NR599 Nursing Informatics: Actual MIDTERM
STUDY GUIDE 2026 | Chamberlain College of
Nursing | Modules, Concepts & Mastery
Checks
MODULE 1: FOUNDATION OF NURSING INFORMATICS (20%)
Key Concepts
● Nursing Informatics (NI): ANA definition—"the specialty that integrates nursing
science with multiple information management and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and
wisdom in nursing practice"
● DIKW Paradigm: Data → Information → Knowledge → Wisdom hierarchy
● Graves & Corcoran Model: Framework connecting data processing to nursing
informatics; emphasizes information management as core competency
● Informatics Nurse Specialist (INS): RN with advanced education in informatics;
implements systems, optimizes workflows, analyzes data
● Informatics Nurse: RN using informatics in daily practice; not necessarily formal
specialist role
● Scope and Standards of Practice: ANA's framework defining NI practice,
professional performance, and competencies
● TIGER Initiative: Technology Informatics Guiding Education
Reform—competencies for all nurses
Core Principles
Nursing Informatics represents the intersection of three domains: nursing science,
computer science, and information science. This integration enables nurses to manage
,and communicate data effectively across healthcare systems. The discipline has
evolved from early computer applications in the 1960s to today's sophisticated EHRs,
artificial intelligence, and predictive analytics.
The DIKW paradigm provides a foundational framework:
● Data: Raw, unorganized facts (e.g., "120/80")
● Information: Data with context and meaning (e.g., "BP 120/80, within normal
limits for adult")
● Knowledge: Information synthesized with experience and theory to recognize
patterns (e.g., "This patient's BP trend suggests effective hypertension
management")
● Wisdom: Applied knowledge leading to ethical, evidence-based decisions (e.g.,
"Continue current regimen; patient education on lifestyle modifications has
proven effective")
Graves & Corcoran's Model (1989) established that information management is central
to nursing practice, not peripheral. Their framework identified three levels: individual
nurse-patient encounters, administrative/healthcare delivery systems, and
societal/health policy levels.
The ANA Scope and Standards (2022) defines NI practice across six standards:
assessment, diagnosis, identification of outcomes, planning, implementation, and
evaluation—all within an informatics context.
Clinical Application Box
Scenario: Maria Rodriguez, MSN, RN-BC, is the Informatics Nurse Specialist for a
400-bed community hospital. The organization is transitioning from paper-based
medication administration to barcode medication administration (BCMA).
Maria's responsibilities include:
, ● Conducting workflow analysis with frontline nurses to understand current
medication pass processes
● Collaborating with IT and pharmacy to configure the BCMA system to match
clinical workflows
● Developing competency-based education for 600 nursing staff
● Creating super-user program for peer support
● Establishing metrics: pre-implementation medication error rates, near-miss
reports, time-study data
● Post-implementation: analyzing data showing 67% reduction in medication
errors, identifying workaround behaviors, optimizing alert fatigue issues
Maria presents quarterly reports to nursing leadership demonstrating ROI through
reduced adverse events and improved nursing efficiency scores.
Why This Matters for the Nurse
NI transforms nursing from invisible, task-based work to visible, data-driven practice.
Every click, every documentation entry, generates evidence of nursing's impact on
patient outcomes. Understanding NI fundamentals enables you to participate in system
improvements, protect your professional practice, and leverage technology for safer,
more efficient care.
MODULE 1 MASTERY CHECK
Q1: Which statement best exemplifies the "Knowledge" level of the DIKW paradigm?
A. A nurse records a patient's blood pressure as 150/92 mmHg in the EHR
B. The EHR system flags the blood pressure reading as "hypertensive" based on
predefined parameters
C. The nurse, knowing the patient's history of non-adherence to antihypertensives,
combines the high reading with assessment data to form a hypothesis of ineffective
self-management
STUDY GUIDE 2026 | Chamberlain College of
Nursing | Modules, Concepts & Mastery
Checks
MODULE 1: FOUNDATION OF NURSING INFORMATICS (20%)
Key Concepts
● Nursing Informatics (NI): ANA definition—"the specialty that integrates nursing
science with multiple information management and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and
wisdom in nursing practice"
● DIKW Paradigm: Data → Information → Knowledge → Wisdom hierarchy
● Graves & Corcoran Model: Framework connecting data processing to nursing
informatics; emphasizes information management as core competency
● Informatics Nurse Specialist (INS): RN with advanced education in informatics;
implements systems, optimizes workflows, analyzes data
● Informatics Nurse: RN using informatics in daily practice; not necessarily formal
specialist role
● Scope and Standards of Practice: ANA's framework defining NI practice,
professional performance, and competencies
● TIGER Initiative: Technology Informatics Guiding Education
Reform—competencies for all nurses
Core Principles
Nursing Informatics represents the intersection of three domains: nursing science,
computer science, and information science. This integration enables nurses to manage
,and communicate data effectively across healthcare systems. The discipline has
evolved from early computer applications in the 1960s to today's sophisticated EHRs,
artificial intelligence, and predictive analytics.
The DIKW paradigm provides a foundational framework:
● Data: Raw, unorganized facts (e.g., "120/80")
● Information: Data with context and meaning (e.g., "BP 120/80, within normal
limits for adult")
● Knowledge: Information synthesized with experience and theory to recognize
patterns (e.g., "This patient's BP trend suggests effective hypertension
management")
● Wisdom: Applied knowledge leading to ethical, evidence-based decisions (e.g.,
"Continue current regimen; patient education on lifestyle modifications has
proven effective")
Graves & Corcoran's Model (1989) established that information management is central
to nursing practice, not peripheral. Their framework identified three levels: individual
nurse-patient encounters, administrative/healthcare delivery systems, and
societal/health policy levels.
The ANA Scope and Standards (2022) defines NI practice across six standards:
assessment, diagnosis, identification of outcomes, planning, implementation, and
evaluation—all within an informatics context.
Clinical Application Box
Scenario: Maria Rodriguez, MSN, RN-BC, is the Informatics Nurse Specialist for a
400-bed community hospital. The organization is transitioning from paper-based
medication administration to barcode medication administration (BCMA).
Maria's responsibilities include:
, ● Conducting workflow analysis with frontline nurses to understand current
medication pass processes
● Collaborating with IT and pharmacy to configure the BCMA system to match
clinical workflows
● Developing competency-based education for 600 nursing staff
● Creating super-user program for peer support
● Establishing metrics: pre-implementation medication error rates, near-miss
reports, time-study data
● Post-implementation: analyzing data showing 67% reduction in medication
errors, identifying workaround behaviors, optimizing alert fatigue issues
Maria presents quarterly reports to nursing leadership demonstrating ROI through
reduced adverse events and improved nursing efficiency scores.
Why This Matters for the Nurse
NI transforms nursing from invisible, task-based work to visible, data-driven practice.
Every click, every documentation entry, generates evidence of nursing's impact on
patient outcomes. Understanding NI fundamentals enables you to participate in system
improvements, protect your professional practice, and leverage technology for safer,
more efficient care.
MODULE 1 MASTERY CHECK
Q1: Which statement best exemplifies the "Knowledge" level of the DIKW paradigm?
A. A nurse records a patient's blood pressure as 150/92 mmHg in the EHR
B. The EHR system flags the blood pressure reading as "hypertensive" based on
predefined parameters
C. The nurse, knowing the patient's history of non-adherence to antihypertensives,
combines the high reading with assessment data to form a hypothesis of ineffective
self-management
