NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

 

Introduction

This presentation will discuss the concept of a knowledge worker. It explains nursing informatics and discusses the role of a nurse leader as a knowledge worker. In addition, I will present the hypothetical scenario that might benefit from the collection and application of data. I will explore the data that can be used, how it might be collected, and the knowledge derived from the data.

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Concept of a Knowledge Worker

A knowledge worker plays a key role in the organization in generating knowledge.  They obtain, maneuver, interpret and apply information to carry out multidisciplinary, complex organizational work (Field & Chan, 2018). Besides, knowledge workers analyze data and use their expertise to address problems, generate ideas, and develop new products and services.

Knowledge work is often complex, and knowledge workers need certain skills, abilities, and acquaintance with factual and theoretical knowledge (Field & Chan, 2018).  Therefore, knowledge workers must obtain, access, recall, and apply data, interact well with others, and have the ability and motivation to obtain and enhance these skills.

Knowledge workers’ roles include making decisions whereby they work with ideas. Their duties focus on intellectual rather than physical power and are characterized by non-repetitive tasks (Field & Chan, 2018). In addition, they use various methods and techniques to address problems and are authorized to decide what work methods to employ to complete their job tasks. Knowledge workers include: scientists, professionals, educators, and information system designers.

Nursing Informatics

Nursing informatics is a specialty that incorporates nursing science with analytical sciences and information management. It seeks to discover, define, manage, and convey data, information, and knowledge in nursing practice (Moore et al., 2020). Nursing informatics supports nurses, the interprofessional health care team, healthcare consumers, patients, and stakeholders in decision-making in various roles and settings to attain desired outcomes. It supports this through information structures, processes, and technology (Moore et al., 2020).

Nursing informatics skills are applied to:

Create data structures and software tools to support nursing practice (McGonigle & Mastrian, 2017).

Keep EHR in line with best practices for data management, processing, and organization.

Apply analytics in evaluating and facilitating nursing processes (McGonigle & Mastrian, 2017).

Facilitate communication among healthcare and IT professionals.

Train providers on the best use of EHRs and CDSS (McGonigle & Mastrian, 2017).

Introduction & purpose of the presentation

vChanging & Dynamic Nature Of Nursing

vBig Data And Informatics As Defining Nursing

v Concept Of Knowledge Worker

vNursing Informatics: Definition & Role

vNurse Leader As A Knowledge Worker

vPatient Portals To Enhance Knowledge Among Nurse Leaders

The nursing profession continues to be dynamic and changes based on emerging trends aimed at increasing the quality of care and meeting the ever-rising demands. Today, nurses are leveraging information based on big data to make decisions and learn new ways of delivering patient care in diverse healthcare settings. Acquisition of knowledge remains a core aspect of this experience and professional development as nurses improve care delivery. Big data and informatics now define and are core aspects of nursing (McGonigle & Mastrian, 2022). The purpose of this presentation is explore the concept of knowledge worker and using patient portals illustrate how informatics nurse leaders are knowledge workers. The presentation deploys infographics to demonstrate the critical role of the concept of knowledge worker in nursing informatics and leadership.

Concept of Knowledge worker

vDeveloped by peter Drucker

vAdvanced-level employee

vWork independently with minimal supervision

vManage Themselves and Employ Analytical and Critical Thinking

vLeverage Education, Training, Experience & Skills

vInnovative and Creative

In his book, “The Landmarks of Tomorrow (1959), Peter Drucker introduced and defined the idea of knowledge workers as individual employees that possess advanced-level workmanship and apply theoretical and analytical ideas and knowledge that they have gained through formal training and education. Through this knowledge, they develop requisite products and services to meet needs and ensure that they generate solution (Carroll, 2019). Further, knowledge workers execute their duties and roles independently, can manage themselves and use analytical and critical thinking skills in discharging their duties and making decisions. Further, they leverage their education, training, experiences and skills to make better decisions and implement effective models like value-based care. More fundamentally, they are innovative and creative in developing products that meet identified needs.

NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

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Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

  • Review the concepts of informatics as presented in the Resources.
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
  • Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.
  • 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. NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

Also Read:

NURS 6051 Discussion: The Application of Data to Problem-Solving

NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

NURS 6051 Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

Week 1 Discussion

The nursing profession has come a long way from paper-and-pen setting into an era of machinery and computers. The advancement of technology in nursing practice has positively affected the care we provide towards our patients in terms of accessibility and standards. It grants us access to a large amount of information which is essential in delivering high-quality care.

According to Kartal and Yazici in 2017, the quality of care that nursing professionals provide to patients has improved substantially with the use of information and communication technologies. The digital age has undeniably helped me personally to become more effective and efficient in my profession. At present, I am working in a telemetry unit and most of my nursing decisions are influenced by the combination of my existing knowledge and the data presented by the equipment available in our unit. For instance, a patient who comes for Betapace loading for atrial fibrillation requires laboratory screening and continuous monitoring for the entire duration of the treatment. With the software utilized by my facility, it automatically gives me medical orders such as the drug dose and its frequency under a specific protocol to be carried out when a patient comes to our unit.

As a professional nurse, my initial action is to assess the patient using the skills I acquired throughout my practice before giving any medication even physician order is also in place. Nurses make a clinical decision based on the information they gather from operating machinery, doing nursing procedures, communicating with other people, and the ability to interpret collected data (McGonigle & Mastrian, 2018). In this situation, I use our medical equipment to further assess the patient such as vital sign machine which gives me information about the blood pressure, heart rate, oxygen saturation, and temperature of a patient. Another essential equipment that I use for Betapace loading is a continuous heart monitor which allows me to see a bigger picture of the patient’s cardiac rhythm and notify me if the protocol ordered is appropriate for the patient.

The protocol also automatically instructs me to check the potassium and magnesium level before the initial dose of the medicine to prevent the patient from having a cardiac arrest or torsade’s de pointes. In situations where the electrolytes are not within the normal range, the computer fires a task whether to replace it with the electrolyte, withhold the medication or to inform the physician for additional advice. According to the information presented, together with my knowledge and skills, I can generate my subsequent nursing steps which guide me to practice safely and ensure patient’s conditions are addressed appropriately. NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

The use of technology in the nursing profession has improved the quality of care to the patient by setting a standard practice in the healthcare field (Technology in Nursing Today, 2019). Overall, nursing and technology work hand in hand to improve patient experience, promote safe practice and enhance nursing knowledge.

References

Kartal, Y. A., & Yazici, S. (2017). Health Technologies and Reflections in Nursing McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (Fourth). Burlington, MA: Jones & Bartlett Learning.

Practices. International Journal of Caring Sciences10(3), 1733–1740.

Technology in Nursing Today. (2019, August 9). Retrieved from https://thejournalofmhealth.com/technology-in-nursing-today/ NURS 6051 Assignment: The Nurse Leader As Knowledge Worker

The role of nurse leaders is to develop competencies that will help in promoting the incorporation of information technology into the nurse practice. The salient skills required are of data collection, analysis and utilization of data in the daily nursing practice. Moreover, the incorporation of information and technology is meant to have a substantial decrease in overall costs of healthcare (Turriago-Hoyos et al., 2016). The nurse leaders have the responsibility to ensure that the technology applied is useful in helping promote better care for the patents. It is also crucial to ensure that the technology applied is reliable and logical in terms of the outcomes expected (Ajanaku & Mutula, 2018). The use of the electronic data systems is gaining momentum and it is helping translate the findings into quality patient care, promote nurse education and nurse research for effective patient care services.

References

Ajanaku, O. J., & Mutula, S. (2018). The relationship between knowledge management and nursing care performance. South African Journal of Libraries and Information Science84(2), 39-51. http://dx.doi.org/10.7553/84-2-1785

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2015). The role of nursing informatics in promoting the quality of health care and the need for appropriate education. Global journal of health science6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

Turriago-Hoyos, A., Thoene, U., & Arjoon, S. (2016). Knowledge workers and virtues in Peter Drucker’s management theory. SAGE Open6(1), 2158244016639631. https://doi.org/10.1177/2158244016639631

  •  

Telenursing is becoming increasingly popular with present nursing shortages. Telenursing involves the use of computers, phones, internet, digital monitoring equipment and other technologies to provide nursing care to patients in distant locations. “Telehealth is an important consumer health application because it allows consumers the option to remain in place for care, yet it still faces barriers that include professional licensure, legislative issues, reimbursement, lack of supportive infrastructure, and protection of storage and devices” (Hebda, Hunter & Czar, 2019, p.379). Many consumers are utilizing the option of telehealth nursing because of the convenience it provides. Instead of a trip to the ER, patients are able to receive nursing care for minor issues from the comfort of their home.

Telenursing is a reasonable option for people who need immediate medical advice and/or cannot physically get to a doctor’s office right away. However, there are certain limitations to telehealth and telenursing such as the Haight Act of 2008 which states that providers (i.e- doctors, nurse practitioners) cannot prescribe controlled substances to patients they have not physically examined in person. Nurses cannot provide teleheath services to patients outside of the state(s) in which they are licensed. Nurses are still required to adhere to patient privacy policies such as HIPPA laws, which means they must still operate in a professional setting and use fully encrypted web-based systems to transmit patient information (Govtrack, n.d.).

I believe that telenursing has had a positive impact on our career as a nurses because telenursing provides the option to provide care to patients in remote locations who possibly do not have access to medical professionals in their area. One article states “To meet the patients’ needs, and with the additional burden on nursing because of the current nursing shortage, many home care agencies are looking for innovative ways to care for a large number of patients. Telehealth technology offers increased productivity for nurses by decreasing travel time to remote areas, thereby increasing the average daily census. 

Especially in rural areas, where driving time to patients’ homes can take up the majority of a nurse’s day, new time-saving and patient safety initiatives are imperative, leading to further adoption of telehealth in home care” (Hughes, 2008). This is just another example of the benefits of nursing informatics. As you’ve witnessed in your own practice, such technologies decrease delays in communication, which can save lives in time sensitive situations as with the aforementioned stroke patient.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.

Govtrack. (n.d.). H.R. 6353 (110th): Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Retrieved from https://www.govtrack.us/congress/bills/110/hr6353/text

Hughes, R. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. S.l.: Agency for Healthcare Research and Quality (US). Rockville, MD

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This presentation will discuss the concept of a knowledge worker. It explains nursing informatics and discusses the role of a nurse leader as a knowledge worker. In addition, I will present the hypothetical scenario that might benefit from the collection and application of data. I will explore the data that can be used, how it might be collected, and the knowledge derived from the data.

A knowledge worker plays a key role in the organization in generating knowledge.  They obtain, maneuver, interpret and apply information to carry out multidisciplinary, complex organizational work (Field & Chan, 2018). Besides, knowledge workers analyze data and use their expertise to address problems, generate ideas, and develop new products and services.

Knowledge work is often complex, and knowledge workers need certain skills, abilities, and acquaintance with factual and theoretical knowledge (Field & Chan, 2018).  Therefore, knowledge workers must obtain, access, recall, and apply data, interact well with others, and have the ability and motivation to obtain and enhance these skills.

Knowledge workers’ roles include making decisions whereby they work with ideas. Their duties focus on intellectual rather than physical power and are characterized by non-repetitive tasks (Field & Chan, 2018). In addition, they use various methods and techniques to address problems and are authorized to decide what work methods to employ to complete their job tasks. Knowledge workers include: scientists, professionals, educators, and information system designers.

Nursing informatics is a specialty that incorporates nursing science with analytical sciences and information management. It seeks to discover, define, manage, and convey data, information, and knowledge in nursing practice (Moore et al., 2020). Nursing informatics supports nurses, the interprofessional health care team, healthcare consumers, patients, and stakeholders in decision-making in various roles and settings to attain desired outcomes. It supports this through information structures, processes, and technology (Moore et al., 2020).

Nursing informatics skills are applied to:

Create data structures and software tools to support nursing practice (McGonigle & Mastrian, 2017).

Keep EHR in line with best practices for data management, processing, and organization.

Apply analytics in evaluating and facilitating nursing processes (McGonigle & Mastrian, 2017).

Facilitate communication among healthcare and IT professionals.

Train providers on the best use of EHRs and CDSS (McGonigle & Mastrian, 2017).

Nurse leaders are knowledge workers. Nurse leader competencies at the organization or system level are connected to knowledge management. Nurse leaders’ roles as knowledge workers include:

Facilitating organizational learning by supporting nurses as they find, share, and develop knowledge to advance nursing practice.

Developing and improving knowledge worker skills aligned to obtaining and analyzing data and examining clinical trends and patterns (Carroll, 2019).

They develop innovative approaches to improve access to health care, improve the quality of care, and reduce healthcare costs.

Nurse leaders focus on utilizing technology and developing electronic systems that will enhance data collection and analysis (Carroll, 2019).

Nurse leaders analyze data to establish information that is valuable in enhancing the delivery of patient care and improving the quality of care and health outcomes (Carroll, 2019).

Patient falls among geriatrics is a hypothetical scenario that would benefit from collecting and applying data in our healthcare organization. They result in severe injuries on patients, such as head trauma and fractures, which prolong hospital stay and increase healthcare costs (Venema et al., 2019). Data that could be used in relation to patient falls include the number of patient falls and common conditions of patients who suffer falls (Lucero et al., 2019). In addition, data on the length of hospitalization from falls and patient costs incurred from falls can be used to address the issue of falls.

Patient falls data can be collected from patients’ records and a hospital’s incidence reporting system (Lucero et al., 2019). The data can provide knowledge on patients’ at the highest risk of falls and the factors that put patients at risk of falls in the inpatient units. Data on the diseases with the highest falls can offer insight into the patients’ conditions that health providers should take additional measures to prevent falls (Lucero et al., 2019). Furthermore, the data can enlighten nurses on the gaps in patient care that contribute to patient falls and the measures they should implement to address the issue (McGonigle & Mastrian2017).

References

Carroll, W. M. (2019). The synthesis of nursing knowledge and predictive analytics. Nursing management50(3), 15-17. https://doi.org/10.1097/01.NUMA.0000553503.78274.f7

Field, J. C., & Chan, X. W. (2018). Contemporary knowledge workers and the boundaryless work–life interface: Implications for the human resource management of the knowledge workforce. Frontiers in psychology9, 2414. https://doi.org/10.3389/fpsyg.2018.02414

Lucero, R. J., Lindberg, D. S., Fehlberg, E. A., Bjarnadottir, R. I., Li, Y., Cimiotti, J. P., … & Prosperi, M. (2019). A data-driven and practice-based approach to identify risk factors associated with hospital-acquired falls: Applying manual and semi-and fully-automated methods. International journal of medical informatics122, 63-69. https://doi.org/10.1016/j.ijmedinf.2018.11.006

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association27(5), 798-807. https://doi.org/10.1093/jamia/ocz231

Venema, D. M., Skinner, A. M., Nailon, R., Conley, D., High, R., & Jones, K. J. (2019). Patient and system factors associated with unassisted and injurious falls in hospitals: an observational study. BMC geriatrics19(1), 1-10. https://doi.org/10.1186/s12877-019-1368-8

My goal as a nurse in the intensive care unit was to decrease the amount of hospital-acquired infections (HAIs). This is because most of our patients are immunocompromised. Based on our observations, it is common knowledge that our unit has become a popular breeding ground for opportunistic diseases. In addition to observing this trend, we have verified it by working with the Infection Control and Informatics Departments to analyze the unit’s electronic health records (EHRs) to ascertain the prevalence rate of HAIs over a set period of two years, the types of HAIs that were most prevalent, and their causal factors (Nagle et al., 2017). As it turned out, the rate was somewhat alarming, and the most common HAIs we had were CAIs (Catheter-Associated Infection), VAPs (Ventilator-Associated Pneumonia), CLABSIs (Central Line-Associated Bloodstream Infection), in addition to a few others caused by microorganisms like A.Bau, C.Diff, MRSA, Klebsiella, and much more.

Based on my experience and expertise as a nurse manager, I could apply this information to launch a comprehensive study in collaboration with key stakeholders like the hospital’s Infection Control Department and Infectious Disease Specialists on how to reduce the incidence of HAIs in our unit. To address and resolve this issue, I reviewed relevant research literature, conducted benchmarking using the best practices of local and worldwide hospitals, and solicited expert advice (McGonigle & Mastrian, 2021). As a result, we revised our policy to include measures such as increased assessment as well as documentation for monitoring the emergence of HAIs (e.g., changing the equipment at regular intervals), antibiotic stewardship, stringent aseptic measures, accurate patient cohorts, active screening, rigorous surveillance approaches (using the ICD), ongoing educational updates and updates to regulations about infection control. Because of this, our unit’s HAI rates dropped dramatically in under a year, even before the start of the COVID-19 pandemic.

The evidence-based nursing practice relies heavily on data sin

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