Nursing Informatics: Benefits and Roles in Healthcare
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This essay discusses the field of nursing informatics, its benefits in healthcare, and the roles of nursing informaticists. It explores how nursing informatics improves decision making, tracks equipment, decreases medication errors, and simplifies documentation.
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Running head: NURSING INFORMATICS NURSING INFORMATICS Name of the student: Name of the university: Author note:
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1 NURSING INFORMATICS Abstract: Nursing informatics can be considered to be a growing field that can result in significant differences in the healthcare deliveries as well as outcomes. Nursing informatics specialists can be seen to combine their clinical nursing skills with that of the technical knowledge in creating systems that can greatly improve the quality of care. This essay would be discussing nursing informatics in details as well as its benefits in the healthcare services. The professional and roles of nursing informaticists are also discussed in the essay in details.
2 NURSING INFORMATICS Nursing informatics can be described as the specialty that helps in integrating the nursing science and the information management as well as analytical sciences. This helps in identifying, defining, managing as well as communicating data and information, knowledge and wisdom in nursing practices. Nursing informatics helps in supporting nurses as well as consumers, patients and the inter-professional healthcare teams and even the other stakeholders in their decision making in all roles and settings for achieving desired outcomes (Hussey & Kennedy, 2016). This form of support can be accomplished through the utilization of the information structures, information procedures as well as information technology. This assignment would be mainly discussing about the different aspects of informatics and how it had helped the nursing profession over the years. Huge number of technologies has been found to have evolved because of nursing informatics. These are the computerized provider order entry (CPOE) as well as different electronic medical records (EMRs) including test results, progress notes, nursing notes and different types of medication records. Three important building blocks of nursing communications in the subject of nursing informatics aredata, information as well as knowledge.Datamight include direct observations that do not need interpretation like that of the patient’s name, age, vital signs as well as disorder history.Informationis the data that can be interpreted and some of the examples would include the prevalence of the hospital acquired infections like that by the care unit or the percentage of the patient care delays in the outpatient clinics by the specialty.Knowledgecan be described as the amalgamation of the information for the identification of the relationships that can provide further observation to an issue (Registerednursing.org, 2018). Some of the examples might include understanding the effects of the nurse-patient ratios as well as the different patient outcomes and developing different care
3 NURSING INFORMATICS protocols like pressure ulcer protocols and anaphylactic reaction protocols and others. Although nurses are seen to incorporate the three communications building blocks in the everyday practices, these three concepts are stored in the computer programs as well as software for assisting healthcare professionals across the continuum so as to provide high quality, safe patient care. Nurse informaticians are seen to work as developers of communication and information technologies, educators, researchers, chief information officers, chief nursing officers, policy developers, implementation consultants, software engineers as well as business owners to help in advancing the healthcare. They are seen to remain included in the core areas of work. One of them is the concept representations as well as standards for supporting different types of evidence-based practices, education and research. They are seen to work with data and communication standards in building an interoperable national data infrastructure. Other core areas of work are the research methodologies for disseminating new knowledge into practices and also information presentation and retrieval approaches for support the safe patient centered care (Booth, 2016). Nurse informaticians are also seen to work with the information and communication technologies for addressing inner-professional work flow needs across all the different care venues. They also focus on vision as well as management for the development, designing and implementing communication and information technologies. They also participate in defining the healthcare policies for advancing the public health. Nurse informatics has helped the healthcare industries by providing various benefits. One of them is easy tracking equipments and supplies. Health informatics systems help by simplifying the supply chains affecting patient care at the nursing levels. With the help of combining wireless technology and that of the radio frequency identification (RFID), nursing
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4 NURSING INFORMATICS professionals are able to locate the different essential equipments such as the EKG machines, infusion pumps, IV pumps, portable computers and many others with a click of the button. Many of the healthcare centers are seen to use the RFID technologies for tracking the surgical patients through each of the steps of their procedures with the improvement of the efficiency and effective utilization of the operating room and recovery room beds. Nursing informatics helps in decreasing the medication errors (McGongie & Mastrian, 2015). It has been found that addition of the computerized physician order entry, electronic medication reconciliation as well as that of the automated pharmaceutical dispensing to that of the electronic health records can help by preventing medication errors. The different types of health informatics components that are present in the HER can instantly help in the calculation of the medication dosage based on the orders as well as patient statistics. They can also help in evaluation of all the ordered medications for the different potential adverse interactions and even dispensing a precisely calibrated doe of medication for the nurses to administer. Nursing informatics can also help in improved decision making among the healthcare professionals. TheModified Early Warning System, or MEWS, is a “scorecard”that can help in assisting a numerical value to the readings of the vital signs of the patients and calculating the score which indicates the severity of the person’s illness and also help nurses to understand the likelihood of the escalation to the different critical condition. This score can later be utilized by the nursing professionals for deciding whether to call for a rapid response team or intervene in an otherwise manner. Most of the modern electronic health records have an automatic MEWS calculator and this helps in alerting the nursing professionals when the condition of the patients decline. However, many of the professionals yet believe that all the four vital signs provided by the MEWs calculator can never give the full picture of the patient’s conditions in details. Many
5 NURSING INFORMATICS of the healthcare sectors have worked with health informatics specialists and added oxygen saturation value to the MEWS calculator. It had been found that medical decision making has improved dramatically and this had positively impacted the ICU admissions and rapid response team deployment. Nursing informatics has been also found to help in improved documentation as well as time management (Booth, 2016). Nursing professionals are seen to spend over half of their time in effective documentation. One of the recent studies have shown that only 20% of the nurse’s day are spent on the direct patient care and only 7% are spend on assessment and observation. Thus says that a huge amount of hours per day are spent by nurses in documentations procedures. Therefore, nursing informatics programs are seen to help nurses in improvement in their documentations and thereby help them save time that can be contributed to patient care and health development. As per the report provided byTammy Kwiatkoski, Director, Clinical Informatics, of the HIMSS North America in a new articles, it can be found that just as the information and technology have combined effectively in becoming the integral parts of the healthcare, so has the unique, hybrid role of the nursing informaticist.These professionals have facilitated the appropriate utilization of the health information and technology systems, they have also been seen to successfully progress in the vital roles of transforming modern healthcare settings. According to the survey done by them in the year 2017, it has been found that nearly half of the respondents had reported making a salary of about $100,000 in nursing informatics roles. In addition, 80% of the 1279 respondents had indicated high level of satisfaction with their career in the informatics (Kwiatkoski et al., 2017). The research had also found out that the professionals have been highly engaged in their crucial roles for helping in the development as well as implementation and optimization of the variety of clinical applications as well as information
6 NURSING INFORMATICS systems that had helped in paving the ways for more efficient as well as streamlined workflows in the healthcare facilities. This had shown how the profession of nursing informaticists is gradually attracting more and more aspiring healthcare students. The news have also stated that the informatics nurse is indeed one important part in the delivery of care thereby building of the knowledge, skills and even experiences in the effective utilization of information technology. They are often seen to lead clinical informatics committee meetings that have major influences for the nurses and help them in coordination of all the multifaceted technology activities in regards to the patient care, documentation and safety. Important news that has been put forward by Erin Dietsche in MedCity has focused on an important topic of discussion in nursing informatics. The new report has opined that only incorporating top leaders in the clinical informatics would not ultimately result in positive outcomes in the healthcare organizations. They have advised for collaboration with point-of care professionals like nurses providing care to patients. Both the higher authorities and chief informatics officers need to work with nurses making sure that the latter are able to adopt the systems in their practices. Only then the entire system would be even fitted from informatics (Dietsche, 2018). From the above discussion, it can be found that nursing informatics have evolved over the years and help nursing professionals in various ways. They help in improved decision making, tracking equipments, decreasing medication errors as well as the makes the documentation process simpler and saves time as well. The nursing informatics profession is in high demands nowadays and has been attracting huge number of healthcare aspirants with wide range of actions and responsibilities they need to make. However, the nursing informatics can be only adopted successfully when a collaborative approach can successfully take place among top leaders as well as with the point-of care healthcare professionals. Nurses need to incorporate the
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7 NURSING INFORMATICS three communication building blocks of data, information and knowledge in their daily routines and these three concepts also need to be stored in the computer programs and software for assisting healthcare providers across the continuum. This can help in providing safe and quality care that satisfies patients.
8 NURSING INFORMATICS References: Booth, R. G. (2016). Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment.Nursing leadership (Toronto, Ont.),28(4), 61-69. Dietsche (2018), E, Nursing informatics takes the stage at HIMSS, Medcitynews, retrieved from: https://medcitynews.com/2018/03/nursing-informatics-takes-stage-himss/?rf=1 Hussey, P. A., & Kennedy, M. A. (2016). Instantiating informatics in nursing practice for integrated patient centred holistic models of care: a discussion paper.Journal of advanced nursing,72(5), 1030-1041. Kwiatkoski, T (2017), How Nursing Informatics is Transforming Healthcare Today, HIMSS North America, Retrieved from:https://www.himss.org/news/how-nursing-informatics- transforming-healthcare-today McGonigle, D., & Mastrian, K. G. (Eds.). (2015).Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers. Registerednursing.org (2018), Nursing Informatics, Registered nursing Organisation, Retrieved from:https://www.registerednursing.org/nursing-informatics/