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Oklahoma Nursing Research Consortium

Oklahoma Nursing Research Consortium. Nursing Research: Preparing for the Next Millennium. Virginia K. Saba, EdD, RN, FAAN, FACMI. Distinguished Scholar - Georgetown University, SON Professor & Advisor Educational Technologies - USUHS,GSN. Nursing Impact - 21st Century.

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Oklahoma Nursing Research Consortium

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  1. Oklahoma Nursing Research Consortium Nursing Research: Preparing for the Next Millennium V. Saba

  2. Virginia K. Saba, EdD, RN, FAAN, FACMI • Distinguished Scholar - Georgetown University, SON • Professor & Advisor Educational Technologies - USUHS,GSN V. Saba

  3. Nursing Impact - 21st Century • Information Technology • Computer Infrastructure • Internet Technology • Communication Network V. Saba

  4. Web Site • Home Page Addresses • <http://www.sabacare.org> V. Saba

  5. Computer Literacy • By the year 2000, those nurses who are illiterate in computer technology will be likened to the reading illiterate at turn of 20th Century. • Dr. Lindberg, NLM / 1990 V. Saba

  6. Nurses are Computer Literate • Personal Computers (PCs) • Communicate by E-Mail • Surf the Net V. Saba

  7. IT Systems • Fragmented • Census Information • Medical Model • Use Diagnostic Terms • Billing Strategies V. Saba

  8. IT Systems - Con’t • Lack National Data Standards • Partial Electronic Patient Record (EPR) • Partial Paperless Chart V. Saba

  9. IT Systems • Do Not Capture the Care Process • Do Not Document Nursing Care • Nurses Do Not Get Reimbursed • Nurses Remains Invisible V. Saba

  10. Goals - 21st Century • Implement Integrated IT Systems • Utilize Internet • Integrate Nursing Terms • Impact Health Care Policy V. Saba

  11. Focus • What Do We Have - IT & Internet • How Do We Use What We Have Today • What Do We Need to Resolve for 21st Century V. Saba

  12. What DO We Have? V. Saba

  13. We Have • Information Technology • Nursing Informatics - Tools • Internet Technology • Network Protocols V. Saba

  14. Informatics -Informatique = French Computer Milieu • Computer Science • Information Science • Nursing Science V. Saba

  15. Computer Science • Hardware - PCs/ Storage / Speed • Software - User -Friendly Generic Packages • Communication Networks V. Saba

  16. Internet: Network of Networks • Electronic Mail (E-Mail) • Listservs • Bulletin Boards • Chat Rooms • File Transfer Protocols - Data • Telnet - Link to a Host • Gopher - Text Links V. Saba

  17. World Wide Web - Multi-Media Browsers • Internet Explorer • Netscape • CompuServe • AOL V. Saba

  18. WWW Search Engines • Yahoo Search • Magellan • Alta Vista • WebCrawler V. Saba

  19. Web Site • Sigma Theta Tau • <http://www.stti.iupui.edu> V. Saba

  20. Information Science • Data ---> Information ---> Knowledge V. Saba

  21. What is Data? • Raw Facts / Data Elements (Atomic Level) • Single Words, Objects, or Numeric Values • Data Base - Fields, Records, & Files V. Saba

  22. Data Classifications • Terms Hierarchical & Categorized to a Set of Rules. • Terms Coded to Index & Classify Logical Concepts V. Saba

  23. Clinical Data Standards • Clinical Vocabularies • Transmission of Clinical Messages • Provide a Guide for Policy, Law, & IT Systems V. Saba

  24. Web Site • American Nurses Association • <http://www. ana. org> V. Saba

  25. ANA & Information Technology • Supported Practice Standards • Over 25 Years -1970 - 1981 - 1998 • Nursing Process: Assessment, Diagnosis, Outcome Identification, Planning, Implementation, & Evaluation V. Saba

  26. ANA Database Committee • 1990 - Nursing Minimum Data Set (NMDS) • 1992 - Recognized 4 Vocabularies • 1989 - ICNP (ICN) • 1994 - UMLS (NLM) • 1997 - NIDSEC V. Saba

  27. NMDS :16 Data Elements • Nursing Care (4) • Nursing Diagnosis • Nursing Interventions • Nursing Outcomes • Intensity of Nursing Care • Patient Demographics (5) • Services (7) V. Saba

  28. ANA 6 Recognized Vocabularies • NANDA Taxonomy I Revised • Omaha System • NIC - Iowa • NOC - Iowa • HHCC - Georgetown V. Saba

  29. Unified Medical Language System • 1986 NLM - Metathesaurus • 1992 ANA - 4 -Vocabularies • 1998 Linked to MeSH V. Saba

  30. International Classification of Nursing Practice - ICNP- ICN Initiative • 1989 - ICN Initiated ICNP • 1995 - ICNP - Alpha Version • 1999 - ICNP - Beta Version V. Saba

  31. National Information & Data Set Evaluation CenterNIDSEC - ANA Initiative • 1997- ANA Establish NIDEC Standards • 1999- ANA Score ITs NIDSEC Nursing Vocabularies V. Saba

  32. Disease Conditions Classifications • ICD-10 • ICD-9-CM:Vol 1&2 • DSM-III-R V. Saba

  33. Procedure Classifications • CPT-4 • ICD-9-CM: Vol 3 • HCPCS / HCFA V. Saba

  34. Other Classifications • SNOMED-III - 11 Modules • Read Clinical Classification -UK • Oasis - HCFA-HH Data Set • 79 Survey Questions V. Saba

  35. Data Standards: National Initiatives • CPRI • ASTM • HL7 • ANSI-HISB V. Saba

  36. Web Site • Health Level Seven • <http://www.hl7.org> V. Saba

  37. How Do We Use What We Have Today? V. Saba

  38. We Use - ITs & WWW • Nursing Practice, • Nursing Administration, • Nursing Research, • Nursing Education V. Saba

  39. Nursing Informatics / IT • Use of technology and/or computer systems to collect, store, process, display, retrieve, and communicate timely data and information in and across health care facilities to: V. Saba

  40. Nursing Informatics Con’t: • Deliver clinical care / practice • Administer resources & services • Apply technologies to education • Link research findings to practice Saba & McCormick (1996) V. Saba

  41. Deliver Nursing Practice • Acuity Levels • Care Plans • Critical Pathways • Discharge Planning V. Saba

  42. IT & Internet Practice Uses • Home Monitoring Technologies • Tele-Home Office Visits • Brennan - WebTV • Institute Online Support Groups V. Saba

  43. Management of Resources • ADT - Census Data • Order Entry - Results Reporting • I/O Charting • Staffing & Scheduling • Quality Assurance V. Saba

  44. Administration Applications • Budgeting - Care Costs • Forecasting • Billing Systems • Reimbursement V. Saba

  45. Link Research to Practice • Evidenced-Based Practice • Decision Support Systems • Quality Care Outcomes • Clinical Practice Guidelines V. Saba

  46. Research - Impact on Care • Critical Path Evaluation • Best Practices • Data Warehousing & Mining • Knowledge Data Base Syntheses V. Saba

  47. Web Site: Guidelines • Agency for Health Care Policy and Research • <http:// www.ahcpr.gov> V. Saba

  48. Bibliographic Systems • CINAHL Online • Virtual EMUNRS Database • MEDLINE • Online Journals • CINAHL OnLine Journal V. Saba

  49. Web Site • Lippincott’s Nursing Center • <http://www.nursingcenter.com> V. Saba

  50. Patient Education • Glaxo Wellcome Health Education • <http://www.helix.com/> • Patient Support Groups • e.g. Diabetes Web Site • <http:// diabetes.org> • Listservs - Web Site • <http://tile.net/lists/medicine.html> V. Saba

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