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Nursing Informatics: Concepts, Standards, and Applications, Exercises of Nursing

University of CambridgeNursing

A comprehensive overview of nursing informatics, exploring its core concepts, standards, and applications in healthcare. It delves into the integration of nursing science with information and analytical sciences, highlighting the role of informatics in supporting decision-making, improving patient care, and advancing knowledge. The document also examines key technologies like electronic health records (ehrs) and their impact on healthcare delivery.

Typology: Exercises

2024/2025

Available from 04/06/2025

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NR 599 Midterm Exam Questions and
100% Correct Answers
computer science - Answers -studies theory underpinning information and computation
and their implementation in computer systems
facets include:
-hardware
-software
-communications
-solutions to related problems
cognitive science - Answers -studies how the mind works from an information
processing perspective
information science - Answers -studies the retrieval and management of information and
human computer interaction
- interdisciplinary science that integrates cognitive science, library science, and social
science
ANA definition of nursing informatics - Answers -- the specialty that integrates nursing
science with multiple information and analytical sciences to identify, define, manage,
and communicate data, information, knowledge and wisdom in nursing practice.
- NI supports nurses, consumers, patients, the interprofessional healthcare team, and
all other stakeholders in their decision-making in all roles and settings to achieve
desired outcomes.
- This support is accomplished through the use of information structures, information
processes, and information technology.
2 levels of nursing informatics practice - Answers -1. generalist- have experience in
field, but have not completed education at graduate level
2. informatics nurse specialist (INS)- has completed graduate degree education in
informatics or a related field. INS level reflects innovation and research
knowledge work - Answers -collection of data, turning it into information, creating
knowledge, and ultimately wisdom
- nurses are knowledge workers
technology's role in knowledge work - Answers -helps nurses collect data, see trends,
process information, and create knowledge that can be used to create wisdom
QSEN project 6 key skill areas for optimal patient care - Answers -1. quality
2. safety
3. teamwork and collaboration
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NR 599 Midterm Exam Questions and

100% Correct Answers

computer science - Answers -studies theory underpinning information and computation and their implementation in computer systems facets include: -hardware -software -communications -solutions to related problems cognitive science - Answers -studies how the mind works from an information processing perspective information science - Answers -studies the retrieval and management of information and human computer interaction

  • interdisciplinary science that integrates cognitive science, library science, and social science ANA definition of nursing informatics - Answers -- the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge and wisdom in nursing practice.
  • NI supports nurses, consumers, patients, the interprofessional healthcare team, and all other stakeholders in their decision-making in all roles and settings to achieve desired outcomes.
  • This support is accomplished through the use of information structures, information processes, and information technology. 2 levels of nursing informatics practice - Answers -1. generalist- have experience in field, but have not completed education at graduate level
  1. informatics nurse specialist (INS)- has completed graduate degree education in informatics or a related field. INS level reflects innovation and research knowledge work - Answers -collection of data, turning it into information, creating knowledge, and ultimately wisdom
  • nurses are knowledge workers technology's role in knowledge work - Answers -helps nurses collect data, see trends, process information, and create knowledge that can be used to create wisdom QSEN project 6 key skill areas for optimal patient care - Answers -1. quality
  1. safety
  2. teamwork and collaboration
  1. patient centered care
  2. evidence based practice
  3. informatics informatics provides - Answers -the knowledge, skills, and understanding that allow HCPs to harness the tools at hand and use them well to enact improvement Standard Terminology (ST) - Answers -structured, controlled languages developed to represent concepts in a given domain in a clear, unambiguous fashion that conveys the exact same meaning for data, information, and knowledge across settings
  • key to the development of an EHR in order to represent, communicate, exchange, reuse, and report data, information, and knowledge, including Meaningful Use criteria
  • contribute to the development of knowledge because they ensure that all professionals share the same understanding or meaning of a given concept, to clarify communication, facilitate research, and provide structure for decision support tools and EHRs
  • supports foundation of knowledge model's knowledge acquisition, dissemination, generation, and processing
  • key in achieving HIT interoperability STs are based on - Answers -concepts
  • allows for growth over time
  • each concept has a unique identifier known as a code, which is made of alphanumeric characters
  • the code supports tracking data for various purposes, including evidence-based practice, decision support, and reports. nomenclature - Answers -system of rules and procedures for adding names used in an art or science Classification - Answers -systems that capture categories, which are then used to determine costs or outcomes but are insufficient in detail for clinical documentation purposes Taxonomy - Answers -uses classification according to a predetermined system, with the resulting catalog used to provide a conceptual framework for discussion, analysis or information retrieval data set - Answers -a named collection of data consisting of individual information organized in a prescribed fashion International Statistical Classification of Diseases and Related Health Problems (ICD) - Answers -form of ST used to provide description and classification of known diseases and injuries
  • maintained by WHO Purposes:
  • Collection of morbidity and mortality statistics

Role of the APN in promoting and using HIT/ informatics - Answers -- review of HIT for benefits (safety, cost effectiveness, improved outcomes) as well as potential problems

  • Input into the design, selection, and use of HIT
  • Support the integration of HIT and evidence-based practice
  • Use data and information to drive decisions
  • Role model appropriate/effective HIT use
  • Serve as a resource on HIT matters
  • Safeguard PHI
  • Use electronic communication and systems to communicate effectively and appropriately
  • Use HIT for quality improvement activities
  • Provide oversight for optimal use of HIT by subordinates
  • Use technology to support education Health Information Technology (HIT) - Answers -hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions sold as services that are designed for or support the use by healthcare entities or patients for the electronic creation, maintenance, access, or exchange of health information National Quality Strategy (NQS) 3 aims - Answers -1. better care
  1. affordable care
  2. healthy populations and communities Electronic Health Record (EHR) components - Answers -- data repository (EHR database)
  • computerized practitioner order entry (CPOE)
  • clinical decision support system (CDS)
  • documentation
  • clinical messaging Health Information Technology for Economic and Clinical Health Act (HITECH) - Answers -- strengthened HIPAA security and privacy rules
  • provided monies and incentives to increase the adoption of EHRs that meet eligibility requirements for Meaningful Use
  • idea was that financial incentives would encourage the adoption of EHR systems, moving the United States closer to a national infrastructure that would support an EHR for every American and provide information via Meaningful Use core criteria that could be used to collect information that could be used to improve population health Meaningful Use (MU) - Answers -Part of the requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which is meant to increase the use of an electronic health record through monetary incentives provided by the CMS
  • meant to ensure EHR across the nation meet a standard performance and the standard increases in complexity over time to meet expanded needs of the nation
  • 3 stages

MU Stage 3 objectives - Answers -- protect electronic protected health information

  • generate and transmit prescriptions electronically
  • implement clinical decision
  • use computerized provider entry order
  • provide patients with electronic access to their health information and patient-specific education
  • use certified EHR technology to support coordination of care
  • use health information exchange (HIE) to support care transition and referrals
  • actively engage in public health EHR stages of MU - Answers -1. basic data capture and and data sharing
  1. advancing clinical processes
  2. improved outcomes and interoperability information literacy 5 competency standards - Answers -1. determine extent of information needed
  3. access needed information efficiently and effectively
  4. evaluate the procured information and its sources, and as a result, decides whether or not to modify the initial query and/or seek additional sources and whether to develop a new research process
  5. use information effectively to achieve a specific purpose
  6. understand the economic, legal, and social issues surrounding the use of information and access and use information ethically and legally 5 rights of clinical decision support - Answers -1. right information: evidence-based and actionable information (WHAT)
  7. right person: WHO is impacted by CDS program, clinicians or patients
  8. right CDS intervention format: the tools including documents/forms, data displays, order sets, algorithms, and alerts (HOW)
  9. right channel: vehicle delivering CDS program, such as EHR (WHERE)
  10. right point in workflow: the process in which care is delivered that will be impacted by the CDS program, workflow redesign using outline and diagraming (WHEN) health literacy - Answers -the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions Transparent wisdom - Answers -Applying knowledge in a practical way, translating knowledge into actions without conscious thought Foundation of Knowledge model - Answers -Model proposing that humans are organic information systems constantly acquiring, processing, generating, and disseminating information or knowledge in both their professional and personal lives consists of:
  • knowledge acquisition

REC program - Answers -part of HITECH Act that funded small physician practice adoption of EHR Beacon program - Answers -part of HITECT Act designed to demonstrate the kinds of clinical quality improvements and population health improvements that are possible in communities with robust EHR adoption Goals:

  • improve population health
  • test innovative approaches
  • build HIT infrastructure and capacity to exchange clinical info SHARP grants - Answers -secondary EHR use
  • not expected to have immediate impact on HIT deployment, informed a broader milieu of HIT in conceptual findings SHARP-S: focused on HIT privacy and security SHARP-C: explores relationship of presented info in EHR user interface and the impact of that presentation on physician decision making SMART application: made a modular, interoperable health data infrastructure SHARP- secondary use of EHR data - Answers -addresses the uses of data that are now available via EHR
  • preparing data for a deeper analysis of content
  • applying data in different situations