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Nursing informatics is 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. One of the most

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Nursing informatics is 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. One of the most frequently quoted and widely accepted definitions of nursing informatics is that it is a combination of nursing science, information science and computer science ICD codes- used for collection of morbiditiy and mortality statistics, automated clinical decision support, assignment of codes to medical diagnoses and procedures associated with hospital utilization CPI (Current Procedure Terminology)- provides unique billing codes for services rendered · Knowledge •All nurses have the opportunity to be involved in the formal dissemination of knowledge via their participation in professional conferences either as presenters or attendees. •All nurses, regardless of the practice arena, must use informatics and technology to inform and support that practice. · Wisdom •Wisdom is the application of knowledge to an appropriate situation. •In the practice of nursing science, we expect action and/or actions directed by wisdom. •Wisdom uses knowledge and experience to heighten common sense and insight to exercise sound judgment in practical matters. It is developed through knowledge, experience, insight and reflection. · Scientific Underpinning The scientific underpinnings of practice provide the basis of knowledge for advanced nursing practice. These scientific underpinnings include sciences such as biology, physiology, psychology, ethics, and nursing. · The Foundation of Knowledge Model According to Mastrain and McGonigle (2009), one of the most prominent models associated with nursing informatics is the Foundation of Knowledge model. This theory involves integrating four main kinds of knowledge, which are: knowledge acquisition, knowledge dissemination, knowledge generation and knowledge processing. Knowledge acquisition: application of knowledge acquired through education, research, and practice to provide services and interventions to patients to maintain, enhance, or restore their health, and to acquire, process, generate, and dis- seminate nursing knowledge to advance the nursing profession. Knowledge Dissemination: Disturbing and sharing of knowledge learned Knowledge Generation: Creating new knowledge by changing and evolving knowledge based on your experience, education and input from others Knowledge Processing: The activity or process of gathering, collecting or perceiving, analyzing, saving and transmitting knowledge The Foundation of Knowledge model specifically prompts nurses to extend their theoretical and metaphorical knowledge into practical, holistic determinations based on a variety of factors and contexts. Because competencies in informatics include but are not limited to information literacy, computer literacy, and the ability to use strategies and system applications to manage data, knowledge, and information, the ability of nursing students to use computer-mediated communication skills is essential to their success in the nursing field and as a means to improve patient safety. •Organizing conceptual framework for text •Helps to explain the ties between nursing science and informatics and knowledge •Informatics is viewed as a tool for founding knowledge · Computer science · Computer science is introduced through a focus on computers and the hardware and software that make up these evolving systems; computer science is one of the building blocks of nursing informatics. Computer science offers extremely valuable tools that, if used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who can then synthesize these into an evolving knowledge and wisdom base. Data storage, management, retrieval, and processing. · Cognitive science Interdisciplinary field that studies the mind, intelligence, and behavior from an information processing perspective. A field that involves both cognitive informatics and artificial intelligence. The science of understanding what information is housed in and processed by the brain (Cognitive informatics) · Information science the science of information studying the application and usage of information and knowledge in organizations and the interfacing or interaction between people, organizations and information systems. Integrates features from cognitive science, communication science, computer science, library science and social sciences · Informatics Competencies Have been developed to encompass all levels of practice and ensure that entry- level nurses are ready to enter the more technologically advanced field of nursing. And establish advanced competencies for specialty practice. These competencies may be used to determine the educational needs of current staff members · Information literacy Ability to recognize when info is needed as well as the skills to evaluate and use needed info effectively. this nurse can recognize significant, relevant research and know how to apply it to practice. ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively · Health literacy degree to which individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions · Meaningful Use use of health information technology to collect specific data with the intent to improve care, engage patients, improve population health, and ensure the privacy and security .Meaningful Use The American Recovery and Reinvestment Act of 2009 specifies three main components of meaningful use: (1) the use of a certified electronic health record (EHR) in a meaningful manner, such as e-prescribing; (2) the use of certified EHR technology for electronic exchange of health information to improve quality of health care; and (3) the use of certified EHR technology to submit clinical quality and other measures. · Patient-centered Information Systems supports the use and documentation of nursing activities -provides tools for managing and delivery of nursing care -two goals: nursing functions and nursing practice Clinical Decision support systems (CDSS) Know what this system does A computer-based programdesigned to assist cliniciansin making clinical decisions by filtering or integrating vast amounts of information and providing suggestions for clinical intervention. May also be called a clinical decision support system (CDSS).Clinical decision support (CDS) tools are designed to helpsift through enormous amounts of digital data to suggest nextsteps for treatments, alert providers to available information they may not have seen, or catch potential problems, such as dangerous medication interactions A computer-based program designed to assist clinicians in making clinical decisions by filtering or integrating vast amounts of information and providing suggestions for clinical intervention. · Electronic Medical Records legal record created in hospitals and ambulatory environments that is the source of data for the EHR -long referred to as single episode treatment -comprised of structured and unstructured data · Human-Technology Interface The hardware and software through which the user interacts with any technology (e.g., computers, patient monitors, telephone, etc.). · Health Information Technology Management and processing of information with the assistance of computers. Computers and IT provide tools that aid data collection and the analysis associated with research to support the overall work of nurses.  · Alarm fatigue You get so many alerts that you get numb to them and begin ignoring them

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Midterm Study guide NR 599 Informatics General principles of Nursing Informatics

Nursing informatics is 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.

One of the most frequently quoted and widely accepted definitions of nursing informatics is
that it is a combination of nursing science, information science and computer science

ICD codes- used for collection of morbiditiy and mortality statistics, automated clinical decision support,
assignment of codes to medical diagnoses and procedures associated with hospital utilization

CPI (Current Procedure Terminology)- provides unique billing codes for services rendered




· Knowledge

•All nurses have the opportunity to be involved in the formal dissemination of knowledge via
their participation in professional conferences either as presenters or attendees.

•All nurses, regardless of the practice arena, must use informatics and technology to inform and
support that practice.

· Wisdom

•Wisdom is the application of knowledge to an appropriate situation.

•In the practice of nursing science, we expect action and/or actions directed by wisdom.

•Wisdom uses knowledge and experience to heighten common sense and insight to exercise
sound judgment in practical matters. It is developed through knowledge, experience, insight
and reflection.

· Scientific Underpinning

The scientific underpinnings of practice provide the basis of knowledge for
advanced nursing practice. These scientific underpinnings include sciences
such as biology, physiology, psychology, ethics, and nursing.

· The Foundation of Knowledge Model

,According to Mastrain and McGonigle (2009), one of the most prominent models
associated with nursing informatics is the Foundation of Knowledge model. This
theory involves integrating four main kinds of knowledge, which are: knowledge
acquisition, knowledge dissemination, knowledge generation and knowledge
processing.

Knowledge acquisition: application of knowledge acquired through education,
research, and practice to provide services and interventions to patients to
maintain, enhance, or restore their health, and to acquire,

process, generate, and dis- seminate nursing knowledge to advance the
nursing profession.

Knowledge Dissemination: Disturbing and sharing of knowledge learned

Knowledge Generation: Creating new knowledge by changing and evolving

knowledge based on your experience, education and input from others

Knowledge Processing: The activity or process of gathering, collecting or perceiving,
analyzing, saving and transmitting knowledge

The Foundation of Knowledge model specifically prompts nurses to extend their
theoretical and metaphorical knowledge into practical, holistic determinations based on
a variety of factors and contexts. Because competencies in informatics include but are
not limited to information literacy, computer literacy, and the ability to use strategies and
system applications to manage data, knowledge, and information, the ability of nursing
students to use computer-mediated communication skills is essential to their success in
the nursing field and as a means to improve patient safety.

•Organizing conceptual framework for text
•Helps to explain the ties between nursing science and informatics and knowledge •Informatics
is viewed as a tool for founding knowledge
· Computer science

· Computer science is introduced through a focus on computers and the hardware and
software that make up these evolving systems; computer science is one of the building
blocks of nursing informatics. Computer science offers extremely valuable tools that, if
used skillfully, can facilitate the acquisition and manipulation of data and information by
nurses, who can then synthesize these into an evolving knowledge and wisdom base.

Data storage, management, retrieval, and processing.

· Cognitive science

, Interdisciplinary field that studies the mind, intelligence, and behavior from an
information processing perspective. A field that involves both cognitive informatics and
artificial intelligence. The science of understanding what information is housed in and
processed by the brain (Cognitive informatics)

· Information science

the science of information studying the application and usage of information and
knowledge in organizations and the interfacing or interaction between people,
organizations and information systems. Integrates features from cognitive science,
communication science, computer science, library science and social sciences

· Informatics Competencies

Have been developed to encompass all levels of practice and ensure that entry- level
nurses are ready to enter the more technologically advanced field of nursing. And
establish advanced competencies for specialty practice. These competencies may be
used to determine the educational needs of current staff members

· Information literacy

Ability to recognize when info is needed as well as the skills to evaluate and use needed
info effectively. this nurse can recognize significant, relevant research and know how to
apply it to practice. ability to recognize when information is needed as well as the skills
to find, evaluate, and use needed information effectively

· Health literacy

degree to which individuals can obtain, process, and understand basic health
information and services needed to make appropriate health decisions

· Meaningful Use

use of health information technology to collect specific data with the intent to improve
care, engage patients, improve population health, and ensure the privacy and security


. Meaningful Use
The American Recovery and Reinvestment Act of 2009 specifies three main
components of meaningful use: (1) the use of a certified electronic health
record (EHR) in a meaningful manner, such as e-prescribing; (2) the use of
certified EHR technology for electronic exchange of health information to
improve quality of health care; and (3) the use of certified EHR technology to
submit clinical quality and other measures.

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