Overview seen in healthcare and in no industry does

the data-driven decision have more

In this module, to productively contribute importance. In healthcare, every patient
and, ultimately, drive technology decisions, care decision can have a life-and-death
nurse executives need to be constantly implication. That is why the timely
updating and advancing their hospital communication of accurate data plays such
information technology (HIT) knowledge. a critical role in healthcare delivery.
This knowledge needs to go beyond
baseline functionality-level information of Technology’s Lifecycle
nursing and clinical information systems, To better understand the incessant nature
which describes what systems can and far-reaching impact of technology-
accomplish, to more a complex under- related decisions, consider the six-stage
standing of enterprise-wide integration, Technology Life Cycle.
data and process mapping, and business
analytics. Commanding a deep well of HIT
expertise helps nurse executives understand
the delicate interplay of nursing and
outcome data inside the healthcare
organization and beyond - to the regulator
and payer worlds.

As a nurse, it is important to understand the

role of the nurse executive in the selection,
implementation, and evaluation of health
information technology as well as the use of
data and information to improve healthcare.

The Role of the Nurse Technology Lifecycle

The Role of the Nurse Executive in
Information Technology Decision-Making The lifecycle of every technology
investment spans six distinct phases, from
To productively contribute and, ultimately, planning to procurement to deployment to
drive technology decisions, nurse management to support and disposition,
executives need to be constantly updating only to cycle back to planning. However,
and advancing their hospital information various “stops” and “starts,” some are
technology (HIT) knowledge. This internally caused and others are triggered
knowledge needs to go beyond baseline externally. Issues that did not surface during
functionality-level information of nursing “Planning” or “Procurement” make
and clinical information systems, which themselves known during “Deployment,”
describes what systems can accomplish, to “Management,” “Support,” or even
more a complex understanding of “Disposition,” wreaking havoc on the most
enterprise-wide integration, data and well-conceived implementation plan.
process mapping, and business analytics. Overlaying this lifecycle with an ever-
Commanding a deep well of HIT expertise present technology obsolescence
helps nurse executives understand the complicates technology-related decision-
delicate interplay of nursing and outcome making further. Three key types of
data inside the healthcare organization and obsolescence exist:
beyond—to the regulator and payer worlds. • Technology providers’ architecture,
Few industries collect, analyze, and product, and integration plans
disseminate information with the velocity • Third parties’ priority shifts
• Regulators’ unexpected recalls short order as well. This third type pertains
to regulators changing the status of a
The impact of planned obsolescence cannot medical device or technology, either
be overlooked when nurse executives make narrowing the approved scope of use or
HIT-related decisions (The Economist, even recalling the product, after it has been
2009). Technology providers worldwide introduced to the market and is generally
require engineers to design obsolescence available. For example, one hospital
into their systems to ensure ongoing market selected an FDA-approved monitoring
demand, protect market share, and preserve device and conducted extensive staff
revenue streams (The Economist, 2009). training only to have the product recalled
Technology providers with nurse three months before its formal deployment.
executives on staff tend to exercise In this case, the completed pre-rollout work
considerable influence over architecture, was of no use as institutional leaders
product, and integration efforts. However, scrambled to vet a replacement device and
those without such internal nursing reconvene round-the-clock training on the
advocates may find nursing issues new monitoring technology. Obviously, the
significantly overshadowed by the financial rollout was delayed but considerable time
and business pressures public and privately and money were expended for a second
held technology companies face. time, which created a previously
unpredictable drain on cost and staff.
In addition to providers’ planned
obsolescence, systems face being updated While each of these types of obsolescence
or even phased out when the external carries an import all its own, it is even more
market landscape changes. Consider the critical for nurse executives to recognize
massive overhaul needed to move financial that the healthcare organization controls
information systems from a cost-plus none of them. In each case, these third-party
orientation to a system of capped decisions have enormous impact on when
reimbursement. Virtually overnight, and how nursing uses technology-based
healthcare organizations had to replace products, devices, and systems.
large, charge-capture legacy systems with Additionally, these third-party decisions
technology that could accurately predict occur on a timetable over which healthcare
total costs by procedure. Shifts in organizations have little to no influence.
regulatory- or payer-related priorities can Planned obsolescence, shifting
trigger a range of system changes from code environmental man- dates from regulators
revisions all the way up to system and payers, and changes in regulatory status
replacement. When healthcare complicate the already complex landscape
organizations face significant penalties, of technology-related decision-making.
such as funding losses or reductions, fines What used to be episodic decision-making
and legal consequences, and fiscal threats to has morphed the six-stage lifecycle into a
their very existence, non-compliance is not technology model with ever-cycling
an option. Complying with these potential.
environmental mandates can throw
technology lifecycles into free fall as legacy Multi-Layered Decision-Making
systems struggle to accommodate regulator While the lifecycle seems straightforward,
or payer mandates that were nowhere on the its overlay with content, outcomes, Nursing
horizon when these systems were built. Informatics, and client intervention makes
for a complexity not seen in other types of
A third type of obsolescence, one of an healthcare decision-making. Nursing-
unexpected nature, can derail technology centric technology decisions emerge from a
decision-making and implementation in context that includes cultural, economic,
social, and physical requirements. Adding other types of advanced preparation to
an outcome orientation to those decisions manage the informatics projects at hand.
layer impacts the cost, quality, safety, and
satisfaction. Nursing Informatics staff then Because of the tendency to confuse roles
views technologies under consideration with titles, this section describes the
from the dual perspectives of content following dynamic and evolving functional
structure and information flow. Finally, the areas of nursing informatics:
client factor encompasses the site-specific • Administration, leadership, and
political, cultural, and social aspects of management
embracing technology. The Informatics • Systems analysis and design
Research Organizing model (Effken, 2003) • Compliance and integrity management
captures the intrinsic complexity of the • Consultation
healthcare-centered technology decision- • Coordination, facilitation, and integration
making process. • Development of systems, products, and
resources
While the IRO model addresses HIT • Educational and professional
decision-making from an organizational development
perspective, a nursing-centric analysis of • Genetics and genomics
the process reveals further complexity • Information management/operational
coming from the dynamics of the architecture
physician-dominated HIT discussions • Policy development and advocacy
(Simpson, 2012). The nursing-centered • Quality and performance improvement
discussion of HIT decision-making • Research and evaluation
highlights several reasons why medical • Safety, security, and environmental health
staff demands often relegate nursing’s HIT
requirements to a subservient position
during technology evaluation and selection
(Simpson, 2012). Administration, Leadership, and
Management
Functional Areas of Nursing Informatics As is true of administration in general,
Informatics nurses, informatics nurse leadership and management functions in
specialists, and other stakeholders are nursing informatics incorporate both
helping transform health care through the higher-level and mid-level administrative
use of informatics processes, tools, and functions. Increasingly, INSs are attaining
structures. Across all healthcare senior leadership positions. Positions may
environments, INs and INSs most be titled Chief Nursing Informatics Officer
commonly practice in interprofessional (CNIO), Chief Information Officer (CIO),
healthcare environments and interact with director, or similar leadership titles
information technology (IT) professionals (American Organization of Nurse
during all phases of the system life cycle. Executives [AONE], 2012; Hodges &
INs and INSs use scientific and informatics Wierz, 2012). In this functional capacity,
principles and employ creative strategies in nursing informatics leaders are expected to
informatics solutions. They bring the be visionary and establish the direction of
perspectives of nursing, and very often the large-scale informatics solutions. The
patients, to interprofessional work through nursing informatics leader often serves as a
a solid understanding of operational catalyst for developing strategic plans and
processes and the value of consumer creating national or system policies and
advocacy to informatics functions. INs and procedures, while serving as the champion
INSs may need additional education or for integrated projects and systems.
In mid-level management, INSs may deploy these advanced technologies
supervise resources and activities for all requires one of two things:
phases of the system life cycle. These 1) either a deep personal and nursing-
activities may include needs analysis, centric knowledge of technology or
requirements gathering, design, 2) access to that knowledge, which is
development, selection and purchase, resident in a technology expert.
testing, implementation, and evaluation of
systems to support all facets of nursing and
healthcare delivery. At all levels, leadership Considering the organizational and
is characterized by the combination of interdisciplinary demands on nurse
superb communication skills, executives, a direct reporting structure to
collaboration, change management, risk the technology expert offers the most
assessment, and coalition building with efficient and effective pathway to this
political finesse, business acumen, and highly specialized knowledge. Often, this
strategic application knowledge. INSs direct reporting relationship with the
serving in this functional area may put most technology-infused individual leads to a
of their energy into leadership and Nurse Informaticist (NI). While some
management. In other positions, confusion over the preferred background of
administration may be part of a position the graduate-prepared NI exists, nursing
merged with other functional areas. Typical experts agree that effective NIs command
examples include: highly specialized knowledge from three
• INS at a large hospital system, supervising distinct disciplines:
an implementation and education team, 1) clinical nursing,
representing nursing interests on various IT 2) information technology, and
committees, performing project 3) research.
management for multiple documentation
projects, and having oversight of nursing
standards and vocabularies used in NIs use this rich, interdisciplinary
applications. perspective to analyze patient care and
• Project director for a clinical software outcome data, creating new knowledge that
company, managing implementation teams advances the clinical practice of nursing. As
for various client projects (hospitals to a trusted advisor to the nurse executive, the
ambulatory facilities) and consulting with NI serves a “translator” of technology
clients on all aspects of systems selection, capabilities, options, and alternatives to the
customization, adoption, and use of nurse executive, who looks to the NI to
software. align technologies and systems under
• Grants administrator for an information consideration with organizational
science research agency, seeking and objectives.
writing grants that would fund NI-related
projects, designing budgets, and ensuring Even with such an expert on staff, the nurse
optimal allocation of resources. executive must be able to converse, debate,
and champion specific technologies and
Nurse Informaticist Role clinical information systems personally.
Nurse Informaticist Role Simply put, there is no one else at the
executive decision- making table with the
Technologies optimized for the nursing expertise, knowledge, or perspective to
process organize and prioritize patient care advance the requirements and needs of
data against a complex backdrop of quality patient care during technology-related
and patient safety. Nurse executives’ discussions and debates.
responsibility to evaluate, select, and
Two Key Areas of Expertise will likely hold true for coming generations
Nurse executives and NIs involved in of nurses. The need for informatics
technology decision-making need to competencies exists in all nursing roles and
leverage two specific type of IT expertise specialties. This section examines the
when they evaluate, select, and implement informatics competencies required for all
clinical information systems: process practicing nurses, regardless of specialty.
mapping and workflow design.
The National Council of State Boards of
Process mapping delineates the actual steps Nursing (NCSBN) has developed and is
of clinical practice as they occur during studying a Transition to Practice (TTP)
patient care, while workflow design spans (Spector, 2013) nursing preceptor model
the mechanical arrangement of information, that includes “five transition modules”
forms, and triggers to document nursing consisting of “communication and
practice. teamwork, patient-centered care, evidence-
based practice, quality improvement and
The success of every HIT implementation informatics” (2013). This model
hinges on having a clear understanding of incorporates many key aspects from the
process mapping and workflow design, as Institute of Medicine’s report on The Future
well as the ability to chart these activities in of Nursing: Leading Change, Advancing
a format understandable by computers. Health (2010) related to competencies for
all nurses, and “is an inclusive model,
Vendor-resident engineers lack the site- which would take place in all health care
specific and nursing practice-specific settings that hire newly graduated nurses
knowledge required to add the context of and for all educational levels of nurses,
the lived experience to the workflow including practical nurse, associate degree,
creation process. While evidence in the diploma, baccalaureate and other entry-
standardization of processes and practices level graduates” (2013, para. 2). Because
is a universal application goal, site- specific informatics and technology are now
modifications are needed to have the integral tools used in all aspects of nursing
software accepted and used by nurses practice, from entry-level to advanced
delivering patient care. practice, it is strongly recommended that
the state boards of nursing require that basic
From a nursing perspective, leaving this informatics competencies be incorporated
critical foundational work to engineers and into all nursing program curricula, ranging
technologists who lack the hands-on from licensed practical nurse (LPN) to
experience of delivering patient care at the doctoral levels.
bed- side is pure folly. Delegating these two
key foundational activities to non-nurses As noted previously, the American
resembles the potential disaster created by Association of Colleges of Nursing (2008)
allowing individual motorists to build their provided guidance on the educational
own roads—with no regard for the needs of requirements for the baccalaureate
their fellow motorists and no knowledge of education for professional nursing practice.
construction, traffic flow, volume, or local “Essential IV: Information Management
weather conditions. and Application of Patient Care
Technology” identified informatics
Informatics Competencies and Roles competencies that all BSN graduates should
possess. For nurses prepared at the graduate
Very few of today’s nurses have worked in level, the AACN provided foundational
only one role or even one specialty of informatics competencies in The Essentials
nursing throughout their careers, and this of Master’s Education in Nursing,
“Essential V: Informatics and Healthcare resource. As part of its preparation for the
Technologies”. new nursing informatics certification exam
test form, the American Nurses
Nurses who hold a master’s degree in Credentialing Center (ANCC) completed
something other than nursing can gain a its Role Delineation Study: Nursing
postmaster’s certificate in nursing Informatics—National Survey Results
informatics. Many of the numerous (ANCC, 2013), which reported the
programs available have similar collected information on the work activities
competencies, but in general the curricula that informatics nurses perform in practice.
focus on gaining specific knowledge and The final report listed 8 domains and 71
skills in nursing and healthcare informatics, separate tasks, as well as calling out the 20
thereby supporting evidence-based practice task statements with the highest and lowest
and the improvement of healthcare values of initial risk.
outcomes.
The McGonigle, Hunter, Hebda, and Hill
AACN’s Essentials of Doctoral Education (2013) online assessment of nursing
for Advanced Nursing Practice (2008) lists informatics competencies can assist faculty
informatics-based competencies in and management to develop curricula or
“Essentials III: Clinical Scholarship and continuing education that best meets the
Analytical Methods for Evidence-Based needs of their students or employees. While
Practice.” Although only the Doctor of there are obvious concrete informatics
Nursing Practice (DNP) is specifically competencies that every nurse must have,
addressed by the AACN, this does not there are many other, more progressive,
imply that informatics education is not processes that will likely never be part of an
important in PhD programs. In many PhD educational curriculum or added to a formal
programs, computer science and list of competencies. An example is the
biomedical informatics are required ever-changing landscape of meaningful use
courses. However, because the DNP is criteria. Another example is the numerous
considered a “practice doctorate” and the ways in which technologies are enhancing
PhD a “nursing research doctorate,” the practitioners’ ability to monitor patients and
emphasis on informatics and clinical coordinate care remotely via telehealth
practice impact is reduced, though these methodologies. All of these areas require
areas are not considered unimportant informatics nurses and informatics nurse
(AACN, 2011; see also Duke University, specialists to be involved in defining
2012). Thus, it is strongly recommended benefit versus impact, although it may be
that PhD curriculum writers incorporate difficult to predict how the evolving
courses that examine the tenets of nursing technologies will be used in the future.
informatics and focus on the methods of
data entry, data storage, data retrieval, and In addition to numerous researchers,
data analysis from EHRs, report writing academics, and employers, many
programs, and database management professional organizations are actively
systems. working toward validating, creating
resources, and providing education in
Informatics Competencies for Informatics nursing informatics. These include the:
Nurses and Informatics Nurse Specialists • American Nurses Association (ANA)
In addition to the competencies that every • American Medical Informatics
registered nurse needs, additional Association (AMIA)
competencies for the IN and INS are found • American Nursing Informatics
in the “Standards of Nursing Informatics Association (ANIA)
Practice” section of this professional
• Health Information and Management population, or specialty, are expected to
Systems Society (HIMSS) Nursing perform competently. The standards
Informatics Working Group published herein may be utilized as
evidence of the standard of care, with the
Informatics Competencies for Nurse understanding that application of the
Educators standards is context dependent. The
Today’s nursing educators are challenged to standards are subject to change with the
include information on informatics in a dynamics of the nursing profession, as new
basic nursing education curriculum that is patterns of professional practice are
already full. A second challenge is that developed and accepted by the nursing
many nurse educators themselves lack profession and the public. In addition,
informatics competencies (AACN, 2013; specific conditions and clinical
Flood, Gasiewicz, & Delpier, 2010). circumstances may affect the application of
the standards at a given time (e.g., during a
The Gordon and Betty Moore Foundation natural disaster). The standards are subject
funded a pilot conference to teach faculty to formal, periodic review and revision.
how to teach informatics. The “QSEN
Nursing Informatics Deep Dive Workshop” The competencies that accompany each
was co-sponsored by the American standard may be evidence of compliance
Association of Colleges of Nursing and the with the corresponding standard. The list of
Schools of Nursing at the Universities of competencies is not exhaustive. Whether a
Minnesota and Maryland. The particular standard or competency applies
presentations and resources are available to depends on the circumstances.
anyone, without charge, on the AACN
website ([Link] qsen- Standards of Practice for Nursing
informatics/2012-workshop). Informatics

Additional challenges include: Standard 1. Assessment

(1) continuing to enhance and disseminate The informatics nurse collects
resources and teaching strategies for all comprehensive data, information, and
faculties across the country; emerging evidence pertinent to the
(2) the lack of requirements for PhD situation.
programs in nursing to include informatics
(researchers are going to need advanced Competencies
informatics skills); and The informatics nurse:
(3) the need for methods required for “big • Uses evidence-based assessment
data” research to be integrated into techniques, instruments, tools, and effective
curricula for future faculty and nurse communication strategies in collecting
researchers. pertinent data to define the issue or
problem.
Standards of Nursing Informatics Practice • Uses workflow analyses to examine
Standards of Nursing Informatics Practice current practice, workflow, and the
potential impact of an informatics solution
Significance of the Standards on that workflow.
• Conducts a needs analysis to refine the
The Standards of Professional Nursing issue or problem when necessary.
Practice, on which the Standards of Nursing • Involves the healthcare consumer, family,
Informatics Practice are based, are interprofessional team, and key
authoritative statements of the duties that stakeholders, as appropriate, in relevant
all registered nurses, regardless of role, data collection.
• Prioritizes data collection activities. are not limited to, interpersonal, systematic,
• Uses analytical models, algorithms, and or environmental circumstances.
tools that facilitate assessment. One • Uses standardized clinical terminologies,
example of an assessment algorithm is taxonomies, and decision support tools,
PIECES: when available, to identify problems,
o Performance—throughput or response needs, issues, and opportunities for
time; improvement.
o Information—outputs, inputs, and/or • Documents problems, needs, issues, and
stored data; opportunities for improvement in a manner
o Economics—costs versus profits; that facilitates the discovery of expected
o Control—too little security or control outcomes and development of a plan.
or too much control or security;
o Efficiency—people, machines, or
computers waste time, and;
o Service—inaccurate, inconsistent, Standard 3. Outcomes Identification
unreliable, hard to learn, difficult to use, The informatics nurse identifies expected
inflexible, incompatible, not coordinated outcomes for a plan individualized to the
with other systems (Wetherbe, 1994). healthcare consumer or the situation.
• Synthesizes available data, information,
evidence, and knowledge relevant to the Competencies
situation to identify patterns and variances. The informatics nurse:
• Applies ethical, legal, and privacy • Involves the healthcare consumer, family,
regulations and policies for the collection, healthcare providers, and key stakeholders
maintenance, use, and dissemination of data in formulating expected outcomes when
and information. possible and appropriate.
• Documents relevant data in a retrievable • Defines expected outcomes in terms of the
format. healthcare consumer, health- care worker,
and other stakeholders; their values; ethical
considerations; and environmental,
organizational, or situational
Standard 2. Diagnosis, Problems, and considerations.
Issues Identification • Formulates expected outcomes after
The informatics nurse analyzes assessment considering associated risks, benefits,
data to identify diagnoses, problems, issues, costs, available expertise, evidence-based
and opportunities for improvement. knowledge, and environmental factors.
• Develops expected outcomes that provide
Competencies direction for project team members, the
The informatics nurse: healthcare team, and key stakeholders.
• Derives diagnoses, problems, needs, • Includes a time estimate for the attainment
issues, and opportunities for improvement of expected outcomes.
based on assessment data. • Modifies expected outcomes based on
• Validates the diagnoses, problems, needs, changes in the status or evaluation of the
issues, and opportunities for improvement situation.
with the healthcare consumer, family, • Documents expected outcomes as
interprofessional team, and key measurable goals.
stakeholders when possible and
appropriate.
• Identifies actual or potential risks to the
healthcare consumer’s health and safety, or Standard 4. Planning
barriers to health, which may include, but
The informatics nurse develops a plan that
prescribes strategies, alternatives, and Competencies
recommendations to attain expected The informatics nurse:
outcomes. • Partners with the healthcare consumer,
healthcare team, and others, as appropriate,
Competencies to implement the plan on time, within
The informatics nurse: budget, and within plan requirements.
• Develops a customized plan considering • Utilizes health information technology to
clinical and business character- istics of the measure, record, and retrieve healthcare
environment and situation. consumer data, implement and support the
• Develops the plan in collaboration with nursing process, and improve overall
the healthcare consumer, family, healthcare healthcare outcomes.
team, key stakeholders, and others, as • Uses specific evidence-based actions and
appropriate. processes to resolve diagnoses, problems,
• Establishes the plan priorities with key or issues to achieve the defined outcomes.
stakeholders and others as appropriate. • Advocates for health care that is sensitive
• Incorporates strategies in the plan to to the needs of healthcare consumers, with
address each of the identified diagnoses, emphasis on the needs of diverse
problems, needs, and issues. populations and use of self-care theory.
• Incorporates planned strategies addressing • Applies available healthcare technologies
health and wholeness across the life span. to maximize access and optimize outcomes
• Incorporates an implementation pathway for healthcare consumers.
or timeline within the plan. • Uses community and organizational
• Considers the clinical, financial, social, resources systematically to implement the
and economic impact of the plan on the plan.
stakeholders. • Collaborates with the healthcare team and
• Integrates current scientific evidence, other stakeholders from diverse
trends, and research into the planning backgrounds to implement and integrate the
process. plan.
• Utilizes the plan to provide direction for • Accommodates different styles of
the healthcare team and other stakeholders. communication used by healthcare
• Integrates current statutes, rules and consumers, families, healthcare providers,
regulations, and standards within the and others.
planning process and plan. • Implements the plan using principles and
• Modifies the plan according to the concepts of enterprise management, project
ongoing assessment of the healthcare management, and systems change theory.
consumer’s response and other outcome • Promotes the healthcare consumer’s
indicators. capacity for the optimal level of
• Integrates informatics principles in the participation and problem-solving.
design of interprofessional processes to • Fosters an organizational culture that
address identified situations or issues. supports implementation of the plan.
• Documents the plan in a manner that uses • Incorporates new information and
standardized terminologies and strategies to initiate change if desired
taxonomies. outcomes are not achieved.
• Documents implementation and any
modifications, including changes or
omissions, of the identified plan.
Standard 5. Implementation
The informatics nurse implements the Standard 5a. Coordination of
identified plan. Activities
 The informatics nurse coordinates
planned activities. The Standards of Professional Performance
express the role performance requirements
Standard 5b. Health Teaching and for the informatics nurse and informatics
Health Promotion nurse specialist.
The informatics nurse employs
informatics solutions and strategies for Standard 7. Ethics
education and teaching to promote health Identifies the informatics nurse practices
and a safe environment. ethically, with further detailing of
associated competencies, such as the use of
Standard 5c. Consultation the Code of Ethics for Nurses with
The informatics nurse provides Interpretive Statements to guide practice.
consultation to influence the identified
plan, enhance the abilities of others, and Standard 8. Education
effect change. Addresses the need for the informatics
nurse to attain knowledge and competence,
Standard 6. Evaluation including the competency associated with
The informatics nurse evaluates demonstration of a commitment to lifelong
progress toward attainment of outcomes. learning.

Competencies Standard 9. Evidence-based Practice and

The informatics nurse: Research
• Conducts a systematic, ongoing, and Confirms that the informatics nurse
criterion-based evaluation of the outcomes integrates evidence and research findings
in relation to the structures and processes into practice.
prescribed by the project plan and indicated
timeline. Standard 10. Quality of Practice
• Collaborates with the healthcare Describes the expectation for the
consumer, healthcare team members, and informatics nurse’s contribution related to
other key stakeholders involved in the plan the quality and effectiveness of both
or situation in the evaluation process. nursing and informatics practice.
• Evaluates, in partnership with the key
stakeholders, the effectiveness of the Standard 11. Communication
planned strategies in relation to attainment Explains that the informatics nurse
of the expected outcomes. communicates effectively through a variety
• Evaluates the link between outcomes and of formats, with several accompanying
evidence-based methods, tools, and competencies delineating specific requisite
guidelines. knowledge, skills, and abilities for
• Evaluates the effectiveness of planned demonstrated success in this area.
strategies in relation to attainment of the
expected outcomes. Standard 12. Leadership
• Documents the results of the evaluation. Promotes that the informatics nurse leads in
• Disseminates the results to key the professional practice setting, as well as
stakeholders and others involved, in the profession. Accompanying
accordance with organizational competencies address such skills as
requirements and federal and state mentoring, problem solving, and promoting
regulations. the organization’s vision, goals, and
strategic plan.
Standards of Professional Performance for
Nursing Informatics Standard 13. Collaboration
Encompasses the informatics nurse’s
collaborative efforts with the healthcare
consumer, family, and others in the conduct
of nursing and informatics practice.

Standard 14. Professional Practice

Evaluation
Identifies that the informatics nurse
conducts evaluation of their own nursing
practice considering professional practice
standards and guidelines, relevant statutes,
rules, and regulations.

Standard 15. Resource Utilization

Addresses that the informatics nurse uses
appropriate resources to plan and
implement safe, effective, and fiscally
responsible informatics and associated
services.

Standard 16. Environmental Health

Closes out the list of professional
performance standards by describing that
the informatics nurse supports practice in a
safe and healthy environment.