Nursing+Informatics+-+Chapter+06
Nursing (AMA Computer University)
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CHAPTER 6: History
and Evolution of
Nursing Informatics
Kathleen Mastrian and Dee McGonigle
With contributions by Ramona Nelson, Nancy
Staggers, Lynn M. Nagle, and Nicholas Hardiker
Objectives
1. Trace the evolution of nursing informatics
from concept to specialty practice.
2. Relate nursing informatics
metastructures, concepts, and tools
to the knowledge work of nursing.
3. Explore the quest for consistent
terminology in nursing and describe
terminology approaches that accurately
capture and codify the contributions of
nursing to health care.
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4. Explore the concept of nurses
as knowledge workers.
5. Explore how nurses can create
and derive clinical knowledge
from information systems.
Key Terms
» Accessibility
» Cognitive activity
» Data
» Data gatherer
» Enumerative approach
» Expert systems
» Industrial Age
» Information
» Information Age
» Information user
» International Classification of
Nursing Practice
» Knowledge
» Knowledge builder
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» Knowledge user
» Knowledge worker
» Ontological approach
» Reusability
» Standardized Nursing Terminology
» Technologist
» Terminology
» Ubiquity
» Wisdom
Introduction
The information and knowledge informing the 21st
century of healthcare delivery have been growing at an
unprecedented pace in recent years. Clinical research in
particular has propelled the understanding of the
efficacy of various clinical practices, treatment
regimens, and interventions. Extended and expanded
access to clinical research findings and decision
support tools has been significantly influenced by the
advent of computerization and the Internet. Indeed, the
conduct of research itself has been accelerated by
virtue of ubiquitous computing. Working in
environments of increasingly complex clinical care and
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