1. Describe a scenario in your discipline where you used data information knowledge and wisdom.
  2. Complete the self-assessment of informatics competencies presented in Table 1-1 and create an action plan for achieving these competencies. Your Action plan should be a minimum of ONE paragraph 4-6 sentences.
  3. In health care(ICU NURSE), think about a typical day of practice and describe the setting. How many times do you interact with Information Science or Information Systems (ISs)? What are the ISs that you interact with, and how do you access them? Are they at the patient’s side, handheld, or station based? How does their location and ease of access impact patient care?
  4. If you could meet only TWO (2) of the rights discussed in chapter 2, which one would you omit and why? Provide your rationale for both right you chose to meet.
  5. A minimum of one reference is required to support your response, cite the course required textbook and or other sources in which you have used content from. Make sure your references are in AMA format.

Self-Assessment of Informatics Competencies and Action Plan

1. Scenario Using Data, Information, Knowledge, and Wisdom

In the context of an ICU nurse using data, information, knowledge, and wisdom (DIKW):

  • Data: Recording patient vital signs, such as temperature, blood pressure, and heart rate.
  • Information: Interpreting these vital signs to determine trends (e.g., blood pressure decreasing over several hours).
  • Knowledge: Applying clinical knowledge to understand that the trend may indicate bleeding or septic shock.
  • Wisdom: Deciding on the best course of action based on the patient’s specific context, perhaps initiating additional diagnostics or adjusting medication, and consulting with a physician.

2. Self-Assessment of Informatics Competencies and Action Plan

Based on a typical self-assessment from Table 1-1, let’s say I identify strengths in using electronic health records (EHRs) but need improvement in data analytics and telehealth applications. My action plan would focus on:

  • Enrolling in a continuing education course on health informatics.
  • Joining a hospital committee on telehealth to gain hands-on experience.
  • Setting monthly meetings with a mentor specializing in informatics to discuss progress and obstacles.

3. Typical Day in ICU Related to Information Science and Systems

In the ICU, I interact with Information Systems (ISs) numerous times throughout the day. These systems include:

  • Electronic Health Records (EHRs) at the nurse’s station and sometimes accessible via handheld devices.
  • Medication Administration Records (MARs) accessed through computers on wheels at the patient’s bedside.
  • Patient Monitoring Systems directly beside the patient, displaying real-time vital statistics.

The location and accessibility of these systems are crucial for efficient patient care. Station-based systems like EHRs ensure thorough documentation and review of patient histories, while bedside and handheld devices facilitate immediate access to vital information, enhancing the responsiveness to patient needs.

4. Prioritizing Rights from Chapter 2

Assuming chapter 2 discusses various patient rights, such as the right to informed consent and the right to privacy, if I had to omit two rights (though ethically all are important), I might choose:

  • Right to a personal copy of their medical record: Due to digital access, patients can access their records online, making physical copies less critical.
  • Right to not be informed: Some patients prefer not to know all the details about their medical conditions, which can be respected unless it severely impacts their health decisions.

Choosing to maintain the right to informed consent and the right to privacy ensures that patients are both fully aware of and can make decisions regarding their treatment, and their personal information is protected, which are foundational to ethical healthcare.

References

  • Essential of Nursing Informatics Study Guide. McGonigle, D. & Mastrian, K. 5th Edition. AMA format requires proper citation details, typically like:

    Author(s). Title. Edition. Place of publication: Publisher; Year of publication.

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