Table Of ContentN11588
ISBN 978-0-9821070-4-1 90000
6000 Broken Sound Parkway, NW
Suite 300, Boca Raton, FL 33487
711 Third Avenue 9 780982 107041
an informa business New York, NY 10017 www.crcpress.com
2 Park Square, Milton Park
www.taylorandfrancisgroup.com Abingdon, Oxon OX14 4RN, UK
NURSING AND INFORMATICS
for the 21st Century
An International Look at Practice,
Education and EHR Trends
Second Edition
Edited by
Charlotte A. Weaver
Connie White Delaney
Patrick Weber
Robyn L. Carr
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2010 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20160205
International Standard Book Number-13: 978-1-4987-5733-1 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and
information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and
publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission
to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any
future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic,
mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or
retrieval system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact
the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides
licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment
has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation
without intent to infringe.
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
iii
About the Editors
Charlotte Weaver, PhD, RN, MSPH, FHIMSS, is Senior Vice President and Chief Clinical
Offi cer for Gentiva Health Services, Atlanta, GA, and serves as Adjunct Professor at the Uni-
versity of Kansas School of Nursing and the University of Minnesota School of Nursing.
Previously, she was with Cerner Corporation from 1999 to 2008 where she served as the fi rst
Chief Nurse Offi cer in the IT industry until May 2007. Dr. Weaver then moved into the posi-
tion of Vice President and Executive Director for Nursing Research—a new and uniquely
created role to foster nursing research. Her informatics career started in academia at the Uni-
versity of Hawaii in 1981 and over the intervening three decades has covered every side of the
industry—software supplier, consulting and provider in the United States, UK, Europe, Can-
ada and Australia. Dr. Weaver has served as part of the TIGER Initiative (Technology Infor-
matics Guiding Education Reform) since its inception in 2004. She has been a long standing
AMIA and NIWG member and is currently NIWG chair. She has served as corporate member
to the International Medical Informatics Association, Nursing Informatics Working Group
(IMIA-NI) from 2004-2008; she currently chairs IMIA-NI’s evidence-based nursing practice
working group. Dr. Weaver is a HIMSS Fellow, a member of HIMSS’ Nursing Informatics
(NI) Community and served as NI Committee chair for 2007-2008. A frequent presenter at
national and international conferences, Dr. Weaver is widely published in informatics, patient
safety and quality, and evidence-based practice.
Connie White Delaney, PhD, RN, FAAN, FACMI, is Professor and Dean of the School of
Nursing at the University of Minnesota. Dr. Delaney is the fi rst nurse informatician Fellow
in the American College of Medical Informatics to be selected as dean for a major university
in the United States, a position she has held since August 2005. She also holds an appoint-
ment in the Institute for Health Informatics, University of Minnesota. Dr. Delaney has held a
professorship at the University of Iceland, Faculty of Medicine and Faculty of Nursing, with
focused activities in health informatics for 10 years. Prior to her deanship position, she held a
full professor position at the University of Iowa, College of Nursing, where she led the nursing
informatics graduate program, directed the Institute for Knowledge Discovery, and served as
director/co-director of research teams; these teams included the International Nursing Mini-
mum Data Set, USA Nursing Management Minimum Data Set, and USA Nursing Minimum
Data Set. In addition, she led development of evidence-based nursing protocols translated to
automated clinical information systems and data mining of large data sets. Dr. Delaney cur-
rently serves on numerous boards, including the LifeScience Alley, a Minnesota-based trade
association in the Upper Midwest focused on the life sciences; the American Medical Infor-
matics Association (AMIA), and the American Association of Colleges of Nursing, Premiere
Quest National Advisory Panel. She serves as the U.S. Government Accountability Offi ce
(GAO) appointee to the Health Information Technology Policy Committee, which is charged
with making policy recommendations related to the nation’s health information technology
infrastructure. Most recently, she co-edited the October 2008 special issue of Nursing Outlook;
this issue focused on Nursing Informatics as a strategic initiative of the American Academy
of Nursing.
Patrick Weber, MA, RN, is Director and Principal of Nice Computing in Lausanne, Swit-
zerland. He has more than 30 years of healthcare experience, with more than 20 years in the
fi eld of health informatics. Mr. Weber has served as his country’s national representative to
IMIA-Nursing Informatics for over ten years and is a recognized informatics leader across
Europe. He has been a pivotal leader in the European Federation for Medical Informatics
iv Nursing and Informatics for the 21st Century, Second Edition
(EFMI) holding numerous offi ces in EFMI and in Switzerland’s Nursing Association. Mr.
Weber works extensively across Europe and is a frequent collaborator on informatics projects
across the European Union countries. He has numerous publications in both English and
French and is a frequent presenter at national and international conferences.
Robyn L. Carr, RGON, is Director of Informatics Project Contracting at IPC & Associates,
Cambridge, New Zealand. Prior to starting her own IT consulting company in the Asia-Pacifi c
Rim countries, Ms. Carr served in various clinical management and administrative positions
in New Zealand Health Services for over 35 years. In her consulting business, she has served
as an international consultant for IT initiatives in countries as far ranging as Taiwan and
South Africa. She was a founding member of the Health Informatics New Zealand in 1991
and has been a member and active leader since that time. In addition, Ms. Carr has served as
New Zealand’s country representative into the International Medical Informatics Association
(IMIA) Nursing Informatics – Special Interest Group for the past 15 years. Her leadership on
the international level resulted in her winning host country bid for the International Nursing
Informatics Congress of 2000, and holding numerous board positions within IMIA-NI-SIG,
including chair (2006-09). Ms. Carr is widely networked and well respected internationally.
Ms. Carr co-authored NINZ the fi rst 10 years, published in 2000, and is co-editor of “One
Step Beyond: The Evolution of Technology and Nursing,” the 7th International Congress Nurs-
ing Informatics Proceedings.
Contributors
Outi Ahonen, MNSc Claire Buchner, MSc Health Informatics,
Senior Lecturer BSc(Hons) Nursing Studies
Department of Social Services, Health and Teaching Fellow
Sports School of Nursing & Midwifery
Laurea University of Applied Sciences Queens University Belfast
Suzanne Bakken, DNSc, RN, FAAN, Laura J. Burke, PhD, RN, FAAN
FACMI Director
Alumni Professor of Nursing Department of System Nursing Research
School of Nursing & Scientifi c Support, c/o Aurora Sinai
Professor of Biomedical Informatics Medical Center
Department of Biomedical Informatics Aurora Health Care
Columbia University
Helen K. Burns, PhD, MN, BSN, RN, FAAN
Marion J. Ball, EdD, FACMI, FCHIME, Associate Dean for Clinical Education
FHIMSS, FAAN School of Nursing
Senior Advisor University of Pittsburgh
Healthcare and Life Sciences Institute
IBM Research Andrew F. Carlson, BS Systems Analysis
Professor Emerita Strategic Program Manager
Johns Hopkins University School of Department of Information Systems
Nursing Aurora Health Care
Cristina Barrios, BSN Anne Casey, MSc, RN, FRCN
Department of Nursing Direction Royal College of Nursing, UK
Favaloro Foundation – University Hospital
Mary Chambers, PhD, BED(Hons)
Claudia Bartz, PhD, RN, FAAN Professor of Mental Health Nursing
Coordinator, International Classifi cation for Faculty of Health and Social Care Sciences
Nursing Practice (ICNP©) St. Georges University of London/Kingston
International Council of Nurses (ICN) University
College of Nursing
Polun Chang, PhD
University of Wisconsin-Milwaukee
Associate Professor
Lejo Bouma, RN Institute of BioMedical Informatics
Department of Youth Health Care National Yang-Ming University
CARE
Insook Cho, PhD
Suzanne Brown, MSc Health Informatics, Professor
BNS Department of Nursing, School of Medicine
Assistant Nurse Coordinator, Computer Inha University
Sciences
Lynn M. Choromanski, MS, RN
Department of Information Management
Nursing Informatics Specialist
Mater Misericordiae University Hospital
Department of Nursing Administration
Gillette Children’s Specialty Healthcare
v
vi Nursing and Informatics for the 21st Century, Second Edition
Thomas R. Clancy, PhD, MBA, RN Kelly Marie Damon, MAL, BSN, RN
Clinical Professor Director
School of Nursing Department of Nursing
University of Minnesota Oasis Hospital
Amy Coenen, PhD, RN, FAAN Walter De Caro, MNs, DAI
Director, International Classifi cation for Head, Nursing and Health Profession
Nursing Practice (ICNP©) Service
International Council of Nurses (ICN) Minister of Defense (Italy) – General Direc-
College of Nursing torate Military Health Services
University of Wisconsin-Milwaukee Public Health Department
University Sapienza Roma (Italy)
Beverly J. Collins, MS, RN
Research Fellow Elizabeth C. Devine, PhD, MSN, RN
Institute for Health Informatics Professor
University of Minnesota College of Nursing
University of Wisconsin-Milwaukee
Rita W. Collins, PhD, MEd, BNS, RN, RM
Lecturer Charles Docherty, PhD, MN, MBCS, BN,
School of Nursing, Midwifery & Health RN, RNT
Systems Royal College of Surgeons in Iceland (RCSI)
University College Dublin
Beth A. Donahue, MA, BAN, RN-BC
Jennifer Conner, BA Assistant Professor
Engagement Leader, Consulting School of Nursing
Cerner Corporation The College of St. Scholastica
Helen R. Connors, PhD, DrPS (Hon), RN, Donna B. DuLong, BSN, RN
FAAN
Executive Director Nancy E. Dunton, PhD
Center for Health Informatics Research Associate Professor
E. Jean M. Hill Professor School of Nursing
School of Nursing University of Kansas Medical Center
University of Kansas
Nighat Ijaz Durrani, MPH(PAK), Dip in
Robyn Cook, MBA, BBus, RN Administration & Teaching, Opthlamic
Honorary Associate Nursing UK, RN, RM
Faculty of Nursing & Midwifery Registrar
University of Technology, Sydney Pakistan Nursing Council
Karen L. Courtney, PhD, RN Patricia C. Dykes, DNSc, MA, RN
Assistant Professor Corporate Manager, Nursing Informatics
Department of Health and Community and Research
Systems Department of Clinical Informatics
University of Pittsburgh School of Nursing Research and Development/Information
Systems
Grace T.M. Dal Sasso, Nursing Informatics Partners HealthCare
PhD, RN
Adjunct Professor Margareta Ehnfors, PhD, Dipl NEd, RN
Department of Nursing Professor
Federal University of Santa Catarina School of Health and Medicine
Orebro University
Contributors vii
Anna Ehrenberg, PhD, RN Ayala Gonen, PhD, RN
Associate Professor Nursing Informatics Manager
School of Health and Social Sciences Department of Nursing
Dalarna University Tel Aviv Souraski Medical Center
Scott W. Eising, BS William T.F. Goossen, PhD, RN
Director, Product Management Director
Department of Global Products and Results 4 Care B.V.
Services
Mayo Clinic A.T.M. Goossen-Baremans, MSN, RN
Results 4 Care B.V.
Anneli Ensio, PhD, RN
Research Director Brian Gugerty, DNS, MS, RN
Department of Health Policy and Owner
Management Gugerty Consulting, LLC
University of Kuopio
Herdís Gunnarsdóttir, MSc, MBA, BSc, RN
Firdevs Erdemir, PhD, RN Project Manager
Associate Professor Department of Development, Nursing
Department of Nursing Chief Executive Offi cer Offi ce
Baskent University Landspitali University Hospital
Sally K. Fauchald, PhD, RN Kathryn J. Hannah, PhD, RN
Associate Professor and Chair Executive Project Leader
Department of Graduate Nursing Canadian Health Outcomes for Better
The College of St. Scholastica Information and Care
Health Informatics Advisor
Myriam Martin Fernández, PhD, MSN, RN Canadian Nurses Association
IA, Nurse Leader
Spain Services Nicholas R. Hardiker, PhD, RN
Cerner Iberia Senior Research Fellow
School of Nursing
Daniel Flemming, Dipl. Kaufmann, RN University of Salford
Faculty of Business Management and
Social Sciences Ellen Harper, MBA, RN
Health Informatics Research Group Senior Director, CNO Lighthouse
University of Applied Sciences Osnabrueck Cerner Corporation
Joanne Foster, GradDipCIEdn, MEdTech, Marceline Harris, PhD, RN
DipAppSc (NsgEd), BN, RN Nurse Administrator and Senior Associate
School of Nursing Consultant
Queensland University of Technology Department of Nursing and Health Sciences
Research
Yoadis Cuesta Garcia, Master of Science Mayo Clinic
in Health Informatics, Teacher in Health
Informatics, BSN, BCN Colleen M. Hart, MS, RN
Department of Health, Education Research Assistant/PhD Student
Cybernetics Center Applied to Medicine School of Nursing
(CECAM) University of Minnesota
viii Nursing and Informatics for the 21st Century, Second Edition
Kristiina Hayrinen, MSc Melinda J. Jenkins, PhD, RN, FNP
Researcher Consultant, Primary Care and Consumer
Department of Health Policy and Informatics
Management
University of Kuopio Luis Cibanal Juan, PhD, BPsy, RN
Cateobatico – Escuela Universitaria
Maria Heimisdóttir, PhD, MD, MBA Enfermeria en Salud Mental
Director Universidad de Alicante
Division of Economics, Budgeting and
Information Alain Junger, MPA, RN
Landspitali University Hospital Department of Nursing Administration
CHUV
Michelle LL Honey, PhD, MPhil (Nursing),
RN, FCNA (NZ) Premarani Kannusamy, PhD, RN
School of Nursing Department of Nursing
University of Auckland Institute of Mental Health
Mary L. Hook, PhD, RN, PHCNS-BC Karlene M. Kerfoot, PhD, RN, NEA-BC,
Research Scientist FAAN
System Nursing Research Vice President and Chief Clinical Offi cer
Aurora Health Care Department of Administration
Aurora Health Care
Derek Hoy, MSc, BSc
SnowCloud Karolyn Kerr, PhD Information Systems,
MHSc, RN
Ursula Hübner, PhD Informatics Consult
Professor
Department of Business Management and Rosaleen Killalea, MSc Nursing, BNS, RN
Social Sciences Department of Information Management
University of Applied Sciences Services
Mater Misericordiae University Hospital
Susan C. Hull, MSN, BSN, RN
Vice President, Business Strategies Hyeoneui Kim, PhD, MPH, BSN, RN
Clinical Practice Model Resource Center Informatician
Elsevier UCSD
Susan I. Hyndman, EdD, RN Tae Youn Kim, PhD
Chair, Non-Traditional Nursing Assistant Professor
Department College of Nursing
Director, RNI BS Nursing Program University of Wisconsin-Milwaukee
School of Nursing
Pirkko Kouri, PhD, PHN, RN
College of St. Scholastica
Principal Lecturer
Helena Ikonen, MSc Department of Health Professions, Kuopio
Project Manager Savonia University of Applied Sciences
Laurea University of Applied Sciences
Margaret Ross Kraft, PhD, RN
Rafat Jan, PhD, RN Assistant Professor
School of Nursing Niehoff School of Nursing
Aga Khan University Karachi Loyola University Chicago
Contributors ix
Arusa Lakhani, MScN, BScN, RN, RM Heimar De Fatima Marin, PhD, MS, RN,
Senior Instructor FACMI
School of Nursing Professor
Aga Khan University Department of Nursing
Federal University of Sao Paulo
Norma M. Lang, PhD, RN, FAAN, FRCN
Wisconsin Regent Distinguished Professor Sana Daya Marini, PhD(c), BSN, BS, RN,
Aurora Distinguished Professor of HCC
Healthcare Quality Informatics Clinical Assistant Professor
College of Nursing School of Nursing
University of Wisconsin-Milwaukee American University of Beirut
Laura Heermann Langford, PhD, RN Anna Rita Marucci, MsNs, BaNsc, RN
Director, Nursing Informatics Head Nurse
Department of Medical Informatics Pediatric and Hemhatology Pediatric Ward
Intermountain Healthcare San Cahillo – Forlanini Hospital – Rome
Martin LaVenture, PhD, MPH Susan Matney, MSN, RN
Director Senior Content Engineer
Center for Health Informatics Department of Health Sciences IT
Minnesota Department of Health University of Utah
Carlos Hugo Leonzio, PhD(c), BSN Nagendra Prakash Mattur, PhD, MA,
Department of Education and Research M.Phil
Favaloro Foundation – University Hospital Professor
Manipal Institute of Management
Nancy M. Lorenzi, PhD, MS, MA, AB, Manipal University
FACMI
Assistant Vice Chancellor for Health Affairs Angela Barron McBride, PhD, RN, FAAN
Informatics Center Distinguished Professor-University Dean
Vanderbilt University Medical Center Emerita
School of Nursing
Sally P. Lundeen, PhD, MSN, BSN, RN, Indiana University
FAAN
Dean and Professor Mary N. Meyer, MSN, RN
College of Nursing Assistant Professor, Director of Clinical
University of Wisconsin-Milwaukee Learning Laboratory
School of Nursing
Merete Lyngstad, MSN, RN University of Kansas
Special Adviser
Department of Policy Issues Susan Meyer, B.Soc.Sci (Nursing) Diploma
Norwegian Nurses Organisation Paediatrics
Shirley Eichenwald Maki, MBA, RHIA, Kathryn Møelstad, RN
FAHIMA Senior Adviser
Assistant Professor Department of Policy Issues
Department of Healthcare Informatics and Norwegian Nurses Organisation
Information Management
The College of St. Scholastica David N. Mohr, MD, FACP
Chair, Information Technology Committee
John Mantas, PhD, MSc, BSc (Hons), Department of Internal Medicine
Professor Mayo Clinic
Faculty of Nursing
University of Athens