Nursing Informatics Certification Exam Terms 2023/24
Metastructure of NI
The ability of the nurse to utilize data, information, and knowledge to make
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Definition of Nursing Informatics
A 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
Using 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)
Used to depict 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)
Goal 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)
A 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)
Used 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
Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
FOCUS Model and PDCA
An 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
Nursing Informatics is is the center of computer, cognitive, and informations sciences under the umbrella
of Nursing Science
Lewin's Theory of Change
Used 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
Focus on removing wasteful practices and making processes smoother and more efficient
Six Sigma
Used for process improvement. Project increase quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group
Triggers 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
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