title: Women's health nursing in the context of the National Health Information Infrastructure.
abstract: Nurses must be prepared to participate in the evolving National Health Information Infrastructure and the changes that will consequently occur in health care practice and documentation. Informatics technologies will be used to develop electronic health records with integrated decision support features that will likely lead to enhanced health care quality and safety. This paper provides a summary of the National Health Information Infrastructure and highlights electronic health records and decision support systems within the context of evidence-based practice. Activities at the Columbia University School of Nursing designed to prepare nurses with the necessary informatics competencies to practice in a National Health Information Infrastructure-enabled health care system are described. Data are presented from electronic (personal digital assistant) encounter logs used in our Women's Health Nurse Practitioner program to support evidence-based advanced practice nursing care. Implications for nursing practice, education, and research in the evolving National Health Information Infrastructure are discussed.
authors.affiliation: Columbia University School of Nursing, New York, NY 10032, USA.
authors.forename: Melinda L
authors.initials: ML
authors.lastname: Jenkins
authors.forename: Caroline
authors.initials: C
authors.lastname: Hewitt
authors.forename: Suzanne
authors.initials: S
authors.lastname: Bakken
mesh_terms: D000293:Adolescent; D000328:Adult; D003197:Computer Literacy; D003200:Computer User Training; D034201:Computers, Handheld; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004511:Education, Nursing, Graduate / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D016389:Maternal-Child Nursing / Q000193:education / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008875:Middle Aged; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration; D009733:Nursing Diagnosis; D015402:Nursing Education Research; D048108:Nursing Informatics / Q000193:education / Q000458:organization & administration*; D009937:Organizational Objectives; D011361:Professional Competence; D014481:United States; D014483:United States Dept. of Health and Human Services; D016387:Women's Health