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Week 2: Wisdom Versus Judgment

Week 2: Wisdom Versus Judgment

How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgment? What is DIKW and how do you “use” it in your practice?

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I am a school nurse so I would think how I use this in my practice is signs and symptoms of illness of students that come in to the school clinic.

Something like this?
Child in school clinic for difficulty breathing after running in PE with a history of asthma
• Data – Pulse Ox (Oxygen saturation) vital signs for an individual’s heart rate, respiration, temperature, blood pressure, and lung sounds
• Information – Pulse Ox and a serial set of vital signs taken over time along with lung sounds
• Knowledge – recognition of a pattern and identification of interventions reflects information synthesis (knowledge) based on nursing knowledge and experience. If child is improving to a stable level or becoming unstable ( beginning of respiratory distress, continue to watch O2 levels and pulse and respirations
• Wisdom – accuracy of the synthesis of information and appropriate selection of interventions which would be to administer a breathing treatment per doctors order on file, or school protocol, if child is becoming too unstable and needs 911 to be called

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