Historical Aspects of Nursing Informatics

Kindly discuss on the following:

1. Describe the historical perspective of nursing informatics.

- From the beginning of modern nursing, data from standardized patient records were
seen as a potentially powerful resource for assessing and improving the quality of care.
As nursing informatics began to evolve in the second half of the 20th century, the lack of
standards for language and data limited the functionality and usefulness of early
applications. In response, nurses developed standardized languages, but until the turn
of the century, neither they nor anyone else understood the attributes required to
achieve computability and semantic interoperability. Collaboration across disciplines
and national boundaries has led to the development of standards that meet these
requirements, opening the way for powerful information tools. Many challenges remain,
however. Realizing the potential of nurses to transform and improve health care and
outcomes through informatics will require fundamental changes in individuals,
organizations, and systems. Nurses are developing and applying informatics methods
and tools to discover knowledge and improve health from the molecular to the global
level and are seeking the collective wisdom of interdisciplinary and interorganizational
collaboration to effect the necessary changes.

2. Explore lessons learned from the pioneers in nursing informatics.

- The advancement of Nursing Informatics (NI) in practice differs between regions and
there is a need to support the advancement of NI all over the world. Exemplifying
means that have been successful in supporting NI in practice could be used to guide the
development of NI in other places as well. To address this need, the IMIA-NI SIG
Student and Emerging Professionals (SEP) group proposes a panel of pioneers in the
field to discuss means of how to support NI in practice throughout the continuum - from
places where the field is just emerging to those where NI today is more advanced. The
discussion will cover issues such as NI roles, requirements, competencies and
education. Discussed ideas will be collected and reported in the future.

3. Describe the types of nursing standards initiatives.

- Standards of nursing practice developed by the American Nurses’ Association (ANA)

provide guidelines for nursing performance. They are the rules or definition of what it
means to provide competent care. The registered professional nurse is required by law
to carry out care in accordance with what other reasonably prudent nurses would do in
the same or similar circumstances. Thus, provision of high quality care consistent with
established standards is critical.

4. Review the historical perspectives of electronic health records.

- Implementation of electronic medical record (EMR) systems within developing

contexts as part of efforts to monitor and facilitate the attainment of health-related aims
has been on the increase. However, these efforts have been concentrated on urban
hospitals. Recent findings showed that development processes of EMR systems are
associated with various discrepancies between protocols and work practices. These
discrepancies were mainly caused by factors including high workload, lack of medical
resources, misunderstanding of the protocols by health workers, and client/patient
practices. The present review focused on the effects of EMRs on patient care work, and
on appropriate EMR designs principles and strategies to ameliorate these systems.

5. List the major landmark events and milestones of nursing informatics.

- 19700’s

Event: First Research: State of the Art Conference of Nursing Information

System (1977)

Sponsor: University of Illinois College of Nursing

Coordinator: Harriet Werley & Margaret Grier

Site: Chicago, IL

Giant step were taken for both nursing and computer• Recognized the value of
computer into nursing• Improvement of Documentation• Repetitive aspect of patient
care• Mainframe HIS were designed and developed• Use for reimbursement of
Medicare.

- 1980’s

Emersion of Informatics in the healthcare industry• Computer-based patient records

system or CPRS• HIS ØOrder entry *online results ØKardex *nurses notes ØVital Signs
*Discharge Plan• Updates on Practice Standards ØData Standards ØVocabularies
ØClassifications Schemes.

Event: Plato IV-CAI Educational Network System (1982)

Sponsor: University of Illinois School of Nursing

Coordinator: Pat Tymchyshyn

Site: Urbana- Champaign, IL

- 1900’s

Computer technology become integral part of healthcare• N.I was approved by ANA as
a new nursing specialty (1992)• Laptops or notebook to the bedside and all point of care
settings• Local Area Network (LAN) were developed – Linking hospital care Units Wide
area network were developed (WAN) . Ø Linking across the different system•
Introduction of internet ØInformation superhighway ØMainstream social Milieu
ØElectronic Mail (e-mail) ØFile transfer Protocol (FTP) ØThe web became the means
for online communications and resources to the nursing practice ØIntegral component
of all IT system ØWWW use to browse the internet and search worldwide resources

Event: ANA approved Nursing Informatics as a Nursing Specialty(1992)

Sponsor: ANA Database Steering Committee

Coordinator: Norma Lang, Chair

Site: Washington D.C

- 2000’s

Computer technology become integral part of healthcare• N.I was approved by ANA as
a new nursing specialty (1992)• Laptops or notebook to the bedside and all point of care
settings• Local Area Network (LAN) were developed – Linking hospital care Units, Wide
area network were developed (WAN) . Ø Linking across the different system•
Introduction of internet ØInformation superhighway ØMainstream social Milieu
ØElectronic Mail (e-mail) ØFile transfer Protocol (FTP) ØThe web became the means
for online communications and resources to the nursing practice ØIntegral component
of all IT system ØWWW use to browse the internet and search worldwide resources

Events: First ICN Research and Development Center (2004)

Sponsor: Deutschsprachige ICND

Coordinator: Peterkoening
Site: Freiburf, Germany

REFERENCES:

https://www.google.com/amp/s/www.researchgate.net/publication/23384952_A_brief_hi
story_of_nursing_informatics_in_the_United_States_of_America/amp

https://www.ncbi.nlm.nih.gov/m/pubmed/29857373/

https://health.mo.gov/living/lpha/phnursing/standards.php

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4887954/

http://nursinginformatics2016.blogspot.com/2016/05/clinical-information-system-is-
common.html?m=1