Informatics in Professional Nursing Practice Chapter 12

Informatics

in Professional

Nursing Practice

Chapter 12

Nursing Informatics (NI)

• NI a specialty that integrates nursing science,

computer science, and information science to

manage and communicate data, information,

and knowledge in nursing practice

• NI facilitates the integration of data,

information, knowledge, and wisdom to

support patients, nurses, and other providers in

their decision making in all roles and settings

Clinical Informatics

• Includes nursing as well as other medical and

health specialties and addresses the use of

information systems in patient care

• Domains of clinical informatics include the 3

areas of health systems, clinical care, and

information and communication technologies

Informatics Versus Health Informatics

• Health informatics encompasses the

interdisciplinary study of the design,

development, adoption, and application of IT-

based innovations in healthcare services

delivery, management, and planning

• Informatics is the science of collecting,

managing, and retrieving information

The Impact of Legislation on

Health Informatics

• The Health Insurance Portability and

Accountability Act (HIPAA)

• Health Information Technology for Economic

and Clinical Health Act (HITECH)

• The Patient Protection and Affordable Care

Act (PPACA)

Nursing Informatics Competencies

• AACN Essentials

• QSEN Competencies

• Nurse of the Future: Nursing Core Competencies

• TIGER Competencies

Basic Computer Competencies (1 of 2)

• Basic computer competencies include

understanding the concepts of information and

communication technology, possessing skill in

the use of a computer and managing files,

word processing, working with spreadsheets,

using databases, creating presentations, web

browsing, and communicating

Basic Computer Competencies (2 of 2)

• Web browsing

• Communication

– Email

– Listserv groups and mailing lists

– Social media

– Telehealth

ANA Principles for Social Networking (1 of 2)

• Nurses must not transmit or place online

individually identifiable patient information

• Nurses must observe ethically prescribed

professional patient−nurse boundaries

• Nurses should understand that patients,

colleagues, institutions, and employers may

view posting

ANA Principles for Social Networking (2 of 2)

• Nurses should take advantage of privacy

settings and seek to separate personal and

professional information online

• Nurses should bring content that could harm a

patient’s privacy, rights, or welfare to the

attention of appropriate authorities

• Nurses should participate in developing

institutional policies governing online contact

The National Council of State Boards

of Nursing’s Social Media Guidelines

for Nurses Video

https://www.ncsbn.org/347.htm

Information Literacy:

Electronic Databases

• CINAHL

• MEDLINE

• ERIC

• PsycINFO

• Cochrane Library

• Health Source

• Nursing/Academic

Edition

• Google Scholar

Information Literacy:

Website Evaluation

• Accuracy

• Authority or source

• Objectivity

• Currency or timeliness

• Coverage or quality

• Usability

Information Literacy:

Health Information Online (HONcode)

• Authoritative

• Complementarity

• Privacy

• Attribution

• Justifiability

• Transparency

• Financial disclosure

• Advertising policy

Information Management

• Electronic health record (EHR)

• Clinical decision support system (CDSS)

• Computerized provider order entry (CPOE)

• Barcode medication administration (BCMA)

• Admission, discharge, and transfer (ADT)

systems

• Handheld devices

Current and Future Trends

• Hospital value-based purchasing (VBP)

program and HITECH incentive programs

linking data and EHR meaningful use to fiscal

reimbursement in order to move the healthcare

system toward quality and safety