APPLICATIONS OF NURSING INFORMATICS IN THE DIFFERENT FACETS OF NURSING PRACTICE

General Application
This section generally focuses of Nursing Informatics
the following domain:
 Clinica l Practice
 Community Health
 Administration
 Research
 Education

Application of Nursing Informatics: Nursing Clinical

Practice
 Work lists to remind staff of planned nursing
interventions
 Computer generated client documentation. Information found in EHR:
 Electronic medical record (EMR) and  Demographics
Computer based Patient Record (CPR).  Health history
 Monitoring devices that record vital signs  Medication incompatibility
and other measurement directly into the  Etc
client record (EMR).
 Computer generated nursing care plans and Clinical alert System
critical pathways.  The computerized clinical alert system can be
 Automatic billing for supplies or procedures used in conjunction with the hospital
with nursing documentation. pharmacy. A system design is created to alert
 Reminders and prompts that appear during both pharmacy and health staff when two or
documentation to ensure comprehensive more drug prescriptions are incompatible.
charting
Computer generated documentation lessens
mistakes and enhances efficiency
 This becomes beneficial as nurses could
easily read notes doctor’s order charting
reliable and readable
Lists to remind staff on planned intervention.
 Nursing Interventions that are new and rare
may be beneficial for nurses as the use of
informatics, it can guide them how to
properly manage a certain illness condition
Important client information is not missed with the
use of Electronic Health Record
 Patients admitted have their important Documentation is done immediately on
information in the computer. It would patient’s bedside after giving the intervention to
reappear as a record in the hospital even if prevent mistakes and errors.
they are re-admitted. Thus important The use of Nursing Informatics, particularly,
information regarding previous the Bar Code Medication Administration wherein
hospitalization is easily retrieved. medications are scanned prior to administration.
APPLICATIONS OF NURSING INFORMATICS IN THE DIFFERENT FACETS OF NURSING PRACTICE
GENERAL APPLICATION: COMMUNITY HEALTH
 Telehealth
- includes the use of telephones and
sophisticated image transmission systems
like ECG, faxes, and remote camera imaging.
- Telehealth places the ambulance personnel
in touch with the Emergency Department
and it also operates to put the generalist
“nurses and doctors” at the ED in touch with
specialists.
- Used to evaluate the stroke victims while
they are in transit so appropriate therapy can
be initiated quickly upon arrival at the ED,
- In similar fashion, a nurse practitioner in a
remote ED might be guided via telephone in
the proper procedure for inserting chest
tubes so a man with a collapsed lung could be
stabilized for subsequent transport to a major
hospital.
- Finally, nursing informatics can be useful for
interdepartmental communication such as
ordering supplies from central supply, lab
work, etc.
RX Box
- A multi-component program (biomedical
device, electronic medical record system and
telemedicine training) designed to provide
better access to life-saving health care
services in isolated and disadvantaged
communities nationwide.
- It is one among the Department of Science
and technology’s effort for a “Smarter
Philippines”.
- An ICT (Information and Communications
Technology) innovation designed to support
the Department of Health’s call for
Kalusugang Pangakalahatan or Universal
Health Care.
GENERAL APPLICATION: ADMINISTRATION
- Lesser time in retrieval information in the
unit such as material inventory, statistics, and
other information.
- Electronic mail usage to hasten
communication such as release of
memorandums, report, communication, staff
schedule and the like.
- Automated staff scheduling.
- Decrease errors in reports such as quality
assurance and outcome analysis among
patients.
Application of Nursing Informatics: Nursing
Administration
- Digital communication systems such as
email, IM, mobile text for fast and reliable
communication
- Quality assurance ad outcome analysis
- Cost analysis and trends for budget
preparation
- Automated staff scheduling, reminders and
calendar tools
GENERAL APPLICATION: RESEARCH AND
EDUCATION
 Systematic record-keeping and grade
computation
 Technology: Computerized and Interactive
Learning
 Use of Software for Slides, hand-out, and
powerpoint.
 Distance Learning makes accessible education
for all worldwide.
 Yielding wide-range of literature of global
publication and references.
Application of Nursing Informatics: Research
- Specialized Databases of scholarly research
and documents. Such as CINAHL, HINARI,
MedLine and multiple web sources
- The adaptation of standardized language
related to nursing such as NANDA nursing
diagnoses
- Software and online tool for analysis of data
Application of Nursing Informatics: Education
- Digital record keeping and retrieval
- Computerized assisted instruction
- Interactive video technology
- Distance learning via web-based courses and
degree programs
- Online delivery of Continuing Nursing
Education (CEU’s)
APPLICATIONS OF NURSING INFORMATICS IN THE DIFFERENT FACETS OF NURSING PRACTICE
- Software and digital tools for presentations
and learning materials
NURSING INFORMATICS
Information Systems used in healthcare
include the people, structures and processes and
manuals as well as tools that collect, store and
interpret, transform, and report practice
management and information (Rao, 2015)
NURSING PROCESS
- Communicates and coordinates care with all
other disciplines.
- Coordinate discharge planning, education
and teaching and transition of care.
- Manages ALL information related to nursing
process and patients.
PRACTITIONER
1. Informatics Nurse (IN)
- Nurse with specialized skills, knowledge &
competencies in informatics
- RN with an interest or experience working
in an informatics field
- Generalist in the field of informatics in
nursing
2. Informatics Nurse Specialist (INS)
- RN with formal, graduate education in the
field of informatics or a related field
- Specialist in the field of nursing informatics
THE AMERICAN NURSES ASSOCIATION (ANA,
1994) LISTS SEVERAL FUNCTIONS OF NIS
 Theory development – the NIS contributes to
the specific knowledge base of the nursing
informatics.
 Analysis of information needs – the
identification of information that nurses need
in order to accomplish their work; client care,
education, administration, & research.
 Selection of computer system – the INS,
guides the user in making informed decisions
related to the purchased of computer systems.
 Design of computer system & customizations
– the NIS collaborates with users & computer
programmers to make decisions about how
data will be displayed & accessed.
 Testing of computer systems –systems must
be checked for proper functioning before they
are made available for use in patient care.
 Training users of computer systems – users
need to be trained in how the system works,
the importance of accurate data entry, & how
the system will benefit them, & more
importantly how it will improve patients
outcomes.
 Evaluation of the effectiveness of computer
systems - the unique role of the NIS makes
them the ideal person to evaluate the
effectiveness of computer systems
 Ongoing maintenance & enhancements - the
NIS makes sure the computerized system
functions properly & explores possible
enhancements to the system that will better
serve the users & the patients.
 Identification of computer technologies that
can benefits nursing – the NIS must keep
abreast of the changes in the fields of
computers & information technology,
including new hardware & software that will
benefit the nurse & patient.
4 LEVELS OF INFORMATICS COMPETENCIES
1.The Beginning Nurse
- Have fundamental information&
management skills.
2. The Experienced Nurse
- Highly skilled in use of informatics to
support her practice
3. Informatics Nurse Specialist
- Has advanced preparation in information
management, she focuses on applications
to support nursing practice & use skills in
critical thinking, decision making & system
development.
4.Innovator Nurse
- conducts informatics research & general
informatics theory & creative in developing
solutions& has a sophisticated level of
understanding & skills in computer
technology.
APPLICATIONS OF NURSING INFORMATICS IN THE DIFFERENT FACETS OF NURSING PRACTICE
LEVELS OF NURSING INFORMATICS COMPETENCY the practice setting, especially at the bedside, in
 Level of expertise order to be able to attend to the client at the same
- Users time.
- Modifiers
- Innovators UTILITY
 Competencies Utility competencies are related to the
- Technical process of using computers and other
- Utility technological equipment within nursing practice,
- Leadership education, research and administration. Specific
nursing informatics competencies include the
USER process of applying evidenced based practice,
A "User" level of competency indicates critical thinking, and accountability in the use of
nurses who demonstrate core nursing informatics selected applications in a comfortable and
competencies. This level includes practicing nurses, knowledgeable way.
nursing administration, nurse researchers and
educators. In most taxonomy, this is the basic level LEADERSHIP
that ALL nurses should minimally demonstrate, no Leadership competencies are related to the
matter what area of practice he or she works in. ethical and management issues related to using
Even user level competencies include technical, computers and other technological equipment
utility and leadership related skills and knowledge. within nursing practice, education, research and
administration. Specific nursing informatics
MODIFIER competencies include the process of applying
A "Modifier" level of competency indicates accountability, client privacy and confidentiality
nurses who demonstrate intermediate nursing and quality assurance in documentation in the use
informatics competencies. This level includes of selected applications in a comfortable and
practicing nurses, nursing administration, nurse knowledgeable way.
researchers and educators who have mastered basic
skills and use technology in inventive ways in their
practice.

INNOVATOR
An "Innovator" level of competency
indicates nurses who demonstrate advanced and
specialized nursing informatics competencies. This
level includes practicing nurses, nursing
administration, nurse researchers and educators
who have mastered expert skills and use technology
in design, plan and coordinate the use of
technologies and informatics theory in nursing.

TECHNICAL
Technical competencies are related to the
actual psychomotor use of computers and other
technological equipment. Specific nursing
informatics competencies include the ability to use
selected applications in a comfortable and
knowledgeable way. It is important that nurses feel
confident in their use of computers and software in