NR 599 Final Exam Study Guide.
I I I I I I
Midterm
• General Iprinciples Iof INursing IInformatics
• Scientific Isynthesis Iof Iinformation Iin Inursing
• Concepts: Icomputer, Icognitive, Iinformation
• Knowledge
• Wisdom
• Scientific IUnderpinning
• The IFoundation Iof IKnowledge IModel
• Computer Iscience
• Cognitive Iscience
• Information Iscience
• Standard ITerminology
• Informatics ICompetencies
• Information Iliteracy
• Health Iliteracy
• Meaningful IUse
• Patient-centered IInformation ISystems
• Clinical IDecision ISupport ISystems
• Electronic IMedical IRecords
• Human-Technology IInterface
• Health IInformation ITechnology
• Alarm Ifatigue
• Digital Inatives
• Information ILiteracy ICompetency IStandards Ifor INursing
• HITECH IAct
• TIGER-based INursing IInformatics ICompetencies IModel
Midterm IFeedback
• Workarounds Iare Iways Iinvented Iby Iusers Ito Ibypass Ithe Isystem Ito Iaccomplish Ia Itask; Iusually Iindicate Ia IpoorIfit
Iof Ithe Isystem Ior Itechnology Ito Ithe Iworkflow Ior Iuser; Idevised Imethods Ito Ibeat Ia Isystem Ithat Idoes Inot
Ifunction Iappropriately Ior Iis Inot Isuited Ito Ithe Itask Iit Iwas Ideveloped Ito Iassist Iwith I(McGonigle I& IMastrian,
I2018, Ip. I584). IWorkarounds Inegate Iexpected Ipractice Iprotocols Iand Iare Irarely Inecessary Ior Iappropriate
Imeans Ito Iensure Ipatient Isafety.
• Longevity Iis Idefined Ias Iusability Ibeyond Ithe Iimmediate Iclinical Iencounter I(McGonigle I& IMastrian, I2018, Ip.
I570).
o HITCH IACT- Ibecome Imeaningful Iusers Iof IEHR.
o American IRecovery Iand IReinvestment IAct Iof I2009
• Communication Isystems Iimprove Iproductivity Ito Ipromote Iinteraction Iamong Ihealthcare Iproviders Iand
Ibetween Iproviders Iand Ipatients. IHealthcare Iprofessionals Ioverwhelmingly Irecognize Ithe Ivalue Iof Ithese
Isystems Ito Ipromote Idata Iand Iinformation Iprocessing. IExamples Iof Icommunication Isystems Iinclude Icall Ilight
Isystems, Iwireless Itelephones, Ipagers, Iemail, Iand Iinstant Imessaging, Iwhich Ihave Itraditionally Ibeen Iforms Iof
Icommunication Itargeted Iat Iclinicians I(McGonigle I& IMastrian, I2018, Ip. I190).
, • A Imajor Ibarrier Ito Iwidespread Iadoption Iof Ieducational Iopportunities Ifor Ipatients Iamong IAmerican
Ihealthcare Iproviders Iis Ithe Ifact Ithat Ireimbursement Imechanisms Ifor Ielectronic Ihealth Icare Iinterventions
Iare Iinadequate Ior Inonexistent. IThe Igoal Iof Ithe Iinteractive Ibehavior Ichange Itechnology Iis Ito Iimprove
communication Ibetween Ipatients Iand Ihealthcare Iproviders Iand Ito Iprovide Ieducational Iinterventions Ithat
Ipromote Ibetter Idisease Imanagement Ibetween Ioffice Ivisits I(McGonigle I& IMastrian, I2018, Ip. I335).
• Once Ithe Itechnology Iis Iintegrated Iinto Ithe Iorganization, Ibiomedical Iengineers Ican Ibecome Ivaluable
Ipartners Iin Ipromoting Ipatient Isafety Ithrough Iappropriate Iuse Iof Ithese Itechnologies. IFor Iexample, Iin Ione
organization, Ithe Ibiomedical Iengineers Ihelped Ito Irevamp Iprocesses Iassociated Iwith Ithe Inew ItechnologyIalarm
Isystems Iafter Ithey Idiscovered Iseveral Ikey Iissues: Islow Iresponse Itimes Ito Ilegitimate Ialarms Iand Imultiple Ifalse
Ialarms I(promoting Ialarm Ifatigue) Icreated Iby Ialarm Iparameters Ithat Iwere Itoo Isensitive.
Strategies Ifor Iaddressing Ithese Iissues Iincluded Iimproving Ithe Inurse Icall Isystem Iby Iadding IVoice Iover
IInternet IProtocol Itelephones Ithat Iwirelessly Ireceive Ialarms Idirectly Ifrom Itechnology Iequipment Icarried Iby
Iall Inurses, Ithus Ireducing Iresponse Itimes Ito Ialarms; Ifeeding Ialarm Idata Iinto Ia Ireporting Idatabase Ifor Ifurther
Ianalysis; Iand Iencouraging Inurses Ito Iround Iwith Iphysicians Ito Iprovide Iinput Iinto Ialarm Iparameters Ithat
Iwere Itoo Isensitive Iand Iwere Igenerating Imultiple Ifalse Ialarms I(McGonigle I& IMastrian, I2018, Ip. I297).
• This Ideluge Iof Iinformation Iavailable Ivia Icomputers Imust Ibe Imastered Iand Iorganized Iby Ithe Ius. Ier Iif
Iknowledge Iis Ito Iemerge. IDiscernment Iand Ithe Iability Ito Icritique Iand Ifilter Ithis Iinformation Imust Ialso Ibe
present Ito Ifacilitate Ithe Ifurther Idevelopment Iof Iwisdom I(McGonigle I& IMastrian, I2018, Ip.53).
• Nurses Ihave Ihistorically Igathered Iand Irecorded Idata, Ialbeit Iin Ia Ipaper Irecord. IThere Iis Ino Idoubt Ithat
Inursing Iexperiences Ibuild Iknowledge Iand Iskill Iin Inursing Ipractice, Ibut Ipaper-based Idocumentation Ihas
Ihindered Ithe Iability Ito Ishare Iknowledge Iand Ito Iaggregate Iexperiences Ito Ibuild Inew Iknowledge I(McGonigleI&
IMastrian, I2018, Ip. I106).
• Healthcare Iproviders Ineed Ito Iembrace Ithe IInternet Ias Ia Isource Iof Ihealth Iinformation Ifor Ipatient Ieducation
Iand Ihealth Iliteracy. IPatients Iare Iincreasingly Iturning Ithere Ifor Iinstant Iinformation Iabout Itheir Ihealth
Imaladies. IHealth-related Iblogs I(short Ifor Iweblog, Ian Ionline Ijournal) Iand Ielectronic Ipatient Iand Iparent
Isupport Igroups Iare Ialso Iproliferating Iat Ian Iastounding Irate. IClinicians Ineed Ito Ibe Iprepared Ito Iarm Ipatients
with Ithe Iskills Irequired Ito Iidentify Icredible Iwebsites. IThey Ialso Ineed Ito Iparticipate Iin Ithe Idevelopment Iof
Iwell-designed, Ieasy-to-use Ihealth Ieducation Itools. I(McGonigle I& IMastrian, I2018, Ip. I330).
• Patients Iare Ioccasionally Iinterested Iin Iinteracting Iwith Iothers Iwho Ihave Ithe Isame Ior Isimilar Iconditions, Iand
Isome Ihealthcare Iorganizations Iare Iproviding Ithe Iinformation Inecessary Ito Ihelp Ithem Iconnect. IThis Iso-
called Ipeer-to-peer Isupport Iis Iespecially Ipopular Iwith Ipatients Iwho Ihave Icancer Idiagnoses, Idiabetes, IandIother
Ichronic Iand Idebilitating Iconditions I(McGonigle I& IMastrian, I2018, Ip. I328).
Final
• Ethical Idecision Imaking
• Bioethical Istandards
• Telehealth
• Medical IApplications
• Medical IDevices
• FDA IOversight Ifor IMedical IDevices
• Privacy
• Confidentiality
• Cybersecurity
• Computer-aided Itranslators
• HIPPA
• ICD-10 ICoding
• Evaluation Iand IManagement ICoding
I I I I I I
Midterm
• General Iprinciples Iof INursing IInformatics
• Scientific Isynthesis Iof Iinformation Iin Inursing
• Concepts: Icomputer, Icognitive, Iinformation
• Knowledge
• Wisdom
• Scientific IUnderpinning
• The IFoundation Iof IKnowledge IModel
• Computer Iscience
• Cognitive Iscience
• Information Iscience
• Standard ITerminology
• Informatics ICompetencies
• Information Iliteracy
• Health Iliteracy
• Meaningful IUse
• Patient-centered IInformation ISystems
• Clinical IDecision ISupport ISystems
• Electronic IMedical IRecords
• Human-Technology IInterface
• Health IInformation ITechnology
• Alarm Ifatigue
• Digital Inatives
• Information ILiteracy ICompetency IStandards Ifor INursing
• HITECH IAct
• TIGER-based INursing IInformatics ICompetencies IModel
Midterm IFeedback
• Workarounds Iare Iways Iinvented Iby Iusers Ito Ibypass Ithe Isystem Ito Iaccomplish Ia Itask; Iusually Iindicate Ia IpoorIfit
Iof Ithe Isystem Ior Itechnology Ito Ithe Iworkflow Ior Iuser; Idevised Imethods Ito Ibeat Ia Isystem Ithat Idoes Inot
Ifunction Iappropriately Ior Iis Inot Isuited Ito Ithe Itask Iit Iwas Ideveloped Ito Iassist Iwith I(McGonigle I& IMastrian,
I2018, Ip. I584). IWorkarounds Inegate Iexpected Ipractice Iprotocols Iand Iare Irarely Inecessary Ior Iappropriate
Imeans Ito Iensure Ipatient Isafety.
• Longevity Iis Idefined Ias Iusability Ibeyond Ithe Iimmediate Iclinical Iencounter I(McGonigle I& IMastrian, I2018, Ip.
I570).
o HITCH IACT- Ibecome Imeaningful Iusers Iof IEHR.
o American IRecovery Iand IReinvestment IAct Iof I2009
• Communication Isystems Iimprove Iproductivity Ito Ipromote Iinteraction Iamong Ihealthcare Iproviders Iand
Ibetween Iproviders Iand Ipatients. IHealthcare Iprofessionals Ioverwhelmingly Irecognize Ithe Ivalue Iof Ithese
Isystems Ito Ipromote Idata Iand Iinformation Iprocessing. IExamples Iof Icommunication Isystems Iinclude Icall Ilight
Isystems, Iwireless Itelephones, Ipagers, Iemail, Iand Iinstant Imessaging, Iwhich Ihave Itraditionally Ibeen Iforms Iof
Icommunication Itargeted Iat Iclinicians I(McGonigle I& IMastrian, I2018, Ip. I190).
, • A Imajor Ibarrier Ito Iwidespread Iadoption Iof Ieducational Iopportunities Ifor Ipatients Iamong IAmerican
Ihealthcare Iproviders Iis Ithe Ifact Ithat Ireimbursement Imechanisms Ifor Ielectronic Ihealth Icare Iinterventions
Iare Iinadequate Ior Inonexistent. IThe Igoal Iof Ithe Iinteractive Ibehavior Ichange Itechnology Iis Ito Iimprove
communication Ibetween Ipatients Iand Ihealthcare Iproviders Iand Ito Iprovide Ieducational Iinterventions Ithat
Ipromote Ibetter Idisease Imanagement Ibetween Ioffice Ivisits I(McGonigle I& IMastrian, I2018, Ip. I335).
• Once Ithe Itechnology Iis Iintegrated Iinto Ithe Iorganization, Ibiomedical Iengineers Ican Ibecome Ivaluable
Ipartners Iin Ipromoting Ipatient Isafety Ithrough Iappropriate Iuse Iof Ithese Itechnologies. IFor Iexample, Iin Ione
organization, Ithe Ibiomedical Iengineers Ihelped Ito Irevamp Iprocesses Iassociated Iwith Ithe Inew ItechnologyIalarm
Isystems Iafter Ithey Idiscovered Iseveral Ikey Iissues: Islow Iresponse Itimes Ito Ilegitimate Ialarms Iand Imultiple Ifalse
Ialarms I(promoting Ialarm Ifatigue) Icreated Iby Ialarm Iparameters Ithat Iwere Itoo Isensitive.
Strategies Ifor Iaddressing Ithese Iissues Iincluded Iimproving Ithe Inurse Icall Isystem Iby Iadding IVoice Iover
IInternet IProtocol Itelephones Ithat Iwirelessly Ireceive Ialarms Idirectly Ifrom Itechnology Iequipment Icarried Iby
Iall Inurses, Ithus Ireducing Iresponse Itimes Ito Ialarms; Ifeeding Ialarm Idata Iinto Ia Ireporting Idatabase Ifor Ifurther
Ianalysis; Iand Iencouraging Inurses Ito Iround Iwith Iphysicians Ito Iprovide Iinput Iinto Ialarm Iparameters Ithat
Iwere Itoo Isensitive Iand Iwere Igenerating Imultiple Ifalse Ialarms I(McGonigle I& IMastrian, I2018, Ip. I297).
• This Ideluge Iof Iinformation Iavailable Ivia Icomputers Imust Ibe Imastered Iand Iorganized Iby Ithe Ius. Ier Iif
Iknowledge Iis Ito Iemerge. IDiscernment Iand Ithe Iability Ito Icritique Iand Ifilter Ithis Iinformation Imust Ialso Ibe
present Ito Ifacilitate Ithe Ifurther Idevelopment Iof Iwisdom I(McGonigle I& IMastrian, I2018, Ip.53).
• Nurses Ihave Ihistorically Igathered Iand Irecorded Idata, Ialbeit Iin Ia Ipaper Irecord. IThere Iis Ino Idoubt Ithat
Inursing Iexperiences Ibuild Iknowledge Iand Iskill Iin Inursing Ipractice, Ibut Ipaper-based Idocumentation Ihas
Ihindered Ithe Iability Ito Ishare Iknowledge Iand Ito Iaggregate Iexperiences Ito Ibuild Inew Iknowledge I(McGonigleI&
IMastrian, I2018, Ip. I106).
• Healthcare Iproviders Ineed Ito Iembrace Ithe IInternet Ias Ia Isource Iof Ihealth Iinformation Ifor Ipatient Ieducation
Iand Ihealth Iliteracy. IPatients Iare Iincreasingly Iturning Ithere Ifor Iinstant Iinformation Iabout Itheir Ihealth
Imaladies. IHealth-related Iblogs I(short Ifor Iweblog, Ian Ionline Ijournal) Iand Ielectronic Ipatient Iand Iparent
Isupport Igroups Iare Ialso Iproliferating Iat Ian Iastounding Irate. IClinicians Ineed Ito Ibe Iprepared Ito Iarm Ipatients
with Ithe Iskills Irequired Ito Iidentify Icredible Iwebsites. IThey Ialso Ineed Ito Iparticipate Iin Ithe Idevelopment Iof
Iwell-designed, Ieasy-to-use Ihealth Ieducation Itools. I(McGonigle I& IMastrian, I2018, Ip. I330).
• Patients Iare Ioccasionally Iinterested Iin Iinteracting Iwith Iothers Iwho Ihave Ithe Isame Ior Isimilar Iconditions, Iand
Isome Ihealthcare Iorganizations Iare Iproviding Ithe Iinformation Inecessary Ito Ihelp Ithem Iconnect. IThis Iso-
called Ipeer-to-peer Isupport Iis Iespecially Ipopular Iwith Ipatients Iwho Ihave Icancer Idiagnoses, Idiabetes, IandIother
Ichronic Iand Idebilitating Iconditions I(McGonigle I& IMastrian, I2018, Ip. I328).
Final
• Ethical Idecision Imaking
• Bioethical Istandards
• Telehealth
• Medical IApplications
• Medical IDevices
• FDA IOversight Ifor IMedical IDevices
• Privacy
• Confidentiality
• Cybersecurity
• Computer-aided Itranslators
• HIPPA
• ICD-10 ICoding
• Evaluation Iand IManagement ICoding
