unit one what is nursing informatics Flashcards

1
Q

informatics provides told to help

A

process, manage and analyze data and information collected for the purpose of documenting and improving patient care, as well as to support knowledge that adds to the scientific foundation for nursing, provides value to nursing knowledge and work, and improves the public image for nursing by building a knowledge based identity for nurses

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2
Q

Data

A

are a collection of numbers, characters, or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time

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3
Q

information is

A

data that have been interpreted

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4
Q

data and information are collected when nurses

A

record the following activities

  • initial client history and allergies
  • vital signs such as blood pressure and temp
  • response to treatment
  • client response and comprehension of educational activities.
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5
Q

knowledge

A

is the synthesis of information derived from several sources to produce a single concept of idea.. it is based of analysis and provides order to thoughts and idea and decreases uncertainty

  • it is dynamic and derives from its context
  • validation of information provides knowledge that be used again
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6
Q

information technology

A

is a general term used to refer to the management and processing of information with the assistance of computers

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7
Q

wisdom

A

occurs when knowledge is used appropriately to manage and solve problems
- it results from understanding and requires human effort
wisdom comes from cumulative experiences, as the result of learning skills and ways of thinking that be viewed as predecessors to wisdom, and via the creation of conditions that help participants to use their accumulated knowledge effectively

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8
Q

nurses must be active particpants

A

in the design of automated documentation to ensure that information is recorded appropriately and in a format that can be accused and useful to all healthcare providers.
-nurses also have a responsibility to safeguard the security and privacy of client information via education, policy, and technical means

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9
Q

harsanyi, lehmkuhl, hott, myers abd mcgeehan

A

argued that understanding current and evolving technology for management and processing of nursing information helps the nursing profession assume a leadership position in health reform

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10
Q

IT can

A
  • bridge the gap as health care delivery convey continues its evolution from a task based industry
  • tools to access information to expand their knowledge in a just in time, evidence based fashion
  • help to ensure access to the most recent versions of these types of resources via tools such as intranets, electronic communities or blogs
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11
Q

haase-Herrick @ herrin; simpsion

A

thought nurses must optimize their value as intellectual capital work must be done to develop work load measurements for knowledge workers

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12
Q

pesut

A

noted that a change has occurred in the nursing process and how nurses represent critical thinking

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13
Q

nurses role during the course of client care

A

data gatherer
information user
knowledge user
knowledge budiler

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14
Q

knowledge management

A

refers to the creation of system that enable organization to tap info the knowledge, experiences, and creativity of their staff to improve their performance

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15
Q

informatics

A

is the science and art of turning data into information
the study of the application of computer and statistical techniques to the management of information
- subsequently emerged as an area of specialization within the various healthcare disciples and is one of the fastest growing career fields in health care

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16
Q

medical informatics

A

refers to the application of information to all of the healthcare disciples as well as to the practice of medicine
Balll and hannah definition is - collected informational technologies which concern themselves with the client care decisions making process performed by health care practitioners

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17
Q

nursing informatics

A

may be defined as the use of information and computer technology support all aspects of nursing practice, including direct delivery of care, administration, education and research
- evolving as advances occur in nursing practice and technology; there have been many different definitions throughout the years as the disciple have evolved

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18
Q

ANA informatics focuses

A
  1. definitions of IT
  2. conceptually orientated definitions
  3. definitions that focus on roles
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19
Q

schwirian

A

called for a solid foundation of nursing information knowledge built on research that was model driven and proactive rather than problem driven

20
Q

Graves and Corcoran

A

built on hannah’s definitions to include a combination of computer science, information science and nursing science designed to assist in the management and processing of nursing data, information and knowledge to support the practice of nursing and the delivery of nursing care

21
Q

turley introduced

A

information using theory from cognitive science, computer science, and information science on a base of nursing science with information present at the point that all area overlap

22
Q

ANA revised definition of nursing informatics

A

incorporates the concept of wisdom to read as
- nursing informatics is a specialty that integrates nursing science, computer sciences, and information science to mange and communicate data, information, knowledge and wisdom into nursing practice. Nursing informatics facilities the integration of data, information knowledge and wisdom to support patient, nurses and other providers in their decisions making in all roles and settings. this support is accomplished through the use of information structures, information processes and information technology

23
Q

computer literacy

A

is a popular term used to refer ti a familiarity is a popular used term to refer to a familiarity with the use of personal computers, including the use of the software such as word processing, spreadsheets, databases presentation graphics and e-mail

24
Q

information literacy

A

has a broader meaning
information literacy is defined as the ability to recognize when information is needed as well as the skills to find , evaluate and use needed information effectively
- represents an important step in promoting evidence-based nursing practice because the information- literate nurse can weigh the quality and significance of research findings for application

25
Q

Garde, harrison, and hoenga

A

`ca;;ed for the development of comprehensive health informatics educations framework for nurses as well as other health professional

26
Q

Mcdowell and Ma

A

emphasized the need for competence in e-mail, Web and database searches. spreadsheet, and statistical analysis for use in quality improvement activities, the creation and monitoring of budgets, and a better understanding of research findings

27
Q

key imitative and organization

A

and document categorized competencies into one of three areas - computer literacy, information literacy and professional development/leadership

28
Q

the technology informatics guiding education

A

(TIGER - emerged from a national gathering of leaders from nursing administration, practice, education, informatics, technology, and government as well as other key stakeholders who realized that nursing must transform itself as a profession to realize the benefits that electronics patients records can provide

29
Q

Hit

A

the group identified leadership, education, educations, technology-enables processes that facilitate teamwork and relationship throughout the care continuum, system that support education and practice and supportive culture and policies as key factors to attain the vision

30
Q

The QSEN project

A
prepare future nurses with the knowledge, skills and attitudes need to continuously improve the quality and safety of the healthcare delivery system. five of six competencies defines in the phase I of the project were recommended the six competences are:
-patient centered care
- teamwork and collaboration
-evidence based practice
-quality improvement
-safety
informatics
31
Q

American association of college of nursing

A

AACN is the organization the provides a voice for baccalaureate and higher degree nursing education program in the united stated, providing curriculum elements and a framework for baccalaureate and higher degree nursing program
MSN graduates are expected to
-use patient care technologies to deliver and enhance care
-use communication technologies to integrate and coordinate care analyze data ti improve patient outbreaks
-manage information for evidence based care and patient education
- use and facilitate electronic health records to improve patient care

32
Q

the national league of nursing

A

itself to take steps to ensure that every nursing graduate demonstrate computer and information literacy as well as up to date skills in informatics

33
Q

the international council of nurses professional organization

A

the international classification for nursing practice a common code language for data falls under the professional practice arena
meaningful exchange of electronic data in a format the retains its meaning across settings and countries

34
Q

competency levels

A
  • entry level core competencies
  • the experienced nurse
  • the information nurse
35
Q

patient safety

A

10 major action issues

  • look alike sound alike medication
  • patient identification
  • communication during patient handover
  • correct procedure and body site
  • electrolyte solutions concentration control
  • medication accuracy
  • catheter and tubing disconnections
  • needle reuse and injection device
36
Q

specific evidence based and life saving protocols

A

special rapid response teams that were called at first sign of patient decline
-evidence based care for acute myocadial infraction
-medication reconciliation as a means to percent adverse drug events (ADE)
steps to prevent central line infections
prophylactics use of perioperative antibiotics to prevent surgical site infections
preventative measures against the development of ventilator associated pneumonia

37
Q

interventions designed to save lives and reduce injuries

A

reduce the incidence of surgical complication
reduce methicillin-resistant staphylococcus aureus (MRSA) infection
prevent pressure ulcers
prevent harm from high alert medication stating with anti coagulation and insulin
decrease readmission for the treatment of congestive heart failure
obtain cooperation from hospital boards of directors to accelerate organizational progress toward safe care

38
Q

push for patient safety by

A
  • patient identification
  • information technology safeguard
    – computerized physician (or provider/prescribe) order entry
  • e-prescribing
    bar code and RFID medication administration
    Decision-support software
    Smart technology
39
Q

major issues in health care with informatics implications

A

work flow changes
information technology as a means to retain again nurses
evidence based practice
genomics
- demonstrate knowledge of the relationship of genetics and genomics to health, prevention, screening and monitoring
- identify clients who may benefit from genetics information and services and provide appropriate accurate information
- make referral as needed
- provide appropriate services
- evaluate the effectiveness of current technology and interventions
The magnet hospital journey
- is one of the healthcare industry most celebrated indicators of quality patient care
- provides means to reduce errors and improve efficiency
Consumer-driven healthcare
online report cards
remote clinical monitoring
patient centered medical homes and accountable care organization
- patient entered
-comprehensive
- coordinated care
-accessible
-subject to continuous improvement through a system bases approach to quality and safety
Disease Management
research
payment for performance
patient privacy

40
Q

nursing informatics as a specialty area of practice ANA defining characteristics that must be present for nursing specialty

A
a differentiated practice
defined research priorities
representation by one or more organization
formal educational programs
a credentialing process
41
Q

informatics nurse

A

IN refers to the RN who works in the area of informatics. this individual has experiences or an interest in the area but no formal informatics preparation

42
Q

informatics nurse specialist

A

INS has advance, graduate education in nursing informatics or a related field and may hold ANCC certification

43
Q

application of nursing informatics

A

nursing practice
nursing administration
nursing education
nursing research

44
Q

benefits of informatics/EMR for consumers and health care professional

A

-improved access to information
- error reduction
-decrease redundancy of data entry
convenience
decreased time spent in medication administration and documentation
increased time for client care
facilitation of data collection for research
improved quality of documentation
improved compliance with regulatory requirements
improved record security
improved quality of care and patient satisfaction
decreased administration
deceased administrative costs for location and maintenance of client records
creation of a lifetime clinical; record facilitated by information system

45
Q

some of the benefits that can be realized with decision support software

A

decisions support told as well as alerts and reminders notify the clinical of possible concerns or omissions
with access to reference databases, nurses can easily review information on medication diseases, and treatment as part of the automated system
effective data management and trend-finding include the ability to provide historical part current data reports
extensive finical information can be collected and analyzed for trends
data related to treatment such as inpatient length of stay and lowest level of care.