By Sue Houston, Tina Dieckhaus, Bob Kirchner, Renee Rookwood
This publication is the correct gateway to all of the expert percentages this regularly evolving self-discipline has to provide. Describing the evolution of nursing informatics from its origins to present perform in today’s complicated, diversified healthcare atmosphere, this e-book deals the subsequent iteration of nurse informaticists a willing figuring out of the self-discipline, most sensible practices, and its scope of impact in healthcare. The publication additionally explores Nursing Informatics because it is practiced this present day, together with know-how production and implementation and the advance of influential guidelines and most sensible practices. unique positive factors contain 15 essays from nurses in myriad fields of effect, together with academia, learn, scientific settings, the administrative suite, consulting, and executive, in addition to an Appendix that includes case profiles with questions indexed via bankruptcy.
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Additional info for An introduction to nursing informatics: evolution and innovation
Steps towards certification began soon after, with ANA publishing the NI Scope of Practice statement and Nursing Informatics: Scope and Standards of Practice in 1994. 19 STANDARDIZING NURSING INFORMATION 1980–1995 Expanding, refining, and standardizing nursing information became a major focus of NI during the 1980s and 1990s. For example, when the ANA originally explored the development and testing of a classification system for use in all areas of nursing practice in 1986, the system, known as the North American Nursing Diagnosis Association (NANDA) Taxonomy I grouped “human responses to actual or potential health problems” according to nine response patterns.
Healthcare system provided further impetus to conduct research on how nursing impacts patient outcomes. Growing dissatisfaction with cost-cutting in the mid-1990s created a backlash against managed care. In the aftermath of the failed Clinton healthcare reform initiative, insurers and employers searched for ways to increase access without the costs associated with the traditional fee-for-service system, or the restrictions on patient access associated with managed care. 36 Groups of employers and insurers launched initiatives like the Leapfrog Group and Bridges to Excellence to demonstrate the viability of “pay-for-performance” programs in the late 1990s and early 2000s.
McCloskey and Bulechek became interested in systematizing nursing interventions in 1982 when they were teaching a graduate course on adult health nursing. 28 Their work piqued the interest of other faculty at Iowa for offering a robust, integrated classification scheme for interventions and outcomes. After the 1986 NANDA conference, McCloskey and Bulechek decided to mount a substantial effort to promote their approach. Guided in large measure by the idea that clinical decision making required knowledge about nursing diagnoses, nursing interventions, and patient outcomes, McCloskey and Bulechek formed a research team in 1987, and in 1990 they received a three-year grant from the NIH to further develop their system.