NUR3164
Introduction to Nursing Research and Health Informatics
Unit 1
Discussion
The ultimate goal of health informatics is
to empower populations, communities, families, and individuals with the
opportunity to improve the quality and increase the quantity of their days by
maximizing the use of technology in healthcare.
Following your readings, viewing the PPt for this module and viewing a
TED talk by Karalee Close: Will healthcare
embrace digital or will we die waiting? Link
(Links to an external site.)Links to an external site.
Answer 3 of the following questions and
reply to at least one student's post. Internal citations and references are
required. Please make sure at least one student answers each question.
Based on your reading and the link below,
each of you are responsible for addressing 3 of the following questions ~ the
goal is that you all, as a group, answer all of the questions.
This first week is heavy on the reading;
Unit 1 is really the foundation of informatics and these 5 chapters will be
expanded on throughout this course.
There are a choice of 2 discussion questions from each chapter. YOU ARE
RESPONSIBLE FOR answering a total of three questions ~ these should be from
different chapters.
Agency for Healthcare Research and Quality
(Links to an external site.)Links to an external site. (links to an external
site) Explore the AHRQ Health Care Innovations Exchange. Automation and informatics-based tools could
be used to bring resources from this site to the point of care.
Identify an area that health informatics is
being integrated into hospital systems; describe the research being done, what
is known, what is unknown?
As nurses, we are constantly coming across
health informatics, explain how it is integrated into the nursing profession (choose
one example ~ feel free to use a personal experience here).
Describe ways in which miscommunications
occurs between healthcare providers in a clinical settings and suggest how
technology could be used to decrease this miscommunication.
Whenever change occurs, there can be
resistance. List and describe at least 2 responses of individuals as described
in chapter 2 and how both of these groups should be managed when planning for
implementing change into a healthcare institution.
How can health informatics influence and
improve evidence-based practice (EBP)?
Using sources, other than just your book, identify and explain how
EBP/practice-based evidence (PBE) can influence or possibly replace research
studies that develop evidence-based practice.
Most clinical settings now use computers
quite comfortably. Discuss why
computerization and health informatics is required if evidence-based practice
is to becomes reality in the clinical setting.
Describe the use of one theory (*** COULD
YOU GIVE AN EXAMPLE OF ONE THEORY FROM THE READING?) in evaluation studies, is this theory
appropriate for the evaluation of electronic medical records?
Why are program evaluations important in
the use of health informatics and electronic medical records? How is program evaluation different from
program research?
Find a source of research or article that
explores a technical models such as cloud computing or application service
providers. Give a synopsis of your
findings (Be sure to give the reference details for easy review)
How did/do incentive programs, such as
Meaningful Use, both positively and negatively impact technical infrastructures
in healthcare settings?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 2
Discussion 9-11
The drive to quantify how CDS can help
maximize desired healthcare outcomes. The “10 Commandments” of the CDS best
practices and the “CDS Five Rights” are both guide for best practice.
“10 Commandments” of CDS best practices
Speed is everything.
Anticipate needs and deliver in real time.
Fit into the user’s workflow.
Little things can make a big difference.
Recognize that physicians will strongly
resist stopping.
Changing direction is easier than stopping.
Simple interventions work best.
Ask for additional information only when
you really need it.
Monitor impact, get feedback, and respond.
Manage and maintain your knowledge-based
systems.
“CDS Five Rights” is referring to providing
the right information to the right person using the right CDS intervention
format, delivered through the right channel and at the right point in the
workflow. (pg. 178 of your textbook).
Taking these into consideration, answer the
following questions;
How do patient safety, quality of care, and
economic interests contribute to the need to identify CDS best practices and to
quantify effective CDS practice?
What do the authors mean when they talk
about the drive “to make CDS more of a science than an art”?
How can this drive help in the effort to
replicate and disseminate successful CDS systems?
Considering that it is important to
recognize the limits and potential drawbacks of certain elements of CDS.
Discuss the problem of “alert fatigue” and
how this must be a consideration in any effective CDS system.
Discuss how CDS can alleviate the problem
of information overload by highlighting relevant
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 2
Discussion 6-8
After completing the reading and viewing
the PPT for chapters 6-8, please join in the discussion. This week's discussion is in two parts, and
will explore electronic health records, (EHRs), administrative and telehealth
methods for delivery healthcare. Please
answer one question from each section. Support your answers with 2 scholarly
resources as well as the textbook.
Discussion Topics:
There are safety-related impacts of
applications such as the eMAR and BCMA. For example there has been an increased
emphasis on evidence-based care in the design and intended use of various
systems of the Centers for Disease Control and Prevention (CDC). Though despite
the goal of improved safety, software such as the CPOE can have unintended
negative consequences that actually result in medical errors.
Section 1
Is there need for improvement in the areas
of user error, lack of communication or coordination, and overuse of alerts, if
so what are they and what are possible solutions?
How does the introduction of a CPOE system
affect communication between healthcare providers, particularly the nurse and
the physician or pharmacist?
From chapter 7, Do you agree with Khatri’s
argument that an effective HRIS can give a healthcare organization a
competitive advantage. Why? On what specific aspects of an HRIS and premises
was Khatri basing this assertion?
The factors that will continue to drive the
expansion of telehealth are rising costs, increase in chronic conditions, aging
population, demands for improved access, and global shortages of healthcare
workers. There is an enormous potential for growth in telehealth in both the US
as well as other areas of the world (particularly in Asia, where cellular phone
use is increasing at a dramatic rate).
Section 2
Oxford’s telemedicine definition is “the
remote diagnosis and treatment of patients by means of telecommunications
technology.” The terms telehealth and telemedicine are often used
interchangeably, but telehealth has evolved to encapsulate a broader array of
digital healthcare activities and services~ it is not a specific service, but a
collection of means to enhance care and education delivery through virtual medical,
health, and education services.
Introduce the 4 primary modalities
associated with telehealth: Live video,
store & forward, remote patient monitoring (RPM) and mobile health
(mhealth). Discuss what one of the most
creative/most interesting ways each of these is being used. Is telehealth covered by insurance and how is
it's effectiveness being measured?
How has the rise of telehealth broadened
the possibilities of what it means to be a nurse? Could you see yourself in a telehealth role?
If so, which one most appeals to you?
What new settings and job descriptions have
opened up and will continue to expand in the field of nursing? What about these
seem exciting, challenging, or possibly daunting about these new opportunities
for nurses?
In what way can nursing be recognized as
“ahead” of other healthcare provider groups in terms of addressing many of the
legal and licensure challenges posed by the adoption of telehealth? (Hint:
Think about programs or models already adopted by nursing more than a decade
ago.)
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 3
Discussion
Participatory Healthcare Informatics
Follow the instructions under DISCUSSION
BOARD RUBRIC and Discussion Guidelines and APA Tips to create your post and
respond to at least one other student. Internal citations and references are
required.
Along with your reading from the text book,
review the following links about Health 3.0 and ePatients, then answer the
questions that follow and answer ONE of the question prompts below:
1.
2.
This is an older source but it does a
wonderful job with explaining both a positive and negative aspect of ePatients.
3:
Through your library access, Read
article: E-patients hold key to the
future of healthcare BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k846
(Published 26 February 2018)
Discussion Topics
Answer ONE of the following questions :
As we move into Health 3.0, how will the
role of the nurse change in ensuring access and delivery of quality healthcare
to all patients—the active ePatients, as well as those who do not have access
to or do not want to participate in this brave new healthcare system?
Considering the changing patient
population, the future of ePatients with a focus on the impact of a growing
population of technology savvy patients, how will this affect the areas of
healthcare in which social media offers the most benefit ~ do you see it as in
research, patient-to-patient social support, and/or sharing of information?
How might mHealth change the
patient-provider collaboration and communication? mHealth technologies can be used to support
patient care. With this in mind, what
are the risks involved in using mHealth?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 4
Discussion
Follow the instructions under DISCUSSION
BOARD RUBRIC and Discussion Guidelines and APA Tips to create your post and
respond to at least one other student.
Along with your textbook reading, review
the following sources and answer the corresponding questions for either Part 1
or Part 2 below. Do not limit yourselves
to the resources I have listed here!
Part 1
1. TED talk by Talithia Williams: Own your
own body's data: (17 min) Link (Links to an external site.)Links to an
external site.
2. Ten key considerations for the
successful implementation and adoption of large-scale health information
technology. (Links to an external site.)Links to an external site.
Integrated health IT breaks down barriers
for a free flow of health information (Links to an external site.)Links to an
external site.
Compare the advantages and disadvantages of
“best of breed” (or a modular system) and integrated system approaches in
selecting healthcare information system architecture.
Having examined both a modular system and
an integrated system approach, which do you feel is the better option?
How do you think about which you
"pick" is going to change the future of EHRs?
Part 2
Anticipating future directions of some of
the technologies available, what does the research show as to the effectiveness
of mobile health technology that has now been around for a few years~ We now
have data. Things like fitbit-like apps,
exercise, apps, I-phone's health app, pregnancy apps (Link (Links to an
external site.)Links to an external site.), weight management apps (Link (Links
to an external site.)Links to an external site.), Fooducate, Gluco (diabetic
apps Link (Links to an external site.)Links to an external site.), mental
health apps (Link (Links to an external site.)Links to an external site.) etc. ~
are these apps being utilized effectively?
Are we actually using the data provided to make health related decisions
to improve our health?
How Smartphone Technology is Changing
Healthcare in Developing Countries (Links to an external site.)Links to an external
site.
Smartphones becoming primary devices for
physician and patient communication (Links to an external site.)Links to an
external site.
Two parts: (a) Review the research on ONE app and
present the scholarly research on the effectiveness of the app (not just the
"cool" aspect). Who uses it (
population of people: diabetics, people
struggling with depression, etc.) and how is effectiveness being evaluated? Discuss
ongoing evaluation, implementation, and integration of healthcare
technologies. (b) Have you personally
used (or know someone who has used) a smartphone either to monitor their own health or to access their
health records?
Since this is the wave of the future—but
still not the norm—how can using a smartphone to access health information be
taken into consideration as facilities plan to upgrade or implement a new HIS?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 5
Discussion
Follow the instructions under DISCUSSION
BOARD RUBRIC and Discussion Guidelines and APA Tips to create your post and
respond to at least one other student. Internal citations and references are
required.
As you are new to all of this, being
introduced to the many terminologies and systems of standards, you are bound to
feel overwhelmed. You all will not be
expected to become experts in each system. Rather, you should recognize the
unique purpose and goal of the various terminologies and understand the goals
of the systems, and the importance of achieving harmonization among systems of
terminology. One basic & practical
concept in striving for standardization.
This is similar to using the “right” key words when conducting an online
search. Nurses can only receive or communicate the “right” data about a patient
if they are using the “right” terminology.
Although it is more complicated than this, you will benefit by drawing
on your own success when communicating online through standard, consistent
terminology.
Choose ONE question from this week's four
chapters as your discussion post, then please respond to a post on a topic
other than the one you chose for your initial post:
Chapter 21:
(three options to choose from)
Discuss the importance of establishing
& using frameworks in designing and using health informatics. Introduce one
of the currently existing health IT frameworks, and discuss areas where it is
inadequate/needs further improvement. ( One option would be to discuss how the
Health Human–Computer Interaction (HCI) Framework addresses the missing
elements of previously existing frameworks).
User experience: Identify the elements critical to an improved
user experience: user(s) characteristics, interactions, tasks, information,
product(s) and their characteristics, context, and developmental timeline. Which
would you identify as most needing to be addressed base on an IT framework of
your choice (possibly make a quick phone call to your IT department and ask
them which framework is currently used at your hospital. Research this framework and add your
perspective based on personal experience.)
Define what cognitive systems engineering
is and the focus of this discipline ~ Discuss the implications of a
socio-technical system are and how they apply to the healthcare setting. What issues do joint cognitive systems
address?
Chapter 22:
4.
Discuss how standardized terminology enhances the monitoring of
healthcare quality and outcomes. Review
ways in which standardization of terminology will advance healthcare
research. Give examples/support with
data.
Chapter 23:
5. Lets look at the idea of data
mining (KDDM) compared with randomized control trials (RCT): In a randomized control trial, inclusion
criteria is very strict to limit errors in methodology. Compared to KDDM, RCT
can be quite lengthy and time consuming as well as costly.
When is the traditional gold-standard
research method of RCT not “enough”?
What are the drawbacks and limitations of
RCT?
Discuss areas of needed improvement in the
use of KDDM, what are the potential future benefits in cost-effectiveness of
KDDM.
In your opinion, will KDDM eventually
replace more traditional research methods such as RCT? Why or why not?
Chapter 24:
6. Patient safety and quality of
care are not improved simply by the implementation of an HIS, but by ongoing
evaluation to identify needed interventions and incentives to increase the
fidelity of use. Ultimately, health IT
is just a tool to improve patient outcomes.
Meaningful use initiatives laid a great foundation, but have proven to
be somewhat lacking. Why are these
initiatives not enough to advance best practices in all settings? What else is needed?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 6
Discussion
Link
(Links to an external site.)Links to an external site.Follow the
instructions under DISCUSSION BOARD RUBRIC and Discussion Guidelines and APA
Tips to create your post and respond to at least one other student. Internal
citations and references are required.
This week, choose ONE chapter from this
week's five chapters as your primary discussion post, then please respond to a
post on a topic other than the one you chose for your initial post:
Chapter 25: Legal Issues, Federal
Regulations, and Accreditation
There are three key fraud & abuse laws:
the Stark Law, the Federal Anti-Kickback Statute, and the Federal False Claims
Act.
Define one of the fraud and abuse laws and
expand on the purpose of this law in healthcare and identify a case in which
one of these laws were violated. What are the penalties for violating this law?
(For example: Review this violation in a case using the Anti-Kickback
Statute: Link to Case) (Links to an
external site.)Links to an external site.
Explain the safe harbor protections against
criminal and civil prosecution for Stark and Anti-Kickback violations.
Chapter 26:
Privacy & Security
As healthcare providers, earning and
keeping patients’ trust & ensuring privacy is paramount ~ ethically,
morally & legally. Legally, there
are a range of penalties and fines that can be assessed to healthcare
organizations for security breaches.
Research sources of new and increasing
threats to health data security.
Investigate and explain what federal and
state collaboration efforts (if any) exist for the state in which you live or
practice. Does your state currently participate in Health Information Security
and Privacy Collaboration (HISPC)? If not, are there plans to become involved
in this partnership? (This information should be available through the state’s
Department of Health or at the HealthIT.gov page on HISPC). (Links to an external
site.)Links to an external site.
Chapter 27: HITECH, MU & MACRA
Describe the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) and how it came about. How did the Medicare
Access and CHIP Reauthorization Act of 2015 change how Medicare pays
physicians?
What is its potential impact in value-based
payment models?
Chapter 28: Health Policy
We are still in the early stages of
implementing health IT and as this are of technology grows, the nurse’s role in advocacy, leadership,
collaboration, and policy making will continue to grow with it. Explore at least 2-3 of the links below and
answer the following questions:
Informatics and the Future of Nursing
Practice (Links to an external site.)Links to an external site.
IOM’s “The Future of Nursing: Leading
Change, Advancing Health” (Links to an external site.)Links to an external
site. – Link to IOM PowerPointPreview the document
Alliance for Nursing Informatics (ANI)
(Links to an external site.)Links to an external site.
HIMSS Nursing Informatics Workforce Survey
(Links to an external site.)Links to an external site.
HIMSS Nursing Informatics Position
Statement, “Transforming Nursing Practice Through Technology and Informatics”
(Links to an external site.)Links to an external site. - or if that doesn’t work, here is a PDF link
TIGER Initiative, TIGER Action Plan, and
TIGER Standards and Interoperability Collaborative Center to Champion Nursing
in America (CCNA) (Links to an external site.)Links to an external site.
Discussion prompt:
What qualities and characteristics are
necessary to be an effective informatics nurse in the public policy arena?
How are these skills unique or somewhat
different from the characteristics that make a good nurse in general? How are
they the same? That is, what required traits are shared to perform these roles?
Chapter 29:
HIT Governance
Considering that there has been increasing
and competing demands on health IT resources, very little has been published
and studied about the topic of health IT governance. Although health IT
governance is a relatively “new” concept, the demands for this expertise are
vast and the needs are immediate.
Healthcare reform is one example. Explore
the links below and answer the following questions: Link to article: Nine best practices in heathcare IT
governance (Links to an external site.)Links to an external site.
Explore and discuss what health IT
governance encompasses.
What's the relationship between IT
governance and GRC (governance, risk and compliance)?
Why do healthcare organizations implement
IT governance infrastructures?
What challenges and opportunities lie ahead
for those choosing to enter this healthcare industry?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 7
Discussion Part 1
Ethics & Health Informatics: Part I
According to the federal regulations for
human subjects research, children, prisoners, and pregnant women are considered
the “vulnerable” population. However,
there are actually other sub-populations that are often considered vulnerable
due to the nature of terms of their participation ~ that would include
students, employees, impoverished, elders, ethnic groups, disenfranchised
populations and cognitively impaired individuals (with cognitively impaired, it
is primarily related to the capacity to give informed consent).
So, what does this mean to the
student/employee as a vulnerable population?
(1) a potential subject can be influenced/induced to participate or (2)
a potential subject can find themselves in a situational/positional
vulnerability subjecting them to coercion.
The difference between these is that with unduly influencing a potential
subject, one is offering them an excessive or inappropriate reward for their
participation. When I received IRB
approval for my study, I had to offer support to show that the gift card I was
giving was a reasonable amount that would not cloud the potential subjects’
decision-making with the offered reward.
Coercion on the other hand, is when someone’s power/position is used to
negatively impact the potential subjects if they don’t participate, influencing
the “voluntary choice” aspect of the research.
(Teacher saying you get an A if you do participate and “a poor grade” if
you don’t ~ that type of thing.)
Institutional Review Boards (IRB) are
designed to safeguard against these issues, and all research involving human
subjects must have IRB approval.
So ~ Where did we come from and where are
we going in the area of ethics?
Discussion Board Topic:
Part I:
After reading the Belmont Report, Answer ONE of the following questions
~ the goal is that all of the questions get covered by the students in this
class for all of you to review.
Expand on the Nuremberg Code and its role
in the current ethical guidelines
Expand on the declaration of Helsinki and
its role in the current ethical guidelines
Many research studies that were identified
as “unethical” lead to the task force and other documents forming today’s
ethical guidelines. The majority of these experiments are horrific, but deserve
to be remembered, lest we forget where we came from. Choose ONE of the following studies to expand
upon, including their implications to the study subjects and to the development
of ethical guidelines.
Tuskegee Syphilis Study
Biomedical experiments on children: The
polio vaccine trials
The 1956–1971 Willowbrook hepatitis studies
(institutionalized children)
Clinical trials involving thalidomide
Experiments on twin children in German
concentration camps conducted by J. Mengele from 1943 to 1944 on approximately
1,500 sets of imprisoned twins at Auschwitz
What are the three ethical principles
identified by the Belmont Report? (expand on each)
Who are the vulnerable populations
protected by the Belmont Report? (how is "vulnerable" defined and how
are they protected?)
What happened in the U.S. AFTER the Belmont
Report in the U.S. in the area of ethical research practices?
What is an IRB, who does it protect, and
who offers it?
What must be included in informed consent?
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 7
Discussion Part 2
Ethics & Health Informatics: Part II
Part II:
Health related journals and research articles: Identifying ethically conducted research
For a peer-reviewed journal, the
publication of articles plays an essential role in the development of the body
of knowledge. Therefore, it is essential that all publishers, editors, authors,
and reviewers, in the process of publishing the journals, conduct themselves in
accordance with the highest level of professional ethics and standards. Many
journals follow the recommendation of the Committee of Publication Ethics (Link
(Links to an external site.)Links to an external site.) but many journals state
their ethical practices where an author would submit an article for
publication. Two of the most prestigious
journals are the British Medical Journal (BMJ) and the Journal of American
Medical Assoc.(JAMA).
British Medical Journal Author Hub
discusses its ethical approval standards for conducting research on human
subjects, appraisal of ethical issues, and what happens if a submitted journal
for publication doesn't meet their stated standards: Link
(Links to an external site.)Links to an external site.
Journal of American Medical Assoc.
discusses it's requirements of the authors to conduct ethical research, obtain
appropriate IRB/ethics committee review or follow the principles outlined in
the Declaration of Helsinki: Link (Links to an external site.)Links to an
external site.
(hmmm...where have you seen this
before?! Hint: Part I)
Discussion Board Assignment:
Select a research article that involves a
vulnerable population as identified by the regulations for human subjects
research (
As expanded on in DB 1: children,
prisoners, pregnant women, students, employees, impoverished, elders, ethnic groups,
disenfranchised populations and cognitively impaired individuals (with
cognitively impaired, it is primarily related to the capacity to give informed
consent).
Summarize the article in 1-2
paragraphs: include the article’s
question/hypothesis
Introduce the vulnerable population of
interest & the social aspects of this group
Did they identify the Institutional Review
Board approval or ethics committee? If so, what was/were the reviewing
institution(s)?Give your professional opinion as to effectiveness of the
protection of the vulnerable population in the conducted the research ~ any
thoughts?
NUR3164
Introduction to Nursing Research and Health Informatics
APA Quiz
Question 1 What does this APA entry
represent?
United Nations Educational, Scientific and
Cultural Organization (UNESCO). (2015). Most influential theories of learning.
Retrieved from
http://www.unesco.org/new/en/education/themes/strengthening-education-systems/quality-framework/technical-notes/influential-theories-of-learning
Article from a university
An
article with an organization as author
Journal article with a doi
A
doctoral thesis
Question 2 What does this APA entry
represent?
Fleming, O. (2012). Meet the 14TH century
African king who was the richest man in the world of all time (adjusted for
inflation!). Retrieved from
http://www.dailymail.co.uk/news/article-2218025/Meet-14th-Century-African-king-richest-man-world-time-adjusted-inflation.html
Government agency publication
A
news article
A
professional paper
Chapter in a book with editor(s)
Question 3 What does this APA entry
represent?
Graham, D. W. (2011). Heraclitus. In Edward
N. Zalta (Ed.), The Stanford Encyclopedia of Philosophy. Retrieved from
http://plato.stanford.edu/entries/heraclitus/
Web
article only (not in a journal)
An
article by an author in an online book with an editor
Journal article with a volume only (no issue; has pages)
An
entry from a website as author
Question 4 What does this APA entry
represent?
First, S., Tomlins, L., & Swinburn, A.
(2012). From trade to profession – the professionalisation of the paramedic
workforce. Journal of Paramedic Practice, 4(7), 378-381. Retrieved from
http://www.paramedicpractice.com/cgi-bin/go.pl/library/abstract.html?uid=92927
An
article with an organization as author
Article with more than seven authors
Article from a university
Journal article without doi (has volume, issue, pages)
Question 5 What does this APA entry represent?
U.S. Department of Health and Human
Services, National Institutes of Health, National Heart, Lung, and Blood
Institute. (2003). Managing asthma: A
guide for schools (NIH Publication No. 02-2650). Retrieved from http://www.nhlbi.nih.gov/health/prof/lung/asthma/asth_sch.pdf
(Links to an external site.)Links to an external site.
Chapter in a book with editor(s)
Government agency publication
A
doctoral thesis
Senate Legislation
Question 6 What does this APA entry
represent?
Gunevsel, O., Yesil, O., Ozturk, T. C.,
& Cevik, S. E. (2011). Perimortem cesarean section following maternal
gunshot wounds. Journal of Research in Medical Sciences, 16(8), 1089-1091.
Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263088/
Article from National Institutes of Health
database
An
entry from a website as author
An
article by an author in an online book with an editor
A
book with an newer edition then the original
Question 7 What does this APA entry represent?
Maggiore, W. A. (2011). Liability for EMS
licensing: Whose license is it, anyway? Journal of Emergency Medical Services,
February 2, 2011. Retrieved from http://www.jems.com/articles/2011/02/liability-ems-licensing.html
An
entry from a website as author
Article from a university
A
Powerpoint® presentation
Article in an online journal (with only a date instead of volume &
issue)
Question 8 What does this APA entry
represent?
Meaney, P. A., Bobrow, B. J., Mancini, M.
E., Christenson, J., deCaen, A. R., Bhanji, F., . . . Leary, M. (2013). CPR
quality: Improving cardiac resuscitation outcomes both inside and outside the
hospital [AHA Consensus Statement]. Circulation: Journal of the American Heart
Association, 1-19. doi:10.1161/CIR.0b013e31829d8654
Article with more than seven authors
Web
article only (not in a journal)
An
entry from the Library of Congress
A
news article
Question 9 What does this APA entry
represent?
National Highway Traffic Safety Administration
(NHTSA). (2007). The national EMS scope of practice model. Retrieved from
http://www.ems.gov/education/EMSScope.pdf
Senate Legislation
An
entry from a website as author
Article from a federal government regulatory agency
Journal article with a volume only (no issue; has pages)
Question 10 What does this APA entry
represent?
Soloway, G. B. (2011). Preparing teacher
candidates for the present: Exploring the praxis of mindfulness training in
teacher education [Doctoral thesis]. Retrieved from
https://oatd.org/oatd/record?record=handle%5C%3A1807%5C%2F31943
An
article with an organization as author
Article from a federal government regulatory agency
Journal article with a doi
A
doctoral thesis
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 3 Quiz
Question 1
Which trend is influencing healthcare
reform?
Veterans Health Information System and
Technology Architecture Implementation.
Hospital Consumer Assessment of Healthcare
Providers and Systems.
Everett Rogers’s theory of diffusion of
innovation.
disruptive technology.
Question 2
What is designed to increase the
transparency of medical documentation, by touting the benefits of such
transparency?
HIPAA
the Society for Participatory Medicine
the Hospital Consumer Assessment of
Healthcare Providers and Systems
the OpenNotes Project
Question 3
Which of these best describes participatory
medicine?
Authoritative care model
Integrated care model
Community care model
Cooperative care model
Question 4
SERMO for MDs and ANA’s NurseSpace are two
examples social media. What kind of
social media structure best describes these platforms?
Provider-Provider
Advocacy Group-Consumer
Provider-Consumer
Consumer-Consumer
Question 5
In what scenario is it acceptable for a
healthcare provider to "friend" patients?
the patients ask them to be a friend.
they understand their work's social media
policy.
the patients have a chronic disease.
they have been their patients for at least
5 years.
Question 6
In the future, what changes are anticipated
role of social media in healthcare?
Static, as people return to in-person and
lower-technology means of communication.
Will be widely used and deeply
integrated.
None. It has gone too far already.
Minimally used only by “health geeks.”
Question 7
What does the term "secure PHR
messaging" refer to?
Ability to send messages between healthcare
providers within a single EHR.
System sends messages between healthcare
providers across healthcare systems.
Send messages from patients to providers
via a stand-alone PHR.
One can send messages from patients to
providers via a tethered PHR.
Question 8
What are the most commonly used functions
of personal health records?
reading patient education materials and
renewing medication prescriptions.
entering data (such as self-measured
glucose and blood pressure) and medical condition review.
viewing test results and medication
refills.
online appointment scheduling and reading
clinical notes.
Question 9
What mHealth apps has the FDA already
announced will require premarket approval?
generate health advice from
patient-specific information.
act as ECG machines.
transfer data to healthcare providers.
monitor and track blood pressure.
Question 10
Which of the following is NOT among the
three biggest mHealth challenges identified by experts in the U.S. ?
data privacy risks and legal risks.
making poor health decisions.
interoperability.
people misinterpreting their own data.
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 4 Quiz
Question 1
At which stage of "defining
requirements" are tools for SWOT useful?
Interview and observe staff
Review inventory of information systems
Identify regulatory and accreditation requirements
Collect samples of system reports
Question 2
Identify three elements of the SLC in
the order from earliest to latest? (as
identified in chapter 16)
Organize, delegate, negotiate
Plan, test, evolve
Develop, implement, prioritize
Diagnose, maintain, implement
Question 3
Which is included in an RFP but not an
RFI? (Chapter 16)
Goals of the organization
Description of the hospital or health system
Financial considerations
Desired system components and functionality
Question 4
What type of management is typically
considered most all-encompassing?
Program management
Portfolio management
Project management
Process management
Question 5
Which of the following activities would be
considered project management?
Upgrading the network cabling for all 35 computers and servers in a
clinic
Overseeing a team of eight that’s working for the next 3 months to
create a new billing form
A
scheduled quarterly meeting of a hospital’s board of directors to discuss
oversight of the hospital’s departments, revenues, challenges, and
opportunities
Directing the IT department in its day-to-day tasks
Question 6
What area of management studies a project's
potential opportunities?
Cost
Scope
Integration
Risk
Question 7
Commercial software is becoming more and
more a part of healthcare. When a
commercial company distributes their software, what typically occurs protect
the company's rights?
object code, executables, and source code are bundled and shipped
together.
the
right of ownership to the source code transfers to the buyer.
the
source code is withheld.
the
software becomes “open source.”
Question 8
What umbrella term in the license agreement
addresses the questions of who the users are, whether software can be distributed,
and the number of copies that can be run?
specifications.
definition of terms.
service level agreements.
scope.
Question 9
In a software license, what legally is
considered a “response” to a user problem?
is
another word for a “solution.”
is
independent of problem severity.
is
typically guaranteed to be 24 hours or sooner.
may, completely legally, never be addressed
Question 10
What would be the typical fee per year for
vendor software maintenance and support?
5%
of total cost
95%
of total cost
50%
of total cost
18%
of total cost
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 6 Quiz
Question 1
What would be the charges brought against
someone who E-mails a fraudulent medical claim (medical care not actually
performed) from an office in Houston, Texas, to a Medicare facility in
Washington, D.C.?
Only wire fraud
Wire fraud as well as a violation of the False Claims Act
A
civil but not criminal infringement
Unbundling
Question 2
Which of the following would be regulated
by the FDA?
An
app that functions as a medical device
A
health information website
Google Glasses
A
FitBit
Question 3
Which legal entity defines the
establishment and division of power between the Federal government and state
governments, designed to limit the nature of the powers delegated to the
federal government.
The
10th Amendment to the U.S. Constitution
HIPAA
HITECH
The
Stark Law
Question 4
Which would be an example of an internal
security event?
Servers containing clinical data were stolen from a facility.
A
person installs a malicious code past a facility’s firewall.
A
system administrator installed a new server without any security measures.
A
person hacks into a facility’s server and steals PHI electronically.
Question 5
A healthcare provider forgets to update a
patient’s medications. Which fair information principle is being violated?
Data quality and integrity
Openness and transparency
Safeguards
ion
Question 6
Which organization works on an
international level to improve information privacy?
Health Information Security and Privacy Collaboration (HISPC)
Health and Human Services Office of Civil Rights
Electronic Frontier Foundation (EFF)
Department of Health and Human Services (DHHS)
Question 7
Which of the following are part of the
criteria to determine Meaningful Use? Select all that apply
Reducing health disparities
Engaging patients and families
Improving care coordination
Increasing litigation victories
Question 8
What is the main objective behind the
health IT incentives provided by the American Recovery and Reinvestment Act?
improving compliance with government protocols and regulations.
improving health and healthcare.
getting
health IT up and running in doctors’ offices.
increasing the revenue stream to small healthcare organizations.
Question 9
The Health IT Standards Committee and what
other body are responsible for recommending standards, such as the necessary
infrastructure for health information exchanges
CMS
ONC
HITRC
The
Nationwide Health Information Network
Question 10
In which year will (or did) meaningful use
(MU) incentives for providers transform to merit-based reimbursement under
MACRA?
2014
2025
2018
2021
NUR3164
Introduction to Nursing Research and Health Informatics
Unit 7 Quiz
Question 1
What are the existing resources that
promote meeting the challenge of teaching informatics in the health
professional curriculum?
sufficient number of trained faculty.
readily available technical infrastructure.
teaching materials and assignments.
simulation and academic electronic health records (AEHRs) software.
Question 2 What kind of educational
training is required to become a practice workflow and information management
redesign specialist?
Community-college based
Ph.D.-level focus
University-based
In-service training and certification
Question 3 What agency's research led to
the development of The Quality and Safety Education in Nursing (QSEN)
competencies?
HRSA.
TIGER.
IOM.
AMIA 10x10.
Question 4 What position has given The
Health Information Technology for Economic and Clinical Health (HITECH) Act authority
to influence practice?
a
popular training program for informatics specialists.
an
organizational certification that develops informatics competencies.
an
academic program specialized in electronic health records software.
federal legislation that promotes the use of electronic health records.
Question 5 What professional role advocates
for users’ needs and acts as a liaison among the users, the IT staff, and the
vendor?
generalist.
data scientist.
consultant.
implementation support specialist.
Question 6 What can faculty do to help
ensure student success and engagement?
make evaluative comments in the discussion forum as to the quality of
each student’s post so they can improve
administer multiple-choice tests to measure students’ progress in
learning the concepts.
provide
timely feedback to students using a grading rubric through the grading center.
use their discretion as to the amount and frequency of their feedback to
the students.
Question 7 What are the two critical
criteria for selecting a CMS/LMS from a faculty perspective?
ease of use and tool set.
installed base and integration.
cost and scalability.
ease of use and installed base.
Question 8 What is the main difference
between a portal approach and a proprietary course management system (CMS)
approach in distance education?
(FYI:
EFSC has a CMS)
Portal-based systems can only be accessed by faculty of an institution,
and proprietary CMS systems can be accessed by students and faculty.
Portal-based systems can be accessed by students and faculty of an
institution, and proprietary CMS systems can only be accessed by faculty.
Portal-based systems are products purchased or licensed by a vendor, and
proprietary CMS systems are developed and customized by the learning
institution.
Portal-based systems are developed and customized by the learning
institution, and proprietary CMS systems are products purchased or licensed by
a vendor.
Question 9 Which two instrumental movements
pushed correspondence courses forward?
The
Society to Encourage Studies at Home and Chautauqua College of Liberal Arts
The invention of the television and cable services
The
development of web 2.0 tools and the internet
Fiber-optic cables and 2-way video communications
Question 10 What should the faculty members
focus on to create a distributed learning environment?
take their face-to-face lectures and turn them into a podcast.
teach the course the same way as the face-to-face course, as all
sections of the course need to be the same.
use
the same activities as the on-campus courses; there is no need to adjust them.
develop learning activities that engage the learner with relevant
real-world activities.
NUR3164
Introduction to Nursing Research and Health Informatics
Assignment
1
So, as we discussed in the Learning Plan,
we are going to “dip our toes in” to the scholarly research of nursing. After
you have reviewed the PowerPoints and the reading for this learning plan, I
would like to challenge you to not just look at the highest read journals, but
to also look at research studies from some culturally-inclusive research
journals.
A big part of research is identifying
quality sources ~ this would include those published by the National Institute
of Health & peer-reviewed journals ~ to make sure you are comfortable with
this, the focus of this assignment is going to be helping you find/ identify a
variety of quality sources and begin feeling comfortable with reading them.
Assignment: There are 4 parts to this
assignment:
Compile 3 scholarly sources from the
Internet including one culturally based source in your specialty area/area of
interest (ie. Journal of the National Medical Association, Journal of
Transcultural Nursing, etc. – these are available through the EFSC library.)
Choose ONE article from these sources that
provides research and data results of disparity/disparities among different
groups’ health status and access to healthcare, identify this as well.to
review. In your review, identify:
The research question
The PICO aspects of the question (or PICOT
if you choose to include the time aspect)
For example: In the following article:
Brown, T., Hargrove, T., Griffith, D. (2015). Family and Community Health.
Oct.-Dec.; 38(4): 307-318. doi: 10.1097/FCH.0000000000000080 (Links to an
external site.)Links to an external site.
Question: To what extent are SES,
stressors, discrimination and neighborhood conditions mechanisms underlying
racial/ethnic disparities in functional limitations among older men?
The question above includes the PICO
elements:
Example:
P (Problem or Patient or Population) Black/hispanic men
I(intervention/indicator(s) socio-economic systems, stressors,
discrimination and neighborhood conditions
C (comparison) U.S.-born black and Hispanic men compared to their white counterparts
O (outcome of interest)
Is there a link between being
black/hispanic man and functional limitations
T
(Time to Achieve outcome) This is
an optional step
(can be something like "over 30
yrs")
3. Identify one NANDA nursing diagnosis of
your choice for a patient from the population of your article. Create a plan of
care to address this ONE nursing diagnosis (think concept map), incorporating
information from one of your specific research journal sources (e.g., Journal
of the National Medical Association, Journal of Transcultural Nursing, etc.).?
4. Identify resources to facilitate
cross-cultural communication/patient teaching with the patient from #3, who has
limited English proficiency (LEP) and/or low health literacy.
NUR3164
Introduction to Nursing Research and Health Informatics
Assignment
2 Part 1
Ladies and gentlemen ~ Learning to ask the
right question is half of the battle of finding the answers you are looking
for. We will start identifying how to
find best practice/evidence-based practice (EBP) utilizing a PICO format which
includes the population, intervention, comparison, and outcome of the chosen
topic/research article. Make sure you've
done your reading in Foundations of Nursing Research. It will talk you through
the process.
Identify a PICO formatted question on a
topic you wish to explore. Then respond
to at least 2 others in helping them formulate their question. This type of brainstorming takes place with
mentors, peers, and researchers ~ begin the development of this type of
relationships here.
Resource:
PICO Question Template Examples:
There are different kinds of questions so choose your format accordingly
It can be helpful to classify your question
based on the clinical domain(s) it falls under.
See below for definitions, PICO templates,
and example questions from the primary clinical domains: intervention,
diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning,
and therapy.
Intervention
Questions addressing the treatment of an
illness or disability.
In _________ (P), how does _________ (I)
compared to _________(C) affect _______(O) within _______ (T)?
In _______(P), what is the effect of
_______(I) on ______(O) compared with _______(C) within ________ (T)?
Example:
In African American female adolescents with hepatitis B (P), how does
acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? (Time is
optional).
Diagnosis
Questions addressing the act or process of
identifying or determining the nature and cause of a disease or injury through
evaluation.
Are (is) _________ (I) more accurate in
diagnosing ________ (P) compared with ______ (C) for _______ (O)?
In ________ (P) are/is ________(I) compared
with ________(C) more accurate in diagnosing ________(O)?
Example: Is a PKU test (I) done on two week
old infants (P) more accurate in diagnosis inborn errors in metabolism (O)
compared with PKU tests done at 24 hours of age (C)? Time is implied in two
weeks and 24 hours old.
In middle-aged men with suspected
myocardial infarction (P), are serial 12-lead ECGs (I) compared with one initial
12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)?
Etiology
Questions addressing the causes or origin
of disease, the factors that produce or predispose toward a certain disease or
disorder.
Are ____ (P) who have _______ (I) at ___
(Increased/decreased) risk for/of_______ (O) compared with ______ (P)
with/without ______ (C) over _____ (T)?
Are ______(P) who have ______(I) compared
with those without _______(C) at ________ risk for/of _______ (O) over
________(T)?
Example: Are kids (P) who have obese
adoptive parents (I) at Increased risk for obesity (O) compared with kids (P)
without obese adoptive parents (C) during the ages of five and 18 (T)?
Example: Are 30- to 50- year old women (P)
who have high blood pressure (I) compared with those without high blood
pressure (C)at increased risk for an acute myocardial infarction (O) during the
first year after hysterectomy (T)?
Prevention
Questions on how to reduce the chance of
disease by identifying and modifying risk factors and how to diagnose disease
early by screening.
For ________ (P) does the use of ______ (I)
reduce the future risk of ________ (O) compared with _________ (C)?
Example: In OR nurses doing a five minute
scrub (P) what are the differences in the presence and types of microbes (O)
found on natural polished nails and nail beds (I) and artificial nails (C) at
the time of surgery (T)?
Prognosis/Prediction
Questions addressing the prediction of the
course of a disease.
Does __________ (I) influence ________ (O)
in patients who have _______ (P) over ______ (T)?
In _______ (P), how does ________ (I)
compared to ________ (C) influence _________ (O) over _________ (T)?
Example: Does telelmonitoring blood
pressure (I) in urban African Americans with hypertension (P) improve blood
pressure control (O) within the six months of initiation of the medication (T)?
Example: For patients 65 years and older
(P), how does the use of an influenza vaccine (I) compared to not received the
vaccine (C) influence the risk of developing pneumonia (O) during flu season
(T)?
Quality of Life/Meaning
Questions addressing how one experiences a
phenomenon.
How do ________ (P) diagnosed with _______
(I) perceive ______ (O) during _____ (T)?
Example: How do pregnant women (P) newly
diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to
their healthcare providers during their pregnancy and six weeks postpartum (T)?
Therapy
Questions around how to select treatments
to offer our patients that do more good than harm and that are worth the
efforts and costs of using them.
In _______(P), what is the effect of
_______(I) on ______(O) compared with _______(C) within ________ (T)?
Example: What is the duration of recovery
(O) for patients with total hip replacement (P) who developed a post-operative
infection (I) as opposed to those who did not (C) within the first six weeks of
recovery (T)?
NUR3164
Introduction to Nursing Research and Health Informatics
Assignment
2 Part 2
Research Critique Midterm Project
This assignment is worth 10% of you final
grade
This is essentially a continuation of
assignment 1. As you search the
databases now, you're looking to narrow down your search by choosing ONE
research article on a topic of interest.
This assignment is designed to help lay the foundation for determining
the value of conducted and published research.
The goal of the assignment is to start
identifying how to find best practice/evidence-based practice (EBP) utilizing a
PICO format which includes the population, intervention, comparison, and
outcome of the chosen topic/research article.
From there, critically critique the article and begin to explore how to
assess the evidence to determine best-practice.
Please make sure you review the example for
formatting and guidance. This is not a
formal paper, it is an article critique. Assignment 2. Research Critique.
Student Example.docxPreview the document
Enjoy the process!
Assignment Directions
Identify your research article choice for
Review: (APA formatted reference)
Research Goal:
Stated Population of Interest:
Inclusion /Exclusion Criteria:?
Inclusion:?
Exclusion:?
Experimental Unit:
Actual Population of Interest:
Sampling technique:
Response variable:
Factors: Study factors:
Study type: Prospective study:
9.
Summary:
10. Conclusion:
NUR3164
Introduction to Nursing Research and Health Informatics
Assignment
3
You will be conducting an abbreviated
review of the literature and learning to use a table format: Table of EBP for
Assignment 3Preview the document. The
goal of this assignment is to help you:
Determine what is already known about your
proposed research topic /question
Appraise the quality of the research
evidence
Synthesize the research evidence from
studies of the highest quality
Identify research gaps and priorities for
generating new evidence to fill these gaps
Avoid unnecessarily duplication of research
Shape your future research project
SO ~ Where to begin?!
Start with clearly defining your question
in PICO format
Start your search with key search terms
(keep track of these!)
Once you’ve read the abstract of the
articles, narrow down/establish your inclusion/exclusion criteria for the
articles (this can be publication dates ~ nothing older than 5 yrs, in the US,
in English, etc.)
Choose a minimum of 5 articles on your PICO
and place their information in the table
Briefly summarize the findings of your
research (1-2 paragraphs)
Provide a reference page corresponding with
the articles in your table of reviewed articles
