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  • NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

    NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

    Question 1

    G-protein coupled receptors are targets for several psychiatric medications. Given what we know about these receptors, what is the ultimate result we will see when one of them is activated in a way that would potentiate an action?

    A. Intracellular activation of second messengers

     

    B. Protein phosphorylation

     

    Correct!

    C. Modification of gene expression

     

    ORDER AN EXAM, QUIZ, OR ASSIGNMENT HELP HERE HERE

    A and B are both steps in the activities seen leading up to modification of gene expression.

    Question 2

    Upon blocking a Serotonin reuptake pump, what happens in the synaptic cleft and on the post synaptic cell membrane?

    A. The result will be an increase in available Serotonin in the synaptic cleft causing the post synaptic cell to increase the number of Serotonin receptors.

     

    Correct!

    B. The result will be an increase in the available Serotonin in the synaptic cleft causing the post synaptic neuron to reduce the number of Serotonin receptors.

     

    C. The result will be an increase in Serotonin in the synaptic cleft resulting in an increase in reuptake pumps on the presynaptic neuron.

     

    D. The result will be an increase in Serotonin in the synaptic cleft resulting in a decrease in reuptake pumps on the pre-synaptic neuron. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

     

    A, C, and D are misrepresentations of what occurs when you increase Serotonin in the synaptic cleft. There is no effect on the pre-synaptic neuron, and the increases in Serotonin result in a reduction of receptor concentration on the post-synaptic neuron.

    Question 3

    Motivation is a component of patient-focused interventions to enhance adherence. Based on the transtheoretical model, readiness to change can fluctuate across five stages. Which stage is represented by the patient who is aware that a problem exists and, while seriously thinking about overcoming it, has not yet committed to a plan of action?

    Preparation

     

    Action

     

    Correct!

    Contemplation

     

    Maintenance

     

    Question 4

    Receptors trigger one of two effector pathways resulting in changes in neuronal activity. These changes will, ultimately, effect gene expression. Which effector pathway is characterized by ion flux through transmitter-activated channels resulting in an altered membrane potential and neuronal activity?

    A. Slow effector pathways

     

    B. Modulated effector pathways

     

    Correct!

    C. Rapid effector pathways

     

    D. NMDA glutamate receptor pathways

     

    Answer B is fictitious, D is a type of rapid effector pathway, and A represents G-protein coupled receptors.

    Question 5

    Of the components of patient-focused interventions to enhance adherence, which component includes the following strategies: adaptive thinking, use of cues, and support?

    Motivation

     

    Correct!

    Skills

     

    Logistics

     

    Education

     

    Skills include adaptive thinking, problem solving, use of cues, and support.

    Question 6

    Treatment adherence is affected by several different factors. Clinical factors include mood, anxiety, psychosis, and substance misuse. There are also patient factors such as knowledge, attitude, and beliefs; economic and racial/ethnic disparities, and clinical encounters. A patient who presents hopeless, with decreased energy, and poor concentration is affected by which factor?

    Substance misuse

     

    Knowledge deficits

     

    Attitude ad belief system

     

    Correct!

    Mood

     

    These are signs of an altered mood.

    Question 7

    Neurotransmitters are defined by four essential characteristics. These are:

    A. Neurotransmitters are synthesized within presynaptic neurons. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

     

    B. Depolarization of a neuron results in the release of a neurotransmitter, which exerts a multitude of actions on the postsynaptic neuron.

     

    C. Their action on postsynaptic neurons can be replicated by administering a drug that mimics the activity of the endogenous neurotransmitter.

     

    D. Their action in the synaptic cleft is terminated by a specific action.

     

    Correct!

    E. A, C, and D only

     

    Answer B should read a “discrete” (not multitude) action on the post synaptic neuron.

    Question 8

    Neurotransmission is unidirectional insofar as chemical and electrical conduction is concerned within the individual neuron. Of the following descriptions, which best characterizes the order of neurotransmitter/receptor interaction that results in an electrical signal impulse and the release of another neurotransmitter for interaction in the synaptic cleft (signal conduction through a neuron)?

    Cell body, dendrites, Axon, Axon terminals

     

    Dendrites, Axon, Cell body, Axon, Axon terminals

     

    Correct!

    Dendrites, Cell body, Axon, Axon terminals

     

    Axon terminals, Axon, Cell body, Dendrites

     

    All of the other options are mis-sequenced in signal conduction.

    Question 9

    The synaptic cleft is best characterized by which of the following statements?

    A. The synaptic cleft is the space between a single neuron’s dendrites and axon terminals in which intracellular communication occurs through the release of neurotransmitters allowing for signal conduction throughout the central nervous system.

     

    B. The synaptic cleft is the space between the cell body and axon terminals that allows for release of neurotransmitters from the presynaptic neuron for intercellular communication with an adjacent neuron (post synaptic neuron).

     

    Correct!

    C. The synaptic cleft is an area where dendrites and axon terminals are within close proximity, allowing for the release of a neurotransmitter from a presynaptic neuron that can interact with receptors on dendritic cells of a post synaptic neuron, which is the main basis for intercellular communication of neurons.

     

    Answer A represents a neuron communicating with itself and Answer B states that the synapse is the space between the cell body (not dendrites) and axon terminals.

    Question 10

    The human brain is subcategorized into four major structures. These structures include the cerebral cortex, brainstem, subcortical structures, and the cerebellum. Of these major categories, which one houses the area of the brain that has been found in some neuropathological studies of patients with schizophrenia to be of smaller size?

    Cerebral cortex

     

    Brainstem

     

    Correct!

    Subcortical structures

     

    Cerebellum

     

    The area of the brain in question is part of the thalamus, which is located in the subcortical structures. The other options are incorrect, geographically speaking. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

    Question 11

    1
    Neurons are classified in several different ways. From the following statements, select which ones are true.

    The two structural classifications are projection neurons and local inter-neurons.

    Function classifications are made up of two subcategories: excitatory and inhibitory.

    Histological classification includes bipolar, unipolar, and multipolar.

    Classifications using a combination of structural, functional, and neurotransmitter type provide the most robust and useful description.

    Classification by neurotransmitter type alone provides the most useful description.

    I only

    III only

    I, II, and V only

     

    I, II, III, IV, and V

    Correct!

    I, III, and IV

    Statement II would need to include modulatory function to be correct, and Statement V does not include structural and functional classification systems.

    Question 12

    Which of the following consists of all the known major neurotransmitters that are relevant in psychiatry?

    glutamate, GABA, dopamine, serotonin, norepinephrine, histamine, steroids, nitric oxide

     

    Correct!

    glutamate, GABA, dopamine, norepinephrine, serotonin, acetylcholine, histamine, endogenous opioids, steroids, cannabinoids, nitric oxide

     

    glutamate, GABA, dopamine, serotonin, acetylcholine, endogenous opioids, nitric oxide, cannabinoids, steroids

     

    glutamate, GABA, dopamine, serotonin, norepinephrine, endogenous opioids, steroids, histamine, nitric oxide

     

    all the other options are missing neurotransmitters considered important in psychiatry

    Question 13

    G-protein coupled receptors are examples of what type of effector pathway?

    Correct!

    A. Slow effector pathways

     

    B. Rapid effector pathways

     

    C. NMDA glutamate receptor pathways

     

    D. Modulated effector pathways

     

    Answer D is fictitious, B represents ion channel receptors, and C is a type of rapid effector pathway.

    Question 14

    Which neurotransmitter is considered the major excitatory neurotransmitter?

    A. Glycine

     

    B. GABA

     

    Correct!

    C. Glutamate

     

    D. Serotonin

     

    A and B are inhibitory, and D is involved in mood and sleep.

    Question 15

    Glia cells play a supportive role to the neuron. A few of the functions of the glial cells include providing nutrition, maintaining homeostasis, stabilizing synapses, and myelinating axons. The glial cells are categorized as microglia and macroglia. Of these two cell types, which one plays an active and critical role in glutamatergic neurotransmission by providing a co-agonist required for glutamate receptor function?

    microglial

     

    Correct!

    macroglial

     

    Microglial cells are small, phagocytic cells related to peripheral macrophages.

    Question 16

    If a patient admits to taking his medication every other day (instead of daily, as prescribed), a potential concern would be:

    A. Sufficient understanding or acceptance of the illness

     

    B. Abuse of the medication

     

    Correct!

    C. Expense

     

    D. Is the desired effect recognized at a lower daily dose? NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

     

    A represents a patient taking his medication sporadically, B represents a patient taking too much medication, and D represents a patient taking a lower-than-prescribed dose but daily

    Question 17

    When dopamine (subtype 2) receptors are blocked in this pathway (system), it is evident by EPS.

    A. Mesocortical

     

    B. Tuberoinfundibular

     

    Correct!

    C. Nigrostriatal

     

    D. Mesolimbic

     

    D is associated with positive symptoms in schizophrenia, B is associated with lactation, A is associated with affect.

    Question 18

    Introducing adherence in facilitating treatment goals is something that would be necessary in a patient who has previously displayed nonadherence patterns.

    True

     

    Correct!

    False

     

    It is introduced as early as possible in treatment to mitigate the risks associated with nonadherence.

    Question 19

    A patient arrives in the ED via EMS having a grand mal seizure. The ED physician instructs the RN to give 10 milligrams of Diazepam IV X1 dose STAT. The patient’s seizure breaks within 2 minutes of the Diazepam being administered. The mechanism by which this medication causes rapid resolution of seizure activity is via which receptor type (effector pathway/receptor subtype)?

    A. Slow effector pathways/G-protein coupled receptor

     

    B. Slow effector pathway/ion channel

     

    C. Rapid effector pathways/G-protein coupled receptor

     

    Correct!

    D. Rapid effector pathway/ion channel

     

    Options B and C are mismatched, and Option A shows effects days to weeks after activation.

    Question 20

    Serotonin (5HT) is a neurotransmitter associated with mood, sleep, and psychosis. There are several serotonin receptors all over the human body. A unique aspect of the second generation antipsychotics is their ability to block 5HT2a receptors. What is the effect of this inhibition?

    Correct!

    A. Stabilizes dopamine concentrations in the CNS

     

    B. Induces anxiety

     

    C. Causes hallucinations

     

    D. Reduces platelet function

     

    B represents antagonism of 5HT1a, C represents a 5HT2a agonist, and D represents what happens when you inhibit SERT. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

  • Range

    Range

    In the example in Table 11.1, the range of the distribution is 41, the difference between the high (93) and low (52) scores on the test. Range = highest score − lowest score

    A small range indicates a concentrated distribution of scores, while a large range means that the scores are spread out and that some students have not done well on the test. This value gives us a rough idea of the variability of the test scores.

  • NURS 8210 – Transforming Nursing and Healthcare Through Technology

    HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS

    In the video, 
    Nursing Informatics Innovators,
     you are provided an extensive list of 34 nursing informatics innovators. Each of these individuals has been integral in advancing nursing informatics and the field of nursing practice.

    Innovators in the field of nursing informatics, led the way in shifting the perception of a nurse as an art of patient care, to the practice of nursing as a science, vested in science, technology, and advancements.

    Nursing informatics innovators facilitated and created major advancements in the field of nursing and ensured the field would be one of advancement, continual change, and scientific innovation. Exploring the work of these innovators is essential in understanding where nursing informatics began, where it is now, and where it continues to go.

    For this Discussion, reflect on the role of individual nursing informatics innovators and consider their contributions, the impact of their contributions, and what you might specifically learn from them in your nursing practice. Reflect on how you might apply the knowledge of these innovators to your nursing practice, your education, and your future goals.

    BY DAY 3 OF WEEK 1

    Post 
    a brief
    description of the two innovators you selected and explain why
    . Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.

    BY DAY 6 OF WEEK 1

    Read 
    a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.

    Nursing Informatics

    As Sipes (2022) notes, informatics is the study of computational systems storing and returning data. Nursing informatics has, over the years, evolved to become a significant part of the healthcare industry. Nursing informatics, as noted by McBride and Tietze (2022),  is an area concerned with combining patient care with technology. The American Medical Informatics Association (2022) identifies several nursing informatics innovators who are pioneers in nursing informatics, where they have mastered expert skills and the use of technology to design, strategize, and coordinate the use of technologies and informatics in nursing.

    Selected Nursing Informatics Innovators

    The first innovator selected is Patricia Abbott, RN, Ph.D. Dr. Abbot is regarded as one of the pioneers of informatics innovation, obtaining her master’s degree in nursing informatics in 1992 and pursuing a Ph.D. in information systems in 1999. Dr. Abbot is currently an associate professor at the University Of Michigan School Of Nursing, where she focuses on the role of telehealth in promoting disease self-management. Moreover, the researcher emphasizes applying such knowledge to vulnerable communities, such as patients affected by heart failure living in home-based environments. From a leadership perspective, one of Dr. Abbott’s strengths is experimentation, being the first to apply data-mining techniques in the nursing discipline (Shortliffe, 2004). Dr. Abbot used such systems in promoting long-term care, extending data mining and big data concepts in care quality and safety, vital applications that continue shaping informatics and health information technologies (HIT).

    The second innovator is Judy Murphy, who has more than 25 years of experience in the field of Nursing Informatics with a specialty in Electronic Health Care Records. Ms. Murphy worked in healthcare in Wisconsin, specifically in Milwaukee, where she oversaw a network of 30 hospitals (AMIA, 2021). She has lectured and published on various topics, such as applying technology in evidence-based practice and using automated clinical documentation and methodologies in system implementation (AMIA, 2021). Ms. Murphy has researched Nursing Informatics systems, their functions, and their features. This has helped nurses monitor work and thought flow related to patient care. Some of the skills explored by Murphy are using standard computer technology such as Wi-Fi, IP, and different devices that improve healthcare delivery (AMIA, 2021). Knowing how systems work can help me as a nurse leader in the future to help the nursing staff do their job better and train them through shared governance.

    Contributions and Impact of Innovators on Nursing Practice and Nursing Informatics

    The contribution of nursing informaticists has helped shape nursing informatics by creating desirable changes in the quality of healthcare through the proper decision-making and promotion of equity through meeting the needs of populations by meeting the needs of the targeted population (Kalsy et al., 2018). The impact of Patricia Kathleen Abbott’s and Judy Murphy’s innovations in nursing informatics on nursing practice cannot be underestimated. Undeniably, their contributions have improved effectiveness, safety, timeliness, patient-centeredness, and efficiency of care. At the same time, the two innovator’s contributions have improved patients’ access to healthcare services and overall improved quality of care. Similarly, notable impacts are evident in the field of nursing informatics. The two innovator’s contributions have led to the widespread adoption of nursing informatics innovations. Examples of innovations that healthcare organizations have adopted and incorporated through nursing informatics include electronic health records/medical records, e-prescribing, remote patient monitoring, and telehealth. These have led to an array of benefits, including enhanced coordination, healthcare cost reduction, better and more efficient storage of patient records, patient empowerment, improved quality of care and patient outcomes, and improved patient safety.

    Lessons Learned from the Innovators’

    The primary lesson from Patricia Abbott’s and Judy Murphy’s experiences is that the healthcare and nursing workforce must acquire nursing informatics competencies. These encompass the abilities, skills, and knowledge to perform informatics tasks (American Nurses Association, 2015).

    Since nursing informatics innovations have advanced technology and approaches to care in various nursing specialties, it is indispensable that present and future professional nurses become versed in the use of informatics and technology to facilitate critical decision-making for optimal patient care. The skills and ideas demonstrated by the two pioneers would apply to my professional practice because they will enable me to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information.

    References

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
    . 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    American Nurses Association. (2015). 
    Nursing informatics: Scope and standards of practice
     (2
    nd
     ed.). American Nurses Association.

    Kalsy, M., Lin, J. H., Bray, B. E., & Sward, K. A. (2018). Role of nursing informatics in the automation of pneumonia quality measure data elements. 
    CIN: Computers, Informatics, Nursing
    , 
    36
    (10), 475-483.

    McBride, S., & Tietze, M. (2022). 
    Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism
     (3
    rd
     ed.). Springer Publishing Company

    Sipes, C. (2022). 
    Project management for advanced practice nurse
     (2
    nd
    . Ed.). Springer Publishing

     

    CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT

    “Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research” (Rew et al., 2020).

    As you begin working on your small nursing informatics project, consider how this project will plant the seed for your future work (in and out of an educational setting). How might what you do in this course lend itself to what you will need to do in nursing practice on a day-to-day basis? Why might it be important to consider this now versus later in your education or practice?

    Throughout this course, you are tasked with implementing, or proposing an implementation, of a small nursing informatics project. This project is steeped in project management concepts to drive your work.

    For this Discussion, you will  explore why this approach might not only will assist you in this course, but how it might assist you in nursing practice beyond your studies.

    Reference:

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    TO PREPARE

    Review the Learning Resources for this week and reflect on the roles of advanced nursing practice as it relates to project management.

    Select one of the roles described in Chapter 8 of the Sipes text to focus on for this Discussion.

    Review the article by Rew et al. (2020) and reflect on the steps and processes used by the team described in the article.

    How might you use a similar approach for the completion of your DNP doctoral project or dissertation? What project management strategies might be most appropriate for your nursing research?

    BY DAY 3 OF WEEK 2

    Post 
    a brief
    description of 4–5 major competencies required for the advanced nursing practice role
    that you selected.

    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?

    Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.

    BY DAY 5 OF WEEK 2

    Read
     a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     who selected a different advanced nursing practice role than you. Expand upon your colleague’s posting or offer an alternative perspective on the alignment between the project management concepts and the advanced nursing practice role described by your colleague.

    Case Studies: Professional Role Development

    The advanced nursing practice role I selected is a psychiatric mental health nurse practitioner (PMHNP). Major competencies required for this role include clinical expertise, communication, critical thinking and problem-solving skills, interpersonal skills, leadership and management skills, and knowledge of evidence-based practices (Kumar et al., 2020). These competencies are essential to effectively assessing patient health status; diagnosing conditions; developing, implementing, and evaluating plans of care; providing counseling, education, and referral services; managing resources to maximize outcomes; and collaborating with other health professionals.

    Project management concepts such as goal setting, task prioritization, timeline development, resource allocation, and risk assessment can be aligned with this advanced nursing practice role (Bakerjian, 2022). For example, a primary care nurse practitioner must set goals and prioritize tasks to facilitate the best patient outcomes. They must also develop a timeline for completing patient assessments and developing plans of care, as well as allocate resources such as time, money, supplies, and personnel to effectively meet their goals. Finally, they must assess risks associated with treatment options and identify strategies to mitigate those risks.

    These same concepts and a similar approach can be used for completing a DNP doctoral project or dissertation. Rew et al.’s (2020) steps and processes, as well as the resources on techniques and tools for nursing research, provide an effective framework to guide the development, implementation, and evaluation of the project or dissertation. For example, one could use goal setting to develop a research question or hypothesis and task prioritization to break down complex tasks into smaller, more manageable steps.             Additionally, timeline development can be used to create project milestones and deadlines, while resource allocation can help determine the resources needed for the project or dissertation. Lastly, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them (Lamb et al., 2018). Thus, project management concepts are essential for completing a successful DNP doctoral project or dissertation. The processes and techniques that will provide  the most guidance to assist with planning and developing a DNP doctoral project or dissertation include setting goals, prioritizing tasks, developing timelines, allocating resources, developing research questions/hypotheses, conducting literature reviews, collecting data, analyzing data and making conclusions. Additionally, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them.

    The project management strategies learned as a nurse leader can also be applied to facilitate nursing research or nursing practice for the DNP doctoral project or dissertation. For example, nurses in leadership roles can use goal setting and task prioritization to organize their projects, timelines for completing tasks, resource allocation for personnel and materials needed, and risk assessment to assess potential threats and develop strategies to address them. Additionally, they can use literature reviews to gain an understanding of the current evidence related to their project or dissertation, collect data relevant to their research question or hypothesis, analyze this data, and make conclusions based on the results (Rew et al., 2020). Thus, utilizing project management strategies as a nurse leader can help facilitate nursing research and practice for a successful DNP doctoral project or dissertation.

     

    References

    Bakerjian, D. (2022). The advanced practice registered nurse leadership role in nursing homes: Leading efforts toward high quality and safe care. 
    The Nursing 
    C
    linics of North America
    , 
    57
    (2), 245–258. https://doi.org/10.1016/j.cnur.2022.02.011

    Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. 
    Archives of 
    P
    sychiatric 
    N
    ursing
    , 
    34
    (5), 275–280. https://doi.org/10.1016/j.apnu.2020.07.022

    Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. 
    Nursing 
    O
    pen
    , 
    5
    (3), 400–413. https://doi.org/10.1002/nop2.150

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    Week 2: Discussion 2

    IMPORTANT TERMINOLOGY AND CONCEPTS

    The field of nursing requires an understanding of many terms and concepts. You may find there are some you are familiar with, and you may find you are learning something new every day. How might the exploration of nursing informatics terms and concepts help you improve your practice? What is required to stay up to date with new terminology and concepts in the field? How might you approach the ever-changing landscape of nursing practice as it relates to information technology?

    For this Discussion, you will focus on two selected terms to explore their impact on nursing practice. You will also explore barriers and non-functionality related to your selected terms. Consider your specific experience and nursing practice to share with your colleagues.

    RESOURCES

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    TO PREPARE

    Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.

    Usability

    Interoperability

    Decision Support

    Sustainability

    Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.

    BY DAY 4 OF WEEK 2

    Post 
    and define the two terms you selected. Explain why it may be important to understand
    how these terms function for the application of information technology and nursing practice
    . How might these terms impact your nursing practice? Be specific. Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms.

    BY DAY 6 OF WEEK 2

    Read
     a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     who selected different terms than you. Expand upon your colleague’s posting or offer an alternative perspective on how the terms identified by your colleague may contribute to non-functionality in your practice if not properly aligned.

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    Important terminology and Concepts: Usability and Decision Support
                It is important for nurses to understand how these terms function in order to effectively use technology in their practice. For instance, if nurses are using technology that has poor usability they may be unable to access the information they need quickly and efficiently which could lead to delays in care or errors (Graham et al., 2008). Understanding decision support systems can also help nurses make informed decisions based on evidence rather than intuition alone. This can result in improved patient outcomes (Graham et al., 2008).            Understanding how usability and decision support work is important for nurses in order to ensure they are using the most effective technologies when caring for patients. Improper application of these terms can lead to non-functionality which can have serious implications for patient care as well as cost associated with medical errors or delays in care (Cho et al., 2022). Thus, it is imperative that nurses understand these terms so that they can use technology effectively and safely in order provide quality nursing care.            In conclusion, understanding the concepts of usability and decision support can help nurses use technology effectively in their practice which can lead to improved patient outcomes. It is important for nurses to be aware of the potential impacts that could arise from improper application of these terms in order to provide the best care possible. By understanding how usability and decision support works, nurses can ensure they are using the most effective technologies and reduce any risk from non-functionality.Cho, H., Keenan, G., Madandola, O. O., Dos Santos, F. C., Macieira, T. G. R., Bjarnadottir, R. I., Priola, K. J. B., & Dunn Lopez, K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. 
    JMIR 
    H
    uman 
    F
    actors
    , 
    9
    (2), e31758. https://doi.org/10.2196/31758Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    Npj Digital Medicine, 3(
    1). doi:10.1038/s41746-020-0221-y

    Graham, T. A., Kushniruk, A. W., Bullard, M. J., Holroyd, B. R., Meurer, D. P., & Rowe, B. H. (2008). How usability of a web-based clinical decision support system has the potential to contribute to adverse medical events. 
    AMIA … Annual Symposium 
    P
    roceedings. AMIA Symposium
    , 
    2008
    , 257–261.

    References

                Usability and decision support can impact care provider’s practice in several ways, such as improvements in patient safety, better decision-making and time saving. The potential impacts of non-functionality that may arise in nursing practice if barriers exist for the proper application of these terms may include increased risk of medical errors, delays in care, or even lack of access to necessary information (Sutton et al., 2020). Thus, it is important for nurses to understand how usability and decision support works so they can use technology effectively and ensure they are providing quality care while also reducing costs associated with medical errors or delays in care.

                Barriers to proper application of usability and decision support in nursing practice can lead to non-functionality which could have serious implications for nurses, their patients, and the healthcare system as a whole. For example, if nurses are unable to use technology due to poor usability it can lead to delays in care or errors that can be costly both financially and medically. Additionally, relying solely on intuition rather than evidence-based decision making could increase risks for patients receiving care. This highlights the importance of understanding how these terms function in order for nurses to ensure they are providing quality care while also reducing costs associated with medical errors or delays in care (Sutton et al., 2020).

                The two terms that I selected from the list are Usability and Decision Support.  Usability is the measure of how easy a system or product is to use and understand. Usability focuses on the user’s experience with a particular product or system (Graham et al., 2008). Decision Support refers to technologies and resources that support an individual’s decision-making processes by providing them with relevant information, advice, visual representations, and other learning materials.

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    Brittney Pember
    Brittney Pember
     
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    Dec 7, 2022
    Dec 7, 2022 at 8:30am

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                 I also chose decision support. I believe this is extremely important and I have been in positions where I have had this and where I have not. deal nurse decision-making is essential to enhanced patient care outcomes. (Cappelletti A, 2014) It creates extreme difficulty when you do not have support of leadership or staff. For example, in my role now I have great decision support and I feel like my day goes easier and effectively I feel me and my team are able to focus on what is important which is the patient. Decision-making in acute care nursing requires an evaluation of many complex factors. While decision-making research in acute care nursing is prevalent, errors in decision-making continue leading to poor patient outcomes. (Bucknall T, 2003)Cappelletti A, Engel JK, Prentice D. Systematic Review of Clinical Judgment and Reasoning in Nursing. 
    Journal of Nursing Education. 
    2014;53(8):453–458. doi: 10.3928/01484834-20140724-01

    Bucknall T. The clinical landscape of critical care: nurses’ decision-making. 
    Journal of Advanced Nursing. 
    2003;43(3):310–319

    Response Two

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    Jennings Ubadi Mekoba
    Jennings Ubadi Mekoba
     
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    Dec 8, 2022
    Dec 8, 2022 at 8:48pm

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                                                  I
    mportant Terminology And Concepts Response to Telecia Allen
                   The contemporary healthcare setting presents complex situations that require critical decision-making to guarantee positive health outcomes. Like Allen, I believe hospitals, healthcare leaders, and healthcare professionals need the appropriate decision-support tools to achieve shared objectives and provide optimum care. Sutton et al. (2020) note that computerized clinical decision support tools in the current healthcare systems represent a fundamental paradigm shift that nurses and other healthcare workers should be aware of. Healthcare requires prompt responses, meaning that health practitioners should not only rely on their competencies to make the appropriate decision because they can also leverage the affordances of a clinical decision support tool. Patients should also be notified about such options because the conclusions being reached in whichever case affect their health. Hence, Allen offers essential insight that can be used to inform nurses about the essentiality of decision-support systems in the current health setting. Carayon, P., & Hoonakker, P. (2019). Human factors and usability for Health Information Technology: Old and new challenges. 
    Yearbook of Medical Informatics
    , 
    28
    (01), 071–077. https://doi.org/10.1055/s-0039-1677907

    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. 
    Npj Digital Medicine
    , 
    3
    (1). https://doi.org/10.1038/s41746-020-0221-y

                                                   
    References

              Very informative post Telecia. Given the increased technology adoption in healthcare, I agree that usability is critical to safe and quality care. This term defines a broad range of issues due to the increased potential of harm introduced with novel technologies. Lack of proper training and knowledge on the operationalization of health technology can lead to errors or delays, adversely affecting patients’ health outcomes. That can lead to mistakes. For instance, despite electronic health records being significant to effective care delivery, this instrument has to be usable by the targeted users and for its intended purpose. Carayon
     
    and Hoonakker (2019) note that while national and global mandates, incentives, and other healthcare policies advocate using novel technologies in care delivery, usability problems continue to be reported as critical impediments to successful integration. Therefore, I agree with Allen that barriers to the proper design of health technology can interfere with the delivery of care, leading to errors and delays.

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
     
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    Dec 9, 2022
    Dec 9, 2022 at 7:45am

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    Hello Telecia,
    References
    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    NPJ digital medicine
    , 
    3
    (1), 1-10.

    Kaminski, J. (2020). Theory applied to informatics–Usability. 
    Canadian Journal of Nursing Informatics
    , 
    15
    (4), 9241-11.

    I agree that usability the measure of how easy a system or product is to use and understand. I think usability can be defined as the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use (Kaminski, 2020). Also, I think usability is an important consideration when assessing the utility and user-friendliness when using technology and equipment in health care (Kaminski, 2020). It is true that an understanding of the terms has a significant impact on the effective application in practice. It is also true that decision support impacts nursing practice by providing the most suitable options that guides decision-making by providing reminders and prompts that aid healthcare providers in implementing evidence-based clinical guidelines at the point of care (Sutton et al., 2020). I think usability greatly influences the attitude and usage of a system both by the providers and patients.

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    Sara Haynes Perry
    Sara Haynes Perry
     
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    Dec 10, 2022
    Dec 10, 2022 at 12:49am

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    Telecia, References

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). 
    Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.
    . 
    Applied Clinical Informatics, 10
    (3), 395–408. doi:10.1055/s-0039-1691841

    I also looked at Usability. Health informatics technology is not my strong suit in nursing I appreciate the challenge, however I have been involved in pilot programs and training to begin new programs. I have respect for this as an older nurse who started with paper chart, prior to computer charting. When I started there was minimal charting on computers. I have enjoyed the change, but also experience the challenges. With usability, the health informatics system is important, however there can be flaws. This is where usability can come into play in the concerns of user error and lack of training or proper programs, Marcilly et al, (2019).

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    Vicky Awken Ngang
    Vicky Awken Ngang
     
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    Dec 5, 2022
    Dec 5, 2022 at 5:41am

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    Important terminology and Concepts: Usability and Interoperability
    Usability
    Interoperability
    ReferencesBiltoft, J., & Finneman, L. (2018). Clinical and financial effects of smart pump–electronic medical record interoperability at a hospital in a regional health system. 
    The Bulletin of the American Society of Hospital Pharmacists
    , 
    75
    (14), 10641068. 
    https://doi.org/10.2146/ajhp161058Links to an external site.
    Healthcare Information and Management Systems Society. (2022). 
    Interoperability in healthcare
    . Retrieved from 
    https://www.himss.org/resources/interoperability-healthcare#Part3Links to an external site.

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841

    Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. NPJ digital medicine, 2(1), 1-5. 
    https://doi.org/10.1038/s41746-019-0158-1Links to an external site.

    Interoperability is defined by the Healthcare Information and Management Systems Society (2022) as the ability of different information systems, devices and applications (systems) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries, to provide timely and seamless portability of information and optimize the health of individuals and populations globally. Interoperability enables us to utilize the securely shared data to facilitate care, reduce costs, and improve health outcomes (Lehne et al., 2019). Generally, Interoperability involves bringing together various information sources. When healthcare systems, devices, and applications can share information seamlessly, nurses can make intelligent choices about patient care. Interoperability provides a holistic view as well as valuable insights into making critical healthcare decisions and making the necessary adjustments earlier in the treatment process. Interoperability will enhance efficiency in my nursing practice because it brings together critical patient information, including comorbidities, lab assessments, medical history, and medication history, from diverse sources. This implies that nurses do not have to synthesize patient information independently, instead, they can spend more time meeting patient needs. In support, Biltoft & Finneman (2018) noted that Interoperability frees nurses from the burden of manually documenting patient information, which allows them more time to provide patient care.

    Usability is defined as the effectiveness, efficiency, and satisfaction with which individual users can complete tasks within a particular environment (Marcilly, et. al. 2019, P8). Generally, a system with good usability can be described as effective, efficient, and easy to use. The significance of usability is reflected in need to provide quality and efficient care using advanced systems such as Electronic Health Records (EHRs). Usability is also regarded as a critical component of the safe and effective use of health IT. Usability has a significant impact on clinical workflows in practice. Specifically, usability is essential in ensuring that healthcare systems at the practice are easy to navigate and have an intuitive interface design that enables users to work with the tools more efficiently.

    With the introduction of computers and health information technology into nursing practices, the way people interact at the workplace has changed tremendously. Therefore, the interaction between humans and computers necessitates the concept of usability and interoperability. The two terms I have chosen for this discussion are usability and interoperability.

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    Brittney Pember
    Brittney Pember
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    Dec 6, 2022
    Dec 6, 2022 at 11:08am

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    Response One American Association of Critical-Care Nurses. AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. 2nd ed. Aliso Viejo, CA: Association of Critical-Care Nurses; 2016.

    Raso R, Fitzpatrick JJ, Masick K, Giordano-Mulligan M, Sweeney CD. Perceptions of authentic nurse leadership and work environment and the pandemic impact for nurse leaders and clinical nurses. J Nurs Adm. 2021;51(5):257–263.

                Usability is also a term I almost chose to define in this assignment. I like this term and feel it is actually one of the most important factors in healthcare. This term applies to tasks and individuals within the work environment. Leaders have always needed to be adaptive and agile; these skills are imperative now more than ever. The global pandemic we’ve been battling for over a year has resulted in the dramatic loss of human lives and an unprecedented impact on healthcare and public health. (Raso R, 2021) Being able to have tasks assigned to the correct people in order to get work and task done in an efficient and effective manner is why this term would be used. As a nurse leader I think understanding these terms especially this one is important in order to correctly understand your staff and give patients the care they need and deserve. This all comes back to quality care in any setting outpatient or inpatient. Leaders are expected to align vision and strategy, engage a workforce, drive for results, hold teams accountable, and celebrate successes. (American Association of Critical-Care Nurses, 2016)

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    Christian Offor
    Christian Offor
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    Dec 8, 2022
    Dec 8, 2022 at 9:34am

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    Vicky, thanks for your post. I agree that usability is an essential aspect of informatics technology that should be ensured. As you mentioned, usability refers to the ability of the program or interface to be effectively used. In the health sector, user-friendly systems allow practitioners to utilize them to aid their services (Vehko et al., 2019). Also, one has to ensure that the systems should nurse decision support, meaning that the system is able to formulate judgments, determination, and actions that can be employed to inform different procedures and activities within the system. In this case, the system with these characteristics will significantly benefit the sector (Teniwut & Hasyim, 2020). However, in an instance where these aspects are not determined effectively, they could thwart the delivery of the services.Teniwut, W., & Hasyim, C. (2020). Decision support system in supply chain: A systematic literature review. 
    Uncertain Supply Chain Management
    , 
    8
    (1), 131-148.

    Vehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., … & Heponiemi, T. (2019). Experienced time pressure and stress: electronic health records usability and information technology competence play a role. 
    BMC

    References

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    Telecia Shantee’ Allen
    Telecia Shantee’ Allen
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    Dec 8, 2022
    Dec 8, 2022 at 8:14pm

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    Great post Vicky,            As a result, the lack of interoperability can have detrimental implications on both the quality and cost of healthcare delivery. To address these issues, healthcare organizations must make sure that their systems are properly aligned with those of their partners and that all data is securely shared across providers. By doing so, the exchange of information can be streamlined and patient care improved.  Additionally, greater standardization of health technology must be adopted to ensure interoperability between different tools and systems (Bates & Samal, 2018). This will ultimately provide a more unified approach to healthcare delivery, preventing non-functionality in medical practices due to the lack of interoperability. Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. 
    NPJ 
    D
    igital 
    M
    edicine
    , 
    2
    , 79. 
    https://doi.org/10.1038/s41746-019-0158-1Links to an external site.

    Bates, D. W., & Samal, L. (2018). Interoperability: What is it, how can we make it work for clinicians, and how should we measure it in the future?. 
    Health 
    S
    ervices 
    R
    esearch
    , 
    53
    (5), 3270–3277. 
    https://doi.org/10.1111/1475-6773.12852Links to an external site.

    References

                The lack of interoperability in health technology can lead to non-functionality when such technologies are not properly aligned. This is especially problematic for medical practices due to the complex nature of data exchange, as different providers often use incompatible systems and interfaces. Without interoperability, patient records and other important information cannot be shared between providers in a secure manner, leading to errors or delays in care (Lehne et al., 2019). Furthermore, without the ability to easily access and share patient data across different providers, it becomes more difficult for clinicians to coordinate care and provide efficient treatment.

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
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    Dec 10, 2022
    Dec 10, 2022 at 3:18pm

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    Hello Vicky,
    References
    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    NPJ digital medicine
    , 
    3
    (1), 1-10.

    Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. 
    BMJ open
    , 
    11
    (7), e044941.

    Your post was very informative. I agree that usability measures the effectiveness, efficiency, and satisfaction with which individual users can complete tasks within a particular environment. It is true that interoperability enables us to utilize the securely shared data to facilitate care, reduce costs, and improve health outcomes. I think interoperability impacts nursing practice through making sharing of vital patient data efficient, safe and reduces cost of care by facilitating easier access to patient health records such as through EHRs (Li et al., 2021). In addition to increased time spent to meet patient needs, interoperability can lead to compromised patient safety associated with an increased risk for fragmentation of patient data, medication errors and increased cost of care (Li et al., 2021). I think it is also important to note that usability is an important consideration when assessing the utility and user-friendliness when using technology and equipment in health care, and it greatly influences the attitude and usage of a system both by the providers and patients (Kaminski, 2020).

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    Sara Haynes Perry
    Sara Haynes Perry

    Dec 10, 2022
    Dec 10, 2022 at 9:51pm

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    Vicky,References0p.vPowell, K. R., & Alexander, G. L. (2019). 
    Mitigating barriers to interoperability in health care Links to an external site.Links to an external site.
    . Online Journal of Nursing Informatics, 23
    (2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-care

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). 
    Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.
    . 
    Applied Clinical Informatics, 10
    (3), 395–408. doi:10.1055/s-0039-1691841

    Good evening and thank you for your posting. I also chose these terms, as it seems a fair amount of people in this course did as well. I also feel that usability is important in HIT, as how it is used in relation to HIT can improve safety, efficiency, and quality of care, Marcilly et al, (2019).  On the other hand it is important to have a good usability, as if errors occur it can cause problems in patient care and systems.  Powell & Alexander, (2019), discuss how interoperability can make it accessible to integrate health information and electronic health records, for which our country’s hospitals are lacking the infrastructure. These terms are both important aspect of health information technology. While our country has come a long way, he have a long way to go yet. We need to continue to make our systems safer and more accurate to increase patient safety and outcomes. Thank you again!

     

     

    DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1

    You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete
    this project
    , you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 
    9-week time frame
     during this course. This project 
    will be completed in two parts.

    TO PREPARE

    Continue working with a manager, or consider how you will work with a manager, to finalize a small informatics project for your organization. If time allows based on the type of project, you will also implement and evaluate the outcomes. Each week, you will develop and apply a component needed to complete the project.

    BY DAY 7 OF WEEK 5

    Continue working on the
     
    Scope, Charter, and SWOT Analysis, as assigned thus far.  You will add Gap, WBS, Project Timeline in the coming weeks (six tools; 8–9 pages including application and rationale for tools) to be submitted in 
    Week 5
    .

    FOR WEEK 2, CONDUCT A SWOT ANALYSIS.

    Project Design
    : Conduct a SWOT analysis which will provide information for the Scope and Charter. You can use a Word document and insert a table. Directions can be viewed in the video, 
    How to Perform a SWOT Analysis
    . Some of the content is relevant to both the project for this course as well as organization for your DNP Project or dissertation. Overall, the first step for any project, work, or your DNP Project/dissertation requires a plan: what you will and will not do. That information is defined in a project scope and charter.

    You are not required to submit this assignment this week.

    BLOG: HOW HAS NURSING INFORMATICS AND TECHNOLOGY IMPACTED YOUR PRACTICE?

    It is March 2020, and COVID-19 has resulted in lockdowns and stay-at-home orders nationwide. Patients are fearful to visit healthcare offices and hospitals, for routine care or other illnesses. As a result, virtual technologies are introduced to bridge the gap between healthcare needs and an emerging pandemic. Patients are encouraged to schedule visits virtually and seek care in new ways.

    While the impacts of COVID-19 in 2020 were immediate, how might these changes influence the capabilities of healthcare beyond a pandemic? How might these changes become permanent or even facilitate further change and innovation?

    For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    TO PREPARE

    Review the Learning Resources for this week and focus on the article, “How COVID-19 Accelerated the Digital Transformation of Healthcare.”

    Reflect on the impacts of the COVID-19 pandemic on healthcare and nursing practice.

    Consider your nursing background and professional interests as you view the video.

    What potential skills, knowledge, or competencies might you need to develop for your healthcare organization or nursing practice given the impacts of the COVID-19 pandemic?

    BY DAY 3 OF WEEK 3

    Post
     a response to your blog describing your own experiences
    with digital changes and how the COVID-19 has affected your healthcare organization or nursing practice. Address the following:

    Summarize how informatics has impacted or changed nursing practice, especially with the effects of the COVID-19 pandemic. Provide an example from your personal or professional experience. Be sure to also include the name of the professional organization you belong to.

    Explain how established informatics competencies may influence quality of care, safety improvements, and any other changes since the pandemic for excellence in nursing practice. Be specific. What would you need to do to develop skills, knowledge, and competencies in order to apply the technology?

    Describe your informatics strengths and preferences, as well as potential challenges and areas for development.

    Do you think the information technology framework discussed in the Ye, et al. (2020) article is applicable in the U.S. to manage COVID and other major pandemics? How much of what is discussed do we currently use?

    Describe one strategy for enhancing and updating your project management and informatics skills and competencies. You will reflect on this again in Week 11 and application to the development of your dissertation.

    BY DAY 6 OF WEEK 3

    Read
     a selection of your colleagues’ blog posts and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     by expanding upon their responses or sharing additional or alternative perspectives.

     

    DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION,
    PART 1 (CONTINUED
    )

    You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 
    9-week time frame
     during this course. This project 
    will be completed in two parts
    .

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the past 2 weeks.

    For Week 3, 
    complete the following:

    Create a visual using the Gap Analysis map of the identified gap, documenting the flow from the point of origin to the destination. After watching the YouTube video, “How to do a GAP Analysis” media piece in this week’s Learning Resources, identify the gap and analyze the flow or lack of flow of information as the gap in a process.

    Create a Work Breakdown Structure (WBS) using PowerPoint slides or another method. Be sure to review the media piece, 
    What Is a Work Breakdown Structure?
     in this week’s Learning Resources.

    Create a Project Timeline using a
    Gantt chart
    , 
    which defines who is responsible, due dates to start /finish activities. (You might also use this as you track your dissertation IRB submission for your proposal). You can find an example on pp. 95–96 of the course text, using PowerPoint slides or another method. Be sure to review the 
    Gantt Charts, Simplified
     media piece in this week’s Learning Resources.

    BY DAY 7 OF WEEK 5

    These three planning documents will be added to the three design and planning documents from Weeks 1 and 2 
    (totaling six tools)
     and kept current/updated as you develop this project.

    You are not required to submit this assignment this week.

    Note:
     You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

     

    DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

    You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 
    9-week time frame 
    during this course. This project 
    will be completed in two parts.

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the last three weeks.

    For
    Week 4, 
    complete the following:

    RACI (responsibility chart)
     which outlines who will be responsible for which tasks, if working with a team. An example can be found in the Sipes text on pages 102–103.

    Communication plan
     – Include documentation of all communications, status reports, changes made, next steps, especially if others will be responsible for helping you acquire documents such as IRB site documents if applicable. An example can be found in the Sipes text on page 109 and on pages 141–143.

    Change management plan
     – Document all changes as they occur (e.g., meetings moved, revisions of drafts of project, due dates moved due to changes, changes in scope of project, change in team members). An example can be found in the Sipes text on pages 106, 108, 138 and on pages 156–157.

    Risk management plan –
     After viewing the “
    Risk Analysis How to Analyze Risks on Your Project”
     media piece in this week’s Learning Resources, document the impact of COVID-19 on current processes and potential for change. Be sure to also document how risk may be mitigated if possible. An example can be found in the Sipes text on pages 103–105.

    BY DAY 7 OF WEEK 5

    These four planning documents will be added to the six design and planning documents from Weeks 1–4. Please ensure you keep current/updated all documents as you develop this project.

    You are not required to submit this assignment this week.

    Note
    : You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

     

    DEVELOPING A SMALL INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 2: IMPLEMENTATION

    The final summary will include the complete evaluation of the full project and lessons learned—what went well and what needs update and revisions.

    This will be a professional scholarly paper using APA 7. Be sure to include a one-half to one-page executive summary.

    The scholarly paper will include a minimum of 
    10 current citations 
    from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Please note that only 
    primary
     sources are to be used. Peer-reviewed journal articles should make up the bulk of your references specific page numbers when necessary. Note that an article referred in a book is a 
    secondary
     source. . Please review the 
    APA Publication Manual
     (APA; 7th ed.) and in the Walden Writing Center. See also “
    Policies on Academic Integrity
    Links to an external site.
    .”

    The final paper should be 17–20 pages, not including references.

    Reminder
    : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at 
    https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632
    Links to an external site.
    ). All papers submitted must use this formatting.

    Submit 
    the
     Assignment
     by 
    Day 7 of Week 9
    .

    RESOURCES

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    SUBMISSION INFORMATION

    Before submitting your
    final assignment
    , you can check your draft for authenticity. To check your draft, access the 
    Turnitin Drafts
     from the 
    Start Here
     area.

    To submit your completed assignment, save your Assignment as 
    WK9Assgn_LastName_Firstinitial

    Then, click on 
    Start Assignment
     near the top of the page.

    Next, click on 
    Upload File
     and select 
    Submit Assignment
     for review.

    Rubric

    NURS_8210_Week9_Assignment_Rubric

    NURS_8210_Week9_Assignment_Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    All documents from Part 1 are included in the Part 2 submission.

    150
     
    to >
    134.0
     pts

    Excellent

    All documents and tracking tools submitted from Part 1 have been revised and accurately updated in detail to sufficiently support the proposed small nursing informatics project.

    134
     
    to >
    119.0
     pts

    Good

    All documents and tracking tools submitted from Part 1 have been revised and updated to support the proposed small nursing informatics project.

    119
     
    to >
    104.0
     pts

    Fair

    All documents and tracking tools submitted from Part 1 have been inaccurately or vaguely revised and may support the proposed small nursing informatics project.

    104
     
    to >
    0
     pts

    Poor

    All documents and tracking tools from Part 1 have been inaccurately and vaguely revised, and do not lend support to the proposed small nursing informatics project, or it is missing.

    150
     pts

    This criterion is linked to a Learning Outcome
    Is the project staying within scope?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is staying within scope…. The response accurately and clearly adheres to the project scope provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is staying within scope. … The response accurately adheres to the project scope provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is staying within scope. … The response inaccurately or vaguely adheres to the project scope provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is staying within scope, or it is missing. … The response inaccurately and vaguely adheres to the project scope provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Were all of the gaps identified?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all the gaps were identified for the proposed small nursing informatics project. … The response accurately and clearly adheres to the Gap Analysis provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all the gaps were identified for the proposed small nursing informatics project…. The response accurately adheres to the Gap Analysis provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately and vaguely explains whether all the gaps were identified for the proposed small nursing informatics project. … The response inaccurately or vaguely adheres to the Gap Analysis provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all the gaps were identified for the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely adheres to the Gap Analysis provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Is the project following the timeline?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is following the timeline. … The response accurately and clearly adheres to the project timeline provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is following the timeline. … The response accurately adheres to the project timeline provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is following the timeline. … The response inaccurately or vaguely adheres to the project timeline provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is following the timeline, or it is missing. … The response inaccurately and vaguely adheres to the project timeline provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    If you had a budget, is it on track?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is adhering to the proposed budget.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is adhering to the proposed budget.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is adhering to the proposed budget.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is adhering to the proposed budget, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Were all of the work activities correctly assigned?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all the work activities were correctly assigned. … The response accurately and clearly adheres to the Work Breakdown Structure provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all the work activities were correctly assigned. … The response accurately adheres to the Work Breakdown Structure provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all the work activities were correctly assigned. … The response inaccurately or vaguely adheres to the Work Breakdown Structure provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all the work activities were correctly assigned, or it is missing. … The response inaccurately or vaguely adheres to the Work Breakdown Structure provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are team members responsible?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all team members were responsible for the proposed small nursing informatics project. … The response accurately and clearly adheres to the responsibility chart provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all team members were responsible for the proposed small nursing informatics project. … The response accurately adheres to the responsibility chart provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all team members were responsible for the proposed small nursing informatics project. … The response inaccurately or vaguely adheres to the responsibility chart provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all team members were responsible for the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely adheres to the responsibility chart provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Did the project start on time, inline to meet due dates?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the small nursing informatics project started on time and is inline to meet due dates. … The response accurately and clearly adheres to the Gantt chart provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the small nursing informatics project started on time and is inline to meet due dates. … The response accurately adheres to the Gantt chart provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the small nursing informatics project started on time and is inline to meet due dates. … The response inaccurately or vaguely adheres to the Gantt chart provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the small nursing informatics project started on time and is inline to meet due dates, or it is missing. … The response inaccurately and vaguely adheres to the Gantt chart provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Are you holding weekly status meetings and documented all activities? Are all team members in attendance and communicated with?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether weekly status meetings and documentation of all activities for the project has occurred. … The response accurately and clearly explains in detail whether all team members have participated, attended, and been in active communication for the project. … The response accurately and clearly adheres to the communication plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether weekly status meetings and documentation of all activities for the project has occurred. … The response accurately explains whether all team members have participated, attended, and been in active communication for the project. … The response accurately adheres to the communication plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether weekly status meetings and documentation of all activities for the project has occurred. … The response inaccurately or vaguely explains whether all team members have participated, attended, and been in active communication for the project. … The response inaccurately or vaguely adheres to the communication plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether weekly status meetings and documentation of all activities for the project has occurred, or it is missing. … The response inaccurately and vaguely explains whether all team members have participated, attended, and been in active communication for the project, or it is missing. … The response inaccurately and vaguely adheres to the communication plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are all changes approved and documented?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all changes for the small nursing informatics project were approved and documented. … The response accurately and clearly adheres to the change management plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all changes for the small nursing informatics project were approved and documented. … The response accurately adheres to the change management plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all changes for the small nursing informatics project were approved and documented. … The response inaccurately or vaguely adheres to the change management plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all changes for the small nursing informatics project were approved and documented, or it is missing. … The response inaccurately and vaguely adheres to the change management plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are all risks identified, prioritized, assigned an owner, and mitigation plan developed?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response accurately and clearly adheres to the risk management plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response accurately adheres to the risk management plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response inaccurately or vaguely adheres to the risk management plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all risks were identified, prioritized, assigned and owner, and whether mitigation plans were developed, or it is missing. … The response inaccurately and vaguely adheres to the risk management plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    A final summary that includes complete evaluation of the full project and lessons learned: what went well and what needs updated and revised.

    55
     
    to >
    48.0
     pts

    Excellent

    The response accurately and clearly summarizes in detail a complete and comprehensive evaluation of the proposed small nursing informatics project. … The response accurately and clearly explains in detail lessons learned from the proposed small nursing informatics project.

    48
     
    to >
    43.0
     pts

    Good

    The response accurately summarizes a complete evaluation of the proposed small nursing informatics project. … The response accurately explains lessons learned from the proposed small nursing informatics project.

    43
     
    to >
    37.0
     pts

    Fair

    The response inaccurately or vaguely summarizes a complete evaluation of the proposed small nursing informatics project. … The response inaccurately or vaguely explains lessons learned from the proposed small nursing informatics project.

    37
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely summarizes a complete evaluation of the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely explains lessons learned from the proposed small nursing informatics project, or it is missing.

    55
     pts

    This criterion is linked to a Learning Outcome
    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. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

    5
     
    to >
    4.0
     pts

    Excellent

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

    4
     
    to >
    3.5
     pts

    Good

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

    3.5
     
    to >
    3.0
     pts

    Fair

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

    3
     
    to >
    0
     pts

    Poor

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion was provided. 5  pts This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5   to >
    4.0
     pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    4
     
    to >
    3.5
     pts

    Good

    Contains a few (1 or 2) grammar, spelling, and punctuation errors.

    3.5
     
    to >
    3.0
     pts

    Fair

    Contains several (3 or 4) grammar, spelling, and punctuation errors.

    3
     
    to >
    0
     pts

    Poor

    Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

    5
     pts

    This criterion is linked to a Learning Outcome
    Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

    5
     
    to >
    4.0
     pts

    Excellent

    Uses correct APA format with no errors.

    4
     
    to >
    3.5
     pts

    Good

    Contains a few (1 or 2) APA format errors.

    3.5
     
    to >
    3.0
     pts

    Fair

    Contains several (3 or 4) APA format errors.

    3
     
    to >
    0
     pts

    Poor

    Contains many (≥ 5) APA format errors.

    5
     pts

    Total Points: 
    500

  • Standard Deviation

    The standard deviation is a more useful measure than the range of the variability of a score distribution. Standard deviation indicates the average distance that scores in a distribution vary from the mean (7.665 in Table 11.1). A large variance indicates that the scores are spread out from the mean, as Chapter 10, “Establishing Evidence of Reliability and Validity,” discusses. Conversely, the smaller the variance, the greater the similarity of the scores and the closer they are to the mean. Most software programs report the standard deviation, which is the square root of the variance, in their test analyses reports. The standard deviation tells you the average distance of the scores from the mean, or how much the scores differ, either positively or negatively, from the mean. A small standard deviation means that the scores were bunched together around the mean, while a large standard deviation means that the scores were spread out from the mean.

    ORDER AN ASSIGNMENT HERE

    The standard deviation is most useful for making interpretations about the normal curve, which is a grading method that is discouraged for classroom testing, as Chapter 13, “Assigning Grades,” discusses. In the classroom setting, the most useful application of the standard deviation is to help you to understand the
    reliability coefficient
    and the
    standard error of measurement (SEM)
    for a test.

  • DEVELOPING A SMALL INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 2: IMPLEMENTATION

    DEVELOPING A SMALL INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 2: IMPLEMENTATION

    The final summary will include the complete evaluation of the full project and lessons learned—what went well and what needs update and revisions.

    This will be a professional scholarly paper using APA 7. Be sure to include a one-half to one-page executive summary.

    The scholarly paper will include a minimum of 
    10 current citations 
    from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Please note that only 
    primary
     sources are to be used. Peer-reviewed journal articles should make up the bulk of your references specific page numbers when necessary. Note that an article referred in a book is a 
    secondary
     source. . Please review the 
    APA Publication Manual
     (APA; 7th ed.) and in the Walden Writing Center. See also “
    Policies on Academic Integrity
    Links to an external site.
    .”

    The final paper should be 17–20 pages, not including references.

    Reminder
    : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at 
    https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632
    Links to an external site.
    ). All papers submitted must use this formatting.

    Submit 
    the
     Assignment
     by 
    Day 7 of Week 9
    .

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    SUBMISSION INFORMATION

    Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the 
    Turnitin Drafts
     from the 
    Start Here
     area.

    To submit your completed assignment, save your Assignment as 
    WK9Assgn_LastName_Firstinitial

    Then, click on 
    Start Assignment
     near the top of the page.

    Next, click on 
    Upload File
     and select 
    Submit Assignment
     for review.

    Rubric

    NURS_8210_Week9_Assignment_Rubric

    NURS_8210_Week9_Assignment_Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    All documents from Part 1 are included in the Part 2 submission.

    150
     
    to >
    134.0
     pts

    Excellent

    All documents and tracking tools submitted from Part 1 have been revised and accurately updated in detail to sufficiently support the proposed small nursing informatics project.

    134
     
    to >
    119.0
     pts

    Good

    All documents and tracking tools submitted from Part 1 have been revised and updated to support the proposed small nursing informatics project.

    119
     
    to >
    104.0
     pts

    Fair

    All documents and tracking tools submitted from Part 1 have been inaccurately or vaguely revised and may support the proposed small nursing informatics project.

    104
     
    to >
    0
     pts

    Poor

    All documents and tracking tools from Part 1 have been inaccurately and vaguely revised, and do not lend support to the proposed small nursing informatics project, or it is missing.

    150
     pts

    This criterion is linked to a Learning Outcome
    Is the project staying within scope?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is staying within scope…. The response accurately and clearly adheres to the project scope provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is staying within scope. … The response accurately adheres to the project scope provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is staying within scope. … The response inaccurately or vaguely adheres to the project scope provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is staying within scope, or it is missing. … The response inaccurately and vaguely adheres to the project scope provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Were all of the gaps identified?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all the gaps were identified for the proposed small nursing informatics project. … The response accurately and clearly adheres to the Gap Analysis provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all the gaps were identified for the proposed small nursing informatics project…. The response accurately adheres to the Gap Analysis provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately and vaguely explains whether all the gaps were identified for the proposed small nursing informatics project. … The response inaccurately or vaguely adheres to the Gap Analysis provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all the gaps were identified for the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely adheres to the Gap Analysis provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Is the project following the timeline?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is following the timeline. … The response accurately and clearly adheres to the project timeline provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is following the timeline. … The response accurately adheres to the project timeline provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is following the timeline. … The response inaccurately or vaguely adheres to the project timeline provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is following the timeline, or it is missing. … The response inaccurately and vaguely adheres to the project timeline provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    If you had a budget, is it on track?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the project is adhering to the proposed budget.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the project is adhering to the proposed budget.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the project is adhering to the proposed budget.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the project is adhering to the proposed budget, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Were all of the work activities correctly assigned?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all the work activities were correctly assigned. … The response accurately and clearly adheres to the Work Breakdown Structure provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all the work activities were correctly assigned. … The response accurately adheres to the Work Breakdown Structure provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all the work activities were correctly assigned. … The response inaccurately or vaguely adheres to the Work Breakdown Structure provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all the work activities were correctly assigned, or it is missing. … The response inaccurately or vaguely adheres to the Work Breakdown Structure provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are team members responsible?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all team members were responsible for the proposed small nursing informatics project. … The response accurately and clearly adheres to the responsibility chart provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all team members were responsible for the proposed small nursing informatics project. … The response accurately adheres to the responsibility chart provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all team members were responsible for the proposed small nursing informatics project. … The response inaccurately or vaguely adheres to the responsibility chart provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all team members were responsible for the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely adheres to the responsibility chart provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Did the project start on time, inline to meet due dates?

    40
     
    to >
    35.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether the small nursing informatics project started on time and is inline to meet due dates. … The response accurately and clearly adheres to the Gantt chart provided in the final submission.

    35
     
    to >
    31.0
     pts

    Good

    The response accurately explains whether the small nursing informatics project started on time and is inline to meet due dates. … The response accurately adheres to the Gantt chart provided in the final submission.

    31
     
    to >
    27.0
     pts

    Fair

    The response inaccurately or vaguely explains whether the small nursing informatics project started on time and is inline to meet due dates. … The response inaccurately or vaguely adheres to the Gantt chart provided in the final submission.

    27
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether the small nursing informatics project started on time and is inline to meet due dates, or it is missing. … The response inaccurately and vaguely adheres to the Gantt chart provided in the final submission, or it is missing.

    40
     pts

    This criterion is linked to a Learning Outcome
    Are you holding weekly status meetings and documented all activities? Are all team members in attendance and communicated with?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether weekly status meetings and documentation of all activities for the project has occurred. … The response accurately and clearly explains in detail whether all team members have participated, attended, and been in active communication for the project. … The response accurately and clearly adheres to the communication plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether weekly status meetings and documentation of all activities for the project has occurred. … The response accurately explains whether all team members have participated, attended, and been in active communication for the project. … The response accurately adheres to the communication plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether weekly status meetings and documentation of all activities for the project has occurred. … The response inaccurately or vaguely explains whether all team members have participated, attended, and been in active communication for the project. … The response inaccurately or vaguely adheres to the communication plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether weekly status meetings and documentation of all activities for the project has occurred, or it is missing. … The response inaccurately and vaguely explains whether all team members have participated, attended, and been in active communication for the project, or it is missing. … The response inaccurately and vaguely adheres to the communication plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are all changes approved and documented?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all changes for the small nursing informatics project were approved and documented. … The response accurately and clearly adheres to the change management plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all changes for the small nursing informatics project were approved and documented. … The response accurately adheres to the change management plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all changes for the small nursing informatics project were approved and documented. … The response inaccurately or vaguely adheres to the change management plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all changes for the small nursing informatics project were approved and documented, or it is missing. … The response inaccurately and vaguely adheres to the change management plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    Are all risks identified, prioritized, assigned an owner, and mitigation plan developed?

    20
     
    to >
    17.0
     pts

    Excellent

    The response accurately and clearly explains in detail whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response accurately and clearly adheres to the risk management plan provided in the final submission.

    17
     
    to >
    15.0
     pts

    Good

    The response accurately explains whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response accurately adheres to the risk management plan provided in the final submission.

    15
     
    to >
    13.0
     pts

    Fair

    The response inaccurately or vaguely explains whether all risks were identified, prioritized, assigned an owner, and whether mitigation plans were developed. … The response inaccurately or vaguely adheres to the risk management plan provided in the final submission.

    13
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely explains whether all risks were identified, prioritized, assigned and owner, and whether mitigation plans were developed, or it is missing. … The response inaccurately and vaguely adheres to the risk management plan provided in the final submission, or it is missing.

    20
     pts

    This criterion is linked to a Learning Outcome
    A final summary that includes complete evaluation of the full project and lessons learned: what went well and what needs updated and revised.

    55
     
    to >
    48.0
     pts

    Excellent

    The response accurately and clearly summarizes in detail a complete and comprehensive evaluation of the proposed small nursing informatics project. … The response accurately and clearly explains in detail lessons learned from the proposed small nursing informatics project.

    48
     
    to >
    43.0
     pts

    Good

    The response accurately summarizes a complete evaluation of the proposed small nursing informatics project. … The response accurately explains lessons learned from the proposed small nursing informatics project.

    43
     
    to >
    37.0
     pts

    Fair

    The response inaccurately or vaguely summarizes a complete evaluation of the proposed small nursing informatics project. … The response inaccurately or vaguely explains lessons learned from the proposed small nursing informatics project.

    37
     
    to >
    0
     pts

    Poor

    The response inaccurately and vaguely summarizes a complete evaluation of the proposed small nursing informatics project, or it is missing. … The response inaccurately and vaguely explains lessons learned from the proposed small nursing informatics project, or it is missing.

    55
     pts

    This criterion is linked to a Learning Outcome
    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. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

    5
     
    to >
    4.0
     pts

    Excellent

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

    4
     
    to >
    3.5
     pts

    Good

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

    3.5
     
    to >
    3.0
     pts

    Fair

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

    3
     
    to >
    0
     pts

    Poor

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion was provided. 5  pts This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5   to >
    4.0
     pts

    Excellent

    Uses correct grammar, spelling, and punctuation with no errors.

    4
     
    to >
    3.5
     pts

    Good

    Contains a few (1 or 2) grammar, spelling, and punctuation errors.

    3.5
     
    to >
    3.0
     pts

    Fair

    Contains several (3 or 4) grammar, spelling, and punctuation errors.

    3
     
    to >
    0
     pts

    Poor

    Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

    5
     pts

    This criterion is linked to a Learning Outcome
    Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

    5
     
    to >
    4.0
     pts

    Excellent

    Uses correct APA format with no errors.

    4
     
    to >
    3.5
     pts

    Good

    Contains a few (1 or 2) APA format errors.

    3.5
     
    to >
    3.0
     pts

    Fair

    Contains several (3 or 4) APA format errors.

    3
     
    to >
    0
     pts

    Poor

    Contains many (≥ 5) APA format errors.

    5
     pts

    Total Points: 
    500

     

    Developing a Small Informatics Project Part 2: Implementation

    Better patient experience and outcomes have been a central focus of the healthcare sector, especially nursing, as nurses are the healthcare professionals who spend the most time with patients. The implication is that nurses can always be at the center of initiatives used to improve patient outcomes. Such initiatives can range from administrative to the use of technology to improve patient care outcomes. Through quality improvement projects, nurses can positively contribute to the efforts to improve patient experience and outcomes (Wells et al.,2018). Such quality improvement projects are accomplished in phases, where subsequent phases systematically follow the project initiation phase. Among the vital phases of such projects is implementation. During implementation, the actual proposal is put into action to effect the desired changes. Nursing informatics can play a critical role in improving patient outcomes. As such, the project regarding small nursing informatics was proposed in the previous section after identifying a patient problem in the patient settings. In addition, ten tracking documents were formulated. Therefore, the purpose of this project is to explore implementation and track the project and ensure that the implementation is going as planned.

     Project Conformance to Scope (Scope)

               
    The scope entails the specifications of a project that defines what a project should cover, the required resources, and the possible times for its completion. The implication is that a project scope defines the project boundaries, what needs to be done and what should not be covered (Abdilahi et al.,2020). As part of the overall project plan, it is key to determine if the project is staying within the defined scope, as it can be an indicator of the eventual success of the project. The scope also focuses on what the problem should be carried out and how it is to be monitored and established. In the initial stages of the project, the project’s aims and objectives were formulated. For example, the aim of the project was to streamline the discharge decision-making process by the interdisciplinary team utilizing data analytics at Riverside University Health System (RUHS). This still remains the aim and focus of the project; as such, in terms of the project’s aim, the project is still within scope.

    The project also had targeted deliverables. These deliverables are an important part of the project as they are indicators of the project’s success. The targeted deliverables, such as various documentation, still remain the central focus. Among the aims was to come up with a system that improves patient outcomes in terms of discharge. The informatics system is to streamline the discharge decision-making process by the interdisciplinary team when using data analytics to improve patient outcomes in terms of discharge. These deliverables still remain the main focus; as such, in terms of the deliverables, the project is still within scope.

    Gaps Identification (Gap Analysis)

               
    Patient care improvement requires that the healthcare professionals such as nurses identify problems that hinder effective patient care, patient experiences, and patient outcomes. Such a problem calls for a careful analysis of the services rendered and the impacts of such on patients. This is where gap analysis comes in. Through gap identification or gap analysis, the project team can appropriately identify the gaps that exist and formulate quality improvement goals around the identified gaps (Skivington et al.,2021). Having carried out a gap analysis, it is important to explore if, indeed, all the necessary gaps were identified. A close analysis of the operations at the Riverside University Healthcare System (RUHS) revealed that various gaps exist in the operations hence exposing the patients to poorer health outcomes.

    The analyzed data from the facility indicated disheartening cases of patient discharge protocol. Such protocols have negatively impacted patient outcomes and the financial well-being of the organization. For example, the data also indicated that the patients were wrongfully discharged. Such wrongful discharges occur due to the lack of clear discharge protocols, hence endangering their lives. As such, this is one of the largest gaps identified in the organization. In addition, some of the patients were referred to a general ward since some of their information regarding medication progress was missing. These patients went on to experience a downturn in their health leading to readmissions into critical care. The gap analysis also revealed that the organization has been experiencing overcrowding in the patient units. Such overcrowding incidences lead to functionality challenges in the facility. For example, overcrowding has led to delays in therapeutic procedures hence poorer patient outcomes (Jeanmonod & Jeanmonod, 2018). From the discussed aspects, it is evident that all the gaps were appropriately identified and hence need to be addressed.

    Project Conformance to Timeline (Project Timeline)

               
    A project life cycle is characterized by various phases which must be accomplished within the required time. Therefore, it is usually key to formulate a timeline that dictates when each activity is to be accomplished.  A project timeline is also key in helping the project team to stay on course and ensure that every activity is implemented as planned (Ford & Lyneis, 2020). In the previous sections, a timeline was formulated, and therefore it is important to determine if the project is staying within the scheduled timelines.

    The project involved various phases and steps. The steps include an assessment of the feasibility of the EHR programs, identification of a multidisciplinary team to help in addressing the proposed change, the introduction of the EHR, reviewing the compliance reports, and piloting reports with adequate data. Other steps included data validation, creation of report strategies, development of a plan for the implementation of the new strategies, monitoring the implementation, review of the HER program, and sustaining the efforts.

    The first month of the project was generally dedicated to planning. The planning activities included assessing the feasibility of the proposed electronic health records project at the chosen facility, identifying the multidisciplinary team to help in addressing the change, and introducing the EHR program at the chosen health facility. The four activities of the first phase of the project were accomplished within the first month of the project as planned. Review of the reports on compliance and completing the assessment of compliance were also completed within the time schedule.

    Finding out if the proposed project complies with the general standards and the HIPPA rules is key. It is important that the project complies with these guidelines and the rules as it touches on patient data (Mbonihankuye et al.,2019). As such, the project has to uphold the privacy, security, and confidentiality of the patient data as appropriate. After a careful assessment, it was noted that the project and its aspects are compliant. As such, the general phase of the planning was successfully completed within the time scheduled.

    The next phase entailed piloting a report with adequate data and validating the data, which occurred after the first two phases. This phase entailed trials that were run to determine the validity of the collected data. It is important to test for the validity of such data through piloting to enhance the chances of success when the actual phase of rollout comes around. It is important to note that all other phases of the project were accomplished based on the proposed timeline and as appropriately as possible. Therefore, it can be reported that so far the project’s phases have stayed within the initially formulated timeline.

    Work Activities Assignment (Work Breakdown Structure)

    From the earlier discussions, it was noted that this small nursing informatics project has various phases and, therefore, has to be implemented in phases as appropriate. The implication is that, in every phase, there are activities that have to be accomplished in time to enhance the chances of the project succeeding. In addition, these activities cannot all be accomplished or completed by an individual; hence a need to assign individuals with expertise and interest who can accomplish these tasks as appropriate (Müller et al., 2019). In the previous sections, various individuals were assigned to accomplish various tasks. Therefore, it is imperative to evaluate whether the tasks were appropriately assigned.

    The three major phases, as identified in the Work Breakdown Structure, included planning, implementation, and evaluation. Various activities are associated with the planning phase, including the feasibility assessment, definition of the project scope, and development of the resource plan. This phase was assigned to the project leader, who was tasked with ensuring that this phase was successful and that the associated deliverables were timeously accomplished. The project leader has expertise in project implementation and has experience in leading projects. Therefore, the activities were correctly assigned to the individual who would complete them in time.

    The next phase entailed implementation. Under the implementation, various activities were identified, including an introduction of the EHR program, development, documentation, user training plan, training of users, and monitoring of implementation. This phase was assigned to the project leader, the nurse educator, and the nurse informaticist. These three individuals have a rich experience and expertise in project implementation. While the project leader was tasked with leading the other three and coordinating them to accomplish the associated activities, the nurse educator was responsible for educating individuals on the requirements of the new project and what should be done to comply with the requirements. The nurse informaticist has the technical expertise needed in the informatics project; as such, the nurse informaticist helps with the technical aspects of the project for a successful implementation. Therefore, the activities related to the implementation of the project were appropriately and correctly assigned.

    The other phase is evaluation. During the evaluation phase, various activities were also identified, including a review of the report on compliance, completing the assessment on compliance, provision of support, and formulating the documentation for lessons learned. These activities were also assigned to various individuals on the project team. The individuals include the nursing leader, nursing staff, nurse educator, and nurse informaticist. The evaluation phase usually explores the efficacy of the methods used in the project, how well they help in accomplishing the project goals and how best they were used (Müller et al.,2019). Therefore, this phase is a vital part of the project as it can help the project team to determine the next steps that should be taken to ensure that the project moves in the right direction. The nursing staff have a good knowledge of the organization, as informed by years of experience working in the organization. As such, the nursing staff is able to help determine the impact of an implemented project. It is important to note that the analysis of the expertise and experience of the team members assigned the tasks revealed that the tasks were correctly assigned as needed to help drive the project forward.

    Team Members Responsibilities (RACI Chart)

    Formulating, implementing, and evaluating a quality improvement requires a collaborative effort from all the team members such that every team member performs the assigned tasks. Therefore, the project leader should be able to apply effective leadership skills to inspire every team to work hard and fulfill the laid down goals or objectives. For the success of the project, it is also key to determine if the team members are responsible and are accomplishing or fulfilling their responsibilities as outlined in the RACI (Responsible, Accountable, Consulted and Informed) chart (Suhanda & Pratami, 2021). The major team members in the implementation of this small nursing informatics project include the project leader, nursing staff, allied health staff, medical officer, nurse educator, and nurse informaticist. In the initial stages of the project, the project leader made it clear in the meeting that each and every team member should strive to achieve the project goals, objectives, and deliverables. Therefore, every team member was made aware of their responsibilities and the need to achieve the goals individually and as a team. As part of the project plan, it is important to find out how responsible the members have been.

    The project leader was assigned to be responsible for various tasks including assessment of the feasibility of the EHR program that has been selected, identifying the multidisciplinary team to help in addressing the proposed change, introducing the new technology program, and reviewing the compliance report. The other aspects include completion of the compliance assessment, data validation, creation of report strategies, ensuring that implementation is accomplished, monitoring of implementation, reviewing the EHR program, and sustaining the effort. While the project leader was responsible for the completion of the mentioned tasks, they were also accountable for the completion of particular tasks, were to be consulted by those responsible for some tasks and they were also to be kept updated. It is worth noting that the project leader has so far carried out the tasks assigned as expected while also showing high levels of responsibility.

    The nursing staff was also expected to be responsible for the implementation strategies and accepting the use of reports. As earlier highlighted, the nursing staff have experience working in the facility, and some of them have been part of the facility for years; therefore, they can play a big role in implementing the strategies (Suhanda & Pratami, 2021). Up to this point, the nursing staff has also shown commitment and acceptable levels of responsibility in their efforts to accomplish the project goals and the assigned duties. Various reports have also been generated so far, and the nursing staff has also fulfilled their responsibility of accepting to use the reports on the use and implementation of the new technology. Apart from the activities which the nurse staff was responsible for, there were also other activities that they were to be consulted such as in the effort sustenance due to the fact that they have experience working in the organization, some for a long time. They were also accountable for the completion and approval of various tasks, and they were also to be kept updated on some of the tasks. The nurse staff has so far shown commitment and responsibility regarding the tasks assigned as appropriate.

    The allied health staff is another group of team members who were to play a significant role in the project to ensure the successful implementation of the small nursing informatics project. The allied health staff was responsible for various tasks, such as accepting to use the reports and implementation strategies. Therefore, they have been involved in various activities to ensure that appropriate implementation strategies are used in the project. The allied health staff has also accepted the use of reports generated so far.

    The staff has shown an acceptable level of responsibility and commitment. The allied health staff also had major roles of being consulted due to their expertise and competence. Therefore, they have been consulted in activities such as the assessment of the feasibility of the EHR program which was selected, and in the identification of the multidisciplinary team to take part the addressing the proposed change. They also played this role appropriately; hence they have been responsible. There are also many tasks where the allied health staff were just to get updates and get informed; hence they did not have to take actions in such roles.

    From the RACI chart, the other individual who was responsible for various tasks in the project was the medical officer. The medical officer, just like other members, was responsible for some tasks. For example, just like the allied health staff, the medical officer is responsible for accepting the use of the reports generated and the implementation strategies. The medical officer has accepted the use of the reports generated so far and has also been critical of ensuring the right strategies are used. As such, it can also be argued that the medical officer has also been responsible for the tasks assigned so far. The medical officer has also played a significant role at consulting level. The medical officer offered the needed advice on the assessment of the feasibility of the proposed program at the facility and in the identification of the multidisciplinary team to participate in the change effort or the change project. The medical officer has so far played the roles related to consultations well.

    The other important team member, as documented in the RACI chart, is the nurse educator. The nurse educator was also expected to fulfill various responsibilities to help the team members achieve the project’s goals and objectives. The nurse educator was responsible for three major tasks or activities, including completing the assessment of compliance, piloting a report with adequate and accepting the use of reports, and implementation strategies. The nurse educator has also played a significant role in the project so far. Under the guidance of the project leader, the nurse educator successfully participated in completing the assessment of compliance. The nurse educator has also collaborated with the nurse leader to pilot a report with adequate data and ensure that the appropriate implementation strategies are used in the project. The nurse educator was also to be consulted by other personnel regarding the completion of various activities such as reviewing the reports on compliance, identification of a multidisciplinary team to address the change and assessing the feasibility of the project. The nurse educator has so far played these roles appropriately; hence it can be said that the nurse educator has been responsible.

    The last team member as documented in the RACI chart is the nurse informaticist. As earlier indicated, this technology project was about a small nursing informatics project which focused on improving patient outcomes connected to patient discharge which has, for a long time led to poorer outcomes at the facility. Therefore, nurse informaticists play a significant role in this project. Therefore the nurse informaticist was assigned various roles that needed to be accomplished to support the implementation of the project. The role included research review and dissemination, and piloting reports with adequate data. The nurse informaticist has so far accomplished these roles as appropriate with a substantial sense of responsibility.

    The informaticist was also to play an advisory role as they were to be consulted by other team members regarding the implementation of the project. Some of the roles where they were to be consulted include sustaining the change effort, assessment of the feasibility of the EHR program at the facility, and in identifying the multidisciplinary team to accomplish the proposed change. It is worth noting that the nurse informaticist has also diligently played these consultative roles as appropriate. Therefore, it can also be reported that the nurse informaticist has been responsible up to this point.

    The level of responsibility shown by the team members was a show of a united group that is focused on achieving the formulated goals. All five staff members have so far collaborated with each other, be it in lead or reporting, or consulting roles. The implication is that the leadership style employed so far by the project leader has been successful in inspiring the team members to work towards common goals and ensure that the project is implemented as scheduled for success (Moran et al.,2019).

    Project Expectations and Timeliness (Gantt Chart)

    The small informatics project was designed to take a period or duration of six months, meaning that the various phases of the project should be completed within the scheduled time according to the timeline to ensure that the project meets its due date. The first phase of planning with its activities started on time. However, due to the delays experienced in obtaining and reviewing the compliance report, this phase ended two days late, which instilled some fear that the project may fail to meet the targets and be completed within the due date. The first phase was scheduled to take a total time of four weeks but was extended into week five. However, the lost time was recovered in the second phase. The second phase of the project, which is implementation, had various activities which were completed on time and as required. The phase entailed activities key to the project, and the time the project team also worked hard enough to ensure that they gained or recovered the time lost in the first phase of the project.

    As part of the second phase, the project team accomplished various activities such as designing and developing the project (Moran et al.,2019). Therefore, the project team, as led by the project leader, performed various activities such as looking at the requirements of the project and developing the architecture needed; the team was able to introduce the electronic health records project into the organization and formulate various documents associated with it. Since the use of the new system may be a challenge to most users, the project team, led by the nurse educator undertook a training exercise where the individuals were taught and educated on how to interact with the new program’s user interface. This training was accomplished following a user training plan which was formulated earlier. The team, through the guidance of the project leader, was also able to appropriately monitor the implementation of the proposed projects. Therefore, through collaboration and hard work, the team members ensured that the second phase of the project was completed in time, even though it commenced two days late.

    Since the second phase of the project was completed on time as was designed in the project timelines, the third phase commenced on time. The third phase of the project, as documented in the Work Breakdown Structure, entailed the evaluation of the project as a wider part of the implementation plan (Moran et al.,2019). In the evaluation phase, the project leader led the team members for the duration of the scheduled eight weeks to complete every activity associated with the phase. Some of the activities which were accomplished during this phase include reviewing the report on compliance, completing an assessment on compliance, providing support, and documentation of the lessons learned. This phase of the project was associated with the project’s completion and eventual closure.

    The Gantt chart formulated in the previous section outlined the expected dates for starting the phases and ending the phases (Moran et al.,2019). Even though the phases could be broadly categorized into three, it is important to note that every section or phase had several other activities which had to be accomplished within the scheduled timeline. From the previous discussion, only the first phase did not end in time, even though it started in time. However, the lost time in the first phase was appropriately recovered in the second phase while also ensuring that the second phase ended in time as had been planned. Since the second phase obeyed the timelines, it was easy for the third phase to be started on time as was scheduled in the Gantt chart. Therefore, the last phase of the project which mainly entailed evaluation, also started on time as scheduled and was completed within the scheduled timeline.

    The Weekly Status Meetings (Communication Plan)

    Status meetings form a vital part of a project since through such meetings, the team members get to know the progress of the project and what needs to be adjusted to enhance the chances of the project succeeding (Kerzner, 2022). In addition, during the weekly status meetings in a question and answer session, the team members get an opportunity to inquire and ask about various project aspects that need clarification and explanation. Therefore, it is important that the project leader make appropriate arrangements for the weekly status meetings. The project leader sent a communication at the start of the project and indicated that the status meeting would be held every Friday morning. As communicated at that time, the major function of the weekly status meetings would be to offer a brief regarding the overall status of the project and ensure inquiring about what needs to be adjusted for the following week.

    At every weekly status meeting, the status of the prevailing phase of the project would be discussed, and the project would always lead such discussions, or another person would perform the function if appointed by the project leader to do so. The first weekly status held was majorly about the planning phase, and the project leader communicated to the members by highlighting the status of the resource acquisition and a brief on the assessment results on the feasibility of the project on the facility. Again in this meeting, the project leader also discussed with the members of the multidisciplinary team identified to help in driving the proposed change project (Kerzner, 2022).

    The other weekly status meeting during the first phase of the project also entailed information and discussion of the feedback obtained from the prospect of introducing the proposed electronic health records program at the health facility. As such, the weekly status meeting held for the first phase of the project was key in helping the team members have an idea regarding the planning of the project (Kerzner, 2022). It is also important to note that the project leader used the weekly meeting sessions to encourage every team member to accomplish their goals and fulfill their roles without looking to anyone for guidance. Inspiration and encouragement were key as members tried to always do better and better.

    Every project requires appropriate and accurate documentation, as the information documented can be used as appropriate to improve various aspects of the project and for future reference (Kerzner, 2022). As such, it was decided that documentation become a key aspect of the project in general and the weekly status meetings. It is important to note that the project leaders have always spearheaded the documentation of various phases and the weekly status meetings. The project leader has been assigning various individuals on a need-to-need basis to formulate the required documentation. All three phases and associated activities have all been having documentation, and such documentation has been a key source of references and a resource for improving performance. Therefore, the planning, implementation, and evaluation phases and their associated activities all had their documentation.

    Attending the weekly status meetings is vital since everyone gets to have a grasp of the update of the project, new communications, and the current project plans. It may not be enough to communicate to the absent members whatever has been discussed during the weekly status meeting, underlying the importance of attending the meetings as appropriate (Kerzner, 2022). Therefore, it is also important to evaluate if individuals have been attending the weekly status meeting as it should be. It is important to note that the project leader communicated to every team member at the beginning of the project why it would be key to attend the meetings. In addition, individuals had a weekly reminder to inform them of the following weekly status meetings, and they were encouraged to timeously send their apologies in case they would not make it to attend the meetings. The implication is that the strategies put in place acted as a source of the push for the team members to attend the status meetings. After the status meetings, the project leader would then follow up with emails, and everyone would be sent an email, irrespective of whether they attended the meeting or not to let them know of all that was discussed in the meeting. This ensured that there was adequate communication and connection between the team members and the project leader.

    It is important to have a communication plan that can help drive the communication activities in the project. As such, the project leaders ensured that there were established communications channels which were then made active and two-way. This motivated the project team to feel part of the project and actively participate in the project as appropriate. As such, the communication plan which was formulated earlier was helpful in guiding the communication during the project implementation.

    Approval and Documentation of Change (Change Management Plan)

    This small nursing informatics project for the organization took the approach of a change process which led to the creation of a change management plan earlier in the project. As such, it is key to explore if every change was approved and documented (Kerzner, 2022). The change focused on using informatics to improve patient outcomes connected to patient discharge. The suggested changes impacted the system’s data and functionality. As such, the changes were allowed by the organization, and every stage of change was also documented for future reference.

     

    Risk Identification, Prioritization, and Assignment of an Owner for the Development of a Mitigation Plan (Risk Management Plan)

    The existence of risk can lead to the failure of project implementation if the risks are not identified, prioritized, and mitigated. Therefore, as part of the project, various risks were successfully identified. For example, it was noted that there could be a substantial risk to patient data security and privacy. The project depends on private patient data which must be protected from unauthorized access and theft. Patient data can also be a subject of illegal sharing, which may lead to the whole project violating the HIPPA rules and the established organizational guidelines (Mbonihankuye et al.,2019). Therefore, patient data needs to stay secure, private, and confidential. The implication is that appropriate mitigation plans should be formulated to help overcome such risks.

    To fulfill their HIPAA responsibilities, healthcare providers must ensure that their patients’ personal information is kept private. Patients’ private information is protected from disclosure. Therefore, the EHR employs measures such as a firewall, system-wide phishing, and antivirus software applications to protect patient data from intrusion. The health informatics nurse has reported significant decreases in the use of social security numbers for patient identification (Morkisch et al., 2020). By its very nature, such a system will facilitate the spread of sensitive data. To prevent unauthorized access to patient information, it is recommended that the application used to view charts be closed when it is no longer in use. However, these precautions alone are not enough to guarantee the safety and privacy of patients’ records. This is because there are numerous parties involved, including patients, insurance providers, government agencies, pharmaceutical organizations, and others who may infringe upon patients’ right to privacy.

    Summary and Lessons Learned

    The purpose of this small nursing informatics project is to streamline the discharge decision making process by the interdisciplinary team utilizing data analytics at Riverside University Health System (RUHS). Therefore, the project focused on improving patient care outcomes related to discharge by enhancing discharge decisions and eliminating wrongful discharges. Therefore, the small nursing informatics project was implemented according to the major phases. The evaluation also forms a critical part of a project life cycle since, through it, the project team can establish whether the project’s goals and objectives have been met. It also helps to explore how efficacious the methods applied were. A complete evaluation will be possible when the results of the project are out. However, the process used in the phases has proved to be successful.

    There were also lessons learned, what went well and what can be adjusted. Throughout the project, there was a harmonious collaboration between the team members, which led to a more effective way of implementing the project. Therefore, almost every activity was completed according to the scheduled timelines. However, some resistance was experienced among the stakeholders, who felt that the project would be costly and that there was no guarantee that it would work. The project manager took time and talked to the individuals to obtain their buy-in. A key lesson learned was that open and effective communication is key in any project, as the success of the project depends on it.

     

     

     

     

    References

    Abdilahi, S. M., Fakunle, F. F., & Fashina, A. A. (2020). Exploring the extent to which project scope management processes influence the implementation of telecommunication projects. 
    PM World Journal, IX
    , 
    9
    (5), 1-17.

    Ford, D. N., & Lyneis, J. M. (2020). System dynamics applied to project management: a survey, assessment, and directions for future research. 
    System Dynamics: Theory and Applications
    , 285-314. https://doi.org/10.1007/978-1-4939-8790-0_658

    Jeanmonod, D., & Jeanmonod, R. (2018). Overcrowding in the emergency department and patient safety. 
    Vignettes In Patient Safety
    , 
    2
    , 257.

    Mbonihankuye, S., Nkunzimana, A., & Ndagijimana, A. (2019). Healthcare data security technology: HIPAA compliance. 
    Wireless Communications and Mobile Computing
    , 
    2019
    , 1-7.
    https://doi.org/10.1155/2019/1927495

    Moran, K. J., Burson, R., & Conrad, D. (2019). 
    The doctor of nursing practice project
    . Jones & Bartlett Learning.

    Morkisch, N., Upegui-Arango, L. D., Cardona, M. I., van den Heuvel, D., Rimmele, M., Sieber, C. C., & Freiberger, E. (2020). Components of the transitional care model (TCM) to reduce readmission in geriatric patients: A systematic review. 
    BMC geriatrics
    , 
    20
    (1), 1-18.
    https://doi.org/10.1186/s12877-020-01747-w

    Müller, R., Drouin, N., & Sankaran, S. (2019). Modeling organizational project management. 
    Project Management Journal
    , 
    50
    (4), 499-513.
    https://doi.org/10.1177/8756972819847876

    Kerzner, H. (2022). 
    Project management case studies
    . John Wiley & Sons.

    Skivington, K., Matthews, L., Simpson, S. A., Craig, P., Baird, J., Blazeby, J. M., … & Moore, L. (2021). Framework for the development and evaluation of complex interventions: gap analysis, workshop, and consultation-informed update.
    https://doi.org/10.3310/hta25570

    Suhanda, R. D. P., & Pratami, D. (2021). RACI matrix design for managing stakeholders in project case study of PT. XYZ. 
    International Journal of Innovation in Enterprise System
    , 
    5
    (02), 122-133. https://doi.org/10.25124/ijies.v5i02.134

    Wells, S., Tamir, O., Gray, J., Naidoo, D., Bekhit, M., & Goldmann, D. (2018). Are quality improvement collaboratives effective? A systematic review. 
    BMJ Quality & Safety
    , 
    27
    (3), 226-240. http://dx.doi.org/10.1136/bmjqs-2017-006926

     

     

     

     

     

     

     

     

     

     

    Appendix

    Appendix I – SWOT Analysis

    Appendix II – Scope

    Appendix III – Charter

    Appendix IV – Gap Analysis

    Appendix V – Work Breakdown Structure

    Appendix VI – Gantt Chart

    Appendix VII – RACI Chart

    Appendix VIII – Communication Plan

    Appendix IX – Change Management Plan

    Appendix X – Risk Management Plan

     

     

     

     

     

     

     

     

     

     

     

     

     

    I – SWOT Analysis

    Strengths (S)

    Weaknesses (W)

    Opportunities (O)

    Threats (T)

    ·         The facility’s revenue will increase, and its growth will be accelerated by the implementation of EHR. Additionally, it will increase health satisfaction and help care teams to make effective discharge decisions.

     

    ·         EHR – Clinical Analytics enables the tracking of treatment within the organization. As such, the effectiveness of the treatment and discharge can be achieved.

     

    ·         The system will deliver highly accurate risk stratifications and operationalize them to enhance discharge planning with data-driven recommendations personalized for every patient.

    EHR-Clinical Analytics project supports information sharing between the medical team, the patients, and their surrogates. This improves the provision of care as treatment plans are shared with members of the family. Besides, the system allows the reconciliation of medication tools, and this prevents errors that arise from the use of wrong medications upon discharge (Morkisch et al., 2020).

     

    ·         Updating the existing EHR to include clinical analytics may cause a loss of both existing and new data and this can alter the effectiveness of the system.

     

    ·         Finances can be lost due to failure to track the lost data.

     

    ·         The required update can cause financial chaos. It can encounter technical interruptions leading to delays in the payments of individual therapists. Thus, the health record department can be forced to use third parties in making payments to their staff.

    ·         To improve the facility’s and the EHR’s efficacy and efficiency. Possibility to foster the development and proficiency of a data-driven discharge decision process.

    ·         The other competitors will have more patients and employees because of the subpar standardization of the nursing informatics patient discharge process. Consequently, ineffective discharge decision-making could lead to the organization’s financial woes and the failure of its aims.

     

     

     

     

     

     

     

     

    II – Scope

    PROJECT SCOPE

    PROJECT NAME

    Use of Data Analytics to Improve Discharge Decisions at Riverside University Health System – Arlington Campus

    MISSION STATEMENT

    The system will help the care team to better predict when to release patients and how to best manage their post-discharge care by organizing discharge planning on precise patient risk stratifications.

    MEASURABLE OBJECTIVES

    Thorough risk analysis that empowers care teams to make data-driven choices regarding additional clinical tests, follow-up appointments, check-ins to ensure adherence to lifestyle changes, choosing the best aftercare facilities, or deciding whether the patient isn’t ready for transfer and extending their hospital stay is the goal of the project.

    JUSTIFICATION

    An in-depth clinical data analysis in risk predictions is required to make effective discharge decisions for patients. This will allow the care team to consider variables such as the likelihood that a patient will be readmitted within the next 30 days as well as the estimated cost or length of readmission.

    IMPLEMENTATION STRATEGY

    A Clinical Analytics system build on a cloud system with the capability to vertically integrate advanced analytics platforms for healthcare

    MEASURE OF SUCCESS

    ·         System must be able to predict and track patient data efficiently

    ·         System must be able to effectively stratify patients into highly accurate risk categories

    ·         System must be able to integrate highly accurate readmission analysis with precise cost and length of stay predictions.

     

     

     

     

     

    III – Charter

    PROJECT CHARTER

    PROJECT NAME

    Using Data to Improve Discharge Decisions

    PROJECT DESCRIPTION/PURPOSE

    The purpose of this small nursing informatics project is to streamline the discharge decisions making process by the interdisciplinary team utilizing data analytics at Riverside University Health System (RUHS).

    PROJECT STAKEHOLDERS

    ·         Psychiatrists

    ·         Nurse Leaders/Management (Chief Nursing Officer, Nurse Managers, Charge Nurses)

    ·         Staff Nurses

    ·         Nurse Educators

    ·         Case Managers and Social Workers.

    ·         IT

    PROJECT OBJECTIVES

    ·         Increase the organization’s revenue by reducing the Length of Stay (LoS) and re-admission rate.

    ·         To enhance discharge planning with data-driven recommendations that are personalized for every patient.

    ·         Increase health satisfaction and help the care team to make effective discharge decisions.

    PROJECT TIMELINE

    6 Months

     

     

     

     

     

     

     

     

    IV – Gap Analysis

     

    Risk Severity

    NEGLIGIBLE

    Small/unimportant; not likely to have a major effect on the operation of the event

    MARGINAL

    Minimal importance; has an effect on the operation of the event but will not affect the event outcome

    CRITICAL

    Serious/important; will affect the operation of the event in a negative way

    CATASTROPHIC

    Maximum importance; WILL affect the operation of the event in a negative way

    Probability

     

     

     

    LOW

    This risk has rarely been a problem and never occurred

    LOW (2)

    MEDIUM (3)

     

    MEDIUM (6)

    HIGH (9)

    MEDIUM

    The risk will MOST LIKELY occur at this event

    LOW (2)

    MEDIUM (7)

    HIGH (9)

    EXTREME (11)

     

    HIGH

    The risk WILL occur at this event, possibly multiple times, and has occurred in the past

    MEDIUM (3)

    HIGH (8)

    HIGH (10)

    EXTREME (12)

     

    V – Work Breakdown Structure

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    VI – Gantt Chart

    Implementation Steps

    Estimated Duration 

    Assessment of the feasibility of the EHR program at the selected facility

    1 week of 1
    st
    month

    Identification of a multidisciplinary team to address the anticipated change

    2 weeks

    Introduction of the EHR program at the health facility

    2 weeks

    Review of Reports on Compliance

    1 week

    Complete assessment of compliance

    2 weeks

    Pilot a report with adequate data

    3
    rd
    Month

    Validate Data

    3
    rd
    Month

    Accept to use reports/implementation strategies

    3
    rd
    Month

    Create Report Strategies

    3
    rd
    Month

    Ensure Implementation of Strategies are carried out

    4
    th
    month

    Development of a Plan for the Implementation of new strategies at the hospital

    5
    th
    Month

    Monitor Implementation

    5
    th
    Month

    Review EHR Program

    As required

    Sustain the Effort

    6
    th
    Month

     

     

     

     

     

     

    VII – RACI Chart

     

    ROLES

     

    Roles & Responsibilities Matrix

     

     

    Leader

     

    Nursing Staff

     

    Allied Health Staff

     

    Medical Officer

     

    Nurse Educator

     

    Nurse Informaticist

     

    Assessment of the feasibility of the EHR program at the selected facility

    R

    C

    C

    C

    C

    C

     

    Identification of a multidisciplinary team to address the anticipated change

    R A

    C

    C

    C

    C

    C

     

    Introduction of the EHR program at the health facility

    R A

    I

    I

    I

    I

    I

     

    Review of Reports on Compliance

    R A

    I

    I

    I

    C

    I

     

    Research Review & Dissemination

    I

    I

    I

    I

    I

    R A

     

    Complete assessment of compliance

    R

    I

    I

    I

    R A

    I

     

    Pilot a report with adequate data

    C I

    I

    I

    C I

    R A

    R A

     

    Validate Data

    R A

    I

    I

    I

    I

    I

     

    Accept to use reports/implementation strategies

    A

    R

    R

    R

    R

    I

     

    Create Report Strategies

    R A

    I

    I

    I

    I

    I

     

    Ensure Implementation of Strategies are carried out

    R A

    I

    I

    I

    I

    I

     

    Development of a Plan for the Implementation of new strategies at the hospital

    R A

    I

    I

    I

    C I

    I

    Monitor implementation of new strategies at the hospital

    R A

    I

    I

    I

    I

    I

     

    Monitor Implementation

    R A

    I

    I

    I

    I

    I

     

    Review EHR Program

    R A

     

     

    C I

     

     

     

    Sustain the Effort

    R A

    C I

    C I

    C I

    C I

    C I

     

    R
    = Responsible for completion of task or deliverable

     

    A
    = Accountable for completion and approval of the task

     

    C
    = Consulted by those responsible for advice and expertise

     

    I
    = Kept updated on progress and notified when tasks are completed.

     

    VIII – Communication Plan

    Communication is an integral aspect of the success of a given project as it provides the fuel for the effective management of programs. Based on this premise, the adoption of EHR at RUHS will include a communication plan in order to fast-track project activities (Spatar et al., 2019). An approach in the management of communication in the facility varies on three considerations. The first aspect inclines to the people who need to be informed about the project activities. In the dissemination of information about the EHR, priority in communication will be given to the top executives and project sponsors (Fraczkowski, Matson & Lopez, 2020). The group owns the project and every activity undertaken by the organization need to be concisely addressed to these senior stakeholders. Team members and employees are as well informed about the project so that they own up program activities to realize intended outcomes.

    The second perspective of communication fate inclines to the type of information to be communicated to the stakeholders. The RUHS’s top executives will be informed about the status of the project in terms of finances in addition to variances in program cost and time (Vichitkraivin & Naenna, 2021). Functional managers, on the other hand, will need to know information about employees, project schedules and time so as to establish accountability. However, details about communication demands will not only be achieved through the recording of meetings and progress notes but also through assessing problems and the success of RUHS’s EHR program activities.

    However, communication at the facility will also take into account the schedule matrix in terms of the right time to disseminate information. Essentially, daily, weekly, bi-weekly, and monthly communication will be achieved based on project conditions and the urgency of programs for Mercy Medical Center. Memos will be sent weekly to constantly remind employees and other stakeholders about their role in ensuring that the facility realizes its intended goals.

     IX – Change Management Plan

    Change management in the healthcare sector presents a host of challenges to professionals due to complexities in handling the entire process. And yet even better frameworks may be implemented, and organizational changes can culminate in confusion, insecurities, and anger among healthcare professionals. Nursing leaders at RUHS are therefore challenged to use their competencies to implement changes that do not inculcate negativism, disinterest, and stagnation to jeopardize the progress of the facility. While many organizations vouch for the benefits of planning to guide practice, nurse leaders are challenged not to look at the superficial aspects of the planning process (Spatar et al., 2019). An aspect of consideration for nurse leaders is to implement strategic planning which entails a systematic and organized process to address both the current and future progress of RUHS. While strategic planning is expensive and has the potential to uncover hidden conflicts, it establishes an explicit framework for organizational development. Most importantly, it encourages participation and professional commitment within the continuum of care. However, as a nurse leader, strategic planning in change management involves sharing the vision with all the stakeholders and demonstrating effective leadership toward the goal. Even though unintended challenges can impede the change, the nurse leader is obliged to establish organizational strategies to manage the obstacles and develop suitable initiatives to deal with resistors (Fraczkowski, Matson & Lopez, 2020). Most importantly, the development of team culture and empowerment of professionals foster a suitable environment for change implementation at RUHS.  Clinicians, middle managers, nurses, and other cadres of health need to be involved not only in the change formulation but in the entire approach of implementation.

    At RUHS, change management will be initiated by the lead nurse manager within the facility. The management strategy will take into account the aspect of a team approach in care and facilitated communication in the preliminary implementation plan (Vichitkraivin & Naenna, 2021).

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    X – Risk Management Plan

    One of the notable aspects of the EHRs system is security. In ensuring the safety to the information disseminated in the EHRs, the nurse leader identifies various security protocols. To protect the information on patients the facility enforces all the regulations defined by the HIPAA (
    Sarabdeen.
     and 
    Moonesar, .
    2018). The HIPAA obligations require that privacy protections of information about the patients are guaranteed. Disclosure of data about the patients is restricted. Accordingly, the EHR uses a firewall, system-wide phishing, and antivirus software applications to restrict unauthorized access to patient information. Considerably, the health informatics nurse reports on the lack of use of SS numbers to identify patients (Morkisch et al., 2020). The use of such a system will encourage information leakage. Intrinsically, all users using the patient charts are advised to close the application when not in use to limit unauthorized access. Despite these measures, maintaining the security and integrity of patients’ information remains a challenge. This is due to the presence of various stakeholders such as insurance companies, governments as well as pharmaceutical agencies, and patients who may violate the privacy protocols of the patients.

  • Week 4: Assignment DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

    DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

    You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 
    9-week time frame 
    during this course. This project 
    will be completed in two parts.

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the last three weeks.

    For Week 4, 
    complete the following:

    RACI (responsibility chart)
     which outlines who will be responsible for which tasks, if working with a team. An example can be found in the Sipes text on pages 102–103.

    Communication plan
     – Include documentation of all communications, status reports, changes made, next steps, especially if others will be responsible for helping you acquire documents such as IRB site documents if applicable. An example can be found in the Sipes text on page 109 and on pages 141–143.

    Change management plan
     – Document all changes as they occur (e.g., meetings moved, revisions of drafts of project, due dates moved due to changes, changes in scope of project, change in team members). An example can be found in the Sipes text on pages 106, 108, 138 and on pages 156–157.

    Risk management plan –
     After viewing the “
    Risk Analysis How to Analyze Risks on Your Project”
     media piece in this week’s Learning Resources, document the impact of COVID-19 on current processes and potential for change. Be sure to also document how risk may be mitigated if possible. An example can be found in the Sipes text on pages 103–105.

    BY DAY 7 OF WEEK 5

    These four planning documents will be added to the six design and planning documents from Weeks 1–4. Please ensure you keep current/updated all documents as you develop this project.

    You are not required to submit this assignment this week.

    Note
    : You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

  • DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

    DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

    You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 
    9-week time frame
     during this course. This project 
    will be completed in two parts
    .

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the past 2 weeks.

    For Week 3, 
    complete the following:

    Create a visual using the Gap Analysis map of the identified gap, documenting the flow from the point of origin to the destination. After watching the YouTube video, “How to do a GAP Analysis” media piece in this week’s Learning Resources, identify the gap and analyze the flow or lack of flow of information as the gap in a process.

    Create a Work Breakdown Structure (WBS) using PowerPoint slides or another method. Be sure to review the media piece, 
    What Is a Work Breakdown Structure?
     in this week’s Learning Resources.

    Create a Project Timeline using a
    Gantt chart
    , 
    which defines who is responsible, due dates to start /finish activities. (You might also use this as you track your dissertation IRB submission for your proposal). You can find an example on pp. 95–96 of the course text, using PowerPoint slides or another method. Be sure to review the 
    Gantt Charts, Simplified
     media piece in this week’s Learning Resources.

    BY DAY 7 OF WEEK 5

    These three planning documents will be added to the three design and planning documents from Weeks 1 and 2 
    (totaling six tools)
     and kept current/updated as you develop this project.

    You are not required to submit this assignment this week.

    Note:
     You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

  • NURS 8210 Discussions Week 1: Discussion HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS

    BY DAY 3 OF WEEK 1

    Post 
    a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.

    BY DAY 6 OF WEEK 1

    Read 
    a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.

       Response to Christian Offor regarding Health Information Technology.

    Health information technology is pivotal in advancing (Huter. et al., 2020) health benefits across diverse population groups. In the sphere of health information and the application of technology in nursing, the role of Patricia Abbott and Ms. Judy Murphy has been notable. The introduction of telehealth, nursing informatics, and technology in several aspects of nurse functioning, such as maintaining patients’ records and exchanging patients’ information, and documents regarding insurance claims, has proven beneficial in streamlining nursing processes.

    My friend, you have rightly appreciated the specific contribution that Patricia Abbott has made in the field of telehealth and disease self-management. Patricia Abbott is one of the pioneers in informatics innovations helping vulnerable patient populations such as patients suffering from cardiovascular diseases. Patricia Abbott has achieved the spread of the application of the latest technology to upgrade nursing practices and policies, proving helpful to nurses, doctors non -medical staff, and especially the patient population.

    Ms. Judy Murphy exhibits vast experience of around twenty-five years in advancing technology application to different aspects of nursing. Focusing on evidence-based practice, Ms. Murphy has devised methods for automatic client documentation and system implementation. The American Medical Informatics Association (AMIA) encourages nursing pioneers to mentor young nurses using advanced technology. Such an approach is essential given the rise of the patient population and associated risk factors. Increasing reliance on informatics and technological innovation has reduced the rate of nurse burnout (Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | Nurse Journal, 2022) nurse turnover, and nurse absenteeism as technology reduces the burden the nurses face providing nurses with quality time to devote to patient care.

    I wish to mention that Christian O you have specifically identified the role of and contribution of both Patricia Abbott and Judy Murphy and explained in your paper how both these nursing role models had transformed nursing policies and practices ushering in new methods, advanced methodologies, pragmatic thoughts and an inclusive approach that aims to achieve maximum health outcomes for all.

                                                                                                          References

    Digital Health Technology Can Improve Nurse Turnover, Reduce Burnout | NurseJournal. (2022, June 30). NurseJournal. 
    https://nursejournal.org/articles/digital-health-technology-can-improve-nurse-turnover-reduce-burnout/
    Links to an external site.

    Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of multidisciplinary healthcare, 13, 1905–1926.
     
    https://doi.org/10.2147/JMDH.S286193
    Links to an external site.
    .

     

     
    Reply
    Reply to Comment

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    Ngetla Manyineh Mbonuh

    Ngetla Manyineh Mbonuh

    Dec 4, 2022
    Dec 4, 2022 at 4:10pm

    Manage Discussion Entry

    Response #2

    Hello Christian,

    I applaud you for coming up with a great and informative discussion post, the selected innovators Patricia Kathleen Abbott’s and Judy Murphy’s have demonstrated great various skills in the practice of nursing and informatics practice that cannot be underestimated as you pointed out. It is impossible to dispute the impact of their contributions on the quality, timeliness, patient-centeredness, and efficiency of care. Indeed, the contributions of the two innovators have simultaneously increased patients’ access to healthcare services and raised the standard of care as a whole. Similar significant effects can be seen in the area of nursing informatics. The contributions of the two innovators have helped nursing informatics innovations become widely used (Risling, 2017). Nursing informatics has helped healthcare organizations adopt and integrate innovations like telehealth, e-prescribing, remote patient monitoring, and electronic health records/medical records. Numerous advantages have resulted from these, including better coordination, lower healthcare costs, better and more effective patient record storage, patient empowerment, higher quality care, and better. It is true to note that, the skills and ideas demonstrated by the two pioneers would apply to the professional of nursing practice because they will enable one to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information. Dr. Patricia Abott and Ms. Judy Murphy’s innovative experiences inform that nurses, physicians, clinical officers, and all health practitioners should acquire nursing informatics skills. By gaining the skills, nurses in our practice can perform any duties nurse leaders and managers assigned to them. The named innovators have greatly impacted the operations of present and future nurses, which will improve their decision-making and help them gain efficiencies in healthcare service delivery as (McGonigle & Mastrian, 2021) notes. In my professional practice, the innovators have developed my awareness skills in the need for critical decision-making, the delivery of timely information, and the accuracy of information. The current healthcare environment faces a pressing concern to re-evaluate healthcare community resources and seek to improve patient experiences, nursing practice, and general health outcomes.

    References:

    McGonigle, D., & Mastrian, K. (2021). 
    Nursing informatics and the foundation of knowledge
    . Jones & Bartlett Publishers

    Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. 
    Nurse Education in Practice Links to an external site.
    Links to an external site.
    , 22
    , 89–92. doi:10.1016/j.nepr.2016.12.007

     
    Reply
    Reply to Comment

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    Brittney Pember

    Brittney Pember

    Dec 5, 2022
    Dec 5, 2022 at 10:55am

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    Response Two

    I agree with you that a lot of informatics work can be underestimated. Healthcare has experienced rapid transformation with the development of digital technologies which aim to make healthcare safer and more efficient. (Honey ML, 2017) Both Dr’s have done amazing work and shown great accomplishment but this is not always tired back to nursing care. The changes they have made are strongly encouraged and should be recognized. For me I know reading and listening to their videos really showed me and help me understand not only how far you can go with informatics and data management but how much I can learn. Health informatics has evolved, including nursing informatics, which integrates nursing, information and communication technologies (ICT) and professional knowledge to improve patient outcomes. (Harmer B, 2022)

     

    Harmer B, Lee S, Duong TVH, Saadabadi A.2022 May 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan PMID: 33351435

    Honey ML, Skiba DJ, Procter P, Foster J, Kouri P, Nagle LM. Stud Health Technol Inform. 2017;232:51-61. PMID: 28106582

     
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    Telecia Shantee’ Allen

    Telecia Shantee’ Allen

    Nov 29, 2022
    Nov 29, 2022 at 3:31am

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    Health Information Technology and Nursing Informatics: Nursing Informatics Innovators Discussion

    Karen Martin is a prominent figure in the nursing informatics field. She has made numerous contributions to health information technology including her work with the National Information and Workgroup (NIWG) and as the co-author of numerous books and journals. Her contributions have helped to shape the field of nursing informatics and have had a huge influence on nursing practice. Some of her notable works include three research projects, including the VNA of Omaha research which was funded by DHHS, and one other study funded by NINR. Karen has been an active participant and contributor to the American Nursing Association (ANA), and the American Academy of Nursing. She is currently the CEO of the VNA of Omaha (American Medical Informatics Association, 2021).

    Karen Martin’s  contributions to the field of nursing informatics have been invaluable. She has helped to define and shape the scope of the profession by exploring areas such as data collection, analysis, documentation, analytics, and implementation in a meaningful way. Her work has also helped nurses better understand how technology can be used to improve patient care and provide quality healthcare outcomes for their patients. As a result, nurses are now better equipped to make informed decisions regarding the use of technology and utilize it in their practice. Additionally, Karen’s research has helped to advance the field of nursing informatics by providing evidence-based strategies for healthcare professionals (American Medical Informatics Association, 2021).  These strategies have been essential for promoting best practices within the field and ensuring patient safety.

    The second innovator that I selected from the list is Norma M. Lang, a Professor and Dean Emeritus at the University of Pennsylvania and the former Dean at the University of Wisconsin-Milwaukee College of Nursing. I selected Norma Lang due to her influence in the health information technology domain. She has contributed greatly to the development of nursing informatics through her leadership and research work. In her role as Dean, Norma was instrumental in hatching the minimum data set which culminated in a book that has been very instrumental in encouraging nurses and others that nursing data is crucial to the development of databases in healthcare systems (American Medical Informatics Association, 2021). Norma Lang was also a founding board member of the American Nursing Informatics Association and has been an active contributor in the field ever since. Norma’s contributions have helped to further define and shape nursing informatics, providing nurses with the necessary tools to make informed decisions regarding technology use in their practice. Additionally, her research and work have been essential in providing nurses with evidence-based strategies for healthcare professionals, to ensure quality and consistency of care. Ultimately, Norma’s commitment to advancing the field of nursing informatics has been invaluable, helping shape the profession and improve patient care outcomes (American Medical Informatics Association, 2021).

    From the above described innovators, it can be deduced that  both Karen Martin and Norma Lang have played an instrumental role in advancing the field of nursing informatics. Their willingness to explore and develop innovative solutions has been essential for improving patient care outcomes, providing nurses with evidence-based strategies and shaping the profession . The lessons that can be taken away from their experiences is that professionals must always strive to push boundaries and be proactive in developing and implementing evidence-based strategies to ensure quality healthcare outcomes. Additionally, professionals must also keep abreast of the latest technologies and strive to implement them in their practice for improved patient care (Darvish et al., 2014). By doing so, nurses can help improve overall health outcomes for their patients and shape the field of nursing informatics with innovative ideas.

    References

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site.
    Links to an external site.
    . 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
    Links to an external site.

    Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. 
    Global 
    J
    ournal of 
    H
    ealth 
    S
    cience
    , 
    6
    (6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

     

     

     

     
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    Vicky Awken Ngang

    Vicky Awken Ngang

    Nov 30, 2022
    Nov 30, 2022 at 2:23am

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    Hello Telecia

    Thank you so much for your insightful discussion on nursing informatic innovators. American Nurses Association (2015) defines nursing informatics as an analytical science that aims at improving all aspects of nursing practice.  Karen Martin is a health care consultant. She participated in early Omaha System research and development at the Visiting Nurse Association of Omaha, from 1978 to 1993. The Omaha System originated as a product used by nurses in public health and home health settings. While it has expanded to use by multiple health practitioners, administrators, educators, and researchers alike, it was designed to address public health needs (Champ Software, 2018). Her initial focus was to standardize documentation of interdisciplinary care in community settings and begin computerization. Automated use now extends across the continuum of care in community, acute, long-term care, and academic settings nationally and internationally. Karen provides consultation, conducts workshops, and writes for publication. She has authored more than 110 articles and chapters, 5 books, and 70 editorials. Karen has participated in many terminology efforts, she is a member of AMIA and numerous organizations, and was elected to the American Academy of Nursing in 1988.  Nursing is hidden if nursing data is invisible (Wilhelm, 2006). I do appreciate that information technology is incorporated into the DNP course. That way, we all learn the skills.

    References

    American Nurses Association (2015). Nursing Informatics: Scope and Stands of Practice

    Champ Software (2018). What is the Omaha System, and what does it offer you? https://www.champsoftware.com/2018/01/10/what-is-the-omaha-system-and-what-does-it-offer-you/

    Wilhelm, G. (2006). Hard-Wired to Heal. John Hopkins Nursing. https://magazine.nursing.jhu.edu/2006/04/hard-wired-to-heal/

     
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    Lovester Duncan

    Lovester Duncan

    Dec 3, 2022
    Dec 3, 2022 at 3:30pm

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    As you mentioned, Telecia Shantee’s implementation of technology into practice has had a tremendous impact on patient safety, outcomes, interdisciplinary collaboration, effective communication, and documentation. Nursing practice and the entire healthcare system have been transformed by integrating technology into practice instead of the unsafe transitional paper documentation that was more prone to error. Innovators are striving to improve communication, documentation, patient care, and safety through technology innovation, as you point out. According to Farzandipour et al (2021), Nursing informatics (NI) is an established and growing specialty within nursing, defined as a science and practice that integrates nursing, information, and knowledge with information and communication technologies to improve the health of individuals, families, and communities. Nurse informatics combines nursing science with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing (American Nurses Association 2015).The knowledge of nurse informatics has improved patient care in many ways, such as efficient documentation, data retrieval for evidence-based practice, and comparison to baseline for diagnosis and treatment. Technological advancements, such as e-prescriptions, are reducing prescription errors and facilitating data sharing between healthcare organizations to improve treatment.   Additionally, when patients are admitted to a facility and are confused and or do not remember their medications or diagnoses, the current healthcare provider can communicate with their primary care providers via technology and or informatics to the office to retrieve information and data to aid in specialty care.  Using informatics, nurses are now able to make informed decisions regarding care and practice by comparing patient records, detecting if data differs from the norm, and communicating this to specialists for effective treatment.

     

     

     

     

     

    References

    Farzandipour, M., Mohamadian, H., Akbari, H., Safari, S., & Sharif, R. (2021). Designing a national model for assessment of nursing informatics competency. 
    BMC Medical Informatics & Decision Making, 
    21(1), 1–12. https://doi.org/10.1186/s12911-021-01405-0

    R2 Library (Online service), & American Nurses Association. (2015). Nursing Informatics: Scope and Standards of Practice: Vol. Second edition
    . American Nurses Association
    .

     
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    Sara Haynes Perry

    Sara Haynes Perry

    Dec 3, 2022
    Dec 3, 2022 at 7:40pm

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    Telecia,

    Good evening and thank you for your posting. I agree that using evidence-based practice is important. It should always be included in the master’s and doctorate levels of nursing. Educating our nurses is also important. As nursing informatics continues to grow and become more important in this field, it is also a great way to cover and follow EBP. For example, the use of information, science, and electronic health records is safer and easier to navigate. NI includes EHRs and helps to define, manage, and communicate data, American Nurses Association. (2015).
      In addition to this, nursing informatics is also useful in helping nurses and healthcare workers to improve communication amongst each other and others. As technology is growing, you need to be able to embrace the change and importance of this growing field, Fung, (2018). In addition, the above video discusses the importance of NI and how it pertains to project management, which is important in our current area, as well as in our future positions as doctorate prepared nurses. This will help us to stay in tuned in what is up to date and EBP in our fields.

    References

    American Nurses Association. (2015).
     
    Nursing informatics Links to an external site.
    Links to an external site.
    : Scope and standards of practice
     (2nd ed.)

    Fung, B. (2018, November 3). 
    Nursing informatics: A day in the life Links to an external site.
    Links to an external site.
    [Video]. YouTube. https://www.youtube.com/watch?v=WBAyqTQn28w

     
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    Delightful Anulika Alaka

    Delightful Anulika Alaka

    Dec 4, 2022
    Dec 4, 2022 at 8:49pm

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    Hi Telecia,

     

    Your insightful post on the impact made by Karen Martin as a prominent figure in the nursing informatics field was very formative, just like other innovators whose contributions to the field of nursing informatics have been invaluable.  Just you know, an extensive literature search was performed by using databases PubMed, Google Scholar, Ovid, Science Direct and SID. Search terms were “education, nursing”; “quality of health care”; “nursing informatics” and technology. The study was carried out from January to April 2014. A library search was also performed. As many as 135 articles were retrieved. With a critical point of view, 40 articles in English were selected that specifically focused on nursing informatics education and its influence on nursing outcomes and the quality of health care (Staggers et al., 2002). The Role of Nursing Informatics in Promoting Quality Health Care and the Need for Appropriate Education can never be underemphasized. In today’s dynamic health systems, technology plays an important role in education and nursing work. So, it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an extensive literature search in databases and a library search focused on the keywords were used. The criteria used for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use of information technology in all aspects of the nursing profession. In a critical assessment of emerging technologies, the key elements of nursing informatics implementation were considered as healthcare promotion, advanced systems, the internet, and network. In view of the nature and the development of the information age, it is required to receive necessary IT training for all categories of nurses. Due to the fast development of technology, in order to effectively take advantage of information technology in the nursing outcome and quality of health care and to empower nurses; the educational arrangement is recommended to set short-term and long-term specialized courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral. The result of this study is expected to assist educational providers with program development. Great Post.

     

    Reference

     

    Staggers N, Gassert C. A, Curran C. A Delphi study to determine informatics competencies for nurses at four levels of practice. 
    Nursing research. 
    2002;51(6):383–390. http://dx.doi.org/10.1097/00006199-200211000-00006 .

     

     

     

     

     

     
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    Lizzie Umejei

    Lizzie Umejei

    Nov 30, 2022
    Nov 30, 2022 at 12:29pm

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    WEEK 1 INITIAL POST

     

    Definition of Nursing Informatics.

    Sipes (2020) noted that the American Recovery and Reinvestment Act (ARRA) Initiative (2009), which contained the Health Information Technology for Economic and Clinical Health (HITECH) Act, came with the mandate of what healthcare should do, including using EHRs to collect and monitor patient data. The HITECH Act further encouraged the use and development of technology by nurses, APRNs, and other healthcare professionals (Sipes, 2020). American Nurses Association (2015) describes Nursing informatics (NI) as the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. According to American Medical Informatics Association (AMI) (2021), Nursing Informatics combines nursing science, news, and computer science to improve patient health care.

    Two nursing Informatics Pioneers/Innovators

    Dr. Patricia Abbott- is best known for her early work in helping to establish the Nursing Informatics Specialty (American Medical Informatics Association ( AMI), 2021). She was a member of the Author team for the original Scope and Standards of NI Practice with the ANA, and then she worked on developing the first certification exam in NI with the ANCC ( AMI, 2021). Dr. Abbott worked on Global Health Informatics for front-line caregivers in low-resource settings ( AMI, 2021). Her current work has been in this realm, where she uses low-bandwidth technologies and knowledge management approaches to impact community health ( AMI, 2021). 

    According to
     
     AMI (2021), Dr. Patricia Abbott is
     c
    urrently the Co-Director of the Pan American Health Organization, World, World Health Organization, PAHO WHO, Collaborating Center for Nursing, Information Knowledge, and Management at the Johns Hopkins School of Nursing ( AMI, 2021). She is also an Assistant Professor there ( AMI, 2021). Dr. Abbott’s significant contributions to the field of nursing informatics center on advocacy, policy, and education ( AMI, 2021).  

    I chose Dr. Abbot because she identified and recognized the challenges nurses experienced at the bedside and came up with solutions to capture all nurses do with electronic data. According to Dr. Abbott, “we provide much care in long-term care facilities; however, we have no way to track that. It was a matter of data. You cannot manage what you cannot measure”. “And unless we can start counting and quantifying what happens to patients in the healthcare continuum, we cannot improve things. Moreover, she is now working in research and geriatrics, and informatics. On top of that, my passion became ‘How can we improve the quality of care we provide to our patients?’

    Furthermore, nurses provide most of that care, especially, you know, from acute care to community-based care, to home healthcare nursing, to SNFs and long-term care, nursing is at the forefront. Moreover, I think we make beautiful contributions to patient outcomes but are invisible.” ( AMI, 2021). 

    One of the challenges facing nursing is to ensure that nursing leaders, policymakers, and folks in Washington understand the crucial contributions that nursing makes to the quality of care. 

       
    Ida Androwich, Professor and Director, Health Systems Management Program, Loyola University, Chicago ( AMI, 2021). 

     Her significant contributions have been in terminology and some of her work with the terminology summit. She started the expert panel in Nursing Informatics at the Academy and is working with the workforce technology commission to leverage the nurse’s work and make the nurse’s work more efficient. One of her contributions is the Clinical Information Systems framework ( AMI, 2021). 

    I chose Androwich because of her Clinical Information Systems framework.
     
    Androwich states, “If there is a framework that’s guided my work, I would have to say it is the dual nature and the importance of giving the provider information to inform the current encounter. Moreover, at the same time, documenting that encounter in a manner that the information can be aggregated with similar encounters to inform future practice with other patients.” ( AMI, 2021). 

     Describe how their contributions influenced nursing practice

     
    Technology and informatics tools are crucial to improving population health outcomes and decreasing healthcare costs. Data from technology and informatics identify healthcare needs, change health behaviors, manage chronic health conditions, improve community health, and increase access to care (American Association of Colleges of Nursing. (n.d.)). 
    Nursing informatics is about improving care, safety, and patient outcomes viz: More efficient electronic health records; Better IT systems; Research and application of clinical best practices; Training of other nurses; Analytics-based predictive models; New avenues for patient education; Support for telehealth technology (American Association of Colleges of Nursing. (n.d.)). 
    Patients also benefit from nursing informatics in the following ways: Fewer medical errors; More informed clinical decision-making; Shorter hospital length of stay; Lower admission and readmission rates; Better self-management (American Association of Colleges of Nursing. (n.d.)).  

      Explain any lessons from their experiences

    According to Webb, N. (2021), Informatics can allow nurse leaders to champion and support initiatives that reduce harm, keep patients safe, improve quality outcomes, and decrease patient time in a hospital. Nurse leaders can track, trend, and prevent patient harm from occurring, which will not only benefit patient outcomes but also prevent reduced federal healthcare reimbursement penalties and reduce litigation exposure (Webb, 2021).

    The greatest lesson from the innovators/ informatics pioneers is to be part of the solution to problems encountered on the job.

     

    References

    American Nurses Association. (2015). 
    Nursing Informatics : Scope and Standards of Practice.Second edition
    . American Nurses Association.

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site.
    Links to an external site.
    . 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
    Links to an external site.

    Backonja, U., Langford, L. H., & Mook, P. J. (2022). How to support the nursing informatics leadership pipeline: Recommendations for nurse leaders and professional organizations. 
    CIN: Computers, Informatics, Nursing
    , 
    40
    (1), 8-20.

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

    Webb, N. (2021) Nursing Informatics as Caring: A Literature Review. 
    Online Journal of Nursing Informatics (OJNI), 25
    (1). 
    https://www.himss.org/resources/online-journal-nursing-informatics
    Links to an external site.

     

     
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    Telecia Shantee’ Allen

    Telecia Shantee’ Allen

    Dec 3, 2022
    Dec 3, 2022 at 6:56am

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    Lizzie,

    Dr. Patricia Abbott is another great example of innovators who have been integral to the growth of nurse informatics. Dr. Patricia has continually demonstrated her commitment to advancing nursing informatics through her work, which includes serving as an educator, researcher, consultant and advocate in the field. Her research focuses on developing strategies to improve patient care by using information technology, as well as developing new systems and tools to support nursing informatics. She has published numerous articles in the field of health informatics, as well as presenting at conferences around the globe.

    Through her work, Dr. Patricia has also demonstrated a commitment to promoting collaboration between nurses and healthcare IT professionals. She works closely with both to ensure that the most effective strategies are being implemented. She also works to promote interdisciplinary research and partnerships between nurses, healthcare IT professionals, and other stakeholders in the field of informatics (American Medical Informatics Association).

    Dr. Patricia has also worked hard to develop best practices for nursing informatics, focusing on making sure that nurses have access to the most up-to-date technology and training. She has also been involved in numerous initiatives to improve patient care through the use of information technology.

    Overall, Dr. Patricia’s work is a testament to her dedication to advancing nursing informatics, and serves as an example of how innovation can have positive impacts on patient care. Her commitment to collaboration and research has led to improved systems, tools and training for nurses, which has in turn improved patient outcomes. She is an excellent example of how knowledge and innovation can be used together to affect positive change in healthcare.  Her accomplishments serve as a perfect example of how professionals in the field of nurse informatics should strive to collaborate, innovate, and advance health informatics.

    Reference

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site.
    Links to an external site.
    . https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

     

     
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    Nkeiruka C Emechete

    Nkeiruka C Emechete

    Dec 3, 2022
    Dec 3, 2022 at 2:55pm

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    Hello Lizzie,

    Your post was very informative. It is true that nursing Informatics combines nursing science, news, and computer science to improve patient health care. According to the American Medical Informatics Association (2021), nursing informatics is the science that integrates nursing, its information and knowledge with management of information and communication technologies to promote the health of people, families, and communities worldwide. It is also true that Patricia Abbott and Ida Androwich are some of the pioneers of nursing informatics. I agree that Patricia’s role in the innovation of EHR is greatly significant in improving patient safety. I also agree that the Clinical Information Systems framework innovated by Ida Androwich plays a significant role in monitoring health systems. I think the greatest lesson from all innovators is the important roles of nurses in leadership and pioneer in improving the nursing practice and the quality of care. I would also say that their experiences also prompt nurses to become proactive in developing or identifying solutions or answers for gaps in the healthcare system.

    References

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
    Links to an external site.

     
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    Nkeiruka C Emechete

    Nkeiruka C Emechete

    Nov 30, 2022
    Nov 30, 2022 at 4:41pm

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    Health Information Technology and Nursing Informatics: Nursing Informatics Innovators

    According to the American Medical Informatics Association (2021), nursing informatics is the science that integrates nursing, its information and knowledge with management of information and communication technologies to promote the health of people, families, and communities worldwide. Nursing informatics innovators possess special knowledge, skills and competencies in informatics that helps them play a vital role in the designing and development of information systems, inventive ways of accessing data, quality assurance programs and application of new informatic systems (Saranto et al., 2021). The two nursing informatics innovators I chose are Patricia Abbott and Judy Murphy who are some of the pioneers of nursing informatics.

    Patricia Abbott PhD, RN, FAAN, FACMI is passionate about nursing informatics with her major contributions mainly being in advocacy, policy and education (American Medical Informatics Association, 2021). She is currently the Co-Director of the PAHO WHO Collaborating Center for Nursing, Information Knowledge and Management at the Johns Hopkins School of Nursing (American Medical Informatics Association, 2021). As an educator, she influences nursing informatics by impacting knowledge and skills to nursing students about the art of informatics in nursing and how to employ them during practice (American Medical Informatics Association, 2021). Her experiences have taught me that nursing research in informatics plays a very significant role in helping nurses address gaps and challenges in healthcare leadership, education and policy.

    Judy Murphy RN, FACMI, FHIMSS is a pioneer and a leader in the nursing informatics community for over the past 25 years (American Medical Informatics Association, 2021). She is currently Deputy National Coordinator for Programs & Policy at the Office of the National Coordinator for Health IT in Washington DC (American Medical Informatics Association, 2021). She is responsible for supervising the creation of innovations like the EHR that is widely embraced in the healthcare system globally (American Medical Informatics Association, 2021). In addition, she has also significantly contributed to nursing informatics through publishing scholarly articles on adoption of nursing informatics innovations, automated medical documentation, and the use of technology to enhance EBP (American Medical Informatics Association, 2021). Her experiences teach me that I should not shy away from pursuing leadership and pioneer duties that may have significant positive impact on nursing practice and the quality of care.

    References

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
    Links to an external site.

    Saranto, K., Kinnunen, U. M., Jylha, V., Liljamo, P., & Kivekas, E. (2021). Nursing informatics innovations to improve quality patient care on many continents. 
    Essentials of Nursing Informatics. 7th ed. New York, NY: McGraw-Hill Publishing
    , 677-691.

     
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    Rosemary Kwaven

    Rosemary Kwaven

    Dec 1, 2022
    Dec 1, 2022 at 4:02pm

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    Hello Emechete,

    Great post! Permit me to add that the role and scope of nursing informatics are rapidly evolving to address the needs of healthcare organizations in sync with the evolution of technology (Procter et al., 2021). The educational preparedness of nursing informatics specialists is structured to meet the requisite competencies of their role. Most fields in healthcare develop informatics functions, scope, and focus of practice to meet the demands and opportunities for the future of that particular field (Procter et al., 2021). For example, the field of Nursing benefits from informatics in several ways:

    One example is that informatics improves the relationship between provider and patient with every new technology (Trousdale et al., 2022). Nurses’ and physicians’ role as patient care advocates is made more accessible by integrating data into modern systems or big data tools (EMR/HER) (Bairagee et al., 2022). This technology ease communication with patients and other providers such as; other physicians, nurses, pharmacists, technicians, researchers, educationist, Etc. Communication speed, quality, accuracy, security, and ease are vital to high-quality integrative patient care (Bairagee et al., 2022).

    References

    Bairagee, D., Singh, N., Jain, N., & Sharma, U. (2022). Bioinformatics tools and software in clinical research. 
    Bioinformatics Tools and Big Data Analytics for Patient Care
    , pp. 17–41. 
    https://doi.org/10.1201/9781003226949-2
    Links to an external site.

    Procter, ., Hübner, U., & Yuan, C. (2021). Building nursing knowledge to meet the needs of disruptive technology healthcare re-design. 
    Studies in Health Technology and Informatics
    . 
    https://doi.org/10.3233/shti210705
    Links to an external site.

    Trousdale, D. M., Lorente, C., Tibbetts, K. M., & Hennessy, S. A. (2022). Every patient, every provider, every visit: Why the perioperative team should be at the forefront of COVID vaccination. 
    ASA Monitor
    , 
    86
    (5), e2-e3. 
    https://doi.org/10.1097/01.asm.0000830896.
    Links to an external site.

     

     
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    Sara Haynes Perry

    Sara Haynes Perry

    Nov 30, 2022
    Nov 30, 2022 at 5:21pm

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    Week one initial:

    Nursing informatics is an interesting field that has really grown over the recent years. It integrates the science of nursing with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom into the nursing practice, American Nurses Association. (2015).
     

    I first chose Ida Androwich as one of the innovators as she discussed her desire to improve the healthcare of patients, and how the technical aspect could be improved. I also chose her because she had a background in public health as this is what I also received in my undergraduate nursing program. Ida discusses that nursing informatics is the combination of science of nursing and information and computer science while improving the healthcare of the patient, American Medical Informatics Association, (2021). Her role is a professor at Loyola, and she also started home care there. She worked to improve the healthcare for patients by including ways to improve documentation for care provided by nurses. She helped to develop records and worked on this based on the Omaha system. She specifically contributed to technology by looking at documentation and how nursing documentation could be seen and followed, as well as identifying nursing interventions.

    Suzanne Bakken, Professor of Biomedical Informatics at Columbia university. She focused on system focused verses patient focused. She did her masters training as critical care nursing, and she became involved in computer based continuing education. I chose her because she produced systems regarding ECG interpretation courses which I found very interesting when I entered critical care and cardiac nursing. She influenced the important of aspects within the technological aspect, and conducted federally funded research for over 25 years, American Medical Informatics Association, (2021). Her contributions were being the first person to develop computable interpretations in representational data. She focused on applied data in nursing terms and international terminology. This is a major part of how medical terminology was developed and created a safer practice. She is an advocate of APRN documentation and reimbursement through language of medicine and nursing.

    Lessons that I would take away from this was the importance of how I document, as well as review my nurse’s documentation and how they pertain to online records. Ida was a pioneer in this as she was an early seeker of how to improve this movement. Utilizing the importance of approved terminology is important and must be followed to prevent errors.   Specifically, I would utilize the idea behind evidence-based medicine as learned by this documentation. I can look at mine and others documentation and follow the trends, which can help to track problems, progress, and changes needed. I would also be interested to follow the hybrid idea behind documentation and reimbursement of APRNs. I have my own practice, and this would prove to be very important as I am always looking the right way to document and record appropriately to gain reimbursement.

    Other things that will undoubtedly affect how I run my practice will include the importance of cybersecurity and resilience as well as language processing in technology, Marr, B. (2020). As technology becomes more and more a part of the nursing world, I will need to be up to date on keeping my patient data safe, as well as utilizing the proper language to document.

     

    References

    American Nurses Association. (2015).
     
    Nursing informatics Links to an external site.
    Links to an external site.
    : Scope and standards of practice
     (2nd ed.)

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site.
    Links to an external site.
    . 
    https://amia.org/community/working-groups/nursing-
    Links to an external site.
      informatics/nursing-informatics-innovators

    Marr, B. (2020). 
    These 25 technology trends will define the next decade
     Links to an        external site.
    Links to an external site.
    . Forbes.             
    https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-            trends-will-
    Links to an external site.
        define-the-next-decade/?sh=459cc02129e3

     
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    Gernita Lee

    Gernita Lee

    Dec 4, 2022
    Dec 4, 2022 at 7:43pm

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    NURS 8210 Transforming Nursing Week 1 Discussion Peer Response 2

    Sara Haynes Perry, I appreciate your diligent retelling of the heroine accolades of Dr. Ida Androwich and Dr. Suzanne Bakken’s technological innovations in informatics. As a home health administrator and operator, Dr. Androwich instituted federally-funded research, including the Omaha system, at her community ambulatory care facility (Association, 2021). Dr. Androwich aimed to fill the gap in nursing documentation not readily identified or captured with traditional ICD 9 coding and
     
    Diagnoses Related
     
    Groups (DRG) (Association, 2021). The Nursing Interventions Classification (NIC) Project filled the gap in nursing documentation with new technological innovations that complemented nursing practice (Association, 2021). Subsequently, Dr. Androwich and colleagues inquired about advancing their traditional training in an effort to match their credentials to the subjects they pioneered without success. However, a male physician colleague with a master’s in computer science volunteered to provide computer coding instruction (Association, 2021). Dr. Adrowich’s tenacity and perseverance remind me of my journey in forging and shaping advanced practice provider care in the Podiatric and Sports Medicine field. Traditional Doctors of Podiatric Medicine do not interact with APP nurses in private practice. This limited exposure fostered an alliance between myself and our CEO, who is a DPM, to formulate practice protocol and role responsibilities.

    Dr. Bakken initially described herself as a nurse who was also an informatician and, upon a 10-year reflection, later defined herself as an informatician researcher who is also a nurse (Association, 2021). She later positions her belief system regarding the practice discipline of nursing, requiring empirical evidence and knowledge generated through technical data capturing (Association, 2021). The discipline of nursing has a long-lasting history of producing favorable patient outcomes equal to, and at times, superior to, traditional physician medical interventions. As highlighted, Mallow et al. (2018) demonstrated the innovative and advanced techniques utilized by APP Nurse Practitioners (NP) that provide primary care services to the rural and isolated patient population with cutting-edge technology known as mI SMART (Mallow, Theeke, Theeke, & Mallow, 2018). mI SMART is defined as “The comprehensive technological combination of a Health Insurance Portability and Accountability Act (HIPAA) compliant, web-based, the structure of mHealth sensors (portable health monitors) and mobile devices to treat and monitor multiple chronic conditions (Mallow, Theeke, Theeke, & Mallow, 2018). Dr. Androwich’s take on technological advancement for nursing practice enhancement is that in every clinical, the systems must support the provider (Association, 2021). Knoerl et al. (2021) exemplified the technological burden of providing an algorithm delivery system to oncology clinicians to manage Chemotherapy-induced peripheral neuropathy (CIPN). Clinicians rarely utilize the algorithm due to the cumbersome interface and poor usability, with some clinicians flat-out refusing to use suboptimal intervention implementation plans in their patient care (Knoerl et al., 2021). Like Dr. Bakken, I hope to capture the nuances of NP-provided care as the patient outcomes are evident, but the why is elusive. I am dedicated to learning and mastering the process aimed at capturing the phenomena of excellent patient care to replicate the outcomes across paradigms of medical care. As a healthcare provider and private practice owner, you are very astute regarding staying up to date on technological advancements in cybersecurity and resilience. Thank you again for your post, and I look forward to future discussions with you this quarter.

     

    References

    Association, A. M. (2021). 
    Nursing informatics innovators
    . doi:https://amia.org/community/working-groups/nursing-informatics/nursing

    Knoerl, R., Mazzola, E., Hong, F., Salehi, E., McCleary, N., Ligibel, J., . . . Berry, D. L. (2021). Exploring the impact of a decision support algorithm to improve clinicians’ chemotherapy-induced peripheral neuropathy assessment and management practices: A Two-Phase, Longitudinal Study. 
    BMC Cancer, 21(1)
    , 236. doi:https://doi.org/10.1186/s12885-021-07965-8

    Mallow, J. A., Theeke, L. A., Theeke, E., & Mallow, B. K. (2018). The effectiveness of mI SMART: A Nurse Practitioner Led Technology Intervention for Multiple Chronic Conditions in Primary Care. 
    International journal of nursing sciences, 5(2)
    , 131–137. doi:https://doi.org/10.1016/j.ijnss.2018.03.009

     
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    Quateka Cochran

    Quateka Cochran

    Nov 30, 2022
    Nov 30, 2022 at 6:46pm

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    Quateka Cochran, Initial Post

    I selected Dr. Jean M. Arnold because of her work in computer-based education. Dr. Arnold is a Professor Emerita in nursing informatics, Rutgers University College of Nursing with a doctoral degree from Teachers College, Columbia University. Per Dr. Arnold her work was not widely celebrated. Her work was discreated as not being research. She was trying to make a difference with her cohorts. She faced resistors, to combat this they created elective courses and worked together to spread the knowledge concerning nursing informatics. She worked tirelessly despite being called a risk taker. She found ways to explain what they were doing to persuade resistors and students alike to embrace nursing informatics by using phrases like information handling. Dr. Arnold wrote one of the first informatics books and patented the Computerized Diagnostic Reasoning Evaluation System, as well as developed curriculum for nursing computer courses.

    The second selected innovator Betty Chang due to her work in nursing education and research. Dr. Chang is a Professor Emerita at the University of California. She wrote a chapter based on computerized aided instructional educational use. She developed a survey to look at computer use and nurses’ expectations and concerns in the 1980s. Also, in the 1980s she designed a computerized educational program for undergraduate students and a nursing diagnosis clinical support system for research and education of graduate students and practicing nurses. She also was instrumental in developing the first computerized learning laboratory, and program for teaching of nursing informatics in the School of Nursing, University of California, Los Angeles.

    Shaping Nursing

    Dr. Arnold and Dr. Chang helped to guide computerized education, information gathering and sharing in nursing. Both of these innovators were ground breakers and faced resistance in their charge to promote healthcare reform. They have worked to inspire future nurses by drawing attention and awareness to decision support. They were supported in their change projects by other nurses and innovators of their time. The work that they have done has changed the landscape of nursing education and research.

    Lessons

    The lessons learned from these innovators is to think outside the box. Healthcare, nursing care is an ever changing dynamic. Nurses can impact the landscape of healthcare by being involved in developing standards of care, creating new knowledge, and utilizing current knowledge in innovative ways. Another lesson learned from these ladies is to be steadfast in your beliefs. Even when faced with dissuaders they both continued to be the change they wanted to see. They never faltered from their belief that computerized learning would improve patient outcomes and the health of the population at large.

     
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    Christian Offor

    Christian Offor

    Dec 3, 2022
    Dec 3, 2022 at 9:37am

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    Quateka, thanks for your post. The contributions of the two innovators you discussed have definitely influenced nursing practice and have shaped the field of nursing informatics. Nursing informatics aims to improve people’s and communities’ health while reducing costs. Dr. Arnold had a tremendous contribution to the adoption and use of nursing informatics in the healthcare sector. Dr. Arnold helped introduce the students in the university to informatics networking and helped acquire funds that helped set up the first computer laboratory for nursing students (American Medical Informatics Association, 2021). The innovator helped students use computers to manage patient information and promote quality care. This ensures that as the students graduate, they are ready and have adequate competencies and skills to use computer-aided technologies to provide care in their practice. Dr. Chang’s computer-based education program also contributes to nursing practice. Her creation is shaping the minds of future nurses in the profession. Implementing information systems can provide better access to evidence, affecting patient care quality and supporting evidence-based nursing (Darvish et al., 2014).

    Health informatics enables better collaboration and coordination among healthcare providers, streamlining medical quality assurance processes, improving cost-efficiency in healthcare delivery, and increasing accuracy and efficiency in facility/practice management. Informatics can allow nurse leaders to champion and support initiatives that reduce harm, keep patients safe, improve quality outcomes, and decrease the time patients spend in a hospital. For example, when it comes to the elderly after being admitted to the hospital for a fall and injury, informatics can be used to create an individualized care plan so that the patient remains physically active by providing medications, wound care management, physical and occupational therapies while the patient is in the hospital and when they get discharged home or to a rehab facility. The healthcare team would be able to coordinate and collaborate on care because they can visually see what is working for the patient and what needs to be changed.

    References

    American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. 
    Global journal of health science
    , 
    6
    (6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

     
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    Gernita Lee

    Gernita Lee

    Dec 3, 2022
    Dec 3, 2022 at 6:04pm

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    NURS 8210 Transforming Nursing Week 1 Discussion Peer Response

    Quateka Cochran, I really enjoyed your recounting of Dr. Jean M. Arnold and Dr. Betty L. Chang’s monumental innovation achievements. As you highlighted, both phenomenal women successfully circumvented and navigated resistance to their innovation and forwarding thinking progress. Gaughan et al. (2022) demonstrated the use of the Technology Acceptance Model to predict the likelihood of adaptability of newly introduced technology. TAM evaluates adaptability by evaluating usability, the application’s usefulness, stakeholder perceptions towards system change, and reviewing the behavioral intention of the application and users (Gaughan et al., 2022). Dr. Arnold faced a unique position as a pioneer of nursing informatics, including determining the definition of the science and the practice while simultaneously preparing for practice change resisters. She reduced the intimidating nature of the word informatics by simplifying its meaning as “information handling” (Association, 2021). Dr. Arnold presented the technology as an asset to nursing practice by emphasizing how technology should never guide practice but accentuate it allowing optimization of patient data, organizing finical documentation, and patient record tracking (Association, 2021).

    Dr. Chang experienced similar resistance to technological advancements and change in the 1980s when technology was burgeoning as she presented her nursing diagnosis expert system. Dr. Chang explains that the initial hesitancy was due to limited computer exposure and nurses’ fear of learning everything about computers (Association, 2021). When reviewing the historical context of these two innovators, I am inspired to evaluate nursing practice from an informatics perspective. Traditionally I also should have considered technology advancement as a field related to my current practice as a reflex or automatic thought. I am not required to know everything about computers to streamline or optimize a clinical process. I must observe the phenomena and consider possible yet feasible technological interventions. As a nurse practitioner practicing in podiatric and sports medicine, I encounter multiple software systems for patient prior authorization, documentation of supply dispensing, and supply order spreadsheets. Previously, I have not considered how those forms are made, but I have wondered about their efficacy and redundancy. Thank you, Quateka, for your post, and I look forward to future discussions with you this term.

     

     

    References

    Association, A. M. (2021). 
    Nursing informatics innovators
    . doi:https://amia.org/community/working-groups/nursing-informatics/nursing

    Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ experience and perception of technology use in practice: A Qualitative Study Using an Extended Technology Acceptance Model. 
    CIN: Computers, Informatics, Nursing, 40(7)
    , 478–486. doi:https://doi.org/10.1097/CIN.0000000000000850

     

     
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    Ijeoma C Onyeagocha

    Ijeoma C Onyeagocha

    Nov 30, 2022
    Nov 30, 2022 at 7:06pm

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                                                                                                               Introduction

    The technological revolution has been experienced across various disciplines and professional expertise. In Medicine and Nursing, technology has been a critical factor in quality improvement. Notably, much of the innovation and improvements linked to technology have been associated with nursing informatics. Several innovators of nursing informatics have significantly contributed to quality improvement in the care process (Data Science Show, 2018). Two primary innovators of Nursing Informatics are Jean Arnold and Marion Ball. It’s, therefore, essential to identify the professional contributions of the above innovators in Nursing Informatics and how their contributions reflect and influence my professional practice.

    According to AMIA Informatics Working Group (2022), Marion Ball is a professor at John Hopkins Hospital School of Nursing and Health Link, an IBM-affiliated corporation’s Vice President of Clinical Informatics Strategies. Notably, Marion Ball’s educational focus was on medical education; however, her entry into Nursing Informatics was when she worked in a clinical laboratory where she worked on the first IBM of the University of Kentucky as a programmer (AMIA Informatics Working Group, 2022). She also worked as an assistant director of computing at Temple University. This involvement in computing contributed to her professional development in Nursing Informatics. Notably, Marion Ball is responsible for designing curriculum programs in Nursing Informatics in schools such as Villanova and compiling books such as Introduction to Nursing Informatics and Introduction to Computers in Nursing.

    On the other hand, Jean Arnold has also made significant contributions to Nursing Informatics as an innovator. Jean Arnold is an RN, BSE, MS, EDD, and MED (AMIA Informatics Working Group, 2022). Jean Arnold did her post-graduate education at Bergen community college, integrating technology-oriented teaching methods while also conducting her master’s degree. As a part-time teacher, the computer came along, and she was involved in it, which became her entry into nursing informatics (AMIA Informatics Working Group, 2022). Jean Arnold was the first to design and implement the first to develop a computer and applications Nursing Course in the State of New Jersey, consistent with a book on computer applications (AMIA Informatics Working Group, 2022).

    The developments by both Jean Arnold and Marion Ball were significant in pioneering nursing informatics. For instance, Jean Arnold faced difficulty integrating computer applications in her practice as a nurse as they had to remind themselves that they were a nurse. Also, Marion Ball’s first computer and nursing course at Temple University was re-accredited. However, through their grit and hard work, they continued with their exploration of computer and technology studies designing books and courses that serve as the foundation for nurses interested in fusing technology and nursing. According to Glasgow et al. (2018), computer simulation for patient care needs has been an educational tool with relevant outcomes for student nurses in their practice. Mobile health technologies have also been essential for student nurses as they are being integrated into professional practice (McGonigle et al., 2014). In this context, the books and courses pioneered by Jean Arnold and Marion Ball have provided foundational education for nurses on technology.

    Several aspects of the lives and professional contributions of Jean Arnold and Marion Ball can be essential for professional practice. For instance, I look forward to identifying a niche and loopholes in nursing education on technology and designing courses or programs in the same manner as the two. Likewise, Jean Arnold, for instance, revolutionized the medical and educational environment she was in by acquiring government assistance and urged nurses to follow suit and face politicians regarding the nursing technological revolution (AMIA Informatics Working Group, 2022). Writing proposals to the government on integrating technology in nursing could be knowledge borrowed from the two innovators. Currently, technology in nursing has moved beyond excel analysis and basic programming to diversity in programing language. Designing courses and creating programs in these programming languages can be vital to improving the nursing environment. Ronquillo et al. (2021) identify that artificial intelligence has taken root in nursing. Quantum computing, digital ledgers, and artificial intelligence are all emerging areas of technology application that suit nursing (Marr, 2022). Therefore primary programming language can assist professional nurses in enhancing the quality of their service delivery through system checks for patients, among many other functions.

    In conclusion, innovation is a key construct of any professional discipline. Technological innovation has contributed to the integration of nursing informatics. Technology and nursing as a combined concept have been attributed to the sacrifice and knowledge of pioneers such as Jean Arnold and Marion Ball. The two made significant strides in programming and computer applications and their consequent introduction into nursing. Borrowing from the nursing informatics innovators, I can design programming language courses specifically oriented in nursing, crucial for preparing nurses for using and maintaining artificial intelligence.

     

                                                                                                               References

    AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Jean Arnold. AMIA. 
    https://brand.amia.org/m/28ffece75e92b5d9/original/arnold-NIWG-pdf.pdf
    Links to an external site.
    .

    AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Marion Ball. AMIA. 
    https://brand.amia.org/m/1bc999f1175388e9/original/Ball-NIWG-pdf.pdf
    Links to an external site.
    .

    Data Science Show. (2018). What is Healthcare Informatics? Introduction to Nursing Informatics [YouTube Video]. In 
    YouTube
    .

    Links to an external site.
    .

    Glasgow, M. E. S., Colbert, A., Viator, J., & Cavanagh, S. (2018). The nurse‐engineer: A new role to improve nurse technology interface and patient care device innovations. 
    Journal of Nursing Scholarship
    , 
    50
    (6), 601-611.

    Marr, B. (2022, October 12). These 25 Technology Trends Will Define The Next Decade. 
    Forbes
    . 
    https://www.forbes.com/sites/bernardmarr/2020/04/20/these-25-technology-trends-will-define-the-next-decade/?sh=741064929e3b
    Links to an external site.
    .

    McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why Nurses Need to Understand Nursing Informatics. 
    AORN Journal
    , 
    100
    (3), 324–327. 
    https://doi.org/10.1016/j.aorn.2014.06.012
    Links to an external site.
    .

    Ronquillo, C. E., Peltonen, L. M., Pruinelli, L., Chu, C. H., Bakken, S., Busch, A. & Topaz, M. (2021). Artificial intelligence in nursing: Priorities and opportunities from an international invitational think‐tank of the Nursing and Artificial Intelligence Leadership Collaborative. 
    Journal of advanced nursing
    , 
    77
    (9), 3707-3717.

     
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    Lizzie Umejei

    Lizzie Umejei

    Dec 3, 2022
    Dec 3, 2022 at 3:54am

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    WEEK 1 DISCUSSION Response 2

    Hi Ijeoma,

    Intriguing post. You noted that Jean Arnold and Marion Ball had challenges integrating computer applications into their practice and education. They overcame this by designing books and courses that serve as the foundation for nurses interested in fusing technology and nursing (AMIA Informatics Working Group, 2022.

    Jean Arnold developed the first online course in nursing informatics for Thomas Edison State College in NJ, which is now an online nursing education program(AMIA Informatics Working Group, 2022). And now, they are moving forward into a graduate program where she will teach. The first actual online nursing course for Thomas Edison evolved into an all-online nursing program, which is going on now(AMIA Informatics Working Group, 2022). Her contributions included nontraditional programs at Excelsior College and the University of Phoenix(AMIA Informatics Working Group, 2022). This current DNP program we all are enrolled in is online.

    Marion Ball was not a nurse but a medical person working in the lab on computerizing a clinical lab system (AMIA Informatics Working Group, 2022). She is a founding member of the TIGER initiative, which addresses the importance of integrating technology into the nursing profession, from bedside practitioners to researchers, toward encouraging the nursing profession to incorporate the most current enabling technologies into healthcare. TIGER stands for Technology Informatics Guiding Educational Reform. TIGER aims to develop a roadmap for the essential minimum competencies for every nursing school in the country, every practice… everything continuing nursing program (AMIA  Informatics Working Group, 2022). These are a set of minimum competencies everybody should know and feel comfortable with and be not a nurse informatician. (AMIA  Informatics Working Group, 2022).

    Marion Ball has mentored a lot of nurses to go into the field of nursing that isn’t quite her field, many have excelled, and they’re doing a lovely job (AMIA Informatics Working Group, 2022).

    References

    AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Jean Arnold. AMIA. 
    https://brand.amia.org/m/28ffece75e92b5d9/original/arnold-NIWG-pdf.pdf
    Links to an external site.
    .

    AMIA Informatics Working Group. (2022). Nursing Informatics Pioneer Interview Transcript: Marion Ball. AMIA. 
    https://brand.amia.org/m/1bc999f1175388e9/original/Ball-NIWG-pdf.pdf
    Links to an external site.
    .

    Healthcare Information and Management Systems Society. (2019). 
    What is Nursing Informatics?
    HIMSS. 
    https://www.himss.org/resources/what-nursing-informatics
    Links to an external site.

     
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    Rosemary Kwaven

    Rosemary Kwaven

    Nov 30, 2022
    Nov 30, 2022 at 7:48pm

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    8210

    Discussion week 1

    Nursing Informatics Innovators

    Informatics refers to an interrelated activity involving people, technologies, and

    processes. This interconnected triad allows trusted data to be applied in a manner that is relevant,

    useful, and meaningful. The interrelated activities are essentially centered around information

    needs of people as end users of technologies (McGonigle & Mastrian, 2021). Applying this

    definition of informatics to nursing, nurses, technologies used by nurses, such as an electronic

    health record or EHR system, and health care processes, such as nursing documentation,

    interrelate to transform patient care and clinical data into relevant, useful, and meaningful

    information in nursing practice (McGonigle & Mastrian, 2021). Again, the focus is on nurses and

    how technologies support and facilitate effective and safe patient care. Nursing Informatics

    supports decision-making through the use of information structures, information processes, and

    information technology, enabling nurses as well as patients, the interdisciplinary healthcare team,

    consumers, and other stakeholders in all roles and settings to achieve desired outcomes such as

    improvements in patient safety, healthcare quality, effectiveness, efficiency, and cost

    (McGonigle & Mastrian, 2021).

    Nursing informatics is a central part of nursing practice today and will continue to

    become increasingly important in healthcare into the future. However, this has not always been

    the case. Nursing informatics has slowly become a key part of nursing practice, thanks in large

    part to the works of several key players in this field. Two of the most important innovators in

    nursing informatics are Patricia Flatley Brennan and Patricia Abbott. Patricia Flatley Brennan is

    recognized as one of the leading voices in nursing informatics. Her contribution to nursing

    informatics is seen through her role in the development of ComputerLink, leading the WI-

    TECNE project and working as director of HeartCare and HealthDesign (American Medical

    Informatics Association, 2022). Her work has been pivotal in improving the accessibility and

    ease of use of health information for patients and providers.

    As indicated, another major contributor to the field of nursing informatics is Patricia Abbott.

    Dr. Abbott was a major contributor to the establishment of nursing informatics as a nursing

    specialty (American Medical Informatics Association, 2022). Among her most notable

    contributions to the field is being a member of the author team for the original Scope and

    Standard of Nursing Informatics Practice with Ana. She was also instrumental in developing the

    first certification exam for nursing informatics with the ANCC (American Medical Informatics

    Association, 2022). She has worked with various universities such as the Hopkins School of

    Nursing and the University of Maryland to teach nursing informatics. Her work has contributed

    significantly to the application of nursing informatics in poor communities to impact community

    health (American Medical Informatics Association, 2022).

    Analyzing the works of Patricia Flatley Brennan and Patricia Abbott had several lessons

    for me. The two innovators showed incredible dedication and commitment to trying to increase

    the efficiency and effectiveness of nursing practice. As a result, their work has contributed to

    making nursing informatics the field that it is today. They played a role in making information

    more accessible and a central driver of care practices. I think that applying the principles of

    nursing informatics in my own practice will help me to personalize the care that I deliver to

    patients to make my care more patient-centered.

    References

    American Medical Informatics Association (2022). Nursing informatics innovators: Patricia

    Abbott. AMIA. Retrieved November 29, 2022, from https://amia.org/community/working-

    groups/nursing-informatics/nursing-informatics-innovators-Patricia-Abbott

    American Medical Informatics Association (2022). Nursing Informatics Innovators: Patty

    Brennan. AMIA. Retrieved November 29, 2022, from

    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-

    innovators-patty-brennan

    McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge.

    Jones & Bartlett Publishers.

     
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    Edith ?N?W?A?K?A?E?G?O Ama

    Edith ?N?W?A?K?A?E?G?O Ama

    Nov 30, 2022
    Nov 30, 2022 at 9:05pm

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    Nursing informatics is a practice that breaks down nursing into information and knowledge with management of information and communication technologies to promote the health of people. Nursing informatics innovators are the professionals who develop the entire process (Sipes, 2020). From the video provided the two informatics innovators I chose were Patricia Abbott and Jean Arnold.

    Dr. Abbott is among the pioneer that helped establish early forms of nursing informatics which she terms as being accidental. Dr. Abbott is recognized internationally for her leadership in preparing scholars and practitioners in nursing informatics (NI). Dr. Abbott is focused on e-Health/m-Health/m-Health implementation for unguarded populations, with focus on non-communicable diseases and remote education. She has dedicated over 15 years to researching informatics, user-centered design, mobile health and electronic health, and implementation science.  (AMI, 2021). Dr. Abbott was consistent in her discoveries which led to what we have now as informatics in nursing. One lesson I learn from her is determination is key to success. She encourages me to push on and not give up.

     

    Dr. Jean Arnold was also among the first nurses to discover how diagnostics could be used in computer language. It is a very important step in development of informatics. From her experience, I learned that being a nurse means being all rounded. She managed to formulate diagnosis just like computer scientists. Informatics innovation promotes nurses and physicians’ collaboration in enhancing population health, data collection, and storing information. Technology and informatics tools are user friendly, more efficient, saves time, eliminate waste by decreasing healthcare costs.  (American Association of Colleges of Nursing. (n.d.).

    Dr. Abbott and Dr. Arnold helped to pilot computerized education, data collection and sharing of information in nursing. The two innovators, though encountered challenges in their role to promote healthcare transformation.

     

    Reference

    American Nurses Association. (2015). 
    Nursing Informatics
     
    : Scope and Standards of Practice.Second edition
    . American Nurses Association.

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site. Links to an external site.
    Links to an external site.
    .

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.).

    Springer Publishing.

     
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    Quateka Cochran

    Quateka Cochran

    Dec 2, 2022
    Dec 2, 2022 at 7:58pm

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    Very interesting post. Dr. Abbott and Dr. Arnold’s contribution to nursing informatics is invaluable. Dr. Abbott credits her growth in informatics to trailblazers that came before her. I believe using the knowledge that they help to create we can continue to further nursing research. The advances they made in informatics can impact the care provided to patients, they help create information and tools to improve patient care such as data analysis, decision support systems, and electronic medical records. Dr. Abbott is credited with developing the first certification exam in NI with the ANCC. She was also a member of the Author team for the original Scope and Standards of NI Practice with the ANA. Dr. Arnold is credited with the development and implementation of first computer laboratory for nursing students at Rutgers College of Nursing. Both made advances specific to furthering the knowledge of future nurses, as a nurse educator their contributions are fundamental to my continued growth.

     

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     Links to an external site. Links to an external site.
     

     
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    Jennings Ubadi Mekoba

    Jennings Ubadi Mekoba

    Nov 30, 2022
    Nov 30, 2022 at 9:08pm

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                                                                                                Nursing Informatics

    Nursing informatics is an emerging discipline of healthcare that integrates nursing science with data, information, and knowledge management to promote evidence-based decisions. As the quantity of patient healthcare data increases due to technological advancements, its significance has grown. According to DNP Informatics Projects (n.d.), nursing informatics is helpful for various goals, including enhancing communication between patients and clinicians, minimizing medical errors, and automating clinical operations to increase efficiency. As such, nursing informatics offers benefits, including cost savings, improved safety outcomes, and enhancement of quality assurance (McGonigle et al., 2014; The Data Science Show, 2018). This paper covers Dr. Abbot and Dr. Marion J. Ball’s contributions to nursing informatics.

    Dr. Abbot is renowned for her contributions to low-bandwidth technology and knowledge management strategies that affect community health. Her early work as a specialist in nursing informatics had a profound impact on the healthcare information technology (HIT) field. She was crucial in founding the Nursing Informatics Specialty, which stresses patient safety through evidence-based practice, HIT technology, and data analytics (Nursing Informatics Innovators, n.d.). In addition, she devised techniques to promote interprofessional communication across teams working in different departments to better coordinate care across several settings. Therefore, I chose Dr. Abbott due to her contributions to revolutionizing how nurses access clinical decisions by providing tools such as electronic medical records (EMRs).

    Throughout her career in public service, she has worked with organizations, including international development agencies, in multiple sectors, from infectious disease control to maternal and child health. These roles have been directly or indirectly related to enhancing global welfare through technology solutions for disadvantaged communities lacking access to reliable technologies. One of Dr. Abbott’s most notable accomplishments was establishing an online system capable of delivering timely information about local healthcare services to people living in rural areas with limited connectivity options due to poor infrastructures, such as a lack of electricity and wired telecommunications networks (Nursing Informatics Innovators, n.d.). Dr. Abbot’s success in her projects indicates that she possesses a talent for strategic planning, which involves accurately evaluating a project to ensure its practical completion. This skill is vital, and I can use it to ensure the success of my nursing endeavors, including evidence-based care practices. For example, using informatics data, I would be able to gather information to decide for the patient to make informed choices for their treatment plan.

    Dr. Marion J. Ball, on the other hand, served as president of the International Medical Informatics Association. In this position, she advocated for integrating IT into the nursing field (Nursing Informatics Innovators, n.d.). Therefore, I selected Dr. Marion Ball because her dedication to establishing evidence-based methodologies that integrate computer science and clinical practice enabled her to make significant contributions during her career that have profoundly influenced nursing informatics. Her efforts resulted in a greater recognition that patients should be involved in decisions regarding their care. It improved access to critical patient data such as lab results and better integration between hospital departments to communicate more effectively using technological tools such as electronic messaging platforms.

    Her background in nursing informatics highlights her dedication to improving healthcare through technological innovation and evidence-based practice. Therefore, she teaches about the significance of remaining current with technologies, trends, and research findings connected to one’s profession to avoid becoming stagnant or out of date when it comes to giving excellent care to patients. It also includes possibilities for continuing education, such as attending conferences or seminars regularly, which are advantageous for staying abreast of current advances in one’s professional field. Another important takeaway is the ability to provide leadership during times of transition; she has demonstrated how embracing technological advancements were essential for improving patient outcomes, but at the same time, necessitated adapting specific processes associated with conventional methods of doing things. Therefore, her skills, including embracing stage, are crucial for my nursing career. With this skill, I will be able to advocate for changes in my nursing profession and encourage other nurses to accept policy changes to improve organizational outcomes.

    As stated above, the discipline of nursing informatics has benefited from the contributions of numerous nursing professionals, including Dr. Abbot and Dr. Marion J. Ball. The contributions of the two nurses led to the creation of low-bandwidth technologies and knowledge management strategies to improve community health, as well as the incorporation of computer science into clinical practice.  Technology has improved communication, data availability, and the rule of evidence-based medicine. Therefore, nursing informatics is significant in providing essential data for evidence-based nursing practices.

                                                                                                       References

    DNP Informatics Projects
    . (n.d.). Www.aacnnursing.org. https://www.aacnnursing.org/Population-Health-Nursing/DNP-Informatics-Projects

    Gibson, C. J., Abrams, K., & Dixon, B. E. (2015). Convergent evolution of health information management and health informatics. 
    Applied Clinical Informatics
    , 
    06
    (01), 163–184. https://doi.org/10.4338/aci-2014-09-ra-0077

    McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why Nurses Need to Understand Nursing Informatics. 
    AORN Journal
    , 
    100
    (3), 324–327. https://doi.org/10.1016/j.aorn.2014.06.012

    Nursing Informatics Innovators
    . (n.d.). AMIA – American Medical Informatics Association. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

    The Data Science Show. (2018). What is Healthcare Informatics? Introduction to Nursing Informatics. In 
    YouTube
    . https://www.youtube.com/watch?v=VP0UprsVTfk

     

     
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    Rosemary Kwaven

    Rosemary Kwaven

    Dec 2, 2022
    Dec 2, 2022 at 9:14pm

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    Hello Jennings,

    Thanks for your informatic post. Research and technology have helped improve patient care and prevented several advert effects. For instance, the barcode medication administration has helped avoid errors in medication administration. Also, nurses can use multiple techniques to integrate patient-centered care with technology, and research has shown that the electronic health record system support patient-centered care. We can educate patients and build their trust in our care in several ways. For instance, when clinicians share the computer screen with patients during care, allowing alert and oriented patients to see their EHR would improve patient involvement and foster education. In addition, it also allows for a sense of collaboration with the healthcare team and inspires trust and confidence in the care provided (CLINE, 2020). As you stated, modern electronic health record systems like EPIC have made care provision more efficient and enabled effective team collaboration. For instance, a physician working in a specific organization can put orders on patients with their cell phones while at home, enabling proper care/intervention. Also, patient history and prior care can be accessed in any organization using the EPIC, allowing prompt and continuous care. The EHR has contributed significantly to the quality of patient care. Research shows an association between evidence-based quality care practice proficiency and electronic health record (EHR) use; it improved quality care, increased efficiency, and reduced healthcare costs (Hollister-Meadows et al., 2021).

    References

    CLINE, L. (2020). How electronic health records correlate with patient-centered care. 
    Nursing
    , 
    50
    (1), 61–63. 
    https://doi.org/10.1097/01.NURSE.0000615140.23834.06
    Links to an external site.
    Links to an external site.

    Hollister-Meadows, L., Richesson, R. L., Gagne, J. D., Rawlins, N., & De Gagne, J. (2021). Association between evidence-based training and clinician proficiency in electronic health record use. 
    Journal of the American Medical Informatics Association
    , 
    28
    (4), 824–831. 
    https://doi.org/10.1093/jamia/ocaa333
    Links to an external site.

     
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    Lovester Duncan

    Lovester Duncan

    Nov 30, 2022
    Nov 30, 2022 at 9:26pm

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    Ida Adrowich and Susan Matney have been selected as Nursing Informatics Innovators for this discussion.  Nursing and practice have greatly benefited from these innovators.  Ida Androwich teaches graduate courses in Health Care Informatics Systems and Population-Based Infection Control at Loyola University Chicago.  Her educational background includes a bachelor’s degree in nursing (BSN) from Loyola University Chicago, a master’s degree in public health nursing, and a doctoral degree in public health from the University of Illinois. Androwich has published and presented internationally on healthcare informatics. As a member of the ANA’s NIDSEC Committee, the AMIA-NIWG Leadership Group, the AONE Technology Task Force, and TIGER, she has funded research related to national efforts to standardize healthcare vocabularies. Additionally, she serves on Walmart’s Consumer Awareness of HIT Committee. In addition to serving on the National Alliance of Health Information Technology Board, she served as Co-Chair of the American Academy of Nursing Workforce and Technology Commission. The second innovator is Susan Matney. Besides holding a master’s degree in nursing informatics, she is also a clinical terminologist. Susan has worked as a nurse since 1981.  She began her career as a nurse’s aide, went on to become an LPN, an associate degree holder, a bachelor’s degree holder, and a master’s degree holder, and eventually began her career in informatics in 1997. She developed and implemented a nurse terminologist, an information model, and a standard.  She mapped parts of CCC, Omaha and Nursing Management Minimum Data Sets to LOINC as chair of the Clinical LOINC nursing subcommittee in 2021.

    The contributions of Dr. Ida Androwich have influenced health information technology and nursing practice in many ways. According to her, nursing documentation and data were not safe, and the work performed was not adequately documented to support current and future practice. Furthermore, the author stated that it is impossible to track nurse-captured patient data without proper documentation, so she advocated recording and documenting it into an electronic health record (EHR). She indicated embedding nursing informatics into practice is imperative because it captures nursing documentation in the clinical area, ensures accurate data collection and storage, enhances collaboration, ensures safety practices, and allows easy retrieval of patient data for future comparisons. Additionally, she explained that nurses should use the same terminology across the continuum of care to ensure effective communication and increase safety. Additionally, she advocated for informatics to be included in nursing education, specifically in nursing educators’ curriculums, so that professors could receive informatics training and educate students.  In addition to developing the clinical information system framework, she indicated that a dual-purpose information system was essential because it allows current encounter data documentation to support practice with other patients. Additionally, Susan’s innovative approach had a significant impact on nursing and practice.  Through the application of informatics in healthcare, her work has greatly improved the quality of healthcare.   She helped standardize terminology to ensure that it can be used nationally and internationally to support care and practice. To improve communication and to ensure a similar language among healthcare providers and multidisciplinary teams, she advocated developing nursing terminologies and incorporating them into practice to ensure safe practices when technology is used to provide healthcare services. Additionally, she provides billing coding assistance to improve billing and practice. Besides ensuring effective communication, documentation, and terminology used, she also models nursing and ensures consistency in the terminology used.

    How have their contributions influenced nursing practice?

    In terms of Ida’s dual nature framework, it was important to provide provider information to inform the current encounter while at the same time documenting the encounter in a way that can be aggregated with future encounters to inform future practice. In addition, she advocated for the incorporation of nursing informatics into nurse educator practice and pushed for the use of informatics and standard nursing documentation to collect data accurately to guide practice and care. During her career, Susan worked on the development and implementation of nursing terminologies, information models, and standards, as well as helped approve terminology for use in nursing. In her presentation, she demonstrated how to use informatics and statistics to gather useful data and statistics.

    How have their contributions shaped the field of nursing informatics

    Nursing information systems (NIS) are computer systems that are used in healthcare to manage clinical data from a variety of healthcare environments, and which are made available in a timely and orderly fashion to aid nurses in improving patient care, according to Yu-Wen et al 2016 study).   Ida stated that incorporating terminology into practice has been beneficial as this allows nurses to collect and store patient data in a way that can be retrieved for future use. As Susan explains, standardizing terminologies is important in practice because it allows healthcare professionals to speak the same language when they provide care. With both innovators’ contributions, nursing has been able to improve communication, increase clinical documentation, decrease errors, enhance collaboration, and improve safety. American Nurses Association defines nursing informatics as a specialty that identifies, defines, manages, and communicates data information, knowledge, and wisdom across disciplines through information and analytical sciences (2015). Nursing information systems (NIS) are computer systems that manage clinical data from a variety of healthcare settings, allowing nurses to improve patient care in a timely and orderly manner (Yu-Wen Fang et al., 2016). Using the lessons learned from these innovators, nursing informatics is of utmost importance in practice. Improving documentation, improving communication, and decreasing medical errors improve the quality and safety of care.

     

    References

    American Medical Informatics Association. (2021
    ). Nursing informatics innovators Links to an external site..
     
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
    Links to an external site.

    American Nurses Association. (2015). Nursing informatics Links to an external site.: 
    Scope and standards of practice
     (2nd ed.). Introduction” (p. 1)

    Yu-Wen Fang, Chih-Ping Li, Mei-Hua Wang, Fang, Y.-W., Li, C.-P., & Wang, M.-H. (2016). The development and evaluation of a nursing information system for caring clinical in-patient. 
    Technology & Health Care
    , 24, S401–S406. https://doi.org/10.3233/THC-151106

     
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    Valerie Corvera

    Valerie Corvera

    Dec 2, 2022
    Dec 2, 2022 at 5:31pm

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    Hello Lovester,

    Dr. Ida Androwich was a big part in nursing documentation in the EMR and helped to incorporate nursing informatics into nursing education. Susan helped develop nursing terminologies that are used worldwide and helps with bill coding. The skills that they demonstrate that relate to my professional practice are advocating for patients and the nursing profession, proactive, innovative, and constantly evolving and adapting to change. This is what I must do in my professional practice. As a nurse practitioner I am always advocating for my patients and having to stay proactive and adapt to change. The healthcare field is always changing and evolving. New EBPs are being developed and implemented. There are always ways to improve patient care outcomes. The health care safety crisis requires new approaches, continuous improvement, and interdisciplinary education that transcends the traditional health care disciplines (Karagory & Hountz, 2022). I believe that both of your innovators did just this! They knew something needed to be done and they did what they needed to make the improvements related to nursing informatics. The need for improved technological support in direct care can lead to improvements to patient care, reduction of physical strain and reducing psychological stress (Krick, 2021). All of the innovators this week contributed someway to improve the nursing profession and patient care and even though they started this journey, we must continue it by continuing to look for ways to improve our professional practice.

    References

    Karagory, P. M., & Hountz, D. (2022). Interdisciplinary, Innovative, and International: Nursing and Engineering Technology Students Creating New Patient Technology. 
    Nursing Education Perspectives (Wolters Kluwer Health)
    , 
    43
    (2), 134–136. 
    https://doi.org/10.1097/01.NEP.0000000000000778
    Links to an external site.

    Krick, T. (2021). Evaluation frameworks for digital nursing technologies: analysis, assessment, and guidance. An overview of the literature. 
    BMC Nursing
    , 
    20
    (1), 1–19. https://doi.org/10.1186/s12912-021-00654-8

     
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    Regidor Del Rosario

    Regidor Del Rosario

    Dec 2, 2022
    Dec 2, 2022 at 9:48pm

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    Good Evening Lovester,

    Thank you for sharing your post with us, I found your post to be interesting. The two nursing innovators you’ve chosen have contributed greatly to nursing informatics as we know it today. In our field and as future DNP prepared nurses, documentation is a vital aspect of our work. With the contributions of Dr. Ida Androwich in the field of terminology, our documentation follows a standardized health care vocabulary to provide means of accuracy (American Medical Informatics Association, 2021). Dr. Androwich’s work has also contributed to the implementation of nursing terminologies and information models which allows for researchers to gather useful data and statistics (AMIA, 2021). The next nursing innovator you mentioned is Susan Matney, a nursing innovator who has also contributed to the creation and implementation of nursing terminologies (AMIA, 2021). Ms. Susan Matney also contributed to the development of HDD mapping strategies, tool requirements, and Quality Assurance for terminology development and maintenance (3M, 2022). As we continue on this journey and become DNP prepared nurses, we must ensure we utilize the resource provided by both Dr. Ida Androwich and Ms. Susan Matney. Utilizing nursing terminology allows for the continuity of care for the patient leading to improved patient outcomes.

    American Medical Informatics Association. (2021). 
    Nursing Informatics Innovators: Ida M. Androwich.
     
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-ida-m-androwich
    Links to an external site.
    .

    American Medical Informatics Association. (2021). 
    Nursing Informatics Innovators: Susan Matney. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-susan-matney
    Links to an external site.
    .

    3M. (2022). 
    Inside Angle From 3M Health Information Systems. 
    https://insideangle.3m.com/his/expert/susan-matney/
    Links to an external site.

     

     

     
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    Valerie Corvera

    Valerie Corvera

    Nov 30, 2022
    Nov 30, 2022 at 9:49pm

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    Post
     
    a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator.

     
    One innovator that I have chosen is Lina Q. Thede, she is currently a professor at the College of Nursing at Kent State University. She is currently the editor of CIN plus which is a section in CIN: Computers, Informatics, Nursing. She has written two editions of Nursing and Informatics and authors an informatics column for OJIN (American Medical Informatics Association, n.d.a).

    The second Innovator I chose was Elizabeth E. Weiner. She is the Seniopr Associate Dean for Informatics at the Vanderbuilt University School of Nursing. She is considered a pioneer in multimedia development and is responsible for the distance learning programs in nursing. She publishes and speaks both nationally and internationally on informatics and emergency planning and response (American Medical Informatics Association, n.d. b).

     
    Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific.

     
    Dr. Thede has influenced nursing practice as it relates to nursing informatics in that she was one of the first nurses to translate data into computer software and programming. She was one of the first nurses to introduce the computer into the learning and education process. She helped create databases and contributed to the databases we have today.

    Dr. Weiner contributed to nursing practice and nursing informatics by introducing online simulation for learning purposes. She created and environment for nurses to be able to critically think and apply knowledge learned to different possible real-life scenarios. This contributed to the simulations that are available for educational institutions and organizations so that students and staff can learn and practice their knowledge.

     
    Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.

     
    Both women are so inspiring and motivating. Both women took their ideas and made them into reality. Dr. Thede had no experience with computers or computer software however, she did whatever she could to learn and gain the knowledge needed to address the problem. She would ask anyone she could and would spend time with individuals to learn what she wanted to learn. This is so admirable. Imagine cornering someone and asking them all the questions needed to learn what you wanted to learn. Dr. Weiner learned what she needed to create these simulations for students, and her fellow colleagues even told her it couldn’t be done yet she did it. These women did not take no for an answer. They just simply did what they had to do to get what they wanted done. I believe we need to have this outlook and mindset as DNP prepared nurses. Our goal is to improve patient outcomes and continue to advance the nursing profession. We must look at every possible improvement project with optimism and make a genuine effort to try to create new process and EBP initiatives. Challenges facing healthcare in the U.S. include disparities in care, outdated practices, increasing costs, nursing shortages, clinician burnout, uneven regulation, variations in healthcare quality, and a complex fragmented delivery system, the U.S. spends more money on healthcare than any other Western World country however ranks poorly in population health outcomes (O’Hara, 2022). As DNP nurses, we should be striving to make improvements in all these areas to improve our population health and healthcare system.

     
    References

    American Medical Informatics Association. (n.d. a). 
    Nursing Informatics Innovators: Linda Q. Thede. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-linda-q-thede
    Links to an external site.

     
    American Medical Informatics Association. (n.d. b). 
    Nursing Informatics Innovators: Elizabeth E. Weiner. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-elizabeth-e-weiner
    Links to an external site.

    O’Hara, S., Ackerman, M. H., Raderstorf, T., Kilbridge, J. F., & Melnyk, B. M. (2022). Building and sustaining a culture of innovation in nursing Academics, Research, Policy, and Practice: Outcomes of the National Innovation Summit. 
    Journal of Professional Nursing
    , 
    43
    , 5–11. https://doi.org/10.1016/j.profnurs.2022.08.001

     
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    Regidor Del Rosario

    Regidor Del Rosario

    Nov 30, 2022
    Nov 30, 2022 at 10:10pm

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         Nursing informatics according to the American Nurse Association (2015) is “the specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. As the field of nursing informatics continues to evolve, the quality of healthcare has significantly improved leading to an improved patient outcome. Nursing informatics has been shown to improve the quality of healthcare simply through proper documentation of the patient’s condition as well as sharing information of the patient electronically. The secure sharing of patient information between the multidisciplinary team allows for continuity of care. For example, the electronic health record of the patient can be easily accessed by nurses within the hospital setting, this allows for them to notify the healthcare provider for any immediate concerns such as critical lab values. This is all thanks to the innovators who’ve made nursing informatics available for us to utilize.

    The first nursing informatics innovator is Karen S. Martin. Karen S. Martin was involved in the early development of the Omaha System, a system that enhances healthcare practice, documentation, and the management of patient information (American Medical Informatics Association, 2022). According to the Omaha System (2022), current users include the multidisciplinary team such as the nurse, PT/OT/ST, social workers, and the physician. The Omaha System (2022) also mentions that this enables collection, aggregation, and analysis of clinical data. It supports quality improvement, critical thinking, and communication. It fosters research involving best practices/evidence-based practice. It links clinical data to demographic, financial, administrative, and staffing data. Aside from being involved in the early development of the Omaha System, Karen S. Martin also provides consultation to the community, acute, long-term care and academic settings, she is also on the review panels of Nursing Outlook, Public Health Nursing and Computer Informatics Nursing (AMIA, 2022).

    The next nursing informatics innovator is Dr. Elizabeth Weiner. Dr. Weiner is the Senior Associate Dean for Informatics at Vanderbilt University School of Nursing (AMIA, 2022). Dr. Weiner is also a Centennial Independence Professor of Nursing and Professor of Biomedical Informatics (AMIA, 2022). Dr. Weiner is a pioneer in multimedia development, she has greatly contributed to the multimedia development of clinical simulations (AMIA, 2022). Her work is also responsible for the distance learning programs utilized in the school of nursing, and the tools in informatics that help tie together research, practice, and academic arenas (AMIA, 2022). According to the Vanderbilt School of Nursing (2022), Dr. Weiner co-created a labor and delivery computer simulation which is used by 98% of the nursing programs in the United States.

    After having read about these two innovators in nursing informatics and their mission to improve healthcare delivery both directly and indirectly, I’ve decided to follow in their footsteps as a future DNP-prepared nurse. I’ve learned that nursing informatics is still in its early stages and there is still room to make improvements. As we take on the role of the DNP-prepared nurse, we must ensure to make a positive impact to advance the field of nursing and nursing informatics to improve patient outcomes through innovative ideas.

    American Nurses Association. (2015).
     
    Nursing informatics Links to an external site.
    Links to an external site.
    : Scope and standards of practice
     (2nd ed.).

    American Medical Informatics Association. (2022). 
    Nursing Informatics Innovators: Elizabeth E. Weiner. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-elizabeth-e-weiner
    Links to an external site.

    American Medical Informatics Association. (2022). 
    Nursing Informatics Innovators: Karen S. Martin. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-karen-s-martin
    Links to an external site.
    .

    The Omaha System. (2022). 
    Omaha System Overview. 
    https://www.omahasystem.org/overview

    Vanderbilt School of Nursing. (2022). 
    Betty Weiner. 
    https://nursing.vanderbilt.edu/people/bio/betsy-weiner

     
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    Gernita Lee

    Gernita Lee

    Nov 30, 2022
    Nov 30, 2022 at 11:36pm

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    NURS 8210 Transforming Nursing Week 1 Main Discussion Post

    Nursing Informatics Innovator Dr. Carol Romano

    Dr. Carol Romano is a Rear Admiral and the Acting Chief of Staff for the office of the Surgeon General and Chief Nurse Officer for the Public Health Service (Association, 2021). recounted the technological simplicity present during 1975, which resulted in unfathomable amounts of manual record-keeping. The manual auditing process often overwhelmed the night shift, motivating her to seek technological invention to eliminate the burden of tedious hand record keeping. Romano welcomed the opportunity to pioneer electronic information systems. She provides a contextual framework for focusing on how technical systems should solely work to optimize nursing care. Ramano’s significant contribution to nursing informatics is her firsthand development of nursing informatics as a science. In 1975 less than five hospital systems in the United States implemented electronic medical record systems (EMR). Ramano’s descriptions of the science combined with her personal accounts of successes and failures attained during knowledge sharing and dissemination provides brevity in understanding technology’s impact on data mining to improve patient outcomes.

    Interestingly, Ramano’s early accounts of convincing nurses to engage in EMR usage in 1975 continue to be seen in her modern explanation of nursing informatics, embracing fitting technology to nursing practice alone but integrating a process of understanding the transition process that accompanies change. As an innovator, Ramano intends to engage in a continual evaluation cycle past the successful implementation phase for perpetual improvement in delivery, quality, and safety. Her informatics provided the framework for gathering patient data and formulating relationships and technological trending.

    Nursing Informatics Innovator Dr. Linda Thede

    Dr. Linda Thede is currently the editor of (Computer, Informatics, Nursing) CIN Plus and author of Informatics in Nursing Opportunities and Challenges. Dr. Thede recounts a deep hunger for understanding coding during the beginning phases of computer programming after being exposed to computers by a friend. From then on, Dr. Thede engaged in interdisciplinary educational conferences and unique persuasion techniques to further advance her understanding of technology, aiming to simplify nursing practices. Dr. Thede recounts how the early phases of system implementation provide opportunities for growth through error. She recalled how a beginning coding student became overwhelmed when the coding system did not recognize her name for data input. Although an oversight, the encounter provided Dr. Thede insight into the impact of implementing new technologies, systems, or practices on the end user. The quintessential question of economic justification looms significantly over the nursing profession, as Dr. Thede describes the real threat of replacing skilled registered nursing staff with technical staff.

    Nursing informatics provides real-time data illuminating the value of higher-skilled level nursing staff for morbidity and mortality reduction. A significant accomplishment of Dr. Thebes was her successful hypothesis of the future of nursing informatics’ ability to correlate, synthesize and capture patient data with a button push. Her ability to recognize the power of technology in its infancy and its significance within healthcare delivery was groundbreaking and clairvoyant (Association, 2021). Dr. Thede contrasts the early challenge with technology. The data required was too much for the computer systems to maintain. Currently, technological systems risk overwhelming the user, impeding nursing workflow compared to the original intention of nursing informatics to optimize nursing care. Nursing provides the patient point of view as a unique perspective of advocacy, and Dr. Thede warns that if the system provides any burden to the nurse, buy-in will not be achieved, and the software will be rendered useless; therefore stressing the importance of usability with all innovations (Association, 2021).

    Lessons Learned From Nursing Informatics Innovators

    Evaluating the impressive pioneer spirit of Dr. Ramona and Dr. Thede provides a roadmap for success and serves as an example of resiliency when facing complications. As one of the first nurses to develop a working integrative EMR system, Dr. Romano adopted a framework of adapting the tools to the patient’s workload. At the same time, Dr. Thede aimed to reduce redundancies in patient care through technological software development. Nursing informatics is a specified field of healthcare informatics that utilizes a combination of nursing science and information science (Data Science Show). Ting et al. (2021) emphasized the importance of understanding the impact of technology implementation practice changes on the end user (Ting, Garnett, & Donelle, 2021). Devising interventions to improve patient-provider relationships requires consideration of overall practice stress and strain on the intended members. It will demand an understanding current internal and external factors before initiating change for successful long-term adaptation. Engaging in a continual evaluation of effectiveness and improvement will provide long-term process change commitment, as highlighted by Dr. Romano. However, a commitment to the overall goal of optimizing patient care prevents delays in progress and political discourse (Association, 2021). Engaging the Chief Medical Officer, Chief Executive Officer, podiatric medicine providers, and nurse practitioners engaged in daily patient care will require full buy-in and receptive feedback for lasting practice change in patient engagement and provider-patient relationship evaluations. Utilizing current data mining processes and presenting findings with realistic interventions will ensure lasting, positive organizational change.

     

    References

    Association, A. M. (2021). 
    Nursing informatics innovators
    . doi:https://amia.org/community/working-groups/nursing-informatics/nursing

    Data Science Show. (n.d.). What is healthcare informatics? Introduction to nursing informatics [Video]. YouTube. doi:https://www.youtube.com/watch?v=VP0UprsVTfk

    Ting, J., Garnett, A., & Donelle, L. (2021). Nursing education and training on electronic health record systems: An Integrative Review. 
    Nurse Education in Practice, 55
    . doi:https://doi.org/10.1016/j.nepr.2021.103168

     

     
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    David Adubi

    David Adubi

    Dec 1, 2022
    Dec 1, 2022 at 12:14am

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    Main Discussion Post

    Health Information Technology and Nursing Informatics: Nursing Informatics Innovators

    Description of Innovators

    Roy L Simpsons and Patricia Abbott are two innovators in nursing who have made significant contributions to the field of nursing informatics.  Roy L. Simpson, RN, C, CMAC, FNAP, FAAN, is the Cerner Corporation’s vice president of nursing informatics. He oversees industry connections pertaining to professional nurse practice as well as strategic sales and planning for the patient care organization. He is a well-known speaker with more than 30 years of experience who has more than 600 articles and presentations on nursing informatics and professional issues to his name. He also serves on editorial boards for several professional publications, including Nursing Forum, Applied Nursing Research, and Nursing Administration Quarterly (Nursing informatics innovators). He started examining patient data related to nursing care [such as cost per patient, quality, and safety] after realizing that nurses have a much greater influence on health care. The Nursing Minimum Data Set was developed and funded in part thanks to Simpson (NMDS). He is a fellow of the American Academy of Nursing and the National Academies of Practice. He is also the chair of the Council of Nurse Executives for the National League for Nursing and a member of its Board of Governors. With his several academic appointments, Simpson and his colleagues started an online master’s degree in nursing administration and nursing informatics with a faculty of the highest caliber.

    For her early work in establishing the Nursing Informatics Specialty, Dr. Abbott is best recognized. She worked on creating the first NI certification exam with the ANCC after joining the author team for the original Scope and Standards of NI Practice with the ANA. She served as the University of Maryland’s Director of Graduate Programs in Nursing Informatics from 1998 to 2003. Dr. Abbott transferred to the Hopkins School of Nursing in 2004 and began studying global health informatics for first responders in underdeveloped regions. Her most recent work has primarily been in this area, where she is influencing community health and utilizing low-bandwidth technologies and knowledge management strategies. She finished a two-year post-doctoral fellowship at the Hopkins School of Medicine that was funded by the NIH and NLM, where she concentrated on the research of user-centered design and usability that she applies in both clinical and international settings. She is one of the Pan American Health Organization’s senior directors. She teaches at the Johns Hopkins School of Nursing as well. The nursing informatics leader started out with a Diploma in Nursing, and after discovering that her inadequate academic background was keeping her from getting promoted at work, she went back to school to earn her BSN. She took a 3-credit course on “Nursing and Computers” in her final semester of her BSN, which served as her introduction to nursing informatics. Before working as a clinical expert handling healthcare information at the Veterans’ Affairs Medical Center in Baltimore, she completed her master’s degree. She served as the University of Maryland’s Director of Graduate Programs in Nursing Informatics from 1998 to 2003. She finished a two-year post-doctoral fellowship at the Hopkins School of Medicine that was funded by the NIH and NLM, where she concentrated on the research of user-centered design and usability that she applies in both clinical and international settings (Nursing informatics innovators, n.d).

    Contribution to Health Information Technology and Nursing Practice

    By establishing the Nursing Minimum Data Set, Simpson improved nursing practice. He played a key role in obtaining funds for the adoption of information technology methods in nursing practice. He collaborated with Norma Lang and Harriet Werley to fund and create the Werley and Lang Nursing Minimum Data Set in 1982. These 17 aspects, which were accepted by the American Nurses Association (ANA), established the distinctive contribution of nursing practice as a separate vehicle and improved the profession. He co-authored the scope of practice in 1986 in order to recognize nursing informatics as a specialty and to continue the petition for ANA certification, which was granted in 1992. (Raines, 2015). On how to use information technology tools in nursing care, he instructed nurses. By performing nursing research and publishing articles in peer-reviewed journals, he has also improved nursing practice. By authoring publications that outline the evolving roles of informaticians and the application of informatics systems in healthcare organizations, Simpson has also played significant roles in advancing nursing informatics. This has significantly increased nurses’ knowledge of nursing informatics around the world (Biometric informatics, n.d.).

    Nurses now have access to peer-reviewed articles, which are crucial for supporting evidence-based nursing care and have a positive impact on healthcare thanks to Dr. Abbott’s nursing research. It has been shown that nurses who are able to use nursing strategies that have been tried and true through research are able to provide patients with high-quality nursing care. Dr. Abbott has contributed to the development of nursing practice through the use of nursing informatics. She had made significant contributions to activism, legislation, and instruction. At the University of Maryland, she played a significant role in increasing nurses’ and students’ awareness of nursing informatics. As a result, she has improved nursing practice by urging students to use informatics in nursing practice to enhance patient care.

     

    Lessons Learned from the Experiences of the Innovators

    Simpson’s dedication to his nursing career in several medical facilities demonstrates the value of perseverance. The importance of teamwork in healthcare organizations can also be learned. For instance, Simpson was able to collaborate with two other academics to put the Nursing Minimum Data Set into practice. He was aware that he couldn’t carry it out alone and thought that other senior nurses from various institutes could help. Perseverance is a different lesson that can be drawn from his experiences. He had to deal with the difficulties of putting systems in place to manage finances and patient data while he was employed at the Hospital Corporation of America. He ultimately successfully integrated the new systems because he refused to give up. At the international PAHO-John Hopkins School of Nursing Program, which entails interacting with the nursing population, Dr. Abbott has shown exceptional policy advocacy skills. She has promoted the use of nursing informatics tools by nurses providing care to patients in isolated areas of Africa by utilizing her advocacy talents. The drive to succeed in life is the most important lesson that can be taken away from Dr. Abbott’s experiences. She returned to school in order to obtain a BSN, which may be crucial to the advancement of her job. I would be determined to grow in the nursing profession by achieving the highest academic qualifications that would see me get promoted in the workplace.

     

    References

    Biomedical informatics: Dr. Patricia Abbott and Roy Simpson: Healthcare essay example
    . Assignology. (n.d.). Retrieved November 30, 2022, from https://assignology.com/biomedical-informatics-dr-patricia-abbott-and-roy-simpson/

    Nursing informatics innovators: Patricia Abbott
    . AMIA. (n.d.). Retrieved November 30, 2022, from https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-patricia-abbott

    Nursing informatics innovators: Roy L. Simpson
    . AMIA. (n.d.). Retrieved November 30, 2022, from https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-roy-l-simpson#:~:text=Simpson%20was%20a%20pioneer%20in,the%20Council%20of%20Nurse%20Executives.

    Raines, L. (2015). 
    Roy L. Simpson
    . Roy L. Simpson | Nursing Magazine | Emory University. Retrieved November 30, 2022, from http://emorynursingmagazine.emory.edu/issues/2015/fall/features/shaping-health-care/shaping-health-care-roy-simpson/index.html

     

     

     

     

     
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    Ngetla Manyineh Mbonuh

    Ngetla Manyineh Mbonuh

    Dec 1, 2022
    Dec 1, 2022 at 10:27am

    Manage Discussion Entry

    Health Information Technology and Nursing Informatics

    Nurse Innovators and Nurse Informatics

    Nurse innovators bring positive changes in the healthcare industry and bring equity by addressing the needs of the targeted human population. Nursing innovations may include reducing pressure ulcers, sharing ideas, reducing stress, relationship building, and increasing education (McGonigle & Mastrian et al., 2021). Nurse informatics involves combining or integrating nurse information with technical health information.

    Selection of Nurse Innovators

    Patricia Abott and Judy Murphy

    I selected the two innovators namely Patricia Abott and Judy Murphy.  Dr. Patricia Abott is a registered nurse regarded as one of the pioneers and founders of informatics innovation. I have selected Dr. Patricia Abott as an ideal innovator due to her efforts in promoting disease self-management (Kalsy et al., 2018). Dr. Abott used her knowledge to become the first person to apply data mining techniques in nursing.

    The second nursing innovator is Judy Murphy. She has vast experience in informatics and a specialization in electronic healthcare records. The innovator is ideal for her exploitations of standard computer technologies like IP and WI-FI (Kalsy et al., 2018). Research on Ms. Murphy reveals a committed nurse innovator who exploited the features and functions of nursing information systems. Understanding the use of these systems is very important since future nurse leaders can train their staff through shared governance.

    Innovators’ Contributions and Influence on Health Information Technology and Their Professional Accomplishments.

    Nursing informaticists have made impactful strides in improving the quality of healthcare. They have shaped nursing informatics and made proper decisions that promote equity within the healthcare industry. The two innovators, Dr. Patricia Abott and Ms. Judy Murphy have significantly impacted the development of nursing informatics. It is worth noting that their innovations have improved healthcare preparedness policies, patient-centered care, health technology, healthcare leadership, and most importantly, the general welfare of healthcare workers. (McGonigle & Mastrian et al., 2021). At a professional level, Dr. Patricia Abott is a professor at the University of Michigan School of Nursing. She teaches how to spread the knowledge of nursing informatics to vulnerable communities. She has also invested in attending to patients living in home-based environments, e.g., patients with heart failure. On the other hand, Ms. Judy Murphy worked professionally in healthcare in Milwaukee, Wisconsin, United States. She was recognized for her efforts in automation: clinical documentation and the various methodologies used in system implementation.

    Impacts and Contributions of Innovators on Nursing Practice and Nursing Informatics

    Innovators’ contributions have impacted the nursing practice and informatics in various ways. The innovators promoted equity and proper decision-making within the healthcare industry. They also addressed the needs and problems faced by their targeted population (Sipes, 2020). The innovators impacted the development of a patient-centered healthcare system that focuses more on the patient’s needs. They also brought the electronic medical records system, which reduced paperwork and improved the efficiency of medical operations. Dr. Patricia and Ms. Murphy’s contributions led to more accessible access to healthcare services and an overall increase in the quality of healthcare services. The significant impact on nurse informatics was the global widespread of nursing informatics which is now adopted across almost all health institutions. Advancements in e- prescribing, online record keeping, and telehealth have led to healthcare cost reduction, patient empowerment, and the freedom to a healthier and safer working environment (Risling, 2017).

    Lessons Learned from Innovators’ Experiences.

    Pioneers of innovations have made immediate impacts on the healthcare industry that I can learn from in my professional practice. Dr. Patricia Abott and Ms. Judy Murphy’s innovative experiences teach that nurses, physicians, clinical officers, and all health practitioners should acquire nursing informatic skills (Williamson & Muckle, 2018). With these skills, nurses can perform any duties nurse leaders and managers assigned to them. The two innovators have significantly impacted the operations of present and future nurses, which will improve their decision-making and help them gain efficiencies in healthcare service delivery. Concerning my professional practice, the informatics pioneers have developed my awareness of the need for critical decision-making, the delivery of timely information, and the accuracy of information (Williamson & Muckle, 2018). As a nurse practitioner, the current healthcare environment faces a pressing concern to re-evaluate healthcare community resources and seek to improve patient experiences, nursing practice, and general health outcomes.

    References

    Kalsy, M., Lin, J. H., Bray, B. E., & Sward, K. A. (2018). Role of nursing informatics in the automation of pneumonia quality measure data elements. 
    CIN: Computers, Informatics, Nursing
    , 
    36
    (10), 475-483.

    McGonigle, D., & Mastrian, K. (2021). 
    Nursing informatics and the foundation of knowledge
    . Jones & Bartlett Publishers

    Risling, T. (2017). Educating the nurses of 2025: Technology trends of the next decade. 
    Nurse Education in Practice Links to an external site.
    Links to an external site.
    , 22
    , 89–92. doi:10.1016/j.nepr.2016.12.007

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing

    Williamson, K. M., & Muckle, J. (2018). Students’ perception of technology use in nursing education. 
    CIN: Computers, Informatics, Nursing
    , 
    36
    (2), 70-76.

     
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    Regidor Del Rosario

    Regidor Del Rosario

    Dec 3, 2022
    Dec 3, 2022 at 9:58pm

    Manage Discussion Entry

    Thank you for sharing your post with us Ngetla, I found this to be very interesting. I completely agree with you, nursing innovators do bring change in the healthcare industry and bring equity by means of addressing the needs of the targeted human population. The first nursing innovator you mention, Dr. Patricia Abbot has contributed greatly to nursing informatics. According to the American Medical Informatics Association (2021), Dr. Abbott has contributed to nursing informatics by being a member of the Author team for the original scope and standards practice of NI Practice with the ANA and developing the first NI certification exam with the ANCC. The next nursing informatics innovator you mention is Judy Murphy. Ms. Judy Murphy is has innovated nursing informatics by improving the electronic health records system at Aurora Health Care is Milwaukee, Wisconsin which oversees 15 hospitals employing more than 30,000 employees (AMIA, 2021). According to the AMIA (2021), Ms. Judy Murphy has also innovated nursing informatics through system implementation methodologies, automated clinical documentation and using technology to support evidence-based practice. As a future DNP prepared nurse I plan to follow in the foot steps of these great innovators to improve patient outcome and to improve the healthcare provided to the patients. An example of how I would like to contribute to nursing informatics in to further improve the electronic health record or electronic medical record system.

     

    American Medical Informatics Association. (2021). 
    Nursing Informatics Innovators: Judy Murphy.
     
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-judy-murphy
    Links to an external site.

    American Medical Informatics Association. (2021). 
    Nursing Informatics Innovators: Patricia Abbott. 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-patricia-abbott
    Links to an external site.

     

     
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    Delightful Anulika Alaka

    Delightful Anulika Alaka

    Dec 1, 2022
    Dec 1, 2022 at 1:17pm

    Manage Discussion Entry

    Health Information Technology and Nursing Informatics: Nursing Informatics Innovators

    Nursing informatics innovators have made numerous contributions to the current healthcare or nursing practice. Two innovators, Dr. Suzanne Bakken and Pat Button have made contributions to the field of nursing informatics. First, Dr. Bakken has engaged in several research programs focusing on the promotion of health and the reduction of health disparities. Her major contribution to nursing informatics is the visualization of healthcare data for patients and community members (AMIA, 2022). This innovation has had an impact on both nursing informatics and nursing practice. To improve the health of the population, data must be collected to understand the different dynamics of the population. Dr. Bakken, through visualization of healthcare data, has managed to ensure that research in nursing addresses the specific needs of the population using the data collected. This has also improved nursing practice and helped address the specific needs of the populations.

    Pat Button is known for her innovation, ZynxCare. This technology provides customized evidence-based plans for care (AMIA, 2022). Button understands the importance of systems development and implementation in improving healthcare. According to Kiviliene and Blazeviciene (2019), nursing care is a complex adaptive system. As such, there are different factors and interests at play. What Button’s technology does is consolidating and customizing evidence-based interdisciplinary plans to help improve the efficiency of healthcare. Professionally, Button has been engaged in extensive research on nursing practice. It is through her efforts that she developed the ZynxCare to help bring together different players in healthcare and ensure that the care process is patient-focused. Therefore, her innovation also has an impact on the process of care.

    Listening to the two innovators is an eye-opening experience. The implementation of different innovations in healthcare help improve the care process (Kara, 2018). The two innovators have made numerous achievements in health informatics. Their commitment to improving the care process demonstrate the need for research and innovation. For instance, they talk about their passion for nursing and how they strive to keep improving practice. This is an inspiration for any nurse looking to make a positive impact in nursing practice.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    References

    AMIA (2022). Nursing Informatics- Pat Button. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-pat-button

    AMIA (2022). Nursing Informatics- Suzanne Bakken. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-suzanne-bakken

    Kara, D. (2018). Innovation in nursing practices. 
    New Trends and Issues Proceedings on Advances in Pure and Applied Sciences
    , (7), 170-174.

    Kiviliene, J., & Blazeviciene, A. (2019). Review of complex adaptive systems in nursing practice. 
    Journal of Complexity in Health Sciences
    , 
    2
    (2), 46-50.

     
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    Valerie Corvera

    Valerie Corvera

    Dec 3, 2022
    Dec 3, 2022 at 1:08pm

    Manage Discussion Entry

    Hello Delightful,

    Great post on Dr. Bakken and Pat Button. These two innovators seem to have made a great impact on the nursing profession. It is vital for individuals like this to continue to find solutions to problems they may be facing. These innovators are pioneers in nursing informatics because they started different programs and created new ways of incorporating computer technology into nursing. The challenge that we currently face is how to better this technology and what are more efficient ways it can be utilized. The application of advanced technology in nursing can lead to improvements in patient safety and higher quality of care (Mieronkoski, 2017).  Computer technology is still new for many nurses. The more experienced generation of nurses still struggle with computer technology while the younger generation it’s all they know. I have heard conversations between these two generations, and it is comical to watch an older nurse talk about their experience of paper charting and the new nurse is just mind blown. I enjoy watching the newer generation of nurses teaching the older generation how to use the EMR and navigate through different screens. It’s fascinating how far we have come in such a short amount of time. Skills that these two innovators demonstrate that I can relate to my own professional practice is the need for visualization, determination, motivation for improving the nursing profession and improving patient care. Dr. Bakken helped create a place for healthcare data to be stored and easily accessed. Her patient population focus is underserved populations and her goal is to promote health and reduce health disparities through application of innovative informatics methods. Health information technology holds significant potential for engaging individuals in managing their heath by providing tools to track, manage, and interpret personal health metrics, tools like this can empower patients to ask questions, communicate concerns, identify and assess alternatives, reflect on progress, and alter their health behavior (Unertl et al., 2016). As DNP prepared nurses we must continue to look to these innovators who have paved the way and continue to make improvements in our nursing profession.

    References

    Mieronkoski, R., Azimi, I., Rahmani, A. M., Aantaa, R., Terävä, V., Liljeberg, P., & Salanterä, S. (2017). The Internet of Things for basic nursing care—A scoping review. 
    International Journal of Nursing Studies
    , 
    69
    , 78–90. https://doi.org/10.1016/j.ijnurstu.2017.01.009

    Unertl, K. M., Schaefbauer, C. L., Campbell, T. R., Senteio, C., Siek, K. A., Bakken, S., & Veinot, T. C. (2016). Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations. 
    Journal of the American Medical Informatics Association : JAMIA
    , 
    23
    (1), 60–73. https://doi.org/10.1093/jamia/ocv094

     
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    Ajayi M Ajayi

    Ajayi M Ajayi

    Dec 1, 2022
    Dec 1, 2022 at 2:15pm

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    Nursing Informatics Innovation.
     

    The nursing informatics innovation model of nursing integrated professionals that support nursing informatic congruent with leadership goals in nursing skilled that collective to nursing management the nursing profession. Nursing practice commonly has concerns about the quality of care, working life, and working environment. However, nursing informatics innovation can vary in many separate roles. In this discussion, I choose technology and the changing climate (ANA,2015).
     

    Brief description of the two innovators
     

    First is technology, as nursing informatics has tools for nursing too, and the staff to operationalize uniquely and collaborate with many professionals to resolve any problem on the line collecting by phone or email. Technology is one of the best innovations in the healthcare system
     (
    ANA,2015).
     

    The environment is essential in any healthcare setting to promote awareness and practice evidence-based medicine. The main goal is delivering the best quality healthcare with good efficiency and technology, leading the health care to improve all patients’ quality. Therefore, exploring a better work environment for innovators is especially important. 
     

    Conclusion 
     

    Nursing informatics is a tool that helps the nursing complexity and efficiency required in many healthcare settings. And the practice in the science of integrating with technology. Nursing informatics is a tool to improve healthcare to better quality and improvement for all patients and healthcare (
    Sipes,2020).
     

    American Nurses Association. (2015). Nursing informatics Links to an external site.: Scope and standards of practice (2nd ed.). “Introduction” (p. 1) “The Scope of Nursing Informatics Practice” (pp. 1–6) “Standard 1: Assessment” (pp. 68–69) “Standard 2: Diagnosis, Problems, and Issues Identification” (p. 70)
    . (n.d.).
     

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing. Chapter 1, “Basic Project Management for the Advanced Practice Nurses and Healthcare Professionals” (pp. 3–16) Chapter 2, “Advanced Practice Nurse Role Descriptions and Application of Project Management Concepts” (pp. 17–46) Chapter 3, “Design/Initiation: Project Management—Phase 1” (pp. 58–62)
    . (n.d.).
     

     

     
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    Christian Offor

    Christian Offor

    Dec 3, 2022
    Dec 3, 2022 at 9:15am

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    Hello Ajayi, thanks for your post. The innovators I would like to add to your post are Dr. Roy L. Simpson and Dr. Betty L. Chang, prominent nursing informatics professionals identified by the American Medical Informatics Association. On the one hand, Dr. Simpson has more than three decades of experience in nursing informatics and is best known for developing the Nursing Minimum Data Set (NMDS) (Emory, 2022). NMDS is a classification system that helps in the standardized collection of essential nursing data, thus helping to describe the nursing process used to provide nursing care accurately. Dr. Simpson has demonstrated leadership, hard work, and self-drive skills in his nursing informatics innovation journey. These may relate to my nursing profession by helping me to easily collaborate with other healthcare professionals in exchanging and applying health research and information in a meaningful way that positively impacts patient outcomes.

    On the other hand, Dr. Chang is best known for his contributions to nursing informatics’ areas of nursing education and research (American Medical Informatics Association, 2021). Some of the skills demonstrated by Dr. Chang are leadership skills and patience. These are vital for improving the performance of the nursing faculty. In my nursing practice, these skills are vital for the success of any professional nursing as they increase the chances of one becoming a great achiever in nursing informatics. With excellent nursing informatics competencies, I can better coordinate care, improve patient outcomes, and improve efficiencies in clinical processes.

     References

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
    :
     Betty L. Chang
    . 
    https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-betty-l-chang
    Links to an external site.

    Emory. (2022). 
    Roy L. Simpson – About
    . 
    https://www.nursing.emory.edu/faculty-staff/roy-l-simpson
    Links to an external site.

     
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    Quateka Cochran

    Quateka Cochran

    Dec 3, 2022
    Dec 3, 2022 at 5:47pm

    Manage Discussion Entry

    Hello Ajayi, very interesting post. I agree that technology advances and environment are essential to nursing informatics. I would be interested to know which of the informatics innovators you felt used technology and environment to advance informatics. Dr. Jean Arnold, developed and implemented the first computer laboratory for nursing students at Rutgers College of Nursing. Her work would be congruent to your discussion of technology. She was faced with countless barriers due to the lack of knowledge surrounding the use of computers. Technology has been instrumental in furthering medicine and the care we provide to our patients. The other innovator that may relate to your post is Dr. Carole Gasset, she used her work in the cardiac ICU to make advances in informatics. The environment that she worked allowed her to show the usefulness of informatics and technology as a whole to improve the care that nurses provide to patients.

    American Medical Informatics Association. (2021). 
    Nursing informatics innovators
     
    Links to an external site.
    . https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

     
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    Brittney Pember

    Brittney Pember

    Dec 5, 2022
    Dec 5, 2022 at 10:26am

    Manage Discussion Entry

    Initial Post

    The two innovators I selected are Patricia Abbott PhD, RN, FAAN, FACMI and Ida M. Androwich PhD, RNC, FAAN. Dr Abbott has an impressive career. She has realty paved the way in education and worked with some amazing universities. I like that she does a lot of research into telehealth and how this has effected or well effect self-management. This is extremely important in this time due to everything going in within the last few years. Dr Androwich also has a very impressive background I like that she focuses on healthcare leadership roles and the effects that trickle down to staff. There is so much to be studied in many different ways in this area. Informatics tools are designed to support nursing practice. (Piscotty R, 2014)

    Their contributions have influenced nursing practice not only by creating new paths and research that has led to better performance but also shows nurses that doing this type of work is possible as well as goals being obtainable. The skills they have shown can apply to my practice by showing me how to organize information and assign tasks. The clinical data stored in clinical data warehouse can be analyzed and studied to identify patterns and relationships in a method called data mining. Data mining is the process of extracting data from large datasets to determine relationships and patterns which can be used for formulating predictive models. (De Vries AE, 2013) This is helpful as the director of my program to understand how to understand and organize certain system processes. Nursing science is behind medical science in understanding CDSS use in nursing practice. (Bakken S, 2008)

     

     

    De Vries AE, van der Wal MH, Nieuwenhuis MM, et al. Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. BMC Med. Inform. Decis. Mak. 2013;13:54.

    Piscotty R, Kalisch B. Nurses’ use of clinical decision support: a literature review. Comput. Inform. Nurs. 2014;32(12):562–568.

    Bakken S, Currie LM, Lee NJ, Roberts WD, Collins SA, Cimino JJ. Integrating evidence into clinical information systems for nursing decision support. Int. J. Med. Inform. 2008;77(6):413–420.

     
    Reply

  • CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT – NURS 8210 Week 2: Discussion 1

    CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT

    “Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research” (Rew et al., 2020).

    As you begin working on your small nursing informatics project, consider how this project will plant the seed for your future work (in and out of an educational setting). How might what you do in this course lend itself to what you will need to do in nursing practice on a day-to-day basis? Why might it be important to consider this now versus later in your education or practice?

    Throughout this course, you are tasked with implementing, or proposing an implementation, of a small nursing informatics project. This project is steeped in project management concepts to drive your work.

    For this Discussion, you will  explore why this approach might not only will assist you in this course, but how it might assist you in nursing practice beyond your studies.

    Reference:

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    TO PREPARE

    Review the Learning Resources for this week and reflect on the roles of advanced nursing practice as it relates to project management.

    Select one of the roles described in Chapter 8 of the Sipes text to focus on for this Discussion.

    Review the article by Rew et al. (2020) and reflect on the steps and processes used by the team described in the article.

    How might you use a similar approach for the completion of your DNP doctoral project or dissertation? What project management strategies might be most appropriate for your nursing research?

    BY DAY 3 OF WEEK 2

    Post 
    a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.

    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?

    Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.

    BY DAY 5 OF WEEK 2

    Read
     a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     who selected a different advanced nursing practice role than you. Expand upon your colleague’s posting or offer an alternative perspective on the alignment between the project management concepts and the advanced nursing practice role described by your colleague.

    Professional Role Development
    Steps and Processes
     
    Processes and Techniques
    References
    Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximise success with research. British Journal of Cardiac Nursing, 12(3), 116–119. 
    https://doi.org/10.12968/bjca.2017.12.3.116Links to an external site.
    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. 
    Journal of Multidisciplinary Healthcare
    , 
    10
    , 227-234. 
    https://doi.org/10.2147/JMDH.S140042Links to an external site.

    The above-mentioned process and technique will provide the most guidance in planning and developing a DNP doctoral project. Furthermore, the following steps would be included: Creating a project scope, breaking it down into task/work packages, and creating a schedule/timeline Without a plan to provide structure and direction, the project can become disorganized, jeopardizing project constraints such as budgets, schedules/deadlines, resources, and other factors (Sipes, 2020). Understanding the project scope, setting clear expectations, using a work breakdown structure, and documenting the process are project management strategies that I will learn as a nurse leader and apply to facilitate nursing research in my DNP doctoral project. To complete a successful research project, the Centers for Disease Control and Prevention encourages, researchers to use project management principles (Rew et al, 2020). Project management principles are learned through practice and repetition (Sipes, 2020). Finding the gap and creating a measurable, obtainable, and realistic project management includes researching the current guidelines, evidence, and research to support the proposed project and deliver it to all key stakeholders (Sipes, 2020). Having a clear purpose, following an algorithm, and a well-designed study, enable us to provide Specific, Achievable, Measurable, Realistic, and Timed (SMART) outcomes (Howarth, Probyn, & Maz, 2017).

    The project management concepts may vary in different phases.  These competencies include assessing or identifying the problem, designing, or initiating projects, data collection, analyzing, delivering these findings to the key stakeholders, implementing or executing the plan, monitoring or controlling the project, and closing or completing the task (Sipes, 2020). The nursing research process included the following phases: phase 1: conceptual, phase 2: design and planning, phase 3: empirical, phase 4: analytic, and phase 5: dissemination (Rew, Cauvin, Cengiz, Pretorius, & Johnson, 2020). The conceptual phase is when the principal investigator and research team identify the problem, review relevant literature, choose a conceptual or theoretical framework, and propose a research design to answer research questions or test research hypotheses” (Rew et al, 2020). During the design and planning phase, the research design, appropriate measures for theoretical variables, and the appropriate population were chosen, the intervention protocol was planned, a sampling plan, a plan for human subject protection, and a budget were developed (Rew et al, 2020). The empirical phase of nursing research is where data from study participants is collected and prepared for analysis (Rew et al, 2020). The data is analyzed, and the findings are interpreted during the analytic phase (Rew et al, 2020). The dissemination phase is where the study findings are shared with other researchers, clinicians, data collection facilities, and the funding agency (Rew et al, 2020).

    Clinical knowledge and skills, financial management skills, leadership skills, interpersonal skills, and communication skills are all required for advanced practice nursing roles. Some of these skills, such as interpersonal, communication, and leadership aptitudes, promote collaboration, which is essential in the clinical setting (Busari et al., 2017). Furthermore, advanced practice roles necessitate that nurses be proficient in the use of technology.

     
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    Brittney Pember
    Brittney Pember
     
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    Response Two Nursing’s disciplinary perspective: What makes the discipline unique?To Be a Nurse. Kennedy MS. Am J Nurs. 2018 Nov;118(11):7. doi: 10.1097/01.NAJ.0000547640.70037.f6. PMID: 30358573

    Lindell DF. Appl Nurs Res. 2019 Feb;45:73-74. doi: 10.1016/j.apnr.2018.12.007. Epub 2018 Dec 19

                The role you chose is very interesting I love learning about new roles. This is a role I feel that would be extremely focused on how to establish roles and change roles so that it is most effective. Knowing what data needs to be collected as well as what technology needs to be used it. Dealing with project management in different phases would be difficult and always changing this is where a future plan would come in as well as being organized with your information. Project management is a set of iterative steps that can facilitate the process of conducting nursing research. ( Kennedy MS, 2018) Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. (Lindell DF, 2018)

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    Lovester Duncan
    Lovester Duncan
     
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    I enjoyed reading your post, Vicky Awken Ngang.  It is true that advanced practice nurses (APRNs) must possess certain characteristics and/or competencies given their level of education.  As a terminal degree, the doctoral-prepared nurse must have competence in managing healthcare finance using cost-effective approaches to minimize healthcare expenditures.  As an example, APRNs at the doctoral level should order medications that are cost-effective and order inexpensive tests and procedures. Considering the level of education and knowledge they possess; they must possess the ability to lead.   The importance of interpersonal skills in health care settings and at the doctoral level cannot be overstated.  To collaborate effectively with interdisciplinary teams, APRNs need interpersonal skills. Having the ability to relate to colleagues, patients, and relatives in a humane and person-centered manner is considered an interpersonal skill (Reyes & Alvarez 2022). To provide effective, safe, and timely care, APRNs must be proficient in technology.  It is imperative to be computer literate, especially now that telemedicine and telehealth are at the forefront of healthcare.  It is essential to possess technology proficiency since it increases access to care, utilization, and treatment.   As a nurse, I agree that the first step in project management is to identify the healthcare problem that is affecting the patient’s health.  Identifying the problem is followed by planning, designing, and collecting the data.  First, identifying what is happening, planning, designing, collecting data to test the hypothesis, building a team, monitoring the project, and setting timelines are all important steps that project management entails, which are aligned with the nursing process as well as help us develop and complete our doctoral dissertation. Also involved with the completion of dissertations are meeting deadlines, teamwork, risk control, and project assessment to identify potential risks and prevent them from becoming a problem and setting a deadline. (Dilly, Klochan, & Bosslet 2021). ReferencesDilly, C. K., Klochan, K. A., & Bosslet, G. (2021). Project management tools for healthcare education. 
    Clinical Teacher, 18
    (2), 109–114. https://doi.org/10.1111/tct.13264

    Reyes, J. R., & Álvarez, L. N. R. (2022). 
    Concept Analysis of Interpersonal Skills in Nursing. Aquichan,
     22(1), 1–17. https://doi.org/10.5294/aqui.2022.22.1.3

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    Christian Offor
    Christian Offor
     
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    Vicki, thanks for your post. Just to add to your discussion, advanced practice registered nurses (APRNs) who obtain project management knowledge and skills are more likely to be successful in nursing practices and policies (Peterson et al. 2015). Project management is a broad and encompassed process in which a research study is carried out systematically to accomplish a final task. Applying project management skills are critical in healthcare for quality patient outcomes. There is no doubt that nursing informatics is fast evolving; hence adequate knowledge of informatics supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve the desired outcome (Sipes, 2016). Nurse leaders must understand the basic framework which guides project management steps toward achieving an informatics study, and these steps include-Design/Initiation, Plan, Implementation, Monitor/Control, and Evaluation/Lessons Learned. The goal of nurse leaders skilled in informatics is to improve the health of populations, communities, families, and individuals by optimizing information management and communications (Williams, 2019). Consequently, nurse managers must ensure a culture of safety by addressing informatics issues related to data entry, proper utilization of skills in technology for health care purposes Petersen, P. A., Keller, T., Way, S. M., & Borges, W. J. (2015). Autonomy and empowerment in advanced practice registered nurses: lessons from New Mexico. 
    Journal of the American Association of Nurse Practitioners
    , 
    27
    (7), 363–370. https://doi.org/10.1002/2327-6924.12202Williams, A. (2019). Nursing Informaticians Address Patient Safety to Improve Usability of Health Information Technologies. 
    Studies in Health Technology & Informatics
    , 
    257
    , 501–507. https://doi.org/10.3233/978-1-61499-951-5-501

    Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. 
    Studies in Health Technology & Informatics
    , 
    225
    , 252–256. 
    https://doi.org/10.3233/978-1-61499-658-3-252Links to an external site.

    References

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    Lizzie Umejei
    Lizzie Umejei
     
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    Response 1 Week two discussion 1
    Response 1 Week two discussion 1
    Great post. I agree that advanced practice nurses require proficiency in using technology, clinical knowledge, financial management, leadership, interpersonal and communication skills Sipes (2020. However, 
    professional role development competencies and their significance depend on the job description of each advanced practice nurse in their practice setting
     (Lamb et al., 2018)
    . 
    APRNS in primary care will need clinical knowledge to as
    sess, prescribe, diagnose, and care for their patients. 
    APRNS
     in research, academics, education, and leadership who do not directly take care of patients will require competencies as outlined by 
    (
    Rew et al., 2020
    ).
     The competencies include
     
    informatics, project management, nursing research, collaboration, and education.American Association of Colleges of Nursing. (2021, April 6). 
    The essentials: Core competencies for professional nursing education2020
    . American Association of Colleges of Nursing: The Voice of Academic Nursing. Retrieved December 8, 2022, from 
    https://www.aacnnursing.org/EssentialsLinks to an external site.
    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

     
    Sipes, C. (2020). 
    Project management
     
    for the advanced practice nurse
     (2
    nd
     ed.). Springe Publishing

       Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3), 400–413. 
    https://doi.org/10.1002/nop2.150Links to an external site.

    References
     

    Hi Vicky,

     

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    Brittney Pember
    Brittney Pember
     
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    Dec 5, 2022
    Dec 5, 2022 at 11:14am

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    Initial Post            By using the steps and processes used by Dr Rew et al I will be able to effectively apply these tools and processes. Not only will I be able to lead an organization I will be able to effectively communicate and conllect data to ensure what I have implanted is working effectively. Healthcare systems are rapidly evolving. Complex healthcare landscapes increasingly demand influential nurse leader’s adept at managing changes in unstable environments. (American Association of. Colleges of Nursing, 2014)Edwardson SR. Doctor of philosophy and doctor of nursing practice as complementary degrees. J Prof Nurs. 2010;26(3):137–40. doi: 10.1016/j.profnurs.2009.08.004American Association of Colleges of Nursing (AACN) position statement on the practice doctorate in nursing. Washington, DC: American Association of Colleges of Nursi

    American Association of. Colleges of Nursing (AACN).DNP fact sheet 2014b

                The processes I feel are most important are learning how to effectively analyzing data and organize data in a way it can be easily utilized. Collecting the data is not difficult ensuring you are correctly applying and utilizing the data is the difficult part. By doing this while putting together my DNP project it will help be understand my process and apply my theories to practice. As a nurse leader I will be able to create change in a way that will be effective and be able to sustain which is my main goal. DNP is a powerful strategy to prepare nurses for the most advanced clinical nursing practice level, i.e. “providing leadership for evidence-based practice”. (Edwardson SR, 2010)

                The nursing practice role I have selected is clinical and professional leadership. The competencies required in this area are as follows: leadership, organization, analyzing data, and collaboration. The roles and ideas I have learned thus far will align but providing me the skills and organization to apply this to practice. It is one thing to learn these concepts but to apply them in practice can be difficult. I feel this course and these concepts will help me in the long run to apply in my daily practice. Complex healthcare systems increasingly demand influential nurse leader’s adept at managing changes in unstable environments. (American Association of Colleges of Nursing, 2004)

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    Vicky Awken Ngang
    Vicky Awken Ngang
     
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    Dec 6, 2022
    Dec 6, 2022 at 2:50pm

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    Thank you so much for your detailed post this week BrittneyReferencesSipes, C. (2020). 
    Project management for the advanced practice nurse
     (2
    nd
     ed.). Springer Publishing.

    Thomas, A., Crabtree, G.-C., Kathleen, A.-B., Delaney, R., Mary, A., Dumas, Kleinpell, R., Logsdon, F., Marfell, J., Dnp, Fnp-Bc, D., & Nativio. (2011). 
    Nurse practitioner core competencies Amended 2012* Task Force Members
    . 
    https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.

    I totally agree with you that some of the major competencies required for Nurse Practitioners (NP) include clinical and professional leadership competencies and many more such as knowledge abilities, communication, interpersonal skills, data analysis, and utilization to improve healthcare delivery and leadership skills. Nurse Practitioners apply quality care by utilizing evidence-based practice to improve the quality of clinical practice and the ability to use technology to organize effectively, be detail-oriented, and function as an independent practitioner are all core competencies expected of a nurse practitioner (Thomas et al., 2011). In addition, the concepts, that guide the project management competencies are essential to Doctoral prepared nurses.  Using the SMART objective to plan projects as specific, measurable, achievable, relevant, and timely and equally important tools in the process (Sipes, 2020).

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    Edith ?N?W?A?K?A?E?G?O Ama
    Edith ?N?W?A?K?A?E?G?O Ama
     
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    Dec 8, 2022
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    Very informative post Britanny!                                                                                 ReferencesAmerican Association of. Colleges of Nursing (AACN). DNP fact sheet 2014b

    Edwardson SR. Doctor of philosophy and Doctor of Nursing practice as complementary degrees.

    J Prof Nurs. 2010;26(3 ):137–40. doi: 10.1016/j.profnurs.2009.08.004

    American Association of Colleges of Nursing (AACN) position statement on the practice of

    doctorate in nursing. Washington, DC: American Association of Colleges of Nursing.

    As a professional and clinical leader, there are many responsibilities one has to accomplish. For one to be a great leader in the clinical and professional area the following are attributes one requires collaboration, analyzing data, organization, and leadership. The concepts learned in DNP are critical for one to become a clinical and professional leader (Edward). The concepts include project management, critical thinking, time management, and among others.

    Leadership is inborn but it can be natured and manifested in many ways. One can be a leader clinically or professionally using concepts learned in the DNP course. The steps and processes will assist one to communicate effectively and collect data to lead the company effectively. The medical world is dynamic, and systems are changing gradually (AACN).

    Landscapes in healthcare are becoming more complex and it calls for nurses or supporting professionals to improve their hard work. Leadership nursing requires resilience and hard work for one to perform tasks effectively. The skills utilized in leadership can assist one in developing a strong DNP project and dissertation. DNP is powerful enough to prepare an individual for any task in the nursing field.

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    Sara Haynes Perry
    Sara Haynes Perry
     
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    Dec 10, 2022
    Dec 10, 2022 at 12:35am

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    Hello Brittney, Good evening and thank you for your posting. I see you focused on clinical and professional leadership. Are you a DON or CNS? According to Sipes, (2020), these are both specialty roles which account for leadership roles in a clinical and professional manner. Good choices in your competencies. Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). 
    Application of project             management tools and techniques to support nursing intervention research Links to an external site.Links to an external site.
    . 
    Nursing Outlook, 68
    (4), 396–405.   https://doi.org/10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer      Publishing

    References

    I also feel that this course will aid us in gaining some educational component and training prior to our own real-world experience. Rew et al, (2020), also discussed how the process of conducting nursing research can aid us in project management. This is also true as we will be working directly with facilities to conduct research, hence applying our classroom education to the leadership and real-world skills. Best of luck in your endeavors in leadership and nursing!

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    Sara Haynes Perry
    Sara Haynes Perry
     
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    Dec 5, 2022
    Dec 5, 2022 at 9:20pm

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    Week 2 discussion one
                Core competencies of the nursing that play a major role in my nursing practice, and the project I am working on include population health, quality and safety, interprofessional partnerships, and system-based practice. As laid out by the AACN, (2021), the following are brief descriptions of each competency. Population health works on collaborative approaches to disease management and heath prevention amongst multiple healthcare facility settings to improve the outcomes of populations.  Quality and safety are based on scientific improvement to decrease risk of harm to patients and providers alike, through enhancing the quality of care in systems and performances. Interprofessional partnerships is a collaborative method with different members of the care team, patients, family, the community, and other stakeholders to improve healthcare outcomes and experiences. System based practice is when nurses provide safe, equitable, quality care to diverse populations through providing resources.            According to Rew et al, (2020), Project management is a set of Iterative steps that can facilitate the process of conducting nursing research. The concepts I have explored align with my practice and my project by assessing the gaps in patient needs and developing improvements for practice. For example, my project is looking at HCAHPS scores, and how patients are affected by these numbers, Particularly the low scores in Understanding the purpose of taking medications and information regarding symptoms to look for.  I am looking at a method to improve patient comfort with their medications as well as signs and symptoms to look for once they are discharged to decrease poor outcomes and improve their confidence with independent medication administration at home. There is a major gap in this education, and it needs to be addressed and improved, Sipes, (2020).The ability to work directly with this facility on research projects prior to starting my doctorate project has been helpful. Now that I can apply classroom concepts to real word settings both prior to this project and currently as I begin it, I feel more confident in doing so.Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.ReferencesRew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). 
    Application of project             management tools and techniques to support nursing intervention research Links to an external site.Links to an external site.
    . 
    Nursing Outlook, 68
    (4), 396–405.   https://doi.org/10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer      Publishing

    American Association of Colleges of Nursing. (2021, April 6). 
    The essentials: Core competencies for professional nursing education2020
    . American Association of Colleges of Nursing: The Voice of Academic Nursing. Retrieved December 5, 2022, from https://www.aacnnursing.org/Essentials

    Having the opportunity to apply real world research and in creating a study plan, stakeholders and team, and facing the unexpected challenges will all be helpful in planning/designing, implementing, monitoring, and evaluating my project. This will particularly be applied to my project as I will be working on this during this entire semester with my mentor. They will guide me in planning and assuring that I am on task and not missing steps. IN conjunction with meeting and creating a team, I will continue to work through the phases and steps of my project.

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?

    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.

    Post 
    a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.

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    Sara Haynes Perry
    Sara Haynes Perry
     
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    Dec 5, 2022
    Dec 5, 2022 at 9:23pm

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    Week 2 discussion one
              The role I selected is the nurse practitioner. I work as an NP in a frontline role, in a clinic setting. I diagnose, treat, and follow up with patients on their care, treatment plans, and progression, Sipes, (2020).  Core competencies of the nursing that play a major role in my nursing practice, and the project I am working on include population health, quality and safety, interprofessional partnerships, and system-based practice. As laid out by the AACN, (2021), the following are brief descriptions of each competency. Population health works on collaborative approaches to disease management and heath prevention amongst multiple healthcare facility settings to improve the outcomes of populations.  Quality and safety are based on scientific improvement to decrease risk of harm to patients and providers alike, through enhancing the quality of care in systems and performances. Interprofessional partnerships is a collaborative method with different members of the care team, patients, family, the community, and other stakeholders to improve healthcare outcomes and experiences. System based practice is when nurses provide safe, equitable, quality care to diverse populations through providing resources.            According to Rew et al, (2020), Project management is a set of Iterative steps that can facilitate the process of conducting nursing research. The concepts I have explored align with my practice and my project by assessing the gaps in patient needs and developing improvements for practice. For example, my project is looking at HCAHPS scores, and how patients are affected by these numbers, Particularly the low scores in Understanding the purpose of taking medications and information regarding symptoms to look for.  I am looking at a method to improve patient comfort with their medications as well as signs and symptoms to look for once they are discharged to decrease poor outcomes and improve their confidence with independent medication administration at home. There is a major gap in this education, and it needs to be addressed and improved, Sipes, (2020).The ability to work directly with this facility on research projects prior to starting my doctorate project has been helpful. Now that I can apply classroom concepts to real word settings both prior to this project and currently as I begin it, I feel more confident in doing so.Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.ReferencesRew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). 
    Application of project             management tools and techniques to support nursing intervention research Links to an external site.Links to an external site.
    . 
    Nursing Outlook, 68
    (4), 396–405.   https://doi.org/10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer      Publishing

    American Association of Colleges of Nursing. (2021, April 6). 
    The essentials: Core competencies for professional nursing education2020
    . American Association of Colleges of Nursing: The Voice of Academic Nursing. Retrieved December 5, 2022, from https://www.aacnnursing.org/Essentials

    Having the opportunity to apply real world research and in creating a study plan, stakeholders and team, and facing the unexpected challenges will all be helpful in planning/designing, implementing, monitoring, and evaluating my project. This will particularly be applied to my project as I will be working on this during this entire semester with my mentor. They will guide me in planning and assuring that I am on task and not missing steps. IN conjunction with meeting and creating a team, I will continue to work through the phases and steps of my project.

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?

    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.

    Post 
    a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.

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    Telecia Shantee’ Allen
    Telecia Shantee’ Allen
     
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    Dec 7, 2022
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    Sara,            In the contemporary healthcare settings,  the use of project management skills is even more important due to the complex and varied nature of patient care. Advanced practice nurses must have the ability to understand different dynamics and recognize how certain factors may impact outcomes. By understanding each element involved in a particular project, they can develop comprehensive plans that ensure all necessary steps are taken when caring for patients (Bakerjian, 2022). Project management techniques also provide practitioners with a way to monitor progress, adjust goals as needed, and effectively communicate with other stakeholders during patient care delivery. By utilizing these skills, DNP-prepared advanced practice nurses will be better equipped to manage multiple tasks and efficiently deliver quality patient care.Bakerjian, D. (2022). The advanced practice registered nurse leadership role in nursing homes: Leading efforts toward high quality and safe care. 
    The Nursing 
    C
    linics of North America
    , 
    57
    (2), 245–258. https://doi.org/10.1016/j.cnur.2022.02.011

    Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. 
    Nursing 
    O
    pen
    , 
    5
    (3), 400–413. https://doi.org/10.1002/nop2.150

    References

                Project management skills are particularly important for DNP-prepared advanced practice nurses because it allows them to take a comprehensive, evidence-based approach when managing complex patient care problems. (Lamb et al., 2018). Project management involves the ability to plan, organize, control and manage resources over time in order to achieve specific goals. Advanced practice nurses with DNP degrees have an increased level of expertise and knowledge that can be used to develop innovative solutions for patient care delivery issues. The use of project management techniques enables these practitioners to apply their specialized knowledge in a systematic fashion that produces both short-term and long-term results (Lamb et al., 2018). These skills also allow practitioners to more effectively collaborate with other healthcare professionals and ensure that all stakeholders understand their roles in achieving successful outcomes. Ultimately, these project management skills give DNP-prepared advanced practice nurses the tools they need to ensure optimal patient outcomes.

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
     
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    Dec 8, 2022
    Dec 8, 2022 at 2:46pm

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    Hello Sara,
    References
    Mazurenko, O., Collum, T., Ferdinand, A., & Menachemi, N. (2017). Predictors of hospital patient satisfaction as measured by HCAHPS: a systematic review. 
    Journal of Healthcare Management
    , 
    62
    (4), 272-283.

    Harris, J. L., Roussel, L. A., Dearman, C., & Thomas, P. L. (2018). 
    Project Planning and Management: A Guide for Nurses and Interprofessional Teams: A Guide for Nurses and Interprofessional Teams
    . Jones & Bartlett Learning.

    Great discussion. I agree that population health, quality and safety, interprofessional partnerships, and system-based practice are some of the core competencies of a NP. NPs have to work effectively and efficiently with other departments leaders in planning, coordinating, controlling and monitoring a project (Harris et al., 2018). I think your topic is very interesting. Patient satisfaction is a very important measure of quality of care that can help guide quality improvement projects. HCAHPS scores are the first national standard for patient satisfaction measurement, according to the Centers for Medicare and Medicaid Services (CMS) (Mazurenko et al., 2017). Therefore, a recommendable tool for measuring patient satisfaction. It is true that project management guides on the process of conducting research by integrating an evidence-based approach. I also think project management empowers skills in resource management, staffing, and collaboration in planning, coordinating, controlling and monitoring a project (Harris et al., 2018).

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    Delightful Anulika Alaka
    Delightful Anulika Alaka
     
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    Dec 10, 2022
    Dec 10, 2022 at 7:15pm

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    Hi Sara, I am impressed in the role you selected as the nurse practitioner working in a frontline role, in a clinic setting where you exhibit your clinical skills to diagnose, treat, and follow up with patients on their care, treatment plans, and progression. Interprofessional partnerships is a collaborative method with different members of the care team, patients, family, the community, and other stakeholders to improve healthcare outcomes and experiences. The APRN using project management concepts within the organization to implement change can also use these concepts in their practice. To foster the project management role and use these concepts in their practice, the APRN must utilize important concepts of project management. Sipes (2020) mentions important concepts of project management for the APRN which include having well-defined project goals/ deadlines and objectives, having clear team roles and responsibilities, being transparent, establishing means of accountability and responsibility, utilizing evidence-based practice, and utilizing effective and efficient communication skills. Aside from concepts there are foundation project management theories that can help support decision making. According to Sipes (2020), different project management theories that help support decision making are the data-information-knowledge framework, Benner: Novice-to-Expert Model, General Systems Theory, and the Change Theory.ReferenceSipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

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    Rosemary Kwaven
    Rosemary Kwaven
     
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    Sara,
                                                                                                     
    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing        Outlook
    , 
    68
    (4), 396-405.

    Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders’ strategies to foster nurse resilience. 
    Journal of nursing management
    , 
    27
    (4), 681-687.

                                                                                                                      References

    Great post. By understanding the basics of project management, nurses can effectively plan and implement informatics projects. This understanding can help nurses avoid common pitfalls associated with informatics projects, such as scope creep and unrealistic timelines (Wei et al., 2019). In addition, project management can help nurses to communicate better with other members of the healthcare team, as well as with patients and families (Wei et al., 2019). The project management concepts studied in the course, such as project scope, schedule, and budget, can be applied to advanced nursing practice. The research question should be specific enough to be answered within the scope of the project but broad enough to generate a significant amount of data (Rew et al., 2020). Once the research question has been developed, the next step is to develop a research plan. The research plan should include a literature review, a description of the data to be collected, and a plan for analyzing the data (Rew et al., 2020). After the research plan has been developed, the next step is implementing the project. The project should be implemented in a way that allows for the collection of accurate and reliable data. After the data has been collected, the next step is to analyze the data (Rew et al., 2020). And the last step is to write a report that includes the project’s results and the implications.

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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    Dec 8, 2022
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    Hi Sara,I agree that the advanced nursing practice role you selected is that of a nurse practitioner. She works in a frontline role in a clinic setting and is responsible for diagnosing, treating, and following up with patients on their care, treatment plans, and progression. You discussed the primary competencies necessary for your role, which include population health, quality and safety, interprofessional partnerships, and system-based practice (Sipes, 2020). The project management concepts you have examined thus far in the course could be applied to your nursing practice and the project you are working on. These concepts can help to assess the gaps in patient needs and develop improvements for practice.
     
    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques              to support nursing intervention research. Nursing Outlook, 68(4), 396–405. doi: 10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.

                                                                                                   Reference

    Overall, you have provided a comprehensive overview of the significant competencies necessary for her role as a nurse practitioner, as well as how the project management concepts she has examined thus far in her course could be applied to her nursing practice and the project she is working on. She has also discussed how she could use the same project management concepts and approaches for completing her DNP doctoral project or dissertation and how the project management strategies she will learn as a nurse leader can be applied to facilitate nursing research or nursing practice for her DNP doctoral project or dissertation. These things will be essential for Sara to complete her DNP doctoral project or dissertation.

    I’m impressed with the comprehensive overview you have provided of the major competencies necessary for your role as a nurse practitioner and the project management concepts you have examined in your course that you can apply to your nursing practice and the project you are working on. It’s great that you have already been able to apply classroom concepts to real-world settings and feel confident in using specific processes and techniques to assist you in planning and developing your DNP doctoral project or dissertation (Rew et al., 2022). Your plan to work directly with the facility on research projects, assess the gaps in patient needs and develop improvements for practice, as well as your mentor guiding you in planning and assuring that you are on task and not missing steps, all sound like they will be very beneficial in helping you complete your project.

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    Lizzie Umejei
    Lizzie Umejei
     
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    Dec 9, 2022
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    Response 2 Week 2 discussion 1
    Hi Sarah,
    Intriguing post. 
    Nurse Practitioner graduates have knowledge, skills, and abilities essential to independent clinical practice (Sipes, 2020). The NP Core Competencies are through mentored patient care experiences with an emphasis on independent and interprofessional practice; analytic skills for evaluating and providing evidence-based, patient-centered care across settings; and advanced knowledge of the health care delivery system (Lamb et al., 2018)
    . 
    According to the 
    National Organization of Nurse Practitioners Faculties (2012)
    .
     the NP graduate possesses nine core competencies regardless of population focus which include Scientific Foundation Competencies, Quality Competencies, Leadership Competencies, Practice Inquiry Competencies, Technology, and Information Literacy Competencies, Policy Competencies, Health Delivery System Competencies, Ethics Competencies, Independent Practice Competencies (Thomas et al.,2012).
    American Nurses Association. (2015). 
    Nursing informatics Links to an external site.
    Links to an external site.
    : Scope and standards of practice
     (2nd ed.).
    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

    Thomas, A., Crabtree, G.-C., Kathleen, A.-B., Delaney, R., Mary, A., Dumas, Kleinpell, R., Logsdon, F., Marfell, J., Dnp, Fnp-Bc, D., & Nativio. (2011). 
    Nurse practitioner core competencies Amended 2012* Task Force Members
    . 
    https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.

     Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3), 400–413. 
    https://doi.org/10.1002/nop2.150Links to an external site.

    References

     

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    Regidor Del Rosario
    Regidor Del Rosario
     
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    Dec 6, 2022
    Dec 6, 2022 at 1:43pm

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                The advanced nursing practice role I’ve selected is the Psychiatric Mental Health Nurse Practitioner or PMHNP. According to Kumar et al. (2020), major competencies that are required for this role are data informed planning, established relationships with other entities, use of evidence-based guidelines, family and youth focus with coordination, clinical expertise, communication, understanding of and implementation of the code of ethics, and leadership skills. These competencies are important for the APRN specializing in PMHNP as they will assist the APRN in providing the highest level of care to the patient and to both manage and lead a multidisciplinary team to ensure the best possible patient experience and outcomes.            The same concepts can be utilized in the process of completing the DNP Project or dissertation. Rew et al. (2020) defines processes or steps that are important to Nursing Intervention Research which may also aid in the completion of the DNP Project or dissertation. The five phases that Rew et al. (2020) mentions are phase one: conceptual, phase two: design and planning, phase three: empirical, phase four: analytic, and phase five: dissemination. Phase One: Conceptual is identifying the problem, collecting and reviewing appropriate literature, selecting conceptual or theoretical frameworks, and proposing a research design to answer a questions or questions and/ or test a hypothesis (Rew et al. 2020). Phase Two: Design and Planning is self-explanatory; in this phase the team will select a research design and make decisions that will determine the internal and external validity of this study. Phase Three: Empirical is the phase in which data is collected from the research population and preparing this data to be analyzed (Rew et al. 2020). Phase Four: Analytic includes data analysis and interpretation of the finding and Phase Five: Dissemination includes communication of and presentation of the findings to other researchers, clinicians, facilities where research was conducted and the funding agency (Rew et al. 2020). Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68(4), 
    396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

    Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020).  The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. 
    Archives of Psychiatric Nursing, 34(5), 
    275 – 280. doi: 10.1016/j.apnu.2020.07.022

                When referring to the phases mentioned by Rew et al. (2020), each of the phases can be used to aid in the completion of the DNP Project or dissertation. Phase one will include identifying the research problem which in my case is the overuse and/ or misuse antibiotic treatment. During this phase I will be gathering the appropriate literature and deciding upon the research design. In phase two I will select the research design that will be most effective and yield more data for the practice problem. In phase three I will then collect data and organize this data to be analyzed. Phase four will allow me to dissect this data and explain the data collected and the research and in phase five I will then present the research and the data.

                The APRN using project management concepts within the organization to implement change can also use these concepts in their practice. To foster the project management role and use these concepts in their practice, the APRN must utilize important concepts of project management. Sipes (2020) mentions important concepts of project management for the APRN which include having well-defined project goals/ deadlines and objectives, having clear team roles and responsibilities, being transparent, establishing means of accountability and responsibility, utilizing evidence-based practice, and utilizing effective and efficient communication skills. Aside from concepts there are foundation project management theories that can help support decision making. According to Sipes (2020), different project management theories that help support decision making are the data-information-knowledge framework, Benner: Novice-to-Expert Model, General Systems Theory, and the Change Theory.

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
     
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    Dec 9, 2022
    Dec 9, 2022 at 7:31am

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    Hello Regidor,
    References
    Sipes, C. (2020). 
    Project management for the advanced practice nurse
    . Springer Publishing Company.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396-405.

    Your post was very informative. I agree that data informed planning, established relationships with other entities, use of evidence-based guidelines, family and youth focus with coordination, clinical expertise, communication, understanding of and implementation of the code of ethics, and leadership skills are some of the PHMNP core competencies. In addition, I think PMHNPs possess core competencies in direct patient care involving resolving issues in the current operations and implementing policies in order to enhance patient care while fostering a positive relationship with the stakeholders, collaboration, staff management and maintenance of department budget (Sipes, 2020). It is true that the concepts of project management provide a clear guide for the steps of conducting research including the DNP project. I agree that the phases mentioned by Rew et al. (2020) will aid in the formulation of a research problem. The phases will also provide a guide for conducting literature review, designing and conducting a study.

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    Gernita Lee
    Gernita Lee
     
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    Dec 9, 2022
    Dec 9, 2022 at 10:56pm

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    NURS 8210 Transforming Nursing Week 2 Discussion Post 1 Peer Response 2 Mallah, N., Orsini, N., Figueiras, A., & Takkouche, B. (2022). Education level and misuse of antibiotics in the general population: A Systematic Review and Dose–Response Meta-Analysis. 
    Antimicrobial Resistance and Infection Control, 11(1)
    , 1–22. doi:https://doi.org/10.1186/s13756-022-01063-5

    Sipes, C. (2020). 
    Project management for the advanced practice nurse.
     (2nd, Ed.) Springer Publishing Company.

    References

          Regidor Del Rosario, I enjoyed reading your contribution regarding advanced nurse practice competencies and your practice role as a Psychiatric Mental Health Nurse Practitioner (PMHNP). Antibiotic misuse and overprescribing practices have documented lasting consequences, including the proliferation of antibiotic-resistant bacteria (Mallah, Orsini, Figueiras, & Takkouche, 2022). It is predicted that the annual mortality rate from antibiotic resistance infections will outpace the death rate of major chronic diseases by 2050, causing a more significant financial and resource burden on stressed healthcare systems (Mallah, Orsini, Figueiras, & Takkouche, 2022). The Nurse Administrator role aligns with your interests in curtailing inappropriate antibiotic usage as nurse administrators excel at cost containment, develop, and manage resource allocations, prepare report managers, metrics, and dashboard results and monitor quality improvement initiatives (Sipes, 2020). Reviewing data trends and clinical habits in a combination of interdisciplinary communication skills will identify antibiotic overuse, instill evidenced based practice guidelines and assess the outcomes through data trending

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    Jennings Ubadi Mekoba
    Jennings Ubadi Mekoba
     
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    Dec 10, 2022
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                                             Response to Regidor Del Rosario regarding Nursing Role and Project Management Concepts.
              Very informative post Regidor. The roles and responsibilities of advanced nurse practitioners span different healthcare aspects, such as nurse leaders, nurse communicators, and the necessity for advanced practice nurses to keep patients at the center of their work. My friend, you have rightly mentioned the need for advanced practice nurses to manifest a code of ethics. The American Nursing Associations’ code of ethics defines Justice, Autonomy, Beneficence, and Non-Maleficence (Fowler, 2015) as fundamental nursing traits. Beyond applying these traits, nursing roles require advanced practice nurses to function as nurse leaders. It is a misconception that nursing roles relate only to taking vital signs, administering medications, or adopting medical procedures. In reality, the nursing roles for advanced practice nurses encompass all those aspects of healthcare services that try to secure maximum healthcare outcomes for the patients. You have mentioned that you desire to function in the role of psychiatric mental health nursing practitioner, which will require you to focus your energies, especially on youth coordination.                                                             
    References
    Fowler, M., Ph.D. (2015). 
    Guide to the Code of Ethics for Nurses: With Interpretive Statements: Development, Interpretation, and Application
     (Second). American Nurses Association.

    Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). Nursing Informatics’ Role in Promoting Quality of Health Care and the Need for Appropriate Education. 
    Global Journal of Health Science
    , 
    6
    (6). 
    https://doi.org/10.5539/gjhs.v6n6p11Links to an external site.

               Advanced practice nurses must accomplish their nursing role by applying project management concepts. Implementing project management concepts in nursing requires advanced practice nurses to focus on planning, designing, and aptly implementing the adopted medical procedures. Nurses need to adopt nursing informatics and pay precise attention to patients’ records, including daily bedside reading records, lab test records, and other patients’ records available through different tests. Besides paying attention to patients’ records, it is essential to scrutinize them and correlate the adopted medical procedures with the documents to assess the feasibility of ongoing medical intervention. When nurse leaders apply nursing informatics (Darvish et al., 2014) to patients’ information, they are better positioned to decide the utility of the medication and medical procedures. If the intervention strategies are not producing the desired results, they must adopt rectification strategies. In the specific context, applying project management concepts related to sourcing, maintaining, and scrutinizing data to achieve desired results plays a significant role. Hence it is safe to conclude that nurse leaders, in carrying out their variant nursing roles, must apply project management concepts with diligence focusing on detailed planning and precise implementation to secure the maximum healthcare goals for their patients.

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    Rosemary Kwaven
    Rosemary Kwaven
     
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    Dec 6, 2022
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    CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT
    Explain how the project management concepts you have examined thus far in the course might alight with this advanced nursing practice role and why. 
    Be specific
    .
    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research. How might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?
    Explain which processes and techniques you believe will provide the most guidance to assist you to plan and develop your DNP doctoral project or dissertation. 
    Be specific and provide examples.
     Then, describe how the project management strategies you will learn as a nurse leader may facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.
     Brunt, B. A., & Morris, M. M. (2021). Nursing Professional Development. 
    National Library of Medicine
    . 
    https://pubmed.ncbi.nlm.nih.gov/30285377/Links to an external site.
    Rew, L., Cauvin, S., Cengiz, A., Petorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396–405. 
    https://doi.org/10.1016/j.outlook.2020.01.007Links to an external site.

    Fukada, M. (2018). Nursing Competency: Definition, Structure, and Development. 
    Yonago Acta Medica
    , 
    61
    (1), 1-7. 
    https://doi.org/10.33160/yam.2018.03.001Links to an external site.

    References

    For this DNP doctoral project, the best would use the qualitative research methodology. Qualitative research methodology in nursing entails using patient and nurses’ experiences to evaluate a specific research question gets affected. The project management techniques around conceptualization, designing, and planning will come in handy in the project research process. Likewise, employing competencies, such as cognitive ability, collaboration, and ethical considerations, will help in ensure the project gets streamlined accordingly. Using the spider web brainstorming tool as a timely information-gathering platform gets attached to assessing the literature review process (Rew et al., 2020). Therefore, as a nurse leader, applying practical project management tools and techniques will guide in adopting Evidence-Based Practice (EBP) to patient health and nursing practice advancement from a research perspective. It will also aid in boosting critical evaluation skills necessary to distinguish nursing health requirements, descriptions, and progressive patient outcomes.

    Rew et al. (2020) describe unique several-phase requirements for project management techniques and tools supporting nursing interventions. The first conceptual phase is where the research team and principal investigator (PI) take several actions. For example, they conduct problem identification, appropriate literature review, research design proposal, and choosing a theoretical or conceptual framework (Rew et al., 2020). The second phase focuses on design and planning, where the exact research design gets chosen, purpose consideration gets done, and decision-making affecting study validity gets done. Phase three is the empirical phase which deals with data collection and data preparation awaiting analysis. Phase four then moves into the analytic stage where data analysis and interpretation of findings happen (Rew et al., 2020). The final stage is the dissemination phase, where findings get communicated to other stakeholders, such as other clinicians, researchers, funding agencies, and institutions where data collection occurred.

    Project management aspects act vital in providing a balance between flexibility and structure in nursing advancement. Nursing advancement gets experienced in aspects such as contingency, research management, and healthcare integration among others (Brunt & Morris, 2021). In line with this subject, project management in nursing research entails paying attention to details and major planning, since seasoned researchers and nurse novices overlook daily operation requirements. For example, SWOT analysis evaluates the strengths, opportunities, weaknesses, and threats in any project. Comprehending the in-working of SWOT analysis enables nurse leaders to have a comprehensive and non-biased view about matters limiting nursing practice advancement.

    Professional Role Development requires several competencies, such as cognitive ability, collaboration, legal and ethical orientation, personal characteristics, and professional development engagement (Fukada, 2018). Competencies denote a foundation for developing behavioral characteristics around a chosen professional role. In nursing, cognitive abilities help regulate support given during daily nursing activities, treatment, and nursing recognition. For example, using cognitive abilities in treatment entails addressing behavioral problems and pain management. Legal and ethical considerations, both help address boundaries in nursing. Personal characteristics then move forward to affect how nurses act professionally despite the variation in personality traits (Fukada, 2018). In professional role engagement, nurses align themselves to the protocols their profession demands, in line with the set body, institutional, and government regulations. Finally, collaboration allows professionals to work effectively with other health practitioners. Health practitioners collaborate, present better services to their patients and boost the general health of the population one patient at a time.

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    Valerie Corvera
    Valerie Corvera
     
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    Dec 11, 2022
    Dec 11, 2022 at 5:46pm

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    Hello Rosemary, Tucmeanu, E.R., Alin Iulian Tucmeanu, Madalina Gabriela Iliescu, Justyna Żywiołek, & Zahid Yousaf. (2022). Successful Management of IT Projects in Healthcare Institutions after COVID-19: Role of Digital Orientation and Innovation Adaption. 
    Healthcare
    , 
    10
    (2005), 2005. 
    https://doi.org/10.3390/healthcare10102005Links to an external site.
    Shah, S.A., Muhammad Ali Asif, Muhammad Haroon Shoukat, Sema Polatci, & Shafique Ur Rehman. (2022). Quality Management Practices and Inter-Organizational Project Performance: Moderating Effects of Inter-Organizational Communication, Relationship, and Process Conflicts in Healthcare. 
    SAGE Open
    , 
    12
    . https://doi.org/10.1177/21582440221113829

    References

    Great post on professional role development and relating it to our DNP project completion. I agree with you when you mentioned that project management and advanced practice nursing both require experience to continue to grow and be proficient. I couldn’t agree with you more. I believe that it is important for nurses who participate in project management to stay active in the process and continue to remain involved in projects within their organization. It is important for advanced nurses to embrace the concept of innovation, innovation adaptation refers to the implementation of creative ideas, new technologies, and knowledge with proper strategic planning to enhance productivity and increase output with similar input (Tucmeanu et al., 2022). This is another big thing that I think we all need to incorporate into our professional practice. The nursing profession and healthcare are always changing and always evolving, and it is vital for us to be thinking outside the box and be openminded to ideas that can improve our profession and nursing care. The advance practice nurse also needs to have good leadership skills. Project management requires higher level leadership to ensure successful completion of a project. Leadership skills are necessary for a project manager and can avoid and resolve conflict because conflict inhibits team cooperation among team members and can be a solid hurdle to employees’ satisfaction and ease of doing their work (Shah et al., 2022). I think applying the project management techniques while also using the qualitative research method is a great idea for your DNP project.

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    Christian Offor
    Christian Offor
     
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    Required Competencies for the Advanced Nursing Practice Role (Doctor of Nursing Practice, DNP)
    Leadership that is both professional and clinical is the first competency. The DNP role requires advanced practice nurses to demonstrate clinical and professional leadership responsibilities that allow them to oversee care teams and assist other professionals through clinical mentoring and supervision (Zaccagnini & Pechacek, 2019). Ethics-based decision-making is the second competency. A nurse who has completed a DNP program must exhibit ethical leadership through ethical decision-making to succeed in their advanced nursing practice. A DNP must be able to weigh options following nursing ethics, such as autonomy, beneficence, justice, and non-maleficence, to make moral decisions.
    How the Project Management Concepts Examined In the Course Might Align with this Advanced Nursing Practice Role
    How the Concepts and Approach in Rew et al. (2020) can be used to complete my DNP Doctoral Project 
    Processes and Techniques that will provide the most Guidance to Assist my plan and Develop my DNP Doctoral Project
    References
    Fulton, C. R., Meek, J. A., & Walker, P. H. (2014). Faculty and organizational characteristics associated with informatics/health information technology adoption in DNP programs. 
    Journal of Professional Nursing
    , 
    30
    (4), 292-299Sipes, C. (2016). 
    Project management for the advanced practice nurse
     (1
    st
     ed.). Springer Publishing Company.

    Zaccagnini, M., & Pechacek, J. M. (2019). 
    The doctor of nursing practice essentials: A new model for advanced practice nursing
     (4
    th
     ed.). Jones & Bartlett Learning.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    Association of College & Research Libraries. Retrieved from 
    www.ala.org/ala/mgrps/divs/acrl/standards/standardsLinks to an external site.

    I think that the planning process will provide me with the most direction as I build my DNP doctoral research. It takes a lot of work to plan a project, but it can be challenging, especially when unsure how the project will turn out. Planning is essential because it will enable me to start with broad goals for creating a top-notch DNP project. It will be crucial to divide the goals into more precise SMART goals, which are specific, measurable, achievable, realistic, and time-bound. It will be possible to divide the doctoral DNP project into several smaller projects determined by the research cycle in this fashion. Milestones, which are steps toward project completion, will be associated with these projects. As a nurse leader, I will study project management approaches that will enable me to use processes, skills, knowledge, and techniques to accomplish particular goals following the project’s acceptance criteria within predetermined boundaries. My DNP doctoral project’s nursing research will be made more accessible by these results.

    According to Rew et al. (2020), project management is a series of iterative phases that can help the nursing research process. Designing, planning, implementing, continuous assessment, and closure are the steps. Before continuing with the process, each stage must be finished. The same methodology will be applied to completing my doctoral DNP project. The doctoral DNP project will presumably be finished following project management guidelines. My doctorate DNP project will be finished in stages, much like a mission in project management contexts. These include choosing a topic of interest, getting permission to pursue it, preparing a proposal, making a project timeline, carrying out the project, and compiling a final report. Before starting the next, each step must be finished. In the end, project management principles will make it feasible to finish the doctoral DNP project at the anticipated time and scope, achieve the quality requirements, and satisfy all of them.

    Project management is essential as American healthcare continues to change in response to growing challenges on quality and cost. Healthcare practitioners can dramatically improve outcomes across healthcare delivery contexts by comprehending project management ideas and using them effectively in their daily practice. The ideas of project management that I have studied in this course lead to the conclusion that many roles and people with various responsibilities are necessary for effective project management. Similar to this, there are numerous phases in project management, each having specific tasks to complete and outcomes to produce. Initiation, planning, execution, and closure are the phases. In their employment as advanced nursing practitioners, DNPs supervise a variety of initiatives from conception to completion. Similar to project management situations, they must manage teams, remain on schedule, and keep track of the project’s development. As a result, I think the project management ideas we’ve covered so far are relevant to the position of a DNP, given their crucial duties of developing thorough project plans and answers for any issues that may arise.

    The second skill is cooperation, which focuses on how different healthcare professionals collaborate with patients, families, carers, and communities to take each other’s viewpoints into account and provide the best possible treatment (Zaccagnini & Pechacek, 2019). DNP nurses must be able to lead interprofessional teams in examining complex practice and system challenges through solid communication and collaborative abilities to succeed in their advanced practice nursing roles. Research skills are the last qualification. These include analytical techniques for evidence-based practice and clinical scholarship. DNP nurses proficient in research techniques can develop original solutions to complicated problems in modern healthcare systems.

     According to Sipe (2020), advanced-trained healthcare professionals such as APRNs, DNPs, nurse educators, chief nursing informatics officers, clinical nurse specialists, and nurse practitioners would use project management concepts in their daily work. This debate will concentrate on the Doctor of Nursing Practice, or DNP, as an advanced nursing practice role. To succeed in this advanced nursing profession, an advanced practice nurse would need to possess various competencies. These include leadership in the clinical and professional spheres, moral judgment, teamwork, and research abilities.

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    Vicky Awken Ngang
    Vicky Awken Ngang
     
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    Dec 7, 2022
    Dec 7, 2022 at 2:08pm

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    Great post ChristianReferencesSipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396–405. 
    https://doi.org/10.1016/j.outlook.2020.01.007Links to an external site.

    I cannot agree less with you that the DNP role requires advanced practice nurses to demonstrate clinical and professional leadership responsibilities that allow them to oversee care teams and assist other professionals through clinical mentoring and supervision. The roles of Nurses have increased tremendously in the past decade. Advanced Practice Nurses can assume different kinds of roles nowadays including Nurse Practitioner (NP), Chief Nursing Informatics Officer (CNIO), Nurse Executive (NE), Nurse Manager (NM), Clinical Nurse Specialist (CNS), Nurse Educator (NE) (Sipes, 2020). Project management is defined as “a process of coordinating and directing team members to meet the formal, defined, approved goals and objectives outlined for the specific project.” (Sipes, p12, 2020). Advanced Practice Nurse implement projects and need to be familiar with project management in whatever role they assume. Rew et al. (2020) contend that project management is integral to nursing and as such, nurses will conduct research and develop projects by identifying the problem, then design, plan, and implement quality improvement projects

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    Rosemary Kwaven
    Rosemary Kwaven
     
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    Dec 7, 2022
    Dec 7, 2022 at 4:25pm

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    Hello Christian, Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020b). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4). 
    https://doi.org/10.1016/j.outlook.2020.01.007Links to an external site.Links to an external site.

    Staiou, M., Gourgoulianis, K., Kotrotsiou, E., & Raftopoulos, V. (2020). Closing the gap: The effect of an evidence‐based intervention in increasing COPD nurses’ knowledge. 
    Nursing Forum
    , 
    56
    (1). 
    https://doi.org/10.1111/nuf.12507Links to an external site.

                                                                                                   References

    Thanks for your informatic post, Nursing informatics projects in the DNP program are propelled by collaboration between analytical science, nursing science, and information technology (Staiou et al., 2020). Project management strategies that will be applied in preparing for the doctoral project include planning, monitoring, and execution (Rew et al., 2020a). I will use these strategies to plan for medical-related costs in the healthcare organization. The planning scope will also be vital in evaluating the cost of the projects as dictated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Healthcare industry is changing fast-it will require modern solutions which require planning and monitoring. Advanced nursing practice involves the assessment of risks, and through project management techniques, I will be able to mitigate clinical risks. For instance, setting a pre-surgery process would help identify mistakes, costs, and efficiency, reducing operating risks/errors.The project management strategies adopted in this course will play an integral role in advancing nursing research and practice. For instance, project management tools can be applied in developing and implementing evidence-based research projects in continued education. The tools can also be applied in assessing the models of care for diverse patients.

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    Telecia Shantee’ Allen
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    Great post Christian,            These competencies provide a foundation for nurses to assume leadership positions within the healthcare system, advance practice roles, such as certified nurse-midwife or clinical nurse specialist, and develop new models of patient care delivery. Nurses who are prepared at the DNP level will be well equipped to assess health care needs of patients holistically across all domains including physical, emotional, spiritual, cultural, and economic aspects; analyze current medical research and evidence-based guidelines for optimal patient outcomes; develop innovative strategies for quality performance improvement initiatives; communicate effectively with interprofessional teams; collaborate with community partners to promote population health goals; evaluate policy implications in order to advocate on behalf of vulnerable populations; and lead within complex systems (Miller, 2008).McCauley, L. A., Broome, M. E., Frazier, L., Hayes, R., Kurth, A., Musil, C. M., Norman, L. D., Rideout, K. H., & Villarruel, A. M. (2020). Doctor of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back on track. 
    Nursing 
    O
    utlook
    , 
    68
    (4), 494–503. https://doi.org/10.1016/j.outlook.2020.03.008

    Miller, J. E. (2008). The doctor of nursing practice: recognizing a need or graying the line between doctor and nurse?. 
    Medscape 
    J
    ournal of 
    M
    edicine
    , 
    10
    (11), 253.

    References

                The Doctor of Nursing Practice, or DNP, is an advanced nursing practice role that requires a high level of competency across multiple domains. The American Association of Colleges of Nursing (AACN) established the Essentials of Doctoral Education for Advanced Nursing Practice as the foundational framework for preparing nurses to assume the DNP role (McCauley et al., 2020). This framework consists of nine core competency areas: Organizational and Systems Leadership; Clinical Scholarship and Analytical Methods for Evidence-Based Practice; Information Systems/Technology and Patient Care Technology; Health Care Policy for Advocacy in Health Care; Interprofessional Collaboration for Improving Patient and Population Health Outcomes; Clinical Prevention and Population Health for Improving the Nation’s Health; Advanced Nursing Practice; Healthcare Quality; and Ethical Practice.

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    Lovester Duncan
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    Major competencies required for advanced nursing practice
    How project management concepts align with advanced nursing practice role
    How to use the same concepts and a similar approach for completing a dissertation
    Explanation of which processes and techniques will provide the most guidance to assist in planning and developing your DNP doctoral project
       ReferencesDilly, C. K., Klochan, K. A., & Bosslet, G. (2021). Project management tools for healthcare education. 
    Clinical Teacher
    , 18(2), 109–114. https://doi.org/10.1111/tct.13264Reyes, J. R., & Álvarez, L. N. R. (2022). 
    Concept Analysis of Interpersonal Skills in Nursing. 
    Aquichan, 22(1), 1–17. https://doi.org/10.5294/aqui.2022.22.1.3

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 
    68(4), 396–405. 
    https://doi.org/10.1016/j.outlook.2020.01.007Links to an external site.

    Additionally, throughout my DNP project and or dissertation by monitoring the project and setting and keeping deadlines are strategies that I am anticipating incorporating to ensure timely completion. By monitoring my project, I will be able to keep track of its progress and ensure that I am on track.  By setting a project deadline, I will ensure that I monitor my project daily and meet all deadlines. Designing, planning, teamwork having a framework, selecting the appropriate population, and researching as well as the review of the literature are all processes and techniques that will provide the most guidance to assist my plan and development of my DNP doctoral project or dissertation. Additionally, these are project management strategies I will learn as a nurse leader and  will be  applied to facilitate nursing practice for my DNP doctoral project

    It is necessary to identify a problem in our healthcare organization at the beginning, develop a hypothesis, design a research project, and incorporate project management strategies, such as planning, designing, creating teams, monitoring the project, and managing time.  The completion of dissertations also involves ensuring deadlines are met, teamwork, risk control, and project assessment to identify potential risks and prevent them from becoming a problem that would affect the project and setting a deadline for completion. The study indicated some steps of project management are: initiating, planning, executing, monitoring and controlling, and closing (Dilly, Klochan, & Bosslet 2021). For effective completion of the DNP, similar concepts like planning, team building, time management, risk control, and setting a deadline must be incorporated. The first phase of the nursing research process is generally referred to as the conceptual phase in which the principal investigator (PI) and research team identify the problem, review the appropriate literature, select a conceptual or theoretical framework, and propose a research design to answer research questions or test research hypotheses (Rew et al. (2020).  A research project’s first phase is the planning phase, according to the authors, when the investigator identifies the problem, conducts a comprehensive literature review to gather adequate information and evidence for the problem under study, and creates a framework, all of which the author elaborated on and that I should incorporate in my DNP project. A research project’s design and planning approach. In order to increase the prescription of medication-assisted treatments MAT among homeless people, I plan to educate primary care providers about addiction.  As a result, I anticipate selecting the appropriate population, developing a sampling plan, selecting appropriate measures for theoretical variables, and developing a plan for protecting human subjects (Rew et al. (2020).

    There are many ways in which project management concepts align with advanced practice nursing. To begin a project management process, a doctoral-prepared nurse on a unit will identify a problem that affects patients’ care and quality of care. As stated in studies, the first phase of nursing research is the conceptual phase, in which the principal investigator (PI) and the research team identify the problem, review the appropriate literature, choose a conceptual framework for answering the research question, and propose a research design (Rew et al.,2020). By utilizing project management, nursing research can be facilitated, as it provides an overview of projects and identifies ways in which its principles and strategies can be applied (Rew et al.,2020). A project management concept might also be relevant to this advanced nursing role, such as designing a study to determine the root cause and the impact of the problem on the patient population.  Additionally, project management concepts are aligned with nursing, since APRNs collect data through assessment questions and vital signs, similar to survey questionnaires or interviews. APRNs will communicate the problem to the rest of the nurses as part of the team-building process. A team of nurses will assess the problem, implement strategies to mitigate the problem, set priority deadlines to ensure due dates are met, evaluate the outcome, and monitor risk control continuously. In all cases, these are all project management methods aligned with APRN.

    Interpersonal skills are essential for advanced practice nurses (APRNs). The ability to communicate with colleagues, patients, and relatives in a humane and person-centered manner is considered an interpersonal skill (Reyes & Alvarez 2022). For APRNs with interpersonal skills, additional competencies include being able to think critically, communicate effectively, collaborate with interdisciplinary teams, be an educator, and have leadership skills.  To make sound judgments and decisions about care, outcome, and practice, APRNs must have the ability to lead, teach, communicate information effectively, and use critical thinking and reasoning strategies.

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    David Adubi
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    Case Studies: Professional Role Development
    Alignment of Project Management Concepts with Advanced Nursing Practice Role
    Application of Steps and Process by Rew et al. to DNP Doctoral Project or Dissertation
    Process and Techniques that will Provide the Most Guidance for my DNP Doctoral Project
    A DNP doctoral project or dissertation can be facilitated in a number of ways by using the project management techniques learned while working as a nurse leader. The development and implementation of research projects, the assessment of the efficacy of care delivery models, and the development and implementation of educational initiatives for nurses and other healthcare professionals are a few examples of how nurse leaders can use project management techniques. Additionally, nurse leaders can use project management techniques to organize the members of the care team, create and implement projects for quality improvement, and oversee and coordinate the provision of care.Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020, March 3). 
    Application of project management tools and techniques to support Nursing Intervention Research
    . Nursing Outlook. Retrieved December 6, 2022, from https://www.sciencedirect.com/science/article/pii/S0029655419304476?via=ihub

    References

    Processes and strategies that are particular to the project or dissertation’s topic will be the most helpful in guiding the production of a DNP doctoral project or dissertation. The process of creating and putting into practice an assessment strategy, for instance, would be particularly pertinent if the subject of my DNP doctorate project or dissertation is the evaluation of a new care delivery model. The process of planning and implementing an educational program would be particularly pertinent if the focus of my DNP doctorate thesis or dissertation is the creation of a new educational program for nurses.

    The steps and procedures Rew et al. (2020) employed to conduct nursing research can be used to create a doctoral thesis or dissertation for a DNP degree. When creating a DNP doctoral project or dissertation, for instance, the stages of identifying a research question, performing a literature evaluation, and designing and carrying out a study might be followed. Additionally, when organizing and carrying out a DNP doctoral project or dissertation, the methods and resources for nursing research mentioned in the Rew et al. (2020) article can be employed.

    There are several ways the advanced nursing practice role can benefit from the project management concepts covered in this course. For instance, the planning and organization of care delivery, the creation and implementation of initiatives for quality improvement, and the management and coordination of care team members can all be done using project management ideas. Furthermore, research initiatives, the effectiveness of care delivery models, and instructional programs for nurses and other healthcare workers can all be developed and implemented using project management techniques.

    Roles in advanced nursing practice necessitate a high level of proficiency in several disciplines. These include leadership abilities, business and financial management abilities, interpersonal and communication abilities, and clinical knowledge and skills. Additionally, nurses who work in advanced nursing practice positions frequently need to be proficient with technology, well-organized, detail-oriented, and able to work independently.

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    Ajayi M Ajayi
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      The advanced nursing practice roleAdvanced nursing is a role practice that requires clinical competency in skill, knowledge, and communication, including interpersonal skills, management in financial skills, business and leadership development, and skill in many roles(Rew, 2020)Project management is an organizational process that improves health care for better improvement healthcare for functions. Their reason is to resolve all the issues that are current and old and new operations and implement new policies that help patients or organizations, including fostering positive relationships with all the stakeholders and the project that effective management can strengthen the following areas. Project managers also coordinate teams for better productivity and initiate quality care improvement. They maintain the medical healthcare setting and any healthcare facilities (
    Eby, 2017).
    According to Rew et al.(2020), the step-to-step approach in the processes of conducting nursing research they used to apply in the development of a DNP project and to the dissertation. Nursing research involves paying attention to details in planning and new ideas. Nursing research often looks over the day-by-day process or active operation required in the research and study of the project. The project management set up the step to facilitate the nursing research process in identifying the specific ways to produce the principles and develop the strategies for the team. Project management can design several tools for special projects. They must encourage nurses to participate in the research. The best way is to communicate as the first tool for better understanding. And the nurses must be ables to familiarize themselves with the project process to help the team get involved in any new implementation for quality improvement in education programs and new skills for better healthcare(Rew et al, 2020). The leadership can initiate a new program for a better process to facilitate the new way to improve nursing research in maintaining evidence base improvement and monitor the program’s effectiveness. The strategy is to communicate and educate the nurses to improve healthcare systems(
    Howarth, 2017)
     
    Eby, K. (2017). The complete glossary of project management terminology Links to an external site.. Smartsheet. https://www.smartsheet.com/complete-glossary-project-management-terminology HealthIT.gov. (n.d.). Health information technology advisory committee Links to an external site. https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee.

    Howarth, M. L., Probyn. (2017). Project management techniques to maximize success with research. British Journal of Cardiac Nursing Download British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116
    . (n.d.).

    Rew, (2020)
    Application of project management tools and techniques to support nursing intervention research
    . https://www.sciencedirect.com/science/article/pii/S0029655419304476?via=ihub.

    References

    The techniques that help to provide the best guidance is to develop the project for the doctor or dissertation specifically for the project, especially in evaluating new care and the new model for developing new ideas or changes in healthcare. The new education program is another way of improving the best education or more knowledge on implementing new ideas for patient care and healthcare improvement. The two fundamental ways to keep a new process involve communication and planning for an education program for improvement. Program for betters for the nurse.

      The techniques in the processes

                                                      The resources on techniques include the tools for nursing research,

                                                          Project management concepts

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    Gernita Lee
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    NURS 8210 Transforming Nursing Week 2 Discussion Post 1 Peer Response 1ReferencesSipes, C. (2020). 
    Project management for the advanced practice nurse.
     (2nd, Ed.) Springer Publishing Company.

    Barton, A., Jani, M., Bundy, C., Bluett, J., McDonald, S., Keevil, B., . . . Gorodkin, R. (2021). Translating research into clinical practice: Quality Improvement to Halve Non-Adherence to Methotrexate. 
    Rheumatology (Oxford, England), 60(1)
    , 125–131. doi:https://doi.org/10.1093/rheumatology/keaa214

          
    Thank you, Ajayi M. Ajayi, for your discussion contribution regarding crucial competencies required of the Advanced Nurse Practice role. Your interest in providing clinical nursing education on best practices and innovative care delivery models most aptly aligns with the Nurse Educator scenario. Nurse leaders who provide evidence-based clinical care standards through curriculum and formal education sessions are skilled at tracking incident data, evaluating key frontline team members’ input regarding incidence and frequency, and encouraging interdisciplinary collaboration for innovation implementation (Sipes, 2020). Nurse educators do not serve to provide continuous staff education and professional development alone. Nurse educators also work to provide interdisciplinarity vetted patient education through the review and translation of best practice clinical standards. Barton et al. (2021) demonstrated an example of the successful interdisciplinary and interprofessional team approach to improving patient compliance with Methotrexate (Barton et al., 2021). Barton’s (2021) interdisciplinary team included two rheumatologists, a clinical academic expert in rheumatology, a psychologist, and a senior nurse specialist. These team members collaborative efforts demonstrated notable improvement in Metrotrexate compliance rates as their interventions successfully reduced the gap between scientific research findings and clinical practice implementation.

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    Jennings Ubadi Mekoba
    Jennings Ubadi Mekoba
     
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         Case study: Professional role development
                   Healthcare systems should tap into the power of professionals to encourage reform and sustainability. Due to their intimate ties to clinical practice and direct patient care, ANPs can significantly alter how healthcare is provided (Sipes, 2019). The assessment and application of facts that may be used to evaluate, develop, and optimize healthcare service as the centers of scientific foundation competencies. The information covers cultural awareness, disadvantaged populations, and medical competency techniques. One essential element of quality competency is the evaluation of studies and their capacity to improve health status. Nurse Practitioners must acquire, assess, and employ the most current data while considering how cost, confidentiality, and access to medication impact the quality of care. Nurses may use practice inquiry competency to translate research into healthcare situations. The core competency in technology competence facilitates the integration of pertinent technologies for data administration to improve healthcare. Healthcare policy competency refers to the rules for monitoring and allocating funds for patient care.             Project management is a unique set of skills, primarily when used in healthcare nursing. Graduate-level instruction that includes practical experience will be beneficial as it will provide me with the skills to create and manage reliable data networks, manage data securely, and carry out quantitative and qualitative investigations (Rew et al., 2020). I would typically divide the project management procedure into four stages to help complete my DNP doctoral project. It would include first doing a SWOT analysis to assess the project’s strengths, possibilities, risks, and vulnerabilities. The second step would be planning, during which I would divide the project into separate tasks with clear objectives or timeframes. The execution or control phase would then follow where the goal is to keep everyone informed and strictly follow the planned timeframe. The last step after completing all activities is a comprehensive evaluation of the results I would achieve from my project.             These assessment procedures and methods will give me the most significant direction as I plan and create my DNP doctorate dissertation. I could improve my professional advocacy, research, and accountability with the support of the core skills. Leadership characteristics include communication abilities, participation in professional groups, and cultural awareness. These abilities make it more likely that I would comprehend their expertise and professional standards and be equipped to manage healthcare groups.Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396-405.

    Sipes, C. (2019). Project management for the advanced practice nurse. Springer Publishing Company.

                                                                                                                     References

                                                                                                                    Processes and Techniques

    Steps and Processes Used

             Project Management Concepts

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
     
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    Case Studies: Professional Role Development
    Project management concepts that I have examined such as resource management, staffing, and collaboration align with the NP role in planning and delivering patient care (Harris et al., 2018; Sipes, 2020). In addition, the concepts can be used in the development and implementation of quality improvement (QI) initiatives through proper planning of the QI projects within the allocated budget (Harris et al., 2018; Sipes, 2020). Lastly, the concepts can be used in the management and coordination of care team members during collaborative care (Harris et al., 2018; Sipes, 2020).The processes and techniques I believe will provide the most guidance to assist me plan and develop my DNP doctoral project is the process of designing and implementing an educational program because my project aims at developing an educational program for nurses (Rew et al., 2020).Harris, J. L., Roussel, L. A., Dearman, C., & Thomas, P. L. (2018). 
    Project Planning and Management: A Guide for Nurses and Interprofessional Teams: A Guide for Nurses and Interprofessional Teams
    . Jones & Bartlett Learning.Sipes, C. (2020). 
    Project management for the advanced practice nurse
    . Springer Publishing Company.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396-405.

    References

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, the concepts of can be used in the development of my DNP doctoral project by employing the steps of formulating a research question, conducting literature review and designing and conducting a study.

    The advanced nursing practice role that I selected is the nurse practitioner (NP). NP is an advanced practice registered nurse who is trained to provide a full range of primary and acute healthcare services (Sipes, 2020). The four major competencies that are required for the NP role include direct patient care, collaborate with other departments and physicians on departmental issues, manage staff and maintain department budget (Sipes, 2020). The role of NPs in direct patient care involves resolving issues in the current operations and implementing policies in order to enhance patient care while fostering a positive relationship with the stakeholders (Harris et al., 2018). In collaboration with other departments and physicians, NPs role involve working effectively and efficiently with other departments leaders in planning, coordinating, controlling and monitoring a project (Harris et al., 2018). The role of NPs in managing staff involves selecting and managing staff members to complete tasks in a project (Harris et al., 2018). Lastly, the role of NPs in maintaining department budget involves controlling the cost of a project within the approved budget and delivering the expected project goals (Harris et al., 2018).

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    Quateka Cochran
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    Very informative post Nkeiruka. Jones, İ., Bartlett Learning, L. L. C., & Learnin, B. Leadership, Collaboration, and the DNP Graduate.
    https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdfLinks to an external site.

    https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/common-aprn-doctoral-compete.pdfLinks to an external site.

    The NP role as you stated is responsible for intra/inter-department collaboration, management of staff and patient care. The competencies for advanced practice nurses are designed to be observable, realistic, and measurable. The core competencies for the NP are designed to be specific to the role the NP is playing. The competency areas range from Scientific Foundation Competencies to Independent Practice Competencies. (I included a link to the competencies below.) I agree with your statement that the NP is trained  to provide a full range of services. According to Jones (pg 35) leadership and collaboration are integral aspects of every potential role that a doctor of nursing practice (DNP) graduate may assume. Jones (pg 46) went on to say that DNP graduates may build alliances across teams and disciplines in an effort to solve problems, achieve goals and improve outcomes.  Thus tying in to your statements concerning the NP role.

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    Edith ?N?W?A?K?A?E?G?O Ama
    Edith ?N?W?A?K?A?E?G?O Ama
     
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    Transforming Nursing and Healthcare Technology
    The DNP role is an advanced practice role will also assist me in project management tools and techniques to support nursing intervention research (Rew et al., 2020). Second, the DNP must have the ability to function as a patient advocate (Christiansen & Champion, 2018). The patient advocacy role is important because it aids in highlighting the patient’s needs. The DNP must foster a trusting relationship with patients that allows them to advocate for the patient’s rights in accordance with the patient’s unique needs.The approach will not only be beneficial in the course, but it will also assist me in my nursing practice beyond my studies. The knowledge will improve my chances of achieving the desired result in view of the fact that I will have better project management skills. Additionally, I will gain new perspectives on how the information fits within my practice’s strategic vision; the fresh perspective will be beneficial in tuning my project to meet organizational needs. The knowledge learned about efficient resource allocation will not only be beneficial in practice, but it will also be beneficial in the course. Thus, the approach will be beneficial across the board.  
    References
    DNP Nursing Curriculum Planning Solutions. (2017). The essentials of the DNP program. 
    http://www.dnpnursingsolutions.com/dnp-nursing-program-overview/dnp-program-essentials/Links to an external site.
     

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    Christiansen, B. & Champion, D. J. (2018). Examining doctor of nursing practice clinical competency. 
    The Journal for Nurse Practitioners, 14
    (5), 93-100. https://doi.org/10.1016/j.nurpra.2018.02.006

             For example, the DNP must have a grasp of informatics so that they can leverage it for the transformation of data into concrete information. Fourth, the DNP must have the ability to guide inter-professional collaboration. Inter-professional collaboration revolves around working together with other professionals for the provision of care. Learning to leverage the strengths of other professionals is a necessary competency for DNPs.

    For example, the DNP must have an understanding of informatics that will allow them the leverage for the transformation of data into concrete information. Fourth, the DNP must have the ability to guide inter-professional collaboration. Inter-professional collaboration revolves around working together with other professionals for the provision of care. Learning to leverage the strengths of other professionals is a necessary competency for DNPs.

    The nursing practice role I have selected is clinical and professional leadership. There are various competencies essential for DNP role is the ability to lead, analyze data, organize quality improvement programs, and attribute it to practice and leadership role. (DNP Nursing Curriculum Planning Solutions, 2017).

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    Ajayi M Ajayi
    Ajayi M Ajayi
     
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    EdithThanks: I agree with your nursing practice. You selected clinical and professional leadership in healthcare today; leadership is highly needed for nursing and defined processes to influence the staff and people they focus on to accomplish the goal. They have different strategies, the key concepts that can motivate the team or staff, and they must know how to communicate, group process, attainment give direction(
    Howarth,,2017).
     
    Howarth, M. L., Probyn. (2017). Project management techniques to maximize success with research. British Journal of Cardiac Nursing Download British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116
    . (n.d.).

    Reference

    Clinical leadership also defines for operating point of care to improve the care of patients and develop innovation for the healthcare organization and all the facilities they are involved in. All their role is to improve or achieve patient quality care and safety. The clinical use this for the ability to lead others and critical thinking skills; they must be detail-oriented, compassionate, and emotionally stability include excellence in communication and organization. DNP must improve their education in their role, continue to educate the staff for safety, and motivate all teams for quality improvement(
    Howarth,,2017).

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    Quateka Cochran
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    Initial Post            The role selected for this post is Chief Nursing Officer (CNO). The CNO is responsible for the daily operations of the healthcare center, clinical operations, budgets, and staffing. The competencies required for this role are knowledge of the healthcare environment, leadership, financial literacy, communication skills, and relationship building. The CNO is responsible for setting patient care standards, developing processes and protocols, setting budgets for operations, and mentoring/coaching/teaching the clinical staff. The competencies listed above shape the operations of a healthcare facility. The CNO sets the standards of operations for the clinical staff.           Project management is an essential component of process improvement. “Managing a project includes identifying requirements, establishing clear and achievable objectives, balancing competing demands of quality, scope, cost, and time, adapting specifications, plans, and approach to meet expectations of all key stakeholders including the client and the end-user” (Anantatmula, 2020b). Taking this into consideration, I would use the competencies to narrow the focus of my project. As discussed in Rew, 2020 during the conceptualization phase the research should identify the problem, review the appropriate literature, select a conceptual or theoretical framework, and propose a research design to answer research questions or test research hypotheses. I would also develop a sampling plan, determine how data will be collected, and develop the measurements to ascertain effectiveness.           The process I feel will provide the most guidance to my project is the sampling plan. Gray and Grove (2020, pg 410) state sampling involve selecting a group of people, events, behaviors, or other elements with which to conduct a study. A sampling plan defines the process of making the sample selections; the sample denotes the selected group of people or elements included in a study. Sampling decisions have a major impact on the meaning and generalizability of the finding. If the sample size is too small or subjects leave the study before the conclusion of the study, it may not be valid. This in my opinion is one of the most important components of the project.Anantatmula, V. S. (2020b, November 7). Project Management Concepts. IntechOpen. 
    https://www.intechopen.com/chapters/73966Links to an external site.
    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research Links to an external site.. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    Gray. J & Grove, S. (2020). Burns and Grove’s the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (9th ed.). Elsevier.

    References

    Plan and Develop

    Project management.

    PROFESSIONAL ROLE DEVELOPMENT

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    Ajayi M Ajayi
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    QuatekaThanks for providing good information about that. I have been trying to understand the role you selected as Chief Nursing Officer. I agree with the information provided as CNO usually involves providing leadership for the organization; the nurse team monitors all activities for the day-by-day operation, manages finances, implements the plan for the treatment of the patient, and offers new technologies for medical(
    Eby, 2017). 
    Maintenance of daily schedules and special education for the new nurse for all the departments. They also follow up with discharge and admission for all the units. I work with CNO, and I learn that CNO has many responsibilities. A DNP is good to continue educating oneself for better quality improvement(
    ANA,2021).
    Eby, K. (2017). The complete glossary of project management terminology Links to an https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac
    . (n.d.).

    ANA,(2021)Clinical leadership development and education for nurses: prospects and opportunities
    . (n.d.).

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    Ngetla Manyineh Mbonuh
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    Hello Quateka,   Thank you. Crisp, N., & Iro, E. (2018). Nursing Now campaign: raising the status of nurses. The Lancet, 391(10124), 920-921.

    Ulrich, B., Barden, C., Cassidy, L., & Varn-Davis, N. (2019). Frontline nurse manager and chief nurse executive skills: perceptions of direct care nurses. Nurse Leader, 17(2), 109-112.

    References

              Thank you for your contribution to this discussion. I have come to learn that Chief Nursing Officer is one of the upcoming roles into which most practicing nurses wish to venture. It is such an excellent discipline to choose from. Besides the competencies you selected above to expedite the role of the chief nursing officer, an evaluation tool must be developed at the beginning to establish their leadership skills (Ulrich et al., 2019). The assessment tool is used to test competencies such as communication and management of the workers. Project management skills will require research from the existing literature on the existing samples to check if the set strategies may encounter hiccups in the future. To develop a project plan, one has to check on the existing project plans in the available literature and correlate them with the plan’s objectives. The sampling plan will work best for your project because a good plan will be developed after establishing a comparison of the existing plans on the latest literature reviews (Crisp, 2018).

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    Delightful Anulika Alaka
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    Professional Role Development
    The course introduced various project management concepts, which can be used to improve healthcare processes. They are used to improve the care delivery, workflow, implement quality improvement projects or initiatives, and manage medical teams or healthcare staff (Howarth et al., 2017). The project management concepts learned in the course can also be used to evaluate care delivery models and implement caregiver education programs.When developing a DNP doctoral project or dissertation, I would use techniques and processes that are relevant to the topic of interest. For example, if the topic involves the evaluation of a newly implemented care delivery model, the most appropriate technique or process will focus on process implementation and evaluation. Similarly, if the topic focuses on an education program, the most relevant process will require the process of implementing an education program.      
    References
    Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximise success with research. British Journal of Cardiac Nursing Download British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research Links to an external site. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing

    Numerous ways can be used to facilitate nursing research or nursing practice for a DNP doctoral project or dissertation. For instance, project management techniques can help nurse leaders design and implement research projects, assess the efficacy of care delivery models, and create and implement teaching programs for nurses and other healthcare workers. Additionally, nurse leaders can plan and coordinate the care team members, develop and implement initiatives for quality improvement, and manage and coordinate the provision of care by utilizing project management techniques.

    Rew et al. (2020) describes processes involved in nursing research, beginning from research question development, literature review, methodology, and study design. The same processes can be used to design a DNP doctoral project or dissertation. Additionally, they can be used to plan and execute the research techniques.

    Advanced nurse practitioners must be competent and proficient in various areas or aspects of their specific professionals. They must be knowledgeable and skilled in communication, clinical practice, management, and leadership (Sipes, 2020). Effective nurses, especially in the modern healthcare industry must also be organized and conversant with healthcare technologies such as electronic health records.

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    Quateka Cochran
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    Great post 
    Delightful Anulika Alaka
     Writers, S. (2022, November 15). 
    What Are The NP Core Competencies? | NurseJournal.org
    . NurseJournal. https://nursejournal.org/resources/what-are-the-nurse-practitioner-core-competencies/

    FROM CNA. The nurse practitioner. (2017). 
    Canadian Nurse
    , 
    113
    (2), 8–9.

    You selected the DNP for the purpose of this discussion. As you stated the DNP must have skills related to patient care, communication and technology. According to CNA (2017) the primary focus of the NP role is clinical, but it also incorporates leadership and research competencies. NPs work with individuals, families, groups, communities and diverse populations across the continuum of care based on the principles of primary health care. The competencies from the NP are  Scientific Foundation, Leadership, Quality, Practice Inquiry, Technology and Information Literacy, Policy, Health Delivery System, Ethics, and  Independent Practice according to the Nurse Journal Staff. The NONPF’s core competencies ensure that nursing programs provide aspiring NPs with the necessary training for the field. Each of the competencies applies to all NPs, regardless of their specialization and population foci.

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    Gernita Lee
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    NURS 8210 Transforming Nursing Week 2 Main Discussion Post 1Advanced practice nurses are experienced in project management as it aligns significantly with the discipline of nursing, including assessment, diagnosis, planning, implementation, and evaluation of implementation outcomes (Sipes, 2020). Project management skills in clinical practice are critical for nursing science translation into meaningful clinical practice changes. Sipes (2020) categorizes project planning project into five phases. The initial project management conceptual phase involves a practice gap analysis, identifying a clinical problem. Phase 1 of the project planning cycle aligns with the Doctor of Essentials of Doctoral Educational for Advanced Nursing Practice Essential element one for Scientific Underpinnings for Practice. DNP essential element one demonstrates the DNP nurse leaders’ need to efficiently master knowledge translation into the day-to-day clinical practice environment through a natural science and social science lens (American Association of Colleges of Nursing, 2006). Phase 2 in project management is project planning. This vital step fosters gathering necessary resources for project completion, identifying key stakeholders required for project implementation, and interdisciplinary contribution from peers with more experience in the intended field of study. 
    Rew et al. (2020) Processes for Nursing Research Similarly Utilized for DNP Project Implementation
    Most Beneficial Research Techniques Applicable to DNP Project
     American Association of Colleges of Nursing. (2006). The Essentials of Doctoral Education for Advanced Nursing Practice. 
    American Association of Colleges of Nursing
    . Retrieved from https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdfRew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68(4)
    , 396–405. doi:https://doi.org/10.1016/j.outlook.2020.01.007Yim, C. K., Shumate, L., Barnett, S. H., & Leitman, I. M. (2018). Health literacy assessment and patient satisfaction in surgical practice. 
    Annals of Medicine and Surgery, 35
    , 25–28. doi:https://doi.org/10.1016/j.amsu.2018.08.022

    Sipes, C. (2020). 
    Project management for the advanced practice nurse.
     (2nd, Ed.) Springer Publishing Company.

    MacMahon, A., Cody, E., Caolo, K. C., Henry, J. K., Drakos, M. C., Demetracopoulos, C. A., . . . Ellis, S. J. (2020). Associations Between Baseline PROMIS Scores, Patient-Provider Communication Factors, and Musculoskeletal Health Literacy on Differences in Patients’ and Surgeons’ Expectations in Foot and Ankle Surgery. 
    Foot & Ankle Orthopaedics, 5(4)
    , 1-2. doi:https://doi.org/10.1177/2473011420S00057

    References

    Health Literacy yields suboptimal health outcomes and increased risk for mortality and morbidity- high risk (Yim, Shumate, Barnett, & Leitman, 2018). MacMahon (2020) presents the complication of limited patient knowledge of musculoskeletal health literacy when attempting to educate and obtain surgical consent for podiatric foot surgery. Similarly, Yim et al. (2018) present surgical patients as requiring an understanding of complex medical terminology and pathology in the presence of limited capability to successfully interpret the information for sound decision-making (Yim, Shumate, Barnett, & Leitman, 2018). The use of peer-reviewed evidence-based assessment tools during the implementation phase of project management is an essential cornerstone for project implementation, such as the Newest Vital Sign (NVS) and the Test of Functional Health Literacy in Adults (TOFHLA). The NVS is a six-question health literacy assessment tool devised from reading a nutritional label (Yim, Shumate, Barnett, & Leitman, 2018). MacMahon (2020) reported that over one-third of their study participants had limited health literacy compared to 32 to 57 percent of comparable studies. Healthcare literacy crosses demographics, economics, race, gender, and gender identity. This large population requires adequate sampling to reduce the risk of bias in the podiatric patient population. Utilizing interprofessional and interdisciplinary team members with expertise in clinical questions will strengthen practice implementation initiatives, including project development, implementation, and review of outcomes. It is challenging to pinpoint the most essential components of project management. However, the formation of the clinical question and the dissemination phase best provide the book ends for nurse science dissemination. It will be the most exciting element of my DNP project, reviewing the relationship between health literacy and provider-patient communication. Working in an interdisciplinary outpatient clinical setting with a mix of Doctor of Podiatric Medicine and Nurse Practitioners with ranging backgrounds presents as a unique challenge in fostering clinical practice change. Utilizing the steps for project management will fortify my confidence in leading a practice change initiative compiled from evidence-based practice.

    Rew et al. (2020) devised a brief protocol intervention to reduce adverse health outcomes in homeless youth ages 18-24, at high risk for engaging in risky sexual behaviors and substance abuse utilizing the Solomon four-group (S4G) design to randomly assign study participants into either the intervention group (pretest) and control group (non-pretest) (Rew, Cauvin, Cengiz, Pretorius, & Johnson, 2020). The study rationalized using S4G to control internal and external validity. Phase One: Conceptual, meeting with mentors to establish a timeline, budgeting, and identifying measurable aims of the study. Phase two, designing and planning, is similar to project management phase 1, steps 3-5. Phase Three Empirical phase and data collection included the random assignment of participants to either the intervention group or the control group. Data preparation and Phase 4 analytics have statistical analysis and findings interpretation of collected data. Lastly, Phase 5 dissemination, project closure, and review of lessons learned are the end phases identified by Rew for the study completion. Rew (2020) utilized mixed methods, including qualitative and quantitative data collection, used an interviewing process to extract quantitative data, the research electronic data capture (REDCap), and guidance from PMBOK guide alternative analysis techniques to evaluate the best solutions.

    Phase 2 closely aligns with the DNP essential 2. Organizational and systems leadership for quality improvement and systems thinking. The DNP-prepared nurse is trained to engage in quality improvement strategies with sustainable, lasting change at the corporate and policy level (American Association of Colleges of Nursing, 2006). Phase two also encompasses an official, documented meeting involving key project management team members and key stakeholders, which formalizes the project start. DNP essential four, information systems technology and patient care technology for the improvement and transformation of health care competency, closely aligns with phase three, the project Implementation and Execution Phase, as DNP-prepared nurses are posed to design, select and utilize information systems for outcome evaluation (American Association of Colleges of Nursing, 2006). The most significant and final step in project management is the formalized project closure in phase 5. In the final phase, data evaluation and review of findings, including what went according to plan and what could be improved (lessons learned), closely mirrors the DNP essential competency six, interprofessional collaboration for improving patient and population health outcomes (American Association of Colleges of Nursing, 2006). The conclusion and reporting of implementation findings require strong leadership and communication skills across disciplines. Medical professions are paramount to fostering lasting evidence-based practice and clinical practice change (American Association of Colleges of Nursing, 2006).

    Project Management Concepts that Most Align with the Doctor of Nurse Practice Role and Associated Competencies

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    Ngetla Manyineh Mbonuh
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    Week 2 Discussion – Main Post  
                
    Advanced nursing is about application of quality improvement, evidence-based practices, providing patient-centered care, and working through interdisciplinary teams. Project management concepts are crucial when completing DNP projects and dissertations. Like advanced nursing practice, project management concepts are needed in designing care plans.
                
    In advanced nursing, some critical competencies include financial management, interpersonal skills, clinical knowledge, and communication skills. Successful completion of nursing informatics projects requires project management knowledge like timetables, budgets, and objectives. Advanced nursing practice plays a significant role in the planning and implementation of nursing informatics projects. Additionally, advanced nursing practice ensures projects are successfully completed and satisfy the requirements of patients and nursing staff.   According to Sipes (2020), the advanced nursing practice provides comprehensive examples of the necessary tools used in projects and helps to explain how these tools can be applied to complicated healthcare tasks. Like advanced nursing practice, project management concepts are needed in designing care plans. The project’s goals need to be accomplished to ensure patients and medical staffs are satisfied with the final products.
                
    DNP dissertation or doctorate project can be completed as explained by Rew et al., (2020) article. This involves following all the techniques and procedures. Besides following doctorate project timelines and objectives, developing a budget is also critical. To complete my doctorate project, as an advanced nurse I will follow all processes described in the article. For example, I will apply the empirical phase to collect data from the participants. After collecting data, I will use tools for example SPSS to analyze both qualitative and quantitative data. The tool will help me to evaluate data for accuracy and determine statistical assumptions. Effective completion of a DNP doctorate dissertation or project means following the necessary procedures like properly utilizing the proposed budget (Rew et al., 2020). The ability to complete a DNP project on time depends on the proper management of goals. In this case, I will use the Project Management Body of Knowledge (PMBOK) technique to finalize the research process, like archiving related documents to be used in historical data.In a DNP doctorate project, planning and development of the research topic depend on the timeframe, budget, and objective. Following these procedures will ensure the project is completed on time without necessarily exceeding the allocated costs. Notably, it is important to apply project management skills to support nursing practice in a DNP doctorate project. Some of these tactics involve following deadlines, budgeting, and setting clear objectives. According to Howarth et al., (2017), projects fail because of poor planning. The project will have clear goals, explained objectives, and timescales to prevent this problem. Additionally, it is essential to use project milestones in the DNP doctorate project to provide guidelines on the final stage of the project. Some of the crucial points in the project include ethical approval, accessing the sample population, funding the research, and analyzing the research activities.
                
    Advanced nursing practice plays a significant role in the planning and implementation of nursing informatics projects. Effective completion of a DNP doctorate dissertation or project means following the necessary procedures like properly utilizing the proposed budget. Applying project management skills to support nursing practice in a DNP doctorate project is important. Some of these tactics involve following deadlines, budgeting, and setting clear objectives.Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniquesRew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook
    , 
    68
    (4), 396-405. 
    https://doi.org/10.1016/j.outlook.2020.01.007Links to an external site.
    Springer Publishing.

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.).

                to maximize success with research. 
    British Journal of Cardiac Nursing, 12(3), 116–119.
    doi:10.12968/bjca.2017.12.3.116

    References

    Conclusion

    Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation.

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?.

    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.

    Major Competencies in Advanced Nursing

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    Valerie Corvera
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    Hello Ngetla,ReferencesAycock, D. M., Clark, P. C., Thomas-Seaton, L., Lee, S.-Y., & Moloney, M. (2017). Simple Tools to Facilitate Project Management of a Nursing Research Project. 
    Western Journal of Nursing Research
    , 
    39
    (3), 430–443. https://doi.org/10.1177/0193945916656605

    Smith, C. & Johnson, C.  (2019).  Preparing Nurse Leaders in Nursing Professional Development.  
    Journal for Nurses in Professional Development,  35 
    (3),  160-162.  doi: 10.1097/NND.0000000000000549.

    Great post on the competencies related to advanced nursing and project management. Advanced nurses can have many different roles in healthcare. Depending on their organization and where they work their role can look different in the project management process. Project planning and management have a significant impact on the goals and workload of the nursing profession, project teams in healthcare are often interprofessional and interdisciplinary in composition and charged with macrosystem organization-wide initiatives (Smith & Johnson, 2019). Depending on what role the advanced practice nurse has taken on you have listed important competencies that they must have. Financial management, interpersonal skills, clinical knowledge, and communication skills are very much needed especially if in a leadership role. Project managers must have the appropriate skills and competencies to ensure that the project is successful. Often project managers have limited research management training, are consumed with coordinating more than one project, or have other job responsibilities and commitments that can distract their focus; when projects are poorly managed, errors can occur such as protocol deviations, inconsistencies in data collection, and missing data (Aycock, et al., 2017). With this in mind, it is vital that we take the time to develop the skills necessary to ensure that projects that we work on such as our DNP projects are successful.

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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                                                Case Studies: Professional Role Development
    Project management concepts can help advanced practice nurses plan and manage care processes and analyze data to make informed decisions. For example, project management tools such as Gantt charts can be used to plan and track the progress of a project. In contrast, SWOT analysis can be used to evaluate the strengths and weaknesses of a project and make decisions about its implementation (virtualstrategist, 2016). Additionally, project management techniques such as risk management can help the advanced practice nurse identify potential risks and develop strategies to address them.The same project management concepts and techniques Rew et al. (2020) can be applied to developing a DNP doctoral project or dissertation. The steps and processes used by Rew et al. (2020) can serve as a guide for planning and developing a DNP doctoral project or dissertation. For example, project management tools such as Gantt charts can be used to plan and track the project’s progress. In contrast, SWOT analysis can be used to evaluate the strengths and weaknesses of the project and make decisions about its implementation (virtualstrategist, 2016). Project management techniques such as risk management can help the DNP student identify potential risks and develop strategies to address them. American Nurses Association. (2015). Code of ethics with interpretative statements. Silver Spring, MD: Author. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-ofEthics-For-Nurses.htmlHowarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximize success with research. 
    British Journal of Cardiac Nursing
    , 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116Sipes, C. (2020). 
    Project management for the advanced practice nurse (2nd ed.)
    . Springer Publishing.Yamamoto, K. (2022). Association Between Interdisciplinary Collaboration and Leadership Ability in Intensive Care Unit Nurses: A Cross-Sectional Study. Journal of Nursing Research, 30(2), e202.

    virtualstrategist. (2016, October 19). How to perform a SWOT Analysis Links to an external site [Video]. YouTube.
    https://www.youtube.com/watch?v=I_6AVRGLXGALinks to an external site.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). 
    Application of project management tools and techniques to support nursing intervention research
    . Nursing Outlook, 68(4), 396–405. doi: 10.1016/j.outlook.2020.01.007

    Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of advanced nursing, 75(11), 2378-2392.

    Reference

    The project management strategies learned as a nurse leader can be applied to facilitate nursing research or nursing practice for the DNP doctoral project or dissertation. For example, the project management techniques such as Gantt charts and SWOT analysis can be used to evaluate the project’s progress and identify potential risks and strategies to address them (Howarth, Probyn, & Maz, 2017). Additionally, project management strategies can be used to develop a timeline for completing the project and ensure the project is completed on time. Furthermore, the project management strategies can be used to create a data collection and analysis plan and communicate the project results.

    The project management concepts I have examined thus far in the course can align with this advanced nursing practice role in multiple ways. For instance, project management concepts such as establishing objectives, breaking down tasks, and setting deadlines help to ensure that the advanced practice nurse can effectively provide patient care and complete tasks promptly and efficiently (Sipes, 2020). Additionally, project management concepts such as risk management and process improvement can be used to identify areas of improvement and ensure that the advanced practice nurse is providing the best patient care.

    The significant competencies required for the advanced nursing practice role I selected are patient advocacy, evidence-based practice, collaboration, interdisciplinary teamwork, patient education, and ethical decision-making (Heinen et al., 2019). As an embodiment of the American Nurses Association (ANA) Code of Ethics (2015), nursing practitioners are expected to protect, advocate, and promote their patients’ health, safety, and rights. Evidence-based practice entails using the most appropriate available evidence to inform decision-making and provide efficient care to patients on a scientific basis. EBP is congruent with ethical decision-making, whereby nursing practitioners must think critically and employ their conscience before administering services. Nurses are also expected to work in harmony with their peers through collaboration and interdisciplinary teamwork in seeking solutions to emerging issues and general service delivery to patients (Yamamoto, 2022). These competencies are necessary for providing quality care and improving patient outcomes.

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    David Adubi
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    Discussion 1 Response 2
    Using the project management skills developed while working as a nurse leader, a DNP doctoral project or dissertation can be facilitated in a number of ways. Project management approaches can be used by nurse leaders for a variety of tasks, including the creation and execution of research projects, the evaluation of care delivery models, and the creation and execution of educational programs for nurses and other healthcare workers. Additionally, nurse leaders can organize the members of the care team, develop and carry out initiatives for quality improvement, and supervise and coordinate the delivery of care using project management approaches. The project management Lifecyle consist of initiation, planning strategy, implementation planning, execution & control, and closeout. Every project goes through these stages.  These are perfectly aligned with the nursing process that involves assessment, diagnosis, planning, intervention, and evaluation. The advanced nursing practice role can gain from the project management ideas presented in this course in a number of different ways. For instance, project management concepts can be applied to the planning and organization of care delivery, the development and implementation of initiatives for quality improvement, and the management and coordination of care team members. Project management techniques can also be used to create and implement research initiatives, evaluations of care delivery models, and training programs for nurses and other healthcare professionals.

    Hi Ijeoma,

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    Christian Offor
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    Ijeoma, thanks for your post. As healthcare in the United States continues to evolve under mounting cost and quality pressures, the need for project management cannot be underestimated. Project management in healthcare settings positively impacts projects focused on improving healthcare-related organizations’ operations. Healthcare organizations that practice project management will likely benefit from reduced costs and better performance (Shirley, 2020). The benefits will probably be more profound when the nursing workforce in advanced nursing practice roles is knowledgeable in project management. For example, when advanced practice registered nurses (APRNs) have project management knowledge and skills, they are likely to be more successful in improving nursing practice and in quality initiatives and implementation. I wish to add to your post by noting that the project management concepts discussed align with the roles of APRNs, mainly because they are frequently involved in numerous healthcare projects. When they understand the various project management concepts, APRNs can gain unique knowledge and skills that would enable them to succeed in project management-related roles such as budgeting, scheduling, and resources management (Sipes, 2016). Besides, they can help their healthcare organizations maintain a clinical practice, conduct program evaluations, implement practice changes and improvements, manage quality, translate research evidence into practice, improve healthcare delivery, improve productivity, reduce costs and workload, and reduce risks. Healthcare professionals can significantly improve outcomes across healthcare delivery settings when they understand project management concepts and apply them appropriately in their everyday practice (Shirley, 2020). Overall, I agree that due to how the roles of APRNs have evolved and now include duties such as executing projects, the need for them to understand project management concepts cannot be underestimated.Shirley, D. (2020). 
    Project management for healthcare
     (2
    nd
     ed.). CRC Press.

    Sipes, C. (2016). 
    Project management for the advanced practice nurse
     (1
    st
     ed.). Springer Publishing Company

     References

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    Lizzie Umejei
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    Week 2 Discussion 1 Initial Post
    Major competencies required for the advanced nursing practice role 
    Doctor of Nursing Practice (DNP) is the advanced nursing practice role selected for this discussion. The four significant competencies for this role are informatics, project management, nursing research, collaboration, and education.
     
     Sipes (2020) notes that Project management is a foundational concept in informatics. However, nurses have used the skills under this umbrella today in various ways for several years. For example, having the ability to log on and document in a computer where the computer is the primary mode of entering patient data has been a function nurses have assumed for several years. 
     
     
    The preceding phases of nursing research might align with the DNP doctoral project by providing a guideline for the project, specifically by identifying a problem reviewing the appropriate literature, selecting a research design, developing questions, planning interventions selecting the population, measuring variables collecting and analyzing data and drawing conclusions and communicating findings all within a given time frame. 
            
     

     

     

    R2 Library (Online service), & American Nurses Association. (2015). 
    Nursing Informatics: Scope and Standards of Practice: Vol. Second edition
    . American Nurses Association.

    Sipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed.). Springer Publishing.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. 
    Nursing Outlook, 68
    (4), 396–405. doi:10.1016/j.outlook.2020.01.007

    Kennedy, M. A., & Moen, A. (2017). Nurse leadership and informatics competencies: Shaping transformation of professional practice. Studies in Health Technology and Informatics: Forecasting Informatics Competencies for Nurses in the Future of Connected Health, pp. 232, 197–206. doi:10.3233/978-1-61499-738-2-197

    Healthcare Information and Management Systems Society. (2018). Project Management. Retrieved from 
    https://www.himss.org/get-involved/sigs/project-managementLinks to an external site.

    Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource-limited health care environment. 
    Journal of Multidisciplinary Healthcare
    , 
    10
    , 227-234. 
    https://doi.org/10.2147/JMDH.S140042Links to an external site.

    References

    The planning and intervention phase will provide the most guidance for the DNP doctoral project because it entails selecting the appropriate population, developing a sampling plan, and selecting appropriate measures for theoretical variables.

    According to Rew et al. ( 2020), t
    he first phase of the nursing research process is the conceptual phase. In which the principal investigator (PI) and research team identify the problem, review the appropriate literature, select a conceptual or theoretical framework, and propose a research design to answer research questions or test research hypotheses. The second phase of the nursing research process is designing and planning intervention protocol, selecting the appropriate population, developing a sampling plan, selecting appropriate measures for theoretical variables, developing a plan for protecting human subjects, and developing a budget (Rew et al., 2020). The next stage is the empirical stage which consists of collecting data and then preparing the data to be analyzed. The fourth or analytic phase of nursing research includes the statistical analysis and interpretation of data collected and prepared in the previous phase (Rew et al., 2020). The fifth and final phase of nursing research is the dissemination phase consisting of communicating the findings from the study to other researchers, clinicians, facilities where data were collected, and the funding agency (Rew et al., 2020).

    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research & how the project management concepts align with this advanced nursing practice role.

    Rew et al. (2020) note that Project management is a set of iterative steps that can facilitate the process of conducting nursing research. 
    HIMSS Project Management’s special interest group “provides opportunities for collaboration and professional development of project managers in healthcare organizations,” which it supports through networking, education, and a variety of resources (HIMSS, 2018, para. 1). 

    According to (Kennedy & Moen, 2017), one of the skills identified in the literature for advanced nursing leaders is informatics competencies. Nursing informatics supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in decision-making in all roles and settings to achieve desired outcomes. This support is through the use of information structures, information processes, and information technology (American Nurses Association, 2015). Supporting activities include identifying issues and designing, developing, and implementing effective informatics solutions and technologies within the practice’s clinical, administrative, educational, and research domains (American Nurses Association, 2015).  

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    Regidor Del Rosario
    Regidor Del Rosario
     
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    Thank you for sharing your post with us Lizzie. The role I selected is the DNP prepared nurse with a specialization in psychiatric mental health nurse practitioner or PMHNP. An article was written by Kumar et al. (2020) which mentions major competencies that are important for this role. The major competencies important for this role are data informed planning, established relationships with other entities, use of evidence-based guidelines, family and youth focus with coordination, clinical expertise, communication, understanding of and implementation of the code of ethics, and leadership skill (Kumar et al., 2020). These are important competencies for the DNP prepared nurse specializing in PMHNP because they will assist the DNP prepared nurse in providing the highest level of care to the patient as well as managing and collaborating with a multidisciplinary team. Other concepts that are important for the DNP prepared nurse specializing in PMHNP are having well-defined project goals/ deadlines and objectives, having clear team roles and responsibilities, being transparent, establishing means of accountability and responsibility, utilizing evidence-based practice, and utilizing effective and efficient communication skills (Sipes, 2020). These are all important concepts and competencies for the DNP prepared nurse as they align with project management. When the DNP prepared nurse takes on the role of leader of a change initiative in their organization, skills such as having well-defined project goals and deadlines, having clear team roles and responsibilities, being transparent, and fostering communication are important for a positive outcome of the change initiative / project.Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing.

    Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020).  The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275 – 280. doi: 10.1016/j.apnu.2020.07.022

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    Valerie Corvera
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    Post a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.
    Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why.
    Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?
    Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.
    ReferencesSipes, C. (2020). 
    Project management for the advanced practice nurse
     (2nd ed. pp 25). Springer Publishing.

    Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research Links to an external site.. 
    Nursing Outlook, 68
    (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    Galacio, B.  (2022).  Expanding the Informatics Competencies of Nurse Practitioners Through Online Learning.  
    CIN: Computers, Informatics, Nursing, 40 
    (9), 606-614.  doi: 10.1097/CIN.0000000000000864.

    The entire process is useful for the DNP project. The conceptual phase is doing the research and figuring out what practice problem needs to be improved. The design and planning phase is creating the design of the project of trying to improve the practice problem. This is figuring out who the patient population is going to be how is data going to be collected? Addressing financial aspects of the project. Empirical phase is the actual collection and preparation of data. Analytic phase is the statistical analysis of all the data and interpretation of the results. The dissemination phase is the communication of the results of the project. Learning the project management skills will help me throughout the DNP project process because the focus of these skills is to learn and apply the research process. Understanding the process and why it is done the way it is done is important because it will help me to successfully complete my DNP project. It will give me an understanding before the project is started which will make it smoother for me during the project and have a deeper understanding of the results of the project and how to apply it once I have successfully completed the DNP project and begin applying it in my professional practice.

    Rew at al. (2020) do an excellent job of describing the steps and processes that are used for project management. I think that the way it is broken down into different phases and each phase is broken down into more detailed tasks is a great guideline for me to utilize when completing my DNP project. Following the roadmap, they lay out can help successfully complete each step during the DNP project.

    The 5 project management concepts are design/initiate project, develop project plan, implement project plan, monitor, and control project, and close project and evaluate lessons learned (Sipes, 2020). The concepts of project management mirror the concepts of the nursing process. We are taught to apply these concepts in nursing school which are assess, diagnose, outcomes plan, implement care plan and evaluate plan. These concepts are very similar, and the project management concepts align with the NP role because it is just a shift in focus for the NP. The NP is more direct patient care related but applies the same concept to patient care and patient plan of care. PM is the same process but focused on the improvement of whatever project is chosen.
     

    The role that I chose was a Nurse Practitioner and 4 major competencies required for a NP are information management, information literacy, computer skills, and the ability to work with datasets and databases (Galacio, 2022). It is important for a NP to have these competencies because project management requires the NP to be able to effectively use a computer and be able to navigate as needed to gather information or data that is needed. NP’s must also be able to not only gather information and data but they must also be able to interpret and understand the data that is being obtained. Knowledge of how to use the data is important as well because data that is gathered needs to be used effectively to assist with the end goal of the project.

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    Regidor Del Rosario
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    Thank you for sharing your post with us Valerie. The role I selected is the DNP prepared nurse with a specialization in Psychiatric Mental Health Nurse Practitioner or PMHNP. The DNP prepared nurse with a specialization in PMHNP should be prepared in the following concepts having well-defined project goals/ deadlines and objectives, having clear team roles and responsibilities, being transparent, establishing means of accountability and responsibility, utilizing evidence-based practice, and utilizing effective and efficient communication skills (Sipes, 2020). Kumar et al. (2020) mentions competencies that are also important for the APRN, they are data informed planning, established relationships with other entities, use of evidence-based guidelines, family and youth focus with coordination, clinical expertise, communication, understanding of and implementation of the code of ethics, and leadership skills. These concepts and competencies also align with those you’ve mentioned which are information management, information literacy, computer skills, and the ability to work with datasets and databases (Galacio, 2022). All of the above competencies and concepts align with the role of the APRN as they will also participate in project management.Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020).  The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275 – 280. doi: 10.1016/j.apnu.2020.07.022

    Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed. pp 25). Springer Publishing.

    Galacio, B.  (2022).  Expanding the Informatics Competencies of Nurse Practitioners Through Online Learning.  CIN: Computers, Informatics, Nursing, 40 (9), 606-614.  doi: 10.1097/CIN.0000000000000864.

  • Week 2: Discussion 2 IMPORTANT TERMINOLOGY AND CONCEPTS

    TO PREPARE

    Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.

    Usability

    Interoperability

    Decision Support

    Sustainability

    Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.

    BY DAY 4 OF WEEK 2

    Post 
    and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific. Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms.

    BY DAY 6 OF WEEK 2

    Read
     a selection of your colleagues’ responses and 
    respond
     to 
    at least two
     of your colleagues on 
    two different days
     who selected different terms than you. Expand upon your colleague’s posting or offer an alternative perspective on how the terms identified by your colleague may contribute to non-functionality in your practice if not properly aligned.

      The two terms I selected are the following: Decision Support and Sustainability. These two terms are important to me within my practice because decision support means you have a supportive team you are able to collaborate with in order to better yourself and your team. Sustainability is being able to implement policies or practices that are going to hold and stick. Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility and a willingness to change. (Leffers J, 2011)Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, editors. Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan; 2005Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. Public Health Nurs. 2011;28:91–102

    Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: new direction for nursing research. J Adv Nurs. 2009;65:1527–38

                These terms are extremely important to nursing practice because they provide support and structure which is needed in an environment that is always changing. In order to create staff retention these two factors are majorly important. Consequences of sustainability in nursing include education in the areas of ecology, environment and sustainable development as well as sustainability as a part of nursing academic programs and in the description of the academic subject of nursing. (Hansen-Ketchum P, 2009) If these terms are not applied appropriate this can cause disorder and a stressful overwhelming environment. Sustainability in nursing was explored and found to contribute to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. (Brown VA, 2005)

     
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    Vicky Awken Ngang
    Vicky Awken Ngang
     
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    Thank you so much for your detailed post this week Brittney.ReferencesAnåker, A., & Elf, M. (2022). Sustainability in nursing: a concept analysis. 
    Scandinavian
    Journal of Caring Sciences
    , 
    28
    (2), 381–389. https://doi.org/10.1111/scs.12121

    Goodman B. Developing the concept of sustainability in nursing. Nurs Philos. 2016 Oct;17(4):298-306. doi: 10.1111/nup.12143. Epub 2016 Jul 25. PMID: 27456540.

    Anderson JA, Willson P. Clinical decision support systems in nursing: synthesis of the science for evidence-based practice. Comput Inform Nurs. 2008 May-Jun;26(3):151-8. doi: 10.1097/01.NCN.0000304783.72811.8e. PMID: 18438151.

    A decision support system is designed to improve healthcare delivery by supplementing medical decisions with targeted clinical knowledge, patient information, and other health data. A decision support system is a collection of software designed to aid in clinical decision-making. Decision support today is primarily used at the point of care. Providers combine their knowledge with information or suggestions provided by the clinical decision support system (Anderson & Willson, 2018). Sustainability is a multifaceted concept that incorporates environmental, sociocultural, and financial considerations. Several studies have linked the long-term viability of health-care systems to improved people’s quality of life. (Goodman, 2016). Sustainability in nursing was found to add to sustainable development and maintain an environment that does not harm current and future generations’ opportunities for good health (Anåker & Elf, 2022).

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    David Adubi
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    Discussion 2 Response 1
    Clinical decision support (CDS) delivers expertise and person-specific information, intelligently filtered or provided at the right times, to physicians, staff, patients or other individuals to improve health and healthcare. A wide range of tools are included in CDS to improve clinical workflow decision-making. A few of these tools are focused patient data reports and summaries, focused patient data alerts and reminders for healthcare professionals and patients, clinical recommendations, condition-specific order sets, documentation templates, diagnostic support, and contextually appropriate reference data. Numerous significant advantages of CDS include greater efficiency, cost-benefit analysis, provider and patient satisfaction, improved health outcomes, and decreased errors and adverse occurrences. A complex health IT component is CDS. To produce and convey useful information to clinicians while care is being provided, it requires computable biomedical knowledge, person-specific data, and a reasoning or inferencing mechanism that blends knowledge and data. This data must be filtered, arranged, and presented in a way that supports the existing process so that the user can quickly and effectively make a decision and act. Different types of CDS might be best suited for certain care processes in various locations. Because they can help clinicians deal with the mounting information overload they experience and offer a platform for incorporating evidence-based knowledge into care delivery, health information technologies intended to improve clinical decision making are particularly appealing (
    Clinical decision support
     2018)
    Clinical decision support
    . HealthIT.gov. (2018, April 10). Retrieved December 8, 2022, from https://www.healthit.gov/topic/safety/clinical-decision-support

    Reference

    Hi Brittany,

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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                                                                                            Important terminology and Concepts:
    I hope your day is going on well. First of all, good job on the post. I hope to learn more since I did not select support and sustainability for my post. I like your take on the post, as you mention how it is important to you and your practice since decision support means you have a support system with which you can easily collaborate. Responding to your definition of sustainability, AnAaker and Elf (2014) also have a similar take on sustainability. As you highlighted in your post, sustainability involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance. I agree that the nursing environment is always evolving and changing with time. Hence, underlining the great value support and sustainability have on nursing practice as they provide support and structure.
     
    AnAaker, A., & Elf, M. (2014). Sustainability in nursing: a concept analysis. Scandinavian journal of caring sciences, 28(2), 381-                        389.

    Heidari, M., Seifi, B., & Gharebagh, Z. (2017). Nursing staff retention: Effective factors. Annals of Tropical Medicine and Public                      Health, 10(6).

                                                                                                                   References

    You also mentioned that sustainability and support formed the major important factors in staff retention in nursing. Heidari et al. (2017) conducted a study to find out what were among the reasons that are affecting nursing staff retention. You also mentioned that the sustainability consequences in nursing included education in ecology, environment, and sustainable development, as well as sustainability as a part of the nursing academic program. Again, there are various aspects of supporting systems that contribute to nursing staff retention. Support and sustainability provide insights that nursing systems can utilize when implementing and designing strategies to arrive at a sustainable workforce.

    Hi Brittney,

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    Edith ?N?W?A?K?A?E?G?O Ama
    Edith ?N?W?A?K?A?E?G?O Ama
     
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    Nice post Brittney,                                                                         References       direction for nursing research. J Adv Nurs. 2009;65:1527–38

    Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health.

    Public Health Nurs. 2011;28:91–102

    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., &amp; Kroeker,

    K. I. (2020). An overview of clinical decision support systems: benefits, risks, and

    strategies for success. NPJ digital medicine, 3(1), 1-10.

    Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: a new

    For one to understand nursing it is important to be knowledgeable of concepts that support the

    discipline. The two terms chosen in the post were sustainability and decision support (Sutton et

    al, 2020). Sustainability involves development in the delivery of high-quality patient care for all

    while promoting financial, social, and environmental development (Leffers and Mitchell).

    Therefore, nurses have to develop the quality of healthcare by minimizing the negative impacts

    of the environment and leveraging opportunities to restore it for the benefit of current and future

    generations. Sustainability gives structure to nursing practice, especially for students who are

    trying to learn and understand the whole discipline.

    Decision support systems are computer-based programs that analyze data within EHRS to

    provide prompts and reminders that help healthcare providers in implementing evidence-based

    clinical guidelines at the point of care (Hansen-Ketchum et al). Decision support systems are

    important for nurses because they enable timely problem-solving, informed decision-making,

    and improved efficiency when dealing with issues or operations, event management, and

    planning.

    Apart from the above terms, there are many other concepts that nurse use to understand better the

    whole nursing course.

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    Sara Haynes Perry
    Sara Haynes Perry
     
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    Week 2 dicsussion 2The two terms I selected were Usability and Interoperabilty. Usability refers to the health information technology by the healthcare works/user, system in which errors usability flaws occur. This can be in relation to the user, the system, and the user knowledge of system in use, Marcilly et al, (2019).Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific.Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms. HealthIT.gov. (n.d.). 
    Health information technology advisory committee Links to an external site.Links to an external site.
    (HITAC)
    . https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac0p.vPowell, K. R., & Alexander, G. L. (2019). 
    Mitigating barriers to interoperability in health care Links to an external site.Links to an external site.
    . Online Journal of Nursing Informatics, 23
    (2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-care

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). 
    Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.
    . 
    Applied Clinical Informatics, 10
    (3), 395–408. doi:10.1055/s-0039-1691841

    References

    Usability errors can cause a range of problems from near misses or injury to death. While the spectrum is large, all are important factors and impacts the patient care, health, and confidence within the system. The user must be trained well, as the system must be a well-functioning user-friendly option that avoids errors and provides optimal information technology and support to the users. Interoperability can cause errors in patient centered care and problems with patient data if there are problems within the system, both the patent and the provider can be affected in regards to data accessibility and information.

    It is important for these terms to be understood because they are a major part of the healthcare information technology. They were developed to secure patient data, patient safety, patient centered care, and user-friendly technology that is secure and protected. The Health Information Technology Advisory Committee, (HITAC), was set in place to provide standards, policies, implementation specifics, and certification criteria when HIT is implemented, HelathIT.gov, (n.d.). Specifically, these were important to understand as they apply directly to today’s modern technology and patient care. In order to provide the most up to date evidence-based practice and track problems or improvements, the system, when it works well, can be effective and useful with these above terms and how they pertain to the HIT.

    Interoperabilty improves clinical decision making through timely and complete access to information and accessibility to evidence-based guidelines accessibility, Powell & Alexander, (2019). This in turn provides patient centered care related to access and control over personal health information,

    Post 
    and define the two terms you selected;

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    Vicky Awken Ngang
    Vicky Awken Ngang
     
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    Hello Sara                                                        REFERENCESBates, D. W., & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future?. 
    Health services research
    , 
    53
    (5), 3270–3277. https://doi.org/10.1111/1475-6773.12852

    Agha, Z. , Calvitti A., Ashfaq S., Farber N., Street R., Bell K., Liu L., Gabuzda M., Chen Y., Barbara G., and Rick S.. 2014. “EHR Usability Burden and Its Impact on Primary Care Providers Workflow.” 
    SGIM 37th Annual Meeting
    , San Diego.

    I enjoyed your two terms interoperability and decision support. Interoperability has been defined by the Institute for Electrical and Electronics Engineering in the IEEE Standard Computer Dictionary as “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). Interoperability is very beneficial in the digital economy world noted Agha et al., 2014. Due to the post-Covid pandemic Tele-visiting has increased. Information should be shared seamlessly between healthcare providers and patients on an easy to access platform. Interoperability has improved our healthcare system in general. Patient retention has significantly increased post pandemic and it is thanks to technology.

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    Christian Offor
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    Sara, thanks for your post. Usability and interoperability are two essential concepts in nursing informatics. In nursing informatics, usability and interoperability are two key ideas (www.healthit.gov). Nurses that are proficient in the use of modern technology are better able to care for their patients. For instance, portable monitors allow nurses to check on patients quickly, even when occupied with other tasks. Nurses receive an alert if a patient needs urgent attention, significantly reducing response times. Nurses may only be able to use a nursing informatics system to its full potential if it is user-friendly (Lee, 2007). This could result in careless mistakes and subpar treatment for patients. Also, it’s crucial that various systems can talk to one another and share data. Nursing informatics systems that are not interoperable can make sharing patient data with other systems challenging. This can result in poorer quality care for patients and lead to duplication of effort, mistakes, and subpar care. If a nursing informatics system is not interoperable, it may be difficult or impossible to exchange information with other systems, leading to errors and suboptimal patient care.Lee, T. T. (2007). Nurses’ experiences using a nursing information system: early stage of technology implementation. 
    Computers, informatics, nursing : CIN
    , 
    25
    (5), 294–300. 
    https://doi.org/10.1097/01.NCN.0000289166.61863.0bLinks to an external site.

    Interoperability Standards. (n.d.). Retrieved from 
    https://www.healthit.gov/Links to an external site.
     topic/ interoperability/standards

    References

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    Lovester Duncan
    Lovester Duncan
     
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    Sara, you are correct, usability measures whether a healthcare user and or users can accomplish a specific set of tasks in a particular setting with effectiveness, efficiency, and satisfaction.  A system with good usability will also be effective, efficient, and able to deliver care and services effectively.  Additionally, usability is how well a system performs its intended function and/or can perform the job that it was designed to perform effectively without flaws.  In the healthcare system, usability errors and flaws can adversely affect patients’ health and well-being. When users are not trained or if the equipment is not user-friendly, they may worsen their medical conditions, increase healthcare expenditure, or even result in a lawsuit and death as you mentioned.  The poor usability of HIT can result in implementation failures or rejections, difficulties in using the system, and, even more, safety concerns for patients (Marcilly, Schiro, Beuscart-Zéphir, Magrabi, 2019). In typical usage situations, poor usability is determined by the presence of usability flaws, the system, and requirements on the user that make it unpleasant, inefficient, onerous, disturbing, or impossible to reach the user’s objectives (Marcilly et al.,2019). Therefore, I agree with your point that workers and or system users need to receive in-services and or training to reduce errors and flaws. Also, systems should be functioning properly and or should be inspected annually to ensure they are functioning properly. Additionally, Health information technology (HIT) promises to improve safety, efficiency, and overall quality of care delivery. As you mentioned (Marcilly, et al.,2019), biannual inspections and certification criteria are essential for detecting usability flaws and ensuring quality care and safety. Finally, despite biases in incident reports because reporters are typically afraid of being reprimanded, it is essential to use incident reports to assess and or identify usability flaws.  Information collected from incident report forms can be used by the quality improvement department in the hospital to identify the root cause of the problem and improve usability by making equipment user-friendly, safe, and usable.

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site. 
    Applied Clinical Informatics,
     10(3), 395–408. doi:10.1055/s-0039-1691841

    References

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    David Adubi
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    Discussion 2 Main Post
    Definition of Terms
    Interoperability refers to the ability of apps, equipment, products, and systems from different companies to seamlessly communicate and process data in a way that does not require any involvement from end users. This process consists of two primary methods. For the first method, businesses can share data and resources between systems through a local area network (LAN) or a wide area network (WAN). Additionally, companies can share data between different systems or machines via software and hardware. Essentially, interoperability allows different information systems to talk and comprehend information passed to each other.  There are three main types of interoperability, which include syntactic, structural, and semantic.  Syntactic interoperability is when two or more systems can communicate and share data, thus allowing different types of software to work together. This happens even if the interface or language is not the same.  Structural interoperability defines the data exchange format, which specifies the standards used to format messages sent from one system to another. This is essential for users to be able to understand the information’s purpose clearly. In semantic interoperability, two or more systems connect and share data that each system understands in a meaningful way (Hare, 2021).Interoperability plays a key role in facilitating organized and effective data exchange between information systems. As you can imagine, businesses across most industries can benefit from this crucial functionality.  Business systems that receive information can quickly and automatically connect and share the information to the relevant parties. Businesses can operate more smoothly, as necessary data is readily available and accessible to all relevant parties and systems. This is a much more efficient process compared to waiting for vital information required to achieve goals. Interoperability provides data unity, which is essential for helping businesses to manage and access information from external systems and vice versa. Data protection is a requirement for any business. Fortunately, this process helps protect sensitive data. Companies can access this via shared records offered through interoperability instead of manually and repeatedly entering personal information. Information systems that are connected usually result in better quality data and, thus, fewer errors. Lastly, synchronized systems can send and receive information automatically. In turn, this takes up fewer resources and costs compared to non-inoperable systems that must request data manually from another system. Interoperability in healthcare systems can simplify receiving, sending, and keeping updated medical records via electronic platforms. This includes everything from invoice information to lab findings. Indeed, this facilitates speedy access to a patient’s medical records by healthcare practitioners, even if they are not utilizing the organization’s internal systems (Hare, 2021). To provide patient care, nurses and other professionals heavily rely on the electronic health record (EHR). This includes coordination with other members of the healthcare team, ordering and administering medications, monitoring patients, and making clinical decisions. Nurse workload increases and patient outcomes are at risk when the EHR system prevents efficient and effective work performance. Reducing nurse fatigue and utilizing the full potential of EHRs to enhance the quality and safety of healthcare may depend on improving EHR usability.One of the many significant flaws of the EHRs currently in use, which leads to duplicate healthcare costs, increased professional workload exhaustion, and a possible risk to patient safety, is the absence of universal interoperability. This is particularly troublesome for patient populations who depend on efficient patient information sharing via EHRs to support their care, such as those with chronic diseases, polypharmacy, and numerous comorbidities. Patient safety suffers from poor EHR interoperability, which is also expensive for health systems. Increased risks of prescription errors, fragmentation of patient data, iatrogenic injury brought on by redundant testing, and increased healthcare costs are just a few of the effects (Li et al., 2021)Boldt, K. (2021, March 9). 
    EHR usability: What is it, why is it so important, and how can it be measured? (infographic)
    . Medsphere. Retrieved December 7, 2022, from https://www.medsphere.com/blog/ehr-usability/Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021, July 14). 
    Electronic Health Records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol
    . BMJ open. Retrieved December 7, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8280868/#:~:text=The%20lack%20of%20universal%20interoperability,potential%20risk%20to%20patient%20safety.

    Hare, V. (2021, November 24). 
    What is interoperability and why is it important?
     tokenex. Retrieved December 7, 2022, from 
    https://www.tokenex.com/blog/what-is-interoperability-and-why-is-it-important/Links to an external site.

    References

    Impact of Non-Functionality in Nursing Practice

    Importance to Application of Information Technology and Nursing Practice

    EHR usability is described by the Healthcare Information Management Systems Society (HIMSS) as the success, efficacy, and satisfaction with which individual users can complete a particular set of tasks in a particular setting. In general, a system with strong usability is efficient and simple to operate. It is intuitive, forgiving of errors, and enables one to carry out important tasks swiftly, effectively, and with the least amount of mental effort possible. The usability—or lack thereof—of an HER affects a number of factors, including productivity, patient safety, physician satisfaction, burnout, and profitability. Some experts even come to the conclusion that it should be your top priority when selecting a new HER. Additionally, it is necessary to meet the ONC’s 2015 Edition requirements for patient safety (Boldt, 2021).

    Important Terminology and Concepts

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    Regidor Del Rosario
    Regidor Del Rosario
     
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    Thank you for sharing your post with us David, the terms you’ve selected usability and interoperability are important for the APRN to fully understand and to use in their nursing practice. Interoperability is what allows for the nurse to communicate with the multidisciplinary team (Bates & Samal, 2018). Hattingh et al. (2020) refers to usability as the effectiveness, efficiency, and satisfaction with which users achieve goals using computer systems. If the utilization of these terms are not properly aligned in the nursing practice of the APRN it may lead to non-functionality. Non-functionality in relation to interoperability and usability can lead to a medication errors, harm to the patient and a decrease in the quality of care that is being provided to the patient. For example, when the EHR is not being properly utilized or it is not properly functioning, the nurse is unable to view the record of the patient; this contains medications ordered by the Healthcare Provider, vital labs, and even allergies of the patient. If the pyxis machine is not functioning properly in the hospital setting, the nurse will be unable to deliver necessary mediations for the patient.Hattingh, M, Matthee, M., Smuts, H., Pappas, I., Dwivedi, Y., & Mantymaki, M. (2020). A Methodology to Compare the Usability of Information Systems. Nature Public Health Emergency Collection, 12067, 452-463. doi: 10.1007/978-3-030-45002-1_39

    Bates, D. & Samal, L. Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? 
    Health Services Research, 53(5), 
    3270 – 3277. doi: 10.1111/1475-6773.12852

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    Rosemary Kwaven
    Rosemary Kwaven
     
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    IMPORTANT TERMINOLOGIES AND CONCEPTS
    Interoperability
    Usability
    Potential Impacts of Non-functionality
    References
    Kieft, R. A. M. M., Vreeke, E. M., de Groot, E. M., Volkert, P. A., Francke, A. L., & Delnoij, D. M. J. (2017). The development of a nursing subset of patient problems to support interoperability. 
    BMC Medical Informatics and Decision Making
    , 
    17
    (1), 158. 
    https://doi.org/10.1186/s12911-017-0567-5Links to an external site.Links to an external site.
    Staggers, N., & Rodney, M. (2012). Promoting Usability in Organizations with a New Health Usability Model: Implications for Nursing Informatics. 
    NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics, 2012
    , 396.

    Rojas, C. L., & Seckman, C. A. (2014). The Informatics Nurse Specialist Role in Electronic Health Record Usability Evaluation. 
    CIN: Computers, Informatics, Nursing
    , 
    32
    (5), 214–222. 
    https://doi.org/10.1097/CIN.0000000000000042Links to an external site.Links to an external site.

    Chow, M., Beene, M., O’Brien, A., Greim, P., Cromwell, T., DuLong, D., & Bedecarré, D. (2015). A nursing information model process for interoperability. 
    Journal of the American Medical Informatics Association
    , 
    22
    (3), 608–614. 
    https://doi.org/10.1093/jamia/ocu026Links to an external site.

    An electronic system is not always perfect, and the impact of non-functionality that may arise in nursing practice if barriers exist includes a lack of consistency when identifying patients. These problems can occur when information is stored in different systems or the patient previous healthcare delivery system is different from their current system, which may lead to identification and information errors. Other barriers are the lack of standards for sending, receiving, and managing communication between health systems. The impact of the non-functionality of usability as a barrier includes hardware issues or malfunction. Nurses’ usability of health technology is to get the work done by being knowledgeable of technology and issues that could contribute to errors in the system and reporting them for prompt evaluation and correction.

    Usability is vital for nursing informatics and enables the use of technology, and it is related to the proper use of information technology by healthcare providers. The success of electronic health records relies on how usable the software is for clinicians, and a thorough usability evaluation is needed before implementing a system within an organization or healthcare system (Rojas & Seckman, 2014). Healthcare practice relies more on technology, and nurses’ experiences with health technology vary greatly depending on the healthcare settings, design of the software, and hardware of each system. For instance, telehealth services allow patients to obtain healthcare services such as follow-up care. Telehealth services have made healthcare accessible and services available for patients in remote areas or underserved communities with limited access to healthcare in person. In addition, Nurses are critical frontline healthcare providers; however, not all nurses have the adequate knowledge and skills required to perform extensive usability, which could create a problem in any given setting. The informatics nurse specialist plays a critical role in ensuring all onboard nurses and healthcare providers are competent in using the available technologist to optimize patient care.

    Effective health information exchange can facilitate easier access and retrieval of data by nurses which can help to ensure more safe, timely, and efficient patient-centered care .
     
    Quality patient care requires knowledgeable individuals, and information technology skills are critical in today’s healthcare system. In addition, a vital communication tool for patient care is interoperability. Interoperability is the ability of electronic systems, technology, or software to exchange information (Kieft et al., 2017). It helps brings multiple sources of information together using healthcare technology, innovations, and analytics to improve patient care outcomes. Interoperability helps clinicians deliver prompt, safe, effective, and patient-centered care through different technologies communicating within the organization or system. It enables nurses and other healthcare providers to make intelligent decisions on patient care and achieve the best care outcome for patients. Interoperable devices include electronic medical records (EMR), specialty focus, and ancillary systems, which allow data to flow spontaneously across the health system and healthcare teams, enabling quick assessment and prompt intervention (Chow et al., 2015). For instance, the patient’s past medical and surgical history and other relevant information, such as medications and hospital visits, can be shared through an electronic system and viewed in any organization that uses the same system, such as EPIC. Many patients’ information does not have to be synthesized manually, which enables nurses to spend more time caring for such patients.

    Nursing Informatics and concepts combine analytical and nursing science to determine the best practice approaches. A comprehensive understanding of these terminologies enhances efficacy and improves skills in nursing specialties. Designing and creating functional health information systems requires a grasp of interoperability and usability.

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    Ngetla Manyineh Mbonuh
    Ngetla Manyineh Mbonuh
     
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    Hello Rosemary, On the other hand, Usability is also a great word you have selected, which is important in technology applications. The use of technology in healthcare is increasing, and nurses’ experiences with it vary greatly depending on the healthcare settings, the software, and the hardware of each system. Examples are telehealth services. Chow, M., Beene, M., O’Brien, A., Greim, P., Cromwell, T., DuLong, D., & Bedecarré, D. (2015). A nursing information model process for interoperability. 
    Journal of the American Medical Informatics Association
    , 
    22
    (3), 608–614. https://doi.org/10.1093/jamia/ocu026Links to an external site.

    Kieft, R. A. M. M., Vreeke, E. M., de Groot, E. M., Volkert, P. A., Francke, A. L., & Delnoij, D. M. J. (2017). The development of a nursing subset of patient problems to support                interoperability. 
    BMC Medical Informatics and Decision Making
    , 
    17
    (1),

    References:

    You did a great job with your selection of the terminologies. As you have well elaborated, the combination of nursing Informatics and concepts is vital to determine best practice approaches. The inclusion of Interoperability leads to easier access and retrieval of data meant for nurses. It helps in various ways, such as safety and efficient patient care. Effective health information exchange can make it simpler for nurses to access and retrieve data, resulting in more secure, timely, and effective patient-centered care (Kieft, et al,. 2017). Well informed personnel are necessary for high-quality patient care, and the modern healthcare system is highly dependent on information technology expertise. Interoperability is another crucial communication tool for patient care. The capacity of software, hardware, or electronic systems to exchange data is known as Interoperability as Chow, et al, (2015) highlight.  It uses healthcare technology, innovations, and analytics to combine data from various sources and improve patient care outcomes. You have also explained how Interoperability assists clinicians in delivering prompt, safe, effective, and patient-centered care through different technologies communicating within the organization or system.

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    Nkeiruka C Emechete
    Nkeiruka C Emechete
     
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    Important Terminology and Concepts
    Interoperability is important in the application of information technology and nursing practice because it determines the capability of healthcare software systems and computers to exchange and share data from numerous sources such as the laboratory, pharmacies, medical practices, hospitals and clinics (Li et al., 2021). On the other hand, decision support is a computer program that analyzes large amounts of data such as with EHRs, and in turn provides timely information at the point of care to inform clinical decisions in patient care (Sutton et al., 2020).The potential impact of non-functionality that may arise in my nursing practice if barriers exist for the proper application of interoperability include compromised patient safety associated with an increased risk for fragmentation of patient data, medication errors and increased cost of care (Li et al., 2021). On the other hand, the potential impact of non-functionality that may arise in my nursing practice if barriers exist for the proper application of decision support include medication errors and diagnostic errors secondary to missed information (Sutton et al., 2020).Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. 
    BMJ open
    , 
    11
    (7), e044941.

    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    NPJ digital medicine
    , 
    3
    (1), 1-10.

    References

    Interoperability impacts nursing practice through making sharing of vital patient data efficient, safe and reduces cost of care by facilitating easier access to patient health records such as through EHRs, while and decision support impacts nursing practice by providing the most suitable options that guides decision-making by providing reminders and prompts that aid healthcare providers in implementing evidence-based clinical guidelines at the point of care (Li et al., 2021; Sutton et al., 2020).

    The terms that I selected are interoperability and decision support. Interoperability is the extent to which systems and devices can exchange data, and interpret the shared data (Li et al., 2021).

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    Quateka Cochran
    Quateka Cochran
     
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    Hi Nkeiruka,

    Clinical Decision Support
    . (2019). Agency for Healthcare Research and Quality. https://www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html

    You selected interoperability and decision support. You did an excellent job discussing interoperability but I don’t see any information concerning decision support. Decision support are tools that are used to help an organization look at the presented data and make an informed decision. Clinical decision support provides timely information, usually at the point of care, to help inform decisions about a patient’s care. Clinical decision support can effectively improve patient outcomes and lead to higher-quality health care (AHRQ, 2019).  The article went on to say the main purpose of CDS is to provide timely information to clinicians, patients, and others to inform decisions about health care. CDS can potentially lower costs, improve efficiency, and reduce patient inconvenience. How do you think CDS impact informatics?

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    Lizzie Umejei
    Lizzie Umejei
     
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    Response 1 Week 2 discussion 2
    Hi Nkeiruka, 
    Intriguing post. 
    Reis et al. (2017) define interoperability as 
    the ability of health information systems to work together within and across organizational boundaries to advance effective healthcare delivery for individuals and communities
    .
    References
    https://www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.htmlLinks to an external site.
    Reis ZSN, Maia TA, Marcolino MS, (2017). Is there evidence of cost benefits of electronic medical records, Standards, or Interoperability in hospital information systems? overview of systematic reviews. 
    JMIR Med Inform
     2017;5:e26. 10.2196/medinform

    Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    NPJ digital medicine
    , 
    3
    (1),10.ersal%20interoperability,potential%20risk%20to%20patient%20safety.

    Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2020). Protocol: Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. 
    BMJ Open
    , 
    11
    (7). 
    https://doi.org/10.1136/bmjopen-2020-044941Links to an external site.

    Agency for Healthcare Research and Quality. (2019)
     Clinical Decision Support

    Agency for Healthcare Research and Quality. (2019) state that Clinical decision support (CDS) provides healthcare practitioners with the knowledge and person-specific information intelligently filtered, or presented at appropriate times, to enhance health and healthcare. Clinical decision support (CDS) refers to digital tools to help inform patient care. 
    Patient-centered clinical decision support (PC CDS)Links to an external site.
     is CDS that centers on the patient or their caregiver and facilitates their active involvement in healthcare decision-making with their care team. PC CDS has the potential to be transformative to enable higher-quality care delivery and improved outcomes (Sutton et al. 2020) (AHRQ 2019). I Agree that the potential impact of the non-functionality of the two terms is a threat to patient safety.

     

      

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    Edith ?N?W?A?K?A?E?G?O Ama
    Edith ?N?W?A?K?A?E?G?O Ama
     
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    Hello Nkiru,Nursing just like other courses has concepts that help learners understand the course in detail.

    Two of the terms that could help one learn about the discipline are decision support and

    interoperability. Decision support is a program that is computer-based and used to analyze data

    within the EHRS to develop reminders and prompts that assist healthcare providers to carry out

    evidence-based clinical guidelines at every point of healthcare to each patient (Brown et al,

    2005). The system supports more informed and timely problem-solving decisions.

    Interoperability enables information technology and the healthcare system to work together

    seamlessly to provide quality healthcare (Li et al, 2021). A mobile application streamlines a

    patient’s experience across the customer journey and assists them in making more informed

    decisions when seeking medical care. Advancing technology has improved the quality of

    healthcare over time. Thus, nurses need to get acquainted with technology and all the features to

    assist in the practice (Hansem-Ketchum et al,). The two concepts above are among many

    important concepts in nursing that students get to interact with throughout the course.

    Interoperability has made it easier to learn nursing and store medical data.

    Li, E., Clarke, J., Neves, A. L., Ashrafian, H., &amp; Darzi, A. (2021). Electronic Health

    Records, Interoperability and Patient Safety in Health Systems of High-income

    Countries: A Systematic Review Protocol. BMJ open, 11(7), e044941.Hansen-Ketchum P, Marck P,Reutter L. Engaging with nature to promote health: a new

    direction for nursing research. J Adv Nurs. 2009;65:1527–38

    Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, editors. Sustainability and Health.

    Supporting Global Ecological Integrity in Public Health. London: Earthscan; 2005.

                                                                          References

    I enjoyed reading your post!

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    Lovester Duncan
    Lovester Duncan
     
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    Thanks for the informative discussion, Nkeiruka C Emechete.  The healthcare industry relies heavily on decision support. The system analyzes huge amounts of data containing patient information to enable critical decision-making when providing care, as you mentioned. A decision support program analyzes large amounts of data, as with electronic health records, and then provides clinical decisions at the point of care based on that information. A decision support system is crucial in healthcare systems because it helps with the retrieval of health information and patient data, as well as the diagnosis and treatment of patients. It is a computer program that analyzes a patient’s entire health information, including their physical information, their vital, laboratory results, their symptoms, and other healthcare data, and this analysis can help physicians diagnose patients and treat them (Blazek, Hrosova, & Collier2022).   (Blazek, Hrosova, & Collier2022) showed that clinical decision support systems like wearable healthcare devices and machine learning algorithms can help prevent, detect, diagnose, and treat COVID-19. It is essential to comprehend whether tracking infected patients using machine learning algorithms can prevent the spread of COVID-19 by processing and analyzing accurate data (Blazek, Hrosova, and Collier2022).   Thus, I agree that non-functionality decision support could negatively impact healthcare delivery since data might not be stored to facilitate diagnosis and treatment, which could delay diagnosis, treatment, and worsening medical conditions and lead to preventable deaths.  Additionally, I believe there will be medical, medication, and outcome errors if barriers exist in decision support Blazek, R., Hrosova, L., & Collier, J. (2022). Internet of Medical Things-based Clinical Decision Support Systems, Smart Healthcare Wearable Devices, and Machine Learning Algorithms in COVID-19 Prevention, Screening, Detection, Diagnosis, and Treatment
    . American Journal of Medical Research,
     9(1), 65–80. https://doi.org/10.22381/ajmr9120225

    References

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    Edith ?N?W?A?K?A?E?G?O Ama
    Edith ?N?W?A?K?A?E?G?O Ama
     
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     . The knowledge of usability and Interoperability is important for nurses to fortify that they are using the most effective technologies when caring for patients. Improper application of these terms can lead to non-functionality which can have serious implications for patient care as well as cost associated with medical errors or delays in care (Graham et al., 2008). Thus, it is imperative that nurses understand these terms so that they can use technology effectively and safely in order provide quality nursing care. Interoperability refers to the ability of different systems to work in tandem without input from the end user.  Interoperability promotes utilization of securely shared data to enable care, costs reduction, and enhance health outcomes (Lehne et al., 2019).Non-functionality will occur if the two do not operate optimally. As noted, if usability is poor then the healthcare worker will spend more time navigating the system rather than spending time with the patient. Patients may feel neglected and that will impact their perception of care. If interoperability does not work, interprofessional collaboration will be impacted. The billing department will not be able to work with nurses who handle EHRs because the systems are not integrated. Overall, the efficiency of care will be compromised.Graham, T. A., Kushniruk, A. W., Bullard, M. J., Holroyd, B. R., Meurer, D. P., & Rowe, B. H.                                          to contribute to adverse medical events. 
    AMIA … Annual Symposium Proceedings.  
    Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine                   5. 
    https://doi.org/10.1038/s41746-019-0158-1Links to an external site.

                    depends on interoperability. NPJ digital medicine, 2(1), 1-

                  AMIA       Symposium
    , 
    2008
    , 257–261.

              (2008). How usability of a web-based clinical decision support system has the potential

                                                               References

    For example, the billing system within the organization should work together with the EHR system. Interoperability makes nursing more seamless because it improves healthcare efficiency. Being able to use many systems at the same time and achieving a high degree of seamlessness helps one concentrate on working with the patient because the systems are operating optimal

    The two terms that were selected are usability and interoperability. Usability refers to the effectiveness and efficiency that a user achieves as they utilize a particular technology. Usability is important in information technology and nursing practice because it may be the difference between providing efficient care and terrible care. (Graham et al., 2008). For example, if a EHR that has been adopted by the organization is not usable, it means that nurses will spend extra time trying to navigate the system rather than directing their efforts to spending time with patients.

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    Valerie Corvera
    Valerie Corvera
     
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    Hello Edith,References

    Moreira, A., Guimarães, T., Duarte, R., Salazar, M. M., & Santos, M. (2022). Interoperability and Security Issues on Multichannel Interaction In Healthcare Services. 
    Procedia Computer Science
    , 
    201
    , 714–719. https://doi.org/10.1016/j.procs.2022.03.096

    de Oliveira, E. M., & Scherer, D. (2021). Usability in m-health applications for application in healthcare environments. 
    2021 IEEE 45th Annual Computers, Software, and Applications Conference (COMPSAC), Annual Computers, Software, and Applications Conference (COMPSAC), 2021 IEEE 45th, COMPSAC
    , 1904–1908. 
    https://doi.org/10.1109/COMPSAC51774.2021.00288Links to an external site.

    Great post on the term’s usability and interoperability. It is necessary for organizations to employ new and cutting-edge methodological tools and methods and ensure that these there aren’t any usability issues because usability issues have a great impact on users (de Oliveira & Scherer, 2021). Usability is huge for technology in healthcare. It doesn’t matter what the area of patient care it involves nearly all areas have some sort of technology involved. Healthcare technology must be usable to patients and healthcare personnel. If there is non-functionality this can cause frustration for all users. Non-functionality can lead to frustration for patients, especially our older generation. Technology is new for them and having usability issues can create stress and anxiety for our older patients that may prevent them from participating in their care or treatment plans. Interoperability is such a great improvement in technology for healthcare. Patient records can be sent electronically immediately or communication between different interdisciplinary team members can be almost instantaneous. This is all great things to help improve and quicken patient care. Non-functionality for interoperability can lead to negative outcomes or delay of care for patients. Despite numerous potentialities of multichannel interaction in health services, it has led to rising concerns and issues related to security and privacy in multichannel interaction in healthcare (Moreira et al., 2022). Privacy is a huge risk these days related to patient information. It is important for advanced nurses to understand and know these terms and know what the implications are if there are non-functionality issues.

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    Christian Offor
    Christian Offor
     
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            According to Khajouei & Farahani (2020), usability is the extent to which a user can utilize an information system and achieve specific goals in specific environments by considering effectiveness, efficiency, and user satisfaction for nursing informatics. Understandability, learnability, acceptability, attractiveness, utility, and performance are all issues that need to be considered regarding the usability of health information technology systems (Khajouei & Farahani, 2020). A successful installation and optimization of information systems depend on usability evaluation (Khajouei & Farahani, 2020). Software system upgrades seek to find issues and rank them according to how they affect users (Khajouei & Farahani, 2020). Pierce et al. (2020) argue that user discontent, burnout, and patient harm events are all caused by poor usability. Vendors, researchers, regulatory organizations, and doctors continue to focus on enhancing the usability of the EHR since evidence suggests that user-centered redesign can minimize errors, ease the burden, and boost satisfaction (Pierce et al., 2020).        In our current healthcare environment, it is crucial to understand  usability and decision support and how they relate to and work in nursing practice. Studies have shown that poor usability negatively affects CDSS acceptance and effectiveness. Usability is a significant success factor for current and future decision support systems. Such systems are increasingly used to assist human decision-makers in high-stakes tasks in complex domains such as health care (Jung et al. 2021). Patient treatment now takes place in an ever-evolving digital environment and no longer involves paper paperwork. To maximize patient care, information systems must be user-friendly and operate in a certain way because systems that are challenging to understand, ineffective, and prone to mistakes will produce subpar results. Studies show that usability allows healthcare professionals to act quickly and make important healthcare decisions sooner instead of delaying until test results can be obtained (Kruse & Ehrbar, 2020). Nurses’ usability of health technology is to get the work done by being knowledgeable, keeping logs of issues that could contribute to errors, and reporting them to management.Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges. 
    Yearbook of medical informatics
    , 
    28
    (1), 71–77. 
    https://doi.org/10.1055/s-0039-1677907Links to an external site.
    Kruse, C.S., & Ehrbar, N. (2020). Effects of Computerized Decision Support Systems on Practitioner Performance and Patient Outcomes: Systematic Review. 
    JMIR Medical Informatics, 8
    .Mucha, H., Robert, S., Breitschwerdt, R. 
    et al.
     Usability of clinical decision support systems. 
    Z. Arb. Wiss.
     (2022). 
    https://doi.org/10.1007/s41449-022-00324-8Links to an external site.
    Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). Medical Error Reduction and Prevention. In 
    StatPearls
    . StatPearls Publishing.

    Pierce, R. P., Eskridge, B. R., Rehard, L., Ross, B., Day, M. A., & Belden, J. L. (2020). The Effect of Electronic Health Record Usability Redesign on Annual Screening Rates in an Ambulatory Setting. 
    Applied clinical informatics
    , 
    11
    (4), 580–588. 
    https://doi.org/10.1055/s-0040-1715828Links to an external site.

    Khajouei, R., & Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. 
    BMC medical informatics and decision making
    , 
    20
    (1), 84. 
    https://doi.org/10.1186/s12911-020-1083-6Links to an external site.

    Jung, S. Y., Hwang, H., Lee, K., Lee, D., Yoo, S., Lim, K., Lee, H. Y., & Kim, E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. 
    JMIR formative research
    , 
    5
    (4), e18764. 
    https://doi.org/10.2196/18764Links to an external site.

    References

            The function of Decision Support Systems (DSS) is to assist the user in making more effective decisions through the provision of information in a manner that can actively assist the decision process. Software applications called decision support tools help improve patient care by disseminating knowledge and patient-specific data utilizing the tools and alerts (Kruse & Ehrbar, 2020). These tools and warnings improve clinical workflow’s ability to make decisions. Clinical decision support system methods incorporate artificial intelligence (AI), software, or algorithms to handle activities that typically require human intellect.  Artificial intelligence is used by such non-knowledge-based clinical decision support systems (CDSS) to aid in clinical judgments made at the point of treatment (Kruse & Ehrbar, 2020). These AI-supported decision-support systems examine patient data, symptoms, therapies, and patient outcomes to assist in clinical decision-making. These integrated systems, which incorporate electronic medical record databases, computerized physician order input tools, and drug, patient, and treatment data, provide clinical judgments that support the best treatment recommendations (Kruse & Ehrbar, 2020).

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    Rosemary Kwaven
    Rosemary Kwaven
     
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    Hello Christian,
    Reference
    .
    https://www.rcn.org.uk/library/subject-guides/sustainable-nursing-practiceLinks to an external site.

    Royal College of Nursing.(7/29/2021). Sustainable Nursing Practice. Retrieved from

    Thanks for your informatic post. Decision support in nursing presents timely information during care to help make informed decisions concerning patient care. Decision support systems and tools, for instance, guide clinical teams through taking charge of certain routine tasks, providing consideration suggestions to provide quality care to the patients “According to research, Sustainability in the context of healthcare is about progress in the delivery of high-quality patient care for all by promoting the three elements of sustainable development – environmental, social, and financial (Royal College of Nursing, 2021). Decision support affects nursing practice by enhancing capabilities around decision-making. For example, the decision support concept helps our institution analyze large data sets and then present them using the best options presented to relevant stakeholders. In my nursing practice, sustainability helps in the progressive creation of systems where patient needs can get met at present times, without compromising on the future ability to provide care. Subsequently, as nurses, it helps provide support actions geared along with general national and global healthcare goals which directly impact health.”

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    Jennings Ubadi Mekoba
    Jennings Ubadi Mekoba
     
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                                                                                              Response to Discussion Post to Chfristian Offor
                    The term “usability” refers to the degree to which users can carry out their responsibilities within the context in which the product is designed to be used with precision, effectiveness, and satisfaction (Khajouei & Farahani, 2020). On the other hand, clinical decision support systems (CDSS) are applications that are run on computers and analyze the data contained in electronic health records (EHRs) (De Velde Van et al., 2018). They then send prompts and reminders to medical professionals to assist them in applying evidence-based clinical recommendations during treatment. I believe that it is true that in the healthcare setting, usability and decision support systems are essential as they determine the functionality and effectiveness of the services provided. However, although usability can promote the use of CDSS systems in healthcare, they still have many flaws that need to be dealt with before they are fully embraced or integrated into the system. According to Marcilly et al. (2019), usability issues make it uncomfortable, inefficient, tedious, perplexing, or impossible for users to fulfill their goals when using IT systems in healthcare settings. Therefore, I believe that until flaws are solved, we cannot entirely rely on usability to improve the use of CDSS in nursing.

    De Velde Van, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., & Flottorp, S. (2018). The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerized clinical decision support. 
    Implementation science: IS
    , 
    13
    (1), 86-86.Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: a usability-oriented analysis of incident reports. 
    Applied clinical informatics
    , 
    10
    (03), 395-408.

    Khajouei, R., & Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. 
    BMC Medical Informatics and Decision Making
    , 
    20
    (1), 1-10.

                                                                                                  References

       Very informative post Christian. The author argues that usability affects CDSS’s use, acceptance, and effectiveness. I agree that usability is a critical factor in determining the future success of the CDSS. Researchers have informed us that usability helps to assess how easy it is to use an interface like CDSS in a healthcare setting (Khajouei & Farahani, 2020). Therefore, if we want the nurses, patients, and other healthcare providers to use the CDSS system well, we must implement usability. The author informs us that in nursing, the usability of health technology refers to getting the “work done by being knowledgeable, keeping logs of issues that could contribute to errors, and reporting them to management.” However, is this the only definition of usability in nursing?

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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    Hello Christian,Your discussion of Decision Support Systems such as Artificial intelligence, algorithms, and software reminds me of their application in therapy, diagnosis of patients, and overall decision-making. However, you haven’t mentioned the non-functionality aspect and barriers that may hinder the application of these technologies in the healthcare setting. Most of these systems, such as AI, are probably expensive (Jung et al., 2021). On the same note, computer systems must be supplemented with manual mechanisms. Dependency on these systems may be detrimental because they provide feedback based on the data entry and also depend on other aspects such as network connectivity, knowledge and understanding of the user, and electricity and, therefore, may fail in some instances.  Hence, a backup plan must be established to minimize medical errors (Rodziewicz, Houseman, & Hipskind, 2022). Otherwise, your presentation of the advantages of these systems and their application in the healthcare setting is compelling.                                                                                            ReferencesKruse, C.S., & Ehrbar, N. (2020). Effects of Computerized Decision Support Systems on Practitioner Performance and Patient                    Outcomes: Systematic Review. 
    JMIR Medical Informatics, 8
    .

    Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). Medical Error Reduction and Prevention. In 
    StatPearls
    . StatPearls                          Publishing.

    Jung, S. Y., Hwang, H., Lee, K., Lee, D., Yoo, S., Lim, K., Lee, H. Y., & Kim, E. (2021). User Perspectives on Barriers and Facilitators               to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. 
    JMIR formative                                      research
    , 
    5
    (4), e18764. 
    https://doi.org/10.2196/18764Links to an external site.Links to an external site.

    Your discussion post is commendable. Very short and comprehensive. Your selection of decision support systems differs from my concepts; therefore, your presentation is a knowledge add-in to my understanding of concepts in the healthcare sector. Based on Kruse and Ehrhar (2020), software applications add knowledge to patient management, improving patient outcomes in nursing and healthcare settings. Focusing on decision support systems (DSSs), you are right about how these support tools and algorithms facilitate decision-making toward patient clinical care. Unfortunately, the current decision-making problems are more complex than in the past, prompting the need for decision support. Most real-world decision-making situations are subject to bounded rationality, whereby the consideration of dominant subjective constraints bounds the technical and economic evaluation of all solution alternatives. DSSs were planned to be an accessory for managers to expand their capabilities but not to replace them. Decision support systems provide the means to complement decision-makers by quantitatively supporting managerial decisions that could otherwise be based on personal intuition and experience (Kruse & Ehrhar, 2020). In addition to the traditional DSS characteristics like data, interactivity, the inclusion of an intelligent knowledge base, and model orientation would be required to quantify the impacts of both technical (hard) and subjective (soft) constraints.

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    Delightful Anulika Alaka
    Delightful Anulika Alaka
     
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    Important Terminology and Concepts
    Improvements in software systems aim to identify problems and address them based on their impact on users. EHRs are essential in outpatient psychiatry and hospitals when managing and reducing medication-related errors, sharing medical information, managing workflow, and applying regulatory rules to workflow (Khajouei Farahani, 2020). Poor usability causes user dissatisfaction, burnout, and patient harm events. Research suggests that user-centered redesign can reduce errors, improve workload, and improve satisfaction. Hence, enhancing the usability of the EHR continues to be a focus of researchers, regulatory bodies, and clinicians.Decision support includes software programs or tools that support patient care by disseminating knowledge and patient-specific data. These tools and warnings improve clinical workflow. Artificial intelligence (AI) supports clinical judgments (Jung SY, Hwang H, Lee K, Lee D, Yoo S, Lim K, Lee HY, Kim E. (2021). User Perspectives onEt al., 2021). Non-Knowledge -based Clinical Decision Support Systems (CDSS) use artificial intelligence (AI) assistance. Clinical decision-support systems now incorporate AI, software, or algorithms to complete tasks that typically require human intellect (Jung et al., 2021). These integrated systems include computerized physician order input tools, electronic health record databases, and drug, patient, and treatment data, among others. Information systems must be user-friendly and optimized for patient care. Usually, devices that are challenging to learn, ineffective, and prone to mistakes will produce poor results.
     
     
     
     
     
     
    Eby, K. (2017). The complete glossary of project management terminology Links to an external site. Smartsheet. https://www.smartsheet.com/completeglossary-project-management-terminologJung SY, Hwang H, Lee K, Lee D, Yoo S, Lim K, Lee HY, Kim E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. JMIR Form Res. 2021 Apr 8;5(4):e18764. doi: 10.2196/18764. PMID: 33830061; PMCID: PMC8063095.

    Khajouei, R., Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. BMC Med Inform Decis Mak 20, 84 (2020). https://doi.org/10.1186/s12911-020-1083-6

    References

     

     

     

     

     

     

    Barriers and Facilitators to the Implementation of Electronic Health Records in

    Decision Support

    Usability is the degree to which users can use an information system and achieve certain goals in specific work areas, emphasizing effectiveness, efficiency, and user pleasure. However, users must consider the understandability, learnability, acceptability, attractiveness, utility, and performance of health information technology systems in healthcare (Eby, 2017). System usability is determined during the design phase and the implementation phase. Therefore, usability evaluation is essential for information systems to be successfully implemented and optimized.

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    Regidor Del Rosario
    Regidor Del Rosario
     
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    The two terms that I’ve selected are interoperability and decision support. Interoperability is “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). Decision support “provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and better health care” (The Office for National Coordinator for Health Information Technology, 2013). These two terms are important for nurses to understand as they are used in their practice constantly.Decision support is another important term for nurses to understand. Nurses make decisions based on evidence-based practice instead of going off based on their gut feeling. As the field of healthcare continues to evolve, so does evidence-based practice. Nurses making decisions based on evidence-based practice increases the positivity of patient outcomes (Sutton et al., 2020). For example, when administering an IV medication, we want to ensure the tubing is properly primed and there are no air bubbles on the line. If the nurse were to administer the IV medication with air in the tubing, this may cause an adverse effect to the patient such as an air embolism.If barriers to proper application of interoperability and decision support in nursing practice arise leading to non-functionality, this may lead to adverse events to the nurses, patients, and the whole organization. If the nurses are unable to access the EMR and pyxis machine, they will be unable to properly administer the required treatment for the patient and they will be unable to view the necessary information for the care of the patient. Medication errors may arise which can lead to harm to the patient. We underestimate the true value of these terms because technology is readily available for us to use, we must remember the impacts that may arise with the improper implementation of these terms in our current nursing practice.Sutton, R., Pinock, D., Baumgart, D., Sadowski, D., Fedorak, R., & Kroeker, K. (2020). An Overview of Clinical Decision Support Systems: Benefits, Risks, and Strategies for Success.
     Nature Partner Journals, 3, 
    17. https://doi.org/10.1038/s41746-020-0221-y

    The Office for National Coordinator for Health Information Technology. (2013). 
    The Basics.
     
    https://www.healthit.gov/faq/what-clinical-decision-supportLinks to an external site.
    .

    Bates, D. & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? 
    Health Services Research, 53(5), 
    3270-3277. doi: 10.1111/1475-6773.12852

    As mentioned earlier, these two terms are highly important in my current nursing practice. Interoperability allows me to communicate with the multidisciplinary team regarding the care of the patients. As for decision support, I am able to make sound clinical decisions in my nursing practice using evidence-based practice, I am also able to combine both by communicating with the Healthcare Provider or a trained professional with experience and asking for advice and teaching when I am not familiar with a certain situation.

    Interoperability is what allows for the nurse to communicate with the multidisciplinary team (Bases & Samal, 2018). An example of interoperability is when the nurse reviews a critical lab on the EMR, relays the lab to the Healthcare Provider and carries out the new orders that were inputted by the Healthcare Provider. Without interoperability, the nurse would have to call the lab to follow up on lab results and then call the Healthcare Provider to relay the lab results and take a telephone order. The telephone order would then have to be relayed to the pharmacy and the medication would then have to be delivered to the floor.

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    Ngetla Manyineh Mbonuh
    Ngetla Manyineh Mbonuh
     
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    Week 2 Discussion 2: Main Post
    The nursing field familiarizes learners with nursing concepts that are useful and applicable in the general scope of nursing. With time, the learner can know most of them and how they relate to the advancement of a future professional career. Nursing terminologies are essential as they improve the communication between patient data and the bodies that regulate nursing operations (Sipes, 2019). Nursing informatics has been crucial in learning to integrate nursing information and technological knowledge in managing and integrating the desired health information. The primary importance of nursing terminologies includes more efficient care, improved patient care, and maintaining a standardized communication framework (Sipes, 2019). This post will discuss critical nursing terminologies and their impacts on nursing practice.
    Interoperability
    Decision support
    Impact of the terms on nursing practice
    Impacts of non-functionality arising from the nurse practice
    References
    Probyn, J. E., & Maz, J. (2017). Project management techniques to maximize success with research. 
    British Journal of Cardiac Nursing
    , 
    12
    (3).  Van de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T.,Aertgeerts, B., Vandvik, P. O., Flottorp, S., & GUIDES expert panel.(2018). The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerised clinical decision.

    Sipes, C. (2019). 
    Project management for the advanced practice nurse
    . Springer Publishing Company.

    Miranda, L. N., Farias, I. P., Almeida, T. G., da Trindade, R. F. C., Freitas, D. A., & Vasconcelos, E. L. (2017). DECISION-MAKING SYSTEM FOR NURSING: INTEGRATIVE REVIEW. 
    Journal of Nursing UFPE/Revista de Enfermagem UFPE
    , 
    11
    (10).

    The barriers to the practical application of the terms include limitations in nurses’ education, knowledge, and skills. The severity of cases and unstable patient cooperation may also slow down the process. Non- functionality of some factors has various significant consequences, including pressure ulcers, nosocomial infections, falls, and medication rates (Miranda et al., 2017). Health institutions may also likely experience high rates of hospital readmissions and also an increase in mortality rates. However, understanding critical nursing concepts is vital, and applying them to the nursing practice helps attain healthcare goals and objectives.

    As a student in nurse practice, Interoperability helps make crucial, high-profile decisions and life-saving adjustments much earlier in the treatment process. When patients receive healthcare services from multiple providers, they become multiplayer panels making their data flow paramount. On the other hand, Decision support provides nurses and healthcare providers with timely information, which would determine the quality of services offered to the patients (Probyn & Maz, 2017). A nurse practice student can understand the role of decision support mechanisms in securing better healthcare services for patients.

    A decision support system is a system within the computer program that helps the management to make the right decisions. Decision support systems promote proactive care in nursing, where nurses can spot any health issues and personalize treatments (Miranda et al., 2017). Decision support also fosters the making of more informed decisions, thus improving efficiency in managing company operational issues. Decision support also encourages healthcare providers to implement evidence-based guidelines during medical care delivery (Van de Velde et al., 2018).

    Interoperability is the characteristic ability of a system or software to exchange and use information without effort from the end user. In nursing practice, Interoperability brings relevancy of information that is shared at a more appropriate time (Probyn & Maz, 2017). An example of Interoperability in nursing practice is when providers conduct a blood test on a patient. The results are still helpful for use shortly in case a need arises, saving time, cost, and resources for conducting new tests. Interoperability is very useful in information technology. It facilitates the exchange of data between various information systems. Interoperability also enables unrestricted data sharing and resources between the local area networks or the wide area networks.

    My two choices of terms are Interoperability and decision support;

    Important Terminologies and Concepts

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    Rosemary Kwaven
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    Hello Ngetla, Dobrow, M. J., Bytautas, J. P., Tharmalingam, S., & Hagens, S. (2019). Interoperable Electronic Health Records and Health Information Exchanges: Systematic Review. 
    JMIR 
    Hovenga, E. J. S. (2022). Nursing Informatics Integration into Mainstream Health Informatics. 
    Studies in Health Technology and Informatics
    . 
    https://doi.org/10.3233/shti220947Links to an external site.

    Powell, K., & Alexander, G. (2022). Mitigating Barriers to Interoperability in Health Care. 
    Journal of Nursing Informatics
    , 
    23
    (2).

                                                                                                     
    References

    Terminologies and concepts have different impacts on nursing practice. For example, they challenge and examine nursing judgment and nursing outcomes. Interoperability enhances the process of communication between medical departments hence reducing medical errors (Dobrow et al., 2019). Furthermore, interoperability encourages collaboration in nursing practice which boosts patient outcomes. A hospital organization that focuses on augmenting interoperability places a better opportunity to optimize skills and improve performance in nursing practice. Sustainability embarks on spreading risks and increasing and enhancing the outcomes in the nursing practice. Sustainability will challenge my objectives as a nurse, which in return, heightens performance (Hovenga, 2022). Interoperability will help me close gaps in sharing healthcare/patient information, thus succeeding in the nursing practice.  Patient-centered care is a core objective in nursing practice, and it can be achieved through the collaboration of sustainability and interoperability (Powell & Alexander, 2022). The complexity of understanding interoperability and sustainability concepts challenge the application process.

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    Delightful Anulika Alaka
    Delightful Anulika Alaka
     
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    Ngetla, your post was formative. With the introduction of computers and health information technology into nursing practices, the way people interact at the workplace has changed tremendously. Therefore, the interaction between humans and computers necessitates the concept of usability and interoperability. The two terms I have chosen for this discussion are usability and decision support and I am impressed to read on interoperability. Interoperability which is also “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). I agree with you that Interoperability brings relevancy of information that is shared at a more appropriate time. In addition, Interoperability also allows for the nurse to communicate with the multidisciplinary team. An example of interoperability is when the nurse reviews a critical lab on the EMR, relays the lab to the Healthcare Provider and carries out the new orders that were inputted by the Healthcare Provider. Without interoperability, the nurse would have to call the lab to follow up on lab results and then call the Healthcare Provider to relay the lab results and take a telephone order. Great PostBates, D. & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? 
    Health Services Research, 53(5), 
    3270-3277. doi: 10.1111/1475-6773.12852

    Reference

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    Lizzie Umejei
    Lizzie Umejei
     
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    Response 2 Week 2 discussion 2
      
    Great post. Sutton et al. (2020) note that a clinical decision support system (CDSS) aims to improve 
    healthcare delivery by enhancing medical decisions with targeted clinical knowledge, patient information, and other health information at the point of care. These systems include bar-code point-of-care (BPOC) medication administration systems and electronic drug dispensing systems for prescribing medication orders, transcribing orders, and administering 
    medications (Sutton et al., 2020). CDSS provides support for clinical and diagnostic coding, ordering procedures and tests, and patient triage, improving the quality of clinical documentation (Sutton et al., 2020). 
    Dobrow et al. (2019) note that using interoperable EHRs in acute healthcare settings in the US positively impacts outcome measures such as quality of care and productivity.
    Dobrow MJ, Bytautas JP, Tharmalingam S, et al.. Interoperable electronic health records and health information exchanges: systematic review. 
    JMIR Med Inform
     2019;7:e12607. 10.2196/12607Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. 
    NPJ digital medicine
    , 
    3
    (1),10.ersal%20interoperability,potential%20risk%20to%20patient%20safety.

    Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2020). Protocol: Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. 
    BMJ Open
    , 
    11
    (7). 
    https://doi.org/10.1136/bmjopen-2020-044941Links to an external site.

    References

      
    Hi Ngetia,

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    Gernita Lee
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    NURS 8210 Transforming Nursing Week 2 Discussion 2 Peer Response 2 Diogo, R. C., Butcher, G., Silva Butcher, R. d., & Peres, H. H. (2021). Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System. 
    Journal of Nursing Scholarship, 53(4)
    , 519–526. doi:https://doi.org/10.1111/jnu.12659R2 Library (Online service), American Nurses Association. (2015). 
    Nursing Informatics : Scope and Standards of Practice: Vol.
     (Second, Ed.) American Nurses Association.

    Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ experience and perception of technology use in practice: A Qualitative Study Using an Extended Technology Acceptance Model. 
    CIN: Computers, Informatics, Nursing, 40(7)
    , 478–486. doi:https://doi.org/10.1097/CIN.0000000000000850

    References

          Ngetla Manyineh Mbonuh, thank you for discussing the nursing informatics principle of decision support. Decision systems function as decision support systems that interpret data and formulate alerts that alert the user to abnormalities in the patient’s clinical condition. These alert systems inform the user of data inconsistencies, i.e., abnormal lab trends, and suggest action. However, the user must rely on clinical training and professional decision-making when deciding when to act on decision system alerts (R2 Library (Online service), American Nurses Association, 2015). Diogo et al. (2021) describe clinical decision support systems (CDSS) as clinical decision-making resources from problem resolution provided through artificial intelligence aggregation of patient clinical data (Diogo, Butcher, Silva Butcher, & Peres, 2021). Although advancements in healthcare information technology (HIT) permit the expansion of the nursing practice, inefficient  HIT systems may contribute significantly to adverse patient care outcomes. These disturbances are evident through workflow disturbances, communication hindrances, and inoperable CDSS capabilities (Gaughan, Kwon, Park, & Jungquist, 2022). An example would be CDSS-designed HIT providing hundreds of system alerts, with subsequent desensitization to the intended alert systems. Desensitization to intended alarming systems exponentially increases the risk of patient harm. Decision systems must balance informing the user for crucial decision-making and aim to limit unnecessary technological burdens.

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    Lizzie Umejei
    Lizzie Umejei
     
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    Week 2 Discussion 2 Initial Post 
     Define the two terms selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. 
    The Terms Selected are usability and sustainability.
    According to Nielsen, 2012. usability is a necessary condition for survival. If a system, application, or resource is difficult to use, people will not use it. Usability is a matter of 
    employee productivityLinks to an external site.
    . Time users waste pondering complex instructions is money you waste by paying them to be at work without getting work done. Best practices call for spending about 
    10% of a design project’s budget 
    on usability (Nielsen, 2012).
    Sustainability continuously maintains or supports a process over time (Brown, 2005). In business and policy contexts, sustainability seeks to prevent the depletion of natural or physical resources so that they will remain available for the long term (Brown, 2005). Sustainability consists of three core concepts: economic, environmental, and social (Brown, 2005).
    How might these terms impact nursing practice? Be specific.
    The terms usability and sustainability have a significant impact on nursing practice.
    Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility, and a willingness to change. (Leffers J, 2011). Sustainability in nursing contributes to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. (Brown 2005).
     Explain the potential impacts of non-functionality in nursing practice if barriers exist to applying these terms correctly.
    For nurses and other healthcare professionals to use a system well, usability is critical. 
    If a system is challenging to learn, users will avoid it or find workarounds to operate quickly and 
    efficiently
    . If we want patients to use a system, usability is vital (Boldt, (2021).
           
     http://www.nngroup.com/articles/usability-101-introduction-to-usability

    Nielsen, J. (2012). Usability 101: Introduction to Usability.

    Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. 
    Public Health Nurs.
     2011;28:91–102.

    Dunn Lopez K, Chin C, Leitão Azevedo RF, Kaushik V, Roy B, Schuh W, et al.( 2021) .Electronic health record usability and workload changes over time for providers and nursing staff following a transition to new EHR
    . Appl Ergon
     2021 May;93:103359.

    Cho, H., Keenan, G., Madandola, O. O., Dos Santos, F. C., Macieira, T. G. R., Bjarnadottir, R. I., Priola, K. J. B., & Dunn Lopez, K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. 
    JMIR Human Factors
    , 
    9
    (2), e31758. 
    https://doi.org/10.2196/31758Links to an external site.

    Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, (2005). Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan.

    Boldt, K. (2021). 
    EHR usability: What is it, why is it so important, and how can it be measured? (infographic)
    . Medsphere. Retrieved December 8, 2022, from 
    https://www.medsphere.com/blog/ehr-usability/Links to an external site.

    References

    In conclusion, advances in health information technology, such as EHRs, can be expensive in implementation and usage. Finding the expenses to invest in training, support, and the physical infrastructure can be a common barrier, especially for smaller practices.

    EHR usability leads to 
    higher EHR adoption rates, fewer clinical errors, less clinician burnout, financial benefits, and improved patient safety
    (Boldt, (2021). Usability measures the quality of a user’s experience when interacting with a system (Cho et al ., 2022). Poor usability in EHRs is associated with increased clinicians’ cognitive workload, EHR-related fatigue, burnout, work inefficiency, job dissatisfaction, and intentions to leave the job (Dunn et al., 2021). 

    Usability measures the quality of a user’s experience when interacting with a system (Cho et al ., 2022). Poor usability in EHRs is associated with increased clinicians’ cognitive workload, EHR-related fatigue, burnout, work inefficiency, job dissatisfaction, and intentions to leave the job (Dunn et al., 2021). 

    According to Nielsen (2012). Usability is a 
    quality attribute
     that assesses how easy user interfaces are to use. Usability comprises five quality components: Learnability, Efficiency, Memorability, Errors, and satisfaction (Nielsen, 2012). Learnability: How easy is it for users to accomplish basic tasks the first time they encounter the design(Nielsen, 2012).? Efficiency: Once users have learned the procedure, how quickly can they perform tasks(Nielsen, 2012).? Memorability: When users return to the design after not using it, how easily can they reestablish proficiency (Nielsen, 2012)? Errors: How many 
    errorsLinks to an external site.
     do users make, how severe are these errors, and how easily can they recover from the mistakes (Nielsen, 2012)? Satisfaction: How pleasant is using the design(Nielsen, 2012)?

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    Delightful Anulika Alaka
    Delightful Anulika Alaka
     
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    Sipes, C. (2019). 
    Project management for the advanced practice nurse
    . Springer Publishing Company.

    Reference

    I love reading your post on sustainability and agree with you that Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance Sustainability is ability to maintain or support a process over time and that it continuously maintains or supports a process over time. Sustainability is often broken into three core concepts: economic, environmental, and social. Many businesses and governments have committed to sustainable goals, such as reducing their environmental footprints and conserving resources. Nursing informatics has been crucial in learning to integrate nursing information and technological knowledge in managing and integrating the desired health information. The primary importance of nursing terminologies includes more efficient care, improved patient care, and maintaining a standardized communication framework (Sipes, 2019). The nursing field familiarizes learners with nursing concepts that are useful and applicable in the general scope of nursing. With time, the learner can know most of them and how they relate to the advancement of a future professional career. Nursing terminologies are essential as they improve the communication between patient data and the bodies that regulate nursing operations.  Formative Post.

    Hi Lizzie,

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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    Hello Lizzie,Regardless, the currency aspect of this source may be an issue for me. Consider using sources that are more up-to-date in your subsequent discussions. Leffers (2011), on the other hand, even though it expands on our understanding of the sustainability concept by clearly defining its constituents, was improperly cited in your discussion.  Most importantly, you did not comment on the impacts of non-functionality and the likely barriers to applying the sustainability concept in the nursing practice. I would wish to know more about the non-functionality aspect. Otherwise, job well done!                                                                                                     ReferencesFleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2015). The sustainability of healthcare innovations: a                       concept analysis. 
    Journal of advanced nursing
    , 
    71
    (7), 1484-1498.

    Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. 
    Public Health Nurs.
     2011;28:91–102.

    Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, (2005). Sustainability and Health. Supporting Global Ecological                        Integrity in Public Health. London: Earthscan.

    Your selection of the sustainability concept is a transformational aspect of my life. Your discussion post has taught me the significance of this term in the nursing and healthcare setting. Indeed, it is imperative to think of future generations and maintain sustainability to prevent harming them. I understand that today, the healthcare sector is loaded with challenges that call upon creativity and innovation in dealing with them. However, the verge of solving these issues may lead to the development of ideas whose destination, if not correctly looked upon, may significantly impact the future generation (Fleiszer et al., 2015). Therefore, the sustainability concept is ideal for solving such issues.  Your use of evidence to substantiate your claims is much appreciated. Indeed, Brown (2005) defines sustainability as a concept that maintains and supports a process over time.

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    Ngetla Manyineh Mbonuh
    Ngetla Manyineh Mbonuh
     
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    Hello Lizzie,    
    References
    Nielsen, J. (2012). Usability 101: Introduction to Usability.

                http://www.nngroup.com/articles/usability-101-introduction-to-usability

    Boldt, K. (2021). 
    EHR usability: What is it, why is it so important, and how can it be measured? (infographic)
    . Medsphere. Retrieved December 8, 2022, from https://www.medsphere.com/blog/ehr-usability/Links to an external site.

             I applaud you for the great choice of terminology. Indeed, Nursing terminologies are crucial because they facilitate communication between patient data and the organizations that oversee nursing operations. Integrating nursing and technological knowledge has been essential to managing and integrating the desired health information. Indeed, Hospitals and healthcare systems will benefit from sustainability initiatives’ significant financial and environmental advantages both now and in the future (Boldt, 2021). But for an initiative to be truly sustainable, it must be financially sound, supportive of the local area, and environmentally friendly. Furthermore, I believe hospitals’ strategic business plans must include sustainability as a key component and serve as the inspiration for new programs and infrastructure upgrades. However, each hospital and care system must choose the best course of action based on its objectives. There might be better strategies for one hospital than the best strategy for another. By implementing more environmentally friendly practices, the American healthcare sector could save $15 billion over the following ten years (Nielsen, 2012).

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    Ajayi M Ajayi
    Ajayi M Ajayi
     
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    Important Terminology and Concepts Usability and Decision SupportStaggers,2018).Staggers, 2018).Reference
     
     

    Staggers, N., Elias, B. L., Makar, E., & Alexander, G. L. (2018). The Imperative of Solving Nurses’ Usability Problems With Health Information Technology.
    JONA: The Journal of Nursing Administration
    ,
    48
    (4), 191–196.
    https://doi.org/10.1097/nna.0000000000000598Links to an external site.

    HealthIT.gov. (n.d.). Health information technology advisory committee Links to an external site.(HITAC). https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac. (n.d.).

    Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges.
    Yearbook of Medical Informatics
    ,
    28
    (01), 071–077.
    https://doi.org/10.1055/s-0039-167790Links to an external site.

     

    The nurse plays a unique role in the usability of the health IT problem for the patient, nurses, and all healthcare providers. DNP is suitable for getting nurses involved in decision-making and creating. A better strategy for nurses in providing usability in healthcare includes accelerating nurses’ understanding of translating IT for nurse work(

    Usability is one of the critical impacts of the future decision and current support of the healthcare systems that increasingly assess humans in deciding the high level for the tasks in many domains complex for all healthcare(Carayon,2019). Therefore, to understand the usability of nurses’ uses of IT, including the nurse executive, it is good to identify the significant impact of the critical responsibility of developing a better plan to improve the medical record while using IT with the nurse who has experienced and inexperienced nurses(

    The health IT usability in medical devices enables the patient to live in a healthy way for the patient safely, and this IT. research makes a collective of errors related to IT uses and the excellent part of IT In health care for improving patient safety. The IT still can be wrong and can happen with the nurse’s physician. Their importance of how the IT impact of the technology they experience on poor health IT usability negative the problem experienced and many healthcare are facing problems. The Healthcare IT profession monitors how IT affects the patient, and error that can occur are suitable for monitoring outcome and the threats to patient safety and the clinicians. The research continues to show the linkage between how the technology was designed and problems with design, including the clinician’s frustration with different types of IT, which can be a big problem for many healthcare providers. The two that I choose are Usability and Decision Support(Carayon,2019)

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    Valerie Corvera
    Valerie Corvera
     
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    Hello Ajayi,References

    Thomas, L., Manoj Kumar, M. V., & Annappa. (2018). A Healthcare management using clinical decision support system. 
    2018 3rd International Conference on Contemporary Computing and Informatics (IC3I), Contemporary Computing and Informatics (IC3I), 2018 3rd International Conference On
    , 342–347. https://doi.org/10.1109/IC3I44769.2018.9007272

    Farzandipour, M., Nabovati, E., Tadayon, H., & Sadeqi Jabali, M. (2021). Usability evaluation of a nursing information system by applying cognitive walkthrough method. 
    International Journal of Medical Informatics
    , 
    152
    .
    https://doi.org/10.1016/j.ijmedinf.2021.104459Links to an external site.

    Thank you for you post on usability and decision support. These are great concepts to consider and evaluate how the non-functionality of these terms affects professional practice. Usability is a major factor that affects the acceptance of health information systems by users and is a critical component for safe and effective use of information technology (Farzandipour, Nabovati, Tadayon, & Sadeqi Jabali, 2021). Usability can have a major impact on practice if there is a non-functionality issue. We heavily rely on technology these days especially for documentation purposes. If we have a simple downtime for a couple hours, nurses and other interdisciplinary teams are frustrated and not happy. It can delay patient care and can potentially lead to negative patient outcomes. Clinical Decision Support System is supported by an information model for decision-making by statistically analyzing the clinical data (Thomas, Manoj Kumar, & Annappa, 2018). Clinical decision support can significantly impact improvements in quality and safety. Having non-functionality can lead to errors and adverse effects for patients. It is important for us to know these terms and the potential negative outcomes that can come from non-functionality and failure.

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    Quateka Cochran
    Quateka Cochran
     
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    Initial post            This post asks that we select two terms related to informatics and discuss why it is important to understand how these terms function for the application of information technology and nursing practice. Then explain how they impact my nursing practice. And finally, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist to the proper application of these terms.Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes (Shelton, 2018). We must first determine what interventions should be implemented and sustained. Shelton went on to say it is difficult to implement and sustain something that may be a poor fit in the first place or may no longer fit in the ways that it did when originally implemented. Researchers have often conceptualized sustainability as the final stage in the overall life cycle of an intervention, including development, adoption, implementation (with potential adaptations), and sustainability.
                                                                                                              References
    ISO. (2018). ISO 9241-11:2018 Guidance on Usability. In Ergonomics of human-system interaction — Part 11: Usability: Definitions and concepts. 
    https://www.iso.org/obp/ui/#iso:std:iso:9241:-11:ed-2:v1:enLinks to an external site.
    Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care. Annual Review of Public Health, 39, 55–76. 
    https://doi.org/10.1146/annurev-publhealth-040617-014731Links to an external site.

    Kaminski, J. (2020). Theory applied to informatics – Usability | Canadian Journal of Nursing Informatics.  
    https://cjni.net/journal/?p=8442Links to an external site.

    Boldt, K. (2021, March 9). 
    EHR Usability: What is it, why is it so important, and how can it be measured? (Infographic)
    . Medsphere. 
    https://www.medsphere.com/blog/ehr-usability/Links to an external site.

    Usability and sustainability are critical to the implementation of EBP practices. As a nurse leader and change agent, I must first determine if a proposed change is going to be usable in the practice and if it will be sustainable. It would be fruitless to implement change if it is not usable or sustainable. Knowing if a proposed change is beneficial to the stakeholders including the patients, nurses, medical providers, company leaders, and the financial advisors is important.

               The terms selected were usability and sustainability. Usability is defined as “the effectiveness, efficiency, and satisfaction with which specific users can achieve a specific set of tasks in a particular environment” (Boldt, 2021). A standard definition for usability from the International Organization for Standardization (ISO) organization in Standard # 9241-11 states: “Usability: the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use” (2018, Section 3.1). In short, usability is defined by five qualities, learnability, efficiency, memorability, errors, and satisfaction.  The word “usability” is also used as a qualifier to refer to the design knowledge, competencies, activities, and design attribute that contribute to usability, such as usability expertise, usability professional, usability engineering, usability method, usability evaluation, usability heuristic” (Kaminski, 2020). Usability is critical for efficiency, productivity, engagement, and use.

    IMPORTANT TERMINOLOGY AND CONCEPTS

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    Regidor Del Rosario
    Regidor Del Rosario
     
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    Thank you for sharing your post with us Quateka. The two terms you’ve selected usability and sustainability are important for the APRN to fully understand. Hattingh et al. (2020) refers to usability as the effectiveness, efficiency, and satisfaction with which users achieve goals using computer systems. Chow et al. (2021) mentions that sustainability “focuses on the planning, monitoring, controlling, and ensuring project delivery process along the project life cycle.” When a change initiative is introduced and the APRN takes on the role of leader for this project, being able to fully understand and implement usability is important. The APRN must be able to utilize the tools provided to them to achieve goals in the most effective and efficient way possible. The APRN must also take into account the sustainability of the change initiative that is being proposed. If these terms are not aligned with the nursing practice of the APRN it can contribute to non-functionality. For example, is these two terms are not fully understood and are used in nursing practice, this can lead to the change initiative having negative outcomes and it can also lead to the project not being maintained.Hattingh, M, Matthee, M., Smuts, H., Pappas, I., Dwivedi, Y., & Mantymaki, M. (2020). A Methodology to Compare the Usability of Information Systems. 
    Nature Public Health Emergency Collection, 12067, 
    452-463. doi: 10.1007/978-3-030-45002-1_39

    Chow, T., Zailani, S., Rahman, M., Qiannan, Z., Bhuiyan, M., & Patwary, A. (2021). Impact of Sustainable Project Management on Project Plan and Project Success of the Manufacturing Firm: Structural Model Assessment. 
    PLoS One, 16(11). doi: 10.1371/journal.pone.0259819

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    Jennings Ubadi Mekoba
    Jennings Ubadi Mekoba
     
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                                                 Usability
    – a measure of how well a user, like a nurse, can use an interface to achieve the desired goal. 
                                              Interoperability
    – is the capability of a system (software) to exchange information efficiently.
                                                                              
    References
    Staggers, N., Elias, B. L., Makar, E., & Alexander, G. L. (2018). The imperative of solving nurses’ usability problems with health information technology. 
    JONA: The Journal of Nursing Administration
    , 
    48
    (4), 191-196. https://doi.org/10.1097/nna.0000000000000598

    Powell, K. & Alexander, G. (Summer, 2019). Mitigating barriers to interoperability in health care. 
    Online Journal of Nursing Informatics (OJNI), 23
    (2). Available at 
    http://www.himss.org/ojniLinks to an external site.

                Information flow is crucial in healthcare delivery. With information exchange occurring seamlessly across all care sections and among all the personnel involved, there is better efficiency and outcome (Powell & Alexander, 2019). Thus, interoperable health information exchange (HIE) via the health data systems available, including the current EHRs, will guarantee quality care. For instance, it will help improve time management and decision-making. It also enhances person-centered care as the providers can access complete patient information (Powell & Alexander, 2019). However, barriers like limited resources and infrastructure, poor coordination among health facilities, and policies regarding the use and distribution of EHRs continue to affect interoperability with HIE (Powell & Alexander, 2019). Overcoming these barriers will allow health providers and patients to access the benefits of interoperable HIE systems.

                Healthcare setups and providers are increasingly adopting electronic health records (EHRs) as the standard of practice. Thus, health providers must have information technology (IT) knowledge to efficiently apply and use the EHR interface (Staggers et al., 2018). According to Staggers et al. (2018), insufficient nurses’ health IT knowledge threatens the quality and safety of care. For example, there is potential for reduced productivity as the nurse struggles to operate the EHR systems. The nurse can also enter incorrect patient data, compromising patient safety and treatment. Therefore, health IT usability issues about EHRs impact the efficiency and productivity of nurses, compromising quality and safety standards (Staggers et al., 2018). Barriers such as inadequate training, a mismatch between the EHR models and nurses’ workflow, and insufficient resources further escalate the usability impacts. Thus, all providers must understand the usability issues and find solutions to them promptly.

                                                                           Discussion two: Important Terminology and Concepts

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    Ajayi M Ajayi
    Ajayi M Ajayi
     
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    Dec 9, 2022
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    Jennings

    Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximize success with research. British Journal of Cardiac Nursing Download British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116
    . (n.d.).

    Thanks for your exciting post on interoperability being significant for patient safety. That ensures the patient can get information on their record from different providers working with others is a way of collecting patient data from EHR and system to flow the patient information. All the statements must show the current treatment and continuation of treatment.(
    Howarth,2017).

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    Quateka Cochran
    Quateka Cochran
     
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    Dec 10, 2022
    Dec 10, 2022 at 9:36pm

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    Very informative post Jennings,
    The Interaction Design Foundation. (n.d.). What is Usability – The Ultimate Guide
    .  https://www.interaction-design.org/literature/topics/usability

    Usability is very important to informatics and healthcare as a whole. In order for a change project to be successful it should be usable. “Usability is a measure of how well a specific user in a specific context can use a product/design to achieve a defined goal effectively, efficiently and satisfactorily” (IDF).To determine usability the tool should be efficient, effective, engaging, easy to learn and tolerant to errors.

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    Ijeoma C Onyeagocha
    Ijeoma C Onyeagocha
     
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                                                                                     Important terminology and Concepts:  
                                        Importance of usability and interoperability in informational technology in nursing Practice
                                                         Importance to understand how 
    interoperability
     and usability function
                                                                  How 
    Interoperability and usability
     impact a nursing practice
    As a nurse, the diverse goals presented by medical frameworks make it difficult to incorporate usability (Van de Velde et al., 2018). Marcilly et al. (2019) state that usability poses threats as it may result in errors when a physician uses a dosage administering technology; the users might unintentionally enter the wrong dose. Such experiences are negative as it threatens a patient’s safety. During such scenarios, a patient might as well get the wrong medication, thus leading to an adverse drug reaction.According to a YouTube video by Virtualstrategist (2016), S.W.O.T analysis is a useful tool when planning for adopting new systems in the nursing environment S.W.O.T helps by accessing the needs or challenges currently present to build a better future. Since healthcare providers access patients’ information promptly, this enables them to manage patients’ health seamlessly. However, interoperability in electronic healthcare systems prevents a challenge. One of the major barriers to the effective interoperability of IT health systems is usability (Powell, and Alexander, 2019). However, during the implementation stages, technical barriers may lead to poor and inconsistent data and cause issues with health data matching resulting in deficiencies being experienced in users’ interface.
                                                                                                                     References
    Powell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-careVan de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., Flottorp, S., & GUIDES expert panel. (2018). The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerized clinical decision support Links to an external site. Implementation Science. 
    https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0772-3Links to an external site.

    Virtualstrategist. (2016, October 19). How to perform a SWOT Analysis Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=I_6AVRGLXGA

    Staggers, N., Elias, B. L., Makar, E. D., & Alexander, G. L. (2018). The imperative of solving nurses’ usability problems with health information technology Links to an external site. The Journal of Nursing Administration, 48(4), 191–196. doi:10.1097/NNA.0000000000000598

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841

                                                    The potential impacts of barriers existing when applying usability and interoperability

    Due to their important role in patient care, nurses are related practitioners who have a critical input in deciding what medical devices and technologies to use. These decisions regarding interoperability must incorporate the voice of a nurse. Imagine having a simpler, safer, and less stressful experience when handling the infusion pump. Here, the infusion pump should ideally have a seamless conversation with the EMR and other clinical IT systems. In the case of intolerable EMR and infusion pumps, physicians’ orders are then transmitted directly into the infusion pump from the patient record. In this instance, cases of error-prone and manual inputs are mitigated. Also, the pump can transmit accurate and time-stamped data reducing a clinician’s need for documentation.

    It is important to understand how interoperability and usability function as application information technology is applied in nursing. According to Staggers et al. (2018), usability brings problems that result in frustrations, inefficiencies, reductions in productivity among the practitioners, and also posing threats to a patient’s safety. Interoperability, on the other hand, improves a clinician’s decision-making process through complete and timely access to information (Powell, and Alexander, 2019).

    Information Technology (IT) is an essential component applied in healthcare improvement. Such quality is attributed to enhancing interoperability by IT among healthcare practitioners. As a result, meaningful and seamless exchange of information across diverse healthcare practitioners and institutions is facilitated effectively. However, IT interoperability in health systems is also tied to usability factors.  Interoperability refers to the ability of systems (two or more) to exchange health-related information and timely access and application of the information (Powell and Alexander, 2019). Usability, on the other hand, refers to how effective, satisfactory, and efficient a system is concerning the specific users to achieve goals in the nursing work environment through developing possible solutions to help nurses improve health outcomes (Staggers et al., 2018).

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    Lovester Duncan
    Lovester Duncan
     
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    The concept of interoperability refers to the ability to share resources unrestrictedly between different systems to support data sharing, data standards, infrastructure, policies, and incentives for end-to-end interoperability of patient health data across care providers, EHRs, and data-generating medical technologies (Najjar, Amro, & Macedo2022). Using interoperability, individuals and teams in the healthcare organization should be able to understand information as well as the ones who sent it (Nøhr, et l., 2019). Interoperability refers to the ability to share information between different components or machines, both via software and hardware, and it also refers to the exchange of information and resources between different computers via local area networks or wide area networks to provide effective and efficient care (Powell & Alexander 2019). Through technology and/or computers, interoperability helps clinicians deliver safe, effective, patient-centered care in the healthcare system. It’s the application of information technology and nursing practice that changes the way people and caregivers access their healthcare records. There are many ways in which interoperability impacts nursing practice, starting with the ability to communicate between healthcare providers and professionals. A multidisciplinary team can collaborate effectively and communicate effectively to improve the quality of care.   For example,  in a study by Wei et al (2021),  the integrated smart pumps with electronic health records (EHRs) reduce medication errors by automating pump programming and HER documentation, which automates the administration of infusion medications by enabling bidirectional communication between the smart pump and the EHR. Interoperability also allows nurses and healthcare organizations to communicate in real-time across agencies and jurisdictions by using voice, data, or video-on-demand (Wei et al., 2021),   Technology and computers have enabled nurses to administer medication safety, document in real-time, and conduct telehealth not only to allow access to care but to be useful and transferable through open, secure, standardized, and machine-readable formats while reducing restrictions and increasing access.S
    ustainability
          Halley EC, Sensmeier J, & Brokel JM. (2009). Nurses exchanging information: understanding electronic health record standards and interoperability. 
    Urologic Nursing, 29(5), 305–314.
    Powell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site.. 
    Online Journal of Nursing Informatics
    , 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-careSweeney, D. S. (2019). CMS Seeks Changes in Telehealth, Palliative Care Payments, and Electronic Health Record Interoperability. 
    ONS Voice
    , 34(6), 18–19.

    Urquhart, R., Kendell, C., Cornelissen, E., Madden, L. L., Powell, B. J., Kissmann, G., Richmond, S. A., Willis, C., & Bender, J. L. (2020). Defining sustainability in practice: views from implementing real-world innovations in health care. 
    BMC Health Services Research, 
    20(1), 1–7. https://doi.org/10.1186/s12913-020-4933-0

    Proctor, E., Luke, D., Calhoun, A., McMillen, C., Brownson, R., McCrary, S., & Padek, M. (2015). Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support. Implementation Science, 10(1), 1–13. 
    https://doi.org/10.1186/s13012-015-0274-5Links to an external site.

    Najjar, A., Amro, B., & Macedo, M. (2022). Is lEHR, a model for electronic health records interoperability. 
    Bio-Algorithms and Med-Systems
    , 18(1), 39-54. doi: 
    https://doi.org/10.1515/bams-2021-0117Links to an external site.

    Flynn, R., Stevens, B., Bains, A., Kennedy, M., & Scott, S. D. (2022). Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review
    . Systematic Reviews, 
    11(1), 1–15. 
    https://doi.org/10.1186/s13643-022-02093-Links to an external site.

    References

     

    According to Flynn, et al. 2022, sustainability involves harvesting or using a resource in a way that prevents the resource from being depleted or permanently damaged. Additionally, it demonstrates how much progress the healthcare industry has made using informatics and technologies and will continue to hold over time to provide evidence-based care, improve quality, and uphold standards of care (Flynn, et al. 2022). A sustainable healthcare system is defined as a system that consistently implements successful strategies to satisfy various stakeholders, such as human resources, social, economic, and environmental dimensions. (Flynn, et al. 2022). In healthcare, sustainability means upgrading technology and digital programming to improve communication, documentation, and interoperability(Flynn, et al. 2022). Sustainability involves three key elements: the ability to deliver innovation, the delivery of innovation, and the benefits of innovation (Flynn, et al. 2022). A sustainable healthcare system is also one in which strategies and or techniques are implemented continually to ensure that resources, evidence-based practices and strategies, informatics, and technologies that are used to improve evidence-based practice and care are not exhausted or forgotten. Using advanced technology and informatics to deliver the best possible care could result in sustainability/ My nursing practice would also be positively impacted if resources and services were used wisely to reduce waste and excessive spending and to implement cost-effective treatment and diagnostic procedures. For example, using recycled paper, energy-saving light bulbs, or managing medical waste sustainably would impact my nursing practice. It’s possible for nursing practices to not be sustainable if there are barriers to sustainability, like technology, lack of informatics, waste of health resources, a decrease in health resources, and an increase in healthcare spending.

     Interoperability enables nurses to communicate with patients, administer medications, provide safe, timely treatment, and document in real-time. Besides storing and retrieving data, it can streamline and eliminate duplicate data, screen risks, and collaborate (Sweeney2019). Without interoperability, end users are forced to piece together inherently incomprehensible systems, making them ineffective for research, care, or public health. Lack of interoperability increases end-user costs, as evidenced here. In the absence of interoperability or in the case of non-functional interoperability, care and practice will suffer.  This will reduce communication, safety, and communication, and lead to poor health outcomes, disability, and death. In nursing practice, a lack of interoperability may lead to significant functional difficulties.  The non-functionality of interoperability, for example, will hurt care and practice, since it eliminates technology and computer systems in care and practice. This will lead to a decrease in collaboration, effective communication, documentation, data sharing, retrieval, and access to care.  By not enabling interoperability, the chances of telehealth, virtual visits, and treatment are reduced.

    Interoperability

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    Discussion 2 Response 2
    The definition of sustainability is “meeting the requirements of the present without compromising the needs of the future” and “ensuring a balance between economic growth, environmental protection, and social well-being.” Every industry, every level, and every person must engage in it. It entails accountability, planning, and foresight. In addition, a sustainable health system must be affordable for patients and families, employers, and the government. It must also be acceptable to important stakeholders, such as patients and medical professionals. Finally, a sustainable health system must be adaptable because health and health care needs are not static; it must do so in response to new diseases, shifting demographics, scientific advancements, and dynamic technologies in order to survive (Fineberg, 1970). According to Mollenkamp (2022), Sustainability is the capacity to consistently support or maintain a process across time. Sustainability aims to stop the depletion of natural or physical resources in business and policy contexts so that they will be accessible in the long run. In a health setting, social sustainability relates to the ability for hospitals and healthcare systems to enhance quality of life and improve well-being in a population. Healthcare architecture facilitates connections, enables access, improves health and enhances equity.Fineberg, H. V. (1970, December 8). 
    A successful and sustainable health system – how to get there from here: Nejm
    . New England Journal of Medicine. Retrieved December 9, 2022, from https://www.nejm.org/doi/full/10.1056/NEJMsa1114777Mollenkamp, D. T. (2022, November 30). 
    What is sustainability? how sustainabilities work, benefits, and example
    . Investopedia. Retrieved December 9, 2022, from https://www.investopedia.com/terms/s/sustainability.asp

    References

    Hi Lovester,

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    Gernita Lee
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    NURS 8210 Transforming Nursing Week 2 Discussion 2 Peer Response 1 Kim, H., & Eltz, A. J. (2020). Representing Nursing Data With Fast Healthcare Interoperability Resources: Early Lessons Learned With a Use Case Scenario on Home-Based Pressure Ulcer Care. 
    Computers, Informatics, Nursing : CIN, 38(4)
    , 190–197. doi:https://doi.org/10.1097/CIN.0000000000000564Silva, C. G., Vega, E. A., Cordova, F. P., Carneiro, F. A., Azzolin, K. d., Rosso, L. H., . . . Almeida, M. d. (2020). SNOMED-CT as a standardized language system model for nursing: An Integrative Review. 
    Revista Gaúcha de Enfermagem, 41
    . doi:https://doi.org/10.1590/1983-1447.2020.20190281

    R2 Library (Online service), American Nurses Association. (2015). 
    Nursing Informatics : Scope and Standards of Practice: Vol.
     (Second, Ed.) American Nurses Association.

    References

          Lovester Duncan, I thoroughly enjoyed reading your contribution to this week’s discussion regarding the nursing informatics principle of interoperability. Interoperability involves the formation and continual usage of universal or global terminologies such as SNOMED CT®, the primary universally accepted language of the nursing profession (R2 Library (Online service), American Nurses Association, 2015). Silva et al. (2020) presented the challenges of not having a universal and commonly accepted nursing language in Brazil. The absence of SNOMED-CT resulted in fragmented levels of care and communication (Silva et al., 2020). Depending on the healthcare system’s location in Brazil, nursing terminology lacks homogeneity or interoperability, functioning as a barrier, and preventing multiple healthcare levels of care from communicating and organizing patient care (Silva et al., 2020). Kim et al. (2020) demonstrated positive outcomes that coincide with functional interoperability principles by utilizing interoperability principles in tracking pressure ulcer treatment (Kim & Eltz, 2020). Due to the high demands for documentation regarding the onset of pressure ulcers, whether they were present on admission or formed during the clinical stay of the patient, they determine insurance reimbursement rates (Kim & Eltz, 2020). Healthcare information technology (HIT) systems that allow interprofessional communication and access to documentation foster accurate, real-time evaluation of care effectiveness and provide opportunities to improve treatment modalities (Kim & Eltz, 2020).

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    Post
     
    and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific.
    Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms?
    ReferencesPerialathan, K., Johari, M. Z., Norrafizah Jaafar, Kong Yuke Lin, Low Lee Lan, Nur Aliyah Sodri, & Siti Nur Nabilah Mohd Yunus. (2021). Enhanced Primary Health Care Intervention: Perceived Sustainability and Challenges Among Implementers. 
    Journal of Primary Care & Community Health
    , 
    12
    . 
    https://doi.org/10.1177/21501327211014096Links to an external site.

    Gupta, P., Hudnurkar, M., & Ambekar, S. (2021). Effectiveness of blockchain to solve the interoperability challenges in healthcare. 
    Cardiometry
    , 
    20
    , 79–87. https://doi.org/10.18137/cardiometry.2021.20.7987

    Faruk, M. J. H., Patinga, A. J., Migiro, L., Shahriar, H., & Sneha, S. (2022). Leveraging Healthcare API to transform Interoperability: API Security and Privacy. 
    2022 IEEE 46th Annual Computers, Software, and Applications Conference (COMPSAC), Computers, Software, and Applications Conference (COMPSAC), 2022 IEEE 46th Annual, COMPSAC
    , 444–445. 
    https://doi.org/10.1109/COMPSAC54236.2022.00082Links to an external site.

    Interoperability can have huge negative consequences of non-functionality. Cyber threats, delay in patient care, unintentional mishandling of patient information, delay of financial reimbursements, and the inability to complete documentation are just a few potential consequences of non-functionality related to interoperability (Gupta, Hudnurkar, & Ambekar, 2021). I deal with patient information during my daily professional practice. Safe handling of patient information is important, and I could face legal action and consequences if carriers exist with interoperability. Sending patient information needs to be done securely and responsibly to avoid violating HIPAA regulations. Non-functionality of sustainability can lead to wasted resources and potential delays in patient care. For example, let’s say I implement something related to patient care and it is not sustainable. I could potentially delay patient care by not having a backup plan or may not be able to even offer those services to patients anymore. It is important for me to know what I am capable of in my nursing practice and ensure that patient care and safety come first.

    The two terms that I selected are interoperability and Sustainability. Interoperability is the ability for healthcare information systems to quickly exchange and use information within and across organizational boundaries (Faruk et al., 2022). Sustainability is defined as the extent to which a newly implemented treatment, services, practice, or innovations is maintained or institutionalized within a services (Perialathan et al., 2021).  It is important to understand these terms because they are applicable to information technology and my nursing practice. Everyone uses technology now. It is required for organizations to utilize EMRs for patient information and data. Since everything is electronic these days, patient information and healthcare information are all electronic and are sent electronically. There are many ways for information to get into the wrong hands. Interoperability is required for patient care, sharing information between provider and patient or provider to provider, or provider to billing service agents such as insurance companies is done daily. Sustainability must be taken into consideration when new ideas and projects are being done and implemented because it is important to be striving to improve patient care. There is no point to invest all this time or money into projects that can’t be implemented long term or sustained. Often, resources are limited and need to be used as effectively as possible. These impact my nursing practice because I am constantly working with patient information and sending patient information to the appropriate resources that are needed. I provide care to patient and am constantly having to stay up to date on the latest evidence-based practices, but I also have to see if the resources that I have can sustain whatever is going on within my professional practice.

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    NURS 8210 Transforming Nursing Week 2 Main Discussion Post 2     Healthcare information technology (HIT) functions to streamline healthcare users’ processes, increase process efficiencies, congregate patient data for trend identification, and provide additional failsafe patient protections (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). The Food and Drug Administration (FDA) and the Agency for Healthcare Research and Quality (AHRQ) argue the importance of devising evaluations of HIT systems usability and end-user considerations during the design phases of HIT system developments (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). End user input is an elementary component of human factor evaluation, defined as the application of knowledge concerning human capabilities and limitations when designing tools, devices, systems, and organizational environments (Sipes, 2020; Marcilly, Schiro, Beuscart-Zéphir, & Magrabi, 2019). Failure to understand the physical, sensory, psychological, emotional, and intellectual demands required to install, implement and integrate technological innovation into clinical practice decreases the likelihood of HIT sustainability (Ben-Eli, 2018; Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). 
    Usability and Sustainability Impacts on Clinical Nursing Practice
         Technology that impedes patient care presents as a stressor to the end user or poses patient safety concerns, often lack usability, ends in user workarounds, and, in some cases, incites outward refusal to utilize ineffective technology (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). When introducing a medication scanning system for safe and optimized medication administration, the newly introduced technology would require feedback from the intended users for efficacy and practical application evaluation. Healthcare organizations that mandate innovation without nursing buy-in struggle to convince team members to conform to the intended practice changes, resulting in higher associated costs, diminished staff satisfaction rates, and exposure to unnecessary risks to patient care. During the timeline of clinical practice, many providers have witnessed well-meaning HIT systems fail to achieve delivered promises for optimal functionality and become cumbersome and ineffective (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). Current HIT systems may consider gleaning HIT usability feedback through internal incident reporting (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019).     Non-functionality occurs when the HIT product is incapable of usage, does not function as designed, or does not meet the end customer’s needs and work demands (Sipes, 2020). Donald Norman coined the term “user experience” as a design philosophy focused on the relationship between the user and the technology (Harte et al., 2017). User-centered design (UCD) aims to centerpiece the user in the HIT design development phase to ensure successful usability outcomes (Harte et al., 2017). Adverse outcomes may ensue if any of these elements are missing or subpar. Barriers to installing evidence-based innovation, ensuring optimization of HIT systems, and ensuring UCD determines innovation success or failure for long-term implementation. ReferencesHarte, R., Glynn, L., Rodríguez-Molinero, A., Baker, P. M., Scharf, T., Quinlan, L. R., & ÓLaighin, G. (2017). A human-centered design methodology to enhance the usability, human factors, and user experience of connected health systems: A Three-Phase Methodology. 
    JMIR human factors, 4(1)
    . doi:https://doi.org/10.2196/humanfactors.5443Nøhr, C., Kuziemsky, C. E., Elkin, P. L., Marcilly, R., & Pelayo, S. (2019). Sustainable Health Informatics: Health Informaticians as Alchemists. Studies in Health Technology and Informatics. 
    265
    , 3–11. doi:https://doi.org/10.3233/SHTI190129Sipes, C. (2020). 
    Project management for the advanced practice nurse.
     (2nd, Ed.) Springer Publishing Company.

    R2 Library (Online service), American Nurses Association. (2015). 
    Nursing Informatics : Scope and Standards of Practice: Vol.
     (Second, Ed.) American Nurses Association.

    Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building Usability Knowledge for Health Information Technology: A Usability-Oriented Analysis of Incident Reports. 
    Applied Clinical Informatics, 10(3)
    , 395–408. doi:https://doi.org/10.1055/s-0039-1691841

    Ben-Eli, M. U. (2018). Sustainability: definition and five core principles, a systems perspective. 
    SUSTAINABILITY SCIENCE, 13(5)
    , 1337–1343. doi:https://doi.org/10.1007/s11625-018-0564-3

         The project management design phase one, step four, approvals from site and project advisors; step 5, the clinical question development; and step six, evidence search elements, provide the foundation for identifying experts as resources and mentorship and the identification and buy-in of critical stakeholders. Providing prototype testing cultivates a controlled environment intended to evaluate end-user human factors and their relationship to the totality of the user experiences while simultaneously testing the overall prototype’s functionality (Harte et al., 2017). Similarly to prototype testing, the DNP project formation and development stage culminates multiple perspectives early in the development process. These committee representatives present unique opportunities to fine-tune study intentions and HIT functionality deliveries before discovering crucial oversights in the end-stage organizational practice implementation.

    Non-functionality Impacts on Nursing Practice

         Doctor of Nurse Practice prepared nurse leaders are encouraged to function as project coordinators for technological innovation implementation, formally lead projects, and serve as project coordinators and change agents. Conceptualizing and mastering usability and sustainability informatics principles ensure technology optimization by ensuring clinically enhancing technology functions as complementary agents and not burdensome. The primary goal of nursing informatics is the entry of nursing opinions and user feedback in the early development of emerging technological advancements. Applying usability principles and design principles provides opportunities for improvement and continual development through constant evaluation along the change cycle continuum leading to ensured sustainability (Marcilly, Schiro, Beuscart-Zéphir, & Magrabi, 2019; Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019).

         The American Nurses Association (2015) describes usability as the degree a product can be utilized by a specified user in a specified context efficiently and effectively, with end-user satisfaction with attained specified goal
     
    (R2 Library (Online service), American Nurses Association, 2015.)
     
    The primary goal of healthcare usability is fortifying patient safety and optimizing human performance with supporting technological tools and systems (R2 Library (Online service), American Nurses Association, 2015). Nursing informatics competencies standard 5b, health teaching, and health promotion highlights the vital nurse leader skill of integrating informatics solutions into clinical practice workflows and the attribute of seeking out opportunities for feedback of innovation effectiveness, including reviews of usability and innovation sustainability (R2 Library (Online service), American Nurses Association, 2015). Ben-Eli (2018) defined sustainability through the lens of parts and wholes. A process system’s sustainability depends on the demand for resources and the generation of byproducts in a balanced state. In simpler terms, the rate of consumption and resource replenishment in correlation to the rate of production and absorption of said production byproducts determine the likelihood of system sustainability and the long-term ability of continued, optimal functioning (Ben-Eli, 2018). Nursing informatics and technological innovations function as expanders in the clinical environment through streamlined processes developed for functionality and efficiency.

    Defining Usability and Sustainability as Cornerstones for Applying Information Technology