NURSING INFORMATICS
BSN 2 STUDENTS, SY 2019-2020
SECOND SEMESTER
Company
LOGO
SUBJECT : Nursing Informatics
▪ Description:
This course deals with the use of information
technology system and data standards based on
nursing informatics principles/theories.
It further deals with the utilization of clinical
information systems in the management and
decision-making of patient care. A laboratory
session shall be provided for practice
application.
OBJECTIVES
▪ At the end of the course and given relevant
actual or simulated situations or conditions,
the student will be able to:
1. Apply concepts, theories and principles of
informatics in nursing and health care
2. Discuss issues and trends in informatics
relevant to nursing and Health
Course Outline :
A. Computers and nursing
1. Computers and nursing
2. Historical perspectives of nursing and the
computer
B. Computer system
1. Computer hardware
2. Computer software and systems
3. Open source and free software
4. Data processing
5. The internet: a nursing resource
C. Issues in informatics
1. The role of technology in the medication-
use process
2. Healthcare data standards
3. Electronic health record systems
4. Dependable systems for quality care
5. Nursing minimum data set systems
D. Informatics theory
1. Theories, models and
frameworks
2. Advanced terminology systems
E. Practice application
1. Critical care applications
2. Community health applications
3. Ambulatory care systems
4. Internet tools for advanced nursing practice
5. Informatics solutions for emergency
preparedness and response
6. Vendor applications
F. Consumer’s use of informatics
1. Consumer and patient use of computers for
health
2. Decision support for consumers
G. International perspectives
1. Nursing informatics in Canada
2. Nursing informatics in Europe
3. Pacific Rim
4. Nursing informatics in Asia
5. Nursing informatics in South America
What is
INFORMATICS
Company
LOGO
INFORMATICS
▪ Informatics
French word “informatique”=
computer science.
The study of computers, including
both hardware and software design.
INFORMATICS
▪ Informatics
▪ Informatics is defined as
= computer science +
information science.
Body of knowledge that provides theoretical
basis for information technology
INFORMATICS
▪ Used in conjunction with the name of a
discipline, it denotes an
application of
computer science and
information science to the
management and processing of
data, information, and
knowledge in the named
discipline.
nursing informatics
▪ “The use of computers technology to support
nursing, including clinical practice,
administration, education, and research.”
Hebda (1998 p. 3)
▪ “The development and evaluation of
applications, tools, processes, and structures
which assist nurses with the management of
data in taking care of patients or supporting
the practice of nursing.”
American Nurses Association (ANA) (1994)
Nursing Informatics
▪ “A combination of computer science,
information science and nursing
science designed to assist in the
management and processing of nursing
data, information and knowledge to
support the practice of nursing and the
delivery of nursing care.”
(Graves, J. R., & Corcoran, S., 1989)
Application of Nursing
Informatics
▪ Nursing Informatics can be applied to
all areas of nursing practice, which
include;
clinical practice
Administration
education, and
research.
ORIGIN of Nursing Informatics
▪ Increase in knowledge has led to the
development of many specialties and
subspecialties.
▪ The number of cases increased with
increase in population, discovery of more
diseases and extension of life expectancy.
▪ Due to increase workload, lack of time to
channel into useful information or
knowledge – lead to development of
healthcare informatics
ORIGIN of Nursing Informatics
Top 4 Problems of nurses in the workplace:
▪ DOCUMENTATION IS EXCESSIVE
-writes narratives (patient’s history,
progress notes, care pans and
special reports)
- fills up forms, records VS in
graphing paper and writes in tables
input/output
ORIGIN of Nursing Informatics
Top 4 Problems of nurses in the workplace:
▪ TURNAROUND TIME IS TOO LONG
- Turnaround time starts from
the time a request is made to the
time it was fully accomplished
(ex. laboratory tests or ancillary orders)
•Automation helps accelerate the processes of request and
facilitate presentation of current status of result of the
request
ORIGIN of Nursing Informatics
Top 4 Problems of nurses in the workplace:
▪ NURSING PROCESS ARE
INACCURATE
Rushing of nursing process
may lead to commission of errors
ERRORS:
Medication errors; wrong entries, dictation, translation and transcription of orders.
Automation of these processes mostly done beside a
patient leads to a great reduction of errors.
ORIGIN of Nursing Informatics
Top 4 Problems of nurses in the workplace:
▪ COMMUNICATION IS POOR
- Communication between healthcare providers
and between departments is POOR when
served with telephone systems because of its
real time nature that requires the presence of
both.
- Phone lines may be tapped or bugged
breaching privacy and confidentiality
•Computers provide different modes of communications like chat, telephony, or
video-conferencing or e-mail and simple text messaging whatever is most
convenient and appropriate.
Framework for Nursing Informatics
Relies on the central concepts of data, information
and knowledge:
▪ A DATA is defined as discrete entities that are
described objectively without interpretation
▪ An INFORMATION as data that is interpreted,
organized or structured
▪ A KNOWLEDGE as information that has been
synthesized so that interrelationships are
identified and formalized.
▪ Resulting in DECISIONS that guide practice
▪ Teaching Nursing Informatics is a must
in the Philippines.
January 2008 - CHED memorandum order
CMO NO. 5 series of 2008 to all deans of the
colleges of nursing throughout the country.
CMO NO. 5 series of 2008
It requires the replacement of basic computer
with 3-unit Nursing Informatics in the new
curriculum.
Application of Nursing
Informatics
▪ Nursing Informatics can be applied to
all areas of nursing practice, which
include;
clinical practice
Administration
education, and
research.
COMPUTERS IN NURSING
EDUCATIONS
COMPUTER Assisted Education
PDA (Personal Digital Assistants)
LCD Projectors
Wireless Routers
Desktops
Laptops
Smartphone
VIDEOS/ANIMATIONS
Distance learning
Testing (NCLEX)
Student and course record management
COMPUTERS IN NURSING
PRACTICE
Functions
1. Records client information
2. Provides access to other departments
3. Used to manage client scheduling
4. Documentation of clients status & medical records
keeping
Provides access to standardized forms, policies and
procedures
Access data about client that may be somewhere in the
medical record or elsewhere in health care agency.
5. BEDSIDE DATA ENTRY
records clients assessments, medication
administration, progress notes, care plan
updating, client acuity and accrued charges
6. COMPUTER BASED CLIENT RECORD
EMRs/CPRs
Provides easy retrieval of specific data such as trends
in vital signs, immunization records, current problems
It can be designed to work providers about conflicting
medications or client parameters that indicate
dangerous conditions
7. ELECTRONIC ACCESS TO CLIENTS
▪ Used extensively in health care to assess
and monitor clients conditions
▪ Data accumulated from various electronic
devices are stored for research purposes
▪ Can monitor client
▪ Computerized diagnosis
▪ Telemedicine
8. PRACTICE MANAGEMENT
Used to order supplies, tests, meals, and
services, from other departments
Allows nursing service to determine the
most costly items used by a particular
nursing unit.
May provide information or decisions to
modify budget, provide different staffing,
move supplies to different locations, or
make other changes for more efficient
and higher quality care
COMPUTERS IN NURSING
RESEARCH
1. PROBLEM IDENTIFICATION
- Useful in locating current literature about the problem
and related concepts. Helps in searching for existing
documents, and e-mail to colleagues.
2. LITERATURE REVIEW
- Software facilitate searches, contains thesauruses so that
the most appropriate terms can be selected.
3. RESEARCH DESIGN
- Search literature for instruments that have already
been established or to design and test instruments that need to be
developed for past study.
RESEARCH
4. DATA COLLECTION AND ANALYSIS
Helps create form for the collection of data such as
informed consent, demographic data, and recording forms.
Commonly used software for quantitative data analysis: SPSS (
statistical package for social sciences), SAS (statistical analysis
system), Sys STAT, MYSTAT
5. RESEARCH DISSEMINATION
computer word processing programs are used to
author the final reports of research and send
research to various readerships.
Help speeds completion or research projects
Automated System in the
Philippines
▪ 1970s
computers are mainly used to automate
billing.
Hospital networks expanded to include
information process in admission,
discharge and transfer (ADT) (mid 70s)
Networks now include pharmacy section,
now connecting 3 big departments:
accounting, ADT and pharmacy. (late 70s)
▪ 1980s
Laboratory and imaging departments are already
using their special computers (early 80s)
Integrated system expanded to the clinical area.
(mid 80s)
90’s hospital bought conversion software and
hardware in order to deliver the laboratory and
imaging machines to link their main system creating
interfaced systems.
▪ 2000s –
LABORATORY INFORMATION SYSTEM
(LIS) & RADIOLOGY INFORMATION
SYSTEM (RIS) started to enroach into the
main hospital information systems.
▪ Late 2000s – The Philippine Heart Center
will soon implement the internet-based
hospital information system (HIS) to allow
healthcare team to access access it
anywhere
