Informatics Chapter 1
current practice of nursing informatics:
capturing data at the point of care and presenting it to facilitate care of an individual patient
four levels of informatics competencies: informatics innovator
conducts informatics research and generates informatics theory
Improving patient outcomes cont.:
creating and using aggregated data, preventing errors, easing work conditions, and providing better documention
Definition for nursing informatics
difficult; initial definitions with technology focus; continually evolving definitions
Inform clinical practice with use of _________
electronic health records (EHR)
what is health informatics? subspecialties:
ex: nursing informatics
Numeric manipulation
first computerized information management task
nursing informatics considerations
for secondary data; aggregated data
Four levels of informatics competencies: beginner nurse
has basic information management and computer technology skills
four levels of competencies: experienced nurse
highly skilled at using information management and computer technology to support major area of practice
What is health informatics? purpose
improve use of healthcare data, information, and knowledge in supporting patient care, research, and education
Two roles:
informatics specialist; clinician who must use health information technology
Nursing informatics: focus
information management related to nursing
System progression for computers
initially process oriented; now introduction of data standards in terminology and protocols; aggregated data
Other forces: costs
leapfrog group
what is nursing informatics?
manipuluation, acquisition, storage, presentation, and use of information
Goals of nursing informatics:
user-friendly data input; information presented that is timely and useful for clinical nurse
Today:
well-designed information systems
Computers
began use in late 1950s and early 1960s to manage financial information; then a few computerized patient care applications
Improve public health through advanced ________ and streamlining the collection of _____ for quality measurement and research
biosurveillance; data
Other forces: Patient safety
-safety databases -barcoding for medication administration
What is informatics?
-use of information technology in healthcare -focuses on information management, NOT COMPUTERS -information management is part of nursing
What is Health Informatics? umbrella term
capture, retrieval, storage, presentation, sharing, use of biomedical information, data, knowledge of providing care, solving problems, making decisions
Nursing forces
-National center for nursing research program goals -national informatics agenda for education and practice -AACN's list of core competencies -American Nurses Association (ANA) -nursing shortage -TIGER initiative
Early healthcare informatics systems
-PROMIS (with POMR) -help evaluation through logical processing (HELP) system
Information literacy
-ability to know when information is needed and how to locate, evaluate, and use it effectively -critical thinking and problem solving -part of foundation for evidence-based practice
National Forces
-creation of ONC and groups to study standardizing terminology -IOM reports: informatics as a core competency for all healthcare professionals
Computer fluency
-graphical interfaces -application programs (word processing, spreadsheets, databases, presentation programs) -adequate foundation in computer concepts that enable you to learn new computer skills and programs independently
Benefits of Informatics:
-improving patient outcomes -buried data now usable -improved communication among all healthcare providers -easy, quick storage, and retrieval of healthcare records -saving of time and money with computerization of tasks; easier method for recording charges (no lost charges) -enhances practice and allows nursing science to develop -improves documentation; decreases time spent on documentation -uses data for quality control and research due to complete documentation -builds evidence-based nursing knowledge: five components to provide evidence based care
Strategic Plan for Health Information Technology
-inform -Interconnect clinicians so that they can exchange health information using advanced and secure electronic communication. -Personalize care with consumer-based health records and better information for consumers. -improve
Which of the following would a nurse identify as a benefit of informatics to nursing? a. less data to review for quality control b. more time to permit complete documentation c. less communication needed among providers d. easier retrieval of healthcare information
D; benefits include easier retrieval of healthcare information, improved documentation with less time spent on documentation, more complete data that can be used for quality control and research, and improved communication among all healthcare providers
T/F: health informatics is a subspecialty under nursing informatics
F; health informatics is the umbrella term under which nursing informatics is a subspecialty
T/F: health informatics today is process oriented
F; historically, health informatics was process oriented, but today it focuses on data standards in areas such as terminology and protocols
Other forces: quality and safety education for nurses
QSEN
four levels of informatics competencies: nursing informatics specialist
able to meet information needs of practicing nurses by integrating and applying information, computer, and nursing sience
Other forces: competencies
patient-centered care, teamwork, evidence-based practice, QI, patient safety, informatics
buried data now usable cont:
provide information about problems, show patterns
Historically:
recording and keeping information on paper chart
what is health informatics? focus:
subject and information, not the tool (computer)
T/F: is nursing informatics a subspeciality of nursing recognized by the ANA
true
