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Practical, critical and

community by: Grullo Ruth P. &
Laut, Stephanie

health applications NURSING INFORMATICS

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PRACTICE APPLICATION
NURSING PROCESS
NURSING PROCESS is a patient-centered and goal
oriented processes by which nurses deliver effective
care to patients which involve assessment, nursing
diagnosis, planning, implementation and evaluation. It
is a cyclical, repetitive and ongoing process of nursing
care and healthcare delivery. It is not only focused on
ways to improve the patient’s physical needs, but also
on social and emotional needs as well.
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NURSING PROCESS
01 aSSESSMENT
Computer-enhanced automated nursing assessment can
mitigate recording error and gathering erroneous data by
integrating it to the statistical information system. Vital data can
be coupled to the basic data and derived the necessary additional
information.

02 DIAGNOSIS
It can be best executed when there is a strong evidence of such results;
evidence-based diagnosis can be enhanced through computer based
methods. Integration of all health information system offers sharing of
techniques, strategies, success processes medication performance, good
tactics and simple medication approach. The automated system can provide
predictive values which can facilitates diagnosis and decision process.
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NURSING PROCESS
03 PLANNING
Nursing care planning can be further enhanced through computer
simulation; the computer program can predict results and test if the
expected results match with the available data. Computer program can
also prepare time table and optimal schedule and efficient strategies
that is streamline in the nursing care process.

04 IMPLEMENTATION
Computer simulations can further enhance the decision making
process of a nurse. The nurse can verify the next action involve and
can also predict the possible solution to the situations involved. The
nurse can also search for other possible options and solutions that is
readily fit to the condition.
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PRACTICE APPLICATION

NURSING PROCESS
05 EVALUATION
Evaluation of the processes using computers with large amounts of patient data, help
identify outcomes patients are likely to achieve based on individual problems and needs,
and estimate the time frame for reaching outcome goals. During nursing evaluation, use
the computer to record and store observations, patients’ responses to nursing
interventions, and your own evaluation statements. You may also use information from
the shared information of the strategies and future actions relevant to the service.

73%
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PRACTICE APPLICATION

NURSING DOCUMENTATION
It focuses mainly on health assessments, clients’ care plans,
medications, administration records, nursing notes and
discharge plans. All of these processes can be automated
and enhanced with the use of computer system.

The computer can store standard nursing care plans in

a format determined by the hospitals and clinics, to be
used by nurses as the basis for developing individualized
clients care plan. It can also perform drug dosage
calculation faster and more accurately. Nurses notes can
be entered quickly by choosing statements, appropriate for
a particular client from multiple pre-programmed choices.
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PRACTICE APPLICATION

BENEFITS OF NURSING INFORMATICS TO PRACTICE APPLICATION

Nursing Informatics or Nursing Information System (NIS) are computer systems that manage clinical data a variety of
healthcare environments, and made available in a timely and orderly fashion to aid nurses in improving patient care.

Some of the Key Features of Nursing information System:

PATIENT CHARTING: Nursing assessments, care plan and nursing notes can be entered into the automated system
with the graphical user interface. The data are stored in the central repository system such as data warehouse for
enhanced retrieval and accessibility of data when needed. These data are then translated into information via
statistical information system that are embedded in the system.
CLINICAL DATA INTEGRATION: Data and information can be shared to other department. With proper authority,
these data and information can also be access by other entity and can be retrieved, viewed and analyzed by
nursing staff and then integrated into the client’s care plan.
DECISION SUPPORT: Decision support module can be added to nursing informatics system, and they provide
prompts and reminders, along with guides to disease linkages between signs/symptoms, online access to medical
resources can also be available. 
OPTIMAL OPERATION OF HOSPITAL AND CLINICS: Better drug administration, nursing staff scheduling, wards
and rooms monitoring, patient profiling and patient mapping, and billing details. 
BETTER CARE PLANNING: Time spent on care planning is reduced, while the quality of while the quality of what is
recorded is improved. This makes for more complete care plans and more complete assessments and evaluations.
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CRITICAL CARE
APPLICATION
Critical care nursing is an area of expertise within
nursing that focus specifically with human responses
to life-threatening problems.

Critical care applications are areas where patients

require complex assessment, high-intensity
medication, continous theraphy and interventions, and
unrelenting nursing attention and continous
watchfulness.
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CRITICAL APPLICATION

CRITICAL CARE INFORMATION SYSTEM (CCIS)

Provide real-time resource utilization data and
management of information and access critical care
areas through the integration of the medical facilities in
the critical care or intensive care unit to an intelligent
computer system which is capable of processing all of
these data.

It helps collect important information about patients in

critical care areas electronically. This information is
used to create a patient profile and generate reports in
real-time or from past data, showing things like bed
usage, discharge delays, readmissions, and patient
outcomes.
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Bed side monitoring system such as heart rate from the ECG,
parameters from arterial and pulmonary arterial invasive blood
pressures, temperatures, arterial saturation and heart rate from
pulse oximetry, ventilators and other equipments are transmitting
clinical information for use in clinical data reporting making

The Medical Information Bus (MIB) provides a generalized method of

attaching patient monitoring devices to a common interface. It also
has the ability to "filter", stire and select information sent for
inclusion into the clinical medical record on the clinical computer
system.

The manual and automatics information collected is used for

complete computerized charting and for computerized decision
making.
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Intelligently integrates and process physiologic and diagnostic

information and store it to secure clinical repository

Creates trends analysis with graphical representation of results

ADVANTAGES OF CRITICAL Offline simulation can be performed to test the condition of the
CARE INFORMATION patient

SYSTEM Provide clinical decision support system

Provide access to vital patient information

Provide feedback and quick evaluation of the patient condition

and provides alert
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COMMUNITY HEALTH APPLICATION

COMMUNITY HEALTH INFORMATION
SYSTEM
Is a collective term for the methodical application of
information sciences and technology to community and
public health process.
Environmental factors are among the common concern of
the community health information system. It also
emphasizes on the prevention of diseases, medical
intervention and public awareness.
Policy development in community health is based on
science, but it is also derived from values, beliefs and
opinions of the society it serves.
Hospital information system, clinical information system,
EHR focused more on individual and single resource
contrary to community health information system which
focused on information about majority of populations.
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PRIMARY FOCUS OF COMMUNITY HEALTH

INFORMATION SYSTEM
Preventing, identifying, investigating and eliminating
communicable health problems 
Accessibility of data and information, through communication
Educating and empowering individuals to adopt healthy
lifestyle 
Facilitate the retrieval of data 
Effective transformation of data into information 
Effective integration of information to other disciplined to
concretized knowledge and create better understanding 
Creation of computerized patient records, medical information
system 
Central repositories of all data such as data warehouse
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ADVANTAGES OF COMMUNITY HEALTH INFORMATION SYSTEM

Consistent exchange of response 
Disease tracking 
Data and information sharing 
Building strategies 
Early detection and monitoring of disease and sickness 
Control of spread of disease 
National alertness and preparedness 
Building strong communication 
Maintain strong relation between nurses and other healthcare
providers 
Continuous coordination of the healthcare professionals 
Synchronization of the decisions 
Streamlining of the process 
Effective management of data and information 
Optimal operation of hospital and clinics
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