Nursing Informatics

Nursing Informatics

• Nursing Informatics is the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide."

Communication technology Management of

information

Knowledge and Information in

Nursing

NURSING INFORMATICS

Computer Science

Nursing Science

Information Science

Transformation of Nursing Key ingredients

CEN/TC 251

• CEN Technical Committee 251 is a workgroup within the European Union.

• It is working on standardization in the field of Health Information and Communications Technology (ICT) in the European Union.

• The goal is to achieve compatibility and interoperability between independent systems and to enable modularity in Electronic Health Record systems.

Working Groups in CEN/TC 251

• WG1: Healthcare Information Modelling and Medical Records• WG2: Healthcare Terminology, Semantics and Knowledge Bases• WG3: Healthcare Communications and Messages• WG4: Medical Imaging and Multimedia• WG5: Communication with Medical Devices• WG6: Healthcare Security, Privacy, Quality and Safety• WG7: Intermittently Connected Devices (including Cards)

Information systems• Clinical information system- CIS

Comprehensive and integrative systems that manage the administrative, financial, and clinical aspects of a clinical facility; It should help to link financial and clinical outcomes. Example: Electronic health record (EHR).

• Decision Support System (DSS)Organizes and analyzes information to help decision makers formulate decisions when they are unsure of their decision’s possible outcomes.

• Executive Support System (ESS)Collects, organizes, analyzes, and summarizes vital information to help executives or senior management with strategic decision making. Provides a quick view of all strategic business activities.

• Geographic Information System (GIS)Collects, manipulates, analyzes, and generates information related to geographic locations or the surface of the earth; provides output in the form of virtual models, maps, or lists.

• Management information systems (MIS) Provide summaries of internal sources of information, such as information from the transaction processing system and develops a series of routine reports for decision making.

• Office system Facilitates communication and enhances the productivity of users needing to process data and information.

• Transaction Processing System (TPS)Processes and records routine business transactions, such as billing systems that create and send invoices to customers, and payroll that generates employees pay stubs and wage checks and calculates tax payments

• Hospital Information System (HIS)Manages the administrative, financial, and clinical aspects of a hospital enterprise. It should help to link financial and clinical outcomes.

• Learning Management System (LMS)

A learning management system (LMS) is a software application for the administration, documentation, tracking, reporting and delivery of electronic educational technology (also called e-learning) education courses or training programs.

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Mobile information systems

• Mobile devices will be used in planning, documenting, interacting with the healthcare team, and research.

NURSING INFORMATICS IN

NURSING EDUCATION

Class room- from past to present

Literature search- Past and Present

DISTANCE LEARNING

Student and course record Management

Webinars

Game and Simulation Technology

The healthcare simulation allows nursing students and those looking to sharpen their nursing skills the ability to test their knowledge in real world trauma scenarios without the danger of harming or critically injuring any real life patients.

The healthcare simulation is connected directly to the learning management system (LMS) which gives both teachers and students the ability to see progress, track user behavior and success rates as well as set up an entire course structure to allow students to move from lighter to more difficult situations.

• This information can also be used to track the overall progress of the simulation and provides accurate data for administrators to make evaluations.

• This will help student nurses learn about pathophysiology, care guidelines, medication usage, and a host of other topics.

• Virtual reality

• Three-dimensional computer generated "world” where a person (with the right equipment) can move about and interact as if he or she were actually in the visualized location.

• The person’s senses are immersed in this virtual reality world using special gadgetry, such as head-mounted displays, data gloves, joysticks, and other hand tools

Nursing Informatics in

Nursing Service

Documentation of client status and client record keeping

BED SIDE DATA ENTRY

EMR AND EHR• Electronic Medical Record (EMR)• Electronic Health Record (EHR)

Personal digital assistants (PDAs)

• Specialized home health care computer software applications used to improving the accuracy, safety and quality of home health care services

• E.g. Gerica, NIT Pro, MD omsorg

Web- based Patient tracking

TOUCH SCREEN SIGN IN KIOSKSIn walk-in environments, the patient enters their name on a touch screen monitor or kiosk. The patient name is then placed into the waiting queue, for staff to review on office computers, or a large flat screen monitor.

For scheduled appointments, the patient taps in some basic information (First and Last initial and Date of Birth), which looks up their appointment and adds the patient to the arrival queue

TEXT MESSAGING & PAGER SOLUTIONS FOR HEALTHCARE

Text Messaging Center easily send text message notifications directly to any cell phone or provided pager, from an existing desktop computer. All patient visits and staff members are listed on the screen, allowing any associated text message to be sent to family, visitors, patients, or staff

CLIENT MONITORING AND COMPUTERIZED DIAGNOSIS

Remote Tele-ICU MonitoringCentralized critical care management in 24/7 “command centers” that treat patients in multiple hospitals.The command centers provide continuous monitoring from remote intensivists, who have live access to patient data, and provide 2-way tele-monitoring to work together with hospital-based care teams. 

Telemedicine and TelehealthFuture technology "HEALTHSAT , an exclusive satellite for meeting the health care needs of the country at large.

Voice-Activated Communicators• Range of 500 feet, • Communicator will give the user the ability to dial any

number in their phone book just by speaking their name or by speaking individual digits.

• These technologies will permit nurses and other healthcare professionals to use wireless, hands-free devices to communicate with each other, and to record data.

Smart phone applications

• Microsoft Remote Desktop RD client.

• Citrix’s Xen Desk • VMW

Virtual desktops These apps allow for the remote connection to an alternative server – such as a hospital network – from a mobile device which allows for the remote evaluation of a patient’s medical records or imaging studies when the physician is not located in the hospital. 

Mobile health and Text messaging services

Healthcare Prevention Services

Healthcare Communication

Nursing Informaticsin

Nursing Research

JSTORhttp://www.jstor.org/ JSTOR is a shared digital

library created in 1995 to help university and college libraries free up space on their shelves, save costs, and provide greater levels of access to more content than ever before. JSTOR currently includes more than 2,000 academic journals, dating back to the first volume ever published, along with thousands of monographs and other materials relevant for education. 

EBSCO http://www.ebscohost.com/

EBSCO Information Services provides a complete and optimized research solution comprised of research databases, e-books and e-journals

DynaMed™ is a clinical reference tool created by physicians for physicians and other health care professionals for use at the point-of-care.