Intro to Professional Nursing Informatics Exam 25 Questions with Verified Answers
What is Nursing Informatics? - CORRECT ANSWER -Nursing informatics
... [Show More] involves using a combination of: nursing science, computer science, and information science
General Advantages (and a caution!) Regarding Nursing and Healthcare Informatics - CORRECT ANSWER Different forms of informatics promote...
-quality
-efficiency
-consistency
-timeliness
-.... informatics decreases (but does not eliminate) the "human factor" (informatics takes us away from the bedside)
Why is Nursing Informatics Important? - CORRECT ANSWER Different types of informatics provide critical support for....
-Nursing practice
-Nursing education
-Nursing management and administration
-Nursing research
Nursing Practice - CORRECT ANSWER Informatics supports:
-direct patient care
-evidence based practice
-safety and quality improvement
-communication and care coordination
Informatics in Direct Care: Smart Technology - CORRECT ANSWER -Pumps, monitors, and other devices that can improve the efficiency and accuracy of care
-AEDs (automatic external defibrillators)
-IV Pumps with medication "libraries"
-Barcode scanners for medications and other interventions
-Cardiac monitors that detect and alert the nurse to abnormal heart rhythms
-ALARM FATIGUE!!
Informatics in Direct Care: Smartphone and Tablet Applications - CORRECT ANSWER -Drug references (multiple apps to tell you meds)
-Medical dictionaries (need to make sure from EBP websites)
Informatics in Direct Care: Telehealth - CORRECT ANSWER -Links clinicians with patients and/or each other
-Enables clinicians to give, receive, and act upon health information in a timely manner
-Can be frustrating for elderly
-Should only be used for wellness check in - nothing physical
Informatics in Direct Care: Electronic Medical Records (EMRs) - CORRECT ANSWER -Electronic version of the paper chart
-Supports quality, accurate, timely care
-Access may be limited to facility or system
Informatics in Direct Care: Electronic Health Records (EHRs) - CORRECT ANSWER -includes all benefits of EMR and more
-supports secure sharing of data by clinicians across settings
-Ideally, patient can access
Key Electronic Health Record (EHR) Benefits - CORRECT ANSWER -provides legible, complete information
-supports safe, high quality, evidence-based care (through alerts and links to best practice)
-Links information from medical devices (IV pumps and heart monitors)
-Enhances communication and care coordination
-Enables tracking of health information (measures such as BP, blood sugar, weight; preventative care such as immunizations and pap smears)
-Supports critical thinking within the nursing metaparadigm
EHR and Data Tracking - CORRECT ANSWER -supports improved care for individual patients
-supports population health management
-tracks info about patient populations, homelessness, refugees, poor, access to healthcare - shows trends
EHR and Critical Thinking Support - CORRECT ANSWER -nurses make decisions about intervention based on the relationships between concepts within the nursing metaparadigm
-the EHR helps us to see those relationships
-information from EHR + Nursing Wisdom/Expertise -> Clinical Decision-Making
-Metaparadimg = patient, environment, health, nursing... EHR helps see relationship between concepts
Data, Information, Knowledge, and Wisdom - CORRECT ANSWER Data --> Information --> Knowledge --> Wisdom
What you do with data, information, and knowledge is how you achieve wisdom
Risks and Drawbacks of an EHR - CORRECT ANSWER -costly to install - hardware, software, education
-poses a different type of confidentiality risk - potential for different forms of data breach with electronic records
-introduces new types of errors (unintended consequences)
-dependent upon a system that may fail or have "downtimes"
HIPAA - CORRECT ANSWER -Health Information Portability and Accountability Act
-Federal statute first enacted in 1996
-Numerous regulations including the Privacy Rule
-governs use and disclosure of protected health information (PHI)
-Enforcement Rule and HITECH Act mandate steep penalties for violation
-students may be removed from a facility and dismissed from the nursing program for a violation of HIPAA
Patient Portals - CORRECT ANSWER -Features of some EMRs that enables the patient to access certain elements of his/her own health record, online
-For example, allergy and immunization lists, lab results after review and release by provider, medication lists and refill functions, health reminders, patient education resources
-patient portals help to promote self-care and shared decision making (patients have access to own medical records, so don't need to always call doctor
Nursing Education - CORRECT ANSWER Informatics supports:
-classroom learning
-online learning
-coordination and oversight of the learning process
Informatics in Nursing Education: High Fidelity Patient Simulation - CORRECT ANSWER -use of computer based mannequins to simulate clinical situations in a realistic, risk free environment
-mannequin programmable with patient data
-simulations challenge learner apply:
-skills
-knowledge
-critical thinking/decision making
Nursing Management - CORRECT ANSWER Informatics supports:
-oversight of patient care, safety, and quality
-financial functions (paid through informatics)
-human resource functions (apply for jobs)
Informatics in Nursing Management and Administration: Spreadsheets and Databases - CORRECT ANSWER -Electronic tools and "warehouses" for healthcare-related data; make it easier to locate, compare, and apply information
-For example: reference databases (CINAHL, PubMed); drug library in a smartpump (Allaris); Centers for Disease Control (CDC) databases; National Database of Nursing Quality Indicators (NDNQI)
Nursing Research - CORRECT ANSWER Informatics supports:
-many elements of the research process, including:
-literature searches
-sampling and data collection
-statistical analysis
-communication of findings
Informatics in Nursing Research: The Internet and Web-Based Applications - CORRECT ANSWER -Access to countless health-related sites used by professionals and patients; some are reputable and evidence-based, others may not be
-Examples of reputable and non-reputable:
www.cdc.gov, www.ana.org, www.wikipedia.org, www.home-remedies-for-you.com
Nursing Standards Promoting the Use of Information Technology - CORRECT ANSWER -TIGER Initiative (Technology Informatics Guiding Education Reform); prompts nursing knowledge and skill needed to practice in a technology-driven environment
-QSEN (Quality and Safety Education for Nurses) Competencies: define nursing informatics as the use of "information and technology to communicate, manage knowledge, mitigate error, and support decision making
Nurse Informatics Specialist - CORRECT ANSWER -A type of nurse skilled in both the delivery of healthcare and the development and utilization of healthcare technology
-facilitate data integration, information and knowledge
-provide support/training to nurses, patients, and other health care providers
-Analyze data to see what's working and what isn't
Nursing Role in the Use of Informatics to Promote Quality and Safety - CORRECT ANSWER 1. Recognize that technology is a tool - a supplement and not a replacement for safe practice and critical thinking
2. Use only reputable sources of info
3. Get involved - ask to participate in technology selection, design, and implementation
4. Report problems and avoid workarounds or shortcuts [Show Less]