Tanta University

Faculty of Nursing
Preparatory Master Course
2023-2024

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Prepared by:-
1- Esraa elsaid abd-elbaeth 5-amany zenhom taha
2- Esraa taha elfaramawy 6-Amal ahmed hussein
3- Asmaa abdelrahman abdelghfar 7-aml reda tawfik
4- Amal khairy mamdoh 8-Amira raafat mohammed
9-heba abdelaziz abdelaty

Under supervision:-
Prof. DR/Sabah Sharshor
General Objevtives:

At the end of lecture,the student will be aware of nursing

informatics in the health care profession

Specific Objevtives:

At the end of lecture,the student will be able to:

• Define nursing informatics.
• Identify Advantages and Disadvantages of Nursing Informatics.
• List several examples of how nursing informatics affects practice.
• Identify the role of nurse in handling health care data.

➢ Introduction
➢ Definition of informatics
➢ Definition of nursing informatics
➢ History of nursing informatics
➢ Goal of nursing informatics
➢ Concepts in nursing informatics with example
➢ Advantages and Disadvantages of Nursing Informatics
➢ Components of nursing informatics
➢ Importance of nursing informatics
➢ The benefits of nursing informatics
➢ Nursing informatics skills
➢ Application of Nursing Informatics
➢ Five key directions for informatics in nursing education and
practice
➢ Definition of Nursing Informatics Specialist (NIS)
➢ The Role of The Nursing Informatics Specialist (NIs)
➢ References
INTRODUCTION

“Nursing informatics is a 21st century science with great potential for

improving the quality, safety, and efficiency of health care” (McCartney, 2004).
Simply put, nursing informatics is viewed as the combination of the concepts
of three sciences i.e. cognitive science, information science, and computer
science with an overall focus on nursing science (Sackett et al., 2004). The
collective efforts of many scholars have contributed to the increased exploration
and understanding of the field of Nursing Informatics.

Definitions of informatics
➢ is the science of information, " the art and science of turning data into
information"

Definition of nursing informatics

"Nursing Informatics is a specialty that integrates nursing science, computer

science, and information science to manage and communicate date,
information, and knowledge in nursing practice to support patients, nurses, and
other providers in their decision-making in all roles and settings
History of nursing informatics

➢ Informatics is modeled after the French word informatique and was first
used as medical informatics in the late 1970s, followed by use in nursing
in the 1980s. The ANA designated nursing informatics as a specialty
practice in 1992, although nurses had earlier incorporated informatics
concepts. Subsequently, volunteer ANA members have developed a scope
and standards for practice, which serves as guides for the practice.
The standards of practice created by the ANA in 1995 reflect professional
performance common to informatics nurses. For example, the informatics nurse
contributes to the professional development of peers, colleagues and others.3 In
1995, a certification examination was created at the generalist practitioner level
and since that time more than 400 nurses have been certified in nursing
informatics.
➢ By the mid-19th century,a rudimentary computer developed by Charles
Babbage appeared
➢ 1950 advancements in information, technology and communication
to the Information Revolution.
➢ 1960, studies were conducted analyzing the applicability of computers in
nursing practice).
➢ 1970’s, HIS were being used for processing physician order entries as well
as for results reporting. In addition, computer applications in nursing
were beginning to appear in the literature.
➢ 1980the first cellular phones and personal computers were introduced .
➢ 1990saw the development of the Internet which in turn made
communication and information available to anyone at any tim
➢ 2000 to Now an essential part of healthcare, as they streamline nurses’
work, improve efficiencies, and enhance the delivery and safety of the
care delivered
Goal of nursing informatics
The goal of Nursing Informatics is to improve the health of populations,
communities, families, and individuals by optimizing information management
and communication. This includes the use of technology in the direct provision
of care, in establishing effective administrative systems, in managing and
delivering education experiences, in supporting life-long learning, and in
supporting nursing research.
Concepts in nursing informatics

Data :- objective entry without interpretation.

Information :- data that is interpreted organized, or structured.
knowledge :- information that has been synthesized so that interrelationships
are identified and formalized.
wisdom :-
is the appropriate use of knowledge to manage and solve human problems for
example' a knowledge base may include several options but wisdom helps
you to decide what is the most appropriate action for that specific patient and
or a situation.

EXAMPLE

Data :- 9:00am , 100 mg/dl - 4:00pm -180mg/dl

Information :- time glucose
9:00am 100mg/dl

4:00pm 180mg/dl

Knowledge = my client glucose level rises in the late afternoon. his insulin
dose needs to be adjusted.
Advantages and Disadvantages of Nursing Informatics

Advantages:
• shared data;
• centralized control;
• prevent of redundancy;
• improved data integrity;
• improved data security, and database systems;
• flexible conceptual design.
• More easily archived
• Standardized and customized reporting
• Legible
• More accurate patient data, less chance of error
• Document set maintained

Disadvantages:
• complex conceptual design process
• the need for multiple external databases
• the need to hire database-related employees
• Need for multiple external databases
• A more complex programmer environment
• Potentially catastrophic program failures
• A longer running time for individual applications

Components of nursing informatics

• Hardware: includes computer itself refers to centerl processing unit

(CPU)and all of its support equipment
• Software: refers to computers programs
• Procedures: the policy that govern the operation of computer
 • Data: are facts that used by programs to produce useful information
• People: mean the end user of the system

Importance of nursing informatics

• Develop data structures and software tools for nurses to use
• Keep electronic health records aligned with best practices for data
management, processing and organization
• Implement analytics to monitor and facilitate nursing processes
• Enable healthcare and IT professionals to communicate with each other
more effectively
• Develop and enforce privacy policies in accordance with ethics and
regulations
• Educate providers in how to make the best use of electronic health
records and clinical decision support systems

The benefits of nursing informatics

• Promote and facilitate access to resourses and references
• Enhance continuity of care
• Facilitate change management
• To deliver high quality and evidence based care
• Enable cost saving and productivity goals
• Fewer Medical Errors .
• Quality can be measured
• Reduce paperwork/paper loss
• Uniform standards of nursing care are programmed (nursing process)
• Saves time and effort
• Shorter hospital length of stay
NURSING INFORMATICS SKILLS

• Clinical experience and competence in the informatics field

• Critical thinking, analysis and problem solving
• Technical / computer skills
• Interpersonal skills
• Communication skills

Application of Nursing Informatics

Nursing Informatics can be applied to all areas of nursing practice which

include;
➢ Clinical Practice
➢ Administration
➢ Education
➢ Research

➢ Use of computers in nursing practice

➢ Bedside data entry (medication record ….. etc)
➢ Computer/based patient records
➢ Client monitoring/ local and distant
➢ Telenursing
➢ Practice management

➢ Use of computers in nursing administration

➢ Human resources
➢ Medical records
➢ Quality assurance
➢ Accreditation
➢ Budget and finance
 ➢ Use of computers in nursing research
➢ Literature search
➢ Data collection

➢ Data analysis
➢ Research dissemination

➢ Use of computers in nursing education

➢ Distance learning/ teaching via the internet
➢ Recording of work load and interventions as a by/ product of electronic
charting

Five key directions for informatics in nursing education and practice

➢ Educate nurse students and practicing nurses in core informatics content
➢ Prepare nurses with specialized skills in informatics
➢ Enhance nursing practice and education through informatics projects
➢ Prepare nursing faculty in informatics
➢ Increase collaborative efforts in NI

Definition of Nursing Informatics Specialist (NIS):

• The NIS is a nurse who has formal education, certification and practical
experience in using computers in patient care settings

The Role of The Nursing Informatics Specialist (NIs):

1- information systems implementation.
For example, an informatics nurse may lead or coordinate a project to
implement or upgrade an EHR system.
2- Systems memtainance
An informatics nurse also plays an active role in ensuring that the EHR runs
smoothly and efficiently by troubleshooting systems and process issues.
3- education and training,
especially around the practical use of an EHR or other technologies in patient
care ; also promote and reinforce guidelines and policies around patient safety.
4- Data analysis and reporting
This role may involve extracting data from an EHR, for instance,
and creating reports that can be used for day-to-day operations, health
research, predictive analytics
5- systems optimization
relates to the continuous improvement of the EHR and other healthcare
technologies. With knowledge and skills in systems and workflow analysis
an informatics nurse can influence or lead efforts to improve the usability of
information systems in practice settings.
6- Collaborative Leadership
as nursing is part of a multi-disciplinary team, an informatics nurse works
closely with other members of the healthcare team to ensure the proper
functioning of the EHR and other patient care technologies. Oftentimes, an
informatics nurse acts as a liaison between clinicians and technical experts.
References:
1. Leigh, G. High-fidelity patient simulation and nursing students’ self
efficacy: A review of the literature. International Journ Education Scholarship
2014
2. Bell, B, Thornton, K. (2011). From promise to reality achieving the value of
an EHR. Healthcare Financial Management
3. Agency for Health Care Research and Quality. (2006). Health information
technology: Computerized physician order entry prevents drug errors, but
can initially result in new errors in ICUs. Retrieved from:
/www.ahrq.gov/research/feb
4. Anderson, C. (2009). How does social networking enhance the nursing
narrative? Nursing Management, 40,16
NUMA.0000360767.36858.0b.
5.American Nurses Association (ANA). (1996). The scope of practice for
nursing informatics. Washington, DC: Author Goa