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Nursing Knowledge Model

Nursing Knowledge Model. Susan Matney, MSN, PhD(c), RN-C, FAAN Informaticist 3M Health Information Systems Chair SNOMED CT Nursing Special Interest Group Chair Clinical LOINC nursing Subcommittee. Nursing Knowledge: Big Data Research for Transforming Healthcare. Purpose.

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Nursing Knowledge Model

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  1. Nursing Knowledge Model Susan Matney, MSN, PhD(c), RN-C, FAAN Informaticist 3M Health Information Systems Chair SNOMED CT Nursing Special Interest Group Chair Clinical LOINC nursing Subcommittee Nursing Knowledge: Big Data Research for Transforming Healthcare

  2. Purpose • Define knowledge model • Demonstrate nursing knowledge models • Historical • Electronic • Discuss the data and information required to support an electronic nursing knowledge model

  3. Nursing Knowledge Knowledge Translation: The exchange, synthesis and application of knowledge within a complex system. Knowledge Transfer: A systematic approach to capture, collect and share tacit knowledge in order for it to become explicit knowledge. Knowledge Model: The capture of knowledge in an electronic reusable format for the purpose of preserving, improving, sharing, aggregating and reapplying it.

  4. The Nursing Process

  5. Nursing Informatics DIKW Framework ANA, 2007

  6. Care Plan Relationships (Happy Path RELATES TO Observation [mood EVN] Health Concern [mood EVN] Goal [mood GOL] REASON FOR EVALUATES REASON FOR IS COMPONENT OF SUPPORTS RELATES TO Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Outcome Observation [mood EVN] CAUSES

  7. Setting Storyboard Example • Joe is a 24 year-old male quadriplegic admitted to an inpatient unit from his home. During admission assessment, the nurse notes that he has no sensation from the shoulders down. He is confined to a wheelchair and requires two-person assist. His skin is occasionally moist. Joe reports that he is a “good eater” and is on a normal diet. The nurse completes the Braden Skin Scale score is 13. Further assessment by the nurse reveals skin is intact with no pressure ulcers. Hx. Subjective Findings Assessment Observations

  8. Simple Skin Assessment (Happy Path) RELATES TO Observations: Decreased Sensation Limited Mobility Braden scale = 13 Health Concerns: Impaired mobility Risk for alteration in skin Integrity Goal: No skin breakdown REASON FOR EVALUATES REASON FOR IS COMPONENT OF SUPPORTS RELATES TO Interventions: Turn q 4 hours Assess skin q shift Outcome Observation CAUSES

  9. Interoperability using the DIKW Framework

  10. Skin Assessment

  11. Interoperability using the DIKW Framework

  12. Terminology Coding

  13. Key drivers in enabling knowledge model • Knowledge exists in paper - Care plans • Knowledge exists in vended EHRs (non standardized) • Structured Nursing Knowledge beginning to emerge (e.g. Pressure Ulcer Models) • Standardized terminology • SNOMED CT, LOINC, RxNORM, CPT, ICD-10-CM • HIT standards • HL7, ONC, PHIN-VADS, VSAC

  14. Vision of the Future NURSING IS VISIBLE In Health Information Systems NURSINGDATA ARE AVAILABLE To Promote Evidence-Based, Quality Nursing Practice

  15. Questions? samatney@mmm.com

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