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Last update
14.08.01

COUNTRIES'ANNUAL REPORTS
from 2000-2001

Chairman, Denmark, Finland, Germany, Ireland, Israel, Northen Ireland, Norway, Switzerland, UK

 

 

Report of activities to EFMI Council
For the period August 2000 to August 2001
Presented on September 1st 2001, EFMI Council meeting, London
by Patrick Weber, Chairman of the working group
Email: patrick.weber@nicecomputing.ch

Selection of members

Mrs Ayala Gonen was elected as new member in Hanover 2000. She represents Israel and is chairing Nursing Informatics group in Israel and she was elected this year to the general council and the medical committee of the Israeli Organization for Technology and Informatics.

Objectives of the WG

Ø To support nurses and nursing organisations in the European countries with information and contacts and the field of informatics

Ø To offer nurses opportunities to build contact networks within the informatics field. This could be accomplished by arranging sessions, workshops and tutorials in connection with the Medical Informatics European (MIE) conferences or by arranging separate meetings.

Ø To support the education of nurses with respect to informatics and computing.

Ø To support research and developmental work in the field and promote publishing of achieved results.

Recent activities

The last 2 events of the WG5 are the following:

Ø Working group meeting in Hanover 2000.

Ø Active presentation in Bucharest spring 2001.

Strategy describe here below will be evaluated at Medinfo WG5 meeting 2001

Aid the development of health informatics courses for pre and post registration nurses, midwives and other health care professionals.
Promote the development of minimum datasets, based on existing data for comparison between EFMI countries of the numbers and grades nurses and nursing activities.
Press for nursing needs to be included in the electronic health record
Support the development of research into nursing informatics issues particularly multi-site and across country boundaries
Identify the needs of nursing management for information
Continue to disseminate information about health informatics and the work of EFMI WG5
Several county’s members of our WG are directly involved into developments corresponding to our aims please look at country reports on the Website www.nicecomputing.ch/nieurope

Future activities

Meeting at Medinfo aims to prepare next year participation of WG5. At least we will have a presentation at the next spring meeting in 2002 and a workshop at MIE 2002 Budapest.

All information is published at the Website.

Conclusion

Since 2000 activities of working group are growing, it will continue in 2001 and 2002.

The chairman of WG5:

Patrick Weber
CEO Nice Computing
Rte de Fey
CH-1414 Rueyres Switzerland
Email : patrick.weber@nicecomputing.ch
URL: www.nicecomputing.ch/nieurope

 

National report from Denmark 2001

Lise Therkelsen

The Danish Ministry of Health has elaborated a national strategy for IT in the hospital services during the period 2000 - 2002. A strategy comprising the entire health services will be elaborated after 2002. The central aim of the strategy is development of an electronic patient record, defined as a clinical information system supporting daily process oriented examination, treatment, and care of the individual patient.


The aim is that
- IT promotes high quality and coherence between diagnosis, treatment, care, and information
- IT is integrated in the health professional work giving access to all relevant information at the time and place, where it is needed
- IT systems must as far as possible be integrated in and able to communicate in the hospital services as well as to other relevant parties.


Comprehensive projects have been initiated, and the results summarized as follows:
- the organisational parts of the Electronic Patient Records projects comprising education and reorganizing of the health professional work are demanding tasks, which are often underesti­mated. We are working towards a joint interprofessional patient record.
- the project budgets are mostly too low
- deliveries from the various suppliers are mostly delayed - in certain cases up to 2 years.


We try to rethink some basic professional traditions, which have been in force during the last century. There is an understanding of the importance of working with highly structured date, that re-use of data between professional groups is necessary and that new ways of coopera­tion is under way.


Elaboration of semantic standards for the information, data integration, and communication standards are some of the most important standardisation initiatives.

The Danish Nurses’ Organization has in 2001 established a working group to analyse Danish nurses’ need for classifications and give recommendations.


Lise Therkelsen 14 August 2001

 

Nursing Informatics in Finland in 2000-2001


Anneli Ensio
Finn representative at IMIA NI
anneli.ensio@kuh.fi

Kaija Saranto
Finn representative at EFMI WG 5
kaija.saranto@uku.fi

Research

The National Research and Development Centre for Welfare and Health (STAKES) has focused on finding out what needs to be done in terms of nursing classifications in Finland. The project was started in 1998 with two main tasks:

1) the description and analysis of existing nursing terminologies and minimum data sets and 2) to find out the need for nursing terminologies in Finland. The description and analysis is done on theoretical basis and the need will be determined by the research with specific aim to describe

Based on before mentioned conclusions and suggestions are made for clinical practice, management, education and research in order to enhance nursing informatics and terminologies. The reports will be finished in some months.

Some Universities in Finland have networked and organized the meetings for research assessment and discussion in Information technology for social and healthcare. The annual meeting took place In Kajaani in June 2001 where several nursing and multi-disciplinary research reports were presented.

During the past time period doctoral dissertations focused on nursing informatics have been published in Finnish universities. Evaluation of nursing intensity on special care units Marja-Leena Pulkkinen, University of Turku in December 2000, Di-anoigostic system Raili Ala-Haavisto University of Kuopio in May 2001, Modelling of nursing interventions Anneli Ensio University of Kuopio in June 2001 Some other doctoral dissertations concerning; diagnoses, interventions and outcomes in intensive nursing care; diagnoses, interventions and outcomes of tarsal injures patients and interventions in perioperative nursing will be finished in the near future.

National development activities

The Foundation of Finnish Nursing Education has started a project on nursing vocabulary for information retrieval. The project is based on MeSH-terms which are translated and defined in Finnish. The advantage of the vocabulary is two-fold: first the library personnel are able to classify nursing research based on the terms and their definitions in Finnish and Swedish and secondly nurses are able to search research literature by the terms. The further aim is to compile a nursing research database The work for terms collection is going on and the vocabulary will be in use in 2002.

A large development project “Macro Pilot” organized by the Ministry of Social Affairs and Health, has aims to improve the services of social and health care with information technology and network. Nursing is one important part of the project. The final report of the project will be published in August 2001

The ICF latest version will be translated in Finnish by STAKES.

Education

The first Social and Health Informatics Master’s Program in Finland started at Kuopio University in the autumn 2000. The three years program is based on the recommendations of IMIA WG 1 for informatics education. Kuopio University offers also multi-disciplinary continuing education modules of informatics for people working in social and health care.

On bachelors’ level education several Nursing Polytechnics have also adopted informatics modules in their programmes.

 

National report from Germany

Nursing Informatics Activities 2000-2001

Thomas Buerkle

 

A main German nursing (and nursing informatics) event in this period was presumably the third biennial European ACENDIO (Association for Common European Nursing Diagnoses, Interventions and Outcomes) conference in Berlin from March 22nd-24th, 2001. It was chaired by T Dassen of the department of Nursing Science, Humboldt University in Berlin. The three day program included a preconference on classification and systematisation of nursing practice in German language and boasted well known speakers, such as DJ Clark, D Hoy, W Sermeus, A Coenen and many others in five different conference tracks. The topic centered German ICNP working group met in Berlin in conjunction with this conference.

The Medical Informatics Europe MIE 2000 conference in Hannover from August 27th –September 1st, 2000 was the main informatics event in the period and included an interesting workshop on evidence based nursing practice, language and documentation, organised by E. Hovenga of IMIA, which met good response.

The GMDS working group „Information Processing in Nursing“ (www.health-informatics.de/ gmds_ni) was not able to raise enough interest for the scheduled third „German Summer School of Nursing Informatics“ in 2000. Due to a change in job position of both organisers no event was scheduled 2001. However regular meetings of the working group took place, the last one in March 2001 at the German Hospital Information Systems Conference KIS 2001 in Dortmund. The main topic was measuring the impact of systems. Closer cooperation with the clinical workstation working group of the GMDS was established. The working group continues to maintains a website and a listserver. The GMDS has been opened meanwhile to non academics by forming so called sections, e.g. for medical documentalists. A section for nurses may be founded eventually, whilst the nursing informatics working group is open to everyone already.

The „Working Group of German Data Processing Coordinators in Nursing“ met twice in 2000 and finalized a detailed job description for data processing coordinators in nursing to be used by its members for further recruitment procedures.

Within the last years, nursing associations started to gain a stronger foothold in health policy. The different German nursing associations who previously operated at local or state level only, formed the joint working „Pflegerat“. It comprises the „Deutsche Pflegeverband“ (DPV), the „Bundesausschuß der Lehrerinnen und Lehrer für Pflegeberufe e.V.“ (BA), the „Bundesarbeits-gemeinschaft leitender Krankenpflegepersonen“ (BALK), the „Bund der Hebammen“ (BdH), the Berufsverband für Kinderkrankenpflege“ (BKK), the „Deutscher Berufsverband für Pflegeberufe“ (DBfK), the „Deutsche Berufsverband für Altenpflege“ (DBVA), and the „Arbeitsgemeinschaft Deutscher Schwesternverbände und Pflegeorganisationen“ (ADS). This joint working group may be able to improve promotion of nursing needs on a political level, but nursing informatics is not a main topic within thosee different German nursing associations.

The following conferences were centered around relevant nursing informatics topics:

2001 June, Freiburg, 3. Internationale Fachtagung Pflegediagnostik und Pflegeklassifikationssysteme
2001 March, Düsseldorf, Multimedia in der Pflege (www.nursing.de)
2001 March, Berlin, ACENDIO
2000 September, Marburg: Pflegeinformatik: Situation und Trends in Deutschland, Österreich und der Schweiz

In those conferences nursing informatics was a topic:

2001 February, Bremen, 11. Internationales Symposium Intensivmedizin & Intensivpflege
2000 November, Hannover, 8. Kinderkrankenpflegekongress
2000 November, Munic, Congress of Nursing 2000

2000 August, Hanover MIE 2000


Dr. Thomas Bürkle
GMDS representative for
EFMI WG5 and IMIA SIG Nursing Informatics
Institute of Medical Informatics and Biomathematics
University of Münster
Domagkstr. 9
48129 Münster
Germany

 

National report from Ireland

Report from the Nursing Informatics Interest Group
of the Healthcare Informatics Society of Ireland (HISI).

August 2001

Rita Collins

The Nursing Informatics Interest Group was set up in 1996 as a division of the Healthcare Society of Ireland (HISI). There are three nurses on the HISI executive. The objectives of the group is as follows:

· To promote an awareness of Nursing Informatics among nurses in the Irish Republic.
· To represent nursing within the Healthcare Informatics Society of Ireland (HISI).
· To provide a network between nurses involved in nursing informatics.
· To promote the inclusion of nursing informatics in the pre registration programme of nurse education.
· To encourage the presentation of nursing papers at local, national and international conferences.

Report of the year Jan 2000 to Jan 2001

· During the period Jan 2000 to Jan 2001, the group representatives attended the HISI meetings, Anne Sheridan from mental Health Nursing was elected as secretary of HISI.
· An evening seminar was held in June 2000 with an attendance of 20 people. The programme for this is attached.
· Two members Rosaleen Murnane and Rita Collins attended NI2000 in New Zealand, Rita was part of a group delivering a pre conference workshop.
· A parallel session for nursing Informatics was organised by the Nursing Informatics Interest Group for the HISI annual conference in November 2000, one nursing paper was also presented in the general forum.

Future Plans

The group plan that in for 2001-2002 they will work on promoting Nursing Informatics in the Irish Health services.

Rita Collins

 

Report from Israel 2001

Summary of Yearly Activities of the Israeli Nursing Informatics Forum – 2001

Ayala Gonen

January 2001 – Israeli Nurses Conference.

Forum members introduced Israeli nurses for the first time to the concept of nursing informatics and to the nursing informatics forum at this general nursing conference that was held this year in Jerusalem.

February 2001 – Information technology course for nurses.

This was the first course in Israel that was designed specifically for the purpose of introducing nurses into the field of information technology. Twenty-seven nurses participated in the program.

Programs features and format

June 2001 – Israeli Medical Information Technology Conference.

This year we held the first nursing informatics session at the annual Israeli Medical Information Technology Conference. Nurses presented seven projects in this session from various Israeli hospitals and community health clinics. The projects included nursing applications as an integral part of computerized patient records, an up to date computerized profile of each member of the nursing staff and the nursing audit data analysis through the use of an access based program.

June 2001 – Nursing representation in the Israeli Organization for Technology and Informatics.

Ms. Ayala Gonen, nursing informatics chairperson, was elected to the general council and the medical committee of the Israeli Organization for Technology and Informatics.

Members of the forum continued to meet throughout the year and to exchange ideas for further development. This year we held one of our meetings at the Nahariya Medical Center. This hospital uses a computer program based on bar code technology for medication orders and administration.

After the success of the first course in information technology we are planning another basic course as a means for increasing the number of Israeli nurses involved in information technology. In addition, a continuation of the basic course is in the planning stages for our pioneer group.

In spite of the various strides that we took this past year towards developing nursing informatics as a specialty in Israel, we know that we are still very much in the beginning stages. We hope to continue moving in this direction during in the coming year.

Ayala Gonen, chairperson

 

Report from Northen Ireland 2001

Mary Chambers

 

In June of this year the Northern Ireland Health and Personal social Services launched its Information and Communications Technology Strategy for consultation. This is a welcome development as it provides a strategic context and vision for future development. It addresses a number of issues such as the education and training of the health care workforce, planning and commissioning of services, programme management and care delivery. Nursing groups and individuals will have the opportunity to respond and influence its further development and implementation.

The Northern Ireland Centre for Health Informatics (NICHI) hosted a half-day workshop as part of the European Society for Engineering and Medicine (ESEM) conference at the beginning of May in Belfast. Both events were very international. Experts from Europe and the US delivered keynote presentations. Nurses contributed to the scientific programme of both.

As well as participating in the above events nurses are engaged in informatics activity within the day-to-day work of NICHI as well as more widely across N.Ireland. In some projects nursing colleagues take the lead in others they have a more consultative or advisory role.

More generally within the last year nurses are getting increasingly more active in informatics/telematics projects across the spectrum of client and carer groups. In addition others are engaging in entrepreneurial informatics pursuits including software development in support of clinical information systems.

Although there is no formalised nursing informatics network within Northern Ireland interest in the area is growing. There are plans underway to establish such a network following a meeting with the Chief Nursing officer.

Future events

NICHI together with the Royal College of Nursing is planning a mini conference on electronic patient record. Also NICHI is hosting a larger informatics event in the autumn of 2002 of which nursing informatics will be a part.

Mary Chambers

 

Report from Norway 2001

Annual report from The Norwegian Society for Medical Informatics (Forum for Databehandling i Helsesektoren; http://www.fdh.no)


Member meetings :
03.02 2000 A common EPR for all professions- or dedicated to each profession?
06.06 2000 Presentation of the new law on Health Registers in Norway.
20.09 2000 Digital revolution in Radiology
08.11.2000 Data Assisted Education
28.02.2001 Health on the net- healthservices or...?


The board had 6 meetings in 2000, and was represented in the IMIA:SIGNI meetings in Auckland, NZ during NI´ 2000, and MIE 2000 in Hannover, Germany.


Boardmeetings until now in 2001: 2.


Regards
Karl Øyri
Norwegian representative in EFMI WG 5: NI
e-mail work: karl.oyri@rikshospitalet.no
e- mail private: karl@deltadigital.no

 

Swiss Nursing Informatics Group

www.swissnurse.ch

info@swissnurse.ch

 

 

Annual report from Swiss Nursing Informatics Group 2001

Patrick Weber

Swiss Nursing Informatics Group is very active. The present summary concerns 2000 and 2001. President or secretary if needed could give more information. The website is accessible at www.swissnurse.ch.

Both year 2000 and 2001 members of our group organized the national annual congress of Swiss Society for Medical Informatics, in Lausanne in 2000 and in Basel 2001.Both congress where successful and participation was better than expected.

The Swiss Society for Medical Informatics officially considers our group as a group of experts in the domain of nursing informatics.

Work in progress is to edit a sort of white paper entitle “Health informatics which solution for what stake”. This document is under circulation and will be published on our web site http://www.swissnuse.ch/indexnuse_fr.htm.

For more than one year a nursing informatics network was built in conjunction with postgraduate health school Aarau & Zuerich. This group is working with members of mailing list where most national and international information are exchanged concerning health informatics domain. This group is mostly working in German. Work done within this year was mainly about nursing classifications. Studying some classification in use at international level as some in use at national level (for example ICIDH2, NIC, NOC, ICNP, Nursing Data,…)

NURSING data project aims to set up a national nursing information system that covers all three health care sectors - home care, nursing homes, and hospitals - as well as Switzerland's four linguistic regions and all medical specialities. This system has to be compatible with other Swiss systems, such as National Health Statistics, health or disease classifications (ICD-10), medical and nursing pricing systems, etc. and will also have to allow for international comparisons, taking in account national legislation on data protection. This group is working at national level. Full information is available at Website mentioned here below. This work is very important for Switzerland. Phase 2 of work is ongoing it consists of operational set-up which is to prepare the basic conception for collecting nursing data.

http://www.hospvd.ch/public/ise/nursingdata/index.htm.

Patrick Weber 18.07.2001

 

UK Annual Report 2001

Paula M. Procter

There has been significant Governmental development in the application of information and communications technology in health care. The Information for Health strategy (1998) has been refreshed and delivered as ‘Building the Core – Implementing the NHS Plan’ (January, 2001). The British Computer Society Nursing Specialist Group has supported the developments and has been influential in forwarding the nursing voice.

Following the high UK presence at the 7th Nursing Informatics Congress (Auckland, 2000), the Nursing Specialist Group has, with permission, published many papers from the conference in its successful Information Technology In Nursing (ITIN) Journal. This has achieved a wider readership of the important papers benefiting nurses in the UK. The journal has also published papers from authors in Europe, which have given the UK readership understanding of some of the major inroads nurses are making in informatics in Europe. The Nursing Specialist Group web site (www.bcsnsg.org.uk) continues to receive a high user rate from within the UK, across Europe and the World.

In February 2001, the Nursing Specialist Group in collaboration with the Foundation of Nursing Studies, held a national conference in London. The conference was well attended and received. The Dame Phyllis Friend Award was presented to David Wright (University of Sheffield) for his project on information for people who have hearing difficulties. This project has gained recognition internationally.

The Nursing Specialist Group continues its work across the UK through its Focus Groups and in national forums such as the Nursing Profession Information Group. The Chair of the Nursing Specialist Group also sits on the Strategic Advisory Group for Nursing Information Systems which advises the Chief Nurse and Government Ministers. The Focus Groups represent views and opinions of individual members in selected fields on nursing informatics, such as education, coding classification, midwifery and mental health.

The Nursing Specialist Group is represented in the new NMAP development, where individual nurses can use a specialist portal gateway to evidence based information on the World Wide Web. In addition, members are leading the field in the preparation of highly qualified nurses through the delivery of distance learning Masters Degree courses in Health Informatics, both at the University of Sheffield and King Alfred’s College in collaboration with CHIRAD. Nursing Specialist Group members have influenced the NHS development of skills standards for computer use, following the guidelines of the European Computer Driving Licence (ECDL). All of these initiatives are ensuring that nurses are well positioned in the UK for the advances in practice supported by information and communication technology.

P M Procter

2nd August, 2001