unit one what is nursing informatics

Question 1

informatics provides told to help

Answer 1

process, manage and analyze data and information collected for the purpose of documenting and improving patient care, as well as to support knowledge that adds to the scientific foundation for nursing, provides value to nursing knowledge and work, and improves the public image for nursing by building a knowledge based identity for nurses

Question 2

Data

Answer 2

are a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time

Question 3

information is

Answer 3

data that have been interpreted

Question 4

data and information are collected when nurses

Answer 4

record the following activities

• initial client history and allergies
• vital signs such as blood pressure and temp
• response to treatment
• client response and comprehension of educational activities.

Question 5

knowledge

Answer 5

is the synthesis of information derived from several sources to produce a single concept of idea.. it is based of analysis and provides order to thoughts and idea and decreases uncertainty

• it is dynamic and derives from its context
• validation of information provides knowledge that be used again

Question 6

information technology

Answer 6

is a general term used to refer to the management and processing of information with the assistance of computers

Question 7

wisdom

Answer 7

occurs when knowledge is used appropriately to manage and solve problems
- it results from understanding and requires human effort
wisdom comes from cumulative experiences, as the result of learning skills and ways of thinking that be viewed as predecessors to wisdom, and via the creation of conditions that help participants to use their accumulated knowledge effectively

Question 8

nurses must be active particpants

Answer 8

in the design of automated documentation to ensure that information is recorded appropriately and in a format that can be accused and useful to all healthcare providers.
-nurses also have a responsibility to safeguard the security and privacy of client information via education, policy, and technical means

Question 9

harsanyi, lehmkuhl, hott, myers abd mcgeehan

Answer 9

argued that understanding current and evolving technology for management and processing of nursing information helps the nursing profession assume a leadership position in health reform

Question 10

IT can

Answer 10

• bridge the gap as health care delivery convey continues its evolution from a task based industry
• tools to access information to expand their knowledge in a just in time, evidence based fashion
• help to ensure access to the most recent versions of these types of resources via tools such as intranets, electronic communities or blogs

Question 11

haase-Herrick @ herrin; simpsion

Answer 11

thought nurses must optimize their value as intellectual capital work must be done to develop work load measurements for knowledge workers

Question 12

pesut

Answer 12

noted that a change has occurred in the nursing process and how nurses represent critical thinking

Question 13

nurses role during the course of client care

Answer 13

data gatherer
information user
knowledge user
knowledge budiler

Question 14

knowledge management

Answer 14

refers to the creation of system that enable organization to tap info the knowledge, experiences, and creativity of their staff to improve their performance

Question 15

informatics

Answer 15

is the science and art of turning data into information
the study of the application of computer and statistical techniques to the management of information
- subsequently emerged as an area of specialization within the various healthcare disciples and is one of the fastest growing career fields in health care

Question 16

medical informatics

Answer 16

refers to the application of information to all of the healthcare disciples as well as to the practice of medicine
Balll and hannah definition is - collected informational technologies which concern themselves with the client care decisions making process performed by health care practitioners

Question 17

nursing informatics

Answer 17

may be defined as the use of information and computer technology support all aspects of nursing practice, including direct delivery of care, administration, education and research
- evolving as advances occur in nursing practice and technology; there have been many different definitions throughout the years as the disciple have evolved

Question 18

ANA informatics focuses

Answer 18

1. definitions of IT
2. conceptually orientated definitions
3. definitions that focus on roles

Question 19

schwirian

Answer 19

called for a solid foundation of nursing information knowledge built on research that was model driven and proactive rather than problem driven

Question 20

Graves and Corcoran

Answer 20

built on hannah’s definitions to include a combination of computer science, information science and nursing science designed to assist in the management and processing of nursing data, information and knowledge to support the practice of nursing and the delivery of nursing care

Question 21

turley introduced

Answer 21

information using theory from cognitive science, computer science, and information science on a base of nursing science with information present at the point that all area overlap

Question 22

ANA revised definition of nursing informatics

Answer 22

incorporates the concept of wisdom to read as
- nursing informatics is a specialty that integrates nursing science, computer sciences, and information science to mange and communicate data, information, knowledge and wisdom into nursing practice. Nursing informatics facilities the integration of data, information knowledge and wisdom to support patient, nurses and other providers in their decisions making in all roles and settings. this support is accomplished through the use of information structures, information processes and information technology

Question 23

computer literacy

Answer 23

is a popular term used to refer ti a familiarity is a popular used term to refer to a familiarity with the use of personal computers, including the use of the software such as word processing, spreadsheets, databases presentation graphics and e-mail

Question 24

information literacy

Answer 24

has a broader meaning
information literacy is defined as the ability to recognize when information is needed as well as the skills to find , evaluate and use needed information effectively
- represents an important step in promoting evidence-based nursing practice because the information- literate nurse can weigh the quality and significance of research findings for application

Question 25

Garde, harrison, and hoenga

Answer 25

`ca;;ed for the development of comprehensive health informatics educations framework for nurses as well as other health professional

Question 26

Mcdowell and Ma

Answer 26

emphasized the need for competence in e-mail, Web and database searches. spreadsheet, and statistical analysis for use in quality improvement activities, the creation and monitoring of budgets, and a better understanding of research findings

Question 27

key imitative and organization

Answer 27

and document categorized competencies into one of three areas - computer literacy, information literacy and professional development/leadership

Question 28

the technology informatics guiding education

Answer 28

(TIGER - emerged from a national gathering of leaders from nursing administration, practice, education, informatics, technology, and government as well as other key stakeholders who realized that nursing must transform itself as a profession to realize the benefits that electronics patients records can provide

Question 29

Hit

Answer 29

the group identified leadership, education, educations, technology-enables processes that facilitate teamwork and relationship throughout the care continuum, system that support education and practice and supportive culture and policies as key factors to attain the vision

Question 30

The QSEN project

Answer 30

``` prepare future nurses with the knowledge, skills and attitudes need to continuously improve the quality and safety of the healthcare delivery system. five of six competencies defines in the phase I of the project were recommended the six competences are: -patient centered care - teamwork and collaboration -evidence based practice -quality improvement -safety informatics ```

Question 31

American association of college of nursing

Answer 31

AACN is the organization the provides a voice for baccalaureate and higher degree nursing education program in the united stated, providing curriculum elements and a framework for baccalaureate and higher degree nursing program MSN graduates are expected to -use patient care technologies to deliver and enhance care -use communication technologies to integrate and coordinate care analyze data ti improve patient outbreaks -manage information for evidence based care and patient education - use and facilitate electronic health records to improve patient care

Question 32

the national league of nursing

Answer 32

itself to take steps to ensure that every nursing graduate demonstrate computer and information literacy as well as up to date skills in informatics

Question 33

the international council of nurses professional organization

Answer 33

the international classification for nursing practice a common code language for data falls under the professional practice arena meaningful exchange of electronic data in a format the retains its meaning across settings and countries

Question 34

competency levels

Answer 34

- entry level core competencies - the experienced nurse - the information nurse

Question 35

patient safety

Answer 35

10 major action issues - look alike sound alike medication - patient identification - communication during patient handover - correct procedure and body site - electrolyte solutions concentration control - medication accuracy - catheter and tubing disconnections - needle reuse and injection device

Question 36

specific evidence based and life saving protocols

Answer 36

special rapid response teams that were called at first sign of patient decline -evidence based care for acute myocadial infraction -medication reconciliation as a means to percent adverse drug events (ADE) steps to prevent central line infections prophylactics use of perioperative antibiotics to prevent surgical site infections preventative measures against the development of ventilator associated pneumonia

Question 37

interventions designed to save lives and reduce injuries

Answer 37

reduce the incidence of surgical complication reduce methicillin-resistant staphylococcus aureus (MRSA) infection prevent pressure ulcers prevent harm from high alert medication stating with anti coagulation and insulin decrease readmission for the treatment of congestive heart failure obtain cooperation from hospital boards of directors to accelerate organizational progress toward safe care

Question 38

push for patient safety by

Answer 38

- patient identification - information technology safeguard -- computerized physician (or provider/prescribe) order entry - e-prescribing bar code and RFID medication administration Decision-support software Smart technology

Question 39

major issues in health care with informatics implications

Answer 39

work flow changes information technology as a means to retain again nurses evidence based practice genomics - demonstrate knowledge of the relationship of genetics and genomics to health, prevention, screening and monitoring - identify clients who may benefit from genetics information and services and provide appropriate accurate information - make referral as needed - provide appropriate services - evaluate the effectiveness of current technology and interventions The magnet hospital journey - is one of the healthcare industry most celebrated indicators of quality patient care - provides means to reduce errors and improve efficiency Consumer-driven healthcare online report cards remote clinical monitoring patient centered medical homes and accountable care organization - patient entered -comprehensive - coordinated care -accessible -subject to continuous improvement through a system bases approach to quality and safety Disease Management research payment for performance patient privacy

Question 40

nursing informatics as a specialty area of practice ANA defining characteristics that must be present for nursing specialty

Answer 40

``` a differentiated practice defined research priorities representation by one or more organization formal educational programs a credentialing process ```

Question 41

informatics nurse

Answer 41

IN refers to the RN who works in the area of informatics. this individual has experiences or an interest in the area but no formal informatics preparation

Question 42

informatics nurse specialist

Answer 42

INS has advance, graduate education in nursing informatics or a related field and may hold ANCC certification

Question 43

application of nursing informatics

Answer 43

nursing practice nursing administration nursing education nursing research

Question 44

benefits of informatics/EMR for consumers and health care professional

Answer 44

-improved access to information - error reduction -decrease redundancy of data entry convenience decreased time spent in medication administration and documentation increased time for client care facilitation of data collection for research improved quality of documentation improved compliance with regulatory requirements improved record security improved quality of care and patient satisfaction decreased administration deceased administrative costs for location and maintenance of client records creation of a lifetime clinical; record facilitated by information system

Question 45

some of the benefits that can be realized with decision support software

Answer 45

decisions support told as well as alerts and reminders notify the clinical of possible concerns or omissions with access to reference databases, nurses can easily review information on medication diseases, and treatment as part of the automated system effective data management and trend-finding include the ability to provide historical part current data reports extensive finical information can be collected and analyzed for trends data related to treatment such as inpatient length of stay and lowest level of care.