Nsg informatics

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<ul><li>1.Nursing Informatics SANGEETHA ANTOE M.SC (N)SANGEETHA ANTOENURSING INFORMATICS1</li></ul><p>2. INTRODUCTION Health care is delivered in dynamic, complex, and ever changing environment Changes in medical treatments, regulations for federal and state reimbursement and public knowledge create growing demands for information. Computer has moved from nice to know luxury item to need to know. On average medical/ surgical nurse spent 34% of their time handling information SANGEETHA ANTOENURSING INFORMATICS2 3. Definition of Nursing Informatics Nursing informatics is a combination of computer science, information science and nursing science designed to assist in the management and processing of nursing data, information and knowledge. -Graves &amp; Corcoran,1989SANGEETHA ANTOENURSING INFORMATICS3 4. Definition of Nursing Informatics (2) Nursing informatics is using technology, research, and professional experience to manage nursing data, information, and knowledge to improve practice and deliver better health care.SANGEETHA ANTOENURSING INFORMATICS4 5. Nursing InformaticsSANGEETHA ANTOENURSING INFORMATICS5 6. Historical development Healthcare began to use computers in the 1950s. Computers, in this era, were typically used in the business office. In the 1970s, nursing began to realize the importance of computers to the nursing profession and became involved in the design, purchase, and implementation of information systemsSANGEETHA ANTOENURSING INFORMATICS6 7. Historical development In the 1980s, medical and nursing informatics specialties emerged. 1995 saw the first certification exam for NI. The post-2000 era saw an unprecedented explosion in the number and sophistication of both computer hardware and software.SANGEETHA ANTOENURSING INFORMATICS7 8. Historical develpoment Telemedicine became possible and was recognized as a specialty in the late 1990s . NI has experienced rapid growth in the last 40 years which does not appear to be slowing.SANGEETHA ANTOENURSING INFORMATICS8 9. All Nurses Must Possess computer skillsBe able to use applications, and Know how to manage information and knowledge SANGEETHA ANTOENURSING INFORMATICS9 10. Why is it important? Informatics enables nurses to use information and communications technologies in the: collection of data, use of information generation of knowledge to support nursing practiceSANGEETHA ANTOENURSING INFORMATICSTechnology Nursing10 11. Nursing information system Nursing Information Systems When time and energy are at a premium, using a Nursing Information System (NIS) in acute care settings can assist in applying nursing knowledge and wisdom to everyday care Documentation can be more timely, more complete, and more accurate when captured at the point of origin, usually the clients bedside in acute care settings.SANGEETHA ANTOENURSING INFORMATICS11 12. Functional Areas of Nursing Informatics : ANA Scope and Standards of Practice Administration, leadership and management Analysis Compliance &amp; integrity management Consultation Coordination, facilitation, &amp; integration Development Educational &amp; professional development Policy development &amp; advocacy Research evaluationSANGEETHA ANTOENURSING INFORMATICS12 13. 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 information and technology in the direct provision of care in establishing effective administrative systems in managing and delivering educational experiences insupporting lifelong learning in supporting nursing researchSANGEETHA ANTOENURSING INFORMATICS13 14. The Value of Nurse Informaticists Supportnursing work processes using technology Design systems to match clinical workflows Telehealth Home health Ambulatory care Long-term care Acute care all specialties Outpatient settings Software development Redesign work flows SANGEETHA ANTOENURSING INFORMATICS14 15. The Value of Nurse Informaticists Increase the accuracy and completeness of nursing documentation Improve the nurses workflow Eliminate redundant documentation Automate the collection and reuse of nursing data Facilitate analysis of clinical dataSANGEETHA ANTOENURSING INFORMATICS15 16. Using information Evidence-based practice leads to: Determining standards and guidelines Guide for decision-making process Determines best practice Nursing informatics can enable dissemination of new knowledge. Practitioners update themselves of new developments through journals, conferences, continuing education sessions. . SANGEETHA ANTOENURSING INFORMATICS16 17. Disaster Nursing InformaticsSANGEETHA ANTOENURSING INFORMATICS17 18. The Benefits of Nursing Informatics In the practice of professional nursing In the delivery of patient care in the healthcare continuumSANGEETHA ANTOENURSING INFORMATICS18 19. The Benefits of Nursing Informaticists Benefits for nurses and the interdisciplinary team: a. Support for their mission to deliver high quality, evidence-based care b. Support for better service by facilitating true interdisciplinary care c. Promotes improvement in key relationships with physicians, peers, interdisciplinary care team members, patients and familiesSANGEETHA ANTOENURSING INFORMATICS19 20. EDUCATION IN INFORMATICS Both formal and informal education for nursing informatics are available. Needs B.Sc (N) plus a second degree in computer science or information technologySANGEETHA ANTOENURSING INFORMATICS20 21. Formal informatics Category I- it is a graduate programs with a specialist nursing informatics focus. Category II- in this program students take 6 to 12 months credits of course work in informatics Category III- offer individual courses in nursing informatics at both the graduate and undergraduate level. SANGEETHA ANTOENURSING INFORMATICS21 22. Informal education Networking through professional organizations Keeping abreast of literature by Reading journals Professional conferencesSANGEETHA ANTOENURSING INFORMATICS22 23. Frist Nursing Informatics CenterSANGEETHA ANTOENURSING INFORMATICS23 24. Certification: American Nurses Credentialing Center (ANCC) offers certification: Possess active registered nursing license B.Sc (N) or higher Nursing degree Have practiced at least 2 years Have earned 20 contact hours of continuing education credit. SANGEETHA ANTOENURSING INFORMATICS24 25. NEEDED COMPETENCIESSANGEETHA ANTOENURSING INFORMATICS25 26. TECHNICAL COMPETENCIES Technical competencies are related to the actual psychomotor use of computers and other technological equipment. Specific nursing informatics competencies include the ability to use selected applications in a comfortable and knowledgeable way. It is important that nurses feel confident in their use of computers and software in the practice setting, especially at the bedside, in order to be able to attend to the client at the same time.SANGEETHA ANTOENURSING INFORMATICS26 27. TECHNICAL COMPETENCIESWord processing Keyboarding Spreadsheets Presentation Graphics Databases Desktop Publishing Periphereals (printers, CD-ROMS, DVD) World Wide Web SANGEETHA ANTOE E-mail programs Expert data systems Multimedia Telecommunication devices Nursing information systems Hospital information system NURSING INFORMATICS27 28. UTILITY COMPETENCIES Utility competencies are related to the process of using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying evidenced based practice, critical thinking, and accountability in the use of selected applications in a comfortable and knowledgeable waySANGEETHA ANTOENURSING INFORMATICS28 29. LEADERSHIP COMPETENCIES Leadership competencies are related to the ethical and management issues related to using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying accountability, client privacy and confidentiality and quality assurance in documentation in the use of selected applications in a comfortable and knowledgeable waySANGEETHA ANTOENURSING INFORMATICS29 30. NI Leadership Role Evidence-Based Practice Computer literacy skills Information literacy skills Project Management skills Change Management skills Process Management skills Information management and communication Data analysis Trending &amp; forecastingSANGEETHA ANTOE Resource Planning, Utilization &amp; Evaluation Technology Assessment Administration Safety &amp; quality Make judgments based on data trends &amp; patterns Consultant InnovatorNURSING INFORMATICS30 31. Nursing Informatics Future Ubiquitous computing is becoming a reality and the continued innovation and miniaturization of technology is evident. Consequently partnering between nurses in all specialties and new technologies is becoming imperative The speed of information transfer and the increasing availability of communication technologies will impact nurses and informatics nurse specialists in the future, making nursing practice and NI, in particular, more international in practices with world-wide standards, competencies and curricula SANGEETHA ANTOENURSING INFORMATICS31 32. Future of Nursing Informatics Acute careoutpatient careHome care Need knowledgeable practitioners to investigate, implement and use automation Practitioners will be hired not so much for their knowledge of skill as for their ability to handle information to make decision that produce cost effective results. SANGEETHA ANTOENURSING INFORMATICS32 33. Future of Nursing Informatics Emerging roles Entrepreneurs, Product Developers, Web design, Independent Consultants Challenges Integration of dataduplication often Inability to access data for decision makingSANGEETHA ANTOENURSING INFORMATICS33 34. COMPUTERSANGEETHA ANTOENURSING INFORMATICS34 35. Development of modern computing Phase I- Main frame era many people share one computer Phase II- PC era one person to one computer Phase III1. Ubiquitous computing many computers to each person Matsushita of Japan developed a prototype toilet that includes online health monitoring system. 2. Internet SANGEETHA ANTOENURSING INFORMATICS35 36. OFFICE AUTOMATION Nursing office automation is the integrated electronic technology distributed throughout the Nursing administrative office. Affects the filing and retrieval of documents, text processing, telephone communication and informal meetings.SANGEETHA ANTOENURSING INFORMATICS36 37. OFFICE AUTOMATION Word processing Typed material is entered onto some form of magnetic media. The equipment has the capability of easily moving sentences, paragraphs or entire page to different part of the document. The document can be processed against automatic spelling and grammar checker program. Data can be stored and retrieved for further revisionSANGEETHA ANTOENURSING INFORMATICS37 38. OFFICE AUTOMATION Electronic filing With electronic filing system it is possible to search for documents by keywords, titles, originators name or date of preparation.SANGEETHA ANTOENURSING INFORMATICS38 39. OFFICE AUTOMATION Electronic document distribution(EDD) Used for transmitting cash reports, draft of contracts, questionnaires routine correspondence and other administrative documents.SANGEETHA ANTOENURSING INFORMATICS39 40. OFFICE AUTOMATION Electronic mail It is unofficial electronic communication among individuals or office. It replaces several telephone calls that would be required to impart the same message.SANGEETHA ANTOENURSING INFORMATICS40 41. Electronic Health Record (EHR) a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.SANGEETHA ANTOENURSING INFORMATICS41 42. EHRs. The EHR has the ability to generate a complete record of a clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface including evidence-based decision support, quality management, and outcomes reporting.SANGEETHA ANTOENURSING INFORMATICS42 43. E-health E-health is a client-centered World Wide Web-based network where clients and health care providers collaborate through ICT mediums to research, seek, manage, deliver, refer, arrange, and consult with others about health related information and concernsSANGEETHA ANTOENURSING INFORMATICS43 44. Nursing Roles in E-health health advisors Internet guides to help clients select reliable information resources support group liaisons web information providers Nurses need to be involved in the design and implementation of E-health portals and programs that provide the best possible experience for health care clients.SANGEETHA ANTOENURSING INFORMATICS44 45. Tele-nursing Telenursingis the branch of telehealth that involves actual nursing and client interaction through the medium of information technology SANGEETHA ANTOENURSING INFORMATICS45 46. Benefits of Telenursing Nursescan actually view healing wounds, can access physiological monitoring equipment to measure physical indicators such as vital signs and provide routine assessment and follow-up care without the client having to travel to the health care agency for an appointment. New technologies have added a visual component to the interactions that augments the historic audio exchange.SANGEETHA ANTOENURSING INFORMATICS46 47. Interaction with other health care professionalsSANGEETHA ANTOENURSING INFORMATICS47 48. Computerized documentation systemSANGEETHA ANTOENURSING INFORMATICS48 49. COMPUTERIZED DOCUMENTATION SYSTEM 1. Auditing Computers are making it possible to audit records on an ongoing basis and provide feedback to care providers on the completeness of their documentationSANGEETHA ANTOENURSING INFORMATICS49 50. COMPUTERIZED DOCUMENTATION SYSTEM contd2. Billing systems Entering both patient information and a provider password into a computer inorder to access supplies or medications. This means no items can be taken without proper authorization and expenses can be attributed to the appropriate patient.SANGEETHA ANTOENURSING INFORMATICS50 51. COMPUTERIZED DOCUMENTATION SYSTEM contd3. Patient information retrieval Results of lab and diagnostic tests have been posted to computer records, made rapidly available to those who need itSANGEETHA ANTOENURSING INFORMATICS51 52. COMPUTERIZED DOCUMENTATION SYSTEM contd4. Order entry a.Entry of physicians order, lab tests, diagnostic tests and therapies is recorded b. eliminate source of error such as illegible handwriting, mistakes regarding abbrevation, and confusion over spelling of similar drug names.SANGEETHA ANTOENURSING INFORMATICS52 53. COMPUTERIZED DOCUMENT...</p>