Nursing Informatics in Infectious diseases COVID 19 by Dr.T.V.Rao MD

1. Nursing Informatics in
Infectious diseases
COVID 19
Dr.T.V.Rao MD
Dr.T.V.Rao MD 1

2. Nursing Profession has
Transformed
Dr.T.V.Rao MD 2

3. Nursing Informatics can save many
with Infectious diseases
• Covid 19 Pandemic
exposes the Lacuna in
our educational and
training of our health
care worker many die
due to lack of medical
nursing and health care
• The great option remain
with faster training or
Nursing professional
more important than in
the past
• Nursing informatics
comes to our rescue
•
Dr.T.V.Rao MD
Dr.T.V.Rao MD 3

4. Contemporary Problems in
Practice
• Increasing patient acuity and complexity •
Increasing range of requisite skills
• Changing nature of the workforce
• Global graying/shortage
• Limited experienced clinical mentors
• Reactive educational systems (strain)
• Limited opportunities for clinical
competence development in practice settings
• Need for flexible systems of delivery
Dr.T.V.Rao MD 4

5. COMPONENTS OF NURSING
EDUCATION
Dr.T.V.Rao MD 5

6. Nursing Informatics in
COVID 19
• The lack of a
national or global
unified response to
the COVID-19
pandemic presents
health care
professionals with
the greatest
challenge of their
careers. Dr.T.V.Rao MD 6

7. Role of Nursing
Informatics
• As informaticians create
systematic responses to
a host of issues – eg,
creating terminologies,
tracking and predicting
outbreaks, ensuring
practitioners’ personal
safety, establishing
telemedicine systems,
and using AI to develop
new diagnostics and
treatments
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8. Technology in Nursing Education
• Ubiquitous / Exponential expansion: ƒ
Multimedia ƒComputer Presentation
Software ƒDigital audio-video ƒDigital
animation ƒ
Media streaming ƒLearning Management
Systems ƒIntegrated virtual learning
environments ƒ
Telecommunications ƒHigh Bandwidth
Internet ƒWireless ConnectivityDr.T.V.Rao MD 8

9. New Challenges in Infectious
disease
• As the healthcare
landscape
continuously wavers
during the COVID-19
pandemic, health care
professionals are
tasked with new
challenges during
these unprecedented
times Dr.T.V.Rao MD 9

10. Information technology
• Any technology which
processesand
communicatesdata,
includes:
– computers, voice, data
and image sensing and
communications
devices, graphics
devices, multi-media
storage, etc.
– pen, paper, telephones
and fax machines
Dr.T.V.Rao MD 10

11. Dr.T.V.Rao MD 11

12. Dr.T.V.Rao MD 12

13. Health (Medical) Informatics
Simplistic definition:
• Medical informatics is the application of
computers,communications and
information technology and systems to
all fields of medicine - medical care,
medical education and medical
research.
MF Collen, MEDINFO '80, Tokyo
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14. Definitions
• 1989—Graves and Corcoran defined Nursing
Informaticsas
–“Computer science, information science,
and nursing science combined to assist in
the management and processing of nursing
data, information and knowledge to
support the practice of nursing and the
delivery of nursing care.”
Dr.T.V.Rao MD 14

15. Current Trends
• 1996—Turley defined Nursing
Informatics as the intersection point
with Nursing Science, Computer
Science and Information Science.
• 1995—Graves et al, began to
incorporate knowledge as a product
of the sciences into the definition.
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16. Nursing Informatics Defined
• Nursing informatics is the integration
of nursing, its information, and
information management with
information processing and
communication technology, to
support the health of people world
wide.
• InternationalMedicalInformaticsAssociation – Nursing InformaticsSpecial
InterestGroup(IMIA-NI),adoptedAugust1998,Seoul,Korea
Dr.T.V.Rao MD 16

17. New Definition - ANA
• “Nursing Informatics is
a specialty that
integrates nursing
science, computer
science, and
information science to
manage and
communicate date,
information, and
knowledge in nursing
practice. ANA (2001).17
Dr.T.V.Rao MD 17

18. How it all began….
• Late 1960’s first
computersystems
were implementedin
hospitals
• Computernurses
began to appear in
hospitals
– Excellentclinicians
– Technicallycurious and
willingto try new
things
Dr.T.V.Rao MD 18

19. Nursing Informatics:
• Nursing informatics can
be applied to model the
human processing of data,
information, and
knowledge within a
computer system in order
to automate the processing
of nursing data to
information and the
transformation of nursing
information to nursing
knowledge.
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20. Informatics Nurse Specialist
1. Improving patient safety, particularly in drug
delivery and clinical records are correct.
2. Improve workflow, with a display of
information and processes that appear in the
order in accordance with the activities of nurses.
3. Improving the implementation of the new
system, involving nursing staff in the design it.
4. Improve the effectiveness of the system.
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21. Who Should Become a Nurse
Informaticist?
• You do not have to be a computer expert
to consider a career as a nurse
informaticist. Everyone must start
somewhere. If you see the computer as a
problem-solving tool instead of an
inconvenience, then you are a prime
candidate to be a nurse informaticist
(Bridges, 2007).
Dr.T.V.Rao MD 21

22. Nurse Informaticist? Works with
WWW support
• In education, the nurse
informaticist works with
online, hybrid, and web
supported courses. This
may include putting
courses up on the
internet and assisting
faculty with
determining what
should go on the web
support sites.
Dr.T.V.Rao MD 22

23. Need for Nursing Informatics:
• "In the current Information Age, the
doubling of knowledge every five
years ? and the increased
specialization of knowledge make it
imperative that nurses have access
to the latest scientific information to
assist in the delivery of high quality
care," (Hudgings, 1992,).
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24. Nursing Informatics:
• Information systems
used in health care
include the people,
structures, processes,
and manual as well as
automated tools that
collect, store, interpret,
transform, and report
practice and
management
information.
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25. Knowledge is exploding and
Patients are demanding
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26. The Benefits of Nursing
Informatics
• In the practice of
professional
nursing
• In the delivery
of patient care in
the healthcare
continuum
Dr.T.V.Rao MD 26

27. Nursing Process
• Communicate &
coordinates care with
ALL other clinical
disciplines
• – Coordinate discharge
planning, education &
teaching, transition of
care
• – Manages ALL
information related to
the nursing process and
patient Dr.T.V.Rao MD 27

28. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date,accurate
information of each
step of the Nursing
Process is the Power
behindsafe, high
quality patient-
centeredcare!
Dr.T.V.Rao MD 28

29. What Does a Nurse Informaticist Do?
• Nurse informaticists,also known as nurse
informaticsspecialists,are specially trained to
help manage, interpretand communicatethe
vital medical data and information that flows into
and out of doctor's offices,hospitals,clinics and
other health care facility computer systems.
Nurse informaticistsare skilled in three primary
areas: computer science, information
technology and nursing science
Dr.T.V.Rao MD 29

30. What Does a Nurse Informaticist Do?
• They may also make
recommendations as to
how to improve the
processesand uses of
computer programs in
order to improve
patient outcomes. For
this reason, many nurse
informaticistswork as
consultants.
Dr.T.V.Rao MD 30

31. What Does a Nurse Informaticists Do?
• Other nurse informaticists work in an
administrative capacity, and contribute to
decision-making on medical information
technology. Some nurse informaticists
educatenurses on how to effectively
enter medical information into a
computer system, as well as train nurses
how to use new technology.
Dr.T.V.Rao MD 31

32. Information/Database Management
• Understand database architecture—how
data is stored and accessed
• Nursing structure
–Nomenclature/vocabulary
–Taxonomies and Coding Schemes
• ICD-P,CPT
–Nursing Minimum Data Sets
• NIC,NOC,NANDA,
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33. Computer Technology
• Understanding of the actual
technology Networks
–Personal computers
–Portable devices
–Operating systems
–Software
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34. Exam Focus Areas
• SystemAnalysis and Design
• SystemImplementation and Support
• SystemTesting and Evaluation
• Human Factors
• Computer Technology
• Information/DatabaseManagement
• Professional Practice/Trends and Issues
• Theories
Dr.T.V.Rao MD 34

35. Automation of Documentation
• Why automate
documentation – not
only for nursing but for
all of patient care?
• Up-to-date,accurate
information of each
step of the Nursing
Process is the Power
behindsafe, high
quality patient-
centeredcare
Dr.T.V.Rao MD 35

36. The Value of Nurse Informaticists
• Support nursing work processes using
• technology
• – Design systems to match clinical workflows
• Telehealth
• Home health
• Ambulatory care
• Long-term care
• Acute care – all specialties
• Outpatient settings
• Software development
• Redesign work flows
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37. The Value of Nurse Informaticists
• Increase the accuracy and completeness
• of nursing documentation
• • Improve the nurse’s workflow
• – Eliminate redundant documentation
• • Automate the collection and reuse of nursing data
• • Facilitate analysis of clinical data
• – JCAHO indicators, Core Measures, federal or state
• mandated data and facility specific data
Dr.T.V.Rao MD 37

38. The Benefits of Nurse Informaticists
• Nurse Informaticists
promote and
facilitate
Access to resources
and references for
nurses and the entire
interdisciplinary team
in both clinical and
administrative settings
Change Dr.T.V.Rao MD 38

39. The Benefits of Nurse Informaticists
• Benefits for nurses and the interdisciplinary team:
• Support for their mission to deliver high quality,
evidence-based care Support for better service by
facilitating true interdisciplinary care
• Promotes improvement in key relationshipswith
• physicians
• peers
• interdisciplinary care team members
• patients
• families
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40. The Benefits of Nurse Informaticists
• Benefits in the
administrative
setting
• Support for cost
savings and
productivity goals
• Facilitate change
management
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41. What Does the Nurse Informaticist Do?
• The role of the nurse informaticist is partially
dependent on the place of employment. In
acute and long term care, the role is to be a
liaison between the IT department and
nursing. This nurse assists in choosing the
appropriate system for electronic health
records and then works with the nursing staff
to use the system in providing patient care.
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42. Nurses Influencing Change curriculum
• Taughtsince 2005 to 4th
Year Nursing Students
• The use of information
and communication
technologieshas become
a strong thread woven
through out this course,
withthe premise that the
“media” is a powerful
forcein both preventing
and initiatingsocial
change

43. The Many Roles of a
Nurse Informaticist
• Vendors
• Acute care - Hospital
Systems
• Consultant
• Education/Research
• Long-term care
• Ambulatory
• Home care
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44. The Many Roles of a
Nurse Informaticist
• Hospital Systems
Analyst –
Support/Implement
Systems
Directors/Managers of
Nursing Informatics
Project Managers
CIO (Chief Information
Officer)
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45. The changing role of Nursing
• Software
Implementation
• Software/System
Solution Selection
• Process
Improvement
• Project
Management
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46. The Many Roles of a
Nurse Informaticist
• Other -
Education/Research
• Compilation/Analysis
of Data Public Policy
Government
HealthCare IT
initiative
Insurance
organizations
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47. Patients are keen to know more about
their Problem
Are we well Equipped
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48. Online Journal of Nursing Informatics
• The Online Journal of Nursing Informatics
(OJNI) is a free, international,
professional,refereed publication that
focuses on nursing informatics in all
practice settings. OJNI is committed to
addressing the theoretical and practical
aspects of nursing informatics as it
relates to the art of nursing. CINAHL
indexes the journal.Dr.T.V.Rao MD 48

49. Professional Organizations
• The Alliance for Nursing
Informatics is a collaboration of
over 25 organizations,
representing a unified voice for
nursing informatics. Join one
today!
www.allianceni.org
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50. Nursing Informatics becomes
Nursing is future of learining best
practices
• Take the challenge! Learn all you
can about nursing informatics,
ask questions, and offer your
ideas. Nursing informatics will
continue to grow and be an
integral partner in nursing
practice everywhere!
Dr.T.V.Rao MD 50

51. Let us all be Partners in Improving Nursing
Informatics to save many lives
• In response to the global
crisis, nurse informaticists
are presented with the
unique opportunity to
optimize their approaches
in ensuring best practices
while combining nursing
knowledge and
management of
information and
technology to promote
health and wellness in their
communities.
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52. • The Program file created by
Dr.T.V.Rao MD for benefit of many
Medical Nursing and Health care
Professionals all over the world
• Email
• doctortvrao@gmail.com
Dr.T.V.Rao MD 52