Theories, Models, and Frameworks
Theories, Models, and Frameworks
Theories, Models, and Frameworks
AND FRAMEWORKS
CHAPTER 17
OBJECTIVES:
• Relationship between
healthcare informatics and
nursing informatics.
• Models of nursing and NI
• NI as a distinct specialty
• Key aspects of EHR
• Terminologies for nursing
• Organizational resources
INTRODUCTION
healthcare informatics.
HEALTHCARE INFORMATICS
NURSING INFORMATICS
• 1985 definition of Kathryn Hannah:
« the use of information technologies in
relation to any nursing functions and
actions of nurses »
• Graves and Corcoran:
« NI is a combination of computer
science designed to assist in the
management and processing of nursing
data, inforamtion, and knowlegde to
support practice of nursing and delivery of
nursing care. »
Nsg Informatics as a
Specialty
Earl 1992, the ANA established
nursing informaticsas a distinct
specialty in nursing with a distinct
body of knowledge.
Scope of Nursing Informatics
include:
developing and evaluating
applications, tools, process, and
strategies for managing data and
support decision-making
MODELS FOR NURSING
INFORMATICS
Models
are representation
of some aspect of the
real world;
Show particular
perspectives of a
selected aspect and
may illustrate
relationships.
DATA, INFORMATION,
KNOWLEDGE
ARE IDENTIFIED AS
CURRENT METASTRUCTURES
OR OVERARCHING CONCEPTS
FOR NURSING INFROMATICS
WITH SPECIFIC DEFINITIONS
Example:
Data- Bp: 120/80
Information: Normal
Knowledge: information
that is synthesized so that
relationships are identified and
formalized.
REGISTERED NURSES AS
KNOWLEDGE WORKERS
Knowledge work – is the exercise
of specialist knowledge and
competencies. Futurist predict that
in the second millenium the primary
domestic product of the united
states will be knowledge and related
knowledge services.
ELECTRONIC HEALTH
RECORD
Also associated with the terms:
record
EHR
« Any information related to the past, present, and
future physical/mental health, or condition of an
individual. »
(ASTM-American Society for Testing and
Materials)
A research-based
nomenclature designed to
standardize the terminologies
for documenting nursing care in
all clinical care settings.
Omaha System
It includes an assessment
component, an intervention
component, and an outcome
component.
ICNP