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
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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