Chapter IX

Question 1

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

Answer 1

client and outcome

Question 2

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

Answer 2

Informatics Research Organizing Model

Question 3

SRO model’s 4 construct

Answer 3

client, intervention, context, and outcome

Question 4

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.

Answer 4

Nursing informatics intervention

Question 5

 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.

Answer 5

Policy development and advocacy

Question 6

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

Answer 6

Alfred P. Sloan

Question 7

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

Answer 7

IRO

Question 8

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 (

Answer 8

Data integration

Question 9

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.

Answer 9

Educational and professional development

Question 10

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

Answer 10

Relative obsolescence

Question 11

align technologies and systems under consideration with organizational
objectives.

Answer 11

Systems integration

Question 12

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

Answer 12

 Outcomes

Question 13

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

Answer 13

nursing metaparadigm

Question 14

what are included in client construct

Answer 14

data or information, client or discipline behaviors or characteristics

Question 15

• 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:

Answer 15

Analysis

Question 16

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

Answer 16

evaluation

Question 17

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

Answer 17

Nurse Informaticist

Question 18

shown by the outer ring, represents the 4 constructs

Answer 18

Systems Research Organizing (SRO) Model

Question 19

 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

Answer 19

User training

Question 20

what are included in outcome constructs

Answer 20

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

Question 21

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

Answer 21

evaluation

Question 22

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

Answer 22

Durability

Question 23

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

Answer 23

client construct

Question 24

Technology’s Life Cycle

Answer 24

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

Question 25

2 component models of Informatics Research Organizing Model

Answer 25

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

Question 26

phases in SDLC

Answer 26

plan, analyze, design, implement, maintain

Question 27

 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

Answer 27

Patient care coordination, facilitation, and integration

Question 28

Roles of Nurse Informaticist:

Answer 28

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

Question 29

what are included in context construct

Answer 29

cultural, economic, social, physical

Question 30

 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.

Answer 30

Research and evaluation

Question 31

nursing metaparadigm

Answer 31

patient, nursing, context, and health

Question 32

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

Answer 32

seven to 10 years

Question 33

Two Perspectives Of Nursing Informatics staff:

Answer 33

• content structure • information flow

Question 34

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

Answer 34

Process mapping

Question 35

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

Answer 35

value engineering’

Question 36

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.

Answer 36

Clinical transformation

Question 37

three distinct disciplines in analysis

Answer 37

clinical nursing, information technology, and research

Question 38

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

Answer 38

data, information, knowledge

Question 39

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.

Answer 39

Patient care coordination, facilitation, and integration

Question 40

- a process model which is represented by the center ring as 5 distinct phases.

Answer 40

Systems Development Life Cycle (SDLC)

Question 41

“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

Answer 41

providers’ planned obsolescence

Question 42

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

Answer 42

Process and workflow design

Question 43

 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

Answer 43

Integrity and compliance management

Question 44

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

Answer 44

Research and evaluation

Question 45

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.

Answer 45

Consultation

Question 46

 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

Answer 46

Information technology security

Question 47

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

Answer 47

Absolute obsolescence

Question 48

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.

Answer 48

Clinical champion

Question 49

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

Answer 49

nurses

Question 50

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

Answer 50

Analysis

Question 51

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.

Answer 51

Technological Obsolescence

Question 52

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

Answer 52

SDLC

Question 53

Adding an outcome orientation to those decisions layer impacts what:

Answer 53

cost, quality, safety, and satisfaction

Question 54

what are included in NI intervention construct

Answer 54

content, structure, and flow of information; technology characteristics

Question 55

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

Answer 55

context

Question 56

 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

Answer 56

Leadership, including management and administration

Question 57

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

Answer 57

• cultural • economic • social • physical requirements

Question 58

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

Answer 58

Workflow design

Question 59

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

Answer 59

nurses

Question 60

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

Answer 60

Context

Question 61

 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

Answer 61

Educational and professional development