Nursing Informatics

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)

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:

  1. 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.);
  2. Hold a current active registered nurse license in the United States or its territories;
  3. Have practiced as a licensed registered nurse for a minimum of two years;
  4. Have a minimum of 2,000 hours in the field of informatics nursing within the last three years;
    --or--
    1. 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--
    2. 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--
  5. 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]