Educational Informatics

Bryan T. Savellano RN MANc Lecturer

College of Nursing

OLFU Antipolo Campus

CONSUMER

HEALTH Applications of Informatics

PRACTICE

THE NURSING SHORTAGE

Within 10 years, 40% of working registered nurses will be over 50 years or older. As those RNs retire, the supply of nurses will be 20% below requirements by the year 2000. This problem is due to steep population growth and an ageing population; diminishing pipeline of new students in nursing; and an aging nursing workforce. Unfortunately, there is not simple solution to nursing shortage. Nursing must approach the problem in all angles.

INCREASED DEMAND FOR PATIENT SAFETY

• Patient safety is considered an international issue. In 2001, in Britain, there were more than 10,000 recorded medicine errors resulting in 1,100 deaths. In the US, there are 750,000 recorded medical errors with a death rate of between 44,000 to 90,000. According to international statistics, one in every 300 errors will result in a serious, and possible fatal, adverse effects.

THE NEED FOR VISIBILITY

• If nursing cannot establish its contribution to patient outcomes, nursing becomes invisible and in a fiscally tightened market, invisibility can mean expandability. Nursing must have a way to substantiate its role in the healthcare process and its vitality to outcomes.

IT Benefits To Nurse Administrators

IT Benefits To Nurse Administrators

Data Requirements in Nursing • CLINICAL

Individual patient care Documentation Implementing Services

• BUSINESS/STRATEGIC Organizational performance

Management Support processes

• QUALITY MANAGEMENT Outcomes measurement Regulatory compliance

• RESOURCES MANAGEMENT Scheduling, costing and allocation

Managing productivity Staff development

Levels of Nursing Administrators

NURSE MANAGER

NURSE EXECUTIVE

Cost of Administrative System

The Future of Computerized Nursing Information Systems

Wireless Area Networking

- Mobile electronic health tools such as cell phones and telemedicine technologies are rapidly transforming the face and context of health care service delivery around the world.

EHRs

COMPETENCY IN

NURSING

INFORMATICS

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LEVEL OF COMPETENCIES

• Beginner / Entry / User level

• Intermediate / Modifier level

• Advanced / Innovator level

of competency.

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COMPETENCIES REQUIRED

Nurses must have a minimum

of a "user" level in computer

literacy and informatics

theory.

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TECHNICAL COMPETENCIES

• psychomotor use of computers and

other technological equipment.

• Ability to use selected applications.

• Confidence

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COMPUTER APPLICATIONS

All three levels of competencies -

• Word processing

• Keyboarding

• Spreadsheets

• Presentation Graphics

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COMPUTER APPLICATIONS

• Databases (simple to complex)

• Desktop Publishing

• World Wide Web

• E-mail programs

• Expert data systems

• Multimedia

• Telecommunication devices

• Nursing information systems

• Hospital information systems

• Peripherals (Printers, CD/DVD)

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• word processing applications

• keyboarding skills

• spreadsheet applications

• telecommunication devices

• e-mail systems

• presentation applications

USER LEVEL TECHNICAL COMPETENCIES INCLUDE:

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• internet resources

• sources of data

• accesses, enters and retrieves data

• database management programs

• database

USER LEVEL TECHNICAL COMPETENCIES INCLUDE:

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USER LEVEL TECHNICAL COMPETENCIES INCLUDE:

• conducts online and database literature searches

• uses decision support systems, expert systems and other aids for clinical decision making and care planning

• uses computer applications to

– document client care

– plan client care

– enter client data

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USER LEVEL TECHNICAL COMPETENCIES INCLUDE:

• uses information management systems for client education

• uses technology based client monitoring systems

• operates peripheral devices (bedside and hand held)

• uses operating systems

• uses computer peripheral devices (CD ROMs, DVD, zip drives)

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• navigates in FOSS/Windows environment effectively

• demonstrates basic technology skills

• uses computer technology safely

USER LEVEL TECHNICAL COMPETENCIES INCLUDE:

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MODIFIER LEVEL

TECHNICAL COMPETENCIES INCLUDE:

• applies technology support to provide evidenced based practice

• synthesizes data from more than one source and applies to practice

• demonstrates awareness of and ability to access data and information from multiple sources

• uses decision support systems in practice

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• Can access pertinent literature and resources and incorporates it into practice and professional development

• Can access and create research and other documents electronically

MODIFIER LEVEL

TECHNICAL COMPETENCIES INCLUDE:

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INNOVATOR LEVEL TECHNICAL COMPETENCIES INCLUDE:

• participates in the design and development of information systems for nursing practice

• develops inventive ways to access data and interact with information systems

• participates in the design and develop design and development of new applications for nursing practice

• participates in developing new methods for data and information organization

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• collaborates with information technology consultants and other members of information system development team

• collaborates, negotiates with and directs information technology vendors

• proficiency in diverse computer application programs

• manipulates and enhances nursing data sets

• organizes and directs applications of shared data sets

INNOVATOR LEVEL TECHNICAL COMPETENCIES INCLUDE:

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• develops data gathering tools and processes for literature search access for nurses

• develop charting and documentation templates for use in nursing practice

• design and development of evidenced based practice documentation and processing within practice area

INNOVATOR LEVEL TECHNICAL COMPETENCIES INCLUDE:

Competency & Expertise Levels

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USER

MODIFIER INNOVATOR

Technical Utility

Leadership

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CERTIFICATION AND EDUCATION

AMERICAN NURSES

CREDENTIALING CENTER

(ANCC)

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CERTIFICATION AND EDUCATION

Prerequisites for certification: •baccalaureate or higher degree in nursing or relevant

field

•an active registered nurse (RN) license in the United

States

•2 years of RN practice plus 2,000 hours of informatics

nursing practice within the previous 5 years

or

12 hours of academic credit in a graduate program in

nursing informatics and 1,000 hours of nursing

informatics practice within the previous 5 years.

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SUMMARY

• Informatics can make nursing practice

visible in local, national, and international

health care data sets, thus empowering

nurses with information to influence

policy.

SUMMARY

• Information is a critical component of

effective decision-making and high

quality nursing practice.

• The information and knowledge gained

through nursing informatics can bring

increased awareness and

understanding of nursing and health

care issues.

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SUMMARY

• Nursing Informatics is committed to

maintaining a clinical perspective and

promoting research that would bear directly

on improving patient care.

• Recognition of Nursing Informatics team

value in support of clinical excellence is

crucial to any healthcare organization’s

success.

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FRIENDLY ADVICE…

• Work towards achieving the INNOVATOR LEVEL of technical competency

• Keep abreast of “latest greatest” technology trends

• Assess newest technology for “fit” and potential applicability in your nursing profession

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NURSING INFORMATICS ORGANIZATIONS

A short list of examples includes:

• American Nursing Informatics Association (ANIA)

• Australian Nursing Informatics Council (ANIC)

• Brazilian Nursing Association Nursing Informatics Group

• British Computer Society Nursing Specialist Group

• European Nursing Informatics (ENI)

• International Medical Informatics Association Nursing

Informatics Special Interest Group (IMIA-NI)

• NURSINFO: Hong Kong

• Spanish Society of Nursing Informatics and Internet (SEEI)

• Swiss Special Interest Group Nursing Informatics (SIG-NI)

The General Principles of Informatics Ethics

The Principle of Information-Privacy and Disposition All persons have right to privacy, and to

control over the collection, storage,

access, use, communication,

manipulation and disposition of data

about themselves

The Principle of Openness

The collection, storage, access, use, communication,

manipulation and disposition of personal data must be

disclosed in an appropriate and timely fashion to the

subject of those data.

The Principle of Security

Data should be protected by all reasonable and

appropriate measures against loss, degradation,

unauthorized destruction, access, use,

manipulation, modification or communication.

The Principle of Access

The subject of an electronic record has the

right of access to that record and the right to

correct the record

The Principle of Legitimate

Infringement •Control over the collection, storage, access, use,

manipulation, communication and disposition of

personal data is conditioned only by the legitimate,

appropriate and relevant data-needs.

The Principle of the Least Intrusive

Alternative

•Any infringement of the privacy rights may only

occur in the least intrusive fashion and with a

minimum of interference with the rights of the

affected person.

The Principle of Accountability

Any infringement of the privacy rights must

be justified to the affected person in good

time and in an appropriate fashion.