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Discussion

Informatics? Please help me because I'm 100% lost

So this is actually going to sound really stupid (I know that there are people out there who might tell me to search this forum and find answers on my own - I hear ya, I've got Asperger's/HFA so bear with me) but what exactly is nursing informatics?

Under specialties for Nursing Informatics on this website it states "Nursing informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice.

I mean from what I'm reading it says nursing + computer & information science that leads to (->) nursing data/information/knowledge/wisdom. Aren't all four of these words synonymous to each other and describe one single concept? What the heck does that even mean?

I don't mean to insult anyone who is a nurse informaticist, I got my BSN and I'm actually thinking about going back to get my MSN in health/nursing informatics.

But if you had to put it into words, what is nursing informatics? What do you do while you're at work? What does a typical day look like? Do I need to know how to write computer code? What should I look for in informatic school programs that will help me be most successful?

Featured Replies

  • Experts

I'll let someone from nursing information discuss their typical day ... but I will tackle your other question about data/information/knowledge/wisdom as that was something I studied in graduate school.

Those words describe concepts that are similar, but not identical. Each represents a different level of knowledge. In other words:

"Data" is a collection of single facts that may or may not fit together or have any significant meaning. For example, you could have a list of responses to a questionnaire in which the questions aren't related to each other in any way. Or ... a little light is "on" or it is "off" -- and you don't know what the little light being on means. That would be data, but there would be no meaningful knowledge or wisdom there.

When you organize and process bits of data that relate to other, you have some "information" about the topic or situation. When you further process the information, assign meaning to it, connect it to other meaningful information, etc. ... you can develop "knowledge" about a subject -- knowledge that helps you understand the world. "Wisdom" is the highest level, representing not only an understanding of the basic facts and more sophisticated knowledge about a subject, but also possessing the intellectual and moral ability to make sophisticated judgements about the situation.

Does that explanation help you see the differences in the terms? A person may have a lot of random data that doesn't mean anything to them. Data only becomes useful when it is related to other data, assigned meaning, etc. to build information, knowledge and wisdom. People who work with data/information/knowledge/wisdom on a regular basis find these distinctions very important.

  • Author

@llg: Thank you, I hadn't really thought through it all in the perspective. It really makes a lot more sense, I just kept getting stuck in a circle.

Informatics also does a lot with electronic medical record. As an educator I'm talking to them all the time about how to arrange our documentation. For example, they can add clocks that will prompt the nurse to document every 2 hours that might align with a policy. Or what elements to include in an assessment related to a complaint.

I am hoping someone can help me understand what education I need to get my foot into nursing informatics.

Some background: I am a BSN nurse with 8 years of experience ER, ICU. I have very little in the way of computer training. My question is this. Is it possible for me to get a job in informatics as a BSN if I take an associates informatics/computer degree. My plan would be to continue getting educated at least to a master's level in this specialty.

Thanks in advance for the help.

Josh

  • Moderator

Nursing Informatics isn't typically your standard computer/IT support job - it's more about information and knowledge. I am not sure that a Bachelors would benefit you. I suggest reading through some of the threads in this forum to gain a better understanding of the specialty. One example is a nurse who works with a specific clinical application to apply both knowledge of that EHR's functionality and what nurses need from it clinically.

Honestly the advice I got from my facility was to volunteer to be a superuser for my clinical application and support go-lives throughout the organization. I have my BSN, but they steered me away from getting a master's in informatics simply because they valued the work experience more. I ultimately did a few go lives for my organization and got hired as a full time clinical informatics educator which I love. I am finishing my master's in nursing education simply because a lot of informatics handles education, and I find it helpful to understand how to teach people, whether it's the end users or teaching analysts how to build various applications.

Nursing Informatics or Clinical Informatics serve as a liaison between the end user and computer analyst. One must truly be savvy in the clinical and technical world.

Experience as a Super User is greatly beneficial. Your ER experience would be valuable if your EHR has specific solutions for ER.

Hi! I was preparing myself to go back to school and was interested in this Masters program. They have an RN-MSN option. I was considering this field because I love working at the hospital, but want to transition out of bedside and have always been interested in computers and software. On my unit, I was always volunteered to be one of the Super Users when we switched our programs. Was not sure if those that are in the field now, recommend a Masters degree or if most companies want you to have experience over an advanced degree. Thanks for your input!

  • Moderator

I think experience is more desired, the MSN is a bonus.

Hi everyone,

I'm a BSN nurse with almost 5 years experience. I've done a year and half of bedside med/surg and the rest as an OR circulator. I love the OR and couldn't imagine doing anything else in patient care, but I'm starting to grow restless and want to learn something new. I've thought about getting away from direct patient care and I like the idea of informatics. I'm a super user at my facility, and help with preference card changes. I know it's not much, and I have zero IT or computer science experience. I was thinking about applying to an MSN informatics program, but I'm honestly not exactly sure what the courses are like or if I'd feel totally lost. What's a typical day look like for someone in this role?

As super user at your facility, you are providing value and service that is helpful to your colleagues and ultimately to your patients, and that is commendable. It could also be a starting point to a career in Nursing Informatics. That is actually how I started in my career as a nurse informaticist -as a super user for a couple of EHR implementations.

There are many roles to fill in the Nursing Informatics field, and not all of them may need prior background in IT or computer science, although those could be helpful for certain roles/jobs. Some nurses don't even move departments when they take on an NI role - they can be "embedded" nurse informaticists within their own nursing department, such as Periop. For example, nurses can function as facilitators and coordinators whenever a change in the electronic health record (EHR) needs to be implemented, or they can even initiate the change themselves by identifying a gap and recommending a solution. Other nurse informaticists are in charge of creating and maintaining reports and using data analytics to identify issues/possible problem(s) and their solution(s). Still other nurse informaticists may be responsible for configuring or customizing off-the-shelf EHR software in order to meet the needs of the clinicians, while others coordinate various projects to improve both the electronic documentation tools as well as the data/information extracted from those tools. There's a lot of things that nurses can do, learn, and contribute to in NI! :-)

A typical day would really depend on what role you're filling. For example, an "application analyst" (usually someone who configures/customizes the off-the-shelf EHR software) may spend a large part of their day in front of a computer tweaking and optimizing the software (there is training for this) as well as collaborating with clinician subject matter experts (SMEs) to test and validate their work output. An EHR trainer/educator may be spending their day creating/updating training plans and tip sheets, as well as teaching clinicians how to use the system (in a classroom setting or in smaller groups/one-on-one). Project managers such as myself may spend a lot of time identifying areas of improvement, doing analysis of the root causes of issues, and coordinating the various aspects of a project aimed at improving documentation tools, workflows, or a combination of those. In many of these examples, there may be a LOT of meetings to attend and emails to write! :-D

There are many more roles that nurses can fill in the NI field (and some nurses even create their own roles), but I hope I've given you enough examples to help you get started on your evaluation of where you want to take your career next. You may also want to volunteer for internal informatics-related projects such as electronic chart audits, or participate in your organization's nursing informatics council, if there's one, so you can get a better "feel" for the kind of discussions nurse informaticists participate in and the decisions they need to consider/make. Good luck!

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