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Nursing Informatics > Chapter IX > Flashcards

Chapter IX Flashcards

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1
Q

data-to-knowledge continuum is represented within what 2 constructs

A

client and outcome

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2
Q

captures the intrinsic complexity of the healthcare-centered technology decision-making process

A

Informatics Research Organizing Model

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3
Q

SRO model’s 4 construct

A

client, intervention, context, and outcome

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4
Q

corresponds to nursing (in the
nursing metaparadigm) and describes the nursing informatics solution in terms of the content, structure, and flow of the information, as well as the technology used.

A

Nursing informatics intervention

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5
Q

 Developing organizational policies and standards
 being an advocate for consumers, hospital units, and the institution as a
whole; also helping shape policies and standards at the state, national and
organizational level.

A

Policy development and advocacy

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6
Q

President of General Motors in the 1920s.
 Initiated the planned obsolence movement which
started in the automobile industry

A

Alfred P. Sloan

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7
Q

addresses HIT decision-making from an organizational perspective but a nursing-centric analysis of the process reveals further complexity coming from the dynamics of the physician-dominated HIT discussions

A

IRO

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8
Q

make sure the tools and procedures being implemented will be userfriendly and practical for the rest of the staff.
 The nurse guides design of technology that is nurse-friendly, supportive
of nursing work, accessible and mobile (

A

Data integration

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9
Q

e.g. NI might prepare training for a team of medical-surgical nurses on the use of a new electronic medication dispensing system. After the training,
NI then serve as their point of contact for any questions or concerns that come up as the system is put in place.

A

Educational and professional development

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10
Q

occurs when the consumer makes some
value judgement regarding its continued consumption, often following a comparison with other available products.

A

Relative obsolescence

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11
Q

align technologies and systems under consideration with organizational
objectives.

A

Systems integration

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12
Q

the information, knowledge, decisions,
and actions that emerge from the data to improve cost, quality, safety, and satisfaction outcomes

A

 Outcomes

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13
Q

identifiable in the SRO model’s 4 constructs
(client, intervention, context, and outcome)

A

nursing metaparadigm

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14
Q

what are included in client construct

A

data or information, client or discipline behaviors or characteristics

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15
Q
  • Analyzing clinical statistics
     using data to synthesize knowledge, inform decision support, and
    manage outcomes as well as taxonomies.
     NI command highly specialized knowledge from three distinct disciplines:
A

Analysis

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16
Q

In SDLC, it is sometimes considered the sixth phase, is
represented at occurring throughout

A

evaluation

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17
Q

a direct reporting structure to the technology expert offers the most efficient and
effective pathway to this highly specialized knowledge =

A

Nurse Informaticist

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18
Q

shown by the outer ring, represents the 4 constructs

A

Systems Research Organizing (SRO) Model

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19
Q

 Staff training, Troubleshooting, Escalating issues as needed
 systems implementation
 focus the training of new technology on how it will improve their ability
to care for patients

A

User training

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20
Q

what are included in outcome constructs

A

information, knowledge, decisions and actions to improve cost, quality, safety, and satisfaction

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21
Q

what is shown as occurring at each stage of the lifecycle.

A

evaluation

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22
Q

foundation for these studies
as manufacturing firms have been capable of
engineering their products to fail after a determined
period of time,

A

Durability

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23
Q

is composed of the data and information
collected from clients, as well as client behaviors and
characteristics.

A

client construct

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24
Q

Technology’s Life Cycle

A

planning to procurement to deployment to management to support
and disposition, only to cycle back to planning.

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25
Q

2 component models of Informatics Research Organizing Model

A

Systems Development Life Cycle (SDLC
Systems Research Organizing (SRO) Model

26
Q

phases in SDLC

A

plan, analyze, design, implement, maintain

27
Q

 act as a point of communication between clinical nurses and IT staff
 Serving as a liaison/translator between staff and information technology
experts
 report feedback on new systems and technology directly from the staff
who are using it each day

A

Patient care coordination, facilitation, and integration

28
Q

Roles of Nurse Informaticist:

A

Leadership, including management and administration
Analysis
Integrity and compliance management
Consultation
Patient care coordination, facilitation, and integration
Data integration
Educational and professional development
Policy development and advocacy
Research and evaluation
Systems integration
Process and workflow design
Clinical transformation
Information technology security
Clinical champion
User training

29
Q

what are included in context construct

A

cultural, economic, social, physical

30
Q

 e.g. NI identify the key areas where studies tell problems arise: inadequate
discharge education, a patient doesn’t have support at home, poor
hearing or sight, or being on multiple medications. NI take those variables
and identify how and where in the system NI should alert a nurse that this
is a possible red flag and give her the elements of a plan to decrease the
risk for a readmit.

A

Research and evaluation

31
Q

nursing metaparadigm

A

patient, nursing, context, and health

32
Q

Most nurse executives view technology-related decision-making as an episodic responsibility that takes place once every ***, the timeframe when major HIT systems are replaced

A

seven to 10 years

33
Q

Two Perspectives Of Nursing Informatics staff:

A

• content structure
• information flow

34
Q

delineates the actual steps of clinical practice as they occur during patient care

A

Process mapping

35
Q

Durability, designed failure process that is
dealt with in **

A

value engineering’

36
Q

e.g., NI work with the delivery-of-care team – the chief nursing officer,
chief medical officer and quality leadership – who might give NI a directive
based on improving patient safety by decreasing readmissions.

A

Clinical transformation

37
Q

three distinct disciplines in analysis

A

clinical nursing, information technology, and research

38
Q

common conceptual basis for nursing and health informatics consists of a triad:

A

data, information, knowledge

39
Q

e.g. When a client wants a specific functionality or workflow, NI can take
it and go to the application builders and speak their language to explain
what the clinical folks are looking for. If technical people have issues, NI
can go back to the clinical folks and try to find the resolution that will
technically work.

A

Patient care coordination, facilitation, and integration

40
Q
  • a process model which is represented by the center ring as 5 distinct phases.
A

Systems Development Life Cycle (SDLC)

41
Q

“to create demand for the new
value and, so to speak, create a certain amount of
dissatisfaction with past models as compared with
the new one

A

providers’ planned obsolescence

42
Q

Information and communication technologies to address interprofessional work flow needs across all care venues

A

Process and workflow design

43
Q

 helping make sure organizations are meeting all the national laws and
standards such as HIPAA, FDA, Joint Commission, etc.
 selecting and preparing new technology, as well as training and
supporting the nursing staff on the how to use it
 Tracking the success of quality initiatives

A

Integrity and compliance management

44
Q

 Evaluating the success of implementation; revising as needed
 Researching different informatics topics that affect health care providers
as well as patients

A

Research and evaluation

45
Q

serving both internally or externally as a resource
 As a trusted advisor to the nurse executive, the NI serves a “translator” of
technology capabilities, options, and alternatives to the nurse executive
 Nurses spearhead the selection, development, implementation, evaluation and modification of the electronic medical record (EMR) and other technologies such as bar coding of medications, blood transfusions and laboratory specimens.

A

Consultation

46
Q

 must be properly trained to recognize, assess, and report cybersecurity
threats within their organization as part of the informatics and healthcare
technologies curriculum
 competency in maintaining the security ofsensitive data related to patient
information and the care nurses provide

A

Information technology security

47
Q

occurs when a product has physically
deteriorated to the point at which it does not provide the consumer with the functionality for which it was being consumed

A

Absolute obsolescence

48
Q

contributing to the design and build of different EHR functions by building
a workflow that augments what the technology can do
 must be knowledgeable on how to structure, create and drive these systems so they remove what’s redundant, and incorporate what’s important and how it all aligns.
 NI makes a huge difference in an IT project, because they are be able to translate and talk to leadership to bring them on board before any initiative.

A

Clinical champion

49
Q

largest “user group” in most healthcare organizations; feels the impact of technology decisions faster and more often than other user populations
in the healthcare organization

A

nurses

50
Q

 NIs use this rich, interdisciplinary perspective to analyze patient care and
outcome data, creating new knowledge that advances the clinical practice
of nursing

A

Analysis

51
Q

term used when a
technical product or service is no longer needed or wanted
even though it could still be in working order.
Technological obsolescence generally occurs when a new
product has been created to replace an older version.

A

Technological Obsolescence

52
Q

a process model that interacts with all 4 concepts in the SRO model.

A

SDLC

53
Q

Adding an outcome orientation to those decisions layer impacts what:

A

cost, quality, safety, and satisfaction

54
Q

what are included in NI intervention construct

A

content, structure, and flow of information; technology characteristics

55
Q

in the adapted SRO, “system” was changed to “**”
because the entire model was viewed as the relevant
“system.”

A

context

56
Q

 either directly with clinical informatics departments or in combination
with other functional areas such as serving as project managers.
 Assisting in the transition from one system’s technology to another

A

Leadership, including management and administration

57
Q

Nursing-centric technology decisions emerge from a setting that includes:

A

• cultural
• economic
• social
• physical requirements

58
Q

spans the mechanical arrangement of information, forms, and triggers to document nursing practice.

A

Workflow design

59
Q

at the center of this advancement as the professionals with the greatest amount of direct patient care.

A

nurses

60
Q

defined as the cultural, economic, and social
environment in which the intervention occurs.

A

Context

61
Q

 focus the training of new technology on how it will improve clinical nurses’ ability to care for patients
 ranges from teaching the end-user to use a device or application to educating the next generation of nurses and the general public

A

Educational and professional development

Nursing Informatics (3 decks)

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