Tuesday, May 20, 2014

NURSING INFORMATICS APPLICATION: RESEARCH

NURSING INFORMATICS

It is a specialty that integrates nursing science, computer science and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. It supports consumers, patients, nurses, and other providers in their decision-making in roles and settings. This support is accomplished through the use of information processes and information technology.

 Nursing informatics was previously defined as the application of computer technology to all fields of nursing, such as nursing services, nurse education, and nursing research. It is said that the threads important in nursing informatics are basic computer skills, informatics knowledge, and information literacy (Thede, Jan 2012).

It supports nursing by providing average language system, records/database, decision making support, fast readily research results and assessments.

HISTORICAL CONTENT
  • 1950’s: Healthcare began to use computers.
  • 1970’s: The nursing profession became involved in the design, purchase and implementation of information systems.
  • 1980’s: The emergence of nursing informatics specialties.
  • 1988: National Center for Nursing Research began.
  • 1990’s: Telemedicine emerged as a specialty. The first NI certification exam was administered.
  • Post2000: Exponential growth in the use and sophistication of computer hardware and software.
INFORMATICS FRAMEWORKS/MODELS

TURLEYS NURSING INFORMATIC MODEL


  • It is a combination of information science, computer science and nursing science.
  • When these theories overlap it develops comprehensive science of nursing informatics which is more difficult.
GOOSEN’S FRAMEWORK IN NURSING INFORMATICS RESEARCH


  • Framework is an extension of Grave’s and Corcoran’s framework (1989- Nurses as knowledge workers).
  • Includes the processing of collecting, aggregating, representing and using information, and adds the decision made by nurses and the action taken based on the decision.
  • Evaluation includes both the patient outcomes and evaluation of the care provided.

Staggers & Park’s “Nurse-Computer Interaction” Framework


  • This is a framework of nurse-computer interaction.
  • Includes a developmental trajectory, an assumed goal, interaction in which nurses initiate and respond to information within a particular task domain and the differentiation of nurse behaviors from nurse characteristics.

INFORMATICS RESEARCH ORGANIZING MODEL


  • Composed of 2 component models- system development life cycle (inner ring) and systems research organizing model (outer ring).
  • SDLC- with 5 distinct phases and evaluation as the sixth phase.
  • SRO- represents 4 constructs (context, client, outcomes and NI Intervention).
APPLICATIONS 

  • To guide research in any setting with any users or user groups, any kind of computer application and any kind of outcome.
  • To guide an evaluation of medication bar-coding
  • The model may actually expand our thinking
  • Outcomes of a nursing informatics innovation might affect client characteristics and behaviors.
  • Research and evidence collection the impact of it is the key to repeatable, standardized care and improved outcomes.
  • It promotes and facilitates access to resources and references and support for their mission to deliver high quality, evidence-based care. (Anderson, Barthold, Duecker, Guinn, MacCallum, & Sensmeir, 2012).

“WHY CREATE MODEL OF RESEARCH?”
  • A number of theoretical models have been proposed and tested since there is a need to build the science of dissemination and implementation, in effective research.
REFERENCES:

Anderson, C., Barthold, M. F., Duecker, T., Guinn, P., MacCallum, R., & Sensmeir, J. (2012). HiMSS Nursing Informatics Empowered Care Through Leadership and Technology. Retrieved from http://www.himss.org/files/HIMSSorg/handouts/NI101.pdf

Effken, J. A. (2003). An Organizing Framework for Nursing Informatics Research. CIN: Computers, Informatic, Nursing, Vol. 21, No.6 316-323.

Thede, L. (Jan 2012). Informatics, Where is it? Online Journal of Issues in Nursing, Vol. 17 Issue 1, p1-1. 1p.