Nursing Informatics Certification Mid Term Exam 2024 - Latest Update Questions and Answers

Nursing Informatics Certification Mid Term 2024 Metastructure of NI - AnswerThe ability of the nurse to utilize data, information, and knowledge to make wise clinical decisions. Definition of Nursing Informatics - AnswerA 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 - AnswerUsing 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) - AnswerUsed 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) - AnswerGoal 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) - AnswerA 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) - AnswerUsed 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 - AnswerStructured method to analyze serious adverse events. Identifies underlying problems that increase the likelyhood of errors (retrospective approach) FOCUS Model and PDCA - AnswerAn 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 - AnswerNursing Informatics is is the center of computer, cognitive, and informations sciences under the umbrella of Nursing Science Lewin's Theory of Change - AnswerUsed 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 - AnswerFocus on removing wasteful practices and making processes smoother and more efficient Six Sigma - AnswerUsed for process improvement. Project increase quality and yield while reducing defects and variations. Define, Measure, Analyze, Improve, Control Leapfrog Group - AnswerTriggers 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 - AnswerData: 1st step of database design; conceptual design Workflow: Swimlane models, Lean Six Sigma, value stream mapping Predictive: (Analytics) used to predict future outcomes Ludwig Von Bertalanffy Systems theory - AnswerThe Nursing Informatics specialist must understand the fundamentals of systems and how systems affect the decision-making process; closed versus open systems Shannon-Weaver Model of Communication Theory - AnswerSender - Message - Receiver Obstacles to effective communication: - Interference (noise) - Facilitation - Block (body language, assumptions) Communication is a continuous loop Maslow's Hierarchy of Needs - AnswerDepicted as a pyramid, needs listed from the base of the pyramid to the top. Based on importance to survival. Physiological needs Safety Social Self-Esteem Self-actualization Cognitive Theory - Answer-Learning process may be unique to the student -Learning involves mental associations that cannot be observed -Knowledge is organized -Learning relates information to experience Benner's Stage's of Clinical Competence Novice to Expert Nurse - AnswerNovice: little experience, rule-governed Advanced Beginner: some experience with new situations Competent: ability to master new situations, needs extra planning time, lacks flexibility Proficient: thinks holistically, relies on experience, adaptable Expert: wealth of experience, acts intuitively Computer Science - AnswerFoundation of NI; the study of the principles and the use of computers. Information Science - AnswerFoundation of NI; the study of processes for storing and retrieving information, especially scientific or technical information. Cognitive Science - AnswerFoundation of NI; much of learning cannot be observed or predicted, in that, the individual is processing information based on experience, associations, and subjective interpretation Nursing Science - AnswerFoundation of NI; the ethical application of knowledge aquired through education, research and practice to provide services and interventions to patients in order to maintain, enhance, or restore their health; to advocate for health, and to aquire, process, generate, and disseminate nursing knowledge to advance the nursing profession Data Standards - Answerstandards that provide a common language and set of expectations that enable interoperability between systems and/or devices Interoperability - AnswerThe ability to exchange data in a meaningful and comparable way Metadata - AnswerData about Data - a set of data that describes and gives information about other data