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Jones & Bartlett Learning
Nursing Informatics and the Foundation of Knowledge / Edition 4

Nursing Informatics and the Foundation of Knowledge / Edition 4

by Dee McGonigle, Kathleen MastrianDee McGonigle


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Nursing Informatics and the Foundation of Knowledge, Fourth Edition teaches nursing students the history of healthcare informatics, current issues, basic informatics concepts, and health information management applications. This comprehensive text contains basic through complex concepts to address the needs of the novice through innovator. The text takes the reader from the building blocks of informatics through complicated topics such as data mining, bioinformatics, and system development. The content is enhanced through its grounding in the Foundation of Knowledge Model founded by the authors.

The purpose of this text is to provide a set of practical and powerful tools to ensure that students gain a solid understanding of Nursing Informatics and is able to move from information through knowledge to wisdom. The field of Informatics is a rapidly growing and ever-changing. In accordance with industry changes the Fourth Edition has been update to include two competency based assessment tools: TANIC and NICA L3/L4.

New to the Fourth Edition
Coverage of change theory
Updates on EHR systems and their increased use
Information on SMART technologies and patient safety
New tools including wearables, connectivity, virtual patient tools, apps
Simulated clinical experiences
Emerging technologies
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Product Details

ISBN-13: 9781284121247
Publisher: Jones & Bartlett Learning
Publication date: 03/29/2017
Edition description: Older Edition
Pages: 606
Sales rank: 488,118
Product dimensions: 6.90(w) x 8.90(h) x 1.00(d)

About the Author

Dr. McGonigle brings more than 40 years of experience in nursing and nursing informatics to this position. She is a Certified Distance Education Instructor and a Certified Nurse Educator. After being introduced to computers enhancing nursing education while working towards her master’s degree, Dr. McGonigle defined informatics in 1991. She co-founded the Online Journal of Nursing Informatics (OJNI), a professional, scholarly, peer-reviewed journal in 1996 for which she was the Editor in Chief for 17 years through 2013. OJNI is currently published by the Healthcare Information and Management Systems Society (HIMSS). In 2014, Dr. McGonigle was the first one honored as a Platinum Award recipient from the Online Journal of Nursing Informatics. She developed the Foundation of Knowledge Model and the ETHICAL Model used to handle ethical challenges brought about by the volatile information age. Dr. McGonigle has received over $870,000.00 in funding, presented internationally and nationally, authored workbooks, book chapters and more than 130 publications. She led the development of an online self-assessment tool for level 3 and level 4 nursing informatics competencies, NICA L3/L4, which was cited in ANIA’s Nursing Informatics Today in 2014 and ANA’s NI Scope and Standards document. Dr. McGonigle was a research team member for the development of an online self-assessment tool, TANIC, for basic level 1 and level 2 nursing informatics competencies based on the TIGER initiatives. Dr. McGonigle has co-authored three text books. The nursing informatics text, Nursing Informatics and the Foundation of Knowledge is in its 3rd edition and took second place as AJN’s 2014 Information Technology/Social Media Book of the Year. The text written for nurse educators to help them assimilate technology to enhance teaching and learning, Integrating Technology into Nursing Education: Tools for the Knowledge Era, was AJN’s 2010 first place Technology Book of the Year. This text, Informatics for Health Professionals, released in 2016. She is a member of the Expert Panel on Informatics and Technology for the American Academy of Nursing, a fellow in the American Academy of Nursing and a Fellow in the NLN Academy of Nursing Education. She is also a member of the Serious Gaming and Virtual Environments Special Interest Group for the Society for Simulation in Healthcare.

Dr. Kathleen Mastrian is an Associate Professor of Nursing and Program Coordinator for the Shenango Campus of Penn State. She has a PhD in Sociology with an emphasis on Medical Sociology, A Master’s degree in Nursing from Pitt and a BS in Nursing from Penn State. She has been involved in the education of non-traditional aged students for 36 years in the RN to BS nursing program. She is one of the founding proposers to place the RN to BS program online for the Penn State’s World Campus, has developed five of the courses for that curriculum, and teaches at least one section per semester for the World Campus RN to BS program. She has extensive experience teaching informatics, research and sociology for the Shenango campus and has taught online for the World Campus for over 10 years. She is SR. managing Editor of the Online Journal of Nursing Informatics, now a publication of HIMSS. Dr. Mastrian has presented at numerous national,conferences , co-authored two text books and written more than 30articles. An additional bookwritten for nurse educators to help them integrate technology to enhance teaching and learning, Integrating Technology into Nursing Education: Tools for the Knowledge Era, was AJN’s 2010 Technology Book of the Year, and this text won second place in the AJN's Technology Division in 2015. Drs. Mastrian and McGonigle were eachnamed to the "15 Leading Professors of Nursing Informatics" 2015 list compiled by Medical Technology Schools. Dr. Mastrian won the2012 Shirley Novosel Distinguished Nursing Alumni Award and was recently nominated for an Athena Leadership Award.

Table of Contents

Preface xvi

Acknowledgments xix

Contributors xxi

Section I Building Blocks of Nursing Informatics 1

1 Nursing Science and the Foundation of Knowledge Dee McGonigle Kathleen Mastrian 7

Introduction 7

Quality and Safety Education for Nurses 16

Summary 18

References 19

2 Introduction to Information, Information Science, and Information Systems Kathleen Mastrian Dee McGonigle 21

Introduction 21

Information 22

Information Science 25

Information Processing 26

Information Science and the Foundation of Knowledge 28

Introduction to Information Systems 28

Summary 32

References 33

3 Computer Science and the Foundation of Knowledge Model Dee McGonigle Kathleen Mastrian June Kaminski 35

Introduction 35

The Computer as a Tool for Managing Information and Generating Knowledge 36

Components 38

What Is the Relationship of Computer Science to Knowledge? 53

How Does the Computer Support Collaboration and Information Exchange? 54

Cloud Computing 57

Looking to the Future 59

Summary 61

Working Wisdom 61

Application Scenario 62

References 62

4 Introduction to Cognitive Science and Cognitive Informatics Kathleen Mastrian Dee McGonigle 65

Introduction 65

Cognitive Science 65

Sources of Knowledge 68

Nature of Knowledge 69

How Knowledge and Wisdom Are Used in Decision Making 69

Cognitive Informatics 70

Cognitive Informatics and Nursing Practice 71

What Is AI? 72

Summary 73

References 74

5 Ethical Applications of Informatics Dee McGonigle Kathleen Mastrian Nedra Farcus 77

Introduction 77

Ethics 78

Bioethics 79

Ethical Issues and Social Media 80

Ethical Dilemmas and Morals 81

Ethical Decision Making 82

Theoretical Approaches to Healthcare Ethics 83

Applying Ethics to Informatics 86

Case Analysis Demonstration 91

New Frontiers in Ethical Issues 95

Summary 96

References 97

Section II Perspectives on Nursing Informatics 99

6 History and Evolution of Nursing Informatics Kathleen Mastrian Dee McGongile 105

Introduction 105

The Evolution of a Specialty 106

What Is Nursing Informatics? 108

The DIKW Paradigm 109

Capturing and Codifying the Work of Nursing 112

The Nurse as a Knowledge Worker 117

The Future 123

Summary 123

References 124

7 Nursing Informatics as a Specialty Dee McGonigle Kathleen Mastrian Julie A. Kenney Ida Androwich 127

Introduction 127

Nursing Contributions to Healthcare Informatics 127

Scope and Standards 128

Nursing Informatics Roles 129

Specialty Education and Certification 131

Nursing Informatics Competencies 133

Rewards of NI Practice 138

NI Organizations and Journals 138

The Future of Nursing Informatics 139

Summary 141

References 142

8 Legislative Aspects of Nursing Informatics: HITECH and HIPAA Kathleen M. Gialanelia Kathleen Mastrian Dee McGonigle 145

Introduction 145

HIPAA Came First 145

Overview of the HITECH Act 148

How a National HIT Infrastructure Is Being Developed 153

How the HITECH Act Changed HIPAA 154

Implications for Nursing Practice 161

Future Regulations 165

Summary 165

References 166

Section III Nursing Informatics Administrative Applications: Precare and Care Support 169

9 Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making Dee McGonigle Kathleen Mastrian 175

Introduction 175

Waterfall Model 178

Rapid Prototyping or Rapid Application Development 180

Object-Oriented Systems Development 181

Dynamic System Development Method 181

Computer-Aided Software Engineering Tools 184

Open Source Software and Free/Open Source Software 184

Interoperability 185

Summary 186

References 187

10 Administrative Information Systems Marianela Zytkowski Susan Paschke Kathleen Mastrian Dee McGonigle 189

Introduction 189

Types of Healthcare Organization Information Systems 190

Communication Systems 190

Core Business Systems 191

Order Entry Systems 193

Patient Care Support Systems 194

Interoperability 195

Aggregating Patient and Organizational Data 197

Department Collaboration and Exchange of Knowledge and Information 202

Summary 203

References 204

11 The Human-Technology Interface Dee McGonigle Kathleen Mastrian Judith A. Effken 207

Introduction 207

The Human-Technology Interface 208

The Human-Technology Interface Problem 211

Improving the Human-Technology Interface 212

A Framework for Evaluation 221

Future of the Human-Technology Interface 221

Summary 223

References 224

12 Electronic Security Lisa Reeves Bertin Kathleen Mastrian Dee McGonigle 229

Introduction 229

Securing Network Information 229

Authentication of Users 231

Threats to Security 232

Security Tools 237

Offsite Use of Portable Devices 238

Summary 241

References 242

13 Worldlow and Beyond Meaningful Use Dee McGonigle Kathleen Masterian Denise Hammel-Jones 245

Introduction 245

Workflow Analysis Purpose 245

Workflow and Technology 249

Workflow Analysis and Informatics Practice 251

Informatics as a Change Agent 256

Measuring the Results 258

Future Directions 259

Summary 260

References 261

Section IV Nursing Informatics Practice Applications: Care Delivery 263

14 The Electronic Health Record and Clinical Informatics 267

Introduction 267

Setting the Stage 268

Components of Electronic Health Records 269

Advantages of Electronic Health Records 274

Standardized Terminology and the EHR 278

Ownership of Electronic Health Records 280

Flexibility and Expandability 283

Accountable Care Organizations and the EHR 285

The Future 285

Summary 287

References 287

15 Informatics Tools to Promote Patient Safety and Quality Outcomes Dee McGonigle Kathleen Mastrian 293

Introduction 293

What Is a Culture of Safety? 294

Strategies for Developing a Safety Culture 296

Informatics Technologies for Patient Safety 301

Role of the Nurse Informaticist 313

Summary 315

References 317

16 Patient Engagement and Connected Health Kathleen Mastrian Dee McGonigle 323

Introduction 323

Consumer Demand for Information 324

Health Literacy and Health Initiatives 325

Healthcare Organization Approaches to Engagement 327

Promoting Health Literacy in School-Aged Children 329

Supporting Use of the Internet for Health Education 330

Future Directions for Engaging Patients 335

Summary 337

References 338

17 Using Informatics to Promote Community/Population Health Dee McGonigle Kathleen Mastrian Margaret Ross Kraft Ido Androwich 341

Introduction 341

Core Public Health Functions 343

Community Health Risk Assessment: Tools for Acquiring Knowledge 345

Processing Knowledge and Information to Support Epidemiology and Monitoring Disease Outbreaks 347

Applying Knowledge to Health Disaster Planning and Preparation 349

Informatics Tools to Support Communication and Dissemination 350

Using Feedback to Improve Responses and Promote Readiness 351

Summary 353

References 355

18 Telenursing and Remote Access Telehealth: Original contribution Audrey Kinsello Kathleen Albright Sheldon Prial Schuyler F. Hoss; revised Kathleen Mastrian Dee McGonigle 359

Introduction 359

The Foundation of Knowledge Model and Home Telehealth 359

Nursing Aspects of Telehealth 359

History of Telehealth 361

Driving Forces for Telehealth 363

Telehealth Care 366

Telenursing 370

Telehealth Patient Populations 372

Tools of Home Telehealth 375

Home Telehealth Software 378

Home Telehealth Practice and Protocols 380

Legal, Ethical, and Regulatory Issues 381

The Patient's Role in Telehealth 382

Telehealth Research 383

Evolving Telehealth Models 385

Parting Thoughts for the Future and a View Toward What the Future Holds 386

Summary 387

References 388

Section V Education Applications of Nursing Informatics 393

19 Nursing Informatics and Nursing Education Heather E. McKinney Sylvia DeSantis Kathleen Mastrian Dee McGonigle 397

Introduction: Nursing Education and the Foundation of Knowledge Model 397

Knowledge Acquisition and Sharing 398

Evolution of Learning Management Systems 398

Delivery Modalities 400

Technology Tools Supporting Education 405

Internet-Based Tools 413

Promoting Active and Collaborative Learning 420

Knowledge Dissemination and Sharing 423

Exploring Information Fair Use and Copyright Restrictions 426

The Future 427

Summary 428

References 429

20 Simulation, Game Mechanics, and Virtual Worlds in Nursing Education Dee McGonigle Kathleen Mastrian Brett Bixler Nickolaus Miehl 433

Introduction 433

Simulation in Nursing Informatics Education 434

Nursing Informatics Competencies in Nursing Education 436

A Case for Simulation in Nursing Informatics Education and Nursing Education 437

Incorporating EHRs into the Learning Environment 441

Challenges and Opportunities 445

The Future of Simulation in Nursing Informatics Education 445

Game Mechanics and Virtual World Simulation for Nursing Education 446

Game Mechanics and Educational Games 448

Virtual Worlds in Education 450

Choosing Among Simulations, Educational Games, and Virtual Worlds 451

The Future of Simulations, Games, and Virtual Worlds in Nursing Education 452

Summary 453

References 454

Section VI Research Applications of Nursing Informatics 459

21 Nursing Research: Data Collection, Processing, and Analysis Heather E. McKinney Sylvia DeSontis Kathleen Mastrian Dee McGonigle 463

Introduction: Nursing Research and the Foundation of Knowledge Model 463

Knowledge Generation Through Nursing Research 464

Acquiring Previously Gained Knowledge Through Internet and Library Holdings 466

Fair Use of Information and Sharing 468

Informatics Tools for Collecting Data and Storage of Information 469

Tools for Processing Data and Data Analysis 471

The Future 473

Summary 473

References 474

22 Data Mining as a Research Tool Dee McGonigle Kathleen Mastrian 477

Introduction: Big Data, Data Mining, and Knowledge Discovery 477

KDD and Research 481

Data Mining Concepts 482

Data Mining Techniques 483

Data Mining Models 486

Benefits of KDD 489

Data Mining and Electronic Health Records 490

Ethics of Data Mining 491

Summary 491

References 492

23 Translational Research: Generating Evidence for Practice Jennifer Bredemeyer Ida Androwich Dee McGonigle Kathleen Mastrian 495

Introduction 495

Clarification of Terms 495

History of Evidence-Based Practice 498

Evidence 498

Bridging the Gap Between Research and Practice 499

Barriers to and Facilitators of Evidence-Based Practice 500

The Role of Informatics 500

Developing EBP Guidelines 503

Meta-Analysis and Generation of Knowledge 504

The Future 505

Summary 506

References 507

24 Bioinformatics, Biomedical Informatics, and Computational Biology Dee McGonigle Kathleen Mastrian 511

Introduction 511

Bioinformatics, Biomedical Informatics, and Computational Biology Defined 511

Why Are Bioinformatics and Biomedical Informatics So Important? 514

What Does the Future Hold? 516

Summary 518

References 519

Section VII Imagining the Future of Nursing Informatics 521

25 The Art of Caring in Technology-Laden Environments Kathleen Mastrian Dee McGonigle 525

Introduction 525

Caring Theories 526

Presence 529

Strategies for Enhancing Caring Presence 530

Reflective Practice 533

Summary 534

References 535

25 Nursing Informatics and the Foundation of Knowledge Dee McGonigle Kathleen Mastrian 537

Introduction 537

Foundation of Knowledge Revisited 537

The Nature of Knowledge 539

Knowledge Use in Practice 541

Characteristics of Knowledge Workers 544

Knowledge Management in Organizations 545

Managing Knowledge Across Disciplines 547

The Learning Healthcare System 548

Summary 550

References 551

Abbreviations 553

Glossary 556

Index 586

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