Theoriesdd

8/12/2019 Theoriesdd

http://slidepdf.com/reader/full/theoriesdd 1/5

Theories, Models,& Framework

2001 ANAThe Code of Ethics for

Nurses with InterpretativeStatements

◦ Terms like: Decision-making,

comprehension, information,

knowledge, shared goals,disclosure, outcomes, privacy,

confidentiality, policies,

protocols, evaluation, judgment,

standards, and factual

documentation.

(http://nursingworld.org/ethics/e

code.htm)

2003 – ANA

(Nursing’s Social Policy

Statement,2nd Edition)

NURSING is the protection,

promotion, and optimization of

health and abilities, prevention of

illness and injury, alleviation ofsuffering through the diagnosis and

treatment of human response, and

advocacy in the care of individuals,

families, communities, and

populations.

2004 Nursing Scope and

Standards of Practice

Data, information, and

knowledge management

activities as core work for all

nurses. This cognitive work

begins with critical-thinking

and decision-making

components of the nursing

process that occur before

nursing action begins.

Nursing Process Assessment or data

collection

Reflects the interpretation

of data and information

gathered during the

assessment

Outcomes identification

Planning

Implementation

Evaluation

Informatics – a science that

combines a domain science,

computer science, informationscience and cognitive science.

Healthcare Informatics –

integration of healthcare sciences,

computer science, information

science, and cognitive science to

assist in the management of

healthcare information.

(subdiscipline of of informatics)

Evolution of NI Definition

Kathryn Hannah (1985)

◦ NI – is the use of information

technologies in relation to any

nursing functions and actions of

nurses.

Graves & Concoran (1989)

◦ NI – is a combination of

computer science, information



science, and nursing science

designed to assist in the

management and processing of

nursing data, information, and

knowledge to support thepractice of nursing and the

delivery of nursing care.

ANA (1994)

◦ NI – as a specialty that integrates

nursing science, computer

science, and information sciencein identifying, collecting,

processing, and managing data

and information to support

nursing practice, administration,

education, research and

expansion of nursing knowledge.

ANA (Scope and Standards ofNursing Informatics Practice,

2001)

◦ NI – is a specialty that integrates

nursing science, computer

science, and information science

to manage and communicate

data, information, and

knowledge in nursing practice.

NI facilitates the integration of

data, information, knowledge to

support patients, nurses, and

other providers in their decision-

making in all roles and settings.

This support is accomplished

through the use of information

structures, information

processes, and information

technology.

NI - Dynamic and evolving

professional discipline

NI Models

Graves & Concoran’s Model

(1989) NI as the linear progression – from

data into information and

knowledge

Management processing is

integrated within each elements,

depicting nursing informatics as the

proper management of knowledge –

data as it is converted into

information and knowledge.

Patricia Schiwirian’s Model

(1986)

Nursing informatics involves

identification of information needs,

resolution of the needs, andattainment of nursing

goals/objectives

Patricia Schwirian –

proposed a model intended to

stimulate and guide systematic

research in nursing informatics

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:

◦ Cognitive science



◦ Information science

◦ Computer science

D-I-K 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 isan 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.

Novice

◦ individuals with no experience of

situations and related content in

those situations where they are

expected to perform tasks.

Advanced Beginner

◦ marginally demonstrate

acceptable performance having

built on lessons learned in theirexpanding experience base;

needs supervision.

Competent

◦ enhanced mastery and the ability

to cope with and manage manycontingencies.

Proficient

◦ evolution through continuous

practice of skills, combined with

professional experience and

knowledge; individual whoappreciates standards of practice

as they apply in nursing

informatics.

Expert

◦ Individual with mastery of

the concept and capacity to

intuitively understand the

situation and immediately target

the problem with minimal effort

or problem solving.

Philippine HealthcareEcosystem

Nursing informatics is a huge

network that encompasses all the

sectors of the health care delivery

system – government agencies,

healthcare facilities, practitioners,

insurance companies,



pharmaceutical companies,

academic institutions, and suppliers.

the government, different nursing

associations and developmental

agencies maintain and balance the

network.

Intel’s Shift Left Model

Patient care shifts/progresses from a

high quality delivery of life through

technology with increased costs (right

side) into quality of life with minimal

health costs.

Inverse relationship between quality

of life and cost of care/day.

Patient Medical RecordInformation Model (PMRI)

Basis of EHR

The type and pattern

of documentation in the patient

record will be dependent on 3

interacting dimensions of

healthcare:

◦ Personal Health Dimension

◦ Healthcare ProviderDimension

◦ Population HealthDimension

PERSONAL HEALTH DIMENSION –

personal health record maintained and

controlled by the individual or family;

nonclinical information.

e.g. self-care trackers, directories

of health care, and other supports

HEALTHCARE PROVIDERDIMENSION – promotes quality

patient care, access to complete

accurate patient data 24/7.

◦ e.g. provider’s

notes/prescription, clinical

orders decision support systems,

practice guidelines. POPULATION HEALTH

DIMENSION – information on the

health of the population and the

influences to health; helps

stakeholders identify and

track health threats, assess

population health, create and

monitor programs and services, andconduct research.

◦ e.g. Ushahidi Open-Source

Program

framework for ni relies on

the central concepts of d-i-k

data-is defined as duscrete

entities that are described

objectively without interpretation.

Information-as data that is

interpreted,organized r structured

Knowledge- as information that has

been synthesized so that

interrelationships are identified and

formalized.



Deals with this data is collected

and processed with an aim to

improve various decision-making

levels within nsg. Profession.Is applied to model the human

processing of data, information,

and knowledge within a comp. sys.

The processing of nsg. Data,

information, and the

transformation of NI to nsg.

Knowledge.

Group III ABRAHAM,FAT. SHEENA

AMIK, AL-DEN T.

ARANI,FAHUDA J.

CHUA, JEFFREY JAN

CORDOVA, SARAH

JUNDAM,MULPATH J.

TAMPIPI, OMAIRA

Theoriesdd

Documents

Transcript of Theoriesdd