NCM 110:

INFORMATICS
NURSING
MANAGEMENT
Sophia elizabeth escobar ngilay-
caspe, bsn, rn
“Ma’am iyah”
Course Instructor
 Florence Nightingale’s Role In
Nursing Informatics
Despite her lack of a formal educational program, some might say
that Florence Nightingale was the first informatics nurse specialist,
given that the fundamental building block in informatics is data.

Recognizing the value of data in affecting healthcare, she collected

data and systematized recordkeeping practices in Crimea.

Using these data, she developed the first version of the pie graph to
dramatize the need for reform to stop the needless deaths caused by
the unsanitary conditions in military hospitals.

When decisions are based on the data available, collection and analysis of
nursing data become very important.
 Nursing Informatics as a Specialty
Nursing is a subspecialty in informatics, with roles
and tasks in both disciplines.
Informatics Nurses are those who enter the
nursing informatics field because of an
interest or experience.
Informatics Nurse Specialists are nurses with
either a graduate education degree in nursing
informatics or a field relating to informatics.
Whereas some informatics nurses have only on-the-
job training, certified informatics nurse specialists
work in settings where there is increased
complexity and expectations for systems.
The roles of informatics nurses vary with their job
and specialty in healthcare, but the general foci of
nursing informatics are the following seven areas:
1. Using data, information, and knowledge for patient
care.
2. Defining data in patient care.
3. Acquiring and delivering patient care knowledge.
4. Creating new tools for patient care from new
technologies.
5. Applying ergonomics to nurse-computer interfaces.
6. Integrating systems.
7. Evaluating the effects of nursing systems.
 Informatics Nurse
ROLE RESPONSIBILITIES
❏ Plans, coordinates, and facilitates education for all computer
applications and computer software for all user groups.

❏ Develops and trains all user groups on clinical computer applications

and online documentation processes.
System Educator
❏ If employed by a vendor, systems educator may be responsible for
documenting a new system and providing "train the trainer" education
to healthcare agency personnel.

❏ Assesses the needs and opportunities for nurses with the technology.

Information Technology ❏ Looks at both the functional and operational needs of clinical users
Nursing Advocate when using the system and translates these needs into information
technology-specific solutions
 Informatics Nurse
ROLE RESPONSIBILITIES
❏ Supports the system in a given unit.

Superuser ❏ Assists users with functionality, procedural issues, and basic troubleshooting.

❏ Often holds a clinical position in the assigned unit.

❏ Acts as a link between nursing and information services and is both a

System Specialist nursing resource and a representative

❏ Responsible for coordinating aspects of planning, design, development,

Clinical Systems implementation, maintenance, and evaluation of the clinical information system.

Coordinator / Analyst ❏ Troubleshoots issues with systems. Supports a clinical system.

 Informatics Nurse Specialist
Certification
The prerequisites for writing the certification examination include:
❏ Bachelor's degree in nursing
❏ An active registered nurse (RN) license
❏ 2 years of practice full-time equivalent as an RN
❏ 30 hours of continuing education in informatics within the last 3
years.
The applicant must also meet one of the following three practice requirements (American Nurses Credentialing
Center, 2014):
❏ 2,000 hours practice in informatics nursing within the last 3 years
❏ A minimum of 1,000 practice hours in informatics nursing in the last 3 years plus completion of a
minimum of 12 hours of academic credit in informatics courses as part of a graduate-level informatics
nursing program
❏ Completion of a graduate program in nursing informatics with a minimum of 200 hours of a faculty-
supervised practicum in informatics
 Informatics Nurse Specialist
Certification
Passing the examination provides certification for 5 years, at which
time the certification can be renewed if specified educational and
practice requirements are fulfilled.

To renew the certification, the nurse can apply twelve months prior to the expiration date.

Renewal requirements are:

❏ Current licensure as an RN
❏ ANCC certification as a informatics nurse specialist
❏ Completion of 75 professional development hours, of which 51% (38.25 hours) relate to the specialty.
The other half of professional development hours can be from academic credit, presentations, publication
or research, preceptor hours, and professional service.
❏ Completion of a minimum of 1,000 practice hours
 Informatics Nurse Specialist
ROLE RESPONSIBILITIES
❏ Plans and implements an informatics project.

❏ Must be able to communicate effectively with all levels of management,

users, and system developers.
Project Manager
❏ Must also be cognizant of all factors involved in the project including,
but not limited to, managing change, assessing the need for the new
project, and planning for its implementation.

❏ Provides expert advice, opinions, and recommendations from consultant's

area of expertise.

❏ Must be able to analyze what the client wants, as well as what is needed, and
Consultant integrate these to create what is possible, technologically and politically.

❏ May be employed within an organization, by a vendor, or self-employed.

 Informatics Nurse Specialist
ROLE RESPONSIBILITIES
❏ Facilitates the development, implementation, and integration for an
agency information system.
Director of Clinical ❏ Assists in developing the strategic and tactical plans of the system.
Informatics
❏ Develops plans for implementation and gaining acceptance of systems

❏ Uses informatics to create new knowledge.

❏ Encompasses research in any area of nursing informatics.

Researcher ❏ May be involved in basic research on the symbolic representation of

nursing phenomena, clinical decision-making, or applied research of
information systems.
 Informatics Nurse Specialist
ROLE RESPONSIBILITIES
❏ Participates in the development of new information systems including designing,
developing, and marketing of informatics solutions for nursing problems.
Product Developer
❏ Must understand the needs of both business and nursing.

❏ Contributes to health policy development by identifying nursing data, its

availability, structure, and content, which are used to determine health policy.
Policy Developer ❏ These policies encompass not only information management but also health
infrastructure development and economics

❏ Analyzes nursing information needs in clinical areas, education,

Entrepreneur administration, and research; develops and markets solutions.
Informatics Nurse Specialist
References:
Saba, V. K., & McCormick, K. A. (2021). Essentials of Nursing Informatics (7th ed.). McGraw Hill.

Sewell, J. (2016). Informatics and Nursing: Opportunities and Challenges (5th ed.). Wolters Kluwer.