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Nursing Informatics;

Setho Hadisuyatmana, Ns.


Administrative, Education

Situation
Nurses shortage
Patient safety
Visibility need

Nurses Shortage
Nursing is a taking-time professional work
Average time taken for each patient : 30-45/shift
Need of High Quality personnel
Improvement in quality of care
Financial resources
Improvement in cost efficiency

Patient Safety, The Demand


Faster access
Patient responses to
treatments
Precise documentation
assurance
Avoiding harm to patients
Organizational performance
Clinical effectiveness
Quality of service

Visibility Service
Prove it!
Do what you have write, Write what you
have done
Should be provable as patient outcome
Together with nursing shortage and patient safety defines
the need of Nursing Informatics!

Nursing Informatics (Saba, 2006)


Nursing is an information-intensive profession,
thus rely heavily to the acquisition of information
Area of nursing that integrates nursing science,
computer science, and information science to
manage and communicate data, and knowledge in
nursing (ANA, 2001)
NI supports decision-making in all roles through
information structures, process, and technology
(ANA, 2001)

Consideration to Nursing
Administrative Needs
Education process application
Research

Applications and Implications


to Nursing Management
Progressive shift of Information usage
expanded spreadsheet to shared data information
Expectations in Nursing Management
Benefits
Efficiencies

How Nursing benefits from


IT
Expanded use of nursing staff resources
Improvement in: Quality of px. care monitoring,
documentation, communication, planning, standard of
nursing practice, evaluation of care provided
Ability to define: nursing practice, and method to track
patient care delivered, outcome achieved, revenue generated
Enhancement in: Staff recruitment and retention
Supporting the dynamic organizations

What helps provided by


systems
Fast communication
Order entry
Continuity of Care

More time on
patients
Guided critical
thinking
Shift to expert
resources

IT usage considerations:
no exact evidence that
modernization benefits in all
Modern IT in Nursing costs:
aspects
High infestation on Hardware and Software installments and
maintenances

High infestation on Human Resources for training and


education
Traditional Informational management costs:
Huge space and non-profitable costs
Time related to clinical decision making process

Key emerging technologies

(Simpson, 2003)

Mobile technology (m-Health)


Wireless area network
Picture archiving and communication systems (PACS)
Single Sign On (SSO)
Computerized Provider Order Entry (CPOE)
Electronic Health Medical Records (EHRs)

Educational Implications
Shift of Education Process
Challenges in Faculty Development
Application in Education Process
Research utilization

Shifting educational process


Shifting delivery

Text, video, voice


Accessed anywhere
anytime
Student oriented
Eliminate spatial and
time issue

What is E-learning?
E-learning is exploiting
interactive technologies
and communication
systems to improve the
teaching and learning
experience.

Tools in E-Learning
Content

Hardware:
computer

Software

PBM
Infrastructure/
network

Interaction
Strategies

E-Learning Instructional
Process
Guided
Learning

Independent
Learning

Conventional
(face-to-face)

Full -Online

Online +
facilitator

Why e-learning

Increased flexibility in teaching and learning


Student access to a rich and diverse range
of resources
Catering for a range of student learning
styles and approaches
Enhanced course management

Challenge in Faculty
Development

Interest vs. Resistance

Time limitation for interactions

Shifted role : Preceptors Facilitators

Evolved relationship among faculty


members

Nursing Class Management


Models

hybrid

The Application Snapshot


Other
students
Other
students

student
e-teachers

e-test

e-library
url address

e-audio/video

Application to education

Course Registration (Moodle, Blackboard apps.)

Course Management (Moodle, Blackboard apps)

Test and Examination (Hot Potatoes, Viper Plag test)

Communication (E-mail, Milist, Whatsapp)

Diaries and Assignment (Blogging, cloud activities)

Synchronous class (Teleconference)

Implication to Research
Activities

As Analyzing
tools

As Resources online

Journal

Meta-search

E-GIS

E-Books

Maps

On-line labs

SPSS, SAS

Related Reference

American Nurses Association Workgroup. (2001). Scope


and Standards of Nursing Informatics Practice.
Washington, DC: American Nurses Publishing.
Aula. (2011). Pengelolaan E-Learning.
Saba, Virginia K. and McCormick, Kathleen. (2006).
Essentials of Nursing Informatics. McGraw-Hill Companies.
Simpson, R.L. (2003). Todays challenges shape
tomorrows technology, part 2. Nursing Management.

Thank You!

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