nursing informatics

Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment.

NLM - Nursing Informatics - Wed, 2018-04-18 14:36
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Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment.

Nurs Leadersh (Tor Ont). 2016;28(4):61-9

Authors: Booth RG

Abstract
The increased adoption and use of technology within healthcare and society has influenced the nursing informatics specialty in a multitude of fashions. Namely, the nursing informatics specialty currently faces a range of important decisions related to its knowledge base, established values and future directions - all of which are in need of development and future-proofing. In light of the increased use of automation, artificial intelligence and big data in healthcare, the specialty must also reconceptualize the roles of both nurses and informaticians to ensure that the nursing profession is ready to operate within future digitalized healthcare ecosystems. To explore these goals, the author of this manuscript outlines an examination of technological advancements currently taking place within healthcare, and also proposes implications for the nursing role and the nursing informatics specialty. Finally, recommendations and insights towards how the roles of nurses and informaticians might evolve or be shaped in the growing post-nursing informatics era are presented.

PMID: 27122092 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Informatics Activities at the Canadian Nurses Association.

NLM - Nursing Informatics - Wed, 2018-04-18 14:36
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Informatics Activities at the Canadian Nurses Association.

Nurs Leadersh (Tor Ont). 2016;28(4):58-60

Authors: Hannah KJ

Abstract
The Canadian Nurses Association (CNA) has been participating in nursing informatics activities since hosting the 1992 national consensus conference that resulted in Health Information: Nursing Components (HI:NC). This article will provide a synopsis of the CNA Strategic Plan 2015-2019 and CNA nursing informatics activities.

PMID: 27122091 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

EHR Learning - It's about Nursing, Leadership and Long-Term Commitments.

NLM - Nursing Informatics - Wed, 2018-04-18 14:36
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EHR Learning - It's about Nursing, Leadership and Long-Term Commitments.

Nurs Leadersh (Tor Ont). 2016;28(4):38-47

Authors: Furlong KE

Abstract
Despite a global commitment to the adoption of technologies, such as electronic health records (EHRs), to support the delivery of health services, there is little empirical guidance to support effective planning for the integration of these tools into practice settings (Suter et al. 2009). In particular, although EHR learning is known to positively influence integration (Byrne 2012), individual perspectives are often overlooked because of investigative designs that devalue such viewpoints by exploring the utility of technologies rather than the lived experiences of individual users of the technology. Therefore, this qualitative study offered nurse participants opportunities to make sense of EHR learning through talking about their experiences. This narrative inquiry was a collaborative interpretive method of discovery: stories and thematic analysis were the two separate yet complementary frames used to support data analysis. Finally, several practice implications and recommendations about EHR learning are presented with an emphasis placed upon patient safety as a way to impart accountability on behalf of learners, educators and those charged with governing responsibilities during times of EHR integration.

PMID: 27122089 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

An International Perspective on Nursing Informatics: In Conversation with Nick Hardiker.

NLM - Nursing Informatics - Wed, 2018-04-18 14:36
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An International Perspective on Nursing Informatics: In Conversation with Nick Hardiker.

Nurs Leadersh (Tor Ont). 2016;28(4):36-7

Authors: Strudwick G

PMID: 27122088 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Past, Present and Future: The Outlook from Mid-Career Nurse Informaticians.

NLM - Nursing Informatics - Wed, 2018-04-18 14:36
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Past, Present and Future: The Outlook from Mid-Career Nurse Informaticians.

Nurs Leadersh (Tor Ont). 2016;28(4):8-17

Authors: Carrière R, MacDonald A, Chan Y

Abstract
Nursing informatics (NI), as a specialty of nursing, can trace its origins back as far as the 1960s. While difficult to find empirical evidence to pinpoint exactly when NI moved from the fringes of nursing to more mainstream recognition, the late 1990s to early 2000s was a period of significant growth in the desire to leverage information technology as a means of collecting more robust and reliable healthcare information. This, in turn, has led to a significant increase in the number of nurses working as NI specialists. Those who have remained in NI roles since this time are now reaching the "mid-career" point. This paper will examine the current NI landscape and the experience of a number of early and mid-career nurses who chose to focus on NI by exploring how and why they chose this career path, the opportunities and challenges they have faced to date and their predictions for the future of NI.

PMID: 27122085 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Improving real-time vital signs documentation.

NLM - Nursing Informatics - Sat, 2018-04-14 14:33
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Improving real-time vital signs documentation.

Nurs Manage. 2018 Jan;49(1):28-33

Authors: Fuller T, Fox B, Lake D, Crawford K

PMID: 29287047 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Trade your open tickets for interoperability.

NLM - Nursing Informatics - Fri, 2018-04-13 14:33
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Trade your open tickets for interoperability.

Nurs Manage. 2017 10;48(10):25-26

Authors: Aldrich K

PMID: 28957829 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Evaluation of Doctor of Nursing Practice Students' Competencies in an Online Informatics Course.

NLM - Nursing Informatics - Thu, 2018-04-12 14:32
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Evaluation of Doctor of Nursing Practice Students' Competencies in an Online Informatics Course.

J Nurs Educ. 2017 Jun 01;56(6):364-367

Authors: Kupferschmid B, Creech C, Lesley M, Filter M, Aplin-Kalisz C

Abstract
BACKGROUND: Doctor of Nursing Practice (DNP) programs have experienced rapid growth across the United States. With the expansion of electronic health records, DNP students are expected to acquire the knowledge and skills needed to manage data and apply informatics concepts. However, little information exists to help faculty evaluate student competency in these areas.
METHOD: This retrospective analysis evaluated the competencies of a convenience sample of DNP students enrolled in an online informatics course. Two areas were assessed in this study: acquisition of informatics skills, and analysis or application of informatics concepts.
RESULTS: Regarding informatics skills, postbaccalaureate students performed better than post-master's students. In analysis and application of informatics concepts, post-master's students performed better than postbaccalaureate students.
CONCLUSION: Different educational strategies may need to be created to meet the varying needs of postbaccalaureate and post-master's students in DNP programs. [J Nurs Educ. 2017;56(6):364-367.].

PMID: 28585986 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Nursing Knowledge and the 2017 Big Data Science Summit: Power of Partnership, Imaging, Impact.

NLM - Nursing Informatics - Thu, 2018-04-12 02:32
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Nursing Knowledge and the 2017 Big Data Science Summit: Power of Partnership, Imaging, Impact.

Comput Inform Nurs. 2017 Dec;35(12):615-616

Authors: Delaney CW, Weaver CA

PMID: 29219881 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Effects of using mobile device-based academic electronic medical records for clinical practicum by undergraduate nursing students: A quasi-experimental study.

NLM - Nursing Informatics - Tue, 2018-04-10 14:31
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Effects of using mobile device-based academic electronic medical records for clinical practicum by undergraduate nursing students: A quasi-experimental study.

Nurse Educ Today. 2018 Feb;61:112-119

Authors: Choi M, Lee H, Park JH

Abstract
INTRODUCTION: The academic electronic medical record (AEMR) system is applied with the expectation that nursing students will be able to attain competence in healthcare decision-making and nursing informatics competencies. However, there is insufficient evidence regarding the advantage of applying mobile devices to clinical practicum.
OBJECTIVES: This study aimed to examine the effect of an experiment that introduced a mobile AEMR application for undergraduate nursing students in their practicum.
METHODS: A quasi-experimental design was used. The subjects were 75 third-year nursing students enrolled in clinical practicum and were divided into an experimental (practicum with AEMR) and a control (conventional practicum) group. Nursing informatics competencies, critical thinking disposition, and satisfaction with clinical practicum were measured before and after the clinical practicum for each group. The usability of the AEMR application was also examined for the experimental group after the experiment.
RESULTS: After the experiment, the experimental group showed a significant increase in the informatics knowledge domain of nursing informatics competencies in the post-test. The difference in critical thinking between the experimental and control groups was not statistically significant. Regarding satisfaction with the clinical practicum, the experimental group exhibited a significantly higher level of satisfaction in "preparation of a diagnostic test or laboratory test and understanding of the results" and "nursing intervention and documentation" than the control group. Students who participated in the practicum using the AEMR application considered it useful.
CONCLUSIONS: The AEMR application was an effective educational method for practicing the immediate documentation of students' observations and interventions and was available at the patients' bedsides. To improve critical thinking, it is necessary to apply a variety of approaches when solving clinical problems.

PMID: 29197263 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

An Iterative Methodology for Developing National Recommendations for Nursing Informatics Curricula.

NLM - Nursing Informatics - Fri, 2018-04-06 20:29
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An Iterative Methodology for Developing National Recommendations for Nursing Informatics Curricula.

Stud Health Technol Inform. 2016;228:660-4

Authors: Egbert N, Thye J, Schulte G, Liebe JD, Hackl WO, Ammenwerth E, Hübner U

Abstract
The increasing importance of IT in nursing requires educational measures to support its meaningful application. However, many countries do not yet have national recommendations for nursing informatics competencies. We thus developed an iterative triple methodology to yield validated and country specific recommendations for informatics core competencies in nursing. We identified relevant competencies from national sources (step 1), matched and enriched these with input from the international literature (step 2) and fed the resulting 24 core competencies into a survey (120 invited experts from which 87 responded) and two focus group sessions with a total of 48 experts (steps 3a/3b). The subsequent focus group sessions confirmed and expanded the findings. As a result, we were able to define role specific informatics core competencies for three countries.

PMID: 27577467 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Harnessing the power of artificial intelligence.

NLM - Nursing Informatics - Sat, 2018-03-24 13:18
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Harnessing the power of artificial intelligence.

Nurs Manage. 2017 Nov;48(11):14-19

Authors: Sensmeier J

PMID: 29023284 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Big data gets even bigger.

NLM - Nursing Informatics - Sat, 2018-03-24 13:18
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Big data gets even bigger.

Nurs Manage. 2017 11;48(11):6

Authors:

PMID: 29023283 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Dana Alexander Named 2016 Nursing Informatics Leadership Award Winner.

NLM - Nursing Informatics - Thu, 2018-03-22 19:17
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Dana Alexander Named 2016 Nursing Informatics Leadership Award Winner.

Comput Inform Nurs. 2017 03;35(3):121

Authors: Murphy J

PMID: 28277436 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Google Glass in Nursing Education: Accessing Knowledge at the Point of Care.

NLM - Nursing Informatics - Thu, 2018-03-22 19:17
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Google Glass in Nursing Education: Accessing Knowledge at the Point of Care.

Comput Inform Nurs. 2017 03;35(3):117-120

Authors: Byrne PJ, Senk PA

PMID: 28277435 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Current Trends in Nursing Informatics: Results of an International Survey.

NLM - Nursing Informatics - Thu, 2018-03-15 13:11
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Current Trends in Nursing Informatics: Results of an International Survey.

Stud Health Technol Inform. 2016;225:938-9

Authors: Peltonen LM, Alhuwail D, Ali S, Badger MK, Eler GJ, Georgsson M, Islam T, Jeon E, Jung H, Kuo CH, Lewis A, Pruinelli L, Ronquillo C, Sarmiento RF, Sommer J, Tayaben JL, Topaz M

Abstract
Nursing informatics (NI) can help provide effective and safe healthcare. This study aimed to describe current research trends in NI. In the summer 2015, the IMIA-NI Students Working Group created and distributed an online international survey of the current NI trends. A total of 402 responses were submitted from 44 countries. We identified a top five NI research areas: standardized terminologies, mobile health, clinical decision support, patient safety and big data research. NI research funding was considered to be difficult to acquire by the respondents. Overall, current NI research on education, clinical practice, administration and theory is still scarce, with theory being the least common. Further research is needed to explain the impact of these trends and the needs from clinical practice.

PMID: 27332419 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

[Innovation, digital application and nursing leadership].

NLM - Nursing Informatics - Fri, 2018-03-02 12:45
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[Innovation, digital application and nursing leadership].

Rev Infirm. 2017 Dec;66(236):28-30

Authors: Lambert P

Abstract
The private practice nurse has her own particular holistic vision for helping patients to remain living in their home. With entry to the profession now requiring university level studies, advanced practice is based on the clinical aspect, the reflexive approach and the leadership necessary to initiate innovative projects aimed at improving the quality of the care provided by removing the barriers between the different players for the benefit notably of elderly people.

PMID: 29179844 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Embedding Nursing Interventions into the World Health Organization's International Classification of Health Interventions (ICHI).

NLM - Nursing Informatics - Thu, 2018-03-01 12:45
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Embedding Nursing Interventions into the World Health Organization's International Classification of Health Interventions (ICHI).

J Am Med Inform Assoc. 2017 Jul 01;24(4):722-728

Authors: Fortune N, Hardiker NR, Strudwick G

Abstract
Objective: The International Classification of Health Interventions, currently being developed, seeks to span all sectors of the health system. Our objective was to test the draft classification's coverage of interventions commonly delivered by nurses, and propose changes to improve the utility and reliability of the classification for aggregating and analyzing data on nursing interventions.
Materials and methods: A 2-phase content mapping method was used: (1) three coders independently applied the classification to a dataset comprising 100 high-frequency nursing interventions; (2) the coders reached consensus for each intervention and identified reasons for initial discrepancies.
Results: A consensus code was found for 80 of the 100 source terms; for 34% of these, the code was semantically equivalent to the source term, and for 64% it was broader. Issues that contributed to discrepancies in Phase 1 coding results included concepts in source terms not captured by the classification, ambiguities in source terms, and uncertainty of semantic matching between "action" concepts in source terms and classification codes.
Discussion: While the classification generally provides good coverage of nursing interventions, there remain a number of content gaps and granularity issues. Further development of definitions and coding guidance is needed to ensure consistency of application.
Conclusion: This study has produced a set of proposals concerning changes needed to improve the classification. The novel method described here will inform future health terminology and classification content coverage studies.

PMID: 28339684 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Addressing the Unique Needs of an Electronic Health Record in a Neonatal Intensive Care Unit.

NLM - Nursing Informatics - Wed, 2018-02-21 12:33
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Addressing the Unique Needs of an Electronic Health Record in a Neonatal Intensive Care Unit.

J Obstet Gynecol Neonatal Nurs. 2017 Mar - Apr;46(2):304-309

Authors: Shade C, Kelly K, Hofmann K

Abstract
Documentation in an electronic health record (EHR) should match the nurse workflow for unique patient populations and their correlated units, but pros and cons exist with such EHR customization. Integration of our NICU EHR with other units was a complex process that required nurses to customize each patient record because neonates have specific care needs. We present concepts related to EHR customization that are applicable to any unit with a unique patient population.

PMID: 27978423 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

The 'IT' Nurse.

NLM - Nursing Informatics - Fri, 2018-02-09 12:20
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The 'IT' Nurse.

Am J Nurs. 2018 Feb;118(2):65-66

Authors: Collins AM

Abstract
For more than 30 years, Judy Murphy has been a leader in nursing informatics.

PMID: 29369880 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

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