Chapter IX Flashcards
data-to-knowledge continuum is represented within what 2 constructs
client and outcome
captures the intrinsic complexity of the healthcare-centered technology decision-making process
Informatics Research Organizing Model
SRO model’s 4 construct
client, intervention, context, and outcome
corresponds to nursing (in the
nursing metaparadigm) and describes the nursing informatics solution in terms of the content, structure, and flow of the information, as well as the technology used.
Nursing informatics intervention
Developing organizational policies and standards
being an advocate for consumers, hospital units, and the institution as a
whole; also helping shape policies and standards at the state, national and
organizational level.
Policy development and advocacy
President of General Motors in the 1920s.
Initiated the planned obsolence movement which
started in the automobile industry
Alfred P. Sloan
addresses HIT decision-making from an organizational perspective but a nursing-centric analysis of the process reveals further complexity coming from the dynamics of the physician-dominated HIT discussions
IRO
make sure the tools and procedures being implemented will be userfriendly and practical for the rest of the staff.
The nurse guides design of technology that is nurse-friendly, supportive
of nursing work, accessible and mobile (
Data integration
e.g. NI might prepare training for a team of medical-surgical nurses on the use of a new electronic medication dispensing system. After the training,
NI then serve as their point of contact for any questions or concerns that come up as the system is put in place.
Educational and professional development
occurs when the consumer makes some
value judgement regarding its continued consumption, often following a comparison with other available products.
Relative obsolescence
align technologies and systems under consideration with organizational
objectives.
Systems integration
the information, knowledge, decisions,
and actions that emerge from the data to improve cost, quality, safety, and satisfaction outcomes
Outcomes
identifiable in the SRO model’s 4 constructs
(client, intervention, context, and outcome)
nursing metaparadigm
what are included in client construct
data or information, client or discipline behaviors or characteristics
- Analyzing clinical statistics
using data to synthesize knowledge, inform decision support, and
manage outcomes as well as taxonomies.
NI command highly specialized knowledge from three distinct disciplines:
Analysis
In SDLC, it is sometimes considered the sixth phase, is
represented at occurring throughout
evaluation
a direct reporting structure to the technology expert offers the most efficient and
effective pathway to this highly specialized knowledge =
Nurse Informaticist
shown by the outer ring, represents the 4 constructs
Systems Research Organizing (SRO) Model
Staff training, Troubleshooting, Escalating issues as needed
systems implementation
focus the training of new technology on how it will improve their ability
to care for patients
User training
what are included in outcome constructs
information, knowledge, decisions and actions to improve cost, quality, safety, and satisfaction
what is shown as occurring at each stage of the lifecycle.
evaluation
foundation for these studies
as manufacturing firms have been capable of
engineering their products to fail after a determined
period of time,
Durability
is composed of the data and information
collected from clients, as well as client behaviors and
characteristics.
client construct
Technology’s Life Cycle
planning to procurement to deployment to management to support
and disposition, only to cycle back to planning.