Application 1 – Meaningful use Paper

“Application 1- Meaningful use paper”

Walden University

Transforming Nursing and healthcare through Technology, Nursing 8210

January 7, 2019

From the inception of modern day nursing data from standardized patient records are used as a

potentially powerful resource for assessing and improving the quality of care, keeping track of this

records in an electronic database describes a part of nursing informatics. (Peltonen, Sensmeier, Saranto,
 Application 1 – Meaningful use Paper

Newbold, & Ramírez, 2018) Nursing informatics is the specialty that integrates nursing science with

multiple information management and analytical sciences to identify, define manage and communicate

data, information, knowledge and wisdom in nursing practice.(Schneider, Feussner, Schneider, &

Feussner, 2017) Nursing informatics began to evolve in the second half of the 20 th century,(O’Connor,

Hubner, Shaw, Blake, & Ball, 2017) to help nurses fully use information technology to improve the

delivery of care.(Peltonen et al., 2018) before then there are early developers and innovators of

technology in nursing practice who became known as pioneers of nursing informatics. These are the

innovators, trail blazers and ground breakers in the area of nursing informatics.(Newbold & Brixey,

2016) The American medical informatics Association (AMIA) established the nursing informatics history

project to recognize the pioneers of nursing informatics. The pioneers I will be reviewing for this

assignment are Judy G. Ozbolt and Carol Romano Respectively from the American medical informatics

Association (AMIA) Pioneers interview.

Judy G. Ozbolt started her nursing practice in the late 60’s, she wanted to pediatrics, so she started off

in the pediatrics unit at the Eggleston Hospital in Atlanta. She then moved on to adult surgery in the

community hospital. In the early 70’s she started teaching the fundamentals of nursing in the peace

corps In Liberia. At some point she realized she had been out of school for 5 years and ended up at

Michigan in 1972 for her doctoral program in nursing. As she panicked about what to do for her research

project, she met a professor in her research class (Sam Schultz) who “talked about how computer

programs were being written that would take patient data and formulate medical diagnoses”. Judy

working with Bernadine Edwards completed he master’s thesis in nursing informatics. She went on to

her doctorate degree and this marked a turn in her life. Though she left informatics for a while, but she

went back again in 1980.

Judy was on the founding board of directors for the American Medical informatics Association (AMIA).

She introduced nursing informatics working group to AMIA, they are the most active and the best model

of a working group. Judy is a founding fellow of the American institute for medical and biological

Engineering.

Carol Romano was a clinical nurse at the national institutes of health, working on a open-heart post-op

open heart surgery unit in 1975. At the time the hospital had signed a contract implementing an

electronic medical record. The implementation process needed a cadre of individuals who would help to

implement, design the system to meet the clinicians’ needs, also to implement the system and train

clinal users. Carol Romano was part of the team representing cardiac surgical area. She was

commissioned as one of the key members because she was a clinical senior person, currently Carol is the

deputy CIO for clinical research informatics at the clinical center of the national Institutes of health.

Carol’s membership as an. Implementing partner for the electronic medical record began her story as a

pioneer in nursing informatics. She has been working for 33years in nursing informatics. Carols

contribution to nursing informatics has been help to create the definition of the field and define the role

of informatics nurse and how they serve patients through addressing information needs. Carol published

in the late 70’s or early 80’s a clinical model, a framework for the interdependent and the dependent

role the nurses play in terms of their information handling. This was about information assessments, the

information that relates to care planning, to patient observations, and evaluations that focused the

independent aspect of nursing cate that needs to design the computer system to support. Carol and her

team also had to articulate the interdependent aspects of nursing care that relate to executing the

medical plan. The plan was to order entry and designing what kind of orders not that the physicians

write, but that nurses need to understand and so that the framework of framing those orders in a way

that the nurse who executes them understands what they information is and what they are required to
 Application 1 – Meaningful use Paper

do. It also involved the evaluations and observations that nurses make about the patient’s response to

the medical plan of care is the information component that needs to get represented in clinical systems.

Carol describes her very first contributions as articulating a model for clinical information from the

nursing perspective that needs to get incorporated in designing information systems. In carols current

job role as the chief information officer at the clinical center of the national institutes of health (a

hospital research). Carol’s administrative role was responsible for all of the clinical systems that support

clinical care, that is required by the research studies that they do. They have implemented the next

generation of a research information system that helps to collect clinical data, that eventually, data will

be extracted in a data mining process to be able to do studies across protocols, across patient

populations and opens a whole new area of research in terms of collecting data and using it for multiple

studies. Carol and her team are in the process of implementing clinical systems in other areas such as

pharmacy scheduling and nutrition system.

Both pioneers made their contributions to nursing informatics from different backgrounds, Judy from

her academic career and Carol as a nurse practitioner. In nursing practice today, a lot of hospitals

including the one I work in make use electronic health record system and currently the use of mobile

technology in nursing care.(Asiri & Househ, 2017) Also nursing informatics has been incorporated in

nursing curriculum in various university and higher institutions.(Button, Harrington, & Belan, 2014)

(please refer to practice). Nursing informatics has also helped to improve decision making (please give

example), track equipment and supplies, (please give example) decrease medical errors and improve

documentation and time management.(please give example)

These Pioneers demonstrated great passion for nursing science and didn’t see their computer illiteracy

as a limiting factor rather its propped them further to explore nursing informatics. (Please explain how

these skills help you)

References

Asiri, H., & Househ, M. (2017). The Use of Mobile Technologies in Nursing Education and Practice.

Health Professionals’ Education in the Age of Clinical Information Systems, Mobile Computing and

Social Networks, 421–433. https://doi.org/10.1016/B978-0-12-805362-1.00020-6

Button, D., Harrington, A., & Belan, I. (2014). E-learning & information communication technology (ICT)

in nursing education: A review of the literature. Nurse Education Today, 34(10), 1311–1323.

https://doi.org/10.1016/j.nedt.2013.05.002

Newbold, S. K., & Brixey, J. J. (2016). Nursing informatics pioneers continue to influence the profession:

A sustainable impact. In Studies in Health Technology and Informatics.

https://doi.org/10.3233/978-1-61499-658-3-873

O’Connor, S., Hubner, U., Shaw, T., Blake, R., & Ball, M. (2017). Time for TIGER to ROAR! Technology

Informatics Guiding Education Reform. Nurse Education Today, 58, 78–81.

https://doi.org/https://doi.org/10.1016/j.nedt.2017.07.014

Peltonen, L. M., Sensmeier, J., Saranto, K., Newbold, S. K., & Ramírez, C. (2018). Supporting nursing

informatics in practice - Lessons learned by nursing informatics pioneers. In Studies in Health

Technology and Informatics. https://doi.org/10.3233/978-1-61499-872-3-62

Schneider, A., Feussner, H., Schneider, A., & Feussner, H. (2017). Health Informatics/Health Information

Technology. Biomedical Engineering in Gastrointestinal Surgery, 473–489.

https://doi.org/10.1016/B978-0-12-803230-5.00012-9