Judy Murphy

Guideposts to the Future—An Agenda for Nursing Informatics

As new directions and priorities emerge in health care, nursing informatics leaders must prepare to guide the profession appropriately. To use an analogy, where a road bends or changes directions, guideposts indicate how drivers can stay on course. The AMIA Nursing Informatics Working Group (NIWG) produced this white paper as the product of a meeting convened: 1) to describe anticipated nationwide changes in demographics, health care quality, and health care informatics; 2) to assess the potential impact of genomic medicine and of new threats to society; 3) to align AMIA NIWG resources with emerging priorities; and 4) to identify guideposts in the form of an agenda to keep the NIWG on course in light of new opportunities. The anticipated societal changes provide opportunities for nursing informatics. Resources described below within the Department of Health and Human Services (HHS) and the National Committee for Health and Vital Statistics (NCVHS) can help to align AMIA NIWG with emerging priorities. The guideposts consist of priority areas for action in informatics, nursing education, and research. Nursing informatics professionals will collaborate as full participants in local, national, and international efforts related to the guideposts in order to make significant contributions that empower patients and providers for safer health care.

Work System Analysis of Home Nursing Care and Implications for Medication Errors

The purpose of this study was to examine the context of the provision of home nursing care for patients with congestive heart failure. A modified macroergonomic analysis and design work system analysis was undertaken in two phases with fourteen nurse participants: I) field observations of eight nurses for the collection of data on work elements and II) follow-up telephone interviews with six home care nurses. Open-ended questions were asked after the observations to identify clinical knowledge, policies, and procedures that influenced care decisions and practices. The telephone interviews focused on four different aspects of home health care delivery and were conducted using semi-structured questions. Results of the observations were translated into flowcharts and a summary report. The baseline findings described aspects of home medication management and its relevance to safety, quality of care, communication, and self-management.

Speaking With One Voice: Alliance for Nursing Informatics Policy Responses 2016 Update.

Sarah Collins, PhD, RN, Joyce Sensmeier, RN-BC, MS, CPHIMS, FHIMSS, FAAN, Charlotte Weaver, PhD, RN, MSPH, FHIMSS, FAAN, Judy Murphy, BSN, RN, FACMI, FHIMSS, FAAN Clinical Informatics, Partners eCare, Partners Healthcare Systems, Boston, Massachusetts (Dr Collins); Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, Massachusetts (Dr Collins); Harvard Medical School, Boston, Massachusetts (Dr Collins); Alliance for Nursing Informatics, Chicago, Illinois (Drs Collins and Weaver; and Mss Murphy and Sensmeier); Healthcare Information and Management Systems Society, Chicago, Illinois (Ms Sensmeier); Visiting Nurse Health System, VitalSims, LLC, Atlanta, Georgia (Dr Weaver); and IBM Global Healthcare, Washington, DC (Ms Murphy).

Alliance for Nursing Informatics pledge to support the Consumer eHealth Program.

619 serve as patient advocates for encouraging adoption of these collaborative practices. Patients and families also need health education services delivered in a patientappropriate learning environment and format. Nurses have an extensive knowledge base in patient education methods and tools. A key recommendation of the Institute of Medicine’s Future of Nursing report states that interoperable electronic health records linked with personal health records and shared support systems will influence how collaborative care teams work and share clinical activities. Personal health information is a valuable resource to individuals, their families, and the doctors, nurses, and other healthcare professionals who provide treatment and care. The ultimate goal is to help clinicians offer a wider range of considerations and options for patients, while also providing patients with resources that encourage proactive behavior and empowering them to be active partners in their health plan. The ANI pledges to support the Office of the National Coordinator for Health Information Technology Consumer Health Program beginning November 2011 by