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CIN: Computers, Informatics, Nursing:
doi: 10.1097/01.NCN.0000336460.87316.c3

Informatics Competency and Development Within the US Nursing Population Workforce: A Systematic Literature Review

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GENERAL PURPOSE: To provide registered professional nurses with an understanding of the current literature pertaining to nursing competence in the use of informatics.

LEARNING OBJECTIVES: After reading these articles and taking this test, the nurse should be able to:

1. Outline the current state of informatics use by nurses in healthcare organizations.

2. Review the findings from current research and nonresearch literature on the use of nursing informatics.

1. Which of the following is not one of the informatics sciences?

a. communication science

b. information science

c. nursing science

d. computer science

2. Most studies on nursing competence in information technology have been limited to

a. computerized documentation issues.

b. academic settings.

c. nurses with more than or equal to 5 years of experience.

d. Western countries.

3. Most of the nursing population in the US

a. did not receive informatics training in school.

b. is using computerized medication administration records.

c. does not see the benefit of electronic health records (EHRs).

d. is younger than 40 years.

4. Why are more and more hospitals opting to use EHRs?

a. The Centers for Medicare and Medicaid Services require EHRs for tracking prescription drugs.

b. Third-party payers require interoperable health records.

c. A US executive order calls for the nationwide adoption of EHRs by 2014.

d. The Health Insurance Portability and Accountability Act calls for a paperless record by 2020.

5. What is one factor that affects information science competence in the workplace?

a. Informatics competence is focused more on clinical nurses than on nursing students.

b. The last 5 years has seen a dramatic influx of new nurses into the clinical workforce.

c. More than half of hospitals employ agency or traveling nurses.

d. Most nurses recognize the importance of evidence-based practice.

6. In the last 20 years, what topic has been researched the most in nursing informatics?

a. nurses' use of computerized systems outside of the workplace

b. informatics training in secondary schools in the US

c. nurses' use of the Internet for work-related research

d. nurses' attitudes about information technology

7. In the study by Pravikoff and colleagues (2005), what percentage of clinical nurses had not evaluated a research report in the previous year?

a. 34%

b. 57%

c. 72%

d. 81%

8. In the hospital studied by Moody et al (2004), what impaired the use of EHRs?

a. poor nursing attitudes

b. negative view of online resources

c. poor documentation skills

d. lack of computers at the bedside

9. According to the study by Dee et al (2005), what did participants believe was the fastest method for data acquisition?


b. human resources

c. PDAs


10. In the study by Dee and colleagues (2005), what did nurses identify as a barrier to using informatics?

a. insufficient time

b. experience with home computers

c. inadequate software to meet clinical needs

d. lack of reimbursement for training programs

11. What does the American Library Association recommend as the basis for student curriculum development?

a. access to up-to-date healthcare texts

b. information literacy

c. access to a medical library

d. subscription to basic and specialty nursing journals

12. What did Simpson (2001) conclude would allow for the best growth of automated practice in the healthcare community?

a. access to computers at patient bedsides

b. participation in research-related activities by clinical nurses

c. user-friendly software facilitating integration of informatics in the clinical environment

d. collaboration between schools, healthcare organizations, and HIS vendors

13. According to Koerner (2003), what is the core competency essential to providing care?

a. communication skills

b. knowledge of pathophysiology and related pharmacology

c. life-long learning

d. computer technology

14. Staggers' (2002) study revealed a lack of

a. tools for measuring informatics competence.

b. administrative desire to use EHRs.

c. positive nursing attitudes.

d. use of informatics despite training.

15. Tanner and Pierce's (2000) studies revealed that approximately what percentage of nurses who had Internet access used it?

a. 20%

b. 40%

c. 60%

d. 80%

16. Results from the study by Pravikoff et al (2005) revealed that 59% of respondents had

a. not evaluated research reports.

b. rarely or never sought a librarian's assistance.

c. not identified a researchable problem within the previous year.

d. not used the hospital library (if one existed).

17. What was the most frequently cited barrier to the use of research in practice?

a. minimal research directed at clinical nursing practice

b. perceived lack of value of research

c. not enough preceptors to assist with the use of databases

d. workforce resistant to using technology

18. Which of the following is a challenge to future informatics progress?

a. inadequate use of transient nurses

b. overcrowded nursing schools

c. unskilled nursing instructors

d. shortage of nurses

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