CLICK HERE FOR BLOGGER TEMPLATES AND MYSPACE LAYOUTS »

Tuesday, February 24, 2009

Module 5

As I looked through the website, I was fascinated to see what grants are available for research. This site allows you to research the latest findings in diseases, patient improvements and also electronic monitoring systems. It also allows you to look back at past reviews and also to see what is happening now. If you are working on a dissertation or research project, it gives you the information about funding. This information and website is a lot of what we have been learning about, such as providing patient safety, quality, affordability, and allowing access to healthcare services. It also gives information on emergency preparedness for communities. Health care information system provides an increase in patient safety as well as a continuity of care. The design is to facilitate hospitals and outpatient services to increase there technology to improve patient safety.

Monday, February 16, 2009

Module 4

How did the readings influence your perception of your own clinical decision-making?

When reading these articles it increased my knowledge of what exactly it means to have clinical decisions in support systems. I was familiar with a few programs, but according to the article by Jane Anderson, she stated that you cannot base your decisions on knowledge and passed experience to treat and diagnose patients. You need to have knowledge-based evidence in the aid of diagnosis and treatment, these systems aid with a knowledge base information to apply evidence based recommendations at the point of care. CDSS software is essential as the clinical decision making process. (Anderson, 2008)This software can be used as a reference and perhaps a safety net that assists with diagnosis for consistency and guidance.

How do we reconcile the value of nursing experience with known heuristics and biases used in human decision-making?

According to the article, Judgment under uncertainty: Heuristics and Biases, it stated that people rely on a limited number of heuristic principles which reduce the complex tasks of assessing probabilities and predicting values to similar judgmental operations.(Tversky, Kahneman, 1974) These can be very useful but they can also lead to severe systematic errors. There are three heuristics that allow us to make judgments, which are representativeness, availability, and adjustment from an anchor. For representativeness, if people evaluate probability by representativeness, other prior probabilities will be neglected. This system uses probabilities like, what is the probability that object A belongs to group B? These groups base their decisions that A represents B. Availability is such that one might assess the risk of cancer among older people by recalling such occurances among one's acquaintances. This can be a useful clue in assessing probability because instance of large classes can usually be recalled better than small classes. By realizing only on availability can cause biases. As nurses, we tend to stereotype and predict an outcome according to our experiences and judgments.

How does nursing data quality relate to decision support?


Data quality is essential in assisting with decisions support. It allows one to have knowledge-based information and assist in correlating the symptoms and research into their practice. These systems allow for patient characteristics with knowledge base to generate recommendations for point of care. These are termed evidence based adaptive: moreover, these systems show promise as a means for bridging the gap between evidence and practice. (Anderson, 2008) These systems represent the decisions of human experts. The nurse is an active decision maker and by using CDSS, allows an increase in interdisciplinary communication. You can identify the management of certain diseases and conditions and improve care and consistency.

Sunday, February 1, 2009

Module 3- My Multiple Intelligence Test Results….

Wow, what an interesting test. My results showed that my highest intelligence strength was Interpersonal. This is exactly me. I try to look at the perception of others and how they feel. I try to understand everyone personally and their behaviors. This is probably why I went into the medical field. I can interpret moods from facial expressions as well as body language. I enjoy being there for others. I was not too impressed with the results, because I know that this is me. My number 2 strength was Intrapersonal. This means self-awareness. This to defines me close. I am able to recognize change with in me and to do what needs to be done to get it finished. I am self aware of my problems and things around me.
What technologies might I incorporate to augment my personal learning based on these results?
I am a visual person. The technologies I want to incorporate are videos, face to face teaching, if possible. I usually can understand and comprehend easily, if I am able to actually perform it, and figure it out, or have a demonstration first.