Nurse Leader as Knowledge Worker.

Abstract
Background: The HITECH act’s financial incentives and meaningful use mandates have resulted in
unprecedented rates of EHR and CDSS adoption. These systems are premised on evidenced-based guidelines,
the standardization of care, and the reduction of subjective clinical decisions. Nurse Leader as Knowledge

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They are designed to record
clinical events, synchronize the efforts of care teams, facilitate the exchange of information, and improve the
control and design of clinical processes. Knowledge workers are challenged to assimilate these changes into a
deliberative and autonomous style of practice.Nurse Leader as Knowledge Worker.
Aims: The study examined the impact of a CDSS implementation on nurses’ perceptions of their ability to
perform aspects of knowledge work and on the nursing practice environment. Nurse and clinical unit
characteristics were examined to identify those that predicted outcome variance.
Methods: This study used The Impact of Health Information Technology (I-HIT) and The Essentials of
Magnetism II (EOM II) instruments. Guided by the Quality Health Outcomes Model, this pre-post, quasiexperimental study includes t-tests, repeated measure and univariate general linear model regression analyses.
Two groups comprised the convenience sample of 1,045 nurses: a paired (n=458) and independent (n=587).Nurse Leader as Knowledge Worker.
Results: The functionality of the CDSS was perceived to reduce nurses’ ability to efficiently practice,
communicate, share information, and interfered with workflow in ways that depersonalized care. Perceptions
of the practice environment, interestingly, remained essentially unchanged, with slight improvements and no
statistically significant declines. This included perceptions about autonomy, patient-centered values,
professional satisfaction and quality care. Even though the CDSS’s functionality interfered with practice, and
may be poised to deemphasize subjective judgment and autonomy, nurses did not seem to reject the CDSS’s
ability to standardize aspects of care. Nurse Leader as Knowledge Worker.This study also found that nurse and clinical unit characteristics such as
clinical unit type, shift, expertise, race, and whether or not nurse education was obtained outside of the USA,
explained more variance than years of experience, institutional tenure, and level of education.
Conclusion: Results suggest that nursing science needs to investigate and advise the design of CDSSs, as well
as, develop tactics to reap the benefits of processes and guidelines, while preserving knowledge works’
emphasis on expertise, intuition, and holistic care. Nurse Leader as Knowledge Worker.

 Review the concepts of informatics as presented in the Resources.
Reflect on the role of a nurse leader as a knowledge worker.
Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:

Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
Include one slide that visually represents the role of a nurse leader as knowledge worker.
Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.