NURSING INFORMATICS

HISTORY OF INFORMATICS IN HEALTHCARE AND NURSING

1st hospital information system arrived focused primarily in processing financial and administrative information

computer was used for diverse hospital functions such as radiology, pharmacy and laboratories

 expanded uses of computers evolved used computers to improve patient care and conduct research by analyzing patient trends, variability in practice and outcomes of care.

Nursing Informatics ?

NURSING INFORMATICS
AS DEFINED BY THE AMERICAN NURSES ASSOCIATION (ANA) 2001

Nursing Science

Computer Science

Information Science

MANAGE & COMMUNICATE

data, information and knowledge in nursing practice.

NURSING INFORMATICS
AS DEFINED BY THE AMERICAN NURSES ASSOCIATION (ANA) 2001

facilitates the integration of data, information and knowledge to support patients, nurses, and other providers in their decision making in all roles and settings.

PATIENT

HEALTH ENVIRON MENT

NURSE

Essential Elements of Nursing Informatics: Dynamic interactions

Tools from information science and computer science Metastructures Data, information and knowledge

Scientific foundations Nursing, computer and information science

GOAL OF NURSING INFORMATICS (ANA)

f Improve the health of populations, families,

communities, families and individuals by optimizing information management and communication. f This includes using technology in:
f the direct provision of care f establishing administrative systems f managing and delivering educational

experiences
f supporting life-long learning f supporting nursing research

STANDARDS OF PRACTICE
f Nurse specialists in informatics focus their

concern on information systems, structure, applications and the presentation of information for decision-making by nurses.

The foci of nursing vs. NI metastructures, concepts and tools

Nursing

NI
Nursing data, information and knowledge
Design, structure and presentation of information for nurses' decision- making Optimizing information structures, applicators and technology for use in managing and communicating data, information and kno knowledge

Nurses, patients, health, environment Content of information

Using information applications and technology

INFORMATICS COMPETENCIES (ANA)

3
major domains of competency

3. General 2. Information 1. Computer Informatics Literacy Literacy Competencies Skills Skills

NURSING INFORMATICS STANDARDS OF PRACTICE:THE PROBLEM-SOLVING FRAMEWORK

Assessment Nursing Informatics standards of practice: The problem solving framework Diagnosis Identification of outcomes Planning Implementation Evaluation

DECISION-MAKING WITH ADMINISTRATIVE DATA

fFinancial management,

activity planning and budgetary monitoring and control

DECISION-MAKING WITH EXPERT fExpert systems f a.k.a. knowledge-based systems SYSTEMS

f process knowledge (while

conventional software process data)

f solve problems by trial and error

rather than using algorithms such as those used in conventional programming

f can guide, facilitate and strengthen

nursing decisions at the point of care or at the pint of service

DECISION-MAKING WITH EXPERT SYSTEMS

fMachine learning systems
f A branch of AI concerned with construction

of programs that learn from experience

f May involve detection and prevention of

untoward clinical events such as drug interactions, errors, omissions, as well as trends in patients symptoms

OUTCOMES MANAGEMENT
f Outcomes
f Can include factors such as increased client

satisfaction, decreased hospital admissions and ER visits, decrease costs and acuity of hospital stay, decreased morbidity and mortality, minimized hospital revenue loss, increase job satisfaction for nurses and decrease job stress.
f Outcomes manager uses information obtained by

outcomes measurement to monitor and trend data, and to determine the approaches for the clinical management of specific patient groups. groups.

DISCHARGE PLANNING
f Computerized discharge care plans also have the potential

to be used for other purposes beyond direct patient care such as quality assurance, auditing, research, and coding at discharge for prospective payment.

HEALTHCARE COLLABORATION

f Nurses carry out the nursing process by interacting in

person, writing or telephone with a wide variety of healthcare professionals to share information and decisiondecisionmaking focused on improving patient care outcomes. f Nurses are active participants in collaboratively matching the wide range of telecommunications tools to the healthcare application need.

THANK YOU!