ADN 001 PrepU Ch 20
An informatics nurse specialist has received an update from the vendor who is providing the electronic health record. During which phase of the system development lifecycle would this update be made?
Maintain
discrete entities without interpretation is called
Data
A registered nurse with an interest or experience in an informatics field
Informatics Nurse
An informatics nurse specialist is interviewing several nurses who have participated in testing a new electronic assessment tool. The nurses report that the tool "feels so familiar, like we know exactly what it is that we're supposed to do." The nurse specialist interprets this as indicating which concept?
Naturalness refers to how automatically "familiar" and easy to use (intuitive) the application feels to the user.
An informatics nurse specialist is conducting an in-service program for a group of informatics nurses. The nurse specialist is reviewing the components of the system development lifecycle and determines that the education was successful when the group identifies the phases of the lifecycle as similar to the:
Nursing process Explanation: While as a practicing nurse, the areas of Assess, Plan, Implement, and Evaluate make up the foundational concepts of care, the SDLC (system development life cycle) requires focus in the areas of Analyze and Plan, Design and Build, Test, Train, Implement, Maintain, and Evaluate.
An informatics nurse specialist has been involved in obtaining feedback about a clinical information system recently implemented in the facility. The information gathered provided recommendations for improving the satisfaction of the end users when using the system. Which aspect is the informatics nurse specialist addressing?
Optimization
Appropriate use of knowledge to manage and solve human problems is called
Wisdom
Efficient interactions
minimizing the number of steps to complete tasks and providing shortcuts
Analyze and Plan phase
the team would determine the purpose of the technology and the problem to be solved to establish the need.
A registered nurse with formal GRADUATE-LEVEL EDUCATION in the field of informatics
Informatics Nurse Specialist
Data that has been interpreted, organized or structured is called
Information
A nurse is assessing a client who comes to the clinic for an evaluation. During the assessment, the client tells the nurse, "I have this thing on my phone that reminds me to take my medicines when I'm supposed to." The nurse identifies this as reflecting which concept?
Telecare
Five phases of technology testing phases (Hint: UFIPU)
Unit Function Integration Performance User Acceptance
An informatics nurse specialist is conducting an in-service program for a group of staff nurses about this specialty. One of the nurses asks, "What exactly is nursing informatics?" Which response by the informatics nurse specialist would be most appropriate?
"It combines nursing science with information management and analytical sciences."
An informatics nurse specialist is conducting a discussion with a group of staff nurses who have been participating in the implementation of an updated electronic protocol system. The informatics nurse specialist is gathering information about the system's optimization. One of the participants asks, "Why is this information important?" Which response by the informatics nurse specialist would be appropriate?
"We can make improvements to the system to improve our delivery of care."
An informatics nurse is discussing the implementation of a new documentation system with a group of staff nurses who are using the system. Which response by the group would indicate to the nurse that the system's usability is effective? Select all that apply.
"We've noticed that this system really helps to save us valuable time." "Using the system is highly intuitive." "This system fits nicely into how we work."
The ANA defines nursing informatics (NI) as
"the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice." It is more than just working with computers or the electronic health record (although this is the core of informatics practice). Client education can be one component of a clinical information system with which nursing informatics may be involved.
Uses of patient portals
-Access medical hx -Request prescription refills -Pay bills -Review lab results -Schedule appointments -Receive reminders for screenings -Enter clinical data (BP, BGL, weight, and other activity data) -Review progress notes
Clinical Information Systems
-Computer-based system used to support health care -A system for collecting, storing, manipulating, and making available clinical information.
An informatics nurse specialist has completed the evaluation of an update to a current clinical information system used by the staff at the local hospital and has documented the results. Documentation reveals the need for an improvement in the screen display. Which action would be next?
Analyze and plan Explanation: Evaluation may be the last phase of the system development lifecycle, but it represents an essential step for nurses to be involved in before circling back to Analyze and Plan based on the results of the evaluation. This step is important to complete before making updates or improvements to a system already in place. Once this step is completed, the other steps of the system development lifecycle would follow.
Big Data
Big Data comprises the accumulation of health care-related data from various sources, combined with new technologies that allow for the transformation of data to information, to knowledge, and ultimately to wisdom
An informatics nurse is preparing a training program for staff nurses in the facility. The facility will be implementing a new electronic health record. To ensure the best results, which type of training would the informatics nurse most likely use?
Classroom education
The nurse is caring for a client in the intensive care unit who must be administered multiple medications. The client is often unresponsive and cannot offer information during assessment. When administering the medication, which step by the nurse is most important to avoid confusion and ensure safety?
Compare the client's wristband to the eMAR and EHR information if the client is unresponsive, then verify the medication has the same identifying information.
An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usabilty?
Consistency
A nurse is documenting a client's vital signs, height, and weight in the electronic health record. Applying the framework for informatics practice, the nurse would identify these values as which component of the framework?
Data
An informatics nurse specialist is collecting data from the clinical information system about the demographics of individuals diagnosed with heart failure admitted to the facility over the past five years. The nurse specialist is preparing a presentation to the facility's executive board. To promote understanding of this complex information, the nurse specialist prepares the data results using a pie chart and a bar graph. The nurse specialist is using which area of analytics?
Data visualization
An informatics nurse specialist is working on a team that is considering a new technological system for the facility. Which aspect would be most important for the team to do as the first step?
Determine the need or problem to be solved
An informatics nurse is evaluating a new clinical information system for usability. The nurse notes that the system requires the user to complete a maximum of 3 steps to complete a task. The system also provides shortcuts to frequent users of the system. The nurse would determine that which concept of usability is being addressed?
Efficient interactions
An informatics nurse specialist attends a three-day seminar on current trends in health information technology. Experts are presenting sessions involving the current state of informatics, issues associated with this field, and new and innovative methods being developed based on current research. The informatics nurse specialist plans to share this information with the facility's health information technology team to see if they can incorporate it into the facility's current clinical information system. The informatics nurse specialist is demonstrating which ANA informatics competency? Select all that apply.
Education and EBPR
A group of nurses are participating in being the first group of staff to use a new electronic pain assessment tool. The group is discussing whether or not the system is easy to use. During the discussion, the group mentions that "the shortcuts provided are really helpful and save valuable time." The informatics nurse specialist interprets this statement as reflecting which concept?
Efficient interactions
An informatics nurse specialist is describing the role of informatics in health care to a group of staff at a facility. The nurse specialist determines that the teaching was successful when the group identifies which as a core practice area?
Electronic health record
Several nurses on the unit meet with the informatics nurse specialist about some concerns that they have with the current clinical information system. The nurses mention that the layout of the screen is such that it causes strain on the eyes when using it for more than short periods of time. They also mention that because the system requires repetitive clicking to complete one task, they are concerned about repetitive-use injuries when multiple tasks need to be completed. The informatics nurse specialist takes this information back to the technology team and they develop potential solutions to address these issues. The informatics nurse specialist is demonstrating which ANA informatics competency?
Environmental health Explanation: The nurses are voicing concerns related to ergonomics, which is reflected by the competency of environmental health.
An informatics nurse is participating in an online continuing education course about nursing informatics. The nurse demonstrates successful comprehension of the course by identifying which individual as being considered the first informatics nurse?
Florence Nightingale
An informatics nurse is teaching a clinic staff about a newly implemented patient portal being used. The informatics nurse determines that the teaching was effective when the staff identify which aspect as being the focus of this technology?
Greater client engangement
An informatics nurse specialist is recommending the addition of an alert system tool to the facility's patient portal. The tool would be designed to send alerts to the client to schedule routine screenings and immunizations. This recommendation most likely reflects which ANA informatics competency?
Health teaching and health promotion
An informatics nurse specialist is gathering data from electronic health records at the facility about clients who have had central venous catheters inserted for more than the recommended time as specified by the facility's protocol. The nurse specialist is collecting this data most likely for which purpose?
Identify clients at risk for infection
An informatics nurse is assisting with the evaluation of a newly implemented system for electronic documentation of client assessments. The nurse is planning to involve staff nurses in this process. When beginning the evaluation process, the informatics nurse would focus on which area first?
Identifying what will be evaluated
An informatics nurse specialist is working with a group of staff nurses who are testing an electronic documentation system. The nurses using the system find that the different components of the system are working as they should from the time a client is admitted and throughout the client's care. The group is involved with which phase of testing?
Integration
A client comes to see the cardiologist for a routine follow-up visit. At the visit, the nurse reviews the client's electronic health record. The nurse is able to access a report from the client's last visit to the primary care provider last month and the report from an emergency department visit two weeks ago for reports of shortness of breath. The record also lists two changes in the client's medication based on the emergency department visit. The nurse's ability to access this information reflects which concept?
Interoperability
A nurse working in a primary care provider's office is using the clnical information system to review a client's health information. The nurse is able to review the client's last visit to the primary care provider as well as information from a recent hospitalization, and also a visit that the client made to the cardiologist last week. The nurse's ability to review this information is based on which aspect of the clinical information system?
Interoperability
An informatics nurse specialist is attempting to identify a connection between a client's health history and the client's current health status. The nurse specialist interprets and analyzes the various items documented to determine the relationship. The nurse is integrating which component of the nursing informatics framework?
Knowledge
Information that is synthesized so that relationships are identified is called
Knowledge
Effective use of language
Language in EMR should be concise and unambiguous to the users in the context of their work (i.e. nurses)
An informatics nurse specialist is involved with implementing strategies to improve the performance of the clinical information system being used. As part of this process, the nurse specialist is working on updating the plans of care in the system to reflect changes to a procedure based on new evidence. The nurse is also working to streamline the display screens to reduce the need to document the same information in three different areas. The nurse specialist is addressing which aspect of the system?
Optimization
An informatics nurse specialist is conducting an orientation for the staff of a primary care provider's office about a new web-based tool that they will be implementing. The goal of the tool is to promote patient engagement. The informatics nurse specialist is most likely orienting the staff to which system?
Patient portal
An informatics nurse specialist is preparing a presentation for a local community group about advances in technology in health care. Part of the presentation will focus on technological advances to promote greater client participation in managing health. Which component would the nurse likely describe as playing a major role?
Patient portal
A nurse is reviewing the medical record of a client at the clinic. The nurse notes that the medication and dosage prescribed for the client was based on information gathered about the client's genetic makeup from the electronic health record. The nurse interprets this as:
Pharmacogenomics
An informatics nurse specialist is extracting data from the facility's electronic health record in an attempt to identify clients at risk for developing catheter-related bloodstream infections. When gathering this data, the nurse specialist is using which technique?
Predictive Analysis
An informatics nurse is assisting with the design of an clinical information system for use by the staff of a health center. The nurse is working to ensure that the system reflects usability by making sure that the screen display is viusually clean and uncluttered and that it provides only the information needed for decision making. Which concept of usability is the nurse incoroporating?
Simplicity
Minimizing Cognitive Load
Presenting all information needed fir the task at hand reduces cognitive load. Minimizing the need to change screens and displaying info by meaningful relationships
Simplicity
Refers to everything from lack of visual clutter and concise information display to inclusion of only functionality that is needed to effectively accomplish tasks. A "less is more" philosophy
Telecare
Telecare generally refers to technology that allows consumers to stay safe and independent in their own homes. It may include consumer-oriented health and fitness apps, sensors and tools that connect consumers with family members or other caregivers, exercise tracking tools, digital medication reminder systems, and early warning and detection technologies
A healthcare provider in a different state is reviewing the x-rays and scans of a patient who lives in another state. The patient's primary care provider has asked the other healthcare provider for their interpretation of the tests and to obtain the provider's opinion about the diagnosis. Which technology is being used?
Telehealth Explanation: The technology being used is telehealth, defined as the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health, and health administration.
A client comes to the health care provider's office for a follow up. The client was recently hospitalized for heart failure. The nurse reviews the client's discharge plan, which included the client being supplied with telecommunications technology for monitoring daily weights and blood pressure. Then each day, after completing those tasks, the client would receive a phone call from the nurse practitioner about the results and adjust the client's medication schedule. The nurse identifies this specifically as reflecting which type of care?
Telemedicine
A nurse has a two-way video communication with the specialist involved in the care of a client in a long-term care facility. This is an example of what nursing informatics technology?
Telemedicine and mobile technology
Several nurses are discussing their impressions of the newly implemented electronic health record with an informatics nurse specialist. They say, "There is so much information on one screen, it hard to tell what we should do first. It's not really clear." The informatics nurse specialist interprets the comments as reflecting an issue with which area?
Usability
An informatics nurse specialist is conducting an in-service education program for a group of staff nurses. The topic is ensuring electronic client data is secure and private. The specialist determines that the teaching was successful when the group identifies which aspect as essential to ensuring the security of electronic data when using clinical systems?
Use of strong passwords
An informatics nurse specialist is working with a group of nurses who are tasked to test a new electronic health record system. Which phase would the group be involved with as the last phase of testing?
User acceptance testing is completed after all other testing (unit, function, integration, and performance) is completed
Telehealth
a broad term that refers to the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, client and professional health-related education, public health, and health administration.
Forgiveness and feedback
a design allows the user to discover it through exploration without fear of disastrous results ; this approach accelerates learning
Genomics
addresses all genes and their interrelationships in order to identify their combined influence on the growth and development of the organism.
mHealth
apps or applications that are available on mobile devices such as smartphones or tablets; the term is used to describe the rapidly evolving use of mobile technologies to track and improve health outcomes.
Big data
comprises the accumulation of health care-related data from various sources, combined with new technologies that allow for the transformation of data to information, to knowledge, and ultimately to wisdom
Predictive Analysis
encompasses a variety of statistical techniques that analyze current and historical facts to make predictions about future or otherwise unknown events
Predictive analytics
encompasses a variety of statistical techniques that analyze current and historical facts to make predictions about future or otherwise unknown events
Predictive analytics
encompasses a variety of statistical techniques that analyze current and historical facts to make predictions about future or otherwise unknown events.
Consistency
involves a user's prior experience. The more users can apply prior experience to a new system, the lower the learning curve, the more effective their usage, and the fewer their errors.
Naturalness
refers to how automatically "familiar" and easy to use (intuitive) the application feels to the user
Optimization
refers to strategies to improve processes, maximize effective use, reduce errors, reduce costs, eliminate workflow inefficiencies, improve clinical decision support, and improve end-user skills and satisfaction with the system Examples include: updating nursing plans, reordering the sequence of screens that would require documentation in different places, creating alerts to remove foley catheters after 48hrs
Security
refers to the ability to keep information private and confidential.
Interoperability
refers to the ability to share data across health care systems
Usability
refers to the ease of use and intuitiveness of a system.
Security
refers to the system's ability to keep information private and confidential.
Telemedicine
involves the use of telecommunications technologies to support the delivery of all types of medical, diagnostic, and treatment-related services, usually by physicians or nurse practitioners. Examples include conducting diagnostic tests, monitoring a client's progress after treatment or therapy, and facilitating access to specialists that are not located in the same place as the client.
Data visualization
is the presentation of data in a pictorial or graphical format
Data visualization
is the presentation of data in a pictorial or graphical format to enable decision makers to see analytics presented visually, so they can grasp difficult concepts or identify new patterns
During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology?
mHealth
