Informatics Application in Evidenced-Based Practice

Question 1

Nurse informaticist =

Answer 1

Nursing Informatics Specialist

Question 2

Data into information into knowledge

Answer 2

1960

Question 3

Data information utilized computer into nursing care

Answer 3

1980

Question 4

Increase implementation

Answer 4

2012

Question 5

due to pandemic widen the horizon of technology
utilization in the medical field (it became a mandatory platform in
nursing care) – bridging the gap of time and space between the
healthcare team and the patient

Answer 5

2018 until present:

Question 6

Nursing informatics is a Combination of Computer science, Information science,
Nursing science and Cognitive science. The primary GOAL is For better
outcomes among _____________

Answer 6

patients and providers

Question 7

Managing the transition from paper to digital records.
 Developing information systems based on current evidence-based
standards of care and ensuring systems remain updated.
 Developing EHR interfaces that are conducive to good care while
remaining efficient to use.
 Analyzing EHR data to identify areas where care can be improved and/or
costs better managed.
 Working with policymakers and government agencies to ensure laws and
regulations support healthcare technology and are compatible with
provider and patient technology needs.
 Developing and/or implementing healthcare technologies outside of
EHRs, including patient health monitoring systems, quality tracking
initiative, and home care management systems.

Answer 7

nursing informatics specialists can play a number of
important roles,

Question 8

Project planner
 Consultant
 Educator
 Researcher
 Product Developer
 Decision Support
 Outcomes manager
 Advocate
NURSING INFORMATICS-JJBECHAYDA 3
 Policy Developer
 Clinical Analyst
 Entrepreneur

Answer 8

Nursing Informatics Specialist

Question 9

1. Allow people to be engage in their own health care
2. Allow people to activate their own health care
3. Allow people to be educated in way guided by healthcare team
4. Facilitates education and learning using internet based resources via safe
   sites providing legitimate information

Answer 9

Importance of NI

Question 10

Clinical analyst is different from a Nurse Informaticist is graduate of nursing, a
registered nurse, and a registered Nurse Informaticist. Furthermore, to be
licensed Nurse Informaticist, master’s degree is a must and a ___________
preceptorship to be certified.

Answer 10

200 hrs

Question 11

There must be a method to use this technology into our own advantages in
order to make the _______________ to support their
profession.

Answer 11

DATA-INFORMATION-KNOWLEDGE

Question 12

Healthcare providers like Nurse, doctors, Pharmacist, social workers,
nutritionist have curved out informatics as a role within their specialization
tract, such as:

Answer 12

1. Medical informaticist
2. Biomedical informaticist
3. Pharmacy Informaticist

Question 13

They are as one team all for EFFECIENCY AND EFFICACY =

Answer 13

BETTER PATIENT
OUTCOME.

Question 14

Issue in the burn out of documentation burden

Answer 14

Revisit Electronic Health Record

Question 15

Mechanical lifting to prevent injuries in nurses
- Childlike robots immersing with mentally challenge children
- Gadgets with sensors that can monitor vital signs and upload real
time monitoring into the healthcare system cloud, leading to realtime response of the healthcare team
 Apple watch for example, after a trauma detected by the
device like fall of an elderly alerted the relative of the same
and phoned 911 and was immediately rescued. Further
examinations revealed a stroke occurred that led to the fall.

Answer 15

Robotics and AI is upsloping

Question 16

Critical pathways
AKA

Answer 16

• Clinical pathways
• Care pathway
• Integrated care pathway
• Care map

Question 17

Healthcare management plans that specify patient goals and the
sequence and timing of actions necessary to achieve these goals
with optimal efficiency.
- Takes a lot of time and given more weight of importance than the
other steps or procedures

Answer 17

Critical pathways (definition)

Question 18

Critical pathway (CPC) team may include:

Answer 18

1. Nurse care manager
2. Clinical nurse specialist
3. Social worker
4. Psychiatrist
5. Psychologist
6. Dietician
7. Occupational therapist
8. Chaplain and others

Question 19

________ is a projection of the client’s entire length of treatment

Answer 19

Pathway

Question 20

1. Within 24 hours, the interdisciplinary team meets to decide on categories
   of care.
2. The team decides what categories of care are to be performed, by what
   date and whom.
3. Each member of the team is then expected to carry out his or her
   functions according to the time line designated on the CPC.
4. The nurse as a case manager is ultimately responsible for ensuring that
   each day of assignments is carried out as per CPC.
5. If variations occur at any time in any of the categories of care, rationale
   must be documented in the progress notes.
6. Each member of the team stays in contact with the nurse case manager
   regarding individual assignments.
7. Ideally team meetings are held daily or every other day to discuss the
   progress of the patient.
8. CPCs can be standardized because they are intended to be used with
   uncomplicated cases.
9. A CPC can be viewed as a protocol for various clients with problems for
   which a designated outcome can be predicted.
   a. Example: patient with asthma, is predictable most of the time
   requiring general guidelines for treatment.
   b. Acute MI

Answer 20

How is CPC carried out?

Question 21

 Support the introduction of evidence based medicine and use of clinical
guidelines
 Support clinical effectiveness, risk management and clinical audit
 Improve multidisciplinary communication, teamwork and care planning
 Can support continuity and coordination of care
 Provide explicit and well defined standards of care
 Help to improve clinical outcomes
 Disseminate accepted standards of care
 Provide baseline for future initiative
 Reduce costs by shortening hospital stays

Answer 21

Benefits of CPC

Question 22

 Low adaptability on complicated case of CPC becomes large and detailed,
cumbersome and infective
 Crash action-changes from scheduled plan in a timeline, crash action
involving reprioritizing each step
 High Resource allocation, when resource don’t match CPC map, CPC
begins to unravel

Answer 22

Demerits of CPC

Question 23

are tools to achieve patient or program outcomes

Answer 23

Critical pathways

Question 24

process of team collaboration that ultimately produce quality
outcome

Answer 24

Critical pathways

Question 25

is critical to the success of pathways

Answer 25

Case management

Question 26

By guiding ________________________, case manager
can assure value to patient throughout the continuum

Answer 26

pathway implementation and variance analysis