administrative applications in nursing 09

8/8/2019 Administrative Applications in Nursing 09

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Administrative Applications inNursing


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Objectives defines management information

systems

describes the nursing informationneeds related to the management ofnursing units.

concludes the nursing role in themanagement of information


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Administrative applications The need to use information to help

managers utilize available resourcesmost effectively initiated the idea ofusing administrative applications.


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Types of Administrative

ApplicationAdministrative uses of information systems in

nursing can be classified in two ways:

1. those that provide nurse managers withinformation for decision making and arecalled management information systems.

2. those that help nurse managerscommunicate the decisions and arecalled nursing office automation systems.


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Management Information System

(M

IS)

MIS: refers to a method of collecting,

storing, retrieving, and processinginformation that is used, or desired, byone or more managers in theperformance of their duties (Ein-Dor

and Seger, 1978).


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Nursing Information Needs for the

Management ofN

ursing Units

The nurse manager needs informationthat :

are mission related to providing clientcare

help nursing in the areas of quality

management, unit staffing, andongoing reporting.


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Quality Management

Total quality management (TQM) and

continuous quality improvement (CQI)


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W

hat is TQM

TQM is an institutional plan of action to establish aprocess for empowering staff to influence corporateachievement of the highest possible standards for

patient care.The delivery of patient care is monitored by all staff to

ensure that these standards are met or surpassed.

Implicit in the concept of TQM is the ongoing evaluationof the standards themselves, thus ensuring that theyreflect current norms and practices in healthcare.


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Total QualityM

anagementProvides staff nurses and administrators with feedback about the nature of their individual

practice opportunity to influence patient care in their

organization. The ability to assess the general quality of

patient care provided within their institutions a process to receive and communicate

opportunities to enhance patient care andorganizational effectiveness.


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Computer Use for Nurse

Administrators

Administrators have data that enable them to:

Measure,

Monitor, &

Manage their Services

In terms of:

Incidence, cost, intensity, resource utilization,& outcomes of care


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Quality assurance in NursingQuality assurance programs in nursing needed

two things to succeed:

standardized terminology required forcomputerized documentation of nursesnotes,

standardized care plans for use in

generating computerized patient care plans,which coincided with the

need for standardized terminology


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Patient Classification, NursingW

orkload, and Unit Staffing

automated staff scheduling is a highlydesired component of a management

information system for nursingadministration.

The system should consider patient

acuity, nursing workload levels, andthe expertise of available personnel.


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Advantages of automated

scheduling Easier recruitment and increased job satisfaction because schedules are known well

in advance Less time spent on manual scheduling, thereby providing

more time for nurse managers to carry out other duties Advance notice of staff shortages requiring temporary

replacements Unbiased assignment of days off and shift rotation M

ore effective utilization and distribution of personnelthroughout the institution or agency Capacity to document the effect of staff size on quality of

care Ability to relate quantity and quality of nursing staff to patient

acuity


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The nurse Administrator is responsible foran effective:

Financial management

Patient care data management


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Office automation system Office automation affects the filing and retrieval of

documents, text processing, telephonecommunications, and informal meetings.

Nursing office requirements demand more skills intranscription, word processing, spreadsheets, andelectronic filing.

Offices have special printers, teleconferencing andvideo conferencing, voice response systems, voicemail, and e-mail systems.


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How would the computer help to

Achieve good outcomes? Reduction in hospital annual Costs by:

Reducing costs associated with ADE

in Nursing clerical time costs associated with record maintenance

mal practice costs

Improve retrieval of valid & reliable

information

Easing aggregation of medical & nursinginformation for research

Improve internal & external review of records


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What is the cost of this

automation

To automate a nursing office:

In 1972 the cost =$ 4 million

In 1992 the cost =$ 5000

The annual cost saving throughautomation will be at least $ 12.7billion


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Standards for nurse

administrators

In 1988 the ANA has describedstandards that make the nurse

administrators responsible for:

Planning strategy and determiningnursing goals

Allocating human, material, & financialresources.


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Levels of administrators

Two levels of administrators:

The nurse administrator

The nurse manager

Both of the nurse administrator & managerare involved in collection & analysis of

huge amounts of data which demand thesupport ofMIS where the computer is anessential tool


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Benefits of computer to Nurse

Administrators versesM

anagers

Improved communication

Order entry

Continuity of care More time for patients

Access to guided criticalthinking

Availability of expertresources

Ability to evaluate care

More complete utilization ofnursing staff resources

Improved quality of patientcare &monitor

Improved documentation

Improved planning

More standardization ofnursing practice

Improved evaluation of careprovided

administrative applications in nursing 09

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