Question

1. Define Nursing Informatics. 2. What are the 3 sciences involved in Nursing Informatics? 3. Describe Nursing Informatics theories discussed in Chapter 16 of the Sewell textbook. 4. Describe the differences between an EMR and an EHR. 5. What is a PHR? Who is responsible for its maintenance? 6. What are 3 benefits and 3 limitations of a PHR? 7. What is a Smart Card? 8. Describe the purpose of ‘meaningful use’ and how it was achieved in the article by Harrison & Lyerla (2012) in the Week 1 assigned reading. 9. Name a core objective of Stage 1 and a core objective of Stage 2 of the ‘Meaningful Use’ requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act. 10. Describe how a clinical information system (EMR or EHR) contributes to patient safety. 11. Give an example of a specific quality indicator and describe the general quality topic discussed in the article by Dupree, Fritz-Campiz, & Musheno (2014) in the Week 1 assigned reading. 12. According to nursing researchers Staggers, Gassert, and Curran, what informatics competencies should be demonstrated by: a. Beginning Nurses? b. Experienced Nurses? c. Nursing Informatics Specialists? d. Informatics Innovators? 13. What does the acronym QSEN mean? 14. Name the 6 categories of QSEN.

Answer 1

1 ).NURSING INFORMATICS :

IT a speciality 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.

2 ).3 SCIENCES INVOLVED IN NURSING INFORMATICS ;

Nursing science

Computer science

Information science

3 ). DESCRIBE THE NURSING INFORMATICS THEORY ;

Processing data to produce information and combination with knowledge and wisdom using information to provide care.

4 ). DIFFERENCE BETWEEN ERM AND EHR ;

EMR contains medical and treatment history of patient in one practice

EHR contains information of all clinicians involved in the patient care for example ; physicianrecords , nurses records , occupational therapist records , physio therapist records , dietician records etc...

5 ). PHR

Personal health records include medication records , health history,physician exam note , progress note , health care providers orders and also x ray reports and LAB repotrs.maintained by health care professionals and MRS

6 ) benefits and limitations of PHR ;

Benifits;

Saving time and money

Help patient be more consideration in their health

To know about their health information

Limitations;

Concern for patient privacy and data

Uneducated people are unable to operate the computers or internet

7 ). Smart card ;

IT is a device with the dimensions of a credit card that uses a small microchip to store the information and process the data and other things related to health sciences

8 ).the purpose of meaningful use ;

Improving the safety , quality and accurate data

Reducing health disparities

Engage the patient and family coordination

Maintain the health records of the patient

Useful for research purpose

Easily identify the diagnosis by the help of information storage.

9 ) . Objectives of stage 1 and stage 2 are ;

STAGE 1;

IMPROVE the population health

Reduce disparities

Built a health care delivery systems for community people

STAGE 2 ;

SUBMIT electronic data of immunization

Reportable lab results

Syndromic survellaienc

Identify the cancer cases and specific cases..

10 ) drug prescription including dosage and route errors

Drug dispensing and administration

Carrying out the medical and SURGICAL PROCEDURES

Monitoring the patient health status by continuous monitoring

Preventive care

Rehabilitative care

Awareness creating

11 ) example of specific quality indicator and general quality topic

Example of specific quality indicator ;

Prevention quality indicators

Inpatient quality indicators

Patient safety indicators

Paediatric quality indicators

General quality topic are ;

Catheterization care

Prevention of needle strick injuries

Spill management

Prevention of before

Prevention of infection etc.....

12 ). For beginners ;

Computer skill training

Billing data , demographics

Indenting

Stock maintaning

Searches for patient , received etc..

For experienced nurses ;

Provide a staff assignment in their respective ward

Maintain the control of infection

Take a class to the beginners

Teach them about their protocol to new beginners

Attending the conference etc..

For specialized nurses ;

Supervise their respective ward

Monitoring the errors

Conducting the team meeting for ensure the patient safety and protection

Legal and ethical information

New PROCEDURES and upgrading of medication etc...

For information innovators ;

Participate in the design and development of information system for practices

Develops intensive care to patient

Participate in developing in new innovative in health professionals

Develops chart and documentation

Encourage the nursing practioners

Monitoring and participate in quality assurance programs

13 ) QSEN MEANS ;

Quality and safety education for nurses

Useful for preparing future nurses who are all having the knowledge , skills , and attitude in nursing practices

14 ) 6 catogerios of QSEN ;

Patient centred care

Team work and collaboration

Safety

INFORMATICS

Evidenced based practice

Quality improvement.