Nursing Informatics #1

Question 1

a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice

Answer 1

nursing informatics

Question 2

what are the 3 sciences involves in nursing

Answer 2

nursing science
information science
computer science

Question 3

processing data to produce info and in combination with knowledge and wisdom using information to provide care

Answer 3

information theory

Question 4

what is a smart card

Answer 4

has embedded information that a smart card reader can read; requires the appropriate computer system and access code to read and write, encrypts the data on the card

Question 5

What does the acronym QSEN mean?

Answer 5

quality and safety education for nurses

Question 6

Describe the purpose of ‘meaningful use’ and how it was achieved in the article by Harrison & Lyerla (2012) in the Week 1 assigned reading

Answer 6

find answer

Question 7

nursing informatic theories 7

Answer 7

information theory
change theories
systems theory
socio-technical theory
chaos theory
usability theory 
learning theory

Question 8

processing data to produce info and in combination with knowledge and wisdom, using info to provide care

Answer 8

information theory

Question 9

diffusion of innovation and field theory

Answer 9

change theories; degree of acceptance of innovation

and stages of change- unfreezing-moving-refreezing

Question 10

interaction with a system will create something bigger and better than just the sum of the parts

Answer 10

systems theory

Question 11

study how people work and what they do to create improved interaction between technology and an organizations culture

Answer 11

socio-technical theory

Question 12

focus on design improvements that account for the conditions that exist in an organization

Answer 12

chaos theory

Question 13

improvements in systems are designed for ease of use and satisfaction of users

Answer 13

usability theory

Question 14

learn by doing, must know why they need to learn and value of learning

Answer 14

learning theory

Question 15

what are the 6 categories of QSEN

Answer 15

patient-centered care
teamwork and collaboration
evidence-based practice
quality improvement 
safety
informatics

Question 16

3 benefits of PHR

Answer 16

ability to manage ones disease treatment more effectively.
instead of the healthcare provider giving orders, he/she can help the patient understand his/her condition and work together with this individual to achieve an agree upon goal.
It can reduce administrative costs associated with electronic prescription refills and scheduling appts.

Question 17

3 limitations of PHR

Answer 17

concerns about privacy and security.
the cost of internet and computers/computer software and virus software can be an insurmountable cost.
lack of reliable internet access in rural america

Question 18

what is PHR

Answer 18

personal health records

Question 19

who is responsible for PHR maintenance

Answer 19

the patient because it is their health records

Question 20

difference between EHR and EMR

Answer 20

EMR is a medical record used by one healthcare agency. these medical records cannot interface with outside agencies.
EHR makes health information available from any location where it is internet access. it can be shared to, for example, care facilities, clinicians, labs,etc.

Question 21

Describe how a clinical information system (EMR or EHR) contributes to patient safety

Answer 21

Improves legibility
Provides greater continuity of care
Supports safe medication practices

Question 22

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
a. Beginning Nurses?

Answer 22

Basic information management and computer technology skills. 
Ability to access data
Use a computer for communication
Use basic desktop software
Use decision support systems

Question 23

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
b. Experienced Nurses?

Answer 23

Highly skilled in using information management and computer technology to support their major area of practice
Make judgements on the basis of trends and patterns within data elements and to collaborate with nurses to suggest improvements in nursing systems

Question 24

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
c. Nursing Informatics Specialists

Answer 24

Meet the information needs of practicing nurses by integrating and applying information, computer and nursing sciences

Question 25

According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
d. Informatics Innovators

Answer 25

Conduct informatics research and generate informatics theory

Question 26

Give an example of data about a specific quality indicator and describe how that data could be obtained from a clinical information system

Answer 26

risk of falls

Data can be obtained by management “dashboards” to monitor quality, staffing, productivity, and costs

Question 27

nurse principles and practices in the delivery and management of patient care

Answer 27

nurse science

Question 28

data that is needed and how to obtain it; how to use it as usable information

Answer 28

information science

Question 29

data storage, management, retrieval, processing

Answer 29

computer science

Question 30

Name a core objective of Stage 1 and a core objective of Stage 2 of the ‘Meaningful Use’ requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act.

Answer 30

1. capture of health data electronically that could be shared and tracked with regard to key clinical conditions
2. advance the clinical processes set forth earlier, but also include engaging patients and families, improving care coordination w individuals, communities and populations