records,
communicate more effectively with other
healthcare providers, and improve the
continuity of care.

Improving Patient Safety:
5. POLAND The development of Nursing informatics aims to
nursing informatics in reduce errors and adverse
Poland began in the
events in nursing practice by
early 1990s, when the
improving the accuracy and
first nursing informatics
completeness of patient data,
course was introduced
facilitating communication
at the Medical
among healthcare providers,
University of Gdańsk.
and enabling the use of decision
support tools.
Enhancing Quality of Care: By
leveraging technology and data,
nursing informatics can help
nurses provide more effective
and efficient care to patients.
This includes using electronic
health records (EHRs) to
document patient care, track
patient progress, and share
information with other
healthcare providers.
Limited Interoperability: One of the
main issues in nursing informatics in
Poland is the lack of interoperability
between different health information
systems. This can make it difficult to
share patient data between
healthcare providers and can lead to
errors and inefficiencies in patient
care.
Lack of Standardization: There is a
lack of standardization in nursing
documentation in Poland, which can
make it difficult to share information
between different healthcare
providers and can lead to
inconsistencies in patient care.
E-Health Poland: E-Health Poland is a national
program that aims to modernize and integrate
the country's healthcare system. One of the
key components of the program is the
development of a national electronic health
record system, which will enable healthcare
providers to share patient data securely and
efficiently.
Polish Society of Medical Informatics: The
Polish Society of Medical Informatics is a
professional organization that brings together
healthcare providers, researchers, and other
stakeholders to promote the use of technology
and data in healthcare.
Nursing Informatics Courses: Many nursing
schools and universities in Poland now offer
courses in nursing informatics, which provide
students with the skills and knowledge
needed to use technology and data in nursing
practice.
Interoperability: As healthcare becomes more digitized, the need
for interoperability between different health information systems
will become increasingly important. In Poland, there is already a
push to develop national standards for electronic health records
and to promote the sharing of patient data between healthcare
providers.
Data Analytics: The use of data analytics in healthcare is still
relatively new in Poland, but it has the potential to drive significant
improvements in patient care and health outcomes.
Cybersecurity: Ensuring the security and privacy of patient health
information is crucial in nursing informatics. As healthcare
becomes more digitized, cybersecurity threats are likely to
become more sophisticated, and nursing informatics professionals
will need to stay up-to-date on the latest threats and best
practices for protecting patient data.

COUNTRIES/
GOALS
YEAR STARTED
CONTINENTS (ADVANTAGES)
1. KOREA The Korean Nursing Enhancing the quality and
Informatics Association safety of patient care through
(KNIA) was founded in the use of technology and data
1998, which suggests analytics.
that the field was Improving communication and
already established collaboration among
and growing at that healthcare providers through
time. Since then, the implementation of
nursing informatics interoperable healthcare
has continued to information systems.
evolve and develop in Promoting patient
Korea, with increasing engagement and
interest and empowerment by providing
investment in digital patients with access to their
health and healthcare own health data and resources
technology. for self-management.
Increasing efficiency and
effectiveness of healthcare
delivery by optimizing
workflows and reducing
administrative burden through
the use of technology.
Enhancing patient safety - By
The nursing informatics
implementing electronic health
2. SINGAPORE in Singapore can be
records and other health
traced back to the early
information technology systems,
1990s, when healthcare
organizations began nursing informatics can help to
adopting electronic improve the accuracy and
medical records (EMR) completeness of patient data,
and other health reduce medical errors, and
information technology improve patient outcomes.
systems. Improving healthcare quality
In 1993, the Ministry of and efficiency - Nursing
Health established the informatics can help to
Health Informatics
streamline healthcare processes
Centre to support the
and workflows, reducing the
development and
time and resources required to
implementation of deliver care. This can help to
health information improve the quality and
technology in
efficiency of healthcare services,
Singapore.
while also reducing costs.
A S I A
PROBLEMS/ ISSUES
One issue in nursing informatics in
Korea is the lack of standardization
and interoperability among
healthcare information systems. This
can result in fragmented patient
records and difficulties in sharing data
between different healthcare
providers, which can ultimately affect
patient safety and quality of care.
Another issue is the need for greater
education and training for nurses in
using healthcare technology and
informatics tools. While there is
growing interest and investment in
digital health in Korea, many nurses
may not have the necessary
knowledge and skills to effectively use
these technologies in their practice.
Data privacy and security - Singapore
has strict laws and regulations
regarding data privacy and security,
including the Personal Data
Protection Act (PDPA) and the
Healthcare Services Act (HCSA).
Healthcare organizations must
ensure that patient data is stored and
transmitted securely, and that access
to patient data is limited to
authorized individuals.
Cost and sustainability - Health
information technology systems can
be expensive to implement and
maintain, which can be a barrier for
smaller healthcare organizations.
NI INITIATIVES
One example of an initiative in nursing
informatics in Korea is the Korean Nursing
Informatics Association (KNIA). The KNIA is a
professional organization that aims to
promote the integration of nursing science,
computer science, and information science
to improve patient care outcomes and
enhance nursing practice. The KNIA
organizes various activities and events, such
as conferences, workshops, and training
programs, to provide opportunities for nurses
and other healthcare professionals to learn
about the latest developments in nursing
informatics and to share best practices and
experiences.
Another example is the use of electronic
health records (EHRs) in Korean healthcare
settings. The government has invested
heavily in the development and
implementation of EHRs to improve the
quality and efficiency of healthcare delivery,
and to enable better communication and
collaboration among healthcare providers.
Nursing Informatics Competencies
Framework - Singapore developed a Nursing
Informatics Competencies Framework to
identify the necessary competencies for nurses
to effectively use health information
technology. The framework includes core
competencies, such as information
management, patient safety, and technology
literacy.
Nursing Information System (NIS) -
Singapore's Ministry of Health implemented
the Nursing Information System (NIS) in public
healthcare institutions to provide nurses with
real-time patient information. The system
allows nurses to access patient records,
document care activities, and monitor patient
progress.
FUTURE DEVELOPMENT
Expansion of Telehealth and Remote Monitoring: Korea can further
develop its nursing informatics system by expanding telehealth and
remote monitoring technologies to provide patients with more
convenient and accessible care, especially in rural or remote areas.
Adoption of AI and Predictive Analytics: Korea can explore the use of
AI and predictive analytics in nursing informatics to help healthcare
providers make data-driven decisions and improve patient
outcomes.
Advancing Nursing Informatics Education: Korea can focus on
advancing nursing informatics education and training programs for
nurses and other healthcare providers to increase their knowledge
and skills in using nursing informatics technologies and tools
effectively.
The future development of nursing informatics in Singapore is likely
to focus on several key areas, including:
Artificial Intelligence (AI) - Singapore is already exploring the use
of AI in healthcare, and this trend is likely to continue. AI can help
nurses and other healthcare providers to analyze large amounts of
patient data, identify patterns and trends, and make evidence-
based decisions.
Wearable Technology - Wearable technology, such as smart
watches and fitness trackers, can provide nurses with real-time
data on patients' vital signs, activity levels, and other health
indicators.


COUNTRIES/ YEAR STARTED GOALS PROBLEMS/ ISSUES NI IINITIATIVES FUTURE DEVELOPMENT

CONTINENTS
(ADVANTAGES)
Nursing informatics in Integration of technology
3. INDIA
India began to into nursing practice: The
emerge in the late goal is to integrate
technology, such as
1990s and early 2000s,
electronic health records,
as healthcare medication administration
providers began to systems, and patient
adopt electronic monitoring devices, into
health record systems nursing practice to improve
and other digital patient care and outcomes.
technologies. Increase efficiency and
productivity: By streamlining
documentation processes
and reducing the time spent
on administrative tasks,
Limited access to technology: Access to
technology is limited in many parts of
India, particularly in rural areas, which
can impede the adoption of nursing
informatics tools and systems.
Shortage of trained professionals: There
is a shortage of nursing informatics
professionals in India, which can limit
the effective implementation and use of
nursing informatics systems and tools.
Lack of standardization: There is a lack
of standardization in healthcare data
and technology in India, which can
make it difficult to exchange data
National Health Stack: The National Health
Stack is a digital health infrastructure being
developed by the Government of India that
aims to provide a standardized platform for
the exchange of healthcare data between
different stakeholders, including healthcare
providers, patients, and researchers.
Telemedicine: The government of India has
launched several telemedicine initiatives to
expand access to healthcare in rural and
remote areas.
Digital Health Mission: The Digital Health
Mission is an ambitious initiative launched
Interoperability: Improving interoperability between different
healthcare systems and providers will be critical to realizing the full
potential of nursing informatics in India.
Artificial Intelligence (AI): AI technologies can help healthcare providers
automate routine tasks, such as patient monitoring, and improve the
accuracy and efficiency of clinical decision-making. As such, there is
likely to be a growing interest in integrating AI technologies into
nursing informatics in India.
Mobile health (mHealth): The use of mobile devices, such as
smartphones and tablets, to deliver healthcare services and
information (mHealth) is rapidly expanding in India. Nursing
informatics is likely to play an increasingly important role in the
development and implementation of mHealth initiatives in India.

by the Government of India that aims to

nursing informatics can help
to increase the efficiency and
productivity of nursing
practice.
between different healthcare providers provide every Indian citizen with a unique
and systems.
digital health ID that can be used to access
healthcare services and information.

Nursing informatics Developing and implementing

Inadequate infrastructure: In some National Nursing Informationization Plan: In Standardization and interoperability: To address the issue of inconsistent and
started to gain electronic health records (EHRs) to parts of China, the infrastructure 2017, the Chinese government announced a incompatible nursing informatics systems, China is likely to develop and
4. CHINA attention and be improve the accuracy and accessibility necessary to support nursing national plan to promote the use of nursing implement national standards and guidelines for nursing informatics. This will
of patient information. help to ensure that different systems can communicate with each other and
introduced in China in informatics systems, such as reliable informatics systems in healthcare. This plan
Improving communication and share data effectively.
the early 2000s. In 2004, internet connectivity and power includes goals such as the development of
collaboration among healthcare Data analytics and artificial intelligence: With the increasing availability of
the Chinese Nursing supply, may be lacking or unreliable. national nursing informatics standards, the healthcare data, China is likely to invest in data analytics and artificial
providers through the use of health
Association (CNA) Limited training and education: establishment of nursing informatics training intelligence (AI) tools to help healthcare providers make better decisions and
information exchange systems.
established a nursing While nursing informatics courses are programs, and the implementation of EHRs in improve patient outcomes. For example, AI-powered systems could help to
Enhancing clinical decision-making by
informatics group to providing nurses with real-time access healthcare facilities across the country. identify patients at risk of developing certain conditions and suggest
becoming more common in China's personalized care plans.
promote the to patient data, evidence-based
nursing curricula, many nurses may Mobile health: Given the widespread use of smartphones and other mobile
development and guidelines, and decision support tools.
still lack the necessary training and devices in China, mobile health (mHealth) is likely to play a growing role in
application of nursing
education to fully utilize and benefit nursing informatics. mHealth tools could be used to collect patient data,
informatics in the monitor patient health remotely, and provide real-time feedback to patients
country. from nursing informatics systems.
and providers.

Nursing informatics in The goal of nursing informatics Data privacy and security: As with any Establishment of Electronic Health Records Increased Use of Digital Health Technologies: The UAE can further
in the UAE is to improve the healthcare system, protecting patient (EHR) systems: The UAE has implemented develop its nursing informatics system by increasing the use of
the United Arab digital health technologies, such as wearables and mobile health
5. UNITED Emirates (UAE) began quality and efficiency of nursing data is a top priority. However, there electronic health records (EHR) systems in
apps, to support patients' self-management and engagement in
ARAB to emerge in the early practice, while also improving have been concerns about the privacy several healthcare facilities across the
their care.
EMIRATES 2000s. However, it was patient outcomes and and security of patient data in the country, which enables healthcare providers Further Development of AI Applications: The UAE can continue to
not until the mid-2010s satisfaction. By leveraging UAE, particularly with the increase in to access patient data in real-time. EHR develop AI applications in nursing informatics, such as predictive
that nursing informatics technology and data, nursing electronic health records (EHRs). systems can improve patient safety, quality analytics, to support decision-making and improve patient
gained significant informatics can help nurses Nurses and other healthcare providers of care, and increase efficiency in healthcare outcomes.
delivery. Advancing Education and Training: The UAE can focus on advancing
traction in the UAE. The provide better care to their need to be trained on data privacy and
Integration of Artificial Intelligence (AI): The education and training programs for nurses and other healthcare
Dubai Health Authority patients, while also advancing security to ensure that patient data is providers to increase their knowledge and skills in using nursing
(DHA) began to the field of nursing as a whole. protected. UAE has started integrating artificial
informatics technologies and tools effectively.
establish a nursing intelligence (AI) in healthcare, including
informatics program in nursing practice, to improve the accuracy
2013 and efficiency of patient care.
 S O U T H
COUNTRIES/
GOALS
YEAR STARTED
CONTINENTS (ADVANTAGES)
1. BRAZIL Nursing informatics in To support the use of ICT in
Brazil began to be nursing practice to enhance
developed in the late patient care and outcomes.
1980s, but it was not To improve the quality of
until the 1990s that it nursing education by
started to gain more integrating nursing informatics
attention and into nursing curricula.
recognition as a field of To promote the development
study and practice. and implementation of nursing
informatics standards,
guidelines, and best practices.
To support nursing research by
facilitating the collection,
analysis, and interpretation of
data using ICT.
the goal is to improve the
efficiency and effectiveness of
nursing practice, education,
and research through the
integration of technology and
information management.
To improve the quality of
According to the
nursing care by integrating
2. ARGENTINA International Medical
technology and information
Informatics Association,
management systems into
nursing informatics has
nursing practice.
been present in
To enhance the efficiency and
Argentina since the
accuracy of nursing
early 2000s, and the
country has made documentation and patient
efforts to incorporate care.
nursing informatics To promote interdisciplinary
into nursing education collaboration and
and practice. communication between nurses
and other healthcare providers.
A M E R I C A
PROBLEMS/ ISSUES
Lack of investment: There is a lack of
investment in nursing informatics in
Brazil, which limits the
implementation of new technologies
and hinders the development of
nursing informatics initiatives.
Limited access to technology: Many
nurses in Brazil do not have access to
computers, internet, and other ICT
tools necessary for nursing
informatics. This limits their ability to
use technology in their practice,
education, and research.
lack of standardization: The lack of
standardization in terminologies,
data definitions, and data collection
methods can hinder the
interoperability of electronic health
records and other health information
systems.
Limited access to technology: Limited
access to technology, such as
computers, smartphones, and high-
speed internet, can limit the adoption
of nursing informatics in certain
regions of the country.
NI IINITIATIVES FUTURE DEVELOPMENT
National Nursing Informatics Policy: In 2015, Increased adoption and implementation of electronic health
Brazil's Ministry of Health launched the records (EHRs) in healthcare settings to improve the quality of
National Nursing Informatics Policy, which patient care.
aims to promote the use of technology in Collaboration among stakeholders, including nurses,
nursing practice, education, and research. healthcare providers, government agencies, and technology
Nursing Informatics Certification: The companies, to promote the development and implementation
Brazilian Society of Health Informatics (SBIS) of nursing informatics initiatives.
offers a certification program for nursing Adoption of data analytics and artificial intelligence to support
informatics professionals. This program aims clinical decision-making, improve healthcare delivery, and
to ensure that nurses have the necessary enhance patient outcomes.
skills and knowledge to effectively use
technology in their practice, education, and
research.
Implementation of Electronic Health Records
(EHRs): The Argentinian Ministry of Health has It is expected that the country will continue to invest in
launched a national program for the technology and digital health infrastructure to improve healthcare
implementation of electronic health records. delivery and patient outcomes. Additionally, there may be efforts
This program aims to improve the quality of
to promote the integration of nursing informatics in nursing
care, patient safety, and efficiency of health
education and training programs, as well as the development of
services by providing access to accurate and
standards and guidelines for nursing informatics practice.
timely patient information.
Collaboration with other countries and organizations may also be
Nursing Informatics Research: The Argentinian
pursued to share knowledge and best practices in the field.
Society of Nursing also promotes research in
nursing informatics. They organize
conferences and workshops to encourage the
development and sharing of knowledge in this
field.
Development of Nursing Informatics
Professionals: Several universities in Argentina
offer postgraduate courses in nursing
informatics to train professionals in this area.
These courses provide students with the skills
and knowledge needed to design, implement,
and evaluate nursing information systems.

COUNTRIES/ YEAR STARTED GOALS
CONTINENTS
(ADVANTAGES)
Implementation of electronic
3. CHILE Nursing informatics
health records (EHRs) in all
started in Chile in the
healthcare facilities to
early 2000s, with the
improve patient care and
incorporation of new
safety.
technologies in the Development of standards
and guidelines for nursing
healthcare sector.
documentation and data
management.
Nursing informatics The goals of Mexico's nursing informatics
include improving the quality of patient
4. MEXICO started in Mexico in the care and safety, enhancing
early 1990s. communication and collaboration among
healthcare providers, promoting evidence-
based practice, and increasing the
efficiency and effectiveness of healthcare
delivery. Mexico's nursing informatics
initiatives also aim to facilitate access to
health information and promote patient
empowerment and engagement in their
own care. Additionally, Mexico's nursing
informatics goals include promoting the
use of technology and innovation in
healthcare delivery and education, and
fostering interdisciplinary collaboration
and partnerships in healthcare.
Enhancing the quality of
Nursing informatics
healthcare delivery: By using
started to gain
nursing informatics to collect,
5. COLOMBIA recognition in Colombia
in the early 2000s, but it analyze and interpret patient
was not until 2010 that data, healthcare professionals
the first nursing can provide better quality care.
informatics programs Improving patient outcomes:
were established in the The use of nursing informatics
country can help identify potential
health problems early and
prevent complications, leading
to improved patient outcomes.
PROBLEMS/ ISSUES
Lack of standardization: There is no
standardization in the use of electronic
health records (EHRs) among
healthcare facilities in Chile, which
creates problems in sharing patient
data between different providers.
Limited access to technology: Many
healthcare facilities in Chile, particularly
in rural areas, have limited access to
technology and internet connectivity,
which limits their ability to adopt and
use nursing informatics tools.
Limited training and education: Nurses
and other healthcare professionals in
Chile often lack the necessary training
and education to effectively use nursing
informatics tools, leading to
underutilization of these technologies.
Limited resources: Many healthcare
facilities in Mexico face budget
constraints, limiting their ability to
invest in technology infrastructure
and training.
Inconsistent data standards: Mexico's
healthcare system is fragmented, and
there is no standardized system for
collecting and sharing patient data
between different providers and
facilities.
Limited access to technology: There
are still areas in Colombia where
access to technology and internet
connectivity is limited, making it
challenging for healthcare providers to
utilize nursing informatics tools
effectively.
Limited training opportunities:
Nursing informatics is a relatively new
field in Colombia, and there are few
educational programs and training
opportunities available for nurses and
other healthcare professionals to gain
the skills needed to implement and
utilize nursing informatics effectively.
NI IINITIATIVES FUTURE DEVELOPMENT
Chile has several initiatives related to This may involve the implementation of electronic health records,
nursing informatics, including the telehealth services, and other digital solutions. Additionally, there may
implementation of electronic health records be a focus on enhancing the education and training of nurses in
(EHRs) and the development of nursing information technology to ensure they have the necessary skills to
terminology and classifications. In 2014, the effectively utilize these tools in their practice.
Ministry of Health in Chile launched a
program called "Clinical Records for Primary
Care," which aimed to implement EHRs in
primary care clinics across the country.
Additionally, the Chilean Society of Nursing
Informatics was created to promote the use
of information technology in nursing
practice and education.
One such initiative is the implementation of
The future of nursing informatics in Mexico, like other countries, is likely to be
electronic health records (EHRs) in hospitals focused on the continued integration of technology in nursing practice to
and clinics to facilitate the management of improve patient care and outcomes. This could involve the implementation of
patient health information. The Mexican electronic health records (EHRs), telehealth and remote monitoring
government has also established the National technologies, and the development of new mobile health applications that
can facilitate communication between nurses and patients, as well as other
Digital Strategy for Health, which aims to
promote the use of technology in the healthcare providers. Additionally, there may be a greater emphasis on using
healthcare sector, including nursing data analytics and artificial intelligence (AI) to support clinical decision-making
and improve patient safety.
informatics.
Additionally, universities and nursing
associations in Mexico are offering courses and
training programs in nursing informatics to
educate and train nurses in the use of
technology to enhance patient care.
Adoption of EHRs: The Colombian Increasing adoption and implementation of electronic health
government has launched an initiative to records (EHRs) to improve data collection, storage, and sharing.
promote the use of EHRs in healthcare Enhancing the use of technology to improve patient care,
facilities, including hospitals and clinics, to including the use of telehealth and mobile health applications.
improve patient care and safety. Developing and implementing standards for nursing
Implementation of telehealth services: informatics education and training to ensure that nurses have
Colombia has implemented telehealth the necessary skills to use technology effectively in their
services to improve access to healthcare practice.
services in rural and remote areas of the
country.

COUNTRIES/
GOALS
YEAR STARTED
CONTINENTS (ADVANTAGES)
Improving the quality of care:
1. JAPAN Nursing informatics
Nursing informatics aims to
started to gain
enhance the quality of care by
recognition in Japan
providing accurate and up-to-
during the early 2000s.
date information that can be
The Japanese Society
used to make informed
of Nursing Informatics
decisions.
(JSNI) was established
Enhancing patient safety: By
in 2003 to promote
reducing the risk of errors in
nursing informatics
documentation and
and its integration into
medication administration,
healthcare systems.
nursing informatics helps to
ensure patient safety.
Facilitating communication
and collaboration: Nursing
informatics promotes
communication and
collaboration among
healthcare professionals,
patients, and their families,
which can improve patient
outcomes.
Enhancing the quality of patient
Nursing Informatics
care: Nursing informatics aims to
2. MALAYSIA began to gain attention
improve the quality of patient
in Malaysia in the early
care by enabling nurses to
2000s, with the
access and analyze patient data
establishment of the
in real-time. This helps them
Malaysian Society of
make more informed decisions
Nursing Informatics in
2006. about patient care and
treatment.
Improving efficiency: By
streamlining workflows and
automating repetitive tasks,
nursing informatics helps to
improve the efficiency of
healthcare delivery. This allows
nurses to focus more on patient
care and less on administrative
tasks.
P A C I F I C
PROBLEMS/ ISSUES
One issue in Japan's nursing
informatics is the lack of
standardization and
interoperability among different
systems, which can make it
difficult to exchange information
between healthcare providers and
facilities. Another issue is the
shortage of healthcare workers
trained in nursing informatics,
which can lead to challenges in
implementing and using these
systems effectively. There may also
be concerns around data privacy
and security, as with any
healthcare information system.
Lack of standardization: There may be
different systems and standards used
by different healthcare facilities and
organizations, which could create
issues with interoperability and
sharing of data.
Limited access to technology: In
some areas of Malaysia, there may be
limited access to technology, such as
computers and internet connectivity,
which could limit the ability of
healthcare professionals to effectively
use nursing informatics.
R I M
NI INITIATIVES
The Japan Nursing Informatics Association
(JNIA): JNIA is a professional organization
that promotes the use of nursing informatics
in Japan. It offers education and training
programs for nurses and advocates for the
development of nursing informatics
standards and policies.
The Nursing Information System Association
(NISA): NISA is a non-profit organization that
aims to promote the development and use of
nursing information systems in Japan. It
works to establish common standards for
nursing information systems and to promote
the integration of nursing information with
other healthcare information systems.
Electronic Medical Records (EMR): The
Malaysian Ministry of Health has introduced
the use of EMR in hospitals and clinics to
ensure accurate and efficient documentation
of patient information.
Telehealth services: Malaysia has implemented
telehealth services that enable patients in
remote areas to consult with healthcare
professionals via video conferencing and other
communication technologies.
Health Information Exchange (HIE): Malaysia is
working towards implementing an HIE system
to facilitate the exchange of patient health
information between healthcare providers.
FUTURE DEVELOPMENT
Integration of technology: The use of technology in nursing
informatics is expected to increase in Japan. This includes the
use of electronic health records (EHRs), mobile devices,
telehealth, and other digital tools to improve patient care and
communication among healthcare providers.
Data analytics: The use of data analytics is also expected to
increase in Japan's nursing informatics. This includes the use of
big data and artificial intelligence (AI) to identify patterns and
trends in patient care, improve decision-making, and predict
future health outcomes.
Patient-centered care: Japan's nursing informatics is also
expected to focus on patient-centered care, which emphasizes
the patient's preferences and needs. This includes the use of
patient portals, patient engagement tools, and other digital
tools to improve patient satisfaction and outcomes.
Improving the use of electronic health records (EHRs) in
healthcare settings: Malaysia aims to increase the adoption and
implementation of EHRs in healthcare facilities to improve patient
care, increase efficiency, and reduce medical errors.
Developing nursing informatics competencies: Malaysia aims to
develop the necessary competencies and skills among nurses to
effectively use health information technology in their practice. This
includes training programs, certification programs, and
continuing education opportunities.
Enhancing data security and privacy: With the increasing use of
health information technology, Malaysia recognizes the
importance of protecting patient data and privacy. Future
developments will focus on implementing and enforcing strict
data security and privacy policies.
Promoting research in nursing informatics: Malaysia aims to
promote and support research in nursing informatics to further
advance the field and improve patient care.

COUNTRIES/ YEAR STARTED GOALS
CONTINENTS
(ADVANTAGES)
Improved patient safety:
3. INDONESIA Nursing informatics
Nursing informatics can help
started to emerge in
reduce the risk of medical
Indonesia around the errors and adverse events
early 2000s. through the use of electronic
health records, decision
support systems, and other
technologies.
Enhanced efficiency and
productivity: By automating
routine tasks such as
documentation, nursing
informatics can help nurses
save time and focus on more
critical aspects of patient
care.
To improve the quality of patient care: By
Nursing informatics in
implementing nursing informatics
4. VIETNAM Vietnam started in the systems, healthcare providers in Vietnam
late 1990s when the can access complete and accurate patient
Ministry of Health data in real-time, which can help them
make better decisions about patient care.
recognized the need for
To increase efficiency: Nursing informatics
health information can help streamline nursing workflows,
technology to improve reducing the time it takes for nurses to
perform administrative tasks and allowing
healthcare delivery in
them to focus more on patient care.
the country.
Highly skilled workforce: Russia
Nursing informatics
has a large pool of highly skilled
started to emerge in
5. RUSSIA Russia in the 1990s, with IT professionals, including
software developers, data
the adoption of
analysts, and cybersecurity
computer technology in
experts.
healthcare settings.
Advanced technology
infrastructure: Russia has made
significant investments in its
technology infrastructure,
including high-speed internet,
cloud computing, and advanced
data centers.
PROBLEMS/ ISSUES
Limited access to technology: Many
healthcare facilities in Indonesia,
particularly in rural areas, may lack
access to the latest technology and
software needed for nursing informatics
to be fully utilized.
Insufficient training: Nurses and other
healthcare professionals in Indonesia
may not have sufficient training or
education on how to use nursing
informatics tools effectively. This can
lead to a lack of adoption or
underutilization of nursing informatics
in practice.
The main issues is the lack of
standardized electronic health record
systems across healthcare facilities,
which makes it difficult to share patient
information and collaborate effectively
among healthcare providers. Another
issue is the limited availability and
access to nursing informatics education
and training programs for nurses and
healthcare professionals.
Additionally, there may be concerns
related to data privacy and security as
healthcare facilities adopt new
technologies and systems for managing
patient information.
Fragmented healthcare system: While
Russia has a centralized healthcare
system, there are still many regional
differences in healthcare delivery and
practices. This can make it difficult to
implement nursing informatics
solutions that work seamlessly across
the country.
Limited interoperability: Many
healthcare providers in Russia use
different electronic health record
(EHR) systems, which can be
incompatible with each other.
NI INITIATIVES FUTURE DEVELOPMENT
Nursing informatics is still a relatively new field in Indonesia, but there
Nursing informatics in Indonesia is still in its early are ongoing efforts to develop it. The Indonesian Ministry of Health has
stages of development. However, there have been identified the importance of nursing informatics and has included it as
some initiatives to promote the use of technology
a key competency for nurses in their National Competency Standards.
in healthcare and nursing practice. For example,
The government has also established e-health initiatives, including the
in 2019, the Indonesian National Nurses
Association (INNA) launched a mobile app called
development of electronic health records and telemedicine, which can
"Nurse ID" that provides nurses with access to support the integration of nursing informatics into healthcare delivery.
nursing knowledge and resources, as well as a In addition, several universities in Indonesia have started to offer
platform to connect with other nurses and share nursing informatics courses and programs to help train nurses in this
information. area. The Indonesian Nurses Association (PPNI) has also established the
In addition, some hospitals and healthcare
Nursing Informatics Chapter to promote and advance nursing
institutions in Indonesia have implemented
informatics knowledge and practice among nurses in the country.
electronic health record (EHR) systems to
improve patient care and management. However,
the adoption of these technologies is still limited
and there is a need for more widespread
implementation and integration of nursing
informatics into nursing practice in Indonesia.
Vietnam has been making efforts to develop
Building infrastructure: Vietnam is currently investing in building the
its nursing informatics capabilities. In 2017, the
necessary infrastructure for nursing informatics, including developing
Ministry of Health of Vietnam launched a
electronic health record systems and other health IT solutions.
project to develop a national electronic
Increasing education and training: Vietnam is working to increase
medical record (EMR) system for all health
education and training opportunities for nurses in nursing informatics,
facilities in the country, which includes nursing
including offering degree programs and professional development
informatics. The project aims to improve the
courses.
quality of healthcare services and promote
Enhancing research and innovation: Vietnam is investing in research
information sharing among healthcare
and innovation in nursing informatics to develop new technologies,
providers.
solutions, and best practices that can improve patient care and
In addition, universities and nursing schools in
nursing practice.
Vietnam are incorporating nursing informatics
into their curriculum to prepare future nurses
for the use of technology in healthcare.
Interoperability: Russia is likely to focus on improving the
Development of electronic health records
interoperability of EHR systems to enable the seamless
(EHRs): The Russian government has been
investing in the development and
exchange of patient data between healthcare providers and
settings.
implementation of EHRs to improve the
Artificial intelligence (AI): Russia has a strong focus on research
quality of healthcare delivery and patient
and development in AI, and nursing informatics is likely to
outcomes.
benefit from this expertise. AI can be used to analyze large
Implementation of health information
amounts of patient data, identify patterns and trends, and
exchange (HIE) systems: The Russian
support clinical decision-making.
government has been working towards the
Expansion of telemedicine: Russia is likely to expand its
implementation of HIE systems to facilitate
telemedicine capabilities to improve access to healthcare and
the exchange of patient data between
reduce healthcare disparities.
healthcare providers.
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