information class

Concept of Knowledge Worker

• A knowledge worker can be defined as employees who apply their valuable knowledge and skills to complex, novel, and abstract problems in environment that provide
rich collective knowledge and relational resources.

• “ “knowledge workers” are those who are able to critically reflect upon the explicit knowledge of the organization by adding personal, theoretical and tacit knowledge
acquired from their own experience”. (Brooks and Scott, 2006)

Knowledge Worker

Communication
Skills

Thinking Skills

Strategic
Skills

Management
Skills

Team Work

Ethics

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Nursing Informatics

• Nursing informatics refers to the practice and science of integrating nursing information and knowledge with technology to manage and integrate health information. The goal
of nursing informatics is to improve the health of people and communities while reducing costs.

• “Nurses have been in pivotal roles at every step of the systems life cycle and instrumental in the success of deployments at every level of an organization. From the provision
of executive oversight, project management, systems education and training, and analytics, nurses in clinical settings have become core to organizations’ information
management infrastructure and support”. (Nagle et al., 2017, p214)

Roles of
Nurse
Leader

Advocate

Clinical
Analyst

Decision Support

Integration
of Patient

Care

Collecting and
Evaluating

Treatment Results

Health Promotion
and Disease
Prevention

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Hypothetical Scenario: Inaccuracy in Medication Documentation

Examination of Data:

• A complete medication order must include Client’s full name, the date and the time of the order, the name of the medication, the ordered dosage, and the form of the
medication, the route of administration, the time or frequency of administration, and the signature of the ordering physician or licensed independent practitioner’s
signature

Data Access/Collection:

• Medication data were collected during an interview by direct observation using a computer-based medication log. Patient’s all medications record which he or she takes
on a regular schedule, like every day or every week. This will include prescription and nonprescription medications, over-the-counter medicines, vitamins, and herbal and
alternative medicines. “Researchers indicated that up to 26% of errors can be caused by mistakes in data entry and misinterpretation of the result in the original document
and source-to-database error rates are highly dependent on the amount of structured data collection in the clinical setting” (Naziyok et al., 2017)

Knowledge Derived from Data:

• Internal Validity- The common errors are
– Medications with similar names or similar packaging
– Medications that are not commonly used or prescribed
– Commonly used medications to which many patients are allergic
– Medications that require testing to ensure proper

• Bar-coded medication administration (BCMA) is promoted as the most effective way to reduce administration errors and is being implemented widely.

Colleague’s Responses:

• In using the patient’s medical record, we can look through past providers and staff notes of those who have worked with the patient in the past. When a nurse is reporting
findings to the provider, it is important for us to document these behaviors to avoid this reaction in the future. Reviewing and utilizing this information is helpful to
achieving a better level of care for the patient. (Angela Patricia Lemanga)

• Taiwan has been using PharmaCloud, a system that notifies providers about all medications that a patient has been prescribed. The purpose of PharmaCloud is to increase
medication safety by reducing the number of duplicated medications prescribed from different hospitals or physician clinics (Aloys Kenyoru)

• The benefits of EMR stems from the elimination of handwritten paper-based charting which obviously falls-short of electronic charting due to issues like caregivers
waiting to access charts being used by other treatment team members, to difficulty reading unclear writings and a host of other shortcomings. (Folukemi Olawepo)

• It was often difficult to decipher the doctor’s writing. I would sometimes have to refer to the expert on the floor, the secretary on the floor. Thanks to advances in the lab,
test results are available for all medical teams. (Nkeiruka Emechete)

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References

Books and Scott, 2006
Knowledge work in nursing and midwifery: An evaluation through computer-mediated communication
International Journal of Nursing Studies
Volume 43, Issue 1, January 2006, Pages 83-97

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Studies in Health Technology and Informatics, 232, 212–221.

Naziyok, T. P., Feeken, C., Zeleke, A. A., Dörks, M., & Röhrig, R. (2017). Data Collection of Medication – Impact of Autocompletion in eCRFs on Efficiency and Data
Quality. Studies in Health Technology and Informatics, 243, 70–74.

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