Nursing Informatics Test 1|101 Questions with Verified Answers,100% CORRECT

Nursing Informatics Test 1|101 Questions with Verified Answers Vital to effective nursing practice in the 21st century? - CORRECT ANSWER 1. ability of nurses to use health information technologies safely & efficiently. 2. nurses participate in the design of new clinical systems Analytical Engine - CORRECT ANSWER Developed by Charles Babbage in 1821, designed to compute polynomial functions. possessed many features found in modern computers. Charles Babbage - CORRECT ANSWER "Father of Computing" "Countess" Augusta Ada Lovelace - CORRECT ANSWER Babbage's colleague. attributed with the first efforts at programming a computer. Universal Automatic Computer (UNIVAC) - CORRECT ANSWER developed for the U.S Census Bureau for population census in 1950 first successful civilian computer First full-body computed tomography scanner (CT) - CORRECT ANSWER invented by Dr. Robert Ledley (a dentist). founded the National Biomedical Research Foundation- organization dedicated to promoting computing methods. foresaw role of technology issues of patient care Harriet Worley - CORRECT ANSWER First nurse researcher in 1950s at Walter Reed Army Institute Research Involved with a group consulted about the possibilities of using computer in health care Dr. Patricia Abbott - CORRECT ANSWER -member of team of authors who crafted the initial American Association Scope and Standards of Practice for Nursing Informatics -worked with American Nurses Credentialing center to develop the first certification exam in nursing informatics Dr. Virginia Saba - CORRECT ANSWER Participated in initiating academic technology programs and health IT systems Dr. Kathleen McCormick - CORRECT ANSWER Clinical trial researcher and nursing informatics scientist Dr. Marion Ball - CORRECT ANSWER Worked with national and international committees on medical informatics Roy L. Simpson - CORRECT ANSWER Worked with colleagues to develop the Nursing Minimum Data set Dr. Linda Thede - CORRECT ANSWER developed and taught nursing informatics programs Dr. Susan K. Newbold - CORRECT ANSWER Healthcare informatics consultant Dr. Susan J. Grobe - CORRECT ANSWER Developed set of software programs used to create modules on the nursing process. Domains of clinical informatics (3) - CORRECT ANSWER Health Systems Clinical Care Information & Communication technologies Clinical Informatics - CORRECT ANSWER encompasses all medical and health specialties, including nursing, and addresses the ways information systems are used in the day-to-day operations of patient care Purpose of clinical informatics - CORRECT ANSWER to improve patient care by using methods and technologies from established disciplines such as computer science and information science Nursing Informatics - CORRECT ANSWER A specialty in the discipline of nursing. International Medical Informatics Association's Nursing Informatics Special Interest group definition - CORRECT ANSWER science and practice that integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide Data - CORRECT ANSWER values of measurements, bits of information collected and transformed, allowing one to create an end product- patient demographics Information - CORRECT ANSWER Structured data that are meaningful and understandable Knowledge - CORRECT ANSWER Information that has been synthesized so that relationships are identified and formalized -- Braden & Morse scales, clinical decision making systems Wisdom - CORRECT ANSWER The proper use of knowledge to solve real-world problems and aid continuous improvement- evidence based protocols/procedures continuously updated Burden of fragmentation - CORRECT ANSWER -places patients at higher risks, especially if they have multiple or chronic complications -trouble initiating referrals and follow-ups -patients who don't receive referrals maybe forced to seek care in settings that are more expensive and less appropriate for chronic management (Emergency Department) Immunizations - CORRECT ANSWER -must be given at specific intervals and ages for optimal protection -tracking immunizations is another area at risk for fragmentation -healthcare providers must have reliable information in order to offer necessary immunizations Promises of Clinical Informatics System - CORRECT ANSWER -improved efficiency -improving the health care of older adults -decrease the number of potentially avoidable hospitalizations -improve communication across systems. Challenges in Clinical Informatics - CORRECT ANSWER -lack of system interoperability -poor usability of health information technology -failure to design health information technology for human factors to prevent errors. Barriers to integration of health informatics - CORRECT ANSWER time constraints, shortage of nursing faculty with health informatics expertise. According to the American Association of Colleges... - CORRECT ANSWER knowledge and skills in information management and patient care technologies are critical in the delivery of quality patient care Technology Informatics Guiding Education Reform - CORRECT ANSWER TIGER initiative purpose- to identify information/knowledge management best practices and effective technology capabilities for nurses developed recommendations for basic computer competency, information literacy, and information management Highlights four modules for practicing nurses - CORRECT ANSWER -basic computing concepts -using the computer and managing files -word processing -web browsing and communication Recommended skill set for pre-licensure nurses (information management competency) - CORRECT ANSWER -understanding the purpose & types of health information systems -adhering to confidentiality, access, and security protocols -using an HIS effectively and safely -understanding how to navigate an HIS -using decision support, clinical guidelines, and other feature of an HIS to provide safe patient care Creation of knowledge - CORRECT ANSWER first step in using information technology efficiently and effectively Knowledge creation process - CORRECT ANSWER raw data into meaningful, understandable information (patient demographics) Information is turned into knowledge and used to support decision making Knowledge information that has been synthesized so that relationships are identified and formalized Creation of knowledge from raw data is the - CORRECT ANSWER foundation of informatics Health Information technology has a profound effect on the way nurses provide care, may cause negative effects - CORRECT ANSWER by reducing the efficiency of nursing care processes, also called nursing workflow Qualitative methods - CORRECT ANSWER can describe details such as cost, time, and other factors with health informatics. Health Information Exchanges (HIEs) - CORRECT ANSWER High level systems designed to promote the rapid sharing of data across facilities -can confirm patients' reports of care at other facilities within the exchange -can assist in medical decision making by supplying essential information -can facilitate referrals and transfers to other facilities Plan-Do-Study Act (PDSA) - CORRECT ANSWER cyclical process made up of alternating phases of enacting changes and then assessing the effects of those changes -determine what changes need to be made -determine how to measure the effectiveness of the changes -put the plan into action -enact the changes -study the results of the changes System designed to assess and improve quality of care - CORRECT ANSWER institute of medicine highlights six main aims of healthcare providers 1. effectiveness 2. safety 3. efficiency 4. patient-centeredness 5. timeliness 6. equitability Continuous quality improvement systems. - CORRECT ANSWER believe there is always room for improvement. Holistic systems focus on every aspect of an organization - CORRECT ANSWER -defining process -honing organizational management -working in teams -gathering and assessing data -translating assessments into changes constant re-evaluating and assessing, team oriented systems all nurses are required continuing education to - CORRECT ANSWER stay current in practice meet state-mandated continuing education units fulfill requirements for certification/recertification in specialty practice Evidence-based practice (EBP) - CORRECT ANSWER systemic, critical evaluation of the current literature nurses clinical expertise and available resources patients values and preferences PICOT - CORRECT ANSWER patient/population/person, issue/intervention, compared, outcome, time Picot format - CORRECT ANSWER systematic method of question writing helps decrease the time and effort to find specific evidence on the topic helps to ensure all components of the questions has been addressed before the literature search begins takes time & practice to write questions using the PICOT format Boolean operators - CORRECT ANSWER "and" "or" "not" analyzing the literature: look for - CORRECT ANSWER clinical practice guidelines meta-analyses of evidence randomized controlled trials Putting EBP into practice: a plan must be prepared - CORRECT ANSWER -a theoretical model or process can be used as a framework to implement the project -timeline must be established -must include strategies to overcome barriers -select an evaluation strategy -address any ethical issues and protected health information issues (institutional review board) communicating findings (final step of the EBP process) - CORRECT ANSWER poster presentation, conference presentation, unit presentations Google Shortcomings - CORRECT ANSWER articles may not be peer reviewed strengthens the Matthew Effect matthew effect - CORRECT ANSWER starting advantages tend to build on themselves Clinical Decision-Support System (CDSS) - CORRECT ANSWER impact clinical decision making about individual patients at the moment those decisions are made present contextually appropriate information consist of a knowledge base, reasoning engine, and a communication mechanism nurses and other healthcare providers should be involved in the development of CDSS so they reflect the best clinical decisions. ex. Intensive insulin therapy What is information? - CORRECT ANSWER information is interpreted data (trending). for example B/P chart what is quality information? - CORRECT ANSWER quality information is timely, precise, accurate, numerically quantifiable, verifiable by independent means, rapidly and easily available, free from bias, comprehensive, appropriate to the user's needs, clear, reliable, and convenient. what is data? - CORRECT ANSWER data is characters, numbers, or facts gathered for analysis and possibly later acton; building blocks in the information of knowledge. what is data integrity? - CORRECT ANSWER data integrity is the ability to collect, store, and retrieve correct, complete, and current data so it will be available to authorized users when needed. what is the difference between computer, information, and health literate? - CORRECT ANSWER -computer literate means knowing how to use practice databases to enhance practice -information literate is recognizing significant, relevant research and know how to apply it to practice. -health literate is knowing how to manage health differentiate the different types of training approaches - CORRECT ANSWER -instructor led: lecture -computer based: modules on computer -web-based: like computer based but needs internet -on-the-job training: similar to an apprentice -blended approach: 2 or more of the other approaches- most effective -adjunct: job -aid: people trained and close by to help. what is necessary to determine if a website contains quality information? - CORRECT ANSWER - The website contains quality information if it has credentials, validity, accuracy, be complete, date, does not have a sponsorship or bias, navigation, intended audience, disclaimers, accreditation(seals such as HON or VARC), and privacy what is the difference between online vs. offline data storage? - CORRECT ANSWER - Online: faster, less safe, unlimited space, easily assessable - Offline: safer, not always accessible, could lose data why do we need informatics in healthcare? - CORRECT ANSWER More cost effective, more accurate, saves us time, makes information easy to access, easy to recognize trends. how is proficiency assessed after training has occurred? - CORRECT ANSWER Through testing that can give immediate feedback and assessment what is data cleansing? - CORRECT ANSWER Use of software to improve the quality of data to ensure that it is accurate enough for use in data mining and warehousing. what are system checks? - CORRECT ANSWER Data cleansing, forces users to complete "required" fields to progress, alerting users of duplicate entries, and generating reports of actions that have not been completed. what is data mining? - CORRECT ANSWER Technique that looks for hidden patterns and relationships in large groups of data using software. what is the difference between end user and user class? - CORRECT ANSWER -End user: healthcare workers who use an information system to view or document client information -User class: groups of individuals who perform similar functions, and for the purpose of information systems training and use, require instruction on how to access and use the same set of features. what are the components of the training plan? - CORRECT ANSWER align with the organization's strategic initiatives, provides blueprint for employee, focuses on development of knowledge and skills, and is designed to ensure instructional, educational success what is website security? - CORRECT ANSWER Firewall: gateway to computer, examines material coming into computer before permitting access. More firewall=more safety. differentiate intranet, internet, email, passwords - CORRECT ANSWER -intranet: only accessibly by organizationsemployees, collaborative sharing of information among employees of organizations. -internet: publications like organizational policies, protected by firewall. -extranet: sits outside protected internal network, electronic commerce for outside suppliers or consumers may be used to price and purchase healthcare products, more private than public websites, but more open than intranets, more prone to hackers and viruses than intranet. name the different levels of informatics competencies - CORRECT ANSWER -entry-level core competencies -the experienced nurse -the informatics nurse -the informatics nurse specialist describe the entry-level core competency - CORRECT ANSWER beginning nurses focus on the developing and using skills that rely upon the ability to retrieve and enter data in an electronic format that is relevant to patient care, the analysis and interpretation of information, the use of informatics application and the implementation of policies relevant to information. -Basic computer literacy -Ability to use it to support clinical administrative processes, which presumes information literacy to support evidence-based practice. -Ability to access data and perform documentation -Ability to support patient safety initiatives via the use of it -Recognition of the role of informatics in nursing. what do experienced nurses do? - CORRECT ANSWER have the expertise to serve as a content expert in system design, to see relationships among data elements, to execute judgements based on observed data patterns, to safeguard access to quality of information, and to participate in efforts to improve information management and communication. -Proficiency in his/her area of specialization and use of IT -Knowledge representation methodologies for evidence-based practice -Ability to use information systems and work with informatics specialist to enact system improvements. -Proficiency in using evidence-based databases -The promotion of innovative applications of technology care describe the informatics nurse level of competency - CORRECT ANSWER This individual has advanced preparation in information management and possesses the following skills: -Proficiency with informatics applications to support all areas of nursing practice -Fiscal management -Integration of multidisciplinary language/ standards of practice -Skills in critical thinking, data management and processing, decision-making, and system development, and computer skills. -Identification and provision of data foe decision-making. what does an informatics nurse specialist do? - CORRECT ANSWER possesses a sophisticated level of understanding and skills in information management and computer technology, demonstrating most of the competencies seen at the previous three levels. INS is well suited to work in a variety of areas and functional roles including project management and administration. Can conduct informatics research and generate informatics theory. how can we decrease medication errors? - CORRECT ANSWER Using order entry, pharmacy, and BCMA systems, along with automated medication supply management systems. These systems interact to provide checks and alerts throughout the medication ordering and administration process. what is the difference between an informatics nurse and an Informatics nurse specialist - CORRECT ANSWER The informatics nurse: the IN refers to the RN with work experience but no formal education in the area. -Employs strategies that transform data into information and information into knowledge and ensures information is disseminated -The informatics nurse specialist: INS refers tho the RN with advanced graduate education in the IT area or related fields and may hold ANCC certification. • Play active role in research and theory development., and in the design and testing of information systems and the human-computer interface. Serves as an advocate table/charts mentioned in class - CORRECT ANSWER ... what are the advantages and disadvantages of the CPOE (Computerized Order Entry)? - CORRECT ANSWER Advantages -Eliminates transcription errors -Expedites treatments -Encourages more accurate, complete orders -Mobile computing Disadvantages -Increase in medication errors even if the level of harm related erros does not increase. Example of types of clinical information systems. - CORRECT ANSWER Provide direct support care . may be stand alone or integrated systems. The main goal is quick and safe access to patient information. -Nursing information systems: support the way nurses function and support and enhance nursing practice through improved access to information and tools. -Monitoring systems: devices that automatically monitor biometric measurements in critical care and specialty areas such as cardiology and obstetrics. (e.g., devices that monitor VS). -Order entry systems: orders entered into the computer are transmitted to the appropriate areas. -Laboratory systems: decrease the turn-around time, supplicate testing and errors with pt ID. Can alert providers when new or stat test results are back, send results to clinical system for view, accept input from bedside devices, generate levels of specimen collection, and use rules to order additional tests when indicated. -Radiology systems: allows direct order entry or accepts order from other systems, provides scheduling, generates client instructions, permits transcription of results, provides picture archiving and transmission of image and tracking of film and generates changes once procedures done. -Pharmacy systems: e.g., in pharmacy dispensing systems aka robots, unit-based dispensing cabinets, barcode and RFID medication administration, and E-prescribing. Provide checks in order and administration process using evidence-based guidelines, decrease errors using bar code technology, track medication use, costs, billing information, and use lab results, allergy, and interaction information from clinical systems. -Other ancillary systems define standarized nursing languages - CORRECT ANSWER -Provide a common language for all nurses in all locations -NANDA, NIC (nursing intervention classification), and NOC (nursing outcome classification). -Important to the development of the electronic health record -Measure nursing's contributions -Contributes to the body of nursing knowledge what is the role of the pharmacy applications and systems in relationship to patient safety? - CORRECT ANSWER Decrease medication errors by providing checks in order and administration process using evidence-based guidelines, using bar code technology, use lab results, allergy, and interaction of information from clinical systems, and by tracking medication use, costs, and billing information. what HIPAA? - CORRECT ANSWER HIPAA is the Health Insurance Portability and Accountability Act why is HIPAA important to all aspects of healthcare information safety and security? - CORRECT ANSWER - It is important to all aspects of healthcare information safety and security because healthcare information systems facilitate effective and effective information sharing, but the ease with which that information can be accessed creates concerns over the security and safety of that stored information. what is necessary for the protection of the client privacy and safety? - CORRECT ANSWER The protection of client privacy confidentiality requires and understanding of privacy, confidentiality, information privacy, and system security, as well as potential threats to these issues within an organization. how and with what can we ensure the quality of online information? - CORRECT ANSWER When looking for quality of online information, look for a seal usually at the bottom of the website which indicates that their sites meet a set of predetermined standards for the quality of information posted. Also make sure the date of the website/webpage isn't too old, medical info is always changing and you want to make sure your looking at something that's up to date. How is achieving magnet status important to the nursing profession and healthcare? - CORRECT ANSWER Magnet designation-Program developed by American Nurses Credential Center, which recognizes institutions providing quality nursing care. Magnet facilities use technology to promote, support, and improve patient and staff safety; integrate research and evidence-based practice into clinical processes; and support communication among the disciplines. Healthcare information technology provides a means to reduce errors and improve efficiency, patient safety, and knowledge. what is the difference between super users, educators, user classes, trainers, and end users - CORRECT ANSWER -Super users are employees who are proficient in the use of the information system and can serve as mentors to other end users in their department. -Educators -User Classes-Group of individuals who perform similar functions, and for the purpose of information system training and use, require instruction on how to access and use the same set of system features. -Trainer is a Person responsible for educating clinical users in one or more applications and may also be required to define and monitor use competencies. -End users are Healthcare workers who use an information system to view or document client information. what is the difference between confidentiality and privacy? - CORRECT ANSWER - Confidentiality-Tacit understanding that private information shared in a situation in which a relationship has been established for the purpose of treatment or delivery of services will remain protected. - Privacy-Freedom from intrusion or control over the exposure of self or personal information. what is the history of tele health? - CORRECT ANSWER -Began with telephone consults -US govern. played a major role in develop. and promotion of telehealth throughout various agencies -NASA -Military -Indian Health Services -Grant monies -Healthcare for inmates (state sponsored) -The military developed applications that feed images from the battlefield for the treatment of casualties and robotics equipment for surgery -Telehealth interest declined with decreased in funding during 1980s -Technical developments in recent years makes telehealth feasible what equipment and technology are necessary for tele health? - CORRECT ANSWER Teleconferences and videoconferences are the predominant methods to deliver telehealth services -Persons at different sites have video and/or video contact what are the legal and practice implications for tele health? - CORRECT ANSWER 1. Reimbursement -CMS will reimburse for follow ups, Medicaid reimbursement, Balanced Budget Act of 1997- payment for some services. 2. Concerns over privacy what is tele health? - CORRECT ANSWER Provision of information to healthcare providers and consumers and the delivery of services to clients at remote sites through the use of telecommunication and computer technology. what is tele nursing? - CORRECT ANSWER use of telecommunications and computer technology for the delivery of nursing care to clients at another location. They are used for Telephone triage, follow-up calls, checking biometric measurements, education, consultations, patient assessment and electronic house calls. They are available in home, hospital, through telenursing centers and mobile units. Telephone triage and home care are the fastest growing applications today. In home care nurses use systems that allow home monitoring of physiologic parameters, such as blood pressure, blood glucose, respiratory peark flow, and weight measurement via the internet. what is tele therapy? - CORRECT ANSWER The use of interactive videoconferencing to provide therapy and counseling. what is tele care? - CORRECT ANSWER The remote delivery of healthcare services into the person's home facilitated by communication technologies that include the use of person-centered reactive monitoring devices. what is tele-consultation? - CORRECT ANSWER Videoconferencing between two healthcare professionals or a healthcare professional and a client. Remote health consultation, whatever the means of transmission. what is e-health? - CORRECT ANSWER Wide range of healthcare activities involving the electronic transfer of health-related information on the Internet. This term is used interchangeably with telehealth what is E-care? - CORRECT ANSWER Broad term used to refer to the automation of all parts of the care delivery process across administrative, clinical, and departmental boundaries. What types of settings are best for telehealth? - CORRECT ANSWER ...