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Nursing Informatics

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Allie McNab

on 13 December 2013

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Transcript of Nursing Informatics

The Road to the Future

Benefits of Technology
-elimination of nursing dissatisfaction-multi-media patient records

-track illlness and determine effectiveness of treatments--can then generalize to the entire population

Carrington, J. M., & Tiase, V. L. (2013). Nursing informatics year in review. Nursing Administration
Quarterly, 31(2), 136-143.

Cooper, A. & Hamer, S. (2012). Strategic leaderships skills for nursing informatics.
Nursing Times, 108 (20), 25-26.

Kerfoot, K. & Nickitas, D. M. (2010) Nursing informatics: Why nurse leaders need to
stay informed. Nursing Economics, 28(3), 141-158.

Kilbridge, P.M., Classen, D.C., (2008). The informatics opportunities at the intersection of patient safety
and clinical informatics. Journal of American Medical Informatics Association (15)4. 397-407.

Kossman, S. P., Bonney, L. A., & Kim, M. J. (2013). Electronic health record tools' support of nurses'
clinical judgment and team communication. CIN: Computers, Informatics, Nursing, 31(11), 539-544.

Murphy, J. (2010). Nursing and technology: A love/hate relationship. Nursing Economics, 28(6), 405-408.

Nursing informatics: Scope and standards of nursing practice. (2008). Silver
Spring, Md.: American Nurses Association.

Nurses Leading the Change
Nurses need to act as leaders to effectively integrate informatics and new technology into practice
“a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice”
What Is Nursing Informatics?
American Recovering and Reinvestment Act of 2009

-meaningful users of electronic health records (EHRs)

-reimbursement for use & compliance
Healthcare is Reforming
"Nursing informatics is the driving force for the transformation of healthcare in the United States"
By: Allison McNab, Jordan Wyrick, Lauren McNab
Cost Containment
The Time and Motion Study

19% of time in direct patient care 7% on patient assessment

rest of time: 35% documentation
17% medication administration
20% care coordination
Technology increases NURSE EFFICIENCY
Drug events are one of the most documented causes of harm to patients
Error Reduction
Nursing Informatics decreases errors by:

-bar codes for medication administration
-electronic MARs
-smart pumps programmed with drug information
-new technology still requires expert skill & vision

-need to be competent in own computer skills and act as role models to subordinates

"health IT adoption is 20% about the technology and 80% about sociocultural issues such as change management, leadership, risk tolerance, and incentives "
What This Means
Nurses need to take an ACTIVE ROLE in designing future EHR versions that SUPPORT NURSING WORK
By investing in the future, technology will be able to fulfill its potential for:
increased nursing efficiency
cost containment
safe & high quality patient care
One EHR required more documentation on pressure ulcers than falls

13% decrease in prevalence of pressure ulcers

Directly Affect Nursing Care & Patient Outcomes
Implications for Future Practice
Evidence that technology still needs improvement

Nurses rated the electronic MAR very helpful

Rated their own self made worklists more helpful than other components of the EHR

When asked how to redesign EHR, nurses stated they would conform to whatever the organization gave them
Full transcript