historical perspective nursing informatics

8/2/2019 Historical Perspective Nursing Informatics

1/16

Nursing and Computers


2/16


3/16

Prior to 1960s

1950s

computer industry grew

- nursing also made major changes perse

- Computers are used by healthcarefacilities for basic business functions:

- Punch cards

- Card readers

- Sort and prepare data for processing

- teletypewriters

Return


4/16

1960s

Use of computers is being QUESTIONED. Nurses station is viewed as the hub of

information exchange

Introduction of Cathode Ray Tube (CRT)and online data communication and realtime processing

Hospital information systems were

developed primarily for BILLING andACCOUNTING systems.

VENDORS of computer systems andapplications in hospitals started

Return


5/16

1970s

Nurses began to see the value of computers inthe profession

DOCUMENTATION of nursing practice

QUALITY of patient care, REPETITIVE aspects of managing patient care.

Computers are perceived as cost-savingtechnologies

HISs further advanced

Computer-based MIS in public health developed

Statistical purposes

Return


6/16

1980s

NURSING INFORMATICS emerged Need of DATA STANDARDS,

VOCABULARIES and CLASSIFICATIONschemes for computer based patient recordsystems (CPRS) identified

HIS emerged with nursing subsystems Order entry (like KARDEX)

Results reporting Vital signs

Narrative nursing notes

Discharge planning systems


7/16

1980s

Microcomputer / Personal Computeremerged

Has brought computing power to workplace ,

especially the POINT-of-CARE. Served as stand-alone systems

(workstations)

User-friendly and allowed nurses to createtheir own applications

Return


8/16

1990s

Computer technology became anintegral part of health care settings,nursing practice, and the profession.

Nursing Informatics was approved in1992 by ANA as a new nursing specialty

Demand for NI expertise increasedgreatly

Use of innovative technologies for alllevels and types of nursing and patienteducation demanded


9/16

1990s

Laptops and Notebooks were utilized atbedside and all point-of-care settings.

Local area networks (LANs) were

developed in hospitals..

Wide area networks (WANs) weredeveloped for linking care across health

care facilities INTERNET is widely used and helped

information and knowledge databases to

be integrated into bedside systems.


10/16

1990s

1995 internet was brought to

the social milieu

E-mailFile transfer protocol

(upload/download)

Telnetwww protocols (The Web)


11/16

1990s

The internetwas used to

exchange data between CPRS,

while the Webbecame themeans to communicating onlineservices (browsing the internet)

and resources to the nursingcommunity.

Return


12/16

Post-2000

Development of wireless Point-of-caresystems with focus on OPEN SOURCEsolutions

Clinical information systems (CIS)became individualized in the ElectronicPatient Record (EPR) and patient

specific systems considered for thelifelong longitudinal record or theElectronic Health Record (EHR)


13/16

Post-2000

Mobile Technology Advances

Wireless tablet computers

Personal digital assistants (PDAs)

Smart cellular telephones (Smartphones)

Voice over internet protocol (VOIP)

Health smartcards

TELENURSING became popularRemote monitoring of ICU patient,

community patients


14/16

Post-2000

LEGISLATION (US-based)

made an impact on the practice

- The Health Insurance Portability and

Accountability Act of 1996 (HIPAA)

1. enacted to streamline healthcaretransactions

2. reduce cost3. reimbursements

4. security, privacy, and confidentiality

Return


15/16

Activity

Internet Shoot Out

Look for the History of Nursing Informatics inthe Philippines

Create a timeline Use hyperlink to open up slides using

hyperlinked text/objects or pictures in onesingle slide.


16/16

Assignment

Is there an existing legislation in our countrythat regulates the use of computers, internet

social media, cyber transactions, etc. andpenalizes any forms of cyber-crimes?

If yes, does it affect our health caresystems? Explain how.

If No, do you think the need of thislegislation is imperative in our country?Explain your stand.

historical perspective nursing informatics

Documents