Nursing Informatics – Finals Review

A comprehensive set of Q&A flashcards covering leadership roles, competencies, standards, research tools, statistical methods, EHRs, clinical information systems, telemedicine, education technology, and career pathways in nursing informatics and nurse entrepreneurship.

What are the three essential informatics competencies every nurse should master?

1) Basic computer skills, 2) Information comprehension, and 3) Information-management understanding.

Which nursing leader role oversees clinical operations and troubleshoots HIT issues on the unit?

The Nurse Manager.

Name two environments in which a Nurse Informatics Leader might work outside the hospital.

Corporate headquarters, government, academia, or the business world (any two).

What learning platforms do informatics nurse leaders in academia commonly use to support education?

Learning Management Systems (LMS) and simulation technologies.

Which three disciplines are required for an effective nurse informaticist?

Clinical nursing, information technology, and research.

What does process mapping accomplish in healthcare IT projects?

It delineates the actual steps of clinical practice as they occur during patient care.

How does workflow design differ from process mapping?

Workflow design arranges information, forms, and triggers mechanically to document nursing practice, whereas process mapping visualizes the real-world clinical steps.

List one major challenge faced by nurse educators regarding informatics.

Many nurse educators lack informatics competencies (others: NI not required in PhD programs, need for big-data research methods).

Give two roles of an Informatics Nurse (IN) in the Philippines.

Ensuring proper electronic documentation and collaborating with other professionals via health information systems (others: use simulation, teach NI, etc.).

Which ANA standard requires the IN to gather comprehensive data relevant to the situation?

Standard 1 – Assessment.

What does the PIECES assessment algorithm evaluate?

Performance, Information, Economics, Control, Efficiency, and Service aspects of a system.

At what p-value is a hypothesis typically rejected in basic inferential statistics?

p-value < 0.05.

Which inferential test compares means between exactly two independent groups?

Independent Sample t-Test.

Name an electronic database that focuses on nursing and allied health literature.

CINAHL (Cumulative Index to Nursing and Allied Health Literature).

Which database is best for psychology and mental-health research?

PsycINFO.

What open-access journal directory can be found at DOAJ.org?

Directory of Open Access Journals (DOAJ).

Which software is widely used for quantitative data analysis in nursing research?

SPSS (IBM SPSS Statistics).

NVivo is primarily used to analyze which type of data?

Qualitative data.

Give one advantage of online questionnaires over paper surveys.

They save time and automatically store responses electronically.

What file extension does SPSS use for its data files?

.sav

According to correlation interpretation, what r-value range is considered "strong"?

0.60 – 0.79.

Define Electronic Health Record (EHR).

A longitudinal electronic database of a patient’s health information across encounters.

How does a Personal Health Record (PHR) differ from an EHR?

PHR is controlled by the patient, whereas the EHR is maintained by providers/facilities.

What is the purpose of a Continuity of Care Record (CCR)?

To provide a snapshot of a patient’s health for providers lacking direct EHR access.

Name two clinician benefits of EHR implementation.

Reduced duplicate charting and universal access to patient data (others: time savings, improved documentation, etc.).

Which information-system type supports payroll, billing, and financial functions in a hospital?

Administrative Information System (AIS).

What does CPOE stand for?

Computerized Provider (or Physician) Order Entry.

Identify one function of a Picture Archiving and Communication System (PACS).

Stores, retrieves, presents, and shares digital imaging such as X-rays.

Which clinical system integrates multiple prior applications and is common in ICUs?

Critical Care Information System (CCIS).

Give one of the three main types of telemedicine.

Interactive medicine, store-and-forward, or remote patient monitoring.

HIPAA, enacted in 1996, primarily protects what aspect of healthcare?

Health information privacy and security.

Define e-Health in a single phrase.

The use of information and communication technology (ICT) to support health and healthcare.

What does LMS stand for in educational technology?

Learning Management System.

MOOCs are known for supporting what key feature?

Large-scale participation in online courses.

State one educational pathway that can prepare someone to be a Nurse Informaticist.

Master of Nursing (MN) (others: BSN, MSN, PhD in Nursing Informatics, etc.).

Which certification does the ANCC offer for informatics professionals?

Informatics Nursing board certification (RN-BC).

Name two core competencies for informatics nurses besides technical skills.

Data analysis and project management (others: communication, critical thinking, etc.).

In the 6-stage technology life cycle, what is one key external trigger for obsolescence?

Regulators’ unexpected recalls (others: third-party priority shifts, vendor architecture changes).

What Bureau Circular outlines the Philippine product-recall system for medical devices?

Bureau Circular No. 8, s. 2001.

Why should nurse executives understand market demand when making HIT decisions?

To protect market share and preserve revenue streams while ensuring patient safety.

Which four areas are affected by nursing-centric technology decisions?

Cost, quality, care, and satisfaction.

List two functional areas of nursing informatics practice.

Administration/leadership/management and systems analysis/design (others include compliance, consultation, education, research, etc.).

Who typically develops strategic plans for nationwide informatics solutions?

Senior leadership positions such as CNIO or CIO.

Mid-level nursing informatics managers supervise what phases of the system life cycle?

Needs analysis, requirements, design, development, selection, testing, implementation, and evaluation.

What does SPSS’s Output Viewer window display?

The results of statistical analyses—tables, charts, and tests.

Which descriptive statistic measures how far data values spread around the mean?

Standard deviation.

In SPSS, which menu path runs a Pearson correlation?

Analyze > Correlate > Bivariate.

If a study’s p-value is 0.08, should the null hypothesis be accepted or rejected at α = 0.05?

Accepted (fail to reject the null).

Which inferential test determines whether two categorical variables are related?

Chi-Square test of independence.

Name one benefit of using electronic research databases for nursing literature reviews.

Faster, easier access to a large volume of full-text scholarly articles.

What is the primary focus of Academic Search Premier?

A broad, interdisciplinary database useful for background literature.

What statistical software was developed by SAS Institute for data management and analysis?

SAS (Statistical Analysis System).

In NVivo, what does coding accomplish?

Organizes qualitative data into themes and categories for analysis.

Which EHR functionality allows multiple clinicians to view the same patient record simultaneously?

Support for concurrent multi-user access.

Give one payer benefit derived from comprehensive EHR data.

Lower costs for expensive diagnoses through improved disease management.

What is a common challenge when transitioning from paper charts to EHRs?

Workflow disruptions or user reliance on old paper processes.

Define Clinical Decision Support System (CDSS).

A tool that delivers evidence-based knowledge at the point of care to aid clinical decisions.

Telemedicine’s "store-and-forward" model primarily benefits which workflow?

Asynchronous sharing of patient data for specialist review.

What key legislation in the U.S. underpins patient data privacy and security standards?

HIPAA (Health Insurance Portability and Accountability Act).

Web 2.0 is best described as which generation of the internet?

The second generation characterized by user-generated content and social interaction.

What smart-technology feature directly benefits patients by reducing perceived waiting time?

Real-time status messages and alerts.

Which advanced nursing degree specifically focuses on research and theory development in informatics?

PhD in Nursing Informatics.

What entrepreneurial role involves advising healthcare organizations about IT strategy?

Informatics Nurse Consultant (or Nurse Entrepreneur Consultant).

List one competency unique to nurse entrepreneurs not usually emphasized in informatics roles.

Business acumen (e.g., accounting, marketing, strategic planning).

In a comparative table, what is a typical work setting for a nurse entrepreneur?

Private practice or startup businesses.

Which informatics standard emphasizes lifelong learning for the IN?

Standard 8 – Education.

Standard 12 of the ANA informatics practice standards focuses on which professional behavior?

Leadership.

According to the ANA, what does Standard 16 address for informatics nurses?

Environmental health—supporting practice in a safe, healthy environment.

What is the significance of "big data" methods in nursing PhD programs?

They enable large-scale analysis for evidence-based practice and informatics research.

Why is project-management skill critical for informatics nurses during system upgrades?

To coordinate timelines, resources, and stakeholder communication effectively.

Which telemedicine type frequently uses peripheral sensors to track vital signs at home?

Remote patient monitoring.

Describe one way smart technology assists clinicians besides efficiency gains.

It reduces alert fatigue by prioritizing critical notifications.

What is the key outcome of the 6-stage technology life-cycle model for executives?

Planning for technology adoption, maintenance, and obsolescence.

How does barcode medication administration improve patient safety?

By verifying the "five rights" (right patient, drug, dose, route, time) before administration.

Which health-information system combines both administrative and patient-care pharmacy functions?

Pharmacy Information System (PIS).

Give one benefit of CCIS implementation in intensive-care settings.

Real-time integration of large patient data volumes to support rapid decisions.

What is one regulatory consideration for nurse entrepreneurs operating a private clinic?

Compliance with healthcare licensing and legal requirements.

Why is networking crucial for nurse entrepreneurs?

It builds relationships with clients, investors, and partners, supporting business growth.