Credits to Mr. Bryan Savellano :)

1. Educational
Informatics
Bryan T. Savellano RN MANc
Lecturer
College of Nursing
OLFU Antipolo Campus

18. CONSUMER
HEALTH
Applications of Informatics

20. PRACTICE

27. 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.

28. • 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.
INCREASED DEMAND FOR PATIENT SAFETY

29. 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.

30. IT Benefits To Nurse Administrators

31. IT Benefits To Nurse Administrators

32. 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

33. Levels of
Nursing Administrators

34. NURSE MANAGER

35. NURSE EXECUTIVE

36. Cost of Administrative System

37. The Future of Computerized Nursing
Information Systems

39. 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.

44. EHRs

45. COMPETENCY IN
NURSING
INFORMATICS
46

46. LEVEL OF COMPETENCIES
• Beginner / Entry / User level
• Intermediate / Modifier level
• Advanced / Innovator level
of competency.
47

47. COMPETENCIES REQUIRED
Nurses must have a minimum
of a "user" level in computer
literacy and informatics
theory.
48

48. TECHNICAL COMPETENCIES
• psychomotor use of computers and
other technological equipment.
• Ability to use selected applications.
• Confidence
49

49. COMPUTER APPLICATIONS
All three levels of competencies -
• Word processing
• Keyboarding
• Spreadsheets
• Presentation Graphics
50

50. 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)
51

51. USER LEVEL
TECHNICAL COMPETENCIES INCLUDE:
• word processing
applications
• keyboarding skills
• spreadsheet applications
• telecommunication devices
• e-mail systems
• presentation applications
52

52. USER LEVEL
TECHNICAL COMPETENCIES INCLUDE:
• internet resources
• sources of data
• accesses, enters and retrieves data
• database management programs
• database
53

53. 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
54

54. 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)
55

55. USER LEVEL
TECHNICAL COMPETENCIES INCLUDE:
• navigates in FOSS/Windows environment
effectively
• demonstrates basic technology skills
• uses computer technology safely
56

56. 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
57

57. MODIFIER LEVEL
TECHNICAL COMPETENCIES INCLUDE:
• Can access pertinent literature and
resources and incorporates it into
practice and professional development
• Can access and create research and
other documents electronically
58

58. 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
59

59. INNOVATOR LEVEL TECHNICAL
COMPETENCIES INCLUDE:
• 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 60

60. INNOVATOR LEVEL TECHNICAL
COMPETENCIES INCLUDE:
• 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
61

61. Competency & Expertise Levels
USER
Technical Utility
MODIFIER INNOVATOR
Leadership
62

62. CERTIFICATION AND EDUCATION
AMERICAN NURSES
CREDENTIALING CENTER
(ANCC)
63

63. 64

64. 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.
65

65. SUMMARY
• Informatics can make nursing practice
visible in local, national, and international
health care data sets, thus empowering
nurses with information to influence
policy.
66

66. 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.
67

67. 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.
68

68. 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
69

69. 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)
70

70. The General
Principles of
Informatics Ethics

71. 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

72. 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.

73. 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.

74. 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

75. 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.

76. 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.

77. 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.