Ppt on nursing informatics

Nursing informatics is another important career choice for nurses. The nurses need to be techno-savvy to become more competent for patient care.

1. NURSING INFORMATICS IN HOSPITAL AND COMMUNITY BY, MS SHWETA GEJAM

2. OBJECTIVES Define nursing informatics. Discuss history of nursing informatics Discuss the benefits of nursing informatics. Explain functions of nursing informatics. Discuss importance of nursing informatics. Explain nursing informatics in hospital. Explain nursing informatics in community. Describe the impact of nursing informatics in nursing profession. Describe role of nurse in nursing informatics. Discuss the difference between Health Care informatics and Nursing Informatics.

3. MEANING Informatics comes from the French word “informatique” which means “computer science”. • Informatics is defined as computer science+ information science.

4. DEFINITION Hebda (1998), defines nursing informatics as “the use of computers technology to support nursing, including clinical practice, administration, education and research.”

5. ANA (American Nurses Association) 1994, has defined nursing informatics as the development and evaluation of applications, tools, processes and structures which assist nurses with the management of data in taking care of patients or supporting the practice of nursing.

6. HISTORY OF NURSING INFORMATICS

7. Florence nightingale has been recognized as an early informatics nurse because of her use of data to inform knowledge and change nursing practices.

8. In 1863, she was very clear in her desire to collect, retrieve and analyze data to be able to recognize trends in illness and treatments to improve the quality of care. In 1950s and 1960s many significant changes were underwent for the health care and for the nursing profession in developing countries. In 19770s the nursing staff became instrumental in development of nursing application for hospital information systems.

9. In the 1970s and early 1980s nursing informatics was broadly defined as the use of computers technology to support all aspects of nursing practice, and it was frequently confused with computer literacy skills of the nurse. During 1990s and beyond the internet became the tool for web based clinical applications for health care professional. In 1996 truly introduced a model that illustrate the interaction of the sciences that contribute to nursing informatics, computer science, language processing and visual attention.

10. BENEFITS OF COMPUTER AUTOMATION IN HEALTH CARE 1) Decreased redundancy of data entry 2) Decreased time spent in documentation 3) Increased time for client care

11. 4) Facilitation of data collection for research 5) Improved communication and decreased potential for error 6) Creation of a lifetime clinical record facilitated by information systems

12. FUNCTIONS OF NURSING INFORMATICS Nursing informatics allows nurses to access health information in order to develop, implement, and evaluate methods of patient care or treatment.

13. Nurses are able to review all information related to particular patient, which can lead to more efficient, which can lead to more efficient communication and care.

14. IMPORTANCE OF NURSING INFORMATICS Enables the appropriate flow of data collected by nurses, improving access to patient information at the point of care, and enhancing nursing abilities to benchmark , monitor and audit quality measures.

15. Aids to collect, store, process, display, retrieve and communicate timely data and information in and across health care facilities designed to Administer nursing services and resource. Manage delivery of patient and nursing care including documentation and planning. Link research resources and finding to nursing practice Apply educational resources to nursing education.

16. Facilitates the integration of data, information and knowledge to support client, nurses and other provider in their decision making in all roles and settings. Promotes the generation, management and processing of relevant data in order to use information and develop knowledge that supports nursing in all practice domains to improve practice and deliver better nursing care.

17. This knowledge is useful to nurses in decision making at the operational and strategic planning levels of health care. Nursing informatics allows for the evaluation of nursing practice.

18. NURSING INFORMATICS IN HOSPITAL

19. Storage of Patient Data: Store note of the patient observe during round. Access the right medical information at the right time. To access information when you need to be quick, efficient and accurate .

20. 2) Computerized Presentations: Computerized power point presentations are much more efficient and has more impact on the receiver when it comes to presenting data. Even in the field of nursing education, computers help the nursing tutors/educators to present the large and complicated detailed form of data, which of course is a part of the medical study, in a very simplified and effective form.

21. 3) Teaching nurses through Simulations: The field of medicine involves the concept of "hands-on work". Nursing education therefore, must involve a lot of practice programs to make the students efficient to face the real life scenario. Computer programs which enable simulate such procedures therefore are of great use.

22. 4) Computerized Self Evaluation Computers also contribute and help the students know their strengths and weaknesses. There are many computerized quiz and medical tests with immediate feedback that can help you brush and develop your medical facts and requirements without any delay.

23. 5) Medical Data Every day hospitals and clinics which are attached to it churn out enormous volumes of data regarding patients, prescriptions, medications, medical billing details, etc. Such medical records, are now a day‘s recorded into medical billing software. Such mammoth databases are known as Electronic Medical Records (EMR) and Electronic Health Records (EHR).

24. 6) Medical Imaging:

25. 7) Medical Examination: Medical monitoring which will help humans to properly monitor their own health. Such systems and procedures include, bone scan procedure, prenatal ultrasound imaging, blood glucose monitors, advanced endoscopy which is used during surgery and blood pressure monitors. Basically these medical tests and tools provide significant convenience to medical practitioners.

26. Other uses of computer in hospital Assessment: Patient monitoring: Documentation: Nursing minimum data sheet: Telemedicine: Electronic Medical Records (EMR):  Increased efficiency:  Improved documentation:  Improved quality of care:  Improved security:  Reduced documentation expenses:

27. NURSING INFORMATICS IN COMMUNITY Computer networks are being used in innovative ways in home setting. The main uses of computers in community are: A computer placed in high risk clients home allows them to access information on a variety of health topics.

28. They can record data about their health status that can be transmitted to the health care providers at the central network computer. Advances telenursing or telehealth. Gathering of epidemiological and administrative statistics. Patient appointments- identification system. Patient assessment and data gathering. Monitoring. Documentation.

29. National Rural Health Mission (NRHM) The Accredited Social Health Activist (ASHA)- in each of the 6 lakh villages of the country so that the medical needs of the people living in remote areas could be taken care of. ASHA would be connected with a telephone as well as a computer with the rest of the facilities in the public health care chain.

30. Primary health center Designed to lessen the paperwork responsibility, get better data accuracy, and facilitate village health worker to provide timely care and information to the rural and semi urban population. 2 projects were designed for this. 1.Health Management Research Institute 2.Emergency Management Research Institute

31. Other uses in community Community information Monthly report (no of birth, immunization, communicable disease, deaths, delivery) Planning for program Planning for mobile clinic with regard to the information Vital statistics Hospital statistics Community mapping Research Epidemic outbreak Demographic characteristics of population Mass education

32. IMPACT OF NURSING INFORMATICS IN NURSING PROFESSION The nursing profession is rapidly changing to keep up with advancements and new challenges in the healthcare field. As direct caregivers, nurses are in the front lines of patient care and consequently often feel the impact of changes in best practices more immediately than other healthcare professionals.

33. Assistant Professor of Biomedical and Health Information Sciences at the University of Illinois at Chicago, reported that there are three specific challenges that healthcare is currently facing: The aging population The incidence and prevalence of chronic diseases – such as cardiovascular disease, diabetes and pulmonary disease The shortage of doctors and nurses.

34. “ A lot of these challenges can be supported by the avocation of information and communication technologies, particularly as hospitals are becoming more and more interested in reducing their costs and shifting care from hospital care to home care,” “Information and communication technologies, mobile health devices, wearable technologies are all becoming very, very important for supporting remote patient monitoring and home care.”

35. One of the primary ways that informatics has changed nursing practice is through documentation. Health informatics is also an important part of care coordination in nursing. The ability to track staffing, workflow and communication can help nurses to identify areas where current processes can be improved. This can also help ensure that staffing levels remain adequate, which is critical for providing patients with the best possible care.

36. Disadvantages of Technology in Nursing Set Up and Internet Access: An important disadvantage of technology in nursing is that some patients may not be savvy with technology. Some patients may not have mobile phones or Internet access, making applications and video visits useless for them. At the Mercy of the Server/Power: If either of these things goes down due to weather, connectivity problems, or natural disasters, you’re basically unable to do anything at all. This would be especially problematic in a nursing classroom setting if simulations and virtual technologies are being used as well as in a hospital when conducting video calls or procedures that require machinery.

37. Potential Lack of Attention to Detail : While technology in nursing should lead to fewer medical errors, there is no guarantee that it will eradicate ALL errors. Human efficiency and thought are still important, which is why nurses, doctors, and patients must remember that technology does not always have the final say. There is still plenty of room for error, and all diagnoses, treatments, and care plans should be double and triple checked to ensure safety an accuracy overall. Malfunctioning Equipment : One of the biggest headaches of technology is what happens when technology just doesn’t work. 

38. ROLE OF NURSE IN NURSING INFORMATICS Nurse Informaticists are often perceived as the “techy” nurse, “super-user”, or the “go-to” person when new technology is implemented. They are often referred to as “bi-lingual” nurses who can speak the nursing process and information technology language. Being an expert in both fields and a liaison between the two worlds, nurses have assumed different roles and positions in the arena of informatics.

39. A recent survey conducted by Healthcare Information and Management Systems Society (HIMSS) revealed that 14% of nurses are in nursing informatics role. Nurses comprise the biggest workforce in healthcare. This being said, nurses are the largest work-group of end-users of electronic medical record and clinical information systems; therefore, it is imperative that nurses are well-represented in the selection, design, implementation, and evaluation of clinical information systems. Evidence has shown that nurses who were involved in the clinical information system cycle have more buy-in, user-acceptance, and positive perception – all are precursors to successful implementation.

40. Difference between health care informatics and nursing informatics

41. HEALTH CARE INFORMATICS NURSING INFORMATICS FOCUS Numerous roles within health care, emphasizing compliance with regulations and improving hospital finances. Patient focused, emphasizing improvement in patient care. RESPONSIB-ILITIES Work at the intersection of computer science, information technology, and health care administration. Implement electronic health records and understand how they impact organizational, operational, and staffing needs. Manage, interpret, and communicate data to improve patient outcomes. Ensure compliance of data and  meaningful use  initiatives . Work at the intersection of computer science, information technology, and nursing. Assess hospital and patient needs as well as business and IT needs. Develop efficient clinical workflow to assess gaps in health care delivery system and create ways to address them. Manage, interpret, and communicate data to improve clinical practice .

42. JOB TITLES TO EXPLORE Coordinate hardware, software, regulatory requirements, and infrastructure of a hospital or health system. Work with staff education to design training programs for staff when implementing a new electronic health records system. Integrate ICD-10 into systems. Chief clinical informatics officer Director of clinical informatics Project manager Clinical manager Program director Business analyst Data analyst   Verify that electronic health records capture information at the point of care accurately and in a standardized format. Support continuity and quality of care across caregivers. Integrate ICD-10 into systems. Assist in staff training programs on electronic health record systems. Nursing informatics specialist Director of clinical informatics Clinical analyst Consultant Clinical informatics specialist Chief nursing informatics officer

43. RESEARCH

44. The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education Asieh Darvish , 1   Fatemeh Bahramnezhad , 1   Sara Keyhanian , 2  and  Mojdeh Navidhamidi 1,3 Glob J Health Sci . 2014 Nov; 6(6): 11–18. In today’s dynamic health systems, technology plays an important role in education and nursing work. So it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology.

45. METHOD An extensive literature search was performed by using databases Pubmed , Google Scholar, Ovid, Science Direct and SID. Search terms were “education, nursing”; “quality of health care”; “nursing informatics” and technology. The study was carried out from January to April, 2014. A library search was also performed. As many as 135 articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused on nursing informatics education and its influence on nursing outcomes and the quality of health care.

46. CONCLUSION In today’s world the potential for information and communication technology application is increasing so that it can enhance the quality of nursing domains outcome ( McNelis et al., 2012 ). Nurses have the most communication with patients, and interact with technology more frequently. Using technology should create a positive attitude in nursing productivity. It is essential for nurses to be involved in the initial design of systems to improve the quality of health care and change their culture in this regard ( Darvish & Salsali , 2010 ), ( Jenkins et al., 2007 ).

47. SUMMARY Today we have seen definition of nursing informatics, history of nursing informatics, importance, benefits, functions of nursing informatics, nursing informatics in hospital and community and impact of nursing informatics in nursing profession.

48. CONCLUSION Informatics is changing the face of healthcare. As technology advances, healthcare organizations and providers are able to collect, analyze data more effectively, influencing the way care is delivered, resources are managed and teams operate each day.   One specific area that health informatics is having a significant impact on is the practice of nursing. Though the mission of nursing remains unchanged, the daily work of these professionals is being strongly influenced by informatics, with particular attention to the accuracy and communication of patient data and care.

49. CAREER OPPORTUNITIES IN NI Nursing informatics can be a highly paid field compared to other healthcare careers. Nurse informatics Nursing informatics specialist Nursing informatics clinician Clinical informatics coordinator Clinical analyst Clinical nurse informatics specialist IT clinical nurse Preoperative informatics nurse

50. BIBLIOGRAPHY Joginder vati , Principles and practice of Nursing management and administration, Jaypee Brothers Medical Publishers, first edition, Page No -631-638 Mr. Anoop.N , Mr. Chetan Kumar.M.R , Mr. Deepak.K , Mr. Lingaraju.C.M , Mr. Mithun Kumar.B.P , Mr. Sarath Chandran.C , A Text book on Nursing Management, padmashree institute of nursing, Page no 672-680 https://michellannsarabia.wordpress.com https://www.slideshare.net https://healthinformatics.uic.edu https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825491/ https://www.capella.edu/blogs/cublog/healthcare-informatics-vs-nursing-informatics/