To start, what is the Foundation of Knowledge Model? Well, according to an article published by The Online Journal Of Issues In Nursing (OJIN), “The Data, Information, Knowledge and Wisdom Model (Nelson D-W) depicting the megastructures and concepts underlying the practice of nursing informatics was included for the first time in the 2008 American Nurses Association (ANA) Scope and Standards of Practice for Nursing Informatics. The date of this publication was almost 20 years after the first version of the model had been published.” (Nelson, 2018) An example of this in a praticle application is by means of Artificial Intielligence. “Artificial intelligence (AI) is part computer science and part cognitive science, encompassing the phenomena of computers performing tasks that require human intelligence. Current interest in AI is motivated, in part, by recent developments in machine learning, in which algorithms learn from data without human direction.” (Cato et al., 2020)
The data collected was observed over a period of a 6-month timeframe; beginning February 2023, and concluding in August of 2023. During this period, I became concerned that patients were not being ambulated appropriately. Adding to the point, I cared for a patient that was downgraded from the icu with extensive wounds unlike I had ever seen. The patient had discharge orders for a SNF; however, I was the unit’s charge nurse ,and by means of collaboration with my peers, we were able to get that discharge order rescinded.
In regards to information that was obtained, of course we took photographs of the wounds for documentation. In addition to this, we submitted an incident report for further follow-up (was never contacted about the issue). Regardless, the patient was able to begin receiving the care they deserve. Also, it is important to mention, this patient was brought in via EMS and was intially found down at their residence. The patient was over the age of 65, and it took some time to track down a family member. The patients family member hadn’t spoken to the patient in over 20+ years, so to say that the sitation wasn’t tense would be a total lie.
In the seeking of knowledge, I had to look inside of myself on this one. You see, I caught myself pointing the finger and it wasn’t until I was pointing the finger at myself (in the mirror) is when I realized that we are all at fault. This is a team effort. If one fails, we all fail.
Carrying on from my previous point, I think that right thing to do is to start taking accountability. Individual accountability will occur naturally and more effectively if you have others around you to also hold you accountable. I have shared much of my findings with anyone who is willing to listen – even now, as I write this. I have a personal mission to help as many people as I can, for as long as I can. God willing.
Cato, K., McGrow, K., & Rossetti, S. (2020). Transforming clinical data into wisdom. Nurs Manage, 51(11). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8018525/
Nelson, R. (2018). Informatics: Evolution of the Nelson Data, Information, Knowledge and Wisdom Model: Part 1. The Online Journal Of Issues In Nursing. https://ojin.nursingworld.org/table-of-contents/volume-23-2018/number-3-september-2018/evolution-of-nelson-model-part-1/
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