1. Administrative Applications of Information Technology for Nursing Managers
CHAPTER 27

2. Nursing Management Today: Challenges, Chances, Choices
Ironically, the constituencies shaping healthcare- global leaders, healthcare CIOs and CEOs, vendors and patients- are accidentally jurist in the court of healthcare IT future. They do not care about shaping tomorrow’s future; they just want their problems solve. But because they are such key players, their problems shape healthcare information technology solutions.

3. Three major issues have an administrative impact of on the workplace, the profession, and the future of nursing managers and administrators. This issues are:
- The nursing shortage
- Increased demand for patient safety
- The need for visibility

4. The nursing shortage
Three primary factors are contributing to the current shortage including:
- Steep population growth and an aging population which are increasing the need for health care services
- A diminishing pipeline of new students in nursing
- An aging nursing workforce

5. Increased demand for patient safety
Patient safety is an international issue.
Standards focusing on the patient well being cut across all models of care, categories of disease and health conditions and all types of providers
Part of the challenge if measuring outcomes rest in defining what outcome really is. They could relate to individual patient across several encounters or they might measure a system.

6. Outcome measurement can relate to any of the following areas:
- Organizational performance
- Clinical effectiveness
- Patient satisfaction
- Service quality
- Appropriateness of care
- Patient responses to treatments
- Cost of services
- Efficiency of services delivered

7. The need for visibility
In the world of prove-it healthcare, if it is not documented, it was not done. If nursing cannot establish its contributions to patient outcomes, nursing becomes invisible and in fiscally tightened market, invisibility can mean expendability. Nursing must have a way to substantiate its role in healthcare process and its vitality outcomes.

8. Nursing management administrative needs
The rapid proliferation of nursing information systems compels nursing to face the vast challenge to learn and working within the age of technology. IT influences the manner in which practice, how they are educated and the methods of providing and documenting patient care.
Two level of nursing administrator:
Nurse manager
Nurse executive

9. Application and Implication of Information Technology for Nursing management
Nursing information system- A software system that automates the nursing process from assessment to evaluation, including patient care documentation. It also includes a means to manage the data necessary for the delivery of patient care

10. The Real cost of administrative system
To determine the true cost of automation, one must take three things into account:
Cost of hardware and software
Cost of education
Intellectual resources

11. The Need for Nursing Data Standards
Several years after developing practice standards, ANA establish the Nursing Information and Data Set Evaluation Center (NIDSEC) to create and disseminate standards for information system.

12. How Nursing Benefits from Information Technology
Nursing administrative system falls into three basic categories:
Strategic
Operational
Tactical
In general they help nursing:
Improve communication
Improve order entry
Improve continuity of care
Spend more time on patient care
Guide critical thinking
Tap into expert resources
Evaluate care

13. Specific Computer Applications for Nursing Administrators and Managers
Nurse Managers’ Data Needs
Allocating available resources to provide efficient and effective nursing care and implementing clinical nursing services
Providing input into executive-level decisions and collaborating with the nurse executive and others
Planning, organizing, implementing and controlling the of individuals and aggregates across the spectrum of healthcare settings
Nurse Executives’ Data Needs
Managing organized nursing services and the environment in which clinical nursing is practice
Ensuring that standards of nursing practice are established and implemented and are consistent with standards of professional organization and regulatory agencies
Evaluating care delivery models and of services provided to individuals and aggregates

14. Evidence-Based Nursing
Is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and their patient preferences. Three areas of research competence are: interpreting and using research, evaluating practice and conducting research

15. What Nursing Administrator Need to know about Selecting a System
The system must include the following:
Networkwide information access
Networkwide master patient index
User-friendly system interface
Interface engines for system communications
Data repositories to facilitate data sharing
Specialized manage care software
Standards

16. IT’s influence will be seen primary in three things:
Systems for data comparison
Software for longitudinal patient records
Standardization on a limited number of application vendors
IT’s influence will be seen primary in three things:
New-breed clinical information systems
Open systems
Patient-centered care

17. Nursing Administration’s role in IT implementation
Nursing responsibility is to make sure that organizations understand the value of these system and despite what organizations may say about nursing systems, they can and do have value in the new healthcare equation

18. THE END