NR 599 midterm review

General principles of Nursing Informatics  Verbalize the importance of health information systems with clinical practice.  Have knowledge of types and clinical and administrative uses of health information systems. ...

General principles of Nursing Informatics  Verbalize the importance of health information systems with clinical practice.  Have knowledge of types and clinical and administrative uses of health information systems.  Ensure confidentiality of protected patient health information.  Assure access control in the use of health information systems.  Informatics: Science and art of turning data into info.  Nursing Informatics ANS: 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. o Nursing Informatics supports nurses, consumers, patients, the inter-professional healthcare team, and all other stakeholders in their decision making in all roles and settings to achieve desired outcomes. o 2 Levels NI practice: generalists and informatics-nurse specialists. Knowledge  Awareness and understanding of a set of information and ways that information can be made useful to support specific task or arrive at a decision  Information that’s synthesized so that relationships are identified and formalized.  Processed information that helps to clarify or explain some portion in our environment or world that we can use a as basis for action or upon which we can act.  Often affected by assumptions and central theories of a scientific discipline and is derived by discovering patterns of relationships between different clusters of information.  Answers questions of “why” and “how”  Data – uninterpreted items, often referred to as data elements. An example might be a person’s weight. Without additional data elements such as height, age, overall well-being it would be impossible to interpret the significance of an individual number.  Information – a group of data elements that have been organized and processed so that one can interpret the significance of the data elements. o For example, height, weight, age, and gender are data elements that can be used to calculate the BMI. The BMI can be used to determine if the individual is underweight, overweight, normal weight or obese. [1]  Knowledge - is built on a formalization of the relationships and interrelationships between data and information. A knowledge base makes it possible to understand that an individual may have a calculated BMI that is over 30 and not be obese.  At this time, several automated decision support systems included a knowledge base and a set of rules for applying the knowledge base in a specific situation. o For example, the knowledge base may include the following information. A fever or elevated temperature often begins with a chill. At the beginning of the chill the patient’s temperature may be normal or even sub-normal but in 30 minutes it is likely the patient will have spiked a temp. A rule might read: if a patient complains of chills, then take the patient’s temperature and repeat in 30 minutes. Wisdom  Appropriate use of data, information, and knowledge in making decisions and implementing nursing actions.  Guides the nurse in recognizing the situation at hand based on patients’ values, nurse’s experience, and healthcare knowledge.  Implies a form of ethics, or knowing why certain things or procedures should or should not be implemented in healthcare practice.  Includes the ability to integrate data, information, and knowledge with professional values when managing specific human problems.  The use of knowledge and experience to heighten common sense and insight so as to exercise sound judgment in practical matters.  Thought to be the highest form of common sense, resulting from accumulated knowledge.  Ability to apply viable and valuable knowledge, experience, understanding, and insight while being prudent and sensible.  Appropriate use of knowledge to solve human problems. Scientific Underpinning  The scientific underpinnings of practice provide the basis of knowledge for advanced nursing practice.  These scientific underpinnings include sciences such as biology, physiology, psychology, ethics, and nursing.  The sciences underpinning nursing informatics: Nursing science, information science, and computer science [2]  The advent of nursing science, specifically middle-range nursing theories, expanded the discipline of nursing. Thorough understanding of nursing theory provides a solid foundation for advanced nursing practice.  The importance of using science-based concepts to evaluate and enhance health care delivery and improve patient outcomes. The Foundation of Knowledge Model