NURS 8210 Discussions Week 1: Discussion HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS
BY DAY 3 OF WEEK 1
Post a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.
BY DAY 6 OF WEEK 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.
Response to Christian Offor regarding Health Information Technology.
Health information technology is pivotal in advancing (Huter. et al., 2020) health benefits across diverse population groups. In the sphere of health information and the application of technology in nursing, the role of Patricia Abbott and Ms. Judy Murphy has been notable. The introduction of telehealth, nursing informatics, and technology in several aspects of nurse functioning, such as maintaining patients’ records and exchanging patients’ information, and documents regarding insurance claims, has proven beneficial in streamlining nursing processes.
My friend, you have rightly appreciated the specific contribution that Patricia Abbott has made in the field of telehealth and disease self-management. Patricia Abbott is one of the pioneers in informatics innovations helping vulnerable patient populations such as patients suffering from cardiovascular diseases. Patricia Abbott has achieved the spread of the application of the latest technology to upgrade nursing practices and policies, proving helpful to nurses, doctors non -medical staff, and especially the patient population.
Ms. Judy Murphy exhibits vast experience of around twenty-five years in advancing technology application to different aspects of nursing. Focusing on evidence-based practice, Ms. Murphy has devised methods for automatic client documentation and system implementation. The American Medical Informatics Association (AMIA) encourages nursing pioneers to mentor young nurses using advanced technology. Such an approach is essential given the rise of the patient population and associated risk factors. Increasing reliance on informatics and technological innovation has reduced the rate of nurse burnout (Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | Nurse Journal, 2022) nurse turnover, and nurse absenteeism as technology reduces the burden the nurses face providing nurses with quality time to devote to patient care.
I wish to mention that Christian O you have specifically identified the role of and contribution of both Patricia Abbott and Judy Murphy and explained in your paper how both these nursing role models had transformed nursing policies and practices ushering in new methods, advanced methodologies, pragmatic thoughts and an inclusive approach that aims to achieve maximum health outcomes for all.
References
Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | NurseJournal. (2022, June 30). NurseJournal. https://nursejournal.org/articles/digital-health-technology-can-improve-nurse-turnover-reduce-burnout/Links to an external site.
Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of multidisciplinary healthcare, 13, 1905–1926. https://doi.org/10.2147/JMDH.S286193Links to an external site..
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Collapse SubdiscussionNgetla Manyineh Mbonuh
Ngetla Manyineh Mbonuh
Dec 4, 2022Dec 4, 2022 at 4:10pm
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Response #2
Hello Christian,
I applaud you for coming up with a great and informative discussion post, the selected innovators Patricia Kathleen Abbott’s and Judy Murphy’s have demonstrated great various skills in the practice of nursing and informatics practice that cannot be underestimated as you pointed out. It is impossible to dispute the impact of their contributions on the quality, timeliness, patient-centeredness, and efficiency of care. Indeed, the contributions of the two innovators have simultaneously increased patients’ access to healthcare services and raised the standard of care as a whole. Similar significant effects can be seen in the area of nursing informatics. The contributions of the two innovators have helped nursing informatics innovations become widely used (Risling, 2017). Nursing informatics has helped healthcare organizations adopt and integrate innovations like telehealth, e-prescribing, remote patient monitoring, and electronic health records/medical records. Numerous advantages have resulted from these, including better coordination, lower healthcare costs, better and more effective patient record storage, patient empowerment, higher quality care, and better. It is true to note that, the skills and ideas demonstrated by the two pioneers would apply to the professional of nursing practice because they will enable one to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information. Dr. Patricia Abott and Ms. Judy Murphy’s innovative experiences inform that nurses, physicians, clinical officers, and all health practitioners should acquire nursing informatics skills. By gaining the skills, nurses in our practice can perform any duties nurse leaders and managers assigned to them. The named innovators have greatly impacted the operations of present and future nurses, which will improve their decision-making and help them gain efficiencies in healthcare service delivery as (McGonigle & Mastrian, 2021) notes. In my professional practice, the innovators have developed my awareness skills in the need for critical decision-making, the delivery of timely information, and the accuracy of information. The current healthcare environment faces a pressing concern to re-evaluate healthcare community resources and seek to improve patient experiences, nursing practice, and general health outcomes.
References:
McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers
Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. Nurse Education in Practice Links to an external site.Links to an external site., 22, 89–92. doi:10.1016/j.nepr.2016.12.007
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Collapse SubdiscussionBrittney Pember
Brittney Pember
Dec 5, 2022Dec 5, 2022 at 10:55am
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Response Two
I agree with you that a lot of informatics work can be underestimated. Healthcare has experienced rapid transformation with the development of digital technologies which aim to make healthcare safer and more efficient. (Honey ML, 2017) Both Dr’s have done amazing work and shown great accomplishment but this is not always tired back to nursing care. The changes they have made are strongly encouraged and should be recognized. For me I know reading and listening to their videos really showed me and help me understand not only how far you can go with informatics and data management but how much I can learn. Health informatics has evolved, including nursing informatics, which integrates nursing, information and communication technologies (ICT) and professional knowledge to improve patient outcomes. (Harmer B, 2022)
Harmer B, Lee S, Duong TVH, Saadabadi A.2022 May 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan PMID: 33351435
Honey ML, Skiba DJ, Procter P, Foster J, Kouri P, Nagle LM. Stud Health Technol Inform. 2017;232:51-61. PMID: 28106582
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Collapse SubdiscussionTelecia Shantee’ Allen
Telecia Shantee’ Allen
Nov 29, 2022Nov 29, 2022 at 3:31am
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Health Information Technology and Nursing Informatics: Nursing Informatics Innovators Discussion
Karen Martin is a prominent figure in the nursing informatics field. She has made numerous contributions to health information technology including her work with the National Information and Workgroup (NIWG) and as the co-author of numerous books and journals. Her contributions have helped to shape the field of nursing informatics and have had a huge influence on nursing practice. Some of her notable works include three research projects, including the VNA of Omaha research which was funded by DHHS, and one other study funded by NINR. Karen has been an active participant and contributor to the American Nursing Association (ANA), and the American Academy of Nursing. She is currently the CEO of the VNA of Omaha (American Medical Informatics Association, 2021).
Karen Martin’s contributions to the field of nursing informatics have been invaluable. She has helped to define and shape the scope of the profession by exploring areas such as data collection, analysis, documentation, analytics, and implementation in a meaningful way. Her work has also helped nurses better understand how technology can be used to improve patient care and provide quality healthcare outcomes for their patients. As a result, nurses are now better equipped to make informed decisions regarding the use of technology and utilize it in their practice. Additionally, Karen’s research has helped to advance the field of nursing informatics by providing evidence-based strategies for healthcare professionals (American Medical Informatics Association, 2021). These strategies have been essential for promoting best practices within the field and ensuring patient safety.
The second innovator that I selected from the list is Norma M. Lang, a Professor and Dean Emeritus at the University of Pennsylvania and the former Dean at the University of Wisconsin-Milwaukee College of Nursing. I selected Norma Lang due to her influence in the health information technology domain. She has contributed greatly to the development of nursing informatics through her leadership and research work. In her role as Dean, Norma was instrumental in hatching the minimum data set which culminated in a book that has been very instrumental in encouraging nurses and others that nursing data is crucial to the development of databases in healthcare systems (American Medical Informatics Association, 2021). Norma Lang was also a founding board member of the American Nursing Informatics Association and has been an active contributor in the field ever since. Norma’s contributions have helped to further define and shape nursing informatics, providing nurses with the necessary tools to make informed decisions regarding technology use in their practice. Additionally, her research and work have been essential in providing nurses with evidence-based strategies for healthcare professionals, to ensure quality and consistency of care. Ultimately, Norma’s commitment to advancing the field of nursing informatics has been invaluable, helping shape the profession and improve patient care outcomes (American Medical Informatics Association, 2021).
From the above described innovators, it can be deduced that both Karen Martin and Norma Lang have played an instrumental role in advancing the field of nursing informatics. Their willingness to explore and develop innovative solutions has been essential for improving patient care outcomes, providing nurses with evidence-based strategies and shaping the profession . The lessons that can be taken away from their experiences is that professionals must always strive to push boundaries and be proactive in developing and implementing evidence-based strategies to ensure quality healthcare outcomes. Additionally, professionals must also keep abreast of the latest technologies and strive to implement them in their practice for improved patient care (Darvish et al., 2014). By doing so, nurses can help improve overall health outcomes for their patients and shape the field of nursing informatics with innovative ideas.
References
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.
Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11
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Collapse SubdiscussionVicky Awken Ngang
Vicky Awken Ngang
Nov 30, 2022Nov 30, 2022 at 2:23am
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Hello Telecia
Thank you so much for your insightful discussion on nursing informatic innovators. American Nurses Association (2015) defines nursing informatics as an analytical science that aims at improving all aspects of nursing practice. Karen Martin is a health care consultant. She participated in early Omaha System research and development at the Visiting Nurse Association of Omaha, from 1978 to 1993. The Omaha System originated as a product used by nurses in public health and home health settings. While it has expanded to use by multiple health practitioners, administrators, educators, and researchers alike, it was designed to address public health needs (Champ Software, 2018). Her initial focus was to standardize documentation of interdisciplinary care in community settings and begin computerization. Automated use now extends across the continuum of care in community, acute, long-term care, and academic settings nationally and internationally. Karen provides consultation, conducts workshops, and writes for publication. She has authored more than 110 articles and chapters, 5 books, and 70 editorials. Karen has participated in many terminology efforts, she is a member of AMIA and numerous organizations, and was elected to the American Academy of Nursing in 1988. Nursing is hidden if nursing data is invisible (Wilhelm, 2006). I do appreciate that information technology is incorporated into the DNP course. That way, we all learn the skills.
References
American Nurses Association (2015). Nursing Informatics: Scope and Stands of Practice
Champ Software (2018). What is the Omaha System, and what does it offer you? https://www.champsoftware.com/2018/01/10/what-is-the-omaha-system-and-what-does-it-offer-you/
Wilhelm, G. (2006). Hard-Wired to Heal. John Hopkins Nursing. https://magazine.nursing.jhu.edu/2006/04/hard-wired-to-heal/
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Collapse SubdiscussionLovester Duncan
Lovester Duncan
Dec 3, 2022Dec 3, 2022 at 3:30pm
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As you mentioned, Telecia Shantee’s implementation of technology into practice has had a tremendous impact on patient safety, outcomes, interdisciplinary collaboration, effective communication, and documentation. Nursing practice and the entire healthcare system have been transformed by integrating technology into practice instead of the unsafe transitional paper documentation that was more prone to error. Innovators are striving to improve communication, documentation, patient care, and safety through technology innovation, as you point out. According to Farzandipour et al (2021), Nursing informatics (NI) is an established and growing specialty within nursing, defined as a science and practice that integrates nursing, information, and knowledge with information and communication technologies to improve the health of individuals, families, and communities. Nurse informatics combines nursing science with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing (American Nurses Association 2015).The knowledge of nurse informatics has improved patient care in many ways, such as efficient documentation, data retrieval for evidence-based practice, and comparison to baseline for diagnosis and treatment. Technological advancements, such as e-prescriptions, are reducing prescription errors and facilitating data sharing between healthcare organizations to improve treatment. Additionally, when patients are admitted to a facility and are confused and or do not remember their medications or diagnoses, the current healthcare provider can communicate with their primary care providers via technology and or informatics to the office to retrieve information and data to aid in specialty care. Using informatics, nurses are now able to make informed decisions regarding care and practice by comparing patient records, detecting if data differs from the norm, and communicating this to specialists for effective treatment.
References
Farzandipour, M., Mohamadian, H., Akbari, H., Safari, S., & Sharif, R. (2021). Designing a national model for assessment of nursing informatics competency. BMC Medical Informatics & Decision Making, 21(1), 1–12. https://doi.org/10.1186/s12911-021-01405-0
R2 Library (Online service), & American Nurses Association. (2015). Nursing Informatics: Scope and Standards of Practice: Vol. Second edition. American Nurses Association.
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Collapse SubdiscussionSara Haynes Perry
Sara Haynes Perry
Dec 3, 2022Dec 3, 2022 at 7:40pm
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Telecia,
Good evening and thank you for your posting. I agree that using evidence-based practice is important. It should always be included in the master’s and doctorate levels of nursing. Educating our nurses is also important. As nursing informatics continues to grow and become more important in this field, it is also a great way to cover and follow EBP. For example, the use of information, science, and electronic health records is safer and easier to navigate. NI includes EHRs and helps to define, manage, and communicate data, American Nurses Association. (2015). In addition to this, nursing informatics is also useful in helping nurses and healthcare workers to improve communication amongst each other and others. As technology is growing, you need to be able to embrace the change and importance of this growing field, Fung, (2018). In addition, the above video discusses the importance of NI and how it pertains to project management, which is important in our current area, as well as in our future positions as doctorate prepared nurses. This will help us to stay in tuned in what is up to date and EBP in our fields.
References
American Nurses Association. (2015). Nursing informatics Links to an external site.Links to an external site.: Scope and standards of practice (2nd ed.)
Fung, B. (2018, November 3). Nursing informatics: A day in the life Links to an external site.Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w
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Collapse SubdiscussionDelightful Anulika Alaka
Delightful Anulika Alaka
Dec 4, 2022Dec 4, 2022 at 8:49pm
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Hi Telecia,
Your insightful post on the impact made by Karen Martin as a prominent figure in the nursing informatics field was very formative, just like other innovators whose contributions to the field of nursing informatics have been invaluable. Just you know, an extensive literature search was performed by using databases PubMed, Google Scholar, Ovid, Science Direct and SID. Search terms were “education, nursing”; “quality of health care”; “nursing informatics” and technology. The study was carried out from January to April 2014. A library search was also performed. As many as 135 articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused on nursing informatics education and its influence on nursing outcomes and the quality of health care (Staggers et al., 2002). The Role of Nursing Informatics in Promoting Quality Health Care and the Need for Appropriate Education can never be underemphasized. In today’s dynamic health systems, technology plays an important role in education and nursing work. So, it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an extensive literature search in databases and a library search focused on the keywords were used. The criteria used for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use of information technology in all aspects of the nursing profession. In a critical assessment of emerging technologies, the key elements of nursing informatics implementation were considered as healthcare promotion, advanced systems, the internet, and network. In view of the nature and the development of the information age, it is required to receive necessary IT training for all categories of nurses. Due to the fast development of technology, in order to effectively take advantage of information technology in the nursing outcome and quality of health care and to empower nurses; the educational arrangement is recommended to set short-term and long-term specialized courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral. The result of this study is expected to assist educational providers with program development. Great Post.
Reference
Staggers N, Gassert C. A, Curran C. A Delphi study to determine informatics competencies for nurses at four levels of practice. Nursing research. 2002;51(6):383–390. http://dx.doi.org/10.1097/00006199-200211000-00006 .
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Collapse SubdiscussionLizzie Umejei
Lizzie Umejei
Nov 30, 2022Nov 30, 2022 at 12:29pm
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WEEK 1 INITIAL POST
Definition of Nursing Informatics.
Sipes (2020) noted that the American Recovery and Reinvestment Act (ARRA) Initiative (2009), which contained the Health Information Technology for Economic and Clinical Health (HITECH) Act, came with the mandate of what healthcare should do, including using EHRs to collect and monitor patient data. The HITECH Act further encouraged the use and development of technology by nurses, APRNs, and other healthcare professionals (Sipes, 2020). American Nurses Association (2015) describes Nursing informatics (NI) as 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. According to American Medical Informatics Association (AMI) (2021), Nursing Informatics combines nursing science, news, and computer science to improve patient health care.
Two nursing Informatics Pioneers/Innovators
Dr. Patricia Abbott- is best known for her early work in helping to establish the Nursing Informatics Specialty (American Medical Informatics Association ( AMI), 2021). She was a member of the Author team for the original Scope and Standards of NI Practice with the ANA, and then she worked on developing the first certification exam in NI with the ANCC ( AMI, 2021). Dr. Abbott worked on Global Health Informatics for front-line caregivers in low-resource settings ( AMI, 2021). Her current work has been in this realm, where she uses low-bandwidth technologies and knowledge management approaches to impact community health ( AMI, 2021).
According to AMI (2021), Dr. Patricia Abbott is currently the Co-Director of the Pan American Health Organization, World, World Health Organization, PAHO WHO, Collaborating Center for Nursing, Information Knowledge, and Management at the Johns Hopkins School of Nursing ( AMI, 2021). She is also an Assistant Professor there ( AMI, 2021). Dr. Abbott’s significant contributions to the field of nursing informatics center on advocacy, policy, and education ( AMI, 2021).
I chose Dr. Abbot because she identified and recognized the challenges nurses experienced at the bedside and came up with solutions to capture all nurses do with electronic data. According to Dr. Abbott, “we provide much care in long-term care facilities; however, we have no way to track that. It was a matter of data. You cannot manage what you cannot measure”. “And unless we can start counting and quantifying what happens to patients in the healthcare continuum, we cannot improve things. Moreover, she is now working in research and geriatrics, and informatics. On top of that, my passion became ‘How can we improve the quality of care we provide to our patients?’
Furthermore, nurses provide most of that care, especially, you know, from acute care to community-based care, to home healthcare nursing, to SNFs and long-term care, nursing is at the forefront. Moreover, I think we make beautiful contributions to patient outcomes but are invisible.” ( AMI, 2021).
One of the challenges facing nursing is to ensure that nursing leaders, policymakers, and folks in Washington understand the crucial contributions that nursing makes to the quality of care.
Ida Androwich, Professor and Director, Health Systems Management Program, Loyola University, Chicago ( AMI, 2021).
Her significant contributions have been in terminology and some of her work with the terminology summit. She started the expert panel in Nursing Informatics at the Academy and is working with the workforce technology commission to leverage the nurse’s work and make the nurse’s work more efficient. One of her contributions is the Clinical Information Systems framework ( AMI, 2021).
I chose Androwich because of her Clinical Information Systems framework. Androwich states, “If there is a framework that’s guided my work, I would have to say it is the dual nature and the importance of giving the provider information to inform the current encounter. Moreover, at the same time, documenting that encounter in a manner that the information can be aggregated with similar encounters to inform future practice with other patients.” ( AMI, 2021).
Describe how their contributions influenced nursing practice
Technology and informatics tools are crucial to improving population health outcomes and decreasing healthcare costs. Data from technology and informatics identify healthcare needs, change health behaviors, manage chronic health conditions, improve community health, and increase access to care (American Association of Colleges of Nursing. (n.d.)). Nursing informatics is about improving care, safety, and patient outcomes viz: More efficient electronic health records; Better IT systems; Research and application of clinical best practices; Training of other nurses; Analytics-based predictive models; New avenues for patient education; Support for telehealth technology (American Association of Colleges of Nursing. (n.d.)). Patients also benefit from nursing informatics in the following ways: Fewer medical errors; More informed clinical decision-making; Shorter hospital length of stay; Lower admission and readmission rates; Better self-management (American Association of Colleges of Nursing. (n.d.)).
Explain any lessons from their experiences
According to Webb, N. (2021), Informatics can allow nurse leaders to champion and support initiatives that reduce harm, keep patients safe, improve quality outcomes, and decrease patient time in a hospital. Nurse leaders can track, trend, and prevent patient harm from occurring, which will not only benefit patient outcomes but also prevent reduced federal healthcare reimbursement penalties and reduce litigation exposure (Webb, 2021).
The greatest lesson from the innovators/ informatics pioneers is to be part of the solution to problems encountered on the job.
References
American Nurses Association. (2015). Nursing Informatics : Scope and Standards of Practice.Second edition. American Nurses Association.
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovatorsLinks to an external site.
Backonja, U., Langford, L. H., & Mook, P. J. (2022). How to support the nursing informatics leadership pipeline: Recommendations for nurse leaders and professional organizations. CIN: Computers, Informatics, Nursing, 40(1), 8-20.
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.
Webb, N. (2021) Nursing Informatics as Caring: A Literature Review. Online Journal of Nursing Informatics (OJNI), 25(1). https://www.himss.org/resources/online-journal-nursing-informaticsLinks to an external site.
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Collapse SubdiscussionTelecia Shantee’ Allen
Telecia Shantee’ Allen
Dec 3, 2022Dec 3, 2022 at 6:56am
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Lizzie,
Dr. Patricia Abbott is another great example of innovators who have been integral to the growth of nurse informatics. Dr. Patricia has continually demonstrated her commitment to advancing nursing informatics through her work, which includes serving as an educator, researcher, consultant and advocate in the field. Her research focuses on developing strategies to improve patient care by using information technology, as well as developing new systems and tools to support nursing informatics. She has published numerous articles in the field of health informatics, as well as presenting at conferences around the globe.
Through her work, Dr. Patricia has also demonstrated a commitment to promoting collaboration between nurses and healthcare IT professionals. She works closely with both to ensure that the most effective strategies are being implemented. She also works to promote interdisciplinary research and partnerships between nurses, healthcare IT professionals, and other stakeholders in the field of informatics (American Medical Informatics Association).
Dr. Patricia has also worked hard to develop best practices for nursing informatics, focusing on making sure that nurses have access to the most up-to-date technology and training. She has also been involved in numerous initiatives to improve patient care through the use of information technology.
Overall, Dr. Patricia’s work is a testament to her dedication to advancing nursing informatics, and serves as an example of how innovation can have positive impacts on patient care. Her commitment to collaboration and research has led to improved systems, tools and training for nurses, which has in turn improved patient outcomes. She is an excellent example of how knowledge and innovation can be used together to affect positive change in healthcare. Her accomplishments serve as a perfect example of how professionals in the field of nurse informatics should strive to collaborate, innovate, and advance health informatics.
Reference
American Medical Informatics Association. (2021). Nursing informatics innovators Links to an external site.Links to an external site.. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
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Collapse SubdiscussionNkeiruka C Emechete
Nkeiruka C Emechete
Dec 3, 2022Dec 3, 2022 at 2:55pm
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Hello Lizzie,
Your post was very informative. It is true that nursing Informatics combines nursing science, news, and computer science to improve patient health care. According to the American Medical Informatics Association (2021), nursing informatics is the science that integrates nursing, its information and knowledge with management of information and communication technologies to promote the health of people, families, and communities worldwide. It is also true that Patricia Abbott and Ida Androwich are some of the pioneers of nursing informatics. I agree that Patricia’s role in the innovation of EHR is greatly significant in improving patient safety. I also agree that the Clinical Information Systems framework innovated by Ida Androwich plays a significant role in monitoring health systems. I think the greatest lesson from all innovators is the important roles of nurses in leadership and pioneer in improving the nur
