Informatics and Nursing Quiz 1

critical thinking results

directed toward improved outcomes based on information and knowledge

Healthcare informatics purpose:

improve the use of healthcare data, information, and knowledge in supporting patient care, research, and education

President Bush's goal

in 2014 for every American to have an Electronic healthcare record (EHR)

Quality and safety education for nurses (QSEN) phase 2

integrates the competencies in pilot nursing programs

knowledge generation

integrating evidence-based literature with clinical information results in new knowledge.

Healthcare informatics focus

is on the subject, information, rather than the tool, the computer.

Technology Informatics Guiding Education Reform (TIGER)'s objectives

is to make nursing informatics competencies part of every nurse's skill set, aims to make informatics the stethoscope of the 21st century.

healthcare consumer literacy

it is important to determine the level of literacy of patients in order to provide beneficial discharge planning and patient education

Informatics focus

its focus is information management, not computers

computer fluency

lifelong commitment to acquiring new skills for being more effective in work and personal life

deidentified

no patient names and probably no physician names

Flash memory

nonvolatile - the applications and data will not disappear if the battery power is depleted

Medical informatics

was the first term used to identify informatics in healthcare

WiFi

wireless fidelity

Beaming

wireless, very short range (3-feet), infrared (IR) transmission of information to other beam-enabled devices with the same OS.

The four elements in the pyramid model:

1. desired goals of the nursing informatics activity 2. users (burses and students) 3. raw material or nursing information 4. the technology, which is computer hardware and software

secondary data analysis

analysis of data for purposes other than for which it was originally collected in the system design process

The cycle of knowledge Transformation

1. Discovery 2. Summary 3. Translation 4. Implementation 5. Evaluation

Two goals that affect nurses and healthcare:

1. Patient-focused healthcare 2. Population health

Hotspot

WiFi enabled area

Finding nursing knowledge on the internet

- Laws, rules & regulation - NCSBN (NCLEX), CMS - Nursing Care - PubMed, -Healthcare Agencies - Joint Commission -Specialty organizations - CDC, NIH -Professional organizations - ANA, STTI (student) Evidence-based resources - Cochrane library

Scholarly Articles VS. non-scholarly

- Scholarly: written by nurses with subject area expertise, subject to peer-review process -E-zine Newspapers: written by reporters, reviewed by editor, citations often not given -Websites: authors often unknown, information not up to date.

Benefits of informatics to nursing (PP)

-Enhances practice and allows nursing science to develop -Improves documentation -Data used for quality and research -Builds evidence-based nursing knowledge

vital parts of critical thinking

-asking questions -knowing when one needs more information, developing and applying a plan for acquiring this information, and using the plan to generate knowledge

information literate competencies

-determine the extent of information needed -access the needed information effectively and efficiently -evaluate information and its sources critically -incorporate selected information into one's knowledge base -use information effectively to accomplish a specific purpose -understand the economic, legal, and social issues surrounding the used of information, and access and use information ethically and legally

Advantage of literacy

-improve quality of care -new methods -empowerment -supports joint commission requirements -essential for EBP

three types of built-in memory

-read-only memory (ROM) -random-access memory (RAM) -built-in flash memory

The Leapfrog Group mission goals:

1. Promot use of CPOE to reduce medication errors 2. encourage consumers & healthcare purchasers to select hospitals w/ extensive experience & good outcomes for high risk surgeries. 3. promote the staffing of ICU with intensivists of doctors with special training 4. assess hospitals' progress in the national quality forum - endorsed safe practices.

the National Informatics Agenda for Education and Practice 5 recommendations:

1. educate students and nurses in core informatics content 2. prepare nurses with specialized skills in informatics 3. enhance nursing practice and education through informatics projects 4. prepare nursing faculty in informatics 5. increase collaborative efforts in nursing informatics.

6 program goals for nursing informatics research:

1. establish a nursing language 2. develop methods to build clinical info databases 3. determine how nurses give patient care using data, info, and knowledge 4. develop workstations that provide nurses with needed info 6. develop methods to evaluate nursing info systems.

strategies for achieving goals for patient-focused healthcare

1. facilitate electronic exchange of patient's health information while protecting privacy and security of information 2. make info exchange interoperable so that it is available when and where it is needed 3. promote nationwide adoption of electronic health records (EHRs) 4. establish collaborative governance to guide the health information technology (HIT) infrastructure

strategies for achieving goals for population health

1. provide for information access and use of population health while protecting privacy and security 2. make information exchange interoperable to support population-oriented uses 3.promote nationwide adoption of technologies and technical functions that will improve population and individual health 3. establish collaborative governance to support the information use for population health

Critical thinking components

1. skill sets to process and generate information 2. the intellectual commitment to use those skills to guide behavior.

5 components needed to provide evidence-based care:

1. standardization of terminologies and structures used in documentation 2. the use of digital information 3. standards to permit healthcare data 4. the ability to capture data relevant to the actual care provided 5. competency among practitioners to use this data

Benefits of informatics (PP)

Aggregated Data Improved Communication Storage and Retrieval Time & Money

password requirements

Alphanumeric 7-10 Characters Not Personally identifiable Biometric where available

Which of the following would be a concern associated with the use of mobile devices in nursing? A.Improved time management B.Increased cost of the device C.Enhanced patient safety D.Reduction in errors

B: INCREASED COST OF THE DEVICE Mobile devices can be expensive in terms of purchase and time involved in selecting and preparing the device for use. Improved time management, enhanced patient safety, and reduced errors are benefits associated with using a mobile device.

Which of the following would a nurse identify as a benefit of informatics to nursing? A.Less data to review for quality control B.More time to permit complete documentation C.Less communication needed among providers D.Easier retrieval of healthcare information

D: EASIER RETRIEVAL OF HEALTHCARE INFORMATION Benefits include easier retrieval of healthcare information, improved documentation with less time spent on documentation, more complete data that can be used for quality control and research, and improved communication among all healthcare providers.

TRUE OR FALSE? Health informatics is process oriented?

False Historically, health informatics was process oriented, but today it focuses on data and information

TRUE OR FALSE? When using a mobile device, the ROM memory is highly volatile.

False ROM does not require power to maintain the data. RAM does require power, all data not saved on flash or ROM will be lost.

True or False. Health informatics is a subspecialty under nursing informatics?

False. Health informatics is the umbrella term that encompasses all subspecialties such as nursing, pharmacy, and lab.

strategic plan

Improve

Who called for adoption of interoperable health records?

President Bush did in 2004

Who first used/defined the term "nursing informatics"?

Scholes and Barber in 1980

Who created the pyramid model for nursing informatics and what was it intended for?

Schwirian in 1986 intended as a stimulus for research

TRUE OR FALSE? Any handheld device that is used for clinical data must be secured or encrypted?

True Security issues are associated with the use of handheld devices and clinical information. Thus, when a device contains clinical information, the device should be secured or encrypted using a password or biometrics such as fingerprint recognition.

Benefits of the informatics system

ability to create and used aggregated data, prevent errors, ease working conditions, and provide better healthcare records.

Population health

access and use of electronic health information to support public health, biomedical research, quality improvement, and emergency preparedness

Quality and safety education for nurses (QSEN) phase 1

address IOM's five competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement and informatics - plus safety. 6 total.

Boolean

adjective 1. denoting a system of algebraic notation used to represent logical propositions, esp. in computing and electronics. noun Computing 1. a binary variable, having two possible values called "true" and "false."

Listserv

an e-mail discussion list that has participants who discuss various aspects of a topic such as informatics

Information literacy

awareness of need, ability to find it, ability to analyze the validity and relevance, and the ability to interpret it for use

Quality and safety education for nurses (QSEN) phase 3

continues to promote the implementation and evaluation of knowledge, skills, and attitudes associated with the six competencies

to increase literacy nurses must have:

critical thinking, domain knowledge, clinical experience, incorporate knowledge into practice.

health literacy

degree to which individuals have capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions; subset of information literacy

strategic plan (from prof.)

improve public health, inform clinical practice, interconnect clinicians, personalize care.

Problem-Oriented Medical Information System (PROMIS)

one of the early uses of computers, 1968, providing a total, integrated system that covered all aspects of health care, including patient treatment. Overcome lack of coordinated care.

protocol

pre-existing agreement as to how information can be structured & shared

Computerized provider order entry (CPOE)

prevents transcription errors & can flag any condition that might present a hazard or would need additional assessment

Patient-focused healthcare

provide higher quality, cost-efficient care using electronics information exchange among healthcare providers patients and their designees

RAM

stores all of the add-on applications and data files and requires a small amount of continuous battery power - volatile - if battery power is depleted, all the data stored on RAM are lost

Critical thinking

supported by information literacy; "thinking about thinking"

computer literacy

the ability to perform various tasks with a computer

Healthcare informatics describes

the capture, retrieval, storage, presenting, sharing, and use of biomedical information, data, and knowledge for providing care, problem solving and decision making

Electronic Numerical Integrator and Computer (ENIAC)

the first computer by today's perception, built by people at Moore School of Engineering at the University of Pennsylvania in 1946

"Simon"

the first smart phone in 1993

Resolution

the higher the numbers, the sharper the image

The two roles in informatics

the informatics specialist AND the clinician who must use health information technology (HIT)

Informatics is

the management of information, by using cognitive skills and the computer

The original definition of nursing informatics:

the use of computer technology in all nursing endeavors: nursing services, education, and research.

Informatics definition (from prof.)

the use of information & technology in healthcare

President's information technology advisory committee (PITAC) was created:

to support for greater use of informatics. It standardized terms and developed health care exchange

aggregated data

unidentifiable - data minus any patient identification- use to make decisions based on actual patient care data

knowledge dissemination

when nurses change data from information to knowledge by sharing through: learning modules, e-mail, wiki/blog, presentations, graphs, manuscript/journal.

Bluetooth

wireless, short-ranged (32 feet), low powered radio frequency connection to other Bluetooth-enabled devices, creates a personal connection or a piconet