Data
Are a collection of numbers, characters, or facts that are gathered according to some percieved need for analysis and possibly action at a later
... [Show More] point in time. example vitals, length os hospital stay for each client; race marital status, employment and next of kin.
Information
Is data that have been interpreted.
Knowledge
Is the synthesis of information derived from several sources to produce a single concept or idea. It is based on a logical process of analysis and provides order to thoughts and ideas and decreases uncertainty.
Information technology
The management and processing of information and processing of information with the assistance of computers.
Wisdom
Occurs when knowledge is used appropriately to manage and solve problems.
Nurses need to be adept at using it tools to access information to expand their knowledge in a just-in-time evidence based practice
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Roles of the nurse during the course of client care
Data Gatherer:nurse collects data such as vital signs
Information user
Nurse interprets and structures clinical data, into information that can be used to aid clinical decision making
Knowledge user
Individual pt data are compared with exciting nursing knowledge.
Knowledge builder
Aggregation of clinical data and show patterns across patient and serve to create new knowledge or can be interpreted within the context of existing nursing knowledge
Medical informatics
Refers to the application of informatics to all of the healthcare disciplines as well as to the practice of medicine. Focuses primarily upon information technologies that involve patient care and medical decision making
Health informatics
The application of computer and information science in all basics and applied biomedical sciences to facilitate the acquisition, processing, interpretation, optimal use, and communication of health related data. The focus is the patient and the process of care, and the goal is to enhance the quality and efficiency of care provider.
Bioinformatics
The application of computer and IT to the management of biological information including the development of database and algorithms to facilitate research .
Nursing informatics
Broadly defined as the use of information and computer technology to support all aspects of nursing practice
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Computerized assessment and documentation forms facilitates data collection by including prompts to help nurses to remember questions that they should ask and facts they should record.
Good information
Ensures access to the right information at the right time to the people who need it.
Good information management
Ensures that care providers that care providers have the recourses they need to provide safe efficient quality care. Ex. Clinical guide lines standards of practice policy and procedure Manuel's research findings drug data base ... these types of resources via tools such as intranets electronic communities or blogs
Knowledge information refers to the creation of systems that enable organizations to tap into the knowledge experiences and creativity of their their staff to improve their performance. It is a structure process for the generation storage distribution and application of both tacit knowledge
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Nursing informatics
Is the specialty that integrates nursing science , computer science and information science to manage and communicate data information, knowledge and wisdom into nursing practice. Facilitates the intervention of knowledge integration of knowledge of data, information knowledge and wisdom to support pts, nurses and doctors, in their decision making in all roles and settings. This is support is accomplished through the use of information structures information processes and information technology
Computer literacy
Used to refer to a familiarity with the use of personal computers including the use of software tools such as word processing spreadsheets database presentation graphics and e-mail
Information literacy
Is defined as the ability to recognize when information is needed as well as the skills to find evaluate and use needed information effectively . Information literacy forms the Basis for ongoing learning.
Focuses on the ability to use technology, communication tools, and networks to solve problems
Technology informatics guiding education reform initiative ( TIGER)
Purpose was to create a vision for the future of nursing to provide a safer higher quality patient care through the use of IT. Requires nursing informatics competencies for every nurse and active involvement in advancing HIT.
The American association of colleges of nursing
Baccalaureate programs are expected to provide the skills needed to manage information and apply patient care technology Masters ... use pt care technologies to deliver and enhance care. Use communication technologies to integrate and coordinate care . Analyze data to improve pt outcomes. Manage information for evidence -based care and pt education use and facilitate electronic health records and improve pt care.
Nursing informatics competency levels
1: beginning nurse focuses on developing and using skills that rely upon the ability to retrieve and enter data in an electronic format that is relevant to pt care .. has basic computer literacy ability to use IT to support clinical and administrative process which presumes information literacy to support evidence-base practice. The ability to access data and preform documentation via computerized pt records the ability to support pt safety initiatives via the use of IT. Recognition of the role of informatics in nursing
The experienced nurse
Builds upon the competencies required for entry level practitioners using basic computer skills to information regarding the patient. Can serve as a content expert in system designs., to see the relation ship among data elements to execute judgements based on observed data elements, to execute judgment s based on observed data patterns, safeguard access to quality of information, and to participate in efforts to improve information management and communication.
Informatics nurse
Proficiency with informatics applications to support all areas of nursing practice including quality improvement activities, research project management system design, development, analysis, implementation, support maintenance and evaluation 2: fiscal management 3: integration of multidisciplinary Language/ standards of practice 4: skills in critical thinking, data management and processing, decision making, and system development and computer skills . 5: identification and provision of data for decision making.
The informatics nurse specialist possess a sophisticated level of understanding and skills in information management and computer technology, demonstrating most of the competencies seen at the previous three levels. Has the educational preparation which enables them to conduct information research and generate theory.
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ARRA
American Recovery and Reinvestment Act : necessitated that healthcare providers comply with mandated reporting requirements that were structured to provide information deemed critical to improve the overall quality of care. Compliance with reporting requirements were tied to the adoption and use of the EHR system system certified as capable of collecting and sharing the specific data . Financial incentives were designated for providers that met mandatory reporting requirements .
Pt identification
Barcodes include medical record number name age
RIFD radio frequency identification
Broadcast data when stimulated by radio frequency .. provides information on location, making it ideal for tracking equipment, staff and patients
CPOE
Computerized Physician Order Entry.. benefits include a reduction in transcription errors, a decrease in elapsed time order to implementation, standardization and more completeness of orders , fewer medication errors
BCMA
Barcode medication administration
E-prescribing
Refers to the electronic transmission of drug prescriptions from a hospital based inpatient ordering system or hand held device
HITECH Act
Health Information Technology for Economic and Clinical Health Act provides financial incentives for isolation of EHRS with corresponding meaningful use criteria proposed by the centers for Medicare and Medicaid services that mandate CPOE use.
Decision support software
Computer application that analyses data and presents them in a fashion that facilitates decision making. Contains alerts that promote safety , incorporates lab values standards of care and other pt specific information ex: triage guides RN through a series of observations questions and interventions when a pt presents with a specific complaint.
Smart Technology
Used to refer to technology that is integrated saves time and physical burdens and improves pt outcomes [Show Less]