Nursing Role & Scope - Week 11 - Informatics in Professional Nursing Practice

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Informatics in Professional Nursing Practice

Chapter 11

1

Nursing Informatics (NI)

NI is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.

NI facilitates the integration of data, information, knowledge, and wisdom to support patients, nurses, and other providers in their decision making in all roles and settings.

2

Clinical Informatics

Includes nursing as well as other medical and health specialties and addresses the use of information systems in patient care

Domains of clinical informatics include the 3 areas of health systems, clinical care, and information and communication technologies

Informatics Versus Health Informatics

Health informatics encompasses the interdisciplinary study of the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, and planning.

Informatics is the science of collecting, managing, and retrieving information.

The Impact of Legislation on Health Informatics

The Health Insurance Portability and Accountability Act (HIPAA)

Health Information Technology for Economic and Clinical Health Act (HITECH)

The Patient Protection and Affordable Care Act (PPACA)

Nursing Informatics Competencies

AACN Essentials

QSEN Competencies

Nurse of the Future: Nursing Core Competencies

TIGER Competencies

6

Basic Computer Competencies (1 of 2)

Basic computer competencies include understanding the concepts of information and communication technology, possessing skill in the use of a computer and managing files, word processing, working with spreadsheets, using databases, creating presentations, web browsing, and communicating.

7

Basic Computer Competencies (2 of 2)

Web browsing

Communication

Email

Listserv groups and mailing lists

Social media

Telehealth

ANA Principles for Social Networking (1 of 2)

Nurses must not transmit or place online individually identifiable patient information.

Nurses must observe ethically prescribed professional patient−nurse boundaries.

Nurses should understand that patients, colleagues, institutions, and employers may view postings.

ANA Principles for Social Networking (2 of 2)

Nurses should take advantage of privacy settings and seek to separate personal and professional information online.

Nurses should bring content that could harm a patient’s privacy, rights, or welfare to the attention of appropriate authorities.

Nurses should participate in developing institutional policies governing online contact.

The National Council of State Boards of Nursing’s Social Media Guidelines for Nurses Video

https://www.ncsbn.org/347.htm

Information Literacy: Electronic Databases

CINAHL

MEDLINE

ERIC

PsycINFO

Cochrane Library

Health Source

Nursing/Academic Edition

Google Scholar

Information Literacy: Website Evaluation

Accuracy

Authority or source

Objectivity

Currency or timeliness

Coverage or quality

Usability

13

Information Literacy: Health Information Online (HONcode)

Authoritative

Complementarity

Privacy

Attribution

Justifiability

Transparency

Financial disclosure

Advertising policy

Information Management

Electronic health record (EHR)

Clinical decision support system (CDSS)

Computerized provider order entry (CPOE)

Barcode medication administration (BCMA)

Admission, discharge, and transfer (ADT) systems

Handheld devices

Current and Future Trends

Hospital value-based purchasing (VBP) program and HITECH incentive programs linking data and EHR meaningful use to fiscal reimbursement in order to move the healthcare system toward quality and safety