Prelims Nursing Informatics

Question 1

Informatics, It comes from the French word

Answer 1

“INFORMATIQUE”

Question 2

a field of
applied computer science concerned with the processing of information such as nursing information

Answer 2

Nursing Informatics

Question 3

There were several ideas on how to define NI but definitely the definition is a combination of ___________, _________ and __________ for managing and processing data into knowledge to be
integrated into nursing practice (Murphy, 2010)

Answer 3

NURSING,
INFORMATION, and COMPUTER SCIENCE

Question 4

________________________ defined NI as a specialty that integrates nursing science,
computer science and information science to manage and communicate data, information, knowledge &
wisdom in nursing practice.

Answer 4

The American Nursing Association (ANA)

Question 5

defined NI as science and practice that integrates
nursing, its information and knowledge & their management with information, communication
technologies to promote the health of the people , families, communities worldwide.

Answer 5

AMIA (American Medical Informatics Association)

Question 6

stated that NI is a combination of computer science and nursing science designed to
assist in the management and processing of nursing science designed to assist in the management and
processing of nursing data, information and knowledge to support nursing practice, education, research
and administration.

Answer 6

Graves & Corcoran s

Question 7

In 2001, the Institute of Medicine reports that a transformation in healthcare is needed. It was included
in the report that the call for use of health information technology (IT) to enhance the __________________________________________

Answer 7

QUALITY, SAFETY
& EFFICIENCY of healthcare

Question 8

a. CPOE (Computerized Physician Order Entry)
b. Patient Demographics
c. Vital Signs, Medications & Drug to Drug, Drug allergy interaction checks
d. Allergies, smoking status, clinical decision support (where doctors refer their medical diagnosis)
e. Transition of Care
f. Patient education
g. Ability of the patient to obtain their EHR
h. Maintain up to date problem list of current and active diagnoses

Answer 8

COMPONENTS OF A MEANINGFUL USE OF ELECTRONIC HEALTH RECORD

Question 9

3 COMPONENTS IN THE MEANINGFUL USE OF ELECTRONIC HEALTH RECORD

Answer 9

1. Use EHR in a meaningful manner
2. Use EHR for electronic exchange of information
3. Use to submit clinical quality measures

Question 10

1. Information and communication technology concepts
2. Computer use and managing files
3. Word processing, spreadsheets
4. Database use and presentations
5. Communication and web browsing

Answer 10

BASIC COMPUTER SKILLS:

Question 11

Nurses need to be competent in their delivery of healthcare services. There are competencies that has
to be learned and developed by nurse informaticists like _______________________

Answer 11

BASIC COMPUTER SKILLS, INFORMATION
LITERACY and INFORMATION MANAGEMENT.

Question 12

1. Establish the character and extent of information needed
2. Able to access needed information

Answer 12

INFORMATION LITERACY

Question 13

Verbalize importance of health information system with clinical practice
2. Ensure confidentiality to protect patient’s health information
3. Assure access control in the use of patient’s personal information

Answer 13

INFORMATION MANAGEMENT

Question 14

Historically, nurses who works for informatics are considered __________ They involve in IT projects as
project team member or educator.

Answer 14

pioneers.

Question 15

1. Acute Care
2. Home Health
3. Ambulatory Care
4. Long term care
5. Out-patient settings
6. Telehealth
7. Software development

Answer 15

OPPORTUNITIES IN NURSING INFORMATIC

Question 16

1. Practice
2. Administration
3. Research

Answer 16

APPLICATIONS OF NURSING INFORMATICS

Question 17

Patient documentation
- Monitoring devices
- Developing and
implementing care
plans and pathways
- Retrieval of previous
records and imaging
- Telehealth

Answer 17

Practice

Question 18

IT for use in
communications, staff
scheduling, cost and
budget analysis
- Monitoring of trends of
quality / satisfaction
data

Answer 18

Administration

Question 19

Simulations and
teleconferencing
- E-learnings, software
for educational
presentation

Answer 19

Education

Question 20

1. Clinical information system implementation
2. Active role in ensuring efficient and smooth electronic health record system
3. Education and training
4. Data analysis and reporting
5. System optimization
6. Collaboration and leadership roles

Answer 20

ROLES OF NURSE INFORMATICISTS SPECIALISTS

Question 21

was coined by KURT LEWIN, a gestalt social psychologist, the father of social
change theories. This is a change management theory that is time tested, easily applied and is
considered the embodiment of “change models”.
- This is a planned change guide with three (3) distinct and vital stages:
o Unfreezing stage
o Transition/ Change stage
o Refreezing Stage

Answer 21

LEWIN’S CHANGE THEORY

Question 22

a. involves an approach that makes it possible for people to let go of an old model/ style/
behavior/pattern that is considered unproductive already and people need to work on another
approach to improve a certain field.
b. It is a stage where the desire to change occurs or at least the need to change is recognized to elp
make improvement in the work or on the field better
Example: Paperless office, use of digital documentation, retrieval of laboratory, medical and
diagnostic results; NORMAL TO NEW NORMAL situation
c. UNFREEZING becomes successful when people / organizations involved maintain the CURRENT
BEHAVIOR (behavior that needs to be changed) are reduced because the group makes a way to
analyze the current situation of the behavior.
d. Once the issues are tackled thru a DIALOGUE, TEAM BUILDING OR BRAINSTORMING, change is
possible and is realized or made happen (change occurs)
e. The more the organization makes the problem known or transparent to everyone the better
because change now becomes possible and people accepts the change now- UNFREEZING
OCCURS!
CHANGE STAGE / MOVING T

Answer 22

UNFREEZING:

Question 23

The second stage is a process of change (thoughts, feelings and behavior). In this stage, people
involved have been CONVINCED thru persuasion and has been ASSURED that the change is
imperative and will improve the situation for the better
UNFREEZING TRANSITION/CHANGE REFREEZING
- With dialogue, brainstorming and analysis of the situation change becomes possible. New ideas,
processes and changes being in place, desired change is achieved. This takes time and is a long
process but can be managed.

Answer 23

CHANGE STAGE / MOVING TO A NEW LEVEL OR CHANGE

Question 24

3rd and Final Stage, change has been established and becomes the new normal or the SOP
( standard operating procedure)
- Refreezing has to be established so that the change becomes final and executory. Backsliding to
the previous process will no longer be possible.
- REWARDS, SUPPORT AND GOOD LEADERSHIP IS IMPORTANT TO MAKE THE CHANGE MORE
PROFOUND AND FINAL

Answer 24

REFREEZING STAGE

Question 25

The ______________________
describes the pattern and speed at
which new ideas, practices, or
products spread through a
population. The main players in the
theory are innovators, early
adopters, early majority, late
majority, and laggards.

Answer 25

ROGER’S DIFFUSION OF INNOVATION THEORY- (UNPLANNED CHANGE THEORY)

Question 26

There are four main interacting elements of the key concept: Diffusion of Innovations –

Answer 26

1. An innovation
2. Communicated through certain channels
   3.Over time
3. Among members of a social system

Question 27

Rogers’ Diffusion of Innovation Theory seeks to explain how new ideas or innovations are adopted
- This theory proposes that there are five attributes of an innovation that effect adoption:

Answer 27

(1) relative advantage,
(2) compatibility
(3) complexity
(4) trialability
(5) observability

Question 28

The ________________________ describes the pattern and speed at which new ideas,
practices, or products spread through a population. The main players in the theory are
innovators, early adopters, early majority, late majority, and laggards.

Answer 28

ROGER’S DIFFUSION OF INNOVATION THEORY

Question 29

According to Blum in 1986, computer functions can be categorized into three groups:

Answer 29

• DATA IS PROCESSED
• INFORMATION IS PROCESSED
• KNOWLEDGE IS PROCESSED

Question 30

• Use knowledge to establish and achieve goals
• Analyze and synthesize derived information
• Give meaning to obtained data
• Obtain raw facts

Answer 30

Data-Information-Knowledge-Wisdom Continuum (DIKW)

Question 31

Blum identified three types of health care computing applications. He grouped applications
according to the objects that they processed: ______________,___________,________

Answer 31

data, information, or knowledge.