Definitions
Which of the following is the correct definition of Nursing Informatics?
a. Broad term that encompasses all medical and health specialties including nursing
b. The science and practice that integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide.
c. A way to improve patient care by using methods and technologies from established disciplines like computer science and information science.
d. Study of structure, behavior, and interactions of natural and engineered computational systems.
B!
(All other answer choices are clinical or computer informatics)
(T/F) Study of nursing informatics is a requirement for effective nursing practice.
TRUE!
Which of these are NOT one of the six main aims of HCPs?
a. Effectiveness
b. Safety
c. Efficiency
d. Duty
e. Patient-centeredness
f. Timeliness
g. Equitability
D! (duty)
All of the following are appropriate sources for research EXCEPT:
a. Cochrane
b. CINAHL
c. Wikipedia
d. PubMed
C!
What is the P (problem) in this question?
Does hand washing by healthcare providers reduce transmission of hospital-acquired infections?
Hospital-Acquired Infections!
What is the definition of a Protocol?
a. Commonly performed skills in a practice setting
b. Usually evidence based but tend to be team based approaches to practices in a locale or region
c. Primarily evidence based recommendations that are usually generated from an authority group consisting of experts in the field and are published regularly
d. Values or measurements, bits of information that can be collected and transformed, allowing a person to answer a question or create an end product.
B!!
What clinical informatics concept is represented: patient is a 190 lb. male
DATA!!
How many contact hours of continuing nursing education (CNE) are required for each licensure renewal?
a. 30
b. 20
c. 15
d. 25
B!!
A nurse has a new idea for delivering care. Which step should be taken first to employ this new care?
a. Gather data regarding the problem
b. Perform a literature search
c. Investigate the problem
d. Formulate the idea into a question
D!!
What is the C (comparison) in this question?
Does hand washing by healthcare providers reduce transmission of hospital-acquired infections?
Any alternative to handwashing such as wearing gloves!!
What is the correct definition of fragmentation?
a. The proper use of knowledge to solve real-world problems and aid in continuous improvement.
b. Information that has been synthesized so that relationships are identified and formalized.
c. Values or measurements, bits of information that can be collected and transformed, allowing a person to answer a question or create a product.
d. Occurs when healthcare professionals focus on monetary issues with patients and fail to look at the big picture.
D!!!
(Focus on monetary issues)
(T/F) The United States ranks the best among other industrialized countries on factors of healthcare, including healthy lives, access to care, healthcare quality, efficiency, and equity.
FALSE!!!
What is Fast Healthcare Interoperability Resources (FHIR)?
a. The belief that there is always room for improvement.
b. A standard that compares current performance with past performance.
c. Commonly performed skills in practice setting.
d. A standard for electronically sharing healthcare information.
D!!!
The nursing staff at a physician’s office wants a network that connects to the hospital system across town. Which kind of network do they need?
a. LAN
b. MAN
c. WAN
d. DSL
B!!!
What is the T (time at which the study will be conducted) in this questoion?
Are 30- to 50- year old women who have high blood pressure compared with those without high blood pressure at increased risk for an acute myocardial infarction during the first year after hysterectomy?
First year after a hysterectomy!!!
What does PICOT format stand for?
a. P-patient, I-issue, C-what is compared, O-observation, and T-time
b. P-Patient, I-information, C-what is compared, O-expected outcome, and T-time
c. P-patient, I-issue, C-what is compared, O-expected outcome, and T-time
d. P-Patient, I-information, C-conversion, O-expected outcome, and T-time
C!!!!
Patient, issue, what will be compared, expected outcome, and time needed to achieve the outcome.
This individual was responsible for promoting research that would later become the field of nursing informatics.
HARRIET WERLEY!!!!
(T/F) In External benchmarking, HCPs compare their current performance to their past performance.
FALSE!!!!
A nurse is doing research and collecting data. She complies it all into one file but doesn’t “save” it on her computer. She then shuts the computer off and is upset when she turns the computer back on and all that data is gone. What type of storage should she have saved the data on?
a. CPU
b. RAM
c. ROM
d. LAN
C!!!!
What is the O (outcome) in this question?
Does turning bedridden patients every 2 hours reduce the risk of pressure ulcers more than pressure mattresses?
Reduce the risk of pressure ulcers!!!!
Who developed the Analytical Engine? (Computer)
Charles Babbage!!!!!
(also knowns as the Father of Computing)
This issue in the healthcare environment puts patients at greater risk for poor outcomes, especially in regard to patients with multiple or chronic conditions, childhood immunizations, inaccurate or incomplete transfer or information related to patients transitions from impatient to home care
FRAGMENTATION!!!!!
What are procedures?
a. Primarily evidenced-based recommendations, generated from an authority group consisting of experts in the field and are published regularly.
b. Commonly performed skills in practice setting.
c. Usually evidenced-based but tend to be team-based approaches to practices in a locale or region.
d. Bits of information that can be collected and transformed.
B!!!!!
A nurse has seen an abundance of female patients with osteoporosis and wants to further study more effective medication to help these patients. She forms a group of other nurses who also want to study this phenomenon. Which step in evidence-based practice is this nurse practicing?
a. Cultivating a spirit of inquiry
b. Searching for evidence
c. Determining if a change in practice is needed
d. Communicating the findings
A!!!!!
Identify all parts to the question and generate them into this PICOt question format?
Question: Does turning bedridden patients every 2 hours reduce the risk of pressure ulcers more than pressure mattresses?
Format:
With _______(P), what is the effect of _______(I) on ______(O) compared with _______(C)?
With PRESSURE ULCERS, what is the effect of TURNING PATIENTS EVERY 2 HOURS on REDUCING THE RISK OF PRESSURE ULCERS compared with PRESSURE MATRESS?