Dikw Framework Paper

Nursing Knowledge: Big Data Research for Transforming
University of Minnesota, School of Nursing, Center for Nursing Informatics
August 12 – 13, 2013
Developed by: Susan A. Matney, MSN, RN-C, PhD(c), FAAN
Nursing Knowledge Model
A. Data, information, Knowledge, Wisdom (DIKW) Framework
 The Data, Information, Knowledge, Wisdom (DIKW) framework is one of the core conceptual frameworks for the practice of nursing informatics. However, in order for the framework to be effective, nurses must define knowledge, within electronic health records, to accurately capture the context of nursing practice. o Nursing overview of the DIKW framework can be found in:
 American Nurses Association. (2008). Nursing informatics: Scope and standards of
J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. ANS Adv Nurs Sci, 34(1), 6-18.
 Bernstam, E., Smith, J., & Johnson, T. (2010). What Is Biomedical Informatics? Journal of biomedical informatics, 43(1), 104-110. B. Knowledge
 Nursing actions are based on the interrelations between the concepts used in nursing. Decisions are based critical thinking which is guided by knowledge. It’s pertinent that we provide information and knowledge for nurses to use during the process of care. Nursing knowledge has been referenced since the onset of nursing, therefore, how knowledge is defined and how it is represented in EHRs is cited here: o Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in Knowledge Translation: Time for a Map? J Contin Educ Health Prof, 26(1), 13-24. doi: 10.1002/chp.47 o Roberts, D. (2012). Representing Nursing Knowledge in Electronic Health Records. Nursing management, 43(8), 12-14.
C. Information Models useful to Nursing
 Current Care Plan Model Initiatives (note that they are trying to communicate and play in the same sandbox, but it’s
Documents and information can be found at: http://wiki.siframework.org/Longitudinal+Care+Plan+SWG+Charter o HL7 Patient Care Committee is creating a domain analysis model http://wiki.hl7.org/index.php?title=Care_Plan_Project_2012.
 Nursing Information Models in practice: o Goossen, W. T., Jonker, M. J., Heitmann, K. U., Jongeneel-de Haas, I. C., de Jong, T., van der Slikke, J. W., & Kabbes, B. L. (2003). Electronic Patient Records: Domain Message Information Model Perinatology. Int J Med Inform, 70(2-3), 265-276. o Goossen, W. T., Ozbolt, J. G., Coenen, A., Park, H. A., Mead, C., Ehnfors, M., & Marin, H. F. (2004). Development of a Provisional Domain Model for the Nursing Process for Use within the Health Level 7 Reference Information Model. Journal of American Medical Informatics Association, 11(3), 186-194. o Goossen, W. T. F., Park, H.A., Mead, C., Ozbolt, J., Ehnfors, M., Marin, H. (2003, July, 2003). Development of a Tentative Domain Model for the Nursing Process for Use within Health Level 7