Nursing Informatics and Evidence-based Practice - PowerPoint PPT Presentation

1 / 36
About This Presentation
Title:

Nursing Informatics and Evidence-based Practice

Description:

... improvement Barriers to utilizing research in practice Staff nurse role in EBP Identify sources ... systems Other computer resources ... – PowerPoint PPT presentation

Number of Views:2527
Avg rating:3.0/5.0
Slides: 37
Provided by: BillJe7
Category:

less

Transcript and Presenter's Notes

Title: Nursing Informatics and Evidence-based Practice


1
Nursing Informatics andEvidence-based Practice
  • Chapter 13

2
Strategic HIT Planning for the Decade 2004-2014
  • The Decade of Information Technology (Thompson,
    DHHS, 2004)
  • Information Technology (IT)
  • Critical needs of the health care system
  • Avoid medical errors
  • Improve use of resources
  • Accelerate diffusion of knowledge

3
Strategic HIT Planning for the Decade 2004-2014
(cont'd)
  • Reduce variability in access to care
  • Advance consumer role
  • Strengthen privacy and data protection
  • Promote public health and preparedness

4
Strategic HIT Planning for the Decade 2004-2014
(cont'd)
  • Established four goals
  • 1) Inform clinical practice
  • 2) Interconnect clinicians
  • 3) Personalize care for clients
  • 4) Enhance public health

5
Nursing Informatics
  • Emerging field
  • Informatics refers to
  • Broader field of understanding the information
    needs
  • How information can or should be stored and
    retrieved
  • How to use information technology

6
Nursing Informatics (cont'd)
  • Part of the larger field of health care and
    medical informatics
  • Mechanism to collect and analyze data from
    nursing care
  • Establish and maintain computerized documentation
    systems

7
Strategic Directions for Nursing Informatics
  • Include informatics in nursing education
  • Prepare nurses with specialized informatics
    skills
  • Enhance nursing practice and education through
    informatics projects
  • Increase nursing faculty preparation in
    informatics
  • Encourage collaboration

8
Question
  • Is the following statement true or false?
  • The specialist in nursing informatics helps to
    build a systematic nursing language, making data
    more secure from hackers and enhancing the
    ability to use the data to build aggregated
    information upon which insurance decisions can be
    based.

9
Answer
  • False.
  • Rationale with an interdisciplinary focus, the
    specialist in nursing informatics helps to
    systematize the nursing language, making data
    more retrievable and enhancing the ability to use
    the data to build aggregated information upon
    which practice decisions can be based.
  • One aspect of this work is to make electronic
    health care information safe, but has nothing to
    do with insurance decision making.

10
Using Information Technology Within the Care
Setting
  • Employers expectations
  • Understanding IT systems
  • Security systems
  • Billing systems
  • Patient information retrieval

11
Using Information Technology Within the Care
Setting (cont'd)
  • Order entry
  • Nursing data entry
  • Computerized medication administration systems
  • Other computer resources

12
Accessing Information Resources
  • Texts and reference books
  • Libraries
  • Policies and standards

13
Accessing Information Resources (cont'd)
  • The Internet
  • E-mail
  • Online group discussions
  • World Wide Web
  • Search engines
  • Health-related Web sites
  • Blogs
  • Bookmarking Web sites

14
Healthcare Indexes for Finding Information
Resources
  • Indexes available
  • MEDLINE, produced by the National Library of
    Medicine (NLM)
  • CINAHL (Cumulative Index for Nursing and Allied
    Health Literature), produced by the CINAHL
    corporation
  • International Nursing Index
  • RNdex
  • Hospital Literature Index

15
Healthcare Indexes for Finding Information
Resources (cont'd)
  • Psych Index
  • Social Sciences Index
  • Many journals publish their own annual index

16
Healthcare Indexes for Finding Information
Resources (cont'd)
  • Techniques for effective searching
  • Subject
  • Author
  • Thesaurus for the index
  • Understanding the ways in which publications are
    indexed
  • Key words

17
Question
  • Jeff Scott, RN, is a graduate nurse just starting
    his practice in a transplant step-down unit that
    deals mostly with heart and lung transplants. He
    finds that there are many ethical issues in his
    practice that he was not expecting.
  • Jeff chooses to deal with these issues by
    starting a blog on the Internet. What is a blog?
  • A. Online group discussion
  • B. Online journal
  • C. E-mail server site
  • D. Ethical discussion board

18
Answer
  • B. Online journal
  • Rationale a blog (short for web-log) is a web
    site on which an individual (the blogger)
    publishes a journal providing information and
    opinion usually in relationship to a particular
    area of subject matter.

19
Evidenced-based Practice
  • Development
  • Types of evidence used
  • Research studies
  • Patient care data
  • International, national, and local standards

20
Evidenced-based Practice (cont'd)
  • Infection control data
  • Pathophysiology
  • Cost-effectiveness analysis
  • Patient preferences

21
The Research Process
  • Statement of problem/question
  • Review of literature
  • Theoretical framework
  • Refining the plan
  • Implementing the study

22
The Research Process (cont'd)
  • Analyzing the data
  • Presenting and interpreting findings
  • Limitations
  • Disseminating research results

23
Question
  • In some nursing studies it falls to the staff
    nurses to collect the data for the study. When
    this happens, it is important that
  • A. Everyone learns the collection process from
    each other.
  • B. The researcher picks out only the data that
    interests them.
  • C. The researcher teaches everyone to collect
    the data in a specific way.
  • D. Everyone learns the collection process from
    the charge nurse on their shift.

24
Answer
  • C. The researcher teaches everyone to collect the
    data in a specific way.
  • Rationale if multiple people are collecting
    data, it will be important to ensure that all are
    carrying out the study tasks in the same way. If
    different data collectors function differently,
    the results of the study may not be accurate.

25
Reading Research
  • Types of research
  • Quantitative
  • Qualitative
  • Combined
  • Meta-analysis

26
Reading Research (cont'd)
  • Understanding research terminology
  • Abstract
  • Research question and purpose
  • Hypothesis
  • Population vs. sample
  • Groups

27
Reading Research (cont'd)
  • Variable
  • Validity and reliability
  • Probability and statistical tests
  • Clinical significance

28
Legal and Ethical Considerations in Research
  • Institutional approval
  • Institutional review board
  • Educational institution review board
  • Funding agencies

29
Legal and Ethical Considerations in Research
(cont'd)
  • Consent for research
  • Informed consent
  • Formal consent form
  • Describes the researchers credentials
  • How the participant was chosen
  • Purposes of the research
  • Procedures that will be followed

30
Legal and Ethical Considerations in Research
(cont'd)
  • Risks
  • Discomforts
  • Benefits expected
  • Guaranteed anonymity or at least confidentiality
  • If alternative treatments are available, they
    must also be described
  • Participation is voluntary and can be terminated
    at any time

31
Question
  • Is the following statement true or false?
  • The beginning of a code of conduct pertaining to
    research was the Nuremberg Code. This document
    has been updated and modified several times, the
    last time being in 1983. Throughout these
    revisions a single theme has been first, do no
    harm.

32
Answer
  • True.
  • Rationale the most recent revision of this code
    was in 1983 (Code for Federal Regulations, 1983).
    Three principles guide these regulations. First,
    the research should do no harm. Second, the
    participants should be free from exploitation.
    Third, there should be careful attention to the
    riskbenefit ratio of the research.

33
Personal Involvement in Research
  • Identifying problems
  • Excellent observers
  • Responsible for putting the whole complex of
    patient care together
  • Assisting with ongoing research
  • Your patients
  • Follow procedures and protocols exactly
  • Frontline safeguards

34
Systematic Analysis of Information and Evidence
  • Reliability of the source
  • Bias of the source
  • Timeliness
  • Purpose
  • Comparing settings or situations

35
Implementing New Practices Based on Evidence
  • Institutional development of EBP
  • Iowa Model of Evidence-based Practice
  • ACE Star Model of EBP for Knowledge
    Transformation
  • Focus on continuous improvement
  • Barriers to utilizing research in practice

36
Implementing New Practices Based on Evidence
(cont'd)
  • Staff nurse role in EBP
  • Identify sources of evidence that can be helpful
    in an individual nursing environment
  • Evaluate that evidence in relationship to your
    setting
  • Work collaboratively to introduce changes based
    on the evidence
  • Evaluate the effectiveness of the changes
Write a Comment
User Comments (0)
About PowerShow.com