Nursing informatics: Now and in the near future

NURSING INFORMATICS NCM 110 KIANNA MERCADO BSN 2201

WHAT IS NURSING INFORMATICS? When we hear about nursing, we usually think about patient care, medicines, interventions, and the likes. But what comes to our minds when we hear about nursing informatics? When I first heard about Nursing Informatics or NI for short, I thought about technology. When we are talking about technology, computers, gadgets, the internet, and any other things that are connected with the things we usually use in this information-based era comes to mind. Therefore, in the field of Nursing Informatics, a lot of things about information, the use of technology in the hospital setting, and their application in nursing administration, education, practice, and research would be discussed. I can still remember that we have first discussed about Nursing Informatics way back January 27, 2021. It was mentioned that Nursing Informatics was implemented on the year 2009 by the Commission on Higher Education or CHED. It was added to the nursing curriculum which replaced the basic computer subject for the course. There are models that are usually discussed on this subject and let us see the three of them. Turley's model of the Nursing For the Turley's model of the Informatics Nursing Informatics, it simply indicates that nursing science 1 considers information and computer science as well.

Graves and Corcoran’s Model of the Nursing Informatics On the other hand, the model of Graves and Corcoran is very knowledgeable for me for it shows the process how information is generated. Data - raw facts Information- are the processed raw facts 2Knowledge - is the comparison of what you formerly and currently know It was also mentioned by Ma'am Malabanan that there is always a room for improvement, therefore, we should be open-minded because we might know something that other people don't, and they have something they know that we don't – learning is never ending. It also depends on our management on how a data would be processed. Once the data has been collected, we will have an information after processing them, and when we compare this information from our previous knowledge, we would be able to validate the knowledge that we currently have.

Let's have a simple scenario for example. When we are collecting a patient's data starting from their demographic profile, to the past medical history, and so on and so forth, we should be mindful about what we are gathering. Once there is something wrong the data, it will soon be a manifestation that we are not well-informed of what is happening to the patient, in short, it is for us not to commit mistakes in data gathering for it can cause human error. We should always have wisdom, and we could not measure wisdom if it is only practiced by the book. We should integrate all that we know in providing the best care for the patients. Knowledge Is the set of understanding and the awareness of the information, and also the key on how an information could be useful. In addition to that, it can also be redefined and restructured. Therefore, information is made functional through the application of knowledge. And for the last model, let us give a scenario to understand about the foundation of knowledge model. Knowledge Knowledge Acquisition (KA) Dissemination (KD) for example, it is your first time to with your perception, you told your see a co-student in school and classmate that you saw a nursing they are wearing white. Having student earlier. Then they said that it your previous knowledge that might probably a psychology or students and healthcare dentistry student and not a nursing professionals usually wear white, one. This is considered as feedback. you identified that student as someone in the nursing department.

Knowledge Knowledge Generation (KG) Processing (KP) from the feedback, you then this is the last stage of the model realized that not because a and this is where you would student is wearing white, they process the knowledge that you are under the nursing know based on the previous one department. or based from your perceptions, with but you know now. Wisdom Is the highest form of common sense (getting what is obvious), a deep thorough learning, and is also considered as an enlightenment. Moreover, it is the application of knowledge to the appropriate situations, and also the foundation of the art of nursing. Nursing Science (NS) When we talk about nursing science in NS is the treatment of human response connection nursing and given that we work on different informatics, it is when responses, every patient and every we have to process case is unique. what we see with the patient's responses for nursing. According to the American Nurses Association (ANA),

Nursing Science is about a body of knowledge, and later on, we will see how Nursing Informatics is applied education, administration, practice, and research. We, Nurses and Student Nurses, are considered to be knowledge users, managers, developers, engineers, and workers. With the aforementioned considerations, we should differentiate what a leader and the manager is. Leader Manager can influence is when you manage humans, financial aspects, machines, and time. As mentioned earlier, Information and Computer Science are parts of the Nursing Science, and I have learned that there are different types of data and characteristics as well. A data should have its integrity and quality. Data should not just be good, but, it should be complete, consistent, and accurate to what we need. Having to know that we have access to data over the internet, books, databases, and the like, it is very important to be information literate. Basically, Information Science is concerned with the input, processing, output, and feedback of data. On the other hand, Computer Science is more likely about and offers the tools that we need in order to apply what we have learned and know what the first aforementioned sciences are. For the Information Systems (IS), let's have the hospital as a system. For the input, we need all the resources for a hospital to function like the financial needs, staffs, health care providers, equipment and tools, and the like. For the processing, the procedures that would be done to the patients is considered as a process. Lastly, for the output, it is expected that the patient would have better health, the quality of life, and productivity. In line with these processes, there will always be a feedback from the output that will affect the factors that we need for the input and processing.

We live in the information age where we can easily access the data that we have and it was also discussed in the first part of the semester that there are traditional ways in gathering knowledge which is kind of the philosophical part of Nursing Informatics. Knowledge starts from our perception, which would include our reason, logic, and instinct. And given that technology advances, it was also mentioned that Artificial Intelligence (AI) could be used for patient care in the near future, but we still have a long way to go. The emergence of technology for healthcare, patient care, and other medical aspects has a lot of pros and cons. Back then, computers were usually used for business office functions, but now, nurses usually use them to record or store data and for communicating with other healthcare providers. Area networks contributed a lot of advantages for linking and connecting healthcare systems. After taking up a bachelor's degree in nursing, we could also choose nursing informatics as a specialty. In this specialty, we can manage and communicate data to the patients and our co-workers as well. It is for us to improve the health of every individual, from the general to the most specific members of the whole population in the community. Choosing nursing informatics as a specialty has more advantages if we would work on the developed countries, but, if we would choose to work here in in the Philippines, we could provide what we know and our ideas to somehow contribute in this field. Little by little our systems will advance more than what we have right now. There are also informatics specialist and they most likely had a degree in NI or anything related to informatics. What we need in this field is to be computer and information literate, computer fluent, and the skills in information management. We should be able to apply and integrate what we know so we could provide quality care for each patient. Standardized standards and nursing terminologies. Ma'am Malabanan asked us about what we think when we hear the word “standardized”. Some of us answered that it is the quality that we need to achieve in something, and I answered that standardized is when you decide what the general rule or what the things to do are.

And in NI, these standardized nursing terminologies are used so that we could communicate well with each other. They are not just made up randomly for they are approved and they have the consent of the admin or medical board members to be used. These terms can still be enhanced along the way. There are also Nursing Minimum Data Set (NMDS) that focuses on patient, nursing, and service elements. Basically, these NMDSs contains what we need in a patient, what to do as nurses, and the procedures - One important aspect in the field of Nursing Informatics is the data protection and security. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is always being mentioned in our discussions. It simply tells us that the demographics, medical history, laboratory results, and insurance information should always be protected and is limited with the healthcare providers only. It is very important for us to keep the privacy, confidentiality, security, and integrity of the patient and their data. It is illegal to use a person's identifying information. Nursing Administration (NA) For the Nursing Administration (NA), there are different administrative applications in Nursing Informatics. For the Information Systems to function, we need the systems life cycle. There are 6 chronological phases within it, starting from the requirement, to the design we need for our system, the implementation, testing, deployment, and management of the system itself. In general, we should consider all the possible factors in implementing a system. All programs should be well established for further maintenance and development. Under the Nursing Administration, there are different key persons or personnel that manages the systems.

- that we would be giving to the patient starting from her admission until the end of their hospital term. There are a lot of nursing terminologies that are specifically intended for different classifications. For example, the Clinical Care Classification (CCC) is for the documentation of nursing care. On other hand, the Nursing Outcome Classification (NOC) is consisted of the research-based outcomes. This is part of the cons in NI. For having the data stored in a system is not always an assurance that the data is protected. There are innocent mistakes wherein we commit error in using the system, but there are other mistakes that are committed out of curiosity and the abuse in authority. Cybercrime is a legal aspect in the field of technology and informatics, and it is for the specialists to keep in track on who has access in the system and with the overall information that they have. • Chief or Director Information Officer • Programmers • System Analyst • Information and Microcomputer Specialist • Computer Operators

In addition to that, there are also different types of automated data which are specific to the client, financial aspect, human and material resources, and intellectual data. Other than that, there are also the specifics under the health care information systems. For example, the ADT system is patient-centered (e.g. the patient's profile), the financial systems, from the word itself financial, it is about financial interactions. Acuity System is to determine the patient types and the scheduling system and coordination as a whole. Why is it important for Nurse Administrators to know the uses of the Management Information Systems? Given that it is our duty to provide patient care, it is for us to meet the requirements which is considered having high quality. As nurses, it is also for us to improve the quality of care that we are providing. To explain it briefly, from what I have learned, the process improvement is when we are much more centered and organized than before. It is when we are able to decide where we would talk to or coordinate with the specific person that we need. It is when the information would flow much smoother than before. Just like the nursing process, we also have process in managing a project. First, we should initiate and plan before executing a project. After that, it is for us to monitor progress before we close it once sustainability for the current project has been achieved. There are also different theories in nursing informatics and i remember the two of them. One is the general systems theory. I remembered this theory because it is true that is is very complex, but in the other hand, as long as we continue to understand how it works, we could always take part with the knowledge we have. Another theory is the NI theory wherein we apply what we have learned from the model of Graves and Corcoran.

For this part of the NI, we made a workflow for the Nursing Administration. We were given a scenario and guides for us to be able to create a workflow. At first, it was hard and confusing because every shape and arrow signifies a role or a process. The first thing that I did was to list down all the processes that I need to put in. These practice skills did not only teach me to create a workflow, but also to see how many things are happening in the hospital setting starting from the general to the specifics. It made me realize that even though we have a workflow with us that is standard hospital or in the work field, there will always be a lot a factor that could contribute the current workflow. For example, if the hospital has complete laboratory and testing rooms, the patient would not need to go outside the hospital to be tested. In the current workflow where the nurse communicates with the doctor, in the reception area, in the pharmacy, having complete rooms would lessen the delay in their work, vice versa to when a hospital doesn't have complete rooms. Nursing Education The use of e-learning in Nursing Education is very timely especially that we are still experiencing a pandemic and we have resorted to online classes and modular learning. In different academic fields in general, there are different learning environments. F2F OC B/HL BLENDED/HYBRID FACE-TO-FACE ONLINE CLASSROOM LEARNING

F2F This is basically the traditional way of learning wherein there is a teacher and there are FACE-TO-FACE students discussing a lecture while they are together in a physical room. This is more teacher-centered than student-directed. This is like the face-to-face classroom but it OC is done over the internet, vice versa, this environment is more student-centered. ONLINE CLASSROOM One of the pros is that it is flexible, but a huge con is that not everybody has access. B/HL From the word itself, it is the combination of BLENDED/HYBRID the first two aforementioned learning LEARNING environment. This is when students at physical classes but accomplishes online works as well. In general, there are two methods of instruction that we are experiencing right now. The synchronous learning, from the word itself synchronous is when it is happening at the same time. Therefore, students attend a class or a meeting at a certain time. Some of the tools that are used here are chats and video conferencing. The other one is asynchronous learning which is also known to be the offline learning, for students will work at their own time and own pace. The other tools that are used here e-mails and blogs. In addition to that, the flipped classroom and multimedia are also used as methods.

Ma'am Malabanan always tells I learned a lot about the us that one of the advantages things with the website and or benefits of a computer applications that we could technology is that we could use to further enhance our improve or enhance the skills and add up presentation of our content. In knowledge when it comes the traditional presentations in to our course. We used the reporting, they are most likely drill and practice just like written in manila papers. There quizlet and opened some is no problem as long as the tutorials that really helped reporting is being discussed us in navigating around the well. But, compared to the sites and be guided. One of technology that we have right my favorites are the case now, we could use a lot of scenarios for I really platforms and applications to enjoyed reading through enhance our presentations that the cases and trying to could also improve our learning. formulate my final diagnosis Given that it is a fact that our and see if it is correct. There attention span is getting shorter are also simulations but the and shorter, it is very user- actual demonstration is not friendly and advantageous to that easy to do because of have different technology be the resources that we used in learning. Under the E- currently have and need, learning, there are different but I have learned that learning management systems using simulators could really (LMS) wherein we could interact help the student nurses a lot with other users and submit especially for their hospital works, an example is the duties by facilitating NeoLMS or the Google demonstrations and the Classroom. The content like. management system, as far as I remember is created to integrate with LMS, more likely, it is a system inside another system. Just like our enrolled courses in the school, we could also apply in other online courses if we like or intend to.

In simulations, there are three (3) For the low one, is mostly about different kinds of fidelities which 2D images or displays. For the ranges from middle one, it is improved by having to hear something from • Low-level Fidelity the simulations. Lastly, for the • Middle-level Fidelity high level, a simulator could • High-level Fidelity actually perform or be performed a task at. It may seem that having a lot of access to different sites applications could be stressful because of their interface, but there are also instructional and educational games that we could use for enjoyment while learning. I can also remember that there is a virtual reality, wherein we exist in a different reality in the time being. It is not just about visuals, but we could actually hear and feel things in virtual realities, depending on how advanced it is. E-books Electronic books are usually used like our online modules so that we could still read without having the physical copy of it. Personally, I love attending webcasts and webinars because of how organized and knowledgeable the discussions are. These are usually free or inclusive in an organization, school, or an event. Instant messaging is also a part of the education aspect in NI. We usually use this to communicate not only with our friends or acquaintances, but also with our professors and classmates – this goes the same way with chatting.

I can also remember that Ma'am Malabanan also taught us how to create an electronic mailing list. It is very convenient for the sender because you won't have to repeat or re-send an e-mail one by one, this, for me, is much more organized. We could also read blogs, watch vlogs, listen to podcasts, and use different multimedia in learning and sharing knowledge. I usually see portfolios with my friends who create art or is taking up anything related to an art course. But we could also use portfolios in the field of nursing. Among these sources, there different types on how we could interact over them. A learner could either interact with their instructor, which is probably considered to be synchronous, and the learner could also interact with the content they have, and this is most probably considered to be asynchronous. Just like having theories in NI in general, there are also learning theories. I will also elaborate two of the examples that I clearly remember. Social Learning Humanistic Learning Theory Theory One is the social learning The other theory is the humanistic theory, wherein, people learn learning theory wherein we can base on from others. This is one of the Maslow's Hierarchy of Needs. Here, it is most relatable theory because said that we always have a desire to learning is a two-way process grow in a positive way but given that we wherein we give and take at grow in different rates and that we have the same time. This is also very different phases, the position we are at in compelling because it affects the hierarchy of needs is a huge the way we feel, think, and contributing factor to our growth, that is even act. why, how we learn in our own time and pace should not be compared with one another.

Just like on the first part of the paper, it was mentioned that privacy and security are two important things in general. Even though we have a lot of sources to use in order for us to learn, this for us to practice the fair use or to be aware if we are doing things legally or with permit. Practice in Nursing From the first two discussed topics where Starting from the patient's Nursing Informatics is applied, the third demographic profile, down to one is NI in Nursing Practice. This is the our nursing assessments, the part when it was discussed how we will medication we need, and so use different technologies in the medical on and so forth. Unlike the field especially in the hospital setting. The manual recording and importance of the Electronic Health administering medications, all record (EHR)was also discussed along of these things could be done with the other components under it. From in a single computer or in just the word itself electronic, the data and some few clicks. information that you will be receiving from the client will all be recorded electronically. Some healthcare workers may be overwhelmed with the use of technology in the health field because it could be new for them. But, there is a guide wherein we would know what is safe for the patient and to lessen the possibility of a human error to occur. Even now, the physician's orders are now computerized.

This is a form of respect the one's ownership and also for our integrity. Therefore, we should always be aware of the copyright, which is the right of the creator with his work. e Applications Informatics In addition to that it does not only promote Given that there is a system, better health care but it which was discussed in the first parts, most of the EHR has can also promote machine-readable formats for the documents that they are better health as well. using. Other than that, there are other advantages of EHR. With Having a coordinated their use, it could lessen the amount of time in recording system, we would also compared to the manual. have improved coordination health care services. This is very helpful because the advanced system could detect if the drug that would be given to the patient is overdose or lacking. There are also dispensing machines wherein we would just scan the barcode and the machines or robots would automatically dispense the medications that was prescribed by the Doctor.

With this, it is not only the medication that could be read, but there are some instances what we could also scan the nurse’s badge for identification and also the patient's ID bracelet for orders. Other than that, I could still remember that having phones with us or other gadgets is very handy when using mobile applications for patient education and for monitoring our personal cycles with regards to health and even our hygiene. The use of mobile applications could also help us to be more organized and to keep track of the things that we are doing and our schedule. It may seem surreal, but there are also clinical decision supports within applications and technologies or over the internet that could help us have accurate diagnoses. One common thing that is usually used even outside the medical field is the Radiofrequency Identification applications or also known as the RFID, where it could be embedded into surgical supplies for it to be counted when used in a procedure. Given that ability to scan and track, it is more expensive than a simple barcode for it could also be reprogrammed.

Ma'am Malabanan also introduced the smart rooms with us. Currently, here in the Philippines, we still don't have the smart rooms which are touch screen technologies and are usually found individually on a patient's private pool. But on the bright side, we are still on the process of improvement and we have wearable technology that are being used in the hospital which are most used probably private hospitals to transmit data just like advanced cell phones and watches which are inclusive for the needed data in the field. There are also peripheral biometric devices, and a pulse oximeter and BP cuffs are the most common devices that we see in hospitals and clinics. I can also remember that we may not have a developed robot so far to assist patients, but in the University of the Philippines (UP), a robot with a touchscreen device as a face was introduced to the field in order to let the patients see their family members which are far away. Moreover, it was also introduced in this part, in line with the types of learning, the what we call \"edutainment, which includes nutrition education programs and games for the patient so their stress could be relieved or lessened.

Way back last semester, it was introduced to us in the Nutrition and Dietetics subject that there are different types to know the population health. As nurses and the whole medical team, it is for us to assess the health of the community. This is very timely because we are under a pandemic, and using the surveillance systems could help us indicate the possible outbreak in a community that could lead to an endemic or a pandemic as well. There are also risk assessment tools to further see if the people in the community are exposed to such chemicals or other substances that may harm their health. TELEME The discussion about telemedicine is kind of personal to me because since last year, I considered trying it. From what I have learned and with my personal opinion, there are, of course, pros and cons of telemedicine. For example, last year I considered consulting to a psychiatrist so my mental health could be assessed. It is a huge advantage, especially that we are under a lockdown where we can't go out unless it's necessary, and it is safer to stay at home. But, the thing is, almost half of my triggers are from my home itself. It is an advantage for me because it would keep me safe from the disease outside, but also a disadvantage for me because it is hard to heal at the exact place where you are trying to heal from. But for other people, if the advantages outweigh the disadvantages, telemedicine is a huge help. Because even though we can't go out, we can still be checked up on and the Doctors could still prescribe as the medications we need even over the internet.

DICINE On the other hand, the use of telehealth is a huge advantage both for the patients and the health care providers for having advance systems could not just improve clinical sessions, but could also improve the quality of life as well. This could be used if there are special cases where the specialists that we need are not available nearby. This is connected with the synchronous tools that was mentioned on the first parts for telehealth could also be used for meetings and researches. Telenursing, as it implies, is specific to the nursing services for enhancing care.

A personal emergency response system is very helpful for the patient in case of emergency so their safety would be assured. To wrap it up, Nursing Informatics in Nursing Practice, the healthcare technologies that we would be using is for us to promote quality care and patient safety and to improve the quality and outcomes of our interventions as well. Research Applications of Nursing Informatics When I hear about the word research, the first word that comes to my mind is \"problem\", then, the question of \"why\" comes next. Discussing the first fields like administration, education, and practice, does not end in just applying what we have learned and how to use the technologies, but also observing and tackling about the possible problems that may occur, what we could improve, and the loopholes in every procedure that we are doing in line with the technology that we are using. In nursing research, it is important for us to know the issues that are particular in our profession. Research, in general, are divided in two ways. Qualitative Quantitative Research Research Are usually obtained through Are usually obtained through observations and interviews questionnaires and focus for the analysis of the non- numerical data which are group discussion for usually for in-depth insights of a specific topic. numerical data which are usually for statistical predictions, averages, patterns, and the likes.

There are also different informatics tools that was introduced to us which are considered as online databases like Medline, Psycinfo, and Cumulative in Nursing and Allied Health Literature (CINAHL). There are also local online databases like Philippine E-journals and sources from the Philippine Nurses Association (PNA). Every freshmen year, students are being introduced to the university’s library as well. It also has advanced e-library computers to locate the books that the students specifically need. One of the most important aspects in research and learning in general is being information literate. Personally, this is one of my favorite topics from what has been discussed. From my previous years in the academe, I usually rely on the information without further digging into it and its resources. But I have learned from this part of the topic that information literacy is very important especially when you are conducting your own research. It is for us to know the information that we need, and we could start from the general to the specific so that we could narrow down the information that is only important. It is for us to assess, evaluate, incorporate, and use the information that we have. We should also be aware of the legal aspects in using information just like the copyright. Being information literate tackles a lot of things, starting from your searching strategies, your tools for collecting data and data analysis, to the dissemination of your research findings. In research, it is for us to plan ahead of time on where we will be gathering our resources. Would it be from the books? Over the internet? Observations and interviews? It will literally take us time if we would not plan earlier, which could probably affect the quality of our study because we could experience cramming or lack for the time that we need.

There are also different tools in collecting data and the most common of them is the Google Form and the Survey Monkey. After creating questionnaires using these websites, a social media platform is probably the best way to disseminate them for it is a common ground for a lot of people. We should also have our data organized using the data management systems to sort out the data that we need. If we are conducting a quantitative study where we analyze numerical data, spreadsheets and other statistical software could be used for data analysis. On the other hand, there are also different software for qualitative data analysis like the one we used way back senior high school in our research subject with Doctor Belen which is the MAXQDA. Lastly, there are different tools for disseminating our research findings. Most of the research presentations, given that most of us are in online learning, are being held at video conferences. The panels would be there together with the presenters, and the most common video conferencing application and website that is being used is Google Meet and Zoom. For the Data Mining which was discussed by Ma-an in our group, from the word itself mining, this is where we dig deeper the further understand if the data is necessary to be used or if it could contribute concise information for the study. To simply explain what data mining is, we first identify what the problem is so that we could be directed to the data that we need, with this we could exclude the information that are not needed. After exploring data, it is for us to see if there is a pattern or a flow with the data that we have so that we could generate it to an information which is important for our study. After doing so, knowledge would be generated and deployed and the data that we have mind would finally be used for our research. There are also researches where we don't dive deep much on what we see in the internet, which is considered to be the Evidence Based Practice or EBP.

EBP is current, therefore, it is in front of us already and we usually encounter them and analyze what is currently in front of us. One example is our chart reviews, where we would analyze its flow and the problems or complication that could possibly arise within what is in the chart. We also have translational research which is multidisciplinary for it revolves around practice, clinical, and basic research. Clinical research informatics usually focuses on the information which is related to clinical trials. On the other hand, translational informatics is when we apply research informatics to translational research which was mentioned earlier. The reason of applying this to fill the gaps that we are experiencing as we conduct a study for improvement. Given that EBP is current, there a lot of barriers within it search which we would commonly which we would commonly experience in the hospital setting. Let’s take for example the institutional or cultural barriers, and, the most common problem that we experience here in our country which is the lack or limited access to the technology that we need like computer systems, especially in the public hospitals. BIOINFORMATICS The third to the last thing about the research applications in nursing informatics is the bioinformatics. As the name implies, bio means life and informatics is the study of computational systems, therefore, bioinformatics is a branch of biology which is concerned with the acquisition and storage of the data and information found in biological data like in our DNA or acid sequences. It is the analysis of biological sequence, and genomics and proteomics are examples bioinformatics. Just like mentioned about translational research, there is also translational informatics wherein there are developments about its purpose which integrates biological and clinical data the further improve or develop biological observations.

BIOMEDICINE The last thing we have is biomedicine and it is grounded in the principles mostly of computer science and of the aforementioned sciences on the first part of the paper. This is a very important sub-discipline of biology for having access to have a medical data could help us detect and prevent the prevalence and treatment of a disease. Biomedical informatics and computing biology were also mentioned for interpreting data and developing methods and techniques. In general, research utilization is for us to transform research knowledge into practice. With all of these stuffs, it will just begin another cycle. After implementing research studies, we could improve nursing administration, learn about them through education, putting and integrating what we have learned into practice, and see the current problems or loopholes that we have which needs research studies. The Future of Nursing Informatics This is also one of my favorite topics about the subject. Given that we are still studying, there is a huge chance, especially for the younger generations, to see and witness what the future of Nursing Informatics would be. We would be part of the improvements and innovations as well. It was always mentioned to us that nursing is an art.

The Future of Nursing Informatics Ma'am Malabanan also asked us of which of the nurse's abilities do we think technology manifests. Out of the five abilities that was presented to us, we chose the third and the fourth statement which says through technology, nurses \"skillfully\" perform nursing activities\" and \"determine rationally an appropriate course of Nursing action\" for the rest of the statements focuses more likely on the actual patient-nurse encounter which mostly needs our therapeutic communication and the application of our moral and ethical values. Every patient is Living in a technology laden unique, therefore environment or era, we usually every intervention rely on this past-paced era that we will be where almost everything we doing for them is have or do is instant. But, the unique as well. use of technology is not meant to be used as a replacement for actual interactions within people. It could just help us improve the quality of healthcare, but it could not replace the interaction that we have with our patients and to the medical team. The technologies that we have right now, even how advanced they are, could not detect a specific symptom or intervention first it could only be done through years of study and the actual experience that we have within the health field.

The patients need our presence. Even if technology could provide us the things that we need to make our works easier and organized, we still need to be physically there for our patient because a person-to-person interaction has a lot of contributing factors to provide the quality of life and care for the patient. Starting from the way we greet them, how we communicate with them, how we carry out care, how we pay attention, and observing about how they respond to us. It is the connection that is important, which technology could not provide. Basically, we need to integrate knowledge and skills with the resources that we could use from the technology that we have to further develop and generate ways of carrying out care for the patients. “LET US ALSO TAKE CARE OF OURSELVES” One of the best things that we are taught about is taking care of ourselves. I can still remember the self-care theory that was discussed when I was on my first year in college, and it is very important for us to remember that the ones who provide care should also be taken care of. It always starts within us, for how could we provide or do something that we can't even apply to ourselves? It could just probably worsen our inner state and our physical health because of a possible burnout.

Once we take care of ourselves, we could enhance our caring presence for the patients. We should focus or learn how to do the “centering” whenever we are taking care of a patient. We should be fully at the moment wherein we are open in our way of communicating and focused to who we are taking care of. Our state of mind should be clear for having it unclear or pre-occupied could possibly affect the way we care and communicate with others. We should also have a therapeutic and effective way of communicating skills so that we would have a healthy connection with our patient, and it is through eye contact, being attentive, clarifying, and the likes. There are also a lot of future trends that you could possibly use in the near future like 3D printing. Currently, some countries are 3D now using 3D printing but it is really expensive. Ma'am Malabanan shared to us that it could not only be used in creating prosthetics like a prosthetic foot or hand, but in the future, PRINTING this printing could even replicate our internal organs and we would not need to transplant organs from person-to-person. That, for me, is ARTIFICIAL mind blowing, but it is really possible with so much advanced technology and years of studies as well. INTELLIGENCE & ROBOTICS Using advanced technology in connection with bioinformatics, we could even tailor a medical treatment which is patient-based, and it is called precision medicine. In line with robotics, Artificial Intelligence (AI) was also discussed wherein robots attempt to replicate the things that we humans do. AI could be used by patients who needs assistance but has no real person with them. Way back 2016, Sophia the AI Robot was activated by a Hong Kong-based company called the Hanson Robotics. She looks like a real person which was made to depict the future of AI and robotics.

In general, the field of Nursing Informatics is really interesting field to study. I even consider taking up degree in Nursing Informatics for this is a huge advantage especially in our generation where technology continuously advances. This field may be complex but given that the emergence and innovations in technology would not stop as long as there are improvements and new discoveries, it is better for us to go along with the flow because if it will be used in a proper, legal, and ethical way, this would really pave a way out for the betterment in carrying out care for the patients and improve their quality of life. HOW DO I ENVISION THE FIELD OF RESEARCH APPLICATION IN NURSING INFORMATICS FIVE YEARS FROM NOW? If I would choose one field in Nursing, I would like to envision the Research Applications in Nursing Informatics five years from now. Having to know that we are currently encountering the spread of COVID-19 disease all throughout the world, conducting researches are timelier than ever. Given that we are still studying about the disease itself, how to lessen its prevalence, and the vaccines, it would really take us about five years or more to finally discover ways with regards to the prevention and treatment of disease. Even though the professionals in the health field and the scientists are the ones who would conduct most of the researches, we, the students, could also take part in contributing to this.

HOW DO I ENVISION THE FIELD OF RESEARCH APPLICATION IN NURSING INFORMATICS FIVE YEARS FROM NOW? With the fact that most of the information that we are receiving now revolves around the internet, it will be a huge advantage to have developed researches in the field of medicine that NI would take part of for the next five years. There could be a lot of advancements that could happen especially that COVID-19 is communicable. The tools that we have right now within NI for conducting researches such as the resources that we have to gather and disseminate data could be of use to further develop studies and spread awareness and knowledge about the current disease. In line with the dissemination of research studies, be it qualitative or quantitative, it could contribute a lot in the field of administration, education, and practice for as I have mentioned in the research part of NI, it is just a cycle wherein we integrate what we know and finding loopholes for the betterment or improvement of a system, an intervention, and the like. With the possible researches we could have, we could have improved operations in our health care facilities, especially here in our country if our researches could be integrated into the tools and technology we need once supported. This could contribute a lot for tracking the health of the people. For example, through contract tracing and tools for faster and easier COVID testing. In general, once we continue conducting researches, we are also having a step ahead preserving the quality of life for each person and a step ahead in making the “Health for All (Kalusugan para sa Lahat)” possible.

NURSING INFORMATICS FINAL PROJECT

NURSING INFORMATICS NCM 110 KIANNA MERCADO BSN 2201