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QSEN Aligned Informatics Teaching Strategies Across the Nursing Continuum QSEN Aligned Informatics Teaching Strategies Across the Nursing Continuum

QSEN Aligned Informatics Teaching Strategies Across the Nursing Continuum - PowerPoint Presentation

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QSEN Aligned Informatics Teaching Strategies Across the Nursing Continuum - PPT Presentation

BSN MSN DNP Marisa L Wilson DNSc MHSc RNBC CPHIMS Associate Professor The University of Alabama at Birmingham School of Nursing QSEN 52016 Objectives Define Informatics as an Advanced Nursing Specialty ID: 647784

nursing informatics support information informatics nursing information support http www technology education qsen clinical topical data nurse health org

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Slide1

QSEN Aligned Informatics Teaching Strategies Across the Nursing Continuum BSN, MSN, DNP

Marisa L Wilson

DNSc

MHSc

RN-BC CPHIMS

Associate Professor

The University of Alabama at Birmingham School of Nursing

QSEN 5/2016Slide2

ObjectivesDefine Informatics as an Advanced Nursing Specialty

Contrast Informatics as an Expected Competency for all nurses

Elaborate on QSEN Informatics Competencies

Discuss Configurations within Plans of Study

Review Topical Areas to Engage Learners

Present “Lessons Learned”Slide3

Define Nursing Informatics as an Advanced Nursing Specialty

NI is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. NI facilitates the integration of data, information and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information

technology.

ANA,

Nursing Informatics Scope and Standards of Practice

, 2014Slide4

What makes Informatics a Specialty?Differentiated practice

Defined research priorities

Representation in

professional

organizations

Formal education programs

A credentialing

process for specialists

An accreditation process* for programsSlide5

Why is this important?These Informatics Nurse Specialists are:

Out there with a solid theoretical background and real world experience.

Many will consult on or guest lecture for course development.

Many want to teach at all levels

They produce a body of evidence.

They are available in most clinical sites for consult .Slide6

Support for InclusionInstitute of Medicine (IOM)

Crossing the Quality Chasm

, 2001

Health Professions Education: A Bridge to Quality

, 2003

Healthcare professionals need to be taught:

Patient centered care

How to work in teams

Use of evidence based practice

Application of QI strategies

Proficient use of informatics and information technologySlide7

Support for InclusionTechnology Informatics Guiding Education Reform (TIGER)

Brought together experts

Developed a vision and strategy to improve nursing education (now

interprofessional

)

Formed collaborative teams to create a workforce capable of using IT

http://

thetigerinitiative.orgSlide8

Support for InclusionAHRQ and Robert Wood Johnson joined forces Formed the Quality and Safety Education for Nurses (QSEN)

Competency 5 urges the utilization of informatics to ensure safety and enhance quality care

http://qsen.org/competencies/it

/Slide9

QSEN Informatics KSAs Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

Prelicensure

http://

qsen.org

/competencies/pre-licensure-

ksas

/#informatics

Graduate

http://

qsen.org

/competencies/graduate-

ksas

/#informaticsSlide10

Support for InclusionAffordable Care Act – 2014Thirty million patients will gain access and demand care.

Over 3 million nurses are expected to provide better quality and safer care.

A proficient and deeper use of technology is expected through Meaningful Use.Slide11

Support for InclusionIn response, the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN) incorporated informatics competencies.AACN Essentials of Baccalaureate Education element IV

NLN released the Position Statement Preparing the Next Generation of Nurses to Practice in a Technology-rich Environment: An Informatics

Agenda Slide12

Plan for Configuration of Courses

Standalone course

One dedicated informatics course that every student takes – BSN, MSN, DNP

Varies based on expected leveled competency

Could be face to face or on line

Would be

separate

from use of academic or clinical electronic health record in simulation

Would not be a computer science courseSlide13

Plan for Configuration Dedicated and specified module in each courseOne module embedded in each class to cover informatics topics of interest

Fundamentals,

Adult

Health,

Mothers

and Newborn,

EBP, Leadership, Role of the Nurse for BSN students

Policy, EBP, Leadership, Organizational Systems, Role of the Advanced Nurse for Masters student and DNP

Informatics should also be highlighted in clinical and simulationSlide14

Plan for Configuration Informatics material threaded within and throughout course materials

Content threaded throughout appropriate material

Fundamentals - Managing electronic

documentation,

information management

Adult Health - Bar coding for safety, clinical decision support

Childbearing Family – Social networking and mobile apps

Community – Reporting, Interoperability

Leadership – Analytics, dashboards, quality monitoring

Slide15

Topical AreasWhat is informatics?

What is nursing informatics?

Who are the

informaticians

?

Examine the organizational culture and technology

Discuss information sharing and technology

Relate informatics innovations to nursing practice

Data to information to knowledge to wisdom

Define these concepts and the relationships

Describe how we manage this with information technology

Discuss relationship with EBPSlide16

Topical AreasTheories and Models

Shannon Weaver Communications Theory

Rogers Diffusion of Innovation

Innovation communicated through channels

Innovators, Early Adopters, Early Majority, Late Majority, Laggards

Change theories and the role of the nurse

Systems Development Lifecycle

Lewin’s

Theory – Driving, Restraining, Equilibrium

Disruptive Innovations

Evaluation Models – LOGIC

Inputs, Activities, Outputs, OutcomesSlide17

Topical AreasStandardized TerminologySharable and Comparable Nursing DataTrigger for Clinical Decision Support

Foundation of the development of EBP

Resources:

http://www.nursing.umn.edu/icnp/center-projects/big-data/2016-nursing-knowledge-big-data-science-conference/

index.htmSlide18

Topical AreasHardware, Software, and Communications TechnologyInformation Systems – Clinical and Administrative

EHRs, PHRs, Portals, Secure Messaging and access

Hardware Used – PCs, Laptops, Handhelds, Mobile, RFID,

BarCode

Readers,

Wearables

,

Implantables

Data Warehouse and Storage

Outputs – reports, queries, dashboards

Communication Devices – Smartphones, VOIP, text

Computer Mediated Communication – Twitter,

Usability, Ergonomics, Human Computer InteractionSlide19

Topical AreasQuality and Safety and Information TechnologyRelationship between data and information in CIS and EBP

Health Literacy for both nurse and patient/consumer

Clinical Decision Support and EBP

Alerts, Dashboards, Reports, Analytics,

Ordersets

, Documentation templates

Effective information search strategies

Critique accuracy and value of information on the internet

Information Overload, Alert FatigueSlide20

Topical Areas Extending Health and Care with Technology

eHealth

and Mobile Apps

Social Networking

Telehealth

,

Telenursing

http://www.americantelemed.org/docs/default-document-library/fact_sheet_final.pdf?sfvrsn=

2

eCare

eICU

Patient sourced data and how we manage it

Interoperability of data and Health

Robotics in clinical areas and home

Nanotechnology

GenomicsSlide21

Topical AreasData Security, Confidentiality, PrivacyANA Code of EthicsHIPAA – HHS

https

://www.healthit.gov/providers-professionals/ehr-privacy-security/practice-

integration

Patient Access -

https://www.healthit.gov/sites/default/files/consumeraccessdatabrief_9_10_14.

pdf

Joint Commission

CMSSlide22

Topical AreasEvolution of Standards and PolicyMeaningful Use – https://

www.healthit.gov

Access to

own information -

https://www.healthit.gov/patients-

families

Empowered and

engaged patients -

https://

www.patientslikeme.com

Health Information Technology Standards

SNOMED

LOINC

HL7Slide23

Lessons LearnedInformatics is much more than teaching an EHR

Nurses need to know how to lead these changes

Choice of configuration has implications for workload and staff development

Timing of material is very important particularly for traditional BSNs with little clinical exposure

Effort must be made to connect informatics content to patient/consumer care and role of the nurse

Weave use of technology with appropriate skill of learner

Start information literacy and information search strategies earlySlide24

ReferencesCarrington JM, Tiase

VL, Estrada N, & Shea KD. (2014. Nursing education focus of nursing informatics research in 2013

Nurs

Admin Q.

De Gagne J,

Bisanar

WA,

Makowski

JT, & Neumann JL. (2011). Integrating informatics into the BSN curriculum; a review of the literature. Nurse Education Today.

Hunter K,

McGonigle

D, &

Hebda

T. (2013) The integration of informatics content in baccalaureate and graduate nursing education. Nursing Educator.

Miller LA,

Stimely

ME, Matheny PM, Pope MF,

McAtee

RE, & Miller KA. (2014) Novice nurse preparedness to effectively use electronic medical records. Online Journal of Nursing Informatics.

Telez

M. (2012) Nursing informatics education past, present, and future, CIN Plus.Slide25

ResourcesQSEN Modules

http

://qsen.org/tag/informatics

/

http

://qsen.org/courses/learning-modules/module-seven

/https

://www.healthit.gov/providers-

professionals

DHHS Office of the National Coordinator

https://

www.healthit.gov

Informatics Deep

Dive

http://www.nursing.umn.edu/continuing-professional-development/nnideepdive

/

http

://www.nursing.umn.edu/prod/groups/nurs/@pub/@nurs

/documents

/content/nurs_content_500673.

pdf

http

://docplayer.net/5877666-National-nursing-informatics-deep-dive-

program.htmlSlide26

Questions?Please feel free to contact me:

Marisa L. Wilson

DNSc

MHsc

RN-BC CPHIMS

The University of Alabama at Birmingham

School of Nursing

mwilsoa@uab.edu