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What
is Nursing Informatics? The American Nurses Association
has defined nursing informatics (NI) as "the specialty
that integrates nursing science, computer science, and information
science in identifying, collecting, processing and managing
data and information to support nursing practice, administration,
education, research and the expansion of nursing knowledge."
(1) It has also been defined as
"the combination of computer science, information science
and nursing science designed to assist in the management and
processing of nursing data, information, and knowledge to
support the practice of nursing and the delivery of nursing
care." (8) The core product
of nursing is patient care and nursing informatics, like the
other practice areas of nursing research, education and administration,
exists to support the highest possible quality of care.(1)
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| Why
is it defined as a nursing specialty? In order to be
defined as a specialty , an area must demonstrate certain
characteristics. They are a differentiated practice, an educational
program, organizational representation, a mechanism for credentialing
and a research program. (2) The
reason nurses are needed is that they are best qualified to
describe nursing needs and requirements. It is the blending
of their nursing knowledge and skills with their information
technology knowledge and skills that distinguishes them from
other other specialties both in nursing and information systems.
They are in a better position to articulate nursing's needs
to system designers and ensure nursing's contribution to the
health care process is documented. (6)
However, while focusing on a nursing perspective, NI education
and experience is interdisciplinary and recognizes the need
for collaboration with all care providers in order to develop
integrated information tools that meet patient needs while
controlling costs. (3) [top]
Where do
informatics nurses work? Informatics
nurses can practice in a variety of settings: traditional
health care settings, vendor communities, educational and
private business settings and with consulting firms. Executives
are increasingly seeing the importance of clinically driven
technology as a way to improve patient care, while cutting
costs. (5) There are currently
not enough informatic nurses to meet the increasing demand
bought about by needs in the vendor, customer and educational
communities. Adding to the demand are mandates and guidelines
by such groups as Joint Commission on Accreditation for Healthcare
Organizations (JCAHO), Agency for Health Care Policy and Research
(AHCPR) and Institute of Medicine (IOM) regarding nursing's
role in the management of informations systems, evidence of
quality of care and the collection and communication of clinical
data. (3, 5,
6, 7)
What type of work do
they do? The role has been described in terms of components
of practice (e.g., designing, selecting, implementing
information technology), consultation (e.g., advising
others on the use of technology), research (e.g. information
systems impact, human-computer interface issues), marketing
(e.g., promotion of either products or ideas), education
(development of technologies, training or presentations),
or management (e.g., overseeing change issues and project
planning).(3) [top]
Who
is it that certifies in informatics and how does one get
further information about such a certification?
In 1992 the ANA recognized nursing informatics as a distinct
specialty area within nursing. The American Nurses Credentialing
Center (ANCC) began offering credentialing for this, as they
have for other areas of specialty, in 1995. For the certification
candidate handbook and reference materials, you can contact
the ANCC
at 1-800-284-CERT (202-651-7276)
Who is eligible to sit
for the exam? Eligibility requirements are:
- Hold a baccalaureate or higher degree in nursing or a
baccalaureate degree in a relevant field. Relevant areas
include: science (biology, anatomy, physiology, etc.),
professional disciplines (engineering, computer science,
psychology, physical therapy, etc.), or academic liberal
arts, (mathematics, English, philosophy, history, etc.);
- Hold a current active registered nurse license in the
United States or its territories;
- Have practiced as a licensed registered nurse for a minimum
of two years;
- Have a minimum of 2,000 hours in the field of informatics
nursing within the last three years;
--or--
- Have completed at least 12 semester hours of academic credits in a
graduate program in informatics nursing in informatics courses (e.g.,
computer programming, information science, systems analysis and design,
management of information systems) and have practiced a minimum of 1,000
hours in informatics nursing within the last three years;
--or-- - Have completed a graduate program in nursing informatics that includes
at least 200 hours of clinical practicum.
NOTE: For candidates who meet this requirement,
please disregard item #5 pertaining to having 30 contact hours of
continuing education.
---and--
- Have had 30 continuing education contact hours applicable
to the specialty area within the last three years. Author/presenter
credits are allowable but can account for no more than
half of the contact hour requirement. Author's work must
be in a refereed publication. A combination of continuing
education and academic credit hours are also acceptable.
Contact hour credit will be allowed for attendance at professional
meetings that include content appropriate to informatics
nursing practice. Independent study that has been approved
for continuing education or academic credit is also allowed. [top]
What areas
does the test cover?
- System Life Cycle
- System planning
- System analysis
- System design
- System implementation and testing
- System evaluation, maintenance, and support
- Human Factors
- Ergonomics
- Software and user interface
- Information Technology
- Hardware
- Software
- Communications
- Data representation
- Security
- Information Management and Knowledge Generation
- Data
- Information
- Knowledge
- Professional Practice,Trends,and Issues
- Roles
- Trends and issues
- Ethics
- Models and Theories
- Foundations of nursing informatics
- Nursing and health care data sets, classification
systems, and nomenclatures
- Related theories and sciences [top]
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