Knowledge and Science: Knowledge Apprenticeship
Apprenticeship Knowledge/EBP/Informatics
Apprenticeship:
Knowledge and Science
KNOWLEDGE
1. “What is (a) a science? (b) evidence-based practice (EBP)? (c) Informatics?” (NLN, 2010, p.
21).
2. “How (a) sciences, (b) the evidence on which practice is based, and (c) Informatics are developed, and by whom; the relationships between research and science building, and between research and EBP” (NLN, 2010, p. 21).
3. “The state of the science in nursing” (NLN, 2010, p. 21).
4. “Relationships between knowledge/science and
(a) quality and safe patient care, (b) excellence in nursing, and (c) advancement of the profession”
(NLN, 2010, p. 21).
5.”Integration of knowledge from nursing and other disciplines” (NLN, 2010, p. 21).
6.”Elements of the research process and methods of scientific inquiry” (NLN, 2010, p. 21).
7.”Electronic databases; literature retrieval; evaluating data for validity and reliability; evidence and best practices for nursing” (NLN, 2010, p. 21).
QSEN
EBP and Informatics
Knowledge
EBP: Demonstrate knowledge of basic scientific methods and processes
EBP: Describe EBP to include the components of research evidence, clinical expertise and patient/family values
EBP: Describe how the strength and relevance of available evidence influences the choice of interventions in provision of patient-centered care
EBP: Describe reliable sources for locating evidence reports and clinical practice guidelines
EBP Differentiate clinical opinion from research and evidence summaries
EBP: Explain the role of evidence in determining best clinical practice
EBP: Discriminate between valid and invalid reasons for modifying evidence-based clinical practice based on clinical expertise or patient/family preferences
Informatics: Explain why information and technology skills are essential for safe patient care
Informatics: Identify essential information that must be available in a common database to support patient care
Informatics: Contrast benefits and limitations of different communication technologies and their impact on safety and quality
Informatics: Describe examples of how technology and information management are
MASS
EBP and Informatics
Knowledge
EBP: Describes basic scientific methods and processes.
EBP: Describes the concept of evidence-based practice (EBP), including the components of research evidence, clinical expertise, and patient/family values
EBP: Describes reliable sources for locating evidence reports and clinical practice guidelines
EBP: Differentiates clinical opinion from research and evidence summaries
EBP: Explains the role of evidence in determining best clinical practice
EBP: Identifies evidence-based rationale when developing and/or modifying clinical practices
EBP:Describes data collection methodologies appropriate to individuals, families, and groups in meeting health care needs across the life span
Informatics: Understands Describes concepts included in basic computer competencies
(European Computer Driving License (ECDL)/
Technology Informatics Guiding Education
(TIGER) Reform)
Informatics: Explains why information and technology skills are essential for the professional nurse
Informatics: Defines the impact of computerized information management on the role of the nurse
Informatics: Understands Explains the use and
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Knowledge and Science: Knowledge Apprenticeship related to the quality and safety of patient care
Informatics: Recognize the time, effort, and skill required for computers, databases and other technologies to become reliable and effective tools for patient care importance of nursing data for improving practice
Informatics: Describes the computerized systems presently utilized to facilitate patient care
Informatics: Describes patients’ rights as they pertain to computerized information management
Informatics: Describes the rationale for involving the interdisciplinary team in the design, selection, implementation, and evaluation of applications and systems in health care
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Knowledge and Science: Knowledge Apprenticeship
Knowledge and Science: Practice Know How
Apprenticeship:
Knowledge and Science
KNOWLEDGE
“Retrieve research findings and other sources of information; critique research to judge its value and usefulness; evaluate the strength of evidence for application of research findings to clinical practice”
(NLN, 2010, p. 21).
2. “Translate research into practice in order to promote quality and improve practices” (NLN, 2010, p. 21).
3. “Systematically reflect on practice as a basis for the generation of new knowledge and innovation” (NLN,
2010, p. 21).
4. “Design quality research studies as appropriate”
(NLN, 2010, p. 21).
5. “Use databases for practice, administrative, education, and/or research purposes; document via electronic health records; use software applications related to nursing practice” (NLN, 2010, p. 21).
QSEN
EBP and Informatics
Knowledge
BP Participate effectively in appropriate data collection and other research activities
EBP: Read original research and evidence reports related to area of practice
EBP: Locate evidence reports related to clinical practice topics and guidelines
EBP: Participate in structuring the work environment to facilitate integration of new evidence into standards of practice
EBP: Consult with clinical experts before deciding to deviate from evidence-based protocols
EBP: Participate in structuring the work environment to facilitate integration of new evidence into standards of practice
Informatics: Seek education about how information is managed in care settings before providing care
Informatics: Apply technology and information management tools to support safe processes of care
Informatics: Use high quality electronic sources of healthcare information
Informatics: Navigate the electronic health record
Informatics: Document and plan patient care in an electronic health record
Employ communication technologies to
MASS
EBP and Informatics
Knowledge
EBP Critiques research for application to practice
EBP Participates in data collection and other research activities
EBP Adheres to Institutional Review Board
(IRB) guidelines
EBP Bases individualized care on best current evidence, patient values, and clinical expertise
EBP Locates evidence reports related to clinical practice topics and guidelines
EBP Applies original research and evidence reports related to area of practice
EBP Contributes to the integration of best current evidence into microsystem practices
EBP Facilitates integration of new evidence into standards of practice, policies, and nursing practice guidelines
EBP Uses current evidence and clinical experience to decide when to modify clinical practice
Informatics Discusses the principles of data integrity, professional ethics, and legal requirements
Informatics Maintains privacy and confidentiality of patient information
Informatics Describes ways to protect data
Informatics Recognizes and responds to viruses and other system risks
Informatics Maintains the integrity of information and access necessary for patient
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Knowledge and Science: Knowledge Apprenticeship coordinate care for patients
Informatics: Respond appropriately to clinical decision-making supports and alerts
Informatics: Use information management tools to monitor outcomes of care processes care within an integrated computer-based patient record
Informatics Provides input to the design, selection, and application of information technologies to support patient care
Informatics Works in interdisciplinary teams to make ethical decisions regarding the application of technologies and the acquisition of data
Informatics Individually, or as a member of a group, uses information effectively to accomplish a specific nursing purpose
Informatics Uses information technology to enhance own knowledge
Informatics Applies technology and information management tools to support safe processes of care and evaluate impact on patient outcomes
Informatics Accesses, enters, retrieves data used locally for patient care (e.g., uses Health
Information Systems, Care Information
Systems for plan of care, assessments, interventions, notes, discharge planning)
Informatics Uses database applications to enter and retrieve data
Informatics Uses an application to enter patient data (e.g., vital signs)
Informatics Uses an application to plan and document patient care
Informatics Assess the accuracy of health information on the Internet
Informatics Uses and evaluates information management technologies for patient education
Informatics Demonstrates proficiency in: a) Concepts of information & communication technology (ICT)
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Knowledge and Science: Knowledge Apprenticeship b) Using the computer and managing fles c) Word processing d) Spreadsheets e) Using databases f) Presentations g) Web browsing and communication
Informatics Extracts selected electronic resources and integrates them into a professional knowledge base
Informatics Evaluates information and its sources critically and incorporates selected information into his or her own professional knowledge base
Informatics Seeks education about how information is managed in the care setting before providing care
Informatics Performs basic troubleshooting when using applications
Informatics Accesses needed information effectively and efficiently
Informatics Uses sources of data that relate to contemporary standards of practice and patient care
Informatics Uses appropriate technologies in the process of assessing and monitoring patients
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Knowledge and Science: Knowledge Apprenticeship
Apprenticeship:
Knowledge and Science
1. Value evidence-based approaches to yield best practices for nursing” (NLN, 2010, p. 22).
2. “Appreciate that each and every nurse bears some responsibility to advance nursing knowledge and the science of nursing” (NLN, 2010, p. 22).
3. “Maintain a questioning mind and spirit of inquiry; be open to new ideas and approaches” (NLN, 2010, p.
22).
Ethical Comportment/Attitudes Apprenticeship
QSEN
EBP and Informatics
EBP: Value the need for ethical conduct of research and quality improvement
EBP: Value the concept of EBP as integral to determining best clinical practice
Informatics: Value technologies that support clinical decision-making, error prevention, and care coordination
Informatics: Protect confidentiality of protected health information in electronic health records
Informatics: Value nurses' involvement in design, selection, implementation, and evaluation of information technologies to support patient care
EBR: Value the need for continuous improvement in clinical practice based on new knowledge
Informatics: Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills
EBP: Acknowledge own limitations in knowledge and clinical expertise before determining when to deviate from evidence-based best practices
EBP: Appreciate strengths and weaknesses of scientific bases for practice
MASS
EBP and Informatics
EBP: Appreciates strengths and weaknesses of scientific bases for practice
EBP: Values the need for ethical conduct in practice and research
EBP: Values the concept of EBP as integral to determining best clinical practice
EBP: Appreciates the importance of accessing relevant clinical evidence
EBP: Appreciates that the strength and relevance of evidence should be determinants when choosing clinical interventions
EBP: Questions the rationale of supporting routine approaches to care processes and decisions
EBP: Values the need for continuous improvement in clinical practice based on new knowledge
EBP: Acknowledges own limitations in knowledge and clinical expertise before seeking evidence and modifying clinical practice
Informatics: Recognizes that health computing will become more common
Informatics Appreciates the necessity for all health professionals to seek lifelong, continuous learning of information technology skills
Informatics Appreciates own role in influencing the attitudes of other nurses toward computer use for nursing practice and education
Informatics Values the importance of nursing data to improve nursing
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Knowledge and Science: Knowledge Apprenticeship practice
Informatics Values the importance of technology on patient care
Informatics Values the privacy and confidentiality of protected health information in electronic health records
Informatics Values nurses’ involvement in design, selection, implementation, and evaluation of information technologies to support patient care
References
Creativity and connections building the framework for the future of nursing education and practice: The future is now. A Report from the
Statewide Summit November 19, 2010 in Devens, Massachusetts. Retrieved from http://www.mass.edu/currentinit/documents/Nursing/2010-
11CreativityAndConnectionsProceedingsPressQuality.pdf
National League for Nursing. (2010). Outcomes and competencies for graduates of practical/vocational, diploma, associate degree, baccalaureate, master’s, practice doctorate, and research doctorate programs in nursing. NLN.
Quality and Safety Education for Nurses (2007 Competencies. Retrieved from www.qsen.org
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