New Initiatives Involving Nursing Informatics


In the modern-day health systems, informatics plays a critical role in education and nursing work. Since 1984, nursing informatics, which relates to the use of information technology in the nursing profession, has remained a form of specialization in nursing resources. This phenomenon has been used in data storage and recovery, patient care, information systems, decision support systems, electronic patient records, data transfer, human-computer interaction, and security among many other dealings. The rapidly changing advances in technology have facilitated the growing use of informatics in the nursing professioyn. The gains associated with this concept include the ease of identification of changes in patients’ status due to the availability of stored data, the ease of information transmission, the privacy of patient data, the safety of medical data, and effective patient care. These benefits have motivated many health care institutions and nurses to adopt informatics in various nursing processes. The study of the role of informatics in nursing and appropriate programs of information technology education can enable nurses to benefit from the ever-growing pace of information technology.

New Initiatives Involving Nursing Informatics

The efforts to promote the use of informatics in nursing have remained the key focus of many health care institutions. Currently, many health care institutions have centralized information processing and communication in virtually all health care operations, including the collection and recording of information regarding their patients, communication among their multidisciplinary teams, enhancing access to medical literature, selecting diagnostic operations, interpretation of laboratory results, and the collection of clinical research information (Hsu, Lee, & Straub, 2012). As a result, many health care institutions are focusing on utilizing technology to quicken these operations and to allow nurses to record and plan for every patient’s care (Hsu et al., 2012). Medical care institutions are utilizing ICT advancement to create a digitally stored pool of literature, research data, and statistics (Hsu et al., 2012). These developments are becoming a precious resource for the institutions’ nurses, particularly if they have the time and technological support to gather, grasp, reflect on and synthesize the data that they access within the digital collections.

One of the initiatives aimed at promoting nursing informatics is the creation of a language of nursing in information technology. A great stride in this development is the creation of universal nursing data languages (Holm, 2014). The most prominent of these is the International Classification of Nursing Practice (ICNP), which was developed by the International Council of Nurses (ICN) (Holm, 2014). According to the ICN, ICNP is focused on providing nurses with a tool for describing and recording the key components that characterize clinical nursing practice (Holm, 2014). For instance, in Canada, the Health Information: Nursing Components (HI: NC) embodies a national program aimed at quantifying nursing care for computer information recording and analysis. Moreover, CIHI developed a new Canadian Classification Health Interventions (CCI), which is presently being applied in various provinces. The CCI creation was done in conformity to ICNP’s concepts, and terminologies and classification have a broad list of therapeutic, diagnostic, support, and surgical interventions. The classification facilitates the standardization of a variety of health interventions, irrespective of the health care provider or service setting. These languages are developed to incorporate nursing activities in the new electronic health records being created, both at the national and international levels.

Currently, there are numerous opportunities for continuing education in nursing informatics. Workshops, boot camps, webinars, and nursing informatics institutes are available for nurses around the world to gain knowledge that is critical in meeting the needs of nursing professional development in a variety of practice settings (McBride, Delaney, & Tietze, 2012). The definition of nursing informatics competencies for nurses has promoted and facilitated nursing informatics in academia and practice (McBride, Delaney, & Tietze, 2012). Different governments and health care policymakers are developing measures to simplify and guide the adoption of nursing informatics (McBride, Delaney, & Tietze, 2012). These programs have contributed significantly to quality patient care and promoted the success of nursing informatics.

The growing use of nursing informatics has created numerous concerns, which include the privacy of patients’ information. Different countries around the world have enacted legislation entitling patients with the right to privacy and that their medical information can only be shared subject to the consent of the patients (Freedman, 2018). For instance, in America, there are different laws designed to protect the citizen’s personal health information (Freedman, 2018). The Privacy Act of 1974 governs the information gathered by the federal government and its agencies (Freedman, 2018). The legislation grants American’s with the right to know what information is collected about them and a guarantee of the accuracy of such data and entitles them to have copies of the information (Freedman, 2018). The Indian Health Services and Veterans Health Administration are bound by these regulations (Freedman, 2018). The Alcohol- and Drug-Abuse Patient Confidentiality regulation demands additional privacy in any federally funded and facilitated drug or alcohol-abuse program (Vitale, 2013). In this regulation, the identity of the patients’ diagnosis and treatment are considered as confidential information (Vitale, 2013). The policy prohibits the dissemination of confidential patient information even if the patient is impaired (Vitale, 2013). This legislation and policies have helped to prevent the adverse effects of nursing informatics; practicing and future nurses should be knowledgeable about the laws governing their practice.

Assimilating the work of the nursing informatics specialists with those of other nurses and the other members of the multidisciplinary team presents an ongoing challenge to many health care institutions and personnel. Some older nurses and doctors, for instance, may lack computer skills and they would be hesitant to the change in their work habits (Wu et al., 2018). Moreover, nurse informaticists must communicate and translate the information technology disciplines critical to the creation of electronic medical records and nursing documentation systems (Wu et al., 2018). However, it takes time for a nurse without IT skills to become a nurse informaticist. The National Organization of Associate Degree Nursing reports that about 87 percent of registered U.S. nurses graduate with an associate or bachelor’s degree or nursing diploma (Ziebarth, 2014). After graduation, these nurses need to exercise and refine their clinical skills to understand the complexity of what competent nurses do and how they record the activities.


Nursing informatics combines information technology, clinical knowledge, quality improvement, and information management. This phenomenon is linked with numerous benefits that include enhancing efficiency, improving patient outcome, and the ease of patients’ information. The importance of nursing informatics is exemplified by the expanding opportunities that include workshops, boot camps, webinars, and nursing informatics institutes that allow nurses to grow their informatics knowledge and skills. Nursing informatics specialists frequently encounter challenges in their practice due to their organizational roles, hardware or software problems, interacting with their colleagues and the members of the multidisciplinary team. There is a need for increased awareness among the nurses, especially the elderly who lack an understanding of the gains associated with nursing informatics. Also, nurses should understand the regulations that govern nursing informatics to undertake their roles within the applicable limits thereby avoid infringing on the patients’ rights that include privacy.  


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