Nursing Informatics

Nursing InformaticsTeam Project Group #3Mary AndersonShirley DashDimitar DimitrovRyan Moffat

Nursing Informatics: An OverviewHistorical ContextNursing Informatics DefinedCompetenciesTechnical EducationUtility RolesLeadership SkillsEducationCertificationRoleSkillsSalaryFuture Outlook for Nurse InformaticiansEvidence Base Practicew/PatientsHealthcare Information Technology Images & Tools:Alarms & Monitoring Systems Socio-Technical IssuesFoundations-Committees-WorkgroupsPresent and Future AgendaReferences

Historical Context1950s: Healthcare began to use computers.1970s: The nursing profession became involved in the design, purchase, and implementation of information systems.1980s: The emergence of nursing informatics specialties. Introduction of the Personal Computer.1990s: Telemedicine emerged as a specialty. The first Nursing Informatics certification exam was administeredPost-2000: Exponential growth in the use and sophistication of computer hardware and softwareJULIE A. KENNEY and IDA ANDROWICH

Nursing Informatics DefinedNursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, 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.NANCY STAGGERS, PHD, RN, FAAN, CHERYL BAGLEY THOMPSON, PHD, RN

Nursing Informatics Competencies

June Kaminski RN MSN PhD(c) 2000 2012. Nursing Informatics Competencies: Self Assessment. http://nursing-informatics.com/niassess/index.html

Nursing Informatics CompetenciesTechnicalTechnical competencies are related to the actual psychomotor use of computers and other technological equipment. Specific nursing informatics competencies include the ability to use selected applications in a comfortable and knowledgeable way.

UtilityUtility competencies are related to the process of using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying evidenced based practice, critical thinking, and accountability in the use of selected applications in a comfortable and knowledgeable way.

LeadershipLeadership competencies are related to the ethical and management issues related to using computers and other technological equipment within nursing practice, education, research and administration. Specific nursing informatics competencies include the process of applying accountability, client privacy and confidentiality and quality assurance in documentation in the use of selected applications in a comfortable and knowledgeable way.

June Kaminski RN MSN PhD(c) 2000 2012. Nursing Informatics Competencies: Self Assessment. http://nursing-informatics.com/niassess/index.html

Nursing Informatics EducationMany nurse informaticists have advanced degrees, such as a Masters or Ph.D. in nursing or another field. The number of nurse informaticists with an advanced degree rose 4% between 2007 and 2011, according to HIMSS. A nurse informaticist can also be certified by the American Nurses Association or obtain a certification through HIMSS. An RN must hold a bachelors degree to sit for the ANA exam. The certification must be renewed every five years.Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degreehttp://work.chron.com/salaries-nurses-informatics-degree-1893.html

Healthcare Information and Management Systems Society(HIMSS)7

Nursing Informatics Education contdThe ANCC Web site details the nursing candidates qualifications for the informatics nurse certification exam as:a baccalaureate or higheran active RN license, with at least 2 years of professional practicepractice of at least 2,000 hours ofNI within the last 3 years Or12 hours of graduate work and 1,000 hours of NI practiceOrcompletion of a graduate program in NI that included at least 200 hours of clinical practicumcompletion of 30 continuing education contact hours in specialty area within the last 3 years for those who havent completed a graduate informatics program.Karen Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI: 10.1097/01.NUMA.0000262926.85304.a6 http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf

http://www.nursecredentialing.org/Certification/NurseSpecialties/Informatics.html

American Nursing Credentialing Center Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC). The National Commission for Certifying Agencies and the Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.8

Nursing Informatics RolesProject ManagersNursing Informatics SpecialistClinical analystClinical Project ManagerNursing Informatics ManagerClinical IT DirectorsChief Information OfficersChief Nurse Officers

Nursing Informatics SkillsEncompass project management.Health information system management.Writing requests for proposals or returns on investments.Developing educational programs.Evaluating work process flows.Writing policies. Aiding in the design and content of an organizations intranet.Making recommendations to chief nurse officers/chief executive officers on a preferred clinical system for nursing.

Nursing Informatics Average Salary

The average salary for a nurse informaticist increased by 17 percent between 2007 and 2011, according to a HIMSS salary survey. The average salary is $98,702 a year. The vast majority of survey respondents indicated their salaries were augmented by benefits such as medical or dental insurance and retirement savings plans. A certification in nursing informatics from the American Nurses Association or HIMSS can increase the average salary by more than $10,000 a year. In comparison, the average annual wage of a registered nurse was $64,690 in 2010, according to the Bureau of Labor Statistics.Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degreehttp://work.chron.com/salaries-nurses-informatics-degree-1893.html

Healthcare Information and Management Systems Society(HIMSS)11

Future Outlook for Nurse InformaticiansThe skills and knowledge of Nurse Informaticians make them valuable assets to any organization and to the future development of the field. Some of the areas where their expertise can be of great benefit are:Use and analysis of clinical data for secondary purposes (research, etc.)Patient record managementCreation and implementation of standards, processes and proceduresSecurity, Privacy, and Confidentiality of patient informationFocus on public health and advancement of community health initiatives

Evidence Based PracticeEvidence Based Practice is defined as the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.

Nurses and nurse informaticians have the ability to implement changes and see the evidence in the outcomes of the patient cares by:Utilizing available patient history informationUtilizing available research dataUtilizing their expert knowedge of the nursing fieldUtilizing clinical decision support toolsCreating a more personal relationship with the patient and their families

Sackett, D. Evidence-based Medicine - What it is and what it isn't. BMJ 1996; 312:71-72. http://www.bmj.com/cgi/content/full/312/7023/71

Evidence Based Practice with patients The nursing field is developing on a regular basis.New technologies and the skills to access information, research and knowledge are the basic fundamentals of EBP that can help nurses in the overall care of their patients. Nurses will have a new empathy and compassion for patients while giving them expert advice and care. Nurses now have the strongest trends in health care systems with EBP because it allows them to apply their evidence based practices to research and administration to patients and their care. Evidence based practices has become a benchmark for nurses credibility and respect. They are, beyond nurses, information leaders, and have the ability to show that through research and now patient/nurse inteactions.

Healthcare Technology Images: Alarms & Monitoring Systems

Healthcare Information Technology Tools:

Computerized physician order entry (CPOE)Electronic Health Record (EHR)Electronic Medical Record (EMR)Personal Health Record (PHR)EPIC SystemsNursing Interventions Classification System (NIC) Terminology Nursing Outcomes Classification System Terminology (NUC)

Socio-Technical IssuesSocial technologies a way to stay connected to the world. Having online technologies like blogs, wikis, and forums can bring groups of people together all over the world. For nurses, systems like these can allow for communication across the board throughout different health networks and other systems. Collaboration is key in any hospital setting and socio-technologies can help advance that idea. Project planning can be moved even further ahead when you have the options of sharing information with other clinicians across the globe. With nurses actively participating in online systems like these, they will have the capabilities to move further ahead in patient care and consideration.

Foundations, Committees, WorkgroupsTIGER Foundation: Advancing the integration of health informatics to transform practice, education and consumer engagementAMIA: American Medical Informatics Association: Leading the way in transforming health care through trusted science, education, and the practice of informatics.

Present & Future AgendaProfessional PracticeResearchTechnological InnovationsPreparednessEducational PreparationAdministrative CompetenciesDecision Support Systems

We should come up with some examples to discuss here in the narration19

ReferencesKaren Carroll, RN,BC, PhD. et al.(2007) An Emerging Giant. Nursing Management, 38(3), 38-42. DOI: 10.1097/01.NUMA.0000262926.85304.a6 http://www.himss.org/files/HIMSSorg/handouts/694inform0307p38.pdf

Beth Greenwood, Demand Media.2013. Salaries for Nurses With an Informatics Degree. http://work.chron.com/salaries-nurses-informatics-degree-1893.html

June Kaminski RN MSN PhD(c) 2000 2012. Nursing Informatics Competencies: Self Assessment. http://nursing-informatics.com/niassess/index.html

http://www.nursecredentialing.org/Certification/NurseSpecialties/Informatics.html

McGonigle, Dee. Nursing Informatics and the Foundation of Knowledge . 2. Massachusetts : Jones and Bartlett Learning , 2012. Print.