Nursing Informatics

Nursing informatics (NI) is the specialty that integrates nursing science with multiple information
management and analytical sciences to identify, define, manage, and communicate data,
information, knowledge, and wisdom in nursing practice. NI supports nurses, consumers,
patients, the interprofessional healthcare team, and other stakeholders in their decisions-making
in all roles and settings to achieve desired outcomes. This support is accomplished through the
use of information structures, information processes, and information technology (Nursing
Informatics: Scope and Standards of Practice, Second Edition ANA 2015).
Informatics is the science of information, the practice of information processing, and the
engineering of information system. It is a collective term referring to a system of data records
and activities that processes and translate the data into information in an automated process.
Thus, the discipline of nursing informatics is related to the processing of data of patients
recorded into transformation which are supported by information systems.
Who are Nurse Informaticisits?
Nurse informaticists are expert nursing clinicians in utilizing the nursing process, skillful in
analytical & critical thinking skills. They understand patient care delivery workflow &integration
points for automated documentation.
Informatic nurses are clinicians with extensive clinical practice and have the experience in
utilizing and implementing the nursing process. They also have additional education &
experience related to technology and information systems. Further, nurse informaticists are
excellent project managers because of the similarity between the project management process
& the nursing process.
Nursing Informatics was recognized as a specialty by the American Nurses Association in 1992,
where the first Scope and Standards of Nursing Informatics Practice was published. In 2015, 2 nd
edition was published.
Theoretical Framework
1. Graves and Concorans Mode (1989)
Nursing informatics as linear
Progression: Data -> Information -> Knowledge
Management processing is integrated within each elements, depicting nursing
informatics as the proper management of knowledge from data as it is
converted into information and knowledge

Graves & Concorcans Model

MANAGEMENT

DATA

INFORMATION

KNOWLEDGE

2. Schwirians Model (1986)

Patricia Schwirian - proposed a model intended to stimulate and guide
systematic research in nursing informatics in 1986.
The framework that enables identification of significant information needs, that
can foster research.

3. Turleys Model (1996)

Nursing informatics is the intersection between the discipline-specific science
(nursing) and the area of informatics
Core componets of informatics
Cognitive Science
Information Science
Computer Science

Turleys Model

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.
Successful implementation of health IT requires:
Well-designed systems that support the Nursing process within the culture of an
organization and/or specific care providers
Acceptance & integration of information systems into the regular workflow of
nursing process & patient care

How Do Informatic Nurses Impact the Nursing Process?

Nurse informaticist enables the professional nurse to be coordinator of each patients care.
They Communicate & coordinate care with all other clinical disciplines, coordinates discharge
planning, education & teaching, transitions of care, and manages all information related to the
nursing process and patient care delivery. Because information management is integrated into
nursing practice, there are now additional steps in the nursing process.

The Value of Nurse

Informaticists

Nurse Informaticists are

bilingual

Support nursing work process using technology

Re-engineer clinical workflow & facilitate change management

Analyze clinical and financial data

Promote and facilitate access to resources and references

Provide nursing content to standardized languages

Improve relationships between providers and recipients of healthcare

Enable cost savings and productivity goals including key roles in requirements for:
Population health
Engaging patients and families
Increasing quality and decreasing variations in care
Enhancing care coordination
Meaningful Use/ Affordable care act

The Benefits of Nurse Informaticists

Nurse Informaticists promote and facilitate access to respurses and references

Support for their mission to deliver high quality, evidence-based care

Support for better service by facilitating true interdisciplinary care

Improvement in key relationships with providers & care recipients

Enable cost savings and productivity goals

Facilitate change management Administrations, Leadership & Management

System Analysis and Design

Compliance and Integrity Management

Consultation

Coordination, Facilitation and Integration

Development of Systems, Products and Resources

Education and Professional Development

Genetics and Genomics

Information Management and Operational Architecture

Policy Development and Advocacy

Quality and Performance Improvement

Research and Evaluation

Safety, Security and Environmental Health

Integrated Functional Area Example: Telehealth and Infromatics

NURSING INFORMATICS IN THE PHILIPPINES

History of Nursing Informatics in the Philippines
The Philippine nursing community have long sought to keep up with increasing use of
information and technology in the healthcare system. Nursing informatics follows the footsteps
of biomedical informatics which has gained relative popularity earlier that its other allied medical
counterparts. Despite being in its early stages of development, the subspecialty of nursing
informatics on the Philippines have more than a decade of which led to future programs and
activities.
Major milestones in nursing informatics in the Philippines include the participation of the
Philippine Nurses Association (PNA) in the development of Standards for Health Information in
the Philippines (SHIP) in 1999. Formation of Master of Science in Health Informatics (MSHI)
which began in 2005 was established. Further, the Philippine Nursing Informatics Association
(PNIA) in 2010 as a sub-specialty organization of PNA for Nursing Informatics was formed.
The Philippine Medical Informatics Society (PMIS) and its founders had strong influence in the
development of health informatics in the Philippines. PMIA was registered under Securities and
Exchange Commission and was headed by Dr. Alvin Marcelo. By the year 2003, a Master of
Science in Health Informatics was proposed to be offered by UP-Manila College of Medicine
and was later approved to be offered starting academic year 2005-2006.
In 2008, Nursing Informatics course in the undergraduate was defined by the Commission of
Higher Education (CHED) Memorandum Order 5 Series of 2008, and was included as Health
Informatics course in CHED Memorandum Order 14 Series of 2009.
Nursing Informatics: Challenges to Philippine Nursing Curriculum
A conference paper authored by Alexandra Belle S. Bernal, RN et al. published for AMIA
Symposium in November 2008.
The study aimed to provide foreseeable problems that may arise upon the proliferation of
Nursing Informatics in the Nursing Profession, particularly applying it in the BSN curriculum.
The nursing practice is geared toward delivering health service through culturally inclined
traditions, being compassionate and caring. However, Information and Communications
technology (ICT) is delved on only cursorily in the curricula of Philippine nursing schools. It fails

to recognize the role of the present role of technological advancement in telemedicine or

telehealth nursing (Bernal, et al., 2008).
Findings:
1. There is no model suitable for the local application
2. The prescribed standard nursing curriculum has no telehealth center integrated
3. There are not enough practitioners to form a community practice.
Recommendations:
1. Review other international models and selct appropirate ones for local use
2. Advocate and demonstrate or add to post graduate training
3. Increase awareness and appreciation of the course
References:
Barthold, Melissa F., MacCullum, Ruth, & Guinn, Patty (2015, May 13). Nursing Informatics 101
[Webinar]. Retrieved from www.himss.org/nursing-informatics-101-0
Bernal, Alexandra Belle S., Tolentino, Pia Athena P., Gavino, Alex I., Fontelo, Paul, & Marcelo,
Alvin B. (2008, November). Nursing Informatics: Challenges to Philippine Curriculum
[Conference
Paper].
Retrieved
from
www.researchgate.net/publication/23463446_Nursing_informatics_challenges_to_Philippine_nu
rsing_curriculum
De Ynchausti, Philip Loyd J. (2011). Chapter 18: Theories, Models and Frameworks
[PowerPoint Slides]. University of Perpetual Help System DALTA Molino Campus
Din, Minette (2014,April 26). Chapter 17: Theories, Frameworks, and Models [PowerPoint
Slides]. Retreived from http://www.slideshare.net/minettedin/theories-models-frameworks?
qid=abade750-4050-4b3f-a576-5eb23cfb5504&v=&b=&from_search=2
shakiamarie (2013, April 13). History of Nursing Informatics in the Philippines [PowerPoint
Slides]. Retreived from www.slideshare.net/shakiamarie/history-of-nursing-informatics-in-thephilippines-19508238

AN OUTPUT FOR
TRENDS AND ISSUES IN
NURSING
(NURSING INFORMATICS)

Prepared by:
Hackman C. Reynaldo, RN
MAN 1

Submitted to:
Naomi M. De Aro, RN, MAN, EdD