Essay about From Data, Information and Knowledge to Wisdom

Through education and clinical experience, I have gained the knowledge, skills, and proficiency that have prepared me an expert acute care nurse. This has developed the root of my personal philosophy of informatics. This philosophy holds the exceptionality of every individual and the certainty that everyone has the ability to improve his or her knowledge if directed in the right direction. Based on this, my ambition as an informatics nurse is to use

Nursing knowledge is the result of incorporating what is known and understood through learning, research, experience, and theory. Knowledge depends on research and theory to provide a collective, structured, and current information. This information can be used to explore phenomena, answer questions, generate new theory, and solve problems. DNPs need to be familiar with the components and levels of abstraction in nursing knowledge. The way to comprehend this information is by using the structural holarchy established by Jacqueline Fawcett. It distinguishes the various components of nursing knowledge based on the level of abstraction. Fawcett (2005) develops nursing knowledge into a structural holarchy with five components: metaparadigm, philosophy, conceptual model, theory, empirical indicator. The larger whole is nursing knowledge and each component is a complete whole as well as part of a larger whole. The most concrete component in the holarchy of nursing knowledge is the empirical indicator and the most abstract component is the metaparadigm (Butts & Rich, 2015).

The nursing field is caring, dependable, and effective. None of which could be accomplished without teamwork, collaboration and informatics. I believe these concepts are fundamental in the nursing profession. Nurses must work with other healthcare staff, the patients and their families to provide patient-centered and quality care. The use of informatics enhance both the quality of care the clients receive and the teamwork and collaboration aspect of nursing. No one nurse can do it all on their own. Nursing requires the use of teamwork and new technology.

There are different types of knowledge and different ways of knowing. Four fundamental concepts of knowing in nursing highlighted by Caper (1978) are empirical, personal, ethical and aesthetic. He divided knowledge into two forms which are tacit and explicit. Tacit is insights and based on experience and not easily visible and expressible, difficult to share and communicate with others which is highly personal. Empirical sources of knowledge depend upon an individual’s manner of observing and responding to events in the outside world (Higgs et al, 2004). Whereas explicit is formal and based on rationality and easily can be expressed, shared, communicate which are highly universal principles. Rationalism comes from within the individual and

In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.

Nurses are moving from a traditional method of performing task into the technological era. As informatics nurses recognize the need to move from the traditional to a progressive approach. There are many theorist that propose change; however, Kurt Lewin the father of psychology, introduces the theory concepts, emphasizes that the group differ from the sum of its parts. The change theory presents the three-stage model of change. The Lewins model (2011) consist of the unfreezing-change-refreeze theory. The purpose of this discussion is to examine the theories and conceptual frameworks applicable to nursing informatics, view and summarize the video, and Evaluate Applications of Theories or Conceptual Frameworks to Nursing Informatics Initiative.

Informatics is a specialty in the nursing field that is combined with certain science. As stated by ANA (2008) “nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (p. 65). ANA further focus on the functional areas rather than the role that guides the scope of practice within NI. These functional areas include: “administration, leadership, and management; analysis; compliance and integrity management; consultation; coordination, facilitation, and integration; development; educational and professional development; research and evaluation; policy development and advocacy; and telehealth” (CCN, 2015, para. 1). With these functional areas in mind, a nursing informatics specialist can perform proficiently, depending on the specific task. Hence, the purpose of this paper is to summarize the result of an interview with a NI specialist and analyze the differences and similarities between the interviewee’s functional areas with that of scholarly ones.

There are many issues in nursing that we, as nurses, can have a profound impact on changing. Using nursing theory, we can improve clinical practice and thereby positively influence the health and quality of individuals (McEwen & Wills, 2014). Benner’s theory of Novice to Expert illustrates how nurses evolve through clinical experience and education to become expert clinicians. Theory can be used to guide nursing practice when combined with clinical knowledge and critical thinking; such is the case in the ambulatory (outpatient) care setting. Ambulatory care nursing is complex and encompasses autonomous, as well as collaborative practice using evidence based information across a variety of outpatient health care settings (AAACN, 2017). This paper will look at the lack of specialized nursing education in the ambulatory setting, as well as, Patricia Benner’s Novice to Expert middle-range nursing theory. It will also look at how Benner developed her theory and how her Novice to Expert Theory has been used previously in the ambulatory setting. Lastly, I will address how Benner’s theory could be used to address the lack of specialized nursing education in the ambulatory setting.

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs, and enhancement of the quality of patient care (Murphy, 2010). It is also described as a growing area of nursing specialty that combines computer science, information technology, and nursing science in the management and processing of nursing information, data, and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013), and they are defined as a

As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a

Carper's Way of Knowing- In 1978, Barbara Carper, Professor of Nursing at Texas Woman's University, proposed patterns of healthcare knowing in a journal article in Advances in Nursing Science. Her rationale was that there needed to be a guide that would act as a developmental tool for nurses so that they could share their experience and enhance the goals of patient management, education, and further research (Carper, 1978). Like Jean Watson's Theory of Caring, many experts in the nursing field

The nursing process and Watson’s theory both provide a framework to promote critical thinking by the nurse so conclusions can be made and they can have a caring moment. This is completed by “assessment, plan, intervention, evaluation.” (Nursing Theories, 2012, p.4) The theory is well organized, not complex and “can be used to guide and improve practice.”(Nursing Theories, 2012, p.4)

As healthcare moves from the Industrial Age to the Information Age, a new role for nurses as knowledge workers comes in its wake (McGonigle & Mastrians, 2015). In his definition of a knowledge worker, O’Grady cited “that the knowledge worker is someone who synthesizes a broad array of information and knowledge from a wide variety of sources and brings that synthesis to bear on nursing work” (O’Grady & Malloch, 2003, para. 2). Thus, a knowledge worker is one who translates and integrates information that would eventually be applied in the context of patient care (O’Grady & Malloch, 2003). Nurses, as knowledge workers, therefore, have moved “from the process and function orientation to that of outcome and evidence-based direction” (O’Grady & Malloch, 2015, para. 1).

Metastructures are concepts which are all encompassing. These concepts are used in theory and in science (McGonigle & Mastrian, 2012). The concepts of “data, information, knowledge, and wisdom are used as a framework for understanding clinical information systems and their impact on health care” (McGonigle & Mastrian, 2012, p. 97). Through the works of Graves and Concoran, they show a relationship between data, information, knowledge, and wisdom. A transformation occurs between each level and with that there is an increase in the complexity which requires a higher level of human intellect for application of concepts to take place (American Nurses Association, 2008). The purpose of this paper will look at a chosen clinical question while using the continuum of data, information, knowledge, and wisdom to research this chosen question, to determine if informatics can be used to gain wisdom.