Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing.

Welcome to week 2 of Nursing Informatics. This week in TD #1 we will be discussing a personal nursing-practice situation in which you experienced the transformations of DIKW (data to information to knowledge to wisdom).

The course outcomes guiding our discussion continue to be CO #1 & CO #2:
• CO 1: Define key terms in informatics, healthcare informatics, and nursing informatics.
• CO 2: Recognize the importance of synthesizing nursing science with computer, information, and cognitive sciences.

Do not over think your post this week. This may be a difficult post to formulate at first, but think of all of the factors of this concept. If you have not personally experienced such a situation, how could you envision this model being used in a specific practice situation?

I am looking forward to your thoughts and applications of this concept.

Question 1: Describe a nursing practice situation in which you experienced the transformations of DIKW
I feel that this is something that I experience on a day to day basis. I oversee 4 units that each have their own specialties and experiences, this gives me the opportunity to apply Data to Information to Knowledge to Wisdom (DIKW). According to McGonigle and Mastrian (2015), “Data, information, knowledge and wisdom are of concern to nurses in all areas of practice” (McGonigle & Mastrian, 2011, p. 97). Whether it be the ICU, ED or the post op patient we have nurse processes where we utilize this on a daily basis. For example we track information for our monthly scorecards. The information may be measuring things like door to doc time in the Emergency Room to Ventilator Acquired Pneumonia (VAP) in the Intensive Care setting. Whatever information that we are collecting and auditing we use to help improve better patient outcomes. The Data is the information we collect by performing chart audits. The information is the subject matter in which we are measuring. The knowledge is taking the recommendations of physicians and specialist based on Evidence Based Practice and Research. The Wisdom is the information or outcome that is achieved once we have measured our DIKW. An example of this is a patient that is at high risk for VAP is recognized due to patient history, family history, or present condition. Information or data is collected to help determine the patients risk for pneumonia by evaluating lab work, radiology studies, nurse practices, pulmonology treatments etc. Once the information is gathered we take that information and formulate a care plan by using best practices of pulmonary hygiene, proper use of antibiotics and continuing to evaluate patient’s respiratory status to attempt to wean the patient. The wisdom is in continually evaluating your information and knowledge to ensure it is effective treatment and the patient continues to improve. As Topaz (2013) mentioned in “The Hitchhiker’s Guide to nursing informatics theory” the outcome or wisdom is ethically used to ensure we have chosen the most accurate decisions based on the knowledge we have learned.

McGonigle, D. & Mastrian, K. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett
Topaz, M. (2013). The Hitchhiker’s Guide to nursing informatics theory: using the data-knowledge-information-wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3), 1-5.
Hello Class! Welcome to week 2.

This week we will focus on the following course outcomes:
• Define the key terms in informatics, healthcare informatics, and nursing informatics (PO 3) and
• Recognize the importance of synthesizing nursing science with computer, information, and cognitive sciences (POs 1, 11).
Keeping in mind the main discussion question related to Transformation from Data to Information to Knowledge to Wisdom (DIKW) in Practice, while describing a nursing practice situation, make sure to explain the relationship, if any, between DIKW and informatics. Can DIKW exist independently of informatics? Please provide your rationale.
Question 2: How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgement?

I believe that my particular example of DIKW, professional nursing wisdom and judgment coincide with the use of informatics. McGonigle and Mastrian (2015) suggest that implementing the use of knowledge and having the best outcomes is wisdom and this will provide the best patient outcome and care of the patient. In my example, we collected our data with the help of informatics and used order sets or recommendations based upon policy and procedures set by our facilities that our established using evidence based or best practices. Once the patient was treated their outcome was measured and placed in their EHR and our database that will be used for future treatment protocols. These protocols are frequently reviewed and changed based upon current studies. These protocols are established through wisdom. The information is gathered and care plans established based upon the knowledge and nurse experience to include the patients values (Topaz, 2013). All of these processes are performed through nursing informatics.

McGonigle, D. & Mastrian, K. (2015). Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett
Topaz, M. (2013). The Hitchhiker’s Guide to nursing informatics theory: using the data-knowledge-information-wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3), 1-5.
Nursing Theory

Question 1: How are the four concepts in nursing’s metaparadigm (person, environment, health, and nursing practice) significant to your practice and philosophy of nursing?
This weeks FOCUS
Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO#1)
Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO#4)
This week, this TD question relates to the course outcome addressing the components of theory and the other professions that utilize theories. We need to consider that nursing is not the only profession which utilizes theories. Many professions developed theories before nursing understood how important they were/are.
Last week, the focus was to consider, in general, the impact of nursing theory on the profession. This week we are going to pull apart nursing theory and take a look at how a theory is constructed. For any profession, it is important to know/identify the metaparadigms that reflect that profession. For example when you think of physical therapy–what do you think of?? When you think of nursing, what critically important elements need to be defined so that if they were left out, the entire profession would be adversely impacted?

For most nursing theorists, the four key elements are: Person, Health, Environment, and Nursing (interesting that nursing is used to define/explain itself!)
So consider all of the metaparadigms (or a different one–there are others) and describe how it is significant to nursing practice. Be sure that you review what is and is not a metaparadigm. Through our discussion we will meet our program outcomes this week to analyze the components of nursing theory. Your posts will reflect your ability to critically think and discuss the application of theory to nursing practice.
Looking forward to your thoughts,
Leigh Ann
Reference
McEwen, M., & Wills, E. (2011).Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health.
Question 2: Experts describe nursing as a cycle of nursing research, practice, and theory. Experts also propose that entry into this cycle can be made from any point. Explain your agreement or disagreement with each statement.
This Weeks FOCUS
Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO#1)
Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO#4)
This week, I also want you to consider how the knowledge base that supports the profession grows/develops. Why? Because I want to consider how nursing theory impacts our knowledge base. To do this, you will have to see that nursing theory is different from knowledge. When I use the term “theory” or “nursing theory”, I’m only referring to published works by individuals who try to define/explain the nursing profession. People like Roy, Orem, etc. By reflecting, reading and analyzing theories, we will be meeting the objectives as listed.
So take a minute–draw a circle, and put the three elements along the path of the circle. What happens to knowledge if you start with research? What happens to knowledge if you start with practice? Should research always occur before practice?
Remember, there is no right or wrong answers but use the literature to support your opinion as you analyzed the information.

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