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THEORIES, MODELS, AND FRAMEWORKS

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THEORIES,MODELS, ANDFRAMEWORKS

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OBJECTIVES

1. Discuss the relationship between healthcare

informatics and nursing informatics.2. Discuss dierent denitions and models of nursingand healthcare informatics.3. Discuss core concepts and the scope of practice ofnursing informatics.4. Describe nursing informatics as a distinct specialty.

5. Discuss key aspects of the lectronic !ealth "ecord#!"$.%. Discuss terminologies for nursing.&. 'dentify a(ailable organi)ational resources.

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KEY WORDS

Informatic

E!"ctronic H"a!t# R"cor$

Com%"t"nci"

T"rmino!o&i"

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Intro$(ction ,ifelong learning is based on the recognition

of patterns and (ariances- builds on pre(ious

eperiences and knowledge- and in(ol(esthe use of analogies.

 /heories- 0odels- rameworks- clearly stateddenitions and foundational documents canguide the nursing informatics learningacti(ities for both student and faculty.

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)N(rin& %ractic" *i!! '"r"+o!(tioni"$ an$ *" *i!!tr(!- '" a %rof"ion of

n(r" *it# o(r o*nc!ai.cation -t"m,'i'!io&ra%#ic -t"m, an$

%a-m"nt -t"m/0

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 e need to use the 'nternet to enhance ourpractice and to pro(ide a telenursing care. eneed to become wireless and conduct ourser(ices using all the newer '/ tools.

e ha(e along way to go- but if we utili)einformation technology eecti(ely- informatics

will become an integral part of our profession andthe health care industry. ' do belie(e we ha(e theknowledge and perse(erance and ' am con(incedit will come to pass.6 Dr. 7irginia 8aba

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Informatic an$

H"a!t#car" Informatic

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W#at iInformatic1

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2345 6 irst coined by 9arl 8teinbuch as'nformatiks.

2367 6 :hillipe Dreyfus used'nformati;ue.

 alter <auer 6 translated it to

'nformatics

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=ombined the term information and

a(tomation which means automaticinformation processing.

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+ science that combines a domain science-

computer science- information science- andcogniti(e science.

0ultidisciplinary science drawing from (aried

theories and knowledge applications.

+ broad academic eld encompassing humancomputer interaction- information science-

information technology- algorithms- and socialscience.

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Com%(t"r Sci"nc"- the study of

comple system- information andcomputation using appliedmathematics- electrical engineering andsoftware engineering techni;ues.

Information Sci"nc"- is the study ofprocessing- management and retrie(alinformation.

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'n 2389- 8holes and <arber applied this

new term to the art of science andnursing- coining the term- *ursing'nformatics- which they dened as >the application of computer technology

to all elds of nursingnursing ser(ices-nurse education and nursing research.

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W#at i H"a!t#car"Informatic1

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'ntegration of healthcare sciences-

computer science- information science-and cogniti(e science to assist in themanagement of healthcare information.

+ subdiscipline of informatics.

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Acti+it-:resent an illustration using the descriptiondelineating !ealth 'nformatics and its sub

discipline. !ealth 'nformatics ha(e subdomains such as

medical informatics- dental informatics-pharmacy informatics- nursing informatics-etc.

ach of this subdomains ha(e integratedcontent and which are collaborati(elyworking with each other.

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,imit your illustration using only circles-

s;uares and arrows and tets.

?se any application #paint- 0sword- :pt$in making your diagram.

inally present the illustration using thepowerpoint.

urther eplain your diagram.

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2384  9athryn !annah> 's the use of information technologiesin relation to the nursing functions.

2383 6 @ra(es A =orcoran> 's a combination of computerscience- information science and nursing science designed to

assist management and processing nursing data- information- andknowledge to support the practice of nursing and the deli(ery ofnursing care.

233: 6 +*+> 8pecialty that integrates nursing science- computerscience- and information science in identifying- collecting-processing and managing data and information to support nursingpractice- administration- education- research and the epansionof nursing knowledge.

7992 6 +*+> + specialty that integrates nursing science-computer science and information science to manage andcommunicate data- information and knowledge of nursing

practice. 7992 +*+> acilitates the integration of data- information- and

knowledge to support patients- nurses and other pro(iders intheir decisionmaking in all roles and settings. /he support isaccomplish through the use of information structures- informationprocesses - and information technology.

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SCO;E OF ;RACTICE

;"+=/'=

ED?=+/'B*

R8+"=!

AD0'*'8/+"/'B*

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BEDSIDE DATA ENTRY  "ecords client assessments- medication

administration- progress notes- care planupdating- client acuity- and accrued charges.

CO;<TER BASE CLIENT RECORDo 0"sC:"=s

  :ro(ides easy retrie(al of specic data such astrends in (ital signs- immuni)ation records andcurrent problems.

't can be designed to work pro(iders about

conicting medications or client parameters thatindicate dangerous conditions.

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ELECTRONIC ACCESS TO CLIENTS ?se etensi(ely to health care to assess and monitor clients

condition.

Data accumulated to (arious electronic de(ices are stored toresearch purposes.

=an monitor client

=omputeri)ed diagnosis

 /elemedicine

;RACTICE MANA=EMENT ?sed to supplies- tests- meals- and ser(ices from other

departments.

+llows nursing ser(ice to determine the most costly itemsused by a particular nursing unit.

0ay pro(ide information or decisions to modify budget-pro(ide dierent staEng- mo(e supplies to dierent locations-or make other changes for more eEcient and higher ;ualitycare.

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*?"8'*@'*B"0+/'=8 +8

8:='+,/F

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2337 6 +*+ established nursinginformatics as a distinct specialty in

nursing with a distinct body ofknowledge.

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'*D'7'D?+, +=/'7'/F

<SED A WORD ;ROCESSOR plain how nursing informatics is

considered as a distinct specialty.

8pecically described the roles ofinformatics nurses compared to the other

elds of nursing.

2GG words minimum.

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<SED A WORD ;ROCESSOR

?sed /imes *ew "oman ront si)eH 12.5

,ine spacingH 1.5

1 tab indent each paragraph

 Iustify each paragraph0arginsH G.&5 top G.&5bottom-1left-1right

BrientationH :ortrait

:aper si)eH ,ong bond paper

 /itle at center #make your own$

8a(e ilesH Act2Yo(rNam"/$oc

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'*B"0+/'=8 *?"88 +88:='+,'8/

's a professional with a formal "*graduate degree and passed the

credentialing in nursing informatics in astate.

*ursing 'nformatics specialists practicein a wide (ariety of roles that are

ultimately aimed at impro(ing patientcare deli(ery and the nursing practiceeperience.

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Som" of t#"" ro!" ar">

:roJect manager ducator

:roduct de(eloper

Decisions supportCoutcome manager

8ystem analysis

=onsultant

:rogrammer

+d(ocateC:olicy De(eloper

eb de(eloper

='B- =B- =*B ntrepreneur

"esearcher

8ales and marketing

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=omponents of :racticeTRANSFORMATION OF DATA TO WISDOM

DATA 6 discrete entities that are described obJecti(ely withoutinterpretation.

 eH + systolic blood pressure- a nursing inter(ention- a patientproblem- an outcome.

INFORMATION reects interpretation- organi)ation- orstructuring of data.

+re process dataData with meaning

KNOWLED=E 6 transformation of information. 'nformation thatis synthesi)ed so that relationship are identied and formali)ed.

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+s an eample- a single instance of (italsignsH heart rate- respiration- temperature

and blood pressure for single patient to beconsidered a set of data.

+ series of (ital signs taken o(er time- placedinto a contet- and compared is considered.

!owe(er a dropping blood pressure-increasing heart rate- respiratory rate- andfe(er in an elderly- catheteri)ed patient arerecogni)ed as being out of the norm. /he

recognition that this patient may be septicand in need of nursing and medicalinter(ention reects information synthesis#knowledge$.

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