Nursing Informatics Certification Exam Questions with complete solutions

Nursing Informatics Certification Exam Questions with complete solutions Meta structure of NI - The ability of the nurse to utilize data, information, and knowledge to make wise clinical decisions. Definition of Nursing Informatics - 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 - 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) - 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) - 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: • Patient-centered care • Teamwork and collaboration • Evidence-based practice • Quality improvement • Safety • Informatics Failure mode and Effects Analysis (FMEA) - 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) - 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 - Structured method to analyze serious adverse events. Identifies underlying problems that increase the likelyhood of errors (retrospective approach) FOCUS Model and PDCA - 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 - Nursing Informatics is is the center of computer, cognitive, and informations sciences under the umbrella of Nursing Science Lewin's Theory of Change - Used infacilitating change, the concepts of this theory include: Unfreezing - Movement - Refreezing Driving and restraining forces Deals with disconfirmation Cogintive redefinition Creation of psychological safety or overcoming learning anxiety Lean Six Sigma - Focus on removing wasteful practices and making processes smoother and more efficient Six Sigma - Used for process improvement. Project increase quality and yield while reducing defects and variations. Define, Measure, Analyze, Improve, Control Leapfrog Group - 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 - -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 - Data: 1st step of database design; conceptual design Workflow: Swimlane models, Lean Six Si