NURS 8210 Discussions Week 1: Discussion HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS – OnlineNursingPapers


WEEK 1 INITIAL POST

 

Definition of Nursing Informatics.

Sipes (2020) noted that the American Recovery and Reinvestment Act (ARRA) Initiative (2009), which contained the Health Information Technology for Economic and Clinical Health (HITECH) Act, came with the mandate of what healthcare should do, including using EHRs to collect and monitor patient data. The HITECH Act further encouraged the use and development of technology by nurses, APRNs, and other healthcare professionals (Sipes, 2020). American Nurses Association (2015) describes Nursing informatics (NI) as the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. According to American Medical Informatics Association (AMI) (2021), Nursing Informatics combines nursing science, news, and computer science to improve patient health care.

Two nursing Informatics Pioneers/Innovators

Dr. Patricia Abbott- is best known for her early work in helping to establish the Nursing Informatics Specialty (American Medical Informatics Association ( AMI), 2021). She was a member of the Author team for the original Scope and Standards of NI Practice with the ANA, and then she worked on developing the first certification exam in NI with the ANCC ( AMI, 2021). Dr. Abbott worked on Global Health Informatics for front-line caregivers in low-resource settings ( AMI, 2021). Her current work has been in this realm, where she uses low-bandwidth technologies and knowledge management approaches to impact community health ( AMI, 2021). 

According to  AMI (2021), Dr. Patricia Abbott is currently the Co-Director of the Pan American Health Organization, World, World Health Organization, PAHO WHO, Collaborating Center for Nursing, Information Knowledge, and Management at the Johns Hopkins School of Nursing ( AMI, 2021). She is also an Assistant Professor there ( AMI, 2021). Dr. Abbott’s significant contributions to the field of nursing informatics center on advocacy, policy, and education ( AMI, 2021).  

I chose Dr. Abbot because she identified and recognized the challenges nurses experienced at the bedside and came up with solutions to capture all nurses do with electronic data. According to Dr. Abbott, “we provide much care in long-term care facilities; however, we have no way to track that. It was a matter of data. You cannot manage what you cannot measure”. “And unless we can start counting and quantifying what happens to patients in the healthcare continuum, we cannot improve things. Moreover, she is now working in research and geriatrics, and informatics. On top of that, my passion became ‘How can we improve the quality of care we provide to our patients?’

Furthermore, nurses provide most of that care, especially, you know, from acute care to community-based care, to home healthcare nursing, to SNFs and long-term care, nursing is at the forefront. Moreover, I think we make beautiful contributions to patient outcomes but are invisible.” ( AMI, 2021). 

One of the challenges facing nursing is to ensure that nursing leaders, policymakers, and folks in Washington understand the crucial contributions that nursing makes to the quality of care. 

   Ida Androwich, Professor and Director, Health Systems Management Program, Loyola University, Chicago ( AMI, 2021). 

 Her significant contributions have been in terminology and some of her work with the terminology summit. She started the expert panel in Nursing Informatics at the Academy and is working with the workforce technology commission to leverage the nurse’s work and make the nurse’s work more efficient. One of her contributions is the Clinical Information Systems framework ( AMI, 2021). 

I chose Androwich because of her Clinical Information Systems framework. Androwich states, “If there is a framework that’s guided my work, I would have to say it is the dual nature and the importance of giving the provider information to inform the current encounter. Moreover, at the same time, documenting that encounter in a manner that the information can be aggregated with similar encounters to inform future practice with other patients.” ( AMI, 2021). 

 Describe how their contributions influenced nursing practice

 Technology and informatics tools are crucial to improving population health outcomes and decreasing healthcare costs. Data from technology and informatics identify healthcare needs, change health behaviors, manage chronic health conditions, improve community health, and increase access to care (American Association of Colleges of Nursing. (n.d.)). Nursing informatics is about improving care, safety, and patient outcomes viz: More efficient electronic health records; Better IT systems; Research and application of clinical best practices; Training of other nurses; Analytics-based predictive models; New avenues for patient education; Support for telehealth technology (American Association of Colleges of Nursing. (n.d.)). Patients also benefit from nursing informatics in the following ways: Fewer medical errors; More informed clinical decision-making; Shorter hospital length of stay; Lower admission and readmission rates; Better self-management (American Association of Colleges of Nursing. (n.d.)).  

  Explain any lessons from their experiences

According to Webb, N. (2021), Informatics can allow nurse leaders to champion and support initiatives that reduce harm, keep patients safe, improve quality outcomes, and decrease patient time in a hospital. Nurse leaders can track, trend, and prevent patient harm from occurring, which will not only benefit patient outcomes but also prevent reduced federal healthcare reimbursement penalties and reduce litigation exposure (Webb, 2021).

The greatest lesson from the innovators/ informatics pioneers is to be part of the solution to problems encountered on the job.

 

References

American Nurses Association. (2015). Nursing Informatics : Scope and Standards of Practice.Second edition. American Nurses Association.

American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.

Backonja, U., Langford, L. H., & Mook, P. J. (2022). How to support the nursing informatics leadership pipeline: Recommendations for nurse leaders and professional organizations. CIN: Computers, Informatics, Nursing40(1), 8-20.

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.

Webb, N. (2021) Nursing Informatics as Caring: A Literature Review. Online Journal of Nursing Informatics (OJNI), 25(1). https://www.himss.org/resources/online-journal-nursing-informaticsLinks to an external site.

 

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