CHP 21: Informatics

An informatics nurse specialist is looking to evaluate the optimization of a clinical information system being used in the facility. On which area would the nurse focus? Select all that apply.

• Ways to reduce errors

• Measures to eliminate inefficiencies in workflow

• Strategies to maintain the skills of the end users

• Ways to improve clinical decision support

• Plans to improve basic processes

• Ways to reduce errors

• Measures to eliminate inefficiencies in workflow

• Ways to improve clinical decision support

• Plans to improve basic processes

An informatics nurse is participating in an online continuing education course about informatics, health information technology, and the use of standard terminology. The informatics nurse demonstrates understanding of the information presented in the course by identifying which aspect as a characteristic of nursing standard terminologies? Select all that apply.

• The terminology identifies concepts related to the delivery of nursing care.

• The terminology is structurally organized to reflect nursing knowledge.

• The terminology rates the concepts associated with care.

• The terminology provides a means to code the delivery of nursing care.

• The terminology aids in promoting interoperability.

• The terminology identifies concepts related to the delivery of nursing care.

• The terminology is structurally organized to reflect nursing knowledge.

• The terminology provides a means to code the delivery of nursing care.

• The terminology aids in promoting interoperability.

Nursing terminologies identify, define, and code care delivery concepts in an organized structure to represent nursing knowledge. They do not rate the concepts of care. The use of standard terminologies representing nursing care is a first step in promoting interoperability.

An informatics nurse specialist is participating in evaluating the a new clinical information system being used at a provider's office. The nurse specialist has determined what is being evaluated and the question being asked and has completed the literature search. Which action would the nurse specialist do next?

• Determine the data elements to be collected

• Determine the study design

• Determine how the data will be collected

• Determine the sample size

• Determine the data elements to be collected

A facility is considering the addition of an alert system to the current electronic documentation system. The goal is to identify clients at risk for post-operative complications based on client data. A team consisting of an informatics nurse specialist, information technology experts, and nurses work on this. The team is currently in the "analyze and plan" phase of the system development lifecycle. Which activity would the team be involved with at this time? Select all that apply.

• Identifying the specific purpose for this system

• Collecting data to determine the seriousness of postoperative complications

• Identifying the need for a entirely separate system for this task

• Evaluating how the system might affect the current electronic documentation system

• Assessing how the system can be incorporated into the nurses' current workflow patterns

• Identifying the specific purpose for this system

• Collecting data to determine the seriousness of postoperative complications

• Evaluating how the system might affect the current electronic documentation system

• Assessing how the system can be incorporated into the nurses' current workflow patterns

Before considering the employment of any type of new technology or an update to a system already in place, analysis and planning must take place. Activities that may be involved include: determining the purpose of the new technology or change to the current technology; identifying the problem to be solved; evaluating the data available to support how serious the problem is; evaluating how the system's use will be incorporated into the current workflow of the nurse; and how it will affect the overall usability and experience with the EHR.

An informatics nurse is demonstrating how to use an updated version of an electronic documentation system to a group of staff nurses. The nurse shows the staff that they can follow the same steps that they used with the previous system but need to add one additional final step to the process. The informatics nurse's actions reflect which concept of usability?

• Simplicity

• Consistency

• Naturalness

• Minimizing cognitive load

• Consistency

Consistency involves a user's prior experience. Simplicity in design refers to everything from lack of visual clutter and concise information display to inclusion of only functionality that is needed to effectively accomplish tasks. Naturalness refers to how automatically “familiar” and easy to use (intuitive) the application feels to the user. Minimizing cognitive load involves presenting all the information needed for the task at hand so that it is organized by meaningful relationships for the user.

An informatics nurse is assisting with the evaluation of a new health information technology system implemented at the facility. When conducting the literature review, which source would be appropriate for the informatics nurse to use? Select all that apply,

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

• PubMed

• Cochrane database

• Mayo Clinic

• WebMD

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

• PubMed

• Cochrane database

An informatics nurse specialist is teaching a group of nurses about a new clinical information system that will be used in the facility. During the teaching, one of the group members asks, "What is a clinical information system." Which information would the nurse specialist integrate into the response? Select all that apply.

• A mobile application that tracks information

• Telecommunications is an effective tool to assist the process

• Computer-based system used to support health care

• Can create an effective workflow pattern for care delivery

• A system for collecting, storing, manipulating, and making available clinical information.

• Telecommunications is an effective tool to assist the process

• Computer-based system used to support health care

• Can create an effective workflow pattern for care delivery

• A system for collecting, storing, manipulating, and making available clinical information.

An informatics nurse specialist is engaged in evaluating a clinical information system. At which time would the nurse specialist anticipate the need to obtain help from a statistician?

• During the literature search

• When determining the data collection method

• When preparing how to display the data

• Just before documenting the outcome evaluation

• When determining the data collection method

During a recent visit to the clinic, a client tells the nurse, "I've been using my cell phone to track and record the foods that I eat so that I can better understand if I'm making healthy food choices." The nurse interprets the client's statement as reflecting which technology?

• mHealth

• Telemedicine

• Client portal

• Pharmacogenomics

• mHealth

A facility plans to implement a new electronic medication documentation system. An informatics nurse specialist conducts a focus group with staff nurses to gather information. The nurse specialist asks the group about the current system being used, including a step-by-step account of the actions they perform. The nurse specialist also asks the nurses how they see this new system affecting this process and their overall daily tasks. The informatics nurse specialist is demonstrating which ANA informatics competency?

• Assessment

• Outcomes identification

• Planning

• Coordination of activities

• Assessment

Several nurses on the unit meet with the informatics nurse specialist about some concerns that they have with the current clinical information system. The nurses mention that the layout of the screen is such that it causes strain on the eyes when using it for more than short periods of time. They also mention that because the system requires repetitive clicking to complete one task, they are concerned about repetitive-use injuries when multiple tasks need to be completed. The informatics nurse specialist takes this information back to the technology team and they develop potential solutions to address these issues. The informatics nurse specialist is demonstrating which ANA informatics competency?

• Leadership

• Environmental health

• Implementation

• Outcomes identification

• Environmental health

The nurses are voicing concerns related to ergonomics, which is reflected by the competency of environmental health. The competency of leadership is reflected by activities such as mentoring and promoting organizational goals and the strategic plan. The competency of implementation is reflected by activities such as partnering with the health care consumer, health care team and others to get the plan into motion on time, within budget and within the plan's requirements. The competency of outcomes identification is reflected by activities such as identifying expected goals based on the health care consumer, health care worker, and others based on the situation.

An informatics nurse is reading a journal article about standard terminologies. The nurse demonstrates a need to reread the article when identifying which example as reflecting a standard terminology?

• PubMed

• Nursing Interventions Classification

• Clinical Care Classification System

• NANDA Nursing Diagnoses

• PubMed

Standard terminologies include NANDA-I nursing diagnoses, Nursing Interventions Classification, and Clinical Care Classification System. PubMed is a database of peer-reviewed journals that can be used for a literature search.