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The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education


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In today's dynamic health systems, technology plays an important role in education and nursing work. So it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an extensive literature search in databases and a library search focused on the keywords were used. The criteria used for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use of information technology in all aspects of the nursing profession. In a critical assessment of emerging technologies, the key elements of nursing informatics implementation were considered as healthcare promotion, advanced systems, internet and network. In view of the nature and the development of the information age, it is required to receive necessary IT training for all categories of nurses. Due to the fast development of technology, in order to effectively take advantage of information technology in nursing outcome and quality of health care and to empower nurses; educational arrangement is recommended to set short-term and long-term specialized courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral. The result of this study is expected to assist educational providers with program development.
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Global Journal of Health Science; Vol. 6, No. 6; 2014
ISSN 1916-9736 E-ISSN 1916-9744
Published by Canadian Center of Science and Education
The Role of Nursing Informatics on Promoting Quality of
Health Care and the Need for Appropriate Education
Asieh Darvish1, Fatemeh Bahramnezhad1, Sara Keyhanian2 & Mojdeh Navidhamidi1,3
1 School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2 School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
3 Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran,
Correspondence: Sara Keyhanian, School of Allied Medical Sciences, Tehran University of Medical Sciences,
Tehran, Iran. E-mail:
Received: May 8, 2014 Accepted: May 29, 2014 Online Published: June 24, 2014
doi:10.5539/gjhs.v6n6p11 URL:
In today’s dynamic health systems, technology plays an important role in education and nursing work. So it
seems necessary to study the role of nurses and highlight the need for appropriate information technology
educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an
extensive literature search in databases and a library search focused on the keywords were used. The criteria used
for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use
of information technology in all aspects of the nursing profession. In a critical assessment of emerging
technologies, the key elements of nursing informatics implementation were considered as healthcare promotion,
advanced systems, internet and network. In view of the nature and the development of the information age, it is
required to receive necessary IT training for all categories of nurses. Due to the fast development of technology,
in order to effectively take advantage of information technology in nursing outcome and quality of health care
and to empower nurses; educational arrangement is recommended to set short-term and long-term specialized
courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral.
The result of this study is expected to assist educational providers with program development.
Keywords: education, nursing, quality of health care, nursing informatics, technology
1. Introduction
1.1 History and Definition
Nurses has been working in the field of informatics near four decades, the term "nursing informatics" has been
considered a specialization in nursing resources since 1984 (Guenther & Peters, 2006). Many aspects such as
data recovery, ethics, patient care, decision support systems, human-computer interaction, information systems,
imaging informatics, computer science, information science, security, electronic patient records, intelligent
systems, e-learning and telenursing have been added to the field. Hana has defined Nursing Informatics as the
application of IT in the nursing duties including education, management & practice in 1985. Integration of
information science, computer science and nursing science to support nursing practice and knowledge
management was the definition offered in 1989 by Graves and Corcoran. The American Nurses Association
(ANA) published its aim and standards in 1994-1995 and presented the Nursing Informatics as a specialty that
integrates nursing science, computer and information science to provide data communication management,
knowledge and nursing work in 2001. Now most of nursing professionals believe that it is defined as the
integration of information technology and all aspects of nursing such as clinical nursing, management, research
or education (Guenther & Peters, 2006).
1.2 Competencies
The competency of nursing informatics specialists was determined through studying three categories including
computer skills, informatics knowledge and informatics skills. It investigates four levels of nursing practice:
beginning nurse, experienced nurse, informatics specialist, and informatics innovator. Global Journal of Health Science Vol. 6, No. 6; 2014
The following competencies were rejected: diagnostic coding, desktop publishing, managing central facilities to
enable data sharing and writing an original computer program (Staggers et al., 2002). Some components of
accepted competencies are shown below in brief.
1.2.1 Computer Skills
Selected computer skill competencies contain computerized searches and retrieving patient demographics data,
the use of telecommunication devices, the documentation of patient care, the use of information technologies for
improving nursing care, and the use of networks and computer technology safely.
1.2.2 Informatics Knowledge
Selected informatics knowledge competencies are the recognition of the use or importance of nursing data for
improving practice, and the recognition of the fact that the computer can only facilitate nursing care and that
there are human functions that cannot be performed by computers, the formulation of ethical decisions in
computing, the recognition of the value of clinicians' involvement in the design, selection, implementation, and
evaluation of systems in health care, the description of the present manual systems, the definition of the impact
of computerized information management on the role of the nurse and the determination of the limitations and
the reliability of computerized patient monitoring systems.
1.2.3 Informatics Skills
Informatics skills competencies includes the interpretation of information flow within the organization, the
preparation of process information flow charts for all aspects of clinical systems, the development of standards
and database structures to facilitate clinical care, education, administration or research. It also includes the
development of innovative and analytic techniques for scientific inquiry in nursing informatics and new data
organizing methods and research designs with the aim of examining the impacts of computer technology on
nursing, and the conducting of basic science research to support the theoretical development of informatics.
Information literacy skills, competencies, and knowledge are investigated among educators, administrators and
clinicians of nursing groups nationally.
1.3 The Importance of Nursing Informatics
The history, definition and competencies of nursing informatics indicate the importance of this field. It shows
nurses are integrated into the field of IT automatically. So they should be able to deal with it successfully to
improve quality of care outcome. In this regard it is required to study the influence of nursing informatics on
health care and make bold the appropriate information technology educational needs for nurses.
2. Method
An extensive literature search was performed by using databases Pubmed, Google Scholar, Ovid, Science Direct
and SID. Search terms were “education, nursing”; “quality of health care”; “nursing informatics” and technology.
The study was carried out from January to April, 2014. A library search was also performed. As many as 135
articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused
on nursing informatics education and its influence on nursing outcomes and the quality of health care (Staggers
et al., 2002).
3. Results
The study mentions the followings as the key elements of nursing informatics implementation:
3.1 Health Care Promotion
The advantages of applying information technology in all aspects of nursing, including clinical areas,
management, education and research and its influence on health care have been reviewed. Today, the subjects of
clinical nursing information systems, decision support systems and medical diagnostic systems are associated
with collecting patient information. Regarding the technology-rich environment, health care and hospital
information systems developers, the quality of care is improving. For increasing patient safety and its leading to
an evidence-based nursing, nursing informatics has been enhanced for students and graduates by Columbia
school of nursing. The study has proved that informatics competence is a prerequisite to improving patient care
(Bakken et al., 2003). Technology and using multimedia integrated into nursing curriculum can promote the use
of informatics tools as an integral practice component and increase patient safety (Norton et al., 2006).
Managers can improve efficiency and performance through information systems and new technologies. In
addition, several studies have confirmed the impact of careful shift planning and efficient management on
nurse’s work and the quality of health care. Information is the source of all management activities. Nursing care
is an industry service and its product is patient care. Information technology can promote the nursing Global Journal of Health Science Vol. 6, No. 6; 2014
management outcome. Internet-based nurse scheduling systems are mostly designed according to the
self-scheduling model and need refining by the manager who overviews proper distribution, it causes uniform
resource allocation in scheduling and increases patient direct care time (Pierce et al., 2003). Implementing
information systems can provide better access to evidence; it can affect the patient care quality and support
evidence-based nursing. Software tools to facilitate research are available in all medical fields (Kardan &
Darvish, 2008). Nursing information system had an influence on clinical patterns and decreased the time nurses
spent on indirect care (Darvish & Salsali, 2010). This is critical to the health care professionals to assess, apply,
report and manage data by the help of new tools of the information age (Hall, 1995).
3.2 Advanced Systems
Although using decision support systems can lead to a safer care, it may impair critical thinking. The need for
excessive working time could cause some delay in the nursing job and reduce the quality of health care (Norton,
2006). Researchers recommended considering the following:
- Involving nurse managers in the system selection and designing process
- Designing a simple and efficient process
- Recording a system-compatible guideline
- Improving the system speed
- Selecting hardware which can encourage nurses to use them
- Upgrading the system through innovation in information technology
Decision support systems have been defined to assist physicians to solve problems that require specific decisions
since 30 years ago. It is replacing the role of human knowledge by formulating the knowledge in the system
(Ting et al., 2008). Expert systems are the most common types of clinical decision support systems and have
applications in show notes, diagnostic support, critical treatment plans, decision support, prescriptions, recovery
and the identification and the interpretation of pictures, however, as stand-alone tools, are not able to replace
human expertise. These systems should be integrated with knowledge management. Several studies have shown
that the integration of implicit and explicit knowledge and management of different types of knowledge will help
to determine the best treatment plan. Logical design is required for the success of these systems and seems to
hardly have been considered. The application of guides and easy access to up-to-date clinical evidence and the
cutting of duplicate tests could reduce medical mistakes and improve quality of care, but there are some
limitations (Montani & Bellazzi, 2002). To increase the usefulness and acceptability of such systems, the ease of
use, support and maintenance combined with the ability of systems hardware, software applications, integration
with hospital information systems and patient records should be considered (Holbrook et al., 2003). Including
smart and intelligent tools in diagnosis and treatment methods can reduce medical errors and harm as well as
financial loss for humans. Artificial intelligence and expert systems are used to help the diagnosis.
3.3 Internet and Network
The first internet-based Nursing Informatics courses were offered by Duck University in 1997. Represented
advantages were clearly defined and measurable learning outcomes and real-world problems were introduced as
the main component of instructional strategies. There were some disadvantages like hardware and software
problems, deficiency in prerequisite skills, troubleshooting difficulties, and low internet access speed and poor
time management to master the material (Goodwin, 1997). The evaluation of an innovative consumer health
informatics intervention proved that the patient and nurses are satisfied with the use of electronic and
communication devices and home care (Kossman et al., 2006). Nurses can have networks such as AJN and AMN
now. In the world wide web, it is possible to have a common network for nursing organizations and develop a
forum to discuss nursing issues and design online meetings (Rizzolo & DuBois, 1995). The other aspects of
nursing practice potential in the new decade are offering services from distance through telemedicine or
telenursing. In this regard, easy remote diagnostic software and hardware are designed to facilitate E-health
services. Tele-nurses can provide various services such as education, patient monitoring and counselling through
Internet facilities. Telenurses are satisfied with their role. They care remotely using special skills and knowledge.
It can cover nurse shortages and the global demand for nurses (Darvish & Salsali, 2010). In a telenursing Survey
most of nurses believed that it is better to design educational programs for nurses to be able to work as telenurse
(Grady, 2007). Using online library resources and outreach programs would be benecial and produce positive
outcomes for nurses (Wozar & Worona, 2003). Information and communication technology progress provided
the possibility of improving health through e-education irrespective of time and place. Patient education systems
on the internet can increase patient satisfaction and influence their self-care behaviour. E-health educational Global Journal of Health Science Vol. 6, No. 6; 2014
programs make people aware of disease management and increase coordination with the health care professional
team. It influences the life style and the prevention of diseases such as cancer, HIV and chronic diseases. On the
other hand, it empowers medical groups by enhancing and upgrading their knowledge. The web-based computer
simulation educational program in crisis decreased medical errors in emergency departments. Information
technology application refers to providing simultaneous access to education in specified locations which require
huge spending. It decreases cost loss (Kardan & Darvish, 2007). Online access to journal articles prevents
repeated research programs and makes assessment easy. Online databases provided up-to-date article access and
informed nurses about new technologies, easy software and the results of investigations (Darvish, 2010).
3.4 Related Organizations Activity
National advisory council on nurse education and practice addresses nursing practice challenges; and mentions
electronic health records, patient monitoring systems, bar code medication administration, computerised provider
order entry, data capture tools, care planning tools and telehealth; and the need to consider nursing shortage,
reducing medical errors, improve tracking of patient data, improve efficiency of data collection, improve access
to care, support national surrveilance capabillities. These are also mentioned as ways to address nursing
education challenges: E-learning to deliver education, simulation to deliver education, inclusion of Health Care
IT in curricula, and faculty development for health care. It centeralizes these as solutions which can improve
capacity of nursing schools, reduce faculty shortage, and increase health IT skills of graduating students. There
are many group projects and organizations which support nurses’ involvment for optimal use of IT in their job.
Some are introduced in the following:
- The National Coordinator for Health Information Technology (ONC)
- The American Health Information Community (AHIC)
- The Nationwide Health Information Network (NHIN)
- The Faculty Development: Integrated Technology into Nursing Education and Practice Initiative (ITNEP)
- National Advisory Council on Nurse Education and Practice (NACNEP)
- National League of Nursing (NLN)
- National Institute of Health (NIH)
- National Institute of Nursing Research (NINR)
- North American Nursing Diagnosis International (NANDA)
- Technology Informatics Guiding Education Reform Initiative (TIGER)
It is reported that without proper training for nurses, efforts to integrate healthcare IT with nursing practice will
be hampered. It gives evidence that nurses are not getting adequate training for IT usage (NACNEP annual
report, 2009).
3.5 Need for Educational Programs
Due to the fast growth and development of technology, in order to effectively take advantage of information
technology in nursing outcome and quality of health care, educational arrangement is recommended to
strengthen nurses at different levels for implementing information technology tools in all aspects of their
4. Conclusion
In today’s world the potential for information and communication technology application is increasing so that it
can enhance the quality of nursing domains outcome (McNelis et al., 2012). Nurses have the most
communication with patients, and interact with technology more frequently. Using technology should create a
positive attitude in nursing productivity. It is essential for nurses to be involved in the initial design of systems to
improve the quality of health care and change their culture in this regard (Darvish & Salsali, 2010), (Jenkins et
al., 2007).
Mediating technically and technologically on the borderline between medicine and nursing, nurses have become
known as the medical Goddesses in the form of Tele-nurses. Nurses have got more authority in decision-making
with the use of new technologies (Gassert, 1998). For successful implementation of the electronic health
reporting system, nurses must be knowledgeable about information technology, computer skills and informatics
knowledge and skills. In telenursing, the importance of data quality criteria, transparency and integrity,
authenticity, confidentiality, the updating of information, accountability, productivity, standards and accessibility Global Journal of Health Science Vol. 6, No. 6; 2014
of health web sites should be considered (Darvish, 2008). The NACNEP recommended to prepare nurses to
adopt intelligent and quality-based information technology use in patient care by implementing five strategies:
providing core informatics courses to nursing schools, educating nurses specialized in informatics skills who are
able to solve related issues, offering more powerful nursing care through the implication of telecommunication
projects, preparing more nursing faculties in the informatics field to facilitate students skills enhancement and
enhancing collaboration to advance informatics. The benefits of extending nursing informatics strategies directly
and indirectly influence patient and people health positively (Matarrese & Helwig, 2000). Courses affect nursing
students' perceptions about informatics (Jetté et al., 2010); and they may learn at the BSc level about
patient-centered evidence-based care through the use of informatics tools, and get informed about benefits such
as promotion of safety, quality and effective clinical decisions (Norton et al., 2006; Ainsley & Brown, 2009). The
may even learn how remote care and personal phone can improve nursing care in different areas such as
psychiatric nursing (Tseng et al., 2012; Goossen, 2007; Wittmann-Price, 2012). At the same time, nursing
workers are busy in the wards giving care. If they are not alert to new technologies, it will be difficult to accept
the new nurses’ ideas who are educated recently with a positive attitude to the advantages of information
technology. This group of nurses can be encouraged to be integrated into the potential of E-learning as well as
continuing education (Button, 2013), based on the summit of technology informatics guide education reform
(Schlak & Troseth, 2013). It seems necessary to prepare knowledgeable nurses to deal with selecting, developing,
implementing and evaluating IT to interpret data as usable knowledge and information. In the nursing world,
four domains should be empowered. Undergraduate and diploma programs can be integrated with courses.
Graduate programs can be designed. Formal and informal continued educational programs for nurses on job and
fellowships for PhD graduated nurses can be useful. Trying to make different groups of nurses ready for the
ever-increasing speed of technology in the current century is possible, not only by parallel opportunities of
learning, but also with the help of evaluating tools such as Self-assessment of nursing informatics competencies
scale which can bring the same range of comprehention about informatics implementation (Choi & Bakken,
2013). In conclusion, considering nursing outcomes takes advantage of information technology; educational
arrangement is recommended to set short-term and long-term specialized courses focusing on the four target
groups. Informatics courses for nursing students continued educational programs for registered nurses in work
area, graduate programs at MSc and PhD levels for nurses and fellowship programs for doctoral graduates are
recommended to be considered (Figure 1).
Figure 1. The proposed educational model for empowering nurses on the subject of nursing informatics in four
It is essential that nurse educators incorporate the entire concept of informatics into the education of nurses.
It is hereby acknowledged colleagues and all those who assisted in conducting the study or critiquing the
manuscript. The main enthusiasm of this study came out from the international symposium of telemedicine was
held by Tehran University of Medical Sciences.
Graduate and Postgraduate Nurses
Registered Nurses on Job
Nursing Students
Doctoral Graduates
Graduate programs in MSc and PhD
Continued Educational Programs
Informatics Courses
Fellowship Programs Global Journal of Health Science Vol. 6, No. 6; 2014
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... To improve the electronic documentation system itself, further research must follow. Nurses need to be involved in the initial design of strategies to improve the quality of healthcare and change their culture in this regard (Darvish et al., 2019). ...
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Background: In today’s dynamic health systems, technology plays an essential role in education and nursing practice. Therefore, it is necessary to study the changing role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. Nursing informatics helps improve vital nursing processes, such as documentation, which is a critical aspect of the profession and essential for effective patient care. Before electronic health records, nurses recorded patient information on charts, which could easily be mismanaged. Today, nursing informatics simplifies documentation and automates the transmission of patient data via connected devices to provide access for nurses, physicians, and patients.
... This new technology is considered as a challenge for some nurses who usually use paper sheets, however, informatics will enhance nurses' practices. This informatics would increase patient-interaction time, facilitate communication management, improve the quality and efficiency of healthcare delivered, reduce documentation time and errors, and facilitate professional and organizational development (Darvish et al. 2014;Farokhzadian et al. 2020). Therefore, it is necessary for nurses to enhance their skills and practices in using this technology by engaging in training informatics courses. ...
This study purposed to determine the levels of nursing informatics competency and self-efficacy in clinical practice and influencing factors on self-efficacy among Palestinian nurses in hospitals. A descriptive-correlational design was adopted. The nurses who worked in the North West Bank of Palestine (N=331) were recruited. The data were collected using the Self-Assessment of Nursing Informatics Competencies Scale (SANICS) which consists of 30 items rated on a 5-point Likert scale, ranging from 1(not competent) to 5 (expert), and scored by calculating the mean as follows: novice/ low (1.00–2.59), beginner/moderate (2.60- 3.39), and competent/high (3.40–5.00); and the New General Self-Efficacy Scale (NGSE) that consists of eight items rated on a 5-point Likert scale, ranging from 1(strongly disagree) to 5(strongly agree) and scored according to the average of the scale, whereas the average of > 3 indicated high self-efficacy, and < 3 reflected low self-efficacy. The data were collected during the period from September to November 2020. Findings showed that the total mean score for the nursing informatics competency scale was 2.9 (SD = 0.7), which indicated that the nurses had a moderate level of nursing informatics competency. The average score for the self-efficacy scale was 3.5 (SD = 0.8), which reflected that nurses had high self-efficacy. Self-efficacy in clinical practice increased with age and with nursing informatics competency. Thus, it is necessary to enhance nurses’ informatics competency by developing continuous educational programs about this technology for nurses and engaging nurses in such programs to enhance their competencies in this system.
... Nursing information ability refers to the comprehensive ability of knowledge, technology and attitude of nurses in the face of various nursing information activities [1]. Studies have shown that [2], Improving the information ability of nurses can promote providing better quality and safer services for patients, and can also promote the selfdevelopment of nurses and improve their sense of professional benefits. before one,With the rapid development of global medical informatization, nurses need to integrate the knowledge of computer science, information science and cognitive science into their work [3], Nursing information ability has become one of the core professional abilities and essential qualities of clinical nurses [4]. ...
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Objective: To investigate the status quo of nursing information ability of nurses in county-level hospitals and analyze its influencing factors. Methods: In June 2022, a total of 303 on-the-job clinical nurses from 3 county-level hospitals in Hebi City, Henan Province were selected as subjects by convenience sampling method. General data questionnaire and self-rating nursing information ability scale were used to investigate them. Results: The total score of nursing information ability of 303 nurses in county hospitals of Hebi City, Henan Province was (77.72 ± 18.76). There were statistically significant differences in the scores of nursing information ability among different ages, working years, positions, education, marriage, monthly income, whether they had learned computer-related knowledge and skills, and whether they had participated in the learning or training of nursing information system (all p < 0.05).Multiple linear regression analysis showed that age, years, position, monthly income and whether they had learned computer-related knowledge and skills were the main influencing factors of nursing information ability of county-level nurses (all p < 0.05). Conclusions: The nursing information ability of nurses in county-level hospitals in northern Henan is at a medium level. The government or society should provide training and guidance on nursing information ability, so as to provide more opportunities for nurses in county-level hospitals to participate in and learn nursing information technology to improve their ability.
... In order to improve coordination among a patient's numerous healthcare professionals, the phrase "health informatics" refers to the collection, storage, retrieval, and use of healthcare information. Health informatics focuses on the effective and optimal use of information to advance healthcare, public health, and biological research with the aid of technology [5]. The classification and prediction system for efficient medical diagnosis support as an important element or indicator for management of complications in hypertension. ...
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The potential for Traditional Medicine (TM) to enhance human health and wellbeing is enormous. This facet of healthcare services is crucial. For mutual benefit, the systems of traditional medicine and western (modern) medicine must be combined. The main goal of merging biomedicals and healthcare information within the setting of primary health care services is to provide spaces for technology interchange in medical practice for data and knowledge-based development. As a result, a database for diseases and their likely causes, trigger patterns, and prospective treatments and cures will be created, facilitating faster access to healthcare and resulting in a more dependable and effective healthcare system. The integration of health data, information, and expertise is known as bioinformatics. Data is all about a particular patient history, such as symptoms, diagnoses, treatments, and results, are referred to as health information. In fact, practitioners of biomedical informatics put a lot of effort into spotting patterns in the data generated by bioinformatics in order to assess patients' health problems and develop effective healthcare procedures. Hence, it is crucial that the current healthcare system incorporate health bioinformatics. Traditional medicine (TM) needs solid, scientific evidence to support its effectiveness, it is significant to access perceptions and promotes the integration of both Traditional Medicine Practitioners (TMP) and Modern Medical Practitioners (MMP) in the society. Basically, this research paper adopts a quantitative research method through survey Questionnaire for perceptions and adoption of both TMPs and MMPs among practitioners in Akwa Ibom State, Nigeria. Correlation analysis was carried out on selected demographics variables using Spearman Correlation coefficient to test the information gathered about how traditional medicine and modern medicine interaction (drugs administration) in treatment of certain diseases. The research findings demonstrate that, the Spearman coefficient algorithm gave a 0.5% which indicating an average relationship which entails a requirement for further integration. Moreover, Machine Learning (ML) approach was adopted, the Linear Regression (LR) model was used to access the linear relationship existing within the number of visits (response) of patients on the four sickness that was identified in the statistical data obtained in order to do a comparison analysis of treatment length of time (tlot) based on weekly basis-Seven (7) days visits. The model enable prediction on future duration length of time of patient in (TMPs) health system given number of visits provided.
... In order to improve coordination among a patient's numerous healthcare professionals, the phrase "health informatics" refers to the collection, storage, retrieval, and use of healthcare information. Health informatics focuses on the effective and optimal use of information to advance healthcare, public health, and biological research with the aid of technology [5]. The classification and prediction system for efficient medical diagnosis support as an important element or indicator for management of complications in hypertension. ...
... Little research has been conducted on the possible link between the level of nurses' informatics competence and the perceived usefulness of healthcare information systems, even though adequate competence in nursing informatics has been highlighted for promoting positive nursing outcomes from both an organizational and patient perspective (Darvish et al., 2014;Lin et al., 2014). Moreover, previous studies have mainly utilized a variable-centred approach and focused on the associations between informatics competence and different factors for the overall sample (e.g. ...
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Aims To identify different nursing informatics competence (NIC) profiles in nurses, examine the factors associated with profile memberships and examine the associations of the derived profiles with the nurses' perception of the usefulness of a health information system (HIS). Design A cross‐sectional study. Methods A sample of 3610 registered nurses responded to a nationwide survey in March 2020. A latent profile analysis was performed to identify NIC profiles based on three competence areas: nursing documentation, working in digital environment, and ethics and data protection. A multinomial logistic regression was carried out to examine the associations of demographic and background variables with the profile membership. Linear regression analyses were carried out to examine the association between the profile membership and perceived HIS usefulness. Results Three NIC profiles were identified and labelled as low, moderate and high competence groups. A younger age, recent graduation year, sufficient orientation and high‐rated proficiency as an HIS user were associated with nurses belonging to a high or moderate competence group relative to a low competence group. Competence group membership was associated with perceived HIS usefulness. The high competence group consistently expressed the highest usefulness of the HIS and the low competence group the lowest. Conclusion Tailored training and support should be provided for nurses with different levels of informatics competence, thereby facilitating their ability to respond to increasingly digitalized work. This could contribute to higher usefulness of the HIS in terms of supporting the nurses' work tasks and promoting the quality of care. Impact This was the first study exploring latent profiles of informatics competence in nurses. Insights from this study are useful for nursing management to identify different competence profiles of their employees, provide support and training to meet their needs, and promote the successful use of an HIS.
Objectives As the world moves towards a new normal, challenges continue to emerge while simultaneously inspiring us with new solutions. Strengthening the skills of first-line nurse managers (FLNMs) to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards. This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era. Methods The study employed a qualitative descriptive design. Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022. Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected. The interviews were audio-recorded, transcribed verbatim, and validated by re-listening. Data were analyzed using thematic analysis. Results Four main themes of the core competencies developed, including 1) managerial core competencies, 2) clinical core competencies, 3) technological core competencies, and 4) socio-emotional skills/personal traits consisting of the following: be brave, fast, patient, optimistic, consistent, and responsible. Conclusions The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned, while technological core competencies are the mediating component of both. Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.
In today’s complex and evolving healthcare system it is crucial for nurses to proficiently comprehend electronic health records (EHR) in the provision of quality, safe patient care. Electronic health records have become a federal mandate for patient funding securement in many settings. Studies suggest that implementation of an academic electronic health record (AHER) augments student learning for assuming the nurse role in key areas such as: data analysis, assessing patient care needs, administering medications safely, documenting effectively and professionally, and learning how to maintain a therapeutic nurse-client relationship with effective communication in the presence of technology (Jansen, 2014; Herbert & Connors, 2016). Additionally, evidence shows that the implementation of AEHR in a simulation enhances the realism and depth of learning for students as it better mirrors the clinical setting while facilitating faculty assessment of student skills (Meyer, Sternberger& Toscos, 2011). Even though research demonstrates ample benefits to the implementation of an AEHR in nursing education, the Nursing Department at Fort Hays State University (FHSU) utilizes paper patient charts in practice scenarios and in simulation experiences. This researcher recommends the implementation of an AEHR at FHSU to promote aptitude of the EHR, giving more time to direct patient care at time of clinicals.
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Older adults are a very heterogeneous group with different preferences, needs, and lifestyles. Most older people prefer to stay at home in old age. This is also advocated by policymakers and healthcare providers as it results in lower costs to society compared to institutionalization. Digital technologies such as eHealth can cost-effectively contribute to active aging. To use technology in the care of older adults, we need empowered caregivers who can also educate older adults on the proper use of technology as a tool to maintain health. We used the method of scientific literature review. Articles were selected based on the following criteria: Accessibility, scientificity, relevance of content, and timeliness. After selection, the results were analyzed using qualitative content analysis. Content analysis of nine scholarly articles provided insight into how technology is used in caregiving, whether empowered caregivers use technology in caring for older adults, and whether older adults demonstrate some level of autonomy and compliance in their use of technology. We found that technology makes an important contribution to the self-management of illness, medication adherence, and contact with older adults with chronic conditions who require constant monitoring. We believe that technology will help improve care and social support for older people and make caregivers' jobs easier. This will be especially evident with the introduction of robotic technology, both in providing social support to older adults and in making it easier for caregivers to lift patients. Keywords: empowerment, technologies, nursing, older.
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The present shortage of registered nurses (RNs) in many European countries is expected to continue and worsen, which poses a substantial threat to the maintenance of healthcare in this region. Work-family conflict is a known risk factor for turnover and sickness absence. This paper empirically examines whether the nurse practice environment is associated with experienced work-family conflict. A multilevel model was fit with the individual RN at the 1st, and the hospital department at the 2nd level using cross-sectional RN survey data from the Swedish part of RN4CAST, an EU 7th framework project. The data analyzed here is based on a national sample of 8356 female and 592 male RNs from 369 hospital departments. We found that 6% of the variability in work-family conflict experienced by RNs was at the department level. Organizational level factors significantly accounted for most of the variability at this level with two of the work practice environment factors examined, staffing adequacy and nurse involvement in hospital affairs, significantly related to work-family conflict. Due to the design of the study, factors on ward and work group levels could not be analyzed, but are likely to account for additional variance which in the present analysis appears to be on the individual level, with private life factors likely explaining another major part. These results suggest that higher level organizational factors in health care have a significant impact on the risk of work-family conflict among RNs through their impact on the nurse practice environment. Lower level organizational factors should be investigated in future studies using hierarchical multilevel sampling.
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Due to the capacity of internet, different types of health services are accessible to people on communication networks all over the world. E-health technology has been investigated in different aspects to find the factors influencing on its promotion. Since the number of internet users are increasing; it is essential to study the barriers and facilitators to enhance internet based health care services outcome. This article points to effective parameters on internet based health services. It determines the significance of accessibility to the internet networks for health care seekers. It will review requisitions for communication. Depending on studies, different aspects of e-health services such as consultation, monitoring, information dissemination and education are discussed. An important aspect in this regard is education. Educational programs will be discussed in two dimensions including care givers and people who receive e-health services. Then it gives recommendations by emphasizing on barriers and facilitators. Finally the points which can promote this area will be proposed.
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A REVIEW ON INFORMATION TECHNOLOGY DEVELOPMENT AND THE NECESSITY OF NURSING INFORMATICS SPECIALTY A. Darvish, M. Salsali Tehran University of Medical Sciences (IRAN) All nursing aspects have been affected by information technology development. In nursing work areas, the key components are which they use in their practice environment. According to the technology's role in education, research, management and practice in nursing, it seems necessary to lead to policies which facilitate technology effective usage in health care organizations. So nursing journals & databases for related literatures have been searched for available investigations in this filed. This article intends to find effective elements leading to above subject by emphasizing on the importance of nursing informatics education as a specialty. Initially nursing informatics & knowledge management in the medical field will be reviewed. Then, interaction of nurse and technology in practice, management, education and research fields will be mentioned. Finally according to the available potential for nursing informatics, it presents discussion and results. keywords: nursing informatics, information technology, education, practice, research, management.
Topic The Institute of Medicine report on the future of nursing, the Quality and Safety Education for Nurses initiative, and the Technology Informatics Guiding Education Reform movement are among the most prominent forces guiding change related to information technology and informatics in nursing to improve quality and safety in practice. Informatics competencies are essential for psychiatric nurses to leverage and integrate information technology into education, practice, and research. Purpose This article examines informatics and information technology from the perspective of educational preparation of the psychiatric mental health nurse practitioner. Sources of Information Literature related to informatics, information technology, and quality and safety in advanced practice psychiatric nursing. Conclusion Strategies for integration of information technology in educating psychiatric mental health nurse practitioner students are described. Informatics competency will result in safer and higher quality care.
BACKGROUND: In prior studies, newly licensed registered nurses (RNs) describe their job as being stressful. Little is known about how their perceptions of the hospital work environment affect their commitment to nursing. OBJECTIVES: To assess the influence of hospital work environment on newly licensed RN's commitment to nursing and intent to leave nursing. DESIGN: Correlational survey. SETTINGS: Newly licensed RNs working in hospitals in Florida, United States. PARTICIPANTS: 40% random sample of all RNs newly licensed in 2006. METHODS: The survey was mailed out in 2008. Dependent variables were indicators of professional commitment and intent to leave nursing. Independent variables were individual, organizational, and work environment characteristics and perceptions (job difficulty, job demands and job control). Statistical analysis used ordinary least squares regressions. Level of significance was set at p<0.05. RESULTS: Job difficulty and job demand were significantly related to a lower commitment to nursing and a greater intent to leave nursing, and vice versa for job control. The strongest ranked of the job difficulties items were: incorrect instructions, organizational rules, lack of supervisor support, and inadequate help from others. Workload and other items were significant, but ranked lower. The strongest ranked of the job pressure items were: "having no time to get things done" and "having to do more than can be done well." The strongest ranked of job control items were "ability to act independent of others." Nurses with positive orientation experiences and those working the day shift and more hours were less likely to intend to leave nursing and more likely to be committed to nursing. Significant demographic characteristics related to professional commitment were race and health. CONCLUSIONS: Negative perceptions of the work environment were strong predictors of intent to leave nursing and a lower commitment to nursing among newly licensed RNs. These results indicate that retention of newly licensed RNs in nursing can be improved through changes in the work environment that remove obstacles to care-giving, increase resources and autonomy, and reduce workload and other job pressure factors.
This study investigated the psychometrics of the Self-Assessment of Nursing Informatics Competencies Scale for nursing students in undergraduate (n = 131) and graduate (n = 171) programs. The scale had a valid five-factor structure, accounting for 69.38% of the variance, high internal consistency reliabilities (0.96 for the total scale and 0.84 to 0.94 for subscales), and good responsiveness (standardized response mean = 0.99), as well as significantly improved scores in nursing students with diverse demographic and educational backgrounds after taking an informatics course. Our factor structure was similar to the original scale, differing slightly in four items' loadings. This difference may reflect current informatics practice or the greater diversity of our sample. Further research is needed on the factor, data/information management skills, and related item loadings. This scale could be used to assess informatics competencies and develop educational strategies that prepare nursing students as informatics-competent graduates in information technology-rich environments. [J Nurs Educ. 2013;52(xx):xxx-xxx.].
Research indicates that having electronic resources readily available increases learners' ability to make clinical decisions and confidence in patient care. This mixed-method, descriptive pilot study collected data about senior prelicensure nursing students using smartphones, a type of mobile electronic device (MED), in the clinical area. The smartphones contained nursing diagnosis, pharmacology, and laboratory information; an encyclopedia; and the MEDLINE database. Student (n = 7) data about smartphone use during a 10-week clinical rotation were collected via student-recorded usage logs and focus group recordings. Staff nurses' (n = 5) perceptions of students' use of smart-phones for clinical educational resources were collected by anonymous survey. Both the focus group transcript and staff surveys were evaluated and the themes summarized by content analysis. Positive results and barriers to use, such as cost and technological comfort levels, are discussed. The results may help nurse educators and administrators initiate further research of MEDs as a clinical resource.
A growing awareness exists that informatics competencies are essential skills for healthcare professionals today, yet the development of these competencies lags behind the need. The Technology Informatics Guiding Education Reform (TIGER) Initiative represents a comprehensive, interdisciplinary effort that is well suited to the integration of informatics into education, practice, administration, and research environments. This article briefly discusses the background and significance of the TIGER Initiative and why it may be used as a model to instill informatics among the healthcare professionals globally.