workshop & seminar 7 Oktober 2004 PANDANGAN DARI ASPEK PENDIDIKAN DAN PENGAJARAN TERHADAP NURSING INFORMATICS workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004 Pendahuluan Datangnya era global, mau tidak mau semua sepakat dengan bebasnya informasi tanpa batas negara maupun wilayah dan dalam berbagai segi baik bisnis, pendidikan maupun kegiatan-kegiatan lainnya termasuk kegiatan pendidikan demikian juga perkembangan RS dengan IT nya dan pendidikan dengan IT. workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004 Kajian beberapa contoh di bidang RS maupun Pendidikan dg pemanfaatan IT Di RS di LN Kependidikan Keperawatan Pengaruh IT terhadap Praktik Keperawatan workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004

Skills nurses need related to informatics & technology Use information & communication technology to document & evaluate patient care, advance patient education, & enhance the accessibility of care Use appropriate technology to assess & monitor patients Work on an interdisciplinary team to make ethical decisions regarding the application of technologies & the acquisition of data Adapt the use of technologies to meet patient needs Teach patients about health care technologies Protect the safety & privacy of patients in relation to the use of health care & information technologies Use information technologies to enhance one’s own knowledge base workshop & seminar 7 Oktober 2004

International Medical Informatics Association Forty-one recommendations for using informatics in health care delivery Identified 313 competencies for nurses with various levels of education & practice responsibilities Website www.imia.org Two specialized areas for development: 1) focus on the use of informatics & 2) focus on health care delivery Specialists to design software & create integrated information systems for health care delivery workshop & seminar 7 Oktober 2004

Sample IMIA Nursing Competencies Beginning nurse: use of administrative application, telecommunication devices, e-mail, database management program, client care devices, & the Internet while being able to find resources to address ethical decision making related to computing Experienced nurse: same as the beginner with the addition of ability to use diagnostic coding application, evaluate computerized assisted instruction programs, integrate selected resources into client record, & evaluate accuracy of health care information found on the Internet workshop & seminar 7 Oktober 2004

IMIA Competencies for the Nursing Informatics Specialist Graduate education Able to integrate established technologies into clinical practice workshop & seminar 7 Oktober 2004

IMIA Competencies for the Nursing Informatics Innovator Doctorate Designs new technological systems, techniques, & conceptual models for databases Evaluates safety, effectiveness, cost, & social impacts of technological systems Researches & develops theoretical foundations for the specialty workshop & seminar 7 Oktober 2004

Components of an integrated delivery system (IMIA, 1999) Hyperlinks to the latest information for client care Nursing care planning programs Specific client teaching materials On-line clinical practice manuals with evidence-based nursing care protocols Data collection for best health care practices Client billing systems Health care insurance reimbursement programs workshop & seminar 7 Oktober 2004

Informatics & Technology in Client Care Handheld monitors (e.g., pulse oximetry & peripheral blood glucose monitors) Wireless technology with automatic nurse paging capability when client measurements fall outside of normal parameters Computerized clinical decision-making programs Nurse personal digital assistants Care-planning software programs Handheld clinical resource information devices Intravenous pumps for medication delivery workshop & seminar 7 Oktober 2004

Informatics & Technology in Record Keeping Financial reimbursement applications for services rendered Nursing documentation systems Integrated health record systems to denote past medical history & allergies Electronic health records workshop & seminar 7 Oktober 2004

Informatics & Technology in Communication Wireless telephone systems Wireless paging systems Alphanumeric paging systems Handheld computers to record & receive client information E-mail workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004 Components of a Health Information System Currently Used by Health Care Institutions Admission, discharge, & transfer application Financial application Physician order entry application Ancillary department application Documentation application Scheduling application Acuity application Specialty practice application Decision support application Communication application Critical pathways application workshop & seminar 7 Oktober 2004

The Nursing Informatics Specialist Responsibilities Create systems to maximize the efficiency of information use & computer technology for clinical practice Develop software programs to support nurses as they deliver client care Keep software management updated & educate staff on its use & changes workshop & seminar 7 Oktober 2004

Education for the Nursing Informatics Specialist Thorough understanding of clinical practice Detailed computer expertise ANA certification in nursing informatics Graduate nursing education programs in nursing informatics are available workshop & seminar 7 Oktober 2004

workshop & seminar 7 Oktober 2004 Role of the Nursing Informatics Specialist in Technological & Health Care Development Contribute specialized nursing knowledge to systems Develop software programs & computer systems that facilitate nursing care delivery Field test software programs Verify that systems (hardware & software) address critical nursing considerations workshop & seminar 7 Oktober 2004

Technological Changes to Nursing & Health Care In the late 1950s & early 1960s, businesses used computers for financial record management Medicare & Medicaid require data for governmental reimbursement for rendered services In 1968, Lawrence Weed developed the Weed Problem Oriented Medical Record Information System, the first computerized system for client care at the University of Vermont Medical Center workshop & seminar 7 Oktober 2004

Technological Changes to Nursing & Health Care LifeView Care Station for virtual house calls Telehealth Genetic advances in health promotion, disease prevention, & illness treatment Stem cell research On-line educational options workshop & seminar 7 Oktober 2004

Challenges of Managing Health-Related Informatics & Technology Confidentiality of client health information Ethics related to new therapies Evaluating the quality of information Information security/memory Potential health & personal problems from too much technology workshop & seminar 7 Oktober 2004