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InformaticsCompetencies forNurses
InformaticsCompetencies forNursesDina Ahmed Hidayat - BSN, MLHPE
HIS / RN
InformaticsCompetencies forNurses
InformaticsCompetencies forNurses
Objectives
• To highlight the importance of
informatics knowledge within nursing
practice
• To identify the four main levels of
competencies that can be acquired
by nurses
• To correlate the importance of these
competencies in the improvement of
health systems
• To highlight the importance of
informatics knowledge within nursing
practice
• To identify the four main levels of
competencies that can be acquired
by nurses
• To correlate the importance of these
competencies in the improvement of
health systems
Historically
The Evolution of Nursing• The idea of recording patient
information electronically instead of on
paper –the Electronic Medical Record
(EMR) –has been around since the late
1960‘s
• In 1972, the Regenstreif Institute
developed the first medical records
system but it was not mandated to be
used till year 2000.
• The idea of recording patient
information electronically instead of on
paper –the Electronic Medical Record
(EMR) –has been around since the late
1960‘s
• In 1972, the Regenstreif Institute
developed the first medical records
system but it was not mandated to be
used till year 2000.
Levels of competency
Level 2: Experienced NurseLevel 2: Experienced Nurse
Level 1: Beginning NurseLevel 1: Beginning Nurse
Level 3: Informatics SpecialistLevel 3: Informatics Specialist
Level 4: Informatics InnovatorLevel 4: Informatics Innovator
Discussion
• Valid and comprehensive nursing
informatics (NI) competencies are
lacking within our systems.
• Nursing leaders are emphasizing the
need to include NI in nursing academic
curricula, as well as within the roles of
practicing nurses in all settings.
• NI competencies encompass all skills,
not only computer-related skills, as well
as knowledge and attitudes needed by
nurses.
• The main domains required are: basic
computer competencies, information
literacy, and information management.
• Valid and comprehensive nursing
informatics (NI) competencies are
lacking within our systems.
• Nursing leaders are emphasizing the
need to include NI in nursing academic
curricula, as well as within the roles of
practicing nurses in all settings.
• NI competencies encompass all skills,
not only computer-related skills, as well
as knowledge and attitudes needed by
nurses.
• The main domains required are: basic
computer competencies, information
literacy, and information management.
• Valid and comprehensive nursing
informatics (NI) competencies are
lacking within our systems.
• Nursing leaders are emphasizing the
need to include NI in nursing academic
curricula, as well as within the roles of
practicing nurses in all settings.
• NI competencies encompass all skills,
not only computer-related skills, as well
as knowledge and attitudes needed by
nurses.
• The main domains required are: basic
computer competencies, information
literacy, and information management.
• Valid and comprehensive nursing
informatics (NI) competencies are
lacking within our systems.
• Nursing leaders are emphasizing the
need to include NI in nursing academic
curricula, as well as within the roles of
practicing nurses in all settings.
• NI competencies encompass all skills,
not only computer-related skills, as well
as knowledge and attitudes needed by
nurses.
• The main domains required are: basic
computer competencies, information
literacy, and information management.
(Staggers, Gassert & Curran, 2002)
Level 1: Beginning Nurse
Computer Skills - Administration
• Uses administrative applications for practice
management (e.g., searches for patient, retrieves
• demographics, billing data)
• Uses applications for structured data entry (e.g.,
patient acuity or classification applications)
Computer Skills – Communication (email, internet,
telecommunications)
• Uses telecommunication devices (e.g., modems or
other devices) to communicate with other
• systems (e.g., access data, upload, download)
• Use e-mail (e.g., create, send, respond, use
attachments)
• Uses the Internet to locate, download items of
interest (e.g., patient, nursing resources)
Computer Skills – Data access
• Accesses, enters, and retrieves data used locally
for patient care (e.g., uses HIS, assessments,
interventions, notes, discharge planning)
• Uses database applications to enter and
• Conducts on-line literature searches
Computer Skills - Administration
• Uses administrative applications for practice
management (e.g., searches for patient, retrieves
• demographics, billing data)
• Uses applications for structured data entry (e.g.,
patient acuity or classification applications)
Computer Skills – Communication (email, internet,
telecommunications)
• Uses telecommunication devices (e.g., modems or
other devices) to communicate with other
• systems (e.g., access data, upload, download)
• Use e-mail (e.g., create, send, respond, use
attachments)
• Uses the Internet to locate, download items of
interest (e.g., patient, nursing resources)
Computer Skills – Data access
• Accesses, enters, and retrieves data used locally
for patient care (e.g., uses HIS, assessments,
interventions, notes, discharge planning)
• Uses database applications to enter and
• Conducts on-line literature searches
Computer Skills - Administration
• Uses administrative applications for practice
management (e.g., searches for patient, retrieves
• demographics, billing data)
• Uses applications for structured data entry (e.g.,
patient acuity or classification applications)
Computer Skills – Communication (email, internet,
telecommunications)
• Uses telecommunication devices (e.g., modems or
other devices) to communicate with other
• systems (e.g., access data, upload, download)
• Use e-mail (e.g., create, send, respond, use
attachments)
• Uses the Internet to locate, download items of
interest (e.g., patient, nursing resources)
Computer Skills – Data access
• Accesses, enters, and retrieves data used locally
for patient care (e.g., uses HIS, assessments,
interventions, notes, discharge planning)
• Uses database applications to enter and
• Conducts on-line literature searches
Levels of CompetencyLevels of Competency
Computer Skills - Administration
• Uses administrative applications for practice
management (e.g., searches for patient, retrieves
• demographics, billing data)
• Uses applications for structured data entry (e.g.,
patient acuity or classification applications)
Computer Skills – Communication (email, internet,
telecommunications)
• Uses telecommunication devices (e.g., modems or
other devices) to communicate with other
• systems (e.g., access data, upload, download)
• Use e-mail (e.g., create, send, respond, use
attachments)
• Uses the Internet to locate, download items of
interest (e.g., patient, nursing resources)
Computer Skills – Data access
• Accesses, enters, and retrieves data used locally
for patient care (e.g., uses HIS, assessments,
interventions, notes, discharge planning)
• Uses database applications to enter and
• Conducts on-line literature searches
(Staggers, Gassert & Curran, 2002)
Level 1: Beginning NurseComputer Skills - Documentation
• Uses an application to document patient care
• Uses an application to plan care for patients to includedischarge planning
• Uses an application to enter patient data (e.g., vital signs)
Computer Skills – Education
• Uses information management technologies for patienteducation (e.g., identifies areas for instruction, conductseducation, evaluates outcomes, resources)
Computer Skills – Basic Desktop Software
• Uses multimedia presentations
• Uses word processing
• Demonstrates keyboarding (typing) skills
Computer Skills-Monitoring
• Uses computerized patient monitoring systems
Computer Skills - Systems
• Uses networks to navigate systems (e.g., file servers, www)
• Operates peripheral devices (e.g., bedside terminals, and hand-held devices)
• Uses operating systems (e.g., copy, delete, change directories)
• Uses existing external peripheral devices (e.g., CD-ROMs, zip drives)
• Is able to navigate Windows
• Identifies the appropriate technology to capture the requiredpatient data (e.g., fetal monitoring device)
• Demonstrates basic technology skills (e.g., turn computer off & on,load paper, change toner, remove paper jams, print documents)
Computer Skills - Documentation
• Uses an application to document patient care
• Uses an application to plan care for patients to includedischarge planning
• Uses an application to enter patient data (e.g., vital signs)
Computer Skills – Education
• Uses information management technologies for patienteducation (e.g., identifies areas for instruction, conductseducation, evaluates outcomes, resources)
Computer Skills – Basic Desktop Software
• Uses multimedia presentations
• Uses word processing
• Demonstrates keyboarding (typing) skills
Computer Skills-Monitoring
• Uses computerized patient monitoring systems
Computer Skills - Systems
• Uses networks to navigate systems (e.g., file servers, www)
• Operates peripheral devices (e.g., bedside terminals, and hand-held devices)
• Uses operating systems (e.g., copy, delete, change directories)
• Uses existing external peripheral devices (e.g., CD-ROMs, zip drives)
• Is able to navigate Windows
• Identifies the appropriate technology to capture the requiredpatient data (e.g., fetal monitoring device)
• Demonstrates basic technology skills (e.g., turn computer off & on,load paper, change toner, remove paper jams, print documents)
Computer Skills - Documentation
• Uses an application to document patient care
• Uses an application to plan care for patients to includedischarge planning
• Uses an application to enter patient data (e.g., vital signs)
Computer Skills – Education
• Uses information management technologies for patienteducation (e.g., identifies areas for instruction, conductseducation, evaluates outcomes, resources)
Computer Skills – Basic Desktop Software
• Uses multimedia presentations
• Uses word processing
• Demonstrates keyboarding (typing) skills
Computer Skills-Monitoring
• Uses computerized patient monitoring systems
Computer Skills - Systems
• Uses networks to navigate systems (e.g., file servers, www)
• Operates peripheral devices (e.g., bedside terminals, and hand-held devices)
• Uses operating systems (e.g., copy, delete, change directories)
• Uses existing external peripheral devices (e.g., CD-ROMs, zip drives)
• Is able to navigate Windows
• Identifies the appropriate technology to capture the requiredpatient data (e.g., fetal monitoring device)
• Demonstrates basic technology skills (e.g., turn computer off & on,load paper, change toner, remove paper jams, print documents)
Levels of CompetencyLevels of Competency
Computer Skills - Documentation
• Uses an application to document patient care
• Uses an application to plan care for patients to includedischarge planning
• Uses an application to enter patient data (e.g., vital signs)
Computer Skills – Education
• Uses information management technologies for patienteducation (e.g., identifies areas for instruction, conductseducation, evaluates outcomes, resources)
Computer Skills – Basic Desktop Software
• Uses multimedia presentations
• Uses word processing
• Demonstrates keyboarding (typing) skills
Computer Skills-Monitoring
• Uses computerized patient monitoring systems
Computer Skills - Systems
• Uses networks to navigate systems (e.g., file servers, www)
• Operates peripheral devices (e.g., bedside terminals, and hand-held devices)
• Uses operating systems (e.g., copy, delete, change directories)
• Uses existing external peripheral devices (e.g., CD-ROMs, zip drives)
• Is able to navigate Windows
• Identifies the appropriate technology to capture the requiredpatient data (e.g., fetal monitoring device)
• Demonstrates basic technology skills (e.g., turn computer off & on,load paper, change toner, remove paper jams, print documents)
(Staggers, Gassert & Curran, 2002)
Level 1: Beginning Nurse
Informatics Knowledge – Data
• Recognizes the use and/or importance of nursingdata for improving practice
Informatics Knowledge - Impact
• Recognizes that a computer program haslimitations due to its design and capacity of thecomputer
• Recognizes that it takes time, persistent effort, andskill for computers to become an effective tool
Informatics Knowledge – Privacy/security
• Seeks available resources to help formulate ethicaldecisions in computing
• Describes patients' rights as they pertain to
computerized information management
Informatics Knowledge - Systems
• Recognizes the value of clinicians' involvement inthe design, selection, implementation, andevaluation of applications, systems in health care
• Describes the computerized or manual papersystem that is present
• Explains the use of networks for electroniccommunication (e.g., Internet)
• Identifies the basic components of the currentcomputer system (e.g., features of a PC,workstation
Informatics Knowledge – Data
• Recognizes the use and/or importance of nursingdata for improving practice
Informatics Knowledge - Impact
• Recognizes that a computer program haslimitations due to its design and capacity of thecomputer
• Recognizes that it takes time, persistent effort, andskill for computers to become an effective tool
Informatics Knowledge – Privacy/security
• Seeks available resources to help formulate ethicaldecisions in computing
• Describes patients' rights as they pertain to
computerized information management
Informatics Knowledge - Systems
• Recognizes the value of clinicians' involvement inthe design, selection, implementation, andevaluation of applications, systems in health care
• Describes the computerized or manual papersystem that is present
• Explains the use of networks for electroniccommunication (e.g., Internet)
• Identifies the basic components of the currentcomputer system (e.g., features of a PC,workstation
Informatics Knowledge – Data
• Recognizes the use and/or importance of nursingdata for improving practice
Informatics Knowledge - Impact
• Recognizes that a computer program haslimitations due to its design and capacity of thecomputer
• Recognizes that it takes time, persistent effort, andskill for computers to become an effective tool
Informatics Knowledge – Privacy/security
• Seeks available resources to help formulate ethicaldecisions in computing
• Describes patients' rights as they pertain to
computerized information management
Informatics Knowledge - Systems
• Recognizes the value of clinicians' involvement inthe design, selection, implementation, andevaluation of applications, systems in health care
• Describes the computerized or manual papersystem that is present
• Explains the use of networks for electroniccommunication (e.g., Internet)
• Identifies the basic components of the currentcomputer system (e.g., features of a PC,workstation
Levels of CompetencyLevels of Competency
Informatics Knowledge – Data
• Recognizes the use and/or importance of nursingdata for improving practice
Informatics Knowledge - Impact
• Recognizes that a computer program haslimitations due to its design and capacity of thecomputer
• Recognizes that it takes time, persistent effort, andskill for computers to become an effective tool
Informatics Knowledge – Privacy/security
• Seeks available resources to help formulate ethicaldecisions in computing
• Describes patients' rights as they pertain to
computerized information management
Informatics Knowledge - Systems
• Recognizes the value of clinicians' involvement inthe design, selection, implementation, andevaluation of applications, systems in health care
• Describes the computerized or manual papersystem that is present
• Explains the use of networks for electroniccommunication (e.g., Internet)
• Identifies the basic components of the currentcomputer system (e.g., features of a PC,workstation
(Staggers, Gassert & Curran, 2002)
Level 2: Experienced Nurse
Computer Skills - Administration
• Uses administrative applications for forecasting
• Uses administrative applications for budget
• Uses applications to manage aggregated data
• Uses administrative applications for staffscheduling
• Uses administrative applications for maintainingemployee records
Computer Skills – Education
• Uses applications to develop testing materials
• Uses applications for curriculum planning
• Evaluates CAI as a teaching tool
Computer Skills-data access
• Accesses shared data sets
• Extracts data from clinical data sets
• Extracts selected literature resources andintegrates them to a personally usable file
Computer Skills-Monitoring
• Applies monitoring system appropriatelyaccording to the data needed
Computer Skills-Quality improvement
• Uses data and statistical analyses to evaluatepractice and perform quality improvement
Computer Skills - Administration
• Uses administrative applications for forecasting
• Uses administrative applications for budget
• Uses applications to manage aggregated data
• Uses administrative applications for staffscheduling
• Uses administrative applications for maintainingemployee records
Computer Skills – Education
• Uses applications to develop testing materials
• Uses applications for curriculum planning
• Evaluates CAI as a teaching tool
Computer Skills-data access
• Accesses shared data sets
• Extracts data from clinical data sets
• Extracts selected literature resources andintegrates them to a personally usable file
Computer Skills-Monitoring
• Applies monitoring system appropriatelyaccording to the data needed
Computer Skills-Quality improvement
• Uses data and statistical analyses to evaluatepractice and perform quality improvement
Level 2: Experienced Nurse
Computer Skills - Administration
• Uses administrative applications for forecasting
• Uses administrative applications for budget
• Uses applications to manage aggregated data
• Uses administrative applications for staffscheduling
• Uses administrative applications for maintainingemployee records
Computer Skills – Education
• Uses applications to develop testing materials
• Uses applications for curriculum planning
• Evaluates CAI as a teaching tool
Computer Skills-data access
• Accesses shared data sets
• Extracts data from clinical data sets
• Extracts selected literature resources andintegrates them to a personally usable file
Computer Skills-Monitoring
• Applies monitoring system appropriatelyaccording to the data needed
Computer Skills-Quality improvement
• Uses data and statistical analyses to evaluatepractice and perform quality improvement
Levels of CompetencyLevels of Competency
Computer Skills - Administration
• Uses administrative applications for forecasting
• Uses administrative applications for budget
• Uses applications to manage aggregated data
• Uses administrative applications for staffscheduling
• Uses administrative applications for maintainingemployee records
Computer Skills – Education
• Uses applications to develop testing materials
• Uses applications for curriculum planning
• Evaluates CAI as a teaching tool
Computer Skills-data access
• Accesses shared data sets
• Extracts data from clinical data sets
• Extracts selected literature resources andintegrates them to a personally usable file
Computer Skills-Monitoring
• Applies monitoring system appropriatelyaccording to the data needed
Computer Skills-Quality improvement
• Uses data and statistical analyses to evaluatepractice and perform quality improvement
(Staggers, Gassert & Curran, 2002)
Level 2: Experienced Nurse
Computer Skills-Research
• Uses computer applications for statistical analysis and nursingresearch
Informatics Knowledge – Data
• Supports efforts toward development and use of a unifiednursing language
• Promotes the integrity of nursing information and accessnecessary for patient care within an
• integrated computer-based patient record
• Provides for efficient data collection
Informatics Knowledge - Research
• Describes general applications available for research
Informatics Knowledge - Impact
• Defines the impact of computerized information managementon the role of the nurse
Informatics Knowledge – Privacy/security
• Discusses the principles of data integrity, professional ethicsand legal requirements
• Describes ways to protect data
Informatics Knowledge -Systems
• Describes general applications to support administration (e.g.,staffing, budget)
• Describes general applications, systems to support clinicalcare
• Describes general applications to support nursing education
Computer Skills-Research
• Uses computer applications for statistical analysis and nursingresearch
Informatics Knowledge – Data
• Supports efforts toward development and use of a unifiednursing language
• Promotes the integrity of nursing information and accessnecessary for patient care within an
• integrated computer-based patient record
• Provides for efficient data collection
Informatics Knowledge - Research
• Describes general applications available for research
Informatics Knowledge - Impact
• Defines the impact of computerized information managementon the role of the nurse
Informatics Knowledge – Privacy/security
• Discusses the principles of data integrity, professional ethicsand legal requirements
• Describes ways to protect data
Informatics Knowledge -Systems
• Describes general applications to support administration (e.g.,staffing, budget)
• Describes general applications, systems to support clinicalcare
• Describes general applications to support nursing education
Level 2: Experienced Nurse
Computer Skills-Research
• Uses computer applications for statistical analysis and nursingresearch
Informatics Knowledge – Data
• Supports efforts toward development and use of a unifiednursing language
• Promotes the integrity of nursing information and accessnecessary for patient care within an
• integrated computer-based patient record
• Provides for efficient data collection
Informatics Knowledge - Research
• Describes general applications available for research
Informatics Knowledge - Impact
• Defines the impact of computerized information managementon the role of the nurse
Informatics Knowledge – Privacy/security
• Discusses the principles of data integrity, professional ethicsand legal requirements
• Describes ways to protect data
Informatics Knowledge -Systems
• Describes general applications to support administration (e.g.,staffing, budget)
• Describes general applications, systems to support clinicalcare
• Describes general applications to support nursing education
Levels of CompetencyLevels of Competency
Computer Skills-Research
• Uses computer applications for statistical analysis and nursingresearch
Informatics Knowledge – Data
• Supports efforts toward development and use of a unifiednursing language
• Promotes the integrity of nursing information and accessnecessary for patient care within an
• integrated computer-based patient record
• Provides for efficient data collection
Informatics Knowledge - Research
• Describes general applications available for research
Informatics Knowledge - Impact
• Defines the impact of computerized information managementon the role of the nurse
Informatics Knowledge – Privacy/security
• Discusses the principles of data integrity, professional ethicsand legal requirements
• Describes ways to protect data
Informatics Knowledge -Systems
• Describes general applications to support administration (e.g.,staffing, budget)
• Describes general applications, systems to support clinicalcare
• Describes general applications to support nursing education
(Staggers, Gassert & Curran, 2002)
Level 2: Experienced Nurse
Informatics Skills - Evaluation
• Assesses the accuracy of health information on the
Internet
• Assists patients to use databases to make informed
decisions
Informatics Skills - Role
• Participates in influencing the attitudes of other
nurses toward computer use for nursing practice
• As a clinician (nurse), participates in the selection
process, design, implementation, and
• evaluation of systems
• Acts as an advocate of system users including
patients or clients
• Markets self, system or application to others
Informatics Skills – Systems Maintenance
• Performs basic trouble-shooting in applications
Informatics Skills - Evaluation
• Assesses the accuracy of health information on the
Internet
• Assists patients to use databases to make informed
decisions
Informatics Skills - Role
• Participates in influencing the attitudes of other
nurses toward computer use for nursing practice
• As a clinician (nurse), participates in the selection
process, design, implementation, and
• evaluation of systems
• Acts as an advocate of system users including
patients or clients
• Markets self, system or application to others
Informatics Skills – Systems Maintenance
• Performs basic trouble-shooting in applications
Levels of CompetencyLevels of CompetencyLevel 2: Experienced Nurse
Informatics Skills - Evaluation
• Assesses the accuracy of health information on the
Internet
• Assists patients to use databases to make informed
decisions
Informatics Skills - Role
• Participates in influencing the attitudes of other
nurses toward computer use for nursing practice
• As a clinician (nurse), participates in the selection
process, design, implementation, and
• evaluation of systems
• Acts as an advocate of system users including
patients or clients
• Markets self, system or application to others
Informatics Skills – Systems Maintenance
• Performs basic trouble-shooting in applications
Informatics Skills - Evaluation
• Assesses the accuracy of health information on the
Internet
• Assists patients to use databases to make informed
decisions
Informatics Skills - Role
• Participates in influencing the attitudes of other
nurses toward computer use for nursing practice
• As a clinician (nurse), participates in the selection
process, design, implementation, and
• evaluation of systems
• Acts as an advocate of system users including
patients or clients
• Markets self, system or application to others
Informatics Skills – Systems Maintenance
• Performs basic trouble-shooting in applications
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Computer Skills - Desktop Software
• Develops or modifies spreadsheets used forcomplex problems
• Writes macros, shortcuts for spreadsheets
Computer Skills-Project Management
• Manages projects with project managementsoftware
Computer Skills-Quality Improvement
• Determines data indicators used to monitor qualityand effectiveness of nursing informatics practice
• Collects data to monitor quality and effectivenessof nursing informatics practice.
Computer Skills - Systems
• Has the ability to integrate different applications orprograms
• Uses utility programs for data recovery and systemperformance indices
Informatics Knowledge-Education
• Plans, develops, and implements and evaluatesapplication/system training programs for users andclients
• Serves as an informational resource person forapplications/systems
Computer Skills - Desktop Software
• Develops or modifies spreadsheets used forcomplex problems
• Writes macros, shortcuts for spreadsheets
Computer Skills-Project Management
• Manages projects with project managementsoftware
Computer Skills-Quality Improvement
• Determines data indicators used to monitor qualityand effectiveness of nursing informatics practice
• Collects data to monitor quality and effectivenessof nursing informatics practice.
Computer Skills - Systems
• Has the ability to integrate different applications orprograms
• Uses utility programs for data recovery and systemperformance indices
Informatics Knowledge-Education
• Plans, develops, and implements and evaluatesapplication/system training programs for users andclients
• Serves as an informational resource person forapplications/systems
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Computer Skills - Desktop Software
• Develops or modifies spreadsheets used forcomplex problems
• Writes macros, shortcuts for spreadsheets
Computer Skills-Project Management
• Manages projects with project managementsoftware
Computer Skills-Quality Improvement
• Determines data indicators used to monitor qualityand effectiveness of nursing informatics practice
• Collects data to monitor quality and effectivenessof nursing informatics practice.
Computer Skills - Systems
• Has the ability to integrate different applications orprograms
• Uses utility programs for data recovery and systemperformance indices
Informatics Knowledge-Education
• Plans, develops, and implements and evaluatesapplication/system training programs for users andclients
• Serves as an informational resource person forapplications/systems
Computer Skills - Desktop Software
• Develops or modifies spreadsheets used forcomplex problems
• Writes macros, shortcuts for spreadsheets
Computer Skills-Project Management
• Manages projects with project managementsoftware
Computer Skills-Quality Improvement
• Determines data indicators used to monitor qualityand effectiveness of nursing informatics practice
• Collects data to monitor quality and effectivenessof nursing informatics practice.
Computer Skills - Systems
• Has the ability to integrate different applications orprograms
• Uses utility programs for data recovery and systemperformance indices
Informatics Knowledge-Education
• Plans, develops, and implements and evaluatesapplication/system training programs for users andclients
• Serves as an informational resource person forapplications/systems
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Informatics Knowledge-Data
• Demonstrates fluency in informatics and nursingterminologies
• Supports integration of a unified nursinglanguage.
• Recognizes the capacity for data aggregationand integration
Informatics Knowledge -Regulations
• Incorporates relevant law and regulations intoinformatics practice
Informatics Skills -Data / Data Structures
• Constructs data structures and maintains datasets
• Applies data structure concepts in designing adatabase system
• Determines relationships among tables indatabases and performs tasks such asdatabase normalization
Informatics Knowledge-Data
• Demonstrates fluency in informatics and nursingterminologies
• Supports integration of a unified nursinglanguage.
• Recognizes the capacity for data aggregationand integration
Informatics Knowledge -Regulations
• Incorporates relevant law and regulations intoinformatics practice
Informatics Skills -Data / Data Structures
• Constructs data structures and maintains datasets
• Applies data structure concepts in designing adatabase system
• Determines relationships among tables indatabases and performs tasks such asdatabase normalization
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Informatics Knowledge-Data
• Demonstrates fluency in informatics and nursingterminologies
• Supports integration of a unified nursinglanguage.
• Recognizes the capacity for data aggregationand integration
Informatics Knowledge -Regulations
• Incorporates relevant law and regulations intoinformatics practice
Informatics Skills -Data / Data Structures
• Constructs data structures and maintains datasets
• Applies data structure concepts in designing adatabase system
• Determines relationships among tables indatabases and performs tasks such asdatabase normalization
Informatics Knowledge-Data
• Demonstrates fluency in informatics and nursingterminologies
• Supports integration of a unified nursinglanguage.
• Recognizes the capacity for data aggregationand integration
Informatics Knowledge -Regulations
• Incorporates relevant law and regulations intoinformatics practice
Informatics Skills -Data / Data Structures
• Constructs data structures and maintains datasets
• Applies data structure concepts in designing adatabase system
• Determines relationships among tables indatabases and performs tasks such asdatabase normalization
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Informatics Knowledge-Impact
• Determines the impact of computerized
information management on:
1. managers and executive roles
2. organizations when changing to computerized
information management
• Interprets current legislation, research, and
economics affecting computerized information
management in health care
• Assesses current capabilities and limitations of
technology (e.g., data transfer rates, chip
capacity)
Informatics Knowledge –Privacy/security
• Discusses features, capabilities and scope of user
passwords
• Devises strategies to protect the confidentiality of
computerized information
Informatics Knowledge-Usability
• Analyzes the health and safety aspects of the work
station and its location
• Applies human factors and ergonomics to the
design of the computer screen, location and
design of devices, and design of software
Informatics Knowledge-Impact
• Determines the impact of computerized
information management on:
1. managers and executive roles
2. organizations when changing to computerized
information management
• Interprets current legislation, research, and
economics affecting computerized information
management in health care
• Assesses current capabilities and limitations of
technology (e.g., data transfer rates, chip
capacity)
Informatics Knowledge –Privacy/security
• Discusses features, capabilities and scope of user
passwords
• Devises strategies to protect the confidentiality of
computerized information
Informatics Knowledge-Usability
• Analyzes the health and safety aspects of the work
station and its location
• Applies human factors and ergonomics to the
design of the computer screen, location and
design of devices, and design of software
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Informatics Knowledge-Impact
• Determines the impact of computerized
information management on:
1. managers and executive roles
2. organizations when changing to computerized
information management
• Interprets current legislation, research, and
economics affecting computerized information
management in health care
• Assesses current capabilities and limitations of
technology (e.g., data transfer rates, chip
capacity)
Informatics Knowledge –Privacy/security
• Discusses features, capabilities and scope of user
passwords
• Devises strategies to protect the confidentiality of
computerized information
Informatics Knowledge-Usability
• Analyzes the health and safety aspects of the work
station and its location
• Applies human factors and ergonomics to the
design of the computer screen, location and
design of devices, and design of software
Informatics Knowledge-Impact
• Determines the impact of computerized
information management on:
1. managers and executive roles
2. organizations when changing to computerized
information management
• Interprets current legislation, research, and
economics affecting computerized information
management in health care
• Assesses current capabilities and limitations of
technology (e.g., data transfer rates, chip
capacity)
Informatics Knowledge –Privacy/security
• Discusses features, capabilities and scope of user
passwords
• Devises strategies to protect the confidentiality of
computerized information
Informatics Knowledge-Usability
• Analyzes the health and safety aspects of the work
station and its location
• Applies human factors and ergonomics to the
design of the computer screen, location and
design of devices, and design of software(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Informatics Knowledge -Systems
• Explains various input and outputdevices in computer fundamentals(hardware, software, networks, datacommunications)
Informatics Skills –Implementation
• Leads or participates in user groupsduring all phases of the systems life cycle
• Devises strategies for installingapplications/systems
Informatics Skills-Analysis
• Develops and implements work plansduring application development andimplementation
• Constructs data elements appropriateto a given practice context
• Applies principles and techniques ofsystems analysis
Informatics Knowledge -Systems
• Explains various input and outputdevices in computer fundamentals(hardware, software, networks, datacommunications)
Informatics Skills –Implementation
• Leads or participates in user groupsduring all phases of the systems life cycle
• Devises strategies for installingapplications/systems
Informatics Skills-Analysis
• Develops and implements work plansduring application development andimplementation
• Constructs data elements appropriateto a given practice context
• Applies principles and techniques ofsystems analysis
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Informatics Knowledge -Systems
• Explains various input and outputdevices in computer fundamentals(hardware, software, networks, datacommunications)
Informatics Skills –Implementation
• Leads or participates in user groupsduring all phases of the systems life cycle
• Devises strategies for installingapplications/systems
Informatics Skills-Analysis
• Develops and implements work plansduring application development andimplementation
• Constructs data elements appropriateto a given practice context
• Applies principles and techniques ofsystems analysis
Informatics Knowledge -Systems
• Explains various input and outputdevices in computer fundamentals(hardware, software, networks, datacommunications)
Informatics Skills –Implementation
• Leads or participates in user groupsduring all phases of the systems life cycle
• Devises strategies for installingapplications/systems
Informatics Skills-Analysis
• Develops and implements work plansduring application development andimplementation
• Constructs data elements appropriateto a given practice context
• Applies principles and techniques ofsystems analysis
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Informatics Skills-Design, Development
• Develops screen layouts, report formats andcustom views of clinical data working directlywith clinical departments and individual users
• Consults in the design or enhancements tointegrated patient information, management,educational or research systems
• Participates in the development of newmethods or in making modifications to improvethe efficiency and/or effectiveness of datastorage and its communication
Informatics Skills - Evaluation
• Evaluates existing technologies for cost-effectiveness
• Evaluates data storage capacities of thesystem in use
• Assures that information systems used in theorganization comply with standards set forth byexternal licensing, accreditation & regulatoryagencies
• Evaluates hardware, software, and vendorsupport
Informatics Skills-Design, Development
• Develops screen layouts, report formats andcustom views of clinical data working directlywith clinical departments and individual users
• Consults in the design or enhancements tointegrated patient information, management,educational or research systems
• Participates in the development of newmethods or in making modifications to improvethe efficiency and/or effectiveness of datastorage and its communication
Informatics Skills - Evaluation
• Evaluates existing technologies for cost-effectiveness
• Evaluates data storage capacities of thesystem in use
• Assures that information systems used in theorganization comply with standards set forth byexternal licensing, accreditation & regulatoryagencies
• Evaluates hardware, software, and vendorsupport
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Informatics Skills-Design, Development
• Develops screen layouts, report formats andcustom views of clinical data working directlywith clinical departments and individual users
• Consults in the design or enhancements tointegrated patient information, management,educational or research systems
• Participates in the development of newmethods or in making modifications to improvethe efficiency and/or effectiveness of datastorage and its communication
Informatics Skills - Evaluation
• Evaluates existing technologies for cost-effectiveness
• Evaluates data storage capacities of thesystem in use
• Assures that information systems used in theorganization comply with standards set forth byexternal licensing, accreditation & regulatoryagencies
• Evaluates hardware, software, and vendorsupport
Informatics Skills-Design, Development
• Develops screen layouts, report formats andcustom views of clinical data working directlywith clinical departments and individual users
• Consults in the design or enhancements tointegrated patient information, management,educational or research systems
• Participates in the development of newmethods or in making modifications to improvethe efficiency and/or effectiveness of datastorage and its communication
Informatics Skills - Evaluation
• Evaluates existing technologies for cost-effectiveness
• Evaluates data storage capacities of thesystem in use
• Assures that information systems used in theorganization comply with standards set forth byexternal licensing, accreditation & regulatoryagencies
• Evaluates hardware, software, and vendorsupport
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Informatics Skills – Fiscal Management
• Develops strategies to obtain funding forinformation systems and optimize applicationuse after implementation (benefitsrealization)
• Participates in budget activities for theprocurement and maintenance of thesystem
• Determines the cost-benefit of computertechnology used in practice, education,administration and/or research
Informatics Skills –Management
• Manages terms and conditions of a contractwith an information systems vendor
• Develops a plan for limited resources (e.g.,costs, staffing, equipment)
• Determines project scope, objectives, andresources for each proposed application,system or enhancement
Informatics Skills – Fiscal Management
• Develops strategies to obtain funding forinformation systems and optimize applicationuse after implementation (benefitsrealization)
• Participates in budget activities for theprocurement and maintenance of thesystem
• Determines the cost-benefit of computertechnology used in practice, education,administration and/or research
Informatics Skills –Management
• Manages terms and conditions of a contractwith an information systems vendor
• Develops a plan for limited resources (e.g.,costs, staffing, equipment)
• Determines project scope, objectives, andresources for each proposed application,system or enhancement
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Informatics Skills – Fiscal Management
• Develops strategies to obtain funding forinformation systems and optimize applicationuse after implementation (benefitsrealization)
• Participates in budget activities for theprocurement and maintenance of thesystem
• Determines the cost-benefit of computertechnology used in practice, education,administration and/or research
Informatics Skills –Management
• Manages terms and conditions of a contractwith an information systems vendor
• Develops a plan for limited resources (e.g.,costs, staffing, equipment)
• Determines project scope, objectives, andresources for each proposed application,system or enhancement
Informatics Skills – Fiscal Management
• Develops strategies to obtain funding forinformation systems and optimize applicationuse after implementation (benefitsrealization)
• Participates in budget activities for theprocurement and maintenance of thesystem
• Determines the cost-benefit of computertechnology used in practice, education,administration and/or research
Informatics Skills –Management
• Manages terms and conditions of a contractwith an information systems vendor
• Develops a plan for limited resources (e.g.,costs, staffing, equipment)
• Determines project scope, objectives, andresources for each proposed application,system or enhancement
(Staggers, Gassert & Curran, 2002)
Level 3: Informatics Specialist
Further Roles covered by thisrole:
• Informatics Skills -SystemsMaintenance
• Informatics Skills – SystemSelection
• Informatics Skills-Testing
• Informatics Skills-Training
• Informatics Skills – Privacy/security
• Informatics Skills -Programming
• Informatics Skills -Requirements
• Informatics Skills-Role
Further Roles covered by thisrole:
• Informatics Skills -SystemsMaintenance
• Informatics Skills – SystemSelection
• Informatics Skills-Testing
• Informatics Skills-Training
• Informatics Skills – Privacy/security
• Informatics Skills -Programming
• Informatics Skills -Requirements
• Informatics Skills-Role
Levels of CompetencyLevels of CompetencyLevel 3: Informatics Specialist
Further Roles covered by thisrole:
• Informatics Skills -SystemsMaintenance
• Informatics Skills – SystemSelection
• Informatics Skills-Testing
• Informatics Skills-Training
• Informatics Skills – Privacy/security
• Informatics Skills -Programming
• Informatics Skills -Requirements
• Informatics Skills-Role
Further Roles covered by thisrole:
• Informatics Skills -SystemsMaintenance
• Informatics Skills – SystemSelection
• Informatics Skills-Testing
• Informatics Skills-Training
• Informatics Skills – Privacy/security
• Informatics Skills -Programming
• Informatics Skills -Requirements
• Informatics Skills-Role
(Staggers, Gassert & Curran, 2002)
Level 4: Informatics Innovator
Computer Skills-Simulation
• Develops models for simulation purposes
Informatics Knowledge - Education
• Evaluates informatics competenciesrequired for specific role functions forthe practicing nurse, nurse administratorand others
Informatics Knowledge - Impact
• Evaluates the changing role of educatorwhen computerized informationmanagement is introduced
Informatics Skills – Analysis
• Designs innovative analytic techniques
Informatics Skills – Management
• Designs innovative methods for projectmanagement
Computer Skills-Simulation
• Develops models for simulation purposes
Informatics Knowledge - Education
• Evaluates informatics competenciesrequired for specific role functions forthe practicing nurse, nurse administratorand others
Informatics Knowledge - Impact
• Evaluates the changing role of educatorwhen computerized informationmanagement is introduced
Informatics Skills – Analysis
• Designs innovative analytic techniques
Informatics Skills – Management
• Designs innovative methods for projectmanagement
Levels of CompetencyLevels of CompetencyLevel 4: Informatics Innovator
Computer Skills-Simulation
• Develops models for simulation purposes
Informatics Knowledge - Education
• Evaluates informatics competenciesrequired for specific role functions forthe practicing nurse, nurse administratorand others
Informatics Knowledge - Impact
• Evaluates the changing role of educatorwhen computerized informationmanagement is introduced
Informatics Skills – Analysis
• Designs innovative analytic techniques
Informatics Skills – Management
• Designs innovative methods for projectmanagement
Computer Skills-Simulation
• Develops models for simulation purposes
Informatics Knowledge - Education
• Evaluates informatics competenciesrequired for specific role functions forthe practicing nurse, nurse administratorand others
Informatics Knowledge - Impact
• Evaluates the changing role of educatorwhen computerized informationmanagement is introduced
Informatics Skills – Analysis
• Designs innovative analytic techniques
Informatics Skills – Management
• Designs innovative methods for projectmanagement
(Staggers, Gassert & Curran, 2002)
Level 4: Informatics Innovator
Informatics Skills – Design, Development
• Designs unique technology or system
alternatives for clinical care, education,
administration and/or research
• Develops the conceptual model for a
database
Informatics Skills - Evaluation
• Evaluates the performance & impact of
information management technologies
on organizational efficiency
• Evaluates factors related to safety,
effectiveness, cost and social impact
when developing and implementing
information management technologies
Informatics Skills –Fiscal Management
• Develops strategies to obtain research
funding
Informatics Skills – Design, Development
• Designs unique technology or system
alternatives for clinical care, education,
administration and/or research
• Develops the conceptual model for a
database
Informatics Skills - Evaluation
• Evaluates the performance & impact of
information management technologies
on organizational efficiency
• Evaluates factors related to safety,
effectiveness, cost and social impact
when developing and implementing
information management technologies
Informatics Skills –Fiscal Management
• Develops strategies to obtain research
funding
Levels of CompetencyLevels of CompetencyLevel 4: Informatics Innovator
Informatics Skills – Design, Development
• Designs unique technology or system
alternatives for clinical care, education,
administration and/or research
• Develops the conceptual model for a
database
Informatics Skills - Evaluation
• Evaluates the performance & impact of
information management technologies
on organizational efficiency
• Evaluates factors related to safety,
effectiveness, cost and social impact
when developing and implementing
information management technologies
Informatics Skills –Fiscal Management
• Develops strategies to obtain research
funding
Informatics Skills – Design, Development
• Designs unique technology or system
alternatives for clinical care, education,
administration and/or research
• Develops the conceptual model for a
database
Informatics Skills - Evaluation
• Evaluates the performance & impact of
information management technologies
on organizational efficiency
• Evaluates factors related to safety,
effectiveness, cost and social impact
when developing and implementing
information management technologies
Informatics Skills –Fiscal Management
• Develops strategies to obtain research
funding
(Staggers, Gassert & Curran, 2002)
Level 4: Informatics Innovator
Research
• Develops innovative and analytic techniques forscientific inquiry in nursing informatics
• Develops new methods of organizing data toenhance research capacities
Practice
• Applies advanced analysis and design conceptsto the system life cycle process
• Integrates domain knowledge withincomputerized decision support systems
• Analyzes complex issues (e.g., confidentiality,privacy, and data security)
• Recommends policies based upon analyticalfindings
• Designs and/or evaluates enterprise-widestrategies for managing the impact of informationsystems implementation
• Influences top-level decisions and policy designwhich impact clinical information management
Education
• Applies sophisticated educational design andresearch evaluation concepts to the use of
• innovative computer-based education techniques(e.g., distance education)
Research
• Develops innovative and analytic techniques forscientific inquiry in nursing informatics
• Develops new methods of organizing data toenhance research capacities
Practice
• Applies advanced analysis and design conceptsto the system life cycle process
• Integrates domain knowledge withincomputerized decision support systems
• Analyzes complex issues (e.g., confidentiality,privacy, and data security)
• Recommends policies based upon analyticalfindings
• Designs and/or evaluates enterprise-widestrategies for managing the impact of informationsystems implementation
• Influences top-level decisions and policy designwhich impact clinical information management
Education
• Applies sophisticated educational design andresearch evaluation concepts to the use of
• innovative computer-based education techniques(e.g., distance education)
Levels of CompetencyLevels of CompetencyLevel 4: Informatics Innovator
Research
• Develops innovative and analytic techniques forscientific inquiry in nursing informatics
• Develops new methods of organizing data toenhance research capacities
Practice
• Applies advanced analysis and design conceptsto the system life cycle process
• Integrates domain knowledge withincomputerized decision support systems
• Analyzes complex issues (e.g., confidentiality,privacy, and data security)
• Recommends policies based upon analyticalfindings
• Designs and/or evaluates enterprise-widestrategies for managing the impact of informationsystems implementation
• Influences top-level decisions and policy designwhich impact clinical information management
Education
• Applies sophisticated educational design andresearch evaluation concepts to the use of
• innovative computer-based education techniques(e.g., distance education)
Research
• Develops innovative and analytic techniques forscientific inquiry in nursing informatics
• Develops new methods of organizing data toenhance research capacities
Practice
• Applies advanced analysis and design conceptsto the system life cycle process
• Integrates domain knowledge withincomputerized decision support systems
• Analyzes complex issues (e.g., confidentiality,privacy, and data security)
• Recommends policies based upon analyticalfindings
• Designs and/or evaluates enterprise-widestrategies for managing the impact of informationsystems implementation
• Influences top-level decisions and policy designwhich impact clinical information management
Education
• Applies sophisticated educational design andresearch evaluation concepts to the use of
• innovative computer-based education techniques(e.g., distance education)
(Staggers, Gassert & Curran, 2002)
Other Roles (Level 3 and Level 4)
• Coding (regulations, guidelines, workforce,productivity)
• CDI – Clinical Documentation Improvement(Impact on quality, revenue development andrecovery)
• Informatics and Data Analytics (IT & statistics)
• Privacy and Security
• Finance (revenue cycle, budgeting andforecasting, coding)
• Clinician (CDI, training, coding)
• Information Governance (trusted data, safety andquality of care, operational efficiency andeffectiveness, legal and regulatory compliance, ,
risk mitigation, and cost reduction)
• Manpower (HIM related staffing, credentials,continuing education, career development,coders)
• Administrative (front office)
• Patient (ROI, confidentiality, archiving, MasterPatient Index (MPI)
• Health information record documentationstandards and processes
• Communications between Clinicians and HIMCoders
• Storage and retention of health information
• Coding (regulations, guidelines, workforce,productivity)
• CDI – Clinical Documentation Improvement(Impact on quality, revenue development andrecovery)
• Informatics and Data Analytics (IT & statistics)
• Privacy and Security
• Finance (revenue cycle, budgeting andforecasting, coding)
• Clinician (CDI, training, coding)
• Information Governance (trusted data, safety andquality of care, operational efficiency andeffectiveness, legal and regulatory compliance, ,
risk mitigation, and cost reduction)
• Manpower (HIM related staffing, credentials,continuing education, career development,coders)
• Administrative (front office)
• Patient (ROI, confidentiality, archiving, MasterPatient Index (MPI)
• Health information record documentationstandards and processes
• Communications between Clinicians and HIMCoders
• Storage and retention of health information
Other Roles (Level 3 and Level 4)
• Coding (regulations, guidelines, workforce,productivity)
• CDI – Clinical Documentation Improvement(Impact on quality, revenue development andrecovery)
• Informatics and Data Analytics (IT & statistics)
• Privacy and Security
• Finance (revenue cycle, budgeting andforecasting, coding)
• Clinician (CDI, training, coding)
• Information Governance (trusted data, safety andquality of care, operational efficiency andeffectiveness, legal and regulatory compliance, ,
risk mitigation, and cost reduction)
• Manpower (HIM related staffing, credentials,continuing education, career development,coders)
• Administrative (front office)
• Patient (ROI, confidentiality, archiving, MasterPatient Index (MPI)
• Health information record documentationstandards and processes
• Communications between Clinicians and HIMCoders
• Storage and retention of health information
• Coding (regulations, guidelines, workforce,productivity)
• CDI – Clinical Documentation Improvement(Impact on quality, revenue development andrecovery)
• Informatics and Data Analytics (IT & statistics)
• Privacy and Security
• Finance (revenue cycle, budgeting andforecasting, coding)
• Clinician (CDI, training, coding)
• Information Governance (trusted data, safety andquality of care, operational efficiency andeffectiveness, legal and regulatory compliance, ,
risk mitigation, and cost reduction)
• Manpower (HIM related staffing, credentials,continuing education, career development,coders)
• Administrative (front office)
• Patient (ROI, confidentiality, archiving, MasterPatient Index (MPI)
• Health information record documentationstandards and processes
• Communications between Clinicians and HIMCoders
• Storage and retention of health information
Discussion
• Nursing leaders and informatics teams
have a role in evaluating the level of
nursing literacy of information systems
within organizations.
• Only then can these mandate a specific
scope of knowledge & expertise within
Health Information Systems that would
be required of nurses within their
facilities.
• Nursing leaders and informatics teams
have a role in evaluating the level of
nursing literacy of information systems
within organizations.
• Only then can these mandate a specific
scope of knowledge & expertise within
Health Information Systems that would
be required of nurses within their
facilities.
• Nursing leaders and informatics teams
have a role in evaluating the level of
nursing literacy of information systems
within organizations.
• Only then can these mandate a specific
scope of knowledge & expertise within
Health Information Systems that would
be required of nurses within their
facilities.
• Nursing leaders and informatics teams
have a role in evaluating the level of
nursing literacy of information systems
within organizations.
• Only then can these mandate a specific
scope of knowledge & expertise within
Health Information Systems that would
be required of nurses within their
facilities.
Conclusion
• This research study is an initial effort to fill the void of valid and reliable informatics
competencies for current nurses. It is the first study to span four levels of nurses.
• Allowing us to suggest the categories of computer skills, informatics knowledge and
informatics skills that enable nurses to do their day to day job competently and
keep up with the rapidly growing technology in the field of healthcare.
• This research study is an initial effort to fill the void of valid and reliable informatics
competencies for current nurses. It is the first study to span four levels of nurses.
• Allowing us to suggest the categories of computer skills, informatics knowledge and
informatics skills that enable nurses to do their day to day job competently and
keep up with the rapidly growing technology in the field of healthcare.
References
• Staggers, Gassert & Curran, 2002
• Staggers, N., Gassert, C. A., & Curran, C. (2002). A Delphi study to determine
informatics competencies for nurses at four levels of practice. Nursing research,
51(6), 383-390.
• Staggers, Gassert & Curran, 2002
• Staggers, N., Gassert, C. A., & Curran, C. (2002). A Delphi study to determine
informatics competencies for nurses at four levels of practice. Nursing research,
51(6), 383-390.
