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01 Historical Perspective of NURSING INFORMATICS NURSING

Ms. Dolores Mercado || First Semester, Level Three INFORMATICS
Transcriber: Aisha R. Corobong

Computers in Nursing Advantages of Manual Health Care System

• Easy to implement
• Computers is already in used in health care system since • Low cost
• No extra training required
1978–some prominent hospital in Manila–for admission • Requires minimum effort
process • Quick processing
• Today use of computer by nursing has increased rapidly • Can be stored anywhere
due to the usability in the day to day nursing processes • Cannot be easily corrupted
• Easy to prepare
• Patient data is entered in the computer – all appropriate • Data profiling can be processed easily
departments are automatically notified – saving the
nurses from many phone calls Disadvantages of Manual Health Care System
• Nursing assessment, patient monitoring and plans, • Problems with maintenance
medication processes, administration records, even • Problem with flavescent paper
discharge plans are also optimized • Volume of data becomes a problem
• Problem with interpretation/transcription
• Computers are important tool in nursing practice • Need lots of paper
• Data is no converted easily to information
Important Tool in Nursing Practice • Accessibility to any health care professional and institutions
• Once the data is burned it cannot be reproduced easily
• Coordination of data and information is a problem
• Clinical Practice • Integration with the other system such as laboratory, accounting etc is
o Document nursing care a problem
o Communicate physician’s orders
Advantages of Computer Information System
• Monitor Clients
o Receive and send information about admission • Data maintenance
• Low maintenance cost
o Discharge and transfer
• Volume of data is not an issue
o Received laboratory test results
• No paper is required
o Pharmacy report • No problem with interpretation/transcription
• Data can be converted into information
Major Historical Perspective of Nursing and Computers • Readiness of the information and data
• Accessibility to any health care personnel & institution
• Prior to 1960 • Data cannot be corrupted easily (with back-up)
→ Few experts adapted computer to nursing • Can be integrated with other system such as laboratory,
→ Nursing underwent major changes pharmacy, accounting, management
→ Nursing was improving: practice, scope and complexities • Data handling is easy
→ Initially used computers as basic office functions • Data integrity is preserved
• 1960 • Data communication is possible
→ Why use computers? • Statistical information system can be provided
→ What should be computerized? • Migration to other system is easy
→ Nursing standards were viewed • Can be expanded
→ Study how computer technology could be effectively • Easy data profiling
utilized
→ (CRT) Cathode Ray Tube Disadvantages of Computer Information System
→ Terminal online communication and real time processing • Data can easily be corrupted (if no back-up)
→ (HIS) Hospital Information System • Information management is essential
→ Access financial transaction, billing and accounting system • Readiness of data and information is possible when software
• 1970
is provided in the health information system
→ Nurses began to recognize the value of computer for their
profession • Requires extensive planning, designing and commercial
→ Computer potential for improving documentation of nursing implementation
practice, quality of patient care and managing patient care
• 1980
→ Field of informatics emerged in the health care industry
and nursing
→ NI became an accepted specialty and many nursing
experts entered the field
→ Computer systems were implemented
→ Computer-based patient record systems (CPRSs)
• 1990
→ Computer become an integral part of health care settings,
nursing practice, and the nursing profession
→ Policies and legislation were adopted promoting computer
technology in health care including nursing
→ 1992: ANA approved NI as a new nursing specialty
• 2000
→ Clinical information systems became individualized in the
internet
→ (EPR) Electronic patient record and (EHR) electronic
health record (lifelong longitudinal record)
→ Critical care units are monitored remotely / home health
care / telenursing
→ The decision of the implementation of health information
system coupled with the health statistical information
system can be motivated by the desire to enhance quality
health services
→ Inadequacy and inefficiency of manual data collection is in
question if integrity is at risk
→ Existing health care system of the hospitals, clinics,
laboratories and pharmacies should address the standard
delivery of health care

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