Clinical Systems Analysis

Clinical Systems Analysis

Throughout the RN-BSN Program, you have discussed many different nursing theories. In Informatics, the core elements of the field stem from the Foundation of Knowledge Model, also known as the Data-Information-Knowledge-Wisdom (DIKW) Paradigm.

Select a clinical scenario from your practice and analyze it using the Foundation of Knowledge Model.

Data: What data was collected and how?
Information: Describe the information that was obtained.
Knowledge: Explain the knowledge that you acquired in this scenario.
Wisdom: In analyzing the information obtained, what wisdom did you discover or gain? Did you need to disseminate or share this new knowledge? If yes, to whom? What feedback did you receive?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

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APA

Clinical Systems Analysis

In a clinical scenario where a nurse is caring for a diabetic patient, the Foundation of Knowledge Model (DIKW) can be applied to analyze the process:

Data: The nurse collects data from the patient’s medical history, current vital signs (blood pressure, heart rate), blood sugar levels, and recent medication usage. This is quantitative data gathered through physical examination and patient self-reporting.

Information: The nurse organizes this data to understand the patient’s condition. For example, elevated blood glucose levels indicate poor blood sugar control, while blood pressure and heart rate data may suggest a risk of cardiovascular complications. This information is compared to clinical guidelines for diabetic management.

Knowledge: The nurse integrates this information with previous experiences, research on diabetes management, and the patient’s clinical history. They recognize that the patient may require adjustments in their treatment plan, such as modifying insulin dosage or recommending lifestyle changes (diet and exercise) to improve blood sugar control and reduce health risks.

Wisdom: The nurse applies clinical judgment to provide personalized care for the patient. They understand that managing diabetes involves more than just monitoring glucose levels—it requires addressing lifestyle factors, educating the patient about self-management techniques, and encouraging adherence to the treatment plan. The nurse shares this new knowledge with the healthcare team, which may involve a consultation with an endocrinologist or a dietician for a more comprehensive care plan. The feedback received could include insights from specialists about alternative treatment options or lifestyle interventions.

References

Houser, J., & Oman, K. S. (2011). Foundations of nursing in the community: Community-oriented practice (2nd ed.). Jones & Bartlett Learning.

McGonigle, D., & Mastrian, K. G. (2020). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.