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Posted: November 29th, 2022

THE NURSE LEADER AS KNOWLEDGE WORKER

THE NURSE LEADER AS KNOWLEDGE WORKER
The Assignment: PowerPoint Presentation

1. Explain the concept of a knowledge worker.

2. Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

3. Include one slide that visually represents the role of a nurse leader as knowledge worker.

4. Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. The hypothetical scenario you shared in the Discussion Forum should be included in your PowerPoint. Include an examination of the data that could be used, how the data could be accessed/collected, and what knowledge could be derived from that data. Make sure to include feedback from your colleagues’ responses.
5. APA format and peer-reviewed articles

course resources.

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–17)
Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–32)
Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–64)
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist Links to an external site.. In J. Murphy, W. Goosen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF
Sweeney, J. (2017). Healthcare informatics Links to an external site.. Online Journal of Nursing Informatics, 21(1).

Grading Rubric

1. Develop a 5- to 6-slide PowerPoint presentation that addresses the following:· Explain the concept of a knowledge worker.· Define and explain nursing informatics. 25 to >22.0 ptsExcellent Ably synthesize the literature and course resources to present a clear and accurate explanation of the 2 concepts….The presentation clearly and accurately explains the concept of a knowledge worker….The presentation clearly and accurately defines and explains nursing informatics.

2. Develop a graphic visual representation of the role of the nurse leader as a knowledge worker. On the slide, include an explanation of the role. 15 to >13.0 ptsExcellent The presentation includes a detailed graphic and explanation of the role of the nurse leader as a knowledge worker. Create a graphic visual representation of the nurse leader’s role as a knowledge worker. Include an explanation of the role on the slide. 15 to >13.0 pts Excellent The presentation contains a detailed graphic and explanation of the nurse leader’s role as a knowledge worker.

3. Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies. 35 to >31.0 ptsExcellent The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data. …The presentation incorporates peer feedback.

4. 4.PowerPoint presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order. 5 to >4.0 ptsExcellent The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.

5. Resources 10 to >8.0 ptsExcellent Presentation includes: 3 or more peer-reviewed articles and 2 or more course resources.

6. Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation 5 to >4.0 ptsExcellent Uses correct grammar, spelling, and punctuation with no errors.

7. Written Expression and Formatting – APA:The reference list and image attribution list follow correct APA format 5 to >4.0 ptsExcellent Uses correct APA format with no errors.

THE NURSE LEADER AS KNOWLEDGE WORKER
Post a description of the focus of your scenario. Describe the data that could be used and how
the data might be collected and accessed. What knowledge might be derived from that data?
How would a nurse leader use clinical reasoning and judgment in the formation of knowledge
from this experience?
The healthcare industry is continually growing, with innovations developed each day.
Nursing has transitioned from paper charting to electronic systems, with routine updates to
improve patient outcomes. At Boston Medical Center, the electronic health record (EHR) is used
for documentation of data and a collection of information that providers can reference. There is
an Early Warning Sign (EWS) alert system for nurses and providers to identify patients at high
risk of sepsis or immediate intervention in the EHR. The EWS will provide a score based on
temperature, heart rate, blood pressure, oxygen saturation, and white blood cell count.
The Scenario
Marcy is a night-shift nurse, and she is assigned the charge nurse’s role in the current
shift. She briefly looks at the unit management board to see which rooms are occupied and which
ones are clean. Marcy can also estimate the overall acuity of the unit based on the EWS scores of
each patient. She notices four patients marked yellow (with a score between 3 to 5) on the EWS
system. Upon further inspection, these patients are stable and showing improvement in vital
signs and lab work despite still being in the abnormal range. The primary nurses continue careful
monitoring. Marcy continues to look at the unit board and sees that two other patients are marked
red (score of 6 or higher) on the EWS system. Opening their charts, Marcy gets a pop-up alert
that requires her to notify the provider or on-call ICU nurse for immediate attention. After
confirming with the primary nurses of these patients that providers were notified, Marcy pages
the on-call ICU nurse and notifies him of two patients that may potentially become unstable.
Data Collection and Knowledge
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The EWS score was implemented by the informatics team of Boston Medical Center. The
score is determined by data that is populated in different areas of the patient chart. It allows
healthcare providers to have a quick summary of a patient’s acuity before looking further into the
information. However, the EWS only shows a snapshot of the patients’ most recent data input.
Mastrian and McGonigle (2018) emphasized the importance of timely use of data and that
accurate information used at the right time is imperative (pp. 24). Nurses and doctors can go into
the EHR and look closely at what triggered the EWS alert when assessing a patient. Was it due to
a high heart rate? What could have caused this issue? Data collection can also continue as
doctors can order more lab work or nurses repeating vital signs to ensure accuracy.
At this particular hospital, most patient records have converted electronically. Although
employees may have various formats of charting, the information is accessible as long as it is
relevant to the employee’s field of work and does not violate any privacy policies. Sweeney
(2018) mentions that with the reliance on EHRs, technology brings convenience but introduces
more areas where privacy can be breached. Because Marcy is the charge nurse, and it is her
responsibility to oversee patient safety, she does not violate the organization’s patient privacy
policies. She investigates the patients with high EWS scores and notices that one of the patients
has not had labs drawn in a few days. She communicates this information with the team, who
takes the opportunity to place new orders.
There have also been times where the EWS score may raise new information. Although
the intended use of the EWS is to prevent patients from developing sepsis, it is possible to trigger
the alerts without the involvement of infection. Nurses can view the data presented to them, but
the use of “integrating new knowledge and old knowledge… to enhance wisdom” can be
rewarding and challenging (Mastrian & McGonigle, 2018, pp. 27). For example, a patient can
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develop signs similar to sepsis if they have a history of hypotension and tachycardia but were not
receiving their usual medications. Nurses must be comfortable using technology as a tool but not
to heavily-rely on it without processing the bigger picture. Maintaining awareness on the
reasoning behind the data can help gain knowledge on steps to better patient outcomes, whether
that be maintaining updated data or recognizing that additional data is needed to care for an
unstable patient properly.
Clinical Judgement as a Nurse Leader
If the patients in the scenario are deemed safe to maintain on the current unit, Marcy must
keep this information in mind as a nurse leader. She can use the EWS system as a reference to
create safe nursing assignments for the following shift; however, she can use this experience as a
lesson that the EWS may not be an accurate representation of a patient’s condition. Although she
is not an informatics specialist, Marcy can still recognize that patient care can be complex, and
having fundamental skills in informatics makes a significant difference in her work. Kennedy
and Moen (2017) state that the responsibility of informatic knowledge is not solely on specialists
but should be an essential skill by nurse leaders (pp. 204). Marcy can use clinical reasoning in
making a fair assignment. She can also use her judgment by advocating for her patient if she
feels that there is too little data to determine them to be safely maintained on the unit. Using the
experience can help provide better care in the future and may push nurses like Marcy to
communicate this information to a specialist.
References
Mastrian, K. & McGonigle, D. (2018). Introduction to information, information science, and
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information systems. In D. McGonigle & K.G. Mastrian (Eds.), Nursing informatics and
the foundation of knowledge (4th ed., pp. 24-27). Jones and Bartlett Learning.
Kennedy, M. A., & Moen, A. (2017). Nurse leadership and informatics competencies: Shaping
transformation of professional practice. Studies in Health Technology and Informatics,
232, pp. 197–206.
Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1).
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