Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in...

22
Nurses Transforming Healthcare Through Informatics Nursing Informatics Research Year in Review Spring 2017 – Winter 2018 Trends in Clinical Informatics: A Nursing Perspective April 27, 2017

Transcript of Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in...

Page 1: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics

Nursing Informatics Research Year in Review

Spring 2017 – Winter 2018

Trends in Clinical Informatics: A Nursing PerspectiveApril 27, 2017

Page 2: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare

Through Informatics

Andrew PhillipsPhD, RN

Page 3: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics3

Conflict of Interest

Andrew PhillipsHas no real or apparent conflicts of interest to report.

Page 4: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics4

Learning Objectives

• Evaluate themes that impact nursing informatics. • Identify gaps in nursing informatics research. • Generate logical next steps in advancing nursing

informatics research.

Page 5: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics5

Methods – Scoping Study

Arksey and O’Malley1

•Step 1 – Identify the Research Question •Step 2 – Identify Relevant Studies •Step 3 – Study Selection (Iterative process which can change over time )

•Step 4 – Charting the Data •Step 5 – Collating, summarizing, and reporting the results •Step 6 – Consultation – This is you guys

1Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International journal of social research methodology, 8(1), 19-32.

Page 6: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics6

Step 1: Research Question

•What trends and themes emerge from a survey of the published literature in the area of nursing informatics during the past year

•Make meaning of current and past themes – historical context.

Page 7: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics7

Step 2: Identify Relevant Studies

•Search Strategy−Databases: PubMed and CINAHL −Search terms

• ((“nurse” or “nursing”) AND “informatics”) OR “nursing informatics”

•Publication Dates 3/1/2017 – 2/28/2018

Page 8: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics8

Step 3: Study Selection

Inclusion and Exclusion Criteria•Inclusion criteria: Research, contributes to nursing informatics knowledge base, prototype development and testing, clinical care delivery focus; informatics

•Exclusions: Articles that focused on informatics education programs, nursing education, nursing students

Page 9: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics9

Search Results (flow chart)

Page 10: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics10

Page 11: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics11

Step 4: Charting the Data

Page 12: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics12

21%

6%

27%

0%

33%

1%12%

Research by Setting (%)2017-2018

Ambulatory

Community/Public Health

Continuum of Care

Health Professional/Expert Panel

Hospital

LongTerm Care

Other (Theory/Design/Standards)

Page 13: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics13

3% 0% 3% 0%

58%

0%

16%20%20%

5%13%

48%

7% 7%6%12%

73%

3% 6%15% 16%

23%

4%

41%

1%8% 10%

16%11%

25%15% 15%

28%19%

0% 0%

51%

2% 1%

21%

6%

27%

0%

33%

1%

12%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Ambulatory

Community/Public

Health

Continuum of C

are

Health Profess

ional/Exp

ert Pan

el

Hospital

LongTerm Care

Other (Theory/

Design/Standard

s)

Not Applic

able

Research Setting (%)By Year

2012-2013 2013-2014 2014 - 2015 2015 - 2016 2016 - 2017 2017-2018 2018-2019

Page 14: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics14

49%

1%

3%

2%

5%1%

3%2%

17%

0

By Country (%)2017-2018

USA UK Korea Middle East Canada Tiawan China Australia Other

Page 15: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics15

0 0 0 0 0 0 0 0 0

62%

5%2%

9%

2%4%

65%

6%3% 3% 2%

14%

61%

8%

3%

7%

1%

13%

49%

1%3% 2%

5%

1%3% 2%

17%

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

USA UK Korea Middle East Canada Tiawan China Australia Other

Research Country (%)By Year

2014 - 2015 2015 - 2016 2016 - 2017 2017-2018 2018-2019

Page 16: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics16

5%

2%

7%

25%

0%

15%

3%

11%

24%

4%

4%

2%

7%

0% 5% 10% 15% 20% 25% 30%

Transitions

Standards/Terminologies/HIE

Technology Acceptance

TeleHealth/Mobile

Social Media

Implementation/Workflow

Human Factors

Patient Empowerment

Clinical Documentation/Documenetation

Big Data/Data Use

Public Health

Simulation

Other

Topic (%)2017-2018

Page 17: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics17

5%2%

7%

25%

0%15%

3%

11%

24%

4%

4%

2%7%

By Topic (%)

TransitionsStandards/Terminologies/HIETechnology AcceptanceTeleHealth/MobileSocial MediaImplementation/WorkflowHuman FactorsPatient EmpowermentClinical Documentation/CDSBig Data/Data Use

Public HealthSimulationOther

Telehealth/Mobile

Documentation/CDS

Page 18: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics18

0%

5%

10%

15%

20%

25%

30%

Transition

s

Standards/T

ermino

logies/H

IE

Technolo

gy Acc

eptanc

e

Technolo

gy Acc

eptanc

e-Pati

ent

TeleHea

lth/M

obile

Social M

edia

Implem

entat

ion/Work

flow

Human Facto

rs

Patient

Empowerm

ent

Clinica

l Docu

mentat

ion

Clinica

l Decis

ion Sup

port

Big Data/

Data Use

Public

Health

Hand O

ffs

Communicatio

n

Simulatio

n

Technolo

gy Dev

elopment

Other

Topic (%)by Year

2014 - 20152015 - 20162016 - 20172017 - 20182018 - 2019

Page 19: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics19

Step 5 – Collating, summarizing, and reporting the results

Page 20: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics20

Themes Identified

1. Clinical decision support (errors) and clinical documentation still main focus ~50% of studies.• Use of EHR data greater for

predictive tools – disease progression, deterioration

• New tools related to AI and machine learning, natural language processing

2. Patient Empowerment/Self-care• Disease management• Continuum of care (keep patients out

of hospital)3. Technology Acceptance by

Patient(Portals, Telehealth, Mobile)

3. Telehealth Standards

4. Social Media lacking from data (buried in telehealth?)

5. Use of telehealth to address health disparities and access

6. Patient Reported Data− Sustainability of patient facing

technologies7. Patient clearly recognized as

stakeholder8. Big Data Continues

• Data Mining and Use, AI, Machine learning

• Public and Population Health genomic, pharm, other

9. Inter-professional Care, Care Coordination, Shared Decision Making

Page 21: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics21

Representative Citations

Hewner, S., Sullivan, S. S., & Yu, G. (2018). Reducing Emergency Room Visits and In-Hospitalizations by Implementing Best Practice for Transitional Care Using Innovative Technology and Big Data. Worldviews on Evidence-Based Nursing, 15(3), 170-177.

Mosley, J. D., Feng, Q., Wells, Q. S., Van Driest, S. L., Shaffer, C. M., Edwards, T. L., ... & Thompson, W. (2018). A study paradigm integrating prospective epidemiologic cohorts and electronic health records to identify disease biomarkers. Nature communications, 9(1), 3522.

Reading, M., Baik, D., Beauchemin, M., Hickey, K. T., & Merrill, J. A. (2018). Factors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers. Applied clinical informatics, 9(04), 772-781.

Reading, M. J., & Merrill, J. A. (2018). Converging and diverging needs between patients and providers who are collecting and using patient-generated health data: an integrative review. Journal of the American Medical Informatics Association, 25(6), 759-771.

Saleh, S., Alameddine, M., Farah, A., El Arnaout, N., Dimassi, H., Muntaner, C., & El Morr, C. (2018). eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon. International journal of public health, 63(5), 577-588.

Topaz, M., Murga, L., Gaddis, K. M., McDonald, M. V., Bar-Bachar, O., Goldberg, Y., & Bowles, K. H. (2019). Mining fall-related information in clinical notes: Comparison of rule-based and novel word embedding-based machine learning approaches. Journal of biomedical informatics, 90, 103103.

.

Page 22: Nursing Informatics Research Year in Review Spring 2017 ... · Nursing Informatics Research Year in Review Spring 2017 –Winter 2018 Trends in Clinical Informatics: A Nursing Perspective

Nurses Transforming Healthcare Through Informatics

Step 6 – Consultation

Feedback and Professional Input…