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Nursing Informatics Certification Exam
Questions With Correct Answers
Metastructure of NI - answer✔The ability of the nurse to utilize data, information, and knowledge to
make wise clinical decisions.
Definition of Nursing Informatics - answer✔A speciality that integrates nursing science with multiple
information and analytical sciences to identify, define, manage and communicate data, information,
knowledge and wisdom in nursing practice.
Meaningful Use - answer✔Using certified electronic health record technology to:
- improve quality, safety, efficiency, and reduce
health disparities
- engage patients and families
- improve care coordination, population and
public health
Total Quality Management (TQM) - answer✔Used to depect Quality Management measures. Examples
include:
- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - answer✔Goal is to tackle the task of preparing nurses
to enhance "the quality and safety of the healthcare systems in which they work" Used in Nursing
Education and focuses on six competencies:
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• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA) - answer✔A systematic, proactive approach for evaluating a
process to identify where and how it might fail and to assess the relative impact of different failures.
Ishikawa Diagram (Fishbone) - answer✔Used for brainstorming and to help identify root causes for
performance improvement by visualizing causes and effects. The effect is the "head" and the causes are
the
"bones"
Root Cause Analysis - answer✔Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
FOCUS Model and PDCA - answer✔An preformance improvement model
F- find a process to improve
0- organize an effort
C- clarify current knowledge
U- understand process variation/capability
S- select a strategy for continious improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - answer✔Nursing Informatics is is the center of computer,
cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change - answer✔Used infacilitating change, the concepts of this theory include:
Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
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Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - answer✔Focus on removing wasteful practices and making processes smoother and
more efficient
Six Sigma - answer✔Used for process improvement. Project increase quality and yield while reducing
defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - answer✔Triggers giant leaps in the safety, quality, and affordability of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - answer✔-Joint Commission
-Centers for Medicare and Medicaid Services
(CMS)
-Meaningful Use
-HITECH (health information technology for
economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - answer✔Data: 1st step of database design; conceptual
design
Workflow: Swimlane models, Lean Six Sigma, value
stream mapping
Predictive: (Analytics) used to predict future
outcomes