History, Definition and evolution of Nursing Healthcare Information and Management Systems

Informatics Society (HIMMS)

What is Nursing Informatics? Philippine Nursing Informatics Association (PNIA)

Definition

Nursing Informatics as “the application of computer Development of Professional Organizations such as:
technology to all fields of nursing- nursing service,
Technology Informatics Guiding Education Reform
nurse education and nursing research” – Scholes and
(TIGER)
barber 1980
• promoted Nursing Informatics in practice and in
The use of information technology to any of the
academia to improve and support better overall
functions which are within the purview of nursing and
quality of care for patients
which are carried out by nurses. – Ball and Hannah
1984

A combination of computer science, information Technology informatics guiding education reform

scenario, information science and nursing science that (TIGER)
is designed to assist in the management and
• started in 2006
processing of nursing data, information and
knowledge, to support the practice of nursing and the • nursing leaders coming together to
delivery of nursing care. - Graves and Corcoran 1989
the benefits of EHRs for the nursing profession
It supports the practice of all nursing specialties, in all
sites and settings, whether at the basic or advanced
level.- ANA 1994 GOAL: Improve patient care through use of
The practice includes the development of informatics and technology by the healthcare team
applications, tools, processes, and structures that
assist nurses with the management of data in taking
care of patients or in supporting their practice of RESULT: competency and implementation and
nursing. – Straggers and Bagley- Thompson 2002 Validation (ANA, 2015)

Evolution of Nursing Informatics

Nursing informatics has been officially named a 21 Countries have come together to create
specialization in nursing by the American nurses international informatics competencies that
association. -1992 incorporate evidence-based research and technology
that will improve patient careglobally.
Integrated in most important educational standards
and initiatives, including that of the American
Association of Colleges of Nursing (AACN) Essentials of
RESULT: developed Health Information Technology
Baccalaureate, Master and Doctoral Education. (AACN
Competencies (HITCOMP) tool, which is used to assess
2008, 2011, 2006)
informatics competences on a universalscale.
Integrated in Quality and Safety Education of Nurses
(OSEN, 2005), and the seminal report, To Err is
Human(Institute of Medicine, 1999) Purpose of nursing informatics

• analyze information requirements

Establishment in Higher Educational Nursing • Design, implement and evaluate informations

Informatics Programs systems and data structures

Development of Professional Organizations such as: • Identify and apply computer technologies for
nursing

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 1. Ethics
2. Education
3. Evidenced-based practice and research
4. Quality of practice
5. Communication
Goal of nursing informatics 6. Leadership
To improve the health of populations, communities, 7. Collaboration
families and individuals by optimizing information 8. Evaluation of Professional Nursing
management and communication. 1. Practice

This includes the use of technology in the direct Informatics Nurse Practice
provision of care, in establishing effective 1. Identify the Issue orProblem
administrative systems managing and delivering 2. Identify Alternatives
educational experiences, supporting life-long learning 3. Choose and Develop a solution
and supporting nursing research 4. Implement the Solution
5. Evaluate and Adjust Solutions

ANA Standards of Practice for the Informatics Nurse

Specialist Levels of competencies
1. Incorporate theories, principles and concepts from -Beginning Nurse
appropriate sciences into informatics practice such as
information, systems, and change theories; -Experienced Nurse
implementation methods, organizational culture, and
-Informatics Nurse Specialist
database structures.
-Informatics Innovator

2. Integrates ergonomics and human- computer

interaction principles into informatics solution design, Types of competencies
selection, implementation and evaluation.
-Computer Skills/Literacy

-Informatics Knowledge
3. Systematically determines the social, legal, and
-Informatics Skills
ethical impacts of an informatics solution within
nursing and health care.

Computer skills/ literacy

ANA standards of practice for Nursing Informatics - a set of skills that allow individuals to use computer
technology to accomplish tasks.
1. Assessment
2. Diagnosis, problems and issues
a. identification
3. Outcomes identification Informatics knowledge
b. 4 Planning -a set of cognitive processes that allows the individual
4. Implementation to recognize what, when, and where information is
5. Evaluation needed and to locate, evaluate, and use that
information appropriately

ANA standards of professional performance for

Nursing Informatics Informatics skills
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-the technical ability to use tools and techniques to • Wisdom is the appropriate use of data, information,
Improve information and knowledge access, and knowledge in making decisions and implementing
integration, management and use nursing actions.

Beginning Nurse Informaticist

•Has basic computer skills

•Uses applications

•Uses sources of data

•Uses technology for care delivery,

communication, and decision support

•Respects and protects patients' rights to privacy and

confidentiality of information

Nursing
BICKFORDS FOUR TENETS IN DEFINING NURSING
• Nurses, patients, health, environment INFORMATICS

• Content of information

• Using information applications and 1. Nursing informatics is not just a cognitive science,
technology computer science and information science anymore.
Practically any discipline intersects with informatics

Nursing Informatics
2. Enhancements in the definition do not just focus on
• Nursing data, information, and knowledge
the transformation of DIKW but the actual
• Design, structure and presentation of information processing and management of data and
information as it impacts nurses' decision- information to improve nursing practice.
making

• Optimizing information structures,

3. Places the nurse in the middle of the team
applications and technology for use in
emphasizing the inclusion of patients and families as
managing and communicating data,
well as the indispensable members of the inter-
information and knowledge
professional team that collaborate in the care of
patients and families.

DIKW Pyramid

•Data are discrete entities that are described
objectively without interpretation
•Information is data that are interpreted, organized,
or structured.
4. The heightened focus on outcomes which
necessitates the importance of the nursing framework
using the nursing process, evidence and outcome-
based care.

•Knowledge is information that is synthesized so that

relationships are identified and formalized

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