1. NURSING INFORMATICS
By: NAJWA M. IDARUS
PRACTICE
APPLICATION

2. *NURSING PROCESS
*The nursing process is a pt-centered and
goal oriented processes by which nurses
deliver effective care to pt which involve.
It is a cyclical, repetitive and ongoing
process of nursing care and healthcare
delivery.

4. Assessment
Diagnosis
Planningimplementation
Evaluation

5. *The nurses evaluation of care will lead to
changes in the implementation of the
care and the pt needs are likely to
changes during their stay in hospital as
their health either improves or
deteriorates. The nursing process not
only focuses on ways to improve the pt
physical needs, but also on social and
emotional needs as well.

6. *Nursing process definitely involves care
planning, documentation, and effective
communication between nurses and patient
encourage consistency of health care delivery
for the patient and provide a comfort level for
the nurses as well.

7. Example:
*When I admitted to the hospital,
I feel some level of nervousness
and uneasiness due to the
different processes of each
nurse perform at a different
scenario and condition.

8. *Healthcare development through
planning provides a comfort level for the
nurse for guidance and the assistance it
provides in ensuring proper delivery of
service.
*Furthermore the healthcare service is
reinforced by the effective strategy in
using the evidence-based support; the
evidenced based support can be enhanced
by the computer system that perform
online analysis through statistics, data
translation and patients profiling.

10. *Nursing assessment involves collecting
vital data and fundamental information
necessary for the next process. Factual
information and relevant data are
collected manually, as such recording
error and gathering of erroneous data
can be executed. However, computer-
enhanced automated nursing assessment
can mitigate these potential problems by
integrating it to the statistical
information system.

11. *Vital data such as current health status,
medication irregularaties, medical
conditions, and patient health problems can
be coupled to the basic data derived the
necessary additional information.
*This data should be extracted correctly
since this essential data can be accurately
provided the patients itself.
*This data are gathered by the nurse
through physical assessment, interviewing,
and observing and involves the uses of
basics senses.

12. Patient name Blood glucose
level
Deviation Squared
deviation
Patient I. 7.2 1.9 3.61
Patient D. 5.2 -0.1 0.01
Patient P. 5.7 0.4 0.16
Patient B 6.3 1 1

14. *Nursing diagnosis involves proper
comprehension of the patients condition and
response. Diagnostics process is complex and
utilizes aspects of intelligence, critical
thinking, and deeper though of understanding.
*Nursing diagnosis involves clinical judgment
about individual, family, or community
responses to actual or potential health
problems.
*Nursing diagnosis provide the basis for
selection of nursing interventions to achieve
outcomes for which the nurses is accountable.

15. *Nursing diagnosis can be best
executed when there is a strong
evidence of such result; evidenced-
based diagnosis can be enhanced
through computer based method.
*Nursing strategies should not be
necessarily derived trough
experience.

16. Patient Age Social status Place of work No.of children
Patient A. 44 H O 4
Patient E. 19 H F 1
Patient J. 21 H F 2
Patient R. 26 H O 3

18. *Nursing care planning sets the stages
for writing nursing action by
establishing nursing pathway to
streamline the activity, response and
direction.
*Nursing planning can be further
enhanced through computer
simulation.
*Setting priorities, predicting expected
outcomes and establishing time tables.

20. *Nursing implementation will detail the
specific actions and activities the nurse needs
to execute based on the plan.
*The nurse should provide specific action that
streamline with the plans and activities to
progress the expected outcomes ,
documentation.
*Computer simulation can be integrated to the
nursing implementation to further enhanced
the decision making process of a nurse.

22. *Evaluation of the processes
using computers w/ the large
amnt of pt. help identity
outcomes patients are likely to
achieve based on individual
problems and needs.

24. *Mainly focus on health assessment,
client care, plans medication,
administration records, nursing notes
and discharge plans.
*The computer can store standards
nursing care plans in a format
determined by the hospital and clinics.

26. *Nursing informatics or nursing
information system (NIS) are
computer system that manage
clinical data from a variety of health
care environment and made
available in a timely and orderly
fashion to aid nurse in improving pt.
care.

27. *Patient charting
*Clinical data integration
*Decision support
*Optimal operation of hospital and
clinic
*Better care planning

29. *Specific nursing informatics include
the ability to effectively use nursing
information system application in a
contented and knowledgeable ways.it
is important that nurses feel certain in
their use of computers, software,
computer system, communication
system in the practice setting
especially when at the service, in order
to be able to attend to the client at the
same time.

30. *Understand how the computer
operates
*Computer apps. To plan clients
care
*Simple data base apps.to enter the
retrieve data and information

33. *Critical care nursing is an area of
expertise within nursing that focus
specifically with human responses
to life-threatening problems. A
critical care staff is responsible to
ensure that critically ill patients and
seriously conditioned individuals, in
addition, nurse or critical care staff
is should ensure that families of the
medically ill patients should receive
optimal care.

34. *Critical Care Nurse
*Is responsible to ensure that critically ill
patients are seriously conditioned
individuals.
*Ensure that families of the medically ill
patients should receive optimal care.
*Critical care provides and nurses upon a
dedicated knowledge, skill and experience
and automated system of support and
intelligent system to provide care to patients
and families and create environment that
are healing and compassionate and caring.

35. I.C.U N.I.C.U

39. *I.C.U- Intensive Care Units
*N.I.C.U- neonatal intensive care units
*C.C.A- cardiac care units
*C.C.L-cardiac catheter labs
*P.C.U-progressive care units
*Telemetry units
*Emergency department
*Recovery rooms

40. • Bedside clinicians
• Educators
• Guidance
• Researches
• report manager
• Advocate
• Specialist
• practitioners

42. •The medical information bus (MIB) medical
information bus provides a generalized method
of attaching patient monitoring devices to a
common interface.
•The (MIB) system eliminates the needs for
custom connectors and software presently
needed to interface such devices.
•The (MIB) also has the ability to filter store and
select information sent inclusion into clinical
medical record on the clinical computer system
Infusion pumps, ventilators, pulse, and other
patient equipment are now transmitting clinical
information for use in clinical data reporting
and decision making.

43. *Critical care applications are areas
where patients require complex
assessment, high intensity
medication, continuous therapy and
interventions, and unrelenting
nursing attention and continuous
watchfulness.

44. *The technology is keep on evolving,
introducing many advance in
healthcare, technology is keep on
contributing to the healthcare areas
and keeping more people out of the
hospital or keeping more patient
easily to recover and properly care or
have a proper management of health.

45. *Cont.
•Automated collection and management of
medical information will become the
important task of the critical information
system.
•Such as information from the clinical
laboratory, pharmacy, radiology, pulmonary,
cardiology, bedside nurse charting, and
others areas are all combine and correlated
to provide reporting, feedback and
suggestion to hospital staff.

46. *Special software is
installed in the computer
system which enables the
users to have an access
and use of critical care
information system.

47. Example:
*The bedside monitoring system
acquires data such as heart rate
from the ECG, parameters from
arterial and pulmonary arterial
invasive blood, pressures,
temperature, non-invasive blood
pressure, and arterial saturation,
and heart from pulse oximetry.

48. *Advantages:
*Intelligently integrates and process
physiologic and diagnostics information and
store it to secured clinical repository.
*Creates trend analysis with graphical
representation of results
*Offline simulation can be performed to test
the condition of the patients.
*Provide clinical decision support system
*Provide access to vital patients information
*Providing feedback and quick evaluation of
the patients condition and provides alert.

50. *COMMUNITY
HEALTH
APPLICATION

51. Community Health
Informatics

52. *Population-level
informatics has its
own special
treatment, system,
issues, and
deliberation.
*Creating information
system at the
population level from
a development
perspective is
somewhat difficult
due to a very large
number of resource,
data elements,
diverse parameters,
components and
information content.

53. *Community health
information system is
a collective for
methodical
application of
information science
and technology to
community and
public health process
*It also emphasize the
prevention of disease,
medical intervention
and public
awareness.

54. *Community health
information system is
reinforced by the
government
institution such as
the department of
health.
*Hospital information
system, clinical
information system,
patients monitoring
EHR focused more on
individual and single
resource contrary to
community health
information system
which is focused on
information about
majority of
population.

55. •The nature of
community nursing
is comprehensive
direct towards the
majority of
individual, families
and the community
at large.
•Fulfil a unique role in
the community
promoting and
protecting the health
of the community at
the same time
maintaining
sustainability and
integrity of health
data and information.

57. *Preventing,
identifying,
investigating, and
eliminating
communicable health
problems.
•Accessibility of data
and information,
through
communication.
•Educating and
empowering
individuals to adopt
health life style
•Facilitate the
retrieval of data.
•Effective
transformation of
data into
information
•Effective
integration of
information to
other disciplined
to concretized
knowledge and
create better.

58. •Effective integration
of information to
other disciplined to
concretized
knowledge and
create better.
•Creation of
computerized patient
record, MIS.
•Central repositories
of all data as data
warehouse .
•Simple graphical
users (GUI) for
nurses and other
health care provider,
pt. and consumers.

60. *A survey in contrast to
an experiment, is an
examination of a
system in operation in
which the investigator
does not have an
opportunity to assign
different condition to
the object of the study.
*Health statistical
surveys are used to
collect quantitative
information about
items in population.
*Surveys of human
populations and
institutions are
common and
helpful.
*Health survey may
focus on opinions or
factual information
depending on its
purpose and many
surveys involves
administering
questions to
individual.

61. Telephone
Internet
Mail
Personal
Research
Inspection
information

62. *Automated system
can be used to
integrate all of the
information obtain
using the different
processes. The data
can be translated
effectively through
the use of statistical
information data.
*The data can be
directly fed to a
computer system that
statistically
processes the data, in
a addition
*The computer
program is coupled to
intelligent system
which provides
prediction, decision,
target measures, and
coordination.

63. CEDDS
NEDSS
-Environmental status
-health records
-demographic
population
-area category
-Health awareness
program
-Society level

64. *To enhance the emergency preparedness
and response system, a special system such
as (NEDSS) can be integrated to national
information system.

65. *Data warehouse
COMMUNITY
HIS
manila
CHIS
central
CIS
Caloocan
HER
Quezon

66. h health
institution insurance company
Community health
agencies health authority
And city official
CHIS
Central

67. *Consistent exchange
of response
*Disease tracking
*Data and
information sharing
*Building strategies
*Early detection and
monitoring of disease
and sickness
*Control of spread
and disease
*National alertness
and preparedness
*Building strong
communication

68. *Maintaining strong
relation between
nurses and other
healthcare provider
*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

69. Company
Community
Public place
Private
entity
Schools and
universities
Health
promotion
Health
promotion
Health
promotion
Health
promotion
Health
promotion

70. school 1
school 2
school 3
school 4

71. *Statistics of
students in four
with medical
records illustrated
by pie chart.

72. 0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
day 1 day 2 day 3 day 4
brgy 1
brgy 2
brgy 3

74. *