Case Studies

Nursing informatics (NI) is the specialty that integrates nursing science with information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. Nursing Informatics supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in a wide variety of roles and settings to achieve desired outcomes. This is accomplished through the use of information structures, information processes, and information technology. An Introduction to Nursing Informatics, Evolution and Innovation, 2nd Edition is the ideal gateway to all the professional possibilities this continuously evolving discipline has to offer. Describing the evolution of nursing informatics from its origins to current practice in today's complex, diverse healthcare environment, this book offers the next generation of nurse informaticists an understanding of the discipline, best practices, and its scope of influence in healthcare. The book also explores Nursing Informatics as it is evolving into the future, including technology creation and implementation and the development of influential policies and best practices. Special features include descriptions of the ‘a day in the life'from informatics nurses in multiple roles and fields of influence, including academia, research, clinical settings, the executive suite, consulting, and government, as well as an Appendix featuring case profiles.This new edition updates the content to better align with the current state of nursing informatics and expand on additional roles. New to this edition is a chapter providing tips and advice for those trying to find their first nursing informatics job or are changing their careers. Another new chapter covers healthcare analytics and how it fits into the nursing informatics role.An Introduction to Nursing Informatics, Evolution and Innovation, 2nd Edition is the ideal resource for nursing students and as a reference guide and pint of inspiration for nurses currently in the field. 

The article discusses disruptive innovation that has entirely changed the healthcare system by providing more individualized and accessible care. It states that advances in diagnostic and therapeutic technologies enable competent diagnosis and treatment of disorders by the nurse practitioners (NPs) and physician assistants. Nurses are now in the front line of patient care to advance the effective use of health information technology. The article mentions the Institute of Medicine's report that calls for action to promote a learning healthcare system and the need of infrastructure that can accommodate innovation. 

The need for knowledge in the medical field and computerization, have increased significantly in this century and from the point of view of nurses. It is essential that future basic training programs for nurses include concepts related to the role of computer technology in clinical practice. We have mentioned several classification systems in nursing, useful in generating and processing nursing databases, to facilitate the description and comparison of nursing practices (International Clinical for Nurses Practice (ICNP), North American Nursing Diagnosis Association (NANDA), Clinical Care Classification (CCC), and the Nursing Diagnostic System of the Center for Nursing Development and Research (ZEFP)). We tried to apply the IMIANI plan: Strategic plan 2017-2020 as accurately as possible. Applying the strategic plan, we have elaborated IMIA-NI Representative Annual Report Nursing Informatics / Romania 2019. In order to raise the level of computer science education in nursing, we developed an innovative curricula model in medical informatics, biostatistics; masters were created so that nurses could obtain the necessary credits for enrollment at the next important stage, at the doctorate, thus resulting in a developed research. The vision for the future will be the use of telemedicine, telenursing, to exchange information from one place to another, in order to improve the patient's health. Nurses will be able to access electronic patient record (EHR), provide patients with health care information, as well as educational materials. As such, nurses must be sustained by excellent electronic records of medical data, as well as other technologies. Information technology will provide this profession with a faster capacity for producing and disseminating new knowledge in the field of nursing. The brief presentation of the justifying terminologies in nursing practice has introduced several of the information management tools used by nurses in their work. 

Background/Purpose: Nursing Informatics (NI) has rapidly developed over the last decade as an integral part of nursing care. Nursing students require knowledge about NI to improve the safety and quality of care to patients as technology use is pervasive in healthcare today. While there is a significant body of literature related to NI, many nursing schools have been slow to adopt NI education into curriculum. The purpose of this integrative review was to: (1) Describe the most current strategies used to implement informatics into the undergraduate and graduate nursing curricula. (2) Describe facilitators and barriers to implementation of informatics into nursing curricula. Methods: The integrative review of the literature was conducted using the Whittemore and Knafl five stage methodology. The electronic databases CINAHL, Medline, ERIC and PsychINFO were searched using the terms ''(nursing informatics AND curriculum AND education)''. Ninety-one articles were found. Results: Seventeen studies were included in this review. Strategies to implement informatics include: 1.using a Learning Management System to support classroom based courses, 2. having students complete an electronic health record during a simulation experience. Barriers to adoption included: 1. lack of faculty competence in the use of the technology 2. lack of faculty awareness of informatics curricular guidelines. Conclusions/Implications: Slow adoption of NI across the undergraduate and graduate programs can be attributed to lack of faculty preparation to teach nursing informatics and the lack of support for faculty to gain this knowledge. Also, despite the prevalent use of the term informatics few nursing educators seem to understand its meaning and how to incorporate it into the curriculum. However, as NI continues to become ubiquitous in healthcare nursing schools will have to address this gap in order to prepare students who are both proficient in theoretical content and equipped to function in a highly technological healthcare environment. 

Nursing informatics is a relatively new nursing specialty. Recognized by the American Nurses' Association in 1992, this field within nursing has grown exponentially. Once the purview of highly specialized individuals, nursing informatics has now crept into all dimensions of nursing, from domain of advanced nurse practitioners to prominence in critical care nursing. Nowhere is the management and processing of health-related information more important than in the care of the critically ill patient. Fast-paced environments, split-second decision making, wireless communications, monitoring systems run with computerized backbones, and computerized ordering and documentation, all things unimaginable just a decade ago, are now fundamental to nursing practice. Each requires a baseline understanding of informatics for true mastery. The domain of nursing informatics continues to grow as nursing incorporates expanded roles and new technology into practice. Education for nurse informaticians includes preparation from the baccalaureate level through the doctorate level and national board certification. Areas of practice are expansive, including hospitals, industry, education, policy-making, research, administration, and international settings. Although informaticians work with computers, computing technology is not the heart of the domain. Computers are simply tools that are used. Examples of informatics tools include handheld devices, point-of-care documentation, computerized provider order entry, and bar code medication administration. Nursing informatics plays an essential role in the future directions of healthcare by defining the relationship between nurses and information technology as well as the knowledge that can be gained when these domains work together.