Nursing Informatics: Scope and Standards of Practice, Second Edition

Nursing informatics (NI) is the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice. For many people, NI, and health care informatics in general, are about technology. This is especially true of electronic health records (EHRs) that are required of all care facilities. That is just one among many aspects of nursing informatics, a distinctive practice specialty that is the focus of this new publication. The second edition of Nursing Informatics: Scope and Standards of Practice is the most comprehensive, up-to-date resource available in this subject area. The book covers the full scope of nursing informatics and outlines the competency level of nursing practice and professional performance expected from all informatics nurses and nurse specialists. In addition, it details the nursing informatics competencies needed by any RN, spans all nursing careers and roles, and reflects the impact of informatics in any health care practice environment. This is a must-read for nurses, as informatics touches on every RN's practice. The publication's scope of practice addresses the context of the who, what, where, when, why and how of NI practice for informatics nurses and informatics nurse specialists. That detailed scope of practice covers the following topics: Metastructures, concepts and tools …Functional areas … Preparation for nursing informatics specialty practice … Ethics in nursing informatics … Trends in regulatory changes and quality standards The 16 nursing informatics standards, which provide a framework for evaluating practice outcomes and goals, are those to which all informatics nurses are held accountable for their practice. The set of specific competencies accompanying each standard serves as essential evidence of compliance with that standard. This foundational volume is primarily directed to those nurses involved with NI practice, education, administration and research. Other nurses, allied health care providers, researchers and scholars will find value in this content, as will employers, insurers, lawyers, policy makers, regulators and other stakeholders. Contents 5 Contributors 9 The Scope of Nursing Informatics Practice 11 Introduction 11 Definition of Nursing Informatics 11 Metastructures, Concepts, and Tools of Nursing Informatics 12 Metastructures: Data, Information, Knowledge, and Wisdom 12 Integration of Nursing Informatics into Practice 16 Nursing Informatics Practice 17 Tenets of Nursing Informatics 18 Nursing, the Nursing Process, and Vocabularies 19 Concepts and Tools from Information Science and Computer Science 24 User Experience and Related Concepts 24 Phenomenon of Nursing 26 Functional Areas of Nursing Informatics 28 Administration, Leadership, and Management 29 Systems Analysis and Design 31 Compliance and Integrity Management 32 Consultation 34 Coordination, Facilitation, and Integration 34 Development of Systems, Products, and Resources 36 Education and Professional Development 37 Genetics and Genomics 39 Information Management and Operational Architecture 40 Policy Development and Advocacy 41 Quality and Performance Improvement 42 Research and Evaluation 42 Safety, Security, and Environmental Health 44 Integrated Functional Area Example: Telehealth and Informatics 46 Evolution of Informatics Competencies 47 Informatics Competencies Requisite for All Registered Nurses 47 Research About Nursing Informatics Competencies 49 Professional Organization Discussions on Informatics Competencies 50 Healthcare Leadership Alliance 50 American Organization of Nurse Executives 50 Quality and Safety Education for Nurses 50 National League for Nursing 51 TIGER Initiative Foundation 51 Informatics Competencies: Spanning Careers and Roles 51 Informatics Competencies for Informatics Nurses and Informatics Nurse Specialists 53 Informatics Competencies for Nurse Educators 53 Office of the National Coordinator for Health Information Technology 54 Synthesis of Evolution of NI Competencies 56 Preparation for Nursing Informatics Specialty Practice 57 Certification of Informatics Nurses 58 An Advancing Professional Nursing Specialty 58 Ethics in Nursing Informatics 59 The Future of Nursing Informatics 62 Trends in Practice Roles and Competencies for Nurses and Informatics 62 Trends in Technology 63 Nanotechnology 64 Tools for Managing Population Health Concerns 64 Devices and Hardware 65 Robotics 67 Focus of Emerging Technologies 67 Knowledge Representation 69 Educational Technologies 69 Tools for Patient Access to Health Information 70 Expanded Use of IT in Nursing 70 Implications for Nursing Informatics 72 Trends in Regulatory Changes and Quality Standards 72 Trends in Care Delivery Models and Innovation 73 Consumer Informatics 74 External Partnerships 75 Implications for Nursing Informatics 75 NI Future and Trends: Summary 76 Standards of Nursing Informatics Practice 77 Significance of the Standards 77 Standards of Practice for Nursing Informatics 78 Standard 1. Assessment 78 Standard 2. Diagnosis, Problems, and Issues Identification 80 Standard 3. Outcomes Identification 81 Standard 4. Planning 82 Standard 5. Implementation 83 Standard 5a. Coordination of Activities 85 Standard 5b. Health Teaching and Health Promotion 86 Standard 5c. Consultation 87 Standard 6. Evaluation 88 Standards of Professional Performance for Nursing Informatics 89 Standard 7. Ethics 89 Standard 8. Education 91 Standard 9. Evidence-Based Practice and Research 93 Standard 10. Quality of Practice 94 Standard 11. Communication 96 Standard 12. Leadership 97 Standard 13. Collaboration 99 Standard 14. Professional Practice Evaluation 101 Standard 15. Resource Utilization 102 Standard 16. Environmental Health 103 Glossary 105 References 107 Appendix A. An Emerging Model of Wisdom 117 Appendix B. Nursing Informatics: Scope and Standards of Practice (2008) 119 Index 215 A 215 B 216 C 216 D 219 E 220 F 221 G 222 H 222 I 224 J 226 K 227 L 227 M 227 N 228 O 229 P 230 Q 231 R 231 S 232 T 233 U 234 V 235 W 235