Nursing Informatics day 5 Nursing Informatics day 5.pptx

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1. Introduction to Standardized Terminologies

2. Introduction to Standardized Terminologies Accessibility: Ubiquity: Longevity: Reusability:

3. Introduction to Standardized Terminologies Accessibility: Ubiquity: Longevity: Reusability:

4. Nursing Terminology Capture Represent Access

5. Nursing Terminology Communicate nursing data Information Knowledge

6. S tandardized N ursing T erminology is a nursing terminology that is in some way approved by an appropriate authority or by general consent

7. Enumerative Approach words or phrases are represented in a list or a simple hierarchy

8. Ontological Approach makes it well-suited to support the development of local terminologies.

9. Exploiting Commonality Among Nursing Terminologies Scale Scope Structure Intended use

10. Exploiting Commonality Among Nursing Terminologies Scale Scope Structure Intended use

11. Terminology or Ontology describes how general entities are represented and how those representations relate to each other.

12. Thought Provoking Questions What to you believe are the advantages and disadvantages of having a single shared consensus-driven model of terminology use? How can a single agreed model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?

13. Nursing Informatics Roles, Competencies and Skills

14. derived from the French term informatique which means to refer to the computer milieu What is Nursing Informatics?

15. NI as a “combination of computer science, information science and nursing science Graves and Corcoran

16. is based on science, it is an applied science and not a basic science. data, information, and knowledge are key components of NI practice. American Nurses Association (ANA)

17. Data Information Knowledge Core Sciences Foundation of NI Practice

18. Healthcare began to use computers in the 1950’s. 1970’s, nursing began to realize the importance of computers History

19. 1980’s, medical and nursing informatics specialties emerged 1995 saw the first certification exam for NI 2000 explosion of both computer hardware and software. History

20. 1990’s Telemedicine became possible and was recognized as specialty. NI rapid growth in the last 40 years History

21. nurses use data and information converted to knowledge. initiating a plan of care Knowledge Worker

22. the distillation of information that has been collected, classified, organized, integrated, abstracted, and value added Knowledge

23. one that works especially at manual or industrial labor or with a particular material worker

24. as one who has advanced formal education and is able to apply theoretical and analytical knowledge. must be a continuous learner and a specialist in a field. Knowledge Worker

25. as one who has advanced formal education and is able to apply theoretical and analytical knowledge. must be a continuous learner and a specialist in a field. Knowledge Worker

26. as one who has advanced formal education and is able to apply theoretical and analytical knowledge. must be a continuous learner and a specialist in a field. Knowledge Worker

27. A well-functioning team will consistently outperform an individual Knowledge Worker

28. A well-functioning team will consistently outperform an individual Knowledge Worker

29. transition from the Industrial Age to the Information Age Knowledge Workers and Healthcare

30. Nursing entails a significant amount of knowledge and non-knowledge work. Knowledge work would include such things as interpreting trends in labs and symptoms. Non-knowledge work would include such items as calling the lab to check on lab results or making beds. Nurses as Knowledge Workers

31. Nurses will transition from knowledge users to knowledge builders Nurses as Knowledge Workers

32. The information-user role requires a system that can transform clinical data into a format that allows for easy recognition of patterns and trends. The knowledge-user role is the least supported role and many systems are currently looking at ways to support the nurses in this role. Nurses as Knowledge Workers

33. The knowledge-builder role is typically seen in conjunction with the nurse researcher role and quality management roles. The knowledge needs of nurses will continue to improve as the systems improve. Nurses as Knowledge Workers

34. In order for nurses to be treated as a knowledge workers, nurses must first be recognized as knowledge workers Nursing Challenges

35. Computers, technology, and the informatics fields Nurses deal with a vast amount of information and knowledge every day The Nurses Knowledge Needs

36. Nurses rely on their own knowledge but there are times when this is not adequate and they must access information in order to provide safe patient care. The Nurses Knowledge Needs

37. Decision support systems (DSSs) may be incorporated into the EHR. One challenge, that healthcare is currently facing, is the vast differences in computer literacy and information management skills that healthcare workers possess The Nurses Knowledge Needs

38. Staggers, Gassert , & Curran (2002) conducted a Delphi Study to validate the placement of the competencies into the correct skill level. Of the 305 original competencies identified, 281 achieved an 80% approval rating for both importance as a competency and for placement in the correct practice level. The Nurses Knowledge Needs

39. computers were introduced into healthcare Nursing has been involved in the purchase, design, and implementation of Information Systems Nursing Informatics Specialty Practice

40. involved heavily in the design of educational materials Nursing Informatics Specialty Practice

41. Computers have revolutionized Patients access information Educational process Nursing Informatics Specialty Practice

42. Nurses who enter this field may have done so by accident because they were comfortable working with computers and their co-workers used them as a resource for computer related questions. Assisting nurses to incorporate this new technology into their daily workflow is one of many challenges that the nurse informatics specialist (NIS) may tackle. Nursing Informatics Specialty Practice

43. The first two graduate NI programs University of Maryland University of Utah Nursing Informatics Specialty Practice

44. The first two graduate NI programs University of Maryland University of Utah Nursing Informatics Specialty Practice

45. The first two graduate NI programs University of Maryland University of Utah Nursing Informatics Specialty Practice

46. Thought Provoking Questions Hospital C is looking to implement an EHR. It has been suggested that a NIS be hired. This position does not involve direct patient care and the administration is struggling with how to justify the position. How can this position be justified? This chapter discusses the fact that nurses are knowledge workers. How does nursing move from measuring the tasks completed to measuring the final outcome of the patient?