The Evolution of Data-Information-Knowledge-Wisdom in Nursing Informatics

Ronquillo, Charlene; Currie, Leanne M.; Rodney, Patricia

doi:10.1097/ans.0000000000000107

Cited by 16 publications

(15 citation statements)

References 27 publications

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“…Reflecting on this definition, several publications on NI deal with the scope of practice, body of knowledge, taxonomy, knowledge areas, methodologies for enquiry, and theoretical underpinnings [see e.g. 4,8,[14][15][16][17][18][19] as well as core competencies [see e.g. [20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

The current state of Nursing Informatics – An international cross-sectional survey

et al. 2019

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An international survey to explore current and future trends in Nursing Informatics (NI) was done in 2015. This article explores responses to questions about: what should be done to further develop NI as an independent discipline; existing policies and standards influencing NI; perceived support towards NI as a discipline; and advice from NI specialists to students and emerging professionals.Nurse and allied health professionals in academia and practice were reached with snowball sampling. Open-ended questions were analysed with thematic content analysis and the mean and standard deviation is reported for the perceived support towards NI (scale ranging from 1 (not at all supportive) to 10 (very supportive)).A total of 507 respondents from 46 countries responded to the survey. Respondents reported mediocre support towards NI from the environment (M 5.79, SD 2.60). Results showed that NI education needs development to better meet practice demands, that current NI resources seem insufficient, that NI expertise is not used to its full potential in health institutions and the community, and that NI needs to show its value through research and increase visibility to be recognised among stakeholders worldwide.In conclusion, there is a need to clarify NI as a discipline and a need for strong leadership to impact policy making. An increase in NI teaching at undergraduate level in nursing as well as an increase in postgraduate NI programmes worldwide would better support practice demands. National policies and international white papers in NI are needed to guide resource distribution to better support practice.

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Section: Introductionmentioning

confidence: 99%

The current state of Nursing Informatics – An international cross-sectional survey

et al. 2019

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“…In the DIKW model that is popularly adopted in nursing fields, information and knowledge are represented in a hierarchical order, such that the lower order form is a source for a higher order form (eg, information is a source of knowledge). 10 11 While the process of transforming information to knowledge in this research resembled the DIKW model, the information-knowledge relationship based on the epistemological viewpoint of constructivism in this research was found to be horizontal and non-hierarchical. Other than epistemological consideration, Alavi and Leidner 24 in the discipline of management, similarly reported that a back-and-forward process exists between information and knowledge, confirming the reciprocal dynamics between the two, as illustrated in figure 2 .…”

Section: Discussionmentioning

confidence: 65%

“…9 However, only a few attempts have been made to critically review or redefine them to ensure their relevancy to nursing studies. Moreover, the DIKW model that is dominant in the nursing field was developed with positivist viewpoints, 10 11 which hindered development of ideas regarding what information and knowledge are through other ontological and epistemological viewpoints (eg, constructivism).…”

Section: Introductionmentioning

confidence: 99%

How do Korean nursing students build knowledge? A constructivist grounded theory study

et al. 2018

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IntroductionNursing is a knowledge-intensive profession. Therefore, to cope with the demands of the nursing role, nursing students need to become competent in managing information to build nursing knowledge. However, nursing students’ knowledge building process is poorly understood. This research aimed to explore (1) nursing students’ dynamics of how they process nursing information for knowledge building and (2) nursing students’ learning context in South Korea for their knowledge building.MethodsA constructivist grounded theory approach was used for this research. Data collection was achieved through four rounds of intensive individual and group interviews with 16 fourth year nursing students in South Korea. The collected data were coded by initial, focused and theoretical coding methods. Constant comparison analysis between data, codes, memos and categories was applied.ResultsThis research identified knowledge building dynamics consisting of three cognitive processes: connecting with information, deciding to accept information and building knowledge. Five motivational factors, including learners’ interest, necessity of information, volition to learn, utility of information and the frequency of information that influence the processes were discovered. Moreover, four knowledge stages of memorising, understanding, synthesising and applying and creating emerged.ConclusionsThis is the first empirical study on knowledge building dynamics in educational environments for healthcare professionals. The findings of this research provide nursing educators with a practical model that can be used to improve nursing curricula in facilitating students’ knowledge building processes. Moreover, a deeper understanding of sociocultural influences on nursing education can assist educators to adapt and generalise the findings to their pedagogical contexts, providing a culturally sensitive and relevant approach to nursing education.

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“…Nurses constantly collect and analyse data from all contacts with the patient, whatever the setting. Data such as a weight or blood pressure is objective and does not include further (clinical) interpretation on its own [ 1 ]. Data only becomes meaningful if it can be interpreted within a certain context.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, weight becomes relevant when a patient has lost a considerable amount of weight in a short time or when a patient is suspected to have anorexia. When data is placed within a context, it is defined as information [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The development of a nursing subset of patient problems to support interoperability

Kieft

Vreeke

Groot

et al. 2017

BMC Med Inform Decis Mak

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BackgroundSince the emergence of electronic health records, nursing information is increasingly being recorded and stored digitally. Several studies have shown that a wide range of nursing information is not interoperable and cannot be re-used in different health contexts. Difficulties arise when nurses share information with others involved in the delivery of nursing care. The aim of this study is to develop a nursing subset of patient problems that are prevalent in nursing practice, based on the SNOMED CT terminology to assist in the exchange and comparability of nursing information.MethodsExplorative qualitative focus groups were used to collect data. Mixed focus groups were defined. Additionally, a nursing researcher and a nursing expert with knowledge of terminologies and a terminologist participated in each focus group. The participants, who work in a range of practical contexts, discussed and reviewed patient problems from various perspectives.ResultsSixty-seven participants divided over seven focus groups selected and defined 119 patient problems. Each patient problem could be documented and coded with a current status or an at-risk status. Sixty-six percent of the patient problems included are covered by the definitions established by the International Classification of Nursing Practice, the reference terminology for nursing practice. For the remainder, definitions from either an official national guideline or a classification were used. Each of the 119 patient problems has a unique SNOMED CT identifier.ConclusionsTo support the interoperability of nursing information, a national nursing subset of patient problems based on a terminology (SNOMED CT) has been developed. Using unambiguously defined patient problems is beneficial for clinical nursing practice, because nurses can then compare and exchange information from different settings. A key strength of this study is that nurses were extensively involved in the development process. Further research is required to link or associate nursing patient problems to concepts from a nursing classification with the same meaning.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-017-0567-5) contains supplementary material, which is available to authorized users.

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The Evolution of Data-Information-Knowledge-Wisdom in Nursing Informatics

Cited by 16 publications

References 27 publications

The current state of Nursing Informatics – An international cross-sectional survey

The current state of Nursing Informatics – An international cross-sectional survey

How do Korean nursing students build knowledge? A constructivist grounded theory study

The development of a nursing subset of patient problems to support interoperability

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