ANIA
2021

August 7, 2021 -- I'm home now from yet another enjoyable and educational American Nursing Informatics Association (ANIA) national conference, held this year in San Diego. We're all vaccinated so Covid worries were none. Hurray, no masks! And as far as I know, there was no super-spreading.

In the photo: front row: half the Board (Helen Lu, Tip Tilton, Dan Keller) of the Bay Area (BANIA) chapter. Back row: half the Board of the San Diego chapter (Matthew Binder, Kathy Topp).

Hot topic of the day? "Documentation burden" on nurses. In other words, too much time in front of the computer. Evidently, it's a national goal to re-engineer these processes and UIs to reduce this by 75% within a couple of years or so.

While well-intentioned, this misses the point. It's not that we have to do too much documentation (though we do) it's that the job definition is misguided. Much of the excessive picking and clicking is driven by that "doctor's handmaiden" view of nursing that we can't seem to shake. It's nit-picky because it assumes no clinical judgment; we must be prompted for every detail because we wouldn't think of (or do) it independently. (No one said these things in the presentations; it's my own opinion.)

Nostalgia was expressed for the charting-by-exception we used to do in the "good ol' days" of paper charts. I do remember that. We got our charting done quickly that way. An efficient process that has been lost in the transition away from paper. I guess I'm an old-timer, sigh. Somebody even wistfully mentioned the Kardex. The youngsters just said, "Huh?"

Go wise old nurses and smart, up-and-coming young ones!

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