UNI
T1
INTRODUCTION
TO
NURSING
INFORMATICS
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
1
GOAL & PURPOSE
 Define and describe the nursing
informatics, information science and
information system
 Discuss the historical antecedents of
nursing informatics
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
2
Introduction:
We are in the digital age.
What does this mean to us nurses?
The convergence of telecommunications and the
computer industry has seen a pervasive increase in how
we communicate and process information.
01/04/2024
3
Integrated systems support:
 Evidence-based nursing practice,
 Facilitate nurse’s participation in the health
care team
 Document nurse’s contribution to patient
care outcomes
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
4
Based on Nurse’s KNOWLEDGE
they:
• Translate DATA to information
• Information to
KNOWLEDGE
• Knowledge to WISDOM
For GREATER achievement in NURSING
PRACTICE, nurses need to :
• Desire & adopt innovative means to make their contribution to the
patient care process and patient outcome VISIBLE.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
5
combining nursing and computer sciences
for managing and processing data into
knowledge for use in nursing practice”
(Murphy, 2010)
01/04/2024
6
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
1994- American Nurses Association ( ANA)develop a statement to describe the SCOPE of
NURSING INFORMATICS ( Baker, 2012)
Evolution of definition of Nursing Informatics ( NI)
a specialty that integrates nursing
science, computer science and information science
to manage and communicate data information
knowledge and wisdom in nursing practice.
ANA, 2008 -
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
7
American Medical Informatics Association
( AMIA)
•Nursing informatics science and
practice of nursing , its information and
knowledge and their management, with “
information and communication
technologies to promote the health of
people, families and communities as a
whole.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
8
HEALTH INFORMATION AND
MANAGEMENT SYSTEMS
SOCIETY ( HIMSS)
•“ a specialty that integrates nursing
science , computer science and
information science to manage and
communicate data, information,
knowledge and wisdom in nursing
worldwide.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
9
STANDARDIZING NURSING
LANGUAGE:
* facilitate acceptance of new methods of
documentation in the electronic health record (
EHR)
• Use of Templates –
• one method of assisting with our daily workload
• Reminds nurses of important information required in the
documentation of patient care
• Research Studies, patient care data and national and
local standards are used to develop informatics program
at healthcare organizations.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
10
Staggers and Thompson( 2002)
• Defined NURSING INFORMATICS (NI) as:
• The GOAL of NI is to improve the health population, communities, families, and
individuals by optimizing information management and communication
• These include the design and use of informatics solutions and or technology to support all
areas of nursing including but not limited to,
•
•
•
•
•
•
The direct provision of care
Establishing effective administrative systems
Designing useful decision support systems
Managing and delivering educational experiences
Enhancing supporting life-long learning
Supporting nursing research
• The term INDIVIDUALS refer to patients, healthcare,
consumers and any other recipient of nursing care of informatics
solutions
• Patient- refers to consumers in both wellness and illness model
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT,
RN
11
BENEFITS OF NURSING INFORMATICS
IN HEALTHCARE
Nursing Informatics :
1.
2.
3.
4.
5.
informs and influences IT Systems
Leverages evidence-based clinical best practices
Generates stronger nurse training in clinical IT systems
Leverages IT investments
Contributes unique wisdom to clinical care that is acquired
only through a deep understanding of both clinical practice
and data analysis
6. Enriches the evolving healthcare delivery system
7. Improves patient care, patient safety and outcomes
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT,
RN
12
I. Informs and influences IT Systems
• Nurses’ standardized notes are readily available to physicians and
other caregivers through electronic health record (HER)
• Workflows and decisions are more informed and efficient.
• Nursing Informatics specialists are TRILINGUAL.
• 1. they understand the clinical language of efficient patient care
• They translate knowledge and clinical feedback into technical
language of business analysts and programmers
• They communicate clinical and technical matters with
administrative leadership.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
13
2. Leverages evidence-based clinical best
practices
1. Researching clinical nursing practices outside of their
own experiences
2. Finding evidence t prove which clinical practices are best.
3. Influencing the design of clinical systems to support and
m=promote the best evidence-based practices and
workflows
4. Training other nurses to use clinical IT systems
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
14
3. Generates stronger nurse training in
clinical IT systems
1. Nurse informaticists :
• Help in the design and create those very systems
• they understand the reasons from a nursing
perspective the structure of the digital form and each
sequence of clicks
• They can explain built-in inter-operability and
behind the scene interfaces to other clinical systems
in language that’s easily understood by nurses.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
15
4. Leverages IT investments
Nurse informaticists help get maximum value from
investments in at least 3 ways:
1. They ensure that systems ae designed to support
effective patient care workflows
2. They help train other nurses to use IT efficiently
3. They apply advanced analytics strategies to develop
predictive models
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
16
5. Contributes unique wisdom to clinical care that is acquired only
through a deep understanding of both clinical practice and data
analysis
Nurse informaticist, works with leadership regarding
regulatory and quality initiatives and governance for
technology implementation and change.
They with the delivery of care team- the chief nursing
officer, chief medical officer and quality leadership
 They also identify the key areas where studies
identify where problems arise.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
17
6. Enriches the evolving healthcare delivery system
Development in communication technology
remote healthcare known as telehealth- using
smartphones to transform the way communication in
nursing happens
Advance applications- secure messaging to HER
integrations tat push critical results to a physician’s
phone
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
18
7. Improves patient care, patient safety and
outcomes
More efficient EHR
Benefits to patients:
Better IT systems
Fewer medical errors
Research & application of clinicalMore informed clinical decisionbest practices
making
Training of other nurses
Shorter hospital length or stay
Analytics-based predictive
Lower admission and readmission
models
rates
New avenues for patient
Better self-management
education
Support for telehealth
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
19
APPLICATION OF
INFORMATICS
according to Locsin’s Technological Competency as Caring
in Nursing
•Enabling mechanism that improves
operational tasks towards enriched jobs,
•Increased job satisfaction
•Enhanced quality centric customer service
both in hospital and in the academe
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
20
1. Technological Competency as Caring in
Nursing articulation and assumptions
1. Technology is used to know wholeness of
persons moment to moment (Locsin, 2004)
2. Nurses value technological competency as an
expression of caring in nursing ( Locsin, 2013)
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
21
2. DIMENSIONS OF
TECHNOLOGICAL VALUE IN
THE THEORY
1. Technology as completing human beings – e.i
replacement of functional parts,use of prostheses, organic
transplantation of organs)
2. Technology as machine technologies3. Technologies that mimic human beings and
human activities
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
22
3. Technological Competency as Caring in
Nursing
1. Technological Competency as Caring in Nursing is
the harmonious coexistence between technologies
and caring in nursing
2. The harmonization of these concepts coexists.
3. Technology brings the patient closer to the nurse, it
con also increase the gap between the nurse and the
nursed.
4. It is used to know persons continuously in the moment,
the process of nursing is lived.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
23
Ways Informatics is
Transforming Health Care
1. Dramatic Savings- reduced malpractice claims, reduced errors
2. Shared knowledge- provides a way for knowledge about patients,
diseases therapies, medicines and the like to be more easily shared.
3. The Impersonalization of Care-through information and technology
makes care less personal
4. Increased Coordination-health care delivery is well coordinated
through the accessibility of information about the patient
5. Improved Outcomes-informatics is helping to ensure that part of the
change results in greater efficiency, coordination and improved care
This Photo by Unknown Author is licensed under CC BY
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
24
INFORMATION
SCIENCE
-is the science and practice dealing with the effective collection, storage,
retrieval and use of information .
-It is concerned with recordable information and knowledge and the
technologies and related services that facilitate their management and
use.
-multi-disciplinary science that involves aspect from computer science,
cognitive science, social science, communication science , library science
to deal with obtaining, gathering, organizing, manipulating, managing,
storing, retrieving, recapturing disposing of, distributing or broadcasting
information.
- studies everything that deals with information that can be defined as
the study of information systems.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
25
According to BLUM(1986)-Nursing Information
• The study of information systems, the
application and usage of knowledge
focuses on why and how technology can
be put to best use to serve the
information flow within the organization
• he introduced the concepts of data,
information and knowledge as a
framework or understanding clinical
information systems and their impact on
health care
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
26
Clinical Information System
• A program that includes monitoring systems, order entry
systems and laboratory, radiology and pharmacy systems.
• A monitoring system includes devices that automatically
monitor and record biometric measurements ( V/S, O2
saturation, cardiac index and stroke volume) in acute ,
critical care and specialty areas.
• The device electronically send measurements directly to
the nursing documentation system.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
27
Nursing Clinical Information System (NCIS)
• Incorporates the principles of nursing informatics to support
the work that nurses do by facilitating documentation of
nursing process activities and offering resources for
managing nursing care delivery.
2 designs of
NCIS
• 1. the nursing process- most traditional, NANDA, nursing interventions
classification (NIC) and the nursing outcomes classification ( NOC)
• 2. the protocol or critical pathway design ( Hebda and Czar, 2013)facilitates interdisciplinary management of information because all health care
provides use evidenced-based protocols or critical pathways to document the
care they provide.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
28
SCOPE OF NURSING
INFORMATICS
• NI- is the specialty that
transforms data into
needed information and
leverages technologies to
improve health and health
care equity, safety,
quality, and outcomes.
Important goal :
 improved health of
populations,
communities, groups,
families, and
individuals
01/04/2024
NI- include, but are not limited to,:
the design,
development,
implementation, and
evaluation of effective informatics solutions
and technologies within the clinical,
administrative, educational, and research
domains of practice.
Advocacy,
policy development, and
identification of issues, challenges, and
opportunities are also important practice
initiatives.
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
29
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
30
UNIT Assessment Questions
1. Discuss the three concepts of clinical information
system according to Blum.
2. Discuss the significance of critical historical
nursing and computer milestone in the 1990’s.
3. Which event was a critical milestone for nursing
and computers in the 1980’s? What is its
significance?
4. Discuss the important goal of nursing informatics
and the scope of this specialty.
01/04/2024
MA. JANE P. VILLANUEVA, MILE,MPH,LPT, RN
31