Chapter 1: Introduction to Nursing Informatics: Managing Healthcare Information

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Four levels of informatics competencies

- Beginning nurse has basic information management and computer technology skills - Experienced nurse is highly skilled at using information management and computer technology to support major area of practice - Nursing informatics specialist is able to meet information needs of practicing nurses by integrating and applying information, computer, and nursing science - Informatics innovator conducts informatics research and generated informatics theory

National Forces

- Creation of ONC and groups to study standardizing terminology - IOM reports: informatics as a core competency for all healthcare professionals

Strategic Plan for Health Information Technology

- Inform clinical practice with use of EHR - Improve public health through advanced biosurveillance methods and streamlining the collection of data for quality measurement and research

Nursing Forces

- National Center for Nursing Research programs goals - National Informatics Agenda for Education and Practice - AACN's list of core competencies - ANA - Nursing shortage - TIGER initiative

Nursing Informatics

- Subspecialty of nursing recognized by the ANA - Focus: information management related to nursing - Acquisition, manipulation, storage, presentation, and use of information - Goals: user-friendly data input; information presented that is timely and useful for clinical nurse - Definition difficult; initial definitions with technology focus; continually evolving definitions - Current practice: capturing data at the point of care and presenting it to facilitate care of an individual patient - Considerations for secondary data; aggregated data.

Health Informatics

- Umbrella term: capture; retrieval; storage; presentation sharing; use of biomedical information, data, and knowledge for providing care; solving problems; and making decisions - Purpose: improve use of healthcare data, information, and knowledge in supporting patient care, research, and education - Focus: subject and information

Informatics

- Use of information technology in healthcare - Focus on information management - Historically: recording and keeping information on paper chart. - Today: well-designed information systems.


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