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Nursing Informatics

Nursing Informatics science and practice integrates nursing, its information and knowledge and their management with information and communication technologies to promote the health of people, families and communities world wide

A specialty area of nursing practice dedicated to the optimal use of technology to support professional practice and optimal patient outcomes

integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.

Facilitates the integration of data, information, and knowledge to support clients, nurses, and other providers in their decision-making

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Goal of Nursing Informatics

To improve the health of populations, communities, families, and individuals by optimizing information management and communication.

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Sciences that go into Nursing Informatics

Computer Science

Nursing Science

Information Science

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How to meet the goals of nursing informatics

⏩by using information and technology in the direct provision of care
⏩establishing effective administrative systems, in managing and delivering educational experiences
⏩supporting life long learning
⏩supporting nursing research

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What is the Canadian Institutes of Health Information?

National not-for-profit body that records, analyses, and disseminates essential data on Canada's health system and Canadians' health

Not initially geared to nursing data, but became more important to several issues directly influencing nursing (nursing workforce recruitment and retention)

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What is the Canada Health Infoway?

Has National mandate to generate consensus on health information standards

Partnership between federal, provincial and territorial government

Has agenda/is the reason that EHR is being developed

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What is the Electronic Health Record?

aka EHR
Has six components:
Patient registry
Provider registry
Diagnostic images
Laboratory Results
Drugs dispensed
Clinical reports/immunization

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What are the three components of the EHR that need development?

Storage

Point of care systems

Connection

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What are the core components of the electronic health record?

Patient Registry
Provider Registery
Diagnostic Images
Laboratory Results
Drugs Dispensed
Clinical Reports and immunization record

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Informatics in the Canadian Health Care System

Standardizes nursing language

Increases visibility of nursing

Creation of Nursing Minimum Data Set

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Health Information: Nursing Components

Client status

Nursing interventions

Client outcomes

Nursing intensity

Primary Nurse Identified

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International Classification of Nursing Practice (ICNP)

Created in response to invisibility of nursing care

Standardization of nursing data for comparison, analysis and support of evidence-based practice

Capture nursing practice across practice settings, cultures, or languages and geographical settings

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Health outcomes for better information and care project (HOBIC)

Project initiated by Ontario to enhance patient outcomes using nursing outcome documentation as indicators of success or to assist in areas for improvement

Multi-sectorial implementation

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National e-Nursing Strategy

Nurses integrating ICT

Nurses have the information and knowledge

HR planning is supported

New models of nursing practice are supported

Nursing groups are well connected

ICT will improve quality of work environments

Canadian nurses will contribute to the global nursing community

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NurseOne

Professional links

Professional development

Library

NurseConnect

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Four SRNA Tech Competencies

11. Demonstrates critical inquiry in relation to new knowledge and technologies as it relates to nursing practice

29. Demonstrates and utilizes nursing informatics and other information communications technology in promoting and providing safe nursing care

40. Uses existing health and nursing information systems to manage nursing and health care data during client care

61. Uses technology appropriately, ensuring client safety

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Having a voice in informatics

Nurses comprise the largest group of health care providers

Nurses spent the most time in direct care of clients = a critical position to influence Health Informatics

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Sensmeier thoughts on nursing and technology

Value of nursing in informatics: crossroads of technology and patient care, integral part of healthcare delivery and transformation

Connecting the Consumer: teams not bound by physical space, digital patient engaging tools

Implications of time and place care: A technological revolution of the delivery of healthcare, physical location for the delivery of care is changing

Call to action: need more nurse informaticists, academic organizations should integrate informatics content throughout curriculum

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Technology impacts

Delivery if care

Communications

Professional development

Patient morbidity and mortality

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E-health

In Saskatchewan e-health is working towards EHR

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SNOWMED-CT

Clinical terminology standard that Infoway chose to go with

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Health Information: Nursing Components

Patient status
Nursing interventions
Patient outcome
Nursing intensity
Primary nurse identifier

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Patient Status

Label for a set of indicators that reflect phenomena for which nurses provide care. Is basically a nursing diagnosis, but a bit broader

HI:NC

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Nursing Interventions

Purposeful and deliberate health-affecting interventions

HI:NC

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Patient Outcome

Client status at defined points following intervention

HI:NC

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Nursing intensity

Refers to amount and type of nursing

HI:NC

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Primary Nurse Identifier

A single, unique, lifetime identification number for each nurse

HI:NC

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What is ICNP

International classification for nursing practice

Like snowmed-ct, but preferred by nurses. Is part of C-HOBIC

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What is C-HOBIC?

Canadian health outcomes for better information and care project

Addresses gaps in health information related to nursing's contribution to patients outcomes and the need for standardized nursing data for inclusion in admission/discharge summaries