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1 - Introduction To NI

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1 - Introduction To NI

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Nursing Informatics 2023/2024

(1)
Introduction to Nursing
Informatics

By
Dr. Ahmed Abd-Elrhman
Dr. Marwa Kamal
Dr. Shimaa Adel
Dr. Sara El-Sayed

Faculty of Nursing
Cairo University
2023/2024
Introduction to Nursing Informatics
Learning objectives
At the end of this lecture, each student should be able to:
• Define nursing informatics
• Present an overview of nursing informatics historical development.
• Enumerate who are Informatics Nurses
• Identify Six types of Health Information Technology
• Mention benefits of Healthcare Information Technology

Introduction
 Technology has been dramatically integrated into all aspects of our
personal, social, and professional lives.
Technology has changed the way in which we:
 Communicate
 Obtain and share information
 Make decisions

Origin of Informatics
 Derived from Russian word informatika describing the information
science within the context of computers (published 1968)

What is Nursing Informatics (NI)


 Nursing Specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, and
knowledge in nursing practice. (ANA 2001)

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 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.

History of Nursing Informatics


• 1960, First computer systems were implemented in hospitals.
• Computer nurses began to appear in hospitals:
✓ Excellent clinicians
✓ Technically curious and willing to try new things
• 1989—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.”
• 1994, Scope of Practice for Nursing Informatics (ANA):
✓ “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”.
• 1995—Graves et al, began to incorporate knowledge as a product of
the sciences into the definition.
• 1996—Turley defined Nursing Informatics as the intersection point
with Nursing Science, Computer Science and Information Science.
— 2001, Scope and Standards of Nursing Informatics Practice (ANA):
NI is an evolving field—expect change in definitions, three categories of
definitions
— Technology focused
— Conceptually focused
— Role-Orientated

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Who are Informatics Nurses?
— Expert in utilizing and implementing the nursing process
— Have analytical & critical thinking skills
— Understand patient care delivery workflow & integration points for
automated documentation
— Clinicians with extensive clinical practice
— Have additional education & experience related to technology and
information systems
— May be board certified in Nursing Informatics

Types of Health Information Technology

Six types (HIT) are categorized by Felt-Lisk (2006):


1. Electronic Prescribing:
Defined as “Entering a prescription for medication into automated data
entry systems such as PC, PDA or other, and thereby generating a prescription
electronically, (PDAs), personal digital assistants, pocket-sized computer.

2. Electronic Lab Results (reports):


Is the electronic transmission of laboratory reports which Any test report
received by a physician is printed on paper and sent by a printer, fax or mail.
With electronic lab results, clinicians may have advantages of significant time-
saving that is realized between the instant of ordering the test and obtaining the
final result.

3. Electronic Clinical Note Systems:


Clinical notes are central and important parts of Electronic Health
Records (EHR), and E-clinical health systems include information on patients’
demographics, clinical notes, medical history and follow-up orders.
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4. Electronic Images:
E- clinical images include CT, MRI, and PET (A positron emission
tomography) scans and improve the image quality and quality efficiency of
electronic images.

5. Electronic Lab Orders:


Physicians can electronically order tests, manage their laboratory
testing need, and receive results by eliminating hassles associated with paper
requisitions and reports.

6. Electronic Reminders for Guideline-Based Intervention


Patient-specific electronic clinical reminders are delivered directly
through EHR to better integrate clinical decision support and physician
workflows.

Benefits of Healthcare Information Technology


1- Quality of Care
• Medical Error Reduction
• Adherence to guideline-based care
• Effective Disease Management (provides enormous potential in
improving clinical decision making and disease management.
2- Efficiency
• achieve the same performance with fewer resources
3-Effect on Cost
• Improved Productivity, Paper Reduction
• Reduced Transcription Costs ( by utilizing structured flow sheets, and
point of care documentation)
• Drug Utilization

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4-Additional Benefits
• Improved Patient Safety
• Improved Regulatory Compliance
➢ Standardized nursing language.
➢ Improved access to the medical record.
➢ Reduce redundancy of data entry.
➢ Reduce time spent in documentation.
➢ Facilitation of data collection for research.
➢ Improved communication and decreased potential for error.
➢ Identification of client outcome.
➢ Privacy, confidentiality and security of health information.

** Good Luck**

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Information Model

Informatics: The art and science of turning data into information

Nursing Informatics (NI)


Nursing Specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, and
knowledge in nursing practice.

Data
 Are discrete and objective facts that are not interpreted, organized, or
structured.
 Meaningless
 Forms the basis for a nursing information system.
 Examples: vital signs for an individual (HR, Resp., Bl.p., and temp.)
sex, and age

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Information
 Is data that have been organized, structured, and interpreted
 It is derived from combining different pieces of data.
 Examples: vital signs when interpreted over a period of time

Knowledge
 Is a synthesis of information with relationship identified and formalized.
 Identification of intervention based on information
 Examples: interpreting a set of vital signs over a period of time and
deciding on an action based on information combined with nursing
knowledge and experience

Wisdom
 Wisdom is achieved through evaluating knowledge with reflection.
 Examples: interpreting vital signs for a postoperative patient as
indicative of an infection or bleeding and taking the appropriate
action.

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