Advancing beyond the electronic health record toward mobility and interoperability for enhanced nursing care delivery


Tiffany F Kelley

Nightingale Apps LLC and iCare Nursing Solutions LLC, USA

: J Nurs Patient Care

Abstract


Nurses are dependent upon data and information in their delivery of daily care to patients. Yet many do not realize that data and information are essential to the nursing process (e.g., assessing, diagnosing, planning, intervening and evaluating). In recent years, our healthcare environments have continued to introduce new clinical information systems that digitalize the data and information needed for patient care. With such systems, new challenges have presented themselves to nurses and healthcare professionals. One of these challenges is the ability to access, enter, store, retrieve, exchange and evaluate data while on the go. Nurses currently rely on pieces of paper to temporarily store the data and information they need for care each day. The pieces of paper are not part of the patient’s medical record and are variable depending upon the nurse. With advancements in technology, we now have smartphone devices that are small enough to be portable in a nurse’s pocket. With such devices, software applications can be designed to address the data and information needs of nurses delivering care. Such applications will require interoperability with other clinical information systems to maintain a source of truth with the patient’s health record. Interoperability is a word used to describe the ability to exchange data between two or more systems. The term is often discussed in more technically oriented environments. Yet, the impact of such technical improvements will be essential for nurses in clinical care environments to strive toward continued improvements in the delivery of direct patient care.

Biography


Tiffany Kelley is the Founder and CEO of Nightingale Apps LLC and iCare Nursing Solutions LLC. Nightingale Apps began with Know My Patient ®, a patentpending mobile application designed to provide nurses with patient information at their fingertips while on their patient care unit. Her second company, iCare Nursing Solutions LLC, provides consulting and education services to healthcare organizations and nursing informatics professionals in need of health IT and/or informatics solutions to address their daily operational needs. Dr. Kelley is the author of Electronic Health Records for Quality Nursing and Health Care. She has served on the BOD for AMIA and currently a Director for ANA Mass. Kelley earned her Ph.D. from Duke University, her MS and MBA from Northeastern University and BSN from Georgetown University. Dr. Kelley was recently awarded the Smart Health award for Excellence in Healthcare Innovation in 2018.

E-mail: tiffany.kelley@nightingaleapps.com

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