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McCance Pathophysiology Ch. 11 - Stress & Disease

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Nursing Informatics



information theory - (correct Answer) - Processing data to produce information and, in combination with
knowledge and wisdom, using information to provide care

Change Theory - (correct Answer) - unfreezing -->moving-->refreezing

Systems Theory - (correct Answer) - interaction among parts

Behaviorism - (correct Answer) - desired behaviors are reinforced

Constructivism - (correct Answer) - reinterpret the world to fit new situations

Adult learning - (correct Answer) - learn by doing, must know why they need to learn and value of
learning

nursing informatics is a combination of what? - (correct Answer) - -nursing science: Professional Nursing
principles and practices in the delivery and management of patient care

-computer science: Data storage, management,

retrieval, and processing

-information science: What data are needed; how to obtain it, and how to communicate that data as
useable information

nursing informatics definition - (correct Answer) - A specialty that integrates nursing science, computer
science, and information science to manage and communicate data, information, knowledge and
wisdom in nursing practice.

Institute of Medicine Report - 2001 on information technology - (correct Answer) - -There must be a
renewed national commitment to building an information infrastructure to support health care delivery,
consumer health, quality measurement and improvement, public accountability, clinical and health
services research, and clinical education.

-This commitment should lead to the elimination of most handwritten clinical data by 2010.

Health Information Technology (Dept. of HHS) Vision: - (correct Answer) - -Medical information follows
consumers; consumer-centered care

-Consumers choose physicians and hospitals based on known performance results

-Clinicians access medical history, computerized ordering systems, and electronic reminders

-Quality performance initiatives drive quality-based competition

-Clinical research and post-marketing surveillance are fostered

American Recovery and Reinvestment Act (ARRA) - (correct Answer) - -Financial incentives

, -Adopt electronic records

-"Meaningful Use"

-Medicare EHR Incentive Program

-Hospitals and individual providers

-Begin by 2012

-In 2015, penalty if unable to show meaningful use

-Includes provider order entry

-Health Information Exchanges (shared EMRs)

How can Informatics improve Patient Safety? - (correct Answer) - -Improves legibility

-Provides greater continuity of care

-Supports safe medication practices

-Improves nursing workflow; eliminates redundant documentation

-Provides access to up-to-date, accurate data for informed decision-making

-Decision support based on assessment data

Using Decision Support in Practice - (correct Answer) - -Emphasis on Evidence-Based Practice (EBP) -
match patient data with a specific knowledge base to generate evidence-based recommendations

-Assists clinicians with varying levels of clinical experience (novice vs. expert)

-Reduces decisions that are made based on incomplete or misinterpreted information

Documentation Principles - (correct Answer) - -Reflects current standards of practice and level of quality
care

-Regulations/Standards

-Contents of electronic and written record

-Purposes of records

-Confidentiality/ HIPAA

Confidentiality in the Workplace - (correct Answer) - -Don't share information in public areas (elevators,
cafeterias, hallways, public restrooms)

-Don't share information with anyone not directly involved with the patient's care.

-Patient may not want family to know details of care.

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