NUR 514 The Evolution of Nursing Informatics Presentation

nr 443 week 4 dq 1 concerns for the school nurse

NUR 514 The Evolution of Nursing Informatics Presentation

NUR 514 The Evolution of Nursing Informatics Presentation

žInformatics is a science that uses data, information, & knowledge

žAims to improve health & healthcare delivery

žPresentation: Definition of Nursing informatics (NI)

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žNI history & how it has evolved

žNI influence on nursing leadership, clinical practice, administration, education, & research

žImpact of government regulations on HIS organizational policy

žNurse-led innovation in informatics

Informatics is a science that uses data, information, and knowledge to improve health and healthcare services. The purpose of this presentation is to describe Nursing informatics, including its history and how it has evolved. I will also explain how nursing informatics influences nursing leadership, clinical practice, administration, education, and research. Moreover, I will discuss how organizational policy on health information systems can be impacted by government regulations. I will also discuss nurse-led innovation with regard to advances in informatics.

Nursing Informatics

žNI is the practice & science of integrating information & knowledge with technology.

žGoal: Improve health while reducing costs

žNI improves decision-making in nursing roles

žCollection, extraction, aggregation, analysis, & interpretation of standardized data

žUses principles and methods of data science

žNI competencies are vital for nurses in all roles

Nursing informatics (NI) is the practice and science of integrating nursing information and knowledge with technology to manage and incorporate health information (Reid et al., 2021). NI aims to improve the health of patients, families, and communities while reducing costs. NI improves decision-making in both direct and indirect nursing roles. It achieves this through the collection, extraction, aggregation, analysis, and interpretation of standardized data using data science principles and methods.

NI competencies are vital for nurses in all roles to function effectively in complex and contemporary healthcare environments. Besides, there is a need to have nurses with a specialization in informatics to foster decision-making relevant to the nursing profession’s use of information and technology in digital health environments (Reid et al., 2021).

History of Nursing Informatics

žEarly 1970s- First reports of computer applications use in nursing

žNursing care planning systems developed to ease the burden of documentation

žIt also aimed to improve the quality & completeness of nursing plans

ž1980- PCs were introduced in hospitals

ž1980s- PCs became smaller & their functions increased

ž1990s- Internet was introduced facilitating communication & collaboration in healthcare

žThe introduction of Web-based applications helped to transmit health information

The first reports of the utilization of computer applications in nursing from professional and scholarly literature date from the early 1970s. Nursing care planning systems were developed to ease the burden of documentation and improve the quality and completeness of nursing plans. Personal computers in hospitals were introduced in 1980, assisting small-scale prototyping of NI applications (Garcia-Dia, 2021). In the 1980s, personal computers (PCs) became smaller, and their functions increased. These created high expectations for the benefits of NI.

The 1990s saw remarkable advances in healthcare technology. The Internet was introduced, which facilitated communication and collaboration in healthcare across distances (Garcia-Dia, 2021). Besides, the introduction of Web-based applications helped to transmit health information across previously incompatible hardware and software platforms.

NUR 514 The Evolution of Nursing Informatics Presentation Description:

As an advanced registered nurse leader, you have an opportunity effect change through the practice of nursing health informatics. Informatics has evolved over time to become what it is today. Using the resources provided in this assignment, prepare a 12-15 PowerPoint presentation. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the study materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

  • Define nursing informatics.
  • Provide a brief history of the field of nursing informatics. Discuss how the specialty has evolved.
  • Discuss how nursing informatics affects nursing leadership, clinical practice, administration, education, and research.
  • Explain how organizational policy on health information systems can be affected or impacted by government regulation.
  • Discuss nurse-led innovation as it relates to the advances in informatics and how informatics innovation can be used to improve the quality of patient care.
  • Provide an example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Topic 5 DQ 1

Description:

Review the American Nursing Informatics Association (ANIA) website and discuss the resources that you found there. Discuss how the website might be used for networking in the nursing informatics profession.

DQ1

The American Nursing Informatics Association (ANIA) provides various resources for nurses for self-directed learning and continuing education initiatives. For example, the professional body has an online library that nurse informaticists can access at favorable fees (ANIA, 2022). Similarly, ANIA holds webinars frequently with experts discussing various issues in healthcare technology such as the benefits and unintended risks of electronic records. These webinars are useful for expanding one’s knowledge and participating in issues impacting healthcare delivery.

Similarly, the website also provides access to the Journal of Informatics Nursing, which contains the latest research on healthcare technology. Members can access the journal freely and use various studies to inform evidence-based practice in their various clinical environments. The resources from the journal also help in continuing education initiatives. Finally, the ANIA website provides resources for preparing for certification examinations, increasing a person’s chances of passing and getting a license to practice.

Networking opportunities are also available with an ANIA membership. For example, professional organizations hold an annual conference based on a specific theme each year. The conference brings together members from all over the country, including industry experts who share the latest research, experiences, and wisdom that help nurse informaticists grow their careers (ANIA, 2022). The second networking opportunity is through an opportunity to interact with the over 3,000 members from over 50 states and other countries.

The opportunity for interaction creates networks, which open opportunities for nurse informaticists. Moreover, nurse informaticists can also access mentorship from people who have experience, enhancing their career knowledge and development (Backonja & Mook, 2021). The third resource for networking is career-building opportunities through nurses gaining access to job opportunities around the country and even abroad to advance their careers.

NUR 514 The Evolution of Nursing Informatics Presentation References

The American Nursing Informatics Association (ANIA) is an organization that provides “networking, education, and information resources that enrich and strengthen the roles of nurses in the field of informatics” (About Us, 2023). This organization offers membership benefits such as free CE credits through monthly webinars, annual informatics conference, educational scholarships, and free access to informatics journal. There are currently four chapters in which a member becomes part of one, and each chapter provides “a local and grassroots perspective of important issues in their area. Chapters also circulate important news and views between their members and the national office” (About Us, 2023). This organization also has a career center that advertises nursing informatics jobs and a career planning portal that assists with writing resumes and offering certified career coaching. In the San Diego Regional Chapter, there are also chapter meetings, discussion board, training events, and social media accounts that connects nurse informaticists to one another so they can ask questions and ask for feedback. There is also a annual conference that occurs in the spring and is “recognized as one of the top events for nursing informatics professionals” where exhibitors can “personally

present their important sales and marketing message to hundreds of nurses who are working within clinical information systems, educational applications, data collection/research applications, administrative/decision support systems, and those who have an interest in the field of NI” (About Us, 2023).

Topic 5 DQ 2

Description:

Explain the role of the nurse leaders in implementing innovative care models. Explain how innovative modes of care affect collaboration between advanced registered nurses and other stakeholders in the industry.

Nurse leaders in health care organizations are expected to influence the quality and outcome improvements by designing and implementing new and modern care delivery models (Snow, 2019). In today’s dynamic health care system, the nurse leader is important in introducing design thinking. This is the link between various bodies of knowledge aimed at inspiring and igniting creativity and innovation (Snow, 2019). Therefore, inspiring creativity in the workplace is a major role of the nurse leader in implementing innovative care models.

Development of workplaces that empower nurses and other health care practitioners to advance new and innovative ideas is another role of the nurse leaders in executing innovative care models. The current health care industry is characterized by increased competition in which the organizations compete for the scarce health care funding (Snow, 2019). As such, creation of new and better products and services offers an organization the necessary competitive advantage (Snow, 2019). For this reason, nurse leaders should educate and empower nurses on the importance of innovation to the organization.

The innovative modes of care have positive impact on the collaboration between advanced registered nurses and other stakeholders in the industry. In order to be successful in implementing innovative care models, nurse leaders should realize the importance of building mutually beneficial partnerships with both internal and external collaborators to ensure that the change initiative is not solely nursing driven (Morjikian et al., 2007). Therefore, the innovative care models are improving collaborations amongst the various professionals and stakeholders in the health care industry.

References

Morjikian, R. L., Kimball, B., & Joynt, J. (2007). Leading Change: The Nurse Executive’s Role in Implementing New Care Delivery Models. The Journal of Nursing Administration, 37(9), 399–404. https://doi-org.lopes.idm.oclc.org/10.2307/26819059.

Snow, F. (2019). Creativity and Innovation: An Essential Competency for the Nurse Leader. Nursing Administration Quarterly, 43(4), 306–312. https://doi-org.lopes.idm.oclc.org/10.1097/NAQ.0000000000000367.

Nurse leaders have an extremely important role when it comes to implementing innovative care models. The implementation of innovative care models by nursing leaders allows them to “provide creative and innovative solutions that make a real difference to the day-to-day lives of our patients, organizations, communities, and profession” (Machon, Cundy, & Case, 2019). Two important roles of nurse leaders during this process is to encourage collaboration among all members of the team, and organization, to continue to improve the quality of patient care and continue to be the voice of continual innovation to further organizational change. To achieve this, nurse leaders must continue to participate in self development to master behaviors and skills of an innovative leader. There are significant differences between general leadership and the innovative leadership behaviors, due to this nurse leaders must have the ability to define and implement innovation in their organizations if they want to solve the challenging issues of today’s healthcare environment ( Machon, et. al., 2019).

Due to this learning curve, innovative modes of care greatly affect the collaboration between nurse leaders and other stakeholders in the healthcare industry. Innovation requires all parties involved to be open to change and remain current within their respective specialties to help come up with new ideas that also implement the most current and effective evidence based interventions. All stakeholders involved have to develop a strong interprofessional relationship to collaborate effectively to implement change and continue to uphold all innovative strategies that are being implemented. These efforts spark new ideas, processes, and practices to be introduced into the organization, thus keeping the organization relevant in a changing healthcare environment ( Weberg & Mangold, 2023).

Machon, M., Cundy, D., & Case, H. (2019). Innovation in Nursing Leadership: A Skill That Can Be Learned. Nursing Administration Quarterly43(3), 267–273. https://doi-org.lopes.idm.oclc.org/10.1097/NAQ.0000000000000361

Weberg, D., & Mangold, K. (2023). Leadership in Nursing Practice: The Intersection of Innovation and Teamwork in Healthcare Systems (4th ed). Jones & Bartlett Learning.

Topic 5: Cost-Effective, Innovative Models of Care Delivery

Description

Objectives:

  • Define nursing informatics and how the specialty has evolved.
  • Analyze how nursing informatics affects nursing leadership, clinical practice, administration, education, and research.
  • Describe the role of the nurse in transforming health care data into knowledge that can improve patient care.
  • Explain how innovative models of care affect collaboration between advanced registered nurses and other stakeholders across the industry.
  • Describe the role of the nurse leader in implementing innovative care models.
    Study Materials

Read Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. Review Chapter 1.

Innovations and use of innovative models are trends that will continue to define and shape the delivery of care into the future. Nurse leaders and managers as a critical component of care delivery must encourage, inspire and motivate as well as be role models for their teams to implement innovative models (Bryant et al., 2020). The role of nurse leaders in this situations is to provide visionary and transformational leadership aimed to embracing new ways of doing things. Nurse leaders in this case have critical roles of coordinating and collaborating with other providers to deliver quality care interventions. For instance, nurse leaders should consider coordination as the core aspect of care and importance of keeping patients connected across the care continuum (Berry, 2019). Nurse leaders should ensure that there exists effective collaboration between payers and providers to reduce the overall cost of care for patients. This implies that nurse leaders should be abreast of alternative care approaches and embrace patient education and management of conditions and patients that require immediate interventions (Stilgenbauer & Fitzpatrick, 2019). The implication is that nurse leaders can make a significant different in health improvement for all people by leveraging innovation.

Innovative modes of care like value-based care and evidence-based practice (EBP) can affect the collaboration between advanced registered nurses and other stakeholders in healthcare sector. For instance, these models implore nurses and other providers to focus on quality and not quantity and leverage their knowledge and experience as well as patient preferences and concerns to deliver patient-centered care (Bryant et al., 2020). This implies that innovative modes allow nurses and other providers to develop inter-professional and multidisciplinary teams to attain quality outcomes. Through nurse-led innovative models, stakeholders can formulate policies aimed at improving care quality but not compromising their overall position in such teams.

CMS -Accountable Care Organizations (ACOs): General Information

Description:

Read “Accountable Care Organizations (ACOs): General Information,” located on the Centers for Medicare and Medicaid Services (CMS) website (2015).

CMS – Accountable Care Organizations (ACOs)

Description:

Read “Accountable Care Organizations (ACOs),” located on the Centers for Medicare and Medicaid Services (CMS) website (2015).

Productivity and Quality of Hospitals That Joined the Medicare Shared Savings Accountable Care Organization Program

Description:

Read “Productivity and Quality of Hospitals That Joined the Medicare Shared Savings Accountable Care Organization Program,” by Highfill and Ozcan, from International Journal of Healthcare Management (2016).

Accountable Care Organizations (ACOs)

Description:

Read “Accountable Care Organizations (ACOs),” by Dewey, from Salem Press Encyclopedia of Health (2020).

Nursing Informatics Certification Worldwide: History, Pathway, Roles, and Motivation

Description:

Read “Nursing Informatics Certification Worldwide: History, Pathway, Roles, and Motivation,” by Cummings, Gundlapalli, Gundapalli, Murray, Park, and Lehmann, from Yearbook of Medical Informatics (2016).

Emergence of Nursing Innovation Influenced by Advances in Informatics and Health IT

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 514 The Evolution of Nursing Informatics Presentation

Description:

Read “Emergence of Nursing Innovation Influenced by Advances in Informatics and Health IT,” by Kelly, from Nurse Leader (2019).

Assessing Nurses’ Informatics Competency and Identifying its Related Factors

Description:

Read “Assessing Nurses’ Informatics Competency and Identifying its Related Factors,” by Khezri and Abdekhoda, from Journal of Nursing Research in Nursing (2019).

American Nursing Informatics Association

Description:

Explore the American Nursing Informatics Association (ANIA) website.
Tasks

Topic 5 Participation

Course Description

This course examines the role of leadership, organizational science, policy, and informatics in supporting safe, high-quality, cost-effective patient care within interprofessional, dynamic health care environments. Learners explore various organizational relationships within health care systems and prepare to participate in the design of cost-effective, innovative models of care delivery and practice change proposals.  Professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision-making, and negotiation are introduced.

Learners discuss change management theories and evaluate the ethical, social, legal, economic, and political implications of practice change and health care informatics along with strategies for managing human, fiscal, and health care resources in a variety of organizational systems. Learners also examine the uses of patient-care, information systems, and communication technologies and discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.

Pre-Requisites

  • None

Co-Requisites

  • None

NUR-514 Course Materials

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284146530

Nursing Informatics and the Foundation of Knowledge

Description:

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of knowledge(4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247

This text will be used as a resource throughout your program. Download the book in this course so it can be accessed as needed in subsequent courses.

NUR-514 Course Objectives

Description:

In this course, the learner will:

  • Explore various health care system and organizational relationships (e.g., stakeholders, economic, financial, political, ethical issues, organizational structure, and delivery of care, including mission/vision/philosophy and values).
  • Discuss professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.
  • Discuss change management theories and strategies and the ethical, social, legal, economic, and political implications of practice change on nursing practice decisions.
  • Analyze the impact of health care policy on health care organizations and cost-effective quality care.
  • Evaluate strategies for managing human, fiscal, and health care resources in the design of cost-effective, innovative models of care delivery or practice change proposals.
  • Explore current and emerging patient care, information system, and communication technologies that can deliver and enhance safe, high quality, cost-effective patient care and health outcomes.
  • Examine the implications of health care informatics and the role of the advanced registered nursing specialties leader on performance measures and standards related to quality.
  • Discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
  • Evaluate legal (HIPAA), ethical, reimbursement, emerging technologies, and interprofessional issues related to informatics and information systems.
LopesWrite

Description:

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

APA Writing Style

Description:

APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the in the Student Success Center.

You may want to consider purchasing a copy of the APA style guide as this will be a useful resource throughout your program

The Writing Process

Description:

View “The Writing Process” media presentation for information on how to strengthen your writing for future assignments.

University Policy Handbook

Description:

Read the Code of Conduct and Academic Standards section of the University Policy Handbook.

Library Walk Through Tutorial

Description:

View the “Library Walk Through Tutorial.”

Academic Integrity

Description:

Read the “About LopesWrite” and “Plagiarism” sections of the Academic Integrity page of the GCU website.

GCU Library: General Research Guide

Description:

Review the “General Research” guide, located on the GCU Library website.

GCU Library: Persistent Links

Description:

Review “Persistent Links,” located on the GCU Library website, to learn how to locate persistent links for library articles, videos, etc.

RefWorks and EndNote: RefWorks and EndNote Login

Description:

Manage your citations with the RefWorks tool, located on the GCU Library website. RefWorks automates the creation of your reference lists in the format of your choice (APA, MLA, etc.).

GCU Library Research Guides: Citing Sources

Description:

Reference the “GCU Library Research Guides: Citing Sources” resource for information on how to cite sources properly.

APA Writing Checklist

Description:

Use the “APA Writing Checklist” to act as a checklist for each paper you will write throughout your GCU graduate program.

Discussion Forum Guidelines and Example

Description:

Review the “Discussion Forum Guidelines and Example” document for your weekly discussion forum participation.

This presentation includes a definition of nursing informatics and discusses the history of nursing informatics and how it has evolved. I will also discuss how nursing informatics impacts nursing leadership, clinical practice, administration, education, and research. In addition, I will explain how government regulation can impact organizational policy on health information systems. I will also explain nurse-led innovation relating to the advances in informatics and how informatics innovation can improve the quality of patient care.

Nursing informatics is a specialty that integrates nursing science with information and analytical sciences. It seeks to identify, define, manage, and communicate information and knowledge in nursing practice. A nurse informaticist uses their clinical skills with knowledge of technology, computers, and data (Asiri, 2018). Nurse informaticists take on complex tasks like utilizing health data to analyze patient care outcomes and training other nursing staff on new patient care technology.

Nursing informatics is committed to delivering high-quality patient care through efficient management of data and technology systems. Nurse informaticists use data to analyze trends, monitor for errors, and implement new, more efficient information systems (Asiri, 2018). Nursing informatics focuses on patient care, particularly by optimizing the technology used by nurses.

The term nursing informatics was first proposed by Scholes and Barber in 1976. The first computer applications in nursing practice appeared in the literature in the early 1970s. In the 70s, nursing informatics was supported by the development of some of the early health information systems (HIS) by multiple agencies in the US (Blažun Vošner et al., 2020). The HIS included nursing care planning and documentation. Besides, nurses were involved in interdisciplinary efforts that sought to develop and implement applications that support health care.

Through the ’80s, NI practice, education, and scholarship thrived and grew in the US (Blažun Vošner et al., 2020). In the 1990s, large integrated healthcare delivery systems evolved, which further created the need for information across healthcare organizations within the large systems to regulate processes, control costs, and assure the quality of care.

Since the introduction of computer applications in nursing, nursing informatics has evolved to become one of the foundation stones of the health informatics field. Nursing informatics has evolved not only in practice but also in education and research.  In 1988, the first graduate program in Nursing Informatics was launched at the University of Maryland School of Nursing focusing on understanding nursing informatics systems and science (Asiri, 2018).

In 1990, the University of Utah launched a graduate program for Nursing Informatics targeting the transformation of data into clinical decision-making. In 1992, Nursing Informatics was formally recognized as a nursing specialty by the American Nurses Association. In 1995 Nursing Informatics certification was introduced through the American Nurses Credentialing Center (ANCC). In 2003, the first doctorate in nursing with a healthcare informatics option was introduced at the University of Arizona College of Nursing (Asiri, 2018). Today, with the advancement in technology, more institutions are offering varied Nursing Informatics degrees as a part of their nursing programs.

Nursing informatics helps nurse leaders to combine their analytical and clinical skills to provide their patients with the highest quality care. Nurse leaders must demonstrate abilities and develop specific informatics competencies to provide meaningful leadership and support the continuing transformation of the healthcare system (Kennedy & Moen, 2018).

They are required to leverage healthcare technology to improve healthcare goals. Research shows that nurse leaders who have adopted healthcare technology have significantly improved outcomes for all stakeholders, including patients, nurses, and healthcare teams (Kennedy & Moen, 2018). Nurse leaders are positioned to adopt informatics research to improve patient care. Furthermore, nurse leaders are now using informatics to analyze trends in patient care and identify potential errors in delivering care.

Nursing informatics plays a key role in the nursing process. Nurses obtain patient information and use the data to develop nursing care plans, execute the plan, and communicate findings with other providers. Advances in nursing informatics have enabled nurses to access vital patient data with the click of a button. In hospitals and clinic offices, providers have access to electronic health records, which enable them to access private and confidential patient health information in a secure environment (Al Najjar & Shafie, 2022).

In addition, informatics has impacted clinical practice through services such as telehealth, which provide a channel for client education and medical and healthcare services like health monitoring and clinical diagnosis (Al Najjar & Shafie, 2022). Currently, health providers can communicate and plan care more effectively, in collaboration with patients and other providers, owing to technological advances.

Nursing informatics is revolutionizing how health care is delivered. Healthcare systems are integrating wireless solutions, high-speed data networks, handheld devices, automated exchanges between organizations/providers and patients, and various social media platforms into their daily interactions (Al Najjar & Shafie, 2022). Informatics has helped healthcare administrators and managers to communicate more efficiently with the medical personnel in their organizations.

Furthermore, informatics helps healthcare administrators to customize incentive plans for patients. Health informaticists help managers in the healthcare industry access pertinent information to produce actionable insights that enhance both therapeutic and organizational efficiency (Kennedy & Moen, 2018). Informatics enables health administrators to access patient data that enables them to provide administrative services, like appropriately billing patients.

The evolvement of nursing informatics has led to the establishment of degree programs in informatics to equip nurses with knowledge and skills in this field. Graduate programs at Master’s and Doctorate levels continue to grow. They provide education, certification, and credentialing to expand the knowledge, skills, and vision required for the nursing informatician of today and tomorrow (Singh & Masango, 2020).

In addition, nursing informatics has led to the introduction of informatics in the nursing curricula to teach nursing students to use technology and informatics. This ensures that nursing students acquire the necessary psychomotor skills related to the use of technology hardware and software important in healthcare settings.

Informatics literacy is considered a vital issue in improving nursing evidence-based practice (EBP). Informatics and computer skills are crucial components that support and reinforce the EBP framework. Nurses and other health providers are expected to have high-level information literacy to improve their science-based performance (Abdekhoda & Khezri, 2021). The clinical team particularly nurses who have a crucial role in caring for patients, use informatics to obtain information on the latest changes related to clinical care.

They also use informatics to update themselves on the latest clinical information to better patient care.  Health providers use online databases to stay up-to-date on current research and make decisions based on that research, thus increasing the chances of improved health care. To effectively search databases, nurses must have information literacy skills like how to organize information in databases, create and arrange search terms, and create search strategies to obtain high-quality literature in research (Abdekhoda & Khezri, 2021).

Government regulations lay the foundation for the documenting, storing, and use of electronic health information (EHI). Government laws play a key role in enabling health departments to use HIT to optimize systems that use patient information to monitor population health trends and interface with similar HIT systems used by healthcare providers and hospitals (Ramanathan et al., 2018).

The Office of the National Coordinator for Health Information Technology (ONC) creates regulations that outline the standards and certification criteria that EHRs must meet to assure health providers and hospitals that the systems they take on can perform various functions (Ramanathan et al., 2018). Thus, this regulation can affect organizational policies on EHR systems since hospitals must comply with and adopt EHR systems that meet the ONC’s regulations. Government regulations like the HITECH Act drive health organizations to adopt security that promotes secure electronic health information exchange.

The rapid development of healthcare technology gives opportunities for innovations to transform healthcare practices. Nurse-led innovation is vital for enhancing workflow. It should be encouraged and backed up by health systems, and academic settings. Nurse informatics brings added value to the innovation space by consistently focusing on patient quality and safety while promoting a high standard of care (Kelley, 2019). With the widespread use of EHR and clinical information system, nurses have been introduced to the change-making process that involves diffusing innovation in healthcare.

Nursing informatics innovations are anticipated to enhance the effectiveness, efficiency, safety, timeliness, and patient-centeredness in patient care and improve patients’ access to healthcare services (Kelley, 2019). However, adopting nursing informatics innovations should be guided by evidence and there should be careful deliberation of anticipated and possibly unintended outcomes.

Informatics innovations can be used to develop healthcare systems that help providers to identify potentially harmful treatment or prescription errors, refine retrieval of patient records, and increase the safety of patient information. Informatics innovation can be used to improve documentation, which is a vital part of the nursing profession (Kelley, 2019). Innovations that enable nurses to document a patient’s condition and share the information electronically can enable nurses more effectively manage patent care, and improve the quality of care.

Health informatics innovation can also help to obtain important patient data that can prevent medical errors. For example, innovations in electronic records can provide information about a potential medication interaction or allergy that may not otherwise be immediately evident. Furthermore, informatics innovation can improve the coordination of patient care (Kelley, 2019). This is by enabling providers to incorporate data into their workflow, making them more productive and improving their ability to provide better care.

The nurse informatician has the role of using data to generate knowledge that improves patient care and administrative functioning.   The nurse can access information databases and link the information with patient records to make data-driven decisions about patient care. The information from the databases and patient records can be used to generate knowledge that helps to predict patients at high risk for certain diseases or medical events (Kennedy & Moen, 2018). This can result in precautionary actions and increased screening in the patient population.

For instance, the nurse can use EHRs to access patient data and transform it into knowledge that helps to identify patient disease patterns. This can help identify approaches to increase preventative care and reduce ER visits by directing attention to patients at risk of specific chronic conditions and providing appropriate disease-prevention plans.

Nursing informatics is a specialty that integrates nursing science with information and analytical sciences. The term nursing informatics was first proposed by Scholes and Barber in 1976. In 1992, Nursing Informatics was formally recognized as a nursing specialty by the American Nurses Association. Nurse leaders are required to leverage healthcare technology to improve healthcare goals. Nursing informatics helps administrators to access pertinent patient information to produce actionable insights. Informatics innovations can be used to identify medical errors and improve documentation. Information from databases and patient records can be used to generate knowledge that helps to predict patients at high risk for certain diseases or medical events.

NUR 514 The Evolution of Nursing Informatics Presentation References

}Abdekhoda, M. & Khezri, H. (2021). Investigating the impact of health informatics literacy on the evidence-based practice of nursing. Online Journal of Nursing Informatics (OJNI), 25(2).  https://www.himss.org/resources/online-journal-nursing-informatics

}Al Najjar, R. I., & Shafie, Z. M. (2022). Impact of Nursing Informatics on the Quality of Patient Care. International Journal Of Medical Science And Clinical Research Studies2(5), 418-421. https://doi.org/10.47191/ijmscrs/v2-i5-19

}Asiri, H. (2018, February). An overview of nursing informatics (NI) as a profession: how we evolved over the years. In International Conference on Health Informatics (Vol. 6, pp. 200-212). SCITEPRESS.

}Blažun Vošner, H., Carter-Templeton, H., Završnik, J., & Kokol, P. (2020). Nursing Informatics. CIN: Computers, Informatics, Nursing, Publish Ahead of Print. doi:10.1097/cin.0000000000000624

}Kelley, T. (2019). The emergence of Nursing Innovation Influenced by Advances in Informatics and Health IT. Nurse Leader. doi:10.1016/j.mnl.2019.09.012

}Kennedy, M. A., & Moen, A. (2018). Nurse Leadership and Informatics Competencies: Shaping Transformation of Professional Practice. Studies in health technology and informatics232, 197–206.

}Ramanathan, T., Schmit, C., Menon, A., Sunshine, G., & Pepin, D. (2018). Federal public health laws supporting data use and sharing.

}Singh, F., & Masango, T. (2020). Information technology in nursing education: perspectives of student nurses. The Open Nursing Journal, 14(1). DOI: 10.2174/1874434602014010018

NUR 514 The Evolution of Nursing Informatics Presentation

Nursing informatics is a critical part of modern practice for advanced registered nurses, especially those who assume leadership positions in their care environment. Nursing informatics allow nurses to analyze data to enhance patient care and assist organizations to implement new patient care technology and models. Advanced registered nurse leaders have a critical role in implementing informatics in their practice for better patient outcomes (Yen et al., 2020). Informatics is a core aspect of quality care delivery in healthcare facilities. As such, this presentation discusses the evolution of nursing informatics as an innovative health care delivery model for advanced  practice nurse leaders.  

The objectives of the presentation include defining nursing informatics and its history, the impact of nursing informatics on nursing leadership, clinical practice, education and research in the profession. The presentation delves into the effects of regulations by government on health information systems’ policies and the role of nurse-led innovation models as well as the relationships due to the advances in informatics. The presentation also looks at the use of informatics to enhance quality of patient care. Lastly, the presentation provides an example of nurse’s role in health care data transformation and knowledge to enhance patient care by deploying informatics in their practice.  

The American Nurses Association (ANA) asserts that nursing informatics is a specialty in the profession which integrates nursing science and different information and analytical sciences aimed at identifying, defining, managing and communicating information, data, knowledge and wisdom in nursing practice. The implication is that nursing informatics play critical roles in health care.

Those seeking to join the specialty should possess a bachelor’s degree in nursing (BSN) as the minimum. However, those seeking leadership as advanced practice nurses should have a master’s degree and certification. They should also possess experience and strong technical skills and project management capabilities alongside experience in leadership (Kelley, 2019). Nursing informatics specialists are the translators that have transformed into health technology innovators to improve overall quality of care.   

Informatics nurses are distinct professionals and hybrid heroes in healthcare who advocate for impactful innovations to keep patients safe and at the focus of care provision. Their contributions and guidance lead to improved workflow for healthcare staff and allow them to develop best practices through effective management of informatics structures processes and use of technology (Kelley, 2019). Through this approach, nursing informatics has an evolving value to health care for better quality care.  

From the start of modern nursing, data emanating from standardized patient records were considered as essential resources in assessing and enhancing the quality of care. Nursing informatics began to evolve in the second part of the last century but did not have a standardized language. The attributes of computability and semantic interoperability affected the realization of the specialty until 1980s when it emerged as an essential part of enhancing patient care quality.

NUR 514 The Evolution of Nursing Informatics Presentation

The American Nursing Informatics Association (ANIA) was established in 1992 after the ANA recognized the specialty as a critical component of healthcare provision. The 1980s is considered as the growth-spurt decade which enabled the profession to be what it is today (Knox, 2019). The implication is that to realize the potential of nurses to transform and enhance health care and outcomes through informatics will need fundamental changes among individuals, organizations and systems.  

Nursing informatics impacts nursing leadership as it implores nurse leaders and those in the management of organizations to develop innovative care models by leveraging on information technology. Nurse leadership focus on enhancing quality care and through informatics, nurse leaders can improve patient care and outcomes. Nursing informatics affects clinical practice through the collection and analysis of, and leveraging data to make more effective care decisions and choices. Informatics influences the nursing practice through the management of resources and development of multidisciplinary teams to improve care delivery.

Nursing informatics has impacted documentation as nurses no longer need paper charts that had to be updated meticulously using handwritten notes and comments (Moore et al., 2019). Nurses are more likely to use electronic health records and other forms of documentation to input patient’s health information and medical history. Informatics impact healthcare administration through leveraging data to make staff schedules, care plans and use evidence-based practice interventions in healthcare delivery.  

Nursing informatics is an essential component of quality care delivery and affects education and research in nursing. Due to increased use of informatics nursing, nurses can enhance their competence in using health information technology. Faculty nurses can integrate the aspects of health information into curriculum at all levels of nursing training.

A core aspect of nursing informatics is the value-addition that it has on health care outcomes and increased need for more research on using effective documentation for delivery (Farokhzadian et al., 2020). The increased integration of health information technology with artificial intelligence underscores the critical approach to better documentation and outcomes as well as effective decision making and IT training for nurse practitioners.  

Organizational policies create goals that technical mechanisms serve, highlight appropriate uses and release of information, create avenues for prevention and detection of breaches and set rules to discipline offenders. Organizational policies must create a balance between the need to access appropriate and relevant health information for care provision and the protection of patients’ rights to privacy and compliance to existing legal frameworks.

Imperatively, government regulations on patient safety and data security are critical aspects when designing organizational policies in nursing informatics and other aspects of health information technology (Moore et al., 2019). Patients can only reveal their information when they know that their privacy and confidentiality rights are guaranteed by the health care providers or system. This means that government regulations like HIPAA, HITECH, and Affordable Care Act 2010 provisions are upheld by a healthcare provider.  

The creation of a health care organization which is fully committed and focused on safeguarding personal health information is complex. However, privacy protections of patient health information and data is critical to overall care delivery and effective engagement and interactions with patients. Privacy protections in health care must adhere to the government regulations like Health Insurance Portability and Accountability Act (HIPAA) that implores organizations to develop data standards concerning electronic healthcare information.

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 gives the federal government authority to oversee the promotion of Health IT that comprises of quality, safety, and security and secure exchange of information (Moore et al., 2019). The implication is that healthcare organizations should adhere to these provisions to protect patient’s data and its privacy (Yen et al., 2019). The provisions of the Affordable Care Act also implore organizations to have effective protocols on patient health information for increased privacy.  

Health care policies help to protect the health and well-being of our population. These policies are guided by rules and regulations placed on a local, state, or national level (University of St. Augustine for Health Sciences [USAHS], 2021). Following these rules and regulations assists with issues such as access to care, cost of care, delivery methods, and privacy. Health care policies reflect the decisions, goals, and actions that guide the care that is administered and how care is accessed.

Health care organizations are heavily impacted by policies. Organizations must abide by these set protocols to deliver consistent, quality care. Policies are put in place to establish guidelines to benefit patients and health care organizations (USAHS, 2021). Patients are positively impacted by policies in many ways: cost of care, privacy, patient rights, etc. One of the biggest issues within healthcare in the United States is cost of care and coverage. Due to this, a large focus of policymakers is placed on providing insurance coverage for more individuals. In 2010, the Affordable Care Act was implemented to help battle this crisis.

A major goal of health care is to provide high quality, easily accessible, cost-effective care. However, it can be very difficult to lower prices without compromising the quality of care provided (USAHS, 2021). Luckily, advanced practice registered nurses (APRNs) can help to bridge this gap. APRNs have been utilized heavily, especially in rural areas with poor accessibility to care. Additionally, APRNs can provide care for less cost to the health care organization and patients. Nurse leaders can also advocate for patients by providing information regarding affordable care options. Often times, nurse leaders can refer patients to public health clinics to assist patients with medical services, access to healthy foods, affordable housing, transportation, daycare, etc.

References

University of St. Augustine for Health Sciences. (2021). Healthcare policy: What is it and why is it important? https://www.usa.edu/blog/healthcare-policy/

Informatics is intertwined in healthcare institutions and is part of nursing daily duties, and will continue to be embedded in core processes. Informatics has provided opportunities for healthcare innovation and improved patient outcomes. Informatics provides opportunities to implement safety measures and provide more efficient care. Two key resources are Clinical provider order entry (CPOE). McGonigle and Mastrian (2018) define CPOE as an “electronic process or system that automates the way that orders have traditionally been initiated for patients. It allows a healthcare provider to enter orders electronically and to also manage the results of those orders” (p 778). The second resource is clinical decision support systems (CDSS). CDSS is defined by McGonigle and Mastrian (2018), as “a computer-based program designed to assist clinicians in making clinical decisions by filtering or integrating vast amounts of information and providing suggestions for clinical intervention” (p 773).

These two programs help provides efficiency by gathering information and guiding clinical decisions that provide best-practice interventions. They provide a way to keep mass amounts of patient-specific information organized per patient. Essentially, these programs provide safety measures to flag orders or interventions that are counter-indicated for the patient and their plan of care. The programs combined offer automated safety checks to help mitigate errors and provide efficient ordering processes. A downside to these programs is relying on the safety checks of the system and skipping additional safety steps. Each patient requires customized care and consideration of the many variables that affect their overall care. The programs such as CPOE and CDSS are protocols and algorithms that provide little customizations. These factors can lead to errors and being too reliant on the system to make clinical decisions. It is important to not still take the time to consider all variables and not skip the five rights to administering patient care.

Reference

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of

knowledge (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247

 

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