Ann Shepard, RNC, MSN Director, Customer Support Services Information Technology Mercy Medical Center-Des Moines
Objectives
Introduce Nursing
first computer systems were implemented in hospitals Computer nurses began to appear in hospitals
Excellent
to arrive at the truth, I have applied everywhere for information, but scarcely an instance have I been able to obtain hospital records for any purposes of comparison. If they could be obtained, they would enable us to decide many other questions besides the one alluded to. They would show subscribers how their money was spent, what amount of good was really being done with it, or whether the money was not doing mischief rather than good.
NI as a specialty
Disconnected parts
Roles, titles, and
responsibilities varied Definitions similar, conceptual models considered, research in varied directions, all goodstandard languages Panel assembled to help sort out the pieces
Definitions
1989Graves and
Informatics as
Computer
science, information science, and nursing science combined 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.
Image, p. 227
Informatics as the intersection point with Nursing Science, Computer Science and Information Science. 1995Graves et al, began to incorporate knowledge as a product of the sciences into the definition.
in 1988
scholars met to discuss priorities for nursing research
Noted
Dr.
Gloria Bulechek, Dr. Judith Graves, Dr. Susan Grobe Dr. Kathryn Hannah, Dr. Norma Lang, Dr. Judy Ozbolt, Dr. Wm Paisley, Elliott Roberts, Dr. Samuel Schultz, and Rita Zielstorff
Determined
Criteria for Promising Dimensions Group discussed early needs for standardization of data sets, taxonomy to classify and allow for use of a common language Developed seven focus areas for Nursing Informatics
NCNR 1993 Reference available on line: http://www.nih.gov/ninr/research/vol4/Overview.html
specialty in 1992 Defined NI, outlined roles and responsibilities and developed standards for practice. Certification for generalist
Informatics is 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 nursing knowledge.
ANA today
2001, Scope
NI
is a specialty that integrates nursing science, computer science, and information science to manage and communicate date, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information, and knowledge to support 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 (2001)p. 17
Certification
Began
in 1995 First computer based examable to take at any time at any approved testing location Knowledge expected of a NI generalist Focus areas of knowledgefrom the NCNR recommendations for focus
Analysis and Design System Implementation and Support System Testing and Evaluation Human Factors Computer Technology Information/Database Management Professional Practice/Trends and Issues Theories
and feasibility assessments Process flow charting Understanding requirements Quality management and customer satisfaction concepts
it do what we hoped it would for the costs we thought in the time frame we planned? This is our strength--assessment
Design
process Testing the system Reviewing output of the systemreports Measurement of pre-system goals
Less
Human Factors
Ergonomics
Right
tool for the location, the care delivered, the care provider Screen flow, use of data for decisions
Computer Technology
Understanding of
Networks Personal
Information/Database Management
Understand database architecturehow data
is
CPT NANDA,
Nursing
NIC,NOC,
Theories
Nursing
Management
Information Computer Behavioral
Change
Communication Systems
of NI
Project
Manager Researcher Educator Consultant Advocate/Policy Developer Product Developer Decision Support / Outcomes Manager
roles
Challenges
Integration
of dataduplication often Inability to access data for decision making Unique distinctions between roles has not been defined--competencies
Questions?
References
American
Nurses Association (ANA). (1996). The scope of practice for nursing informatics. Washington, DC: Author American Nurses Association (ANA). (2001). Scope and standards of nursing informatics practice. Washington, DC: Author. Graves, J.R. & Corcoran, S. (1989). The study of nursing informatics. Image, 21(4), 227-231. Graves, J.R., Amos. L.K., Huether, S., Lange, L., and Thompson, C.B. (1995). Description of a graduate program in clinic nursing informatics. Computers in Nursing,13, 60-70.
National
Center for Nursing Research (NCNR). (1993). Nursing informatics: Enhancing patient care: A report to the NCNR priority expert panel on nursing informatics/national center for nursing research. NIH Publication No. 93-2419. Bethesda, MD: U.S. Department of Health and Human Services. Turley, J.P. (1996). Toward a model for nursing informatics, Image, 28(4), 309-313.