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Purpose of health informatics
Issue of healthcare informatics
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The purpose of this post is to compare and contrast informatics and clinical informatics. I will then provide examples of clinical informatics, as well as examples of how a nurse manager can use data management as a strategy to improve patient care on their unit. Finally, I will discuss the mandate by President Bush to implement electronic health records by 2014.
According to the American Medical Informatics Association (2016), informatics combines the sciences of computers, management, information, and decision, with cognitive science, and organizational theory to manage information and knowledge regarding biomedical research, clinical care, and public health. In comparison, clinical informatics focuses on health care, including decision support, documentation, and system design to manage and utilize patient and population data (AMIA, 2016). Clinical informatics assists nurses’ in gaining information and evidence-based knowledge to make clinical decisions and providing safe patient care (Huber, 2014).
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For example, a nursing colleague at my organization collaborated with our clinical informatics specialist to develop an electronic nursing discharge checklist for heart failure patients. The electronic checklist ensures heart failure patients receive education and a follow-up appointment before discharge. Another nurse identified patients with acute coronary syndrome occasionally do not have the appropriate order sets implemented by their physicians, which resulted in missed nursing treatments. Our clinical informatics specialist analyzed the data from our health information system to clarify the issue, as well as identify the physician(s) not utilizing the proper order sets. My organization corrected the issue by educating physicians and nurses regarding the impact incorrect order sets have on patient
Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals. (5th Edition). Upper Saddle River. : N.J: Pearson Education
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
Health informatics is best described as the point where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and the use of information in health and biomedicine. Health informatics incorporates tools such as: computers (hardware and softwar...
Nurses are viewed as knowledge workers regardless of their specialty. Nursing knowledge is generated by Nursing Informatics (NI), through the process of science and practice and using the theory of “data, information, knowledge, and wisdom.” The main goal of NI is to facilitate communication through innovated technology that will promote positive patient outcomes. NI, recognized by the American Nurses Association (ANA) in 1992, has increased the visibility and value of nursing practice. The implementation of the previously mentioned method promotes nursing beliefs, individualizes nursing care and implements nursing language (McGonigle & Mastrian, 2012). The purpose of this paper is to use the nursing informatics concepts to explore and understand ICU psychosis/delirium in order to provide evidence-practice that can limit its occurrences.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
In the late 1960s, the first computer systems were installed in hospitals (Murphy,2010). The computer systems started in the basements of hospitals and now are in every nursing unit. Nursing informatics allows for a more efficient and faster delivery of health care. Nursing informatics is a way of keeping patient information properly organized and creating patient care plans.
Knowledge is documented in the form of assessments that translate into concepts of nursing informatics. Nurses advocate for patients by doing what is medically necessary within their scope of practice. Many life or death situations among patients directly influence nursing judgements that are imperative for survival. According to Online Journal Of Nursing Informatics, The Hitchhiker’s Guide to nursing informatics theory: using the Data-Knowledge-Information-Wisdom framework to guide informatics research, often times nursing judgements are taken from patient situations, including data, information, and knowledge that transpire into wisdom throughout nursing (Topaz, 2013). Specifically, Hitchhiker’s Guide to nursing informatics theory focuses on “data (naming and collecting), information (organizing), knowledge (interpreting and understanding), and wisdom (ethical & compassionate application of the knowledge in practice)” each directly imply to patient situations individually (Topaz, 2013). Professional nursing judgments need to be documented accurately and precisely for nursing informatics to enable the patient to receive the best quality of
Nursing is a field that has several diverse options. These options include, bedside nursing, administration, education, case management, forensics, and numerous other possibilities. A new field of nursing has emerged, nursing informatics. Nursing informatics (NI) is defined by the American Nurses Association (2008) as a specialty that “integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.” Simply defined, nurses are using the combination of technology and nursing knowledge to care for patients and improving outcomes. Nurses are doing this by collecting data, converting that into information, and then into knowledge, where it then can be applied to their critical thinking skills to better care for their patient (Finkalman & Kenner, 2013)
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
Informatics has changed the way healthcare tries to take care of their patients and it shapes the way nurses and doctors communicate as well as receives information to better patient care. There are many different implications of informatics in healthcare such as, evidence-based practice and genomics. Evidence-based practice is very important to healthcare because it because it allows nurses to be update to date with their practice. Healthcare practices are changing every day for the better and through the use of informatics, nurses across the globe are able to know these changes and implement them (Book pg21). Genomics is becoming more and more important to give patients a more focused care as well as preventable measures to certain diseases.
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
Technology is stated as the scientific method and material used to achieve a commercial or industrial objective. To go one step further, nursing technology is using a tool to advance nursing practice. “The Institute of medicine identified that technology as a viable method of enhancing patient care delivery and improving staff productivity” Sensmeier, Horowitz (2003 page). Because inadequate nursing staff causes shortcuts to be taken, there are mistakes made that could have possibly been prevented. Errors by nursing staff were variously reported as being responsible for between 44,000 and 98,000 hospital deaths per year. Sensmeier, Horowitz (2003). Technology can have a large impact on nursing. In the past 5 to 10 years, computerized patient records have increased less than 10%. This number shows us that we are still not embracing technology to its full potential. Today in most hospital systems computerized electronic charting is being used. Many hospitals have many different systems for...
Yignesh Ramachandran states in an article that health informatics “manages all aspects of the effective and efficient planning, collection, organization, implementation, analysis and use of data to create information within the healthcare system.” It gives easier access of client information to the interprofessional team. This system can improve the quality of health care, lowers paperwork and increase productivity. It also decreases the interpersonal time with clients.
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
William Goossen’s theory can be applied in nursing practice to develop nursing informatics skills and knowledge, as well as develop technological system competencies among nurses to collect, process, retrieve and communicate pertinent information across health care organizations (Goossen, 2000). This theory is highly applicable in addressing matters related to electronic health records, which are currently characterized with issues of privacy and confidentiality in relation to storage, retrieval and reproduction of patient health information. The model also provides broad applicability in guiding research at any clinical setting and contributes to the discipline of nursing by simplifying and enhancing documentation and storage of patient’s health information and by allowing better utilization of nursing resources (Elkind, 2009).