Nursing Informatics and the Foundation of Knowledge 1

Nursing Informatics

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Using the Data/Information/Knowledge/Wisdom Continuum

Assignment: Application:
Using the Data/Information/Knowledge/Wisdom Continuum

Nursing Informatics

Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.

Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.

To prepare:

Nursing Informatics
  • Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.
  • Develop a clinical question related to your area of practice that you would like to explore.
  • Consider what you currently know about this topic. What additional information would you need to answer the question?
  • Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
    • Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
    • Once you have identified useful databases, how would you go about finding the most relevant articles and information?
    • Consider how you would extract the relevant information from the articles.
    • How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?
By Day 7 of Week 4
Nursing Informatics

Write a 4-page paper that addresses the following: MUST BE APA FORMAT

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  • Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
    • Identify the databases and search words you would use.
    • Relate how you would take the information gleaned and turn it into useable knowledge.
  • Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.

Your paper must also include a title page, an introduction, a summary, and a reference page ( YOU CAN ONLY USE THE REFERENCES LISTED BELOW).

American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.

Nursing Informatics
  • “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), 6–18.

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


The 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.





Nursing Technology Paper

Name: Zoeleni Kamara

Course: Nursing 6051-01

Transforming Nursing and Healthcare through Information Technology

September 25, 2016


Like in any field, technology plays a crucial role in the field of nursing. Clinical question for this assignment is; has the use of electronic medication administration (eMAR) (Kelley, 2016) in any way improved the safety of medication in the healthcare setting? .Technology ensures that information is processed first and delivered to the right department or personnel. Data in any field is important because from these raw data important information can be derived.

Such data is important for the study and control of diseases (epidemiology).Management of chronic diseases across the world has been so difficult, the situation is even worse when it comes to developing countries. For this reason therefore, having concrete data is important in the management of these diseases. It is from these data that important control and disease management can be implemented. The main role of nursing informatics is to ensure that patients get the best medical services.

Nursing informatics as an innovation over the social insurance framework stays in its outset phase of advancement and has not been generally used or boosted to its fullest potential by most healthcare facilities . Nursing informatics in the social insurance framework is an apparatus that underlines wellbeing and quality consideration results, which are devices that pioneers in medicinal services ought to unequivocally consider. Nursing informatics permits attendants to enter and get to patient data in a practical time period that matches individualized desires for every patient.

The use of electronic in the administration in the health sector across the world has not been that simple. It has been faced with a number of challenges some of which can be overcome within a short duration while others take a long time. Apart from the challenges facing the management of most diseases, having the data is the key strategy in its management. To work through the four steps of data, information, knowledge, and wisdom continuum, it should first of all ensure that I determine the pressure of the patient in the case of data.

For instance, if the result will give 130/70 then this is the data. After having this data I will ensure that I also ask the patient if he or she has a history of blood pressures of about 150/100 for the last few years, this will lead me to information. This information will be necessary n the diagnosis of the condition.

For example if in one way or the other the patient the patient has a well-known history of cardiac arrest and he or she is currently having a chest pain. The drastic drop in the blood pressure in some way can indicate an onset of serious myocardial infarction. This is what is referred as to knowledge. This is the right time that the patient should be given an oxygen, aspirin, and nitrates. That is wisdom.

The databases I would use in the search Allied Health Literature CINAHL and Nursing databases. I used the Walden University website to access the databases and the search words. From the website, I would narrow down the search engines to the field “Nursing” this is to ensure that the databases I would obtain are relevant to my field.

Some of the search words I would use includes readmission, critical access hospital(CAH)( United States,2010), challenges, litigation, rural, cost, staff, joint commission, patients, ratio, Illinois, Wisconsin, trauma, hypertension, fatigue, fat deposition, narrowing of the blood vessels among others. These are the words are mostly used in the nursing and health profession.

To transform information into knowledge, I should first ensure that I am clear on my findings; this should be a guiding principle towards the transformation. I would determine the information understand the topic. Next, I would ensure that I gather all the necessary materials and sources to help me gather the information I require. I would then do an evaluation of the information obtained to ensure that the information is relevant to my field of study.

I would then organize this information removing and eliminating those that are irrelevant; this will ensure that I don’t possess information that is not helpful to my field. The next step is to ensure that the piece of work is free of any plagiarism and spelling mistakes, this can be done by pro-reading. The last bid is to do an evaluation of what I have obtained from the whole exercise. By doing this would have gleaned and turned the information into knowledge.

Informatics can be used to gain wisdom. This is because wisdom in its early stage exists as data from which it graduates to information then to knowledge and finally to wisdom. All the information collected from the different sources cannot be useful, the useful ones can be assessed we learn something (knowledge).Wisdom guides us to either accept or reject some of this information. Without wisdom, some fake information can be taken to be true yet they are not.

This can let to wrong decision making, in the hospital setting it can also lead to the wrong diagnosis, the wrong treatment which might, in turn, lead to more complications and eventually leading to the death of the patient. It is the role of any doctor or nurse to protect life, wrong judgments can cause lives and therefore having the right information is a key thing.


Data is very important, this is so because it is from here that meaningful information and conclusion can be made. A collection of these data should be done carefully or less information that is not relevant to a particular area or field would be collected. Information obtained should be able to address the clinical question; other information not relevant to the area should be eliminated.

If this information is collected in the wrong database, the whole data, information, knowledge, and wisdom continuum will be affected. This will lead to wrong decision making. Nursing involves handling lives and therefore any mess can lead to loss of lives. Sharing of information in the health profession is important because it enables medical practitioners to communicate and share information.

Creating knowledge in the nursing has been on the front line to empower the medical caretaker professionals to commission their parts successfully. It begins with the establishment of the requirements of data. The idea of the data-information-knowledge-wisdom (DIKW) continuum is the conversion of data into wisdom through subjective procedures important in nursing practice.


I enjoyed reading your paper, yet you did not appear to understand the instructions. Your introduction of the clinical question and your connection of the question to your area of practice were good. In your paper you delineated how you would work through some of the four steps of the data, information, knowledge, and wisdom continuum. You did not explain how the question could be answered at each level of the continuum.

You identified databases, resources, and search terms used to investigate the question. Your explanation of how information can be synthesized to form knowledge and your evaluation of how the information gleaned from research could be converted into useableknowledge was missing.

You did not explain how you would progress from simply having useful knowledge to the wisdom to make clinical decisions about the problem you identified. You provided an analysis of whether nursing informatics can be used to gain wisdom.

Your paper integrated 2 or more credible sources and no course resources, followed writing standards, and contained APA errors. You could improve your papers by substantially addressing all of the required topics, integrating 2 or more credible sources and 3 or more course resources, and applying correct APA format.

You might want to consult the Writing Center’s APA document “Common Reference List Examples” and the course announcements. You might want to use the shells of the papers provided in an email, as a course announcement, and in “Doc Sharing” As this was the first paper, I added 10 points to everyone’s grade. I appreciate the effort you put into this assignment.


In Hannah, K. J., In Hussey, P., In Kennedy, M. A., & In Ball, M. J. (2015). Introduction to nursing informatics.

Information Resources Management Association. (2011). Clinical technologies: Concepts, methodologies, tools and applications. Hershey, PA: Medical Information Science Reference.

Kelley, T. (2016). Electronic health records for quality nursing & health care / Tiffany Kelley.

United States. (2010). Critical access hospital replacement process. Rockville, MD: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy.

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