Nursing Informatics: P.Vijayalakshmi Clinical Instructor

Nursing Informatics
P.Vijayalakshmi
Clinical Instructor
“Computers are incredibly fast, accurate and
stupid. Human beings are incredibly slow,
inaccurate and brilliant. Together they are
powerful beyond imagination.”
 Albert Einstein
Nursing Informatics: The
Emerging Field
"In all types of health care organizations,
nursing is the hub of the information flow.
Developing the science and technology of
nursing informatics will enhance the
information available to nurses for clinical
practice, management, education, and research
and will facilitate the role of nurses as
communicators."
Patricia F. Brennan (1996),

American Medical Informatics Association
Definition
“Nursing informatics (NI) is a specialty that
integrates nursing science, computer science, and
information science to manage and communicate
data, information, knowledge, and wisdom in
nursing practice. NI supports consumers, patients,
nurses, and other providers in their decision-
making in all roles and settings. This support is
accomplished through the use of information
structures, information processes, and information
technology”.
ANA 2008
Goals of Nursing Informatics
 To improve the health of
 Populations, communities, families, and
individuals by optimizing information
management and communication.
 Use of technology in the
 direct provision of care,
 establishing effective administrative
systems,
 managing and delivering education
experiences,
 supporting life-long learning,
 and nursing research.
Contd….
 To get the....
RIGHT information to the
RIGHT people at the
RIGHT time to do the
RIGHT job at the
RIGHT cost
Who are Informatics Nurses?
 Expert nursing clinicians in utilizing the

nursing process
 Expert analytical & critical thinking
skills
 Understand patient care delivery
workflow & integration points for
automated documentation
 Clinicians with extensive clinical practice
 Experienced in utilizing and
implementing the nursing process
Contd …..
 Have additional education & experience
related to technology and information
systems
 Are excellent project managers
 May be board certified in Nursing
Informatics by ANCC
How it all began….
• Late 1960’s first computer systems were

implemented in hospitals
• Computer nurses began to appear in
hospitals
– Excellent clinicians
– Technically curious and willing to try
new things
The intersection of
nursing and computer science
 Florence Nightingale in the
United Kingdom
 Jeanne Mance (1606-1673)
Montreal, Canada in 1642.
 Ventilators and physiological
monitors
 Intensive and critical care
settings
 less acute areas
 home care
Present
 NI has become a part of our professional
activities.
 Informatics has advanced the field of
nursing by bridging the gap from nursing
as an art to nursing as a science.
Data-Information-
knowledge triad
Toffler (1990)
Nursing Informatics Model
 Nursing informatics can be applied to
model the human processing of data,
information, and knowledge within a
computer system in order to automate the
processing of nursing data to information
and the transformation of nursing
information to nursing knowledge.
Contd…..
Why is Nursing
Informatics important to nursing
and health care?
A Need for Nursing
Informatics Support
 Every day, nurses make many important
decisions about patient care
 Saves nurses time and prevents
unnecessary work
 Increased in acuity and complexity of care
 Fulfill their routine tasks and enable better
outcomes within the amount of money
available.
 This technology has potential to improve
the work environment, decrease staff time
and save money.
From a business standpoint…
 Paper records
 Time
 Money
 Too many people
file
store
maintain
analyze
formulate custom reports
Contd …
 This can all be managed efficiently and
more effectively with the use of an EMR
system that encompasses nursing
informatics tools.
 In fact, reports can often be generated
within seconds with just a few keystrokes.
 This would save much time and minimize
many errors than older reporting and
tracking systems.
Sample applications of Nursing
Informatics
Clinical practice
• Recording of patient assessment Research
data in EHR • Evaluation of nurse-sensitive
 Recording of work load and outcome measures using a standard
interventions as a by-product of minimum data set
electronic charting.  Use of knowledge bases via the
internet
 Recording of workload and
interventions as a by-product of
Administration electronic charting.
• Analysis of reports generated
from a spread sheet software
application. Education
 Review of outcome indicators • Distance learning/teaching
using a decision-support software via the internet
application  Recording of workload and
 Recording of workload and interventions as a by-product of
interventions as a by-product of electronic charting.
electronic charting.
The Benefits of Nurse
Informaticists
• Promote and facilitate access to resources
and references
• To deliver high quality, evidence-based care
• Better service by facilitating true
interdisciplinary care
• Improvement in key relationships with
providers & care recipients
• Enable cost savings and productivity goals
• Facilitate change management
• Enhance continuity of care
Nursing Informatics: A Time-
Saving Intervention
 If Florence Nightingale were alive today,
she would be extremely pleased with
nursing informatics tools, which uses
science, nursing, statistics and evidence-
based care, as a time saving intervention
with the ultimate goal of helping patients in
the best manner possible.
Nursing Practice
“Nursing Process is the cornerstone of

Professional Nursing Practice”
• Defines the “What” and “How” of

professional practice
• The steps of the process are measurable
• The process steps can also be used by
other clinical disciplines
Well-documented
information provides
• What care has been provided and what is
outstanding
• Outcomes of care provided and responses
to the plan of care
• Current patient status & assessments
• Support decisions based on
assessments to drive new plans of care
Automation of Documentation
Why automate documentation – not only for

nursing but for all of patient care?
• Up-to-date, accurate information of each

step of the Nursing Process is the Power
behind safe, high quality patient-centered
care!
How do Informatics
Nurses Impact the
Nursing Process?
Enable the professional nurse to be the
“Coordinator” of each patient’s care

• Communicate & coordinate care with ALL
other clinical disciplines
• Coordinate discharge planning, education &
teaching, transitions of care
• Manage ALL information related to the
nursing process and patient care delivery
How do Informatics Nurses
Impact the Nursing Process?
Because information management is
integrated into nursing practice, there are now
additional steps in the nursing process
• Standardized Documentation
• Information Management
• Research and Evidence
Collection
• Standardized Documentation
– The collection tool for information
management
• Information Management
– Key role for Nursing Informatics
– Key to research and evidence collection
• Research and Evidence Collection
– Key to repeatable, standardized care and
improved outcomes
New areas of influence
1. Nurse practitioners are taking on increased
responsibility, such as educating patients in
disease management practices.
2. More are providing primary care, since
nurse-managed clinics are becoming a
mechanism for delivering more affordable
healthcare.
3. Nursing staff able to use the outcomes
information provided by disease
surveillance and health reporting systems
can improve care management.
Contd….
4. Patient care is an interdisciplinary
process requiring an interdisciplinary
approach to documentation, data
collection and analysis
5. A new nursing role--Internet guide--has

developed as patients are given
“information prescriptions” with
instructions to find applicable resources
at recommended Web sites.
Contd….
6. With their growing experience in a highly
automated environment, nurses will be in a
prime position to become agents of change.
• They may help colleagues for

implementations and new or upgraded
software.
• They can explain system needs of
healthcare professionals and patients to
designers, engineers and vendors.
Nursing Informatics Education
• Nursing Informatics courses at the BSN
level
• Specialty in Nursing Informatics – MSN
– Distance learning – online
• Certificate programs
• Post graduate degree
Five key directions for
informatics in nursing
education and practice
• Educate nursing 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
Future of Nursing Informatics
 Nurses should practice to the full extent of their
education and training
 Nurses should achieve higher levels of
education and training through an improved
education system that promotes seamless
academic progression
 Nurses should be full partners, with physicians
and other healthcare professionals in the
redesigning of health care
Contd… ….
 Effective workforce planning and policy
making require better data collection and an
improved information infrastructure
 Together, nurses and nursing informatics
must lead, and be visible, vocal and present at
the table to achieve healthcare delivery
transformation.
Improving Nursing Care
through Technology
• Technologies can create better work
environment for inpatient nurses;
– Improve efficiency, safety and quality
– Add value to the way nurses coordinate
and provide care
• Alarm/event messaging
• Biomedical device integration
• Medication administration
 Nurses do not want to be passive
consumers of technology
 Nurses want devices that are integrated,
voice activated, handheld, use
biometrics, provide translation, are
portable, wireless, auto populate, and are
“smart”
“Greater nurse satisfaction leads to greater

patient satisfaction”
• Emerging roles
– CNIO, Entrepreneurs, Product
Developers, Web design, Independent
Consultants
• Challenges
– Integration of data—duplication often
– Inability to access data for decision
making
– Unique distinctions between roles has
not been defined—competencies
Conclusion
 The time has come for healthcare to leave

the manual tools of the past in the past and
turn to the enablers of the 21st century.
 The nursing profession is being transformed
to meet the needs of the new world and will
be a major player in the revolution.
"By the turn of the century, most health care
delivery systems will function with computers
and will be managed by computer literate
nurses. I believe, that by the turn of the
century, "high tech and high touch" will be
an integral part of the health care delivery
system,“
Virginia Saba (1992)

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Nursing Informatics

Patricia F. Brennan (1996),

 Expert nursing clinicians in utilizing the

• Late 1960’s first computer systems were

“Nursing Process is the cornerstone of

• Defines the “What” and “How” of

Why automate documentation – not only for

• Up-to-date, accurate information of each

5. A new nursing role--Internet guide--has

• They may help colleagues for

“Greater nurse satisfaction leads to greater

 The time has come for healthcare to leave

Virginia Saba (1992)

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