Category: Nursing

Assignment: The Impact of Standardized Nursing Terminology

Among the Resources in this module is the Rutherford (2008) article 
Standardized Nursing Language: What Does It Mean for Nursing Practice?
 In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) 
Standardized Nursing Language: What Does It Mean for Nursing Practice
?

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:

In a 2- to 3-page paper, address the following:

Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

By Day 7 of Week 5

Submit your completed Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

NURS_5051_Module03_Week05_Assignment_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

In a 2- to 3-page paper, address the following:

·   Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

·   Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

·   Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

77 
(77%)
 – 85 
(85%)

The responses accurately and thoroughly explain in detail how to inform the nurse in the scenario, as well as others, on the importance of standardized nursing terminologies.

The responses accurately and thoroughly describe in detail the benefits and challenges of implementing standardized nursing terminologies in nursing practice, with sufficient supporting evidence and detailed examples.

Responses are fully supported as evidenced by 3 or more accurate, peer-reviewed research sources on standardized nursing terminologies.

68 
(68%)
 – 76 
(76%)

The responses accurately explain how to inform the nurse in the scenario, as well as other, on the importance of standardized nursing terminologies.

The responses accurately describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice, with some supporting evidence and examples.

Response are supported as evidenced by 2 or more accurate, peer-reviewed research sources on standardized nursing terminologies.

60 
(60%)
 – 67 
(67%)

The responses explaining how to inform the nurse in the scenario, as well as others, on the importance of standardized nursing terminologies are vague or inaccurate.

The responses describing the benefits and challenges of implementing standardized nursing terminologies in nursing practice are vague or inaccurate.

Responses may include some support as evidenced by 1-2 peer-reviewed research sources on standardized nursing terminologies.

0 
(0%)
 – 59 
(59%)

The responses explaining how to inform the nurse in the scenario, as well as others, on the importance of standardized nursing terminologies are vague and inaccurate, or is missing.

The responses describing the benefits and challenges of implementing standardized nursing terminologies in nursing practice are vague and inaccurate, or is missing.

Responses include no peer-reviewed research sources on standardized nursing terminologies.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 
(5%)
 – 5 
(5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 
(4%)
 – 4 
(4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 
(3.5%)
 – 3.5 
(3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

0 
(0%)
 – 3 
(3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs
.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 4

Post
 a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 4

Respond
 to at least 
two
 of your colleagues
* on two different days
, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Data is collected everywhere whether we realize it or not, especially in health care. According to Dash (2019), “Big data represents large amounts of data that is unmanageable using traditional software or Internet based platforms (para 5).  “Applied to health care, big data will use specific health data of a population (or of a particular individual) and potentially help to prevent epidemics, cure disease, cut down costs, etc” (Lebied, 2018, para 2). Big data analytics is why we are able to use preventative medicine. Health care data has been analyzed over the years from patient to patient to predict intervention based on patient’s individual symptoms. Using big data in the clinical system can help health care providers gain insight on patients from previous visits or looking at data collected on a monitoring device worn at home by the patient such as a holter monitor or even an AICD that transmits data if a patient goes into an irregular heart rhythm. A benefit of big data and the clinical system is that the information collected and analyzed can be used to our advantage and help us predict things before they happen. For example septic patients. An algorithm was created for patient’s who meet criteria based on their presenting vital signs and symptoms to initiate measures to combat sepsis. Studies analyzing big data have been conducted in sepsis patients so that now we know how to treat it sooner and help save lives.

Many challenges arise with big data as part of a clinical system. Although all health care facilities in the U.S. had to convert to government approved electronic health records, “the availability of hundreds of EHR products certified by the government, each with different clinical terminologies, technical specifications, and functional capabilities has led to difficulties in the interoperability and sharing of data” (Dash, 2019, para 33). Sure everyone is using electronic health records or should be but they are not all using the same one so the data can not cross over program to program. So patients health records from other facilities can not be seen. One strategy I have used is called Care Everywhere for Epic users. This platform allows patients to give providers permission to look up records from other facilities that use Epic and are able to provide continuity of care. “Today, organizations using Care Everywhere exchange two million patient records per day with Epic and non-Epic systems. Epic is the only major EHR vendor that has 100% of its health system customers interoperable with each other, other EHR’s, government organizations and other national networks” (Epic, 2017, para 3). Through research I learned that Epic has come up with even newer technology of sharing patients information with providers that can not interoperate with Epic and Care Everywhere, now called Share Everywhere. “Through Share Everywhere, patients will be able to use their smartphones to direct a view of their Epic chart in minutes to any clinician, anywhere in the world. Because the patient determines who gets access, the patient’s privacy is protected and in addition, Epic records all access” (Epic, 217, para 4).

Reference

Dash, S. (2019). Big Data in Healthcare: Management, Analysis, and future prospects. Retrieved from  
https://journalofbigdata.springeropen.com/articles/10.1186/s40537-019-0217-0

Epic Outcomes. (2017). Retrieved from https://www.epic.com/epic/post/epic-announces-worldwide-interoperability-share-everywhere

Lebied, M. (2018). 12 Examples of Big Data Analytics in Healthcare That Can Save People. Retrieved from  
https://www.datapine.com/blog/big-data-examples-in-healthcare/

 

NURS_5051_Module03_Week04_Discussion_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

Main Posting

45 
(45%)
 – 50 
(50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 
(40%)
 – 44 
(44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 
(35%)
 – 39 
(39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 
(0%)
 – 34 
(34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

10 
(10%)
 – 10 
(10%)

Posts main post by day 3.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not post by day 3.

First Response

17 
(17%)
 – 18 
(18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

15 
(15%)
 – 16 
(16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 
(13%)
 – 14 
(14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 12 
(12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response

16 
(16%)
 – 17 
(17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

14 
(14%)
 – 15 
(15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 
(12%)
 – 13 
(13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 11 
(11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation

5 
(5%)
 – 5 
(5%)

Meets requirements for participation by posting on three different days.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

 
According to Wang, Kung, and Byrd (2018) big data analytics offers many potential benefits, however, it has some unintentional downfalls. For instance, data suggesting a positive opportunity for one unit, may mean a deleterious one for another. “Having good data is the key to making effective changes” (Thew, 2016). Recently, an analysis on armbands versus patient stickers being scanned for point-of-care testing showed an overwhelming amount of users, being certified nursing assistants (CNA) and nurses, scanning patient stickers rather than armbands at a Levell II Trauma Center in Winchester, Virginia. This can and has lead to patient data being uploaded into the wrong patient’s chart. As such, a software upgrade to the iSTAT machines was performed, no longer allowing stickers to be scanned, only patient armbands. As we know as nurses and caregivers, the proper way to perform point-of-care testing is to confirm name and date of birth with the patient, followed by scanning their armband. The sticker scanning is an assumed shortcut, and as such should be eliminated completely. However, in the operating room, specifically open-heart procedures, it is standard to run blood gases and ACT’s regularly. It is also standard for the patient’s arms to be tucked by their sides and thus, nearly impossible to access perioperatively. What was a great idea and advocated for patient safety on one unit has become a negative patient safety issue on another. The solution in this institution, which still poses problems, is for the preop nurse to print and additional patient armband to follow the patient’s chart through the operating room to be scanned intraoperatively, and be disposed of post-op. Although this is the quickest and likely easiest solution, it is probably not the most efficient or safest. One solution could be for the point-of-care testing machines (iSTAT) to have a specific operating room code that allows for sticker scanning. With the evolving use of big data analytics, it is essential that new methods are used to analyze, compute and visualize these ever-changing complex and voluminous data sets (Maciera et al., 2017).

 

Maciera, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., Keenan, G.       
 
(2017). Evidence of progress in making nursing practice visible using standardized    
 
nursing data: A systematic review. AMIA Annual Symposium Proceedings. Retrieved     
 
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Thew, J. (2016). Big data means big potential, challenges for nurse execs. Retrieved from
https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges
         
 
nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and 
 
potential benefits for healthcare organizations. Technological Forecasting and Social           
 
Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Module 1: What Is Informatics? (Week 1-2)

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Laureate Education (Producer). (2018). 
What is Informatics?
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze how data collection and access can be used to derive knowledge in a healthcare setting

Analyze the role of the nurse leader in using clinical reasoning and judgement in the formation of knowledge

Explain the role of the nurse as a knowledge worker

Explain concepts of nursing informatics

Create infographics related to nursing informatics and the role of the nurse as a knowledge worker

Due By

Assignment

Week 1, Days 1–2

Read/Watch/Listen to the Learning Resources.

Compose your initial Discussion post.

Week 1, Day 3

Post your initial Discussion post.

Begin to compose your Assignment.

Week 1, Days 4-5

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to compose your Assignment.

Week 1, Day 6

Post at least two peer Discussion responses on two different days (and not the same day as the initial post).

Continue to compose your Assignment.

Week 1, Day 7

Wrap up Discussion.

Week 2, Day 1–6

Continue to compose your Assignment.

Week 2, Day 7

Deadline to submit your Assignment.

Photo Credit: [IAN HOOTON]/[Science Photo Library]/Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–19)

Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)

Chapter 3, “Computer Science and the Foundation of Knowledge Model” (pp. 35–62)

24Slides. (2018).
How to make an infographic in PowerPoint
. Retrieved September 27, 2018, from https://24slides.com/presentbetter/how-make-infographic-powerpoint/

Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. In J. Murphy, W. Goossen, & P. Weber (Eds.),
Forecasting Competencies for Nurses in the Future of Connected Health
(212–221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF

Sweeney, J. (2017). Healthcare informatics.
Online Journal of Nursing Informatics, 21
(1).

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018).
Health Informatics and Population Health: Trends in Population Health
[Video file]. Baltimore, MD: Author.

 

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–Downloads–
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Public Health Informatics Institute. (2017).
Public Health Informatics: “translating” knowledge for health
[Video file]. Retrieved from https://www.youtube.com/watch?v=fLUygA8Hpfo.

 

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post
 a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond
 to at least 
two
 of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Assignment: The Nurse Leader as Knowledge Worker

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.

To Prepare:

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.

Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.

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.

By Day 7 of Week 2

Submit your completed Presentation.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 2 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 2 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 2 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 2 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 2

To submit your Assignment:

Week 2 Assignment

 

 

Module 2: The Role of the Informatics Specialist in Healthcare (Week 3)

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Laureate Education (Producer). (2018). 
The Nurse Informaticist
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze interactions between nurse informaticists, data/technology specialists, and other professionals in healthcare organizations

Recommend strategies to improve interactions between nurse informaticists and other professionals

Analyze how nursing informatics as a specialty and new technologies impact interactions between nurse informaticists and members of healthcare teams

Recommend nursing informatics projects to improve outcomes or efficiencies in healthcare organizations

Identify stakeholders impacted by nursing informatics projects

Analyze how nursing informatics projects improve outcomes or efficiencies in healthcare organizations

Identify technologies required for implementation of nursing informatics projects

Analyze the role of the nurse informaticist in nursing informatics project teams

Due By

Assignment

Week 3, Days 1–2

Read/Watch/Listen to the Learning Resources.

Compose your initial Discussion post.

Week 3, Day 3

Post your initial Discussion post.

Begin to compose your Assignment.

Week 3, Days 4-5

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to compose your Assignment.

Week 3, Day 6

Post at least two peer Discussion responses on two different days (and not the same day as the initial post).

Week 3, Day 7

Wrap up Discussion.

Deadline to submit your Assignment.

Photo Credit: [Ariel Skelley]/[Blend Images]/Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)

Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018).
Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions
. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review.
AMIA Annual Symposium Proceedings, 2017
, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017).
Standard nursing terminologies: A landscape analysis
. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice?
Online Journal of Issues in Nursing, 13
(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Note:
You will access this article from the Walden Library databases.

Thew, J. (2016, April 19).
Big data means big potential, challenges for nurse execs
. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations.
Technological Forecasting and Social Change, 126
(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Executive Producer). (2012).
Data, information, knowledge and wisdom continuum
[Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Public Health Informatics Institute. (2017).
Public Health Informatics: “shipping” information for better health
[Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.

 

Public Health Informatics Institute. (2017).
Public Health Informatics: knowledge “architecture”
[Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.

 

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 3

To participate in this Discussion:

Week 3 Discussion

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

Review the concepts of technology application as presented in the Resources.

Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

Describe the project you propose.

Identify the stakeholders impacted by this project.

Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

Identify the technologies required to implement this project and explain why.

Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

By Day 7 of Week 3

Submit your completed Project Proposal.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 3 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 3 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Week 3 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 3

To submit your Assignment:

Week 3 Assignment

Next Module

To go to the next module:

Module 3

 

Module 3: Data-Information-Knowledge-Wisdom (DIKW) (Weeks 4-5)

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Laureate Education (Producer). (2018). 
Data-Information-Knowledge-Wisdom
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze benefits, challenges, and risks of using big data in clinical systems

Recommend strategies to mitigate challenges and risks of using big data in clinical systems

Analyze the importance of standardized terminologies for nursing informatics and healthcare delivery

Analyze the benefits and challenges of implementing standardized nursing terminologies for nursing practice

Due By

Assignment

Week 4, Days 1–2

Read/Watch/Listen to the Learning Resources.

Compose your initial Discussion post.

Week 4, Day 3

Post your initial Discussion post.

Begin to compose your Assignment.

Week 4, Days 4-5

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to compose your Assignment.

Week 4, Day 6

Post at least two peer Discussion responses on two different days (and not the same day as the initial post).

Week 4, Day 7

Wrap up Discussion.

Week 5, Days 1-6

Continue to compose your Assignment.

Week 5, Day 7

Deadline to submit your Assignment.

Photo Credit: Tetra Images / Getty Images / Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)

Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review.
AMIA Annual Symposium Proceedings, 2017
, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017).
Standard nursing terminologies: A landscape analysis
. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice?
Online Journal of Issues in Nursing, 13
(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Note:
You will access this article from the Walden Library databases.

Thew, J. (2016, April 19).
Big data means big potential, challenges for nurse execs
. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research.
Online Journal of Nursing Informatics, 17
(3).

Note:
You will access this article from the Walden Library databases.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations.
Technological Forecasting and Social Change, 126
(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Executive Producer). (2012).
Data, information, knowledge and wisdom continuum
[Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018).
Health Informatics and Population Health: Analyzing Data for Clinical Success
[Video file]. Baltimore, MD: Author.

 

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Vinay Shanthagiri. (2014).
Big Data in Health Informatics
[Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw.

 

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs
.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 4

Post
 a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 4

Respond
 to at least 
two
 of your colleagues
* on two different days
, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 4

To participate in this Discussion:

Week 4 Discussion

Assignment: The Impact of Standardized Nursing Terminology

Among the Resources in this module is the Rutherford (2008) article 
Standardized Nursing Language: What Does It Mean for Nursing Practice?
 In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) 
Standardized Nursing Language: What Does It Mean for Nursing Practice
?

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:

In a 2- to 3-page paper, address the following:

Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

By Day 7 of Week 5

Submit your completed Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 5 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 5 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 5

To submit your Assignment:

Week 5 Assignment

Next Module

To go to the next module:

Module 4

 

Module 4: Technologies Supporting Applied Practice and Optimal Patient Outcomes (Weeks 6-8)

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Laureate Education (Producer). (2018). 
Informatics Tools and Technologies
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Evaluate healthcare technology trends for data and information in nursing practice and healthcare delivery

Analyze challenges and risks inherent in healthcare technology

Analyze healthcare technology benefits and risks for data safety, legislation, and patient care

Evaluate healthcare technology impact on patient outcomes, efficiencies, and data management

Analyze research on the application of clinical systems to improve outcomes and efficiencies

Due By

Assignment

Week 6, Days 1–2

Read/Watch/Listen to the Learning Resources.

Compose your initial Discussion post.

Week 6, Day 3

Post your initial Discussion post.

Begin to compose your Assignment.

Week 6, Days 4-5

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to compose your Assignment.

Week 6, Day 6

Post at least two peer Discussion responses on two different days (and not the same day as the initial post).

Week 6, Day 7

Wrap up Discussion.

Week 7, Days 1-7

Continue to compose your Assignment.

Week 8, Days 1-6

Continue to compose your Assignment.

Week 8, Day 7

Deadline to submit your Assignment.

Photo Credit: Westend61

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)

Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)

Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)

Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)

Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study.
Critical Care Medicine, 45
(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c).
What is an electronic health record (EHR)?
Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

Healthcare Information Management and Systems Society. (2018).
Electronic health records
. Retrieved from https://www.himss.org/library/ehr/

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement.
Pain Management Nursing, 19
(3), 212–221. doi:10.1016/j.pmn.2017.11.002

Note:
You will access this article from the Walden Library databases.

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032

Note:
You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018).
Public Health Informatics
[Video file]. Baltimore, MD: Author.

 

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Laureate Education (Producer). (2018).
Electronic Records and Managing IT Change
[Video file]. Baltimore, MD: Author.

 

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Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post
 a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

By Day 6 of Week 6

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 6

To participate in this Discussion:

Week 6 Discussion

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.

Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

By Day 7 of Week 8

Submit your completed Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 8 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 8 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Week 8 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 8 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 8

To submit your Assignment:

Week 8 Assignment

Next Module

To go to the next module:

Module 5

 

 

Module 5: The Nurse Leader and the System Development Life Cycle (Weeks 9-10)

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Laureate Education (Producer). (2018). 
Systems Implementation
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Analyze how inclusion of the nurse in the purchasing of health information technology systems impacts healthcare organizations

Analyze the impact of nurse inclusion on each step of the systems development life cycle

Due By

Assignment

Week 9, Days 1–2

Read/Watch/Listen to the Learning Resources.

Compose your initial Discussion post.

Week 9, Day 3

Post your initial Discussion post.

Begin to compose your Assignment.

Week 9, Days 4-5

Review peer Discussion posts.

Compose your peer Discussion responses.

Continue to compose your Assignment.

Week 9, Day 6

Post at least two peer Discussion responses on two different days (and not the same day as the initial post).

Week 9, Day 7

Wrap up Discussion.

Week 10, Days 1-6

Continue to compose your Assignment.

Week 10, Day 7

Deadline to submit your Assignment.

Photo Credit: [Ariel Skelley]/[Blend Images]/Getty Images

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)

Chapter 12, “Electronic Security” (pp. 229–242)

Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)

Agency for Healthcare Research and Quality. (n.d.a).
Health IT evaluation toolkit and evaluation measures quick reference guide
. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b).
Workflow assessment for health IT toolkit
. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

Laureate Education (Producer). (2018).
Interoperability, Standards, and Security
[Video file]. Baltimore, MD: Author.

 

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Laureate Education (Producer). (2018).
Managing Health Information Technology
[Video file]. Baltimore, MD: Author.

 

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Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.

Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.

Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post
 a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

By Day 6 of Week 9

Respond
 to at least 
two
 of your colleagues
* on two different days
, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 9

To participate in this Discussion:

Week 9 Discussion

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition

Analysis

Design of the new system

Implementation

Post-implementation support

By Day 7 of Week 10

Submit your completed Role Description.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 10 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 10 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Week 10 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 10 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 10

To submit your Assignment:

Week 10 Assignment

Next Module

To go to the next module:

Module 6

 

 

Module 6: Policy and Regulation Supporting Informatics and Technology Integration

(Week 11)

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Laureate Education (Producer). (2018). 
Policy and Regulation
 [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

Evaluate legislative policies and regulations for health and nursing informatics

Create fact sheets for health and nursing informatics

Analyze impact of legislative policies and regulations for clinical care, patient/provider interactions, and workflows

Evaluate healthcare organizational policies and procedures to address legislative policies and regulations

Due By

Assignment

Week 11, Days 1–2

Read/Watch/Listen to the Learning Resources.

Begin to compose your Assignment.

Week 11, Days 3-4

Continue to compose your Assignment.

Week 11, Day 5

Deadline to submit your Assignment.

Photo Credit: [Phil Roeder]/[Moment]/Getty Images

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018).
MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement
. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.).
MACRA
. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a).
Health IT legislation
. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b).
Meaningful use and MACRA
. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.).
Laws & regulations
. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018).
Health Informatics & Population Health Analytics: Privacy, Security, and Ethics
[Video file]. Baltimore, MD: Author.

 

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Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

Briefly and generally explain the policy or regulation you selected.

Address the impact of the policy or regulation you selected on system implementation.

Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 11 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 11 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

To access your rubric:

Week 11 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 11 Assignment draft and review the originality report.

Submit Your Assignment by Day 5 of Week 11

To submit your Assignment:

Week 11 Assignment

Congratulations! After you have finished all of the assignments for this Module, you have completed the course. 
Please submit your Course Evaluation by Day 7.

According to Glassman (2017), informatics is used by nurses to share patient information with colleagues and other staff, to store information, to abate mistakes, and to corroborate decision making. In the clinic setting, the electronic health record (EHR) is filled with an array of helpful data and directions in comparison to a paper chart.  The helpful tools range from a daily schedule to a patient summary sheet comprised of a vital signs flow chart, all diagnoses chronic and historical acute,  patient risk score, patient social history, family health history, past medical and surgical history, advance directives, allergies, current and historical medications, screenings, implantable devices, health concerns, goals, a list of all encounters, and messages.

On initiating a patient encounter, a notifications screen appears and if the patient is diabetic, has hypertension, or is of age for other screenings, an alert appears advising consideration of intervention.  Next, an area for the patient’s chief complaint is labeled; followed by health concerns, last menses, and a vital signs flow chart with a calculated BMI on entry of the height and weight.  Next on the encounter is a list of all historical diagnoses, allergies, medications, social history, and medical history.  The provider note follows with a subjective, objective, assessment, and order space.   In the order space, there are links for laboratory orders and imaging orders to be created. Included in the next aspect of the encounter is a segment for attachments to be submitted to the record.  The observations aspect of the chart comes next and is comprised of functional status and cognitive status.  Toward the end of the encounter is an attestation to diagnoses reconciliation and medication reconciliation.  Next, an option to develop a care plan/ discharge instructions is available.  The referral option is listed next, and this can be completed by a click which links to the directory, which houses all referral source and data related to telephone and fax numbers, as well as their address, and an option to send the referral from the EHR via fax.  Lastly on the encounter, the option to create a superbill to include all diagnosis codes and all procedure codes for the visit can be completed.

A very important reason for utilizing an EHR is the reports which can be generated with a guided search.  The reports include quality reporting, which comprises electronic clinical quality measures (eCQMs) used by Medicare and Medicaid for potential incentives to report using the Merit-Based Incentive Payment System (MIPS).  Next on the page is a link for clinical reporting which can generated reports on chart notes, particular diagnoses, drug interactions, e-prescriptions report, continuity of care documents, medication reports, custom patient list reports, a prescription history from pharmacies and payers, history of all clinic prescriptions, and a report of all clinic referrals made. Finally reports pertinent to the practice management can be generated.  Such reports include activity feed and audit reports, appointment reports, billing reports, payer reports, and prior authorizations.

Clearly, the clinical encounter has become very complex and better care is provided with the many alerts and safeguards in place.  Furthermore, reports can be generated within minutes that would have previously taken days.  A strategy that would improve informatics interactions in the primary clinic setting would be the option for diagnosis-specific templates to be clicked in with the option to check or circle selections or fill in as needed.  The current EHR used in the clinic where I am requires typing out the information in the chief complaint, the subjective, objective, and the plan.  The medications do appear in the plan automatically on sending the electronic prescription.   There are likely such EHRs out there, but area task to explore; as most require registration of the clinic in order to watch a demonstration video.  On registration in the past, sales personnel have called the clinic immediately and persistently.

In considering the impact of the continued emergence of new technologies might have on professional interactions, McGonigle and Mastrian (2017) advise that the EHR has a disordering effect on the patient encounter.  However, they also advise that EHR technology provides efficacy and improvements in safety (McGonigle and Mastrian, 2017).  Their suggestion is to find strategies that incorporate both the EHR and face to face care of patients (McGonigle and Mastrian, 2017).

Wang, Kung, and Byrd (2018) advise that the potential benefits of the EHR leave healthcare facilities little option in embracing the idea and moving forward to work toward strategies to combine the face to face encounter and the EHR in providing the best organizational care for patients.  They say that data from EHRs can provide care pattern analysis, offer data analysis, offer decision guidance, provide predictive capacities, and provide traceability (Wang, Kung, and Byrd, 2018).

In the clinic where I am, I have witnessed frustration with the EHR requiring focused attention, while the provider would prefer face to face flowing interactions with the patient.  A $2000 Dragon Medical Practice voice recognition tool was purchased for dictation to soon be laid aside in hopes of finding something that would work better. As the search continues for an EHR that offers a more comfortable way to provide duties of care in nursing science, such as healing conversations, providing attentive listening, providing a comforting touch and confirmation of understanding as patients seek for care to maintain, improve, or restore their mental and physical health as described by McGonigle and Mastrian (2017), providers and nurses must continue to embrace the EHR.

 

 

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McGonigle, D., & Mastrian, K. G. (2017). 
Nursing informatics and the foundation of knowledge
 (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. 
Technological Forecasting & Social Change
, 
126
, 3–13. https://doi-org.ezp.waldenulibrary.org/10.1016/j.techfore.2015.12.019

 

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

By Day 3 of Week 3

Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

 

NURS_5051_Module02_Week03_Discussion_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

Main Posting

45 
(45%)
 – 50 
(50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 
(40%)
 – 44 
(44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 
(35%)
 – 39 
(39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 
(0%)
 – 34 
(34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

10 
(10%)
 – 10 
(10%)

Posts main post by day 3.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not post by day 3.

First Response

17 
(17%)
 – 18 
(18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

15 
(15%)
 – 16 
(16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 
(13%)
 – 14 
(14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 12 
(12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response

16 
(16%)
 – 17 
(17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

14 
(14%)
 – 15 
(15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 
(12%)
 – 13 
(13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 11 
(11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation

5 
(5%)
 – 5 
(5%)

Meets requirements for participation by posting on three different days.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

My career as a nurse has allowed me to interact with individuals who hold different critical roles within my healthcare system. Nursing informaticists and technology specialists fill some of these roles. I must confess that my interactions with technology specialists and informatics nurses are not always some of my favorites. They are often filled with feelings of confusion and frustration. Often when I am communicating with a technology specialist during my work day, it is because something is not functioning properly at my job site. Sometimes it is software and sometimes it is hardware, but whatever it is, it is always frustrating. I call the IT department to see if they can fix my problem from behind their screen. Some of my frustration stems from that fact that our IT department is offsite so I never get to meet who I am speaking to. Also, I often have to hold because other people are on the line in front of me; meanwhile, I have patients who I need to take care of. Most times the IT specialist is able to fix my problem, but sometimes they have to elevate my issue to the “EPIC power team” to see if it can get solved. This process always takes more than a few minutes and can sometimes delay my patient care.

I think to improve upon some of these interactions, it would be nice to have a technology specialist on site to come assist us with our problems. Maybe they could carry a pager so they could come help us right away instead of troubleshooting an issue with me on the phone. I think I would feel less frustrated if someone actually came to help.

My interactions with informatics nurses have been different, yet somehow just as frustrating as working with offsite IT. My first interactions with informatics nurses occurred when my institution rolled out EPIC for the first time. We had all hands on deck from the EPIC support team. The nurses they sent in to help us were disengaged and far removed from the work we had to do on our unit. We felt like we had to beg for any help we could get and pull the informatics nurses away from their phones in order to be assisted. Recently, I have had to work with informatics nurses again to roll out a new EPIC program. The unit staff and I agreed that the nurses seemed too far removed from bedside nursing to understand some of the issues we were experiencing. They did not want to hear about our optimization requests because they just “wanted to give it time”. It is difficult to hear as a bedside nurse that a certain charting flow is being taken away because someone who does billing or chart audits wanted the program changed. Some of the nurses had cheerful attitudes which made the changes easier to take, but some of them had a “take it or leave it” kind of attitude that played into some of our frustration.

I think that Glassman (2017) made some great points on requirements of informatics nursing students. In order to be a quality informatics nurse, it’s important to understand the strengths and weaknesses of the technology system you are using. Some of my frustration recently was that the informatics nurse helping me with our new system simply would not agree with me, or the surgeon I was with, that the old way of doing something might have been better or less cumbersome than the new way. We just needed our feelings to be heard, but she refused to do that for us. I also like that Glassman (2017) added that taking the nurses’ input into account is an important aspect to being a nurse informaticist. It is essential to us to know that we are being listened to by those designing and assisting with new programs.

Another way to avoid poor interactions between bedside staff and technology staff, is to make sure that from the beginning, each system is being designed in a user-centered way (McGonigle & Mastrian, 2017). By keeping the end-user in mind during the creation and roll-out of programs, minimal effort and maximum efficiency can be achieved (McGonigle & Mastrian, 2017). This is what everyone wants in the end. Keeping nurses involved in the creation of new programs makes them feel heard and letting them be a part of the decision making process ensures that the end result is what they want.

I believe that as EHR systems are around longer, more optimization opportunities will arise. We will be seeing more informatics nurses and technology specialists buzzing around our units. I think that in the future every nursing unit may have an informatics nurse hired on staff to help with unit specific issues. Hopefully they can be trained to assist with both physician and nursing EHR documentation. Tele-health and Tele-nursing will be a larger part of our healthcare picture (Babes, 2019). The constant exchange of information and use of EHR/video systems will require more assistance than is currently offered through our facility. The role of the informatics nurse is growing and the demand will continue to increase as well (Babes, 2019). Our hospitals will have to prepare for an increased need in human technologist resources.

References

Babes, V. (2019). Informatics in nursing. Current and future trends.
 Applied Medical Informatics
, 41
(1). Retrieved from  
https://ami.info.umfcluj.ro/index.php/AMI/article/view/749

Glassman, K. S. (2017). Using data in nursing practice. 
American Nurse Today, 12
(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McGonigle, D., & Mastrian, K. G. (2017).
 Nursing informatics and the foundation of knowledge (4th ed.)
. Burlington, MA: Jones & Bartlett Learning.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

Review the concepts of technology application as presented in the Resources.

Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

Describe the project you propose.

Identify the stakeholders impacted by this project.

Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

Identify the technologies required to implement this project and explain why.

Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

By Day 7 of Week 3

Submit your completed Project Proposal.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.

Click the 
Week 3 Assignment Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 3 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

 

NURS_5051_Module02_Week03_Assignment_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:

·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

77 
(77%)
 – 85 
(85%)

The response accurately and thoroughly describes in detail the project proposed.

The response accurately and clearly identifies the stakeholders impacted by the project proposed.

The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.

The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.

68 
(68%)
 – 76 
(76%)

The response describes the project proposed.

The response identifies the stakeholders impacted by the project proposed.

The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

The response identifies the technologies required to implement the project proposed with an explanation why.

The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.

Includes: 2 peer-reviewed sources and 2 course resources.

60 
(60%)
 – 67 
(67%)

The response describing the project proposed is vague or inaccurate.

The response identifying the stakeholders impacted by the project proposed is vague or inaccurate.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague or inaccurate, or includes little to no supporting evidence.

The response identifying the technologies required to implement the project proposed with an explanation why is vague or inaccurate.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague or inaccurate.

Includes: 1 peer-reviewed sources and 1 course resources.

0 
(0%)
 – 59 
(59%)

The response describing the project proposed is vague and inaccurate, or is missing.

The response identifying the stakeholders impacted by the project proposed is vague and inaccurate, or is missing.

The response explaining the patient outcome(s) or patient-care efficiencies the project proposed is aimed at improving, including an explanation of how this improvement would occur, is vague and inaccurate, includes no supporting evidence, or is missing.

The response identifying the technologies required to implement the project proposed with an explanation why is vague and inaccurate, or is missing.

The response identifying the project team (by roles) and an explanation of how to incorporate the nurse informaticist in the project team is vague and inaccurate, or is missing.

Includes: 1 or fewer resources.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 
(5%)
 – 5 
(5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 
(4%)
 – 4 
(4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 
(3.5%)
 – 3.5 
(3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

0 
(0%)
 – 3 
(3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100

NURS_5051_Module01_Week02_Assignment_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

·   Explain the concept of a knowledge worker.

·   Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

32 
(32%)
 – 35 
(35%)

The presentation clearly and accurately explains the concept of a knowledge worker.

The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.

Includes: 3 or more peer-reviewed sources and 2 or more course resources.

28 
(28%)
 – 31 
(31%)

The presentation explains the concept of a knowledge worker.

The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.

Includes: 2 peer-reviewed sources and 2 course resources.

25 
(25%)
 – 27 
(27%)

The presentation inaccurately or vaguely explains the concept of a knowledge worker.

The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.

Includes: 1 peer-reviewed sources and 1 course resources.

0 
(0%)
 – 24 
(24%)

The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing.

The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.

Includes: 1 or fewer resources.

·   Develop a simple infographic to help explain these concepts.

14 
(14%)
 – 15 
(15%)

The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.

12 
(12%)
 – 13 
(13%)

The presentation provides an infographic that helps explain the concepts related to the presentation.

11 
(11%)
 – 11 
(11%)

The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.

0 
(0%)
 – 10 
(10%)

The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.

·   Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.

32 
(32%)
 – 35 
(35%)

The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.

28 
(28%)
 – 31 
(31%)

The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.

25 
(25%)
 – 27 
(27%)

The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.

0 
(0%)
 – 24 
(24%)

The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 
(5%)
 – 5 
(5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 
(4%)
 – 4 
(4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 
(3.5%)
 – 3.5 
(3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

0 
(0%)
 – 3 
(3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100

Stefankiuk, Bosacka, Wanke-Rytt & Hryniewicz (2017) reports viral pharyngitis is the most common cause of acute pharyngitis, yet over 50% of patients are being treated with antibiotics.  When a patient presents to a clinic seeking treatment for acute pharyngitis a culture can be obtained to help the provider determine the best plan of action (Mastrian & McGonigle, 2017).  In other words, getting a throat swab and performing a rapid strep test can help the provider determine if prescribing antibiotics would be adequate.  If the rapid strep test is positive than prescribing antibiotics is appropriate.  Rapid strep tests are not 100% accurate, but are able to detect the Group A streptococci (GAS) in about 90% of the time (Stefankiuk, Bosacka, Wanke-Rytt & Hryniewicz, 2017).  Chang, Chursri, Sangthong, McNeil, Hu, Du, Li, Fan, Zhou, Chongsuvivatwong & Twang (2019) states that antibiotic resistance is a health problem that continues to increase.  Within the last decade the consumption of antibiotics  has doubled which means that antibiotics once used to treat simple infections will not work(Chang et al., 2019).

References

Chang, Y., Chusri, S., Sangthong, R., McNeil, E., Hu, J., Du, W., Li, D., Fan, X., Zhou, H., Chongsuvivatwog, V., & Tang, L. (2019). Clinical pattern of antibiotic overuse and misuse in primary healthcare hospitals in southwest China. 
PLoS ONE, 14 (6)
, 1-12. Doi: 10.1371/journal.pone.0214779

Mastrian, K., & McGonigle, D. (2017). Introduction to information, information science, and information systems. In D. McGonigle & K. Mastrian (Eds.), 
Nursing Informatics and the foundation of knowledge 
(4
th
 ed.). Burlington, MA: Jones & Bartlett Learning.

Stefaniuk, E., Bosacka, K., Wanke-Rytt, M., & Hryniewicz, W. (2017). The use of rapid test QuikRead go  Strep A in bacterial pharyngotonsillitis diagnosing and therapeutic decisions
. European Journal of Clinical Microbiology & Infectious Diseases, 36(10),
 1733–1738. Doi: 10.1007/s10096-017-2986-8

 

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post
 a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond
 to at least 
two
 of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

*Note:
 Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

 

NURS_5051_Module01_Week01_Discussion_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

Main Posting

45 
(45%)
 – 50 
(50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 
(40%)
 – 44 
(44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 
(35%)
 – 39 
(39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 
(0%)
 – 34 
(34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

10 
(10%)
 – 10 
(10%)

Posts main post by day 3.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not post by day 3.

First Response

17 
(17%)
 – 18 
(18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

15 
(15%)
 – 16 
(16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 
(13%)
 – 14 
(14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 12 
(12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response

16 
(16%)
 – 17 
(17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

14 
(14%)
 – 15 
(15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 
(12%)
 – 13 
(13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 
(0%)
 – 11 
(11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation

5 
(5%)
 – 5 
(5%)

Meets requirements for participation by posting on three different days.

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

0 
(0%)
 – 0 
(0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

Once upon a time, there was an era of paper charting and this was the norm in many health care facilities. There were using MAR and TAR  , I had an opportunity to be part of that generation where health care professionals where  locked in this system .This paper system was very stressful and it was hard to find the information needed regarding patients .Little did we all know that technology was evolving so fast and later on , Many software with EMR and ETR emerged . Now, most hospitals I work for are using Electronic Medical Records (EMR) and life is so much better. Since the implementation of EMR, access to critical information or data has been faster and more convenient for all health care professionals.

In the ICU where our patients are usually in a state of shock or going to it, various data collection sets are used to predict the severity of shock or if a patient is going to septic.  The use of MEWS or Modified Early Warning Score together with laboratory data has provided many hospital units to prevent delay in interventions of critically ill patients (Gardner-Thorpe et al., 2006). My current hospital integrated MEWS with our EPIC EMR which triggers or flags nurses to pay more attention to warning signs of sepsis or shock. The nurses will then contact the Rapid Response nurses to evaluate the patient and interventions are made to prevent further decline in health.

Without the integration of data as a useful source of information to drive nursing interventions, it would take nurses and other health care providers some time to gather information and formulate a solution. With our EPIC system, which is maintained by the Information Systems department, led by a Nursing Informatics graduate, the digital solution to electronic records and retrieval is modeled on the nursing science. McGonigle and Mastrian enumerated the foundations of nursing informatics being knowledge acquisition, generation, dissemination, processing and feedback (2018). These processes drive the current nursing practice model to that of information systems.

Access to a vast collection of data about any medical issues has also been integrated into our EPIC. Medline and Micromedex for drugs are excellent resources that enable the nurses to administer correct medications and know the side effects of each medication that are not familiar to them (Flynn, 2001). As we can see, technology has come a long way to help as a tool for health care professionals to work effectively and safely. 

 

References

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

 

Gardner-Thorpe, J., Love, N., Wrightson, J., Walsh, S., & Keeling, N. (2006). The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study. Annals of the Royal College of Surgeons of England, 88(6), 571-5.

 

Flynn, M. B. (2001). Nursing and informatics: Implications for critical care practice. Critical Care Nurse, 21(4), 8-8, 10, 14, 16. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search-proquest-com.ezp.waldenulibrary.org/docview/228169558?accountid=14872

Levels of Measurement and nurses shortage Discussion Essay

From the research question, the dependent variable is “shortage of nurses” while the independent variables are the “factors that contribute to the shortage of nurses”. The dependent variable refers to the variable being measured or tested. In this case, the “shortage of nurses” is what is being tested. On the other hand, the independent variable is the variable that is directly affecting the dependent variable (Flannelly et al., 2014). The “factors that contribute to the shortage of nurses” are the variables that will have a direct effect on the shortage of nurses.

The level of measurement for the dependent variable (shortage of nurses) is a nominal level. This is because this variable does not…

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This week you will be writing an APA paper to include level headings and a reference page.

Discuss and explain King’s Conceptual System Theory.

First explain the 3 systems and provide examples of each system

Explain how the systems influence goal attainment

How could King’s theory help define a clinical quality problem?

Apply this theory to a potential practice quality improvement initiative within your clinical practice.

How could a quality committee align outcomes with King’s Conceptual System Theory? 
Levels of Measurement and nurses shortage Discussion Essay

What additional nursing theory could also align with an improved quality of practice initiative?

 

Discussion 1: Levels of Measurement

Research Question

“What are the factors that contribute to the shortage of nurses in healthcare facilities?”

From the research question, the dependent variable is “shortage of nurses” while the independent variables are the “factors that contribute to the shortage of nurses”. The dependent variable refers to the variable being measured or tested. In this case, the “shortage of nurses” is what is being tested. On the other hand, the independent variable is the variable that is directly affecting the dependent variable (Flannelly et al., 2014). The “factors that contribute to the shortage of nurses” are the variables that will have a direct effect on the shortage of nurses. Levels of Measurement and nurses shortage Discussion Essay.

The level of measurement for the dependent variable (shortage of nurses) is a nominal level. This is because this variable does not require any ordering among the responses (Marateb et al., 2014). This variable will just be categorized. On the other hand, the level of measurement for the independent variables, in this case, would be the
ordinal level of measurement. This measurement level illustrates some methodical
connections among the observations of the variables (Marateb et al., 2014). In this study, the researcher may wish to measure the impact of the factors that cause a shortage of nurses and thus may ask the respondents to indicate their feelings as either “low, medium, high, or very high”. These items are ordered and they range from the lowest to the highest. This level of measurement will enable comparisons on the factors that affect the shortage of nurses, dependent on the factors with the most significant impact.

When analyzing data related to each variable based on its level of measurement, it will be important to consider the technique that will be used in data analysis. Measuring the relationship between various variables requires different types of data analysis techniques (Kaliyadan & Kulkarni, 2019). For example, from the research question, correlation analysis will help in determining the relationship between the variables in the study. For example, a correlational analysis will determine how specific factors affect nursing shortage within healthcare organizations. Regression analysis may also be used to assess the strength of the relationship between the variables (Simpson, 2015). In this case, the regression analysis may be used to identify the factors that have the strongest impact on the nursing shortage in healthcare organizations. Levels of Measurement and nurses shortage Discussion Essay. It will also be important to take into consideration the number of categories in each variable. For example, factors that affect nursing shortage may have too many categories and thus may require the data to be presented in a using presentation that provides meaningful information. It will also be important to consider that each measurement level gives a different degree of detail (Simpson, 2015).  For example, the nominal level of measurement does not provide much detail and therefore this may present the challenge of having inadequate data during data analysis.

 

 

References

Flannelly, L. T., Flannelly, K. J., & Jankowski, K. R. (2014). Independent, dependent, and other variables in healthcare and chaplaincy research.
Journal of health care chaplaincy
,
20
(4), 161-170.

Kaliyadan, F., & Kulkarni, V. (2019). Types of Variables, Descriptive Statistics, and Sample Size.
Indian dermatology online journal
,
10
(1), 82–86.

Marateb, H. R., Mansourian, M., Adibi, P., & Farina, D. (2014). Manipulating measurement scales in medical statistical analysis and data mining: A review of methodologies.
Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences
,
19
(1), 47–56.

Simpson S. H. (2015). Creating a Data Analysis Plan: What to Consider When Choosing Statistics for a Study.
The Canadian journal of hospital pharmacy
,
68
(4), 311–317. Levels of Measurement and nurses shortage Discussion Essay

 

 

Nursing shortage

The Healthcare sector is one of the delicate sectors in any country all over the world. Nursing is among the critics and the most significant part of the healthcare profession. According to reports and research did it is estimated there are about 29 million nurses and midwives all over the world, while 3.9 of them are from the United States. With the increase in chronic disease and new infections and viruses like the COVID 19 that has affected the healthcare sector, more nurses are in demand. According to experts, it is estimated that by 2020 1 million nurses will be required because of the shortages of nurses in the healthcare facilities. According to the reports from the American nurses association, it has been predicted that there will be more registered nurse vacancies available than any other profession in America in the year 2020. Levels of Measurement and nurses shortage Discussion Essay

Shortages of nurses in the healthcare facilities have negatively impacted on the quality of healthcare patients receive. For example, the development of COVID 19 has affected how patients receive healthcare information because there are fewer nurses to take care of the significant number of patients visiting healthcare facilities. The ratio of nurses to patients is alarming because the country still needs more nurses who will help in providing quality healthcare services to patients.  The shortage of nurses forces the few nurses in healthcare facilities to work more hours to provide care. This can be tiresome to nurses because they work more hours than they are supposed to work, which results in to decrease in service production because of fatigue and tiresomeness. If nurses work more hours without better pay, then this might end up affecting the quality of services to patients and even resulting in turnovers.  The following are some of the significant causes of shortages of nurses in healthcare facilities;

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More salaries for educators and low wages for clinicians

Inability to fill open faculty role

Looming retirement of a large number of employees nurses

Levels of Measurement and nurses shortage Discussion Essay

Late point career development to enter into educative roles.

The age-delayed trajectory of nurses who get higher education levels.

Hospital acuity

Aging workforce

Aging population

Work and workload environment

The research on the shortage of nurses in healthcare facilities is fundamental because it helps to identify the problems nurses are facing. Nurses have to work in a stressful environment just because of the shortage of nurses in the country. This can end up causing fatigue to nurses, job dissatisfaction, and even injury because of fatigue.  The hardship environment the nurses’are subjected to because of a shortage of nurses can result in nurses making a medical error or making mistakes because of fatigue.

The research on nursing shortage on hospitals and health facilities will bring light to the government by showing how the nurses’suffered at the places of work. The process will be a campaign for improving the professional image and making it a profession that many people want. The research will help to enhance the business by ensuring nurses get better education and training so that they can deliver quality services to patients. The introduction of new nurses will cause a reduction of crowding because there will be an excellent nurse to patient ration. This will help to improve social interaction and how patients receive healthcare services. Levels of Measurement and nurses shortage Discussion Essay

 

References

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. In 
StatPearls [Internet]
. StatPearls Publishing.

Shukri, R. (2020). Environmental Pressure, Nursing Shortage, Future Size, Shape, and Purpose of Sultanate of Oman’s Nursing Workforce. Levels of Measurement and nurses shortage Discussion Essay

Education & Empathy : 3 of 7 (42.9%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

Opportunities marked as Not Encountered are opportunities that were not elicited in the interview

Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made

Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

1 Treatment Inefficacy

Not Followed Up

Description: Mr. Bailey reports that some of his attempted pain treatments have proven ineffective, causing him suffering and exasperation.

This is your avatar.

Did you go to the hospital

Question

03:41 PM CDT

Tanner Bailey

I went to the hospital when I hurt myself picking up that box thirteen weeks ago. They looked me over but they couldn’t figure out what kind of back injury I had.

This is your avatar.

Did the hospital recommend anything

Question

03:41 PM CDT

Tanner Bailey

All they did was tell me to take ibuprofen and do physical therapy. They couldn’t even tell me what was wrong, even after an MRI. It turned up nothing.

This is your avatar.

What did the hospital diagnose you with

Question

03:42 PM CDT

Tanner Bailey

The ER did an MRI, but they can’t tell me what’s actually wrong with my back. My coworker drove me all the way out to the hospital the day I hurt myself, and there’s not a whole lot to show for it.

This is your avatar.

Have your pain levels changed since your injury

Question

03:44 PM CDT

Model Statement: “I’m sorry that it’s been so difficult to find a proper treatment plan for your pain and that you haven’t always received enough relief. We’re going to figure out how best to treat your pain quickly and effectively.”

2 Chronic Back Pain

Followed Up

Description: Mr. Bailey reports severe back pain that has debilitated and frustrated him for many weeks.

This is your avatar.

What brings you in today

Question

03:35 PM CDT

Tanner Bailey

I picked up this heavy box at work–with like, sound equipment and stuff in it–and ever since then, the pain in my lower back has been killing me. I think I need to be on opioids or something.

This is your avatar.

I am sorry your back has continued to hurt so severely for so long, We’re going to determine the best plan of action to ease your pain

Empathize

03:38 PM CDT

Tanner Bailey

Hey, thanks.

This is your avatar.

Have your pain levels changed since your injury

Question

03:44 PM CDT

Tanner Bailey

My back pain hasn’t gotten better at all. I feel like I’ve been in pain forever. I need it to stop.

This is your avatar.

When does your pain occur

Question

03:45 PM CDT

Tanner Bailey

The pain starts when I wake up in the morning. It does fade away for a little bit during the day, but it’s not a reliable thing and it always comes back.

This is your avatar.

I’m sorry that it’s been so difficult to find a proper treatment plan for your pain and that you haven’t always received enough relief. We’re going to figure out how best to treat your pain quickly and effectively.

Empathize

03:48 PM CDT

Tanner Bailey

I appreciate your saying that.

This is your avatar.

Do you take opioids

Question

03:56 PM CDT

Tanner Bailey

I was taking them, but I’m out. It was my first time trying them, and I had my last one this morning. My friend only had a week’s worth after his surgery, so now I’m here for a prescription. My back hurts too much to wait it out.

This is your avatar.

While the medication your friend gave you was effective for pain relief and even though he no longer needed it you should only take prescriptions that a healthcare provider can safely endorse and oversee

Educate

03:57 PM CDT

Tanner Bailey

Yeah, I guess that makes sense.

Model Statement: “I’m sorry your back has continued to hurt so severely for so long. We’re going to determine the best plan of action to ease your pain.”

3 Prescription Borrowing

Followed Up

Description: Mr. Bailey reports taking leftover pain medication given to him by a friend after his friend’s surgery.

This is your avatar.

Do you take opioids

Question

03:56 PM CDT

Tanner Bailey

I was taking them, but I’m out. It was my first time trying them, and I had my last one this morning. My friend only had a week’s worth after his surgery, so now I’m here for a prescription. My back hurts too much to wait it out.

This is your avatar.

While the medication your friend gave you was effective for pain relief and even though he no longer needed it you should only take prescriptions that a healthcare provider can safely endorse and oversee

Educate

03:57 PM CDT

Tanner Bailey

Yeah, I guess that makes sense.

Model Statement: “While the medication your friend gave you was effective for pain relief, and even though he no longer needed it, you should only take prescriptions that a healthcare provider can safely endorse and oversee.”

4 Prescription vs Over the Counter

Followed Up

Description: Mr. Bailey reports not filling an ibuprofen prescription so as to avoid the hassle of going through the pharmacy, and instead, he purchased and used over-the-counter ibuprofen.

This is your avatar.

Was it over the counter (Clarified to: Did you take ibuprofen that was just over the counter?)

Question

03:58 PM CDT

Tanner Bailey

The hospital prescribed me ibuprofen, but I just bought some over the counter — prescriptions are such a hassle to fill and pick up and all that. Figured it’d be easier. (Clarified to: If the ibuprofen was over the counter)

This is your avatar.

Prescription and over-the-counter medications are not always identical. you should always fill your prescription instead of buying them over the counter and always take your medication as prescribed

Educate

04:00 PM CDT

Tanner Bailey

Thank you. One more thing to think about, huh?

Model Statement: “Prescription and over the counter medications are not always identical. You should always fill your prescription instead of buying them over the counter, and always take your medications as prescribed.”

5 Dangers of Opioids

Not Followed Up

Description: Mr. Bailey reports taking opioids to treat his back pain.

This is your avatar.

Does anything relieve the pain

Question

03:52 PM CDT

Tanner Bailey

Sometimes just shifting around–changing the way I’m sitting or lying–can help a little. Rest helps a little bit, too. Drinking kind of worked, but I did have to go up to three drinks a day. Ibuprofen didn’t work at all, but these opioids I tried–hydrocodone and acetaminophen–they actually stopped the pain.

This is your avatar.

Do you have any type of allergies (Clarified to: What allergies do you have?)

Question

03:54 PM CDT

Tanner Bailey

I don’t have allergies. (Clarified to: what allergies I have)

This is your avatar.

Can you tell me about your family history

Question

03:55 PM CDT

Tanner Bailey

My mom’s has depression. She’s also an alcoholic. My dad’s pretty healthy.

Model Statement: “Though it’s good that opioids have proven effective for you for pain relief, and that they could be again, they are addictive and dangerous. You should only take them if a healthcare provider determines it is a safe and logical option.”

6 Physical Activity

Not Followed Up

Description: Mr. Bailey reports that besides shifting positions while resting, and besides at-home exercises he tried that only exacerbated his pain, he has gone without physical activity due to wanting to rest.

This is your avatar.

Does exertion make your pain worse

Question

03:50 PM CDT

Tanner Bailey

The pain is worst when I’m doing something. Walking, lifting, bending over. It makes it hard enough to move I can’t even go to the physical therapist like the ER doctors wanted. I tried some exercises at home and they just hurt too much.

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Does exercise make your pain worse

Question

03:50 PM CDT

Tanner Bailey

I can’t exercise. Which just stinks. I used to lift weights and do cardio three times a week. Now, every little thing hurts. I can’t bend or lift stuff, and even walking is just so painful. I tried some PT exercises for my back at home, but it just hurt so much.

This is your avatar.

What is the pain like

Question

03:51 PM CDT

Model Statement: “While it’s great that shifting your position can lessen your back pain, remaining otherwise sedentary can actually increase it. You may feel better by taking slow, short-paced walks, stretching, or trying specific exercises. Despite the pain involved, physical therapy could also be an effective healing tool.”

7 Alcohol Use

Not Followed Up

Description: Mr. Bailey reports drinking alcohol to dull his back pain.

This is your avatar.

Has your alcohol consumption endangered you

Question

04:04 PM CDT

Tanner Bailey

If you mean like, drinking at work or something, no, I’d never. I’ve just been at home.

This is your avatar.

Can I examine your back

Question

04:05 PM CDT

Tanner Bailey

Have at it. [AUDIO COMING SOON]

This is your avatar.

thank you

Question

04:05 PM CDT

Tanner Bailey

You’re welcome.

Tanner Bailey

Alright, let’s do it.

Tanner Bailey

Thanks for the tip.

Tanner Bailey

Got it.

Tanner Bailey

Fine by me.

Tanner Bailey

Aw, man. No more whiskey?

Tanner Bailey

I get it, but just so you know, you’re asking a lot of me.

Tanner Bailey

That sounds awful. Is this stuff really safe to take?

Tanner Bailey

I guess it’s worth the risk. I mean, I’ve got to do something.

Tanner Bailey

But it hurt so bad. That can’t be good for my back, can it?

Tanner Bailey

Alright . . . guess I gotta work through the pain a little bit.

Tanner Bailey

I mean, I know you’re not supposed to . . . but it did work a lot better than the ibuprofen.

Tanner Bailey

Okay, okay. I understand. Really. I knew it wasn’t a good idea . . . I just couldn’t find anything that worked. This time will be better.

Tanner Bailey

Thanks. You have a good one.

Model Statement: “Though alcohol has been effective for you as a back pain reliever, it’s a dangerous substance that could damage your health and behaviors. We will work to find you a treatment plan whose risks can be minimized and overseen.”

Subjective Data Collection: 25 of 25 (100.0%)

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Patient Data
items below to reveal important information, including
Pro Tips
and
Example Questions
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Found:

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Available:

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Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:

Established chief complaint and reason for admittance

Finding:

Reports chronic lower back pain resulting from work injury

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

What is your chief complaint?

Finding:

Reports wanting a prescription for opioids

(Found)

Pro Tip: A patient’s chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have.

Example Question:

What is your chief complaint?

History of Present Illness

Finding:

Asked about onset of injury

Finding:

Reports sustaining injury thirteen weeks ago

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

When did the pain start?

Finding:

Reports injury occurred after lifting a heavy box

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

When did the pain start?

Finding:

Reports pain onset immediately after injury

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

When did the pain start?

Finding:

Reports being driven to hospital immediately after injury

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Did you go to the hospital?

Finding:

Followed up on hospitalization

Finding:

Reports hospital exams could not diagnose the type of back injury

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

What did the hospital diagnose you with?

Finding:

Reports hospital prescribed ibuprofen

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Did the hospital prescribe you anything?

Finding:

Reports being told at the hospital to attend physical therapy

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Did the hospital recommend anything?

Finding:

Asked about frequency, duration, and timing of pain

Finding:

Reports back injury and pain have not healed since onset

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Have your pain levels changed since your injury?

Finding:

Reports pain fluctuates in and out throughout the day at irregular intervals

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

When does the pain occur?

Finding:

Asked about additional symptoms of injury

Finding:

Denies additional symptoms

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

What other symptoms do you have?

Finding:

Asked about aggravating factors of pain

Finding:

Reports exertion such as walking, bending, or lifting aggravate pain

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does exertion make your pain worse?

Finding:

Reports at-home physical therapy exercises aggravated pain, discouraging attendence of physical therapy

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does exercise make your pain worse?

Finding:

Asked about nonmedicational treatment and relieving factors of pain

Finding:

Reports drinking alcohol relieves pain

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does drinking alcohol relieve your pain?

Finding:

Reports shifting positions when sitting or lying down can slightly relieve pain

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does shifting positions relieve your pain?

Finding:

Reports resting slightly relieves pain

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does resting relieve your pain?

Finding:

Denies trying heat or ice packs

(Available)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Have you tried heat packs?

Finding:

Asked about characteristics of pain

Finding:

Descibes pain as usually sharp and burning

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

What is the pain like?

Finding:

Describes pain as occasionally tingling

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

What is the pain like?

Finding:

Asked about severity of pain

Finding:

Reports sometimes pain is not present or low, or 0-2

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How much pain are you in?

Finding:

Reports sometimes pain is moderate to severe, or 4-7

(Found)

Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How much pain are you in?

Past Medical History

Finding:

Asked about other existing health conditions

Finding:

Denies other health problems

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

What other health problems do you have?

Finding:

Asked about history of mental health

Finding:

Denies mental health disorders

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have a history of psychiatric illness?

Finding:

Asked about allergies

Finding:

Denies allergies

(Found)

Pro Tip: Inquiring into the patient’s relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient’s existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment.

Example Question:

Do you have any allergies?

Family Medical History

Finding:

Asked about relevant family medical history

Finding:

Reports mother has depression and is an alcoholic

(Found)

Pro Tip: A patient’s family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient’s current complaint and how their family’s health history might be influencing it.

Example Question:

Can you tell me about your family history?

Home Medications

Finding:

Asked about gender-affirming medications

Finding:

Reports currently taking testosterone enanthate for gender-affirmation therapy

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Are you currently taking testosterone?

Finding:

Asked about home medications for injury

Finding:

Reports previously taking ibuprofen for back pain

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take ibuprofen?

Finding:

Reports previously taking opioid analgesics for back pain

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you take opioids?

Finding:

Followed up on testosterone therapy

Finding:

Reports testosterone is in injection form

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What form is your testosterone in?

Finding:

Reports dosage is 100 milligrams per week

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What dosage is your testosterone?

Finding:

Reports having taken testosterone for two years

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How long have you taken testosterone?

Finding:

Reports most recent dose of testosterone was yesterday

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

When was your last dose of testosterone?

Finding:

Followed up on ibuprofen

Finding:

Reports buying over-the-counter ibuprofen to avoid the hassle of filling a prescription

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Did you fill your prescription?

Finding:

Reports having taken two 200 milligram ibuprofen pills at a time

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How much ibuprofen did you take?

Finding:

Reports having taken ibuprofen every four hours

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How often did you take ibuprofen?

Finding:

Reports ibuprofen was ineffective as an analgesic

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Did ibuprofen help the pain?

Finding:

Followed up on opioid analgesic

Finding:

Reports having been given opioids leftover from his friend’s surgery

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Where did you obtain opioids?

Finding:

Reports the opioids were a combination of 325 milligrams acetaminophen and 5 milligrams hydrocodone

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What dose of opioids did you take?

Finding:

Reports having taken the opioids twice daily, morning and night

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

How often did you take the opioids?

Finding:

Reports the opioids were effective as an analgesic

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Did opioids help the pain?

Finding:

Denies being dependent on opioids

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Are you dependent on opioids?

Finding:

Asked about medication timeline

Finding:

Reports having started ibuprofen 13 weeks ago just after hospitalization and stopping 11 weeks ago

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What period of time did you take ibuprofen?

Finding:

Reports stopping ibuprofen 11 weeks ago to more safely use alcohol as a stronger analgesic

(Available)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

When did you stop taking ibuprofen?

Finding:

Reports stopping alcohol use 1 week ago to more safely use opioids as a stronger analgesic

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

When did you stop drinking alcohol?

Finding:

Reports having taken the opioids for a week until running out this morning

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

What period of time did you take the opioids?

Finding:

Asked about medication regimen adherence

Finding:

Denies missing doses

(Found)

Pro Tip: A patient’s home medications can provide insight into the patient’s current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient’s background and how it may affect their current situation.

Example Question:

Do you miss doses of your medication?

Social History

Finding:

Asked about income level

Finding:

Reports steady but low income as a theatre director

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What level of income do you make?

Finding:

Asked about gender identity

Finding:

Reports transgender (female to male) identity

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What gender do you identify as?

Finding:

Reports wearing a chest binder to masculinize appearance

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

What do you do to masculizine your appearance?

Finding:

Asked about substance use

Finding:

Reports using alcohol

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you drink alcohol?

Finding:

Denies using illicit drugs

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Have you ever used illicit substances?

Finding:

Denies using nicotine or tobacco

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Have you ever used nicotine products?

Finding:

Followed up on alcohol use

Finding:

Reports increasing alcohol use for its slight efficacy as an analgesic

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How often did you drink alcohol before your injury?

Finding:

Reports drinking 1-2 servings of alcohol a month before injury

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How often did you drink alcohol before your injury?

Finding:

Reports now drinking 3 servings of alcohol a day

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

How many servings of alcohol do you have a day?

Finding:

Reports spreading alcohol servings throughout the day

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

When in the day do you drink?

Finding:

Denies adverse effects of alcohol

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Do you have adverse effects from alcohol use?

Finding:

Denies dependency on alcohol

(Available)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Are you dependent on alcohol?

Finding:

Asked about intoxication during risky activities

Finding:

Denies intoxication during risky activities

(Found)

Pro Tip: A patient’s social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient’s social history can also unveil the influence of their present illnesses in their social lives.

Example Question:

Has your alcohol consumption endangered you?

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