Nursing and Informatics for the 21st Century: An ... - Nice Computing

CARING
Vol. 21, No. 3 3rd Quarter, 2006
ISSN: 1551-9104
CARING is an organization advancing the delivery of quality
healthcare through the integration of informatics in practice,
education, administration and research with a focus on nursing.
DISCLAIMER: Content presented in the CARING Newsletter is not
intended as an endorsement for any particular vendor or product.
In This Issue:
Nursing and Informatics for the 21st
Century: An International Look at
Practice, Trends and the Future
[Book Review] . . . . . . . . . . . . . . . 1
President’s Message . . . . . . . . . . . . 1
CARING Member News . . . . . . . . . . . . 2
NI2006 – International Congress on
Nursing Informatics
Conference Report . . . . . . . . . . . .4
CARING Meeting Conference Report . .6
Miscellany – A variety of stories or
items of interest. . . . . . . . . . . . . .6
Upcoming Events . . . . . . . . . . . . . . .8
CARING Networking Dinner at
SINI 2006 . . . . . . . . . . . . . . . . . . 9
CARING Sponsors and Supports
the TIGER Initiative . . . . . . . . . . .10
©2006 The CARING Newsletter is produced with support
from:
Editor: Debra Derickson, MS, RN
Newsletter Team for this Issue:
Jerry Chamberlain, Eva Feldman, Michael Gay, Susan Newbold,
Liberty Rovira, Cyndalynn Tilley
Nursing and Informatics for the 21st Century:
An International Look at Practice,
Trends and the Future
LTC Caterina E.M. Lasome, MSN/MBA, MHA, RN
Reviewer
Correspondence: Caterina.Lasome@tma.osd.mil
The opinions or assertions herein are those of the author and do not necessarily reflect
the view of the Department of Defense.
by Charlotte A.Weaver, RN, PhD, Editor; Connie W. Delaney, PhD,
RN, FAAN, Editor; Mr. Patrick Weber, RN, MA, Editor; Ms. Robyn
Carr, RGON, Editor. HIMSS Press, 2006. (US$90 for non-HIMSS
members;
US$75 for
HIMSS members);
524 pages;
ISBN: 0-
97161277-5-X.
Some of the foremost leaders in
nursing informatics and
administration join forces to put forth
this timely and well-conceived book on
nursing informatics. Readers will surely
recognize many of the names, not only
as well published nursing informatics
scholars, practitioners, and researchers,
but perhaps more significantly, as
pioneering leaders who have laid the
very foundation for nursing informatics
and shaped the vision and future
direction of our practice.
The opening chapters in Section I
address well known topics for nursing
practice such as the current state of the
science and vision for the future, the
role of critical thinking in nursing, the
inclusion of patients in their care
processes, the ever-present and
increasing role of information
technology, and the educational
challenges of meeting the demand for
nurses across the globe. What is unique,
and appropriate for this text, is the
approach to these topics from a nursing
informatics perspective. Readers will
nod in agreement while reading this
section, all the while, taking in specific
examples of how to articulate some of
the most perplexing issues we face to
those who are not familiar with
informatics practice. It is an important
contribution that the authors make in
[Book Review]
President’s Message
By Jerry Chamberlain, MS, RN
One of my “Top 10” bookmarks currently on
my computer is for www.wikipedia.org.
For those who may be unfamiliar, Wikipedia is an
on-line collaborative encyclopedia that allows any
visitor to submit content and contribute to the
collective knowledge of others in the community.
The reason it makes my Top 10 List is because you
can find information on just about any subject in a
fast and friendly matter. Need to know more about
‘extract, transform, and load (ETL)’ processes for
data warehousing…it’s there. Or what if you need
to learn more about 802.11 wireless protocols for
your next meeting and want some quick
answers…go to the Wiki and find fast answers.
However, another reason this site makes my
Top 10 List is because of the collaborative nature
of the implementation. Any user can log in and
suggest changes to the content. If you disagree
with a fact or you want to post new information,
all you have to do is fill out some data fields and
type away. Upon hitting the submit button, your
contribution is immediately available to others for
review and validation. Truth, lies, opinions, and
self-promotion (vanity) are all managed
collectively and collaboratively by peers in a selfperpetuating
review and edit dance.
Interestingly, the topic of collaboration has
grown increasingly important in our own field as
we strive to improve care delivery and impact
patient safety. The tools of informatics are bringing
together the multiple disciplines in healthcare and
challenging everyone to work together using one
unified medical record. In some environments,
nurses have put away clipboards and replaced
them with roving COWs (computers on wheels), or
WOWs (workstations on wheels) as they are now
called. Physicians have stopped using paper charts
and flags and have begun to use online
CREATE 'n IMAGE
Graphic Design • Clorinda Haug
cmhaug@create-n-image.net • http://www.create-n-image.net
continued on page 2
continued on page 2

By Susan K Newbold, PhD RNBC
FAAN FHIMSS
CARING Membership
CARING currently has over 1,400 members
in 25 countries and 50 states. We
recently added members from Malaysia
and India.
Graduations:
Member News
PhD
Susan K. Newbold,
Columbia, MD,
received her Ph.D.,
September 19, 2006
from the University of
Maryland School of
Nursing. Her topic is
Susan K. Newbold
“Utility of search
strategies used by nurses seeking
Internet-based health information.” Her
dissertation chair is Mary Etta Mills,
with Barbara Covington and
Deborah Lewis, committee members.
DNSc
Tsai-Ya Lai, Arlington, VA, received her
DNSc diploma, May 2006, from
Columbia University. Dr. Lai’s dissertation
topic is “The design and evaluation
of HIV TIDES - Tailored interventions
for management of depressive
symptoms in persons living with
HIV/AIDS.” Her sponsor is Dr.
Suzanne Bakken.
Wm D. Roberts, Bellport, NY, received
his DNSc from Columbia University,
June 2005. The title of his dissertation
is: “Clinical practice guideline-related
knowledge representation models and
comprehension-generated inferences of
nurse practitioners and physicians at
varying levels of expertise.”
Masters
Kenneth Bavier, Flint, MI, graduated
from Duke University, May 13, 2006,
with an MSN dual masters in
Community Health Nursing and in
Systems Management.
Natashia M. Harris, Randallstown, MD,
graduated with an MSN from the
University of Maryland School of
Nursing, May 2006.
continued on page 3
President’s Message – CARING 3rd Quarter 2006 Newsletter
continued from Page 1
communication and data routing to stay in contact. We are transitioning to a practice where
we use a single pervasive medical record. Instant communication, real-time validation,
multi-contributor documentation, and interdisciplinary plans of care have all compelled us
to collaborate.
Collaboration has grown outside of our own organizations and into our professional
practice with the formation of the Alliance for Nursing Informatics (www.allianceni.org)
and cross-organization initiatives. This is leading to knowledge sharing and consensus
building. This theme of collaboration has even carried forward into our professional
education opportunities and will be the concept behind the Nursing Informatics Symposium
at the next HIMSS2007 conference. Invited speakers are prepared to present on
collaboration across the care continuum, collaboration between clinical and IT departments,
clinical documentation collaboration, and collaboration with vendors and industry. The
symposium ends with multiple groups coming together with a multidisciplinary panel
presentation.
We should be encouraged by these sources of collaboration and look forward to
additional opportunities for ongoing partnerships. Interestingly enough, if you want to begin
today, you can go out to the Wiki and add your own piece of knowledge. The section on
Nursing Informatics (www.wikipedia.org/wiki/Nursing_informatics) needs your input!
Nursing and Informatics for the 21st Century: An International Look at
Practice, Trends and the Future [Book Review]
continued from Page 1
providing readers with fundamental concepts and compelling language that we can
use in our professional lives to convey what we do in our nursing informatics roles.
I was particularly impressed by the content within Section II of this book.
While many texts on nursing informatics focus on the why and how of our
practice, this section takes direct focus on the where; that is, the range of practice
venues and contributions nurse informaticians are making in areas that support or
are supported by the range of informatics practice activities. Nurse executives
would be well-advised to include this book in their library. The editors should
consider, if they have not already done so, providing courtesy copies to key
members of the American Organization of Nurse Executives as well as presenting
selected topics at the annual meeting. Chief Nurse Executives at large healthcare
facilities or integrated delivery networks will likely possess a high level
conceptual understanding of much of this content, however, this book will provide
details and models to facilitate discussions with others in the C-suite. It will also
go far in educating those executives who have not had exposure to the value and
contributions of nursing informatics practice.
Section III focuses on the intersection of nursing education and information
technology. Much has been published in this area, but less has been published
from an international perspective. This sharing of perspectives and approaches to
common dilemmas within the educational framework is where this section excels.
Section IV is targeted to the intermediate to advanced levels and will help
readers advance their understanding of some of our current challenges. Chapter 22
in Section IV is particularly valuable to front line, operationally oriented nurse
informatics practitioners who are in the midst of systems analysis, design and
product selection for their organizations and who must attempt to explain the state
of the science and art of evidence-based healthcare in the context of information
systems to their executive leadership. Today’s executive
continued on page 3
CARING • Page 2

Nursing and Informatics for the 21st Century: An International Look at
Practice, Trends and the Future [Book Review]
continued from Page 2
leaders may often naively assume that clinical information systems will leverage
evidence-based research by delivering clinical decision support systems. This is
far easier conceptualized than done. Dr. Titler provides a compact, yet effective
presentation of the key tenets of evidence-based practice to include an easy to
follow flowchart (model). She goes on to describe the role of clinical information
systems in implementing evidence-based practice; the holy grail that today’s
foremost healthcare institutions are seeking from their information technology
investments that is seldom obtained. This chapter and its references serve as an
excellent starting point for those seeking to communicate to their executive
leadership the complexity of leveraging the power of information technology to
advance evidence based practice within their institutions.
Section V is perhaps the true gem of this book and must have been a
coordination challenge for the editors. It offers a comprehensive overview of
electronic health record (EHR) initiatives by various countries across the globe. If
one would like to gain a basic comparative understanding of the state of the
science and art of EHR implementation, start here. It is not necessary to read
preceding chapters to gain value from this section.
The book wraps up nicely in Section VI with insights into what is rapidly
appearing on our horizon - bioinformatics, controlled vocabularies, increased
consumer control over their own health care, and the projections about the future
of nursing informatics practice. We have some significant challenges ahead, but
we have more significant opportunities in this dynamic professional area of
practice.
Given the comprehensiveness of this book, I was disappointed not to see
chapters in this book by two key leaders, Dr. Patricia Abbott and Dr. Nancy
Staggers, highlighting their contributions to the field of nursing informatics. Both
have made substantial and sustained contributions to data mining and knowledge
discovery in large databases and human factors and user-centered design,
respectively. Readers should not forget the value and importance of these areas to
today’s practice. Take time to search the literature for their work and consider it a
necessary extension of this text.
Overall, this is a very good book and one that all students and practitioners of
nursing informatics should make a part of their libraries. It is well written by
leading experts in the field and includes a number of case studies that provide
further discussion and international perspectives to universal problems about
particular topics. These case studies help to position this book at the intermediate
to advanced level of informatics practice - yet another reason to have this book in
one’s library. The table of contents and index present common terms used in
informatics thereby facilitating quick location of particular areas of interest. On
rare occasion, some figures include text that is difficult to read, but this is a minor
inconvenience given the value of the content.
For those who are new to or are early in their careers in nursing informatics
practice and are wondering how to forge a career doing this work, this book will
expose you to the range of subspecialty areas within nursing informatics. It
provides directions for future practice, and an introduction to the key leaders who
are forging the paths in each area. There is nothing short of a lifetime of
opportunities presented in this book that define nursing informatics practice.
Congratulations to the editors and all the authors on this significant contribution
to our professional field of practice!
Page 3 • 3rd Quarter 2006
More Member News
Christine Spisla, Vernon Hills, IL, graduated
May 2006 with a health sciences
masters with an emphasis on nursing
informatics from Loyola University,
Maywood, IL.
Teresa A. Trent, Key West, FL, graduated
with an MSN from Duke University,
Spring 2006.
Kathleen W. Wilson, Hurley, NY, earned
her masters degree from Sage College,
Troy, NY, May 2006.
Marco Zeimet, Goring-on-Thames UK,
graduated with a second MSc from
University of Surrey in 2006. He took
modules at Manchester University
(UK), Erasmus Universiteit in
Rotterdam (Netherlands) and
University of Surrey (UK). His first
MSc degree is in Telemedicine and
eHealth Systems from Brunel
University London (2003).
Bachelors
Twila Colville, State College, PA, graduated
from Slippery Rock University in
August 2006 with a BSN and a case
management certificate.
Janet Harvey, Seattle, WA, received a
BA after 18 months of evening classes
in Medical Informatics at Bellevue
Community College, Bellevue, WA.
Kayo Katsuya, Silver Spring, MD, graduated
in May 2006 with a BSN degree
from Johns Hopkins University.
Certifications:
Certification in Nursing Informatics by
the American Nurses Credentialing
Center:
Alicia LePard, Gillette, WY, is certified
in NI since 2004.
Susan K. Newbold, Columbia, MD, was
recertified in NI in July 2006.
M. Kathleen Smith, Gaithersburg, MD,
was recertified in NI in 2006.
Certified Professional in Healthcare
Information and Management Systems
(CPHIMS) granted by the Healthcare
Information and Management Systems
Society (HIMSS):
Janet Harvey, Seattle, WA, December 2005.
Linda Reeder, Seattle, WA, December 2005.
Carol Shade, Dayton, OH, June 2006.
continued on page 4

More Member News
Awards and Honors:
Robyn L. Carr, Green Lane, Auckland,
NZ, was elected to the position of Chair
of Nursing Informatics IMIA-NI, a special
interest group of the International
Medical Informatics Association.
Mary D. Doyle, Tucson, AZ, was honored
at Tucson Nurses Week
Foundation’s 2006 Fabulous 50, recognizing
the top 50 Tucson nurses at a
conference and gala dinner and dance.
More information about the Foundation
is available at http://www.tucsonnursesweekfoundation.org
.
Angela Barron McBride, Lafayette, IN,
was selected as a Living Legend in the
American Academy of Nursing. She
has been a Fellow since 1980 and will
be honored at the 33rd Annual Meeting
& Conference in Miami in November.
Karen S. Martin, Omaha,
NE, was honored with
the Distinguished
Achievement in Nursing
Award from The
University of Iowa
College of Nursing for
her significant contributions
to the field of
Karen S. Martin
nursing (from a
6/29/2006 University of Iowa News
Release). Martin is the author of more
than 80 articles, chapters, and books
including The Omaha System: A Key to
Practice, Documentation, and
Information Management, as well as 70
editorials. She is also the co-developer of
the Omaha System web site (www.omahasystem.org)
and serves on numerous
editorial boards and review panels.
Judith A. Murphy, West Allis, WI, was
selected as a Fellow in HIMSS, July 2006
and can now use the designation FHIMSS
after her name. She is also running for the
Boards of HIMSS and AMIA and is Chair
for the 2007 AMIA Spring Congress.
Presentations:
Martha Dewey Bergren, DNS, RN,
Chicago, IL, testified September 15th
before the National Committee of Vital
and Health Statistics (NCVHS)
Subcommittee on Privacy and
Confidentiality hearing on Privacy
Protections for Medical Records of
Non-Covered Entities. NCVHS is the
continued on page 5
NI2006 – International Congress on Nursing Informatics
Conference Report
By Peter J. Murray
About 75 CARING members attended and actively participated in NI2006, the
Ninth International Congress on Nursing Informatics, which took place from
June 9 - 14 at the COEX Convention Centre in Seoul, Korea. NI2006 was
organised by the Nursing Informatics Specialist Group of the Korean Society for
Medical Informatics (KOSMI), in conjunction with and on behalf of the
International Medical Informatics Association – Nursing Informatics (IMIA-NI),
IMIA’s Special Interest Group in Nursing Informatics.
The theme of the conference
was “Consumer-centred,
computer-supported care for
healthy people”, and many of the
keynote speakers addressed
aspects of the theme, producing
challenges for the future of
nursing and informatics. Roy
Simpson (Cerner Corporation),
addressed the need to redefine
nursing in an increasingly
Photo courtesy of Peter Murray
“consumer smart” world, and
warned of the dangers of nurses
becoming an endangered species
if they did not evolve, while
Roy Simpson and Hyeoun-Ae Park
Thomas Wong (Hong Kong
Polytechnic University) explored
the development of home-based telehealth applications and individual health
profiling.
In her opening keynote address, which accompanied a lavish display by Korean
dancers and musicians, Dr. Unna Huh, President of the Information and
Communications University, Korea outlined some of the technological
developments within Korea that are underpinning the capacity to support hightech
healthcare delivery. From her talk, new buzzwords and terms – ubiquitous
computing and u-health (as a move on from e-health) – seem to have captured the
imagination of colleagues. Ubiquitous computing refers to the concept of
computing devices being everywhere (“anywhere, anytime, on any device”), often
unseen or not recognisably “computers”, with interaction supported by high-speed
wireless networks. For new health services (u-health) this includes remote
wireless monitoring, wearable/implantable devices, and services to seamlessly and
invisibly support telehealth.
With over 340 presentations, including tutorials, panels, workshops and
demonstrations, and with more than 150 paper presentations, and almost 140
posters, addressing a wide diversity of subjects, it was only possible for any
individual to physically attend a small proportion of the event. A conference blog,
with photographs and some associated podcasts, provides further personal
perspectives on many of the conference presentations and activities, and allows
for a flavour of some of the presentations that people may not have been able to
attend. (http://differance-engine.net/ni2006blog)
The event was extremely successful, with over 700 participants from 34
countries, and high numbers of attendees from Japan,
continued on page 5
CARING • Page 4

Photo courtesy of Karl Oyri
Korea, the USA and Europe (in
particular Norway and Finland).
The event was also marked by
active involvement of participants
from Chile, China, Hong Kong,
NI2006 Opening Dancers
Iran, Pakistan, South Africa,
Taiwan, Thailand and Turkey,
which promises well for future further involvement of those countries in the
global nursing informatics community.
The now-traditional CARING networking reception attracted about 50 people.
CARING also sponsored the student award for papers and posters. The 10 winners
received a complementary one-year CARING membership as part of their award.
(See Table 1 for list of winners.)
CARING members were also
Table 1
actively involved in the invitational
CARING Student Award Winners
post-conference workshop, held
Gold: Nam-Ju Lee, New York
from June 14-17 and titled
Silver: William Dan Roberts, New York
“Nursing informatics 2020: towards
defining our own future.” Nursing Silver: Jeff Washburn (poster), Utah
informatics experts from around the Bronze: Katarina Goransson, Sweden
world explored the possible future Bronze: Sookyung Hyun, New York
nature and scope of nursing
Bronze: Jeeyea Choi, New York
informatics, nursing and healthcare,
Encouragement: Angelica te-Hui Hao, Taiwan
as viewed from likely
developments between now and Encouragement: Liisa Klemola, Finland
2020. The discussions and resulting Encouragement: Mikyoung Lee, Iowa
papers will be published at a later Encouragement: Hanna Suominen, Finland
date and will, as well as
contributing to the development of the IMIA Strategic Plan (‘Towards IMIA
2015’), also help to inform the future of IMIA-NI and revision of the IMIA-NI
Strategic Plan.
NI2009, the Tenth NI Congress will take place in Helsinki, Finland, from 28
June to 1 July, 2009 (www.ni2009.org).
Page 5 • 3rd Quarter 2006
NI2006 –
International Congress on
Nursing Informatics
Conference Report
continued from Page 4
Display of Korean National Dress Photo courtesy of Peter Murray
More Member News
public advisory body on health data,
statistics, and information policy for
the Department of Health and Human
Services. It advises the Department on
national health policy.
Rafat Jan Rukanuddin, Karachi,
Pakistan, presented on nursing to
President Mushraf of Pakistan in
Islamabad, July 2006. She is the second
PhD-prepared nurse in the country.
Janet Harvey, Seattle, WA, presented at The
National Conference on
Health Information Capture
on September 19, 2006 at
Alexis Park Resort and
Villas, Las Vegas, Nevada.
Her topic was, “Pencils to
Pixels: Wireless Care
Management.”
Susan K. Newbold,
Janet Harvey
Columbia, MD, presented
August 3, 2006, Chicago, IL on
Innovations in Technology, Informatics
Competencies, and Technology Tools,
Smart Classrooms and More.10th
National Perinatal Outreach Education
Conference. Sponsored by Perinatal
Outreach Educators of Illinois.
Susan K. Newbold, Columbia, MD, and
Barbara G. Covington, Baltimore,
MD, presented July 20, 2006 on
“Technology and the Nursing Shortage”
at the Summer Institute in Nursing
Informatics, University of Maryland
School of Nursing, Baltimore, MD.
Susan K. Newbold, Columbia, MD, June
24, 2006, Baltimore, MD. Nursing
Informatics: From Plan to Application.
Sponsored by Association of Women’s
Health, Obstetric, and Neonatoal Nurses.
Michele A. Norton, Trinity, FL, along
with Sonja Baro, Senior Product
Manager, McKesson, presented,
“Sharing Clinical Information Across
Care Settings – Discover Technical
Options and Realities” - July 13, 2006
via the world wide web.
Publications:
Brian Gugerty, Arnold, MD. Gugerty, B.
(2006) The holy grail: Cost-effective
healthcare evidence transparently and
consistently used by clinicians. Journal
of Healthcare information management,
20(3), p. 21-24.
continued on page 6

Karen S. Martin, Omaha, NE. Monsen,
K.A., Fitzsimmons, L. L., Lescenski,
B. A., Lytton, A.B., Schwichtenberg, L.
D. and Martin, K. (2006). A public
health nursing informatics data-andpractice
quality project. CIN:
Computers, Informatics, Nursing,Vol.
24, (3), 152-158.
Ramona E. Nelson, Allison Park, PA,
and Susan K. Newbold, Columbia,
MD. Nelson, R., Meyer, L, Rizzolo,
M., Rutar, P., Proto, M.B., & Newbold,
S. (2006). The evolution of education
information systems and nurse faculty
roles. Nursing Education Perspectives,
Vol. 27(5) 247-253.
Newbold, S. K. (2006). Twenty five
years of Capital Area Roundtable on
Informatics in Nursing: A national
group for informatics nurses. CIN:
Computer, Informatics, Nursing, Vol.
24(4), 238-239.
Ting Ting Lee, Taiwan. Lee, T.T. (Aug
2006) Adopting a personal digital assistant
system: application of Lewin’s
change theory. Journal of Advanced
Nursing, Vol. 5, p.487.
Bobbie Stone, Freehold, NJ. Rose
Sherman, Bobbie Stone, and Karen
Anita Thornton. (April 2006). Why
Take The Call? Nurse Leader Journal
Bonnie L. Westra, Blaine, MN. Westra,
B.L., Solomon, D., & Ashley, D. M.
(2006). Use of the Omaha system data to
validate Medicare required outcomes in
home care. Journal of Healthcare information
management, 20(3), p. 88-94.
Quoted:
More Member News
June Clark, Newton Swansea Wales and
Richard Hayward, Sturry, Kent, were
featured in this article. Lack of NPfIT
[National Programme for IT] involvement
concerns nurses, http://www.ehealth-insider.com/news/
item.cfm?ID=1974
Loretta Schlachta-Fairchild, Frederick,
MD was featured in an article,
“Closing the distance between classroom
and clinical. Nursing Spectrum,
October 9, 2006.
continued on page 7
CARING Meeting Conference Report
By Amy Walker
An enthusiastic Central Florida CARING group met
once again on Sept. 15 at South Seminole Hospital in
Longwood, Florida. Guest speaker, Sue Prince RN, MSN,
Network Director for Huntsville Hospital, presented on
Enhancing Communications, Efficiency, and Patient
Safety. The presentation detailed the journey for Huntsville
Hospital (HH) to automate the process of communication between the patient and
the caregiver, caregiver to caregiver, and caregiver to support personnel. Daily,
approximately 5,200 patient calls are processed through the Patient Response
Center and about 8,000 requests are processed through the Advanced Patient
Response Platform (APRP) at HH. These electronic tools track meaningful realtime
data for care decision support based on automated rules. The measurable
outcome has been improved response time to patient needs, enhanced patient
safety by timely and effectively communication, promotion of a quiet and private
clinical environment, and improved resource efficiency. Sue’s presentation was on
point to the positive impact that nursing and advanced
electronic clinical tools can have on patient outcomes and
clinical practice. A thought provoking question and answer
session followed the presentation. Thanks to Sue for
traveling all the way from Alabama and sharing with us
this valuable information.
The Central Florida CARING group was also fortunate
to have two nurses from the Orlando Regional Healthcare
System present on Meeting the Needs of Oncology Patients
Through Electronic Order Entry. Marietta Deilus, RN and
Marietta Deilus
Miscellany
A variety of stories or items of interest.
Nuggets of Wisdom
By Eva Feldman
Sue Prince
Michele Foor, RN walked us through the electronic order
management process for chemotherapy protocol orders,
from physician to pharmacist to the certified oncology nurse for administration to
the patient. Thanks to Marietta and Michele for taking time out of your busy
implementation schedule to share your expertise with the group.
The next Central Florida CARING meeting is scheduled for November 10, from
2-4 pm at South Seminole Hospital. Health First nurses will present and demo the
Knowledge Based Charting and Results System. Wuesthoff Hospital nurses will
demo NIC/NOC Online Documentation and Emergency Department Management
Documentation. In addition, Orlando Regional Healthcare System and OptimizeIT
Consulting will be hosting a WINI in Orlando on Feb 16-18, 2007.
Nearly two years ago, after having been a bedside ICU nurse for twenty-some
years, I was overjoyed to be pulled off staff to join the clinical side of the
Information Services department. My role was to contribute the ICU perspective
and help prepare the critical care areas for computerized nursing documentation.
My only preparation for such a role change was being in the right place at the
right time. Needless to say, I have learned much since then
and would like to share a couple of nuggets of wisdom.
continued on page 7
CARING • Page 6

Miscellany
continued from Page 6
Tech Talk Nugget
First and foremost, be very aware that your knowledge of tech talk differs greatly
from the public’s knowledge. The earnest nurse manager of the ICU was trying to
be helpful by putting up a colorful sign in the unit, with encouraging words to the
anxious staff. The sign had a picture of a cartoon computer and proclaimed, “Let’s
Go-Live!” The next day, a distressed visitor approached one of the nurses, indicated
the sign and remarked, “That’s an awful thing to be hanging up in a hospital,
especially in an intensive care unit.” The perplexed nurse didn’t know how to
respond, until the visitor said with disdain, “Let’s go live!” pronouncing ‘live’ with
a short ‘I’. The sign was removed without ceremony.
Nutty Nugget
Next, make sure you have well-trained super users, with sharp eyes and minds,
who are able to carefully review the electronic record. In Meditech CS, the
frequency text on the nurse’s worklist can be customized as long as it is preceded
by a ‘dot’ or period. The first week of the ICU go-live, a patient who was rather
difficult to handle and was having hallucinations had an unusual ‘dot’ frequency on
his worklist. Instead of the frequency ‘.NUR’, the frequency for his activity order
said, ‘.NUT’. The improper, though accurate, error was quickly corrected.
I have taken these lessons to heart, as I hope you will. In my life, experience
remains the best teacher.
Be a Bookworm in a New Sense
By Debra Derickson
I have been commuting to work using public transportation or driving for many
years, and have often tried to make good use of my time by trying to read journals
and newspapers, or by listening to news radio. At home, I always had some excuse
for not reading very much. I would read perhaps a short article or two, but rarely
would I attempt reading a long book for pleasure. Over the years, I have felt
somewhat guilty about my neglect of reading books and of my ignorance of new
bestsellers or the classics.
Recently, my teenage daughter got an iPod MP3 player to listen to her favorite
tunes, and I learned how to use one to help her figure it out. In the process of
exploring this relatively new technology, I found out about audio books that I could
play on the iPod as well. I promptly got my own MP3 player, subscribed to an
online audio book service, and have been faithfully downloading book after book,
from novels for young adults, to classic or self-improvement books, to the latest
best seller. To my great surprise, I have “found” new time for books with this new
tool. I listen to books during my commute to and from work, while doing household
chores, while shopping for groceries or while waiting in lines or in a waiting room.
Because the player is only a few inches long and weighs only a few ounces, it is so
convenient to take with me wherever I go, and I find that consuming each book can
go very quickly.”
I don’t want to sound like a paid advertisement, but I always recommend to
others to consider using one of these new audio file players for listening to audio
books to enhance their enjoyment while making efficient use of time, being a
bookworm using the sense of hearing. My next adventure will be downloading
some podcasts to listen to news, stories, or music that I find of interest on the web.
It’s a brand new world for me, and I encourage you explore this time saving
technology for yourself. Happy listening!
Page 7 • 3rd Quarter 2006
continued on page 8
More Member News
Sandra M. Trakowski, Falls Church,
VA, was quoted in CAP Today
[College of American Pathologists],
August 13, 2006. Pushing for nursing
to be in on IT decisions. See
http://www.cap.org/apps/docs/cap_
today/surveys/0706PatSvy.pdf
Sue Thomson, Frederick, MD., and Ruth
MacCallum, Cary, IL, were quoted in
Health Data Management, August
2006.
Michael Sutter, Champaign, IL, was
interviewed for an article in Healthcare
IT news and in the EMR Advisor on
Carle Clinic’s EMR implementation.
Research Grant Awarded:
Lieutenant Colonel Caterina Lasome,
Tricare Management Activity, Falls
Church, VA; Colonel (retired) Nancy
Staggers, PhD, RN, FAAN, University
of Utah College of Nursing; and
Colonel (retired) Bonnie Jennings,
DNSc, RN, FAAN, Health Care
Consultant, Alexandria, VA are Co-
Principal Investigators for a recently
awarded $3.011M, two-year research
grant from the Telemedicine and
Advanced Technology Research Center
(TATRC). The study will evaluate the
usability of automated clinical practice
guidelines in AHLTA, the military’s
global, longitudinal computerized
ambulatory health record for military
service members and Department of
Defense beneficiaries. Clinicians will
participate in hands-on performance
testing, leading to development of a
prototype application and further testing.
The goals of the research are to
improve clinician efficiency as well as
patient care outcomes.
Neat Stuff:
Christen Burkeen, Occoquan, VA, and
Diane Struck Shelkin, Alexandria, VA,
volunteered for Habitat for Humanity
in Biloxi, MS, last summer.
Nancy Sharp, Bethesda, MD, is cofounder
of the Nightingale Policy
Group, a virtual organization to help
nurses involved in public policy.
Please send items for future newsletters
to: Susan K. Newbold,
snewbold@umaryland.edu

Upcoming Events
November 10, 2006, 2-4 pm
Central Florida CARING meeting at South
Seminole Hospital. Health First nurses will
present and demonstrate the Knowledge
Based Charting and Results System.
Wuesthoff Hospital nurses will demonstrate
NIC/NOC Online Documentation
and Emergency Department Management
Documentation. For more details, contact
Amy Walker, (awalker625@aol.com).
November 11, 2006, 8 am
AMIA Nursing Informatics Symposium
at the AMIA National Meeting,
Washington, D.C. A full day pre-conference
event (AMIA 2006) hosted by
AMIA and co-sponsored by ANI and
HIMSS. The focus of the symposium is
“RHIOs (Regional Health Information
Organizations) and Nursing: Information
at the Center of Care”. This one-day symposium
chaired by Annelle Tanner,
EdD,MSN, RN, brings RHIO experts
from across the country together with
leaders in nursing informatics to discuss
issues relevant to the development and
function of RHIOs as well as an exploration
of the specific extension of the role
of nurses in patient safety and advocacy.
More details at: http://www.amia.org/
meetings/f06/nisymposium.asp
November 13, 2006, 12 pm – 1:30 pm
The Annual CARING/AMIA Luncheon,
at the Hilton Washington Hotel and
Towers, Washington, DC. Topic will be
“Nursing Informatics History.” Register at
www.amia.org.
Contact Susan K. Newbold for more
details or to volunteer,
snewbold@umaryland.edu.
February 25, 2007
Nursing Informatics Symposium, at the
HIMSS 2007 annual conference, New
Orleans, LA. General topic theme is collaboration.
See http://www.himss07.org
for more details.
April 26 – 28, 2007
ANIA CARING Annual Conference,
Las Vegas, Nevada. A collaborative
event on the topic of “Transforming the
Future of Healthcare: Nursing
Informatics 2007,” featuring collaboration,
communication, education, and
connection. Check the CARING website
(www.caringonline.org) and CARING
emails for more details as they become
available. Volunteers needed for planning
this event! Contact a CARING
Board member to find out more.
Miscellany
continued from Page 7
Definitions of New Terms
Mashup: A technology or service, or a website or web application that relies
on the inter-operability and combination of various other technologies or services.
It seamlessly combines content from more than one source into an integrated
experience. One example - using a data set of addresses presented in the context
of another data set of cartographic maps. The origin of this term comes from its
use in the music world where elements from one song combined with elements
from another song produces something entirely new.
Blog: In general, a blog is a contraction of the phrase ‘web log’. It can be used
as a noun as well as a verb. Blogs often provide comments or news on a specific
subject, and may combine text, images, other media, and links to other blogs or
web pages. Some say a blog is whatever you want it to be, with no real rules.
Others believe that there are very specific characteristics of a blog.
Some contrasting views on the definition of a blog:
• A personal diary; personal expressions or thoughts
• A pulpit or soapbox
• A conversation
Must contain these features: reverse chronological order, unfiltered content, and
comments. Expect hypertext links to sites outside of the blog as well as use of an
informal tone in the text.
VLOG (vlog): A video web log or video blog containing video content. It is
becoming more commonplace as the hardware and software becomes cheaper and
hosting sites become more prevalent.
RSS: A popular online web feed format used to distribute entire site content or
discreet item content from one website to another. RSS allows users to subscribe
to their favorite websites. Webmasters can put their content into a standardized
RSS format and be conveyed as new content on another website. Once
information about each item is in RSS format, an RSS-aware program can check
the feed for changes and react to the changes in an appropriate way.
The acronym has various meanings:
• Really Simple Syndication (RSS 2.0)
• Rich Site Summary (RSS 0.91, RSS 1.0)
• RDF [Resource Description Framework] Site Summary (RSS 0.9 and 1.0)
Online Resources:
Mashup:
• http://en.wikipedia.org/wiki/Mashup_(web_application_hybrid)
• http://www.webopedia.com/TERM/M/mash_up.html
Blog:
• http://www.ojr.org/ojr/stories/050929/
• http://en.wikipedia.org/wiki/Blog
• http://www.blogger.com/tour_start.g
RSS:
• http://en.wikipedia.org/wiki/RSS_(file_format)
• http://searchwebservices.techtarget.com/sDefinition/0,,sid26_gci813358,00.html
CARING • Page 8

CARING Networking Dinner
at SINI 2006
CARING hosted another very
successful networking dinner
during the University of Maryland’s
Summer Institute in Nursing
Informatics this past July. The event
was open to members as well as
non-members, resulting in a full
house at Chiapparelli’s of Little
Italy in Baltimore. This year, we
used a new feature on the new
CARING website to provide online
advance registration, payment, and
automatic receipts for the dinner.
This saved a lot of work and
headaches for the organizers
involved. We look forward to
repeating this event next year. Hope
to see you there!
Page 9 • 3rd Quarter 2006

CARING Contacts
Newsletter
Debra Derickson, MS, RN
3774 Gunston Road
Alexandria, VA 22302
H: 703/578-0415
E-Mail: DebraDerickson@comcast.net
.
Membership
Susan K. Newbold, MS, RNBC, FAAN
6460 South Wind Circle
Columbia, MD 21044
H: 410/531-9244
E-Mail: snewbold@umaryland.edu
.
CARING Board of Directors:
Jerry Chamberlain
President
Patrick Shannon
Vice President, Program Planning
Amy Jacobs
Treasurer
Placidia Clark
Secretary
Debra Derickson
Newsletter Editor
Jason Windsor
Marketing Liaison
Susan Newbold
Membership, ANI Representative, E-list
Liberty Rovira
Web Committee Liaison
Stephen Prouse
CARING Webmaster
.
CARING Web site – Homepage
http://www.caringonline.org
CARING Sponsors and Supports the TIGER Initiative
CARING is a proud sponsor of the TIGER Initiative - Technology Informatics
Guiding Educational Reform. The purpose of the initiative is to identify
information/knowledge management best practices and effective technology
capabilities for nurses. TIGER’s goal is to create and disseminate local and global
action plans that can be duplicated within nursing and other multidisciplinary
healthcare training and workplace settings.
TIGER Vision:
• Allow informatics tools, principles, theories and practices to be used by
nurses to make healthcare safer, effective, efficient, patient-centered, timely
and equitable
• Interweave enabling technologies transparently into nursing practice and
education, making information technology the stethoscope for the 21st
century
TIGER Expected Outcomes:
• Publish a summit report, including summit findings and exemplars of
excellence
• Establish guidelines for organizations to follow as they integrate informatics
knowledge, skills and abilities into academic and practice settings
• Set an agenda whereby the nursing organizations specify what they plan to
do to bridge the quality chasm via information technology.
TIGER Summit:
As part of their work, TIGER will be conducting an invitation-only summit,
October 30th – November 1st 2006 at the Uniformed Services University Health
Sciences (USUHS) in Bethesda, Maryland. The summit will bring together leaders
from the nation’s nursing practice, education, and informatics/technology
organizations, government agencies, and other key stakeholders around a singular
exploratory focus: “How can we transform nursing practice and education to
integrate information technology to promote safer, higher-quality patient care?”
The summit will yield a vision and action plans for transforming nursing practice
and education over the next 10 years to prepare nurses to practice in an
increasingly automated, informatics-rich, and consumer-driven health care
environment. Several CARING members will attend the invitational event.
Three publications are planned to be the major summit deliverables.
1) Seven challenge papers to be written by the summit case study exemplar
presenters.
2) Preliminary report of the summit. Expected publication date 11/30/06.
3) Report of the summit. Expected publication date 3/31/07.
Please visit http://www.umbc.edu/tiger/ for more information.
CARING • Page 10