NURSING
INFORMATICS
BENEFITS OF NURSING INFORMATICS IN
           HEALTHCARE
Benefit#1: Nursing Informatics informs and
influences IT systems
• Nursing informatics specialists spend much
  of their time helping to develop,
  implementand optimized computerized patient
  information system.
• It’s their blend of clinical and technical
  knowledge and experience that makes them
  perfect liaisons between the clinical and
  technical communities.
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• One of the early contributions of nursing
  informatics was to help move healthcare
  away from paper forms and into
  electronic documentation.
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• Today, a nurse’s standardized notes are
  immediately available to physicians and
  other caregivers thru EHR systems.
• Workflows and decisions are more
  informed and efficient.
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• Many EHR vendors recognized the value
  of hiring nurse informaticists to help
  design and build their system.
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• EHR vendors acquired a double-barreled
  secret weapon because nurse
  informaticists :
• A. Recommend the most practical layout of
  forms and reports, and the best processes
  for electronic medication administration
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• B. Prevent EHR mutiny because they can
  predict clinician reactions to technically
  efficient-but clinically clumsy -
  workflows, and shape EHRs that avoid
  these poor workflows
• Benefit#1: Nursing Informatics informs and
  influences IT systems
• Nursing informatics specialists are trilingual.
1. They understand the clinical language of
efficient patient care.
2. They translate knowledge and clinician
feedback into thetechnical language of business
analysts and programmers.
• Benefit#1: Nursing Informatics informs
  and influences IT systems
• Nursing informatics specialists are
  trilingual.
3. They communicate clinical and technical
matters with administrative leadership.
• Benefit#1: Nursing Informatics informs and
  influences IT systems
• Its not simple to speak effectively with clinical,
  technical, and administrative people.
• Still, nursing informatics specialists are
  qualified and have proven to be indispensable
  to the development of superior healthcare IT
  systems.
• Benefit#1: Nursing Informatics informs and
  influences IT systems
• “Informatics professionals with a nursing background
  combine the best of both worlds: deep expertise in
  clinical care helps nurse informaticists understand the
  needs and stresses of the clinical workflow, while their
  education and background with information
  technology systems and data analytics helps them
  sculpt health IT infrastructure into a meaningful and
  helpful tool.”
• Benefit #2: Nursing Informatics
  leverages evidence-based clinical best
  practices
• Most clinicians want to apply their
 knowledge and experience to improve
 patient care.
• Benefit #2: Nursing Informatics leverages
  evidence-based clinical best practices
The nurse informaticist takes it a few steps
further by:
1. Researching clinical nursing practices outside
of their own experiences.
2. Finding evidence to prove which clinical
practices are best.
• Benefit #2: Nursing Informatics leverages
  evidence-based clinical best practices
The nurse informaticist takes it a few steps
further by:
3. Influencing the design of clinical systems to
support and promote the best evidence based
practices and workflows.
4. Training other nurses to use clinical IT
systems.
• Benefit #3: Nursing Informatics
  generates stronger nurse training in
  clinical IT systems
• Clinical IT systems are complicated, and
  their interfaces and workflows are not
  always intuitive.
• But nursing informatics specialists are
  well-suited to teach other nurses how to
  get the full benefits of these systems.
• Benefit #3: Nursing Informatics generates
  stronger nurse training in clinical IT systems
• Because in some cases, nurse informaticists
  helped design and create those very systems.
  But.. the very least , they understand the
  reasons, from a nursing care perspective, for the
  structure of each digital form and reach
  sequence of clicks.
• They can explain built-in interoperability and
  behind-the-scenes interfaces to other clinical
  systems in language that’s easily understood by
  nurses.
• Benefit #4: Nursing Informatics leverages IT
  investments
• Every health facility - from the single-physician
  practice to the large academic medical center
  invests a significant amount of their budget on
  essential health information technology- and
  services.
• These include patient care systems like the
  PACS and electronic medical records system,
  communication technologies like pagers and
  secure messaging systems, and analytics tools.
• Benefit #4: Nursing Informatics
  leverages IT investments
• Nurse informaticists help get maximum
  value from these investments in at least
  three ways:
• 1. They ensure that systems are designed
  to support effective patient care workflow
• 2. They help train other nurses to use IT
  efficiently
• Benefit #4: Nursing Informatics leverages IT
  investments
• Nurse informaticists help get maximum value
  from these investments in at least three ways:
3. They apply advanced analytics strategies to
develop predictive models.
• As an example of predictive models, consider
  Texas Health Resources in Dallas-Fort Worth.
  Their informatics nurses use analytics tools to
  identify the risk of sepsis, risk ofreadmission,
  and potential benefit from palliative care.
• Benefit #5: Nursing informatics
  contributes unique wisdom to clinical
  care that is acquired through a deep
  understanding of both clinical practice
  and data analysis
• “Informatics nurse specialists work with
  leadership regarding regulatory and
  quality initiatives and governance for
  technology implementation and change.
  For example, they work with the delivery-
  of-care team
• Benefit #5:
• The chief nursing officer, chief medical
  officer, and quality' leadership who might
  give us a directive based on improving
  patient safety by decreasing readmission's.
• Informatics nurse specialists identify the
  key areas where studies identify where
  problems arise inadequate discharge
  education, a patient doesn't have support at
  home, poor hearing or sight- or being on
  multiple medications.
• Benefit #5:
• They’ll take those variables and identify how
  and wherein the system they should alert a
  nurse that this is a possible red flag and give her
  the elements of a plan to decrease the risk for a
  readmit.
• They explain to the technicaland application
  team what nurses need the system to do.
• Benefit #5:
• They build it, and the nurses validate the
  build. Then nurses go back to clinical
  leadership and demonstrate what was
  designed and built.
• Benefit #5:
• Because nurse informacists understand
  data analysis and nursing practice, they
  immediately know which trends are worth
  analyzing ,and which anomalies are
  significant enough to escalate.
• Benefit #6: Nursing informatics
  enriches the evolving healthcare
  delivery system
• Advances in healthcare technology launch
 new options for healthcare delivery, and
 nurse informatics specialistsare helping
 ensure these new options are beneficial to
 both patients and clinicians
• Benefit #6: Nursing informatics
  enriches the evolving healthcare
  delivery system
• Two examples are developments in
 communication technology and
 remote healthcare, known as
 telehealth.
• Benefit #6:
• Regarding communication
 technology, vendors are using
 Smartphones to transform the way
 communication in nursing happens.
• Benefit #6:
• Advanced applications - from secure
  messaging to EHR integrations that push
  critical results to a physician’s phone just
  seconds after the results hit the EHR -
  are dramatically improving the efficiency
  of healthcare delivery.
• Benefit #6:
• Regarding the growing field of telehealth,
  patients are receiving education and self-
  management training, automatically
  storing and forwarding medical data, and
  seeing their providers - from the other side
  of town, or the other side of the world.
• Benefit #6:
• And nurse informatics specialists are
  helping design and implement
  telehealth systems, as well as training
  their fellow nurses in how best to use
  the systems.
• Benefit #7: Nursing Informatics
  Improves Patient Care, Patient Safety,
  and Outcomes
The more generalized field of healthcare
informatics focuses mainly on
administrative issues, whereas nursing
informaticsfocuses on patient care.
• Benefit #7: Nursing Informatics
  Improves Patient Care, Patient
  Safety, and Outcomes
• In fact, the substance of the first six
  benefits of nursing informatics is all
  about improving care, safety, and
  outcomes for patients.
• Benefit #7:
• The nurse informaticists resume is like an
  endowment to patients and their families:
   • More efficient electronic health records
   • Better IT systems
   • Research and application of clinical best
     practices
• Benefit #7:
• The nurse informaticists resume is like an
  endowment to patients and their families:
   • Training of other nurses
   • Analytics-based predictive models
   • New avenues for patient education
   • Support for telehealth technology
HOW DO PATIENTS BENEFIT FROM
             NI?
        HOW DO PATIENTS BENEFIT?
• Fewer medical errors
• More informed clinical decision-
  making
• Shorter hospital length of stay
• Lower admission and readmission rates
• Better self-management
       HOW DO PATIENTS BENEFIT?
• Application of informatics as an
  enabling mechanism that improves
  operational tasks towards enriched
  jobs, increased job satisfaction, and
  enhanced quality centric customer
  service both in the hospital and in the
  academe
       HOW DO PATIENTS BENEFIT?
is strongly supported by Locsin’s
Technological Competency as Caring
in Nursing: A Model.” Locsin, R.
articulates that:
       HOW DO PATIENTS BENEFIT?
(1)“Technological Competency as
Caring in Nursing” is illustrated in the
practice of nursing grounded in the
harmonious coexistence between
technology and caring in nursing
       HOW DO PATIENTS BENEFIT?
  Assumptions of the theory include the
following among others:
• Technology is used to know wholeness
 of persons moment to moment
• “Nurses value technological
     HOW DO PATIENTS BENEFIT?
competency as an expression of
caring in nursing” (Locsin, 2013).
       HOW DO PATIENTS BENEFIT?
(2) Dimensions of Technological Value
in the Theory
 • Technology as completing human
beings to re-formulate the ideal human
being such as m replacement parts, both
mechanical (prostheses) or organic
(transplantation of
      HOW DO PATIENTS BENEFIT?
Organs.
• Technology as machine
 technologies, e.g., computers and
 gadgets enhancing nursing activities to
 provide quality patient care such as
 Penelope or Da Vinci in the Operating
 theaters.
       HOW DO PATIENTS BENEFIT?
• Technologies that mimic human
  beings and human activities to meet
  the demands of nursing care practices,
  e.g., cyborgs (cybernetic organisms)
  or anthropomorphic machines and
  robots such as nursebots
HOW DO PATIENTS BENEFIT?
(3) Technological Competency as
Caring in Nursing
• Technological competency as
 Caring in nursing is the
 harmonious coexistence between
 technologies and caring in
 nursing.
HOW DO PATIENTS BENEFIT?
• The harmonization of these
  concept can co-exist
• Technology brings the patient
  closer to the nurse. Conversely,
  technology can also increase the
  gap between the nurse and
  nursed
HOW DO PATIENTS BENEFIT?
      IN CAPSULE: Locsin’s
  “Technological Competency as
Caring in Nursing Nursing: A Model
           for Practice”
Dr. Locsin middle-range nursing
theory is an interesting discussion of
the correlation between hands on
patient care
HOW DO PATIENTS BENEFIT?
and the use of technology.
Technology is defined as
anything that makes things
efficient- from diagnostic
technologies to therapeutic
practices familiar to all nurses.
HOW DO PATIENTS BENEFIT?
Specifically, he discusses the
importance of understanding the need
of knowing “high-tech” instruments
e.g monitors, implants, and devices
that are a part of patient care as these
will provide opportunities for the
nurse to know the patient
HOW DO PATIENTS BENEFIT?
fully as person.
  Nurses use and encounter
technology in nearly every aspect
of their profession. What does it
mean to be technologically
competent? What does it mean to
be a caring nurse? How does
HOW DO PATIENTS BENEFIT?
technology support nursing work?
How does it hinder nursing work?
How can nurses care for their patients
as technological advancements are
introduced nearly every day?
Technological competency as Caring
in Nursing: A Model
HOW DO PATIENTS BENEFIT?
for Practice provides insight and
answers into how nurses can express
their nursing by being
technologically competent. As such,
Locsin sustains the understanding
that being technological competent
is being caring.
HOW DO PATIENTS BENEFIT?
Dr. Locsin’s work is obviously
guided by the question asked by
thoughtful nurses everywhere: How
can I satisfactorily reconcile the idea
of competent use of technology with
the idea of caring in nursing? His
theory significantly
HOW DO PATIENTS BENEFIT?
describes a practical understanding
of the solution enriching the
practice value of all of the general
theories of nursing which are
grounded in caring. Technological
competency as caring in nursing
informs nursing as a
HOW DO PATIENTS BENEFIT?
critical process of knowing
person’s wholeness. Dr. Locsin’s
theory book explores, clarifies, and
advances the conception of
technological competency as
caring in nursing. His theory is
essential to modelling a practice of
HOW DO PATIENTS BENEFIT?
(nursing from the perspective of
caring. It is a practical
illumination of excellent
nursing in a technological
aspect.
THANK YOU!!!!!