nursing informatics
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Nursing Informatics. Objectives. Introduce Nursing Informatics Certification for Nursing Informatics Application of Nursing Informatics Future of NI. How it all began…. Late 1960’s first computer systems were implemented in hospitals Computer nurses began to appear in hospitals - PowerPoint PPT PresentationTRANSCRIPT
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Nursing Informatics
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ObjectivesIntroduce Nursing InformaticsCertification for Nursing InformaticsApplication of Nursing InformaticsFuture of NI
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How it all began….Late 1960’s first computer systems were
implemented in hospitalsComputer nurses began to appear in hospitals
Excellent cliniciansTechnically curious and willing to try new things
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…or did it? The First Informatics
Nurse?“In attempting to arrive at the truth, I have applied
everywhere for information, but scarcely an instance have I been able to obtain hospital records for any purposes of comparison. If they could be obtained, they would enable us to decide many other questions besides the one alluded to. They would show subscribers how their money was spent, what amount of good was really being done with it, or whether the money was not doing mischief rather than good.”
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NI as a specialtyDisconnected partsRoles, titles, and responsibilities variedDefinitions similar, conceptual models
considered, research in varied directions, all good—standard languages
Panel assembled to help sort out the pieces
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Definitions1989—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.”
Image, p. 227
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1996—Turley defined Nursing Informatics as the intersection point with Nursing Science, Computer Science and Information Science.
1995—Graves et al, began to incorporate knowledge as a product of the sciences into the definition.
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National Center for Nursing Research
Began in 1988Noted scholars met to discuss priorities for nursing research
Dr. Gloria Bulechek, Dr. Judith Graves, Dr. Susan GrobeDr. Kathryn Hannah, Dr. Norma Lang, Dr. Judy Ozbolt, Dr. Wm Paisley,
Elliott Roberts, Dr. Samuel Schultz, and Rita ZielstorffDetermined ‘Criteria for Promising Dimensions’Group discussed early needs for standardization of data sets,
taxonomy to classify and allow for use of a common languageDeveloped seven focus areas for Nursing Informatics
» NCNR 1993 » Reference available on line:
http://www.nih.gov/ninr/research/vol4/Overview.html
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American Nurses Association
Recognized as a specialty in 1992Defined NI, outlined roles and responsibilities
and developed standards for practice.Certification for generalist
www.ana.org ANCC (American Nurses Credentialing Center)
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American Nurses Association
1994, Scope of Practice for Nursing Informatics“Nursing Informatics is the specialty that integrates
nursing science, computer science, and information science in identifying, collecting, processing, and managing data and information to support nursing practice, administration, education, research, and the expansion of nursing knowledge”.
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ANA today2001, Scope and Standards of Nursing
Informatics PracticeNI is an evolving field—expect change in definitionsThree categories of definitions
Technology focusedConceptually focusedRole-Orientated
To order or for additional info on the booklet: www.nursebooks.org (part of the ANA web site)
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New Definition -- ANA“Nursing Informatics is a specialty that integrates nursing
science, computer science, and information science to manage and communicate date, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support patients, nurses, and other 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.”
ANA (2001)p. 17
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CertificationBegan in 1995First computer based exam—able to take at any
time at any approved testing locationKnowledge expected of a NI generalistFocus areas of knowledge—from the NCNR
recommendations for focus
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Exam Focus AreasSystem Analysis and DesignSystem Implementation and SupportSystem Testing and EvaluationHuman FactorsComputer TechnologyInformation/Database ManagementProfessional Practice/Trends and IssuesTheories
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System Analysis and Design
Conducting need and feasibility assessmentsProcess flow chartingUnderstanding requirementsQuality management and customer satisfaction
concepts
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System Implementation and Support
Project management strategiesPolicies and proceduresEducation and trainingCommunication
Vendor managementCustomer expectations
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System Testing and Evaluation
Will it do what we hoped it would for the costs we thought in the time frame we planned?
This is our strength--assessmentDesign processTesting the systemReviewing output of the system—reportsMeasurement of pre-system goals
Less time, more efficiently, legibility, accurate data, single entry, etc
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Human FactorsErgonomicsRight tool for the location, the care delivered, the
care providerScreen flow, use of data for decisions
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Computer TechnologyUnderstanding of the actual technology
NetworksPersonal computersPortable devicesOperating systemsSoftware
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Information/Database Management
Understand database architecture—how data is stored and accessed
Nursing structureNomenclature/vocabularyTaxonomies and Coding Schemes
ICD-P, CPTNursing Minimum Data Sets
NIC,NOC, NANDA,
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TheoriesNursing CommunicationManagement SystemsInformationComputerBehavioral
Change theoryOrganizational behaviorLearning
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Professional Practice/Trends and IssuesEthicsPrivacyRoles of NI
Project Manager ResearcherEducator Consultant Advocate/Policy Developer Product DeveloperDecision Support / Outcomes Manager
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Future of Nursing Informatics
Emerging rolesCIO, Entrepreneurs, Product Developers, Web
design, Independent ConsultantsChallenges
Integration of data—duplication oftenInability to access data for decision makingUnique distinctions between roles has not been
defined--competencies
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Questions?
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ReferencesAmerican Nurses Association (ANA). (1996). The scope of
practice for nursing informatics. Washington, DC: AuthorAmerican Nurses Association (ANA). (2001). Scope and
standards of nursing informatics practice. Washington, DC: Author.
Graves, J.R. & Corcoran, S. (1989). The study of nursing informatics. Image, 21(4), 227-231.
Graves, J.R., Amos. L.K., Huether, S., Lange, L., and Thompson, C.B. (1995). Description of a graduate program in clinic nursing informatics. Computers in Nursing,13, 60-70.
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National Center for Nursing Research (NCNR). (1993). Nursing informatics: Enhancing patient care: A report to the NCNR priority expert panel on nursing informatics/national center for nursing research. NIH Publication No. 93-2419. Bethesda, MD: U.S. Department of Health and Human Services.
Turley, J.P. (1996). Toward a model for nursing informatics, Image, 28(4), 309-313.