3. Nursing Informatics can save many
with Infectious diseases
• Covid 19 Pandemic
exposes the Lacuna in
our educational and
training of our health
care worker many die
due to lack of medical
nursing and health care
• The great option remain
with faster training or
Nursing professional
more important than in
the past
• Nursing informatics
comes to our rescue
•
Dr.T.V.Rao MD
Dr.T.V.Rao MD 3
4. Contemporary Problems in
Practice
• Increasing patient acuity and complexity •
Increasing range of requisite skills
• Changing nature of the workforce
• Global graying/shortage
• Limited experienced clinical mentors
• Reactive educational systems (strain)
• Limited opportunities for clinical
competence development in practice settings
• Need for flexible systems of delivery
Dr.T.V.Rao MD 4
6. Nursing Informatics in
COVID 19
• The lack of a
national or global
unified response to
the COVID-19
pandemic presents
health care
professionals with
the greatest
challenge of their
careers. Dr.T.V.Rao MD 6
7. Role of Nursing
Informatics
• As informaticians create
systematic responses to
a host of issues – eg,
creating terminologies,
tracking and predicting
outbreaks, ensuring
practitioners’ personal
safety, establishing
telemedicine systems,
and using AI to develop
new diagnostics and
treatments
Dr.T.V.Rao MD 7
8. Technology in Nursing Education
• Ubiquitous / Exponential expansion: ƒ
Multimedia ƒComputer Presentation
Software ƒDigital audio-video ƒDigital
animation ƒ
Media streaming ƒLearning Management
Systems ƒIntegrated virtual learning
environments ƒ
Telecommunications ƒHigh Bandwidth
Internet ƒWireless ConnectivityDr.T.V.Rao MD 8
9. New Challenges in Infectious
disease
• As the healthcare
landscape
continuously wavers
during the COVID-19
pandemic, health care
professionals are
tasked with new
challenges during
these unprecedented
times Dr.T.V.Rao MD 9
10. Information technology
• Any technology which
processesand
communicatesdata,
includes:
– computers, voice, data
and image sensing and
communications
devices, graphics
devices, multi-media
storage, etc.
– pen, paper, telephones
and fax machines
Dr.T.V.Rao MD 10
13. Health (Medical) Informatics
Simplistic definition:
• Medical informatics is the application of
computers,communications and
information technology and systems to
all fields of medicine - medical care,
medical education and medical
research.
MF Collen, MEDINFO '80, Tokyo
Dr.T.V.Rao MD 13
14. Definitions
• 1989—Graves and Corcoran defined Nursing
Informaticsas
–“Computer science, information science,
and nursing science combined to assist in
the management and processing of nursing
data, information and knowledge to
support the practice of nursing and the
delivery of nursing care.”
Dr.T.V.Rao MD 14
15. Current Trends
• 1996—Turley defined Nursing
Informatics as the intersection point
with Nursing Science, Computer
Science and Information Science.
• 1995—Graves et al, began to
incorporate knowledge as a product
of the sciences into the definition.
Dr.T.V.Rao MD 15
16. Nursing Informatics Defined
• Nursing informatics is the integration
of nursing, its information, and
information management with
information processing and
communication technology, to
support the health of people world
wide.
• InternationalMedicalInformaticsAssociation – Nursing InformaticsSpecial
InterestGroup(IMIA-NI),adoptedAugust1998,Seoul,Korea
Dr.T.V.Rao MD 16
17. New Definition - ANA
• “Nursing Informatics is
a specialty that
integrates nursing
science, computer
science, and
information science to
manage and
communicate date,
information, and
knowledge in nursing
practice. ANA (2001).17
Dr.T.V.Rao MD 17
18. How it all began….
• Late 1960’s first
computersystems
were implementedin
hospitals
• Computernurses
began to appear in
hospitals
– Excellentclinicians
– Technicallycurious and
willingto try new
things
Dr.T.V.Rao MD 18
19. Nursing Informatics:
• Nursing informatics can
be applied to model the
human processing of data,
information, and
knowledge within a
computer system in order
to automate the processing
of nursing data to
information and the
transformation of nursing
information to nursing
knowledge.
Dr.T.V.Rao MD 19
20. Informatics Nurse Specialist
1. Improving patient safety, particularly in drug
delivery and clinical records are correct.
2. Improve workflow, with a display of
information and processes that appear in the
order in accordance with the activities of nurses.
3. Improving the implementation of the new
system, involving nursing staff in the design it.
4. Improve the effectiveness of the system.
Dr.T.V.Rao MD 20
21. Who Should Become a Nurse
Informaticist?
• You do not have to be a computer expert
to consider a career as a nurse
informaticist. Everyone must start
somewhere. If you see the computer as a
problem-solving tool instead of an
inconvenience, then you are a prime
candidate to be a nurse informaticist
(Bridges, 2007).
Dr.T.V.Rao MD 21
22. Nurse Informaticist? Works with
WWW support
• In education, the nurse
informaticist works with
online, hybrid, and web
supported courses. This
may include putting
courses up on the
internet and assisting
faculty with
determining what
should go on the web
support sites.
Dr.T.V.Rao MD 22
23. Need for Nursing Informatics:
• "In the current Information Age, the
doubling of knowledge every five
years ? and the increased
specialization of knowledge make it
imperative that nurses have access
to the latest scientific information to
assist in the delivery of high quality
care," (Hudgings, 1992,).
Dr.T.V.Rao MD 23
24. Nursing Informatics:
• Information systems
used in health care
include the people,
structures, processes,
and manual as well as
automated tools that
collect, store, interpret,
transform, and report
practice and
management
information.
Dr.T.V.Rao MD 24
26. The Benefits of Nursing
Informatics
• In the practice of
professional
nursing
• In the delivery
of patient care in
the healthcare
continuum
Dr.T.V.Rao MD 26
27. Nursing Process
• Communicate &
coordinates care with
ALL other clinical
disciplines
• – Coordinate discharge
planning, education &
teaching, transition of
care
• – Manages ALL
information related to
the nursing process and
patient Dr.T.V.Rao MD 27
28. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date,accurate
information of each
step of the Nursing
Process is the Power
behindsafe, high
quality patient-
centeredcare!
Dr.T.V.Rao MD 28
29. What Does a Nurse Informaticist Do?
• Nurse informaticists,also known as nurse
informaticsspecialists,are specially trained to
help manage, interpretand communicatethe
vital medical data and information that flows into
and out of doctor's offices,hospitals,clinics and
other health care facility computer systems.
Nurse informaticistsare skilled in three primary
areas: computer science, information
technology and nursing science
Dr.T.V.Rao MD 29
30. What Does a Nurse Informaticist Do?
• They may also make
recommendations as to
how to improve the
processesand uses of
computer programs in
order to improve
patient outcomes. For
this reason, many nurse
informaticistswork as
consultants.
Dr.T.V.Rao MD 30
31. What Does a Nurse Informaticists Do?
• Other nurse informaticists work in an
administrative capacity, and contribute to
decision-making on medical information
technology. Some nurse informaticists
educatenurses on how to effectively
enter medical information into a
computer system, as well as train nurses
how to use new technology.
Dr.T.V.Rao MD 31
32. Information/Database Management
• Understand database architecture—how
data is stored and accessed
• Nursing structure
–Nomenclature/vocabulary
–Taxonomies and Coding Schemes
• ICD-P,CPT
–Nursing Minimum Data Sets
• NIC,NOC,NANDA,
Dr.T.V.Rao MD 32
33. Computer Technology
• Understanding of the actual
technology Networks
–Personal computers
–Portable devices
–Operating systems
–Software
Dr.T.V.Rao MD 33
34. Exam Focus Areas
• SystemAnalysis and Design
• SystemImplementation and Support
• SystemTesting and Evaluation
• Human Factors
• Computer Technology
• Information/DatabaseManagement
• Professional Practice/Trends and Issues
• Theories
Dr.T.V.Rao MD 34
35. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date,accurate
information of each
step of the Nursing
Process is the Power
behindsafe, high
quality patient-
centeredcare
Dr.T.V.Rao MD 35
36. The Value of Nurse Informaticists
• Support nursing work processes using
• technology
• – Design systems to match clinical workflows
• Telehealth
• Home health
• Ambulatory care
• Long-term care
• Acute care – all specialties
• Outpatient settings
• Software development
• Redesign work flows
Dr.T.V.Rao MD 36
37. The Value of Nurse Informaticists
• Increase the accuracy and completeness
• of nursing documentation
• • Improve the nurse’s workflow
• – Eliminate redundant documentation
• • Automate the collection and reuse of nursing data
• • Facilitate analysis of clinical data
• – JCAHO indicators, Core Measures, federal or state
• mandated data and facility specific data
Dr.T.V.Rao MD 37
38. The Benefits of Nurse Informaticists
• Nurse Informaticists
promote and
facilitate
Access to resources
and references for
nurses and the entire
interdisciplinary team
in both clinical and
administrative settings
Change Dr.T.V.Rao MD 38
39. The Benefits of Nurse Informaticists
• Benefits for nurses and the interdisciplinary team:
• Support for their mission to deliver high quality,
evidence-based care Support for better service by
facilitating true interdisciplinary care
• Promotes improvement in key relationshipswith
• physicians
• peers
• interdisciplinary care team members
• patients
• families
Dr.T.V.Rao MD 39
40. The Benefits of Nurse Informaticists
• Benefits in the
administrative
setting
• Support for cost
savings and
productivity goals
• Facilitate change
management
Dr.T.V.Rao MD 40
41. What Does the Nurse Informaticist Do?
• The role of the nurse informaticist is partially
dependent on the place of employment. In
acute and long term care, the role is to be a
liaison between the IT department and
nursing. This nurse assists in choosing the
appropriate system for electronic health
records and then works with the nursing staff
to use the system in providing patient care.
Dr.T.V.Rao MD 41
42. Nurses Influencing Change curriculum
• Taughtsince 2005 to 4th
Year Nursing Students
• The use of information
and communication
technologieshas become
a strong thread woven
through out this course,
withthe premise that the
“media” is a powerful
forcein both preventing
and initiatingsocial
change
43. The Many Roles of a
Nurse Informaticist
• Vendors
• Acute care - Hospital
Systems
• Consultant
• Education/Research
• Long-term care
• Ambulatory
• Home care
Dr.T.V.Rao MD 43
44. The Many Roles of a
Nurse Informaticist
• Hospital Systems
Analyst –
Support/Implement
Systems
Directors/Managers of
Nursing Informatics
Project Managers
CIO (Chief Information
Officer)
Dr.T.V.Rao MD 44
45. The changing role of Nursing
• Software
Implementation
• Software/System
Solution Selection
• Process
Improvement
• Project
Management
Dr.T.V.Rao MD 45
46. The Many Roles of a
Nurse Informaticist
• Other -
Education/Research
• Compilation/Analysis
of Data Public Policy
Government
HealthCare IT
initiative
Insurance
organizations
Dr.T.V.Rao MD 46
47. Patients are keen to know more about
their Problem
Are we well Equipped
Dr.T.V.Rao MD 47
48. Online Journal of Nursing Informatics
• The Online Journal of Nursing Informatics
(OJNI) is a free, international,
professional,refereed publication that
focuses on nursing informatics in all
practice settings. OJNI is committed to
addressing the theoretical and practical
aspects of nursing informatics as it
relates to the art of nursing. CINAHL
indexes the journal.Dr.T.V.Rao MD 48
49. Professional Organizations
• The Alliance for Nursing
Informatics is a collaboration of
over 25 organizations,
representing a unified voice for
nursing informatics. Join one
today!
www.allianceni.org
Dr.T.V.Rao MD 49
50. Nursing Informatics becomes
Nursing is future of learining best
practices
• Take the challenge! Learn all you
can about nursing informatics,
ask questions, and offer your
ideas. Nursing informatics will
continue to grow and be an
integral partner in nursing
practice everywhere!
Dr.T.V.Rao MD 50
51. Let us all be Partners in Improving Nursing
Informatics to save many lives
• In response to the global
crisis, nurse informaticists
are presented with the
unique opportunity to
optimize their approaches
in ensuring best practices
while combining nursing
knowledge and
management of
information and
technology to promote
health and wellness in their
communities.
Dr.T.V.Rao MD 51
52. • The Program file created by
Dr.T.V.Rao MD for benefit of many
Medical Nursing and Health care
Professionals all over the world
• Email
• doctortvrao@gmail.com
Dr.T.V.Rao MD 52