Knowledge management and IT for Nursing

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Knowledge management and IT for Nursing

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David Snowden ???????????????????? 2???

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• ??? ??????? (SECI)
• - Socialization
• - Externalization
• - Combination
• - Internalization
• ??????????? ???? Complex Knowledge and Organic
  Knowledge- ????????? Chaos Theory, Complex
  Adaptive System

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KM and

• ?????? ?????? ???????? Search engine
• ??????? ???????- ICNP?????????????????????
• ????????????? Internet, email
• ??????????????????????????????- Weblog, chat room

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GLOBAL ALLIANCE FOR NURSES AND MIDWIVES

• WHO website httpmy.ibpinitiative.org/GANM
• E resource for health information
  http//my.ibpinitiative.org/l.axd?i73f2

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KM

• ????????? ??????????- Cohcran Data base
• ????????????????- Research
• ??????????????????- IT application
• ????????????????????????- Lesson learned

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IT for KM

• Communication
• Data Bases
• Data Mining

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Communication ??????????
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DATA BASE
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DATA , INFORMATION and KNOWLEDGE

• Data ???????????????????????????????????????
• Information ???????????????????????????
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• Knowledge ?????????????????????????????
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  ??????

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Data
Information
Knowledge
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  ????????? ??????????? (Werluy et al. 1995)
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ITEMS

• There were patient hospital number, name, medical
  diagnosis, referral, admission date,
  patient/family history, sex, laboratory tests,
  discharge/expired date, condition before
  discharge, nursing outcome, nursing problem,
  nursing intervention, and admission order
  consequently. (ID,refer,equipment etc.)

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Research

• Nursing Minimum Data Set ( Ministry of Public
  Health 1997, Phuphaibul et al. 1999, Yeekian and
  Baramee 2004)
• 23 list of NMS (1999)
• Not complete NMS 99.2 (2004)
• - General inf. Incomplete 60.5
• - Administration inf. Incomplete 98.1
• - Nursing inf. Incomplete 6.1
  
• Success rate of ICNP codes application 80.5-99.2
  (2004)
• Pain is the most identified Nursing
  Dx.(1999,2004)

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DATA MINING

• Retrievable data
• Report
• Research

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ICNP
AN INFORMATION TOOL
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Thailand ICNP development

• Thai Nurses Association
• Nursing Division (Institute) , MOPH
• Nursing Informatics Society of Thailand
• Nursing Council of Thailand
• Nursing Education
• SIG
• Nursing Services
• etc.

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ICNP development in Thailand

• Apply ICNP version 1 in about 60 standard care
  plan
• Guideline should come out in Feb 2008

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Communities of Practice (CoP)

• Definition
• The term Community of Practice (CoP) was first
  coined by Etienne Wenger, who CoP as those
  communities that are formed by people who engage
  in a process of collective learning in a shared
  domain of human endeavour (Wenger 2004).

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The CoP Knowledge Cycle and Continuous
Improvement
Lou Compernolle, KCS/KMS/EIP Christopher Bailey,
KCS Coodinator version 2 (14/4/05)
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Hard Tools

• Information and communication technologies (ICT).
  
• Websites or homepages

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Hard Tools to facilitate (1)

• Blogging has the potential of being a more
  organic way to build communities.

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Hard Tools to facilitate (2)

• Bulletin Boards
• Community management tools
• Expert directories connect people,

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Hard Tools to facilitate (3)

• Repositories for information artefacts, relevant
  the community, including documents, meeting
  notes, strategies, literature.
• Virtual discussion spaces for online discussions
  and information sharing, and responding to
  questions and answers.
• Synchronous electronic collaboration rooms to
  allow the visual sharing of information during
  for example a teleconference.

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Soft Tool (1)

• Soft tool mechanisms to increase and enhance the
  sharing and learning within CoP
• After Action Reviews take place immediately after
  an event, project or activity. The main purpose
  is learning by talking and thinking about a
  completed activity or project and thus state
  lessons learned and understand the process.
• A retrospect is an in depth discussion which
  happens after the completion of an event to
  capture lessons learned during the entire
  activity, thus capturing process.
• Knowledge competencies (self assessment) are used
  to analyse learning needs and discover optimal
  learning relationships with each other.

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Soft Tool (2)

• Mentoring.
• Narration/Story Telling
• Peer Assist

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Soft Tool (3)

• Small meetings, discussion groups and forums.
• Performance Improvement Models
• (CIDA 2003, MAQ 2004, Wenger et al. 2002, WHO
  Draft KCS Strategy 2005)

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WHO CoP through Ellimunate Live from U.S.
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?????????? KMI

• Knowledge is to use, to consume ????????????????
  ????????????????
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• Knowledge ???????????? ???????????????? (Enable)
• KM ???????????????? Synergy
• ????????????????????? ????????????????????????????
  ???
• KM is a journey, not a destiny.

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• IT ????????????
• ???????????????????? ?????????????????????????????
  ?????????????????? ?????? IT ???????????

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CONTINUING TO WORK TOGETHER WITHIN THE GLOBAL
NURSING COMMUNITY
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Discussion