4. The computer help transform the nursing
profession prior to the new century. It
includes the transformation of paper-based
records to computer-based records.
It is use to manage information in patients
care, monitor the quality of care and evaluate
the outcomes of care. It can be used for
• communication and enhancing the nursing
.
education and support nursing research.
6. Prior to the 1960s
• Adopt to computers for health
care
• Computer were used for
business office function
• Punch card/ stored data
7. 1960s
• Computer technology in health care settings
were questioned
• Why computers? What should be
computerized?
• Nurses station was viewed as the HUB of the
information exchanged
• Introduction of CRT or (Cathode Ray Tube)
• Online data communication
• Hospital Information System (HIS)
8. 1970s
• Giant step were taken for both nursing and
computer
• Recognized the value of computer into
nursing
• Improvement of Documentation
• Repetitive aspect of patient care
• Mainframe HIS were designed and
developed
• Use for reimbursement of Medicare
9. 1980s
• Emersion of Informatics in the healthcare
industry
• Computer-based patient records system or
CPRS
• HIS
Order entry *online results
Kardex *nurses notes
Vital Signs *Discharge Plan
• Updates on Practice Standards
Data Standards
Vocabularies
Classifications Schemes
11. 1990s
• Computer technology become integral part
of healthcare
• N.I was approved by ANA as a new nursing
specialty (1992)
• Laptops or notebook to the bedside and all
point of care settings
• Local Area Network (LAN) were developed
– Linking hospital care Units
12. • Wide area network were developed (WAN)
.
Linking across the different system
• Introduction of internet
Information superhighway
Mainstream social Milieu
Electronic Mail (e-mail)
File transfer Protocol (FTP)
The web became the means for online
communications and resources to the nursing
practice
Integral component of all IT system
WWW use to browse the internet and search
worldwide resources
13. Post 2000
• Intorduction of mobile technology
• Wireless tablets computers
• Personal digital assistant or PDA
• Smart cellular telephones
• Use of voice-over internet protocol (VoIP)
• The health insurance portability and
accountability act of 1996 was inacted
(HIPPA)
– To streamline health care transaction and
reduce cost
– Used for reimbursement
16. Nursing Practice
• Evolve and change radically
• Become and integral part of the EHR
• Introduction of several nursing
terminologies that were recognized by the
ANA
• Use to assist problem, document care, and
measures outcome
17. Nursing Administration
• Change the introduction of the computer
that links nursing departments
• Policy ad procedure manuals are access and
retrieve by computer
• Internet is being used by nurses to access
digital libraries online resources and
research protocols at the bedside
18. Nursing Education
• Schools of nursing offers computer enhance
courses and distance education
• Campus wide computer systems are
available for students to communicate
• Time, distance, costs are no longer barrier
to educational programs
19. Nursing Research
• Provide the impetus to use the computer for
analyzing nursing data
• Can retrieve information or other data basis
that contain relevant healthcare content
• Internet provides online access to millions of
web resources which increase the
capabilities of online searching and
retrieving information
21. Nursing Practice Standards
• Developed and recommended by the ANA
• Recommended that the nursing process
serve as the conceptual framework for the
documentation of nursing practice
• Also recommend acuity systems to
determine resource used as well as required
care plans for documenting nursing care
22. Nursing Data Standards
• Emerged as a new requirement for HER
• 13 nursing terminologies that have been
recognized by the ANA for this 4th edition
• The ANA is responsible for the recognition
of the terminologies and for determining if
they have met the criteria to be included in
the NLM, UMLS
23. Healthcare Data Standard
Organizations
• American national standard institute
• American society for testing and materials
• Health level 7
• SNOMED
• The national committee on vital and
statistics work group on computer based
patient records
24. Early computer-based nursing
applications
• Developed before the mid 1970s
• Different nursing applications
focused on documentation of
nursing practice and
management of patient care
25. Landmark Events in Nursing and
Computers
• Major milestones of nursing are interwoven
with the advancement of computer and
information technologies, the increase need
for nursing data, development of nursing
applications, and changes making the
nursing profession an autonomous
discipline
26. • The landmark events. were described by the
following categories:
(a)early conferences, meetings
(b)early academic initiatives
(c)initial ANA initiatives
(d)Initial National League for Nursing
initiatives
(e)early international initiatives
(f)initial educational resources
(g)significant collaborative events