NURSING INFORMATICS

OBJECTIVES
• Define nursing informatics.
• Discuss history of nursing informatics
• Discuss the benefits of nursing informatics.
• Explain functions of nursing informatics.
• Discuss importance of nursing informatics.
• Explain nursing informatics in hospital.
• Explain nursing informatics in community.
• Describe the impact of nursing informatics in nursing
profession.
• Describe role of nurse in nursing informatics.
• Discuss the difference between Health Care informatics and
Nursing Informatics.
• Trends in nursing infomatics
 MEANING
Informatics comes from the French word
“informatique” which means “computer
science”.

Informatics is defined as computer

science+ information science.
 DEFINITION
Nursing informatics as “the use
of computers technology to
support nursing, including
clinical practice, administration,
education and research.”
Hebda (1998),
Nursing informatics as the development and
evaluation of applications, tools, processes and
structures which assist nurses with the management
of data in taking care of patients or supporting the
practice of nursing.
ANA (American Nurses Association) 1994,
HISTORY OF NURSING
INFORMATICS
o Florence nightingale has been recognized as an early
informatics nurse because of her use of data to
inform knowledge and change nursing practices.
o In 1863, she was very clear in her desire to collect,
retrieve and analyze data to be able to recognize
trends in illness and treatments to improve the
quality of care.

o In 19770s the nursing staff became instrumental

in development of nursing application for
hospital information systems.

o In the 1970s and early 1980s nursing informatics

was broadly defined as the use of computers
technology to support all aspects of nursing
practice, and it was frequently confused with
computer literacy skills of the nurse.
o During 1990s and beyond the internet became the tool for web
based clinical applications for health care professional.
o In 1996 truly introduced a model that illustrate the interaction of
the sciences that contribute to nursing informatics, computer
science, language processing and visual attention.
o 1988: First graduate program in Nursing Informatics at the
University of Maryland School of Nursing with a focus on
understanding nursing informatics systems and science.
o 1990: University of Utah offered a graduate program for Nursing
Informatics focused on the transformation of data into clinical
decision-making.
o 1995: Nursing Informatics certification became available through
the American Nurses Credentialing Center (ANCC).
o 1992: Nursing Informatics was formally recognized as a nursing
specialty by the American Nurses Association
o 1998: New York University School of Nursing offered a nursing
informatics graduate track.
o 2003: The University of Arizona College of Nursing offered the
first doctorate in nursing with the option of study being healthcare
informatics
 BENEFITS OF COMPUTER AUTOMATION IN
HEALTH CARE
1) Decreased redundancy of data
entry

2) Decreased time spent in

documentation

3)Increased time for client care

 4) Facilitation of data collection for research

5)Improved communication and decreased potential

for error

6)Creation of a lifetime clinical record facilitated by

information systems
 FUNCTIONS OF NURSING INFORMATICS
Nursing informatics allows nurses to access health
information in order to develop, implement, and
evaluate methods of patient care or treatment.
•Nurses are able to review all information related to
particular patient, which can lead to more efficient, which
can lead to more efficient communication and care.
 IMPORTANCE OF NURSING
INFORMATICS

•Enables the appropriate flow of

data collected by nurses,
improving access to patient
information at the point of care,
and enhancing nursing abilities
to benchmark, monitor and
audit quality measures.
•Aids to collect, store, process, display, retrieve and communicate
timely data and information in and across health care facilities
designed to
 Administer nursing services and resource.
Manage delivery of patient and nursing care including
documentation and planning.
Link research resources and finding to nursing practice
 Apply educational resources to nursing education
 Facilitates the integration of data, information and
knowledge to support client, nurses and other provider in
their decision making in all roles and settings.
 Promotes the generation, management and processing of
relevant data in order to use information and develop
knowledge that supports nursing in all practice domains to
improve practice and deliver better nursing care. This
knowledge is useful to nurses in decision making at the
operational and strategic planning levels of health care.
 Nursing informatics allows for the evaluation of nursing
NURSING INFORMATICS
IN HOSPITAL
1) Storage of Patient Data:

 Store note of the patient observe during round.

 Access the right medical information at the right time.
 To access information when you need to be quick,
efficient and accurate.
2) Computerized Presentations:

Computerized power point presentations are much

more efficient and has more impact on the receiver when
it comes to presenting data.

Even in the field of nursing education, computers

help the nursing tutors/educators to present the large
and complicated detailed form of data, which of course
is a part of the medical study, in a very simplified and
effective form.
3) Teaching nurses through
Simulations:

The field of medicine involves the

concept of "hands-on work".

Nursing education therefore, must

involve a lot of practice programs to make
the students efficient to face the real life
scenario.

Computer programs which enable simulate

such procedures therefore are of great use.
4) Computerized Self Evaluation

Computers also contribute and help the students

know their strengths and weaknesses.

There are many computerized quiz and medical tests

with immediate feedback that can help you brush and
develop your medical facts and requirements without any
delay.
5) Medical Data

Every day hospitals and clinics which are attached to it

churn out enormous volumes of data regarding patients,
prescriptions, medications, medical billing details, etc.

Such medical records, are now a day‘s recorded into

medical billing software. Such mammoth databases are
known as Electronic Medical Records (EMR) and
Electronic Health Records (EHR).
6) MEDICAL IMAGING:
7) Medical Examination:

 Medical monitoring which will help humans to

properly monitor their own health.

 Such systems and procedures include, bone scan

procedure, prenatal ultrasound imaging, blood glucose
monitors, advanced endoscopy which is used during
surgery and blood pressure monitors.

 Basically these medical tests and tools provide

significant convenience to medical practitioners.
Other uses of computer in hospital
• Assessment:
• Patient monitoring:
• Documentation:
• Nursing minimum data sheet:
• Telemedicine:
• Electronic Medical Records (EMR):
 Increased efficiency:
Improved documentation:
Improved quality of care:
Improved security:
Reduced documentation expenses:
 NURSING INFORMATICS IN COMMUNITY
Computer networks are being used in innovative ways
in home setting.
The main uses of computers in community are:
•A computer placed in high risk clients home allows them
to access information on a variety of health topics.
•They can record data about their health status that can be
transmitted to the health care providers at the central network
computer.
• Advances telenursing or telehealth.

•Gathering of epidemiological and administrative

statistics.
• Patient appointments- identification system.
• Patient assessment and data gathering.
• Monitoring.
• Documentation.
National Rural Health Mission (NRHM)

•The Accredited Social Health Activist (ASHA)- in each of the

6 lakh villages of the country so that the medical needs of the
people living in remote areas could be taken care of.
•ASHA would be connected with a telephone as well as a
computer with the rest of the facilities in the public health care
chain.
Primary health center

•Designed to lessen the paperwork responsibility, get better

data accuracy, and facilitate village health worker to
provide timely care and information to the rural and semi
urban population.

•2 projects were designed for this. [Link]

Management Research Institute
[Link] Management Research Institute
Other uses in community
• Community information
•Monthly report (no of birth, immunization,
communicable disease, deaths, delivery)
• Planning for program
•Planning for mobile clinic with regard to the
information
• Vital statistics
• Hospital statistics
• Community mapping
• Research Epidemic outbreak
• Demographic characteristics of population
• Mass education
 IMPACT OF NURSING
INFORMATICS IN
NURSING PROFESSION
The nursing profession is rapidly changing to keep
up with advancements and new challenges in the
healthcare field. As direct caregivers, nurses are in
the front lines of patient care and consequently
often feel the impact of changes in best practices
more immediately than other healthcare
professionals.
Assistant Professor of Biomedical and Health
Information Sciences at the University of Illinois at
Chicago, reported that there are three specific
challenges that healthcare is currently facing:

 The aging population

The incidence and prevalence of chronic diseases –
such as cardiovascular disease, diabetes and
pulmonary disease
 The shortage of doctors and nurses.
 “A LOT OF THESE CHALLENGES CAN BE
SUPPORTED BY THE AVOCATION OF
INFORMATION AND COMMUNICATION
TECHNOLOGIES, PARTICULARLY AS
HOSPITALS ARE BECOMING MORE AND
MORE INTERESTED IN REDUCING THEIR
COSTS AND SHIFTING CARE FROM HOSPITAL
CARE TO HOME
“Information CARE,”
and communication technologies, mobile
health devices, wearable technologies are all
becoming very, very important for supporting remote
patient
monitoring and home care.”
•One of the primary ways that informatics has
changed nursing practice is through documentation.

•Health informatics is also an important part of

care coordination in nursing.

•The ability to track staffing, workflow and

communication can help nurses to identify areas
where current processes can be improved. This can
also help ensure that staffing levels remain adequate,
which is critical for providing patients with the best
possible care.
 Disadvantages of Technology in Nursing

Set Up and Internet Access: An important disadvantage of technology

in nursing is that some patients may not be savvy with technology. Some
patients may not have mobile phones or Internet access, making
applications and video visits useless for them.

At the Mercy of the Server/Power: If either of these things goes down

due to weather, connectivity problems, or natural disasters, you’re
basically unable to do anything at all. This would be especially
problematic in a nursing classroom setting if simulations and virtual
technologies are being used as well as in a hospital when conducting
video calls or procedures that require machinery.
Potential Lack of Attention to Detail: While technology in
nursing should lead to fewer medical errors, there is no guarantee
that it will eradicate ALL errors. Human efficiency and thought
are still important, which is why nurses, doctors, and patients
must remember that technology does not always have the final
say. There is still plenty of room for error, and all diagnoses,
treatments, and care plans should be double and triple checked to
ensure safety an accuracy overall.

Malfunctioning Equipment: One of the biggest headaches of

technology is what happens when technology just doesn’t work.
ROLE OF NURSE IN NURSING INFORMATICS

 Nurse Informaticists are often perceived as the

“techy” nurse, “super-user”, or the “go-to” person when
new technology is implemented.

They are often referred to as “bi-lingual” nurses who can

speak the nursing process and information technology
language.

Being an expert in both fields and a liaison between the

two worlds, nurses have assumed different roles and
positions in the arena of informatics.
A recent survey conducted by Healthcare Information and
Management Systems Society (HIMSS) revealed that 14% of
nurses are in nursing informatics role.

Nurses comprise the biggest workforce in healthcare. This

being said, nurses are the largest work-group of end-users of
electronic medical record and clinical information systems;
therefore, it is imperative that nurses are well-represented in
the selection, design, implementation, and evaluation of
clinical information systems.

Evidence has shown that nurses who were involved in the

clinical information system cycle have more buy-in, user-
acceptance, and positive perception – all are precursors to
successful implementation.
DIFFERENCE BETWEEN
HEALTH CARE
INFORMATICS AND
NURSING
INFORMATICS
 HEALTH CARE INFORMATICS NURSING INFORMATICS

Numerous roles within health Patient focused, emphasizing

FOCUS care, emphasizing compliance improvement in patient
with regulations and improving care.
hospital finances.
 Work at the intersection of
computer science,  Work at the intersection of
information technology, and computer science, information
health care administration. technology, and nursing.
RESPONSI  Assess hospital and patient
B-ILITIES
 Implement electronic health needs as well as business and
records and understand how IT needs.
they impact organizational,  Develop efficient clinical
operational, and staffing needs. workflow to assess gaps in
 Manage, interpret, and
health care delivery system
 communicate data to and create ways to address
improve patient outcomes. them.
 Ensure compliance of data  Manage, interpret, and
  Coordinate hardware, software,  Verify that electronic health
regulatory requirements, and records capture information at the
infrastructure of a hospital or point of care accurately and in a
health system. standardized format.
 Work with staff education to  Support continuity and quality of
design training programs for care across caregivers.
staff when implementing a new  Integrate ICD-10 into systems.
electronic health records  Assist in staff training programs
system. on electronic health record
 Integrate ICD-10 into systems. systems.

 Chief clinical informatics  Nursing informatics specialist

officer  Director of clinical informatics
JOB TITLES  Director of clinical  Clinical analyst
TO informatics 
EXPLORE Consultant
 Project manager  Clinical informatics specialist
 Clinical manager
Chief nursing informatics officer
 Program director
RESEARCH
 The Role of Nursing Informatics on Promoting
Quality of Health Care and the Need for
Appropriate Education
Asieh Darvish,1 Fatemeh Bahramnezhad,1 Sara
Keyhanian,2 and Mojdeh Navidhamidi1,3
Glob J Health Sci. 2014 Nov; 6(6): 11–18.

In today’s dynamic health systems, technology plays

an important role in education and nursing work. So
it seems necessary to study the role of nurses and
highlight the need for appropriate information
technology educational programs to integrate with
the ever-increasing pace of technology.
 METHOD
An extensive literature search was performed by
using databases Pubmed, Google Scholar, Ovid,
Science Direct and SID. Search terms were
“education, nursing”; “quality of health care”;
“nursing
informatics” and technology. The study was carried
out from January to April, 2014. A library search
was also performed. As many as 135 articles were
retrieved. With a critical point of view, 40 articles in
English were selected that specifically focused on
nursing informatics education and its influence on
nursing outcomes and the quality of health care.
 CONCLUSION
In today’s world the potential for information and
communication technology application is increasing
so that it can enhance the quality of nursing domains
outcome (McNelis et al., 2012). Nurses have the most
communication with patients, and interact with
technology more frequently. Using technology should
create a positive attitude in nursing productivity. It is
essential for nurses to be involved in the initial design
of systems to improve the quality of health care and
change their culture in this regard (Darvish & Salsali,
2010), (Jenkins et al., 2007).
NURSING TECHNOLOGY TRENDS TO WATCH IN 2023

 MAR 02, 2023

 Keeping an eye on these major nursing technology trends for
2023 will offer a better understanding of what is to come in
medicine and healthcare, and prepare you for any new
expectations from both staff and patients.
TREND #1: TELEHEALTH SERVICES

 In 2022, 38% of patients have received telehealthcare. Just ten years

ago, telehealth services were unheard of. Now, hospitals are taking
advantage of telemedicine to provide patients with the services they need
that they otherwise would not have access to.
 Telehealth has become wildly popular for at-home users and patients, and
a greater occurrence of telehealth services being provided to hospital
patients. This number is projected to continue to grow in the coming
years. As more and more hospitals see the benefits of telehealth for their
patients, the industry will see greater occurrences of telehealth services
offered in the hospital setting.
2. BETTER TECHNOLOGY AND TOOLS
• Hospital telehealth services are constantly evolving to better serve
the needs of the patients who utilize them. Like every other sector in
the technology industry, telehealth is undergoing innovation that
makes it more accessible, both for hospital patients and their
providers.
• There are tons of telemedicine apps that exist that make
patient/doctor communication possible—and not only possible but
easy.
• To keep up with what patients are looking for, hospitals are
employing new workstations on wheels built specifically for
healthcare. The most common is a tablet cart to make video calls a
seamless occurrence.
• This technology has become lightweight and more user-friendly
than ever, making telehealth communication approachable and less
intimidating for hospital patients.
3. GREATER TRUST IN TELEHEALTH SERVICES
telehealth services—and artificial intelligence—are gaining
acceptance. more doctors are utilizing telemedicine than
ever before, which means patients have greater exposure to
these technologies. with greater exposure comes greater
trust in these services.
when a patient is hospitalized, they must rely on their
healthcare providers to make the best decisions for them.
patients trust doctors with their health, and if their doctor is
confident in telehealth communication, a patient will be too.
the more competent a provider is in utilizing telehealth
services, the better the patient experience, and the more the
patient will trust in their tele healthcare.
4. Seamless discharges and follow-ups
 Most hospitalized patients have a follow-up appointment after they’re
discharged. For many patients, especially those in rural areas, making
a follow-up appointment can end up taking hours. Even if a follow-up
appointment is half an hour or less, a round-trip follow-up visit can
last the entire morning.
 However, telehealth services eliminate the need for travel to
follow-up appointments. Additionally, telemedicine allows for
recently discharged patients to speak face-to-face with their provider
if they feel that something isn’t going as planned with their recovery.
Remote check-ins are easy, convenient ways for recently discharged
hospital patients to get the care they need from the comfort of their
homes.
5. MORE ACCESS TO SPECIALISTS

telemedicine as especially advantageous to smaller, rural hospital systems and

the patients they serve.

In facilities that do not have the means to hire specialized providers, patients
would have to be transported to another facility out of town or even out of
state. but telemedicine prevents patient transportation in some of these cases.

telehealth services allow hospital patients—and their providers— to have

access to specialists that they otherwise would not. there is a greater range of
services provided to hospitalized patients due to the advent of telehealth
services and virtual communication.

when hospital patients and their providers have the ability to consult with
specialists in other locations, patient care is better. effective monitoring and
quality of care are increased, leading to better patient outcomes.
6. Improved connections with loved ones
 This is one of the greatest, yet perhaps the most overlooked, trends of telehealth
services. As hospital patients are admitted and separated from their loved ones, this
often takes a toll on their emotional health. But with greater utilization of telehealth
communication, patients are able to communicate with their loved ones virtually,
even if face-to-face visits aren’t possible.
 In the past, patients could connect with loved ones via apps on their smartphones.
But for older hospitalized patients or patients who aren’t comfortable with this kind
of technology, hospital-provided telehealth communication allows these patients to
connect in meaningful ways. Having increasingly quality access to family and
friends—on large screens with adequate volume—can improve a patient’s hospital
stay exponentially. And when a patient is emotionally well, their physical healing
can happen that much faster.
 7. Market consolidation
 It looks like this is the year the telehealth industry will begin to see real steps in
market consolidation. And for patients, this trend toward market consolidation
means better services all around. Improved hardware and software, new initiatives
to make telehealth more accessible, and other innovations and investments mean
that patients will likely see a holistically improved telehealth system across the
board. As telehealth becomes a more prominent industry, more resources will be
utilized to make it more accessible and more helpful to patients and doctors alike.
 8. A contactless experience
 While a patient’s hospital stay won’t be complete without human touch, telehealth
does make a way for a contactless experience in some cases. In a post-pandemic
world, patients can expect more and more telehealth services to replace in-person
services, especially as they’re first entering a hospital facility.
 Providers are using telehealth services to screen patients and perform early
diagnoses before they see them face to face. This can look like a patient being
escorted to a triage room where vitals are taken, then a telehealth cart is rolled in so
they can have a conversation with a doctor. Human touch is essential for our well-
being as individuals, and practically, a patient can’t be treated without physical
interaction from nurses and doctors. But as telehealth technologies improve and
become more commonplace, they’re being utilized in hospital facilities to reduce
the spread of disease right from the moment a patient enters through the doors.
 CAREER OPPORTUNITIES IN NI

Nursing informatics can be a highly paid field compared to

other healthcare careers.

 Nurse informatics
 Nursing informatics specialist
 Nursing informatics clinician
 Clinical informatics coordinator
 Clinical analyst
 Clinical nurse informatics specialist
 IT clinical nurse
 Preoperative informatics nurse
 BIBLIOGRAPHY

Joginder vati, Principles and practice of Nursing

management and administration, Jaypee Brothers Medical
Publishers, first edition, Page No -631-638
Mr. Anoop.N, Mr. Chetan Kumar.M.R, Mr. Deepak.K, Mr.
Lingaraju.C.M, Mr. Mithun Kumar.B.P, Mr. Sarath
Chandran.C, A Text book on Nursing Management,
padmashree institute of nursing, Page no 672-680
 [Link]
 [Link]
 [Link]
 [Link]
[Link]
.[Link]/blogs/cublog/healthcare- informatics-
vs-nursing-informatics/