Chapter 18: Nursing Informatics – Flashcards
Unlock all answers in this set
Unlock answersquestion
the information revolution has changed both
answer
the form and the format of communication
question
today, the whole world is the
answer
community and every corner can be reached from a home computer or wireless device
question
college students no longer need
answer
to read as extensively as they once did
question
media technology has accustomed many to
answer
30 second "sound bites" of information
question
asymmetrical information
answer
individuals on one side of the transaction may have much better information than those on the other; it uses multiple sources of data in economics and business to gain an advantage
question
informed decisions produce
answer
better outcomes
question
who has the advantage?
answer
the person with more information
question
ACA
answer
affordable care act
question
the ACA stresses
answer
the need to reduce costs
question
competition is the
answer
driving force in the pricing and marketing of health care
question
payment methods that promote competition
answer
medicare and medicaid, PPSs, HMOs, PPOs
question
PPSs
answer
prospective payment systems
question
HMOs
answer
health maintenance organizations
question
PPOs
answer
preferred provider organizations
question
technology driven organizations have a
answer
competitive driven edge
question
health care, the health care delivery system, and nursing must
answer
open themselves up to new information and ideas
question
medical informatics
answer
all the informational technologies that deal with the medical care of the client, medical resources, and the decision making process
question
health informatics
answer
the use of information technology with information management concepts and methods to support the delivery of health care (includes medical informatics)
question
nursing informatics
answer
the content and application of nursing information is substantively different from that of other disciplines
question
early model of nursing informatics views nursing informatics primarily as
answer
combining computer science and information science and nursing science in a manner that wold help the nurse in the planning and delivery of care to clients
question
newer models of nursing add a forth element:
answer
cognitive science
question
cognitive science
answer
combines psychology, linguistics, computer science, philosophy, and neuroscience to help deliver client care; it is also concerned with perception, thinking, understanding and remembering
question
data
answer
raw and unstructured fact
question
information
answer
data that have been given form and have been interpreted
question
knowledge
answer
a synthesis of data and information used to make a decision about what treatment should be given; relies on critical-thinking and decision-making skills
question
areas of focus in informatics
answer
technology, nursing theory, and function
question
ANA definition of informatics
answer
a nursing specialty that integrates nursing science, computer science, and information science to identify, collect, process, and manage data and information in support of nursing practice, administration, education and research and to expand nursing knowledge
question
ANA purposes of informatics
answer
to analyze information requirements, to design, implement, and evaluate information systems and data structures that support nursing, to identify and apply computer technologies for nursing and to be recognized as a nursing specialty with certification
question
the need for a standard
answer
nurses had difficulty in locating relevant nursing information quickly because there was no universally agreed upon nomenclature and taxonomy for either nursing clinical information or management of data
question
unified nursing language system
answer
ANA database steering committee developed a common nursing language called the Unified Nursing Language system
question
UNLS
answer
Unified Nursing Language system developed by the ANA database steering committee
question
UNLS maps
answer
concepts and identifies common terms from different vocabularies and recognizes them as synonyms of the same concept
question
What does NMDS stand for
answer
Nursing Minimum Data Set
question
NMDS
answer
a list of the data elements necessary for all computerized client record systems or national databases
question
the NMDS is considered to be
answer
the umbrella for other nursing process systems
question
traditionally, nurses have not been very good at
answer
documenting their wroth and effectiveness
question
to measure effectiveness with accurate information about client care and outcomes,
answer
nurses must use standardized language in both practice and documentation
question
this process forms the basis for
answer
accountability/ credibility
question
the ACA places focus on
answer
positive outcomes for quality client care
question
credibility of the nursing profession rests on
answer
its ability to document how nursing care improves clients' health and saves money for health care institutions
question
nurses must be able to
answer
measure their effectiveness with accurate information about both the care given and the client outcomes achieved
question
an information explosions
answer
the amount of health-care information contained in scientific journals has grown to a point where no single individual is able to read all of the material
question
one new article is added to the medical literature every
answer
26 seconds
question
evidence based practice (EBP)
answer
although a large amount of new informatics is available, only a small portion is read by and incorporated into practice of many health care professionals
question
nurses no longer have to
answer
leave the practice setting and go to the library to access relevant information
question
literature can be searched from
answer
the nurses' station or even the client's bedside using available information systems
question
nursed find that
answer
having access to literature about clinical issues increases their confidence levels in providing high quality care
question
Using EBP includes
answer
accessing current literature concerning the latest diagnostic techniques and treatment modalities, conferring with a knowledgable colleague, and evaluating the effectiveness of previous experiences
question
the human factor
answer
is the system user-friendly? does the system make sense? is the system well designed?
question
access to the electronic health record creates
answer
a bedside system and a point of care system
question
bedside system
answer
computer terminal installed in each client's room or next to each bed
question
point of care system
answer
includes not only the bedside, but also many other points of care in the health-care environment and community, including the laboratory, radiology department, outpatient clinics, and even the home for home health care providers; handheld devices facilitate point of care systems
question
advantages of the electronic health record
answer
accessible form remote sites, accessible to multiple users at the same time, provides reminders about completing information or carrying out protocols, reduces redundancy, and improves communication
question
disadvantages of the electronic health record
answer
high start up cost, steep learning curve, subject to glitches, and unresolved issues about privacy and access
question
who owns the clients health care data?
answer
HIPAA says that the client owns it; only can be released with permission but in reality access to information is easy for many groups
question
what does HIPAA stand for
answer
health insurance portability and accountability act
question
primary goals of HIPAA
answer
ensuring people can take their insurance with them when they go to a new job, reducing health care fraud and abuse, guaranteeing security and privacy of health information, and enforcing standards for health information
question
unauthorized sharing of health care information is unethical and since HIPAA, it is also...
answer
illegal
question
the code of ethics prohibits
answer
unauthorized or unnecessary access to client information
question
confidentiality is the basis of
answer
trust in a therapeutic relationship
question
threats to security
answer
either accidental or intentional damage to paper and electronic health record
question
threats include
answer
floods, tornadoes, fires, earthquakes, electrical surges/power outages, and acts of terror
question
intentional acts
answer
the actions of an individual or individuals who wish to damage, destroy or alter the record
question
paper records are easy to:
answer
erase or white out, add to, rewrite sections of the chart, remove the chart and destroy it, makes changes that are often very difficult to detect
question
electronic records are
answer
overall more secure than the paper record
question
electronic systems have
answer
computer virus-checking program that protect the automated record from both intentional and accidental introduction of destructive computer viruses into the system
question
WORM programs
answer
"Write once, Read many" prevent changes to records
question
uses of the internet
answer
a resource for professionals, a guide for consumers
question
a resource for professional
answer
courses, postion vacancies, conferences, information about facilities, CEU causes, policy statements, and lists of publications
question
a guide for consumers
answer
preventive and wellness services, medication purchasing, health and human services information, government publications, clearinghouses, databases
question
tele heath
answer
health care at a distance
question
physicians examine and treat clients from distant sites with
answer
video cameras, thus saving money by exchanging office visits for online appointments
question
telehealth is used in
answer
emergency room, telesurgery
question
telehealth serves
answer
remote populations
question
challenges for the future
answer
system design, expense, legal issues, effects on nursing practice, and education and conferencing
question
system design
answer
updating old systems
question
expenses
answer
third party payment ?
question
legal issues
answer
licensure issues
question
effects on nursing practice
answer
more autonomy
question
education and conferencing
answer
distance and nontraditional education
