2021-03-07T101146.895

512 WK2 TD
How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgment?
What is DIKW and how do you "use" it in your practice?
Hi Dr. Jann and Classmates,
Nursing is a field that integrates “hard” science of the biologics and technology with different aspects of social and
psychological sciences. It is a collage that requires ascending levels of learning and wisdom to transform into practice.
This is why theories are important, not only in defining concepts and levels, they provide the strructures within which
nursing practices informatics.
When I think of wisdom versus nursing judgment, I think of Patricia Benner’s “From Novice to Expert.” In this theory,
Benner identified five stages of clinical competence that reflect on the transition of a nurse from the novice stage of
abstract principles, to the pain of concrete experiences in the expert stage, and the ability to view the complete picture
of a clinical situation (Harnegie, 2012). As nurses become competent in the clinical areas that they are in, knowledge
and experiences provide them with the wisdom to process clinical data and reasoning in making nursing judgments.
Thus, Clinical reasoning is used interchangeably with terms such as clinical judgment, problem solving, decision making
and critical thinking.
Hence clinical reasoning can reflect in the DIKW transformation. Nurses use clinical reasoning to sort data, interpret and
compare the information from the data provided, assess and use the knowledge to make clinical judgments to offer the
patients the best outcome possible. For this to be effective, nurses must be introduced to the concept of informatics
and provided the basic language and skills required for accessing patient data, then navigate and locate pertinent
information, ascertain the specific knowledge that would contribute to the making of clinical judgment (Ronquillo, Currie
& Rodney, 2016).
References:
Harnegie, M. P. (2012). Clinical Wisdom and Interventions and Acute and Critical Care: A Thinking-in-Action Approach by Patricia
Benner, Patricia Hooper Kyriakidis, and Daphne Stannard. Journal Of Hospital Librarianship, 12(4), 391-392 2p.
doi:10.1080/15323269.2012.719401.
Chamberlain College of Nursing. (2015). Overview of Nursing Informatics. (Online lesson). Downers Grove, IL: DeVry Education
Group.
Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The Evolution of Data- Information-Knowledge-Wisdom in Nursing Informatics.
Advances In Nursing Science, 39(1), E1-E18. doi:10.1097/ANS.0000000000000107
Rigby, M. (2015). Optimising Health Informatics Outcomes--Getting Good Evidence to Where it Matters. Methods Of Information In
Medicine, 54(4), 295-297. doi:10.3414/ME14-10-0139
Macchietto, A. (2015). Technology is no substitute for nursing judgment...“How Informatics Nurses Use Bar Code Technology to
Reduce Medication Errors” (March 2015). Nursing, 45(6), 8.
MADSEN, I., CUMMINGS, E., BORYCKI, E. M., & LACROIX, P. (2016). Developing a Framework for Teaching Nursing Informatics
Internationally. Studies In Health Technology & Informatics, 225783-785. doi:10.3233/978-1-61499-658-3-783
Schwirian, P. M. (2013). Informatics and the Future of Nursing: Harnessing the Power of Standardized Nursing Terminology. Bulletin
Of The Association For Information Science & Technology, 39(5), 20-24.
Thompson, C., Aitken, L., Doran, D., & Dowding, D. (2013). An agenda for clinical decision making and judgement in nursing research
and education. International Journal Of Nursing Studies, 50(12), 1720-1726. doi:10.1016/j.ijnurstu.2013.05.003
van Graan, A. C., Williams, M. S., & Koen, M. P. (2016). Professional nurses' understanding of clinical judgement: A contextual
inquiry. Health SA Gesondheid, 21(1), 280-293. doi:10.1016/j.hsag.2016.04.001
Question #2
Let's talk about the development of wisdom. several class members have talked about its development through knowledge and
experiences and the ability ot use these to apply it to new situations to make informed decisions. Do you think wisdom can be
taught? Why or why not, and if so, how?
Hello Dr. Jann and Class,
Wisdom, as defined by Webster dictionary, means scholarly knowledge or learned. This definition infers that wisdom is an
accumulation of knowledges that are learned from being taught. Hence, wisdom is a comparable state among people with the same
level of education.
However, this definition does not encompass all that make up the state of wisdom that every individual possesses. Wisdom is an
inclusion of many contributive sources, scholarly and informally, as each person lives and experiences the world. Personal insights
from experiences in interpersonal relationships and loss, reading a book about another person’s journey, their own personal
journeys, are all contributory toward their states of wisdom.
Hence, wisdom is the sum of scholarly learned and informal experienced lived. For this reason, no two persons think exactly alike.
As nurses translate their wisdom into critical thinking processes, their informed decisions are influenced by all that they are.
Classmate Response:
There is a certain level of knowledge associated with both, wisdom and judgement are acquired by the experiences we attain. With
these experiences, we are equipped with a higher level of insight that in turn will lead to better nursing judgement. Wisdom and
experience are used to make a clinical judgement and wisdom is critical for all aspect of the nursing practice. A nurse uses clinical
reasoning to acquire data and interpret the data to be able to make an effective clinical judgement that offers the best possible care.
For example, a nurse using his/her assessment of a patient’s vital signs, behavior and appearance to make a clinical judgement of the
patient’s current health status.
Hi Sabine,
I enjoyed reading your post, and you made valid points about wisdom being attained from the experiences that we all, as individuals,
experienced, attained and achieved. There are many aspects to nursing that makes the nursing profession unique. Nurses not only
utilize knowledges gained from biologic, informatics, social and psychologic sciences and scientific researches, they also attain
knowledges from peers, and shared best practices. Evidence-based practice is another source that guides nursing practices that
provide optimal outcomes for patients. However, to access many of the above mentioned data and researches, nurses must be
educated on the system that delivers the information. Rigby’s article, (2015), Optimising Health Informatics Outcomes--Getting
Good Evidence to where it Matters. Methods of Information in Medicine, proposed that without the basic informatics education,
nurses were limited to the very information that potentiated or transcend their knowledge bases and wisdom. Thus, the type of
experiences or learned knowledge is important, as they contribute to the wisdom that every nurse is equipped with.
Thank you for your post.

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512 WK2 TD

Hi Dr. Jann and Classmates,

Hello Dr. Jann and Class,

Thank you for your post.

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