Impact of Nursing Informatics on Efficiency of Nursing and Improved Patient Outcomes Although some critics charge that innovations in technology are having a negative effect on humankind, virtually none of them deny the positive effect of such innovations on the delivery and quality of medical and surgical services today. In fact, the introduction and uptake of so-called informatics closely parallels the Information Revolution itself, and most authorities today agree that computer-based applications are going to have an even greater positive impact in the future. This paper examines how informatics in general and nursing informatics in particular have affected the efficiency of nursing practice and improved patient outcomes in the process. A discussion concerning the role of nursing informatics is followed by a description of the historical evolution of the use of informatics in this area. In addition, a discussion concerning the need to more fully integrate nursing informatics with other nursing specialties and an analysis in support of this position are followed by a discussion concerning the future direction of the use of nursing informatics in this area. Finally, a summary of the research and key findings concerning the history, current applications and future directions for nursing informatics are presented in the conclusion.

Discussion of the role of informatics in nursing and impact on patient outcomes

The American Nurses Association (ANA) defines nursing informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings” (as cited in Forehand, 2013, p. 37). This broad-based definition underscores the utility of informatics in facilitating a wide range of nursing activities, including most especially those involving the administration of patient medical records and the management of scarce organizational resources. Indeed, there are few areas of practice in which informatics cannot improve nursing practice and clinical outcomes (Forehand, 2013). For instance, according to Bloch (2009), “Nursing informatics transcends all aspects of nursing practice, teaching, and research, including multiple aspects of health care policy” (p. 98). In reality, though, the introduction of nursing informatics is not a recent trend but rather dates back nearly a half century to the early 1970s as discussed...

A nursing supervisor who was working at El Camino Hospital when it was first implemented describes the management information system as being “an inpatient-oriented, hospital-wide system” and suggests that the main factors that contributed to its early success and acceptance by health care practitioners were “its true integration, clinician workflow support, and ease of use” (as cited in Thebe, 2012, p. 7).
Other features that helped to facilitate the uptake of this newly implemented hospital-wide management information system included the use of conventional English words and phrases rather than computer codes which were commonly being used at the time, as well as the use of a light pen to help clinicians select on-screen resources and input patient data (Thebe, 2012). Indeed, these types of ease-of-use attributes have characterized the evolution of nursing informatics since that time, and these have combined to provide more efficient nursing care together with improved patient outcomes. Perhaps even more importantly, though, the system designers were also careful to collaborate with El Camino’s nursing staff concerning what features were regarded as most important to them. In this regard, Thebe points out that, “The collaborative culture and respect for the role of RNs was reflected in system design. MIS provided more functionality and better integration for nurses than we see in most systems today; requirements of the healthcare providers drove the technical innovations” (p. 4). The collaboration with the nursing staff at El Camino resulted in the identification of a number of features that remain fundamental to modern nursing informatics applications. For example, at the time, the nursing staff at El Camino was prescient in their visions of how these technologies could make them more efficient in ways that also contributed to improved clinical outcomes. In this regard, Thebe (2012) concludes that these nurses “envisioned such things as minimal time spent in documentation, working together with…