NCM 210: NURSING INFORMATICS

BSN 2 STUDENTS

Company
LOGO
 SUBJECT : Nursing Informatics

§ Description:
This course deals with the use of
information technology system and data
standards based on nursing informatics
principles/theories.
It further deals with the utilization of clinical
information systems in the management
and decision-making of patient care. A
laboratory session shall be provided for
practice application.
 OBJECTIVES
§ At the end of the course and given relevant
actual or simulated situations or conditions,
the student will be able to:
1. Apply concepts, theories and
principles of informatics in nursing and
health care
2. Discuss issues and trends in
informatics relevant to nursing and
Health
 Course Outline :

I. Computers and nursing

1. Historical perspectives of nursing and
the computer
2. Evolution of nursing informatics
II. Computer system
1. Computer hardware
2. Computer software and systems
3. Open source and free software
III. POLICIES, GUIDELINES AND LAWS IN
NURSING INFORMATICS
1.Netiquette Rules and
Guidelines
2. Intellectual Property Law
3. Copyright Law
4. Data Privacy
IV. INFORMATICS Theories, models and frameworks
1.D-I-K model
2.Schwirian’s model
3.Graves and Corcoran model
4.Turley’s model
5.Benner’s level of expertise
6. Intel’s Shift Left model
7. Patient medical record information model
V.PRACTICE APPLICATION OF HEALTH
INFORMATICS
I.CLINICAL:
1. Nursing informatics and healthcare policy
2. The role of technology in the medication-use process
A. IV smart pumps
B. Bar coded medication administration (BCMA)
C. Electronic medication administration record (eMar)
D. Automatic dispensing cabinet (ADC)
3.Dependable systems for quality care
4.Electronic health record systems
5. Informatics Applications in Evidence-
based Nursing
A. Computer Generated Nursing Care
Plan
B. Critical Pathways
C. Clinical Guidelines
D. E-journals
E. Nursing Information System
E.1.The Internet: a Nursing Resource
a. Using the browser
b. Using the web (Web 2.0, blogs, wikis)
c. Web output
E.2 Internet applications
a.Personal Digital Assistant and Wireless devices
b.Emails, Bookmarks
c.Wireless phones
d.Two-way video teleconferencing
e.Face Time
f.Text messaging
g.Twitter, Google, Facebook
6. Critical care applications
7. Community health applications
8. Informatics solutions for emergency
preparedness and response

II. ADMINISTRATION
1. Clinical and Administration Health Information System

III. EDUCATION
1. E-learning
2. Teleconferencing
3. Webinar
VI. COMPUTER APPLICATIONS THAT SUPPORT NURSING
RESEARCH
1. Reliable Literature Searches and Databases
2. Data Collection and Statistical Tools
A. Online questionnaires
B. Digital polls
C. Survey Monkey
D. Data Processing and Database Applications
a. Spreadsheets
b. SPSS
c. SAAAS
d. In Vivo
VII. International perspectives
1. Nursing informatics in Canada
2. Nursing informatics in Europe
3. Nursing informatics in South America
4. Nursing informatics in Asia
VIII. THE FUTURE OF INFORMATICS

A. Nursing Informatics and the Nurse Enterpreneur

1. Qualifications of a Nurse Informaticist
2. Roles and Competencies
3. Career Opportunities

B. Competency Development in the Use of Nursing

Informatics and Technology
1. Training and Development in e-Learning and
Nursing Informatics
What is
INFORMATICS?
Company
LOGO
 INFORMATICS

§ Informatics
French word “informatique”=
computer science.

The study of computers, including

both hardware and software design.
 INFORMATICS

§ Informatics
§ Informatics is defined as
= computer science +
information science.
Body of knowledge that provides theoretical
basis for information technology
 INFORMATICS
§ Used in conjunction with the name of a
discipline, it denotes an
application of
computer science and
information science to the

in the named
discipline.
 Nursing Informatics

§ “A combination of computer science,

information science and nursing
science designed 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.”
(Graves, J. R., & Corcoran, S., 1989)
§ a way of helping in the management and
processing of nursing information data
through the use of computers
§ involves in research and analysis aimed
at supporting nursing education and
practice
§ deals specifically with the process of
gathering and acquiring nursing health
care data
 nursing informatics

§ “The use of computers technology to support

nursing, including clinical practice,
administration, education, and research.”
Hebda (1998 p. 3)

§ “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.”
American Nurses Association (ANA) (1994)
 ORIGIN of Nursing Informatics

§ in knowledge=
specialties & subspecialties
§ number of cases with
population
§ discovery of more diseases
§ extension of life expectancy.
§ increase workload, lack time
to channel D-I-K
ORIGIN of Nursing Informatics
§ Paperless environment
 relieves nurses on writing on and
handling forms ; eliminates ambiguity,
redundancy and tedious process of
documenting.

- Normally in a paperless clinical area

the time alloted for documentation
should be 15% of a nurse’s shift.
 ORIGIN of Nursing Informatics

Top 4 Problems of nurses in the workplace:

§ TURNAROUND TIME IS TOO LONG
- Turnaround time starts from
the time a request is made to the
time it was fully accomplished (ex.
laboratory tests or ancillary orders)

•Automation helps accelerate the processes of request and

facilitate presentation of current status of result of the
request
 ORIGIN of Nursing Informatics

Top 4 Problems of nurses in the workplace:

§ NURSING PROCESS ARE

INACCURATE
Rushing of nursing process
may lead to commission of errors
ERRORS:
Medication errors; wrong entries, dictation, translation and transcription of orders.

Automation of these processes mostly done beside a

patient leads to a great reduction of errors.
 ORIGIN of Nursing Informatics

Top 4 Problems of nurses in the workplace:

§ COMMUNICATION IS POOR
- Communication between healthcare providers
and between departments is POOR when
served with telephone systems because of
its real time nature that requires the presence
of both.
- Phone lines may be tapped or bugged
breaching privacy and confidentiality
•Computers provide different modes of communications like chat, telephony, or
video-conferencing or e-mail and simple text messaging whatever is most
convenient and appropriate.
 Framework for Nursing Informatics

Relies on the central concepts of data, information

and knowledge:
§ A DATA is defined as discrete entities that are
described objectively without interpretation
§ An INFORMATION as data that is interpreted,
organized or structured
§ A KNOWLEDGE as information that has been
synthesized so that interrelationships are
identified and formalized.
Synthesizing Information
3 Parts:
ü reporting information
ü organizing information
ü correlation between ideas shared

Resulting in DECISIONS that guide practice

 January 2008 - CHED memorandum
order CMO NO. 5 series of 2008 to all
deans of the colleges of nursing
throughout the country.

CMO NO. 5 series of 2008

 It requires the replacement of basic

computer with 3-unit Nursing

Informatics in the new curriculum.
 Application of Nursing
Informatics
§ Nursing Informatics can be applied to
all areas of nursing practice, which
include;
 Clinical practice
 Administration

 Education, and

 Research.
 A. NURSING CLINICAL
PRACTICE
§ work list
§ computer-generated
client documentation
§ EMR/CPR
§ monitoring devices
§ computer-generated
NCP
§ automatic billing
§ reminders and
prompts
 COMPUTERS IN NURSING
PRACTICE

Functions
1. Records client information
2. Provides access to other departments
3. Used to manage client scheduling
4. Documentation of clients status & medical records
keeping
 Provides access to standardized forms, policies and
procedures
 Access data about client that may be somewhere in the
medical record or elsewhere in health care agency.
5. BEDSIDE DATA ENTRY
records clients assessments, medication
administration, progress notes, care plan
updating, client acuity and accrued charges

6. COMPUTER BASED CLIENT RECORD

EMRs/CPRs
 Provides easy retrieval of specific data such as trends
in vital signs, immunization records, current problems
 It can be designed to work providers about conflicting
medications or client parameters that indicate
dangerous conditions
7. ELECTRONIC ACCESS TO CLIENTS
§ Used extensively in health care to assess
and monitor clients conditions
§ Data accumulated from various electronic
devices are stored for research purposes
§ Can monitor client
§ Computerized diagnosis
§ Telemedicine
BENEFITS OF COMPUTER AUTOMATION
IN THE HEALTH CARE:
EMR(Electronic Medical Record)
1. Improve access to the medical record
2. Decrease redundancy of data entry
3. Decreased time spent in the documentation
4. Increased time for client care
5. Facilitation of data collection for research
6. Improve communication and decrease potention for
error
7. Creation of lifetime clinical record
 B. NURSING
ADMINISTRATION
§ Automated staff scheduling
§ E-mail for improved
communication
§ Cost analysis and finding trends
for budget purposes
§ Quality assurance and outcomes
analysis
PRACTICE MANAGEMENT
 Used to order supplies, tests, meals, and
services, from other departments
 Allows nursing service to determine the
most costly items used by a particular
nursing unit.
 May provide information or decisions to
modify budget, provide different staffing,
move supplies to different locations, or
make other changes for more efficient
and higher quality care
 C. NURSING
EDUCATION
§ Computerized record keeping
§ Computerized assisted
instruction
§ Interactive video technology
§ Distance Learning
§ Internet resources
§ Presentation software for
preparing slides and handouts
 COMPUTERS IN NURSING
EDUCATIONS
COMPUTER Assisted Education
 PDA (Personal Digital Assistants)

 LCD Projectors

 Wireless Routers

 Desktops

 Laptops

 Smartphone

 VIDEOS/ANIMATIONS

 Distance learning

 Testing (NCLEX)

 Student and course record management

 D. NURSING RESEARCH

§ Computerized literature searching

§ The adoption of standardized
language related to nursing terms
§ The ability to find trends in
aggregated data
 COMPUTERS IN NURSING
RESEARCH

1. PROBLEM IDENTIFICATION
- Useful in locating current literature about the problem
and related concepts. Helps in searching for existing
documents, and e-mail to colleagues.
2. LITERATURE REVIEW
- Software facilitate searches, contains thesauruses so that
the most appropriate terms can be selected.
3. RESEARCH DESIGN
- Search literature for instruments that have already
been established or to design and test instruments that need to be
developed for past study.
RESEARCH
4. DATA COLLECTION AND ANALYSIS
Helps create form for the collection of data such as
informed consent, demographic data, and recording forms.
Commonly used software for quantitative data analysis: SPSS
( statistical package for social sciences), SAS (statistical
analysis system), Sys STAT, MYSTAT
5. RESEARCH DISSEMINATION
computer word processing programs are used to
author the final reports of research and send
research to various readerships.
Help speeds completion or research projects