Database Design in an Institutional Nursing Setting

Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection, execution, and assessment of technology that supports safe, exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable resource and has improved assessments and overall patient care. Before the launch of nursing informatics throughout the second half of the 20th century there were not any real standards for language. The use of data restricted the function and

At one point in a person life, they will participated in a group whether it is part of a specific committee, therapy, or social group. In recent years, there has been a rise in counseling within a group forum veering from the tradition individual counseling. Therapists, physiologist, and counselors believe that form of counseling is beneficial to both counselor and client. This allows the counselor to help several clients at once rather than one at a time decreasing their strenuous workload and demanding work hours. This form of counseling integrate individual that share similar issues, struggles, and experiences into one forum. This not only allows the clients to learn from the therapist but from their fellow group members. The group experience

Record keeping provides evidence of any interaction or intervention involving a patient. It needs to be comprehensive enough to determine that the nurse has fulfilled his/her legal and professional duty of care (Griffith 2007).

The nursing field is caring, dependable, and effective. None of which could be accomplished without teamwork, collaboration and informatics. I believe these concepts are fundamental in the nursing profession. Nurses must work with other healthcare staff, the patients and their families to provide patient-centered and quality care. The use of informatics enhance both the quality of care the clients receive and the teamwork and collaboration aspect of nursing. No one nurse can do it all on their own. Nursing requires the use of teamwork and new technology.

She meets with each of them each day individually. The main focuses of individual therapy include helping her clients transition into recovery, increasing mood and outlook on life, and developing strategies for not using. A group therapy session is held with all of her clients each day, and focuses on sharing problems and issues and building unity within the group. She also has larger group sessions with all the clients at the facility, sometimes focusing on a specific issue. Christine also says she holds a family session with each client and the members of their family at least once during their stay at the rehabilitation center. Family sessions allow the addict and the members of the family to talk about past issues and to develop goals for the future. A lot of time is spent each day documenting each client’s treatment. Records are kept of notes from each treatment sessions, treatment plans, and progress reports.

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

Examination of the types of database systems that are available and how health care facilities utilize these different types of databases is the topic of this report. Giving more detail on the different types of architecture of databases and data structure will follow.

wisdom in nursing practice.” (Mitchell, 2011). The idea is to speed up patient care techniques by having information needed at the caretaker’s fingertips, all while giving them excellent care. Informatics allows for information on drug allergies, contraindications and compatibility, access to evidence based practice, symptom checker and diagrams and examples of issues to name a few. Having this information readily available allows for faster access however, the provider needs to be somewhat computer savvy. Having computers

Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs, and enhancement of the quality of patient care (Murphy, 2010). It is also described as a growing area of nursing specialty that combines computer science, information technology, and nursing science in the management and processing of nursing information, data, and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013), and they are defined as a

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

Hunt, D.L. and Haynes, R.B. et al. 1998. Effects of computer based clinical decision support

Group therapy is an important method that is commonly used by psychiatric professionals in the treatment of many types of mental illnesses. They consist of three or more people and are targeted at promoting psychological development and change. There are three different types of groups. The task group works by using tasks, such as activities and techniques, designed to help clients work toward desired goals. In addition, midrange groups work by allowing clients to share their thoughts and feelings with others who have learned to cope with similar problems over a longer period of time. Lastly, process groups work by allowing clients to work on their communicating patterns, skills and methods (Fortinash & Holoday Worrett, 2008).

The authors conclude that in order to collect data for meaningful use, one must get back to nursing basics to satisfy regulatory requirements. Under direction of a nurse informaticist, utilizing electronic health records helps facilitate this.

Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the

As technology has and continues to advance so will the expansion of nursing informatics. Data from (19th annual 2008 himss leadership survey, 2008) hold this statement true showing a steady increase in the implementation of technologies. As computers became smaller, it became easier and efficient for hospitals and physicians office to implement their use. (sutton, 2007)The first computers were large, expensive, and inefficient. Now, computers are compact, inexpensive, and efficient. The smaller technology allows for portability of information. PDA’s are small enough to fit in your pocket. With these small devices, you can look up a patients medication, drug interactions, side effects, and just about anything, you could think of to