CIN Plus: Database Management Systems-Their Place in Nursing Informatics Education
JILL AUBRECHT MSN, MBA, RN
KAREN L. COURTNEY PhD, RN
LINDA K. GOODWIN PhD, RN
Linda Q. Thede PhD, RN-BC

$3.95 		CIN: Computers, Informatics, Nursing
February 2011 
Volume 29  Number 1
Pages 7 - 12
 
  PDF Version Available!

ABSTRACT
Key Points: * Nursing informatics requires understanding of data structures * Database knowledge and skills in nursing informatics curricula should be included * There should be models for teachingAs noted in the American Nurses Association (ANA) Nursing Informatics Scope and Standards of Practice,1 principles and concepts of database structures are an inherent component of nursing informatics practice. Many of the standards assume an understanding of data structures, management, and evaluation. While database management systems (DBMSs) are not specifically mentioned within the standards, it is hard to imagine accomplishing many of the standards without the direct use of databases or information systems that are built upon databases such as electronic health records.Even within the ANA Informatics Scope and Standards ethics (12) and advocacy (15) standards of practice, knowledge of data structures and management is implicit. For example, to meet standard 15 (advocacy), the nurse informaticist must understand how the data are structured as well as understand the technical and organizational protocols regarding the sharing of data. This knowledge forms the foundation for assertions regarding the degree of data security and ease of data sharing. The standards that are most likely to require database management knowledge include 1, assessment; 3, outcomes identification; 4, planning; 5, implementation; 6, evaluation; 9, quality of practice; 12, ethics; 13, research; and 15, advocacy.Practicing nurse informaticists may be expected to create and maintain databases, develop and revise interfaces, and develop data-entry forms. Additionally, some nurse informaticists are responsible for creating complex queries and reports of quality or performance information from existing databases. Course work in data structures, management, and evaluation along with structured experiences applying theoretical knowledge in "real-world" situations is important in preparing nurses to work competently

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