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DOI: 10.1055/s-0043-1768738
Nursing Informatics' Contribution to One Health
Summary
Objectives: To summarise contemporary knowledge in nursing informatics related to education, practice, governance and research in advancing One Health.
Methods: This descriptive study combined a theoretical and an empirical approach. Published literature on recent advancements and areas of interest in nursing informatics was explored. In addition, empirical data from International Medical Informatics Association (IMIA) Nursing Informatics (NI) society reports were extracted and categorised into key areas regarding needs, established activities, issues under development and items not current.
Results: A total of 1,772 references were identified through bibliographic database searches. After screening and assessment for eligibility, 146 articles were included in the review. Three topics were identified for each key area: 1) education: “building basic nursing informatics competence”, “interdisciplinary and interprofessional competence” and “supporting educators competence”; 2) practice: “digital nursing and patient care”, “evidence for timely issues in practice” and “patient-centred safe care”; 3) governance: “information systems in healthcare”, “standardised documentation in clinical context” and “concepts and interoperability”, and 4) research: “informatics literacy and competence”, “leadership and management”, and “electronic documentation of care”. 17 reports from society members were included. The data showed overlap with the literature, but also highlighted needs for further work, including more strategies, methods and competence in nursing informatics to support One Health.
Conclusions: Considering the results of this study, from the literature nursing informatics would appear to have a significant contribution to make to One Health across settings. Future work is needed for international guidelines on roles and policies as well as knowledge sharing.
Publication History
Article published online:
26 December 2023
© 2023. IMIA and Thieme. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
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References
- 1 The International Medical Informatics Association Nursing Informatics (IMIA NI), 2009. IMIA-NI definition of nursing informatics updated. [Available from: https://imianews.wordpress.com/2009/08/24/imia-ni-definition-of-nursing-informatics-updated/].
- 2 Peltonen L-M, Pruinelli L, Ronquillo C, Nibber R, Lozarda Perezmitre E, Block L, et al. The Current State of Nursing Informatics – An International Cross-Sectional Survey. Finnish Journal of EHealth and EWelfare 2019;11(3):220–31. doi: 10.23996/fjhw.77584.
- 3 Kitson AL. The Fundamentals of Care Framework as a Point-of-Care Nursing Theory. Nurs Res 2018 Mar/Apr;67(2):99-107. doi: 10.1097/NNR.0000000000000271.
- 4 World Health Organisation (WHO) 2022. One Health. [Available from: https://www.who.int/health-topics/one-health#tab=tab_1].
- 5 Nightingale F. Notes on nursing: What it is and what it is not. Philadelphia, PA: JB Lippincott; 1992/1959.
- 6 Fawcett J. The metaparadigm of nursing. Present statements and future refinements. Image J Nurs Sch 1984 Summer;16(3):84-9. doi: 10.1111/j.1547-5069.1984.tb01393.x.
- 7 Dahlberg H, Ranheim A, Dahlberg K. Ecological caring-Revisiting the original ideas of caring science. Int J Qual Stud Health Well-being 2016 Nov 30;11:33344. doi: 10.3402/qhw.v11.33344.
- 8 Benis A, Tamburis O, Chronaki C, Moen A. One Digital Health: A Unified Framework for Future Health Ecosystems. J Med Internet Res 2021 Feb 5;23(2):e22189. doi: 10.2196/22189.
- 9 Weber P, Peltonen LM, Junger A. The Essence and Role of Nurses in the Future of Biomedical and Health Informatics. Stud Health Technol Inform 2022 Oct 26;300:164-76. doi: 10.3233/SHTI220948.
- 10 American Nursing Association, 2014. Nursing informatics: scope and standards of practice. 2nd Ed. ANA.
- 11 Mantas J, Ammenwerth E, Demiris G, Hasman A, Haux R, Hersh W, et al. Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics. First Revision. Methods Inf Med 2010 Jan 7;49(2):105-20. doi: 10.3414/ME5119.
- 12 Bichel-Findlay J, Koch S, Mantas J, Abdul SS, Al-Shorbaji N, Ammenwerth E, et al. Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics: Second Revision. Int J Med Inform 2023 Feb;170:104908. doi: 10.1016/j.ijmedinf.2022.104908.
- 13 Hübner U, Shaw T, Thye J, Egbert N, Marin HF, Chang P, et al. Technology Informatics Guiding Education Reform - TIGER. Methods Inf Med 2018 Jun;57(S 01):e30-e42. doi: 10.3414/ME17-01-0155.
- 14 Shaw Morawski T, Liang Man Qing. The TIGER Initiative: Global, Interprofessional Health Informatics Workforce Development. In: Hübner U, Wilson Mustata G, Shaw Morawski T, Ball MJ. Nursing Informatics: A Health Informatics, Interprofessional and Global Perspective. Springer Nature; 2022. [Available from: https://link.springer.com/book/10.1007/978-3-030-91237-6#bibliographic-information].
- 15 O'Connor S, LaRue E. Integrating informatics into undergraduate nursing education: A case study using a spiral learning approach. Nurse Educ Pract 2021 Jan;50:102934. doi: 10.1016/j.nepr.2020.102934.
- 16 Saranto K, Kinnunen UM. Milestones and Outcomes in Health and Human Services Informatics Education Programmes. Stud Health Technol Inform 2022 Oct 26;300:77-92. doi: 10.3233/SHTI220943
- 17 Booth RG, Strudwick G, McBride S, O'Connor S, Solano López AL. How the nursing profession should adapt for a digital future. BMJ 2021; 373:n1190. doi: 10.1136/bmj.n1190.
- 18 Salameh B, Eddy LL, Batran A, Hijaz A, Jaser S. Nurses' Attitudes Toward the Use of an Electronic Health Information System in a Developing Country. SAGE Open Nursing. 2019;5. doi: 10.1177/2377960819843.
- 19 Cho Y, Kim M, Choi M. Factors associated with nurses' user resistance to change of electronic health record systems. BMC Med Inform Decis Mak 2021 Jul 17;21(1):218. doi: 10.1186/s12911-021-01581-z.
- 20 Kinnunen U-M, Heponiemi T, Rajalahti E, Ahonen O, Korhonen T, Hyppönen H. Factors Related to Health Informatics Competencies for Nurses - Results of a National EHR Survey. Comput Inform Nurs 2019 Aug;37(8):420–9. doi: 10.1097/CIN.0000000000000511.
- 21 Kaihlanen AM, Gluschkoff K, Kinnunen UM, Saranto K, Ahonen O, Heponiemi T. Nursing informatics competences of Finnish registered nurses after national educational initiatives: A cross-sectional study. Nurse Educ Today 2021 Nov;106:105060. doi: 10.1016/j.nedt.2021.105060.
- 22 Kaipio J, Kuusisto A, Hyppönen H, Heponiemi T, Lääveri T. Physicians' and nurses' experiences on EHR usability: Comparison between the professional groups by employment sector and system brand. Int J Med Inform 2020 Feb;134:104018. doi: 10.1016/j.ijmedinf.2019.104018.
- 23 Kutney-Lee A, Brooks Carthon M, Sloane DM, Bowles KH, McHugh MD, Aiken LH. Electronic Health Record Usability: Associations With Nurse and Patient Outcomes in Hospitals. Med Care 2021 Jul 1;59(7):625-31. doi: 10.1097/MLR.0000000000001536.
- 24 Dunn Lopez K, Gephart SM, Raszewski R, Sousa V, Shehorn LE, Abraham J. Integrative review of clinical decision support for registered nurses in acute care settings. J Am Med Inform Assoc 2017 Mar 1;24(2):441-50. doi: 10.1093/jamia/ocw084.
- 25 Wang Q, Liu J, Zhou L, Tian J, Chen X, Zhang W, et al. Usability evaluation of mHealth apps for elderly individuals: a scoping review. BMC Med Inform Decis Mak 2022 Dec 2;22(1):317. doi: 10.1186/s12911-022-02064-5.
- 26 Nick JM, Roberts LR, Petersen AB. Effectiveness of telemonitoring on self-care behaviors among community-dwelling adults with heart failure: a quantitative systematic review. JBI Evid Synth 2021 Oct;19(10):2659-94. doi: 10.11124/JBIES-20-00329.
- 27 Bai X, Wang Q, Cao S. Application of Infusion Control System Based on Internet of Things Technology in Joint Orthopedics Nursing Work. J Healthc Eng 2021 Mar 26;2021:6691258. doi: 10.1155/2021/6691258.
- 28 ISO IEC. Corporate Governance of Information Technology. ISO IEC 38500: 2008 (E). Geneva: ISO, IEC; 2008.
- 29 Hardiker NR, Dowding D, Dykes PC, Sermeus W. Reinterpreting the nursing record for an electronic context. Int J Med Inform 2019 Jul;127:120-6. doi: 10.1016/j.ijmedinf.2019.04.021.
- 30 Mykkänen M, Kinnunen UM, Liljamo P, Ahonen O, Kuusisto A, Saranto K. Using standardized nursing data for knowledge generation - Ward level analysis of point of care nursing documentation. Int J Med Inform 2022 Nov;167:104879. doi: 10.1016/j.ijmedinf.2022.104879.
- 31 Saranto K, Kinnunen U-M, Liljamo P, Mykkänen M, Kuusisto A, Kivekäs E. Interprofessional Structured Data: Supporting the Primary and Secondary Use of Patient Documentation. In: Hübner U, Wilson Mustata G, Shaw Morawski T, Ball MJ. Nursing Informatics: A Health Informatics, Interprofessional and Global Perspective. Springer Nature; 2022. [Available from:G:\YB2023\Papers\YB2330 - Peltonen\ https://link.springer.com/book/10.1007/978-3-030-91237-6#bibliographic-information].
- 32 Westra BL, Subramanian A, Hart CM, Matney SA, Wilson PS, Huff SM, et al. Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set. J Nurs Adm 2010 Jul-Aug;40(7-8):336-43. doi: 10.1097/NNA.0b013e3181e93994.
- 33 von Gerich H, Moen H, Peltonen LM. Identifying nursing sensitive indicators from electronic health records in acute cardiac care-Towards intelligent automated assessment of care quality. J Nurs Manag 2022 Nov;30(8):3726-35. doi: 10.1111/jonm.13802.
- 34 Goossen WTF. Nursing informatics research. Nurse Researcher 2000; 8(2):42-54.
- 35 Goossen W, Goossen-Baremans A, van der Zel M. Detailed clinical models: a review. Healthc Inform Res 2010 Dec;16(4):201-14. doi: 10.4258/hir.2010.16.4.201.
- 36 Scholes M, Tallberg M, Pluyter-Wenting E. International Nursing Informatics: a history of the first forty years. Swindon UK: the British Computer Society; 2000.
- 37 Ellis BS, Quayle S, Bailey I, Tishkovskaya S, Spencer J, Richardson R. Students' perceptions on their use of an EHR: pilot questionnaire study. BMJ Health Care Inform 2020 Oct;27(3):e100163. doi: 10.1136/bmjhci-2020-100163.
- 38 O'Connor S, Odewusi T, Smith PM, Booth RG. Digital professionalism on social media: The opinions of undergraduate nursing students. Nurse Educ Today 2022 Apr;111:105322. doi: 10.1016/j.nedt.2022.105322.
- 39 Chen Y, Cai Z, Lin B, Yan L, Zheng W, Kuo MC, et al. Developing a professional-practice-model-based nursing organizational informatics competency model. Int J Med Inform 2022 Oct;166:104840. doi: 10.1016/j.ijmedinf.2022.
- 40 Farokhzadian J, Jouparinejad S, Fatehi F, Falahati-Marvast F. Improving nurses' readiness for evidence-based practice in critical care units: results of an information literacy training program. BMC Nurs 2021 May 18;20(1):79. doi: 10.1186/s12912-021-00599-y.
- 41 Laukka E, Pölkki T, Kanste O. Leadership in the context of digital health services: A concept analysis. J Nurs Manag 2022 Oct;30(7):2763-80. doi: 10.1111/jonm.13763.
- 42 Kim HN. A conceptual framework for interdisciplinary education in engineering and nursing health informatics. Nurse Educ Today 2019 Mar;74:91-93. doi: 10.1016/j.nedt.2018.12.010.
- 43 Gadd CS, Steen EB, Caro CM, Greenberg S, Williamson JJ, Fridsma DB. Domains, tasks, and knowledge for health informatics practice: results of a practice analysis. J Am Med Inform Assoc 2020 Jun 1;27(6):845-52. doi: 10.1093/jamia/ocaa018.
- 44 Schubert C, Bruce E, Karl J, Nahikian-Nelms M, Pennyman N, Rizer M, et al. Implementing a Novel Interprofessional Clinical Informatics Curriculum. Comput Inform Nurs 2022 Jun 1;40(6):411-8. doi: 10.1097/CIN.0000000000000855.
- 45 Forman TM, Armor DA, Miller AS. A Review of Clinical Informatics Competencies in Nursing to Inform Best Practices in Education and Nurse Faculty Development. Nurs Educ Perspect 2020 Jan/Feb;41(1):E3-E7. doi: 10.1097/01.NEP.0000000000000588.
- 46 Honey M, Collins E, Britnell S. Identifying How to Support Nurse Educators Nationally to Teach Nursing Informatics. Stud Health Technol Inform 2021 Dec 15;284:124-9. doi: 10.3233/SHTI210683.
- 47 Nes AAG, Steindal SA, Larsen MH, Heer HC, Lӕrum-Onsager E, Gjevjon ER. Technological literacy in nursing education: A scoping review. J Prof Nurs 2021 Mar-Apr;37(2):320-34. doi: 10.1016/j.profnurs.2021.01.008.
- 48 Isidori V, Diamanti F, Gios L, Malfatti G, Perini F, Nicolini A, et al. Digital Technologies and the Role of Health Care Professionals: Scoping Review Exploring Nurses' Skills in the Digital Era and in the Light of the COVID-19 Pandemic. JMIR Nurs 2022 Oct 4;5(1):e37631. doi: 10.2196/37631.
- 49 Lopes JP, Dias TMR, Carvalho DBF, Oliveira JF, Cavalcante RB, Oliveira VC. Evaluation of digital vaccine card in nursing practice in vaccination room. Rev Lat Am Enfermagem 2019 Dec 5;27:e3225. doi: 10.1590/1518-8345.3058.3225.
- 50 Yu M, Yang MR. Effectiveness and Utility of Virtual Reality Infection Control Simulation for Children With COVID-19: Quasi-Experimental Study. JMIR Serious Games 2022 May 27;10(2):e36707. doi: 10.2196/36707.
- 51 Macieira TGR, Chianca TCM, Smith MB, Yao Y, Bian J, Wilkie DJ, et al. Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review. J Am Med Inform Assoc 2019 Nov 1;26(11):1401-11. doi: 10.1093/jamia/ocz086.
- 52 Dillard-Wright J. Electronic health record as a panopticon: A disciplinary apparatus in nursing practice. Nurs Philos 2019 Apr;20(2):e12239. doi: 10.1111/nup.12239.
- 53 Antonio MG, Schick-Makaroff K, Doiron JM, Sheilds L, White L, Molzahn A. Qualitative Data Management and Analysis within a Data Repository. West J Nurs Res 2020 Aug;42(8):640-8. doi: 10.1177/0193945919881706.
- 54 da Costa C, Linch GFDC. Implementation of Electronic Records Related to Nursing Diagnoses. Int J Nurs Knowl 2020 Jan;31(1):50-8. doi: 10.1111/2047-3095.12219.
- 55 De Groot K, De Veer AJE, Paans W, Francke AL. Use of electronic health records and standardized terminologies: A nationwide survey of nursing staff experiences. Int J Nurs Stud 2020 Apr;104:103523. doi: 10.1016/j.ijnurstu.2020.103523.
- 56 O'Neill AM, Mossing MR, Newcome MD, Miller KB, Monsen KA. Developing Structured Omaha System Goals for Use in an Electronic Health Record. Comput Inform Nurs 2019 Dec;37(12):655-61. doi: 10.1097/CIN.0000000000000568.
- 57 Lee J, Kang MJ, Garcia JP, Dykes PC. Developing hierarchical standardized home care nursing statements using nursing standard terminologies. Int J Med Inform 2020 Sep;141:104227. doi: 10.1016/j.ijmedinf.2020.104227.
- 58 Liljamo P, Kuusisto A, Ukkola T, Härkönen M, Kinnunen UM. Updating the Standardized Terminology for Nurses' Daily Documentation. Stud Health Technol Inform 2021 Dec 15;284:300-5. doi: 10.3233/SHTI210727.
- 59 Kim J, Macieira TGR, Meyer SL, Ansell Maggie M, Bjarnadottir Raga RI, Smith MB, et al. Towards implementing SNOMED CT in nursing practice: A scoping review. Int J Med Inform 2020 Feb;134:104035. doi: 10.1016/j.ijmedinf.2019.104035
- 60 Kim H, Eltz AJ. Representing Nursing Data With Fast Healthcare Interoperability Resources: Early Lessons Learned With a Use Case Scenario on Home-Based Pressure Ulcer Care. Comput Inform Nurs 2020 Apr;38(4):190-7. doi: 10.1097/CIN.0000000000000564.
- 61 Reimer AP, Milinovich A. Using UMLS for electronic health data standardization and database design. J Am Med Inform Assoc 2020 Oct 1;27(10):1520-8. doi: 10.1093/jamia/ocaa176.
- 62 Chou E, Sockolow PS. Transitions of Care: Completeness of the Interoperability Data Standard for Communication from Home Health Care to Primary Care. AMIA Annu Symp Proc 2022 Feb 21;2021:295-304.
- 63 Nahm ES, Schoenbaum A, Behm C, Rowen L. Health Information Exchange: Practical Overview and Implications for Nursing Practice. J Nurs Adm 2020 Nov;50(11):584-9. doi: 10.1097/NNA.0000000000000941.
- 64 Cummings E, Moran G, Woods L, Almond H, Procter P, Makeham M, et al. Methodology for the Development of the Australian National Nursing and Midwifery Digital Health Capability Framework. Stud Health Technol Inform 2021 Dec 15;284:135-42. doi: 10.3233/SHTI210685.
- 65 Ammenwerth E, Hackl WO. Topics for Continuous Education in Nursing Informatics: Results of a Survey Among 280 Austrian Nurses. Stud Health Technol Inform 2019;260:162-9.
- 66 Cheng L, Zihe Z, Xin S. Understanding Digital Information Needs of Supportive Care for Chinese Children with Cancer and Their Families: The Perspectives of Multi-Stakeholders. Stud Health Technol Inform 2021 Dec 15;284:452-4. doi: 10.3233/SHTI210770.
- 67 Browne J, Braden CJ. Developing Theoretical Underpinnings for Nursing Workaround Research Using a Mixed Method Approach. Stud Health Technol Inform 2021 Dec 15;284:264-8. doi: 10.3233/SHTI210720.
- 68 Jing J, Niyomsilp E, Xie L, Jiang H, Li R. Effect of Transformational Leadership on Nursing Informatics Competency of Chinese Nurses: The Intermediary Function of Innovation Self-Efficacy. Stud Health Technol Inform 2021 Dec 15;284:275-9. doi: 10.3233/SHTI210722.
- 69 Monsen KA, Pesut DJ. Pilot Test of a Theory-Based Instrument to Measure Nursing Informatics Leadership Skills. Nurs Leadersh (Tor Ont) 2020 Mar;33(1):100-11. doi: 10.12927/cjnl.2020.26188.
- 70 Hobensack M, Ojo M, Bowles K, McDonald M, Song J, Topaz M. Home Healthcare Clinicians' Perspectives on Electronic Health Records: A Qualitative Study. Stud Health Technol Inform 2021 Dec 15;284:426-30. doi: 10.3233/SHTI210763.
- 71 Bail K, Merrick E, Bridge C, Redley B. Documenting patient risk and nursing interventions: record audit. Aust J Adv Nurs 2021 Dec-Feb38;1:36-44. doi: 10.3316/informit.723965483426893.
- 72 Peltonen LM, Nibber R, Lewis A, Block L, Pruinelli L, Topaz M, et al. Emerging Professionals' Observations of Opportunities and Challenges in Nursing Informatics. Nurs Leadersh (Tor Ont) 2019 Jun;32(2):8-18. doi: 10.12927/cjnl.2019.25965
- 73 Ginter PM, Duncan WJ, Swayne LE. The strategic management of health care organizations. John Wiley & Sons; 2018.
- 74 Egbert N, Thye J, Hackl WO, Müller-Staub M, Ammenwerth E, Hübner U. Competencies for nursing in a digital world. Methodology, results, and use of the DACH-recommendations for nursing informatics core competency areas in Austria, Germany, and Switzerland. Inform Health Soc Care 2019;44(4):351-75. doi: 10.1080/17538157.2018.1497635.
- 75 Rotegård AK, Moore SM, Fagermoen MS, Ruland CM. Health assets: a concept analysis. Int J Nurs Stud 2010 Apr;47(4):513-25. doi: 10.1016/j.ijnurstu.2009.09.005.
- 76 Batt AM, Williams B, Brydges M, Leyenaar M, Tavares W. New ways of seeing: supplementing existing competency framework development guidelines with systems thinking. Adv Health Sci Educ Theory Pract 2021 Oct;26(4):1355-1371. doi: 10.1007/s10459-021-10054-x.
- 77 Lokmic-Tomkins Z, Davies S, Block LJ, Cochrane L, Dorin A, von Gerich H, et al. Assessing the carbon footprint of digital health interventions: a scoping review. J Am Med Inform Assoc 2022 Nov 14;29(12):2128-39. doi: 10.1093/jamia/ocac196.