Scopes and Standards NI Flashcards
What is Nursing Informatics?
NI is the specialty that transforms data into needed information and leverages technologies to improve health and HC equity, safety, quality and outcomes.
NI specialty circle -
(1)Identification
(2)Management
(3)Communication
(4)Integration
(1) Data - Naming, Collecting, Organizing (Inner circle for all 4 Decision making, Nurses, HC consumers etc.)
(2)Information - Organizing, Defining, Interpreting
(3) Knowledge - Interpreting, Integrating, Understanding
(4)Wisdom - Understanding, Discovering, Ethical application
NI Value Statements
(1)Combination of
(2)Understanding of
(3)DIKW
(4)NI leadership
(5)HC
(6)Scientific
(7)Integration of
(8)Education across
(1)Nursing and Informatics
(2)HC delivery and operational flow
(3)DIKW for individuals and populations
(4)ORG stragegy
(5)Policy influence
(6)Scientific research and discovery
(7)Sociotechnical framework
(8)the spectrum of HC systems
Nursing Metaparadigm
four concepts,
Nurse
Person
Health
Environment
Blum Data, Information, Knowledge
Widsom -
Data - discrete entities without interpretation (90, 20)
Information - Data that have been interpreted organized or structured
Hr 90, rr 20
Knowledge - Information synthesized so that relationships are identified
Widsom - application of knowledge in the management of human problems
DIKW
numbers 36.9, 88, 120/80
numbers = data
vital signs = information
Knowledge = patient age, medications Hx etc.
Widsom - what to do with the knowledge
Benner experience stages
Nursing Informatics is concerned with
Creation, structure, storage, delivery, exchange, interoperability and reuse of nursing and clinical information
Wisdom Antecedents
(1)Personal related factors
(2)Setting related factors
(1)personal - age, education, life experiences
(2)Setting related factors - setting culture, decision support system etc.
ANA recognized Standard Nursing interface terminologies
(1)CCC
(2)ICNP
(3)NANDA
(4)NIC
(5)NOC
(5.5)OHMAHA
(6)PNDS
(7)ABC codes
(1)clincal care classification system
(2)International classication for nursing practice
(3)NANDA
(4)Nursing interventions classifications
(5)Nurisng outcomess classifications
(5.5)
(6)Periop nursing data set
(7)alternative medicine billing and coding
Minimum data sets
(1)NMDS
(2)NMMDS
Reference terminologies
(1)LOINC
(2)SNOWMED-CT
(1)Nursing minimum data set
(2)Nursing Managment minimum data set
(1)Logical observation identifiers names and codes
(2)systemized nomenclature of clinical terms of medicine clinical terms
(1)HITAC
Health information technology advisory committee - will recommend to ONC, policies, standards etc. replaces HITECH?
with data and information an expert system can generate:
care suggestions, warnings/alerts. Nurses must use wisdom in decision making from alerts.
Data lake
data is all forms of data in an unorganized, non-hierarchical structure. Is easier than structured data for data analytics.
AI -
Machine learning+NLP =
Artifical intelligence - the mathematical expression of human intelligence to enginer expert systems
encompasses both machine learning and NLP which encompasses:
(2)deep learning
NLP -
(2)Machine learning
(1)
(2)Clusters patient traits targeting identifiers for diseases. Linear regression + machine learning = neural networks?
(1)AI =
(2)Machine Learning
(3)Deep learning
(1)AI = rules, COnditional logic
(2)ML =Pattern detection, regression, clustering
(3)DL = Image classification
Strategy of INS
to make all interactions with technology beneficial and easy. they are “barons” of the user experience
User experience encompasses
(2)Human factors
Human factors, which are ergonomics, Useability and Human computer interaction
(2)Studying how humans interact with things - e.g. precribing errors
Definitions
Human factors
(2)Ergonomics
(3)Human-Computer interaction
(4)Usability
(1)understangin interactions of humans and the elements of a system
(2)study and design of working environments and their componenets for the benefit of the workers productivity and health
(3)design, evaluation and implementation of interactive computer systems
(4)how a system, product or service can be used to achieve goals efficiently and effectively
Definitions
(1)Management
(2)Admistration
(3)Leadership
(4)informatics leadership ex
(1)Management - an art of getting things done through and with people in formally organized groups
(2)Administration - the process of running and ORG, office or business. creating rules and regs, making decisions etc.
(3)Leadership - the ability to provide a setting where everyone feels empowered to to contribute creatively to solving problems. Leader provide inspiration - and people want to follow them.
()4)CNIO, CIO, CCIO - Chief nursing, chief informatics, chief clinical inf.
Four competencies for interprofessional collaboration
(1)Work with individuals
(2)Use the Knowledge
(3)Communication with patients
(4) Apply relationship-building
(1)Work with individuals of other professions to maintain a climate of mutual respect
(2)Use the Knowledge of one’s own role and those of other professions to address the HC needs of patients and advance health of population
(3)Communication with patients, families, communities etc in a responsible manner to promote Tx of disease
(4) Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles
Project management definition
(2)PM phases (five)
planned set of interrelated tasks to be completed within a time frame - and know what goals are and how to achieve them.
(2)Initiation/design, planning, implementation Monitor, Close
IN or INS PM skills:
(2)according to the IHI they should especially have skills in
Defining scope, doing a GAP analysis, workflow or SWOT analysis, Gantt chart
(2)QI project management. The IHI has developed a tool to manage Quality improvement projects
Steps of Systems design life cycle
(1)P
(2)S
(3)S
(4)D
(5)I
(6)D
(7)O
(1)Planning
(2)Systems analysis and requirements
(3)Systems design
(4)Development
(5)Integration and Testing
(6)Implementation and deployment
(7)Operations and maintenance
Defintion:
(1)Clinical Informatics
(2)Pharmacy informatics
(3)Medical Informatics
(4)Nutritional informatics
Clinical informatics is the application of informatics and information technology to deliver healthcare services. AKA applied clinical informatics and operational informatics.
Clinical informatics transforms health care by analyzing, designing, implementing and evaluating information and communication systems
(2)Pharmacy informatics - focuses on medication related data and knowledge within the HC system
(3)Medical informatics is design, development adoption and application of IT based innovations in HC
(4)Nutritional informatics - informatics for food and nutrition
(1)Data Management
(2)The national Quality strategy (NQS)
(3)INS focus on Master data management with the NQS
(1)Data Management - data must be managed effectively for P4P(value based). The American Hospital association estimated that 80% of the data collection was on the hospital, only 20% supplied by the vendor.
(2)better care, healthy people and communities and affordable care
(3)INS role on master data management - developing people, techonology and processes to support the ORG. one the PEOPLE end they may associate with culture, governance on the IT end data accuracy
INS activities in the process domain
-communication about program releases
-reports are accurate
-Voice of the customer is an integral business requirement
-use-based data quality
-agile design
(1)HCI tools and Methods -
Heuristics -
Cognitive walkthroughs -
(1)Heurisitics - mental shortcuts that allow people to solve problems and make judgments quickly.(aka cognitive shortcuts)
Cognitive walkthrough - walkthrough each step of a workflow answering questions. goal is to ID where interface could be challenging
INS nurses and standardization of data capture. re-evaluating Nursing languages required knowledge of
Nursing and medical vocabularies e.g. ICD -10 to aid in meaningful use
