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Concept of nursing informatics
Current trends in nursing informatics that have emerged over the last five years
Importance of nursing informatics Essay
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The History of Nursing Informatics
Introduction
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 (ANA, 2014). NI supports nurses, consumers, patients, the inter-disciplinary healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes. This support is accomplished using information structures, information processes, and information technology.
History of Nursing Informatics
Nursing Informatics (NI) had its start as an idea in the mind of Florence Nightingale who called for standardized clinical
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It has widespread uses in healthcare, including specialty practice. Numerous roles have developed based on the growing education and applications of the nursing informatics knowledge base. Joyce Sensmeier, RN-BC, MS, CPHIMS, FHIMSS, FAAN, vice president of informatics for HIMSS said, “the demand for informatics nurses is outpacing supply, especially as electronic health records become the norm and hospitals move to optimize their use.” Reports indicate that only 9% of hospitals had adopted electronic health records in 2008 (MMN, 2017). In 2013, more than 80% have demonstrated meaningful use of EHRs, per the U.S. Department of Health and Human Services. The U.S. has around 8,000 nurse informaticists today, with a forecasted need of 10 times that number in the years to come (MMN, 2017). That is a considerable amount of workforce required, it is clear why nursing informatics is a booming specialty with plenty of exciting opportunities. Per the latest data from the Healthcare Information and Management Systems Society, average salaries for nurse informaticists increased 42% in seven years, from $69,500 in 2004 to $98,702 in 2011 (Hill et al., …show more content…
Nursing Informatics: Scope and Standards of Practice. 2nd ed. Silver Spring, MD: Nursesbooks.org; 2014.
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Consequently, I also talked to my director and clinical nurse specialist to become a super user, or go to person in our unit, which they were very receptive about it. I would get involved in the nursing informatics in our hospital to gain insight and understanding of the daily task of a nursing informatics specialist.
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
Massachusetts (MA) Department of Higher Education, in coordination with nurses from Massachusetts nursing practice and education settings, developed the framework for professional nursing called the Nurse of the Future (NOF) Nursing Core Competencies (NCC) (Chamberlain college of nursing, 2015). This model includes the following competencies; Patient-centered care, Professionalism, Informatics and technology, Evidence-based practice (EBP) Leadership, Systems-based practice, Safety, Communication, Teamwork and collaboration and Quality improvement. The purpose of this paper is to emphasis on the importance of one of the important core competencies in future nursing.
Biomedical technology is the “physiological monitoring, diagnostic testing, intravenous fluid and medication dispensing and administration, and therapeutic treatments” (Yoder-Wise, 2015). As nurses we use this type of technology multiple times a day. In nurse management, we have to monitor these technologies for errors. Like at the beginning of shift my nurse and I go check the code carts are working and stocked. Information must be “accurate, reliable, and presented in an actionable form”; hence, if the code machine is not working properly it could be the difference between life and death (Yoder-Wise, 2015). Information is also transmitted electronically all the time. It is helpful when the entire health care team can access patient files all at once and from different locations; it also gives us a set language to use when charting because checking a box helps with the language flow and prevent errors. However, sometimes information on the computer can be reputational and hard to see the pertinent information in a sea of other information. A nurses we must always have a working knowledge, which is “cognitive activity and critical thinking” (Yoder-Wise, 2015). We must have evidence based and up to date knowledge to provide the best care to patients. As a nurse manager, my nurse ensures that everyone is up to date on their continuing knowledge classes and are certified in different aspects like CPR. If there is a new process the hospital is using or new evidence about a
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
Technology is stated as the scientific method and material used to achieve a commercial or industrial objective. To go one step further, nursing technology is using a tool to advance nursing practice. “The Institute of medicine identified that technology as a viable method of enhancing patient care delivery and improving staff productivity” Sensmeier, Horowitz (2003 page). Because inadequate nursing staff causes shortcuts to be taken, there are mistakes made that could have possibly been prevented. Errors by nursing staff were variously reported as being responsible for between 44,000 and 98,000 hospital deaths per year. Sensmeier, Horowitz (2003). Technology can have a large impact on nursing. In the past 5 to 10 years, computerized patient records have increased less than 10%. This number shows us that we are still not embracing technology to its full potential. Today in most hospital systems computerized electronic charting is being used. Many hospitals have many different systems for...
When planning and providing care for a patient, nurses can benefit from understanding and utilizing various nursing theories. They help us focus care, individualize treatment, identify risk factors, health care needs and educational needs. Nursing theories, such as Betty Neuman’s nursing systems model, can be used within the four concepts of the nursing metaparadigm to address all aspects of care. “In the United States, the nursing metaparadigm has been widely used to describe four spheres of nursing knowledge that reflect beliefs held by the profession about nursing’s context and content” (Myers Schim, Benkert, Bell, Walker, & Danford, 2007, p. 73).
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs and enhancement of the quality of patient care (Murphy, 2010). It is a growing area of nursing specialty that combines computer science, information technology and nursing science in the management and processing of nursing information, data and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013). They are defined as a cluster of related concepts or ideas that establish actions that act as major guidelines in nursing informatics to issues related to the central concept of data, information and knowledge. Some of the theories that inform and assist in the framing of nursing informatics include Turley's nursing informatics model, Goossen’s framework for nursing informatics research and Staggers & Parks’ nurse-computer interaction framework (Elkind, 2009).
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
In the healthcare industry, nursing is underrepresented in the development of healthcare policies. Current nursing practice depends on the use of standardized nursing terminology and documentation to accurately communicate and identify nursing diagnoses, nursing care provided, and interventions that were performed within healthcare disciplines. The essential solution to making nursing more visible, having necessary data to adequately measure the direct effects, and retrieve associated nursing care costs is to attach nursing care services with each patient. Minimum data sets for nursing are vital classification systems necessary to categorize the practice of nursing and they allow consistent collection of essential nursing data that provide
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.
The nursing field has experienced plenty of advancements both in technology and medicine since the twentieth century. Not only have these advancements changed the face of nursing but have also become an intricate part of the field. Technology has the capacity to improve patient care and outcomes and is therefore of great importance to nursing. How nurses manage clinical workflows and how they deliver patient care have been completely changed by various innovations in software. The rationale used in selecting the topic of advances in nursing is that the world is fast evolving and so is the healthcare sector. Extensive analysis and synthesizing of knowledge, interpretation of information, research and innovations in nursing has been done over the years. It is interesting to have an in-depth look at what has been done by various influencers in the profession. Purpose of this paper is to demonstrate both technological and medical advancements in the nursing field.