, Essentials of
Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Nursing Informatics
Study Guide
Juliana J. Brixey PhD, MPH, MSN, RN
Associate Professor
University of Texas Health Science Center at Houston
Principal/Owner
J3Brixey Consulting, LLC
Jack E. Brixey MS, MT(ASCP)
Principal/Owner
J3Brixey Consulting, LLC
Houston, Texas
Virginia K. Saba, EdD, RN, FAAN, FACMI
CEO and President
SabaCare, Inc.
Arlington, Virginia
Distinguished Scholar, Emeritus
Georgetown University
Washington, District of Columbia
Professor, Adjunct
Uniformed Services University
Bethesda, Maryland
Kathleen A. McCormick, PhD, RN, FAAN, FACMI, FHIMSS
Principal/Owner
SciMind, LLC
North Potomac, Maryland
New York • Chicago • San Francisco • Athens • London • Madrid • Mexico City
Milan • New Delhi • Singapore • Sydney • Toronto
,Copyright © 2016 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be
reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher, with the exception
that the program listings may be entered, stored, and executed in a computer system, but they may not be reproduced for publication.
ISBN: 978-0-07-184587-8
MHID: 0-07-184587-9
Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-184589-2,
MHID: 0-07-184589-5.
eBook conversion by codeMantra
Version 1.0
All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial
fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been
printed with initial caps.
McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs. To contact
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TERMS OF USE
This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted
under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create
derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s prior consent. You
may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail
to comply with these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE
ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT
CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education
and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free.
Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any
damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall
McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability
to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether
such claim or cause arises in contract, tort or otherwise.
, Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Preface vii Part 5 — Advanced Nursing Informatics in
Practice 295
Part 1 — Nursing Informatics Technologies 1
23 Structuring Advanced Practice Knowledge:
1 Historical Perspective of Nursing Informatics • 3 An Internet Resource for Education and
2 Computer Hardware • 11 Practice • 297
3 Advanced Hardware and mHealth • 25 24 Nursing Informatics in Retail Clinics • 307
4 Computer Software • 33 25 Care Delivery Across the Care Continuum:
Hospital–Community–Home • 317
5 Open Source and Free Software • 47
26 Foundation of a Nursing Plan of Care Standard • 329
6 Data and Data Processing • 65
27 Computerized Provider Order Entry • 341
7 Health Data Standards: Development, Harmonization,
and Interoperability • 73 28 Physiological Monitoring and Device Interface • 351
8 Standardized Nursing Terminologies • 87 29 Health Information Technology: Striving to Improve
Patient Safety • 361
9 Human–Computer Interaction • 99
30 The Role of Technology in the Medication-Use
10 Trustworthy Systems for Safe and Private
Process • 371
Healthcare • 111
31 The Magnet Model • 391
Part 2 — System Life Cycle 127
32 Public Health Practice Applications • 397
11 System Life Cycle: A Framework • 129
33 Informatics Solutions for Emergency Planning
12 System and Functional Testing • 153 and Response • 409
13 System Life Cycle Tools • 163 34 Federal Healthcare Sector Nursing Informatics • 419
14 Healthcare Project Management • 171 35 Consumer/Patient Engagement and eHealth
Resources • 433
Part 3 — Informatics Theory Standards—
Foundations of Nursing Informatics 181 Part 6 — Nursing Informatics—Complex
Applications 443
15 The Practice Specialty of Nursing Informatics • 183
36 Healthcare Analytics • 445
16 Nursing Informatics and Healthcare Policy • 205
37 Planning, Design, and Implementation of
Part 4 — Nursing Informatics Leadership 229 Information Technology in Complex Healthcare
Systems • 455
17 The Role of the Nurse Executive in Information
Technology Decision Making • 231 38 The Quality Spectrum in Informatics • 465
18 Establishing Nursing Informatics in Public Policy • 241 39 Translation of Evidence into Nursing Practice • 479
19 Communication Skills in Health IT, Building 40 Improving Healthcare Quality and Patient Outcomes
Strong Teams for Successful Health IT Outcomes • 253 Through the Integration of Evidence-Based
Practice and Informatics • 493
20 Assessing the Vendors • 261
41 Incorporating Evidence: Use of Computer-Based
21 Nurse Scheduling and Credentialing Systems • 275
Clinical Decision Support Systems for Health
22 Informatics and the Healthcare Industry • 285 Professionals • 505
v
Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Nursing Informatics
Study Guide
Juliana J. Brixey PhD, MPH, MSN, RN
Associate Professor
University of Texas Health Science Center at Houston
Principal/Owner
J3Brixey Consulting, LLC
Jack E. Brixey MS, MT(ASCP)
Principal/Owner
J3Brixey Consulting, LLC
Houston, Texas
Virginia K. Saba, EdD, RN, FAAN, FACMI
CEO and President
SabaCare, Inc.
Arlington, Virginia
Distinguished Scholar, Emeritus
Georgetown University
Washington, District of Columbia
Professor, Adjunct
Uniformed Services University
Bethesda, Maryland
Kathleen A. McCormick, PhD, RN, FAAN, FACMI, FHIMSS
Principal/Owner
SciMind, LLC
North Potomac, Maryland
New York • Chicago • San Francisco • Athens • London • Madrid • Mexico City
Milan • New Delhi • Singapore • Sydney • Toronto
,Copyright © 2016 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be
reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher, with the exception
that the program listings may be entered, stored, and executed in a computer system, but they may not be reproduced for publication.
ISBN: 978-0-07-184587-8
MHID: 0-07-184587-9
Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-184589-2,
MHID: 0-07-184589-5.
eBook conversion by codeMantra
Version 1.0
All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial
fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been
printed with initial caps.
McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs. To contact
a representative, please visit the Contact Us page at www.mhprofessional.com.
TERMS OF USE
This is a copyrighted work and McGraw-Hill Education and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted
under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create
derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill Education’s prior consent. You
may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail
to comply with these terms.
THE WORK IS PROVIDED “AS IS.” McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE
ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT
CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education
and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free.
Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any
damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall
McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability
to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether
such claim or cause arises in contract, tort or otherwise.
, Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Preface vii Part 5 — Advanced Nursing Informatics in
Practice 295
Part 1 — Nursing Informatics Technologies 1
23 Structuring Advanced Practice Knowledge:
1 Historical Perspective of Nursing Informatics • 3 An Internet Resource for Education and
2 Computer Hardware • 11 Practice • 297
3 Advanced Hardware and mHealth • 25 24 Nursing Informatics in Retail Clinics • 307
4 Computer Software • 33 25 Care Delivery Across the Care Continuum:
Hospital–Community–Home • 317
5 Open Source and Free Software • 47
26 Foundation of a Nursing Plan of Care Standard • 329
6 Data and Data Processing • 65
27 Computerized Provider Order Entry • 341
7 Health Data Standards: Development, Harmonization,
and Interoperability • 73 28 Physiological Monitoring and Device Interface • 351
8 Standardized Nursing Terminologies • 87 29 Health Information Technology: Striving to Improve
Patient Safety • 361
9 Human–Computer Interaction • 99
30 The Role of Technology in the Medication-Use
10 Trustworthy Systems for Safe and Private
Process • 371
Healthcare • 111
31 The Magnet Model • 391
Part 2 — System Life Cycle 127
32 Public Health Practice Applications • 397
11 System Life Cycle: A Framework • 129
33 Informatics Solutions for Emergency Planning
12 System and Functional Testing • 153 and Response • 409
13 System Life Cycle Tools • 163 34 Federal Healthcare Sector Nursing Informatics • 419
14 Healthcare Project Management • 171 35 Consumer/Patient Engagement and eHealth
Resources • 433
Part 3 — Informatics Theory Standards—
Foundations of Nursing Informatics 181 Part 6 — Nursing Informatics—Complex
Applications 443
15 The Practice Specialty of Nursing Informatics • 183
36 Healthcare Analytics • 445
16 Nursing Informatics and Healthcare Policy • 205
37 Planning, Design, and Implementation of
Part 4 — Nursing Informatics Leadership 229 Information Technology in Complex Healthcare
Systems • 455
17 The Role of the Nurse Executive in Information
Technology Decision Making • 231 38 The Quality Spectrum in Informatics • 465
18 Establishing Nursing Informatics in Public Policy • 241 39 Translation of Evidence into Nursing Practice • 479
19 Communication Skills in Health IT, Building 40 Improving Healthcare Quality and Patient Outcomes
Strong Teams for Successful Health IT Outcomes • 253 Through the Integration of Evidence-Based
Practice and Informatics • 493
20 Assessing the Vendors • 261
41 Incorporating Evidence: Use of Computer-Based
21 Nurse Scheduling and Credentialing Systems • 275
Clinical Decision Support Systems for Health
22 Informatics and the Healthcare Industry • 285 Professionals • 505
v
