Nursing informatics is a field of nursing that incorporates nursing, computer, and information sciences to maintain and develop medical data and systems to support the practice of nursing, and to improve patient care outcomes. Technologies that have evolved due to health care/nursing informatics include:
There are three "building blocks" of nursing communications — data, information, and knowledge. Data includes direct observations that do not need interpretation, such as:
Information is data that has been interpreted. Examples include:
Knowledge is the amalgam of information to identify relationships that provide further observation of an issue. For example:
While nurses incorporate all three communication "building blocks" in their daily routines, the three concepts are also stored in computer programs and software to assist healthcare providers across the continuum to provide high-quality, safe patient care.
Nurse informaticists work to develop communication and information technologies in health care. They also serve as educators, researchers, software engineers, and chief nursing officers. Using the "building blocks" listed above, they help develop evidence-based policies and procedures for organizations.
Nurses need the information to care for patients safely. They need to be able to access medical histories, medication lists, lab and imaging results, and physician/interdisciplinary team notes to get a complete picture of a patient's clinical status. They use this information to make decisions efficiently to improve patient care outcomes.
Nurse informaticists, as well as other healthcare informaticists (pharmacists, physicians, etc.), play a critical role in the continuous development and improvement of healthcare technology. Communication is inarguably one of the most important aspects of patient safety. The contribution of nurse informaticists in developing and improving technology such as electronic medical records and computerized provider ordering has been crucial in reducing medical errors, patient care delays, and health care costs.
For example, before CPOE, nurses would need to transcribe provider orders by hand. Hard-to-read handwriting and human error caused transcription inaccuracies, which in turn led to medication errors, delays, and omissions.
Today, software exists where providers simply click a button, and the right medication, dose, and frequency are selected. Additionally, some programs cross-check orders against the patient's allergies and/or duplicate orders to further protect patient safety.
Nurses who have strong analytical and critical thinking skills, enjoy working with technology, and enjoy problem-solving and project management make excellent nurse informaticists.
Those considering the specialty of nurse informatics should, at a minimum, obtain a bachelor's degree in nursing (BSN). While an advanced-practice degree is not always required, it is highly recommended. Advanced-practice nurses are those who have completed a Master’s of Science in Nursing (MSN) or doctoral degree program (DNP).
To advance to a master's degree or doctorate in nursing, a student must complete an accredited nursing program and obtain a BSN. Successful completion of the NCLEX-RN is needed for licensure. The length of time it takes to earn an MSN depends on the nurse’s starting point:
There are both online informatics programs and classroom programs available to accommodate students. Both types have pros and cons depending on students' needs, therefore researching individual schools is encouraged.
Some graduate programs require nurses to gain a few years of clinical experience before enrollment. Some schools allow nurses to work concurrently during the program. Working as a unit-based technology support user (also known as a “super-user”) or with the information technology (IT) team allows nurses to gain the necessary technical skills needed to work as advanced-practice nurse informaticists.
Master’s degree programs require the completion of general advanced-practice courses, as well as courses specific to nursing informatics. While courses and practicum may vary slightly, the curriculum for the nursing informatics track may include:
Certification in informatics can be completed concurrently within the MSN/DNP program or obtained via an independent study from the American Nurses Credentialing Center (ANCC) or other learning institutes. Eligibility for certifications obtained outside of an MSN/DNP program can differ, and students are encouraged to research requirements when choosing an educational institution.
The ANCC offers board certification for nursing informatics. Eligibility for certification includes:
Certification is by exam, and the credential is valid for five years.
Licensure and certification are different—certification means nurses are competent to perform in the field of nursing informatics; licensure means they are legally permitted to practice in their state of residence. State nursing boards list the requirements for testing, which can vary from state to state. BSN, MSN, and DNP nurses, after meeting specified requirements, may apply to their state board for licensure. Read more for further clarification on nursing informatics certifications.
A “super user” is a staff member who receives additional in-depth training on a specific program and sometimes receives greater access privileges to programs. Many times, nurses volunteer to be super-users once programs are developed, and a work area is preparing to go live with the technology. They serve as trainers as well as resources for staff during the transition process and assist in providing feedback during the evaluation phase after a program is rolled out. They must know the program inside and out to be able to help train and support other staff.
Acting as a super-user helps advance a nursing informatics career as they are more trained in certain software and information technology programs, which allows them to serve as experts. Super-users utilize staff feedback to develop ideas for improvement and sometimes even for new innovative programs. Bringing ideas to the table helps nurse informaticists advance in their career by acting as leaders, trainers, mentors, and experts in the field of information technology.
Nurse informaticists play a critical role in developing healthcare technology, educating staff, and evaluating the results of implementation. Other responsibilities and duties include:
The expanding presence of computers and technology in health care has led to more crossover career opportunities—including nurse informatics. By combining technology and nursing, this specialty utilizes the skills needed to improve healthcare efficiency and enhance patient safety.
Nurse informaticists work in many different areas, such as:
They are vital in assisting members of the healthcare team in integrating new information technology applications into daily workflows. This takes skill and patience, as not everyone is accepting of change, especially in technology. Since healthcare technology is a rapidly evolving science, many healthcare practitioners still cling to “old school” methods and struggle with navigating computer systems. However, nurse informaticists are skilled in various approaches to education and can provide ongoing support to the most challenging and resistant learners.
According to PayScale, informatics RNs can earn between $67,000 and $110,000 annually, with a median salary of around $84,000 as of 2024. This is one of the highest-paying nursing specializations in the field. Salary can depend on additional degrees or certificates held, city and state of employment, experience, and the organization.
Nursing, in general, is a field that is growing substantially. The Bureau of Labor Statistics projects a 6 percent growth through 2032. Growth is primarily due to demand for healthcare services – an aging population, a significant number of nurses retiring, and recent healthcare legislation creating a higher demand to ensure patient care needs are met. Additionally, the top-paying states for registered nurses are:
While the Bureau of Labor Statistics does not track data specifically for nurse informaticists, it does project a 10% growth for computer systems analysts as a whole. If there is technology, then there is opportunity—especially in today’s healthcare arena. Nurse informaticists have an advantage in this field as more organizations seek to lower costs while improving care.
