1957 - karl steinbuch "informatiks
1962 - Phillipe "informatique"
Walter Bauer translated it into "informatics
1980 - Scholes and barber "nursing informatics
1980 - NI, seen in literature, combining nurse, information and computer sciences for managing and processing
data into knowledge for use in nursing practice
1994- American Nurses Association (ANA) - describe and define the scope of nursing informatics, 2012 BAKER
2008 ANA -definition of NI: "A specialty that integrates nursing science, computer science and information science
to manage and communicate data, information, knowledge, and wisdom in nursing practice
American Medical Informatics Association (AMIA) - NI science and practice integrates nursing, its information and
knowledge and their management with information and communication technologies to promote health of
people, families and communities worldwide.
Healthcare Information and Management Systems Society (HIMSS) - "a speciality that integrates nursing science,
computer science, and information science to manage and communicate data, information, knowledge and
wisdom in nursing practice.
Staggers and Thompsion (2002) - many information of NI results nursing information's growth without solid
foundation.
- critical analysis resulted with a new definition:
Purpose of NI is to improve the health of populations, communities, families and individuals by optimizing
information management and communication
use of informatics solution and technology to support all areas of nursing.
Individuals refer to patients, healthcare consumers and any other recipient of nursing care or informatics solutions.
Nursing Informatics in the PH
- unfamiliar until the year 2008.
- only a handful of people have the knowledge and experience in nursing informatics, but the discipline have noy
yet found its recognition as a sub-speciality of nursing arts and science in the country.
- 2008, CHED memorandum order 5 series of 2008, defined NI. course in the undergraduate curriculum.
- revised and included as Health Informatics in CHED Memorandum Order 14 series of 2009
- First implemented in the summer of 2010
Benefits of NI in Healthcare
1. informs and influences IT systems
develop, implement, and optimize computerized patient information systems.
blended clinical and technical knowledge and experience makes them perfect liaisons between clinical and
technical communities.
NI CAN:
recommend most practical layout for forms and reprts, best processes for electronic medication administration
prevent EHR mutiny; can predict clincian reactions to technically efficient, but clinically clumsy-workflows
shape EHRs that avoid these poor workflows.
2. leverages evidence-based clinical best practices
researching clinical nursing practices outside of their own experiences.
finding evidence to prove which clinical practicess are best
influence design of clinical systems to support and promoto est EB practices and workflows
training other nurses to use clinical IT systems
3. generates tronger nurse training in clinical IT systems
to teach other nurses how to get the full benefits.
4. leverages IT investments
Nursing informaticists help get maximum value from these investments in at least three ways:
- ensure that systems are deisnged to support effective patient care workflows
- help train other nurses to use IT efficient
- apply advanced analytics strategies to develop oredictive models
5. contributes unique wisdom to clincial care that is acquired through deep understanding of both clinical practice
and data analysis
work with leadership regarding regulatory and quality initiatives and governance for technology and
implementation and change.
informatics nurse specialists identify key areas where studies identify where problems arise.
since they understand data analysis and nursing practice, they immediately know which trends are worth analyzing
and which anomalies are significant enough to escalate.
6. enriches the evolving healthcare delivery system
communication technology and telehealth
7. Improves patient care, patient safety and outcomes
> more efficient electronic health records
> better IT systems
> research and application of clinical best practices
>training other nurses
>anayltics-based predictive models
> new avenues for patient education
>support telehealth technology
Patients benefit from Nursing Informatics
1. fewer medical errors
2. More informed clinical decision-making
3. Shorter hospital length of stay
4. Lower admission and readmission rates
5. Better self-management
Informatics transforming Healthcare
dramatics savings,
shared knowledge
patient participation
The impersonalization of care
Increased coordination
Improved outcomes
NI are trilingual:
understands clinical language of efficient patient care
translates knowledge and clinican feedback to technical language of business analysts and programmers
communicates clinical and technical matters with administrative leadership
Health IT Analytics
"Informatics professionals with a nursing background combined the best of both worlds: deep expertise in clinical
care helps nurse informaticists understan the needs and stresses of the clinical workflow while their education and
background with IT systems and data analytics helps sculpt health IT infrastructure into meaningful and helpful
tool
Information Science
- Science and practice dealing with the effective collection, storage, retrieval and use of information. Originated as
a sub-discipline of computer science to understand and rationalize the management of technology within
organizations.
mid-1980 BLUM (1986), introduced the concepts of data, information, and knowledge as framework for
understanding clinical information systems and impacts on healthcare
He classify the current clinical information systems by 3 types: data, information and knowledge
Nursing Clinical Information System
- incorporates the principles of nursing informatics to support the work that nurses do by facilitating
documentation of nursing process activities and offering resources for managing nursing care delivery.
Nursing Informatics
The term nursing informatics was initially seen in literature in the 1980s, including a definition of combining
nursing, information, and computer sciences for managing and processing data into knowledge for using in nursing
practice (Murphy, 2010). In 1994, The American Nurses Association (ANA) began developing a statement to
describe and define the scope of nursing informatics (Baker, 2012). The meaning of nursing informatics has
evolved and been refined, with the American Nurses Association (2008) definition stated as ― a specialty that
integrates nursing science, computer science, and information science to manage and communicate data,
information, knowledge, and wisdom in nursing practice‖. Another definition of nursing informatics comes from
the American Medical Informatics Association (AMIA), which states ―Nursing Informatics science and practice
integrates nursing, its information and knowledge and their management, with information and communication
technologies to promote the health of people, families and communities worldwide.
Definition of Nursing Informatics
Nursing informatics (NI) has also been defined as” a specialty that integrates nursing
science, computer science, and information science to manage and communicate data,
information, knowledge, and wisdom in nursing practice.” NI supports consumers,
patients, nurses, and other providers in their decision making in all roles and settings.
This support is accomplished using information structures, information processes, and
information technology.
The goal of NI is to improve the health of populations, communities, families, and
individuals by optimizing information management and communication. These activities
include the design and use of informatics solutions and/or technology to support all
areas of nursing, including, but not limited to, the direct provision of care, establishing
effective administrative systems, designing useful decision support systems, managing
and delivering educational experiences, enhancing supporting life- long learning, and
supporting nursing research. The term individuals refer to patients, healthcare
consumers and any other recipient of nursing care or informatics solutions. The term
patient refers to consumers in both a wellness and illness model.
NI is one example of a discipline-specific informatics practice within the broader
category of health informatics. NI has become well established within nursing since its
recognition as a specialty for registered nurses by the American Nurses Association
(ANA) in 1992. It focuses on the representation of nursing data, information, knowledge
(Graves and Corcoran, 1989) and wisdom (Nelson, 1989; Nelson, 2002) as well as the
management and communication of nursing information within the broader context of
health informatics.
Why nursing informatics?
1. provides a nursing perspective
2. illuminates nursing values and beliefs
3. denotes a practice base for nurses in health informatics
4. produces unique knowledge
5. distinguishes groups of practitioners,
6. focuses on the phenomena of interest for nursing, and
7. Provides needed nursing language and word context (Brennan, 2003) to health
informatics.
Information Science
Information science is the science and practice dealing with the effective collection,
storage, retrieval, and use of information. It is concerned with recordable information
and knowledge, and the technologies and related services that facilitate their
management and use. Information Science is a multidisciplinary science that involves
aspect from computer science, cognitive science, social science, communication
science, and library science to deal with obtaining, gathering, organizing, manipulating,
managing, storing, retrieving, recapturing, disposing of, distributing, or broadcasting
information. Information Science studies everything that deals with information and can
be defined as the study of information systems. This science originated as a sub-
discipline of computer science, in an attempt to understand and rationalize the
management of technology within organizations. It has matured into a major field of
management that is increasingly being emphasized as an important area of research in
management studies and has expanded to examine the human-computer interaction,
interfacing, and interaction of people, information systems, and corporation. It is taught
at all major universities and business schools around the world. Organizations have
become intensely aware of the fact that information and knowledge are potent
resources that must be cultivated and honed to meet their needs.
In the mid-1980‘s Blum (1986) introduced the concepts of data, information and knowledge as a
framework for understanding clinical information systems and their impact on health care. He
did this by classifying the then-current clinical information systems by the three types of objects
that these systems processed. These were data, information and knowledge. Thus,
information science is the study of information systems, the application and usage of
knowledge focuses on why and how technology can be put to best use to serve the
information flow within the organization.
