Nursing Informatics Competencies Research Articles

Nursing Informatics Competency among Nurses at a Teaching Hospital in Malaysia

Nursing informatics merges nursing science with information and analytical sciences to identify, describe, manage, and disseminate nursing data, information, knowledge, and wisdom. Identifying nurses’ informatics competency will help improve information technology utilisation in clinical practice. The aim of this study was to assess basic competency in nursing informatics and related factors influencing nurses working in a university teaching hospital. Thus, a cross-sectional study was conducted. A stratified random sampling of the total population of 1,136 nurses with sample size of 316 nurses participated in this study. The data was collected using a self-reported questionnaire utilising the Nursing Informatics Competency Assessment Tool (NICAT) reaching targeted sample by convenient approach. The results of this study showed that 85% (n = 269) nurses were competent in nursing informatics competency. There was a significant relationship between basic nursing informatics competency and sociodemographic of age (t = 4.194, p = 0.000), gender (t = –2.558, p = 0.011), educational level (F [2,313] = 5.094, p = 0.007) and working discipline (F [6,309] = 8.309, p = 0.000). There was also a significant relationship between basic nursing informatics competency and working experience (ρ = –0.231, n = 316, p = 0.000). However, the study is based on self-reporting and does not measure the actual performance of nursing informatics competency. Overall, the findings indicated the need for improvement in nursing informatics by exposure or awareness for potential age group and particular clinical setting for training and educational of nursing informatics.

A Survey of Nurse Informatics Competencies of Professional Nurses in Clinical Practice Public Hospitals in South Africa.

This study used a cross-sectional descriptive survey to examine self-rated competence in nursing informatics among 205 nurses in clinical practice across two hospitals in the Western Cape. The TANIC© scale was used to rate the skills of participants in computer literacy, clinical information management, and information literacy. The highest rating was received for computer literacy, approaching a 'comfortable' competency level. Lower scores were received for clinical information management and information literacy, indicating 'novice' to 'advanced beginner' levels. The study showed that practicing nurses have a limited level of nursing informatics competence, especially in the domains of clinical information management and information literacy. These findings support the need for educational programmes to extend beyond basic computer skills and prioritize continuous professional development in nursing informatics.

Nursing Informatics Competencies of Graduate Nurse Educator Students: Descriptive Study.

The advancement of technology and Artificial Intelligence applied health information systems demand high informatics competencies from nurses. To prepare nursing students to meet this demand, informatics courses are designed to increase informatics competencies. We offered an online informatics course to graduate students in a Nurse Educator program and assessed their informatics competency, including subdomains. Survey data were collected between Fall 2020 and Fall 2022 using an online Self-Assessment of Informatics Competency Scale for Health Professionals. We analyzed 109 responses and found that students were competent in overall informatics competency and the subdomains of "basic computer skills" and "applied computer skills (clinical informatics)." They were proficient in the 'role' subdomain. However, students reported less competency in managing data and incorporating standard terminology into practice. These findings provide detailed insights of the current nursing students' informatics competencies and can guide informatics faculty in improving their courses.

What Is the Level of Nursing Informatics Competency of ChatGPT?

Nurses must excel in using Artificial Intelligence (AI) - applied hospital systems, making their informatics competency crucial. ChatGPT has been trained with extensive amounts of informatics- and technology-related health data and has gained popularity. Nurses could have the opportunity to enhance their informatics competency through the knowledge generated by ChatGPT. However, its informatics competency has not been evaluated. We used the Self-Assessment of Informatics Competency Scale to measure the level of informatics competency of ChatGPT. ChatGPT fell within the range of 'somewhat competent' and 'competent,' lower than that of students in graduate programs. One subdomain, applied computer skills (clinical informatics), demonstrated competency levels close to that of students. Although the results presented certain limitations and concerns, we recognize the potential of ChatGPT to help researchers and healthcare practitioners. Nursing is advancing and continuously integrating AI technology; therefore, we should now embrace both the benefits and risks associated with ChatGPT.

Nursing informatics competency and its associated factors among palliative care nurses: an online survey in mainland China

BackgroundNursing informatics (NI) competency is a required core competency for high-quality care in digitally enabled healthcare environments. Given the increasing reliance on digital health in palliative care settings, it becomes crucial to evaluate the NI competency of nurses to ensure the seamless integration and effective utilization of digital health in their clinical practice. This study aimed to investigate the level of NI competency and explore its associated factors among palliative care nurses in mainland China.MethodsA cross-sectional design was conducted for this study, involving a total of 409 palliative care nurses from 302 hospitals in mainland China. Anonymous data were collected through a self-designed sociodemographic questionnaire, the Nursing Informatics Competency Scale (NICS) and the Innovative Self-Efficacy Scale.ResultsThe total score of the NICS was 129.19 ± 22.02, which indicated that Chinese palliative care nurses had a moderate level of NI competency. There was a positive correlation between innovative self-efficacy and NI competency (r = 0.602, P < 0.01). The hospital level and innovative self-efficacy were identified as statistically significant factors influencing nurses’ NI competency based on multiple linear regression analysis results. These associated factors could explain 35.1% of the difference in NI competency.ConclusionsThis study found that palliative care nurses in mainland China exhibited moderate levels of NI competency and identified the hospital level and innovative self-efficacy as associated factors of nurses’ NI competency. Measures such as developing supported strategies, including targeted NI training programs by nursing education managers of primary-level hospitals and creating a positive culture of innovation by healthcare institutions can be considered to improve the level of NI competency among Chinese palliative care nurses.

Necessary prerequisites for evidence-based practice: results of investigating nurses’ informatics competency and information literacy skills

Abstract This study aimed to evaluate the correlation between nursing informatics (NI) competency and information literacy skills for evidence-based practice (EBP) among intensive care nurses. This cross-sectional study was conducted on 184 nurses working in intensive care units (ICUs). The study data were collected through demographic information, Nursing Informatics Competency Assessment Tool (NICAT), and information literacy skills for EBP questionnaires. The intensive care nurses received competent and low-moderate levels for the total scores of NI competency and information literacy skills, respectively. They received a moderate score for the use of different information resources but a low score for information searching skills, different search features, and knowledge about search operators, and only 31.5% of the nurses selected the most appropriate statement. NI competency and related subscales had a significant direct bidirectional correlation with information literacy skills for EBP and its subscales (P &lt; 0.05). Nurses require a high level of NI competency and information literacy for EBP to obtain up-to-date information and provide better care and decision-making. Health planners and policymakers should develop interventions to enhance NI competency and information literacy skills among nurses and motivate them to use EBP in clinical settings.

Evaluating Informatics Competencies Requirements for Hospital Nurse Managers in Japan.

This study classifies the nursing informatics competency requirements for nurses and healthcare leaders in the United States according to each of the four levels listed in the "Management Ladder for Hospital Nurse Managers (JNA version)" published by the Japanese Nursing Association. Computer skills were included in Level I. Fifteen informatics knowledge items and four informatic competency items that could not be classified for the levels of the management ladder for nurse managers in Japan. This list of nursing informatics competencies, categorized according to the management levels of hospital nurse managers, can be used to provide nursing informatics training to them.

The Relationship between Intensive Care Unit’s Nurses’ Informatics Competency and Quality of Patients’ Electronic Health Record’s Documentation

Background: Nursing informatics and the development and growth of health information technology are becoming a necessary part of all aspects of the nursing practice, especially in critical care settings. In addition, researchers agree on using standardized and electronic documentation to support the nursing process and promote nursing documentation quality. Purpose: To examine the relationship between Intensive Care Unit Nurses' Informatics Competency and Quality of Patients' Electronic Health Record Documentation. Methods: A descriptive, correlational, retrospective, cross-sectional design was used. Three hospitals that implemented the Electronic Health Records (EHRs) system were included in this study, using non-probability convenience sampling technique to recruit a total of 176 nurses. The nursing informatics competency was measured by the Self-assessment of Nursing Informatics Competencies Scale (SANICS). The Quality of Electronic Health Record Documentation was assessed by the audit instrument for nursing care plans in the patient record (Cat-ch-Ing). Descriptive and inferential statistics were utilized to answer research questions. Results: The overall mean informatics competency score among nurses was 2.49 (SD = 0.73), with most of the nurses (81.79%) reporting a low competency score of less than three. The highest percentage of participants 29.4% (n = 52) have moderate quality of EHR documentation. Also, related personal and clinical characteristics account for 93.7% of the variance in quality of patients’ electronic health record documentation (R2 = 0.937, F = 8.707, p = 0.004). Once nursing informatics competency was entered into the model, R2 is still the same, making a total explained variance of 93.7% (R2 = 0.937, F = 6.907, p = 0.013). Conclusion: The present study revealed low levels of nursing informatics competency among nurses, and the highest percentage of participants have moderate quality of EHR documentation. In addition, personal and clinical related characteristics account for 93.7% of the variance in the quality of patients’ electronic health record documentation. Implications for Nursing: This study provides evidence to guide nursing leaders, supervisors and policymakers in their planned actions and policies to support nursing capacity, nursing education, and nursing practice in the area of nursing informatics and electronic nursing documentation.

Relationship between nursing informatics competencies and evidence-based decision-making use among nurse managers

Background In today’s changing health systems, it is imperative that nursing managers must be proficient in nursing informatics to make evidence-based decisions, which may ultimately lead to increased organizational effectiveness. The study aims to examine the relationship between nursing informatics competencies and evidence-based decision-making (EBDM) use among nursing managers. Study design A descriptive correlational design was used in this study. Sample The sample included a total of 97 nurse managers. Setting This study was conducted at a selected private hospital. Tools Three tools were used to collect the study data as follows: (a) the nurses manager’s personal and work-related data tool, (b) the Nursing Informatics Competency Assessment Tool, and (c) Evidence-Based Decision-Making Usage Questionnaire. Results The main findings indicated that more than one-fifth (21.6%) of the study sample were proficient in total informatics competencies. In addition, EBDM attitude and beliefs had the highest mean percentage (66.13%), EBDM skills had the lowest mean percentage (52.44%), and EBDM overall had a moderate level mean percentage (60.29%). A statistically significant strong positive correlation (r=0.628, P=0.00) between the overall informatics competencies and the overall EBDM process skills was found. Conclusion Nursing informatics competencies levels influence the study participants’ attitudes and abilities regarding the use of EBDM. Recommendations Incorporate the nursing informatics qualification in the job descriptions of all nurse management levels and provide an environment that supports and allows the use of an effective EBDM process.

Investigation of the Relationship Between Tiger-Based Nursing Informatics Competencies and Digital Literacy Levels in Nurses: Analysis with Machine Learning Approach

Bu çalışmanın amacı, hemşirelerin TIGER temelli hemşirelik bilişimi yetkinlikleri ile dijital okuryazarlık düzeyleri arasındaki ilişkiyi incelemektir. Tanımlayıcı ve korelasyonel tipteki bu çalışma Ekim 2021-Ekim 2022 tarihleri arasında Türkiye'nin doğusundaki bir hastanede yürütülmüştür. Çalışmanın analizinde R programlama dili 4.1.3, G*Power 3.1 ve SPSS-22 programı kullanılmıştır. TIGER temelli hemşirelik bilişim yetkinlikleri (TTHBY) toplam puan ortalaması ile Dijital Okuryazarlık Ölçeği (DOÖ) toplam puan ortalaması arasında pozitif ve anlamlı bir ilişki bulunmuştur (p

Nursing Informatics Competency and Self-Efficacy in Clinical Practice among Nurses in Palestinian Hospitals

This study purposed to determine the levels of nursing informatics competency and self-efficacy in clinical practice and influencing factors on self-efficacy among Palestinian nurses in hospitals. A descriptive-correlational design was adopted. The nurses who worked in the North West Bank of Palestine (N = 331) were recruited. The data were collected using the Self-Assessment of Nursing Informatics Competencies Scale (SANICS) which consists of 30 items rated on a 5-point Likert scale, ranging from 1(not competent) to 5 (expert), and scored by calculating the mean as follows: novice/low (1.00–2.59), beginner/moderate (2.60–3.39), and competent/high (3.40–5.00); and the New General Self-Efficacy Scale (NGSE) that consists of eight items rated on a 5-point Likert scale, ranging from 1(strongly disagree) to 5(strongly agree) and scored according to the average of the scale, whereas the average of > 3 indicated high self-efficacy, and ≤ 3 reflected low self-efficacy. The data were collected during the period from September to November 2020. Findings showed that the total mean score for the nursing informatics competency scale was 2.9 (SD = 0.7), which indicated that the nurses had a moderate level of nursing informatics competency. The average score for the self-efficacy scale was 3.5 (SD = 0.8), which reflected that nurses had high self-efficacy. Self-efficacy in clinical practice increased with age and with nursing informatics competency. Thus, it is necessary to enhance nurses’ informatics competency by developing continuous educational programs about this technology for nurses and engaging nurses in such programs to enhance their competencies in this system.

Nursing Informatics' Contribution to One Health.

To summarise contemporary knowledge in nursing informatics related to education, practice, governance and research in advancing One Health. This descriptive study combined a theoretical and an empirical approach. Published literature on recent advancements and areas of interest in nursing informatics was explored. In addition, empirical data from International Medical Informatics Association (IMIA) Nursing Informatics (NI) society reports were extracted and categorised into key areas regarding needs, established activities, issues under development and items not current. A total of 1,772 references were identified through bibliographic database searches. After screening and assessment for eligibility, 146 articles were included in the review. Three topics were identified for each key area: 1) education: "building basic nursing informatics competence", "interdisciplinary and interprofessional competence" and "supporting educators competence"; 2) practice: "digital nursing and patient care", "evidence for timely issues in practice" and "patient-centred safe care"; 3) governance: "information systems in healthcare", "standardised documentation in clinical context" and "concepts and interoperability", and 4) research: "informatics literacy and competence", "leadership and management", and "electronic documentation of care". 17 reports from society members were included. The data showed overlap with the literature, but also highlighted needs for further work, including more strategies, methods and competence in nursing informatics to support One Health. Considering the results of this study, from the literature nursing informatics would appear to have a significant contribution to make to One Health across settings. Future work is needed for international guidelines on roles and policies as well as knowledge sharing.

Nursing informatics competence profiles and perceptions of health information system usefulness among registered nurses: A latent profile analysis.

To identify different nursing informatics competence (NIC) profiles in nurses, examine the factors associated with profile memberships and examine the associations of the derived profiles with the nurses' perception of the usefulness of a health information system (HIS). A cross-sectional study. A sample of 3610 registered nurses responded to a nationwide survey in March 2020. A latent profile analysis was performed to identify NIC profiles based on three competence areas: nursing documentation, working in digital environment, and ethics and data protection. A multinomial logistic regression was carried out to examine the associations of demographic and background variables with the profile membership. Linear regression analyses were carried out to examine the association between the profile membership and perceived HIS usefulness. Three NIC profiles were identified and labelled as low, moderate and high competence groups. A younger age, recent graduation year, sufficient orientation and high-rated proficiency as an HIS user were associated with nurses belonging to a high or moderate competence group relative to a low competence group. Competence group membership was associated with perceived HIS usefulness. The high competence group consistently expressed the highest usefulness of the HIS and the low competence group the lowest. Tailored training and support should be provided for nurses with different levels of informatics competence, thereby facilitating their ability to respond to increasingly digitalized work. This could contribute to higher usefulness of the HIS in terms of supporting the nurses' work tasks and promoting the quality of care. This was the first study exploring latent profiles of informatics competence in nurses. Insights from this study are useful for nursing management to identify different competence profiles of their employees, provide support and training to meet their needs, and promote the successful use of an HIS.

Honing my nursing informatics competency.

Honing my nursing informatics competency.

An Analysis of Head Nurses’ Nursing Informatics Competencies and Nurses’ Attitudes towards Patient Safety in Hospitals

&#x0D; &#x0D; &#x0D; &#x0D; Introduction: Improving patient safety attitudes will provide quality care and a safe environment and practice for patients. The attitude of nurses towards patient safety in hospitals still requires improvement and improvement efforts. The assessment of nurses’ attitudes toward patient safety can be used as a reference for preparing programs to maintain quality and patient safety in hospitals. Objectives: This study aimed to determine the relationship between head nurses’ nursing informatics competencies and nurses’ characteristics and attitudes towards patient safety. Methods: A cross-sectional study involving 251 nurses at a hospital in Jakarta was conducted. The Nursing Informatics Competency Assessment Tool and the Safety Attitudes Questionnaire with demographic information were used for data collection. Results: Overall, nurses’ attitudes towards patient safety showed a median value of 141 (80.18% of the maximum value), and the mean value of head nurses’ nursing informatics competency was 99.53 (66.35% of the maximum score). This study showed a significant relationship between head nurses’ nursing informatics competencies and nurses’ attitudes toward patient safety. Nursing informatics competencies, computer literacy, informatics literacy, and informatics management skill significantly influenced patient safety attitudes (p&lt;0.05). Conclusion: Nursing informatics competence is the basis for nurses to respond to the development of health management information systems and technology in modern healthcare environments. Nursing informatics competence of the head nurses’ encourages the success of the head nurses’ following the rapid development of information, it will have &#x0D; &#x0D; &#x0D; &#x0D;

The Psychometric Properties of Version 2 of the Canadian Nurse Informatics Competency Assessment Scale.

In 2020, we conducted a mixed methods study comprised of a cross-sectional survey in which we applied a modified version of the 21-item Canadian Nurse Informatics Competency Assessment Scale and one-on-one interviews to explore self-perceived nursing informatics competency and readiness for future digital health practice. A total of 221 senior-level students in BScN programs in western Canada participated. This article reports on results related to the factor structure and internal consistency reliability of the 26-item (version 2) of the Canadian Nurse Informatics Competency Assessment Scale. Exploratory principal component analysis with the varimax rotation revealed a four-component structure, explaining 55.10% of the variance. All items on the Canadian Nurse Informatics Competency Assessment Scale 2 had good loadings, except item 7, which did not load to any domain but was retained based on an evaluation of the α value and item relevance to nursing practice. A few items shifted to different domains. The overall reliability of the Canadian Nurse Informatics Competency Assessment Scale 2 was (α = .916) and its subscales: information and knowledge management (α = .814), professional and regulatory accountability (α = .741), and use of information and communication technology (α = .895). This study provided preliminary evidence for the factor structure and reliability of the Canadian Nurse Informatics Competency Assessment Scale 2 among nursing students. Further testing is recommended.

Examining the Effect of an Educational Program on Nursing Students' Informatics Competencies.

This study aimed to determine the effect of a two-day education program on the informatics competencies of undergraduate nursing students. A one-group pretest-posttest design was employed using a convenience sample of 83 students. SANICS-18 (Self-Assessment of Nursing Informatics Competencies Scale) items were used to measure nursing informatics competencies. The pretest findings indicated a low overall score for nursing informatics competencies, with applied computer skills being the lowest self-reported competency subscale (clinical informatics). Following implementation of the education program, nursing students' general informatics competencies improved. The findings suggest that nursing programs should provide continuing nursing informatics training and integrate skills and competencies within the nursing curriculum.

Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses

Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established. Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program. The fit indices of the alternative path model satisfied recommended levels χ² = .11 (p = .741), normed χ² (χ²/df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%. Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.

The Effect of Undergraduate Nursing Students’ Social Network Services Addiction Tendency, Nursing Informatics Competency, and Information Ethics Index on Perception on Patient Private Information Protection

The purpose of this study was to identify the Social Network Services (SNS) addiction tendency, nursing informatics competency, information ethics index and perception on patient private information protection of nursing student. The data were collected 105 nursing students from February to April, 2022. According to the results, the mean SNS addiction tendency was 2.33 points out of 5, nursing informatics competency was 3.50 points out of 5, information ethics index was 3.88 points out of 5, and perception on patient private information protection was 4.12 points out of 5. There was a positive relation among nursing informatics competency, information ethics index, and perception on patient private information protection. And there are a negative relation between SNS addiction tendency and perception on patient private information protection. The explaining 56.7% of the variance, and the factors influencing nursing students’ perception of patient private information protection were grade and information ethics index. Therefore, it is necessary need to develop and adapt the ethical value education program for information protection management that can help nursing students increase their awareness of patient private information protecting.

Are Nurses Ready for Digital Health?

Background and Objectives: Nurses play a crucial role as front-line care providers in every facet of healthcare. Since digital technologies support and augment the quality and responsive healthcare delivery to modern healthcare systems, it is important to assess nurses’ preparedness for digital health to provide better care. This review aimed to synthesize literature on nurses’ preparedness for digital health mainly based on informatics education, competencies, challenges and barriers. Methods: A systematic search and a narrative review were carried out using scientific databases such as PubMed, Scopus and Google Scholar to reach scientific literature published in the English language published between 2002 and 2022. A systematic method was followed using PRISMA (2009) flow diagram to select the articles, and data were extracted considering factors such as informative, complete and applicable timeliness of articles. Key findings were synthesized via a narrative review under identified four main areas. Findings: Twenty-four papers focusing on digital health were identified. Four main areas emerged in the literature, including (i) informatics education (ii) informatics knowledge and skills (iii) digital health practices (iv) challenges and barriers. Nursing informatics (NI) education is the major concern of improving knowledge, skills and competencies ensuring nurses’ ability to use informatics to provide safe and quality care. Conclusion: Findings support the further need for advanced NI education, training, and facilities to improve nurses’ capacity to work in digitalized clinical settings. Continuous research is needed to provide clear direction about the required clinical informatics competencies of graduate nurses and practicing nurses. Suggestions for preparing skillful nursing professionals based on NI education and practice are to be discussed in the future.