Nursing Informatics and the Foundation of Knowledge



good afternoon my name is Jen survey and I want to welcome you to today's webinar nursing informatics in the foundation of knowledge today we'll hear from authors D McGonagall and Kathleen master Ian as they discuss what's new in the fourth edition of their textbook as well as how you can use this text book to teach nursing informatics in your course as well also as part of the presentation we're joined by Liam Butler he is one of our etcs here at Jones and Bartlett learning and he'll conduct a brief product demonstration that will give you an overview of navigate to premier access this is a digital course that is included free with each new copy of the textbook and it's also available for purchase separately too so at this time I'd like to welcome both D and Kathleen and going to turn it over to them well hello this is the McGonagall I manage the virtual learning experiences at Chamberland College of Nursing and I'm excited to be here with you today Kathy hi I'm Kathy mast Rhian and I'm an associate professor and the program coordinator for Penn State University and I've been teaching nursing informatics for over 15 years in fact Dee and I were the folks who first created the very first nursing informatics course at Penn State University and it has grown to quite the extensive program here and we now have a nursing informatics certificate that Dee and I also wrote together so when we created the book we wanted to will tell you a little background about this well Dee and I wrote the original course it was a nursing elective d what do you think the late 90s mid to late 90s Williams um there was no book there was no book on the market nothing that could do what we wanted it to do and so after struggling to teach the course for a number of years and using pieces of information that we pulled from libraries and the internet and so forth we finally decided you know what maybe we should write our own book and so that's kind of how the book was born on Dee you want to tell them a bit about the purpose of the book well I think really we we saw our students struggling with the ability to put the concepts together and understand what nursing informatics was and as instructors you see your students come in and they want to learn the clinical portion they want to learn the hands-on and they see informatics sometimes as fluff depending on where they are in their programs and a lot of times if they don't get the basics they get the underpinning they don't understand what the purpose of informatics is at that point because depending again where they are they don't have the hooks to hang any of that knowledge or information on when you give it to them so we wanted to have a textbook that was from A to Z for nurses who are practicing you need informatics implement information for student nurses who are just learning so they understand what informatics is and how it's being integrated in all settings in nursing and we also wanted to help nurse educators as well to be able to teach nursing informatics at a higher level the audience for the textbook really ranges as I stated from undergraduate all the way through DMP PhD and of course practicing nurses we want people to understand what informatics is for them for their studying how it applies to their patients what they need to know because you know implement is so important today and people are recognizing it as a specialty but I still come across nurses who don't know what it is or have never heard of it and this is Kathy we as I mentioned at Penn State we have a three-course series that constitutes a nursing informatics certificate the first course in the series is required of all undergraduate nurses and then the other two are nursing electives but if a nurse chooses to earn a certificate then they have the opportunity to take the the more advanced courses and just this year I developed a separate graduate level course for our DMP students in health informatics because they really wanted one that was a little more robust more at the graduate level but interestingly it covers the entire textbook and it actually it actually covers you know the basics as well as the more advanced concepts for nursing informatics and the students are are quite enthralled with it because they do begin to appreciate the transformative effects of informatics the pedagogy of the text as typical introduction chapter objectives key terms but we like to increase the knowledge base and provide research briefs a little bit of case study to give the students a flavor of how this is integrated how people are using it and and what they can do what types of skills and knowledge are necessary also the summary and I know students are up top with the nursing informatics techs really enjoy the thought-provoking questions as do educators that I speak with frequently they really like the way that it gets the students thinking critically about the content of each chapter one of the unique features of this text and this has been true since the very first edition is the foundation of knowledge model and we emphasize in this in the text and throughout the text the fact that nurses are knowledge workers they work with knowledge they use knowledge they create knowledge they disseminate knowledge and we've talked about organizational knowledge management and we talked about how informatics can be used to build the body of nursing knowledge so this is this is critical a critical concept and it's based on our find that foundation of knowledge model here that you see to the right of the slide and many times throughout the text we refer to the foundation of knowledge model in terms of how they're fit with the whole the key concepts with of Informatics and new in this in this edition of the book is really featuring the informatics competencies now we talked about informatics competencies before in the previous editions but this time we actually featured them actually paid to have them be a part of our book the included in the book and then we took the competencies bs through doctoral level and we mapped them to the table of contents in the instructor manual because one of the things that reviewers had asked for was to have this mapping done and so we are we have provided that in this new edition of the text continuing on with the overview I think moving from the basic to the complex really helps the students also looking at the novice through the innovator level of competency so we're moving from level one all the way to level four in nursing informatics and again starting with the building blocks letting them understand there's a little bit of computer science information sites where where does all this start where did it come from and how are we acknowledge our Lea knowledge workers how are we to able to implement this and integrate this and use this in our practice so we talked about nursing informatics of the specialty we discussed workflows we look at how we're going to data mine how and we have the big data sets we have all this information so what do we do with it how do we get it how do we look at trending patterns you know how do we find what's going on with our with our patient as a microcosm against the macrocosm of our other patients experiencing the same disease identities and such for evidence based practice and so forth translational research we look also at the art of caring in technology Lading environments and what that means because nursing still in my mind is an art and I think we each use our own flavor our own skills our knowledge and our and our own experiences to flavor the care that when the art of Nursing the care we give we provide and I'd like to just chime in one more second on that on that overview slide and that is that one of the key features of this textbook is that it deals with practice informatics in practice it deals with informatics in education and it deals with informatics in research and I think that's absolutely critical because sometimes those other pieces are forgotten about and dimension data mining and certainly for the administrative aspects of nursing practice data mining is huge to be able to to take a look at what's really going on in within that organization so it's not just data mining for improving patient care but it's also data mining for for improving the organization as a whole and you'll hear about this concept a lot more in the coming years and that is that whole idea of the learning healthcare organization so in the fourth edition we did update all of the chapters of course based on technological advances and changes to the healthcare arena now the interesting part about writing an informatics textbook is that there are pieces of it that are updated almost immediately or need updated almost immediately so what we try to do is not be so specific that that the content is out-of-date but we provide the concepts we provide the background and so forth so that the text does remain relevant for a period of time and one of the things that Dee and I have talked about adding to thee to the website is what's new so anything new that comes out we can actually write a small article about it or even link to the news story and have that available for example just this past week I I put up a news story in my graduate informatics course because the College of Information sciences and technology and the College of Liberal Arts that held this the Geography Pro Grahame those two groups were binding together and they were creating a mapping tool for for use in crowds so crowdsourcing information in terms of being able to manage disasters or issues that would happen in a crowd and they practice at Penn State football games and print state basketball games and they were practicing this past weekend at the Penn State Marathon because their crowds they're together and so what they're doing is creating this mapping software so I was able to share with my students that that very practical use of informatics and certainly a multi-discipline areas of informatics the other thing that Cathy and I decided to do also was to rely on experts and we have an expert who will continue to update the beyond meaningful use since that's a hot topic and impacts everyone so we will be its Rock a year they will be updating that content as more and more information comes out and more more knowledge is gained one of the other things that you'll find different in the fourth edition is it is a full-color edition now and there are lots more illustrations than we're in the previous editions and we did revise the patient safety chapter to really encompass patient engagement and connected health and in the overview of nursing informatics chapter we also went back and provided a history of nursing informatics and the NI pioneers as a way of getting students sort of interested in where this all come from and how did it happen because it is it is relatively new if you if you think about it in terms of Nursing as a whole and we spent a lot more time on the D ikw paradigm as well because that's something that students don't seem to be able to grasp very easily and so we spent a lot more time in the textbook explaining that and and what it actually means for nursing informatics the other thing that we've expanded on a little bit is cloud computing people get confused about what that is and it seems mysterious to everyone's we wanted to make that look at some clarity around that make that a little clearer for our students and security is a huge issue and we know especially with bringing your own devices to work and the new tunneling that's being done where they can actually secure an individual's device a waif and keep it secure from the institution's information so we wanted to look at some of the different things that they're being done in security too because that's a whole area that that we all need to be vested in not only for our patients information and well-being but also for our own since we're employees and what information can be accessed from our files the other thing that we always are in a quest for of course is standardized terminology you know how do we speak the same language so we can do the research and look at the same data in the same way interoperability continues to be an issue in this day and age where we're still not speaking to one another and some and some organizations based on the electronics in the and those systems that they have in place the reimbursement systems I talked about we're going to have an expert update us on and keep us updated that's a whole new changing thing right now that's being implemented and looked at and trying to make several ones trying to make sense of it accountable care organizations and learning healthcare systems are another way to look at what's happening in health in our whole healthcare delivery system as a whole so I think that the new text has really expanded on some really hot topics as well the ancillary materials that we provide I spent a lot of time this summer updating the instructor manual he did all the presentation slides she created all of the slides for each chapter which were which are absolutely wonderful so with this window you actually get um PowerPoint slides for every chapter and in addition to that you get extensive learning activities we we are really all about active learning and collaborative learning and so we provide lots of pointers in terms of of what you can do how you can get the content across because this course is really not a course that lends itself very well at least in my opinion to to testing I mean you can certainly test on on basic concepts and we do provide you with 30 questions per chapter a comprehensive midterm and a comprehensive final but we spend at least I do in my courses and I think these are things I really like to see my students in active learning activities and so there are lots of suggestions for discussion forums there are are lots of suggestions for learning activities within within the ancillary material I also looked around and found some internet-based videos that I like for example there are some couple of really good ones on interoperability and so you'll find links or references to those videos also within the within the ancillary materials the competency-based self assessments are absolutely huge and this for for me and when I teach the informatics course I have the students do a competency based self-assessment and then set some goals for themselves and then I can link them with tutorials or things that they might want to do while they're in the course and so that's very helpful as well and as I mentioned earlier we did map the content to the current ni standards and then just a few weeks ago I sat down and created a cross map for the third addition table of contents to the fourth addition table of content so that if you're updating a course if you were using the third edition and you're updating a course this should really create for you a very easy transition and the reason I wrote it is because I have four courses out there that are all need to be mapped to the new tax beginning for summer as soon as the as soon as the text is released now will I'm going to take one just quick second just to brag for a moment addy and I are also the authors of a textbook called teaching with technology tools for the learning age and so and then it was actually an AJ an award winner several years ago it was published I think 2010 and so a lot of our ideas about learning activities come from and are showcased you know in that book so if you're interested in a good pedagogical read you might want to think about that that's also published by Jones and Bartlett I'll take the first law here how we use the text I used it in undergraduate as well as graduate courses as I said for novice sources people who have nurses who have never heard of Informatics it's great to start with the building blocks and the introduction to nursing informatics so they understand what it is what it means and also how to use it the D ikw pathway for data information knowledge and hopefully to wisdom we know your knowledge exists everywhere we can learn we can learn from people we can learn information but the wisdom comes from with them and it's how we apply it so we could we discuss that in the textbook as well and I think that's important for people to understand because we process through D I kW constantly but never realize that we're doing it and when so for us to teach someone else how to do it we really need to break that down and show them how we're gaining you know how we're at getting getting the data how are we looking at that data and possibly to create information and so forth also integrating in all of the areas of Nursing as Kathy mentioned administration research education nursing firm attics is throughout everything we know throughout our personal personal lives as well but we need to look at that integration for nursing informatics and what you know what does it mean for us and then the competencies you know where are students at when they come in not everybody's at the same place so the competencies and doing the self-assessment really helps them to focus on what they need from the course and I think that's huge yeah and this is Kathy I think I've I mentioned already that I do use it in four different courses and the first is the intro to informatics and it's just a general overview of informatics and so we cover you know of course the building blocks and we cover some of the basic practice applications and so forth the second course is ethical conscience managing private information and there are lots of great exercises where students are actually doing case based and analyses of ethics issues related to managing private information and of course in that course we also emphasize the HIPAA regulations the high tech Act and and then we so we focus primarily on chapters 5 & 8 in the new text and then the third course in the undergraduate level is advanced concepts that's where we talk about uh nursing informatics role data mining the bioinformatics the system development lifecycle organizational knowledge management and those kinds of more advanced concepts and then as I did mention I just this past summer wrote the comprehensive graduate level health informatics course which is specific to the DNP students or PhD students anybody in the in the Masters and and graduate level courses because they really don't have room in the curriculum to take a three-course series and so they needed a course that was much more comprehensive and and it's interesting because one assumes that more educated nurses might be more familiar with nursing informatics but for many of these students this is the first time they've ever even heard the terminology so so it's really been a great a great teaching experience for me as well and I know the other area that people are really looking to dramatics are the administrative tracks as well because they really want administrated ministers to understand what informatics means how they can use it not only for their role but also in making decisions about how they implemented in their institution students law that all of that term but most of student feedback that we receive is very positive they they think it's easy to read they think it's great to follow they get the concepts they understand the terms they really appreciate the definitions because they don't know what some of these terms mean so they're able to look them up see what they mean and then read the chapter with a little bit more and more knowledge if you go it also exposes them to new content and concepts as we said we we in informatics know informatics but we there are still people in nursing who don't understand what it means or have never heard of it which I know is hard to believe but that does happen right and I think that um Dee mentioned the glossary and the fact that the students really appreciate the fully defined terms in the glossary but in addition to that there is an abbreviations list as you know in healthcare we have a tendency to abbreviate things and it can be a little confusing and this is particularly true in informatics and so we did provide also a comprehensive list of abbreviations and and again just we know that what we'll be talking in the second faculty also loves the book because some faculty gets thrown in – or get assigned to teach an informatics course and they're not comfortable with the concepts themselves and so again we tried to create a comprehensive book and a comprehensive package that faculty could could get and get there wrap their head around and feel comfortable with the learning experiences that are provided for them and for its and for their students when we look at the integration of the model I think it helps people see the relationship of the concepts to actually visualize them and to internalize them somewhat and to forward think into that critical thinking zone if you will so I really think that that helps them in and the reviewers have been very complimentary on the model so that's exciting to us on the next two slides talk about some of the comments that the reviewers have made about the text and some of the feedback that we received but please know that if you are using our text and you are asked to review it we take these very very seriously because before we even begin to do a rewrite or an update of the new edition we take a look very carefully at what the reviewers said for example last time they asked for could you map the concept for us can you map the competencies to the contest make it a lot more specific and so we have done that in the ancillary materials they also asked for more with more illustrations and I think that's important that that we've really done that this time as well even though they thought it was an easy read they felt they wanted more more illustrations for their for their students so we've done that yeah and you can see what some folks said here about it we're not going to read these to you but against it I think the strengths again are the comprehensiveness of the text and also the comprehensiveness of the ancillary materials that we provide for you as well I like this comment this is like the Bible to introduction of nursing confer practice that one sort of made me smile when I when I read that one thank you I like the fact too that they felt it was well-organized because Kathy and I worked very hard to make it flow into it to make it easy for someone to assimilate so we really do work really hard to make it make sense if you will for everyone well there's a fun story to share from the first addition to the second addition and that is that when we sat down to begin to work on the second edition I called me and I said what were we thinking why did we put that chap there and why didn't we do somewhere else and so we really try to make it slow we really try to make it have some sort of a logical progression if you will so so hopefully we have accomplished that over the next two three additions two three and four so one of the things that Jones and Bartlett always asked us to talk about this but how is this text different from other things that are on the market I think that we have the basics as well as the advanced concepts and I think also the building blocks having fort having separate chapters on each of those building blocks a chapter on nursing science chapter on information and information science a chapter on computer science and also a chapter on cognitive science now we have had the cognitive science chapter since the very beginning since the very first edition and now just now you're beginning to see lots more talk about cognitive informatics and cognitive science and why it is so important in the build and design and usability of systems now that we're you know in the throes of the technology now that we understand a lot more of that how technology can disrupt workflow and so forth we talked a lot about the cognitive load of the users and so it's those those building block chapters are critically important for for students to get sort of wrap their heads around and how that is part a critical part of of informatics and in the more complexity with bioinformatics and the computational informatics aspects as well right well at you know as soon as we talked about personalized medicine you know two weeks later everybody's not calling it precision medicine and but I think our text is one of the first books to first text books in informatics and I think that we may still be the only one that has that comprehensive chapter on computational by all and what that means you know bioinformatics and what that means also the comprehensive instructor materials we hope they help you that we really hope to help you teach the course if you have any questions you know please feel free to reach out to us we've also added PETA which is so important is that pre-brief the enactment the debrief and the assessment those are just paramount when you're doing any type of educational activities so we've added those that we've added those demonstration assignments and we also you know still repeating that horse but we emphasize those Arsene competencies so students understand what level they are at where they might want to go with their competencies and what it means to be in nursing format assist versus Nava Certus order or an innovator so I think that's those are important concepts so this was just a fun little exercise here to create a word cloud related to the textbook because I thought to myself know how do they do that anyway and so you know what you google it that's how you find out how to do most things and it was kind of fun to do that so so here's our word cloud for the textbook Cathy's the creative one okay Jenna I think is Liam ready to talk about navigate – yes he is Thank You Kathy Thank You Dee for that very informative presentation and overview about your new textbook I know that we have a few questions that have come in via the chat for folks asking for a review copy and when they're able to get the fourth edition it will be out March 15th which is very exciting so at this point I am going to transfer the presentation over to Liam Butler he's our educational technology consultant and we will take a question answer if you have any questions about the textbook or you want to talk to Dean Kathleen a little bit more or if you'd like just a few questions answered about navigate – we're happy to do that so please everyone stay on the line and I'm going to hand it over to Liam so since because the fourth edition is not out yet and is not available what I'm showing you now is what the third edition looks like with and navigate to so you can get a sense in a preview of what you're going to get with it so navigate to with the fourth edition is a fully functional learning management system but it can also integrate with canvas and through blackboard and we do have documentation that we can provide to you if you're interested in doing that also as you can see here every course will come with the content preloaded for you but you do have the ability to come in here and you can customize your own content or add in your own topics and you can even very easily rearrange the chapters they haven't of course if you don't teach in the order of the book or that some chapters you don't teach you can go ahead and hide them or move them around if you need to you can very easily add in your own content just by dragging and dropping content from a folder on your computer right into the course so it's very customizable so I'm actually just dragging a couple files here into chapter 2 and you can see it's very easily uploads it for you and you can do multiple files at a time and you also get a full grade book through this for reports and grades that they find up here some instructor resources that you're going to get you will have the ability to add an activity or resource over here you can add in assignments you can also add in discussion forums those can be graded or ungraded and then you can also add here where it says navigate to assessments this is where you can go in and create your use the midterm final all the chapter quizzes that have been our questions I've been created for you can create that right through here and if you need to you can also link out to different websites and you also have the capability of embedding YouTube videos or other videos into the course as well if you want to add them directly into your course those a lot you can do to add into the course as an instructor you also find in the teaching tools up here this is where we're going to add in content like instructor resource guides or instructor or instructor manuals that are available they're also available in our instructor resources outside of the course but you can come over here and you get a lot of information some of them will have additional testing questions if we come back to the course students will get access to content like flashcards and the PowerPoint slides that we've added into the course they will also have in stron interactive lectures which aren't in here yet but in the fourth edition it is something new we're adding into the course so they can have interactive lectures that come in every chapter as well that students will be able to go through and those will have some questions for them to do as well and then we come over here and click on the e-book this is an example of what the fourth edition is going to look like so it just takes a moment for it to load here as you can see once the e-book loads up it looks exactly like the test pop the textbook can even turn the page like a textbook students and instructors will have the capability of adding in notes so if you want to add notes into the e-book you can certainly do that you also have the capability of sharing notes with your students as the lead instructor in the course so you do have the ability to either create notes for yourself or share them with your students students can only come in and create notes for themselves and then we've also added in animations into the e-book along with some other items so these animations are narrated but because the webex I'm not able to show the audio but you can see down here how long it is I'll go in full screen so you can kind of get an idea of that we have added a lot of animations into the e-book for your students to go through and it could come down here you can see examples of the different animations we have available for the students to watch and then in addition to the animations that we've added into the e-book we also have ebook quizzes that will be available in the fourth edition as well and students will be able to go in and take those eBook quizzes directly in the e-book and that will report a grade right into the grade book for the students so that is just a quick preview of navigate to but we do have the ability to do a full webinar with to go in more details of exactly how you can use it great thanks Liam that was a great preview and I know once the fourth edition of the navigate to premiere access is released it's going to be really robust and just to recap the interactive lectures and the e-book with the animations is a really great features of this product this is di we just like to tell there it was really nice to hear that she mentioned that she used our second edition when she was a new teacher let me just check on the chat we'll see if we have a few more people asking any other questions in the disk echo I know we have had a quite a few instructors who have messaged us separately saying that they have used the previous edition and they can't wait to get their hands on the fourth edition so they're excited for March 15 if anyone would like to learn more about the text or request a review copy you can simply visit the URL on the screen if you'd like to learn a little bit about navigate to and the product that Liam just showed you we invite you to go to JBL navigate comm / – you also see the kathleen we're very gracious in lending you their contact information if you'd like to follow up with them for any reason so Betty I'm just going to check back in with you and just see if we have any any questions Jennifer this is a stroll asked a great question or the quiz is imported into blackboard and I am not sure of that answer great yes I'm going to turn over to Liam and at the same time Liam maybe you can also address the Moodle integration as well certainly I can answer that question so there's kind of two parts to that we do have what I kind of mentioned before the integration with blackboard and what that actually will do is in the same thing we have with canvas basically you add in associate your navigate to course with your blackboard course so that when you click on the link within blackboard of canvas it will automatically log you and your students into your navigate to course and then from there you'll be able to access navigate to and use all the features that we have within the course and students won't have to log into two separate places so you can certainly do testing that way through blackboard now in terms of if we have a test Bank that can be imported into blackboard I'm sure that's something that our editorial staff would be able to look at and that's something that may be available within the instructor resources and we can certainly check on that for you in terms of Moodle navigate to is based on Moodle and so I'm certainly sure that's on the we can work with you in terms of if we need to get something imported into your course in terms of a test Bank but once again that's one what to check with a tutorial on if that's a resource that's going to be created yeah Jen this is Kathy I was just thinking that that folks who are currently using the third edition is there a way that we could provide for them access to that cross map that I did between the tables of contents for the third to the fourth edition yes absolutely we could make that available to anyone who's on the call today for sure okay because I see quite a few people enlist in the chat that have been using the third edition and it's a huge help to have that cross map all in one place yes that's referred to also as it the transition guide to maybe okay sure I can make sure that we send that out to the attendees now not a problem at all and I think Liam just a few another question about integration we also had a question about integrating with desire2learn d2l in terms of the integration like I mentioned with blackboard in canvas we currently don't have it with d2l it is something that may be available down the road but we do have a lot of our instructor resources which are available for you to add into your course it just would have to be done separately you know or it's in order to access some of the resources like the e-book students would want to log in directly through JP learning comm to get access to that one other thing I'll just mention as well as we do have an app for the e-book that students can download and sign in to so that's another way they'll have access to the e-book as well great thanks Liam I know that we've got a couple questions too about the instructors manual that's actually a resource that's located within the navigate to platform just for those of you who asked that question too I think that we grab just about all the questions there I'm just going to turn it over to Dee and Kathy if they want to close out the presentation or give any parting words I would just like to thank everyone who attended and we're very excited about the new edition and I hope you will be too and this is Kathy all act certainly echo those sentiments I I hope that you're excited about the new edition I know I'm excited to be using it in my courses as well Thank You D Thank You Kathleen for your time today and further conducting such a great presentation for our audience and that Liam thank you for the navigate to presentation this concludes our webinar today I want to thank everyone again for attending and have a great night in a great rest of the week

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