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Judith J Warren

Publications and source records attributed to Judith J Warren.

7 recordsLinked to original sources
PubMed2006

Guideposts to the future--an agenda for nursing informatics.

As new directions and priorities emerge in health care, nursing informatics leaders must prepare to guide the profession appropriately. To use an analogy, where a road bends or changes directions, guideposts indicate how drivers can stay on course. The AMIA Nursing Informatics Working Group (NIWG) produced this white paper as the product of a meeting convened: 1) to describe anticipated nationwide changes in demographics, health care quality, and health care informatics; 2) to assess the potential impact of genomic medicine and of new threats to society; 3) to align AMIA NIWG resources with emerging priorities; and 4) to identify guideposts in the form of an agenda to keep the NIWG on course in light of new opportunities. The anticipated societal changes provide opportunities for nursing informatics. Resources described below within the Department of Health and Human Services (HHS) and the National Committee for Health and Vital Statistics (NCVHS) can help to align AMIA NIWG with emerging priorities. The guideposts consist of priority areas for action in informatics, nursing education, and research. Nursing informatics professionals will collaborate as full participants in local, national, and international efforts related to the guideposts in order to make significant contributions that empower patients and providers for safer health care.

Forecasting↗
PubMed2006

Teaching undergraduate nursing students critical thinking: An innovative informatics strategy.

Simulated e-Health Delivery System (SEEDS) uses a clinical information system (CIS) to teach students how to process data from virtual patient case studies and work with information technology. SEEDS was developed in response to the Institute of Medicine recommendation that students be taught about information systems in order to improve quality patient care and reduce errors. Curriculum implications, implementation of the system, and technology challenges are discussed.

Curriculum↗
PubMed2006

Practical definition of SNOMED CT concepts: The case of education, advice and counselling.

Rigour is needed in the construction of health terminologies to avoid introducing ambiguity and error into clinical records. When two large scale terminologies (SNOMED RT and Clinical terms Version 3) were merged to form SNOMED CT) a number duplicate and ambiguous concepts were introduced. The SNOMED nursing working group was tasked with producing a draft editorial policy to resolve duplications and ambiguities in terms related to education, advice and counselling. Consultation and input from two opportunistic workshops resulted in a draft policy that was tested before being approved for use. Education and counselling were identified as different concepts but the consensus view was it was not possible to differentiate between related concepts such as advice about, teaching and training in a way that will allow unambiguous use in practice. Expansion of existing working groups and improved communications infrastructure will support more widespread clinical input to SNOMED CT maintenance and updating.

Counseling↗
PubMed2005

Bedside, classroom and bench: collaborative strategies to generate evidence-based knowledge for nursing practice.

The rise of evidence-base practice (EBP) as a standard for care delivery is rapidly emerging as a global phenomenon that is transcending political, economic and geographic boundaries. Evidence-based nursing (EBN) addresses the growing body of nursing knowledge supported by different levels of evidence for best practices in nursing care. Across all health care, including nursing, we face the challenge of how to most effectively close the gap between what is known and what is practiced. There is extensive literature on the barriers and difficulties of translating research findings into practical application. While the literature refers to this challenge as the "Bench to Bedside" lag, this paper presents three collaborative strategies that aim to minimize this gap. The Bedside strategy proposes to use the data generated from care delivery and captured in the massive data repositories of electronic health record (EHR) systems as empirical evidence that can be analysed to discover and then inform best practice. In the Classroom strategy, we present a description for how evidence-based nursing knowledge is taught in a baccalaureate nursing program. And finally, the Bench strategy describes applied informatics in converting paper-based EBN protocols into the workflow of clinical information systems. Protocols are translated into reference and executable knowledge with the goal of placing the latest scientific knowledge at the fingertips of front line clinicians. In all three strategies, information technology (IT) is presented as the underlying tool that makes this rapid translation of nursing knowledge into practice and education feasible.

Cooperative Behavior↗
PubMed2003

Where is the nursing in SNOMED CT? CTGFN has the answer!

The SNOMED" micro CTGFN (Convergent Terminology Group for Nursing) is a working group reporting to the SNOMED International Editorial Board. They are charged with ensuring a terminology supportive of nursing's requirement for describing patient care. The strategies utilized for nursing content follow.

Humans↗
PubMed2002

Information model and terminology model issues related to goals.

Goal statements are a significant component of structures that support the process of health care delivery such as practice guidelines, standards of care, critical pathways, disease management plans, patient education plans, and nursing care plans. Although these structures are increasingly computer-based, there has been little attention to the formal representation of goal statements. This is a necessary prerequisite for enabling semantic interoperability. Existing and evolving information model and terminology model standards offer some approaches that may be applicable to goal statements, however, a number of issues require resolution

Goals↗