Using the Data/Information/Knowledge/Wisdom Continuum
Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.
Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.
- Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.
- Develop a clinical question related to your area of practice that you would like to explore.
- Consider what you currently know about this topic. What additional information would you need to answer the question?
- Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
- Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
- Once you have identified useful databases, how would you go about finding the most relevant articles and information?
- Consider how you would extract the relevant information from the articles.
- How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?
Write a 3- to 4-page paper that addresses the following: APA style with refernces
- Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
- Identify the databases and search words you would use.
- Relate how you would take the information gleaned and turn it into useable knowledge.
- Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.
Your paper must also include a title page, an introduction, a summary, and a reference page.
– Sample Free essay
Informatics in Nursing
Informatics in Nursing
Key Information in Databases
Tracking opportunities for care improvement requires vital information in healthcare databases. Key information necessary for improvement includes the safety of patients, the effectiveness of care delivery, access to quality care, and level of patient-centeredness (Epstein et al., 2019). The information should also comprise data on the welfare of the team providing nursing care. For example, information on workplace violence, retention, and turnover, work shifts, and burnouts is important (Epstein et al., 2019). Quality information should also comprise evidence-based practices that shape the delivery of quality care in the organization.
An informaticist should also identify the challenges an organization experienced before the introduction of a new Electronic Health Record. According to Han et al. (2019), the information is also necessary for taking the right measures towards quality improvement. For example, the data should demonstrate the rate of readmissions, infections, hospital stay, and complications. Han et al. (2019) emphasize that quality health improvement also requires information about patient support during care and after discharge. The database should also contain information on policy guidelines and code of conduct of nurses and nurse leaders.
Role of Informatics
Informatics is essential in documenting patient demographic information. For example, EHR provides details, including sex, date of birth, insurance status, and ethnicity. E-prescription features provide information prescription of drugs (Rathert et al., 2017). The information is in electronic form for easy retrieval and transmission. The systems also compile and summarize data from patient records. Another role of informatics is to generate reports about individual patients and patterns of healthcare to determine the best response (Rathert et al., 2017). Clinicians also receive alerts in case there is an error in the process of capturing or summarizing data.
Informatics play a role in providing access to critical information, including laboratory and X-ray results, patient history, and discharge planning. The system also provides data, including orders and medication allergies, to prevent complications (Zheng et al., 2017). Information systems enhance accessibility to reliable data. The data improves the safety of care and patient outcomes. Additionally, it also provides a solution to barriers of exchange of information, thus enabling efficient sharing of data. For example, informatics boost interoperability, thus enhancing the ability to share data across healthcare organizations (Zheng et al., 2017). Healthcare specialists also utilize technology to identify the savings necessary to avoid escalating the cost of delivering healthcare.
Design and Implementation Team?
Information systems are essential for development of EHR. One of the systems is the data module input system to allow physicians to upload scans, including documents and images (Tubaishat, 2019). Another system is the patient call log is necessary to document phone calls between patients and physicians. The prescription management system is necessary to input patient allergies for a safe and efficient prescription. A backup system is also necessary to safeguard large quantities of sensitive data (Tubaishat, 2019). The various systems are essential in designing a comprehensive and efficient system.
Design and implementation will require staff members such as clinicians, project manager, application analyst, application developer, quality assurance test engineer (Epstein et al., 2019). The process also requires input from the administration representative, marketing team board members, and the billing team. According to Epstein et al. (2019), nurse leaders and physicians are also essential in the design and implementation of the system. The team requires representation from various stakeholders in the delivery of care. All the team members will represent the views of their respective groups.
Professional, Ethical, and Regulatory Standards
The design and implementation of electronic health records require various ethical considerations such as privacy, confidentiality, and security. Other ethical standards include data integrity and availability. According to Epstein et al. (2019), the law recognizes that patient information must be confidential unless with consent or according to the law. Privacy rules are essential to avoid lawsuits and assure patients their information is secure. Healthcare organizations should also assure the patients that their data is secure. Han et al. (2019) also state that security measures essential to prevent hacking or data breach, which leads to criminal or civil penalties to individual clinicians or organizations. Data integrity ensures that the data is accurate and safe from any alteration. However, healthcare systems should balance between safeguarding the data and ensuring the data is available to the patients or clinicians (Rathert et al., 2017). The different ethical standards are necessary to protect the welfare of patients, improve efficiency, and align with the regulatory standards.
EHR Order Sets
The EHR team will ensure all the order sets are available by securing administrative support. Leaders at various levels of management will require to show their support to ensure all order sets are available (Rathert et al., 2017). The second step is to plan before the implementation starts. Designers should develop a comprehensive team and submit it for review and approval. It is also essential to involve various experts who will identify the necessary order sets. All stakeholders should also communicate effectively to ensure every team member is informed about the relevant order sets (Zheng et al., 2017). Additionally, frequent reviews are important to clarify that all the order sets are in place for a successful implementation. The implementation team can also benchmark with another organization or EHR system to identify the areas they should invest in.
Communicating the Changes
Communication is important during the design and implementation plan. Clinicians should provide comprehensive information to various stakeholders on the reasons why the change is necessary (Zheng et al., 2017). Initially, nurse leaders should assess the fear and perspectives of the clinicians. The results of the survey will be included in the communication to ensure all worries are dealt with. Communication should also be tailored to specific audiences who will be affected differently by the new EHR (Tubaishat, 2019). Notably, there is a need to emphasize the benefits of the new system and why various stakeholders should embrace it.
The management should communicate about a transition plan from the old system to a new system. An effective transition plan will assign duties to various individuals or teams to ensure a successful transition (Tubaishat, 2019). A team of professionals is required to assess the transition plan to ensure it is effective and reliable for a complete change. The plan should ensure all the stakeholders are informed about the need for change (Rathert et al., 2017). In case there are issues with specific stakeholders, the management should address their issues to avoid any resistance during the implementation stage.
Evaluating Success of the EHR Implementation
The success of EHR implementation requires an assessment from various stakeholders, including staff and patients. Patient engagement is one metrics to measure the success of design and implementation (Rathert et al., 2017). For example, patients should engage freely with clinicians and access their health information in an effective system. A system should also track the conversations and frequency of communication between patients and clinicians. Another measurement standard is the wait time. The time spent when processing various tasks is an indicator if the system is successful or not (Zheng et al., 2017). Clinicians should assess the workflow and wait time during the peak seasons to determine the effectiveness of the system to handle huge traffic.
Care coordination is another essential aspect of EHR. The coordination should allow clinicians to easily share information and documents while maintaining integrity (Zheng et al., 2017). Care coordination should be seamless to improve the efficiency of quality care delivery (Tubaishat, 2019). Additionally, the system should portray a financial return to determine whether it is successful or not. A successful system will create a significant return on investment.
Leadership Skills and Theories
Nurses should demonstrate leadership skills while collaborating with interprofessional teams. The skills include emotional intelligence, integrity, dedication to excellence, communication skills, and critical thinking (Tubaishat, 2019). Emotional intelligence is important to promote peaceful and coherent relationships with interprofessional teams. Nurses should also demonstrate effective communication skills to enhance the sharing of knowledge among various teams. Critical thinking is also essential to promote success in various tasks that different professionals engage in. According to Han et al. (2019), dedication to excellence is also essential in providing evidence-based and patient-centered care. The different leadership skills are critical in ensuring all teams participate effectively in realizing a common goal.
Healthcare workers can utilize practice-level theory and middle-range theory to deliver patient-centered care. Practice-level theory indicates that nursing inventions are necessary to realize specific outcomes (Han et al., 2019)). The theory is necessary for realizing specific outcomes that amount to quality patient care. Interprofessional teams should collaborate to realize a specific outcome.
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Han, J. E., Rabinovich, M., Abraham, P., Satyanarayana, P., Liao, T. V., Udoji, T. N., … & Martin, G. S. (2016). Effect of electronic health record implementation in critical essay writing care on survival and medication errors. The American Journal of the Medical Sciences, 351(6), 576-581. https://doi.org/10.1016/j.amjms.2016.01.026
Rathert, C., Mittler, J. N., Banerjee, S., & McDaniel, J. (2017). Patient-centered communication in the era of electronic health records: What does the evidence say? Patient Education and Counseling, 100(1), 50-64. https://doi.org/10.1016/j.pec.2016.07.031
Tubaishat, A. (2019). The effect of electronic health records on patient safety: A qualitative exploratory study. Informatics for Health and Social Care, 44(1), 79-91. https://doi.org/10.1080/17538157.2017.1398753
Zheng, T., Xie, W., Xu, L., He, X., Zhang, Y., You, M., … & Chen, Y. (2017). A machine learning-based framework to identify type 2 diabetes through electronic health records. International Journal of Medical Informatics, 97, 120-127. https://doi.org/10.1016/j.ijmedinf.2016.09.014