Chapter XI

Question 1

Nurse Informaticists Responsibilities and Duties

Answer 1

designing systems technology
testing systems technology
staff training;
troubleshooting
serving as project managers;
serving as a resource to staff
serving as an educator to staff and new nurses

Question 2

competency of nursing informatics specialists was determined through studying three
categories including:

Answer 2

computer skills, informatics knowledge and informatics skills

Question 3

competencies that were rejected

Answer 3

diagnostic coding, desktop publishing, managing central facilities to enable data sharing and writing an original computer program

Question 4

nurse informatics may work as the educators who can serve an important function in educating patients and medical professionals about the appropriate medical treatment process

Answer 4

Nurse Informatics for Insurance Agencies

Question 5

Director of Nursing Informatics and Chief Nursing Informatics Officer (CNIO) are the two
leadership positions that are a great career for nurses in the informatics field

Answer 5

Leadership Positions

Question 6

In this position the nurse is responsible for National Committee for Quality Assurance (NCQA) accreditation and Healthcare Effectiveness Data and Information Set (HEDIS) performance. Research methodologies and incorporation of best practices into operations are very significant where the nurse must review and implement new technological tools and processes them to foster team engagement.

Answer 6

Quality and Performance Improvement for Healthcare Facilities

Question 7

nurse can engage as a faculty instructor by guiding students in active collaboration and application of their learning skills and providing frequent interaction that motivates students to succeed by conveying an enthusiasm for their learning experience

Answer 7

Nurse Informatics Educator in Educational Institutions

Question 8

Career Opportunities

Answer 8

-Nurse Informatics Specialist in Hospitals
-Clinical Analyst for Corporations
-Quality and Performance Improvement for Healthcare Facilities
-Nurse Informatics for Insurance Agencies
-Leadership Positions
-Nurse Informatics Educator in Educational Institutions
-Nurse Informatics in Public Health Organizations
-Nurse entrepreneurship

Question 9

assist in creating, supporting, and maintaining current knowledge in areas of clinical specialty. They also educate, and perform workflow analysis. In order to accomplish information related activities, nurse informatics must participate in providing consultation for external sales or customer meetings to detail and evaluate the application of the solutions in a care environment.

Answer 9

Clinical Analyst for Corporations

Question 10

provides federal protections for personal health information and gives patients an array of rights with respect to that information to ensure the confidentiality, integrity, and availability of electronic protected health information

Answer 10

Health Insurance Portability and Accountability Act (HIPAA

Question 11

means nurses are competent to perform
in the field of nursing informatics;

Answer 11

-certification

Question 12

Certification is by what

Answer 12

exam

Question 13

nurse informatics must feel a strong obligation to protect the privacy of each patient. Nurse informaticists, by virtue of their training and the role they play in their institutions, often have much more access to confidential information than staff nurses or even physicians. The Nightingale Pledge makes it clear that nurses have an obligation to keep personal matters of others confidential. In the electronic realm, clinical, financial and personal information are readily available to the nurse informatics, who has a duty and ethical responsibility to safeguard that information

Answer 13

Confidentiality

Question 14

is a way of analyzing and recording the work steps in a logical and coherent fashion, often by the use of flow charts.

Answer 14

process flow

Question 15

serve as a roadmap for problem solving and process improvement. The nurse informatics can apply the Six Sigma methodology to improve patient’s care and create a higher patient’s satisfaction. For example, good discharge management, bed availability for emergency and elective admissions are crucial to guarantee patient satisfaction.

Answer 15

Lean Six Sigma or Define, Measure, Analyze, Improve, Control (DMAIC)
methodology

Question 16

Eligibility for certification include:

Answer 16

 hold a bachelor’s degree or higher;
 have practiced as a registered nurse full time for two years (or part time equivalent);
 have completed 30 hours of continuing education in nursing informatics within three years before certification; and
 have met one of the following practice hour requirements:
-have practiced a minimum of 2,000 hours in informatics nursing within the prior three
years;
-have practiced a minimum of 1,000 hours in informatics nursing in the last three years
and have completed a minimum of 12 semester hours of credit in informatics courses
that are part of a graduate-level nursing informatics program; and
-have completed a graduate program in nursing informatics that includes a minimum
of 200 hours of supervised practicum.

Question 17

In this role, the nurse supports solution integration through process and work flow development, and translates customer requirements to solution requirements in collaboration with a project manager and development team. For instance, the nurse can work for a corporation that sells telehealth software where his/hers function is to promote the telehealth solution, train the end user, and assists clinicians with work flow

Answer 17

Clinical Analyst for Corporations

Question 18

methodology in Quality and Performance Improvement for Healthcare Facilities

Answer 18

Lean Six SIgma

Question 19

other competencies

Answer 19

Interpersonal Skills
Confidentiality
Process Flow

Question 20

skills required to explain clinical issues to technical staff such as computer programmers or data analysts, educate clinical staff about technical issues such as data management and sit on a number of multidisciplinary committees. Many nurse informaticists are also expected to educate staff in the use of technology or information programs such as electronic medical records, or EMRs

Answer 20

Interpersonal Skills

Question 21

serve as the strategic liaison for health technology by representing nursing and clinician needs. The director advocates and directs development and implementation of technology changes to improve quality, care experience, and efficiency across the continuum of care

Answer 21

Director of Nursing Informatics

Question 22

with the information technology (IT) team allows nurses to gain necessary technical skills needed to work as an advanced-practice nurse informatics.

Answer 22

unit-based technology support user (also known as a “super-user”)

Question 23

credential is valid for how many years

Answer 23

five years

Question 24

a proprietor of a business that offers nursing services of a direct care, educational, research, administrative, or consultative nature

Answer 24

nurse entrepreneur

Question 25

two leadership positions

Answer 25

Director of Nursing Informatics and Chief Nursing Informatics Officer (CNIO

Question 26

means they are legally permitted to practice in their state
of residence

Answer 26

licensure

Question 27

a nurse who uses their training, knowledge and medical expertise as a nurse to create and develop their own businesses within the healthcare field through the use of creativity, business systems, problem solving and successful investing strategies.

Answer 27

nurse entrepreneur

Question 28

skills and qualifications are beneficial for nurse entrepreneurs:

Answer 28

 ADN or BSN degree and valid RN license
 Prior professional nursing experience within the relevant area of specialty
 Basic business skills and knowledge (e.g., accounting, marketing, ability to manage staff)
 Good communication skills for interacting with customers, patients and employees
 Ability to work independently and willingness to take on personal financial risk

Question 29

Selected informatics knowledge competencies are the recognition of the use or importance of nursing data for improving practice, and the recognition of the fact that the computer can only facilitate nursing care and that there are human functions that cannot be performed by computers, the formulation of ethical decisions in computing, the recognition of the value of clinicians’ involvement in the design, selection, implementation, and evaluation of
systems in health care, the description of the present manual systems, the definition of the impact of computerized information management on the role of the nurse and the determination of the limitations and the reliability of computerized patient monitoring systems.

Answer 29

Informatics Knowledge

Question 30

curriculum for the nursing informatics track may include

Answer 30

 research;
 project management;
 clinical information systems;
 informatics theory;
 leadership.

Question 31

this is one of their major responsibilities, according to the American Nurses Credentialing Center. Hospitals, like most organizations, develop ways of doing things that involve many different steps

Answer 31

Process Flow

Question 32

competencies includes the interpretation of information flow within the organization, the preparation of process information flow charts for all aspects of clinical systems, the development of standards and database structures to facilitate clinical care, education,
administration or research. It also includes the development of innovative and analytic techniques for scientific inquiry in nursing informatics and new data organizing methods and research designs with the aim of examining the impacts of computer technology on nursing, and the conducting of basic science research to support the theoretical development of informatics

Answer 32

Informatics Skills

Question 33

who offers board certification for nursing informatics.

Answer 33

American Nurses Credentialing Center (ANCC)

Question 34

The daily work flow incorporates helping clinical staff with any problems with the electronic system, monitoring that the system is utilized by clinicians efficiently, and educating clinical staff on any production changes within the electronic system

Answer 34

Nurse Informatics Specialist in Hospitals

Question 35

Informatics nurses are working with scientists in public health and epidemiology where their focus is on synthesizing, obtaining, and providing access to information and knowledge related to community and population health used by health care workers, consumers, and policymakers.

Answer 35

Nurse Informatics in Public Health Organizations

Question 36

Selected computer skill competencies contain computerized searches and retrieving patient demographics data, the use of telecommunication devices, the documentation of patient care, the use of information technologies for improving nursing care, and the use of networks and computer technology safely

Answer 36

Computer Skills

Question 37

Roles and Duties of a Nurse Entrepreneur

Answer 37

 Use nursing education and experience to establish their own business venture within
the healthcare field
 Promote the business
 Hire and manage employees to assist in running the business as needed
 Tend to the financial side of running a business,
 Provide healthcare products or nursing services