8/9/2019 NI Default)

1/24

THEORIES, MODELS,

AND FRAMEWORKSCHAPTER 17

8/9/2019 NI Default)

2/24

OBJECTIVES:

Relationship betweenhealthcare informatics andnursing informatics.

Models of nursing and NI

NI as a distinct specialty

Key aspects of EHR

Terminologies for nursing

Organizational resources

8/9/2019 NI Default)

3/24

INTRODUCTION

Learning is based on recognitionof patterns, variances, builds, onprevious experiences andknowledge, and involvesanalogies.

Theories, models, framework canguide learning for students and

the faculty.

8/9/2019 NI Default)

4/24

DOCUMENTS GUIDE NI

PRACTICE ANA (2001) Published the code of ethics fornurses w/ interpretative statements; acomplete revision of previous ethics whichguides nurses in practice. (education,

administration, research)

Nursing social policy statement, 2nd edition(2003)- definition of nursing:

the protection, promotion,prevention of

illness and injury, alleviation of suffering throughthe diagnosis and treatment of human responseand advocacy in the care of individuals, families,communities, and populations.

8/9/2019 NI Default)

5/24

DOCUMENTS GUIDE NI

PRACTICE

ANA( 2004) nursing as a cognitiveprofession.

-This cognitive work beginswith the critical thinking and

decision process that occurbefore nursin action be ins.

8/9/2019 NI Default)

6/24

INFORMATICS ANDHEALTHCARE INFORMATICS

INFORMATICS- a science that combines adomain science, computer science,information science, and cognitivescience.

HEALTHCARE INFORMATICS- application ofinformatics in the area of healthcare. HIis a subdiscipline of informatics.

MEDICAL INFORMATICS- subdomain ofhealthcare informatics.

8/9/2019 NI Default)

7/24

HEALTHCAREHEALTHCAREINFORMATICSINFORMATICS

8/9/2019 NI Default)

8/24

NURSING INFORMATICS

1985 definition of Kathryn Hannah: the use of information technologies in

relation to any nursing functions and

actions of nurses Graves and Corcoran: NI is a combination of computer

science designed to assist in themanagement and processing of nursingdata, inforamtion, and knowlegde tosupport practice of nursing and delivery of

nursing care.

8/9/2019 NI Default)

9/24

Nsg Informatics as aSpecialty

Earl 1992, the ANA establishednursing informaticsas a distinctspecialty in nursing with a distinct

body of knowledge.Scope of Nursing Informatics

include: developing and evaluating

applications, tools, process, andstrategies for managing data andsupport decision-making

8/9/2019 NI Default)

10/24

MODELS FOR NURSINGINFORMATICS

Models are representation

of some aspect of thereal world;

Show particularperspectives of aselected aspect andmay illustraterelationships.

8/9/2019 NI Default)

11/24

DATA, INFORMATION,KNOWLEDGE

ARE IDENTIFIED ASCURRENT METASTRUCTURESOR OVERARCHING CONCEPTSFOR NURSING INFROMATICSWITH SPECIFIC DEFINITIONS

Example:

Data- Bp: 120/80 Information: Normal

Knowledge: information

that is synthesized so thatrelationships are identified andformalized.

8/9/2019 NI Default)

12/24

REGISTERED NURSES ASKNOWLEDGE WORKERS

Knowledge work is the exerciseof specialist knowledge and

competencies. Futurist predict thatin the second millenium the primarydomestic product of the united

states will be knowledge and relatedknowledge services.

8/9/2019 NI Default)

13/24

ELECTRONIC HEALTHRECORD

Also associated with the terms:

EMR- Electronic medical recordEPR- Electronic patient recordCMR- computerized medical recordCPR- computer- based patient

record

8/9/2019 NI Default)

14/24

EHR

Any information related to the past, present, andfuture physical/mental health, or condition of anindividual.

(ASTM-American Society for Testing andMaterials)

NCVHS- National Committee on Vital and Health

Statistics; indentified record infromation as amodel for the specific content necessary for theEHR.

NHII- National Health Information Infrastructure

8/9/2019 NI Default)

15/24

TERMINOLOGIES

NIC- Nursing Intervention Classification

NOC- Nursing Outcome Classification

CCC- Clinical Care Classification

Omaha System

PNDS- Perioperative Nursing Data Set

SNOMED CT

ABC Codes

PCDS- Patient Care Data Set LOINC- Logical Observation Identifiers Names and

Codes

ICNP- International Classification for NursingPractice

NMMDS- Nursing Management Minimum Data Set

8/9/2019 NI Default)

16/24

NIC

Contains 514 nursinginternventions that describe the

treatments nurses perform,updated linkages with NANDAdiagnoses, and core

interventions identified for 44specialty practice areas.

8/9/2019 NI Default)

17/24

NOC

Contains 330 research-based

outcomes to providestandardization of expectedpatient, caregiver, family, andcommunity outcomes formeasuring the effect of nursinginterventions.

8/9/2019 NI Default)

18/24

CCC

A research-based

nomenclature designed tostandardize the terminologiesfor documenting nursing care inall clinical care settings.

8/9/2019 NI Default)

19/24

Omaha System

Was released in November 2004;

Originally developed in homehealth practice, now included inall setting.

It includes an assessmentcomponent, an interventioncomponent, and an outcomecom onent.

8/9/2019 NI Default)

20/24

ICNP

Combinatory terminology for

nursing practice developed bythe international nursingcommunity under sponsorship ofthe ICN.

ICN facilitates cross-mapping oflocal terms and existingvocabularies and financial

resources.

8/9/2019 NI Default)

21/24

NMMDS

Includes terms to describe the

context and environment ofnursing practice, includes termsfor nursing delivery unit/service,patient/client population, caredelivery method, personnelcharacteristics, and financialresources.

8/9/2019 NI Default)

22/24

ORGANIZATION ASRESOURCES

Many organizations have

emerged to provide informationresources and value-adddedmembership benefitsthat support those individualsinterested in healthcare andnursing informatics.

8/9/2019 NI Default)

23/24

ORGANIZATIONS

AMIA- American Medical InformaticsAssociation

HIMSS- Healthcare Information and

management Sytems Society (innovations inhealthcare delivery, EHR, and wirelesshealthcare computing)

NLN- National League for Nursing(Advance

quality of Nsg educ)SHS- Society for Health Systems (continuing

education of professionals for productivityand quality improvement in healthcare

delivery.ARMA- to rovide education research and

8/9/2019 NI Default)

24/24