Nursing Informatics Theory Essay

Informatics is a specialty in the nursing field that is combined with certain science. As stated by ANA (2008) “nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (p. 65). ANA further focus on the functional areas rather than the role that guides the scope of practice within NI. These functional areas include: “administration, leadership, and management; analysis; compliance and integrity management; consultation; coordination, facilitation, and integration; development; educational and professional development; research and evaluation; policy development and advocacy; and telehealth” (CCN, 2015, para. 1). With these functional areas in mind, a nursing informatics specialist can perform proficiently, depending on the specific task. Hence, the purpose of this paper is to summarize the result of an interview with a NI specialist and analyze the differences and similarities between the interviewee’s functional areas with that of scholarly ones.

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.

In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.

There is a new and growing field in the healthcare industry that is known as nursing informatics. Nursing informatics (NI) “integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and

The first section of content, information management and knowledge generation is broken into three sub categories, foundations of nursing informatics, models and theories, and human computer interactions. Knowledge and skills in these areas are an essential part of informatics nursing.

American Association College of Nursing. (n.d.). Master’s Education for Advanced Practice Nursing. Retrieved from American Association of Colleges of Nursing: http://www.aacn.nche.edu/education-resources/MasEssentials96.pdfCipriano, P.F., & Murphy, J. (2011). Nursing Informatics, The Future of Nursing and Health IT: The Quality Elixir. Nursing Economics, 29(5), 286-282

Although I am taking online classes, and am considered an expert nurse in the CICU, unfortunately, according to our lesson as noted in the Tiger Initiative segment, I am classified as a “digital immigrants” because back then, we did not grew up in the computer world, or used computers in the medical industry for nursing necessities. However, I feel very privileged to empowered myself with modern technology. The AACN Essentials Self-Assessment grand total score is 17.

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

Florence Nightingale is reflected as the first nurse informaticist. She recognized the value of data that revealed healthcare. The computer became a major impact for the formation of nursing informatics. The American Nurses Association encourages all registered nurses to have informatics skills to practice nursing effectively. It is recognized that nursing informatics competencies are an essential part of clinical practice. Informatics competencies for nurses have focused on nursing education. There are three competencies areas when educating nurses on informatics. These include computer literacy skills, information literacy skills, and overall informatics competencies. As the quantity of patient information nurses manage continues to grow so does the use of healthcare information technologies. This will require the need to continue to find effective ways to help nurses adjust to the growing of informatics requirements. There are many goals of nursing informatics that involve nurses. One goal is to use data, information, and knowledge to increase better outcomes for patient care. Defining data involving patient care is another goal. Obtaining and delivering accurate knowledge regarding patient care. Create new tools from new technology involving patient care. When using

Nurses are moving from a traditional method of performing task into the technological era. As informatics nurses recognize the need to move from the traditional to a progressive approach. There are many theorist that propose change; however, Kurt Lewin the father of psychology, introduces the theory concepts, emphasizes that the group differ from the sum of its parts. The change theory presents the three-stage model of change. The Lewins model (2011) consist of the unfreezing-change-refreeze theory. The purpose of this discussion is to examine the theories and conceptual frameworks applicable to nursing informatics, view and summarize the video, and Evaluate Applications of Theories or Conceptual Frameworks to Nursing Informatics Initiative.

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.

Nursing Informatics contains a framework to guide nursing practice, this framework is called Data, Information, Knowledge, Wisdom (DIKW). Nurses use this framework on a daily basis without even realizing it.

Nursing informatics has an enormous impact on current and everyday nursing practice as it influences everything we do. Nursing informatics has an important impact on patient safety, which led to most health care facility removing the use of paper documentation and are exclusively on computers because of its positive impact on patient safety. (Ghaemmaghami, 2014).

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

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