title: Instantiating informatics in nursing practice for integrated patient centred holistic models of care: a discussion paper.
abstract: OBJECTIVE
  A discussion on how informatics knowledge and competencies can enable nursing to instantiate transition to integrated models of care.
  
  
  BACKGROUND
  Costs of traditional models of care are no longer sustainable consequent to the spiralling incidence and costs of chronic illness. The international community looks towards technology-enabled solutions to support a shift towards integrated patient-centred models of care.
  
  
  METHODS
  Discussion paper.
  
  
  METHODS
  A search of the literature was performed dating from 2000-2015 and a purposeful data sample based on relevance to building the discussion was included.
  
  
  CONCLUSIONS
  The holistic perspective of nursing knowledge can support and advance integrated healthcare models. Informatics skills are key for the profession to play a leadership role in design, implementation and operation of next generation health care. However, evidence suggests that nursing engagement with informatics strategic development for healthcare provision is currently variable.
  
  
  CONCLUSIONS
  A statistically significant need exists to progress health care towards integrated models of care. Strategic and tactical plans that are robustly pragmatic with nursing insights and expertise are an essential component to achieve effective healthcare provision. To avoid exclusion in the discourse dominated by management and technology experts, nursing leaders must develop and actively promote the advancement of nursing informatics skills. For knowledge in nursing practice to flourish in contemporary health care, nurse leaders will need to incorporate informatics for optimal translation and interpretation.
  
  
  CONCLUSIONS
  Defined nursing leadership roles informed by informatics are essential to generate concrete solutions sustaining nursing practice in integrated care models.
authors.affiliation: School of Nursing and Human Science, Dublin City University, Ireland.
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Hussey
authors.affiliation: Clinical Informatics, Gevity Consulting Inc., Halifax, Nova Scotia, Canada.
authors.forename: Margaret Ann
authors.initials: MA
authors.lastname: Kennedy
mesh_terms: D018939:Holistic Nursing; D006801:Humans; D016294:Models, Nursing; D024802:Nurse's Role; D048108:Nursing Informatics; D018802:Patient-Centered Care
keywords: advanced practice; informatics; nursing; nursing leadership; policy; professional development