2. MAHARASHTRA INSTITUTEMAHARASHTRA INSTITUTE
OF NURSING SCIENCES,OF NURSING SCIENCES,
LATUR.LATUR.
STAFF DEVELOPMENT PROGRAMME
ON
NURSING
INFORMATICS
PRESENTED BY ,
Mr. Sudarshan Bhange
Nursing tutor,
4. IntroductionIntroduction
Around the worlds in the sector of health care,
communication, and information technologies are
ever growing, separately and together.
As nurses in the community expand their practice to
embrace new information technologies,
opportunities for improving health care to
populations seem endless.
5. Introduction…….Introduction…….
Technologies emerging in the fields of
telecommunications, video and digital imaging, and
micro processing are shaping the future of nursing
practice. To measure up to the future needs of nursing,
nurses of today must have the vision and desire to
become computer aware and technologically literate.
6. Introduction……………..Introduction……………..
This advancement is seen as a union of health care
technology with information and communications
technology, and implementation of health care management
information systems in a variety of clinical practice settings.
Decisions related to client care continue to increase in
complexity, with the need for rapid, accurate information for
clinical decisions making as a priority for effective care.
7. HistoryHistory
Nurses have worked in informatics roles for over twenty-five years, but
the phrase “nursing informatics” was not seen in the literature until 1984.
Nursing informatics has established itself as a specialty in the nursing
field.
Nurses have become proficient in utilizing and adapting complex
technology into caring nursing practice for decades, at least since the
time of Florence Nightingale in the United Kingdom .
Various forms of machinery such as ventilators and physiological
monitors were first used in intensive and critical care settings , and are
now currently used in adapted form in less acute areas, even in home
care.
Nursing has evolved significantly over the past few decades, with many
of the changes being driven by advances in information and
communication technology .
13. What is Informatics?What is Informatics?
Organizations such as hospitals and community-based
agencies such as public health departments and home
agencies use information and communications
technologies to collect, restore, retrieve, analyze, and
present client care data in the health care delivery
settings.
CommunityCommunity
based settingbased setting
environmentenvironment
CommunityCommunity
based settingbased setting
environmentenvironment
Acute care inAcute care in
hospital settinghospital setting
Acute care inAcute care in
hospital settinghospital setting
New technologyNew technology
14. INFORMATICS...?INFORMATICS...?
French wordFrench word informatiqueinformatique which means computer science.which means computer science.
Informatics is defined as computer science + informationInformatics is defined as computer science + information
science.science.
It used in conjunction with the name of a discipline, itIt used in conjunction with the name of a discipline, it
denotes an application of computer science anddenotes an application of computer science and
information science to the management and processing ofinformation science to the management and processing of
data, information, and knowledge in the named discipline.data, information, and knowledge in the named discipline.
Thus we have, medical informatics, nursing informatics,Thus we have, medical informatics, nursing informatics,
pharmacy informatics and so on…pharmacy informatics and so on…
15. Health InformaticsHealth Informatics
Application of information technology to the health
sector has tremendous potentiality for efficacy of
health care delivery institutions and provision of cost-
effective health care.
Health care delivery institutions will need and use
information technology to meet their client demands
and stay competitive, since, the future for them lies in
cost-effective health care.
16. What is Nursing Informatics?What is Nursing Informatics?
Nursing informatics is a field within the field of
health informatics, where people who have a
nursing degree are involved in the implementation
of a computer application in a hospital, nursing
home, doctor’s office, public health clinics, or
other healthcare setting.
A way of helping in the management and
processing of nursing information data through the
use of computers.
18. Definition…Nursing InformaticsDefinition…Nursing Informatics
ANAANA
Nursing informatics (NI) is a specialty that
integrates nursing science, computer science,
and information science to manage and
communicate data, information, knowledge,
and wisdom in nursing practice.
NI supports consumers, patients, nurses, and
other Health care providers in their decision-
making in all roles and settings.
This support is accomplished through the use
of information structures, information
processes, and information technology.
19. Nursing Informatics… DefinitionNursing Informatics… Definition
1989—Graves and Corcoran defined
Nursing Informatics as“Computer science,
information science, and nursing science combined to
assist in the management and processing of nursing
data, information and knowledge to support the
practice of nursing and the delivery of nursing care.”
20. Nursing Informatics is the "science and practice
(that) integrates nursing, its information and
knowledge, with management of information and
communication technologies to promote the health
of people, families, and communities worldwide."
(IMIA Special Interest Group on Nursing
Informatics 2009).
21. Goal of nursing informaticsGoal of nursing informatics
The goal of Nursing Informatics is to improve the
health of populations, communities, families, and
individuals by optimizing information management
and communication.
This includes the use of technology :-
In the direct provision of care,
In establishing effective administrative systems,
In managing and delivering education experiences,
In supporting life-long learning, and in supporting
nursing research.
22. Nursing Informatics - FocusNursing Informatics - Focus
Nursing informatics focuses on the use of
“nursing information system” (NIS) to
administer nursing resources:
To assist in effective information management;
Monitor the quality, effectiveness, and outcomes
associated with the provision of care;
Protect the confidentiality and privacy of patient
data.
23. Conceptual FrameworkConceptual Framework
Data Information Knowledge
Nursing Process
Information and
Communication Technology
minute level Synthesis
(raw facts) (interpreted facts) (synthesized information)
24. Basic conceptsBasic concepts
Basic concepts for information systems:
Nursing data: refers to unstructured raw fact that are
described objectively without interpretation.
Nursing information: data that has been interpreted ,
organized or structured.
Nursing knowledge: synthesized information derived
from the analysis of data that has been processed.
Wisdom Wisdom is the appropriate use of data, information
and knowledge in making decisions and implementing
nursing actions.
25. ExampleExample
Data= 9:00 am -100, 4:00 am 180
Information=
Knowledge= My clients glucose level rises in
the late afternoon. His insulin dose needs to be
adjusted
time glucose
9:00 AM 100
4:00 PM 180
26. Purpose of NursingPurpose of Nursing
Informatics:Informatics:
1. For Nursing Education – Through nursing informatics, nursing
students can retrieve literature. Computers have significantly
present huge amounts of data and catalogues which can search
systematically.
Users can access statistics from the Centre for Disease Control and
Prevention, get census and even the current mortality and
morbidity of a certain type of disease or group of population in just
one click.
2. Computer- Assisted Learning – Nursing students can enjoy
learning and the basic nursing care through software programs.
Programs may cover topics from drug dosage administration to
ethical decision making.
27. 3. Distance Learning – Through nursing informatics, online degrees
in nursing and continued professional education have been a trend.
Teachers can now reach a wider group of students. Homework
or assignments can be sent via the internet without even facing the
educators or meeting them in personal. The physical distance
between the educator and the student is now shortened.
4. Documentation of Client Status and medical records – Nursing
informatics can make the impossible organization of huge records
possible. Research about past medical illness and management are
easier since a computer keep the records and the researcher will
just get proper access to that information.
Purpose of Nursing Informatics:
28. Use of computers in nursingUse of computers in nursing
Clinical practice
Educational practice
Administration
Research
29. Use of computers in nursing educationUse of computers in nursing education
30.
31. APPLICATION OF NURSINGAPPLICATION OF NURSING
INFORMATICSINFORMATICS
Nursing Informatics can be applied to all areas
of nursing practice, which include; clinical
practice, administration, education, and
research.
32. Work lists to remind staff of planned nursing interventions
Computer generated client documentation
Electronic Medical Record (EMR) and Computer-Based Patient
Record (CPR)
Monitoring devices that record vital signs and other
measurements directly into the client record (electronic medical
record)
Computer - generated nursing care plans and critical pathways
Automatic billing for supplies or procedures with nursing
documentation.
1. Nursing Clinical Practice (Clinical
Information Systems)
33. Automated staff scheduling
E-mail for improved communication
Cost analysis and finding trends for budget purposes
Quality assurance and outcomes analysis
2. Nursing Administration (Health
Care Information Systems)
34. 3. NURSING EDUCATION:-
Computerized record-keeping
Computerized-assisted instruction
Interactive video technology
Distance Learning-Web based courses and degree
programs
Internet resources.
Presentation software for preparing slides and
handouts-PowerPoint and MS Word
35. 4. NURSING RESEARCH:-4. NURSING RESEARCH:-
Computerized literature searching-CINAHL,
Medline and Web sources
The adoption of standardized language related to
nursing terms-NANDA, etc.
The ability to find trends in aggregate data, that is
data derived from large population groups-
Statistical Software (SPSS).
36. BENEFITS OF COMPUTERBENEFITS OF COMPUTER
AUTOMATION IN HEALTH CARE:AUTOMATION IN HEALTH CARE:
Many of these benefits have came about
with the development of the electronic
medical record (EMR), which is the
electronic version of the client data found
in the traditional paper record.
37. EMR BENEFITS INCLUDE:EMR BENEFITS INCLUDE:
Improved access to the medical record.
The EMR can be accessed from several different
locations simultaneously, as well as by different
levels of providers.
Decreased redundancy of data entry.
For example, allergies and vital signs need only be
entered once.
38. Decreased time spent in documentation.
Automation allows direct entry from
monitoring equipment, as well as point-of-care
data entry.
Increased time for client care.
More time is available for client care because
less time is required for documentation and
transcription of physician orders.
39. Facilitation of data collection for research.
Electronically stored client records provide quick
access to clinical data for a large number of
clients.
Improved communication and decreased
potential for error.
Improved legibility of clinician documentation
and orders is seen with computerized information
systems.
40. Nursing Informatics SpecialistNursing Informatics Specialist
Because of the increased importance of
computers and information technology in the
practice of professional nursing; a new role
has emerged, the Nursing Informatics
Specialist (NIS).
The NIS is a nurse who has formal
education, certification and practical
experience in using computers in patient care
settings.
41. The Role of the NursingThe Role of the Nursing
Informatics Specialist (NIS)Informatics Specialist (NIS)
42. Roles of nurse informatics:Roles of nurse informatics:
To help in design and implementation of
hospital and nursing information system.
Nurse educators are using computers to
manage the educational environment and to
develop computed assisted instruction.
43. Nurses are to develop theory and methods of
inquiry, collaborate in the development of the
manual and computerized information technology
in nursing practice.
Also can involve all phases of the life cycle of
patient care information system; design,
development, selection, testing, implementation,
user education and support, system maintenance,
evaluation and enhancement.
44. THE AMERICAN NURSES ASSOCIATIONTHE AMERICAN NURSES ASSOCIATION
(ANA, 1994), LISTS SEVERAL FUNCTIONS(ANA, 1994), LISTS SEVERAL FUNCTIONS
OF THE NIS:OF THE NIS:
Theory development.
The NIS contributes to the scientific knowledge
base of nursing informatics.
Analysis of information needs.
The identification of information that nurses'
need to in order to accomplish their work; client
care, education, administration, and research
Selection of computer systems.
The NIS, guides the user in making informed
decisions related to the purchase of computer
systems.
45. Design of computer systems and
customizations.
The NIS collaborates with users and computer
programmers to make decisions about how data will
be displayed and accessed.
Testing of computer systems.
Systems must be checked for proper functioning
before they are made available for use in patient
care.
Training users of computer systems.
Users need to be trained in how the system works,
the importance of accurate data entry, and how the
system will benefit them, and more importantly how
it will improve patient outcomes
46. Evaluation of the effectiveness of computer systems.
The unique role of the NIS makes them the ideal person to
evaluate the effectiveness of computer systems.
Ongoing maintenance and enhancements.
The NIS makes sure the computerized system functions
properly and explores possible enhancements to the system
that will better serve the users and the patients.
Identification of computer technologies that can
benefit nursing.
The NIS must keep abreast of the changes in the fields of
computers and information technology, including new
hardware and software that will benefit the nurse and
patient.
47. The Need of Nurse InformaticistsThe Need of Nurse Informaticists
To analyze clinical and financial data
To Promote and facilitate access to resources and
references
To Provide nursing content to standardized
languages
To Enable cost savings and productivity goals
Source
48. CONCLUSIONCONCLUSION
Nursing informatics is a developing field of
study that is highly interdisciplinary. It is
strongly connected to education, business,
and computer science.
49. CONCLUSIONCONCLUSION
At present, nursing informatics is an emerging
field of study. National nursing organizations
support the need for nurses to become computer
literate and versed in the dynamics of nursing
informatics. We are at a transition period.
Programs that offer basic and further education
in nursing informatics are beginning to spring
up around the globe, but many more are needed
to provide easy access for motivated nurses.
