Date of Graduation

Fall 12-11-2020

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Executive Leader DNP

First Advisor

Juli Maxworthy, DNP

Second Advisor

Elena Capella, EdD


Nurses thrive best when they are empowered to make decisions that can positively impact healthcare delivery. Knowledge and application of nursing informatics principles can influence clinical, quality, operational, and financial outcomes in ways that were not available in previous professional nursing generations.

If nursing informatics is the solution, what is the problem? A survey regarding use and attitudes about nursing informatics was taken of chief nurse executives (CNEs) at an integrated, not for profit healthcare system in the Northern California region, where the author oversees the electronic health record (EHR). The results were surprising. Half said they did not know where to locate certain informatics information in the EHR, and 100% wanted training for their leaders in nursing informatics. This need was further magnified when nurse leaders had a multitude of questions about the COVID-19 dashboard that lived within the EHR.

A theoretical framework developed by Locsin (2017) provided a framework for an evidence-based intervention in the form of education on a COVID-19 dashboard, which was deployed to nursing leaders to increase the knowledge and application of nursing informatics. Using informatics competencies developed for nurse leaders by the American Association of Colleges of Nursing (AACN) to guide the curriculum, nurse leaders received virtual instruction and guidance to move the informatics dial forward. Pre and post-assessments on learning, using a Likert Scale, measured the effectiveness of the intervention. Results showed significant improvements in nurse leader knowledge and comfort with informatics as it relates to COVID-19 due to the training.