Session #2 SAS - Nursing Informatics

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Nursing Informatics

STUDENT ACTIVITY SHEET BS NURSING / SECOND YEAR


Session 2

LESSON TITLE: THEORIES, MODELS & FRAMEWORK Materials:


Pen and notebook
LEARNING OUTCOMES:
References:
At the end of the lesson, you can:
1. Describe different models and theories of healthcare Calano, Roel B. & Del Rio, Fernando. (2017).
informatics; Health informatics: An illustrative approach (1st
2. Define the three building blocks of nursing ed.)
communication; and,
3. Explain nursing informatics as a distinct specialty. Saba, Virginia & McCormick, Kathleen. (2006).
4. Identify different terminologies used in nursing Essential of nursing informatics (4th ed.).
informatics. McGraw-Hill Companies Inc.

LESSON PREVIEW/REVIEW
Answer this question: What is the importance of informatics in nursing?

MAIN LESSON
You must study the contents of this lesson.

Nursing informatics is a field of nursing that incorporates nursing, computer, and information sciences to maintain and
develop medical data and systems to support the practice of nursing, and to improve patient care outcomes. Technologies
that have evolved due to health care/nursing informatics include:
● Computerized provider order entry (CPOE)
● Electronic medical records (EMRs)
o Test results
o Progress notes
o Nursing notes
o Medication records

There are three "building blocks" of nursing communications - data, information, and knowledge.
A. Data: Raw facts which lacks meaning and described objectively without interpretation, may include direct observations
that do not need interpretation, such as:
● Patient's name
● Age
● Vital signs
● Disease history

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Education (Department of Nursing) 1 of 6
B. Information: Data that are interpreted, organized, or structured. Data made functional through the application of
knowledge. Examples include:
● Prevalence of hospital-acquired infections, by care unit
● Percentage of patient care delays in outpatient clinics, by specialty
C. Knowledge: Processed information that helps to clarify or explain some aspects of our environment or world that we
can use as a basis for action or upon which we can act Nursing knowledge: Is defined as information that has been
synthesized so that interrelationships are identified and formalized resulting in decisions that guide nursing practice
such as:
● The effect of nurse-patient ratios and patient outcomes
● Developing care protocols (i.e. anaphylactic reaction protocols, pressure ulcer protocols, etc.)

While nurses incorporate all three communication "building blocks" in their daily routines, the three concepts are also
stored in computer programs and software to assist health care providers across the continuum to provide high-quality,
safe patient care.

THEORIES AND MODELS

CHANGE THEORY
● No matter which agency experiences computerization of information and whether it is an entirely new experience,
or an update to an ongoing system, change is involved.
● It may be a simple change such as a minor upgrade to a system, or a major change such as moving from a paper
– based record to a completely paperless electronic system.
Different Theories
● Lewin’s Change Theory
● Information Theory
● General Systems Theory
● Cognitive Science
● Learning Theories

GRAVES AND CORCORAN’S MODEL (1989)


● Nursing informatics as the linear progression - from data into information and knowledge
● Management processing is integrated within each element, depicting nursing informatics as the proper
management of knowledge – from data as it is converted into information and knowledge

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Education (Department of Nursing) 2 of 6
SCHWIRIAN’S MODEL (1986)
● Nursing informatics involves identification of information needs, resolution of the needs, and attainment of nursing
goals/objectives
● Patricia Schwerin – proposed a model intended to stimulate and guide systematic research in nursing informatics
in 1986 Model/framework that enables identification of significant information needs, that can foster research
(somewhat similar to Maslow’s hierarchy of needs)
TURLEY’S MODEL (1996)
● Nursing informatics is the intersection between the
discipline-specific science (nursing) and the area of informatics Core
components of informatics:
1. Cognitive science
2. Information science
3. Computer science

DATA-INFORMATION- KNOWLEDGE MODEL


● NI is a specialty that integrates nursing science, computer
science and information science to manage and communicate data,
information, knowledge and wisdom into nursing practice (ANA)
● Nursing informatics is an evolving, dynamic process involving
the conversion of data into information, and subsequently knowledge
● Important Note: Processing of information does not always
result in the development of knowledge.

BENNER’S LEVEL OF EXPERTISE MODEL


● Every nurse must be able to
continuously exhibit the capability to
acquire skills (in this case, computer
literacy skills parallel with nursing
knowledge), and then demonstrate
specific skills beginning with the very
first student experience

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CHECK FOR UNDERSTANDING
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to the
correct answer and another one (1) point for the correct ratio. Superimpositions or erasures in your answer/ratio is not
allowed.

1. Which of the following is not a component of healthcare informatics?


a. Computer science
b. Healthcare science
c. Cognitive science
d. Radiologic science
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2. Which of the following is associated with nursing informatics theory?


a. Organizational interactions
b. Impact of technology on productivity
c. Data with some structure
d. Employer rewards and authority
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

3. Supports the use and documentation of nursing activities, provides tools for managing and delivery of nursing
care.
a. Healthcare information system
b. Nursing information system
c. Computer program system
d. Nursing information systems
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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4. Based on traditional documents with nursing diagnosis as an organizing framework, may use standardized nursing
languages from assessment to evaluation.
a. Nursing process
b. Healthcare information system
c. Nursing information system
d. Computer program system
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

5. The ability of a nurse to use knowledge and make a judgment call which can impact the actions resulting from this
decision.
a. Nursing process
b. Critical thinking
c. Healthcare information system
d. Nursing information system
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

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6. The framework for nursing informatics relies on the central concepts of the following EXCEPT
a. Data
b. Information
c. Knowledge
d. Science
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

7. This model emphasizes three entities: data, information and knowledge which are regarded as the core concepts of
informatics.
a. Graves and Corcoran’s model
b. Schwirian’s Model
c. Turley’s Model
d. Data-Information- Knowledge Model
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

8. This model states that nursing informatics is an evolving, dynamic process involving the conversion of data into
information, and subsequently knowledge
a. Graves and Corcoran’s model
b. Schwirian’s Model
c. Turley’s Model
d. Data-Information- Knowledge Model
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

9. A model intended to stimulate and guide systematic research in nursing informatics. It enables identification of
significant information needs that can foster research somewhat similar to Maslow’s hierarchy of needs.
a. Graves and Corcoran’s model c. Turley’s Model
b. Schwirian’s Model d. Data-Information- Knowledge Model
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

10. Stage of skill acquisition that is accomplished when the expert performer no longer relies on analytical principles like
rules, guidelines and maxims to connect his/her understanding of the situation to an appropriate action.
a. Expert c. Competent
b. Beginner d. Proficient
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

RATIONALIZATION ACTIVITY
The instructor will now provide you the rationalization to these questions. You can now ask questions and debate among
yourselves. Write the correct answer and correct/additional ratio in the space provided.

1. ANSWER: ________
RATIO:________________________________________________________________________________________
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2. ANSWER: ________
RATIO:________________________________________________________________________________________
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RATIO:________________________________________________________________________________________
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RATIO:________________________________________________________________________________________
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RATIO:________________________________________________________________________________________
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6. ANSWER: ________
RATIO:________________________________________________________________________________________
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7. ANSWER: ________
RATIO:________________________________________________________________________________________
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8. ANSWER: ________
RATIO:________________________________________________________________________________________
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9. ANSWER: ________
RATIO:________________________________________________________________________________________
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10. ANSWER: ________
RATIO:________________________________________________________________________________________
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LESSON WRAP-UP

You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.

You are done with the session! Let’s track your progress.

AL Activity: SIMILE ME

A simile is a useful way to describe something without using a long list of adjectives. It can create a vivid image in the
reader’s mind, helping to engage and absorb them. Complete the statement:

"Health informatics is like ______________________________ because _____________________."

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