My Core Practicum Area Of Interest

Nursing informatics really gained momentum in the 1980’s. The first national conference on computer technology and nursing was held (Ozbolt, J.G., Saba, V.K. 2008). Scholarships and the first educational courses on Nursing Informatics were introduced into the nursing programs at Boston College, University of New York and University of Utah (Ozbolt, J.G., Saba, V.K. 2008). The growing record of accomplishment allowed nurses to move into managerial roles (Edwards, H. 2011). By the mid ‘80’s, nearly three decades after Nurse Werley pushed for minimum data sets, was the idea finally embraced by nurse professionals (Ozbolt, J.G., Saba, V.K. 2008). Four specific elements of the minimum data set became a standard for nursing care: nursing diagnosis, nursing intervention, nursing outcome and the

Health promotion brochure should be written at an appropriate grade level for the consumer to understand. According to Helmig (2006) The familiar brochures, tent-cards, checklists, posters, and newsletter, and mainstays of physicians’ offices and waiting rooms serve as important resources for patients, but they often do not speak to patients in a language they can understand ( p 82). The readability of this brochure according to SMOG is at a 10th grade level. Research shows that more than 20% of adults read below the fifth grade level. Examples in the brochure that would be difficult for the consumer to understand is under the heading “About your Diabetes.” This information is confusing and need more clarification to help the consumer understand and interpret the information that is given. According to Safeer & Keenan (2005), health literacy is basic reading that allows a person to function in the health care environment. The authors’ also stated elderly consumers are predominantly affected because of their reading and comprehension abilities are influenced by their vision and hearing status (p. 463).

Health literacy has been demarcated as the measurement of the individual’s capacity to obtain, understand and process simple health information. It is needed to make satisfactory health decisions and determine services needed to treat or prevent illness. Health literacy requires knowledge from many topics, comprising the patient’s own body, appropriate conducts towards healthy results and the difficulties to understand the health system. It is influenced by many conditions such as our communication skills, age, socio-economic status, and cultural background, past experiences, educational level and mental health status (U.S. Department of

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.

Health literacy has been a problem with our patients. The most vulnerable populations are the elderly, people with low-income levels, those with limited education, non-native speakers of English, those with chronic mental and physical health conditions, minority, and immigrant populations. Nurses have a great role in helping our patients succeed in understanding their health conditions. Nurses can be of great help in promoting health literacy. Sykes, Wills, Rowlands and Popple (2013) defined health literacy as the ability of individuals to access, understand, appraise, and apply health information. The three domains of health literacy, according to Bennett and Perkins (2012) as adapted from the (WHO) (1998) are functional health literacy, interactive literacy, and critical health literacy. Functional health literacy is basic reading and writing skills to be able to function effectively in a health context. Interactive health literacy is the used of more advanced cognitive and literacy skills to participate in health care. Critical health literacy is the ability to analyze critically and to use information to participate in action, to overcome structural barriers to health (p.14). The U.S. Department of Education published the findings of the National Assessment of Adult Literacy conducted in 2003. The result showed that 36 % of adults have basic or below-basic skills for dealing with health material, 52 %

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

Lambert, V., & Keogh, D. (2014). Health literacy and its importance for effective communication. Part 2. Nursing Children & Young People, 26(4), 32-36. doi:10.7748/ncyp2014.05.26.4.32.e387http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2012573600&site=ehost-live

The problems associated with the health literacy have been identified by the researchers in the last ten years. They came to know the role played by it in the medical as well as the individual self care by the comprehension of information related to health and the outcomes related to it (Carolyn Speros, 2004).

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.

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

Cancer Patients’ information needs the first nine months after diagnosis. (2013). Matsuyama, R.K., Kuhn, L.A., Molisani, A., Wilson-Genderson, M.C. Patient Education and Counseling.

Due to the amount of responses following the IOM report, a study was created to explore attitudes about health literacy and help discover ways to improve it, using Q methodology. Q methodology helps researchers learn how opinions are structured and whether or not they fall into predetermined categories without presenting a hypothesis or research question. Researchers created an online survey composed of thirty-six statements

Healthcare is changing every day with the intention to improve and enhance quality care to patients and the community. The ability to understand and act on health information is one of the main issue in healthcare today. A professional nurse is required to provide care and information for patients and their families. Patient and families have the right to able to understand medical information which would empower them to make informed decisions about their care (Lambert et al. 2013). Improving Health Literacy in healthcare settings allows greater understanding of information and knowledge which would improve patient care. Being health literate is not only about reading and learning but is about understanding health information and

According to Dr. Ken Majowski (Laureate, 2011) health care informatics has been in existence for at least the past two to three decades. Ozbolt & Saba (2008) state that “in the second half of the 20th century” the focus of nursing informatics was on the development of “a standardized language” (p. 199). In the 1970’s, informatics included “nursing care planning and documentation” (Ozbolt & Saba, 2008, p. 200). In the 1980’s, nursing informatics research and education led to the “establishment of data standards … unleashing the potential of nursing informatics to improve practice” thus giving nursing the opportunity to “translate knowledge to practice via decision support, and to create new knowledge from the data generated in nursing practice” (Ozbolt & Saba, 2008, p 201). In the 1990’s the “Nursing Terminology Summit Conferences” met “to develop concept-oriented reference terminology models for nursing” (Ozbolt & Saba, 2008, p. 203). The 2000’s proved to be a decade of additional progress with the call for “an electronic health record” for every