information theory - (correct Answer) - Processing data to produce information and, in combination with
knowledge and wisdom, using information to provide care
Change Theory - (correct Answer) - unfreezing -->moving-->refreezing
Systems Theory - (correct Answer) - interaction among parts
Behaviorism - (correct Answer) - desired behaviors are reinforced
Constructivism - (correct Answer) - reinterpret the world to fit new situations
Adult learning - (correct Answer) - learn by doing, must know why they need to learn and value of
learning
nursing informatics is a combination of what? - (correct Answer) - -nursing science: Professional Nursing
principles and practices in the delivery and management of patient care
-computer science: Data storage, management,
retrieval, and processing
-information science: What data are needed; how to obtain it, and how to communicate that data as
useable information
nursing informatics definition - (correct Answer) - A specialty that integrates nursing science, computer
science, and information science to manage and communicate data, information, knowledge and
wisdom in nursing practice.
Institute of Medicine Report - 2001 on information technology - (correct Answer) - -There must be a
renewed national commitment to building an information infrastructure to support health care delivery,
consumer health, quality measurement and improvement, public accountability, clinical and health
services research, and clinical education.
-This commitment should lead to the elimination of most handwritten clinical data by 2010.
Health Information Technology (Dept. of HHS) Vision: - (correct Answer) - -Medical information follows
consumers; consumer-centered care
-Consumers choose physicians and hospitals based on known performance results
-Clinicians access medical history, computerized ordering systems, and electronic reminders
-Quality performance initiatives drive quality-based competition
-Clinical research and post-marketing surveillance are fostered
American Recovery and Reinvestment Act (ARRA) - (correct Answer) - -Financial incentives
, -Adopt electronic records
-"Meaningful Use"
-Medicare EHR Incentive Program
-Hospitals and individual providers
-Begin by 2012
-In 2015, penalty if unable to show meaningful use
-Includes provider order entry
-Health Information Exchanges (shared EMRs)
How can Informatics improve Patient Safety? - (correct Answer) - -Improves legibility
-Provides greater continuity of care
-Supports safe medication practices
-Improves nursing workflow; eliminates redundant documentation
-Provides access to up-to-date, accurate data for informed decision-making
-Decision support based on assessment data
Using Decision Support in Practice - (correct Answer) - -Emphasis on Evidence-Based Practice (EBP) -
match patient data with a specific knowledge base to generate evidence-based recommendations
-Assists clinicians with varying levels of clinical experience (novice vs. expert)
-Reduces decisions that are made based on incomplete or misinterpreted information
Documentation Principles - (correct Answer) - -Reflects current standards of practice and level of quality
care
-Regulations/Standards
-Contents of electronic and written record
-Purposes of records
-Confidentiality/ HIPAA
Confidentiality in the Workplace - (correct Answer) - -Don't share information in public areas (elevators,
cafeterias, hallways, public restrooms)
-Don't share information with anyone not directly involved with the patient's care.
-Patient may not want family to know details of care.