Good evening all, 

I was walking down the street this evening with my AirPods in my ear, and music playing from my phone's Music app that is connected via Bluetooth. All of these technologies supported my preference to listen to a few songs while I ran some errands. When I returned home, I took the AirPods out of my ears, put them in the case, turned the Music app off and put the phone on the counter. The technology is there to use but I opted not to do so for what I wanted to do next (get dinner ready, write this blog post, and more). 

I share this as a simple every day example of how technology is there to support our needs and preferences. Those needs and preferences come from people first in the context of workflows or processes. 

If I did not want or like to listen to music while out, the AirPods and Music app would have limited relevance for me in how I use them. 

In relation to nursing and healthcare, the same concept applies to the technologies that...

Here we are in February already, can you believe it?

I am writing this today on what is the coldest day of the year in Boston. It was bound to get cold up here in the Northeast. We've had a relatively mild winter but without fail, those chilly temps find their way to us. 

Well, I entitled this post, Demystifying Nursing Informatics for a reason. 

In my nearly 20 years within the speciality practice of Nursing Informatics, I continue to get asked by nurses (and non-nurses), "what exactly IS nursing informatics?

In fact one time, I was traveling to Duke University where I was teaching the Intro course to Nursing Informatics. I was trying to get to my hotel and there was a roadblock. I told the person that I was there to teach nursing informatics and his response was, "Info-what?!".

I laughed (and have never forgotten :)). 

Well, for some time now, I have wanted to develop a program to help demystify this specialty practice that has brought me so many exciting...

Wishing each of you a happy holiday season! 

As 2022 nearly comes to an end, it is natural to think about the future while also reflecting on the accomplishments of the past year. 

At iCare, we saw so many of you reach your goals and share your successes with us! Those are exciting moments for us and we appreciate you sharing your accomplishments with us!

We also heard from you of areas where you'd like to see more from us in the year to come and beyond. (More to come in 2023...)

We upgraded our website and moved to a new platform for more ease of use and the opportunity to expand our offerings in a more seamless way. 

We also added on some new programs with one more coming *hopefully* before the end of 2022!

Revamp your Resume was added to support your professional  resume development. We often hear from nurses who are not in formal informatics roles but wish to do so, how they can showcase their informatics and health IT expertise. While this program was...

During the summer of 2014, I finally committed to taking the informatics nurse board certification exam. 

I did not know how to approach studying for it nor how it would go but I was tired of putting it off and knew if I did not do it soon, it would continue to get put off. 

While I had my PhD in nursing informatics from Duke, I knew that I was still missing that third party validation of my knowledge that could be assessed by clients, customers, and colleagues. I did not want there to be any question that my knowledge, experience, expertise, and approaches to health IT projects and practice  was comprehensive, thorough, and valuable to others. 

Unfortunately, there have been many times where I have been asked, "what is informatics?" and "what do informatics nurses do?". Those are times when I reflect on their questions and recognize that more clarity is needed to our roles and capabilities. 

One way to demonstrate your capabilities, expertise, and...

Years ago I was speaking to a nurse in direct care about some of the challenges she saw in documenting in the electronic health record (EHR). She looked at me and told me she felt like a glorified data entry specialist. We talked about what small things might make it better. She shared some thoughts but then said, who would I even go to about this? Who is here to help us make it better? 

That memory has sat with me for years. I remember it vividly and it is brought back every time I hear another nurse or healthcare professional discuss something similar. 

As a PhD prepared board certified informatics nurse, I've encouraged nurses and healthcare professionals that they have an ability to influence change in the EHR and/or other Health IT solutions. Some of the comments I've received have been: 

"I don't even know where to even start."

"Who would I even talk to about my ideas?"

"I don't have an informatics or health IT background."

Informatics nurses and clinical IT...

The term patient-centeredness is more than a concept and word when aiming for quality.

Patient-centeredness at a minimum refers to centering care around the patient.

Patient-centered care is one of the six elements of quality as defined by The National Academy of Medicine in Crossing the Quality Chasm.

Taken from the executive summary of that report:

"Patient-centered—providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions." (https://www.ncbi.nlm.nih.gov/books/NBK222271/)

Patients are people first, often with a lot going on outside of the immediate appointment, episode, or treatment.

Perhaps a televisit (over an in person visit), and prescription delivery services will help address some compliance issues related to distance, obligations, or cost to travel and park.

Perhaps knowing the patient's name when you walk into the room will help the patient feel as though you...

I was recently interviewed for a graduate school assignment by a nurse who is pursuing a Doctor of Nursing Practice degree. I was happy to participate in the process and find it a great opportunity to help demystify nursing and healthcare informatics. Before I answer the question, it is important to frame informatics according to the definition. 

Informatics can appear to be a field that is unclear and misunderstood if you've not had the opportunity to interact, participate in some way and/or work in the field. 

I remember the first time I hear the word informatics, I was a clinical analyst at the time in the IT department (not nursing). I had been working on an EHR (electronic health record) project for some time and heard the word used by a nursing leader and IT leader. I didn't know what it meant at that time. 

However, the questions I was asking at that time were what prompted the introduction to informatics. 

A common misconception is that informatics is...

A question I frequently am asked by students, clients, peers, and family is: "What IS informatics?" I am certain that I am not alone in this experience. Whether you are someone that gets asked the question or someone who is asking the question, it is often the first step toward understanding an appearingly mysterious field but yet quite necessary for quality care delivery in the digital age. 

Informatics is the science of using data and information to generate new knowledge and wisdom (DIKW) in the discipline(s) of interest. While that definition is a bit abstract, the core concepts are introduced within it. 

Informatics is not led by technology but rather supported by it to achieve the desired DIKW goals. 

To help explain this, tune in to our Instagram page @icarenursingsolutions on Wednesday June 29th at 7pm to hear more. If you have questions we can help answer during the event, please submit them by email to [email protected]. 

The more...

A common statement that I hear and have heard over the years when there is a technological issue is...

"I don't understand technology."

This comment usually comes when something is not working quite right. It could be anything from the video call settings (mute/unmute) to entering data into the electronic health record. 

When I hear this, I often see the person who said it, start to let the technology win over his/her/their confidence in being able to solve the problem.  

However, I believe that if this statement resonates with you, you likely understand technology more than you think you do. 

Perhaps it is that there simply is not time available to troubleshoot the issue because patient care is already so demanding of your time. 

Let's take printers for example. I do not know what it is about printers but whenever I need something to print in a short period of time, something goes wrong. I either need to put in a new cartridge, install a new driver on...

Whether you are a nurse, physician, patient or family member, informatics impacts us all when it comes to caring for one's health. 

Think about that sentence for a minute. 

This means that whether you are an expert in the field or this is the first time introduced to the word informatics, there is a place for this science in your life and/or work. 

Let me explain. 

Consider you are a nurse and you are assigned a new patient. You may want to know the patient's name, date of birth (e.g., age), and a general reason for visit to start. All three of the areas mentioned represent different data elements. 

Perhaps you are a patient and requesting an appointment or picking up a prescription. Either of these actions are a result of a healthcare need driven by your own health data. 

For physicians, medical orders can only be placed based on the presentation and/or associated results from diagnostic exams, tests, and/or values. 

Family members who may be...