INFORMATICS APPLICATION IN
EVIDENCE-BASED NURSING
PRACTICE
GROUP 2
MAGLASANG, NORALYN
MANGRUBANG, AIRA MAE
JUMAHARI, PATRISHA JOY
RAVECHE, AFRIN NICOLE
BSN 2A
INFORMATICS APPLICATION IN
EVIDENCE-BASED NURSING
PRACTICE
a. COMPUTER GENERATED NURSING
CARE PLANS
b. CLINICAL PATHWAYS
c. CLINICAL GUIDELINES
d. E-JOURNALS
COMPUTER GENERATED
NURSING CARE PLANS
MAGLASANG, NORALYN
COMPUTER GENERATED NURSING CARE
PLANS
A COMPUTER INFORMATION system can either
stand alone or be part of a larger system the whole
facility uses. A nursing information system (NIS) can
increase efficiency and accuracy in all phases of the
nursing process—assessment, nursing diagnosis,
planning, implementing, and evaluating. It can help
you meet standards of nursing practice and
documentation. In addition, an NIS can help you
spend more time meeting patients' needs. Consider
the following uses of computers in the nursing
process.
COMPUTER GENERATED NURSING CARE
PLANS
Assessment
Use the computer terminal to record admission
information. As you collect data, enter further
information as prompted by the computer's software
program. Enter data about the patient's health status,
history, chief complaint, and other assessments.
Some software programs prompt you to ask specific
questions, then offer pathways to gather further
information. In some systems, if you enter a value that's
outside the usual acceptable range, the computer will flag
the entry so you can fix it.
COMPUTER GENERATED NURSING CARE
PLANS
Nursing diagnosis
Most current programs list standard diagnoses with
associated signs and symptoms as references. After you
use your clinical judgment to determine a nursing
diagnosis for each patient, you can rapidly get
information related to that diagnosis.
For example, the computer can generate a list of possible
diagnoses for a patient with certain signs and symptoms
or it may enable you to retrieve and review a patient's
records according to the nursing diagnosis.
COMPUTER GENERATED NURSING CARE
PLANS
Planning
To help you begin writing a plan of care, newer
computer programs display recommended
interventions for the selected diagnoses and
expected outcomes. Computers also can track
outcomes for large patient populations.
COMPUTER GENERATED NURSING CARE
PLANS
Implementing
Use the computer to record interventions and patient
information, such as transfer and discharge
instructions, and to communicate this information to
other departments. Computer-generated progress
notes automatically sort and print out patient data—
such as medication administration, treatments, and
vital signs—making documentation more efficient
and accurate.
COMPUTER GENERATED NURSING CARE
PLANS
Evaluating
You can use computers to compare large amounts of
patient data, help identify outcomes patients are likely to
achieve based on individual problems and needs, and
estimate the time frame for reaching outcome goals.
During evaluation, use the computer to record and store
observations, patients' responses to nursing
interventions, and your own evaluation statements. You
also may use information from other health care team
members to determine future actions and discharge
planning. If a desired patient outcome hasn't been
achieved, record new interventions taken to ensure
desired outcomes. Then reevaluate them.
CLINICAL PATHWAYS
MANGRUBANG, AIRA MAE
CLINICAL PATHWAYS
A clinical pathway, also known as care pathway,
integrated care pathway, critical pathway, or care
map, is one of the main tools used to manage the
quality in healthcare concerning the standardisation
of care processes.It has been shown that their
implementation reduces the variability in clinical
practice and improves outcomes.Clinical pathways
aim to promote organised and efficient patient care
based on evidence-based medicine,and aim to
optimise outcomes in settings such as acute care and
home care.
CLINICAL PATHWAYS
Clinical pathways differ from clinical guidelines and
protocols as they are a set of practical treatment
processes detailing how to implement clinical
guidelines, including both clinical guidelines and
non-clinical activities.
Physicians use clinical pathways to give appropriate
instructions on a daily basis. The nurses review the
orders and confirm their accomplishment. Other
care team members such as the therapist,
nutritionist, interns and clerks carry out all the
orders in the pathway pertaining to them.
CLINICAL PATHWAYS
Patients’ progress in the pathway will be reviewed
and the variances will be recorded by nurses and
physicians
Pathways thus promote continuous improvement
and reliable care. In addition, clinical pathways help
in pursuing the goals of improving patient care
quality, maximising the efficient use of resources and
supporting clinical effectiveness of health-care staff.
CLINICAL PATHWAYS
Instead of the isolated and error-prone paper-based
pathways, the computerised and shared pathway
throughout the treatment process will help in
achieving a patient-centric process, improving care
coordination and efficiency, as well as reducing
medical errors.
CLINICAL GUIDELINES
JUMAHARI, PATRISHA JOY
CLINICAL GUIDELINES
Clinical practice guidelines (or simply “clinical
guidelines”) are recommendations on how to
diagnose and treat a medical condition. They are
mainly written for doctors, but also for nurses and
other health care professionals.
“systematically developed statements to assist
practitioner decisions about appropriate health care
for specific clinical circumstances.” Guidelines can
be used to reduce inappropriate variations in
practice and to promote the delivery of high quality,
evidence-based health care.
CLINICAL GUIDELINES
The purpose of guidelines is to improve the quality of
care for patients and improve clinical effectiveness by
implementation of evidence-based care in daily practice.
Clinical guidelines can be developed either locally
(internal guidelines) or regionally or nationally (external
guidelines). Although internal guidelines may need fewer
resources and may be more likely to be adopted into
clinical practice because of local ownership, local groups
may not have the skills required for guideline
development.An alternative is the development of
guidelines at regional or national levels and subsequent
modification to suit local circumstances.
CLINICAL GUIDELINES
Guideline development has 4 stages.
Firstly, it is essential that guidelines are based on the best available
research evidence, and therefore a detailed literature search is done
to identify evidence from research studies about the
appropriateness and effectiveness of different clinical strategies.
Next, using the research evidence, guideline construction takes
place, usually through some form of small group work, with
representation from as many interested parties as possible.
Then, the guideline is tested by asking professionals not involved in
the guideline development to review it for clarity, internal
consistency, and acceptability. The guideline can then be tested in
selected healthcare settings to see whether it is feasible for use in
routine practice.
Finally, the guideline should be reviewed after a specified time
period and modified to take into account new knowledge.
CLINICAL GUIDELINES
following 11 characteristics:
validity,
cost effectiveness,
reproducibility,
reliability,
representative development,
clinical applicability,
clinical flexibility,
clarity,
meticulous documentation,
scheduled review, and
unscheduled review.
E-JOURNALS
RAVECHE, AFRIN NICOLE
E-JOURNALS
An electronic journal is a periodical publication
which is published in electronic format, usually on
the Internet.
Electronic journals have several advantages over
traditional printed journals: You can search the
contents pages and/or the full text of journals to
find articles on a certain subject.
E-JOURNALS
Advantages of E-Journals:
E-journals are becoming increasingly in demand
both as a means of rapid desktop access to current
research materials and as a way to view past
volumes.
The main disadvantage of electronic journal is
that libraries cannot physically posses the journals.
E-JOURNALS
What is evidence based practice in nursing
journal?
Nursing students require education that
integrates evidence-based practice (EBP) knowledge
across classroom and clinical settings. This study was
conducted to identify and examine the literature
related to nursing students' use of evidence in
clinical education and to identify associated research
gaps.
E-JOURNALS
Evidence-Based Nursing searches a wide range of
medical journals applying strict criteria for the
validity of research and relevance to best
nursing practice.
