ANCC nursing certification exam questions with verified correct answers

ANA definition of NI (2008) Nursing informatics is a specialty that: A. integrates nursing science B. Computer science C. Information science to manage and communicate: 1. Data 2. Information 3. Knowledge and 4. Wisdom in nursing practice NI Supports: a. consumers b. patients c. nurses d. other providers in their decision-making in all roles and settings. This support is accomplished through: i. use of information structures ii. information processes iii. information technology 1 / 262 Profile Picture Created by ASAP_40 Share Your Progress Your progress is based on the last two times you studied each term in all modes, excluding games. 0 Not studied Study 0 Still learning Study 0 Mastered Study Terms in this set (262) Original ANA definition of NI (2008) Nursing informatics is a specialty that: A. integrates nursing science B. Computer science C. Information science to manage and communicate: 1. Data 2. Information 3. Knowledge and 4. Wisdom in nursing practice NI Supports: a. consumers b. patients c. nurses d. other providers in their decision-making in all roles and settings. This support is accomplished through: i. use of information structures ii. information processes iii. information technology What year did the ANA identify NI as a nursing specialty? 1992 When was the first scope of practice statement for NI published? 1994 ANA definition of NI Specialty that integrates nursing science with multiple informative and analytical sciences to identify, define , manage and communicate data information, knowledge, and wisdoms in nursing practice What are the foundations of practice A. Professional practice B. Methodologies & Theories C. Rules, regulations, & requirements D. Interprofessional collaboration ANA definition of NI (2015) NI is a specialty that integrates nursing science with multiple information and analytical sciences to: A. Identify B. Define C. Manage and D. Communicate data, information, knowledge, and wisdom in nursing practice NI supports: 1. Nurses 2. Consumers 3. Patients 4. Users 5. Interprofessional healthcare team 6. Other stakeholders in their decision-making roles and settings to achieve desired outcomes This support is accomplished through the use of: a. information structures, b. information processes, and c. information technology Tenents (beliefs) of Nursing Informatics 1. A unique body of knowledge, preparation, and experience that aligns with the nursing profession. 2. Involves the synthesis of data & information into knowledge & wisdom 3. Supports decision-making of healthcare consumers, nurses, and other professionals achieve healthcare consumer safety and advocacy 4. Supports data analytics, including quality of care measures, to improve population health outcomes and global health 5. Promotes data integrity and the access and exchange of health data for all consumers of health information 6. Supports national and international agendas of interoperability and the efficient and effective transfer and delivery of data, information, and knowledge 7. Ensures that collaboration is an integral characteristic of practice 8. Interleaves user experience and computer-human interaction concepts throughout practice 9. Incorporates key ethical concerns of NI such as advocacy, privacy, and assurance of the confidentiality and security of data and information 10. Considers the impact of technological changes on patient safety, healthcare delivery, quality, reporting, and the nursing process 11. Leads in the design and promotion of useful, innovative information technologies that advance practice and achieve desired outcomes(Scope & Standards ) When was the ANA Standards of Practice for NI released? 1995 When was the scope and standards of NI practice released combining both scope and standards of practice? 2001 then updated in 2008 What are analytical sciences? A listing of sciences that integrate with NI includes: 1. computer science 2. cognitive science 3. science of terminologies and taxonomies (including naming and coding conventions) 4. information management 5. library science 6. heuristics 7. archival science 8. mathematics What are the NI competencies for all RNs? TIGER-Technology informatics guiding education reform identified that all nurses in every role must be prepared to make HIT. TIGER formed an informatics competency collaborative which defines the competencies recommended for the NI discipline: 1. Basic computer skills 2. Information literacy 3. information management According to Staggers, Gassert, Curran 2002, what are the levels of informatics competencies? 1. Beginning nurse 2. Experienced nurse 3. Informatics nurse specialist 4. Innovator Name some additional competencies 1. Pierce, Tanner, & Pravikoff (2005) information literacy 2. Telehealth competencies (ATA, ICN) 3. Genetics & genomics competencies 4. National league for nursing 5. Amer Assoc of College of Nurses 6. Forecasting informatics competencies for nurses in the future of connected health IOS Press 2017 Name the types of roles 1. Project manager 2. Decision support/outcomes 3. Educator 4. Product developer 5. Systems analyst 6. Consultant 7. Programmer 8. Advocate/policy developer 9. Web developer 10. CIO/CNIO 11. Entrepreneur 12. Researcher 13. Sales and Marketing 14. Consumer advocate What are the functional areas: Informatics nurses 1. Administration, leadership, & management 2. Systems analysis & design 3. Compliance & integrity management 4. Consultation 5. Coordination, facilitation, & integration 6. Development 7. Educational & professional development 8. Genetics & genomics 9. Information management/operational architecture 10. Policy development & advocacy 11. Quality & performance improvement 12. Research & evaluation 13. Safety, security & environmental health What are the standards of nursing informatics Practice? 1. Evaluates quality & effectiveness of NI practice 2. Performance appraisal 3. Maintains knowledge and NI competency-life-long learning 4. Contributes to the professional development of others 5. Bases decisions and actions on ethical principles 6. Collaborates with others 7. Contributes to the body of informatics research 8. 16 Standards are highlighted with measurement criteria What are the NI Standards of practice? Standard 1: Assessment Standard 2: Diagnosis, Problems & Issues Identification Standard 3: Outcomes Identification Standard 4: PlanningStandard 5: Implementation Standard 6: Evaluation Standard 7: Ethics Standard 8: Education Standard 9: Evidence-Based Practice and Research Standard 10: Quality of Practice Standard 11: Communication Standard 12: Leadership Standard 13: Collaboration Standard 14: Professional Practice Evaluation Standard 15: Resource Utilization Standard 16: Environmental HealthADOPIEEEEQCLCPRE What makes up EBP? 1. Literature searches 2. Clinical practice guidelines 3. Clinical protocols Boolean search Definition of EBP *A problem-solving approach to clinical decision-making within a healthcare organization *Integrates best available scientific evidence with best available experience *Uses research & non-research evidence (ethical or personal) Evidence-Based nursing practice is the process: By which nurses make a clinical decision using: 1. The best available research evidence 2. Their clinical expertise 3. Patient preferences Formulating answerable clinical questions is the foundation of EBP. 1. Start with the patient: clinical problems & questions arise out of patient care 2. Translate the clinical questions into a searchable question using PICOT 3. Decide on the best type of study to address the question 4. Perform a literature search in the appropriate sources What is the PICOT model to support EBP P-Population/condition I-Intervention C-Comparison O-Outcome T-Time of study What is the ACE Star Model of EBP (2004)? 5 points of knowledge transformation: 1. Discovery 2. Summary 3. Translation 4. Integration 5. Evaluation NI support nurses, consumers, patients, interprofessional healthcare team, and stakeholders through the use of which three things? 1. Information structures 2. Information processes 3. Information technology Name a Metastructure DIK (Blum-1986) 1. Data 2, Information 3. Knowledge 4. WisdomDIKW (Graves & Corcoran-1989) What is Data? Discrete entities that are described objectively with interpretation What is Information? Data that have been: 1. Interpreted 2. Organized or 3. Structured What is Knowledge? Information that is synthesized so that relationships are identified and formalized Focuses on what is known The appropriate use of knowledge involves? Integration of empirical, ethical, personal, and aesthetic knowledge into actions What is Wisdom? The appropriate use of knowledge to manage and solve human problems. It consists of knowing when and how to apply knowledge to deal with complex problems or specific human needs Focuses on the appropriate application of that knowledge and an appreciation of the consequences of selected actions Relationship of Data, Information, Knowledge, and Wisdom Nelson 2002 Data - naming, collecting, and organizing Information - Organizing and interpreting Knowledge - Interpreting, integrating, and understanding Wisdom - Understanding, applying and applying with compassion NI is concerned with Creation Structure Storage Delivery Exchange Interoperability Reuse of nursing and clinical information along the continuum of care. What is the informatics nurse specialist often responsible for? Implementing or coordinating projects involving multiple professions and specialties Support other RNs to best use data, information, knowledge, and technology NIs support through the use of: Information structures Information processes Information technology NIs Foci Information user, information recipients, exchange data, information, knowledge, and wisdom Design, structure, interpretation, and representation of data, information, knowledge, and wisdom Design, develop, implement, and evaluate applications and technologies, ensuring their safety, quality, effectiveness, efficiency, and usability Standardized terminologies Have become a significant vehicle for facilitating interoperability between different concepts, nomenclatures, and information systems What is the systems development life cycle (SDLC)? Standardized approachProcess for developing information systems in a: -deliberate -structured -methodical manner What are the four phases of the SDLC? 1. Planning2. Analysis3. Design, Develop, Customize4. Implementation, Evaluate, Maintain, Support What is a project life cycle? 1. Initiating2. Planning3. Execution4. ClosingMay be used in conjunction with the SDLC What is the Planning phase of the SDLC? It is a foundational, fundamental and often longest phase (sets the stage for the project)system requirementsfeasibility studyproject charterproject plan In the Planning phase of the SDLC, what are the system request components? 1. Project sponsor2. Business need3. Business requirements4. Business value5. Special issues/considerations In the Planning phase of the SDLC, what are the feasibility analysis types? 1. Technical, "can we build it?"2. Economic, "should we build it?"3. Operational, "if we build it, will they use it?" In the Planning phase of the SDLC, what are the elements of the project charter? 1. Project champion2. Dates (start, milestones, end)3. Problems or opportunity statements (purpose/justification)4. Objectives (what we want to achieve)5. Key stakeholders6. Scope of the project7. Target benefit8. Budget In the Planning phase of the SDLC, what is a project charter? 1. Draws from system requests2. Created by project sponsor or initiator (often delegated to the project manager or informatics nurse)3. Formally authorizes the existence of a project4. Authorizes project manager to apply organizational resources In the Planning phase of the SDLC, what are the goals assessment? 1. Return on investment (ROI)-ratio of expected financial gains divided by the total costs2. Cost-benefit analysis (CBA). Attempt to quantify tangible and intangible items3. Tangible-improve revenue, decrease staff needed4. Intangible-increase in patient satisfaction In the Planning phase of the SDLC, what are the tools used? System Selection & Implementation: -customer site visit -surveys -RFI/RFP -Gap analysisSystem/Product Development -Stakeholders analysis -Market survey -Feasibility analysis -Assessment of competitors In the Planning phase of the SDLC, what is a GAP analysis template? A visual tool that involves a comparison of actual performance & potential or desired performance.