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Principles of Nursing Informatics, Study Guides, Projects, Research of Informatics Engineering

Grambling State University (GSU)Informatics Engineering

An overview of the principles of nursing informatics, including the integration of nursing science, computer science, cognitive science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It covers topics such as knowledge, wisdom, scientific underpinning, information science, standard terminology, informatics competencies, information literacy, and health literacy.

Typology: Study Guides, Projects, Research

2023/2024

Available from 10/09/2023

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Midterm study guide
1. Principles of nursing informatics
Nursing Science a building block of NI
NI is a specialty that integrates nursing science, computer science, cognitive
science and information science to manage and communicate data, information,
knowledge, and wisdom in nursing practice.
ursing informatics (NI) is the specialty that integrates nursing science with
multiple information and analytical sciences to identify, define, manage, and
communicate data, information, knowledge and wisdom in nursing practice.
2. Knowledge is the awareness and understanding of a set of information and ways that
information can be made useful to support a specific task or arrive at a decision
Knowledge abounds with others’ thoughts and information
Knowledge model-conceptual organized framework for NI, tied to nursing
science and the practice of nursing informatics
Nursing knowledge is created, stored, acquired, used, generated, engineered,
disseminate
Epistemology is the study of the nature and origin of knowledge—that is, what it
means to know.
Three sources of knowledge have been identified: (1) instinct, (2) reason, and (3)
intuition.
3. Wisdom is the application of knowledge to an appropriate situation.
Guides actions
developed through knowledge, experience, insight, and reflection
highest form of common sense
it is the ability to apply valuable and viable knowledge, experience,
understanding, and insight while being prudent and sensible.
focused on one’s own mind
The appropriate use of knowledge to solve human problems
the foundation of the art of nursing.
4. Scientific underpinning
conceptual framework underpinning the science and practice of NI centers on the
core concepts of data, information, knowledge, and wisdom, also known as the
DIKW paradigm
5. Foundation of knowledge model
suggests that the most important aspect of information discovery, retrieval, and
delivery is the ability to acquire, process, generate, and disseminate knowledge in
ways that help those managing the knowledge reevaluate and rethink the way they
understand and use what they know and have learned.
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Midterm study guide

  1. Principles of nursing informatics  Nursing Science a building block of NI  NI is a specialty that integrates nursing science, computer science, cognitive science and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.  ursing informatics (NI) is the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge and wisdom in nursing practice.
  2. Knowledge is the awareness and understanding of a set of information and ways that information can be made useful to support a specific task or arrive at a decision  Knowledge abounds with others’ thoughts and information  Knowledge model-conceptual organized framework for NI, tied to nursing science and the practice of nursing informatics  Nursing knowledge is created, stored, acquired, used, generated, engineered, disseminate  Epistemology is the study of the nature and origin of knowledge—that is, what it means to know.  Three sources of knowledge have been identified: (1) instinct, (2) reason, and (3) intuition. 
  3. Wisdom is the application of knowledge to an appropriate situation.  Guides actions  developed through knowledge, experience, insight, and reflection  highest form of common sense  it is the ability to apply valuable and viable knowledge, experience, understanding, and insight while being prudent and sensible.  focused on one’s own mind  The appropriate use of knowledge to solve human problems  the foundation of the art of nursing.
  4. Scientific underpinning  conceptual framework underpinning the science and practice of NI centers on the core concepts of data, information, knowledge, and wisdom, also known as the DIKW paradigm
  5. Foundation of knowledge model  suggests that the most important aspect of information discovery, retrieval, and delivery is the ability to acquire, process, generate, and disseminate knowledge in ways that help those managing the knowledge reevaluate and rethink the way they understand and use what they know and have learned. 
  1. Information science  a field of scientific inquiry and professional practice.  primarily concerned with the input, processing, output, and feedback of data and information through technology integration with a focus on comprehending the perspective of the stakeholders involved and then applying IT as needed.  processed data that has meaning.  information is data made functional through the application of knowledge.  Information is composed of data that were processed using knowledge.  Data must be clean, of good quality to be meaningful and useful
  2. Standard terminology  International Council of Nurses’ International Classification of Nursing Practice (ICNP) initiative to standardize the language of nursing practice  a nursing terminology that is in some way approved by an appropriate authority (de jure standardization) or by general consent (de facto standardization).  Once standardized, a term can be measured and coded.  Measurement of the nursing care through a standardized vocabulary by way of an ED [electronic documentation] will lead to the development of large databases.
  3. Informatics competencies  nurses should have the following critical skills: use e-mail, operate Windows applications, search databases, and know how to work with the institution-specific nursing software used for charting and medication administration.  NI competency categories: (1) computer skills, (2) informatics knowledge, and (3) informatics skills  NI competency skill levels: beginning nurse (basic knowledge), (2) experienced nurse (proficient), (3) informatics nurse specialist (advance), and (4) informatics innovator (generate research and theory).  Level 1 and Level 2 competencies assessment: TANIC tool  Level 3 and 4 competencies assessment: NICA L3/L4 tool
  4. Information literacy  an intellectual framework for finding, understanding, evaluating, and using information  Determine the extent of information needed  Access the needed information effectively and efficiently  Evaluate information and its sources critically  Incorporate selected information into one’s knowledge base  Use information effectively to accomplish a specific purpose  Understand the economic, legal, and social issues surrounding the use of information and access and use information ethically and legally
  5. Health literacy

 refers to learn using technology and learns quite well if information is presented in a format to which they are accustomed, such as an interactive video game to introduce them to a topic.  comfortable using information that they can access via their handheld devices, such as smartphones and tablets, as well as wearable devices such as smartwatches

  1. Alarm fatigue  low response times to legitimate alarms and multiple false alarms (promoting alarm fatigue) created by alarm parameters that were too sensitive.
  2. Electronic medical records  systematic documentation of a client’s health status and health care in a secured digital format, meaning that they can be processed, stored, transmitted, and accessed by authorized interdisciplinary professionals for the purpose of supporting efficient, high-quality health care across the client’s healthcare continuum  provide immediate detection and reporting of notifiable conditions.  incorporation of geographic information systems allows public health data to be mapped to specific locations that may indicate an immediate need for intervention
  3. HITECH Act of 2011,  part of the American Recovery and Reinvestment Act (ARRA)  two sets of standards established as regulatory requirements by the Office of the National Coordinator for Health Information Technology (ONC, 2013a) to help providers meet the meaningful use (MU) of electronic health records (EHRs).  which set the 2014 deadline for implementing EHRs and provided the impetus for HIE initiatives.
  4. Meaningful use  primary purpose of the MU standards is to ensure that the EHRs across the nation meet an adequate standard for performance and that this standard increases in complexity over time to meet the expanded needs of the nation  The first standard defined the MU of EHRs, and the second specified how EHRs are to be developed and certified to meet the MU criteria  The Centers for Medicare & Medicaid Services (CMS) coupled this infrastructure regulation with an EHR incentive program to encourage providers and hospitals to adopt and implement certified technology  96% of U.S. hospitals have a certified EHR, and as of 2015, more than 87% of providers have adopted an EHR in their practice  Phase 1 was focused on the implementation of certified EHRs meeting basic requirements, such as electronic exchange of information through ePrescribing (electronic prescriptions) and the ability to capture and report quality metrics.

 Phase 2 of MU focuses on consumer engagement, also termed “patient- centeredness,” and increased the capacity of the certified product to capture and exchange data.  Phase 3 for eligible professionals has transitioned to be included in the value- based programs under the Medicare Access and CHIP Reauthorization Act

  1. Information literacy competency standards for nursing  forms the basis for lifelong learning, serving as a commonality among all learning environments, disciplines, and levels of education  response to changing perceptions of how information is created, evaluated, and used.
  2. TIGER-based Nursing Informatics competencies model  established specific recommendations for schools of nursing to prepare nursing students and practicing nurses to engage fully in digital healthcare  identified three components for the TIGER nursing informatics competencies model: (a) basic computer competencies, (b) information literacy, and (c) information management. 