ABSTRACT
This chapter presents current global health perspectives on nursing informatics development within different health systems and countries, including Italy, Brazil and the Philippines. The authors describe how clinical nursing information systems are or not integrated into electronic health records; research strategies to develop and implement clinical nursing information systems; how nursing-generated data have been documented and analyzed; and how nursing informatics has been organized as a profession. The Italy perspective brings predictive analytics to evaluate the length of stay and mortality respectively, in a hospital and a community setting. Moreover, the Italy perspective shows that nursing-generated data were independent predictors of the above outcomes after being controlled by other covariates, such as sociodemographic, organizational and clinical data. Brazil, a large country with an approximately 212 million population, faces challenges with digital health like many other countries. However, national legislation has been applied both to support and to encourage technological advancement, including telemedicine, electronic health records, public software and big data. The authors describe how Brazilian nurses take decision-making positions at different levels of healthcare, which is achieved with knowledge and scientific evidence. In the Philippines, the e-Health and NI systems’ progress has been dramatic over the last three decades. This chapter highlights the notable developments and key challenges affecting e-Health and nursing informatics in the Philippines.
