- Nursing informatics is the integration of nursing, its information
and information management with information processing and communication
technology to support the health of people worldwide. (International
Medical Informatics Association Nursing Informatics Special Interest
Group, 1998).
- Nurses who work in the specialty of informatics use its integrative
processes to collect, process and manage data and information to
support nursing practice, administration, education, research and
the expansion of nursing knowledge. (American Nurses’ Association,
2002).
- Nursing informatics is a critical component of health care. The
health informatics environment encompasses the understanding, skills
and tools that enable the sharing and use of information to deliver
healthcare and promote health. (British Medical Informatics Society,
2004).
Why is informatics important to nursing?
- Informatics can make nursing practice visible in local, national,
and international health care data sets, thus empowering nurses with
information to influence policy.
- Information is a critical component of effective decision-making
and high quality nursing practice. The information and knowledge
gained through nursing informatics can bring increased awareness
and understanding of nursing and health care issues.
- Nursing Informatics is committed to maintaining a clinical perspective
and promoting research that would bear directly on improving patient
care.
Nursing informatics organisations exist worldwide. A short list of
examples includes: the Australian Nursing Informatics Council, Brazilian
Nursing Association Nursing Informatics Group, British Computer Society
Nursing Specialist Group, European Nursing Informatics (ENI), International
Medical Informatics Association Nursing Informatics Special Interest
Group (IMIA-NI), NURSINFO: Hong Kong, Spanish Society of Nursing Informatics
and Internet (SEEI) and Swiss Special Interest Group Nursing Informatics
(SIG-NI).
Visibility of Nursing
A unified nursing language system will make nursing data visible
in healthcare systems. Without a unified nursing language system, data
can not be compared and interchanged across sources. Researchers have
identified terminology standards as an essential building block for
the development of information systems that support clinical decision-making
and evidence-based practice.
A major ICN programme for the development of a unified nursing language system
is the International Classification for Nursing Practice (ICNP®). The
ICNP® supports both the existing work in nursing terminology development
and advances nursing terminology development that is compliant with international
standards in a manner consistent with other health disciplines.
Integration of Nursing Data in Clinical Information Systems
Integration of health care data is essential in an environment of
multidisciplinary health care across multiple delivery systems. With
increased globalization, we must promote information systems that will
facilitate communication and data sharing across multiple practitioners,
delivery settings, geographic settings and languages. The systems
also must support effective communications with clients and families.
The integration of health care information systems is essential for
the realisation of an Electronic Health Record. Integrated systems
also will enhance clinical, administrative and health-policy decision-making
capabilities.
Supporting Evidence-Based Practice
Research in nursing informatics will examine and enhance the use
of clinical information systems to support evidence-based practice.
Clinical information systems can facilitate access to guidelines and
references of best practice within nurses’ workflow. Similarly,
using ICNP® in information systems will stimulate the creation
of clinical data warehouses and encourage the examination of clinical
nursing data, together with administrative data, to evaluate practice
and generate new knowledge.
Summary
The electronic age of the 21st century presents us with the potential
for a platform for health care delivery unlike any known to date. ICN
believes that nursing must participate and influence advances in informatics
to said global populations in attaining ever-improving levels of health
and well-being.