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PubMedDate not supplied

A model-based context assessment approach for the informatics nurse specialist consultant.

As the number of informatics nurse specialists (INS) has grown, they have become increasingly involved in information system (IS) consultation practice. Their combined clinical and informatics expertise makes these specialists highly marketable and successful IS consultants. As healthcare settings have shifted their IS development toward interdisciplinary-integrated clinical information systems (CIS) that support a patient-focused care continuum, INS have been required to broaden their consultation approaches beyond a domain-specific focus. This article illustrates a model-based context assessment approach that can be used by INS to expand their consultation repertoire.

Computer Systems↗
PubMed1994

The effects of an undergraduate nursing informatics curriculum on students' knowledge and attitudes.

This paper describes the fourth stage of a process to design, implement and evaluate the nursing informatics courses incorporated into a baccalaureate nursing program. The challenge is to structure the nursing informatics curriculum so as to provide the nursing professional with the basis with which to impact health care delivery. The basic components of the framework are information, technology, and clinical care process. Students in the fourth course worked closely with agency personnel to design, implement and evaluate clinical application projects.

Attitude of Health Personnel↗
PubMed1993

Clinical nursing informatics. Developing tools for knowledge workers.

Current research in clinical nursing informatics is proceeding along three important dimensions: (1) identifying and defining nursing's language and structuring its data; (2) understanding clinical judgment and how computer-based systems can facilitate and not replace it; and (3) discovering how well-designed systems can transform nursing practice. A number of efforts are underway to find and use language that accurately represents nursing and that can be incorporated into computer-based information systems. These efforts add to understanding nursing problems, interventions, and outcomes, and provide the elements for databases from which nursing's costs and effectiveness can be studied. Research on clinical judgment focuses on how nurses (perhaps with different levels of expertise) assess patient needs, set goals, and plan and deliver care, as well as how computer-based systems can be developed to aid these cognitive processes. Finally, investigators are studying not only how computers can help nurses with the mechanics and logistics of processing information but also and more importantly how access to informatics tools changes nursing care.

Clinical Competence↗
PubMedDate not supplied

Nursing informatics educational needs.

A survey was conducted among 497 respondents in a northeastern metropolitan area to determine the informatics educational needs of professional nurses. All subjects were asked to indicate on a four-point scale their current knowledge and their desired knowledge in 23 content areas. The population was subdivided into three subsamples based on job classification. There were differences in the informatics educational needs of nurse educators, nurse managers, and informatics nurses. There was interest in returning to school for a graduate degree or certificate in nursing informatics by a majority of the sample, although 71% of the respondents already possess a higher degree.

Adult↗
PubMed2006

Nursing and knowledge work: issues regarding workload measurement and the informatics nurse specialist.

The profession of nursing has been faced with questions concerning workload measurement for decades, and those concerns continue to be relevant today. Traditionally, nursing has turned to time-motion studies to study this, but there is a debate about how relevant time-motion studies are to the profession of nursing when it is viewed as knowledge work. Healthcare workers, including the nursing profession, may be the single biggest group of knowledge workers. Knowledge workers today represent a significantly different workforce than are the workers of the past. Informatics, as a specialty, is relatively new to the nursing profession and continually evolving. As more nurses enter informatics and function as informatics nurse specialists, they will continue to be in the group of knowledge workers whose observable input and output is difficult to measure. Today's healthcare leaders, managers, and administrators need to identify an appropriate method of workload measurement for knowledge workers.

Health Knowledge, Attitudes, Practice↗
PubMed1999

Nursing informatics. Issues for critical care medicine.

The demands of today's health care arena have forced the issue of automation and computerization. Nursing, as the major stakeholder in the collecting, managing, processing, transforming, and communicating of information regarding the patient, has developed a new approach to these tasks. Nursing informatics, which is the application of computer science and information science, is being used to manage and process the data, information, and knowledge necessary in the discipline. Although still in its infancy, nursing informatics has started to have a major effect on health care information gathering and clinical practice despite the multiple barriers to its advancement. Critical care is a data-rich environmental that can benefit from better management and processing of the data derived from the critically ill patient. Nursing and medical informatics joining together to organize the data, coupled with the introduction of good DSS and the addition of information retrieval systems at the bedside and the on-line medical record, will have a positive effect on the critical care environment and on the critical care patient outcomes.

Critical Care↗
PubMedDate not supplied

Description of a graduate program in clinical nursing informatics.

This article describes the history and development of the Clinical Nursing Informatics Program at the University of Utah College of Nursing. Program philosophy and curriculum are discussed in the context of the conceptual framework. Courses and student projects are described. The authors reflect on the ensuing stage of program development.

Computer Systems↗
PubMed2006

Mapping the literature of nursing informatics.

OBJECTIVE: This study was part of the Medical Library Association's Nursing and Allied Health Resources Section's project to map the nursing literature. It identified core journals in nursing informatics and the journals referenced in them and analyzed coverage of those journals in selected indexes. METHOD: Five core journals were chosen and analyzed for 1996, 1997, and 1998. The references in the core journal articles were examined for type and number of formats cited during the selected time period. Bradford's Law of Scattering divided the journals into frequency zones. RESULTS: The time interval, 1990 to 1998, produced 71% of the references. Internet references could not be tracked by date before 1990. Twelve journals were the most productive, 119 journals were somewhat productive, and 897 journals were the least productive. Journal of the American Medical Informatics Association was the most prolific core journal. The 1998 journal references were compared in CINAHL, PubMed/MEDLINE, Science Citation Index, and OCLC Article First. PubMed/MEDLINE had the highest indexing score.

Abstracting and Indexing↗
PubMedDate not supplied

Graduate specialization in nursing informatics.

This article describes the need and rationale for developing nursing informatics as a new area of graduate level specialization. Included are the results of a comprehensive needs assessment study that was conducted to determine the employment opportunities for graduates of such a program of study as well as the potential student applicant pool. The findings clearly indicate the immediate and future demand for master's prepared nurses in this field and the importance of a timely academic response.

Adult↗
PubMedDate not supplied

The design, marketing, and implementation of online continuing education about computers and nursing informatics.

Asynchronous online tutorials using PowerPoint slides with accompanying audio to teach practicing nurses about computers and nursing informatics were designed for this project, which awarded free continuing education units to completers. Participants had control over the advancement of slides, with the ability to repeat when desired. Graphics were kept to a minimum; thus, the program ran smoothly on computers using dial-up modems. The tutorials were marketed in live meetings and through e-mail messages on nursing listservs. Findings include that the enrollment process must be automated and instantaneous, the program must work from every type of computer and Internet connection, marketing should be live and electronic, and workshops should be offered to familiarize nurses with the online learning system.

Computer-Assisted Instruction↗
PubMed1997

Mary J. Nielubowicz Award. Bringing nurses on-line: implementing nursing informatics.

Processing the vast amount of information required to provide quality nursing and health care today is an immense task. The Surgeon General of the Navy recently updated the Department's "Vision for the Future." He challenged Navy medicine to become a leader in technology integration. Shifting toward a managed-care environment makes it imperative for health care organizations and their personnel to integrate data, information, and systems at all levels. Implementation of a coordinator to assist nursing users with this technology is proving essential. This essay describes how one nursing directorate at a Naval hospital implemented a full-time staff member as Nursing Informatics Coordinator to serve in this role. Receiving and using data and information in the practice of nursing is vital to the profession. Specific factors identifying the reasons for development of this role, impact achieved, opportunities encountered, and the future of the position are addressed.

Awards and Prizes↗
PubMed1989

Nursing informatics competencies.

The purpose of the paper is to present both the processes and the results of a task force organized to recommend nursing informatics competencies for practicing nurses, nurse administrators, nurse teachers and nurse researchers. The competencies are designed to be useful in preparing nurses for their specific roles. The criterion for inclusion of a specific informatics competency statement was task force consensus.

Competency-Based Education↗
PubMedDate not supplied

A public health nursing informatics data-and-practice quality project.

Automation of nursing documentation in client records is one of today's formidable challenges in healthcare settings. Some stakeholders view standardized nursing language as a fundamental component of an automated record, with the end goal of generating valid, reliable data on nursing services and client outcomes. However, few successful applications of standardized nursing language for practice standards and data generation exist in the literature. A joint practice-and-data quality project based on standardized nursing language in an automated platform was undertaken by four local public health departments. Outcomes of this project included articulation of standards for nursing practice and creation and implementation of a sound data quality infrastructure for nursing documentation of client assessments, service delivery information, and client outcomes.

Case Management↗