Nursing Informatics #1 Flashcards
a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice
nursing informatics
what are the 3 sciences involves in nursing
nursing science
information science
computer science
processing data to produce info and in combination with knowledge and wisdom using information to provide care
information theory
what is a smart card
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
What does the acronym QSEN mean?
quality and safety education for nurses
Describe the purpose of ‘meaningful use’ and how it was achieved in the article by Harrison & Lyerla (2012) in the Week 1 assigned reading
find answer
nursing informatic theories 7
information theory change theories systems theory socio-technical theory chaos theory usability theory learning theory
processing data to produce info and in combination with knowledge and wisdom, using info to provide care
information theory
diffusion of innovation and field theory
change theories; degree of acceptance of innovation
and stages of change- unfreezing-moving-refreezing
interaction with a system will create something bigger and better than just the sum of the parts
systems theory
study how people work and what they do to create improved interaction between technology and an organizations culture
socio-technical theory
focus on design improvements that account for the conditions that exist in an organization
chaos theory
improvements in systems are designed for ease of use and satisfaction of users
usability theory
learn by doing, must know why they need to learn and value of learning
learning theory
what are the 6 categories of QSEN
patient-centered care teamwork and collaboration evidence-based practice quality improvement safety informatics
3 benefits of PHR
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.
3 limitations of PHR
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
what is PHR
personal health records
who is responsible for PHR maintenance
the patient because it is their health records
difference between EHR and EMR
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.
Describe how a clinical information system (EMR or EHR) contributes to patient safety
Improves legibility
Provides greater continuity of care
Supports safe medication practices
According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
a. Beginning Nurses?
Basic information management and computer technology skills. Ability to access data Use a computer for communication Use basic desktop software Use decision support systems
According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
b. Experienced Nurses?
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
According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
c. Nursing Informatics Specialists
Meet the information needs of practicing nurses by integrating and applying information, computer and nursing sciences
According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by:
d. Informatics Innovators
Conduct informatics research and generate informatics theory
Give an example of data about a specific quality indicator and describe how that data could be obtained from a clinical information system
risk of falls
Data can be obtained by management “dashboards” to monitor quality, staffing, productivity, and costs
nurse principles and practices in the delivery and management of patient care
nurse science
data that is needed and how to obtain it; how to use it as usable information
information science
data storage, management, retrieval, processing
computer science
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.
- capture of health data electronically that could be shared and tracked with regard to key clinical conditions
- advance the clinical processes set forth earlier, but also include engaging patients and families, improving care coordination w individuals, communities and populations
