Quiz #3 Flashcards
What is nursing informatics? (Scientific definition)
The science and practice which integrates nursing, its information and knowledge, and their management with info and communication technologies to promote the health of people, families and communities worldwide
What is nursing informatics? (Simple definition)
Integrating nursing and technology
What does nursing informatics enhance?
Enhances decision making in all direct and indirect nursing roles
What digital tools are used for nursing informatics?
eHealth (electronic health care) and mHealth (mobile health care) are used
Define clinical pathway
Multidisciplinary resource that supports the routine care of patients with similar needs during a specified time frame
What are the three components of a clinical pathway?
Pathway itself, a preprinted physician order, and patient education booklet
What is required to initiate or discontinue a pathway?
A physicians order
Define the critical path
- This part of the pathway is the daily plan of care
- it gives direction on each category of intervention: assessments, treatments, activities, nutrition, education, consultations, transitions and discharge planning
Define patient outcomes
- Expected outcomes for the interventions outlined in a clinical pathway (may relate to physiology, patient activity level, learning, self care etc)
- helps the nurse to assess the patients progress toward a timely discharge
define progress and variance recording
At the end of each shift, nurses sign off on the pathway record to indicate whether the specified interventions and outcomes have been achieved
What are the various factors that relate to nurses managing/assessing the pain of elderly?
- Comprehensive assessment skills
- knowledge of appropriate, evidence based treatment strategies
- decision making ability
What is an algorithm?
Algorithms are tools that can support and enhance nurses efforts to assess and manage persistent pain in older audits
What is the process of an algorithm?
Ordered sequence of steps, each step depending on the outcome of the previous one
What can an algorithm do?
- guide the assessment of management of a given clinical problem
- define the possible end points
- help nurses to determine the best course of action
How is an algorithm usually presented?
Typically as a flow diagram with several branching pathways that lead to specified end points where each question can be answered yes or no
What is nociceptive pain?
Caused by damage to somatic tissue (bone or muscle) or visceral tissue (lungs or bladder)
What is neuropathic pain?
Caused by damage to peripheral or CNS
what is CASN and what does it stand for?
Canadian Associated School of Nursing
- they have laid out basic entry level of practice that we have to know:
1. use relevant info of knowledge to inform patient care
2. use information and communication technologies (ICT’s) in accordance with professional and regulatory standards and workplace policies
3. use ICT’s in the delivery of patient care (cannot refuse to use technology
what does the Canadian institute for health information (CIHI) do?
records, analyzes, and disseminates essential data and analysis on Canadian health system and the health of Canadians
what does Canada Health Infoway (CHI) help with?
helps to develop a Canada wide digital presence in healthcare (they provide $)
how do they ensure nursing has a voice within electronic health records?
Canadian nurses agreed that health information: nursing components must include patient status, nursing intervention, patient outcomes, nursing resources intensity, and primary nurse identifier
how do you differentiate between EHR’s and EMR’s?
electronic health record refers to lifetime whereas the electronic medical record is one visit
-EHR’s are made up of many EMR’s
why do we have nurse informatics?
Enhances decision-making in nursing roles through collection, extraction, aggregation, analysis and interpretation of standardized data, using emerging principles and methods of data science
what are Two major functions of using information and communication technologies? (ICT)
Add value to health care system and decrease costs
what is connected health?
Encompasses terms like wireless, digital, electronic, telehealth.. Refers to a technology enabled model for health management
Devices, services are designed for patient’s needs, health related data is shared so patient can receive care in most proactive/efficient way
What is SNOMED CT and ICNP? What are they?
(systematized nomenclature of medicine - clinical terms) and (international classification for nursing practice)
standardized clinical terminologies best suited for documenting, communicating, aggregating and analyzing the nursing contribution to patient care
Linked and compared to data from other professions
What is C-HOBIC?
Project that has adopted SNOMED CT/ICNP to document standardized nursing assessment methodology. Supports demonstration/comparasion of patient outcomes
Determines impact of nursing care for individual patients, organizations can see how well they are managing clincal outcomes
What is LOINC?
Can document assessment scales (Braden scale) and intake/output
what is C-HOBIC and LOINC?
Both lined to SNOMED CT making it easier to document, communicate, analyze nursing contribution to patient care
what are ICNP, SNOMED CT, C-HOBIC and LIONC?
ICNP, SNOMED CT: standardized clinical reference terminologies
C-HOBIC, LIONC: standardized approach to nursing documentation
Development of nursing informatics will be essential for what?
Determining how best to make decisions with data. Need this knowledge for gathering and using data from multiple sources to make decisions
Positives of clinical pathways?
Standardized but allows flexibility
Patients appreciate continuity of care, same document from pre-admission to discharge
what are 6 components to make up an EHR?
Patient registry Provider registry Diagnostic images Laboratory results Drug dispensed Clinical reports/ immunization
whats the infoway path to clinical interoperability?
Unleash the clinical leadership
Realign the effort to focus on interoperability specifications
Use simple, open technical solutions to enable interoperability
Migrate health information exchange implementation and operations to a service model
Allow all stakeholders to have a voice in clinical interoperability
what are the 5 categories of elements (Health information: nursing components (HI:NC))?
Comprises 5 categories of elements: Patient status, nursing interventions, patient outcomes, nursing resource intensity (the amount and type of nursing resource used to care), and primary nurse identifier.
what is International classification for nursing practice (ICNP) used for?
ICNP is used to generate statement s of nursing diagnoses, nursing actions, and nursing outcomes, using terms arranged in a hierarchical order and in catalogue of precombined terms.
Catalogues are made up of nursing data subset of diagnoses, action and outcome specific to various practice areas or specialities and continue to be developed.
what are the ICNP catalogues that are currently available?
Community nursing Disaster nursing Nursing care of children with HIV and AIDs Nursing outcome indicators Paediatric Pain management Palliative care Partnering with individuals and families to promote adherence to treatment Prenatal nursing care
what ICNP are under development?
Hospitalized adult mental health client Hospitalized paediatric client Post-surgical total hip replacement Pressure ulcer prevention Special care nursery Adult pain management
what are the 7 key outcomes for ICT: Information and communication technologies?
- Nurses will integrate ICT into their practice to achieve desirable patient outcomes
- Nurses will have the required information and knowledge to support their practice
- Human resources planning will be facilitated
- New models of nursing practice and health services delivery will be supported
- Nursing groups will be well connected
- ICT will improve the quality of nurses work environments
- Canadian nurses will contribute to the global community of nursing
what are the 3 fundamental directions for ICT?
- Access: access to quality ICT is important for nurses to realize full benefits (computers, mobile technologies)
- Competencies: CNA encourages nurses to develop competencies in application of ICT and advocates for them to be part of nursing programs. There are three component competencies:
- Use relevant information and knowledge to support the delivery of evidence informed patient care
- Use ICTs in accordance with professional and regulatory standards and workplace policies
- Use information and communication technologies in the delivery of patient/client care. - Participation: strategic partnerships with nurses in clinical practice, employers and admin, educators and researchers etc.
how do algorithms differ from clinical pathways?
Differs from clinical pathways in that it visualizes clinical guidelines
what are primary work sources?
integral care processes, new ways of quality control
what are secondary work sources?
efficient resource management, strategic use of process information
·EHR’s should help primary and secondary work processes align
Understand how the use of social media and mobile devices can enhance nursing practice
- Enhance communication and keep healthcare practitioners current and more efficient
- An immediate and inexpensive source of education
- This allows the next HP to know the patients current concerns
- Through this we may be able to skype with family from far away to include them in decision making
Apply legal and ethical principles to the use of social media and mobile devices in practice
- Careful of confidentiality and privacy breaches,
- Accountability
differentiate between EHR and EMR
Electronic health record (EHR): Digital version of the patient data that is found in traditional record. Longitudinal/lifelong record of all health care encounters for a patient
Electronic medical record (EMR):legal record that describes a single encounter or visit in the hospital and outpatient health care setting that is the source of data for the EHR
what are The 2 promises of EHR?
1) Positive impact on the quality of patient care through collaboration with improved data availability and information synthesis
2) Improve patient safety through use of clinical decision support
- Improves continuity of health care
what are Key advantages of EHR for nurses?
- Compare current clinical data to previous health care encounters
- Maintain ongoing record of education and patient’s response to the info
what are the 6 P’s of social media use?
- Professional
- Positive
- Patient/person-free
- Protect yourself
- Privacy
- Pause before you post
why do we use institutional ethnography?
to investigate the promises and practices for Canadian nursing of some EHR-oriented transformations.
