THEORIES,

FRAMEWOR
KS, AND
MODELS

NURSING INFORMATICS
MODELS
General Models
Graves and Corcorans model
Schiwirians model
Turleys model
Data Information Knowledge (D-I-K)
model
Benners Novice to Expert model

NURSING INFORMATICS
MODELS
Specific Informatics Models
Philippine Health Ecosystem model
Shift Left Model

GRAVES AND CORCORANS

MODEL (1989)

Nursing informatics are the linear

progression from date into
information and knowledge.
Management processing is integrated
within each elements, depicting
nursing informatics as the proper
management of knowledge from data
as it is converted into information and
knowledge.

SCHIWIRIANS MODEL
(1986)

Nursing informatics involves

identification ofinformation needs,
resolution of the needs, and attainment
of nursing goals/objectives.
Patricia Schiwirian proposed a model
intended to stimulate and guide systematic
research in nursing informatics
Model/framework that enables identification
ofsignificant information needs, that can
fosterresearch (somewhat similar to Maslows
hierarchy of needs)

TURLEYS MODEL(1996)

Nursing informatics is the intersection

between the discipline-specific science
(nursing) and the area ofinformatics
Core components of informatics:
Cognitive science
Information science
Computerscience

DATA-INFORMATIONKNOWLEDGE MODEL

NI is a specialty that integrates nursing science,

computerscienceandinformationscienceto
manage and communicate data, information,
knowledge and wisdom into nursing
practice(ANA)
Nursing informatics is anevolving, dynamic
process involving the conversion of data into
information, and subsequently knowledge
Important Note:
Processing of information does not always
result in thedevelopmentof knowledge.

BENNERS LEVEL
OFEXPERTISE MODEL

Every nurse must be able to

continuously exhibit the capability to
acquire skills (in this case,
computerliteracy skills parallel with
nursing knowledge), and then
demonstrate specific skills beginning
with the very first student experience

Levels of
Expertise(Benner):
Novice individuals with no experience
ofsituations and related content in those
situations where they are expected to perform
tasks
Advanced Beginner marginally demonstrate
acceptable performance having built on lessons
learned in their expanding experience base;
needs supervision
Competent enhanced mastery and the ability
to cope with and manage many contingencies

Levels of Expertise(Benner):

Proficient evolution through continuous

practice of skills,combined with professional
experience and knowledge; individual who
appreciates standards of practice as they
apply in nursing informatics
Expert individual with mastery of
theconcept and capacity to intuitively
understand the situation and immediately
target the problem with minimal effort or
problem solving.

PHILIPPINE
PERSPECTIVE

PHILIPPINE HEALTH
CAREECOSYSTEM
Nursing informatics is a huge network
that encompasses all the sectors of the
health care delivery system
government agencies, healthcare
facilities, practitioners, insurance
companies, pharmaceutical companies,
academic institutions, and suppliers.
the government, different nursing
associations and developmental agencies
maintain and balance the network

INTELS SHIFT
LEFTMODEL

Patient care shifts/progresses from

ahigh quality delivery of lif
throughtechnology with increased
costs (rightside) into quality of life
withminimalhealth costs
Inverse relationship between quality
oflife and cost of care/day

PATIENT MEDICAL
RECORDINFORMATION MODEL
(PMRI): BASIS OF EHR

The type and pattern ofdocumentation

in the patient record will be dependent
on 3 interacting dimensions of
healthcare:
Personal health dimension personal
health record maintained and controlled
by the individual or family; non clinical
information e.g. self-care trackers,
directories ofhealth care, and other
supports

Health care provider dimension promotes

quality patient care, access to complete
accurate patient data 24/7e.g. providers
notes/prescription, clinical ordersdecision
support systems, practiceguidelines
Population health dimension information on
the health of the population and the influences
tohealth; helps stake holders identify and
trackhealth threats, assess population health,
create and monitor programs and services,
and conduct research e.g. Ushahidi program

*Important Terminologies
(Data Sets):

ABC codes
Perioperative Nursing Data Set (PNDS)
SNOMED CT
International Classification for Nursing
Practice (ICNP)
Patient Care Data Set (PCDS)
NANDA
LOINC

ABC CODES

mechanism for coding integrative

health interventions by clinician
foradministrative billing and insurance
claims
includes complementary and
alternative medicine interventions and
codes that map all NIC, CCC,
andOmaha system interventions

Perioperative Nursing
Data Set (PNDS)

universal language for perioperative

nursing practice and education;
standardize documentation
ofperioperative data in all
perioperative settings
Diagnosis based on NANDA,
interventions based on NIC, and
outcomes based on NOC

SNOMED CT

core clinical terminology containing

over 357,000healthcare concepts with
unique meanings and formal logicbased definitions organized into
multiple hierarchies.

International Classification
for Nursing Practice (ICNP)

integrated terminology for nursing

practice developed under sponsorship
ofICNICNP elements:
Nursing phenomena (nursing
diagnosis)
Nursing actions (nursing interventions)
Nursing outcomes

Patient Care Data

Set(PCDS)

terms and codes for patient problems,

therapeutic goals, and patient care
orders
developed by Dr. Judith Ozbolt

ORGANIZATIO
NS as
Resources

AMIA
NLN
HIMSS

American Medical Informatics

Association(AMIA)

authoritative body in the field of

medical informatics and frequently
represents the United States in the
informational area ofmedical
informatics in international forums
dedicated to the development and
application of medical informatics in the
support of patient care, teaching,
research, and healthcare administration

National League for

Nursing (NLN)

Mission: To advance quality nursing education

that prepares the nursing workforce to meet
the needsofdiverse populations in an everchanging health care environment
Addresses faculty development and
educational research
*Educational Technology andInformation
Management Advisory Council (ETIMAC)
promote effective use of technology
innursing education, as a teaching tool
andoutcome for student-facultylearning

Healthcare information and

management systems society
(HIMSS)

assumes leadership role in the health

care information technology standards
of nursing and advocacy of key
innovations in health care delivery and
administration.

Resource:

https://www.scribd.com/doc/31679978/
Theories-Frameworks-And-Models