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Nursing Informatics: Pacific Rim
Transcript of Nursing Informatics: Pacific Rim
NZ ministry of Health is interested in information collection, and much of this occurs through the auspices of the New The Zealand Health information service (NZHIS).This body controls the national database which holds registration for 95% of New Zealanders
The Way out
evolution of NI has varied in each of the Pacific Rim countries
Areas that are gaining more attention in NI
This is demonstrated in New Zealand by The Centre for Evidenced-based nursing--- Aotearoa (CEBNA).
is a partnership between the Auckland District Health Board and
the University of Auckland, School of Nursing.
Collaborates with the Joanna Briggs Institute for Evidenced
Based Nursing and Midwifery.
Joanna Briggs Institute for Evidenced Based Nursing and Midwifery
- The lead center, in an Australasian-wide collaboration, that includes centers throughout Australia, Hong Kong, and Singapore.
CEBNA & JBIEBNM
are committed to an evidence-based approach to healthcare and to promoting and evidence-based culture in nursing.
The New Zealand Guidelines Group (NZGG)
Was set up in 1996 by the National Health Committee (NHC) as an informal network of expertise and information on guidelines development and implementation.
Is funded by the Ministry of Health and through contracts with other health agencies such as ACC.
Organizes an annual conference where between 40 and 60 papers are presented each year. These are indexes in CINAHL and provide a good overview of progress in health informatics in Australia.
• In Early 1990s- NI has been recognized as a significant by the Ministries of Health and education in New Zealand.
• In 1991- A national “Guidelines for Teaching Nursing Informatics” curriculum was introduced into the undergraduate preparation of nurses programs.
Changes in undergraduate nursing education:
mid-1990s – nurses registering for practice in New Zealand also complete an undergraduate degree
nurses in New Zealand are predominantly women and there are gender issues that makes access to postgraduate education problematic
1998 – University of Otago, in conjunction Wellington Medical School, offered for the first time a diploma in health informatics
2001- University of Auckland commenced offering postgraduate programs that include courses in health informatics
Both tertiary education providers have given nurses the opportunity to study informatics in a broad context alongside other health professionals
Drivers for an increased demand for postgraduate nursing education
1. changes in health service delivery in New Zealand
2. establishments of newroles and career opportunities for nurses
These new advanced nursing roles require postgraduate qualification. Yet there have been barriers to nurses accessing postgraduate education, which is generally based in urban areas.
Some schools of nursing integrate informatics into their undergraduate nursing program to some extent. Most universities offer one unit of study within their undergraduate nursing pre- and postregistration programs as an elective.
This enables all registered nurses either to obtain a double degree or to convert their hospital-based certificate or University-based diploma into a Bachelor’s degree.
Some of these graduates are now pursuing PhD studies, others are actively engaged in promoting the use of IT in the workplace, and many work in hospital-based NI positions.
Current National Initiatives
The Wave Report
It identified New Zealand’s most pressing health IT needs and significant issues that will continue to form barriers to improved health outcomes and reducing delivery cost.
Cornerstone of activity
District Health Boards (DHBs)
The national health information agreements and the establishment of the Health Data Dictionary in 1993 laid the foundation for Nationalconsistent health data sets in Australia.
1999 - First national strategic information action plan, Health online was initiated.
Standards Development and Adoption
• The Scope of Development that HISO will be involved which includes standards associated within the ff. categorization scheme:
Security and privacy-how access to information is managed.
Records structure and content – data formats
Vocabulary-codes for medical and other healthcare terms
Messaging-standards used for the interchange data
National Health Index Number (NHI)
allows easier tracking of information through healthcare episodes
National Minimum Dataset (NMDS)
Is a single integrated collection of health data
developed in consultation with health sector representatives and required at the national level for policy formulation
The adoption of informatics usually began as a vision by one or more individuals. Such people use any number of opportunities plus their leadership skills to promote and disseminate the use of Information Technologies to support nurses in all areas of nursing practice
The Asia Pacific Medical Informatics Association (APAMI)
formed in 1993 as a regional group of the International Medical Informatics Association (IMIA).
helped launch national healthcare informatics associations in Malaysia, Indonesia, and the Philippines
generated awareness about the field in India, Pakistan, Sri Lanka, and Fiji.
Health and Nursing Informatics in New Zealand
As part of ensuring standards of practice the government passed the Health Practitioners Competence Assurance (HCPA) Act (2003).