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Introduction

The words "nursing informatics" were unfamiliar among the nursing community until the year 2008. There were only a handful of people with knowledge and experience in nursing informatics. The discipline has not yet found its recognition as a sub-specialty of nursing arts and science in the country. The origin of this budding discipline indirectly came from the pioneers of health informatics in the

The Philippine Medical Informatics Society (PMIS) and its founders had strong influence in the development of health informatics in the Philippines. The PMIA was officially registered under the Securities and Exchange Commission in 1996 by its board composed of eleven physicians. The organization was headed by Dr. Alvin Marcelo.

Future Direction

Development of training, certification and credentialing programs are in the pipeline for the Philippine Nursing Informatics Association. Future partnerships with local and international nursing and health informatics organizations have started as well. Other programs are expected to be slowly delivered with PNIA's CORE X strategic platform which stands for Competency, Organization, Recognition, Experience, and Expertise. It is also a major thrust to support the use of health information standards in the Philippines and to have nursing informatics specialists in every hospital in the country.

Issues and Challenges

Like many other disciplines, nursing informatics face many challenges while in its infancy stage. The inclusion of informatics as an integral part of the undergraduate curriculum has been one of the most influential factors for the increased awareness and interest in this field of nursing. However, the contents of the curriculum was adapted from international materials which does not match the local needs.

A community-centered approach to the use of information, communication and technology in nursing practice must be adapted to ensure the impact of the program in the local healthcare system. Lack of certification and credentialing programs in post-graduate levels are also absent with the scarcity of local nursing informatics experts. This new field has yet to gain acceptance and recognition in the nursing community as a sub-specialty.

Ched as a Catalyst

Some of the major milestones in nursing informatics history in the Philippines includes the participation of the Philippine Nurses Association (PNA) in the development of Standards for Health Information in the Philippines (SHIP) in 1999, the formation of the Master of Science in Health Informatics (MSHI) which began in 2005, and the formation of the Philippine Nursing Informatics Association(PNIA) in 2010 as a sub-specialty organization of PNA for nursing informatics.

The nursing community was still yet to follow its international counterparts in the adoption of information, communication and technology in nursing practice in the Philippines. Despite the inclusion of Informatics course in the undergraduate curriculum which focused on basic desktop applications, the need for genuine nursing informatics course had not yet been realized. In 2008, Nursing Informatics course in the undergraduate curriculum was defined by the Commission on Highe rEducation (CHED) Memorandum Order 5 Series of 2008. This was later revised and included as Health Informatics course in CHED Memorandum Order 14 Series of 2009. This was first implemented in the summer of 2010.

The Philippine nursing community have long sought to keep up with increasing use of information and technology in the health care system. Nursing Informatics follows the foot steps of biomedical informatics which has gained relative popularity earlier than its other allied medical counterparts.

Organization

Some of the major milestones in nursing informatics history in the Philippines includes the participation of the Philippine Nurses Association (PNA) in the development of Standards for Health Information in the Philippines (SHIP) in 1999, the formation of the Master of Science in Health Informatics (MSHI) which began in 2005, and the formation of the Philippine Nursing Informatics Association(PNIA) in 2010 as a sub-specialty organization of PNA for nursing informatics.

Early in 2009, Mr. Kristian R. Sumabat and Ms. Mia Alcantara-Santiago, both nurses and graduate students of Master of Science in Health Informatics at the University of the Philippines, Manila began drafting plans to create a nursing informatic sorganization. In February 2010, they began recruiting other nursing informatics specialists and practitioner sto organize a group which later became as the Philippine Nursing Informatics Association.

By the year 2003, a Master of Science in Health Informatics was proposed to be offered by UP-Manila College of Medicine (major in medical informatics) and the College of Arts and Science (major in bioinformatics) and was later approved to be offered starting academic year 2005-2006.

In 1999, a study group was formed headed by the National Institute of Health of the University of the Philippines Manila. This group identified international standards for health information and their adaptability in the Philippines. The document is referred to as the "Standards of Health Information in the Philippines, 1999 version" or "SHIP99". Representatives from various sectorscollaborated on this project including the Philippine Nurses Association (PNA) in theperson of Ms. Evelyn Protacio.

Origin

Since 1998, several faculty members of the University of the Philippines began formal education and training. Dr. Herman Tolentino took a post-doctoral fellowship in medical informatics at the University of Washington. Dr. Alvin Marcelo followed a year later for his training at the National Library of Medicine. Dr. Cito Maramba went to Coventry for his Masters in Information Sciences at the University of Warwick. They were later followed by other physicians such as Dr. Micheal Muin and Dr. Ryan Bañez.

History of Nursing Informatics in the Philippines

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