Nursing informatics where technology and caring meet pdf

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nursing informatics where technology and caring meet pdf

nursing informatics where technology and caring meet health informatics. Wed, 05 Dec GMT nursing informatics where technology and pdf -. Meet. [EBOOK] Nursing Informatics Where Caring And Technology You can download and read online PDF file Book Nursing Informatics Where. Get this from a library! Nursing informatics: where technology and caring meet. [ Marion J Ball; Kathryn J Hannah;] -- In recognition of the evolving electronic.

Once implemented, the organization can, on an ongoing basis, introduce a series of decision support rules and guides. These rules can address medication safety issues, improve the appropriateness of test and procedure orders, and assure that data relevant to an order are displayed to the clinician. No single rule may turn the tide in an organization s efforts to improve care.

But in aggregate they can be leveraged to effect significant improvements. A view of EHRs as foundations means that implementation never ends.

Factors If we are to be successful in our efforts to apply electronic health records to effect material gains in care delivery, we must create and evolve many interdependent factors. Incentives must exist that provide compelling motivation for providers and provider organizations to acquire, implement, and manage the necessary information technology. These incentives can be diverse; financial rewards, avoidance of penalties, competitive position, professional recognition, and leverage of mission.

These incentives must also focus on improvements in care rather than simply adoption of the technology. Information technology tools, such as the EHR, must be available for all segments of health care, ranging from a large academic medical center to a solo practitioner. These tools must have a robust set of features and functions, accommodate differences in workflow, able to deliver knowledge to the provider, and exhibit high degrees of reliability and security.

The tools need to be flexible, able to accommodate changes in practice. And these tools must have the ability to capture, share, and analyze data to support efforts to manage populations of patients.

Support resources must be available to assist the provider in acquiring, installing, and managing the needed information technology. There must be resources that can guide efforts to redesign care processes and support the use of information technology to facilitate ongoing care improvement initiatives. An exchange infrastructure must be developed that enables the sharing of patient information across providers. This sharing is a predicate to any effort to coordinate the care of patient with a chronic disease or manage the care of a trauma patient as she moves through a continuum of providers.

This infrastructure is a composite of transaction standards, technical infrastructure, privacy and security policies, and standards and data sharing, and it uses agreements between and across providers.

The development of evidence and best practices must continue to be undertaken. We will have to ensure that our providers are able to access knowledge that reflects the best evidence of care practices. The systems should, based on this evidence, provide reminders, alerts, and suggestions at appropriate points in the workflow and in the context of decisions that should be made.

In addition, the experiences of many organizations and professions have taught us about how best to ensure that the systems we implement help lead to the desired outcomes in care delivery and operational performance. A committed and educated workforce of professionals must be trained in how to best leverage the potential of information technology.

The types of training will be diverse, ranging from using the technology to deliver care to managing information technology projects to performing systems analysis to advancing the field of informatics. And since these factors are interdependent, we must define and manage that interdependence. Collaboration Patient care is a collaborative undertaking. This collaboration involves the patient, a wide range of healthcare professionals, government, purchasers of care, researchers, and organizations that provide products and services to the care team.

It is incumbent upon each profession and stakeholder to develop the factors in a way that serves their profession and constituency.

It is incumbent that each profession develops the factors in a way that is responsive to and supports the needs of other stakeholders. It is also incumbent that each profession shares its plans, progress, and learnings with others that are pursuing similar goals; while there are differences across professions and stakeholders, the commonalties are substantial.

Collaboration is most effective when the individual components are strong and when the collective is strong. Context If we are to leverage information technology, it is critical that we understand the nature of the electronic health record as a tool, address multiple interdependent factors, and engage in multidisciplinary collaboration. However, our most important consideration is that we treasure and enrich the context of care.

Patient care is a very human undertaking.

Nursing Informatics. Where Technology and Caring Meet. Fourth Edition - PDF

Patients are not abstractions; they are parents, spouses, brothers, sisters, and friends. They could be, at times they are, someone we love.

And they are scared, in pain and, at times, dying. They require caring in the sense of delivering skilled nursing and medical care. They require caring in the sense that human beings reach out to other human beings who need help. This context must always govern the delivery of treatments and therapies. This context is the reason that most of us have committed our professional lives to this field. This context is fundamental.

Our efforts to apply the technology should seek to reduce patient care errors and costs and improve quality. And our efforts must strengthen the ability of those who are practitioners to deliver human care. It is an honor to acknowledge the authors whose superb contributions make up this book, the 4th edition of Nursing Informatics: Where Technology and Caring Meet. Their work covers key issues such as workforce development, interoperability, usability, and evidence-based decision support.

It stresses the need for collaboration within and across disciplines and illuminates the contexts within which change must occur.

Their analysis and insights provide the framework that is needed to maximize the use of information technology tools in order to improve patient safety and the quality of care. And most of all, it is an honor to pay tribute to those who deliver care. Glaser chief executive officer Siemens Health Services Business Unit Boston, MA 11 Series Preface This series is directed to healthcare professionals leading the transformation of health care by using information and knowledge.

For over 20 years, Health Informatics has offered a broad range of titles: Editors and authors, eminent experts in their fields, offer their accounts of innovations in health informatics. Increasingly, these accounts go beyond hardware and software to address the role of information in influencing the transformation of healthcare delivery systems around the world.

The series also increasingly focuses on the users of the information and systems: Developments in health care delivery are constant; in recent years, bioinformatics has emerged as a new field in health informatics to support emerging and ongoing developments in molecular biology. At the same time, further evolution of the field of health informatics is reflected in the introduction of concepts at the macro or health systems delivery level with major national initiatives related to electronic health records EHRdata standards, and public health informatics.

These changes will continue to shape health services in the twenty-first century. By making full and creative use of the technology to tame data and to transform information, Health Informatics will foster the development and use of new knowledge in health care. Hannah xiii 12 Preface Around the globe, the challenges facing health care are daunting, and the United States is not exempt from the pressures posed by demographic and economic trends.

Obesity and diabetes are reaching epidemic proportions across the US, and our aging population has growing need of medical services. These services are in turn increasing in cost and complexity, as new treatments become available and new delivery approaches are introduced. The problems are particularly acute in the United States.

Despite paying more for health care than any other country in the world, the U. The question is why? As a recent report queried, With growth in health care costs continually exceeding GDP [editors: Gross Domestic Product] growth, it begs the question: Trying harder will not work.

What we need is a new system that is, as defined by the IOM, safe, effective, patientcentered, timely, efficient, and equitable.

nursing informatics where technology and caring meet pdf

According to Angela McBride, who spent a year as an IOM Scholar while the Institute was pursuing its quality agenda, information technology is more than an enabler for nurses: There is no aspect of our profession that will be untouched by the informatics revolution in progress. In the past, healthcare analysts and activists alike often overlooked the role of nurses in delivering care and the need to involve them in transforming the health care system.

Nurses were not given high visibility at the summit held in Washington, DC, to launch the year drive toward electronic health records. Unlike the terms physicians and doctors, the terms nurses or nursing did not even appear in the indexes for two recent mainstream critiques, Redefining Health Care4 or Who Killed Health Care?

Yet, for decades, it has been nurses who have been held responsible for making computerized hospital information systems work systems they rarely were given a voice in selecting.

When systems are installed, the workflow process often pays too much attention to physicians, who order medicine from the system and not enough on nurses, whose workflow can be more drastically changed by the system. Yet nurses were not on the speakers platform, and the role of nursing in achieving this bold vision was given short shrift. Following the summit, a small band of nursing leaders and advocates many of whom are editors and chapter authors in this new edition of Nursing Informatics met and determined that the situation as it was could not stand.

Their determination gave birth to the initiative known as Technology Informatics Guiding Education Reform TIGERwhich is one of the most significant responses to this critical need for change in the nursing profession. The results of their work, work they all know is critical and still ongoing, are in the pages of this book.

More than 70 organizations participated in the TIGER Summit, and each agreed that nursing must integrate informatics technology into education and practice.

In this regard it is required to study the influence of nursing informatics on health care and make bold the appropriate information technology educational needs for nurses. The study was carried out from January to April, A library search was also performed. As many as articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused on nursing informatics education and its influence on nursing outcomes and the quality of health care Staggers et al.

Results The study mentions the followings as the key elements of nursing informatics implementation: Today, the subjects of clinical nursing information systems, decision support systems and medical diagnostic systems are associated with collecting patient information. Regarding the technology-rich environment, health care and hospital information systems developers, the quality of care is improving.

For increasing patient safety and its leading to an evidence-based nursing, nursing informatics has been enhanced for students and graduates by Columbia school of nursing.

The study has proved that informatics competence is a prerequisite to improving patient care Bakken et al.

nursing informatics where technology and caring meet pdf

Technology and using multimedia integrated into nursing curriculum can promote the use of informatics tools as an integral practice component and increase patient safety Norton et al. Managers can improve efficiency and performance through information systems and new technologies.

Information is the source of all management activities. Nursing care is an industry service and its product is patient care. Information technology can promote the nursing management outcome.

Internet-based nurse scheduling systems are mostly designed according to the self-scheduling model and need refining by the manager who overviews proper distribution, it causes uniform resource allocation in scheduling and increases patient direct care time Pierce et al.

Implementing information systems can provide better access to evidence; it can affect the patient care quality and support evidence-based nursing. This is critical to the health care professionals to assess, apply, report and manage data by the help of new tools of the information age Hall, The need for excessive working time could cause some delay in the nursing job and reduce the quality of health care Norton, Researchers recommended considering the following: It is replacing the role of human knowledge by formulating the knowledge in the system Ting et al.

Expert systems are the most common types of clinical decision support systems and have applications in show notes, diagnostic support, critical treatment plans, decision support, prescriptions, recovery and the identification and the interpretation of pictures, however, as stand-alone tools, are not able to replace human expertise.

These systems should be integrated with knowledge management. Several studies have shown that the integration of implicit and explicit knowledge and management of different types of knowledge will help to determine the best treatment plan.

Nursing informatics : where technology and caring meet

Logical design is required for the success of these systems and seems to hardly have been considered. To increase the usefulness and acceptability of such systems, the ease of use, support and maintenance combined with the ability of systems hardware, software applications, integration with hospital information systems and patient records should be considered Holbrook et al.

Including smart and intelligent tools in diagnosis and treatment methods can reduce medical errors and harm as well as financial loss for humans. Artificial intelligence and expert systems are used to help the diagnosis. Represented advantages were clearly defined and measurable learning outcomes and real-world problems were introduced as the main component of instructional strategies.

There were some disadvantages like hardware and software problems, deficiency in prerequisite skills, troubleshooting difficulties, and low internet access speed and poor time management to master the material Goodwin, The evaluation of an innovative consumer health informatics intervention proved that the patient and nurses are satisfied with the use of electronic and communication devices and home care Kossman et al.

The other aspects of nursing practice potential in the new decade are offering services from distance through telemedicine or telenursing. In this regard, easy remote diagnostic software and hardware are designed to facilitate E-health services.

Nursing informatics : where technology and caring meet (Book, ) []

Tele-nurses can provide various services such as education, patient monitoring and counselling through Internet facilities. Telenurses are satisfied with their role. They care remotely using special skills and knowledge. In a telenursing Survey most of nurses believed that it is better to design educational programs for nurses to be able to work as telenurse Grady, Information and communication technology progress provided the possibility of improving health through e-education irrespective of time and place.

Patient education systems on the internet can increase patient satisfaction and influence their self-care behaviour.

nursing informatics where technology and caring meet pdf

E-health educational programs make people aware of disease management and increase coordination with the health care professional team.

It influences the life style and the prevention of diseases such as cancer, HIV and chronic diseases.