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Informatics and Technology in Professional Nursing Practice

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Informatics and Technology in Professional Nursing Practice © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Informatics and Technology in 14 © JonesProfessional & Bartlett Learning, Nursing LLC Practice© Jones & Bartlett Learning, LLC NOT CathyFOR K.SALE Hughes OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION © Jones & BartlettHealthcare Learning, delivery LLC largely depends on information© Jones for & Bartlett Learning, LLC NOT FOR SALE effectiveOR DISTRIBUTION decision making. Every nursing actionNOT relies FOR on SALE OR DISTRIBUTION knowledge based on information. The nursing process begins with obtaining and communicating information in the initial As we enter the era of the and ongoing assessment. Nursing informatics (NI) is the man- electronic health record agement of data, information, knowledge, and wisdom rel- (EHR), NI has become an evant to nursing© Jones(American & Nurses Bartlett Association Learning, [ANA], LLC 2008). indispensable© elementJones &in Bartlettthe Learning, LLC As we enter theNOT era ofFOR the electronic SALE ORhealth DISTRIBUTION record (EHR), NI practiceNOT of nursing. FOR SALE OR DISTRIBUTION has become an indispensable element in the practice of nursing. All nurses utilize informatics skills in their practice. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOTNursing FOR SALE InformaticsOR DISTRIBUTION Defined NOT FOR SALE OR DISTRIBUTION Nursing informatics (NI) is together a field of study and an area ofspecialization. In the mid-1900s, NI was first identified as the use of information technology Learning Objectives © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION After completing this chapter, the student should be able to: 1. Define nursing informatics (NI). 7. Discuss and apply the privacy regulations of the 2. Discuss influences and direction of the future Health Insurance Portability and Accountability of NI practice. Act (HIPAA) to NI. 3. Discuss levels© Jones of nurse & informaticsBartlett Learning, competen- LLC8. Explain security and© Jonesprivacy &issues Bartlett for Learning, LLC electronic health records. cies for professionalNOT FOR nursing SALE practice. OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 4. Discuss principles to evaluate information on 9. Discuss social media, telehealth, and handheld the Internet and websites. devices with applications to nursing and NI. 5. Describe the use of electronic databases to 10. Envision future trends in healthcare technology. obtain information. 6. Describe factors to consider when accessing © Jonesand & evaluating Bartlett health Learning, information LLC online. © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 325 © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 81982_CH14_Pass1.indd 325 29/10/12 11:24 AM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 326 CHaPTer 14 Informatics and Technology in Professional Nursing Practice © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Key Terms and Concepts in nursing practice (Hannah, 1985). In 1992, the American Nurses Association NOT FOR(ANA) SALE recognized OR DISTRIBUTION NI as a nursing specialty. The originalNOT ANA FOR Scope SALE and OR DISTRIBUTION » Nursing informatics Standards of Nursing Informatics Practice published in 2001 was revised in (NI) 2008 and defines NI as » HIPAA » Search engines a specialty that integrates nursing science, computer science, and » Databases information science to manage and communicate data, informa- ©» JonesEBSCO Publishing & Bartlett Learning,tion, LLCand knowledge in nursing practice.© Jones Nursing & Bartlett informatics Learning, LLC NOT» CINAHL FOR SALE OR DISTRIBUTIONfacilitates the integration of data,NOT information, FOR SALE knowledge, OR DISTRIBUTIONand ERIC » wisdom to support patients, nurses, and other providers in their » Health Source » MEDLINE decision making in all roles and settings. This support is accom- » PsycINFO plished through the use of information structures, information » Electronic health processes, and information technology. (ANA, 2008, p. 92) © Jones & Bartlettrecord Learning, LLC Informatics contributes© Jones to the & discipline Bartlett of Learning, nursing by connectingLLC the Email NOT FOR SALE» OR DISTRIBUTIONart of nursing to the scienceNOT ofFOR nursing SALE (Saba, OR 2001). DISTRIBUTION The specialty of NI is » Listservs » Asynchronous focused on developing and implementing solutions for the management and » Social media communication of health information pertinent to providing better quality » Telehealth patient/client care (Zykowski, 2003). » PDAs The definition of NI continues to evolve as technology is incorporated © Jonesinto & Bartlett health care. Learning, The updated LLC ANA Scope and Standards© (2008) Jones for &nursing Bartlett Learning, LLC NOT FORinformatics SALE OR includes DISTRIBUTION “redirecting the discussion on rolesNOT from FOR job titles SALE to OR DISTRIBUTION CompEtENCy Box 14-1 functions that may be integrated into various NI roles and subspecializations” Examples of Applicable (p. 2). The roles or functions of an informatics nurse can include project man- Nurse of the Future: Nursing ager, consultant, educator, researcher, budget manager, or distance learning Core Competencies developer. Instruction or management of telenursing, telehealth education, ©Informatics Jones and & Technology:Bartlett Learning,electronic health,LLC the computerized patient© Jonesrecord, and & Bartlett application Learning, of new or LLC NOTKnowledge FOR (K7) SALE Describes OR DISTRIBUTIONevolving technology are also integral roles.NOT The FOR informatics SALE nurse OR contributes DISTRIBUTION the rationale for involving the to selection, testing, and implementation of healthcare systems as well as interdisciplinary team in the maintenance and evaluation of the systems. design, selection, imple- NI provides the support for information management for all of the nursing mentation, and evaluation of specialties. The American Nurses Association at www.nursingworld.org has © Jones & Bartlettapplications Learning, and systems in LLC a webpage focused on Health© Jones Information & Bartlett Technology Learning, (Health LLC IT) Initiatives health care NOT FOR SALE OR DISTRIBUTIONwith current participationNOT in FORlisted initiativesSALE OR and DISTRIBUTION Health IT resources. The Attitudes/Behaviors (A7) American Nursing Informatics Association website (www.ania.org) and the Values nurses’ involvement Alliance for Nursing Informatics website (www.allianceni.org) both offer in design, selection, imple- information related to nursing in the digital world, including membership, mentation, and evaluation of conferences, and online resources. information technologies© Jones to & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC support patient care Skills (S7a) Provides NOTinput FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION to the design, selection, and application of information Nursing Informatics: Direction technologies to support patient care for the Future © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC Source: Massachusetts Department Can patient care be improved with information technology (IT)? Many NOTof Higher FOR Education SALE (2010, p. 24). OR DISTRIBUTIONforces are a part of reform of nursing educationNOT FOR and SALE nursing OR practice DISTRIBUTION that include the integration of nursing informatics and health information © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 81982_CH14_Pass1.indd 326 29/10/12 11:24 AM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Nursing Informatics: Direction for the Future 327 technology for© Jones improved & outcomesBartlett inLearning, healthcare LLC delivery. Some of these © Jones & Bartlett Learning, LLC are as follows:NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION • American Association of Colleges of Nursing BSN Essentials, www.aacn. nche.edu • American Nurses Association (ANA) Scope and Standards, www.nurs- © Jonesingworld.org & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT• FORCarnegie SALE Foundation OR DISTRIBUTION Report Educating Nurses: A CallNOT for Radical FOR SALE OR DISTRIBUTION Transformation, www.carnegiefoundation.org/elibrary/educating-nurses- highlights • Institute of Medicine (IOM) reports • Joint Commission, Robert Wood Johnson Foundation Initiative on the © Jones & Bartlett FutureLearning, of Nursing LLC at the Institute of Medicine,© Jones www.jointcommission. & Bartlett Learning, LLC NOT FOR SALE ORorg/assets/1/18/RWJ_Future_of_Nursing.pdf DISTRIBUTION NOT FOR SALE OR DISTRIBUTION • National League for Nursing (NLN) Position Statements, www.nln.org • Quality and Safety Education for Nurses (QSEN), www.qsen.org • Robert Wood Johnson Foundation Future of Nursing Campaign for Action IOM recommendations, thefutureofnursing.org/recommendations • Technology© Jones Informatics & Bartlett Guiding
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