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Modifier Level Competencies

A "Modifier" level of competency indicates nurses who demonstrate intermediate nursing informatics competencies. This level includes practicing nurses, nursing administration, nurse researchers and educators who have mastered basic skills and use technology in inventive ways in their practice.

TECHNICAL COMPETENCIES

Modifier level technical competencies include:

1. applies technology support to provide evidenced based practice
2. synthesizes data from more than one source and applies to practice
3. demonstrates awareness of and ability to access data and information from multiple sources
4. uses decision support systems in practice
5. accesses pertinent literature resources and incorporates into practice and professional development
6. creates and accesses research and other documents electronically

UTILITY COMPETENCIES

Modifier level utility competencies include:

1. understands basic and complex concepts and processes of various computer systems and how they relate to practice
2. accesses and utilizes multiple information sources for gathering evidence for clinical decision making
3. upholds ethical standards related to data security, confidentiality and clients' right to privacy
4. evaluates internet based nursing and health materials for quality, accountability, reliability and validity
5. coordinate information flow with multidisciplinary team using information systems
6. analyzes patient information needs, accesses technology resources to meet needs and evaluate effectiveness

LEADERSHIP COMPETENCIES

Modifier level leadership competencies include:

1. awareness of role of nursing informatics in the context of health informatics and information systems
2. participates in policy and procedural development related to nursing informatics
3. participates in system change processes and utility analysis
4. participates in evaluation of information systems in practice settings
5. analyzes ergonomic integrity of work station, bed side and portable technology apparatus in practice
6. participates in design of data collection tools for practice decision making and record keeping
7. participates in quality management initiatives related to patient and nursing data in practice
8. awareness of the impact of implementing technology to facilitate nursing practice
9. evaluates security effectiveness and parameters of system for protecting client information and ensuring confidentiality
10. participates in change to improve the use of informatics within nursing practice
11. encourages other nurses to develop comfort and competency in technology use in practice

Innovator Level --->

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REFERENCES

Grobe, S. (1998). Nursing Informatics 1997 post-conference on patient guidelines and clinical practice guidelines: the state of our knowledge and a vision. Journal of the American Medical Informatics Association, 5 (3); 315-316.

Grobe, SJ. (1989). Nursing informatics competencies. Methods of Information in Medicine, 28 (4); 267-9.

Grobe, SJ. (1988). Nursing informatics competencies for nurse educators and researchers. In H. Peterson & U. Gerdin-Jelger (Eds.) Preparing Nurses for Using Information Systems: Recommended Informatics Competencies, New York: National League for Nursing. 25-40; 117-138.

Hebert, M. (1999). National Nursing Informatics Project Discussion Paper. http://www.cna-nurses.ca/pages/resources/nni/nni_discussion_paper.doc