ANCC Informatics Nurse flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

DIKW framework

Hierarchy in which data are discrete objective facts, information is data placed in context, knowledge is synthesized relationships among information, and wisdom is the judicious application of knowledge to decisions.

Nursing informatics definition

Specialty integrating nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice, as defined by the American Nurses Association.

Foundation of Knowledge model

McGonigle and Mastrian's model describing nurses as knowledge workers who acquire, generate, process, and disseminate knowledge using information systems and technology.

HITECH Act of 2009

Federal law within ARRA that funded EHR incentive programs, expanded HIPAA privacy and security enforcement including breach notification, and expanded the Office of the National Coordinator's certification role.

Meaningful use

CMS incentive program requiring eligible hospitals and professionals to demonstrate staged EHR use, moving from data capture and sharing to advanced clinical processes to improved outcomes; now Promoting Interoperability.

Standardized nursing terminology

Coded nursing languages such as NANDA-I, NIC, NOC, Omaha System, Clinical Care Classification, and ICNP that let nursing data be documented consistently, compared, and exchanged across systems.

TIGER initiative

Technology Informatics Guiding Education Reform collaborative that defined informatics competencies for practicing nurses, faculty, and students to prepare the workforce for digital practice.

Benner novice to expert

Model describing skill acquisition from novice through expert; applied in informatics to stage competency growth from basic computer skills to expert data-driven clinical decision making.

System development life cycle

Sequence of planning, analysis, design, implementation, and maintenance phases; each phase produces deliverables and concludes with a formal review before the next phase begins.

Functional requirements

Statements describing what a system must do, such as documenting vital signs or checking drug interactions; they contrast with non-functional requirements covering performance, usability, and security.

Request for proposal

Formal document inviting vendors to submit detailed solutions, costs, and timelines against defined requirements; used when selecting clinical information systems or major technology.

User acceptance testing

Final testing phase in which end users verify that the system supports real clinical workflow and stated requirements before go-live; failures are logged and resolved before sign-off.

Big bang go-live

Implementation strategy that activates the new system for all users at once; it is the fastest approach but carries the highest risk because there is no staged learning period.

ADKAR change model

Change management framework with five sequential outcomes: Awareness of the need for change, Desire to participate, Knowledge of how to change, Ability to perform, and Reinforcement to sustain it.

HL7 FHIR

Fast Healthcare Interoperability Resources: an HL7 standard that uses web-based application programming interfaces to exchange discrete clinical data between disparate systems.

Gap analysis

Comparison of current-state workflow or capability with the desired future state, identifying differences that the new system, training, or process redesign must close.

Data quality dimensions

Attributes used to judge whether data are fit for use, including accuracy, completeness, consistency, timeliness, validity, and uniqueness; poor input yields unreliable analytics and unsafe decisions.

Data warehouse

Central repository holding integrated, subject-oriented, time-stamped data extracted from source systems so reporting and analysis can occur without querying operational systems directly.

CDS Five Rights

Clinical decision support should provide the right information, to the right person, in the right intervention format, through the right channel, at the right time in the workflow.

Alert fatigue

Desensitization and high override rates caused by excessive, duplicated, or low-specificity alerts; countered by tiering severity, narrowing trigger logic, and monitoring override data.

PICO question format

Evidence-based practice question structure using Population or patient, Intervention, Comparison, and Outcome; it guides the literature search and appraisal of evidence.

Predictive analytics

Analysis that applies historical data and statistical or machine learning models to estimate the probability of future events such as readmission or clinical deterioration.

Role-based access control

Security method granting data access according to job function and enforcing minimum necessary use; user activity is captured in audit trails for ongoing monitoring.

Primary key

Field that uniquely identifies each record in a relational database table; foreign keys in other tables reference it to create links among data.

Information blocking

Practice that unreasonably interferes with access, exchange, or use of electronic health information; prohibited under the 21st Century Cures Act except for specified regulatory exceptions.

Nurse Licensure Compact

Multistate licensure agreement allowing nurses who hold a multistate license to practice in all member states, supporting telehealth and cross-state virtual care delivery.

E-iatrogenesis

Patient harm generated by health information technology through wrong-patient selection, copy-and-paste errors, misleading displays, or alert overload; addressed through usability testing and safety reporting.

Just culture

Organizational model that responds to human error with consolation, at-risk behavior with coaching, and reckless behavior with sanction, encouraging reporting of technology-related safety events.

Algorithmic bias

Systematic unfairness in predictive models caused by unrepresentative or biased training data, producing inequitable clinical recommendations for already underserved patient groups.

Chief Nursing Informatics Officer

Nursing executive who aligns nursing workflow, information systems strategy, and patient safety goals, and who represents nursing in organizational technology governance decisions.

ANA Code of Ethics

Professional standards obligating nurses to protect privacy and confidentiality, maintain competence, and advocate for patients; informatics practice applies these duties to data security and secondary data use.

Telehealth nursing

Delivery of nursing care through telecommunications technology, including virtual visits and remote monitoring, requiring attention to licensure, privacy, and documentation standards.