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Running head: LITERATURE REVIEW

A Literature Review of Continuing Education in Nursing Practice


Braydon Bird
Dixie State University

LITERATURE REVIEW

Annotated Bibliography
The annotated bibliography will review six various articles that detail and express
benefits and achievements which nursing informatics has had in the areas of patient can and
patients safety.
Juin-Shu, L., Kuan-Chia, L., Wey-Wen, J., & Ting-Ting, L. (2007). An Exploration of Nursing
Informatics Competency and Satisfaction Related to Network Education. Journal Of
Nursing Research. 15(1) 54-66.
This research article explored the relationship of between nurses, their level of
competency and training in the area of nursing informatics and their satisfaction and ability to
use nursing informatics as a tool in order to further their education. Nowadays, the majority of
healthcare organizations utilize computers in their nursing practices (Juin-Shu, 2007). The
authors of this study conducted a set of computer based skills tests, as well as reviewed a study
which was filled out by 276 nurses in regards to their level of nursing, their experience with
computers, and their formal training with computer technologies. The study found that nurses
who had been exposed to at greater than 3 formal training courses with computers showed higher
levels of technological competency, were typically enlisted in higher levels of clinical care, and
showed greater satisfaction with the use of computers and technology in the workplace. It was
also noted that uses who used computers for purposes other than those required at the workplace
were better able to overcome computer problems, and adapt as new technology and programs
developed.
Mitchell, J. K. (2011) Nursing Informatics 101: Using Technology to Improve Patient care. ONS
Connect, 26(4), 8-12.

LITERATURE REVIEW

This article would serve as a wonder starting point for someone who is completely
unfamiliar with exactly what nursing informatics and how they can go about learning more. The
article is follows the development of nursing informatics starting in the 1970 and moving in to
modern day nursing. With all of this seeming rapid development in the nursing field Mitchell
states that Most nurses are not adequately trained in information technology
and basic computer skills (p. 9). At first I thought that is couldnt be true due to the fact
that pretty much every nurse I have ever worked with knows how to chart, scan medications, and
look up patient labs on a computer. However when reading more into the article Mitchell reveals
her true meaning. It isnt that most nurses cannot use a computer; it is that most nurses do not
utilize the computers and technology available to them to their fullest extent. The article
continues to explore the career field of nursing informatics discussing the way in which nurses
are able to contribute to improving the care given and the safety measure taken for patients
without being directly at the bedside.
Murphy, J. (2010). Nursing Informatics: The Intersection of Nursing, Computer, and
Information Sciences, Nursing Economic$. 28(3), 204-207.
This journal article reads like a short biography on the life of nursing informatics thus far.
Beginning in the basement of hospitals in the 1960s where computers where first used for
billing purposes to their quick expansion on to nursing units forever changing the way in which
patient care was to be practiced. According to this article it was in 1994 that the American Nurses
Association first defined the term nursing informatics as the specialty that integrates
nursing science, computer science, and information science in identifying,
collecting, processing, and managing data and information to support
nursing practice, administration, education, research, and the expansion of

LITERATURE REVIEW

nursing knowledge (Murphy, 2010). It then continues in exploring the


various careers and opportunities an individual can seek out in the NI field,
as well as discussing the clinical certifications which are available to those
desire them.
Arellano, M. (2014). Nursing informatics reaches well beyond acute care. Lippincott's Nursing
2014, 44(11), 21-22.
In this article the author reviews the unfortunate reality that the technologies, computers
systems, and electronic health records, are years out of date and nearly obsolete in long-term care
centers such as nursing homes and rehabilitation units. The author states that it is of increasing
importance for nurses working in such facilities to speak out and educated themselves to the
changing technological environment in order to appropriately advocate for change to better the
safety and patient care provided for those in such facilities. It is pointed out that the majority of
these facilities not only lack updated technology, but also do not have the recourses to employ
staff in the area of nursing informatics. Closing this article we are remided that while many
facilities are seeing the benefits of nursing informatics, there are still many who still do not have
access to such capabilities and it is the patient care which suffers.
Sittig, D., & Singh, H. (2012). Electronic health records and national patient-safety goals. New
England Journal of Medicine, 367(19), 1854-1860. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3690003/
In this article Sittig and Singh (2012) discuss the rapid implementation of
electronic health records (EHRs) in response to the American Recovery and
Reinvestment Act of 2009 (pg 1854). The importance behind the extraordinary pace of
EHR use is both beneficial and also poses safety risks due to the diversity across all

LITERATURE REVIEW

facilities and providers. So to account for this variation Sittig and Singhf proposed a
three-phase framework to address the EHR-specific patient-safety goals (e-PSGs). The
first being to address the safety concerns unique to EHR technology, such as a device
failure. The second phase was to rationalize the safety concerns arising from failure to
use EHRs appropriately. The third and final phase being the use of EHRs to help detect
and improve patient safety and prevent potential safety events. The authors believe that if
these were adopted and continually reviewed and updated regularly, it would provide a
new momentum for patient-safety initiatives in an EHR-enabled health system (Sittig &
Singh, 2012, pg 1860).

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