Nursing tics Lecture

8/8/2019 Nursing tics Lecture

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NCM 200:

NURSING INFORMATICS

Ms. Ma. Joya Jimenea Genzola, RNLecturer


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CHAPTER 24:

INTERNET TOOLS FOR

ADVANCED NURSING PRACTICE


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Three search strategies:

1. name precisely the information being sought

2. use search strings rather than single words

3. enhace search strings by using boolean ornatural language method

Basic and Advanced Internet Search Method


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Government Domain (.gov) Food and Drug Adminitration (www.fda.gov) The National Center for Complementary and

Alternative Medicine

Educational Domain (.edu) Indiana University edu domain Purdue University Indianapolis P450 Drug Interaction

Organizational Domain (.org) [email protected]

Commercial Domains (.com) medscape.com

rxlist.com

Four Internet Domains


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Internet-Available Clinical Practice Tools

Assessment

Diagnosis

TreatmentOutcomes Evaluation


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Nursing Assessment is the first step in the nursingprocess.

Using cardinal signs

Primary care practice

Risk assessments

Assessment


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Examples of web-found health risk calculators:

Body Mass Index Calculator from the National Heart,Lung and Blood Institutes of Health

Cancer Risk tools (Harvard Center for CancerPrevemtion)

Coronary Heart Disease Risk Calculator

Health Risk Calculators form the University ofMaryland Medicine for 24 Health conditions

Assessment


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Classification Systems

Medical Classification of Disease (ICD-WHO,American Medical Association)

Nursing Classifications of Human responses to Illnessand Health (NANDA)

Functional Health and Disability (ICFHD-WHO)

Diagnosis


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I. New Threats to Health

Mass Trauma Preparedness and Response Bioterrorism Agents/Diseases Chemical Agents

Recent Outbreaks and Incidents

II. Disease Directories

Centers for Disease Control and Prevention

III. Examples of Specific Disease Information New York Online Access to Health (www.noah-health.org)

Diagnosis


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IV. Easy Diagnosis Tool

National Institute of Neurological Disorders andStrokes

V. Standardized Diagnosis Terminologies NANDA Diagnoses and Classification (nanda.org)

VI. Unified Medical Language System (UMLS)

National Library of Medicine (NLM UMLS)

Diagnosis


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II. Disease Diagnoses

Disease Terminologies: International Classification ofDisease-9 & 10-CM

Disease Directories: Centers for Disease Control andPrevention

Medical Dictionaries: Newcastle upon Tyne Dept. of

Oncology,(www.noah-health.org)

Diagnosis


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I.Nursing Treatment Home Health Care Classification

Nursing Interventions Classification

II.Calculators

Martindale's Calculators Online Part I: Nutrition Nursing Calculators for Drug Administration purposes

III. Drug Management

Drug Enforcement Agency (www.dea.gov)

IV. Practice and Treatment Guidelines: ProfessionalOrganization Sites

American Diabetes Association, Clinical Recommendations American Cancer Society Guidelines for Screening,

Surveillance and Early Detection of Adenomatous Polypsand Colorectal Cancer

Treatment


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Application Exercise #1

A 73 year old male, retired insurance agent, who smoked between 14-25 cigarettesper day between the ages of 18 and 45 years but never any cigars, asks you what

his chances of developing lung cancer. How would you respond?Additional Information:

Patient had no prior history of cancer. Ate at least 3 fruits and vegetables daily Smoked between 14-25 cigarettes daily between 18-45 years old Never smoked cigars Lived in the city his entire life

Was never exposed to asbestos, carcinogenic chemicals or manufacturingprocess

Has no family history of lung cancerTo answer this patients question, the advanced practice nurse with the patient accessesthe Harvard Center for Cancer Prevention.Access http://www.yourcancerrisk.harvard.edu/ and click on cancer.After arriving the results, print the screen result (click PRINT SCREEN)

Access the same website and avail the cancer risk questionnaire using your personalinformation. Then print the result (click PRINT SCREEN).

SUBMIT THESE TWO RESULTS WITH YOUR NAME, SECTION AND GROUP NUMBERONOR BEFORE MAY 11, 2010.

It is recommended that you pass as a class in a brown envelop labelled with your section.


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I. Nursing Home and Home Healthcare Setting

Minimum Data Set (MDS) site (www.cms.hhs.gov) OASIS

II. Health Plan Outcomes Minnesota Department of Health HEDIS Reports (www.health.state.mn.us) Missouri Department of Health and Senior Services (www.dhss.mo.gov)

III. Office Tools: Online Healthcare Record Audit and PatientSatisfaction Forms

Patient Satisfaction Form (www.geomedics.com)

IV. Short Form Health Survey SF-36.org Medical Outcome Trust

V. Outcomes Measurement: Internet Available Biostatistical andAnalytical Tools

Qualitative Database Software

Outcomes Evaluation


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CHAPTER 25:

INFORMATICS SOLUTION FOREMERGENCY PREPAREDNESS

AND RESPONSE


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A New Definition of Community

Federal Responsibilities for Healthcare Providers

New Visibility of CDC Promotes Informatics Solutions

Changes in the Federal System Affecting

Emergency Preparedness and Response


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To detect outbreaks rapidly and to monitor the health ofthe nation

Facilitate the electronic transfer of appropriate information

from clinical information system to public healthdepartments

Reduce provider burden in the provision of information

Enhance both the timeliness and quality of informationprovided

Purposes of the National Electronic

Disease Surveillance System (NEDSS)


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Decision Support Systems

Syndromic Surveillance

Helping Clinicians Respond

Role of AHRQ in Stimulating New

Informatics Solutions


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Hospital Bioterrorism Preparedness Program

Bioterrorism Training and Curriculum DevelopmentProgram (BTCDP)

Role of HRSA in Promoting Informatics

Educational Solutions


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Competency-Based Learning and Informatics Needs

Informatics and the Emergency Operations Center

Informatics and Volunteerism

The National Health Information Infrastructure (NHII) in

Fighting National Threats

Other Changes Affecting Emergency

Preparedness and Response


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CHAPTER 26:

VENDOR APPLICATIONS


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Nursing is an untapped and underserved resources inprovider organizations

Workflow inefficiencies are not well addressed by existing

solutions

Automation is not a high priority for nursing in theirorganzitaions

Vendors are out of sync with nursing needs

Some new tools and technologies have complicated ratherthan simplified nursing practice

Commonly reported perceptions:


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Vendor product design process driven by engineers,financila system analysts or Mds

Insufficient nursing representatives on vendor executiveand development teams

The HCIT industry's overall woeful lack of adequaterequirements definition, functional specifications and

process analysis

Early focus on automation of the paper chart without a fullunderstanding of underlying nursing process, workflowsand ergonomic challenges

Root causes of poorly designed nursing

applications include:


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Vendors are now expected to deliver Next Generationclinical applications that:

Support multi- and interdisciplinary care

Promote data integrity via data validity checks andembedded tools

Provide ready access to interbal standards

Enable evidence-based care via automation of integratedmultidisciplinary clinical pathways and incorporation ofdecision support mechanisms

Vendor Response


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... continuation

Collect work load management data as byproduct ofclinical documentation, including deriving prospectiveacuity data from clinical documentation

Support productivity management, staffing and budgetingactivities

Support process and outcomes monitoring, management,and continuan improvement via standard reports and

database mining

Support charge capture, supply management, andinventory reconciliation

Support for medical disease and population management

Vendor Response


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CHAPTER 30:

VENDOR APPLICATIONS


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Information Seeking

Communication and Support

Personal Health Records

Decision Support

Disease Management

Application Areas: Consumer Use

of Computers for Health


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Variability in Quality of Information Available to Consumers

Lack of Security in Internet-based Transactions

Uneven Accessibility Across Age, Ethics and Socioeconomic

Groups: The Digital Divide

Educational and Cultural Barriers

Physical and Cognitive Disabilities

Impact on Relationship with Healthcare Providers

Issues in Consumer

Computing for Health


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The Nurse Informatician's Role

in Consumer and Patient Computing

Scope and Standards of Nursing Informatics Practice

Areas of Nursing Expertise that can be Applied toConsumer/Patient Computing

Deep expertise in patient education Cultural diversity in the workforce and a strong ethic of

cultural sensitivity Strong background in both patient- and community focused

research Strong heritage of patient advocacy and patient

empowerment

Special Considerations in Designing Applications for Patientsand Consumers


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in Consumer and Patient Computing1. Lay versus professional nomenclature

2. General literacy and health literacy

3. Computer literacy and the digital divide

4. Special needs of the elderly


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CHAPTER 31:

DECISION SUPPORT FOR

CONSUMERS


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in Consumer and Patient ComputingI. Health-Related Decision-Making

II. Shared Decision-Making and Informed Choice

III. Patient Preferences

IV. ComputerTechnology and Patient Decision-Making Assessing Utilities of Health Outcomes Envisioning Treatment Options

Facilitating Data Management Linking Preferences with Treatment Decisions

V. Efficacy of Decision Aids

VI. Points of Decision Support System Intervention


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Nursing tics Lecture

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