Integrating Informatics Competencies
and Digital Health in Nursing Education
WNRCASN, Victoria, B.C.
Wednesday, February 15th, 2017
South Pender Island Room
Hotel Grand Pacific, Victoria, B.C.
Elizabeth Borycki RN PhD
Glynda Rees Doyle RN MSN
Workshop Objectives
1.Participants will have a clear understanding of
CASN’s digital health support tools for
undergraduate nursing education
2.Participants will leave with a deeper
understanding of where and how digital
health intersects with nursing care
3.Participants will learn strategies for integrating
this content into nursing programs.
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TIME ITEM AGENDA PRESENTER(S)
1200 - 1230 LUNCH
1230 - 1245 1 Welcome and introductions Elizabeth Borycki, RN, PhD & Glynda
Rees Doyle, RN, MSN
1245 - 1315 2 Project overview
Entry-to-practice informatics competencies
Nursing informatics teaching toolkit
Consumer Health Solutions Resource
Elizabeth Borycki, RN, PhD & Glynda
Rees Doyle, RN, MSN
1315 - 1445 3 Case study activity
Whiteboard animation video with group discussion to explore the
intersection of digital health and nursing care
Elizabeth Borycki, RN, PhD & Glynda
Rees Doyle, RN, MSN
All participants
1445 – 1500 BREAK
1500 - 1600 4 Case study activity (continued) Elizabeth Borycki, RN, PhD & Glynda
Rees Doyle, RN, MSN
All participants
1600 – 1650 5 Discussion & networking All participants
1650 - 1700 6 Wrap-up and closing statements Elizabeth Borycki, RN, PhD & Glynda
Rees Doyle, RN, MSN
Canadian Association of University Schools of Nursing
The national voice for nursing education,
research, and scholarship and represents
baccalaureate and graduate nursing
programs in Canada.
DIGITAL HEALTH NURSING INFORMATICS TRAINING PROJECT
http://www.casn.ca/education/digital-
healthnursing-informatics-casn-infoway-
nurses-training-project/
Canada Health Infoway (Infoway)
A not-for-profit corporation funded to…
With their partners, Infoway helps accelerate the development, adoption and effective use of digital health solutions across Canada
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Project Background
• Since 2011, CASN and Canada Health Infoway have partnered on a series of projects to enable the integration of digital health into nursing curricula
• They have developed a series of guideline documents and tools to support faculty through a Digital Health Nursing Faculty Peer Leader Network
http://casn.ca/wp-content/uploads/2014/12/in
fowaytoolkit.jpg
http://www.casn.ca/2014/12/casn-entry-practice-nursing-
informatics-competencies/
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The Digital Health Nursing Faculty Peer Network
49 NURSING SCHOOLS 11 PROVINCES
Digital Health Nursing Faculty Network Peer
Leaders
Lynn Nagle (Chair) University of Toronto
Antonia Arnaert McGill University
Richard Booth Western University
Elizabeth Borycki University of Victoria
Glynda Rees Doyle British Columbia Institute of Technology
Craig Duncan Laurentian University
Jodi Found Saskatchewan Polytechnic
Karen Furlong University of New Brunswick
Jessie Johnson St. Francis Xavier
Manal Kleib University of Alberta
Digital Health
“Digital health refers to the use of information technology/electronic communication tools, services and processes to deliver health care services or to facilitate better health. Infoway’s vision is healthier Canadians through innovative digital health solutions.”
https://www.infoway-inforoute.ca
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“In all types of health care organizations, nursing is the hub of the information flow. Developing the science and technology of nursing informatics will enhance the information available to nurses for clinical practice, management, education, and research and will facilitate the role of nurses as communicators." (Brennan, 1996)
Nursing Informatics
Nursing Informatics is…
…the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide."
(IMIA Special Interest Group on Nursing Informatics, 2009)
Bernstein, Jay H. (2009). The Data-Information-Knowledge-Wisdom Hierarchy and its Antithesis.
Proceedings North American Symposium on Knowledge Organization Vol2. Available at: http://dlist.sir.arizona.edu/2633
Health Informatics has the potential to: 1.Improve patient safety and quality of care
• Improves communication among health care team and patients
• Makes medical records accessible to health care providers and patients (in real-time)
2.Improve the health of populations • Predictive modeling to identify patients at risk • Bio-surveillance tools • Genomics • Teleheath
3.Reduce the cost of health care
CASN Competencies Framework
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CASN Over-Arching Nursing
Informatics Competency
• Students use information and
communication technologies to support
information synthesis in accordance with
professional and regulatory standards in the
delivery of patient/client care.
http://www.casn.ca/en/Whats_new_at_CASN_108/items/123.html
CASN Nursing Informatics Competencies • Foundational
– hardware (PCs, tablets, mobiles, modems, blue-tooth, flashdrives)
– application (email, texting, podcasts, blogs, social networks, word, excel,
D2L)
• Competency 1: Information and Knowledge Management
– Uses relevant information and knowledge to support the delivery of evidence-
informed patient care.
• Competency 2: Professional and Regulatory Accountability
– Uses ICTs in accordance with professional and regulatory standards and
workplace policies.
• Competency 3: Information and Communication Technologies
– Uses information and communication technologies in the delivery of patient/
client care.
http://www.casn.ca/en/Whats_new_at_CASN_108/items/123.html
Information and Knowledge Management
• Lit reviews, scholarly articles, evidence-informed decision making
• Uses patient data to support decision making
• Assist patients and families to use ICTs to manage their health
• Understands EHRs
• Understands importance of using standardized nursing data to advance knowledge and articulate nursing
• Evaluates data from multiple sources to inform practice
Professional and Regulatory Accountability
• Privacy and confidentiality
• Advocates for ICTs to deliver safe quality
patient care
• IDs and reports system failures/problems
• Functions appropriately if system unavailable
• Uses professional judgment with ICTs
• Recognizes need for nurse input into systems
Information and Communication
Technologies
• Identifies and uses variety of ICTs (hemodynamic
monitoring, CBGs, EHRs, point of care)
• Uses decision support tools to assist judgment and
deliver safe quality care
• Uses ICTs to support not interfere with nurse-
patient relationships
Information and Communication
Technologies (cont.)
• Describes variety of information systems (CPOE,
clinical documentation, MARs)
• Knows difference between EHR, PHR, EMR
• Describes benefit of informatics to improve health
systems and quality of interprofessional patient
care
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Teaching Digital Health
http://www.casn.ca/wp-content/uploads/2015/03/file0002120440786.jpg
Consumer Health Solutions
Integration of digital and consumer
health solutions (CHS) content in
nursing education
• Increased faculty knowledge
about CHS
• Readiness to integrate digital
health/CHS into
courses/curriculum
• Presence of learning
opportunities
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http://www.casn.ca/wp-content/uploads/2015/03/file0002120440786.jpg
Consumer Health Solutions Resource
Detailed exploration of 6 bourgeoning
areas of consumer health solutions
and accompanying learning
activities for curricular
integration.
http://www.casn.ca/wp-content/uploads/2015/03/file0002120440786.jpg
Sample Learning Activity
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Whiteboard Animation: Classroom Learning Activity
http://www.casn.ca/2016/03/whiteboard-animation-student-nurses-story-social-media-use/
DISCUSSION TIME
30 https://www.youtube.com/watch?v=5U7FZB-Z9Mk&feature=youtu.be
COFFEE BREAK
ADDITIONAL RESOURCES
The Canadian Nursing Informatics Association
• To provide nursing leadership for the development of Nursing/Health informatics in Canada.
• To establish national networking opportunities for nurse informaticians.
• To facilitate informatics educational opportunities for all nurses in Canada.
• To engage in international nursing informatics initiatives.
• To act as a nursing advisory group in matters of nursing and health informatics.
• To expand awareness of Nursing Informatics to all nurses and the healthcare community.
https://cnia.ca/education/resource-documents/
Canadian Nurses Association
• “CNA believes that information management and communications technology are integral to nursing practice.
• Competencies in information management and the use of communications technology are no longer add-ons to traditional methods of health-care delivery. Rather, these competencies are an integral part of health care and nursing practice.”
http://cna-aiic.ca/en/on-the-issues/best-nursing/nursing-informatics
Canada Health Infoway
A national, federally-funded,
not-for-profit organization
created in 2001 to foster the
development and adoption of
electronic health records
across Canada.
https://www.infoway-inforoute.ca/en/
• founded in 1975, has actively
initiated professional protocols for
using computer systems in
Canadian health care.
• Canada's Health Informatics Association provides access to a diverse community of accomplished, influential professionals who work passionately to make a difference in advancing healthcare through information technology.
http://www.coachorg.com/en/index.asp
COACH
http://www.thetigerinitiative.org
Technology Informatics Guiding Education Reform
Clinical and Systems Transformation Project
A join undertaking between Vancouver Coastal Health, Provincial Health Services Authority and Providence Health Care to complete a significant transformation of
clinical practices and systems.
http://www.providencehealthcare.org/careers/clinical-and-systems-transformations-cst-0
Position Statements & Guidelines on
Social Media
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Nurses Association of New Brunswick. (2012). Practice
Guidelines: Ethical and responsible use of social media
technologies. Fredericton, NB: Author.
http://www.nanb.nb.ca/media/resource/NANB-
PracticeGuideline-SocialMedia-E.pdf
Canadian Nurses Association. (2012). When Private Becomes
Public: The ethical challenges and opportunities of social
media. Ottawa, ON: Author.
https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/ethics_in_practice_feb_2012_e.pdf?la=en
Canadian Nurses Protective Society. (July 2012). Social
Media. infoLAW, 19(3), 1‐2.
http://www.cnps.ca/upload-
files/pdf_english/social_media.pdf
College of Registered Nurses of British Columbia. (2012).
Social Media: Professionalism, nurses and social media.
https://www.crnbc.ca/Standards/Confidentiality/Pages/Soci
alMedia.aspx
College of Registered Nurses of Nova Scotia. (2012). Position
Statement: Social Media. Halifax, NS: Author.
https://crnns.ca/wp-
content/uploads/2015/02/PositionStatement_SocialMedia.p
df
College & Association of Registered Nurses of Alberta.
(2011). CARNA Social Media Guidelines. Calgary.
http://www.nurses.ab.ca/Carna-
Admin/Uploads/Social_Media_Guidelines.pdf
Association of Registered Nurses of Newfoundland and
Labrador. (2012). Position Statement: Social Media. St
John’s.
http://www.arnnl.ca/documents/publications/Position_Stat
ement_on_Social_Media_2013.pdf
Social Media NurseONE : “Teaching Health Information Science for Health Care Instructors Handbook activity topic 1 to 4”, by Pasquale Fiore (2013) http://www.nurseone.ca/~/media/nurseone/files/en/health_sciences_information_course%20announcement_en.pdf
“HEALTH ON THE NET FOUNDATION”…. to guide the growing community of healthcare consumers and providers on the World Wide Web to sound, reliable medical information and expertise. In this way, HON seeks to contribute to better, more accessible and cost-effective health care.
Evaluating healthcare websites
https://www.healthonnet.org
Standardized Terminologies
C-HOBIC:
• Suite of standardized clinical outcomes reflective of nursing practice that can be captured to understand how nursing practice impacts patient outcomes in Canada.
• Currently in multi-provincial use in Canada,
• Additionally, the CHOBIC set of data elements is expressed in the International Classification for Nursing Practice (ICNP®) and is currently being mapped to SNOMED CT.
• http://c-hobic.cna-aiic.ca/about/default_e.aspx
• https://www.nlm.nih.gov/research/umls/Snomed/nursing_terminology_resources.html
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SNOMED CT
• In 1999 the American Nurses Association acknowledged the Systematised Nomenclature of Medicine, Clinical Terms (SNOMED CT®) as "the clinical reference terminology to support the integrated electronic health record for nursing." SNOMED CT® was developed by the College of American Pathologists as a reference terminology representing a broad array of health care concepts.
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ICNP
• The International Classification for Nursing Practice (ICNP®), developed by the International Council of Nurses, is a classification of nursing phenomena, actions, and outcomes that provides a unifying framework into which regional nursing languages, vocabularies, and classifications can be crossed mapped. In a collaborative effort NANDA International & ICNP® are in the process of identifying how NANDA® diagnoses are represented in ICNP®.
• http://www.icn.ch/images/stories/documents/pillars/Practice/icnp/ICNP_FAQs.pdf
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Thank You!
Elizabeth Borycki [email protected]
Glynda Rees Doyle
[email protected] www.healthedtech.net
http://opentextbc.ca/clinicalskills/