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Nurses, ICT and Nursing Informatics: Applications in Care

Nurses, ICT and Nursing Informatics: Applications in Care. Patricia Abbott, PhD, RN, FAAN Co-Director of the PAHO/WHO Collaborating Center for Nursing Knowledge, Information Management and Sharing (KIMS). Supported by NLM Informatics Training Grant; Hopkins SOM.

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Nurses, ICT and Nursing Informatics: Applications in Care

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  1. Nurses, ICT and Nursing Informatics: Applications in Care Patricia Abbott, PhD, RN, FAAN Co-Director of the PAHO/WHO Collaborating Center for Nursing Knowledge, Information Management and Sharing (KIMS) Supported by NLM Informatics Training Grant; Hopkins SOM

  2. International Definition of Nursing Informatics • Nursing Informatics is a 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 worldwide International Nursing Informatics Work Group, 2001

  3. Informatics • We need a vision of • “interdisciplinary, patient focused and informatics rich” healthcare (Institute of Medicine) • “Health professional education doesn’t need a ‘nip and tuck’ – it needs a serious body lift”

  4. Quality Through Collaboration: The Future of Rural Health Care • Suggests that rural health can be improved by “invest[ing] in building an ICT infrastructure, which has enormous potential to enhance health and health care over the coming decades”

  5. The Challenge • “Stovepiping” does not work 1 • Verticals have not worked • No significant change in mortality, prevalence, health indicators • Science of delivery is lacking • Lack of Informatics Competency • Impact on front line providers 1 Garrett, L. (2001). Betrayal of Trust: The Collapse of Global Public Health

  6. Healthcare Workforce Crises • World Health Report of 2006 • Shortage of 2.5 M healthcare workers • 50-90% of most countries’ workforce is made up of non-physician providers. • 56 countries with severe shortages • 36 in Sub-Saharan Africa Distribution of health care providers (RN, MD,MW)

  7. The Message • The frontline of global healthcare is composed of diverse providers with diverse needs • Access to information is a basic tenet of a developing nation • Efforts to increase information technology, improve health, and decrease poverty are complementary, not competitive A MDG that cannot be measured cannot be met nor missed.

  8. Why Do We Care? • Health information and knowledge are social determinants of health. • inequities in access to information and knowledge generate and/or increase health inequities Rockefeller FoundationBellagio Conference on eHealth http://roundfound/bellagio

  9. We cannot manage what we cannot measure!

  10. Nursing Informatics in Developing Countries • Uganda – 200 PDA’s in hands of community health workers • Used for disease surveillance & immunizations • Nepal – 50 PDA’s • Used for Vitamin A survey and follow up in community • SMS (text messaging) in South Africa • MDRTB • Open Medical Record System (Open MRS) • Kenya, Peru, Haiti

  11. Minimalist ICT • Community of Practice (CoP) • Electronic Communication System (ECS) • Implementing Best Practices (IBP) • Global Alliance for Nursing And Midwifery Communities of Practice (GANM)

  12. CoPs bridge the knowledge to practice gap CoP & Electronic Communication System CoP • Community of Practice (CoP) – • the process of social learning that occurs when people who have a common interestcollaborate over an extended period to share ideas, find solutions, and build innovations • Electronic Communication System (ECS) • Uses very low bandwidth (adapted web technology to function through email) Electronic CoP (e-CoP) ECS

  13. IBP: Implementing Best PracticesBloomberg School of Public Health

  14. Elluminate • An Internet-based tool for e-learning and collaboration • Designed for low-bandwidth • Runs over standard phone line or cellular • Supports “VoIP” – free internet telephony • Facilitates learning & meeting from a distance

  15. GANM Action Examples • Comunidades de Partería y Enfermería para una Maternidad Segura • Workforce Migration • India, Jordan, Philippines, US, Scotland, Brazil, Kenya • Regional Collaborations • Ethical recruitment policy/WHO • Political awareness campaigns, etc. • Joint program efforts • Message – dropping the barriers • Putting information in the hands of those who care

  16. Gracias porsubuenaatención. pabbott2@son.jhmi.edu “Information Into the Hands of Those Who Care”

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