Nursing informatics for nurse administrators

NURSING INFORMATICS FOR NURSE

ADMINISTRATORS

Presented ByRaminder Kalra

The building blocks of nursing informatics specialty are nursing, information and computer sciences. These three combined provide the knowledge base of nursing informatics.

Expanded roles and technology are being incorporated into the domain of nursing informatics. Nursing leaders in all areas including research, education and administration have a big role to play in ensuring that nursing informatics is embraced by all nurses.

Nursing leaders in all areas including research, education and administration have a big role to play in ensuring that nursing informatics is embraced by all nurses.

Studies estimate that nurses spend as little as 15 percent of their time on direct patient care. As much as half goes to documentation.

Patient care is an interdisciplinary process requiring an interdisciplinary approach to documentation, data collection and analysis.

Busy physicians and busy nurses

might not remember or have time to read each other's notes.

Single-entry data sets can save

staff time

WHAT IS INFORMATICS

A science that combines a domain science, computer science, information science and cognitive science.

Information science is the study of the processing, management, and retrieval of information

WHAT IS INFORMATICS

In 1980, Scholes and Barber applied this new term to the art and science of nursing, coining the term, “nursing informatics”, which they defined as “...the application of computer technology to all fields of nursing-- nursing services, nurse education, and nursing research”.

HEALTH INFORMATICS

Integration of healthcare sciences, computer science, information science, and cognitive science to assist in the management of healthcare information.

Health informatics have subdomains such as medical informatics, dental informatics, pharmacy informatics, nursing informatics, etc.

IMPORTANCE OF N. INFORMATICS TONURSE ADMINISTRATORS

It has important influence on the role of the nurse administrator. Nurses and nurse managers handle large amount of data during any given day.

HOW DOES N. INFORMATICS HELP?

It helps in Strategic and systems planning Implementation of clinical

nursing systems Monitoring and evaluation of

clinical and budgetary outcomes.

Cost control

N. INFORMATICS HELPS IN

Patient classification

Financial management

Linking patient classification data

Calculating staffing requirements

N. INFORMATICS HELPS IN

Educating nurses

Reducing the burden of paper work as well as improve the communication.

N. INFORMATICS HELPS IN

Providing decision support tools. Keeping the records (Availability

of information when and where needed).

Eliminating multiple entries of the same data

N. INFORMATICS HELPS IN

Making nursing care visible

Increasing the productivity of nurses

Providing evidence-based practice data to a budget methodology

N. INFORMATICS HELPS IN

Checking Bedside Data Entry (medication record etc.)

Client Monitoring- Local and Distant

Tele-nursing Practice Management Duty scheduling

IMPORTANCE OF N. INFORMATICS TONURSE ADMINISTRATORS (CONTINUED)

Wireless technology will have a growing role. Wireless LANs and PDAs allow documentation during encounters.

Electronic bulletin boards, calendar filings and email enable rapid communication of nursing administrators with staff, nursing managers and support departments.

IMPORTANCE OF N. INFORMATICS TONURSE ADMINISTRATORS (CONTINUED)

With the right nursing informatics background and training, nurse administrators can play a major role in accreditation and compliance--such as assisting in implementing standards

THE GOAL OF NURSING INFORMATICS To improve the health of populations,

communities, families and individuals by optimizing information, management and communication. It includes the use of IT in

the direct provision of care establishing effective administration

systems managing and delivering educational

experiences supporting lifelong learning and in

supporting nursing research

THE IMPACT OF NURSING INFORMATICS ON THE HEALTH CARE SYSTEM

Prevent nurses from making medication errors.

Help nurses easily interpret orders from physician in the management of a patient.

Better collaboration and sharing of patient information with other health care providers

THE IMPACT OF NURSING INFORMATICS ON THE HEALTH

CARE SYSTEM

Better assessments and monitoring of patients diseases and ailments.

Helps nurses utilize research to provide evidence based care.

Helps nurses work faster, smarter and more competent in whatever they do.

WHAT NURSE ADMINISTRATORS NEED TO DO?

Must play the role of advocates for nursing informatics.

Advocacy is about influencing people, policies, practices, structures and systems in order to bring about change

WHAT NURSE ADMINISTRATORS NEED TO DO?

Need to communicate clearly and concisely and to structure their message to fit both the situation and the intended audience (for eg. nursing students or practicing nurses).

Should be comfortable in communicating in verbal, written, and electronic formats.

WHAT NURSE ADMINISTRATORS NEED TO DO? Must be able to influence others to action. Influence is the ability to alter or sway an individual's or group's thoughts, beliefs, or actions; Influence is built on competence, credibility,

and trustworthiness hence all nurse leaders in education, administration and even in practice should be computer literate and have basic competencies of nursing informatics for them to influence others.

WHAT NURSE ADMINISTRATORS NEED TO DO? Must establish positive, collaborative

relationships with others to garner the support necessary to address the issue of nursing informatics.

Successful collaboration requires careful communication with the groups involved in the process, seeking input when appropriate, and providing ongoing reports related to progress on achieving the goal.

WHAT NURSE ADMINISTRATORS NEED TO DO? Ensure a continuing education

programme

Training of nurses on the use of computers, their application programmes

Sourcing information for research and application to patient care purposes.

Nurses need consistent training to feel comfortable with the use of Information technology in their everyday practice.

WHAT NURSE ADMINISTRATORS NEED TO DO?

Informatics competencies need to

be developed in all three levels of

expertise through basic and continuing nursing education programs.

WHAT NURSE ADMINISTRATORS NEED TO DO?

Promote Research in Nursing Informatics Research in nursing is

necessary for the development of nursing

practice since nursing informatics is a

new

specialty.

WHAT NURSE ADMINISTRATORS IN NURSING EDUCATION NEED TO DO?

Computerized record keeping. Computerized assisted

instruction. Interactive video technology

(Tele-nursing). Distance learning - web based

courses and degree programmes.

Teaching and presentations.

CONCLUSION

Nurses spend a significant proportion of their time on information related activities as part of clinical decision making in order to lead, co-ordinate and support the delivery of safe, effective, person centered care.

In order to provide high quality care for patients, nurses need up-to-date, accurate, relevant information about the person and access to the latest evidence or best practice at the point of care delivery.

CONCLUSION The ultimate goal of nursing informatics

is to use technology to bring critical information to the point of care to increase efficiency and make healthcare safer and more effective.

Much work is still needed to educate nurses in informatics competencies so that technology can be embraced as a tool in everyday practice.