Informatics chapter 8: roles, competencies and skills

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Informatics chapter 8: roles, competencies and skills
2013-09-10 02:18:53
informatics chapter

informatics chapter 8
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  1. define nursing informatics (ANA)
    specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.
  2. Data
    raw fact that lacks meaning
  3. information
    data that are interpreted, organized or structured. Data that is processed using knowledge or data made functional through the application of knowledge
  4. knowledge
    the awareness and understanding of a set of info and ways that info can be made useful to support a specific task or arrive at a decision
  5. wisdom
    uses knowledge and experience to heighten common sense and insight to exercise sound judgment in practical matters
  6. decision making in informatics
    data gathering and implementing
  7. nurse as a knowledge worker
    advanced formal education, able to apply theroetical and analytical knowledge, continous learner, specialized, innovator, and team member
  8. advanced formal education example of nurses
    all nurses have college degrees ranging from AND to PhD
  9. applying theoretical and analytical knowledge example of nurses
    nurses are educated on nursing theory and how to apply it in patient situations
  10. continuous learner example of nurses
    • obtain advanced degrees
    • attend seminars
    • earn contact hours
  11. Specialization example of nurses
    nursing specialities are as numerous as medical specialities
  12. Innovator example of nurses
    nurses become innovative when they don't have proper equipment to care for patients or they feel the current products are inadequate
  13. Team member example of nurses
    have been a member of a interdisciplinary team for a significant amount of time
  14. transition from Industrial Age to Information Age
    • early 1900s workforce was predominately of farmers
    • after WW1, workforce began to become predominately industrial
    • industrial occurred when many farmers and domestic help moved to the cities to take jobs at factories
    • industrial worker slowly being replaced by technologist 
    • technologist is adept at using both mind and hand
    • many industrial workers finding it more difficult to obtain jobs since they don't the educational base or mind set required of knowledge workers
  15. ways of knowing in nursing, include peer consults and using electronic databases
    • national survey found that consulting a peer was the most frequent way that information was obtained 
    • only approx 25% had been trained on how to use an electronic database 
    • if a peer doesn't have information the nurse is seeking, the nurse turns to a hospital policy, a journal, a textbook, a drug book, an online resource, the EHR, or others
  16. List core nursing informatics competencies
    Beginning nurse
    • uses email
    • uses internet to locate and download info of interest
    • uses computerized patient monitoring systems
    • IDs the basic components of a computer system
    • recognizes that a computer program has limitations due to its design and capacity of the computer
  17. core nursing informatics competencies Experienced nurse
    • defines the impact of computerized info management on the role of the nurse
    • applies monitoring system appropriately according to the data needed
    • performs basic troubleshooting in applications
    • as a clinician, participates in selection process, design, implementation, and evaluation of systems
    • assesses the accuracy of health information on the internet
  18. core nursing informatics competencies Informatics nurse specialist
    • demonstrates fluency in informatics and nursing terminologies 
    • implements and evaluates application/system training programs for users and clients
    • determines projected impacts to users and organizations when changing to computerized info management 
    • applies human factors and ergonomics to the design of the computer screen, location, and design of devices, and design of software
    • consults in the design or enhancements to integrated patient info, management, educational, or research systems
  19. Core nursing informatics competencies Informatics Innovator
    • develops models for simulation purposes
    • evaluates the performance and impact of info management technologies on clinical practice, education, admin, and/or research 
    • develops new methods of organizing data to enhance research capabilities
    • applies advanced analysis and design concepts to the system life cycle process
    • applies sophisticated education design and research evaluation concepts to the use of innovative computer-based education techniques
  20. Describe when nursing informatics began abd evolution into a speciality
    • health care began to use computers in 1950s
    • computers were typically used in the business office to track financial aspects of health care
    • 1970s, nursing began to realize the importance of computers to the nursing profession and became involved in the design, purchase, and implementation of information systems
    • 1980s, medical information and NI specialities emerged
    • personal computer was introduced, which allowed for flexibility in how clinical systems were used
    • also brought everyone's attention that not just NISs but all healthcare personnel, need to know about these systems
    • first certification exam for NI taken in 1995 
    • post 2000 saw an explosion in number and sophistication of both computer hardware and software
    • electronic patient records became an integral part of clinical IS 
    • telemedicine became possible and was recognized as a speciality in late 1990s
  21. education opportunities in nursing informatics
    • informatics nurse has a bachelor of science in nursing and additional knowledge and expertise in the informatics field 
    • certifications: 1 thru American nurses credentialing center
    • ANCC: complete 30 contact hours of continuing education in informatics, meet one of the following criteria: 1. 2,000 hrs practicing as informatics nurse, 2. 1,000 hrs practicing as informatics nurse and 12 semester hours of grad academic credit toward a NI degree or 3. completion of NI degree that included at least 200 supervised practicum hours 
    • 2nd certification: by HIMSS
    • candidates who successfully pass this exam carry the designation of certified professional in healthcare information and management systems 
    • open to candidate who's involved in healthcare informatics and must hold positions in following fields: admin/management, clinical IS, e-health, IS or management engineering 
    • also: must meet following criteria to be eligible to sit for exam: baccalaurette degree plus 5 years of associated info and management systems experience, 3 of those years in health care, or a grad degree plus 3 years of associated info and management systems experience, 2 of those years in health care
  22. focus of nursing informatics
    finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care.
  23. list one of the most difficult aspects of a nursing informatics position that needs to be dealt with daily
    technology is constantly changing and evolving so its difficult to keep current on how to use technologies