Standardized terminology is important for the effective exchange of patient data across different healthcare systems. When describing things like pain, patients and clinicians may use different words, creating problems for assessing health issues. Healthcare information technology allows for greater data sharing, but the information must be entered in a standardized way to retain its meaning. Nurses need to understand how to organize and standardize data and information to make the most of health information technology tools.
1. Knowledge and Information Management
QUESTIONKnowledge and Information ManagementWhat words do you use to describe
pain? What words do your colleagues use to describe pain? Does every patient use the same
adjectives when discussing his or her level of pain? Consider the problems these differences
can create when attempting to assess a patient’s health concerns.Health information
technology has greatly increased the opportunity for the exchange of meaningful data and
information across health care systems; however, in order for that to successfully occur,
care must be taken to ensure that patient data is entered in a manner that allows for that
information to retain its meaning across different systems. To be able to use health
information technology to its greatest advantage, nurses need to gain an understanding of
how data and information can be standardized and organized.This week, you assess the
purpose of standardized terminology in informatics. In addition, you are introduced to the
continuum of data, information, knowledge, and wisdom, and you consider the key elements
of each stage.This week, you will analyze the importance of standardized terminologies
used to document patient care and applied the data, information, knowledge and wisdom
continuum.1 1/2 pages with 3 references, APA.Required ReadingsAmerican Nurses
Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver
Springs, MD: Author.“Metastructures, Concepts, and Tools of Nursing Informatics”This
chapter explores the connections between data, information, knowledge, and wisdom and
how they work together in nursing informatics. It also covers the influence that concepts
and tools have on the field of nursing.McGonigle, D., & Mastrian, K. G. (2015). Nursing
informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett
Learning.Chapter 6, “Overview of Nursing Informatics”This chapter defines the foundations
of nursing informatics (NI). The authors specify the disciplines that are integrated to form
nursing informatics, along with major NI concepts.Brokel, J. (2010). Moving forward with
NANDA-I nursing diagnoses with Health Information Technology for Economic and Clinical
Health (HITECH) Act Legislation: News updates. International Journal of Nursing
Terminologies & Classifications, 21(4), 182–185.Retrieved from the Walden Library
databases.In this news brief, the author describes the initiatives that NANDA-I will
implement to remain abreast of the HITECH legislation of 2009. The author explains two
recommendations for the federal government’s role in managing vocabularies, value sets,
and code sets throughout the health care system.Matney, S., Brewster, P. J., Sward, K. A.,
Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics
data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–
2. 18.Retrieved from the Walden Library databases.This article proposes a philosophical
foundation for nursing informatics in which data, information, and knowledge can be
synthesized by computer systems to support wisdom development. The authors describe
how wisdom can add value to nursing informatics and to the nursing profession as a
whole.Rutherford, M. A. (2008). Standardized nursing language: What does it mean for
nursing practice? OJIN: The Online Journal of Issues in Nursing, 13(1). Retrieved from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJI
N/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLang
uage.htmlThe author of this article provides justification for the use of a standardized
nursing language, which will be necessary for incorporating electronic documentation into
the health care field. The author defines standardized language in nursing, describes how
such a language can be applied in a practice setting, and discusses the benefits of using a
standardized language.Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S.,
Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records
through the integration of the Nursing Management Minimum Data Set. The Journal of
Nursing Administration, 40(7–8), 336–343.Retrieved from the Walden Library
databases.This article explains the nursing management minimum data set (NMMDS),
which is a research-based minimum set of standard data for nursing management and
administration. The article describes how the NMMDS can be used to minimize the burden
on health care administrators and increase the value of electronic health records within the
health care system.Required MediaLaureate Education (Producer). (2012a). Data,
information, knowledge, and wisdom continuum. Baltimore, MD: Author.McGonigle, D., &
Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (2nd ed.).
Burlington, MA: Jones & Bartlett Learning. (p. 98, Chapter 6, Figure 6)The continuum of
data, information, knowledge, and wisdom is used in the health care field to describe
discrete levels of understanding related to patient care and decision making. This video
provides an overview of the continuum from data to wisdom.Optional ResourcesTruran, D.,
Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information
management practice. Health Information Management Journal, 39(2), 37–39.Retrieved
from the Walden Library databases.Brown, B. (2011). ICD-10-CM: What is it, and why are
we switching? Journal of Health Care Compliance, 13(3), 51–79.Retrieved from the Walden
Library databases.