Informatics
"The big oak tree"
combination of the nursing science,
computer science and information science.
It includes information technologies
... [Show More] that can help support nursing practice.
Information technology
"The branch"
electronic healthcare record, your clinical decisions support tools, bar code medication administration, and so on.
information System
"Another branch" : used to collect, create and distribute useful data.
This term describes the development, use and management of an organization's overall IT infrastructure.
On that branch you would see the subcategories, such as your clinical information systems,
your core business systems, case management systems, and communication systems.
Information Science
"the roots of informatics "
-incorporates features from communication science, computer science, social science, library science, and cognitive science.
It's primary focus on the input, processing, output and feedback through technology integration.
Information science applies technology to make information usable, and it supports the overall collection and management of information.
Technology has also helped to impact this culture of safety
1) CPOE
2) Cross monitoring: 2 nurses to witness a med/electronic alert
Examples of Clinical Decision support tools
1. Electronic alerts and reminders
2. Clinical practice guidelines
3. Computer-generated care plan
4. Smart pumps
5. EHR: drug reference guide
6. Clinical pathways
Information Security
greatest potential threats are right now:
1. unauthorized personnel getting access to the equipment.
2. the use of removable storage devices (flash drive to dl info)
2 governing authorities that obligate nurses to protect patient information?
HIPPA (pt's can have a copy of their record/make corrections)
ANA Code of Ethics
Examples of Logically Protecting pt's information
installing **Firewall protection
Biometrics (scanning fingerprint)
Authentication (user specific password)
Automatic sign offs
Examples of physically protecting pt's info
Surveillance Cameras
Restricted Areas
Shredding hard copies
three principles that help to make up an organization culture as safety
1) Commitment of resources
2) Cross-collaboration
3) Blame-free environment
store and forward technology.
a form of transferring data or images from one location to another (radiology images, pathology reports)
Reasoning of Growth of telehealth
1. access to care
2. continuity of care
3. ratio of patients to providers
4. increase in chronic disease
EHR Takes patient-specific info:
1. Recommends something (example: recheck BP)
**2. Compares it against set of rules or knowledge base
...
Legal and ethical of telehealth nursing
- Extensive documentation (prevent malpractice)
- Licensed in every state that they practice telehealth
Identify Clinical vs. non-clinical telehealth
Clinical: to directly affect care of pt
-(ex: chest x-ray)
-type of mobile device
-live video conferencing (check proper injection administration)
Non-clinical:
- Team meeting
- Research
- Video-conferencing (not used for pt)
-professional development online
There are two main approaches to the development of these information systems:
1) Nursing Process Approach (admission/dc, progress notes, data collection, safe med admin..)
2) Critical Pathway/Protocols: allows nurses and multidisciplinary team members to access the relevant information in the system
Nursing Process Approach
-Streamlines documentation of assessments and patient-related data.
-Provides discharge information and pertinent patient education materials and resources.
-Provides medication information to help prevent medication errors or interactions.
Critical Pathways/Protocols Approach
-Physician's orders are present for the multidisciplinary care team to observe and follow.
-Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted.
-Multidisciplinary team members can contribute to care plans along the care continuum.
What are three types of clinical information systems?
(in critical pathways approach)
Monitoring system
Order entry system
Laboratory system
Definition of Nursing informatics
The integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom into nursing practice
Informatics Nurse Specialist (INS)
a nurse who has received educational preparation to conduct informatics research and generate informatics theory and who has a broad vision of what can be attained using information technology.
How does computer literacy differ from information literacy?
Computer literacy: familiarity with the use of personal computers
information literacy: ability to recognize when info is needed as well as the skills to find, evaluate, and use needed information effectively
distance learning
The delivery of content and stimulation of learning primarily through the use of telecommunication technologies and often used for corporate training
virtual reality
It is a widely used form of multimedia that fully envelops learners in an environment providing the next best option to performing the skill on a real person but without any risks to the learner or the client
Computer resistance by nurses is often the result of which of the following?
computer anxiety, limited computer skills, and poor communication on the part of administration to consult nurses during the change process
An order entry system can do all of the following except
Integrate results of data collected at the bedside
Clinical information systems (CIS)
are used to access client data that are used to plan, implement, and evaluate care.
meaningful use
This is an initiative geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can then be used to improve population health.
Which of the following statements best reflects acceptance of the International Classification for Nursing Practice (ICNP®) as a standard for nursing terminology?
Present nursing classification systems map it to a very high degree.
electronic medical record (EMR)
An electronic version of the client data found in the traditional paper medical record [Show Less]