Leadership Role of the Nurse in the Computer Applications that Support

Management of Nursing Information System Nursing Research

Influence of the Nurse Leader in Technology
Implementation I. Literature Searches
Nurse-Leader Roles Reliable Search Engines and Databases
1. Models good problem solving skills A web search engine or Internet search engine is a
2. Facilitates open communication software system that is designed to carry out web
3. Advocates for the team and their search (Internet search), which means to search the
recommendations across the facility. Worls Wide Web in a systematic way from
4. Able to build trust, which facilitates dialogue particular information specified in a textual web
about error disclosures that lead to more effective search query.
problem solving and without risk of blame.
5. Collaborates with team members and T0p 5 Search Engines in the World (Alex
strategically integrates technology to redesign Chris, 2019)
processes to minimize the real risk for errors. 1. Google- worldwide market share of 92.96%
6. Advocates the team's recommendation to 2. Bing- best alternative for Google by Microsoft
facilitate organization-wide implementation and 3. Yahoo- default search engine for Firefox
become innovative in problem solving through browsers in the U.S.
technology 4. Baidu- Most popular in China and only available
7. Lead the team through systematic problem in the Chinese language
solving that will maximize the benefits of 5. Yandex- operates the largest search engine in
technology to improve safety practices in the care of Russia
patients
II. Data Collection and Statistical Tools
Nursing Information System Team
I.​ Health Care Team ▪ Online Questionnaires
Nurses represent all clinical disciplines, ensuring Online survey using a questionnaire that the
alignment of workflow and practices across the target audience can complete over the
continuum of care within each hospital. Internet. Online surveys are usually
Nurses also serve as change agents and are educated created as Web forms with a database to
on the principles of behavioral-change management, store the answers and statistical software
following a formal methodology. to provide analytics
II. IT Team ▪ Digital Polls (Eg. Survey Monkey)
Super tool for on-the –spot feedback; this allows an
III. Listserv and Newgroups audience or a customer to engage and give opinions
Listserv or E-mail lists are very useful tools for and then get notified in real time for the results:
gathering and disseminating information. Users 1. Market research
subscribe to an e-mail list or group of e-mail lists 2. Political research
according to the topic areas of interest. When the 3. Event Planning and Feedback
users’ e-mail is added to the list, they will begin to 4. Course Feedback
receive messages posted to the e-mail list server. 5. Volunteer organization
Anyone who subscribe to an e-mail receives any 6. Academic research
and all information posted into the service. 7. Travel Industry
8. Net Promoter score
Newsgroups 9. Technology
A newsgroup is an online discussion forum 10. Government
accessible through internet applications such as the
Usenet. Data Processing and Database Applications
Each newsgroup contains discussions about a
specific topic, indicated in the newsgroup name. ▪ Spreadsheets- Excel Microsoft Application
Users can browse newsgroups and post or reply to ▪ Statistical Package for the Social Sciences
topics using a newsreader program. Access to (SPSS)- software package used for interactive,
newsgroups also requires a subscription. or batched, analysis of data and running of
statistical tests
▪ Statistical Analysis System (SAS)- statistical
software used for data management, advanced
analytics, multivariate analysis, business
intelligence, criminal investigation and predictive
analytics
▪ In Vivo- qualitative data analysis computer
software package designed for qualitative
researchers working with very rich text- based
and/or multimedia information where deep levels of
analysis on small or large volumes of data are
required
 Application of Health Informatics

I. Clinical Practice II. Administration

Electronic Health Record- Clinical and Administrative Health Information
It is a repository of electronically sustained System
information and data of every patients’ transactions, • Clinical Information System (CIS) is a computer-
health condition, medical records and other based system that is designed for collecting, storing,
pertinent information necessary for computer-based manipulating and making available clinical
health information system. information important to the health care delivery
Process
Benefits of the EHR
1. EHRs are usually accessed on a computer, often
over a computer networks or system interconnecting
with other departments.
2. Features information management tools to
provide for the following:
a. clinical reminders and alerts
b. linkages with other knowledge sources for health
care decision support
c. analysis of aggregate data both for care
management and for research

Advantages of CIS/HIS
• Real-time and easy access to patients’ medical
records by health care providers
• Improved workflow, which allows more time for
comprehensive patient counselling and review
• Reduced errors that will allow for alerts
• Help healthcare institutions become more
community-focused and reach out to patients via
fax, SMS, etc.
• Automated and integrated back-end process such
Telemedicine as pharmacy, purchasing, inventory management,
etc.
• The concept started with the birth of • Improved clinical outcome analysis- enhanced
telecommunications technology and is used to research productivity through data mining
address patient problems located in remote places • Improvement of hospital inventory management
that are far away from health facilities or in areas
with shortages of medical professionals
III. Education
E-health
• E-learning- learning conducted via electronic
• Refers to the use of information and media, typically on the internet
communications technologies in healthcare. • Teleconferencing- meeting involving people who
• Covers a lot of territory wherein there is cost are in different places, but who are connected by
effective and secure use of information and video and computers
communication technologies in support of the • Webinar- a seminar or other presentation that
health and health related fields including healthcare, takes place on the Internet, allowing participants in
health surveillance and health education, knowledge different locations to see and hear the presenter, ask
and research (WHO, 2019). questions and sometimes answer polls
Competency Development in the Use of Nursing Development of Nursing Informatics
Informatics and Technology Development action plans:
1. Competencies
2. Defining of education strategies and
Training and Development in e-Learning and setting priorities (including national database
Nursing Informatics of nursing
3. Providing nursing data and language among
Integration of e-learning Technology practitioners
Factors that Allow Integration of e-learning 4. Setting of standards and support for ICT research
1. Internet connectivity experience projects
2. Perceived usefulness
3. Social media influence Nursing Informatics Framework
4. Perceived ease of use ▪ • Integration of activities in the nursing
5. Integrated multimedia instruction information technology field through analyzing the
6. System interactivity information needed by nurses and defining the
7. Perceived quality work of life minimum data set
8. Behavioral Intention ▪ • Standardizing the nursing language and
developing the required terminologies
1. Internet Connectivity Experience ▪ • Providing training courses and opportunities for
The performance of the internet connection in nurses
terms of its speed and reliability that affects ▪ • Financial support for innovative nursing
user’s experience informatics projects
▪ • Providing guidelines for nursing informatics
2. Perceived Usefulness researchers
The degree to which a person believes that using ▪ • Establishing the nursing knowledge database and
a particular system would enhance his or her job developing nursing archetype
performance
Nursing Informatics Education Requirements
3. Social Media Influence and Training
The degree to which social networking sites (SNS)
influence the usage of other internet Educational Prerequisites
technologies ▪ Master's degree programs require completion of
general advanced-practice courses, as well as
4. Perceived Ease of Use courses specific to nursing informatics. While
The person’s belief that the use of a particular courses and practicum may vary slightly,
system would be free from effort curriculum for the nursing informatics track may
include:
5. System Interactivity ▪ Statistics for evidence-based practice
Users’ perceptions of the system’s ability to ▪ Database management
provide interactive communication between its ▪ Research
users ▪ Project management

6. Perceived Quality Work of Life Nursing Informatics Education Requirements

The system enables its users to participate more and Training
actively while enhancing the productivity
▪ Clinical information systems
7. Integrated Multimedia Instruction ▪ Information security and privacy
How the presentation of course materials are ▪ Informatics theory
modeled based from multimedia-based learning ▪ Leadership

8. Behavioral Intention Nurse Informaticist Roles and Competencies

Acceptance and usability of the e-learning
technology as part of the learning process. Nurse informaticists play a critical role in not only
developing health care technology but educating
staff and evaluating the results of implementation.
Other responsibilities and duties include:
▪ Assessing and analyzing health care technology
needs
▪ Designing systems technology
▪ Testing systems technology
▪ Implementing the technology which also includes:
▪ Staff training
▪ Troubleshooting
▪ Escalating issues as needed
▪ Assisting in the transition from one system's
technology to another
▪ Evaluating the success of implementation;
revising as needed
▪ Serving as project managers
▪ Assisting in ensuring organizations meet federal
health care laws such as HIPAA
▪ Serving as a resource to staff
▪ Serving as a liaison between staff and information
technology experts
▪ Assessing user requirements and developing
solutions
▪ Serving as an educator to staff and new nurses
▪ Developing organizational policies and standards
▪ Researching different informatics topics that
affect health care providers as well as patients

Career Opportunities
The expanding presence of computers and
technology in health care has led to more
crossover career opportunities-including nurse
informatics. By combining technology and
nursing, this specialty utilizes the skills needed
to improve health care efficiency and enhance
patient safety.

Working Conditions
Nurse informaticists work in many different areas
such as:
▪ Hospitals
▪ Clinics
▪ Long-term care facilities
▪ Nursing schools
▪ Health care consulting firms
▪ IT companies