unit 1 informatics in nursing practice (potter)
A recent survey (Fox and Duggan, 2013) found that:
72% of Internet users searched for health information online 77% of health-seeking Internet users initiated their most recent online health inquiry at a search engine 13% began at a health-related website Positive and negative search results were reported About 20% of health seekers research online reviews and the rankings of health care service providers and treatments
Which skill demonstrates information literacy?
Ability to properly use the electronic health records to pull up information from a patient's last visit The ability to properly use the electronic health record to pull up information from a patient's last visit demonstrates information literacy.
Why is the use of standardized nursing terminology important when treating a patient as part of a multidisciplinary nursing team?
Allows all nurses to use the same vocabulary to facilitate communication Standardized nursing terminology effectively avoids the use of synonyms in medical terms in order to avoid confusion and promote understanding between nurses.
beginners
Beginner nursing informatics skills include computer, information, and web literacy; fundamental skills in information management and computer technology; and the ability to identify and collect relevant data. The nurse at the beginning level may have keyboarding skills, can document in the electronic health record (EHR), and look up medications and other health information on reputable Internet reference sites.
diagnoses, interventions, and outcomes
CCC: Clinical Care Classification
Criteria for evaluating websites providing health care information include:
CRITERION-Authority EVALUATION QUESTION-Who is the sponsor or publisher? Is this a personal page? Where does it come from? Is the author or organization listed? What are the author's credentials? CRITERION-Purpose EVALUATING QUESTION-Does the site inform? Explain? Share? Disclose? Sell? What is the intended audience? CRITERION-Coverage EQ-Are citations correct? Is there a balance of text and images? CRITERION-Currency EQ-When was the site created? How often is it updated? CRITERION-Objectivity EQ-What are the goals and objectives of the site? Is there evidence of bias? Is bias explicit or hidden? CRITERION-Accuracy EQ-Are there footnotes or links to information sources? CRITERION-Verification EQ-Can the information be found in other sources?
Why does the use of computerized data collection and research in health care increase the need for standardized nursing terminologies in documentation?
Computers cannot make associations between different written descriptions meaning the same thing without standardized terminologies. Computers cannot make the association between different expressions meaning the same thing, so meaningfully extracting and organizing relevant data electronically is limited without standardized terminologies and labels.
Examples of the use of information technology in nursing education include:
Distance learning opportunities are widely available for formal degree programs and continuing education. Virtual realities and simulations allow the learner to participate in immersion scenarios that help in the development of critical-thinking and decision-making skills. Online discussion boards, classrooms, support groups, and social media sites are used for educational activities. An important part of the TIGER vision is the reform of nursing education to provide the 21st-century nurse with informatics skills that enable the use of IT to provide the most effective and safe care possible.
summary
Fueled by advances in information technology, nursing informatics is a rapidly growing field with great potential to improve patient care outcomes. The establishment and refinement of standardized nursing terminologies has set the stage for well-prepared nursing informatics specialists to use information science to extract meaningful data to identify health care trends and directions for improved health care delivery. As care coordinators and direct care providers at the center of patient health care systems, nurses are uniquely positioned to make significant contributions to patient health through the innovative use of modern health care information technologies.
What does/did the TIGER initiative do for nursing informatics?
Identified a set of nursing informatics skills needed by all nurses in current practice The Technology Informatics Guiding Education Reform (TIGER) initiative (2014) identified a set of nursing informatics skills needed by all nurses practicing in the 21st century.
Which questions should be asked about an online health resource to determine the objectivity of the resource?
Is there evidence bias in the website? Determining if there is evidence bias evaluates the objectivity of the website. Correct What are the goals of the website? Determining the goals of the website evaluates the objectivity of the website. Is bias explicit or hidden? Determining if bias is explicit or hidden evaluates the objectivity of the website.
Which question should be asked about an online health information website to verify its content?
Is this information found in other sources? Determining that the information can be found in other credible sources verifies the content.
Which type of nursing informatics specialty competency is a nurse using when working with a committee to evaluate the ethics of implementing a new patient-tracking software program?
Leadership Leadership competencies address the ethical and management issues related to using information technology in nursing practice, education, research, and administration.
leadership
Leadership competencies address the ethical and management issues related to using information technology in nursing practice, education, research, and administration. Specific leadership competencies include the application of accountability, maintenance of privacy and confidentiality, and quality assurance (Herbert, 2008)
nursing diagnoses
NANDA-I: NANDA Inernational
nursing administrative data elements for use in all nursing settings
NMMDS: Nursing Management Minimum Data Set
clinical data elements for use in all nursing settings
NMSD: nursing minimum data set
innovator
Nursing informatics innovators conduct research and generate theory. They develop solutions and understand the interdependence of systems, disciplines, and outcomes.
Nursing Terminologies Recognized by the American Nurses Association
TERMINOLOGY-NMDS: Nursing Minimum Data Set CONTENT- Clinical data elements for use in all nursing settings TERMINOLOGY-NMMDS: Nursing Management Minimum Data Set CONTENT-Nursing administrative data elements for use in all nursing settings TERMINOLOGY-CCC: Clinical Care Classification CONTENT-Diagnoses, interventions, and outcomes TERMINOLOGY-ICNP: International Classification of Nursing Practice CONTENT-Diagnoses, interventions, and outcomes TERMINOLOGY-NANDA-I: NANDA International CONTENT-Nursing diagnoses TERMINOLOGY-NIC: Nursing Interventions Classification CONTENT-Nursing interventions TERMINOLOGY-NOC: Nursing Outcomes Classification CONTENT-Outcomes related to nursing care TERMINOLOGY-Omaha System CONTENT-Diagnoses, interventions, and outcomes for home care, public health, and community TERMINOLOGY-PNDS: Perioperative Nursing Data Set CONTENT-Diagnoses, interventions, and outcomes for use in the perioperative area
technical
Technical competencies pertain to the use of computers and other technological equipment and the use of a variety of software programs for word processing, spreadsheet and database development, presentation, referencing, and e-mail.
experienced
The nurse at the experienced level of informatics competency is able to see data relationships and make judgments based on trends and patterns in data, is skilled in information management and the use of computer technology, and is able to suggest areas for IT system improvement. Examples of experienced competencies include relating data posted by others to the nursing assessment, basing the nursing process and clinical decisions on the data, and devising better ways of using data from the EHR.
specialists
The nurse at the specialist level of competency focuses on information needs for the practice of nursing; integrates and applies information science, computer science, and nursing science; and applies skills in critical thinking, data management, processing, and system development. At the specialist level of competency, the nurse may conduct research based on information trends or patient data, devise applications for computer technology in nursing, or develop new software to enhance nursing care.
utility
Utility competencies address critical thinking and evidence-based practice applications. Nurses who have a utility competency recognize the relevance of nursing data for improving practice and can access multiple information sources for gathering evidence for clinical decision-making.
health literacy is
about consumers being able to understand the medical information their caregivers give them, or they find through the Internet and being able to use that information to make good decisions about their own course of care" (Schardt, 2011).
how can standardized nursing terminology directly enhance patient care
allows health care providers in different departments to better understand each other's reports
nursing informatics specialists
are experts who assume a variety of roles, including training others and supervising the use of information systems, designing systems particularly for use by nurses, and using data for establishing best-practice guidelines. Goals of nursing informatics specialists are to improve patient care and safety and establish best-care practices.
what are the credentials of the author
authority
Which level of nursing competency is demonstrated by a nurse who does not do research or make judgments based on patient data, but has web literacy and a good understanding of nursing computer systems?
beginner
There are four skill levels commonly recognized in nursing informatics:
beginner, experienced, specialist, and innovator.
knowledge of computers and the ability to use them efficiently
computer literacy
Determining a website's date of last update evaluates which criterion for credibility?
currency
when was the site created
currency
The International Classification for Nursing Practice (ICNP), developed under the auspices of the International Council of Nurses (ICN), provides a standard to
facilitate the description and comparison of nursing practice locally, regionally, nationally, and internationally.
how does the use of standardized nursing terminologies contribute to advances in the field of nursing
facilitates measurement of the impact of nursing interventions on patient outcomes
The goal of nursing informatics is to
improve the health of populations, communities, families, and individuals by optimizing information management and communication.
able to recognize need for info; locate,evaluate, use effectively
information literacy
standardized nursing terminology
is a structured vocabulary that provides a common means of communication among nurses. A standardized language ensures that when a nurse talks about a specific patient problem, another nurse fully understands the problem. Standardized language applies to all types of communication within a profession, including spoken and written communication.
computer literacy
is knowledge of computers and the ability to use them efficiently. Computers are everywhere, and their applications continue to grow at an astounding rate. As health care becomes increasingly dependent on technology, the value of a nurse may be partly measured in terms of technological competency. A computer-literate nurse is able to easily learn and use new computer programs with minimal assistance.
information literacy
is the ability to recognize when information is needed and to locate, evaluate, and effectively use the needed information (American Library Association, 2000). As the amount of available information increases exponentially, individuals must acquire the skills to select, evaluate, and use needed information.
addresses management of IT use in nursing practice and administration
leadership competency
Today, nurses use informatics on a regular basis to
manage patient care, facilitate clinical decision-making, and document patient outcomes. Nursing informatic specialists use informatics to establish best-practice guidelines to improve patient care and safety.
The Technology Informatics Guiding Education Reform (TIGER) initiative (2014) identified a set of nursing informatics skills needed by all nurses practicing in the 21st century. The TIGER Vision Pillars include
management and leadership, education, communication and collaboration, informatics design, and IT policy and culture. This skill set includes informatics competencies that range from basic computer skills to advanced level IT, and literacy competencies and expertise. TIGER's vision for the future of nursing addresses informatics and the use of emerging technologies to provide safer, patient-centered care by using evidence and technology in practice, education, and research.
use of health info systems to support nursing practice
nursing informatics
The Nursing Minimum Data Set (NMDS), proposed in 1991 and used today, represents
one of the first attempts by nursing informatics specialists to standardize the collection of essential nursing data. These core data, used on a regular basis by most nurses in the delivery of care across settings, provide labels and accurate descriptions of nursing diagnoses, nursing care, outcomes of care, and nursing resources used. Collected on an ongoing basis, the NMDS enables nurses to compare data across populations, settings, geographic areas, and time (Werley and Lang, 1988).
who is the intended audience
purpose
The Health on the Net Foundation (HON)
s an international initiative created in 1995 that focuses on the promotion and use of reliable online health information (HON, 2013).
pertains to use of computers, technological equipment, and software
technical competency
There are various specialty areas within nursing informatics, including
technical, utility, and leadership categories. Nurses can be specialists and build skill levels within any of these areas.
Nursing informatics include the use of information and technology in:
the direct provision of care establishing effective administrative systems managing and delivering health care education supporting nursing research
Which statement describes the main purpose of the Nursing Minimum Data Set (NMDS)?
to standardize the collection of essential nursing data
addresses critical thinking and EBP IT applications for improving practice
utility competency
can the info be found in other sources
verification
The Internet Healthcare Coalition, founded in 1997, was created to
was created to promote quality health resources online and to ensure that consumers and professionals are able to find reliable, high-quality information online. This organization consults with various government agencies, including the World Health Organization, the U.S. Food and Drug Administration, and the U.S. Federal Trade Commission, on efforts to promote credible online health care information and combat online health fraud (Mack, 2000).
which question should the patient ask to determine the authority of online health info?
what are the author's credentials is the site a personal webpage who is the publisher or sponsor
which questions should the patient ask to evaluate a website's credibility?
when was the website last updated can the info be found in other sources who is the intended audience of the website
