Pub Date : 2020-09-30DOI: 10.3912/ojin.vol25no03man06
Jacklyn Beynor, Waverley Stanfield, D. Zucker
The prevalence of substance use disorder in the United States is rapidly growing, particularly in adolescents. Screening, brief intervention, and referral to treatment (SBIRT) has been used in clinical care for over 40 years, yet providers still do not incorporate this into daily practice. This article offers background information and describes a project that considered SBIRT in the clinical setting using two student-led focus groups to discuss a gap between education and practice noted by nursing students trained in this technique. We present findings for each group and a discussion that synthesizes the results and includes implications for education and practice. Data were analyzed using the scissor and sort method, with themes emerging about SBIRT benefits, barriers, training, and individual and system level factors. Study recommendations included incorporating SBIRT content across the nursing curriculum with repeated smaller training and practice sessions. Also noted is the need for ongoing SBIRT education for practicing nurses.
{"title":"Screening, Intervention, and Referral in the Clinical Setting","authors":"Jacklyn Beynor, Waverley Stanfield, D. Zucker","doi":"10.3912/ojin.vol25no03man06","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man06","url":null,"abstract":"The prevalence of substance use disorder in the United States is rapidly growing, particularly in adolescents. Screening, brief intervention, and referral to treatment (SBIRT) has been used in clinical care for over 40 years, yet providers still do not incorporate this into daily practice. This article offers background information and describes a project that considered SBIRT in the clinical setting using two student-led focus groups to discuss a gap between education and practice noted by nursing students trained in this technique. We present findings for each group and a discussion that synthesizes the results and includes implications for education and practice. Data were analyzed using the scissor and sort method, with themes emerging about SBIRT benefits, barriers, training, and individual and system level factors. Study recommendations included incorporating SBIRT content across the nursing curriculum with repeated smaller training and practice sessions. Also noted is the need for ongoing SBIRT education for practicing nurses.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131920080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-30DOI: 10.3912/ojin.vol25no03man03
M. Mumba, G. Mugoya, N. Smith, A. Glenn, C. Potts, Madelyn Campbell, Carolina Kirwan, A. Butler, Lori Davis
The opioid crisis is a serious public health concern and finding appropriate treatment modalities for opioid use disorder (OUD) has become a national priority. Evidence-based treatment recommendations from national organizations have indicated mixed results. In this article, we discuss the background knowledge and significance of the problem, and selected theoretical frameworks and review of the literature about several effective interventions, such as mindfulness, motivational interviewing, and cognitive behavioral therapy. However, there is a lack of a standardized behavioral intervention for OUD. In response to this gap, our team developed a manual-based treatment protocol for use in group settings of individuals with OUD who are also on medications. We describe the methods used to develop the manual, including detailed information about the 12 intervention sessions. The article concludes with discussion about implications and future directions for use of the manual.
{"title":"Development of a Novel Behavioral Intervention for Opioid Use Disorders","authors":"M. Mumba, G. Mugoya, N. Smith, A. Glenn, C. Potts, Madelyn Campbell, Carolina Kirwan, A. Butler, Lori Davis","doi":"10.3912/ojin.vol25no03man03","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man03","url":null,"abstract":"The opioid crisis is a serious public health concern and finding appropriate treatment modalities for opioid use disorder (OUD) has become a national priority. Evidence-based treatment recommendations from national organizations have indicated mixed results. In this article, we discuss the background knowledge and significance of the problem, and selected theoretical frameworks and review of the literature about several effective interventions, such as mindfulness, motivational interviewing, and cognitive behavioral therapy. However, there is a lack of a standardized behavioral intervention for OUD. In response to this gap, our team developed a manual-based treatment protocol for use in group settings of individuals with OUD who are also on medications. We describe the methods used to develop the manual, including detailed information about the 12 intervention sessions. The article concludes with discussion about implications and future directions for use of the manual.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114664306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-30DOI: 10.3912/ojin.vol25no03man01
J. Fathi
Tobacco use is at epidemic levels and a leading cause of disability and premature death in the United States, disproportionately affecting vulnerable populations and minority groups. While cigarette consumption is at an all-time low, electronic cigarette use has soared, especially in teenagers, who are at the highest risk for lifelong tobacco dependence. This article first offers a brief history of tobacco use and discusses nicotine prevalence and pathogenesis of tobacco dependence. Following this information, the author discusses various tobacco concerns and the benefits of quitting tobacco use. Nurses are vital partners in the war against tobacco through proactive patient education, successful cessation treatment and counseling, and advocacy for policy change.
{"title":"Tobacco Use: The Current State of Affairs and How Nurses Can Help Patients Quit","authors":"J. Fathi","doi":"10.3912/ojin.vol25no03man01","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man01","url":null,"abstract":"Tobacco use is at epidemic levels and a leading cause of disability and premature death in the United States, disproportionately affecting vulnerable populations and minority groups. While cigarette consumption is at an all-time low, electronic cigarette use has soared, especially in teenagers, who are at the highest risk for lifelong tobacco dependence. This article first offers a brief history of tobacco use and discusses nicotine prevalence and pathogenesis of tobacco dependence. Following this information, the author discusses various tobacco concerns and the benefits of quitting tobacco use. Nurses are vital partners in the war against tobacco through proactive patient education, successful cessation treatment and counseling, and advocacy for policy change.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114729069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-30DOI: 10.3912/ojin.vol25no03man05
Simone Jaeckl, K. Laughon
Commercial sexual exploitation of children (CSEC) is a crime and a public health concern with a long-standing history, globally and in the United States. Among a multitude of risk factors, childhood maltreatment trauma has been identified as most relevant. CSEC victims suffer a range of acute and chronic physical and mental health consequences. Though fearful and distrusting, victims do seek medical care, even while under their trafficker’s control. Nevertheless, many go unrecognized and unaided due to inadequate provider education about victim identification. As members of the largest healthcare profession nationwide, nurses have an important role in confronting CSEC. To fulfill this role, nurses need education to recognize “red flags” of victimization, as well as knowledge about trauma-informed assessment and response. This article offers background information and discusses recruitment tactics, health consequences, clinical care, and implications for nursing practice and research.
{"title":"Sex Trafficking of Minors in the United States: A Perspective for Nurses","authors":"Simone Jaeckl, K. Laughon","doi":"10.3912/ojin.vol25no03man05","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man05","url":null,"abstract":"Commercial sexual exploitation of children (CSEC) is a crime and a public health concern with a long-standing history, globally and in the United States. Among a multitude of risk factors, childhood maltreatment trauma has been identified as most relevant. CSEC victims suffer a range of acute and chronic physical and mental health consequences. Though fearful and distrusting, victims do seek medical care, even while under their trafficker’s control. Nevertheless, many go unrecognized and unaided due to inadequate provider education about victim identification. As members of the largest healthcare profession nationwide, nurses have an important role in confronting CSEC. To fulfill this role, nurses need education to recognize “red flags” of victimization, as well as knowledge about trauma-informed assessment and response. This article offers background information and discusses recruitment tactics, health consequences, clinical care, and implications for nursing practice and research.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125849036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-30DOI: 10.3912/ojin.vol25no03man04
S. May, C. Baumgartner, Gary Garrety, H. McLaughlin
There are over 700 prescription and illicit opioid-related deaths each year in Washington State. Integrating the Prescription Drug Monitoring Program (PDMP) data into the electronic health record (EHR) allows providers seamless access to patient controlled substances prescription histories, thereby reducing inappropriate prescribing and overdoses. The project overview describes the study focus, investigation of barriers to integrating PDMP data into EHRs across care settings for providers in Washington State who prescribe controlled substances. An online survey tool was developed to inquire about barriers to PDMP integration. The article presents survey results, indicating that 81% of respondents were not integrating PMDP data into the EHR and 52% did not plan on integration. The discussion section considers common barriers that providers identified, such as EHR vendor inability to provide an update, difficulty accessing the PDMP, and prioritization. Cost was the most significant barrier. Discovering barriers to PDMP integration allows stakeholders to address these issues and prevent overprescribing of controlled substances.
{"title":"Deterrents to Integrating the Prescription Drug Monitoring Program into the Electronic Health Record","authors":"S. May, C. Baumgartner, Gary Garrety, H. McLaughlin","doi":"10.3912/ojin.vol25no03man04","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03man04","url":null,"abstract":"There are over 700 prescription and illicit opioid-related deaths each year in Washington State. Integrating the Prescription Drug Monitoring Program (PDMP) data into the electronic health record (EHR) allows providers seamless access to patient controlled substances prescription histories, thereby reducing inappropriate prescribing and overdoses. The project overview describes the study focus, investigation of barriers to integrating PDMP data into EHRs across care settings for providers in Washington State who prescribe controlled substances. An online survey tool was developed to inquire about barriers to PDMP integration. The article presents survey results, indicating that 81% of respondents were not integrating PMDP data into the EHR and 52% did not plan on integration. The discussion section considers common barriers that providers identified, such as EHR vendor inability to provide an update, difficulty accessing the PDMP, and prioritization. Cost was the most significant barrier. Discovering barriers to PDMP integration allows stakeholders to address these issues and prevent overprescribing of controlled substances.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132249091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.3912/ojin.vol25no03ppt44
Lisa Lisle, K. Speroni, Wynne Aroom, Lynnette Crouch, Hope Honigsberg
Patients and families desire compassionate care from healthcare providers. In today’s healthcare environment, challenges exist for all providers, including nurses, with balancing the delivery of consistent, compassionate care and maintaining a professional quality of life (QOL) that incorporates overall wellness and a healthy work environment. A literature review indicated no available research related to compassion satisfaction and fatigue and work environment by RN type. The aims of this study were to quantify differences in compassion satisfaction (CS) and compassion fatigue (CF) scores, including burnout and secondary traumatic stress (STS), by four registered nurse (RN) employment-types and to study work environment factors. Our methods included a survey of a random sample (n = 208) of RNs by type. Study results indicated that significant differences existed by RN type for CF (burnout and STS) scores; nurse leaders had the most CF and other nurses the least. Significant differences also existed for some shared governance activities and workplace violence measures. Our discussion concludes that opportunities exist for evaluation of interventions for healthier work environments, particularly for nurse leaders, including supporting shared governance activities for all RN types, as well as zero-tolerance for workplace violence.
{"title":"Differences in Compassion Satisfaction, Compassion Fatigue, and Work Environment Factors by Hospital Registered Nurse Type","authors":"Lisa Lisle, K. Speroni, Wynne Aroom, Lynnette Crouch, Hope Honigsberg","doi":"10.3912/ojin.vol25no03ppt44","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03ppt44","url":null,"abstract":"Patients and families desire compassionate care from healthcare providers. In today’s healthcare environment, challenges exist for all providers, including nurses, with balancing the delivery of consistent, compassionate care and maintaining a professional quality of life (QOL) that incorporates overall wellness and a healthy work environment. A literature review indicated no available research related to compassion satisfaction and fatigue and work environment by RN type. The aims of this study were to quantify differences in compassion satisfaction (CS) and compassion fatigue (CF) scores, including burnout and secondary traumatic stress (STS), by four registered nurse (RN) employment-types and to study work environment factors. Our methods included a survey of a random sample (n = 208) of RNs by type. Study results indicated that significant differences existed by RN type for CF (burnout and STS) scores; nurse leaders had the most CF and other nurses the least. Significant differences also existed for some shared governance activities and workplace violence measures. Our discussion concludes that opportunities exist for evaluation of interventions for healthier work environments, particularly for nurse leaders, including supporting shared governance activities for all RN types, as well as zero-tolerance for workplace violence.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129186316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-14DOI: 10.3912/ojin.vol25no03ppt55
G. Couser, Sherry S. Chesak, S. Cutshall
Nursing burnout is a common and costly organizational problem that affects both nurses and patient care. Health behaviors, such as healthy nutrition, and adequate sleep and exercise, have been cited as burnout reduction strategies. At Mayo Clinic, the authors developed an educational program for nurses and other healthcare team members to address burnout and consider strategies to navigate work and life stressors. Audience participation software measured the percentage of audience members meeting criteria for burnout, as well as confidence in their ability to manage three basic health-influencing behaviors that included eating, sleeping, and moving well. Findings revealed a high prevalence of nursing burnout and low confidence in achieving healthy nutrition, sleep, and exercise. In this article the authors review selected background information about self–care, describe the course design and implementation of an educational program, and discuss findings from a brief survey included in the program. Their discussion considers their findings in relation to select literature and identifies needs for further inquiry and project limitations. They conclude by encouraging the profession of nursing and nurses to continue efforts to support self-care through healthy behaviors throughout their careers.
{"title":"Developing a Course to Promote Self-Care for Nurses to Address Burnout","authors":"G. Couser, Sherry S. Chesak, S. Cutshall","doi":"10.3912/ojin.vol25no03ppt55","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03ppt55","url":null,"abstract":"Nursing burnout is a common and costly organizational problem that affects both nurses and patient care. Health behaviors, such as healthy nutrition, and adequate sleep and exercise, have been cited as burnout reduction strategies. At Mayo Clinic, the authors developed an educational program for nurses and other healthcare team members to address burnout and consider strategies to navigate work and life stressors. Audience participation software measured the percentage of audience members meeting criteria for burnout, as well as confidence in their ability to manage three basic health-influencing behaviors that included eating, sleeping, and moving well. Findings revealed a high prevalence of nursing burnout and low confidence in achieving healthy nutrition, sleep, and exercise. In this article the authors review selected background information about self–care, describe the course design and implementation of an educational program, and discuss findings from a brief survey included in the program. Their discussion considers their findings in relation to select literature and identifies needs for further inquiry and project limitations. They conclude by encouraging the profession of nursing and nurses to continue efforts to support self-care through healthy behaviors throughout their careers.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123978441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-12DOI: 10.3912/ojin.vol25no03ppt51
David Benton, M. Alexander, Rebecca Fotsch, Nicole Livanos
The COVID-19 pandemic has been a wake-up call for many aspects of our daily lives. Nurse regulators have had to respond quickly to many of the challenges that the profession has faced. Some solutions have been formulated on sound evidence and represent an appropriate and rational response to what could be described as long-overdue change. Other solutions have been less than ideal and have functioned as a stopgap or trade-off between two or more less than ideal scenarios. In this article we begin with a brief synopsis of pandemics. We then describe the method, results and discussion, and limitations of our analysis of legislative changes pertinent to professional regulation. Our analysis and conclusions reflect on lessons learned, identify opportunities that should be consolidated into permanent change, and discuss issues that need to be addressed if we are to be better prepared for the next pandemic.
{"title":"Lessons Learned and Insights Gained: A Regulatory Analysis of the Impacts, Challenges, and Responses to COVID-19","authors":"David Benton, M. Alexander, Rebecca Fotsch, Nicole Livanos","doi":"10.3912/ojin.vol25no03ppt51","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03ppt51","url":null,"abstract":"The COVID-19 pandemic has been a wake-up call for many aspects of our daily lives. Nurse regulators have had to respond quickly to many of the challenges that the profession has faced. Some solutions have been formulated on sound evidence and represent an appropriate and rational response to what could be described as long-overdue change. Other solutions have been less than ideal and have functioned as a stopgap or trade-off between two or more less than ideal scenarios. In this article we begin with a brief synopsis of pandemics. We then describe the method, results and discussion, and limitations of our analysis of legislative changes pertinent to professional regulation. Our analysis and conclusions reflect on lessons learned, identify opportunities that should be consolidated into permanent change, and discuss issues that need to be addressed if we are to be better prepared for the next pandemic.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127272309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-29DOI: 10.3912/ojin.vol25no03ppt69
M. Fowler
The demands of nursing care in a pandemic are both extraordinary and hazardous. Beyond exhaustion, those demands can be the cause of profound suffering and distress while the nurse must, even so, persevere. The act of composing a lament offers nurses and other healthcare providers a means to express personal grief and suffering as they go about caring for those stricken with COVID-19; as they become an intermediary for families who cannot be with loved ones in their dying moments; as they worry about triage and clinical decisions that must be made; as they fear the very act of nursing itself with inadequate protective gear; or as they worry about carrying a virus to their own loved ones. The ancient, structured, literary form of a personal lament has conceptual footing in the humanities, offering a means of examining and expressing one’s suffering, grief, and distress. This article considers why to lament, and introduces to readers an individual lament and its structured template of seven elements that guides one into their suffering – and then out again. A lament can be formulated orally or in writing, and can be an exercise that is strengthening, healing, and clarifying, in the midst of the nursing demands of this pandemic, and those that may yet emerge.
{"title":"Woe is Me, I am Undone: Lament in a Time of Suffering and Distress","authors":"M. Fowler","doi":"10.3912/ojin.vol25no03ppt69","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03ppt69","url":null,"abstract":"The demands of nursing care in a pandemic are both extraordinary and hazardous. Beyond exhaustion, those demands can be the cause of profound suffering and distress while the nurse must, even so, persevere. The act of composing a lament offers nurses and other healthcare providers a means to express personal grief and suffering as they go about caring for those stricken with COVID-19; as they become an intermediary for families who cannot be with loved ones in their dying moments; as they worry about triage and clinical decisions that must be made; as they fear the very act of nursing itself with inadequate protective gear; or as they worry about carrying a virus to their own loved ones. The ancient, structured, literary form of a personal lament has conceptual footing in the humanities, offering a means of examining and expressing one’s suffering, grief, and distress. This article considers why to lament, and introduces to readers an individual lament and its structured template of seven elements that guides one into their suffering – and then out again. A lament can be formulated orally or in writing, and can be an exercise that is strengthening, healing, and clarifying, in the midst of the nursing demands of this pandemic, and those that may yet emerge.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122265583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-21DOI: 10.3912/ojin.vol25no03infocol01
R. Nelson
{"title":"Informatics: Evolution of the Nelson Data, Information, Knowledge and Wisdom Model: Part 2","authors":"R. Nelson","doi":"10.3912/ojin.vol25no03infocol01","DOIUrl":"https://doi.org/10.3912/ojin.vol25no03infocol01","url":null,"abstract":"","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116123996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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