NUR 444 - Leadership - Exam 4 Guide
With Complete Solution
What is the role of nurses in informatics? - ANSWER Informatics nurses
integrate nursing science, computer science and information science to
manage and communicate data, information, knowledge and wisdom into
nursing practice
Roles:
- system development and testing
- system implementation, workflow analysis, user support
- certification in Informatics Nursing
How is nursing data used and what is its importance? - ANSWER nurse
leaders and managers must integrate nursing informatics and health
information technology to ensure delivery of safe and quality nursing care
Importance:
- improves practice
- monitoring health care and patient outcome trends, and
- evaluating and revising patient care processes
Which institutions recognize technology's influence on nursing and
healthcare? - ANSWER - institute of medicine
- Quality and Safety Education for Nurses
,- ANA scope of practice informatics
- Health Care Reform Legislation
- Healthcare Information and Management System
- Nursing Standards: Scope and Standards of Nursing Informatics
What is an electronic medical record (EMR)? - ANSWER electronic patient
record used by a single organization
What is an electronic health record (EHR)? - ANSWER used by more than one
organization
What is a personal health record (PHR)? - ANSWER electronic form of
patient's medical record that the patient can take home with them
What is the most important directive for electronic health record design? -
ANSWER patient safety
What contributes to a decrease in memory-based care leading to improved
patient outcomes? - ANSWER the use of evidence-based cues within the
information system, rules and alerts, and reminders
What is required of nurses in order to provide safe and effective nursing
care? - ANSWER all nurses must be able to locate pertinent information and
best practices
Nurse leaders and managers must be active in assimilating information
systems and evaluating patient care processes and systems
What is the American Recovery and Reinvestment Act of 2009 (ARRA) -
ANSWER - health-care component known as the Health Information
Technology for Economic and Clinical Health Act, or HITECH Act
,- requirements include metrics to improve patient care, quality, and public
health
- provides incentives when metrics are met by both physician practices and
hospitals to move toward electronic documentation and processes to
improve patient care
What are the regulatory requirements relating to informatics? - ANSWER
Regulatory bodies
- The Joint Commission, the Center for Medicare and Medicaid Services
(CMS), and the U.S. Department of Health and Human Services
Data collected from electronic health records to improve health care and
patient outcomes
The Flow from Data to Wisdom (nursing informatics) - ANSWER Data
comprise a collection of information, facts, or numbers. Nurses collect and
manage data constantly when caring for patients. Nurse leaders and
managers gather, manage, analyze, and interpret data to ensure effective
operation of the unit as well as safe and effective delivery of nursing care.
Development of the concept of data along a continuum was created and
enhanced by Blum et al., and Nelson and Joos (Ronquillo et al., 2016). These
nursing informatics theorists describe the components of the Data,
Information, Knowledge, Wisdom (DIKW) continuum as follows (Ronquillo et
al., 2016):
• Data—discrete elements that lack interpretation
• Information—data that has been interpreted, organized, or structured
• Knowledge—information that has been synthesized so that
, interrelationships have been identified
• Wisdom—appropriate use of knowledge in managing or solving human
problems
What are methods of information technology (IT)? - ANSWER - automated
medication administration
- unit-dose systems
- point-of-care clinical documentation systems
- computerized provider order entry system (CPOE)
- electronic medical/health records
- clinical decision support
- accelerated health information exchange
- "Smart" administration pump
- integrated devices: bidirectional flow
of information
- pharmacy system
- medical email
- handheld communication systems
- internet prescription
- home healthcare use of HIT and
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