Nursing Informatics.pptx

30 de Mar de 2023

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Nursing Informatics.pptx

  1. A seminar on “NURSING INFORMATICS”. Subject: Nursing Science and Theory development including Nursing leadership Guided by: Dr.Anu Gauba Presented by : Kh. Chetanmala Devi Professor, Ph.D Nursing, Amity College of Nursing, 1ST Semester, Jan 2022-2026 batch Dated: 26/05/2022
  2. Objectives At the end of the class, the group will be able to  Define nursing informatics  Understand the application of Nursing Informatics  Know the significance of Nursing Informatics  Explain about telenursing  Describe Nursing Management Information System  Identify the trends in Nursing Informatics
  3. MEANING •  Informatics comes from the French word “informatique” which means “computer science”.  Informatics is defined as computer science+information science.
  4. History  Usage of computers in health care began in 1950  Computers popular among nurses in 1970  The first certification exam for Nurse Informaticist was taken in 1995 (Saba & McCormick).
  5. DEFINITION  Hebda (1998), defines nursing informatics as the use of computers technology to support nursing, including clinical practice, administration, education and research.
  6.  The American Nurses Association (ANA) identified nursing informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice” (ANA, 2001, )
  7. Goal of Nursing Informatics In 2008, ANA updated the Scope and Standards of Nursing Informatics Practice. ANA lists the goal of NI as: “The goal of NI is to improve the health of populations, communities, families, and individuals by optimizing information management and communication ”.
  8. Application of Nursing informatics ?
  9. APPLICATION OF NURSING INFORMATICS / GENERAL PURPOSE  Nursing Clinical Practice:  Work lists to remind staff of planned nursing interventions.  Computer generated client documentation.  Electronic medical record (EMR) and Computer based Patient Record (CPR)
  10.  Monitoring devices that record vital signs and other measurements directly into the client record (EMR).  Computer generated nursing care plans and critical pathways.  Automatic billing for supplies or procedures with nursing documentation.  Reminders and prompts that appear during documentation to ensure comprehensive charting.
  11.  Nursing Administration (Health care information system) • Automated staff scheduling. • E-mail for improved communication. • Cost analysis and finding trends for budget purposes. • Quality assurance and outcomes analysis.
  12.  Nursing Education: • Distance learning- web based courses and degree programmes. • Internet resources- formal nursing courses and degree programmes, short courses. • Presentation software for preparing slides and handouts- power points and MS words
  13. • Computerized record keeping • Computerized assisted instruction • Interactive video technology
  14.  Nursing Research: • Computerized literature searching- CINHAL, Medline and web sources. • The adoption of standardized language related to nursing terms-NANDA etc. • Data analysis-SPSS.
  15. • Patient Education: • Can be used for symptom management and patient education. The nurse can access the information for the patient or teach the patient where to find appropriate and helpful information
  16. Contd..  Clinical Alert System: • The computerized clinical alert system can be used in conjunction with the hospital pharmacy. A system design is created to alert both pharmacy and health staff when two or more drug prescriptions are incompatible.
  17.  Patient Data:  Nursing informatics can also be useful in a physician’s clinic. In a managed care environment, information systems make administrative management more efficient.  The private practitioner, program or facility to manage every aspect of patient care can use one data management system.
  18.  In each of these health care settings data management systems can be applied to treatments, diagnostics, documentation, practice management, insurance claims and referrals and protocols as well as treatment and diagnostics results.
  19. Contd..  Telehealth: • Telehealth includes the use of telephones and sophisticated image transmission systems like ECG, faxes and remote camera imaging.
  20.  Telehealth places the ambulance personnel in touch with the Emergency Department and it also operates to put the generalist “nurses and doctors” at the ED in touch with specialists.
  21.  Clinical Information:  Clinical practice guidelines can be found at dex.htm. The practice guidelines found at this site provide management information for asthma, cholesterol, hypertension and obesity.
  22.  Clinical practice guidelines for the management of diabetes mellitus and menopause can be found at  Further information can be found through the Medscape Nurses site and National Institute of Health-
  23. SIGNIFICANCE OF NURSING INFORMATICS Facilitates communication Allows articulation of organized information Leads to credibility.
  24. • Increased time for client care: more time is available for client care because less time is required for documentation and transcription of physician orders. • Facilitation of data collection for research: electronically stored client records provide quick access to clinical data for a large number of clients.
  25.  Improved communication and decreased potential for error: improved legibility of clinician documentation and orders is seen with computerized information systems.
  26.  Creation of a lifetime clinical record facilitated by information systems.  Data related to treatment such as inpatient length of stay and the lowest level of care provider required can be used to decrease costs.
  27.  Extensive financial information: can be collected and analyzed for trends. An extremely important benefit in this era of managed care and cost cutting.
  28. SPECIALTY EDUCATION AND CERTIFICATION  American Nurses Association recognized Nursing Informatics as an speciality in 1992 and began certification in 1995.  ANA defined Nursing Informatics , outlined roles and responsibilities and developed standards for practice.
  29. Two certifications available for specialization in nursing informatics 1) The first is through the American Nurses Credentialing Center (ANCC). The ANCC exam is specific for the informatics nurse. The applicant must be a licensed registered nurse (RN) with at least 2 years of recent experience and have a baccalaureate degree in nursing (BS/BSN). The applicant must have completed 30 contact hours of continuing education in informatics
  30. Contd.. 2) The second certification exam is sponsored by HIMSS ( Healthcare Information and Management Systems Society). Candidates who successfully pass this exam will carry the designation of certified professional in healthcare information and management systems (CPHIMS).
  31. USE OF COMPUTERS HOSPITALAND COMMUNITY CLINICAL IMPLICATION • Assessment • Patient monitoring • Documentation • Nursing minimum data sheet • Telemedicine • Electronic Medical Records (EMR)
  32. ADMINISTRATION: • Provision of data required by the nurse administrators to:  Define the cost of nursing services.  Evaluate quality assurance programme.  Demonstrate the cost effectiveness of nursing care  Justify new roles for nursing in the health care system
  33. NURSING PRACTICE: • Enhance documentation by the nurse. • Provision of data to enable research directed at examining relationship between data elements and nursing outcomes to identify optimal nursing care for use in practice. • Facilitate nursing process through use of the NMDS(Nursing Minimum Data Set) in practice.
  34. • Nursing workload measurement system: The three most widely used nursing workload measurements are:  Project research in nursing:  Medicus.  GRASP (Grace- Reynolds application)
  35. RESEARCH • The advent of computerized data bases of literature helps to search rapidly and to retrieve abstracts of literature immediately. • Conduct online searches of data base. • Provides online full text information on legal, news, business and general information. Eg: CINAHL, Medline, Science Direct.
  36. • Preparation of research document • Data gathering:  Computer self administered interviewing,  Computer assisted telephone interviewing: • Data analysis: eg SPSS software
  37. EDUCATION: • Computer assisted instruction: • Computer assisted interactive video instruction: • Simulation: • Tutorials:
  38. COMMUNITY SETTING The main uses of computers in community are: • Gathering of epidemiological and administrative statistics. • Patient appointments- identification system. • Patient assessment and data gathering. • Monitoring. • Documentation. • Special need application.
  39. PATIENT RECORD SYSTEM DEFINITION  A ‘medical record’ is a patient record, consisting of sufficient data written in sequence of events to justify the diagnosis and warrant treatment and end results. It must be adequately informative, highly scientific and legally protective.  It may be defined as a clinical, scientific, administrative and legal document relating to the patient’s care.
  40. IMPORTANCE OF MEDICAL RECORDS  To the patient It helps in the following ways: – - document the history of the patient’s illness. –avoid omission and unnecessary repetition of diagnosis and treatment measures. – It assists in the continuity of care in the event that future illness requires attention in or out of the hospital. –evidence to support or to refute any legal questions. – It assists the patient and authorities concerned in fixing disability entitlements under the Workman’s Compensation Act.
  41.  To the hospital - The medical records form the basis of many phases of administrative efficiency – It provides the management with statistical information necessary for decision making with regard to utilization of resources, planning for administrative control and future references.
  42. – It also furnishes documentary evidence for purposes of evaluation of hospital care in terms of quality, quantity and adequacy (medical audit). – It protects the hospital in the event of legal questions (Torts suits).
  43. To the doctors – It assures the doctor of the quality and adequacy of the diagnostic and therapeutic measures undertaken by him. – It assures the doctor of the continuity of medical care. – It helps the doctor in self evaluation. – It protects the doctor in case of legal suits.
  44. • To the public health authorities  It provides a reliable mortality and morbidity statistics and thus helps the public health authorities to plan preventive and social measures to meet the needs of the community.  Early warning of the incidence of communicable diseases is often obtained from hospital records.
  45. To medical education and research • Since recorded observations and case studies are the basis of all clinical research, medical records become invaluable in all research and teaching programmes.
  46. CHARACTERISTICS OF GOOD PATIENT RECORDS • Complete: Sufficient data to identify the patient, justify diagnosis and warrant treatment and outcome. • Adequate: All necessary forms and all relevant clinical information. • Accurate: Capable of quantitative analysis.
  47. COMPUTERIZED PATIENT RECORD  Advantages of CPR: • Have the patient’s entire history. • Can flag drug reaction problems. • Can eliminate redundancy in record keeping. • Eliminate the need for taking repeated histories. • Can, if utilized properly, reduce error.
  48. Disadvantages Of Computerized Patient Record : • Are very expensive to set up. • Are less secure. • Require standardized coding systems, which force all users to use entries that the computer can understand.
  49. Telenursing: What Is It and What Are the Benefits?
  50. What Is Telenursing?  Telenursing — or telehealth nursing — uses technology to provide nursing services through computers and mobile devices. As mobile devices become more common and accessible, telehealth is becoming more prevalent as a healthcare option
  51. Telenursing Benefits 1) Remote Service Delivery Telehealth technology allows nurse practitioners (NPs) to deliver medical services via the internet and mobile devices. NPs deliver services using various tools, such as computers, remote monitoring devices, cellular devices, and delivery companies.
  52. 2) Financial Savings  Telenursing can reduce costs for both patients and practitioners. Savings also include reduced visitation expenses and productivity gains from decreased employee absences. 3) Improved Bed Allocation  By improving follow-up care to high-risk clients — such as chronic illness sufferers and recent surgical patients — healthcare providers have found that telenursing offers a tool that reduces readmissions considerably.
  53. 4) Patient Comfort  According to a study of Massachusetts General Hospital telehealth patients, published by The American Journal of Managed Care, most patients felt virtual health visits were more convenient than in-person visits, more than 60% felt virtual visits were no different in quality from in-person visits, and more than 80% would recommend virtual visits to family and friends.
  54. 5) Increased Healthcare Employment Opportunities  Insurers  Consultations.  Analysts 6) Accessibility by Patients in Remote Areas  With telehealth services, rural hospitals can reduce costs, cover larger areas, and eliminate most of the time it takes to deliver services.
  55. NURSING MANAGEMENT INFORMATION SYSTEM  Nursing Information systems (NIS) are computer systems that manage clinical data from a variety of health care environments, and made available in a timely and orderly fashion to aid nurses in improving patient care.
  56. Applications of NMIS Workload Measurement and staffing requirements Personnel management Staff scheduling Fiscal resource management
  57. Advantages of NIS 1) In Nursing administration  Evaluate quality assurance programs  Defend resource allocation to nursing  Demonstrate the contribution to nursing  Identify outcomes of nursing care
  58. 2) In nursing practice. Enhance documentation by nurses Provide data to enable research directed at examining the inter relationships between data elements and nursing outcomes. Facilitate development of nursing process
  59. 3) Nursing research To assess variables on multi levels including institutional, local, regional and national. Identify trends to build information and to further synthesize to develop nursing knowledge
  60. 4) Nursing education To develop body of knowledge with focus on nursing process To enable staff educational needs based on follow up care and outcomes. To enhance student nurses accurate documentation.
  61. Disadvantages of Health Informatics Expensive Requires time to adapt Over- dependency Susceptible to network hackers
  62. TRENDSIN NURSINGINFORMATICS ANDHEALTHCAREANALYTICS  While new advancements in health care technology are emerging every day, three primary trends have transformed the health system. These health care tech trends include: a) Electronic Health Records (EHR) b) Remote Health Care Devices & Care c) Mobile App Technology
  63. a) Electronic Health Records (EHR)  EHRs are digital patient records that can be instantly and securely shared among various health care practitioners and organizations.  EHRs include all documents related to patient care, including medical history, diagnoses, allergies, lab reports, and prescriptions.
  64.  EHRs provide:  Quick and secure access to real-time patient information  Streamlined communication between different health care organizations  Consistent documentation minimizing the risk of potential errors  Enhanced connectivity with insurance companies and government agencies  Simplified chart storage, management, and transmission  Increased overall speed and efficiency
  65. b) Remote Health Care Devices & Care  Wearable devices.  Provide doctors and nurses with a live stream of real-time patient data  Can lower health care.  Offer patients with disabilities and chronic conditions support and greater independence.
  66. c) Mobile App Technology  mHealth apps range from fitness and wellness tools that can record almost every activity that you do to specialized medical apps, including retinal scans and medical-grade EKG monitors.
  67.  Many hospitals and clinics have mobile app technology for communicating with patients, posting lab reports, sending messages from the medical team, and scheduling appointments.  Helps minimize time spent filing, maintaining records, and performing tedious administrative tasks.
  68. Eg. Anmol app (Mother and child tracking system)
  69. Conclusion Nursing informatics has introduced new challenges and opportunities along with new computer applications. Nursing informatics is a growing field for advancement and offers many potential areas for cost containment. Nursing informatics and managed care, make telehealth an attractive tool to save healthcare dollars
  70. Summary  Nursing informatics as the use of computers technology to support nursing, including clinical practice, administration, education and research.  Nursing informatics is applied in Nursing Clinical Practice, Nursing Administration , Nursing Education, Nursing Research  Telenursing and electronic medical records are very important during this covid pandemic
  71. Bibliography 1) Sanil Varghese. Informatics [Internet] [Dec 23, 2013] Available at 2) Dee Mc Gonigle, Kathleen Garver Mastrian. Nursing Informatics and the Foundation of Knowledge, 2nd edition Jones and Bartlett Publishers, Inc. Available from 3) Stephi Poulose . Health management information system[internet].[cited April 07, 2016]. Available from Health management information system ( 4) Nur Zakiah Sidek, Nazli Mohd Nasir, Aznin Natasya Azman, Sabarina Samsudin Nur Ain .Health Informatica an overview. [internet] [cited July 17, 2009]. Available from Health Informatics | An Overview (
  72. 5. School of Nursing University of Michigan.Trends.Nursing Informatics and Health Care Analytics[Internet] Ann Arbour[September 2, 2020] Available from 6. Advent Health University.Telenursing: What Is It and What Are the Benefits?[Internet] Orlando [April 13, 2017] . Available from benefits/#:~:text=Telenursing%20allows%20patients%20to%20connect,patients%20through%20apps%20or %20websites. 7. Peltonen LM, Nibber R, Block L, et al. Nursing Informatics Research Trends: Findings from an International Survey. Stud Health Technol Inform. 2021;284:344-349. doi:10.3233/SHTI210741. Available from Nursing Informatics Research Trends: Findings from an International Survey - PubMed ( 8. Diodemise Ovawasa.An appraisal of Nursing Informatics Research and the Influence of the Unified Theory of Acceptance and Use of Technology. [Internet] DigitalCommons@University of Nebraska - Lincoln. Available from 9. ANMOL app.Ministry of Health & Family WelfareHealth & Fitness. Available at