NURS 8210 Discussions Week 1: Discussion HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS
BY DAY 3 OF WEEK 1
Post a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.
BY DAY 6 OF WEEK 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.
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Response to Christian Offor regarding Health Information Technology.
Health information technology is pivotal in advancing (Huter. et al., 2020) health benefits across diverse population groups. In the sphere of health information and the application of technology in nursing, the role of Patricia Abbott and Ms. Judy Murphy has been notable. The introduction of telehealth, nursing informatics, and technology in several aspects of nurse functioning, such as maintaining patients’ records and exchanging patients’ information, and documents regarding insurance claims, has proven beneficial in streamlining nursing processes.
My friend, you have rightly appreciated the specific contribution that Patricia Abbott has made in the field of telehealth and disease self-management. Patricia Abbott is one of the pioneers in informatics innovations helping vulnerable patient populations such as patients suffering from cardiovascular diseases. Patricia Abbott has achieved the spread of the application of the latest technology to upgrade nursing practices and policies, proving helpful to nurses, doctors non -medical staff, and especially the patient population.
Ms. Judy Murphy exhibits vast experience of around twenty-five years in advancing technology application to different aspects of nursing. Focusing on evidence-based practice, Ms. Murphy has devised methods for automatic client documentation and system implementation. The American Medical Informatics Association (AMIA) encourages nursing pioneers to mentor young nurses using advanced technology. Such an approach is essential given the rise of the patient population and associated risk factors. Increasing reliance on informatics and technological innovation has reduced the rate of nurse burnout (Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | Nurse Journal, 2022) nurse turnover, and nurse absenteeism as technology reduces the burden the nurses face providing nurses with quality time to devote to patient care.
I wish to mention that Christian O you have specifically identified the role of and contribution of both Patricia Abbott and Judy Murphy and explained in your paper how both these nursing role models had transformed nursing policies and practices ushering in new methods, advanced methodologies, pragmatic thoughts and an inclusive approach that aims to achieve maximum health outcomes for all.
References
Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | NurseJournal. (2022, June 30). NurseJournal. https://nursejournal.org/articles/digital-health-technology-can-improve-nurse-turnover-reduce-burnout/Links to an external site.
Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of multidisciplinary healthcare, 13, 1905–1926. https://doi.org/10.2147/JMDH.S286193Links to an external site..
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Collapse SubdiscussionNgetla Manyineh Mbonuh Response #2
Hello Christian,
I applaud you for coming up with a great and informative discussion post, the selected innovators Patricia Kathleen Abbott’s and Judy Murphy’s have demonstrated great various skills in the practice of nursing and informatics practice that cannot be underestimated as you pointed out. It is impossible to dispute the impact of their contributions on the quality, timeliness, patient-centeredness, and efficiency of care. Indeed, the contributions of the two innovators have simultaneously increased patients’ access to healthcare services and raised the standard of care as a whole. Similar significant effects can be seen in the area of nursing informatics. The contributions of the two innovators have helped nursing informatics innovations become widely used (Risling, 2017). Nursing informatics has helped healthcare organizations adopt and integrate innovations like telehealth, e-prescribing, remote patient monitoring, and electronic health records/medical records. Numerous advantages have resulted from these, including better coordination, lower healthcare costs, better and more effective patient record storage, patient empowerment, higher quality care, and better. It is true to note that, the skills and ideas demonstrated by the two pioneers would apply to the professional of nursing practice because they will enable one to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information. Dr. Patricia Abott and Ms. Judy Murphy’s innovative experiences inform that nurses, physicians, clinical officers, and all health practitioners should acquire nursing informatics skills. By gaining the skills, nurses in our practice can perform any duties nurse leaders and managers assigned to them. The named innovators have greatly impacted the operations of present and future nurses, which will improve their decision-making and help them gain efficiencies in healthcare service delivery as (McGonigle & Mastrian, 2021) notes. In my professional practice, the innovators have developed my awareness skills in the need for critical decision-making, the delivery of timely information, and the accuracy of information. The current healthcare environment faces a pressing concern to re-evaluate healthcare community resources and seek to improve patient experiences, nursing practice, and general health outcomes.
References:
McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers
Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. Nurse Education in Practice Links to an external site.Links to an external site., 22, 89–92. doi:10.1016/j.nepr.2016.12.007
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Collapse SubdiscussionBrittney Pember Response Two
I agree with you that a lot of informatics work can be underestimated. Healthcare has experienced rapid transformation with the development of digital technologies which aim to make healthcare safer and more efficient. (Honey ML, 2017) Both Dr’s have done amazing work and shown great accomplishment but this is not always tired back to nursing care. The changes they have made are strongly encouraged and should be recognized. For me I know reading and listening to their videos really showed me and help me understand not only how far you can go with informatics and data management but how much I can learn. Health informatics has evolved, including nursing informatics, which integrates nursing, information and communication technologies (ICT) and professional knowledge to improve patient outcomes. (Harmer B, 2022)
Harmer B, Lee S, Duong TVH, Saadabadi A.2022 May 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan PMID: 33351435
Honey ML, Skiba DJ, Procter P, Foster J, Kouri P, Nagle LM. Stud Health Technol Inform. 2017;232:51-61. PMID: 28106582
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Collapse SubdiscussionTelecia Shantee’ Allen Health Information Technology and Nursing Informatics: Nursing Informatics Innovators Discussion
Karen Martin is a prominent figure in the nursing informatics field. She has made numerous contributions to health information technology including her work with the National Information and Workgroup (NIWG) and as the co-author of numerous books and journals. Her contributions have helped to shape the field of nursing informatics and have had a huge influence on nursing practice. Some of her notable works include three research projects, including the VNA of Omaha research which was funded by DHHS, and one other study funded by NINR. Karen has been an active participant and contributor to the American Nursing Association (ANA), and the American Academy of Nursing. She is currently the CEO of the VNA of Omaha (American Medical Informatics Association, 2021).
Karen Martin’s contributions to the field of nursing informatics have been invaluable. She has helped to define and shape the scope of the profession by exploring areas such as data collection, analysis, documentation, analytics, and implementation in a meaningful way. Her work has also helped nurses better understand how technology can be used to improve patient care and provide quality healthcare outcomes for their patients. As a result, nurses are now better equipped to make informed decisions regarding the use of technology and utilize it in their practice. Additionally, Karen’s research has helped to advance the field of nursing informatics by providing evidence-based strategies for healthcare professionals (American Medical Informatics Association, 2021). These strategies have been essential for promoting best practices within the field and ensuring patient safety.
The second innovator that I selected from the list is Norma M. Lang, a Professor and Dean Emeritus at the University of Pennsylvania and the former Dean at the University of Wisconsin-Milwaukee College of Nursing. I selected Norma Lang due to her influence in the health information technology domain. She has contributed greatly to the development of nursing informatics through her leadership and research work. In her role as Dean, Norma was instrumental in hatching the minimum data set which culminated in a book that has been very instrumental in encouraging nurses and others that nursing data is crucial to the development of databases in healthcare systems (American Medical Informatics Association, 2021). Norma Lang was also a founding board member of the American Nursing Informatics Association and has been an active contributor in the field ever since. Norma’s contributions have helped to further define and shape nursing informatics, providing nurses with the necessary tools to make informed decisions regarding technology use in their practice. Additionally, her research and work have been essential in providing nurses with evidence-based strategies for healthcare professionals, to ensure quality and consistency of care. Ultimately, Norma’s commitment to advancing the field of nursing informatics has been invaluable, helping shape the profession and improve patient care outcomes (American Medical Informatics Association, 2021).
From the above described innovators, it can be deduced that both Karen Martin and Norma Lang have played an instrumental role in advancing the field of nursing informatics. Their willingness to explore and develop innovative solutions has been essential for improving patient care outcomes, providing nurses with evidence-based strategies and shaping the profession . The lessons that can be taken away from their experiences is that professionals must always strive to push boundaries and be proactive in developing and implementing evidence-based strategies to ensure quality healthcare outcomes. Additionally, professionals must also keep abreast of the latest technologies and strive to implement them in their practice for improved patient care (Darvish et al., 2014). By doing so, nurses can help improve overall health outcomes for their patients and shape the field of nursing informatics with innovative ideas.
References
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.
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11
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Collapse SubdiscussionVicky Awken Ngang Hello Telecia
Thank you so much for your insightful discussion on nursing informatic innovators. American Nurses Association (2015) defines nursing informatics as an analytical science that aims at improving all aspects of nursing practice. Karen Martin is a health care consultant. She participated in early Omaha System research and development at the Visiting Nurse Association of Omaha, from 1978 to 1993. The Omaha System originated as a product used by nurses in public health and home health settings. While it has expanded to use by multiple health practitioners, administrators, educators, and researchers alike, it was designed to address public health needs (Champ Software, 2018). Her initial focus was to standardize documentation of interdisciplinary care in community settings and begin computerization. Automated use now extends across the continuum of care in community, acute, long-term care, and academic settings nationally and internationally. Karen provides consultation, conducts workshops, and writes for publication. She has authored more than 110 articles and chapters, 5 books, and 70 editorials. Karen has participated in many terminology efforts, she is a member of AMIA and numerous organizations, and was elected to the American Academy of Nursing in 1988. Nursing is hidden if nursing data is invisible (Wilhelm, 2006). I do appreciate that information technology is incorporated into the DNP course. That way, we all learn the skills.
References
American Nurses Association (2015). Nursing Informatics: Scope and Stands of Practice
Champ Software (2018). What is the Omaha System, and what does it offer you? https://www.champsoftware.com/2018/01/10/what-is-the-omaha-system-and-what-does-it-offer-you/
Wilhelm, G. (2006). Hard-Wired to Heal. John Hopkins Nursing. https://magazine.nursing.jhu.edu/2006/04/hard-wired-to-heal/
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Collapse SubdiscussionLovester Duncan As you mentioned, Telecia Shantee’s implementation of technology into practice has had a tremendous impact on patient safety, outcomes, interdisciplinary collaboration, effective communication, and documentation. Nursing practice and the entire healthcare system have been transformed by integrating technology into practice instead of the unsafe transitional paper documentation that was more prone to error. Innovators are striving to improve communication, documentation, patient care, and safety through technology innovation, as you point out. According to Farzandipour et al (2021), Nursing informatics (NI) is an established and growing specialty within nursing, defined as a science and practice that integrates nursing, information, and knowledge with information and communication technologies to improve the health of individuals, families, and communities. Nurse informatics combines nursing science with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing (American Nurses Association 2015).The knowledge of nurse informatics has improved patient care in many ways, such as efficient documentation, data retrieval for evidence-based practice, and comparison to baseline for diagnosis and treatment. Technological advancements, such as e-prescriptions, are reducing prescription errors and facilitating data sharing between healthcare organizations to improve treatment. Additionally, when patients are admitted to a facility and are confused and or do not remember their medications or diagnoses, the current healthcare provider can communicate with their primary care providers via technology and or informatics to the office to retrieve information and data to aid in specialty care. Using informatics, nurses are now able to make informed decisions regarding care and practice by comparing patient records, detecting if data differs from the norm, and communicating this to specialists for effective treatment.
References
Farzandipour, M., Mohamadian, H., Akbari, H., Safari, S., & Sharif, R. (2021). Designing a national model for assessment of nursing informatics competency. BMC Medical Informatics & Decision Making, 21(1), 1–12. https://doi.org/10.1186/s12911-021-01405-0
R2 Library (Online service), & American Nurses Association. (2015). Nursing Informatics: Scope and Standards of Practice: Vol. Second edition. American Nurses Association.
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Collapse SubdiscussionSara Haynes Perry Telecia,
Good evening and thank you for your posting. I agree that using evidence-based practice is important. It should always be included in the master’s and doctorate levels of nursing. Educating our nurses is also important. As nursing informatics continues to grow and become more important in this field, it is also a great way to cover and follow EBP. For example, the use of information, science, and electronic health records is safer and easier to navigate. NI includes EHRs and helps to define, manage, and communicate data, American Nurses Association. (2015). In addition to this, nursing informatics is also useful in helping nurses and healthcare workers to improve communication amongst each other and others. As technology is growing, you need to be able to embrace the change and importance of this growing field, Fung, (2018). In addition, the above video discusses the importance of NI and how it pertains to project management, which is important in our current area, as well as in our future positions as doctorate prepared nurses. This will help us to stay in tuned in what is up to date and EBP in our fields.
References
American Nurses Association. (2015). Nursing informatics Links to an external site.Links to an external site.: Scope and standards of practice (2nd ed.)
Fung, B. (2018, November 3). Nursing informatics: A day in the life Links to an external site.Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w -
Collapse SubdiscussionDelightful Anulika Alaka Hi Telecia,
Your insightful post on the impact made by Karen Martin as a prominent figure in the nursing informatics field was very formative, just like other innovators whose contributions to the field of nursing informatics have been invaluable. Just you know, an extensive literature search was performed by using databases PubMed, Google Scholar, Ovid, Science Direct and SID. Search terms were “education, nursing”; “quality of health care”; “nursing informatics” and technology. The study was carried out from January to April 2014. A library search was also performed. As many as 135 articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused on nursing informatics education and its influence on nursing outcomes and the quality of health care (Staggers et al., 2002). The Role of Nursing Informatics in Promoting Quality Health Care and the Need for Appropriate Education can never be underemphasized. In today’s dynamic health systems, technology plays an important role in education and nursing work. So, it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an extensive literature search in databases and a library search focused on the keywords were used. The criteria used for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use of information technology in all aspects of the nursing profession. In a critical assessment of emerging technologies, the key elements of nursing informatics implementation were considered as healthcare promotion, advanced systems, the internet, and network. In view of the nature and the development of the information age, it is required to receive necessary IT training for all categories of nurses. Due to the fast development of technology, in order to effectively take advantage of information technology in the nursing outcome and quality of health care and to empower nurses; the educational arrangement is recommended to set short-term and long-term specialized courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral. The result of this study is expected to assist educational providers with program development. Great Post.
Reference
Staggers N, Gassert C. A, Curran C. A Delphi study to determine informatics competencies for nurses at four levels of practice. Nursing research. 2002;51(6):383–390. http://dx.doi.org/10.1097/00006199-200211000-00006 .
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Collapse SubdiscussionLizzie Umejei 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, Nursing, 40(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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Collapse SubdiscussionTelecia Shantee’ Allen Lizzie,
Dr. Patricia Abbott is another great example of innovators who have been integral to the growth of nurse informatics. Dr. Patricia has continually demonstrated her commitment to advancing nursing informatics through her work, which includes serving as an educator, researcher, consultant and advocate in the field. Her research focuses on developing strategies to improve patient care by using information technology, as well as developing new systems and tools to support nursing informatics. She has published numerous articles in the field of health informatics, as well as presenting at conferences around the globe.
Through her work, Dr. Patricia has also demonstrated a commitment to promoting collaboration between nurses and healthcare IT professionals. She works closely with both to ensure that the most effective strategies are being implemented. She also works to promote interdisciplinary research and partnerships between nurses, healthcare IT professionals, and other stakeholders in the field of informatics (American Medical Informatics Association).
Dr. Patricia has also worked hard to develop best practices for nursing informatics, focusing on making sure that nurses have access to the most up-to-date technology and training. She has also been involved in numerous initiatives to improve patient care through the use of information technology.
Overall, Dr. Patricia’s work is a testament to her dedication to advancing nursing informatics, and serves as an example of how innovation can have positive impacts on patient care. Her commitment to collaboration and research has led to improved systems, tools and training for nurses, which has in turn improved patient outcomes. She is an excellent example of how knowledge and innovation can be used together to affect positive change in healthcare. Her accomplishments serve as a perfect example of how professionals in the field of nurse informatics should strive to collaborate, innovate, and advance health informatics.
Reference
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-innovators
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Collapse SubdiscussionNkeiruka C Emechete Hello Lizzie,
Your post was very informative. It is true that nursing Informatics combines nursing science, news, and computer science to improve patient health care. According to the American Medical Informatics Association (2021), nursing informatics is the science that integrates nursing, its information and knowledge with management of information and communication technologies to promote the health of people, families, and communities worldwide. It is also true that Patricia Abbott and Ida Androwich are some of the pioneers of nursing informatics. I agree that Patricia’s role in the innovation of EHR is greatly significant in improving patient safety. I also agree that the Clinical Information Systems framework innovated by Ida Androwich plays a significant role in monitoring health systems. I think the greatest lesson from all innovators is the important roles of nurses in leadership and pioneer in improving the nursing practice and the quality of care. I would also say that their experiences also prompt nurses to become proactive in developing or identifying solutions or answers for gaps in the healthcare system.
References
American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.
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Collapse SubdiscussionNkeiruka C Emechete Health Information Technology and Nursing Informatics: Nursing Informatics Innovators
According to the American Medical Informatics Association (2021), nursing informatics is the science that integrates nursing, its information and knowledge with management of information and communication technologies to promote the health of people, families, and communities worldwide. Nursing informatics innovators possess special knowledge, skills and competencies in informatics that helps them play a vital role in the designing and development of information systems, inventive ways of accessing data, quality assurance programs and application of new informatic systems (Saranto et al., 2021). The two nursing informatics innovators I chose are Patricia Abbott and Judy Murphy who are some of the pioneers of nursing informatics.
Patricia Abbott PhD, RN, FAAN, FACMI is passionate about nursing informatics with her major contributions mainly being in advocacy, policy and education (American Medical Informatics Association, 2021). She is currently the Co-Director of the PAHO WHO Collaborating Center for Nursing, Information Knowledge and Management at the Johns Hopkins School of Nursing (American Medical Informatics Association, 2021). As an educator, she influences nursing informatics by impacting knowledge and skills to nursing students about the art of informatics in nursing and how to employ them during practice (American Medical Informatics Association, 2021). Her experiences have taught me that nursing research in informatics plays a very significant role in helping nurses address gaps and challenges in healthcare leadership, education and policy.
Judy Murphy RN, FACMI, FHIMSS is a pioneer and a leader in the nursing informatics community for over the past 25 years (American Medical Informatics Association, 2021). She is currently Deputy National Coordinator for Programs & Policy at the Office of the National Coordinator for Health IT in Washington DC (American Medical Informatics Association, 2021). She is responsible for supervising the creation of innovations like the EHR that is widely embraced in the healthcare system globally (American Medical Informatics Association, 2021). In addition, she has also significantly contributed to nursing informatics through publishing scholarly articles on adoption of nursing informatics innovations, automated medical documentation, and the use of technology to enhance EBP (American Medical Informatics Association, 2021). Her experiences teach me that I should not shy away from pursuing leadership and pioneer duties that may have significant positive impact on nursing practice and the quality of care.
References
American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.
Saranto, K., Kinnunen, U. M., Jylha, V., Liljamo, P., & Kivekas, E. (2021). Nursing informatics innovations to improve quality patient care on many continents. Essentials of Nursing Informatics. 7th ed. New York, NY: McGraw-Hill Publishing, 677-691.
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Collapse SubdiscussionRosemary Kwaven Hello Emechete,
Great post! Permit me to add that the role and scope of nursing informatics are rapidly evolving to address the needs of healthcare organizations in sync with the evolution of technology (Procter et al., 2021). The educational preparedness of nursing informatics specialists is structured to meet the requisite competencies of their role. Most fields in healthcare develop informatics functions, scope, and focus of practice to meet the demands and opportunities for the future of that particular field (Procter et al., 2021). For example, the field of Nursing benefits from informatics in several ways:
One example is that informatics improves the relationship between provider and patient with every new technology (Trousdale et al., 2022). Nurses’ and physicians’ role as patient care advocates is made more accessible by integrating data into modern systems or big data tools (EMR/HER) (Bairagee et al., 2022). This technology ease communication with patients and other providers such as; other physicians, nurses, pharmacists, technicians, researchers, educationist, Etc. Communication speed, quality, accuracy, security, and ease are vital to high-quality integrative patient care (Bairagee et al., 2022).
References
Bairagee, D., Singh, N., Jain, N., & Sharma, U. (2022). Bioinformatics tools and software in clinical research. Bioinformatics Tools and Big Data Analytics for Patient Care, pp. 17–41. https://doi.org/10.1201/9781003226949-2Links to an external site.
Procter, ., Hübner, U., & Yuan, C. (2021). Building nursing knowledge to meet the needs of disruptive technology healthcare re-design. Studies in Health Technology and Informatics. https://doi.org/10.3233/shti210705Links to an external site.
Trousdale, D. M., Lorente, C., Tibbetts, K. M., & Hennessy, S. A. (2022). Every patient, every provider, every visit: Why the perioperative team should be at the forefront of COVID vaccination. ASA Monitor, 86(5), e2-e3. https://doi.org/10.1097/01.asm.0000830896.Links to an external site.
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Collapse SubdiscussionSara Haynes Perry Week one initial:
Nursing informatics is an interesting field that has really grown over the recent years. It integrates the science of nursing with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom into the nursing practice, American Nurses Association. (2015).
I first chose Ida Androwich as one of the innovators as she discussed her desire to improve the healthcare of patients, and how the technical aspect could be improved. I also chose her because she had a background in public health as this is what I also received in my undergraduate nursing program. Ida discusses that nursing informatics is the combination of science of nursing and information and computer science while improving the healthcare of the patient, American Medical Informatics Association, (2021). Her role is a professor at Loyola, and she also started home care there. She worked to improve the healthcare for patients by including ways to improve documentation for care provided by nurses. She helped to develop records and worked on this based on the Omaha system. She specifically contributed to technology by looking at documentation and how nursing documentation could be seen and followed, as well as identifying nursing interventions.
Suzanne Bakken, Professor of Biomedical Informatics at Columbia university. She focused on system focused verses patient focused. She did her masters training as critical care nursing, and she became involved in computer based continuing education. I chose her because she produced systems regarding ECG interpretation courses which I found very interesting when I entered critical care and cardiac nursing. She influenced the important of aspects within the technological aspect, and conducted federally funded research for over 25 years, American Medical Informatics Association, (2021). Her contributions were being the first person to develop computable interpretations in representational data. She focused on applied data in nursing terms and international terminology. This is a major part of how medical terminology was developed and created a safer practice. She is an advocate of APRN documentation and reimbursement through language of medicine and nursing.
Lessons that I would take away from this was the importance of how I document, as well as review my nurse’s documentation and how they pertain to online records. Ida was a pioneer in this as she was an early seeker of how to improve this movement. Utilizing the importance of approved terminology is important and must be followed to prevent errors. Specifically, I would utilize the idea behind evidence-based medicine as learned by this documentation. I can look at mine and others documentation and follow the trends, which can help to track problems, progress, and changes needed. I would also be interested to follow the hybrid idea behind documentation and reimbursement of APRNs. I have my own practice, and this would prove to be very important as I am always looking the right way to document and record appropriately to gain reimbursement.
Other things that will undoubtedly affect how I run my practice will include the importance of cybersecurity and resilience as well as language processing in technology, Marr, B. (2020). As technology becomes more and more a part of the nursing world, I will need to be up to date on keeping my patient data safe, as well as utilizing the proper language to document.
References
American Nurses Association. (2015). Nursing informatics Links to an external site.Links to an external site.: Scope and standards of practice (2nd ed.)
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-Links to an external site. informatics/nursing-informatics-innovators
Marr, B. (2020). These 25 technology trends will define the next decade Links to an external site.Links to an external site.. Forbes. https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology- trends-will-Links to an external site. define-the-next-decade/?sh=459cc02129e3
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Collapse SubdiscussionGernita Lee NURS 8210 Transforming Nursing Week 1 Discussion Peer Response 2
Sara Haynes Perry, I appreciate your diligent retelling of the heroine accolades of Dr. Ida Androwich and Dr. Suzanne Bakken’s technological innovations in informatics. As a home health administrator and operator, Dr. Androwich instituted federally-funded research, including the Omaha system, at her community ambulatory care facility (Association, 2021). Dr. Androwich aimed to fill the gap in nursing documentation not readily identified or captured with traditional ICD 9 coding and Diagnoses Related Groups (DRG) (Association, 2021). The Nursing Interventions Classification (NIC) Project filled the gap in nursing documentation with new technological innovations that complemented nursing practice (Association, 2021). Subsequently, Dr. Androwich and colleagues inquired about advancing their traditional training in an effort to match their credentials to the subjects they pioneered without success. However, a male physician colleague with a master’s in computer science volunteered to provide computer coding instruction (Association, 2021). Dr. Adrowich’s tenacity and perseverance remind me of my journey in forging and shaping advanced practice provider care in the Podiatric and Sports Medicine field. Traditional Doctors of Podiatric Medicine do not interact with APP nurses in private practice. This limited exposure fostered an alliance between myself and our CEO, who is a DPM, to formulate practice protocol and role responsibilities.
Dr. Bakken initially described herself as a nurse who was also an informatician and, upon a 10-year reflection, later defined herself as an informatician researcher who is also a nurse (Association, 2021). She later positions her belief system regarding the practice discipline of nursing, requiring empirical evidence and knowledge generated through technical data capturing (Association, 2021). The discipline of nursing has a long-lasting history of producing favorable patient outcomes equal to, and at times, superior to, traditional physician medical interventions. As highlighted, Mallow et al. (2018) demonstrated the innovative and advanced techniques utilized by APP Nurse Practitioners (NP) that provide primary care services to the rural and isolated patient population with cutting-edge technology known as mI SMART (Mallow, Theeke, Theeke, & Mallow, 2018). mI SMART is defined as “The comprehensive technological combination of a Health Insurance Portability and Accountability Act (HIPAA) compliant, web-based, the structure of mHealth sensors (portable health monitors) and mobile devices to treat and monitor multiple chronic conditions (Mallow, Theeke, Theeke, & Mallow, 2018). Dr. Androwich’s take on technological advancement for nursing practice enhancement is that in every clinical, the systems must support the provider (Association, 2021). Knoerl et al. (2021) exemplified the technological burden of providing an algorithm delivery system to oncology clinicians to manage Chemotherapy-induced peripheral neuropathy (CIPN). Clinicians rarely utilize the algorithm due to the cumbersome interface and poor usability, with some clinicians flat-out refusing to use suboptimal intervention implementation plans in their patient care (Knoerl et al., 2021). Like Dr. Bakken, I hope to capture the nuances of NP-provided care as the patient outcomes are evident, but the why is elusive. I am dedicated to learning and mastering the process aimed at capturing the phenomena of excellent patient care to replicate the outcomes across paradigms of medical care. As a healthcare provider and private practice owner, you are very astute regarding staying up to date on technological advancements in cybersecurity and resilience. Thank you again for your post, and I look forward to future discussions with you this quarter.
References
Association, A. M. (2021). Nursing informatics innovators. doi:https://amia.org/community/working-groups/nursing-informatics/nursing
Knoerl, R., Mazzola, E., Hong, F., Salehi, E., McCleary, N., Ligibel, J., . . . Berry, D. L. (2021). Exploring the impact of a decision support algorithm to improve clinicians’ chemotherapy-induced peripheral neuropathy assessment and management practices: A Two-Phase, Longitudinal Study. BMC Cancer, 21(1), 236. doi:https://doi.org/10.1186/s12885-021-07965-8
Mallow, J. A., Theeke, L. A., Theeke, E., & Mallow, B. K. (2018). The effectiveness of mI SMART: A Nurse Practitioner Led Technology Intervention for Multiple Chronic Conditions in Primary Care. International journal of nursing sciences, 5(2), 131–137. doi:https://doi.org/10.1016/j.ijnss.2018.03.009
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Collapse SubdiscussionQuateka Cochran Quateka Cochran, Initial Post
I selected Dr. Jean M. Arnold because of her work in computer-based education. Dr. Arnold is a Professor Emerita in nursing informatics, Rutgers University College of Nursing with a doctoral degree from Teachers College, Columbia University. Per Dr. Arnold her work was not widely celebrated. Her work was discreated as not being research. She was trying to make a difference with her cohorts. She faced resistors, to combat this they created elective courses and worked together to spread the knowledge concerning nursing informatics. She worked tirelessly despite being called a risk taker. She found ways to explain what they were doing to persuade resistors and students alike to embrace nursing informatics by using phrases like information handling. Dr. Arnold wrote one of the first informatics books and patented the Computerized Diagnostic Reasoning Evaluation System, as well as developed curriculum for nursing computer courses.
The second selected innovator Betty Chang due to her work in nursing education and research. Dr. Chang is a Professor Emerita at the University of California. She wrote a chapter based on computerized aided instructional educational use. She developed a survey to look at computer use and nurses’ expectations and concerns in the 1980s. Also, in the 1980s she designed a computerized educational program for undergraduate students and a nursing diagnosis clinical support system for research and education of graduate students and practicing nurses. She also was instrumental in developing the first computerized learning laboratory, and program for teaching of nursing informatics in the School of Nursing, University of California, Los Angeles.
Shaping Nursing
Dr. Arnold and Dr. Chang helped to guide computerized education, information gathering and sharing in nursing. Both of these innovators were ground breakers and faced resistance in their charge to promote healthcare reform. They have worked to inspire future nurses by drawing attention and awareness to decision support. They were supported in their change projects by other nurses and innovators of their time. The work that they have done has changed the landscape of nursing education and research.
Lessons
The lessons learned from these innovators is to think outside the box. Healthcare, nursing care is an ever changing dynamic. Nurses can impact the landscape of healthcare by being involved in developing standards of care, creating new knowledge, and utilizing current knowledge in innovative ways. Another lesson learned from these ladies is to be steadfast in your beliefs. Even when faced with dissuaders they both continued to be the change they wanted to see. They never faltered from their belief that computerized learning would improve patient outcomes and the health of the population at large.
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Collapse SubdiscussionChristian Offor Quateka, thanks for your post. The contributions of the two innovators you discussed have definitely influenced nursing practice and have shaped the field of nursing informatics. Nursing informatics aims to improve people’s and communities’ health while reducing costs. Dr. Arnold had a tremendous contribution to the adoption and use of nursing informatics in the healthcare sector. Dr. Arnold helped introduce the students in the university to informatics networking and helped acquire funds that helped set up the first computer laboratory for nursing students (American Medical Informatics Association, 2021). The innovator helped students use computers to manage patient information and promote quality care. This ensures that as the students graduate, they are ready and have adequate competencies and skills to use computer-aided technologies to provide care in their practice. Dr. Chang’s computer-based education program also contributes to nursing practice. Her creation is shaping the minds of future nurses in the profession. Implementing information systems can provide better access to evidence, affecting patient care quality and supporting evidence-based nursing (Darvish et al., 2014).
Health informatics enables better collaboration and coordination among healthcare providers, streamlining medical quality assurance processes, improving cost-efficiency in healthcare delivery, and increasing accuracy and efficiency in facility/practice management. Informatics can allow nurse leaders to champion and support initiatives that reduce harm, keep patients safe, improve quality outcomes, and decrease the time patients spend in a hospital. For example, when it comes to the elderly after being admitted to the hospital for a fall and injury, informatics can be used to create an individualized care plan so that the patient remains physically active by providing medications, wound care management, physical and occupational therapies while the patient is in the hospital and when they get discharged home or to a rehab facility. The healthcare team would be able to coordinate and collaborate on care because they can visually see what is working for the patient and what needs to be changed.
References
American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11
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Collapse SubdiscussionGernita Lee NURS 8210 Transforming Nursing Week 1 Discussion Peer Response
Quateka Cochran, I really enjoyed your recounting of Dr. Jean M. Arnold and Dr. Betty L. Chang’s monumental innovation achievements. As you highlighted, both phenomenal women successfully circumvented and navigated resistance to their innovation and forwarding thinking progress. Gaughan et al. (2022) demonstrated the use of the Technology Acceptance Model to predict the likelihood of adaptability of newly introduced technology. TAM evaluates adaptability by evaluating usability, the application’s usefulness, stakeholder perceptions towards system change, and reviewing the behavioral intention of the application and users (Gaughan et al., 2022). Dr. Arnold faced a unique position as a pioneer of nursing informatics, including determining the definition of the science and the practice while simultaneously preparing for practice change resisters. She reduced the intimidating nature of the word informatics by simplifying its meaning as “information handling” (Association, 2021). Dr. Arnold presented the technology as an asset to nursing practice by emphasizing how technology should never guide practice but accentuate it allowing optimization of patient data, organizing finical documentation, and patient record tracking (Association, 2021).
Dr. Chang experienced similar resistance to technological advancements and change in the 1980s when technology was burgeoning as she presented her nursing diagnosis expert system. Dr. Chang explains that the initial hesitancy was due to limited computer exposure and nurses’ fear of learning everything about computers (Association, 2021). When reviewing the historical context of these two innovators, I am inspired to evaluate nursing practice from an informatics perspective. Traditionally I also should have considered technology advancement as a field related to my current practice as a reflex or automatic thought. I am not required to know everything about computers to streamline or optimize a clinical process. I must observe the phenomena and consider possible yet feasible technological interventions. As a nurse practitioner practicing in podiatric and sports medicine, I encounter multiple software systems for patient prior authorization, documentation of supply dispensing, and supply order spreadsheets. Previously, I have not considered how those forms are made, but I have wondered about their efficacy and redundancy. Thank you, Quateka, for your post, and I look forward to future discussions with you this term.
References
Association, A. M. (2021). Nursing informatics innovators. doi:https://amia.org/community/working-groups/nursing-informatics/nursing
Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ experience and perception of technology use in practice: A Qualitative Study Using an Extended Technology Acceptance Model. CIN: Computers, Informatics, Nursing, 40(7), 478–486. doi:https://doi.org/10.1097/CIN.0000000000000850
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Collapse SubdiscussionIjeoma C Onyeagocha Introduction
The technological revolution has been experienced across various disciplines and professional expertise. In Medicine and Nursing, technology has been a critical factor in quality improvement. Notably, much of the innovation and improvements linked to technology have been associated with nursing informatics. Several innovators of nursing informatics have significantly contributed to quality improvement in the care process (Data Science Show, 2018). Two primary innovators of Nursing Informatics are Jean Arnold and Marion Ball. It’s, therefore, essential to identify the professional contributions of the above innovators in Nursing Informatics and how their contributions reflect and influence my professional practice.
According to AMIA Informatics Working Group (2022), Marion Ball is a professor at John Hopkins Hospital School of Nursing and Health Link, an IBM-affiliated corporation’s Vice President of Clinical Informatics Strategies. Notably, Marion Ball’s educational focus was on medical education; however, her entry into Nursing Informatics was when she worked in a clinical laboratory where she worked on the first IBM of the University of Kentucky as a programmer (AMIA Informatics Working Group, 2022). She also worked as an assistant director of computing at Temple University. This involvement in computing contributed to her professional development in Nursing Informatics. Notably, Marion Ball is responsible for designing curriculum programs in Nursing Informatics in schools such as Villanova and compiling books such as Introduction to Nursing Informatics and Introduction to Computers in Nursing.
On the other hand, Jean Arnold has also made significant contributions to Nursing Informatics as an innovator. Jean Arnold is an RN, BSE, MS, EDD, and MED (AMIA Informatics Working Group, 2022). Jean Arnold did her post-graduate education at Bergen community college, integrating technology-oriented teaching methods while also conducting her master’s degree. As a part-time teacher, the computer came along, and she was involved in it, which became her entry into nursing informatics (AMIA Informatics Working Group, 2022). Jean Arnold was the first to design and implement the first to develop a computer and applications Nursing Course in the State of New Jersey, consistent with a book on computer applications (AMIA Informatics Working Group, 2022).
The developments by both Jean Arnold and Marion Ball were significant in pioneering nursing informatics. For instance, Jean Arnold faced difficulty integrating computer applications in her practice as a nurse as they had to remind themselves that they were a nurse. Also, Marion Ball’s first computer and nursing course at Temple University was re-accredited. However, through their grit and hard work, they continued with their exploration of computer and technology studies designing books and courses that serve as the foundation for nurses interested in fusing technology and nursing. According to Glasgow et al. (2018), computer simulation for patient care needs has been an educational tool with relevant outcomes for student nurses in their practice. Mobile health technologies have also been essential for student nurses as they are being integrated into professional practice (McGonigle et al., 2014). In this context, the books and courses pioneered by Jean Arnold and Marion Ball have provided foundational education for nurses on technology.
Several aspects of the lives and professional contributions of Jean Arnold and Marion Ball can be essential for professional practice. For instance, I look forward to identifying a niche and loopholes in nursing education on technology and designing courses or programs in the same manner as the two. Likewise, Jean Arnold, for instance, revolutionized the medical and educational environment she was in by acquiring government assistance and urged nurses to follow suit and face politicians regarding the nursing technological revolution (AMIA Informatics Working Group, 2022). Writing proposals to the government on integrating technology in nursing could be knowledge borrowed from the two innovators. Currently, technology in nursing has moved beyond excel analysis and basic programming to diversity in programing language. Designing courses and creating programs in these programming languages can be vital to improving the nursing environment. Ronquillo et al. (2021) identify that artificial intelligence has taken root in nursing. Quantum computing, digital ledgers, and artificial intelligence are all emerging areas of technology application that suit nursing (Marr, 2022). Therefore primary programming language can assist professional nurses in enhancing the quality of their service delivery through system checks for patients, among many other functions.
In conclusion, innovation is a key construct of any professional discipline. Technological innovation has contributed to the integration of nursing informatics. Technology and nursing as a combined concept have been attributed to the sacrifice and knowledge of pioneers such as Jean Arnold and Marion Ball. The two made significant strides in programming and computer applications and their consequent introduction into nursing. Borrowing from the nursing informatics innovators, I can design programming language courses specifically oriented in nursing, crucial for preparing nurses for using and maintaining artificial intelligence.
References
AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Jean Arnold. AMIA. https://brand.amia.org/m/28ffece75e92b5d9/original/arnold-NIWG-pdf.pdfLinks to an external site..
AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Marion Ball. AMIA. https://brand.amia.org/m/1bc999f1175388e9/original/Ball-NIWG-pdf.pdfLinks to an external site..
Data Science Show. (2018). What is Healthcare Informatics? Introduction to Nursing Informatics [YouTube Video]. In YouTube.https://www.youtube.com/watch?v=VP0UprsVTfkLinks to an external site.
.Glasgow, M. E. S., Colbert, A., Viator, J., & Cavanagh, S. (2018). The nurse‐engineer: A new role to improve nurse technology interface and patient care device innovations. Journal of Nursing Scholarship, 50(6), 601-611.
Marr, B. (2022, October 12). These 25 Technology Trends Will Define The Next Decade. Forbes. https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=741064929e3bLinks to an external site..
McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why Nurses Need to Understand Nursing Informatics. AORN Journal, 100(3), 324–327. https://doi.org/10.1016/j.aorn.2014.06.012Links to an external site..
Ronquillo, C. E., Peltonen, L. M., Pruinelli, L., Chu, C. H., Bakken, S., Busch, A. & Topaz, M. (2021). Artificial intelligence in nursing: Priorities and opportunities from an international invitational think‐tank of the Nursing and Artificial Intelligence Leadership Collaborative. Journal of advanced nursing, 77(9), 3707-3717.
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Collapse SubdiscussionLizzie Umejei WEEK 1 DISCUSSION Response 2
Hi Ijeoma,
Intriguing post. You noted that Jean Arnold and Marion Ball had challenges integrating computer applications into their practice and education. They overcame this by designing books and courses that serve as the foundation for nurses interested in fusing technology and nursing (AMIA Informatics Working Group, 2022.
Jean Arnold developed the first online course in nursing informatics for Thomas Edison State College in NJ, which is now an online nursing education program(AMIA Informatics Working Group, 2022). And now, they are moving forward into a graduate program where she will teach. The first actual online nursing course for Thomas Edison evolved into an all-online nursing program, which is going on now(AMIA Informatics Working Group, 2022). Her contributions included nontraditional programs at Excelsior College and the University of Phoenix(AMIA Informatics Working Group, 2022). This current DNP program we all are enrolled in is online.
Marion Ball was not a nurse but a medical person working in the lab on computerizing a clinical lab system (AMIA Informatics Working Group, 2022). She is a founding member of the TIGER initiative, which addresses the importance of integrating technology into the nursing profession, from bedside practitioners to researchers, toward encouraging the nursing profession to incorporate the most current enabling technologies into healthcare. TIGER stands for Technology Informatics Guiding Educational Reform. TIGER aims to develop a roadmap for the essential minimum competencies for every nursing school in the country, every practice… everything continuing nursing program (AMIA Informatics Working Group, 2022). These are a set of minimum competencies everybody should know and feel comfortable with and be not a nurse informatician. (AMIA Informatics Working Group, 2022).
Marion Ball has mentored a lot of nurses to go into the field of nursing that isn’t quite her field, many have excelled, and they’re doing a lovely job (AMIA Informatics Working Group, 2022).
References
AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Jean Arnold. AMIA. https://brand.amia.org/m/28ffece75e92b5d9/original/arnold-NIWG-pdf.pdfLinks to an external site..
AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Marion Ball. AMIA. https://brand.amia.org/m/1bc999f1175388e9/original/Ball-NIWG-pdf.pdfLinks to an external site..
Healthcare Information and Management Systems Society. (2019). What is Nursing Informatics?HIMSS. https://www.himss.org/resources/what-nursing-informaticsLinks to an external site.
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Collapse SubdiscussionRosemary Kwaven 8210
Discussion week 1
Nursing Informatics Innovators
Informatics refers to an interrelated activity involving people, technologies, and
processes. This interconnected triad allows trusted data to be applied in a manner that is relevant,
useful, and meaningful. The interrelated activities are essentially centered around information
needs of people as end users of technologies (McGonigle & Mastrian, 2021). Applying this
definition of informatics to nursing, nurses, technologies used by nurses, such as an electronic
health record or EHR system, and health care processes, such as nursing documentation,
interrelate to transform patient care and clinical data into relevant, useful, and meaningful
information in nursing practice (McGonigle & Mastrian, 2021). Again, the focus is on nurses and
how technologies support and facilitate effective and safe patient care. Nursing Informatics
supports decision-making through the use of information structures, information processes, and
information technology, enabling nurses as well as patients, the interdisciplinary healthcare team,
consumers, and other stakeholders in all roles and settings to achieve desired outcomes such as
improvements in patient safety, healthcare quality, effectiveness, efficiency, and cost
(McGonigle & Mastrian, 2021).
Nursing informatics is a central part of nursing practice today and will continue to
become increasingly important in healthcare into the future. However, this has not always been
the case. Nursing informatics has slowly become a key part of nursing practice, thanks in large
part to the works of several key players in this field. Two of the most important innovators in
nursing informatics are Patricia Flatley Brennan and Patricia Abbott. Patricia Flatley Brennan is
recognized as one of the leading voices in nursing informatics. Her contribution to nursing
informatics is seen through her role in the development of ComputerLink, leading the WI-
TECNE project and working as director of HeartCare and HealthDesign (American MedicalInformatics Association, 2022). Her work has been pivotal in improving the accessibility and
ease of use of health information for patients and providers.
As indicated, another major contributor to the field of nursing informatics is Patricia Abbott.
Dr. Abbott was a major contributor to the establishment of nursing informatics as a nursing
specialty (American Medical Informatics Association, 2022). Among her most notable
contributions to the field is being a member of the author team for the original Scope and
Standard of Nursing Informatics Practice with Ana. She was also instrumental in developing the
first certification exam for nursing informatics with the ANCC (American Medical Informatics
Association, 2022). She has worked with various universities such as the Hopkins School of
Nursing and the University of Maryland to teach nursing informatics. Her work has contributed
significantly to the application of nursing informatics in poor communities to impact community
health (American Medical Informatics Association, 2022).
Analyzing the works of Patricia Flatley Brennan and Patricia Abbott had several lessons
for me. The two innovators showed incredible dedication and commitment to trying to increase
the efficiency and effectiveness of nursing practice. As a result, their work has contributed to
making nursing informatics the field that it is today. They played a role in making information
more accessible and a central driver of care practices. I think that applying the principles of
nursing informatics in my own practice will help me to personalize the care that I deliver to
patients to make my care more patient-centered.References
American Medical Informatics Association (2022). Nursing informatics innovators: Patricia
Abbott. AMIA. Retrieved November 29, 2022, from https://amia.org/community/working-
groups/nursing-informatics/nursing-informatics-innovators-Patricia-AbbottAmerican Medical Informatics Association (2022). Nursing Informatics Innovators: Patty
Brennan. AMIA. Retrieved November 29, 2022, from
https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-
innovators-patty-brennanMcGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge.
Jones & Bartlett Publishers. -
Collapse SubdiscussionEdith ?N?W?A?K?A?E?G?O Ama Nursing informatics is a practice that breaks down nursing into information and knowledge with management of information and communication technologies to promote the health of people. Nursing informatics innovators are the professionals who develop the entire process (Sipes, 2020). From the video provided the two informatics innovators I chose were Patricia Abbott and Jean Arnold.
Dr. Abbott is among the pioneer that helped establish early forms of nursing informatics which she terms as being accidental. Dr. Abbott is recognized internationally for her leadership in preparing scholars and practitioners in nursing informatics (NI). Dr. Abbott is focused on e-Health/m-Health/m-Health implementation for unguarded populations, with focus on non-communicable diseases and remote education. She has dedicated over 15 years to researching informatics, user-centered design, mobile health and electronic health, and implementation science. (AMI, 2021). Dr. Abbott was consistent in her discoveries which led to what we have now as informatics in nursing. One lesson I learn from her is determination is key to success. She encourages me to push on and not give up.
Dr. Jean Arnold was also among the first nurses to discover how diagnostics could be used in computer language. It is a very important step in development of informatics. From her experience, I learned that being a nurse means being all rounded. She managed to formulate diagnosis just like computer scientists. Informatics innovation promotes nurses and physicians’ collaboration in enhancing population health, data collection, and storing information. Technology and informatics tools are user friendly, more efficient, saves time, eliminate waste by decreasing healthcare costs. (American Association of Colleges of Nursing. (n.d.).
Dr. Abbott and Dr. Arnold helped to pilot computerized education, data collection and sharing of information in nursing. The two innovators, though encountered challenges in their role to promote healthcare transformation.
Reference
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.Links to an external site..
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.).
Springer Publishing.
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Collapse SubdiscussionQuateka Cochran Very interesting post. Dr. Abbott and Dr. Arnold’s contribution to nursing informatics is invaluable. Dr. Abbott credits her growth in informatics to trailblazers that came before her. I believe using the knowledge that they help to create we can continue to further nursing research. The advances they made in informatics can impact the care provided to patients, they help create information and tools to improve patient care such as data analysis, decision support systems, and electronic medical records. Dr. Abbott is credited with developing the first certification exam in NI with the ANCC. She was also a member of the Author team for the original Scope and Standards of NI Practice with the ANA. Dr. Arnold is credited with the development and implementation of first computer laboratory for nursing students at Rutgers College of Nursing. Both made advances specific to furthering the knowledge of future nurses, as a nurse educator their contributions are fundamental to my continued growth.
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site. Links to an external site.
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Collapse SubdiscussionJennings Ubadi Mekoba Nursing Informatics
Nursing informatics is an emerging discipline of healthcare that integrates nursing science with data, information, and knowledge management to promote evidence-based decisions. As the quantity of patient healthcare data increases due to technological advancements, its significance has grown. According to DNP Informatics Projects (n.d.), nursing informatics is helpful for various goals, including enhancing communication between patients and clinicians, minimizing medical errors, and automating clinical operations to increase efficiency. As such, nursing informatics offers benefits, including cost savings, improved safety outcomes, and enhancement of quality assurance (McGonigle et al., 2014; The Data Science Show, 2018). This paper covers Dr. Abbot and Dr. Marion J. Ball’s contributions to nursing informatics.
Dr. Abbot is renowned for her contributions to low-bandwidth technology and knowledge management strategies that affect community health. Her early work as a specialist in nursing informatics had a profound impact on the healthcare information technology (HIT) field. She was crucial in founding the Nursing Informatics Specialty, which stresses patient safety through evidence-based practice, HIT technology, and data analytics (Nursing Informatics Innovators, n.d.). In addition, she devised techniques to promote interprofessional communication across teams working in different departments to better coordinate care across several settings. Therefore, I chose Dr. Abbott due to her contributions to revolutionizing how nurses access clinical decisions by providing tools such as electronic medical records (EMRs).
Throughout her career in public service, she has worked with organizations, including international development agencies, in multiple sectors, from infectious disease control to maternal and child health. These roles have been directly or indirectly related to enhancing global welfare through technology solutions for disadvantaged communities lacking access to reliable technologies. One of Dr. Abbott’s most notable accomplishments was establishing an online system capable of delivering timely information about local healthcare services to people living in rural areas with limited connectivity options due to poor infrastructures, such as a lack of electricity and wired telecommunications networks (Nursing Informatics Innovators, n.d.). Dr. Abbot’s success in her projects indicates that she possesses a talent for strategic planning, which involves accurately evaluating a project to ensure its practical completion. This skill is vital, and I can use it to ensure the success of my nursing endeavors, including evidence-based care practices. For example, using informatics data, I would be able to gather information to decide for the patient to make informed choices for their treatment plan.
Dr. Marion J. Ball, on the other hand, served as president of the International Medical Informatics Association. In this position, she advocated for integrating IT into the nursing field (Nursing Informatics Innovators, n.d.). Therefore, I selected Dr. Marion Ball because her dedication to establishing evidence-based methodologies that integrate computer science and clinical practice enabled her to make significant contributions during her career that have profoundly influenced nursing informatics. Her efforts resulted in a greater recognition that patients should be involved in decisions regarding their care. It improved access to critical patient data such as lab results and better integration between hospital departments to communicate more effectively using technological tools such as electronic messaging platforms.
Her background in nursing informatics highlights her dedication to improving healthcare through technological innovation and evidence-based practice. Therefore, she teaches about the significance of remaining current with technologies, trends, and research findings connected to one’s profession to avoid becoming stagnant or out of date when it comes to giving excellent care to patients. It also includes possibilities for continuing education, such as attending conferences or seminars regularly, which are advantageous for staying abreast of current advances in one’s professional field. Another important takeaway is the ability to provide leadership during times of transition; she has demonstrated how embracing technological advancements were essential for improving patient outcomes, but at the same time, necessitated adapting specific processes associated with conventional methods of doing things. Therefore, her skills, including embracing stage, are crucial for my nursing career. With this skill, I will be able to advocate for changes in my nursing profession and encourage other nurses to accept policy changes to improve organizational outcomes.
As stated above, the discipline of nursing informatics has benefited from the contributions of numerous nursing professionals, including Dr. Abbot and Dr. Marion J. Ball. The contributions of the two nurses led to the creation of low-bandwidth technologies and knowledge management strategies to improve community health, as well as the incorporation of computer science into clinical practice. Technology has improved communication, data availability, and the rule of evidence-based medicine. Therefore, nursing informatics is significant in providing essential data for evidence-based nursing practices.
References
DNP Informatics Projects. (n.d.). Www.aacnnursing.org. https://www.aacnnursing.org/Population-Health-Nursing/DNP-Informatics-Projects
Gibson, C. J., Abrams, K., & Dixon, B. E. (2015). Convergent evolution of health information management and health informatics. Applied Clinical Informatics, 06(01), 163–184. https://doi.org/10.4338/aci-2014-09-ra-0077
McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why Nurses Need to Understand Nursing Informatics. AORN Journal, 100(3), 324–327. https://doi.org/10.1016/j.aorn.2014.06.012
Nursing Informatics Innovators. (n.d.). AMIA – American Medical Informatics Association. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
The Data Science Show. (2018). What is Healthcare Informatics? Introduction to Nursing Informatics. In YouTube. https://www.youtube.com/watch?v=VP0UprsVTfk
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Collapse SubdiscussionRosemary Kwaven Hello Jennings,
Thanks for your informatic post. Research and technology have helped improve patient care and prevented several advert effects. For instance, the barcode medication administration has helped avoid errors in medication administration. Also, nurses can use multiple techniques to integrate patient-centered care with technology, and research has shown that the electronic health record system support patient-centered care. We can educate patients and build their trust in our care in several ways. For instance, when clinicians share the computer screen with patients during care, allowing alert and oriented patients to see their EHR would improve patient involvement and foster education. In addition, it also allows for a sense of collaboration with the healthcare team and inspires trust and confidence in the care provided (CLINE, 2020). As you stated, modern electronic health record systems like EPIC have made care provision more efficient and enabled effective team collaboration. For instance, a physician working in a specific organization can put orders on patients with their cell phones while at home, enabling proper care/intervention. Also, patient history and prior care can be accessed in any organization using the EPIC, allowing prompt and continuous care. The EHR has contributed significantly to the quality of patient care. Research shows an association between evidence-based quality care practice proficiency and electronic health record (EHR) use; it improved quality care, increased efficiency, and reduced healthcare costs (Hollister-Meadows et al., 2021).
References
CLINE, L. (2020). How electronic health records correlate with patient-centered care. Nursing, 50(1), 61–63. https://doi.org/10.1097/01.NURSE.0000615140.23834.06Links to an external site.Links to an external site.
Hollister-Meadows, L., Richesson, R. L., Gagne, J. D., Rawlins, N., & De Gagne, J. (2021). Association between evidence-based training and clinician proficiency in electronic health record use. Journal of the American Medical Informatics Association, 28(4), 824–831. https://doi.org/10.1093/jamia/ocaa333Links to an external site.
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Collapse SubdiscussionLovester Duncan Ida Adrowich and Susan Matney have been selected as Nursing Informatics Innovators for this discussion. Nursing and practice have greatly benefited from these innovators. Ida Androwich teaches graduate courses in Health Care Informatics Systems and Population-Based Infection Control at Loyola University Chicago. Her educational background includes a bachelor’s degree in nursing (BSN) from Loyola University Chicago, a master’s degree in public health nursing, and a doctoral degree in public health from the University of Illinois. Androwich has published and presented internationally on healthcare informatics. As a member of the ANA’s NIDSEC Committee, the AMIA-NIWG Leadership Group, the AONE Technology Task Force, and TIGER, she has funded research related to national efforts to standardize healthcare vocabularies. Additionally, she serves on Walmart’s Consumer Awareness of HIT Committee. In addition to serving on the National Alliance of Health Information Technology Board, she served as Co-Chair of the American Academy of Nursing Workforce and Technology Commission. The second innovator is Susan Matney. Besides holding a master’s degree in nursing informatics, she is also a clinical terminologist. Susan has worked as a nurse since 1981. She began her career as a nurse’s aide, went on to become an LPN, an associate degree holder, a bachelor’s degree holder, and a master’s degree holder, and eventually began her career in informatics in 1997. She developed and implemented a nurse terminologist, an information model, and a standard. She mapped parts of CCC, Omaha and Nursing Management Minimum Data Sets to LOINC as chair of the Clinical LOINC nursing subcommittee in 2021.
The contributions of Dr. Ida Androwich have influenced health information technology and nursing practice in many ways. According to her, nursing documentation and data were not safe, and the work performed was not adequately documented to support current and future practice. Furthermore, the author stated that it is impossible to track nurse-captured patient data without proper documentation, so she advocated recording and documenting it into an electronic health record (EHR). She indicated embedding nursing informatics into practice is imperative because it captures nursing documentation in the clinical area, ensures accurate data collection and storage, enhances collaboration, ensures safety practices, and allows easy retrieval of patient data for future comparisons. Additionally, she explained that nurses should use the same terminology across the continuum of care to ensure effective communication and increase safety. Additionally, she advocated for informatics to be included in nursing education, specifically in nursing educators’ curriculums, so that professors could receive informatics training and educate students. In addition to developing the clinical information system framework, she indicated that a dual-purpose information system was essential because it allows current encounter data documentation to support practice with other patients. Additionally, Susan’s innovative approach had a significant impact on nursing and practice. Through the application of informatics in healthcare, her work has greatly improved the quality of healthcare. She helped standardize terminology to ensure that it can be used nationally and internationally to support care and practice. To improve communication and to ensure a similar language among healthcare providers and multidisciplinary teams, she advocated developing nursing terminologies and incorporating them into practice to ensure safe practices when technology is used to provide healthcare services. Additionally, she provides billing coding assistance to improve billing and practice. Besides ensuring effective communication, documentation, and terminology used, she also models nursing and ensures consistency in the terminology used.
How have their contributions influenced nursing practice?
In terms of Ida’s dual nature framework, it was important to provide provider information to inform the current encounter while at the same time documenting the encounter in a way that can be aggregated with future encounters to inform future practice. In addition, she advocated for the incorporation of nursing informatics into nurse educator practice and pushed for the use of informatics and standard nursing documentation to collect data accurately to guide practice and care. During her career, Susan worked on the development and implementation of nursing terminologies, information models, and standards, as well as helped approve terminology for use in nursing. In her presentation, she demonstrated how to use informatics and statistics to gather useful data and statistics.
How have their contributions shaped the field of nursing informatics
Nursing information systems (NIS) are computer systems that are used in healthcare to manage clinical data from a variety of healthcare environments, and which are made available in a timely and orderly fashion to aid nurses in improving patient care, according to Yu-Wen et al 2016 study). Ida stated that incorporating terminology into practice has been beneficial as this allows nurses to collect and store patient data in a way that can be retrieved for future use. As Susan explains, standardizing terminologies is important in practice because it allows healthcare professionals to speak the same language when they provide care. With both innovators’ contributions, nursing has been able to improve communication, increase clinical documentation, decrease errors, enhance collaboration, and improve safety. American Nurses Association defines nursing informatics as a specialty that identifies, defines, manages, and communicates data information, knowledge, and wisdom across disciplines through information and analytical sciences (2015). Nursing information systems (NIS) are computer systems that manage clinical data from a variety of healthcare settings, allowing nurses to improve patient care in a timely and orderly manner (Yu-Wen Fang et al., 2016). Using the lessons learned from these innovators, nursing informatics is of utmost importance in practice. Improving documentation, improving communication, and decreasing medical errors improve the quality and safety of care.
References
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.
American Nurses Association. (2015). Nursing informatics Links to an external site.: Scope and standards of practice (2nd ed.). Introduction” (p. 1)
Yu-Wen Fang, Chih-Ping Li, Mei-Hua Wang, Fang, Y.-W., Li, C.-P., & Wang, M.-H. (2016). The development and evaluation of a nursing information system for caring clinical in-patient. Technology & Health Care, 24, S401–S406. https://doi.org/10.3233/THC-151106
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Collapse SubdiscussionValerie Corvera Hello Lovester,
Dr. Ida Androwich was a big part in nursing documentation in the EMR and helped to incorporate nursing informatics into nursing education. Susan helped develop nursing terminologies that are used worldwide and helps with bill coding. The skills that they demonstrate that relate to my professional practice are advocating for patients and the nursing profession, proactive, innovative, and constantly evolving and adapting to change. This is what I must do in my professional practice. As a nurse practitioner I am always advocating for my patients and having to stay proactive and adapt to change. The healthcare field is always changing and evolving. New EBPs are being developed and implemented. There are always ways to improve patient care outcomes. The health care safety crisis requires new approaches, continuous improvement, and interdisciplinary education that transcends the traditional health care disciplines (Karagory & Hountz, 2022). I believe that both of your innovators did just this! They knew something needed to be done and they did what they needed to make the improvements related to nursing informatics. The need for improved technological support in direct care can lead to improvements to patient care, reduction of physical strain and reducing psychological stress (Krick, 2021). All of the innovators this week contributed someway to improve the nursing profession and patient care and even though they started this journey, we must continue it by continuing to look for ways to improve our professional practice.
References
Karagory, P. M., & Hountz, D. (2022). Interdisciplinary, Innovative, and International: Nursing and Engineering Technology Students Creating New Patient Technology. Nursing Education Perspectives (Wolters Kluwer Health), 43(2), 134–136. https://doi.org/10.1097/01.NEP.0000000000000778Links to an external site.
Krick, T. (2021). Evaluation frameworks for digital nursing technologies: analysis, assessment, and guidance. An overview of the literature. BMC Nursing, 20(1), 1–19. https://doi.org/10.1186/s12912-021-00654-8
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Collapse SubdiscussionRegidor Del Rosario Good Evening Lovester,
Thank you for sharing your post with us, I found your post to be interesting. The two nursing innovators you’ve chosen have contributed greatly to nursing informatics as we know it today. In our field and as future DNP prepared nurses, documentation is a vital aspect of our work. With the contributions of Dr. Ida Androwich in the field of terminology, our documentation follows a standardized health care vocabulary to provide means of accuracy (American Medical Informatics Association, 2021). Dr. Androwich’s work has also contributed to the implementation of nursing terminologies and information models which allows for researchers to gather useful data and statistics (AMIA, 2021). The next nursing innovator you mentioned is Susan Matney, a nursing innovator who has also contributed to the creation and implementation of nursing terminologies (AMIA, 2021). Ms. Susan Matney also contributed to the development of HDD mapping strategies, tool requirements, and Quality Assurance for terminology development and maintenance (3M, 2022). As we continue on this journey and become DNP prepared nurses, we must ensure we utilize the resource provided by both Dr. Ida Androwich and Ms. Susan Matney. Utilizing nursing terminology allows for the continuity of care for the patient leading to improved patient outcomes.
American Medical Informatics Association. (2021). Nursing Informatics Innovators: Ida M. Androwich. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-ida-m-androwichLinks to an external site..
American Medical Informatics Association. (2021). Nursing Informatics Innovators: Susan Matney. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-susan-matneyLinks to an external site..
3M. (2022). Inside Angle From 3M Health Information Systems. https://insideangle.3m.com/his/expert/susan-matney/Links to an external site.
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Collapse SubdiscussionValerie Corvera Post a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator.
One innovator that I have chosen is Lina Q. Thede, she is currently a professor at the College of Nursing at Kent State University. She is currently the editor of CIN plus which is a section in CIN: Computers, Informatics, Nursing. She has written two editions of Nursing and Informatics and authors an informatics column for OJIN (American Medical Informatics Association, n.d.a).
The second Innovator I chose was Elizabeth E. Weiner. She is the Seniopr Associate Dean for Informatics at the Vanderbuilt University School of Nursing. She is considered a pioneer in multimedia development and is responsible for the distance learning programs in nursing. She publishes and speaks both nationally and internationally on informatics and emergency planning and response (American Medical Informatics Association, n.d. b).
Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific.
Dr. Thede has influenced nursing practice as it relates to nursing informatics in that she was one of the first nurses to translate data into computer software and programming. She was one of the first nurses to introduce the computer into the learning and education process. She helped create databases and contributed to the databases we have today.
Dr. Weiner contributed to nursing practice and nursing informatics by introducing online simulation for learning purposes. She created and environment for nurses to be able to critically think and apply knowledge learned to different possible real-life scenarios. This contributed to the simulations that are available for educational institutions and organizations so that students and staff can learn and practice their knowledge.
Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.
Both women are so inspiring and motivating. Both women took their ideas and made them into reality. Dr. Thede had no experience with computers or computer software however, she did whatever she could to learn and gain the knowledge needed to address the problem. She would ask anyone she could and would spend time with individuals to learn what she wanted to learn. This is so admirable. Imagine cornering someone and asking them all the questions needed to learn what you wanted to learn. Dr. Weiner learned what she needed to create these simulations for students, and her fellow colleagues even told her it couldn’t be done yet she did it. These women did not take no for an answer. They just simply did what they had to do to get what they wanted done. I believe we need to have this outlook and mindset as DNP prepared nurses. Our goal is to improve patient outcomes and continue to advance the nursing profession. We must look at every possible improvement project with optimism and make a genuine effort to try to create new process and EBP initiatives. Challenges facing healthcare in the U.S. include disparities in care, outdated practices, increasing costs, nursing shortages, clinician burnout, uneven regulation, variations in healthcare quality, and a complex fragmented delivery system, the U.S. spends more money on healthcare than any other Western World country however ranks poorly in population health outcomes (O’Hara, 2022). As DNP nurses, we should be striving to make improvements in all these areas to improve our population health and healthcare system.
References
American Medical Informatics Association. (n.d. a). Nursing Informatics Innovators: Linda Q. Thede. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-linda-q-thedeLinks to an external site.
American Medical Informatics Association. (n.d. b). Nursing Informatics Innovators: Elizabeth E. Weiner. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-elizabeth-e-weinerLinks to an external site.
O’Hara, S., Ackerman, M. H., Raderstorf, T., Kilbridge, J. F., & Melnyk, B. M. (2022). Building and sustaining a culture of innovation in nursing Academics, Research, Policy, and Practice: Outcomes of the National Innovation Summit. Journal of Professional Nursing, 43, 5–11. https://doi.org/10.1016/j.profnurs.2022.08.001
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Collapse SubdiscussionRegidor Del Rosario Nursing informatics according to the American Nurse Association (2015) is “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. As the field of nursing informatics continues to evolve, the quality of healthcare has significantly improved leading to an improved patient outcome. Nursing informatics has been shown to improve the quality of healthcare simply through proper documentation of the patient’s condition as well as sharing information of the patient electronically. The secure sharing of patient information between the multidisciplinary team allows for continuity of care. For example, the electronic health record of the patient can be easily accessed by nurses within the hospital setting, this allows for them to notify the healthcare provider for any immediate concerns such as critical lab values. This is all thanks to the innovators who’ve made nursing informatics available for us to utilize.
The first nursing informatics innovator is Karen S. Martin. Karen S. Martin was involved in the early development of the Omaha System, a system that enhances healthcare practice, documentation, and the management of patient information (American Medical Informatics Association, 2022). According to the Omaha System (2022), current users include the multidisciplinary team such as the nurse, PT/OT/ST, social workers, and the physician. The Omaha System (2022) also mentions that this enables collection, aggregation, and analysis of clinical data. It supports quality improvement, critical thinking, and communication. It fosters research involving best practices/evidence-based practice. It links clinical data to demographic, financial, administrative, and staffing data. Aside from being involved in the early development of the Omaha System, Karen S. Martin also provides consultation to the community, acute, long-term care and academic settings, she is also on the review panels of Nursing Outlook, Public Health Nursing and Computer Informatics Nursing (AMIA, 2022).
The next nursing informatics innovator is Dr. Elizabeth Weiner. Dr. Weiner is the Senior Associate Dean for Informatics at Vanderbilt University School of Nursing (AMIA, 2022). Dr. Weiner is also a Centennial Independence Professor of Nursing and Professor of Biomedical Informatics (AMIA, 2022). Dr. Weiner is a pioneer in multimedia development, she has greatly contributed to the multimedia development of clinical simulations (AMIA, 2022). Her work is also responsible for the distance learning programs utilized in the school of nursing, and the tools in informatics that help tie together research, practice, and academic arenas (AMIA, 2022). According to the Vanderbilt School of Nursing (2022), Dr. Weiner co-created a labor and delivery computer simulation which is used by 98% of the nursing programs in the United States.
After having read about these two innovators in nursing informatics and their mission to improve healthcare delivery both directly and indirectly, I’ve decided to follow in their footsteps as a future DNP-prepared nurse. I’ve learned that nursing informatics is still in its early stages and there is still room to make improvements. As we take on the role of the DNP-prepared nurse, we must ensure to make a positive impact to advance the field of nursing and nursing informatics to improve patient outcomes through innovative ideas.
American Nurses Association. (2015). Nursing informatics Links to an external site.Links to an external site.: Scope and standards of practice (2nd ed.).
American Medical Informatics Association. (2022). Nursing Informatics Innovators: Elizabeth E. Weiner. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-elizabeth-e-weinerLinks to an external site.
American Medical Informatics Association. (2022). Nursing Informatics Innovators: Karen S. Martin. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-karen-s-martinLinks to an external site..
The Omaha System. (2022). Omaha System Overview. https://www.omahasystem.org/overview
Vanderbilt School of Nursing. (2022). Betty Weiner. https://nursing.vanderbilt.edu/people/bio/betsy-weiner
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Collapse SubdiscussionGernita Lee NURS 8210 Transforming Nursing Week 1 Main Discussion Post
Nursing Informatics Innovator Dr. Carol Romano
Dr. Carol Romano is a Rear Admiral and the Acting Chief of Staff for the office of the Surgeon General and Chief Nurse Officer for the Public Health Service (Association, 2021). recounted the technological simplicity present during 1975, which resulted in unfathomable amounts of manual record-keeping. The manual auditing process often overwhelmed the night shift, motivating her to seek technological invention to eliminate the burden of tedious hand record keeping. Romano welcomed the opportunity to pioneer electronic information systems. She provides a contextual framework for focusing on how technical systems should solely work to optimize nursing care. Ramano’s significant contribution to nursing informatics is her firsthand development of nursing informatics as a science. In 1975 less than five hospital systems in the United States implemented electronic medical record systems (EMR). Ramano’s descriptions of the science combined with her personal accounts of successes and failures attained during knowledge sharing and dissemination provides brevity in understanding technology’s impact on data mining to improve patient outcomes.
Interestingly, Ramano’s early accounts of convincing nurses to engage in EMR usage in 1975 continue to be seen in her modern explanation of nursing informatics, embracing fitting technology to nursing practice alone but integrating a process of understanding the transition process that accompanies change. As an innovator, Ramano intends to engage in a continual evaluation cycle past the successful implementation phase for perpetual improvement in delivery, quality, and safety. Her informatics provided the framework for gathering patient data and formulating relationships and technological trending.
Nursing Informatics Innovator Dr. Linda Thede
Dr. Linda Thede is currently the editor of (Computer, Informatics, Nursing) CIN Plus and author of Informatics in Nursing Opportunities and Challenges. Dr. Thede recounts a deep hunger for understanding coding during the beginning phases of computer programming after being exposed to computers by a friend. From then on, Dr. Thede engaged in interdisciplinary educational conferences and unique persuasion techniques to further advance her understanding of technology, aiming to simplify nursing practices. Dr. Thede recounts how the early phases of system implementation provide opportunities for growth through error. She recalled how a beginning coding student became overwhelmed when the coding system did not recognize her name for data input. Although an oversight, the encounter provided Dr. Thede insight into the impact of implementing new technologies, systems, or practices on the end user. The quintessential question of economic justification looms significantly over the nursing profession, as Dr. Thede describes the real threat of replacing skilled registered nursing staff with technical staff.
Nursing informatics provides real-time data illuminating the value of higher-skilled level nursing staff for morbidity and mortality reduction. A significant accomplishment of Dr. Thebes was her successful hypothesis of the future of nursing informatics’ ability to correlate, synthesize and capture patient data with a button push. Her ability to recognize the power of technology in its infancy and its significance within healthcare delivery was groundbreaking and clairvoyant (Association, 2021). Dr. Thede contrasts the early challenge with technology. The data required was too much for the computer systems to maintain. Currently, technological systems risk overwhelming the user, impeding nursing workflow compared to the original intention of nursing informatics to optimize nursing care. Nursing provides the patient point of view as a unique perspective of advocacy, and Dr. Thede warns that if the system provides any burden to the nurse, buy-in will not be achieved, and the software will be rendered useless; therefore stressing the importance of usability with all innovations (Association, 2021).
Lessons Learned From Nursing Informatics Innovators
Evaluating the impressive pioneer spirit of Dr. Ramona and Dr. Thede provides a roadmap for success and serves as an example of resiliency when facing complications. As one of the first nurses to develop a working integrative EMR system, Dr. Romano adopted a framework of adapting the tools to the patient’s workload. At the same time, Dr. Thede aimed to reduce redundancies in patient care through technological software development. Nursing informatics is a specified field of healthcare informatics that utilizes a combination of nursing science and information science (Data Science Show). Ting et al. (2021) emphasized the importance of understanding the impact of technology implementation practice changes on the end user (Ting, Garnett, & Donelle, 2021). Devising interventions to improve patient-provider relationships requires consideration of overall practice stress and strain on the intended members. It will demand an understanding current internal and external factors before initiating change for successful long-term adaptation. Engaging in a continual evaluation of effectiveness and improvement will provide long-term process change commitment, as highlighted by Dr. Romano. However, a commitment to the overall goal of optimizing patient care prevents delays in progress and political discourse (Association, 2021). Engaging the Chief Medical Officer, Chief Executive Officer, podiatric medicine providers, and nurse practitioners engaged in daily patient care will require full buy-in and receptive feedback for lasting practice change in patient engagement and provider-patient relationship evaluations. Utilizing current data mining processes and presenting findings with realistic interventions will ensure lasting, positive organizational change.
References
Association, A. M. (2021). Nursing informatics innovators. doi:https://amia.org/community/working-groups/nursing-informatics/nursing
Data Science Show. (n.d.). What is healthcare informatics? Introduction to nursing informatics [Video]. YouTube. doi:https://www.youtube.com/watch?v=VP0UprsVTfk
Ting, J., Garnett, A., & Donelle, L. (2021). Nursing education and training on electronic health record systems: An Integrative Review. Nurse Education in Practice, 55. doi:https://doi.org/10.1016/j.nepr.2021.103168
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Collapse SubdiscussionDavid Adubi Main Discussion Post
Health Information Technology and Nursing Informatics: Nursing Informatics Innovators
Description of Innovators
Roy L Simpsons and Patricia Abbott are two innovators in nursing who have made significant contributions to the field of nursing informatics. Roy L. Simpson, RN, C, CMAC, FNAP, FAAN, is the Cerner Corporation’s vice president of nursing informatics. He oversees industry connections pertaining to professional nurse practice as well as strategic sales and planning for the patient care organization. He is a well-known speaker with more than 30 years of experience who has more than 600 articles and presentations on nursing informatics and professional issues to his name. He also serves on editorial boards for several professional publications, including Nursing Forum, Applied Nursing Research, and Nursing Administration Quarterly (Nursing informatics innovators). He started examining patient data related to nursing care [such as cost per patient, quality, and safety] after realizing that nurses have a much greater influence on health care. The Nursing Minimum Data Set was developed and funded in part thanks to Simpson (NMDS). He is a fellow of the American Academy of Nursing and the National Academies of Practice. He is also the chair of the Council of Nurse Executives for the National League for Nursing and a member of its Board of Governors. With his several academic appointments, Simpson and his colleagues started an online master’s degree in nursing administration and nursing informatics with a faculty of the highest caliber.
For her early work in establishing the Nursing Informatics Specialty, Dr. Abbott is best recognized. She worked on creating the first NI certification exam with the ANCC after joining the author team for the original Scope and Standards of NI Practice with the ANA. She served as the University of Maryland’s Director of Graduate Programs in Nursing Informatics from 1998 to 2003. Dr. Abbott transferred to the Hopkins School of Nursing in 2004 and began studying global health informatics for first responders in underdeveloped regions. Her most recent work has primarily been in this area, where she is influencing community health and utilizing low-bandwidth technologies and knowledge management strategies. She finished a two-year post-doctoral fellowship at the Hopkins School of Medicine that was funded by the NIH and NLM, where she concentrated on the research of user-centered design and usability that she applies in both clinical and international settings. She is one of the Pan American Health Organization’s senior directors. She teaches at the Johns Hopkins School of Nursing as well. The nursing informatics leader started out with a Diploma in Nursing, and after discovering that her inadequate academic background was keeping her from getting promoted at work, she went back to school to earn her BSN. She took a 3-credit course on “Nursing and Computers” in her final semester of her BSN, which served as her introduction to nursing informatics. Before working as a clinical expert handling healthcare information at the Veterans’ Affairs Medical Center in Baltimore, she completed her master’s degree. She served as the University of Maryland’s Director of Graduate Programs in Nursing Informatics from 1998 to 2003. She finished a two-year post-doctoral fellowship at the Hopkins School of Medicine that was funded by the NIH and NLM, where she concentrated on the research of user-centered design and usability that she applies in both clinical and international settings (Nursing informatics innovators, n.d).
Contribution to Health Information Technology and Nursing Practice
By establishing the Nursing Minimum Data Set, Simpson improved nursing practice. He played a key role in obtaining funds for the adoption of information technology methods in nursing practice. He collaborated with Norma Lang and Harriet Werley to fund and create the Werley and Lang Nursing Minimum Data Set in 1982. These 17 aspects, which were accepted by the American Nurses Association (ANA), established the distinctive contribution of nursing practice as a separate vehicle and improved the profession. He co-authored the scope of practice in 1986 in order to recognize nursing informatics as a specialty and to continue the petition for ANA certification, which was granted in 1992. (Raines, 2015). On how to use information technology tools in nursing care, he instructed nurses. By performing nursing research and publishing articles in peer-reviewed journals, he has also improved nursing practice. By authoring publications that outline the evolving roles of informaticians and the application of informatics systems in healthcare organizations, Simpson has also played significant roles in advancing nursing informatics. This has significantly increased nurses’ knowledge of nursing informatics around the world (Biometric informatics, n.d.).
Nurses now have access to peer-reviewed articles, which are crucial for supporting evidence-based nursing care and have a positive impact on healthcare thanks to Dr. Abbott’s nursing research. It has been shown that nurses who are able to use nursing strategies that have been tried and true through research are able to provide patients with high-quality nursing care. Dr. Abbott has contributed to the development of nursing practice through the use of nursing informatics. She had made significant contributions to activism, legislation, and instruction. At the University of Maryland, she played a significant role in increasing nurses’ and students’ awareness of nursing informatics. As a result, she has improved nursing practice by urging students to use informatics in nursing practice to enhance patient care.
Lessons Learned from the Experiences of the Innovators
Simpson’s dedication to his nursing career in several medical facilities demonstrates the value of perseverance. The importance of teamwork in healthcare organizations can also be learned. For instance, Simpson was able to collaborate with two other academics to put the Nursing Minimum Data Set into practice. He was aware that he couldn’t carry it out alone and thought that other senior nurses from various institutes could help. Perseverance is a different lesson that can be drawn from his experiences. He had to deal with the difficulties of putting systems in place to manage finances and patient data while he was employed at the Hospital Corporation of America. He ultimately successfully integrated the new systems because he refused to give up. At the international PAHO-John Hopkins School of Nursing Program, which entails interacting with the nursing population, Dr. Abbott has shown exceptional policy advocacy skills. She has promoted the use of nursing informatics tools by nurses providing care to patients in isolated areas of Africa by utilizing her advocacy talents. The drive to succeed in life is the most important lesson that can be taken away from Dr. Abbott’s experiences. She returned to school in order to obtain a BSN, which may be crucial to the advancement of her job. I would be determined to grow in the nursing profession by achieving the highest academic qualifications that would see me get promoted in the workplace.
References
Biomedical informatics: Dr. Patricia Abbott and Roy Simpson: Healthcare essay example. Assignology. (n.d.). Retrieved November 30, 2022, from https://assignology.com/biomedical-informatics-dr-patricia-abbott-and-roy-simpson/
Nursing informatics innovators: Patricia Abbott. AMIA. (n.d.). Retrieved November 30, 2022, from https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-patricia-abbott
Nursing informatics innovators: Roy L. Simpson. AMIA. (n.d.). Retrieved November 30, 2022, from https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-roy-l-simpson#:~:text=Simpson%20was%20a%20pioneer%20in,the%20Council%20of%20Nurse%20Executives.
Raines, L. (2015). Roy L. Simpson. Roy L. Simpson | Nursing Magazine | Emory University. Retrieved November 30, 2022, from http://emorynursingmagazine.emory.edu/issues/2015/fall/features/shaping-health-care/shaping-health-care-roy-simpson/index.html
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Collapse SubdiscussionNgetla Manyineh Mbonuh Health Information Technology and Nursing Informatics
Nurse Innovators and Nurse Informatics
Nurse innovators bring positive changes in the healthcare industry and bring equity by addressing the needs of the targeted human population. Nursing innovations may include reducing pressure ulcers, sharing ideas, reducing stress, relationship building, and increasing education (McGonigle & Mastrian et al., 2021). Nurse informatics involves combining or integrating nurse information with technical health information.
Selection of Nurse Innovators
Patricia Abott and Judy Murphy
I selected the two innovators namely Patricia Abott and Judy Murphy. Dr. Patricia Abott is a registered nurse regarded as one of the pioneers and founders of informatics innovation. I have selected Dr. Patricia Abott as an ideal innovator due to her efforts in promoting disease self-management (Kalsy et al., 2018). Dr. Abott used her knowledge to become the first person to apply data mining techniques in nursing.
The second nursing innovator is Judy Murphy. She has vast experience in informatics and a specialization in electronic healthcare records. The innovator is ideal for her exploitations of standard computer technologies like IP and WI-FI (Kalsy et al., 2018). Research on Ms. Murphy reveals a committed nurse innovator who exploited the features and functions of nursing information systems. Understanding the use of these systems is very important since future nurse leaders can train their staff through shared governance.
Innovators’ Contributions and Influence on Health Information Technology and Their Professional Accomplishments.
Nursing informaticists have made impactful strides in improving the quality of healthcare. They have shaped nursing informatics and made proper decisions that promote equity within the healthcare industry. The two innovators, Dr. Patricia Abott and Ms. Judy Murphy have significantly impacted the development of nursing informatics. It is worth noting that their innovations have improved healthcare preparedness policies, patient-centered care, health technology, healthcare leadership, and most importantly, the general welfare of healthcare workers. (McGonigle & Mastrian et al., 2021). At a professional level, Dr. Patricia Abott is a professor at the University of Michigan School of Nursing. She teaches how to spread the knowledge of nursing informatics to vulnerable communities. She has also invested in attending to patients living in home-based environments, e.g., patients with heart failure. On the other hand, Ms. Judy Murphy worked professionally in healthcare in Milwaukee, Wisconsin, United States. She was recognized for her efforts in automation: clinical documentation and the various methodologies used in system implementation.
Impacts and Contributions of Innovators on Nursing Practice and Nursing Informatics
Innovators’ contributions have impacted the nursing practice and informatics in various ways. The innovators promoted equity and proper decision-making within the healthcare industry. They also addressed the needs and problems faced by their targeted population (Sipes, 2020). The innovators impacted the development of a patient-centered healthcare system that focuses more on the patient’s needs. They also brought the electronic medical records system, which reduced paperwork and improved the efficiency of medical operations. Dr. Patricia and Ms. Murphy’s contributions led to more accessible access to healthcare services and an overall increase in the quality of healthcare services. The significant impact on nurse informatics was the global widespread of nursing informatics which is now adopted across almost all health institutions. Advancements in e- prescribing, online record keeping, and telehealth have led to healthcare cost reduction, patient empowerment, and the freedom to a healthier and safer working environment (Risling, 2017).
Lessons Learned from Innovators’ Experiences.
Pioneers of innovations have made immediate impacts on the healthcare industry that I can learn from in my professional practice. Dr. Patricia Abott and Ms. Judy Murphy’s innovative experiences teach that nurses, physicians, clinical officers, and all health practitioners should acquire nursing informatic skills (Williamson & Muckle, 2018). With these skills, nurses can perform any duties nurse leaders and managers assigned to them. The two innovators have significantly impacted the operations of present and future nurses, which will improve their decision-making and help them gain efficiencies in healthcare service delivery. Concerning my professional practice, the informatics pioneers have developed my awareness of the need for critical decision-making, the delivery of timely information, and the accuracy of information (Williamson & Muckle, 2018). As a nurse practitioner, the current healthcare environment faces a pressing concern to re-evaluate healthcare community resources and seek to improve patient experiences, nursing practice, and general health outcomes.
References
Kalsy, M., Lin, J. H., Bray, B. E., & Sward, K. A. (2018). Role of nursing informatics in the automation of pneumonia quality measure data elements. CIN: Computers, Informatics, Nursing, 36(10), 475-483.
McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers
Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. Nurse Education in Practice Links to an external site.Links to an external site., 22, 89–92. doi:10.1016/j.nepr.2016.12.007
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing
Williamson, K. M., & Muckle, J. (2018). Students’ perception of technology use in nursing education. CIN: Computers, Informatics, Nursing, 36(2), 70-76.
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Collapse SubdiscussionRegidor Del Rosario Thank you for sharing your post with us Ngetla, I found this to be very interesting. I completely agree with you, nursing innovators do bring change in the healthcare industry and bring equity by means of addressing the needs of the targeted human population. The first nursing innovator you mention, Dr. Patricia Abbot has contributed greatly to nursing informatics. According to the American Medical Informatics Association (2021), Dr. Abbott has contributed to nursing informatics by being a member of the Author team for the original scope and standards practice of NI Practice with the ANA and developing the first NI certification exam with the ANCC. The next nursing informatics innovator you mention is Judy Murphy. Ms. Judy Murphy is has innovated nursing informatics by improving the electronic health records system at Aurora Health Care is Milwaukee, Wisconsin which oversees 15 hospitals employing more than 30,000 employees (AMIA, 2021). According to the AMIA (2021), Ms. Judy Murphy has also innovated nursing informatics through system implementation methodologies, automated clinical documentation and using technology to support evidence-based practice. As a future DNP prepared nurse I plan to follow in the foot steps of these great innovators to improve patient outcome and to improve the healthcare provided to the patients. An example of how I would like to contribute to nursing informatics in to further improve the electronic health record or electronic medical record system.
American Medical Informatics Association. (2021). Nursing Informatics Innovators: Judy Murphy. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-judy-murphyLinks to an external site.
American Medical Informatics Association. (2021). Nursing Informatics Innovators: Patricia Abbott. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-patricia-abbottLinks to an external site.
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Collapse SubdiscussionDelightful Anulika Alaka Health Information Technology and Nursing Informatics: Nursing Informatics Innovators
Nursing informatics innovators have made numerous contributions to the current healthcare or nursing practice. Two innovators, Dr. Suzanne Bakken and Pat Button have made contributions to the field of nursing informatics. First, Dr. Bakken has engaged in several research programs focusing on the promotion of health and the reduction of health disparities. Her major contribution to nursing informatics is the visualization of healthcare data for patients and community members (AMIA, 2022). This innovation has had an impact on both nursing informatics and nursing practice. To improve the health of the population, data must be collected to understand the different dynamics of the population. Dr. Bakken, through visualization of healthcare data, has managed to ensure that research in nursing addresses the specific needs of the population using the data collected. This has also improved nursing practice and helped address the specific needs of the populations.
Pat Button is known for her innovation, ZynxCare. This technology provides customized evidence-based plans for care (AMIA, 2022). Button understands the importance of systems development and implementation in improving healthcare. According to Kiviliene and Blazeviciene (2019), nursing care is a complex adaptive system. As such, there are different factors and interests at play. What Button’s technology does is consolidating and customizing evidence-based interdisciplinary plans to help improve the efficiency of healthcare. Professionally, Button has been engaged in extensive research on nursing practice. It is through her efforts that she developed the ZynxCare to help bring together different players in healthcare and ensure that the care process is patient-focused. Therefore, her innovation also has an impact on the process of care.
Listening to the two innovators is an eye-opening experience. The implementation of different innovations in healthcare help improve the care process (Kara, 2018). The two innovators have made numerous achievements in health informatics. Their commitment to improving the care process demonstrate the need for research and innovation. For instance, they talk about their passion for nursing and how they strive to keep improving practice. This is an inspiration for any nurse looking to make a positive impact in nursing practice.
References
AMIA (2022). Nursing Informatics- Pat Button. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-pat-button
AMIA (2022). Nursing Informatics- Suzanne Bakken. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-suzanne-bakken
Kara, D. (2018). Innovation in nursing practices. New Trends and Issues Proceedings on Advances in Pure and Applied Sciences, (7), 170-174.
Kiviliene, J., & Blazeviciene, A. (2019). Review of complex adaptive systems in nursing practice. Journal of Complexity in Health Sciences, 2(2), 46-50.
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Collapse SubdiscussionValerie Corvera Hello Delightful,
Great post on Dr. Bakken and Pat Button. These two innovators seem to have made a great impact on the nursing profession. It is vital for individuals like this to continue to find solutions to problems they may be facing. These innovators are pioneers in nursing informatics because they started different programs and created new ways of incorporating computer technology into nursing. The challenge that we currently face is how to better this technology and what are more efficient ways it can be utilized. The application of advanced technology in nursing can lead to improvements in patient safety and higher quality of care (Mieronkoski, 2017). Computer technology is still new for many nurses. The more experienced generation of nurses still struggle with computer technology while the younger generation it’s all they know. I have heard conversations between these two generations, and it is comical to watch an older nurse talk about their experience of paper charting and the new nurse is just mind blown. I enjoy watching the newer generation of nurses teaching the older generation how to use the EMR and navigate through different screens. It’s fascinating how far we have come in such a short amount of time. Skills that these two innovators demonstrate that I can relate to my own professional practice is the need for visualization, determination, motivation for improving the nursing profession and improving patient care. Dr. Bakken helped create a place for healthcare data to be stored and easily accessed. Her patient population focus is underserved populations and her goal is to promote health and reduce health disparities through application of innovative informatics methods. Health information technology holds significant potential for engaging individuals in managing their heath by providing tools to track, manage, and interpret personal health metrics, tools like this can empower patients to ask questions, communicate concerns, identify and assess alternatives, reflect on progress, and alter their health behavior (Unertl et al., 2016). As DNP prepared nurses we must continue to look to these innovators who have paved the way and continue to make improvements in our nursing profession.
References
Mieronkoski, R., Azimi, I., Rahmani, A. M., Aantaa, R., Terävä, V., Liljeberg, P., & Salanterä, S. (2017). The Internet of Things for basic nursing care—A scoping review. International Journal of Nursing Studies, 69, 78–90. https://doi.org/10.1016/j.ijnurstu.2017.01.009
Unertl, K. M., Schaefbauer, C. L., Campbell, T. R., Senteio, C., Siek, K. A., Bakken, S., & Veinot, T. C. (2016). Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations. Journal of the American Medical Informatics Association : JAMIA, 23(1), 60–73. https://doi.org/10.1093/jamia/ocv094
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Collapse SubdiscussionAjayi M Ajayi Nursing Informatics Innovation.
The nursing informatics innovation model of nursing integrated professionals that support nursing informatic congruent with leadership goals in nursing skilled that collective to nursing management the nursing profession. Nursing practice commonly has concerns about the quality of care, working life, and working environment. However, nursing informatics innovation can vary in many separate roles. In this discussion, I choose technology and the changing climate (ANA,2015).
Brief description of the two innovators
First is technology, as nursing informatics has tools for nursing too, and the staff to operationalize uniquely and collaborate with many professionals to resolve any problem on the line collecting by phone or email. Technology is one of the best innovations in the healthcare system (ANA,2015).
The environment is essential in any healthcare setting to promote awareness and practice evidence-based medicine. The main goal is delivering the best quality healthcare with good efficiency and technology, leading the health care to improve all patients’ quality. Therefore, exploring a better work environment for innovators is especially important.
Conclusion
Nursing informatics is a tool that helps the nursing complexity and efficiency required in many healthcare settings. And the practice in the science of integrating with technology. Nursing informatics is a tool to improve healthcare to better quality and improvement for all patients and healthcare (Sipes,2020).
American Nurses Association. (2015). Nursing informatics Links to an external site.: Scope and standards of practice (2nd ed.). “Introduction” (p. 1) “The Scope of Nursing Informatics Practice” (pp. 1–6) “Standard 1: Assessment” (pp. 68–69) “Standard 2: Diagnosis, Problems, and Issues Identification” (p. 70). (n.d.).
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing. Chapter 1, “Basic Project Management for the Advanced Practice Nurses and Healthcare Professionals” (pp. 3–16) Chapter 2, “Advanced Practice Nurse Role Descriptions and Application of Project Management Concepts” (pp. 17–46) Chapter 3, “Design/Initiation: Project Management—Phase 1” (pp. 58–62). (n.d.).
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Collapse SubdiscussionChristian Offor Hello Ajayi, thanks for your post. The innovators I would like to add to your post are Dr. Roy L. Simpson and Dr. Betty L. Chang, prominent nursing informatics professionals identified by the American Medical Informatics Association. On the one hand, Dr. Simpson has more than three decades of experience in nursing informatics and is best known for developing the Nursing Minimum Data Set (NMDS) (Emory, 2022). NMDS is a classification system that helps in the standardized collection of essential nursing data, thus helping to describe the nursing process used to provide nursing care accurately. Dr. Simpson has demonstrated leadership, hard work, and self-drive skills in his nursing informatics innovation journey. These may relate to my nursing profession by helping me to easily collaborate with other healthcare professionals in exchanging and applying health research and information in a meaningful way that positively impacts patient outcomes.
On the other hand, Dr. Chang is best known for his contributions to nursing informatics’ areas of nursing education and research (American Medical Informatics Association, 2021). Some of the skills demonstrated by Dr. Chang are leadership skills and patience. These are vital for improving the performance of the nursing faculty. In my nursing practice, these skills are vital for the success of any professional nursing as they increase the chances of one becoming a great achiever in nursing informatics. With excellent nursing informatics competencies, I can better coordinate care, improve patient outcomes, and improve efficiencies in clinical processes.
References
American Medical Informatics Association. (2021). Nursing informatics innovators: Betty L. Chang. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-betty-l-changLinks to an external site.
Emory. (2022). Roy L. Simpson – About. https://www.nursing.emory.edu/faculty-staff/roy-l-simpsonLinks to an external site.
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Collapse SubdiscussionQuateka Cochran Hello Ajayi, very interesting post. I agree that technology advances and environment are essential to nursing informatics. I would be interested to know which of the informatics innovators you felt used technology and environment to advance informatics. Dr. Jean Arnold, developed and implemented the first computer laboratory for nursing students at Rutgers College of Nursing. Her work would be congruent to your discussion of technology. She was faced with countless barriers due to the lack of knowledge surrounding the use of computers. Technology has been instrumental in furthering medicine and the care we provide to our patients. The other innovator that may relate to your post is Dr. Carole Gasset, she used her work in the cardiac ICU to make advances in informatics. The environment that she worked allowed her to show the usefulness of informatics and technology as a whole to improve the care that nurses provide to patients.
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
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Collapse SubdiscussionBrittney Pember Initial Post
The two innovators I selected are Patricia Abbott PhD, RN, FAAN, FACMI and Ida M. Androwich PhD, RNC, FAAN. Dr Abbott has an impressive career. She has realty paved the way in education and worked with some amazing universities. I like that she does a lot of research into telehealth and how this has effected or well effect self-management. This is extremely important in this time due to everything going in within the last few years. Dr Androwich also has a very impressive background I like that she focuses on healthcare leadership roles and the effects that trickle down to staff. There is so much to be studied in many different ways in this area. Informatics tools are designed to support nursing practice. (Piscotty R, 2014)
Their contributions have influenced nursing practice not only by creating new paths and research that has led to better performance but also shows nurses that doing this type of work is possible as well as goals being obtainable. The skills they have shown can apply to my practice by showing me how to organize information and assign tasks. The clinical data stored in clinical data warehouse can be analyzed and studied to identify patterns and relationships in a method called data mining. Data mining is the process of extracting data from large datasets to determine relationships and patterns which can be used for formulating predictive models. (De Vries AE, 2013) This is helpful as the director of my program to understand how to understand and organize certain system processes. Nursing science is behind medical science in understanding CDSS use in nursing practice. (Bakken S, 2008)
De Vries AE, van der Wal MH, Nieuwenhuis MM, et al. Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. BMC Med. Inform. Decis. Mak. 2013;13:54.
Piscotty R, Kalisch B. Nurses’ use of clinical decision support: a literature review. Comput. Inform. Nurs. 2014;32(12):562–568.
Bakken S, Currie LM, Lee NJ, Roberts WD, Collins SA, Cimino JJ. Integrating evidence into clinical information systems for nursing decision support. Int. J. Med. Inform. 2008;77(6):413–420.
