Question

Definitions Assignment

Define the topic below and describe what it is and what it means for nursing.

1. Nursing informatics

            Past definition

            Current definition

2. Informatics core competencies
3. QSEN
   1. BCMA
   2. CPOE
4. TIGER
5. The Leapfrog group

Answer 1

Past Definition
Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice.

Current Definition
Nursing Informatics is the "science and practice (that) integrates nursing, its information and knowledge, with information and communication technologies to promote the health of people, families, and communities worldwide."

Informatics core competencies
Professionals in the field of health informatics strive to improve the health of individuals, groups and populations through innovative information technology that is thoughtfully designed, implemented and managed, and that is responsive to both present and future needs. Informed by a deep understanding of information, technology, and public health, graduates of the health informatics program will develop a unique vision for how to achieve this goal along with the skills to pursue this vision.

Core Values

Graduates of the program:

• Are committed to improving health and health care.
• Are committed to meeting diverse needs and reducing disparities.
• Recognize that health science is an information science.
• Appreciate the difference between what is possible and what is needed.
• Recognize the importance of understanding the communities and organizations where individuals live and work.
• Innovate and lead.

Competencies

Graduates of the program will be able and motivated to:

• Assess the needs and resources of individuals, organizations, and communities where individuals live and work to ensure that information technology deployed to improve health will sustainably meet these needs.
• Apply computational methods to understand and address health-related problems.
• Appropriately utilize theories of individual behavior, social science, health management, and organizational change in the design and implementation of socio-technical interventions.
• Develop socio-technical interventions that fit to context for successful deployment in health settings.
• Implement and manage socio-technical innovations in ways that respect the prevailing culture, organizational context, and policies relating to health.
• Evaluate socio-technical interventions to ascertain their effects on health and healthcare.
• Communicate effectively regarding problems and solutions, and work within teams and organizations to address health informatics-related problems collaboratively.

QSEN
QSEN stands for Quality and Safety Education in Nursing, and it’s arguably one of the most important topics in the field. It’s so vital that nurses never really stop learning and developing their QSEN competencies. The overall goal for the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work. More than an acronym, QSEN represents an initiative in the nursing field to align nursing education and nursing best practices in quality and safety standards. According to a report from the American Nurse Association (ANA), QSEN was formed in response to calls for improved quality and safety in nursing.

“QSEN is a national movement that guides nurses to redesign the ‘What’ and ‘How’ they deliver nursing care, so that they can ensure high-quality, safe care,” the ANA writes. “The founder of QSEN often states that QSEN helps nurses to identify and bridge the gaps between what is and what should be.”

According to the QSEN Institute, “The overall goal through all phases of QSEN has been to address the challenge of preparing future nurses with the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems in which they work.” Basically, the movement represents a unified high standard of nursing care with specific competencies to ensure quality and safety standards are not only achieved, but also continuously improved.

According to the ANA, there are six focus-area competencies in QSEN:

• Patient-centered care
• Evidence-based practice
• Teamwork and collaboration
• Safety
• Quality improvement
• Informatics

These “zones” of nursing work each represent areas where quality and safety standards should be practiced. Each competency involves skills, knowledge bases and attitudes nurses should have on the topic.

BCMA
B-cell maturation antigen (BCMA or BCM), also known as tumor necrosis factor receptor superfamily member 17 (TNFRSF17), is a protein that in humans is encoded by the TNFRSF17 gene. TNFRSF17 is a cell surface receptor of the TNF receptor superfamily which recognizes B-cell activating factor (BAFF). The protein encoded by this gene is a member of the TNF-receptor superfamily. This receptor is preferentially expressed in mature B lymphocytes, and may be important for B cell development and autoimmune response. This receptor has been shown to specifically bind to the tumor necrosis factor (ligand) superfamily, member 13b (TNFSF13B/TALL-1/BAFF), and to lead to NF-kappaB and MAPK8/JNK activation. This receptor also binds to various TRAF family members, and thus may transduce signals for cell survival and proliferation.

CPOE
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care. The entered orders are communicated over a computer network to the medical staff or to the departments (pharmacy, laboratory, or radiology) responsible for fulfilling the order. CPOE reduces the time it takes to distribute and complete orders, while increasing efficiency by reducing transcription errors including preventing duplicate order entry, while simplifying inventory management and billing.