Midterm Flashcards
2 Levels of nursing informatics practice
generalists and informatics-nurse specialists
Data
uninterpreted items
referred as “data elements”
(ex: height, weight)
Information
Group of data elements that are organized and processed so we can interpret the significance
(ex: BMI)
Data that can be interpreted
Knowledge
built on the formalized relationship of data and information
fever?
wisdom
appropriate use of data, information and knowledge to make clinical decisions
sciences underpinning nursing informatics
nursing science
information science
computer science
foundation of knowledge model
proposes that humans are organic information systems constantly acquiring, processing and generating information or knowledge
Four main kinds of knowledge in the foundation of knowledge model
knowledge acquisition
knowledge dissemination
knowledge generation
knowledge processing
cognitive science
study of thought, learning and mental organization
information science
the retrieval and management of information as well as human-computer interactions
standard terminology (ST)
ensure that all professionals share the same understanding or meaning of a given concept
STs support knowledge acquisition, dissemination, generation, and processing
Nomenclature
system of rules and procedures for adding names used in science
classification
systems that capture categories which are used to determine costs or outcomes
(insufficient in detail for clinical documentation)
Taxonomy
uses classification according to a system with resulting catalog used to provide a conceptual framework for discussion, analysis, or information retrieval
Data set
named collection of data
information literacy
use of digital technology to locate, navigate, manage , integrate, evaluate, create and communicate.
3 information literacy comps
- identify when info is needed
- evaluate online resources for quality
- search databases effectively
3 computer literacy comps
- basic familiarity with computer uses and applications
- use hyperlinks
- set up and use database to retrieve info
clinical information management comps
- uses clinical decision making and system safeguards to protect health information
- able to request and evaluate reports for decision making
- participate in selection, design and evaluation of information systems and care technologies
- uses technologies to appropriately and effectively communicate
health literacy
the degree to which individuals have the capacity to obtain, process and understand basic health information
meaningful use
defined by the use of certified EHR technology in a meaningful manner to improve quality of care
why was meaningful use developed
as an incentive program to assure EHRs are used according to standards
Clinical decision support systems
provides knowledge and person-specific information to enhance health and healthcare
uses tools like alerts, reminders, data reports, templates, diagnostic support
EHR
electronic version of a patients medical history (history, immunizations, lab data, problems, medications)
Human-Technology interface
the interaction between human and technology
The application of computer technology to all fields of nursing
(computers, patient monitors and digital screens)
Health information technology
comprised of hardware, software and integrated technologies that are designed to support
involves the exchange of health information in electronic environment
Alarm fatigue
desensitization of alarm stimulus that results from sensory overload causing response to be delayed or missed
Purpose of information literacy competency standards for nursing
- provide framework in the development of information literacy skills
- encourage a common language
- create learning activities that support information literacy
- shared understanding of student competencies
- continuing education
standard one of ILCSN
The information literate nurse determines the nature and extent of the information needed
- identifies types of potential sources-has knowledge of literature and how it is made
- considers costs and benefits
- reevaluates nature and extent of information need
standard two of ILCSN
the information literate nurse accesses needed information effectively and efficiently
- selects most appropriate methods
- constructs and implements search strategies
- retrieves information in a variety of methods
- refines the search strategy
- extracts, records and manages information and sources
standard three
the information literate nurse critically evaluate the procured info and its sources and decides weather or not to modify the initial query or seek additional sources
- summarizes main ideas
- selects information
- synthesizes main ideas to construct new concepts
- compares new knowledge with prior
- validates understanding of info through discourse with other individuals
- determines whether the initial query should be revised
- evaluates the procured information and entire process
Standard four
the literate nurse uses information effectively to accomplish a specific purpose
- applied new and prior information to plan a product
- revises development process for product
- communicates the product to others
standard five
literate nurse understand many economic, legal and social issues
Health Information Technology for Economic and Clinical Health Act (HITECH)
bill by obama in 09 to create incentives for the use of EHR saying it strengthened HIPPA
Those that comply with meaningful use for EHR got more reimbursement
