INFORMATICS

APPLICATIONS IN
EVIDENCE-BASED NURSING
PRACTICE
CATHRINNA BAKILID
Contents 1
Computer Generalized Nursing
Care Plans
2
Critical Pathways

3
Clinical guidelines

4
E-journals
 Computer
generalized nursing
care plans
A Nursing Care Plan provides direction on the
type of nursing care the patient may need.
•Care Plans are critical aspect of nursing and are
meant to allow a standardized, evidence-based
holistic care.
Evidence-based practice (EBP) is the process of
collecting, processing, and implementing
research findings to improve clinical practice,
the work environment, or patient outcomes

s.
 Computer
generalized nursing
care plans
A computerized nursing care plan system has
been developed to address paperwork and
communication issues in nursing units. The
system's objectives, structure, and functions are
discussed, along with its limitations and benefits.
advantages disadvantages
Consistent Nursing diagnosis
content creation maybe limited

Difficult for less

Time efficiency
tech nurse

Improved Risk of total data

productivity loss

Prone to mis
Lower cost
record

Customizable More common

content mistakes
in data
 ehrs with
computerized ncps
MEDTECH - Hospital Management System
CLINICAL WORKS - Hospital Management
System.
ALLSCRIPTS - Hospital Management
System.
POINTCLICKCARE - Specialized In Elderly
Care Facilities.
CERNER - Hospital Management System.
*INDRA - Available in PH
 clinical
guidelines
A clinical practice guideline is asystematically
developed statementdesigned to help health
careprofessionals make decisions
aboutappropriate health care for specificclinical
circumstances.
•
Guidelines are developed in an effort tohelp
ensure consistent, evidence-basedcare of
critical care patients using themost up-to-date
and relevantknowledge available.
 purposes clinical
guidelines
Describes a range of generally accepted
approaches for the diagnosis, management, or
prevention of specific diseases or conditions.

Define practices that meet the needs of most

patients in most circumstances.
 principles of a good cpg
Ethics Trial risk vs
trial benefit
Clinical trials should Before a trial is initiated,
be conducted in foreseeable risks and
inconveniences should
accordance with the
be weighed against the
ethical principles
anticipated benefit for
the individual trial
subject and society
LM = Language Model
Trial Information on
the Medicinal
participants
Product
The rights, safety, and The available non-
well-being of the trial clinical and clinical
subjects are the most information on an
important
Investigational
considerations and
Product should be
should prevail over adequate to support
interests of science the proposed clinical
and society. trial.
 principles of a good cpg

Compliance Medical Trial staff

Good quality
with the study decisions
trials The medical care Each individual
protocol
A trial should be A trial should be given to, and medical involved in
conducted in compliance conducted in compliance decisions made on conducting a trial
with the protocol that has with the protocol that behalf of, subjects should be qualified by
received prior institutional has received prior
review board
should always be the education, training,
institutional review board
(IRB)/independent ethics responsibility of a and experience to
(IRB)/independent ethics
committee (IEC) qualified physician or, perform his or her
committee (IEC)
approval/favourable when appropriate, of a respective task(s).
approval/favourable
opinion.
opinion. qualified dentist.

LM = Language Model
 critical pathway
It is a clinical management tool that
helps medical care providers
coordinate the delivery of
patientcare for a particular case type
or condition.
•
It is a guide to usual treatment
patterns that gives a view of the "big
picture."
 critical pathway
The Clinical Pathway usually
recommends a total treatment regimen
that are formulated through the
consensus of a multi-disciplinary
collaboration of all those involved in a
patient's care.

If developed and implemented

properly, critical paths can lead to
desirable outcomes for the patient and
improved operating
effectiveness/efficiency for the
healthcare facility.
critical pathway components
Protocols

Algorithms

Clinical practice guidelines

 e-journals
An electronic journal is a periodical
publication which is published in
electronic format, usually on the
Internet.
•
Journals provide a forum for clinicians
to share learning and experiences in
their practice and profession. Most
importantly, however, they provide a
mechanism to keep readers up to date
with current research on a variety of
topics.
 Advantages of
Electronic
Documents
Documents are more useful in
electronic form due to enhanced
searchability

Electronic format is sometimes the only

alternative so it represents a net
increase in the information base. Since
the volume of printed materials are
increasing at great speed and libraries
can only offer a small part of it, it is
important to provide electronic
formats.
 Advantages of
Electronic
Documents
There is economy of storage: the
increase in cost for keeping printed
material makes electronic forms more
attractive from an economic viewpoint.

E-journals make it possible to search for

researching the best possible evidence
to help in the care and management of
patients.
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