The management and processing of information, generally with the assistance of computers
Medical records
Shift from paper-based to computer-based
Health Care Information System
A group of systems used within a healthcare organization to support and enhance health care
Major Types of Health Care Information Systems
Clinical Information System (CIS)
Administrative Information Systems
Health Care Information Systems
Operate to make the entry and communication of data and information more efficient
Nursing Informatics
A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice
Effective Nursing Information System
Supports the way that nurses function and work by providing them the flexibility to use the system to view data and collect information, provide patient care, and document a patient's condition and care provided
Supports and enhances nursing practice through improved access to information and clinical decision-making tools
Electronic Health Record (EHR)
Electronic record of patient health information generated whenever a patient access medical care in any health care delivery setting
Electronic Medical Record (EMR)
Contains patient data gathered in a health care setting at a specific time and place and is part of EHR
EHR
Provides access to a patient's health record information at the time and place that clinicians need it
Ability to integrate all pertinent patient information into one record, regardless of the number of times a patient enters a health care system
Health
A multidimensional concept and is viewed from a broader perspective, a "state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity" (WHO, 1947)
Health
A dynamic state in which individuals adapt to their internal and external environments so there is a state of physical, emotional, intellectual, social and spiritual well-being
Each person has a personal concept of health, personality, and lifestyle
Individuals' views of health vary among different age-groups, genders, races, and cultures
Wellness
A dynamic state of health in which an individual progresses towards higher level of functioning, achieving an optimum balance between internal and external environment
Well-being
Subjective perception of vitality and feeling that can described, experienced and measured
Health belief
Personal belief about levels of wellness that can motivate or impede participation in changing risk factors, participating in care and selecting care options
Nurses' and client's views of health may differ
Factors Affecting Health
Environmental
Social
Emotional
Physical
Spiritual
Intellectual
Occupational
Environmental Factors
Ability to promote health measures that improve the standard of living & quality of life
Influences such as food, water and air
Social Factors
Ability to interact successfully with people and within the environment
Develop and maintain intimacy
Develop respect & tolerance for those with different opinions/beliefs
Emotional Factors
Ability to manage stress & express emotions appropriately
Ability to recognize, accept & express feelings
Accept one's limitations
Physical Factors
Ability to carry-out daily tasks, achieve fitness, maintain right nutrition & proper body fat
Avoid abusing drugs, alcohol and using tobacco products
Spiritual Factors
Belief in some force that serves to unite human beings
Provide meaning and purpose in life
Include own morals, values and ethics
Intellectual Factors
Ability to learn and use information effectively
Strive for continued growth and learning
Occupational Factors
Ability to achieve balance between work and leisure
Models of Health and Wellness
Clinical model
Role performance model
Adaptive model
Eudaimonistic model
Agent-host-environment model
Health-illness continua
Dunn's high-level wellness grid
Illness-wellness continuum
Health promotion
A process of helping people improve their health to reach optimal state of physical, mental and social well-being