Tuesday, April 24, 2012

A topic that belong in chapter 1 of nursing informatics

From Chapter 1 of Nursing Informatics


             
On this chapter there are top four problems of local nurses in the work place: the excessive documentation, long turnaround times, inaccurate nursing processes and poor communication. First I will explain to you, why documentation is excessive, we know that there are a lot of patients in public hospitals, and usually in 1 nurse it would care an 8-12 patients in a shifts. And as nursing student, we know that there is a lot of documentation that we will do in just 1 patient, so how much more if you have 8-12 patients, and it will really cost a lot of time. The second problem was the turnaround time is too long. Because of the procedures or even the laboratory test can really cost a lot of time. That can add to the stress of the patients and to the cost of his hospital stay. Then the 3rd problem is the nursing processes are inaccurate. Nurses are not perfect! We are all human being that can't deny that sometimes we commit mistakes. Just like in clinical settings, for example, the nurse commits medical errors or labeling errors. Maybe the nurse will commit those mistakes if she/he has a lot of patients to care of. :) Then the last problem is the poor communication. Sometimes in the clinical setting, the physician can have a phone call to the nurse if its really important to have their conversation about the patients. But we can't really deny the difference between having a phone call and the presence of both communicators. Because in Phone call sometimes the communicators can't really understand, compare to the case that there are the presence of both communicators. Because having the presence of both communicators, both of them can really understand their conversation and it has also privacy to them. :)

Monday, April 23, 2012

Chapter 2 of Nursing Informatics ( Theories in Nursing Informatics)


A. Change theories
     Computerization of information system involves change, moving from paper-based enivironment to a completely paperless environment. And Change may be unplanned or planned.


1. Roger's Diffusion of Innovation Theory (unplanned change)
   This theory explained on how the people accept the innovations and who are the persons who adopt it. And it was divided into 5 categories:

  • Innovators (2.5%)- the one who really adopt the innovation.
  • Early adopters (13.5%)- they are respectable opinion leaders who acts as promoters for the innovation.
  • Early majority (34%)- They are averse to risk of the innovation but are willing to make safe investments.
  • Late majority (34%)- They adopts the innovation because of their peers, not because they are the one who explore the use of innovation.
  • Laggards(16%)- They are very stubborn and very suspicious about innovation. In short, they are not really sure about innovation. And may grap those weaknesses that others have failed to recognize.

2. Lewin's Change Theory (planned change)
 It describe the processes that occur in planned change into three stages: Unfreezing, moving and refreezing.

  • Unfreezing. Making use of processes that reinforce an individual's involvement in the change. But they respect the opinions of others. And while having this process and reducing the force, they commit to have group norms or psychological defenses.
  • Moving. On this stage the anxiety are high. And to be successful this process, it should be guided by the administrator. And the new system should be provided with adequate training.
  • Refreezing. The planned change becomes the norm. The users should be confident and feel in control of the new processes. And in order for them to be success to their work, the help system should be always ready to answers and guide the users in appropriate way.. 

Chapter 2 of Nursing Informatics (Teaching Nursing Informatics is a must)



Teaching Nursing Informatics is a must



Why teaching Nursing Informatics is a must?
Sometimes nursing students ask why we need to take up computers subjects like nursing informatics. Not knowing that this subject is really important to us future nurses. In order not to become an ignorant human being and also as nurses we should do well our responsibility in hospital with our heart and mind.

That's why Commission of Higher Education (CHED) passed a memorandum order CMO No. 5 series 2008 to all deans of the college of nursing throughout the country. It requires the replacement of basic computer subject with the 3 unit of Nursing Informatics in the curriculum of the new 5-year Bachelor of science in Nursing. In April 2009. CMO No. 12 series 2009 was passed, where the course Nursing Informatics was subject-coded as IT. And NI in administration, education and research as topic were deleted.

Nursing Informatics is a subject who can really help us nursing students to learned more that we can use in our future work as nurses. Because now a days, we can't really deny that technology was surrounded us. And as future nurses, we should be always updated on new technology that we can use in clinical setting, in order for us to have a accurate nursing processes. :)