Influencing policy (training slides from Fast Track Impact)
Standardized Terminologies In Nursing Practice
1. Standardized Terminologies In Nursing Practice
Applying Standardized Terminologies in Practice Hyperhemesis gravidarum is a condition in which
the pregnant woman experiences severe nausea and vomiting. Although the causes of hyperemesis
gravidarum are not well known; however, many believe that elevated blood level of human
chorionic gonadotopin (HCG) may be a contributing factor of this condition. Currently the cause of
nausea and vomiting in pregnancy is unknown, although there is strong evidence linking human
chorionic gonadotropin or estrogens as well as genetic susceptibility possibly mediated through the
vestibuloocular reflex pathway (Fejzo et al., 2012). The following case scenario refers to a 22 weeks
pregnant woman admitted to the labor and delivery unit with severe nausea ... Show more content
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Nursing terminologies also help nurses to plan care that reflects the patient's needs, anticipate these
needs, and intervene accordingly. In addition, nursing informatics makes the use of standardized
terminologies more important than ever because it allows differentiating the impact of nursing care
from those of other disciplines. Thus, the standardization of nursing terminologies with documented
nursing diagnoses, nursing interventions, and patient outcomes is important to nursing practice
because it unifies the language among nurses and other healthcare providers, which will have a
positive impact on the quality of
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2. Hospital Readmissions: A Case Study
What factors contribute to multiple Chronic Obstructive admissions and how can the number of
readmissions within 30 days be reduced? The Affordable Care Act added section 1886 to the Social
Security Act. This section created the Hospital Readmission Reduction Program (HRRP). The
purpose of HRRP is to reduce hospital spending and improve quality of care (Sjoding & Colin,
2014). HRRP requires Centers for Medicare and Medicaid Services (CMS) to reduce, or penalize,
hospitals receiving payments from CMS for excessive admission of several chronic diseases, taking
affect in October 2012 (CMS, 2018). Chronic Obstructive Pulmonary Disease was added in 2015 as
one of these conditions.
Hospitals will be charged up to 3% of cost of admission for ... Show more content on
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Information.
According to DIKW framework information is the data which is interpreted, combined to give
contextual meaning, and organized. The information component answers questions such as who,
what, when and where (McGonigle & Mastrian, 2018). This section would begin to identify risk
factors in COPD admissions. Such as, if someone lives alone are they less likely to be compliant
with medication? Or, does smoking status increase the likelihood of readmission?
Information can be obtained through multiple processes. For hospital specific information chart
review can be conducted to link the data obtained with number of admissions. For a broader, larger
sample, a Boolean search in the CINAHL and MEDLINE database would be conducted using the
key words; COPD and exacerbation or admission, with smoking, age, socio–economic status,
oxygen use, living status, and medication compliance.
Knowledge.
Knowledge answers the why or how. This component of DIKW paradigm describes and validates
relations and interactions. Knowledge can be used to identify patterns leading to risk, in this
situation, of COPD readmission (McGonigle & Mastrian,
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3. Essay about From Data, Information and Knowledge to Wisdom
From Data, Information and Knowledge to Wisdom The data–information–knowledge–wisdom
(DIKW) continuum is a concept of the transformation of data into wisdom through cognitive
processes. DIKW was initially used to illustrate principles of information management for the
designing of information systems (Davenport & Pursak, 1989)(Saltworks, 2009). DIKW models
utilized by nursing such as the model by Englebart & Nelson (2002), incorporate principles of
increasing complexity due to increasing interactions What is important and unique to nursing is the
DIKW concepts and models also help describe the critical thinking processes that nurses use to
transform knowledge into the delivery of patient care, into education and learning and ... Show more
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The search identified 6 articles. According to Bernstein (2009), The Data–Information–Knowledge–
Wisdom hierarchy is based on filtration and reduction, so to select the most relevant articles, the
titles and the keywords of the articles were reviewed first. This resulted in one article that did not
contain the search words to be elimiated from further review. Translating Clinical Data to
Information To further evaluate the usefulness of the 5 remaining articles, their abstracts were read
to identify any relevant information. Information is data that has some meaning to it. Davenport and
Prusak (1989) describes information as data that makes a difference to the receiver of the data. The
data which is now aggregated into informational sentences and paragraphs (complete thoughts)
reveal that the NANDA Nursing Diagnoses, the Iowa Nursing Interventions, and Iowa Nursing
Outcomes Classification SNLs have been explored for use in Nurse Practitioner practice. This is
information as it has context to the reason the literature search is being performed. Linking
Information to Knowledge In the DIKW continuum, Knowledge is transformed from Information At
the knowledge stage in Englebart's & Nelson's (2002) DIKW model, an increased level of
complexity in thinking must occur as a result of the increasing occurrences of interrelationships
between information and knowledge (McGonigle
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4. Code 403 Unit 1 Assignment
Assessment Cover Sheet
Student ID 875462
Surname Young
First Name Andrew
Unit Code 403
Unit Name Managing Information Systems
Due Date 7th April 2015
Assignment Number 1
Contents
Executive Summary 3
Part A – Definition 4
Part B – Investigation 5
Part C – Critique 7
Part D–Strategy Formulation 9
Bibliography 10
Executive Summary
This aim of this document was to provide a summary and definition of the concept of Information
Systems and contrast the subject against Information Technology. As part of this I have defined
systems and I then have offered some brief commentary on how IS has changed over the last
hundred years or so.
Following this I have provided two data flow diagrams for a ticket ordering system that may be used
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Generally speaking it is the hardware and software associated with the IS platform – this could also
be referred to as Infrastructure. Many business confuse the term and see that a businesses IS
function is all about the technology infrastructure – this is not strictly correct – Information systems
is about getting the data and information to managers to enable them to make key business decisions
– Information Technology is an enabler of IS.
With the advent of modern information technology, the focus of IS has been generally skewed ...
Part B – Investigation
5. Figure 1 below represents the context–level data flow diagram for a ticketing fulfilment system that
may be used by a leading sporting organisation such as the AFL; Figure 1 – Context–level data flow
diagram Figure 2 below represents a level 1 diagram showing the various functions of the
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6. A Research Study And Practice Of Science And Technology
Definition of Informatics
Informatics is the study and practice of science and technology. It is a practice of creating, storing,
finding, manipulating and sharing information (Ong, 2014). In today's world informatics is the
bridge to all useful things; it helps to shape our relationships, our organizations and our world.
Informatics is an every changing field. It uses computer science to help analyze big issues especially
within healthcare. People using informatics are able to help solve problems that directly impact our
lives and our society. We use informatics within healthcare. Health informatics is an evolving
specialty that links information technology, communications and healthcare to improve the quality
and safety of patient ... Show more content on Helpwriting.net ...
The American Nurses Association states that knowledge is the information that is synthesized so that
relationships are identified and formalized. Lastly there is Wisdom. Wisdom is the highest form of
data transformation (ANA, 2007).
Uses of Informatics in the Healthcare Setting
The use of informatics is integrated across most health care settings. All employees must maintain a
database on its employees. This database can be used to communicate with employees, monitory
staffing patterns and create budgets. At most facilities within health care, most heating, air,
ventilation and alarm systems are computer controlled. Most facilities now submit medical claims
electronically. By submitting these claims on the computer, financial transactions are computed
faster and help to be more cost effective as it reduces the service times needed for the accounts
payable and receivable. Electronic medical records management at facilities help to search for
trends, number of cases, devices, costs and patient outcomes. Some computer programs being
utilized at facilities are designed to capture specific data fields for the implementation of
multidisciplinary care for patients. Systems are now available for patients to schedule their own
appointments according to their own schedule. People are being encouraged to be more responsible
for their own health care. Patient portals have been established for
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7. Transforming Nursing And Health Care
TRANSFORMING NURSING AND HEALTH CARE WEEK 4 ASSIGNMENT: APPLICATION
USING THE DATA/INFORMATION/KNOWLEDGE/WISDOM CONTINUUM
INTRODUCTION Theory is one of the fundamental blocks of each scientific discipline.It is
impossible to imagine biology without the theory of Evolution or physics without the theory of
Relativity.Nursing informatics ,a relatively new discipline,is also thirsty for its own
theory.However,it is challenging to find literature that provides clear theoretical guidance for nurse
informaticians. The Data–Information–Knowledge–Wisdom framework Nursing informatics was
created by the merge of three well established scientific fields:Information science,Computer
science and Nursing Science.One of the most compelling definitions of the discipline states: ?
Nursing informatics science and practice integrates nursing,its information and knowledge and their
manaement with information and communication technologies to promote the health of
people,families and communities worldwide?(International Medical Informatics Association–
Nursing Working Group,2010).Unfortunately,very few attempts were made to generate a broad
theoretical framework for nursing informatics.There are several challenges to generate such
framework.First,the interdisciplinary nature of nursing informatics demands the use of broad enough
theoretical framework to encompass all the disciplines.Also, the required theoretical framework
should consider the practice/application domain;the implementation
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8. The DIKW Model : Computer Science And Information Science
The DIKW Model The DIKW model is the fundamental theory on which the nursing informatics
discipline is based upon.Nursing informatics is a combination of information science, computer
science and nursing science.DIKW model provides a broad theoretical framework that encompasses
all the three disciplines to support the interdisciplinary nature of nursing informatics. Data are
discrete facts derived from observation describing the patient or his/her environment. Examples
include patient's medical diagnosis or living status etc.Has very little meaning by itself. Information
is gathered by combining different data points into a meaningful picture in a certain context.
Information is a continuum of progressively developing and clustered data; it answers questions
such as "who", "what", "where", and "when". (Topaz, M. (2013).Knowledge is derived by exploring
patterns of relationships between different sets of information and explains "why" or "how".
Wisdom is an appropriate use of knowledge to manage and solve human problems. (American
Nurses Association, 2008; Matney et al., 2011) Wisdom guides the nurses in decision making based
on patients' values, nurse's experience, and healthcare knowledge. The DIKW model lays foundation
for developing ways for representing nursing work in quantifiable terms, deriving nursing outcomes,
and evaluating the outcome criteria. Making nursing work visible and valued in health systems,
using information technology is one of the major
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9. Improving Patient Outcomes For Nurses
There are several standardized terminologies in the nursing practice. Some of these are the North
American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC),
and the Nursing Outcomes Classification (NOC). I have selected a patient scenario that will further
explain these elements. There was a 27 year old man that was admitted to the hospital one week
after a chemotherapy session, he had a fever of 102.5F, his white blood cell count was 0.3, and his
absolute neutrophil count was zero. This specific patient was also complaining of nausea and
vomiting and had a new central line placed 10 days ago.
The NANDA: Nursing Diagnosis Definitions and Classification are a critical component in the
nursing process. This is the first step in identifying how we should plan nursing care for our patients'
to improve patient outcomes for which nurses are held accountable. It also helps us to identify what
are the priorities in caring for this patient. Some of the components of a nursing diagnosis are the
label or name and definition, related factors or risk factors, and defining characteristics. For this
particular scenario some of the nursing diagnosis would be
Risk for infection related to immunosuppression secondary to chemotherapy, invasive lines,
inadequate primary defenses and chronic disease. Knowledge deficit related to nutrition, and
environment secondary to chronic disease. Altered nutrition related to weight loss secondary to
disease process and
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10. An Individual Written Reflection On A Lesson Or Series Of...
An individual written reflection on a lesson or series of lessons that you have taught.
Introduction:
The content of this critical account is based on a lesson taught to a Year 9 Information
Communication Technology (ICT) class at a rural comprehensive school in Wales.
The school is rated as good with outstanding features (Grade 1) under Estyn inspection and is a well
established institution that provides facilities and provision for secondary (11–16) and post–sixteen
education. The makeup of the school is English–medium, mixed, representing a full spectrum of
ability and draws from a full range of social and economic backgrounds – though the number
receiving free school meals is below the national average.
The class in question is mixed ability and is representative of the wider school, including both more
and less able pupils, some with special educational needs and disabilities (SEND). The lesson's set
tasks (Appendix 3) included an evaluation of previous work on spreadsheets and an introduction to
the forthcoming topic on databases. Both of these tasks contribute to a long term project which
forms part of a wider curriculum intended to support essential business and computing skills,
culminating in the award of the Essential Skills Wales (ESW) qualification.
This reflection will critically analyse the types of knowledge intended to be taught during the lesson,
how well the pedagogical techniques were suited to this learning (with a focus on pupil experience),
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11. The Positive Impact Of Electronic Communication On Practice
Impact of Electronic Communication on Practice
However, it is imperative always to outweigh the positives and negative aspects of every
implementation influencing patient care which is undoubtedly the cornerstone of safe and effective
nursing practice. Therefore, it is worth noting that the electronic communication concept may have a
negative connotation substantiated by multifaceted safety concerns. The first drawback from the use
of smartphones or computers in the clinical setting is a creation a distraction for a health care
provider from the task requiring concentration and undivided attention (Broussard & Broussard,
2013). Nevertheless, on the positive note, the utilization of cell phones improves the communication
and collaboration within the team caring for the patient. The second objection to the introduction of
smartphones in the medical practice is a creation of interpersonal distance between a provider and a
patient by limiting eye contact and having no regard for being in the presence of the person who
expects patient–centered approach (Broussard & Broussard, 2013). In like manner, the individual
corresponding through a mobile device demands the same personal treatment as the one sitting in
the exam room. Therefore, the emerging communication through advanced technology in the eyes of
providers might be promoting exceptional and immediate access to patients no matter the place or
time it also creates an impersonal relationship between the two while lacking
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12. Nursing Informatics: Course Analysis
It is hard to believe that already eight weeks of class has come to an end but throughout that time my
knowledge related to nursing informatics has expanded considerably. Therefore, my knowledge gain
should be inevitably measured and evaluated by eight–course outcomes posed at the beginning of
this term. First, as I review all my activities in this course the most helpful resources which
introduced me to fundamental concepts and definitions of informatics were available through
recommended articles or FierceHealthIT website along with two books related to lectures. The
second goal of this class which was the recognition of ethical and legal aspects associated with the
application of electronic devices was achieved by participation in discussions
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13. Data, Knowledge, Information and Wisdom Continuum
The Data/Information/Knowledge/Wisdom Continuum
The Data/Information/Knowledge/Wisdom Continuum Data, information, and knowledge are words
used to assign meaning to our complex nursing work. In the field of information technology, these
words are used to give meaning and direct the flow of organizational knowledge (Thompson &
Warren, 2009).
The concept of the data–information–knowledge–wisdom (DIKW) continuum is the transformation
of data into wisdom through cognitive processes, which are supportive of the nursing practice.
Schleyer and Beaudry (2009) discussed how nurses in this growing specialty are accountable to
provide the best evidence–based care advice possible, transform the data collected to information,
and apply that ... Show more content on Helpwriting.net ...
In other words, said data would be considered information, as it had context to the reason the
literature search was being performed. Medication errors cause an estimated 7000 deaths each year
and cost the nation $2 billion annually (Paoletti, Suess, Lesko, Feroli, Kennel, Mahler, &
Sauders, 2007). A significant reduction of medication errors was evidenced by the use of bar code
technology and the eMAR. A study funded by the Agency for Healthcare Research and Quality
(Healthcare Benchmark & Quality Improvements, 2010) reported that by incorporating bar–
code verification technology within an eMAR system, a significant reduction in medication errors
was demonstrated.
Connecting Information to Knowledge According to (Thompson & Warren, 2009) knowledge
occurs when we apply the data and information to obtain relevant and purposeful meaning. The
transformation of information to knowledge occurs when information is combined so that
connections can be identified and formalized if you will. Some methods used to achieve this
transformation would be through comparison. How does this information compare to other known
data? Example: Were there fewer transcription and medication errors with the use of eMAR and bar
code technology as opposed to paper documentation and administration? Another method would be
through making associations or connections. Example: How does the use of eMAR with bar–code
technology relate to reduced transcription
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14. Informatics Is The Study And Practice Of Science And...
Informatics is the study and practice of science and technology. It is a practice of creating, storing,
finding, manipulating and sharing information (Ong, 2014). Informatics turns data and information
into knowledge that people can use everyday. In today's world informatics is the bridge to all useful
things; it helps to shape our relationships, our organizations and our world. Informatics is an every
changing field. It uses computer science to help analyze big issues especially within healthcare.
People using informatics are able to help solve problems that directly impact our lives and our
society. We use informatics within healthcare. Health informatics is an evolving specialty that links
information technology, communications and healthcare to improve the quality and safety of patient
care. Health informatics allows health information management professionals to gather and analyze
large amounts of data into useful information.
Theory of Informatics
There are many complex theories to explain informatics. To begin to explain this, information is
power and technology helps to facilitate by affording ways to provide patient education, teaching,
learning and to provide general health promotion and prevention information on a global scale. In
theory we are combining science, computer science, information science and cognitive science all
together. As a multidisciplinary health care, informatics is pulling all theories and knowledge bases
together. According to
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15. Information, Knowledge, And Wisdom: Appropriate Knowledge...
The metastructure concepts of data, information, knowledge, and wisdom (DIKW) can be
transformed in many areas of healthcare. Using all 4 concepts, provide an example of application in
your clinical practice
Data: It is presented as discrete facts, described objectively without interpretation.
Information: It is interpreted data which has been given meaning. It answers questions such as
"who", "what" and "where". It is data which is organized and structured.
Knowledge: It is information that has been synthesized so that relations and interactions are defined
and formalized; Knowledge answers questions of "why" or "how". It explores options.
Wisdom: Appropriate knowledge application. It implies a form of ethics, or knowing why certain
things ... Show more content on Helpwriting.net ...
These patients are usually scheduled in our post discharge clinic.
One of the performance measure that we are working on is decreasing the number of patients that no
show for appointments. We decided to look at our discharge clinic where we noted that 50% of the
patients in this particular clinic do not come for appointment–Data.
We then looked at the individual patients characteristics to see who no shows for these appointment
after they are discharged from the hospital, and determined that the bulk of the patients that are not
showing for appointment were homeless patients– Information.
Then, we explored how can we get the patients to come for their visits, and looked at several options
including not scheduling follow up, but having them come in whenever as a walk in visit, seeing
them on the unit on the day of discharge to determine need for follow up, just scheduling them with
their providers as regular follow visit, or negotiating a telephone scheduled call time a week after
discharge which will meet this measure–
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16. Informatics And Its Multiple Tools
As technology evolves and it is widely applied in medical practice, the need for informatics and its
multiple tools increases every day. Enhanced communication, sharing of information and
knowledge, telehealth and biomedical equipment are only some of the areas that informatics is
involved.
Informatics utilizes the power of technology to turn information data into knowledge that people can
use in their everyday lives. Using computing, informatics is applied to solve problems in healthcare,
education, privacy, security, poverty, and challenges in our environment. Informatics is defined as "a
combination of computer science, information science and medical science" (Graves and Corcoran,
1989) to help in the management and support of every ... Show more content on Helpwriting.net ...
Its elements are defined as follows: data, information, knowledge and wisdom. Data are facts
gathered through observation with very little interpretation such as patient's medical diagnosis or
living status (alone or with family). Information is interpreted data created by combining different
information entities into a relevant picture. Knowledge is already synthesized information with
clearly defined relations and interactions (Matney et al., 2011). It is a result of a process of
discovering relationship patterns between different units of information. Knowledge is very
important because such information combinations might reveal additional risks a patient might face
when for example his circumstances change (discharge home from hospital). Wisdom is "an
appropriate use of knowledge to manage and solve human problems" (American Nurses
Association, 2008; Matney et al., 2011; it means to know when and how to use the knowledge and it
implies ethics in knowing why a medical professional should implement one or another procedure or
method keeping in mind the unique needs of his patients. Utilizing wisdom, a nurse chooses a
tailored to each patient approach using clinical judgment. There is a constant flow between these
four concepts of DIKW; there are no strict boundaries
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17. Standardized Language
The healthcare system in itself is extremely complex and it is important to have a standardized
language for healthcare professionals to have, especially during documentation. According to
______, a common language is essential for communication and understanding one another. As an
example, a patient with diabetic ketoacidosis will be further explored using three of the thirteen
American Nurses Association approved standardized languages: North American Nursing Diagnoses
Association – International (NANDA–I), Nursing Interventions Classifications (NOC), and Nursing
Outcomes Classifications (NOC) Systems. This paper will also explore of how data, information,
knowledge, and wisdom was used in this specific scenario to provide guidance. A sixteen–year–old
boy was admitted through the emergency room presenting with difficulty breathing, abdominal pain,
dry mouth, frequent urination, and fruity odor on breath. Initially, diabetic ketoacidosis comes to
mind, but further labs are ordered to ... Show more content on Helpwriting.net ...
The patient with DKA, the goal outcome would be to stabilize his blood sugar and maintain it. NIC
is a list of interventions based on a patient's need. In this scenario, after stabilizing him, prevention
and education is important so that this situation does not occur again. Teaching and prevention is
such an important factor in patient care. Nursing Informatics contains a framework to guide nursing
practice, this framework is called Data, Information, Knowledge, Wisdom (DIKW). Nurses use this
framework on a daily basis without even realizing it. In this patient's scenario, when that patient was
first admitted into the emergency department, Furthermore, standardized terminology played a large
role in maintaining this patient's care throughout his hospital stay.
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18. Use Of Information Systems On The Life Of Data
Use of Information Systems in the Life of Data
Is there a way to differentiate between whether we know something presented in an Information
System, whether we believe it, or simply have a piece of information. And further, is an information
system a valid tool for moving our thinking up the hierarchy.
Actions and decision are what matter most when you are traversing the DIKW hierarchy. There are
many actions that can be taken, and decisions that can be made by information systems. In fact some
might argue that certain decisions can only effectively be made with the assistance of technology.
Humans have gone thousands of years without information systems and have derived knowledge out
of practice and experience. The invention (discovery?) of Information Systems has only accelerated
the speed and effectiveness of knowledge creation, transfer, and management.
Decision Support Systems are prominent information systems used to aid in decision making within
an organization. These systems take a variety of input and aid management in an organization in
deciding between certain decisions. When there are conflicting results provided by both a decision
support system and a human, you must make the decision as to which one is providing more
credible results. HERE IS SOME MORE INFORMATION ABOUT THAT
The tools we use today to aid in this conversion of data are extremely vast. Carvalho and Ferreira
grouped these types of systems into 10 categories: Intranet–based systems,
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19. Dyson Case Study
Contents INTRODUCTION 1 INFORMATION RESOURCES 2 DIKW A SOURCE OF
SUSTAINABLE COMPETITIVE ADVANTAGE 3 ENTERPRISE SYSTEM 4 ACQUISITION OF
AN ES (ERP) 5 IMPLEMENTING ERP SYSTEM 5 THE ADVICE IMPLEMENTATION AND
CHANGE 6 COCLUSION 6 REFERENCE 7 INTRODUCTION In reaction to global pressures
Dyson planned to launch itself into international business. This report is written to advise the board
of the company on the benefits of using Information Resources and Enterprise system to compete
effectively and efficiently thereby having a competitive advantage in the Industry. It will place
emphasis on how competitive advantage could be achieved using information resources and
technology on the Value chain. The report ... Show more content on Helpwriting.net ...
According to Eustace (2003), we have witnessed a fundamental shift in the corporate value system
away from physical and financial assets towards the creative exploitation of a nexus of intangible
assets and competences– mainly in the form of distinctive capabilities derived from knowledge
intangible. In the present are, the 'intangible economy' and there are four tips of resources (
knowledge assets, collaboration assets, engagement assets and time) from which economic activity
and competitive advantage are primarily derived and delivered. Managing information and
knowledge in high quality is not an easy task, but there are many reasons. The retention of its
Research and Development center in the United Kingdom while its manufacturing plants will be in
China and Malaysia will make it imperative for Dyson to consider using information resources and
enterprise system to control and coordinate all its operations all over. Dyson will need many
information technologies for guarantee the quantity and quality of information and for keeping the
information flow is the major differentiator for every business (Gates 1999). Technologies are
divided in three set communication, collaboration and storage. And this is three set is a tools to
KMS a system that facilitates knowledge management by ensuring knowledge flow from different
sectors in those who know to those who need to know.
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20. Relationship Between Evidence Based Practice And Informatics
Relationship between Evidence–based Practice and Informatics According to Nelson and Stagger
(2014, p.40), "knowledge is the heart of EBP". Knowledge is one of the four paradigm of the
informatics framework, which is a result of identification of data and information; and formalization
of relationship between data and information. EBP is defined as the integration of current best
evidence into clinical practice to enhance decision making while providing care to an individual
(Nelson & Staggers, 2014). The decision making for clinical process is not only influenced by the
high–caliber, peer–reviewed scientific studies in the literature, but also a clinician's expertise and
patient preferences and needs are equally important. DiCenso, ... Show more content on
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The data collected through computers during single research are used to synthesize evidence to
guide the best care. After the synthesis of evidence, the evidence has to be translated into practice.
The incorporation of EBP into the information system in healthcare has been possible to aid the
clinician with their decision making. There are many clinical practice guidelines available
electronically that can be utilized at the point of care (Upshur, 2014). Personally, I have used
guidelines on hypertension, hyperlipidemia, and diabetes many times to aid with my decision to
treat patient with during my clinical. In my first clinical at the UW Internal Medicine, the modified
guidelines were available to clinicians through intranet. In this way, the EBP are easily accessible
during point of care and enhance its utilization during practice. Once again, the data collected into
the EHR are used to determine its impact on patient outcomes, cost, and effectiveness of the
treatment. This is a way to evaluate whether the implementation of clinical practice guideline has
been effective or not. Beside the direct incorporation of the clinical practice guidelines into intranet,
many guidelines are utilize to create order set to help clinician with treatment management. I have
not come across any evidence–based guidelines that supports the provision of training to preceptors
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21. Socio-Technical Perspective
Running head: Socio–technical perspective: help for managing information overload
TUI University Brocton Begley Mod 1–Session Long Project ITM501–Mgmt Info. Systems &
Business Strategy Sam Biragbara April 14, 2011
Introduction Information overload is a big problem in most if not all organizations. As business,
technology and education expand so does the data, information and knowledge backgrounds. In
order to go forward, information retention is necessary. Because of this, a socio–technical
perspective is needed within each organization to better organize the communication between the
personal and technical sub–systems and manage the information overload. The purpose of this paper
is to ... Show more content on Helpwriting.net ...
To get the full picture of this problem, it is best remember what was just mentioned about the
difference between the traditional ideas of "data", "information", and "knowledge." They build the
difference between memorizing and understanding. Sometimes the internet can throw a bunch of
facts out into cyberspace, but they may not be helpful or even truthful. It is increasingly difficult to
distinguish what are data, information and knowledge and what is trustworthy. There is also the
increasing problem of information overload. It's no secret that it has been a problem for centuries.
Electronic media tries to make it easier to "search" for the information that we need. However, we
must be careful as we can run into the problem of "reinventing the wheel," so to speak. Amy Baird
(2010) states the point wonderfully. "It 's important to remember that information overload is not
unique to our time, lest we fall into doomsaying. At the same time, we need to proceed carefully in
the transition to electronic media, lest we lose crucial methods of working that rely on and
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22. Applying Standardized Terminologies : Caring For The...
Applying Standardized Terminologies: Caring for the Breast Cancer Patient Throughout this paper
the identification and application of standardized terminologies such as: The North American
Nursing Diagnosis Association (NANDA) to identify the applicable diagnosis; Nursing
Interventions Classification (NIC) to construct a care–plan with diagnosis specific interventions; and
the Nursing Outcomes Classification (NOC) to evaluate the outcomes. This will be applied to a
clinical patient scenario of newly diagnosed breast cancer; and present the conjunction of how
standardized terminologies support the recognition of pertinent patient data becoming the
information applied to care; erected from scientific, research and practice based knowledge ... Show
more content on Helpwriting.net ...
After a full examination, recommendation and completion of a mammogram; a small mass was
identified in the right breast. A tissue sample was extracted and sent for identification; resulting in a
positive identification of a malignant tumor (i.e. breast cancer).
NANDA: Distinguishing the Diagnosis Women may experience a range of emotions with the
diagnosis as well as throughout the treatment as a result of breast cancer, such as: sadness, anger,
fear and guilt. Therefore, it is essential to closely monitor the client for their psychosocial
adjustment to the diagnosis and treatment, and identifying those that need further psychological
interventions (Boehmke & Dickerson, 2006). This includes being aware of the impact the diagnosis
will have on the family members and loved ones; as their support is warranted as possible caregivers
during the process. Appropriate nursing diagnoses for a woman with a new verdict of breast cancer
may include (but not limited to): disturbed body image related to loss of hair due to chemotherapy;
fear related to the diagnosis and prognosis of the disease; and knowledge deficit of cancer treatment
options and reconstructive surgery. Other diagnosis will be added and removed as the patient
decides if she wants treatment; and the psychological, psychosocial, and physical changes that may
affect her quality of life. For instance, after a mastectomy the patient may have a nursing diagnosis
of: risk for disturbed body
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23. Applying Standardized Terminology in Nursing Essay
Applying Standardized Terminologies in Practice
Chamberlain College of Nursing
NR 512: Nursing Informatics
Fall 2014
Introduction
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 ... Show more content on Helpwriting.net ...
Nurses should take care to select the proper outcomes to ensure optimum care is provided to patients
with CHF. The plan of care is dependent on the nursing diagnosis and the desired nurse–sensitive
outcomes. The priority NOC outcome for the diagnosis of CHF is Fluid Balance and Fluid Overload
Severity. Other related NOC outcomes are Knowledge: Cardiac Disease Management, Knowledge:
Energy conservation, Knowledge: Medication, Knowledge: Prescribed Activity, Knowledge:
Treatment, and Knowledge: Weight Management (Johnson et al., 2012). These are only a select few
of the multiple outcomes available; care should be modified as the disease progresses through the
problems which evolves over the lifetime of patients diagnoses with CHF. Once all these
determinants are established, the nurse will be prepared to determine which level of NOC is
essential to effectively manage the disease.
Nursing Intervention Classification
Nursing interventions are focused on nursing behaviors to guide the patient in the direction of the
most preferred outcome (Johnson et al., 2012). Fluid management, fluid/electrolyte management,
and hypervolemia management are the major interventions in effective management of CHF. Fluid
management is the most difficult intervention for all patients suffering from CHF. Evaluation of the
patient's ability to make the appropriate lifestyle changes required to
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24. Leadership Management and Development
LEADERSHIP MANAGEMENT DEVELOPMENT REVIEW [Student name] [Instructor name]
Date THESIS QUESTION: Are organizations likely to find better solutions to information overload
through changes to their technical systems or their social systems –– or both? Why? The
organizations today are facing the problems related to information over–load that can be effectively
handled by bringing changes in organizational social systems. The people in an organization should
know what data and information is critical for the organization and which data is unimportant.
Hence a social change is expected to solve the problems of information over–load by selecting only
that information that can be most supportive and helpful in decision making. WHY SOCIAL
SYSTEMS A social system is one where people live or work together. The main subject in the social
structure is people and their networks, not machines and technical principles like in technical
systems. The organizations benefit the most from its people. Therefore, the fight between more
corporations is to acquire the best personnel in the industry since the people skills can alter the way
business is conducted. The goals and organizational objectives are also set for and achieved by
people and not machines or networks. The information can be processed by computers and printed
by printers but the people in the business environment should know how to select only relevant
information. There are many components of a social system. A social
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