Informatics and Nursing Quiz 1 – Flashcards
Unlock all answers in this set
Unlock answersquestion
Informatics focus
answer
its focus is information management, not computers
question
The two roles in informatics
answer
the informatics specialist AND the clinician who must use health information technology (HIT)
question
President's information technology advisory committee (PITAC) was created:
answer
to support for greater use of informatics. It standardized terms and developed health care exchange
question
Who called for adoption of interoperable health records?
answer
President Bush did in 2004
question
Two goals that affect nurses and healthcare:
answer
1. Patient-focused healthcare 2. Population health
question
Patient-focused healthcare
answer
provide higher quality, cost-efficient care using electronics information exchange among healthcare providers patients and their designees
question
strategies for achieving goals for patient-focused healthcare
answer
1. facilitate electronic exchange of patient's health information while protecting privacy and security of information 2. make info exchange interoperable so that it is available when and where it is needed 3. promote nationwide adoption of electronic health records (EHRs) 4. establish collaborative governance to guide the health information technology (HIT) infrastructure
question
Population health
answer
access and use of electronic health information to support public health, biomedical research, quality improvement, and emergency preparedness
question
strategies for achieving goals for population health
answer
1. provide for information access and use of population health while protecting privacy and security 2. make information exchange interoperable to support population-oriented uses 3.promote nationwide adoption of technologies and technical functions that will improve population and individual health 3. establish collaborative governance to support the information use for population health
question
5 components needed to provide evidence-based care:
answer
1. standardization of terminologies and structures used in documentation 2. the use of digital information 3. standards to permit healthcare data 4. the ability to capture data relevant to the actual care provided 5. competency among practitioners to use this data
question
Medical informatics
answer
was the first term used to identify informatics in healthcare
question
Informatics is
answer
the management of information, by using cognitive skills and the computer
question
Healthcare informatics describes
answer
the capture, retrieval, storage, presenting, sharing, and use of biomedical information, data, and knowledge for providing care, problem solving and decision making
question
Healthcare informatics purpose:
answer
improve the use of healthcare data, information, and knowledge in supporting patient care, research, and education
question
Healthcare informatics focus
answer
is on the subject, information, rather than the tool, the computer.
question
Who first used/defined the term "nursing informatics"?
answer
Scholes and Barber in 1980
question
The original definition of nursing informatics:
answer
the use of computer technology in all nursing endeavors: nursing services, education, and research.
question
Who created the pyramid model for nursing informatics and what was it intended for?
answer
Schwirian in 1986 intended as a stimulus for research
question
The four elements in the pyramid model:
answer
1. desired goals of the nursing informatics activity 2. users (burses and students) 3. raw material or nursing information 4. the technology, which is computer hardware and software
question
secondary data analysis
answer
analysis of data for purposes other than for which it was originally collected in the system design process
question
aggregated data
answer
unidentifiable - data minus any patient identification- use to make decisions based on actual patient care data
question
President Bush's goal
answer
in 2014 for every American to have an Electronic healthcare record (EHR)
question
6 program goals for nursing informatics research:
answer
1. establish a nursing language 2. develop methods to build clinical info databases 3. determine how nurses give patient care using data, info, and knowledge 4. develop workstations that provide nurses with needed info 6. develop methods to evaluate nursing info systems.
question
the National Informatics Agenda for Education and Practice 5 recommendations:
answer
1. educate students and nurses in core informatics content 2. prepare nurses with specialized skills in informatics 3. enhance nursing practice and education through informatics projects 4. prepare nursing faculty in informatics 5. increase collaborative efforts in nursing informatics.
question
Technology Informatics Guiding Education Reform (TIGER)'s objectives
answer
is to make nursing informatics competencies part of every nurse's skill set, aims to make informatics the stethoscope of the 21st century.
question
Quality and safety education for nurses (QSEN) phase 1
answer
address IOM's five competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement and informatics - plus safety. 6 total.
question
Quality and safety education for nurses (QSEN) phase 2
answer
integrates the competencies in pilot nursing programs
question
Quality and safety education for nurses (QSEN) phase 3
answer
continues to promote the implementation and evaluation of knowledge, skills, and attitudes associated with the six competencies
question
Computerized provider order entry (CPOE)
answer
prevents transcription errors & can flag any condition that might present a hazard or would need additional assessment
question
The Leapfrog Group mission goals:
answer
1. Promot use of CPOE to reduce medication errors 2. encourage consumers & healthcare purchasers to select hospitals w/ extensive experience & good outcomes for high risk surgeries. 3. promote the staffing of ICU with intensivists of doctors with special training 4. assess hospitals' progress in the national quality forum - endorsed safe practices.
question
Electronic Numerical Integrator and Computer (ENIAC)
answer
the first computer by today's perception, built by people at Moore School of Engineering at the University of Pennsylvania in 1946
question
Problem-Oriented Medical Information System (PROMIS)
answer
one of the early uses of computers, 1968, providing a total, integrated system that covered all aspects of health care, including patient treatment. Overcome lack of coordinated care.
question
Benefits of the informatics system
answer
ability to create and used aggregated data, prevent errors, ease working conditions, and provide better healthcare records.
question
deidentified
answer
no patient names and probably no physician names
question
computer literacy
answer
the ability to perform various tasks with a computer
question
computer fluency
answer
lifelong commitment to acquiring new skills for being more effective in work and personal life
question
Listserv
answer
an e-mail discussion list that has participants who discuss various aspects of a topic such as informatics
question
protocol
answer
pre-existing agreement as to how information can be structured & shared
question
Informatics definition (from prof.)
answer
the use of information & technology in healthcare
question
strategic plan (from prof.)
answer
improve public health, inform clinical practice, interconnect clinicians, personalize care.
question
Benefits of informatics (PP)
answer
Aggregated Data Improved Communication Storage and Retrieval Time & Money
question
Benefits of informatics to nursing (PP)
answer
-Enhances practice and allows nursing science to develop -Improves documentation -Data used for quality and research -Builds evidence-based nursing knowledge
question
TRUE OR FALSE? Health informatics is process oriented?
answer
False Historically, health informatics was process oriented, but today it focuses on data and information
question
True or False. Health informatics is a subspecialty under nursing informatics?
answer
False. Health informatics is the umbrella term that encompasses all subspecialties such as nursing, pharmacy, and lab.
question
Which of the following would a nurse identify as a benefit of informatics to nursing? A.Less data to review for quality control B.More time to permit complete documentation C.Less communication needed among providers D.Easier retrieval of healthcare information
answer
D: EASIER RETRIEVAL OF HEALTHCARE INFORMATION Benefits include easier retrieval of healthcare information, improved documentation with less time spent on documentation, more complete data that can be used for quality control and research, and improved communication among all healthcare providers.
question
Information literacy
answer
awareness of need, ability to find it, ability to analyze the validity and relevance, and the ability to interpret it for use
question
health literacy
answer
degree to which individuals have capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions; subset of information literacy
question
information literate competencies
answer
-determine the extent of information needed -access the needed information effectively and efficiently -evaluate information and its sources critically -incorporate selected information into one's knowledge base -use information effectively to accomplish a specific purpose -understand the economic, legal, and social issues surrounding the used of information, and access and use information ethically and legally
question
to increase literacy nurses must have:
answer
critical thinking, domain knowledge, clinical experience, incorporate knowledge into practice.
question
Advantage of literacy
answer
-improve quality of care -new methods -empowerment -supports joint commission requirements -essential for EBP
question
Critical thinking
answer
supported by information literacy; "thinking about thinking"
question
Critical thinking components
answer
1. skill sets to process and generate information 2. the intellectual commitment to use those skills to guide behavior.
question
vital parts of critical thinking
answer
-asking questions -knowing when one needs more information, developing and applying a plan for acquiring this information, and using the plan to generate knowledge
question
critical thinking results
answer
directed toward improved outcomes based on information and knowledge
question
knowledge generation
answer
integrating evidence-based literature with clinical information results in new knowledge.
question
knowledge dissemination
answer
when nurses change data from information to knowledge by sharing through: learning modules, e-mail, wiki/blog, presentations, graphs, manuscript/journal.
question
healthcare consumer literacy
answer
it is important to determine the level of literacy of patients in order to provide beneficial discharge planning and patient education
question
Finding nursing knowledge on the internet
answer
- Laws, rules & regulation - NCSBN (NCLEX), CMS - Nursing Care - PubMed, -Healthcare Agencies - Joint Commission -Specialty organizations - CDC, NIH -Professional organizations - ANA, STTI (student) Evidence-based resources - Cochrane library
question
Scholarly Articles VS. non-scholarly
answer
- Scholarly: written by nurses with subject area expertise, subject to peer-review process -E-zine Newspapers: written by reporters, reviewed by editor, citations often not given -Websites: authors often unknown, information not up to date.
question
The cycle of knowledge Transformation
answer
1. Discovery 2. Summary 3. Translation 4. Implementation 5. Evaluation
question
Boolean
answer
adjective 1. denoting a system of algebraic notation used to represent logical propositions, esp. in computing and electronics. noun Computing 1. a binary variable, having two possible values called "true" and "false."
question
strategic plan
answer
Improve
question
TRUE OR FALSE? When using a mobile device, the ROM memory is highly volatile.
answer
False ROM does not require power to maintain the data. RAM does require power, all data not saved on flash or ROM will be lost.
question
Which of the following would be a concern associated with the use of mobile devices in nursing? A.Improved time management B.Increased cost of the device C.Enhanced patient safety D.Reduction in errors
answer
B: INCREASED COST OF THE DEVICE Mobile devices can be expensive in terms of purchase and time involved in selecting and preparing the device for use. Improved time management, enhanced patient safety, and reduced errors are benefits associated with using a mobile device.
question
password requirements
answer
Alphanumeric 7-10 Characters Not Personally identifiable Biometric where available
question
TRUE OR FALSE? Any handheld device that is used for clinical data must be secured or encrypted?
answer
True Security issues are associated with the use of handheld devices and clinical information. Thus, when a device contains clinical information, the device should be secured or encrypted using a password or biometrics such as fingerprint recognition.
question
"Simon"
answer
the first smart phone in 1993
question
Resolution
answer
the higher the numbers, the sharper the image
question
three types of built-in memory
answer
-read-only memory (ROM) -random-access memory (RAM) -built-in flash memory
question
RAM
answer
stores all of the add-on applications and data files and requires a small amount of continuous battery power - volatile - if battery power is depleted, all the data stored on RAM are lost
question
Flash memory
answer
nonvolatile - the applications and data will not disappear if the battery power is depleted
question
Beaming
answer
wireless, very short range (3-feet), infrared (IR) transmission of information to other beam-enabled devices with the same OS.
question
Bluetooth
answer
wireless, short-ranged (32 feet), low powered radio frequency connection to other Bluetooth-enabled devices, creates a personal connection or a piconet
question
WiFi
answer
wireless fidelity
question
Hotspot
answer
WiFi enabled area
