NI Intro
NI Intro
NI Intro
Gorme, RN, MN
Historical Perspectives of Nursing and the
Computer
Prior to the 1960s
There were only a few experts who formed the cadre of
pioneers that attempted to adapt computers to health
care and nursing.
Computers were initially used in health care facilities
for basic business functions.
These early computers use punch cards to store data
and card readers to read computer programs, sort, and
prepare data for processing. They were linked together
and operated by paper tape and used teletypewriters
to print their output.
1960s
Studies were conducted to determine how computer
technology could be utilized effectively in the health
care industry and what areas of nursing should be
automated.
Cathode ray tube (CRT) terminals, online data
communication and real-time processing were
introduced.
Hospital Information Systems (HISs) were developed
primarily to process financial transactions and serve as
billing and accounting systems.
1970s
Nurses recognized the computer’s potential for
improving the documentation of nursing practice, the
quality of patient care, and the repetitive aspects of
managing patient care.
They assisted in the design and development of
nursing applications for the HISs and other
environments where nurses functioned.
Several mainframe HISs were designed and developed
as well as computer-based management information
systems (MISs)
1980s
The field of informatics emerged in the health are
industry and nursing.
NI became an accepted specialty and many nursing
experts entered the field.
The nursing profession were faced with the challenge
not only to update its practice standards but also
determine its data standards, vocabularies, and
classification schemes that could be coded for the
computer-based patient records system (CPRSs).
Many mainframe HISs emerged with nursing
subsystems. These systems documented several
aspects of the patient record; namely, order entry
emulating the Kardex, results reporting, vital signs,
and other systems that documented narrative nursing
notes via word-processing packages.
Microcomputers or personal computers (PC) emerged.
This technology made computers more accessible,
affordable, and usable by nurses and other health care
providers.
1990s
In 1992, NI was approved by the American Nurses
Association (ANA) as a new nursing specialty.
This period brought smaller and faster computers –
laptops and notebooks – to the bedside and all of the
point-of-care settings.
Workstations and local area network (LAN) were
developed for hospital nursing units, wide area
networks (WAN) were developed for linking care
across health care facilities, and the Internet started to
be used for linking across the different systems.
By 1995, the Internet had moved into the mainstream
social milieu with electronic mail (E-mail), file transfer
protocol (FTP), Gopher, Telnet, and WWW protocols,
which greatly enhanced its usability and user-
friendliness.
The Internet began to be used for high performance
computing and communication (HPCC) or the
“information superhighway”.
The “Web” became the means for communicating
online services and resources to the community.
ASSIGNMENTS
Innovation
distinguishes between
a leader and a follower.
Supercomputers
The first supercomputer was developed by a computer
engineer named Seymour Cray.
He joined the company – Control Data Corporation
(CDC) and his work culminated in the production of
CDC 7600, a computer ten times more powerful than
the CDC 6600, often called the first supercomputer.
He later founded his own company called – Cray
Research and its first product was Cray-I
supercomputer.
Most consider the Cray-I to be the first supercomputer
since its architecture was of magnitude greater than
anything before into it.
At the end of cold war, supercomputers have had
decrease in demand.
He was called the Father of Supercomputing.
3 Broad Classes of Computers
1. Analog Computer
It operates on continuous physical or electrical
magnitudes, measuring ongoing continuous analog
quantities such as voltage, current, temperature, and
pressure.
Examples of these are heart monitors and fetal
monitors.
It handles data in continuously variable quantities
rather tan breaking the data down into discrete digital
representations.
2. Digital Computer
It operates on discrete discontinuous numerical digits
using the binary numbering system.
Its data are represented by numbers, letters, and
symbols, rather than waveforms.
Most of the computers used in the health care
industry for charting and decision support are digital
computers.
3. Hybrid Computers
It contains features of both the analog and the digital
computer.
It is used for complex signal processing and other
engineering-oriented applications.
It is also found in some monitoring equipment that
converts analog signals to digital ones for data
processing.
Examples are ECG, EEG and so forth.
Supercomputers
It is the largest type of computer.
It is a computational-oriented computer specially
designed for scientific applications requiring gigantic
amounts of calculations.
It is designed primarily for analysis of scientific and
engineering problems and for tasks requiring millions
or billions of computational operations and
calculations.
It is found primarily in areas such as defense and
weaponry, weather forecasting, and scientific research.
Mainframes
It is the fastest, largest, and most expensive type of
computer used in corporate America for processing,
storing and retrieving data.
It is a large multiuser central computer that meets the
computing the needs – especially the large amount of
repetitive calculations of bills, payroll, and the like – of
a large organization.
It can serve a large number (hundreds) of users at the
same time.
It has also an extremely large memory capacity and fast
operating and processing time at one time.
Microcomputers (PC)
It can serve as stand-alone workstations and can be
linked to a network system to increase their
capabilities.
Hospital nursing departments are using PCs to process
specific applications such as patient classification,
nurse staffing and scheduling, and personnel
management applications.
Handheld Computers
A handheld PC, or H/PC for short, is a computer built
around a form factor which is smaller than any
standard laptop computer. It is sometimes referred to as
a palmtop.
These are small, special function computers.
They are limited in their expansion possibilities, their
ability to serve as full participants in the office network,
and the peripherals they can support.
More popular are the palm-sized computers, including
personal digital assistants (PDA).
PDA is a very small special function handheld computer
which provides calendar, contacts, and note-taking
functions, and may provide word processing, spread sheet,
and a variety of other functions.
Handheld PC is distinct from its more recent
counterparts such as the Palm-Size PC, Pocket PC,
or smartphone in that the specification provides for
larger screen sizes as well as a keyboard; and it
operates in greater speed than the latter.
Keyboard
It is the most common input device.
Sections/Keys:
1. Typewriter keys
2. Function keys
3. Numeric keypad
4. Cursor keys
5. Toggle keys
6. Special operation keys
The typewriter key section is the largest and contains
keys that follow the standard QWERTY arrangement
of keys of a standard typewriter (the term represents
the first 6 letters in the first alphabetic rows).
The function keys (F1-F12) are software-specific; that
is, they are programmable, since their function is
dependent on the software program being processed.
Three other keys – Shift, Ctrl, and Alt expand the
function keys by being used in combination with them
to carry out their commands.
Assignment!!!
Research regarding the different combinations of the
keys on a keyboard and their specific functions
(Windows 7 – Microsoft Office 2007).