You are on page 1of 16

Nursing and Computers

Prior to 1960s

Return

1950s computer industry grew - nursing also made major changes per se - Computers are used by healthcare facilities for basic business functions:
- Punch cards - Card readers - Sort and prepare data for processing - teletypewriters

1960s

Return

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 real time processing Hospital information systems were developed primarily for BILLING and ACCOUNTING systems. VENDORS of computer systems and applications in hospitals started

1970s

Return

Nurses began to see the value of computers in the profession


DOCUMENTATION of nursing practice QUALITY of patient care, REPETITIVE aspects of managing patient care.

Computers are perceived as cost-saving technologies HISs further advanced Computer-based MIS in public health developed

Statistical purposes

1980s
NURSING INFORMATICS emerged Need of DATA STANDARDS, VOCABULARIES and CLASSIFICATION schemes for computer based patient record systems (CPRS) identified HIS emerged with nursing subsystems

Order entry (like KARDEX) Results reporting Vital signs Narrative nursing notes Discharge planning systems

1980s
Microcomputer

Return

/ Personal Computer

emerged
Has brought computing power to workplace ,

especially the POINT-of-CARE. Served as stand-alone systems (workstations) User-friendly and allowed nurses to create their own applications

1990s
Computer technology became an integral part of health care settings, nursing practice, and the profession. Nursing Informatics was approved in 1992 by ANA as a new nursing specialty Demand for NI expertise increased greatly Use of innovative technologies for all levels and types of nursing and patient education demanded

1990s
Laptops and Notebooks were utilized at bedside and all point-of-care settings. Local area networks (LANs) were developed in hospitals.. Wide area networks (WANs) were developed for linking care across health care facilities INTERNET is widely used and helped information and knowledge databases to be integrated into bedside systems.

1990s
1995

internet was brought to the social milieu


E-mail

File transfer protocol

(upload/download) Telnet www protocols (The Web)

1990s

Return

The internet was used to exchange data between CPRS, while the Web became the means to communicating online services (browsing the internet) and resources to the nursing community.

Post-2000

Development of wireless Point-of-care systems with focus on OPEN SOURCE solutions Clinical information systems (CIS) became individualized in the Electronic Patient Record (EPR) and patient specific systems considered for the lifelong longitudinal record or the Electronic Health Record (EHR)

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 popular


Remote monitoring of ICU patient,

community patients

Return

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 healthcare transactions 2. reduce cost 3. reimbursements 4. security, privacy, and confidentiality

Activity

Internet Shoot Out


Look for the History of Nursing Informatics in

the Philippines Create a timeline Use hyperlink to open up slides using hyperlinked text/objects or pictures in one single slide.

Assignment
Is there an existing legislation in our country

that regulates the use of computers, internet social media, cyber transactions, etc. and penalizes any forms of cyber-crimes? If yes, does it affect our health care systems? Explain how. If No, do you think the need of this legislation is imperative in our country? Explain your stand.

You might also like