ANA Standards of Nursing Informatics Practice
The Standards of Standards of Practice for
Practice for Nursing Nursing Informatics Nursing
Informatics describe a
competent level of nursing Standard 1. Assessment
care as demonstrated The informatics nurse collects comprehensive data,
by the critical thinking information, and emerging evidence pertinent to the situation.
model known as the
nursing process. The Standard 2. Diagnosis, Problems, and
nursing process includes Issues Identification
the components of The informatics nurse analyzes assessment data to
assessment, diagnosis, identify diagnoses, problems, issues, and opportunities for
outcomes identification, improvement.
planning, implementation,
Standard 3. Outcomes Identification
and evaluation.
The informatics nurse identifies expected outcomes for a plan
Accordingly, the nursing
individualized to the healthcare consumer or to the situation.
process encompasses
significant actions taken Standard 4. Planning
by nursing informatics The informatics nurse develops a plan that prescribes strategies,
nurses and forms the alternatives, and recommendations to attain expected outcomes.
foundation of the nurse’s
decision-making. Standard 5. Implementation
The informatics nurse implements the individualized plan.
Standard 5A. Coordination of Activities
The informatics nurse coordinates planned activities.
Standard 5B. Health Teaching and Health
Promotion
The informatics nurse employs informatics solutions and
strategies for education and teaching to promote health
and a safe environment.
Standard 5C. Consultation
The informatics nurse provides consultation to influence
the identified plan, enhance the abilities of others, and
effect change.
Standard 6. Evaluation
The informatics nurse evaluates progress toward attainment
of outcomes.
http://www.Nursingworld.org source: American Nurses Association (2015). Nursing Informatics: Scope and
© 2015 ANA Standards of Practice, 2nd Edition. Silver Spring, MD: Nursesbooks.org.
, The American Nurses Association (ANA) is a national professional association. This publication, Nursing
Informatics: Scope and Standards of Practice, Second Edition, reflects the thinking of the practice
specialty of nursing informatics on various issues and should be reviewed in conjunction with state
board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing,
while Nursing Informatics: Scope and Standards of Practice, Second Edition, guides informatics nurses
in the application of their professional skills and responsibilities.
The American Nurses Association is the only full-service professional organization representing the
interests of the nation’s 3.1 million registered nurses through its constituent/state nurses associations
and its organizational affiliates. The ANA advances the nursing profession by fostering high standards
of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic
view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting
nurses and the public.
American Nurses Association
Nursing
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.Nursingworld.org
Informatics:
Published by Nursesbooks.org
The Publishing Program of ANA
http://www.Nursesbooks.org/
Scope and
Copyright © 2015 American Nurses Association. All rights reserved. Reproduction or transmission in
any form is not permitted without written permission of the American Nurses Association (ANA).
This publication may not be translated without written permission of ANA. For inquiries, or to report
unauthorized use, email .
Standards
ISBN-13: 978-1-55810-580-5 SAN: 851-3481 11/2014
First printing: November 2014.
of Practice
Second Edition
American Nurses Association
Silver Spring, Maryland
2015
, Contents
Contents
Safety, Security, and Environmental Health 34
Integrated Functional Area Example: Telehealth and Informatics 36
Evolution of Informatics Competencies 37
Informatics Competencies Requisite for All Registered Nurses 37
Research About Nursing Informatics Competencies 39
Professional Organization Discussions on Informatics
Competencies 40
Healthcare Leadership Alliance 40
American Organization of Nurse Executives 40
Quality and Safety Education for Nurses 40
Contributors vii National League for Nursing 41
TIGER Initiative Foundation 41
The Scope of Nursing Informatics Practice 1 Informatics Competencies: Spanning Careers and Roles 41
Introduction 1 Informatics Competencies for Informatics Nurses and Informatics
Definition of Nursing Informatics 1 Nurse Specialists 43
Metastructures, Concepts, and Tools of Nursing Informatics 2 Informatics Competencies for Nurse Educators 43
Metastructures: Data, Information, Knowledge, and Wisdom 2 Office of the National Coordinator for Health Information
Integration of Nursing Informatics into Practice 6 Technology 44
Nursing Informatics Practice 7 Synthesis of Evolution of NI Competencies 46
Tenets of Nursing Informatics 8 Preparation for Nursing Informatics Specialty Practice 47
Nursing, the Nursing Process, and Vocabularies 9 Certification of Informatics Nurses 48
Concepts and Tools from Information Science and An Advancing Professional Nursing Specialty 48
Computer Science 14 Ethics in Nursing Informatics 49
User Experience and Related Concepts 14 The Future of Nursing Informatics 52
Phenomenon of Nursing 16 Trends in Practice Roles and Competencies for Nurses
Functional Areas of Nursing Informatics 18 and Informatics 52
Administration, Leadership, and Management 19 Trends in Technology 53
Systems Analysis and Design 21 Nanotechnology 54
Compliance and Integrity Management 22 Tools for Managing Population Health Concerns 54
Consultation 24 Devices and Hardware 55
Coordination, Facilitation, and Integration 24 Robotics 57
Development of Systems, Products, and Resources 26 Focus of Emerging Technologies 57
Education and Professional Development 27 Knowledge Representation 59
Genetics and Genomics 29 Educational Technologies 59
Information Management and Operational Architecture 30 Tools for Patient Access to Health Information 60
Policy Development and Advocacy 31 Expanded Use of IT in Nursing 60
Quality and Performance Improvement 32 Implications for Nursing Informatics 62
Research and Evaluation 32 Trends in Regulatory Changes and Quality Standards 62
iii iv Nursing Informatics: Scope and Standards of Practice, 2nd Edition
, Contents
Trends in Care Delivery Models and Innovation 63
Consumer Informatics 64
External Partnerships 65 This page intentionally left blank
Implications for Nursing Informatics 65
NI Future and Trends: Summary 66
Standards of Nursing Informatics Practice 67
Significance of the Standards 67
Standards of Practice for Nursing Informatics 68
Standard 1. Assessment 68
Standard 2. Diagnosis, Problems, and Issues Identification 70
Standard 3. Outcomes Identification 71
Standard 4. Planning 72
Standard 5. Implementation 73
Standard 5a. Coordination of Activities 75
Standard 5b. Health Teaching and Health Promotion 76
Standard 5c. Consultation 77
Standard 6. Evaluation 78
Standards of Professional Performance for Nursing Informatics 79
Standard 7. Ethics 79
Standard 8. Education 81
Standard 9. Evidence-Based Practice and Research 83
Standard 10. Quality of Practice 84
Standard 11. Communication 86
Standard 12. Leadership 87
Standard 13. Collaboration 89
Standard 14. Professional Practice Evaluation 91
Standard 15. Resource Utilization 92
Standard 16. Environmental Health 93
Glossary 95
References 97
Appendix A. An Emerging Model of Wisdom 107
Appendix B. Nursing Informatics: Scope and Standards of Practice
(2008) 109
Index 205
Nursing Informatics: Scope and Standards of Practice, 2nd Edition v
The Standards of Standards of Practice for
Practice for Nursing Nursing Informatics Nursing
Informatics describe a
competent level of nursing Standard 1. Assessment
care as demonstrated The informatics nurse collects comprehensive data,
by the critical thinking information, and emerging evidence pertinent to the situation.
model known as the
nursing process. The Standard 2. Diagnosis, Problems, and
nursing process includes Issues Identification
the components of The informatics nurse analyzes assessment data to
assessment, diagnosis, identify diagnoses, problems, issues, and opportunities for
outcomes identification, improvement.
planning, implementation,
Standard 3. Outcomes Identification
and evaluation.
The informatics nurse identifies expected outcomes for a plan
Accordingly, the nursing
individualized to the healthcare consumer or to the situation.
process encompasses
significant actions taken Standard 4. Planning
by nursing informatics The informatics nurse develops a plan that prescribes strategies,
nurses and forms the alternatives, and recommendations to attain expected outcomes.
foundation of the nurse’s
decision-making. Standard 5. Implementation
The informatics nurse implements the individualized plan.
Standard 5A. Coordination of Activities
The informatics nurse coordinates planned activities.
Standard 5B. Health Teaching and Health
Promotion
The informatics nurse employs informatics solutions and
strategies for education and teaching to promote health
and a safe environment.
Standard 5C. Consultation
The informatics nurse provides consultation to influence
the identified plan, enhance the abilities of others, and
effect change.
Standard 6. Evaluation
The informatics nurse evaluates progress toward attainment
of outcomes.
http://www.Nursingworld.org source: American Nurses Association (2015). Nursing Informatics: Scope and
© 2015 ANA Standards of Practice, 2nd Edition. Silver Spring, MD: Nursesbooks.org.
, The American Nurses Association (ANA) is a national professional association. This publication, Nursing
Informatics: Scope and Standards of Practice, Second Edition, reflects the thinking of the practice
specialty of nursing informatics on various issues and should be reviewed in conjunction with state
board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing,
while Nursing Informatics: Scope and Standards of Practice, Second Edition, guides informatics nurses
in the application of their professional skills and responsibilities.
The American Nurses Association is the only full-service professional organization representing the
interests of the nation’s 3.1 million registered nurses through its constituent/state nurses associations
and its organizational affiliates. The ANA advances the nursing profession by fostering high standards
of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic
view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting
nurses and the public.
American Nurses Association
Nursing
8515 Georgia Avenue, Suite 400
Silver Spring, MD 20910-3492
1-800-274-4ANA
http://www.Nursingworld.org
Informatics:
Published by Nursesbooks.org
The Publishing Program of ANA
http://www.Nursesbooks.org/
Scope and
Copyright © 2015 American Nurses Association. All rights reserved. Reproduction or transmission in
any form is not permitted without written permission of the American Nurses Association (ANA).
This publication may not be translated without written permission of ANA. For inquiries, or to report
unauthorized use, email .
Standards
ISBN-13: 978-1-55810-580-5 SAN: 851-3481 11/2014
First printing: November 2014.
of Practice
Second Edition
American Nurses Association
Silver Spring, Maryland
2015
, Contents
Contents
Safety, Security, and Environmental Health 34
Integrated Functional Area Example: Telehealth and Informatics 36
Evolution of Informatics Competencies 37
Informatics Competencies Requisite for All Registered Nurses 37
Research About Nursing Informatics Competencies 39
Professional Organization Discussions on Informatics
Competencies 40
Healthcare Leadership Alliance 40
American Organization of Nurse Executives 40
Quality and Safety Education for Nurses 40
Contributors vii National League for Nursing 41
TIGER Initiative Foundation 41
The Scope of Nursing Informatics Practice 1 Informatics Competencies: Spanning Careers and Roles 41
Introduction 1 Informatics Competencies for Informatics Nurses and Informatics
Definition of Nursing Informatics 1 Nurse Specialists 43
Metastructures, Concepts, and Tools of Nursing Informatics 2 Informatics Competencies for Nurse Educators 43
Metastructures: Data, Information, Knowledge, and Wisdom 2 Office of the National Coordinator for Health Information
Integration of Nursing Informatics into Practice 6 Technology 44
Nursing Informatics Practice 7 Synthesis of Evolution of NI Competencies 46
Tenets of Nursing Informatics 8 Preparation for Nursing Informatics Specialty Practice 47
Nursing, the Nursing Process, and Vocabularies 9 Certification of Informatics Nurses 48
Concepts and Tools from Information Science and An Advancing Professional Nursing Specialty 48
Computer Science 14 Ethics in Nursing Informatics 49
User Experience and Related Concepts 14 The Future of Nursing Informatics 52
Phenomenon of Nursing 16 Trends in Practice Roles and Competencies for Nurses
Functional Areas of Nursing Informatics 18 and Informatics 52
Administration, Leadership, and Management 19 Trends in Technology 53
Systems Analysis and Design 21 Nanotechnology 54
Compliance and Integrity Management 22 Tools for Managing Population Health Concerns 54
Consultation 24 Devices and Hardware 55
Coordination, Facilitation, and Integration 24 Robotics 57
Development of Systems, Products, and Resources 26 Focus of Emerging Technologies 57
Education and Professional Development 27 Knowledge Representation 59
Genetics and Genomics 29 Educational Technologies 59
Information Management and Operational Architecture 30 Tools for Patient Access to Health Information 60
Policy Development and Advocacy 31 Expanded Use of IT in Nursing 60
Quality and Performance Improvement 32 Implications for Nursing Informatics 62
Research and Evaluation 32 Trends in Regulatory Changes and Quality Standards 62
iii iv Nursing Informatics: Scope and Standards of Practice, 2nd Edition
, Contents
Trends in Care Delivery Models and Innovation 63
Consumer Informatics 64
External Partnerships 65 This page intentionally left blank
Implications for Nursing Informatics 65
NI Future and Trends: Summary 66
Standards of Nursing Informatics Practice 67
Significance of the Standards 67
Standards of Practice for Nursing Informatics 68
Standard 1. Assessment 68
Standard 2. Diagnosis, Problems, and Issues Identification 70
Standard 3. Outcomes Identification 71
Standard 4. Planning 72
Standard 5. Implementation 73
Standard 5a. Coordination of Activities 75
Standard 5b. Health Teaching and Health Promotion 76
Standard 5c. Consultation 77
Standard 6. Evaluation 78
Standards of Professional Performance for Nursing Informatics 79
Standard 7. Ethics 79
Standard 8. Education 81
Standard 9. Evidence-Based Practice and Research 83
Standard 10. Quality of Practice 84
Standard 11. Communication 86
Standard 12. Leadership 87
Standard 13. Collaboration 89
Standard 14. Professional Practice Evaluation 91
Standard 15. Resource Utilization 92
Standard 16. Environmental Health 93
Glossary 95
References 97
Appendix A. An Emerging Model of Wisdom 107
Appendix B. Nursing Informatics: Scope and Standards of Practice
(2008) 109
Index 205
Nursing Informatics: Scope and Standards of Practice, 2nd Edition v
