Nursing_Informatics.pptx for Nursing students

Nursing Informatics ,Health technology

1. Some question before – we go What are the differences among NI, health informatics, and consumer health informatics? Did you know nursing informatics is a discipline unto itself ? How -nursing informatics might apply to your practice? What are some of the skills taken from NI that you might use ?

2. Questions – for those who want to learn - What are some of the benefits of a new EHR? Will there be training and support available – for new system? If training is available, how long will it take? Is that on-hand practice in hospital is not enough What are the first basic skills needed -- in the new system?

3. Is nursing informatics a distinct specialty within nursing Is it applies in all the nursing duties Data/Information- intensive

4. combining nursing, information, and computer sciences for managing and processing data into knowledge Basically inter-disciplinary

5. History and definition Many aspects-- such as patient care, decision support systems, imaging informatics, electronic patient records, intelligent systems, e-learning and Tele-nursing

6. IT integration By 2006 IT was integrated in all aspects of nursing Clinical nursing, Nursing management, Research work in nursing Nursing education (Guenther & Peters, 2006).

7. Nursing -- as a Science Unifies with analytical sciences to identify, define and manage data within nursing practice.

8. Evolution IT in nursing informatics In the 1960s, computer systems – in hospitals for financial and billing purposes In the 1970s, nurses Involved in designing and applying information technology in hospitals In the 1980s, nurses used to assist with patient care ; for example, admissions, food, and medication administration (Murphy, 2010). Of late -- transformed and changed the healthcare sector in all areas and became part of routine work

9. Nursing Knowledge Pool Is on par with other science and technology Yes it has its own body of knowledge –using empirics (based on experiences and observation) Own way of doing things and applying knowledge Own way of interaction between consumers and the nurse

10. Visible change in IT application Rising adoption rates of electronic health records Nursing professionals – have intimate understanding of workflow --- Usability of the software – is very important Technology is not being i ncorporated into everyday nursing practice in a way it has to be

11. Expectation - from Nurses S a f e , c o m p e t e nt and C ompassionate care Specifically in electronic e n v i r o n m e n t B y Using Information technology - efficiently

12. Routine input from Nursing professional C ollect data --- While assessing and monitoring R ecord their observation i n -patient c h a r t E xchange s e r v i c e r e q u e s t s with C linical laboratory R adiology other department R ecieve and review the admission data and discharge summaries Summarize , calculate and i nterpret -- workload for their nursing units for monitoring and manag e ment purposes C o - c l i n i c a l g u i d e l i n e s --- co nsult evidence based a n d p r o t o cols to guide their practice

13. Advantage of Nursing Informatics automation of clinical data records, accessing patient information any time, enhancing real time clinical c ommunication , reducing documentation and clinical error, minimizing paper use, making data collection and analysis easier, tracking the patient care process, supporting decision-making processes, and enhancing hospital operation and management ( Eley , Soar, Buikstra , Fallon, & Hegney , 2009; Crist -Grundman & Mulrooney , 2011; Mays, Kelley, & Sanford, 2008; Piscotty & Tzeng, 2011; Sweis et al., 2014 & Turner, Kitchenham , Brereton, Charters & Budgen , 2010).

14. Nurses - to u s e Evidence –based practice Clinical-decision support tools EHR – Electronic Health Records

15. Skills required Technical skills --- to manage equipment and perform p r o c e d u r e s V i r t u a l i n t e r a c t i o n skills – t o i n t e r a c t a p p r o p r i a t e l y C o g n i t i v e s k i l l s --- t o o b s e r v e , recognize, collect, a n a l y z e a n d i n t e r p r e t d a t a T o re a c h c o n c l u s i o n --- w h i c h f o r m d e c i s i o n s u p p o r t Nursing is information intensive p r o f e s s i o n

16. Competencies at different level Competencies required Beginner nurse, experienced nurse, informatics specialist, informatics innovator

17. N u r s e s g o t m a n y r o l e s N u r s e s g o t m a n y r o l e s knowledge workers --- Generating and working with information Knowledge as a Product K n o w l e d g e a c q u i r e r --- c a p t u r i n g a n d s t o r i n g o f k n o w l e d g e Knowledge user --- started d e riving value f o r information Knowledge engineers Designing , developing, implementing and maintaining knowledge Knowledge Managers--- capturing and p r o c e s s i n g c o l l e c t i v e e x p e r t i s e a n d d i s t r i b u t i n g i t

18. Approach to Nursing Informatics Technology -oriented, Conceptually oriented, Role-oriented definitions

19. Information Technology–oriented Application of computer technology to all fields of nursing nursing service, nurse education, nursing research in some cases are overstated In some cases –over- emphasized

20. Conceptually Oriented Beyond just a focus on technology how clinical nurses structure clinical problems how they ask questions of the information system how captured data are used in decision making clinical decision-making process in the design of information systems focus from technology to information concepts by expressly incorporating information science

21. Nursing Informatics – as distinct specialty Conceptual analysis supported the need for -- distinct spatiality Placed the concepts of nursing data, decisions, and processes in a theoretical model --- flow of data , information, and knowledge relationships among these key nursing processes

22. Role-oriented Definitions informatics nurse specialists -- prevalent A specialty Integrates nursing science, computer science, information science in identifying, collecting, processing, and managing data and information to support nursing practice, administration, education, and research and to expand nursing knowledge

23. Latest developments Become Integral part of clinical Information Enhance quality Reduce mistakes Improve Information flow

24. Electronic patient records became ---- integral part of clinical information systems .

25. How nursing Informatics enhance Quality improving patient care -- from accuracy and precision in complex tasks, clinical decision-making, communication between caregivers/ medical experts to streamlining medical procedures and streamlining patient records management – among many other advantages

26. Enhance quality care delivery Reducing mistakes Information flow can be improved Improving patient record storage Empowering patients Save time

27. Reducing Mistakes Mistakes can be very expensive --to both patients and providers alike. An error could harm them directly, while procedures or treatments may need to be repeated or changed altogether, leaving many at risk. Eventually, patients or their families might even file suits to seek justice against providers and health organizations for such negligence.

28. Clinical decision support systems (CDSSs), Can aid nurses -- in making key decisions -- more easily To use such health information technologies effectively for patient care purposes requires being knowledgeable of how and where data comes from in order to interpret and utilize its meaning in an optimal fashion with hands-on experience.

29. Improve Information Flow Previously -- health system was --organized as silos; Now, it works more effectively, allowing patients to track their own health while physicians can check records from multiple specialties with one visit; patients also benefit from seeing multiple medical specialists within an office visit.

30. Benefits of nursing informatics to access, share and disseminate patient records more efficiently – without errors and with greater ease including notes about special cases such as discharge instructions, or preventive services that need sharing among doctors or clinical staff in healthcare organizations

31. Improves Patient Record Storage Before this change was implemented, large medical facilities typically stored patient records in filing cabinets that took medical staff hours or days to access all information – which caused delays when diagnosing and treating patients due to having all information updated simultaneously with treatment details shared immediately after being updated or shared at all. This was greatly inefficient when large facilities tried storing details about patients securely online instead. Nursing informatics improves care quality by securely storing and sharing patient records electronically, thus decreasing nurse workload and the potential risk of errors or delays.

32. Empower Patients Patients often find health care confusing if they can’t access or recall past diagnoses and  patient safety issues in nursing  easily, making accessing all their medical info , such as past treatments, easier access to all the relevant details pertaining to them and their care plan – including treatment history if applicable. Patients who maintain medical records can more easily keep track of symptoms and medications while reaching out to healthcare professionals when needed.

33. Saving Time Nurses need to understand contraindications – symptoms or medical conditions which interact negatively with certain treatments – which could limit patient treatment options and can take considerable time and resources when searching through manual records or trying to comprehend divergent data on contraindications. Nurse informatics – particularly its automation of a broad range of medical tasks, such as warning treating medical professionals of potential contraindications – is an efficient and time-saving solution that improves patient care in a range of settings.

34. became integral to health care Address the following First – role of patients in nursing for informatics Second , in the clinical setting , nurses are information integrators at the patient level Third - inter-relationships --addressed Fourth, the role of knowledge building through research

35. Finally -- to To consider pertinent theories, concepts, tools, and structures ---- useful to the informatics nurse specialist— information structures (taxonomies and other meaningful organization of information), information technology, communication of information

36. Education and competencies -- required Many aspects are identified in healthcare informatics data recovery, ethics, patient care, decision support systems, human-computer interaction, information systems, imaging informatics, computer science, information science, security, electronic patient records, intelligent systems e-learning and telenursing

37. Competencies of nursing informatics specialists Three categories including computer skills, informatics knowledge informatics skills.

38. Computer Skills Computerized searches and retrieving patient demographics data, Use of telecommunication devices, Documentation of patient care Use of information technologies for improving nursing care Use of networks and computer technology safely.

39. Informatics Knowledge nursing data for improving practice formulation of ethical decisions in computing value of clinicians' involvement in the design, selection, implementation, and evaluation of systems in health care

40. Informatics Skills Interpretation of information flow within the organization preparation of process information flow charts for all aspects of clinical systems development of standards and database structures to facilitate clinical care, education, administration or research development of innovative and analytic techniques for scientific inquiry in nursing informatics and new data organizing methods and research designs conducting of basic science research to support the theoretical development of informatics Information literacy skills, competencies, and knowledge

41. Nursing informaticist American Medical Informatics Association defines the nurse informaticist’s To support evidence-based practice, research and education To build an interoperable national data infrastructure To disseminate new knowledge into practice Information retrieval to support safe patient-centered care To address interprofessional work flow needs across all care venues Design and implementation of ICT Definition of health care policy to advance the public’s health

42. What do the work Managing EMR/ EHR Updating the National Database of health care information Evaluating clinical statistics Assisting - in data interpretation and use Analyzing the success and quality of health care initiatives Improving the use of technology within the organization, including clinical practices and workflows

43. Where do nurse informaticists work? hospitals -in business, industry and academic settings IT company, medical school, long-term care facility, clinic or university

44. Skills for a nurse informaticist To  locate and evaluate the data in information banks and medical databases  Collecting and using patient data for analysis and dissemination, developing analytic techniques designing research data organizing methods To identify gaps and trends determine ways to simplify storing and retrieving data Skills – in optimization of patient care -in an organization

45. Research skills  To find an answer – day-in and day-out questions or problems gather information about a topic, review that information analyze and interpret -to support a solution

46. Conclusion Nursing Informatics acts as agent for change in the nursing profession and healthcare management. recognize the significance of nursing careers and patient care and understand its potential benefits and impact.

47. 2017 –survey by HIMSS (sample response 660) Education (of the sample in USA) 57% - have a PG in NI 41% -planned to pursue additional informatics education and training Increased – by 3 percentage - between the 2014 and 2017 PG nursing informatics or other informatics 49% - some certification 51% - pursuing some type of certification within the next year

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49. Essential informatics nurse skills include: Clinical experience - understanding of the information needs Proficiency in EHRs, data analytics , and other health care technologies An ability to adapt to emerging technology and skills in data analysis and interpretation Project management skills related to system implementation, upgrades, or process improvements Strong communication skills – to collaborate with interdisciplinary teams The ability to promote advocacy for nursing ethics and patient safety and privacy

50. Driving Forces Driving Forces Quality Improvement (QI) and informatics skills and competencies Communication, Managing knowledge, Mitigating error, and Supporting decision-making

51. To support process and structure of nursing information to support Clinical decision making and delivery of nursing care It support information structures, information processes, information technology

52. 2017 –survey by HIMSS (sample response 660) Education (of the sample in USA) 57% - have a PG in NI 41% -planned to pursue additional informatics education and training Increased – by 3 percentage - between the 2014 and 2017 PG nursing informatics or other informatics 49% - some certification 51% - pursuing some type of certification within the next year

53. Thank you