Tag: Clinical-Nursing

NURS 6051S Week 5 Discussion: Big Data Risks and Rewards

 Benefit of using big data as part of a clinical system

Wang, Kung, & Byrd, 2018 stated that the use of big data helps “identify patterns of care” and provide “a broader view for evidence-based clinical practice” (p. 7). As previously mentioned in week 1, the VNA could greatly benefit from nursing informatics in using data to improve rehospitalization rates. For clinical systems and big data to start to notice patterns related to rehospitalization rates would benefit the patients and lead to improved patient outcomes. It would also benefit the VNA, as reimbursement from insurance is impacted by rehospitalizations and resources used during certification periods NURS 6051S Week 5 Discussion: Big Data Risks and Rewards.

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Challenge of using big data as part of a clinical system

The use of big data as part of a clinical system has benefits as well as challenges. Often, chief nurse executives are “drowning in data” and become frustrated (Thew) (2016) NURS 6051S Week 5 Discussion: Big Data Risks and Rewards. There is pressure put on the nurses in processing the data to find not only ways to save establishments money but also to provide evidence-based care that improves patient outcomes. Ultimately this leads to taxing documentation, unmanageable and exhausting workflow, and monetary expenses are a few of the challenges (Clancy & Reed) (n.d.) NURS 6051S Week 5 Discussion: Big Data Risks and Rewards.

Strategy to mitigate the challenge

To effectively mitigate the challenges presented in using big data, nurses must get involved. It is important to be a part of the pilot of new technology and program in my experience. It is then just as important to join the team that evaluates the use of new technology and provides adequate feedback NURS 6051S Week 5 Discussion: Big Data Risks and Rewards. This has allowed advocating from a field clinician’s perspective as office staff and upper management often do not have a true sense of what direct patient care is truly like in homecare using technology. Currently, I am part of a pilot team for the use of Corridor in reviewing our admission, resumption of care, and discharge OASIS forms. Glassman, 2017 stated that it is important for nurses to participate in the entire process, from selecting technologies to providing feedback and areas for improvement, and I completely agree with this. NURS 6051S Week 5 Discussion: Big Data Risks and Rewards.

 

References

Clancy, T. R., & Reed, L. (n.d.). Big Data, Big Challenges Implications for Chief Nurse Executives. 
JOURNAL OF NURSING ADMINISTRATION
, 
46
(3), 113–115.
https://doi-org.ezp.waldenulibrary.org/10.1097/NNA.0000000000000307

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

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

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. 
Technological Forecasting & Social Change
, 
126
, 3–13. https://doi-org.ezp.waldenulibrary.org/10.1016/j.techfore.2015.12.019 NURS 6051S Week 5 Discussion: Big Data Risks and Rewards.

 

NURS 6051S Week 5 Discussion: Big Data Risks and Rewards Response 1

The availability of healthcare data is growing exponentially as electronic health records, the use of wearable devices, social media and internet use, and genomic information continue to expand (Gleason & Dennison Himmelfarb, 2017) NURS 6051S Week 5 Discussion: Big Data Risks and Rewards. Utilizing this information improves communication between the interdisciplinary team, patient care, and clinical decision-making, it increases the pressure and documentation workload for nurses and physicians and contributes to burnout. NURS 6051S Week 5 Discussion: Big Data Risks and Rewards

More than one-half of American physicians and one-third of nurses are experiencing symptoms of burnout, according to Cureus (Pittman, 2020). There is a significant amount of pressure on nurses to provide and analyze data which is a necessary and valuable job function, but it is taxing and time-consuming. Due to a large amount of documentation that is required we do not spend as much time with our patients as we would like, and this often leads to one feeling unfulfilled. Organizations need to prioritize the use of big data to prevent nurse and physician burnout. Utilizing data and predictive technology organizations are able to focus on workplace processes that can be improved, including staffing levels to help alleviate burnout NURS 6051S Week 5 Discussion: Big Data Risks and Rewards. Additionally, more needs to be done with data and technology to measure nurse competence and satisfaction, and patient education to measure the patient’s retention and ability to do what we teach them.

Gleason, K. T., & Dennison Himmelfarb, C. R. (2017).
Big Data: Contributions, Limitations, and Implications for Cardiovascular Nurses
. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5393269/.

Pittman, M. (2020, December 17).
How to Use Data to Decrease Nurse Burnout and Improve Patient Care
. https://cleanhands-safehands.com/how-to-use-data-to-decrease-nurse-burnout-and-improve-patient-care/.

 

Response 2

I enjoyed reading your discussion post and the association with rehospitalization rates.  Just to add Big data “typically refers to a large complex data set that yields substantially more information when analyzed as a fully integrated data set as compared to the outputs achieved with smaller sets of the same data that re not integrated” (Thew, 2016)

I must say I agree that there is pressure put on the nurses in processing data and it can be very frustrating. The consequences are unnecessary increases in medical costs and time for both patients and healthcare service providers. Thus, healthcare organizations are seeking effective IT artifacts that will enable them to consolidate organizational resources to deliver a high-quality patient experience, improve organizational performance, and maybe even create new, more effective data-driven business models (Wang, Kung, & Byrd, 2018) NURS 6051S Week 5 Discussion: Big Data Risks and Rewards

References

Thew, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Retrieved December 29, 2020, from
https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018, January). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Retrieved December 29, 2020, from https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0040162516000500?via=ihub

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Discussion: Big Data Risks and Rewards

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

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth NURS 6051S Week 5 Discussion: Big Data Risks and Rewards.

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

To Prepare:

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

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

By Day 3 of Week 5

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

By Day 6 of Week 5

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

Big Data Risks and Rewards

Big data refer to the large data sets that yield considerable facts when evaluated as a fully cohesive data set equaled to the smaller groups of the same data output that is not incorporated. Data is a universal concept of the work of chief nurse executives. The Chief Nurse Executives use the contexts when routinely collecting, storing, processing, and analyzing large amounts of data in the clinical settings. NURS 6051S Week 5 Discussion: Big Data Risks and Rewards

Big data is a sensitive issue for the clinical system because its availability can benefit medical and healthcare operations. The big data approach is essential in improving evidence-based healthcare decisions and patient outcomes (Wang et al., 2018). Big data contributes to healthcare processes in the clinics by increasing diagnosis, quality, and effectiveness of treatments, predicting the patient outcome, and improving pharmacovigilance and patient safety. Also, the big data have a potential benefit of helping in identification and promptly intervening the effective ways of managing the high risk and high-cost data of patients that facilitate the precision services that enable the detection of patient responses to tailoring and treatments to the healthcare needs (Bates et al., 2014). Thus, all these benefits are crucial in reducing efficiency by improving the clinical system’s cost containment.

However, the big data has challenges such as lacking standardization and consumes more time because the process is labor-intensive to the chief nurse executives (Thew, 2016). The process is intensive because, in the evaluation, they do not call the units, name the data, and define the data in the same way. For instance, when analyzing specific data, the definition varies from one system to another. Lack of data standardization makes the chief nurse executives experience hardships in assessing how the clinic is conducting its processes to try to develop solutions to the areas that require changes.

Therefore, big data is a potential factor in the clinical system, but the challenges need to be appropriately addressed to ensure its effectiveness. The chief nurse executives should ensure data standardization by making sure that the data is internally consistent. NURS 6051S Week 5 Discussion: Big Data Risks and Rewards That is by making each data type to have the same format and content. The standardization will ease analyzing big data by allowing collaborative, shared methodology and large-scale analytics that consume less time.

References

Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014). Big data in health care: using analytics to identify and manage high-risk and high-cost patients. 
Health Affairs
, 
33
(7), 1123-1131.

Thew, J. (2016,April 19) Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders. Retrieved from:
https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. 
Technological Forecasting and Social Change
, 
126
, 3-13. NURS 6051S Week 5 Discussion: Big Data Risks and Rewards

Project Proposal:

Decreasing Interruptions in Medication Administration

 

The proposed project seeks to decrease interruptions in medication administration by applying a bottom-up approach. The problem addressed by the project is the concern that interruptions during medication administration lead to a significant proportion of medication errors. Despite the best efforts to safely manage medication administration, mistakes occur within the health care setting (Mortaro et al., 2019). In fact, about 7,000 patients die every year from preventable medication errors. Although there is limited research on this subject, evidence suggests that reducing interruptions would reduce medication errors. In addition, it is noted that medication administration is a routine activity with a skill-based and repetitive nature thereby increasing the risk of distractions (Stanhope & Lancaster, 2020). To address this concern, the project will apply a pre-and post-intervention observational study approach that is based on direct observation. The intervention will involve adequately training nurses on the risks related to interruptions during medication administration. The bottom-up approach is expected to tailor the intervention and concurrently act as the training instrument tool (Snipes, 2016). During the project, the participating nurses will be observed for total medication dispensing rounds reported for the pre-intervention and post-intervention periods. Observations will note the raw number of interruptions per patient rate during drug rounds with the expectation that the project will result in reduced interruption rates during medication administration (Harris et al., 2016).

 

 

 

 

Identify the stakeholders impacted by this project.

The project is focused on addressing medication safety. Five stakeholders have been identified as impacted by this project. Firstly, patients/consumers whose lives are risked when medication errors occur. They have become more informed and are no longer passive about their healthcare. Patients are now active customers who ask questions about their medication and are not intimidated by the disposition of medication personal. They should be informed about the project since it has implications for their health care outcomes. Secondly, academia would be interested in the project. The results of the project can be weaved into current medication safety concepts throughout the curriculum thus ensuring that medical personnel is able to develop the critical thinking skills required to manage medication administration safety (Zaccagnini & White, 2017). Thirdly, external health care stakeholders who include licensing, accrediting and regulatory bodies who would use the project results to develop safety standards. Also, the project results would be useful for providing oversight and ensuring that medical organizations fully implement medication administration safety standards. Fourthly, health care organizations, and leaders who would need to incorporate the concepts presented in the project into their patient safety goals and mission statement while upholding practice issues. Their affirmation that patient safety is a significant concern should be accompanied by genuine commitment and action to safe medication administration. The leaders would be interested in transforming the project results into practice standards and protocols then communicating them to all levels of the organization. Finally, medical practitioners would be interested in the project as it presents them with current information bout patient safety. Also, the information allows them to maintain competencies and make necessary changes in practice to improve patient safety (Zaccagnini & White, 2017).

 

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

The project seeks to reduce interruptions during medication administration with the expectation of a reduced proportion of medication errors. The project will train selected nurses on the risks related to interruptions during medication administration. The information is expected to enable nurse personnel to be more aware of the risks associated with medication errors. In addition, it is expected to enable nurses to develop better strategies and protocols for eliminating or handling interruptions so that they do not interfere with medication administration and they are not distracted. Besides that, it will enable organization leadership to work alongside frontline medical personnel to guide a bottom-up approach in identifying and applying tailored interventions alongside training instrument tools. Ultimately, the project seeks to improve patient safety and care outcomes by reducing incidences of medication errors (Snipes, 2016).

 

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

This project will require three technologies. The first technology is training material that will inform medical personnel about the risks related to interruptions during drug administration. The training material will include a trainer, notes, posters, and presentations. The second technology is access to the electronic medical records (EMR) system. This will offer access to data on incidences of medication errors as well as data on other variables. The final technology is a data analysis software that will determine the correlation between variables to identifying areas in which interventions would present the most benefits (Harris et al., 2016).

 

 

 

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

The project team has three members. The first member is a project manager who would be responsible for coaching the project team through the project life cycle, coordinating with the organization’s management, and ensuring the overall success of the implementation to include meeting deadlines and requirements such as performance and function. In addition, this individual links the implementation phases (planning, design, development, implementation, and testing phases) so that they run seamlessly and are able to communicate. The second member is a training analyst who is responsible for linking the concepts and ideas that are presented as the training requirements. The expertise required of the training analyst is the technical knowledge of continuous training applications. The role requires excellent interpersonal and communication skills, the ability to relay information to others and elicit their needs, and analytical skills. This individual should understand that medication administration needs of the organization and should have a clinical background (Bemker & Schreiner, 2017). The final member is a nurse informaticist who will be responsible for managing all data needs of the project. This will include identifying the project’s data needs in terms of which variables inform on medication errors. In addition, this individual will be responsible for evaluating the project data and communicating the results to the project leader and other stakeholders with a focus on noting implications for the organization (McGonigle & Mastrian, 2018).

 

References

Bemker, M., & Schreiner, B. (Eds.) (2017).
The DNP Degree & Capstone Project: A Practical Guide
. DEStech Publications, Inc.

Harris, J., Roussel, L., Thomas, P., & Dearman, P. (2016).
Project Planning & Management: A Guide for Nurses and Interprofessional Teams
. Jones & Bartlett Learning, LLC.

McGonigle, D., & Mastrian, K. (2018).
Nursing informatics and the foundation of knowledge
(4
th
ed.). Jones and Bartlett Learning.

Mortaro, A., Pascu, D., Pancheri, S., Mazzi, M., Tardivo, S., Bellamoli, C., … & Moretti, F. (2019). Reducing interruptions during medication preparation and administration: An improvement project.
International Journal of Health Care Quality Assurance
, 32(6), 941-957.
https://doi.org/10.1108/IJHCQA-12-2017-0238

Snipes, C. (2016).
Project Management for the Advanced Practice Nurse
. Springer Publishing Company.

Stanhope, M., & Lancaster, J. (2020).
Public Health Nursing: Population-Centered Health Care in the Community
. Elsevier, Inc.

Zaccagnini, M., & White, K. (Eds.) (2017).
The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing
(3
rd
ed.). Jones & Bartlett Learning, LLC.

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

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

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

To Prepare:

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

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

The Assignment: (4-5 pages not including the title and reference page)

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

Describe the project you propose.

Identify the stakeholders impacted by this project.

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

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

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

Use APA format and include a title page and reference page.

Use the Safe Assign Drafts to check your match percentage before submitting your work.

Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

Nursing informatics is a modern high-level technical operation of nurses. Nursing informatics require computer skills, information technology, and data each day to successfully  evaluate systems, patient care practices, and healthcare initiatives. They analyze data to determine what is working effectively and what is not while using established findings to propose advancements, lead programs, and necessary changes (Mosier et al., 2019).  Nursing informatics should work jointly with other professionals in the medical fields, for example doctors, other nurses, occupational therapist, and psychologists, to ensure the quality of care (McGonigle &Mastrain, 2015). Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post.  Such interactions should be improved by ensuring that nursing informatics provide healthcare to patients in different settings, units, and departments while working with all medical professionals to guarantee successful patient-centered care.

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Nursing informatics are involved in analyzing  data to improve patient care and enable healthcare facilities to establish novel and useful expertise. They research, suggest, and employ new technology while training other health professionals to use such knowledge in answering questions, providing care to patients, and monitoring results (Ng et al., 2018).  Contrary to nurses’ traditional tasks that centered only on providing one-on-one care to patients, nursing informatics advocate steps that should be taken to improve patient safety and outcomes in a given department, units, facility, or the entire healthcare system.

Some of the projects that could help nursing informatics to improve outcomes and effectiveness in healthcare organizations include enabling all stakeholders to have enhanced access to electronic records, diagnostics, and patient care plans. Some significant nursing informatics projects’ influential stakeholders include all nurses doctors, patients and their family members, the nursing association, lawmakers, and all medical professionals. Enhanced collaboration and communication among stakeholders make it simple to tackle healthcare work flows, facilitate coordination, and improve patient outcomes (McGonigle & Mastrain, 2015). Facilitation of data access will necessitates system integration, which will make information and analysis essential. Another project would be the improvement of clinical strategies, protocols, practices and procedures. Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

Nurse informaticists should regularly gauge and assess how particular care delivery segments are performing while focusing on patient outcomes. They could advocate changes and improvement in poorly performing practices to guarantee positive patient outcomes. Moreover, nurse informaticists should provide training and learning anchored on unbiased data. They should train other health professionals on technology-based aspects and employ data to identify rampant problems in health institutions while consulting on the most successful means of resolving underlying issues (Ng et al., 2018). This will enable nurse informatics to generate highly targeted programs to address existing gaps between capacity and provider anticipations.

Projects undertaken by nursing informatics improve healthcare delivery outcomes by enhancing the selection and testing of new health devices that can offer vast quantities of patients’ medical data. Nursing informatics are characteristically positioned to fathom actual worth of data and give suggestions on the best practices of recording, accessing, and using it to ensure quality of care. Engaging them in the choice of valuable health devices will make sure that medical professionals have an added advantage in understanding how technological gadgets can improve diagnostics, care plans, and eventually, patient outcomes.  Nursing informatics projects also assist in the reduction of medical errors and unnecessary costs (McGonigle & Mastrin, 2015). Collaboration among nursing informatics, patients and their relatives, doctors, and other health professionals ensures a vast pool of decisions that make all stakeholders well-informed, which helps avoid mistakes. Additionally, the incorporation of regular staff training and development, process enhancement, and application of best practices will ensure the quality of care and prevent patient risks. Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

References

McGonigle, D., & Mastrian, K.G. (Eds). (2015). Nursing informatics and the foundation of knowledge (3rd ed.) Jones &Bartlett Publishers

Mosier, S., Roberts, W.D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: The role of executive leadership. JONA: The Journal of Nursing Administration, 49 (11), 543-548.

https://doi.org/10.1097/NNA.0000000000000815 Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

Ng, Y.C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health application in health information technology initiatives: Expanding opportunities for nurse participation in population health. CIN: Computers, informatics, Nursing, 36 (5), 209-213. https://doi.org/10.1097/CIN.0000000000000445

 

 

Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post sample 2

At a level 1 trauma center, communication is exceedingly important.  In many circumstances, a maximum response time of 30 minutes from hospital entry to operating room table is necessary for a good outcome.  The data for incoming  traumas is recorded and protocol is adjusted to ensure a smooth transition from department to department.  This is the area where patient care communication is often dropped; the possibilities are not relayed to the involved teams causing  unnecessary uncertainty, and confusing delays.  Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post Following a patient physically prior to entry, and then throughout the assessment as well as testing areas would be beneficial to all.  Just as with the HIT initiative cell phone technology is recognized as playing a major role in improving  health care delivery.   Alexander, Ng, & Frith  (2018) There are many real time applications that can be utilized to improve patient care.

The greatest area for improvement that I see daily, is the actual “following” of a patient upon arrival.  When a trauma arrives  a beeper goes off to signal the severity of the injuries and then nothing is communicated unless it is sought.  This is where the cell phone technology would be beneficial.  When a patient left the ER to go for testing or to the SICU for observation, those waiting for possible interventions should be informed.  There are many studies trying to integrate continuity of care within the hospital; one being the HANDS care model.  Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post ” Underpinning the HANDS Method is a model which includes concepts adapted from the literature on high reliability organizations, such as nuclear power plants, air traffic control towers, and hospitals.”  Park, Murray, Delaney, Keenan, Yakel, & Marriott. (2006) With all of the technology of today the immediate hand-off information could be relayed to the appropriate parties. Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

.     There needs to be an efficient way for nursing and supporting staff to be made aware of changes in patient care decisions.  Currently there is a “hurry-up and wait” style of communication without any end to the loop of information unless the operating room or other departments hunt down information for themselves.  If management could see the potential cost-saving measures that would not only create greater efficiency, but avoid near misses, and improve continuity of care that would have a much greater success in emergent care situations.   Studies to determine the points in which specific patient information should be shared with particular areas where there may be a  need for intervention, type of care, or termination of readiness.   “These data can potentially affect the productivity, efficiency, performance, effectiveness, cost, and value of nursing care when properly collected and used.”   Mosier, Sammie, Roberts, et al. (2019) Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

 

References:

Alexander, S., Ng, Y. C., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. 
CIN: Computers, Informatics, Nursing
, 
36
(5), 209–213. Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

Mosier, Sammie, DHA, MA, BSN, NE-BC, CMSRN, BC, Roberts, Wm., Dan PhD, RN, et al. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. Journal of Nursing Administration, 49, 543-548. https://doi.org/10.1097/NNA.0000000000000815

Park, H.-A., Murray, P., Delaney, C., Keenan, G., Yakel, E., & Marriott, D. (2006). HANDS: A Revitalized Technology Supported Care Planning Method to Improve Nursing Handoffs. 
Studies in Health Technology & Informatics
, 
122
, 580. Interaction Between Nurse Informaticists and Other Specialists Sample Discussion Post

Interaction Between Nurse Informaticists and Other Specialists Discussion Essay

Nursing informatics is a formal specialty that is recognized by the American Nurses Association (Laureate education, 2018). Nursing informatics is the synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing and enhancing healthcare data, information, knowledge, and wisdom to improve patient care and the nursing profession(ANA) Interaction Between Nurse Informaticists and Other Specialists Discussion Essay.

I work in an adolescent psychiatric unit and we use Meditech as software for electronic health record. An electronic health record (HER) is a digital version of a patient’s chart. Electronic health records are real time, patient-centered records that make information available instantly and securely to authorized users (healthit.gov). Meditech is friendly user software if you are trained in a proper way. The entire pertinent patient’s information is stored in the system. After being hired at the hospital, the nurse informaticist will spend a couple of days with any new hire to go over the details and to explain how to navigate the system. The nurse informaticist is very important for a new hire to stay on the job. It is fundamental for the new hire to be curious, vigilant and inquisitive. The nurse informacist provides so much information during orientation that you feel lost. The nurse informaticist makes sure that the new hire masters those skills that will enable him/her to perform his/her task adequately. The nurse informaticist will teach all shortcuts, tricks and eventual glitches you might encounter in real life situation.  The nurse informaticist is the heart of the system and their presence on the floor is reassuring. The nurse informaticist trained all types of personnel from administrators, doctors, nurses, kitchen aid and housekeepers how to enter data for their respective work. This is reassuring knowing that the nurse informaticist is present on the floor to answer any pertinent questions that you might have. The nurse informaticist supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision making in all roles and settings to achieve desired outcomes (Sipes, 2016)

One of the new technologies that we had issues with was a new glucometer that was required by the state for reimbursement. A lot of my colleagues tried to use it and could not. The system was complicated and caused a lot of stress on the unit. Sometimes, we have to check a patient’s blood sugar and we could not. We had to call the nurse informaticist to come to the floor for a review. You scanned everything and followed all the steps and the data did not go to the system. The computer sent you messages and asked you to take the blood sugar that was already past due. With time, staff mastered the techniques how to manipulate the machine and we had no issues afterwards.

The nurse informaticist has a pivotal role in healthcare organizations. The nurse informaticist interacts with other professionals at the hospital via email. Email is the number one means of communication and cellular phone is second. The nurse informacist is reliable and responds promptly and gently to any request made by the healthcare team. The combination of clinical insight and technological skills possessed by nurse informaticists enables this highly trained group to make significant contributions in the design and deliver of mental health applications (Ng, Y.C & all, 2018). With the Covid-19 pandemic and the existence of new means of communication, telehealth is a good way for patients and providers to be in touch. In today’s technologically savvy healthcare environment, patients are being prescribed applications for their smartphones instead of medications in some clinical practices. Patient’s smartphones are being used to interact with them in new ways and to monitor and assess their health in some cases. With applications and add-ons, for example, a provider can see the patient’s ECG immediately, or the patient can monitor his or her ECG and send it to the provider as necessary (McGonigle and Mastrian, 2017) Interaction Between Nurse Informaticists and Other Specialists Discussion Essay. New technologies are revolutionized the healthcare system. The nurse informaticist will be at the forefront of those changes. With their combination of clinical and technological expertise, nurse informaticists are poised to integrate mental health applications in clinical practice and connect patients and health care providers in ways that are compatible with life, work, and the health of populations (Ng, Y.C, 2018). Technology is great and it does not help us collect meaningful data and generate knowledge about our patient situations, but equally important is the need to collect the human-to-human data that become available only when we step away from technology and interact authentically with our patients (McGonigle and Mastrian, 2017) Interaction Between Nurse Informaticists and Other Specialists Discussion Essay

 

References:

American Nurses Association (ANA). (2008). Nursing informatics: Scope and standards of practice. Springfield, MD: Nursesbooks.org

https://www.healthit.gov/faq/what-electronic-health-record-ehr

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

McGonigle, D; & Mastrian, K. G. (2017). Nursing Informatics and the foundation of knowledge (4
th
ed). Burlington, MA: Jones & Barlett Learning Interaction Between Nurse Informaticists and Other Specialists Discussion Essay

Ng, Y.C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256. Interaction Between Nurse Informaticists and Other Specialists Discussion Essay

Nursing informatics is a formal specialty that is recognized by the American Nurses Association (Laureate education, 2018). Nursing informatics is the synthesis of nursing science, information science, computer science, and cognitive science for the purpose of managing and enhancing healthcare data, information, knowledge, and wisdom to improve patient care and the nursing profession(ANA).

I work in an adolescent psychiatric unit and we use Meditech as software for electronic health record. An electronic health record (HER) is a digital version of a patient’s chart. Electronic health records are real time, patient-centered records that make information available instantly and securely to authorized users (healthit.gov). Meditech is friendly user software if you are trained in a proper way. The entire pertinent patient’s information is stored in the system. After being hired at the hospital, the nurse informaticist will spend a couple of days with any new hire to go over the details and to explain how to navigate the system. The nurse informaticist is very important for a new hire to stay on the job. It is fundamental for the new hire to be curious, vigilant and inquisitive. The nurse informacist provides so much information during orientation that you feel lost. The nurse informaticist makes sure that the new hire masters those skills that will enable him/her to perform his/her task adequately. The nurse informaticist will teach all shortcuts, tricks and eventual glitches you might encounter in real life situation.  The nurse informaticist is the heart of the system and their presence on the floor is reassuring. The nurse informaticist trained all types of personnel from administrators, doctors, nurses, kitchen aid and housekeepers how to enter data for their respective work. This is reassuring knowing that the nurse informaticist is present on the floor to answer any pertinent questions that you might have. The nurse informaticist supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision making in all roles and settings to achieve desired outcomes (Sipes, 2016)

One of the new technologies that we had issues with was a new glucometer that was required by the state for reimbursement. A lot of my colleagues tried to use it and could not. The system was complicated and caused a lot of stress on the unit. Sometimes, we have to check a patient’s blood sugar and we could not. We had to call the nurse informaticist to come to the floor for a review. You scanned everything and followed all the steps and the data did not go to the system. The computer sent you messages and asked you to take the blood sugar that was already past due. With time, staff mastered the techniques how to manipulate the machine and we had no issues afterwards.

The nurse informaticist has a pivotal role in healthcare organizations. The nurse informaticist interacts with other professionals at the hospital via email. Email is the number one means of communication and cellular phone is second. The nurse informacist is reliable and responds promptly and gently to any request made by the healthcare team. The combination of clinical insight and technological skills possessed by nurse informaticists enables this highly trained group to make significant contributions in the design and deliver of mental health applications (Ng, Y.C & all, 2018). With the Covid-19 pandemic and the existence of new means of communication, telehealth is a good way for patients and providers to be in touch. In today’s technologically savvy healthcare environment, patients are being prescribed applications for their smartphones instead of medications in some clinical practices. Patient’s smartphones are being used to interact with them in new ways and to monitor and assess their health in some cases. With applications and add-ons, for example, a provider can see the patient’s ECG immediately, or the patient can monitor his or her ECG and send it to the provider as necessary (McGonigle and Mastrian, 2017). New technologies are revolutionized the healthcare system. The nurse informaticist will be at the forefront of those changes. With their combination of clinical and technological expertise, nurse informaticists are poised to integrate mental health applications in clinical practice and connect patients and health care providers in ways that are compatible with life, work, and the health of populations (Ng, Y.C, 2018). Technology is great and it does not help us collect meaningful data and generate knowledge about our patient situations, but equally important is the need to collect the human-to-human data that become available only when we step away from technology and interact authentically with our patients (McGonigle and Mastrian, 2017)

 

References:

American Nurses Association (ANA). (2008). Nursing informatics: Scope and standards of practice. Springfield, MD: Nursesbooks.org

https://www.healthit.gov/faq/what-electronic-health-record-ehr

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

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

Ng, Y.C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

Interaction Between Nurse Informaticists and Other Specialists

Nurse informaticists routinely make sure all systems are maintained, and able to be utilized properly (McGonigle & Mastrian, 2017, p. 313). Within the Washington Health System, the nurse informaticists help with the orientation of new staff members. All workers who will be utilizing the computers go through their orientation. This orientation helps workers learn the computer system utilized and how to log on to the computer. They provide direct supervision while the staff performs tasks on the computer. There is a packet of step-by-step instructions on how to access and chart in the Sunrise computer system. These individuals interact directly with those who will be using the computers for their job. When the organization implements new technology nurse informaticists are on the floor, directly showing nurses how it operates. This direct observation helps nurses feel more comfortable with new technology and provides resources for questions. Nurse informaticists are focused on creating solutions to improve overall patient care (Mosier et al., 2019). They are responsible for making technology user friendly and without errors. Interaction Between Nurse Informaticists and Other Specialists

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One new technology advancement that we have had issues with is the ViTrac. When staff calls the technical support for the hospital, they try to address the issue over the phone. It would be easier if we could show them the issues we are experiencing. Having a person come over in person is less frustrating and many individuals feel heard. This is one strategy to improve the relationships between the different departments.

Technology is always changing. Healthcare especially, is seeing advancements in technology to help better care for the patient. The use of mobile phone and telehealth is becoming more common. Health apps are being utilized to help lower readmission rates for designated diseases (Ng et al., 2018). Nursing informaticists play a key role in the development and execution of healthcare-based technology. This specialty is becoming more essential every year as technology advances. We need these individuals to help advance technology services we can provide to patients. As new technology is developed every year, this role is crucial. I believe the advancement of new technologies will expand the current professional interactions. It will allow for physicians to remotely connect with other professionals to better care for the patient. The evolution of this role allows for more professional interactions to occur. It will also cause many professional interactions to occur remotely. While this aspect can be positive in many ways, the lack of actual in person communication is lost. Especially during these times, many people need some form of human interaction after quarantining for months. Nurse informaticists are a great tool for advancing healthcare and improving care for patients.

References

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

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A system-level method for developing nursing informatics and solutions: The role of executive leadership.
The Journal of Nursing Administration,
49(11), 543-548.

10.1097/NNA.0000000000000815

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health applications in health information technology initiatives: Expanding opportunities for nurse participation in population health.
Computers, Informatics, Nursing
, 36(5), 209-213.
10.1097/CIN.0000000000000445

 

response post

I agree that nursing informatics is a necessary tool for the advancement of the quality of care and the nursing profession in its’ entirety. Recently, we have seen a huge shift in the healthcare with telehealth coming to the forefront due to the Affordable Care Act and more recently the coronavirus pandemic. There are several advantages to providing services remotely such as: convenience, cost savings, the ability to provide care to those who are immunocompromised or with mobility issues, and accessibility for those that live in rural areas.

According to Harvard Health, almost three-quarters of Americans surveyed said the pandemic has made them more eager to try virtual care, and one in four Americans over the age of 50 have had a virtual health visit during the first three months of the pandemic (2020). Telehealth is an umbrella term that covers telemedicine and a variety of nonphysician services, including telenursing and telepharmacy (Weinstein et al., 2014). Telehealth fundamentally changes the way patient care is delivered. Telephonic or virtual nursing allows nurses to monitor and deliver care to patients remotely. Nurse informaticists combine clinical and technical expertise to determine how to best meet the needs of the patient and organization. Nurse informaticists are critical in the success of telehealth as they play a significant role in the design and implementation of the systems utilized as well as the education of healthcare workers regarding the technology and biometric data that is used in order to treat patients virtually. As the population’s life expectancy continues to grow, the role of telehealth will become increasingly important as will the ability to utilize the technology in order to assess, communicate, and provide care for out patients virtually.

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references

Harvard Health. (2020).
Telehealth: The advantages and disadvantages
. https://www.health.harvard.edu/staying-healthy/telehealth-the-advantages-and-disadvantages. Interaction Between Nurse Informaticists and Other Specialists

Weinstein, R. L., Lopez, A. M., Jospeh, B., Erps, K., Holcomb, M., Barker , G., & Krupinski, E. (2014, March).
Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers
. The American Journal of Medicine . http://scholar.google.com/scholar_url?url=http://www.academia.edu/download/42581191/Applications_that_work.pdf&hl=en&sa=X&ei=m43bX7j2GY-Ny9YPt6-10Ac&scisig=AAGBfm31zNtLDXJT_2-7S7hftARrTGuYww&nossl=1&oi=scholarr. Interaction Between Nurse Informaticists and Other Specialists

 

Discussion: Interaction Between Nurse Informaticists and Other Specialists

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

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

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

To Prepare:

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

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

By Day 3 of Week 3

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

By Day 6 of Week 3

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

 

Interaction Between Nurse Informaticists and Other Specialists Sample 2

Information about Covid-19 is being intensely scrutinized throughout not only the healthcare organization that I work for, but also throughout the world, in an attempt to coordinate a massive response to try to contain the spread of the disease.  Data is being gathered by multiple professions and disciplines and analyzed with the intention of sharing the resulting knowledge with people and agencies responsible for making decisions regarding steps to take to protect the public from the disease.  Data that is being collected and shared on a regular basis at my place of work includes results from weekly staff and patient Covid-19 testing, daily staff and patient symptom reports, daily bed counts, and patient temperatures and vital signs each shift.  Interaction Between Nurse Informaticists and Other Specialists The information is gathered by nurses on the inpatient unit, it is shared verbally and electronically with doctors, administrators, building supervisors, and public health officials to make decisions regarding patient care and staffing.

One way to improve the efficient distribution of the information that is gathered on the inpatient unit would be to ensure that information is shared between disciplines and professions with compatible organizational approaches (Nordsteien & Bystrom, 2018).  Nursing on the inpatient unit needs to be aware of what specific information is being requested, and it must be reported in a manner that is accessible and easily understood by those requesting it.  Providing unnecessary information will only slow the analysis of information and delay effective interventions (Skiba, 2017) Interaction Between Nurse Informaticists and Other Specialists.

As nursing informatics continues to evolve into a nursing specialty, nurse’s interactions with other professionals will take on a collaborative role in the quest for improved patient outcomes.  Knowledge will be created from data, analyzed, shared among professions, and incorporated into the practice of multiple disciplines (McGonigle & Mastrian, 2017).

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References

McGonigle, D., & Mastrian, K. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Jones & Bartlett Learning. Interaction Between Nurse Informaticists and Other Specialists

Nordsteien, A., & Bystrom, K. (2018). Transitions in workplace information practices and culture: The influence of newcomers on information use in healthcare.
Journal of Documentation
,
74
(4), 827–843.
www.emeraldinsight.com/0022-0418.htm

Skiba, D. J. (2017). Nursing informatics education: From automation to connected care. In
Forecasting informatics competencies for nurses in the future of connected health
(pp. 9–19). IMIA; IOS Press.
https://doi.org/10.3233/978-1-61499-738-2-9  
 Interaction Between Nurse Informaticists and Other Specialists

NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nursing Informatics

Laureate Education (2018) informs us that nursing informatics is a formal specialty recognized by the American Nurses Association. Nurses in this specialty can obtain certifications after graduation and can make a difference as systems analysts, project leaders, quality analysts, chief nurse informatics officers, educators, and consultants for healthcare organizations. Nurse informaticists have become an integral part of the health care team Laureate Education (2018) NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists.

Nurse Informatics at Elder Services

McGonigle and Mastrian (2017) state knowledge management systems (KMS) are repositories of information that contain the latest collective expertise based on experience and research. The knowledge is stored in a computerized system and promotes easy access for use. While KMS are useful, nurses do not want our patients to feel they are more focused on the machines or workstations during patient encounters NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists. Nurses need to practice presence; the act of being with our patients, entirely focusing on their needs and centering; the act of taking a moment to clear one’s mind of clutter and focus one’s attention exclusively on a patient before engaging in a therapeutic encounter (McGonigle & Mastrian, 2017) NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists.

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Organizations that embrace and encourage knowledge transfer among workers sustain and build professional competence and organizational engagement and enhance the quality of work-life for professionals (McGonigle & Mastrian, 2017). At Elder Services of Merrimack Valley (ESMV), we utilize 
WellSky Aging & Disability (formerly SAMS), enabling
agencies, providers, caregivers, and family members to maximize outcomes through the coordinated home and community-based care (Wellsky, 2020). They work with hundreds of Area Agencies on Aging and several Aging and Disability Resource Centers to support the Older Americans Act and other services funded by grants and local funds (Wellsky, 2020) NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists. Altho ESMV works closely with home health agencies and physician offices; we do not utilize Wellsky to share information with outside sources. We can see consumers who belong to other area agencies on aging but cannot access their records unless they are transferring to ESMV. ESMV could improve communication and coordination of care if we utilized Wellsky across a broader range of services, sharing information with physician offices, etc.  Shahmoradi, Safadari, and Jimma (2017) agree, noting the use of appropriate tools for knowledge
 
management
 and user-friendly 
system
s can significantly improve the quality and safety of care provided for patients both in hospital and home settings. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

Shellum, Nishimura, Milliner, Harper, and Noseworthy (2017) note that sophisticated and complex 
electronic
 
medical
 
records
 and clinical 
systems
 generate increasing volumes of patient data, making it challenging to find the critical information required for patient care. To address these challenges, Mayo Clinic established a 
knowledge
 
management
 program to curate, store, and disseminate clinical 
knowledge
. A point-of-care 
knowledge
 resource developed to support an individualized approach to patient care has grown into a formal
knowledge
management program (Shellum, Nishimura, Milliner, Harper, & Noseworthy 2017). NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists. This program would be useful for home care as well if the agency had the resources to develop it.

The future of Nursing Informatic

           
Vernic (2019) notes that it is essential that basic training programs for nurses include concepts related to the role of computer technology in clinical practice. Their article contains several classification systems in 
nursing that are 
useful in generating and processing 
nursing
 databases and facilitating the description and comparison of 
nursing
 practices. They are: (International Clinical for Nurses Practice (ICNP), North American 
Nursing
 
Diagnosis Association (NANDA), Clinical Care Classification (CCC), and the 
Nursing
 Diagnostic System of the Center for 
Nursing
Development and Research (ZEFP)). Vernic(2019) notes that the vision of the future will be telemedicine and telenursing to exchange information from one place to another to improve the patient’s health. Telemedicine has become the norm due to the current pandemic NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists. Most nurses can access electronic patient records, providing patients with health care information and educational materials. Nurses must sustain skills in excellent electronic records of medical data and other technologies.

Information technology will provide nursing with a faster capacity for producing and disseminating new knowledge (Vernic, 2019) NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists.

References

Laureate Education (Producer). (2018). 
The nurse informaticist
 [Video file]. Walden University.

https://class.content.laureate.net/fb0cd582e99307e3fdcdce3f6525ebe5.html

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge

(4th ed.).  Jones & Bartlett Learning
. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

Shahmoradi, L., Safadari, R., & Jimma, W. (2017). Knowledge management implementation

and the tools utilized in healthcare for evidence-based decision making: A systematic review. 
Ethiopian Journal of Health Sciences, 27
(5), 541–558.
doi-org.ezp.waldenulibrary.org/10.4314/ejhs.v27i5.13

Shellum, J. L., Nishimura, R. A., Milliner, D. S., Harper, C. M., Jr, & Noseworthy, J. H. (2017).

Knowledge management in the era of digital medicine: A programmatic approach to optimize patient care in an academic medical center. 
Learning Health Systems, 1
(2), e10022.
doi-org.ezp.waldenulibrary.org/10.1002/lrh2.10022

Vernic, C. (2019). Informatics in nursing. Current and future trends. 
Applied Medical

Informatics, 41
, 35. h
ttps://search-ebscohost-c
om.ezp.waldenulibrary.org/login.aspx?direct=true&db=a9h&AN=139639616&site=eds-live&scope=site. Acesso em: 14 dez. 2020.

Wellsky. (2020, December 14).
Maximize outcomes for your aging and disability population with WellSky. 
https:// wellsky.com/aging-disability/ NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

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Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

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

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

To Prepare:

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

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

By Day 3 of Week 3

Post
a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists.

By Day 6 of Week 3

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

 

NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists Sample 2

Providing care in a technology rich environment is a challenge that is becoming increasingly more difficult. Nurses want to provide extraordinary care to their patients. Due to charting demands, the time allotted for patients is continuing to decrease. There are many advancements in the technology in healthcare. These advancements disrupt the patient encounters (McGonigle & Mastrian, 2017, p. 525). NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists When giving medications we must log in to the scanning device, scan the patient, and scan the medications. During this time, we are consumed with the technology-based activity at hand. This focus is necessary to prevent medication errors. However, this interaction can also make the patient feel as though you are solely focused on the technology. One way to refocus on the patient is by putting the device down, talking directly to them, explaining the medications, and asking if they have questions (McGonigle & Mastrian, 2017, p. 527). This can show the patient that they are the focus of the nurses’ attention.

Another method to prevent the disruption in patient encounters is by taking care of ourselves first. By taking care of ourselves first, we can better provide effective patient care (McGonigle & Mastrian, 2017, p. 525). One study concluded self-care strategies help prevent burnout and increase well-being (Wei et al., 2020). By focusing on self-care, we are also acting as good role models for a healthy lifestyle. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

Telemedicine and telenursing are becoming a common practice. Nursing informaticists will be able to help nurses adapt to the roles of using more technology. They are experts on the technological component. This new type of interaction with patients via video chat can be challenging. Nurses will need training on this program so when they do receive these calls they can be completely focused on the patient. Healthcare is constantly changing and advancing, it is important to remember the patient is the priority with these changes. NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

References

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

Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020).
Self-care strategies to combat burnout among pediatric critical care nurses and physicians,
40(2), 44-54.
10.4037/ccn2020621 
  NURS 5051/ NURS 6051 Discussion: Interaction Between Nurse Informaticists and Other Specialists

NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology

Introduction

As a visiting nurse, I heavily rely on my tablet, cellphone, and more recently telehealth. Patient care starts over the phone. At the start of my shift, I do not receive a report from the prior shift nurse. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology I start collecting data by looking at the electronic record, hospital discharge attachments, and through the initial conversation over the phone. I start “acquiring, processing, and generating information or knowledge” about my patient and the plan for our visit before I even meet my patient. (McGonigle & Mastrian, 2018) (p9). I then call the patients to set up a visit time and obtain basic information this is the point in which my brain becomes a computer (McGonigle & Mastrian, 2018) NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology. During my visits, my documentation is 100% on my tablet in the electronic health record. I use my work cellphone and a HIPPA secure app to upload wound photos and legal documents into the patients’ electronic records.

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My home health agency uses a system called “Homecare Homebase” for documentation and charting. We are affiliated with Atrius Health and have many referrals from Lahey and Partners owned hospitals and medical offices. These agencies all use the software, EPIC. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology By not sharing the same network and software, I am limited in my practice. Networks, agencies, students, and universities would be wise to collaborate on  software and understand that “the important use of informatics has to do with how you use those tools strategically” (Laureate, 2018).

Scenario

Patient John Doe is admitted to the Lahey Hospital on Sunday for fluid overload, heart failure exacerbation. While hospitalized, he received IV Lasix, which caused an electrolyte imbalance. On discharge, the patient’s medications for oral diuretic and potassium supplement doses were changed. I admit the patient to homecare VNA following hospital discharge on Tuesday. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology My medication reconciliation requires a call to the primary care doctor’s office and the cardiologist’s office since my electronic health record system does not sync with the hospital or physician’s systems. Thursday, the patient sees his cardiologist for a hospital follow-up, and the cardiologist makes additional medication changes based on recent lab work and patient symptoms. A second visiting nurse goes out on Friday for a follow up revisit with the patient for additional education and a skilled assessment. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology The patient tells the nurse that the cardiologist made medication changes, but the patient could not pick up the prescriptions. The nurse now needs to call the cardiologist to obtain a verbal order to update the patient’s electronic medication record in the VNA system. The VNA has no access to EPIC in which the hospital, primary care doctor, and cardiologist all have their updated visit noted, medication changes, allergies, and lab results NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology.

Conclusion

Hospitals, doctor’s office, VNA’s, and specialty teams involved in patients care should have a shared “system(s) for coordination and communication to ensure the continuity of care” this would only improve patient outcomes (Nagle, Sermeus, & Junger, 2017) (p217). The problem with the above scenario is that it is all too familiar and unlikely to change. Companies who create and sell software will not collaborate to make universal communication, commercial, and productivity software for all of healthcare. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology.

References

ORDER A PLAGIARISM-FREE PAPER HERE

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

McGonigle, D., & Mastrian, K. G. (2018).
Nursing informatics and the foundation of knowledge
. Burlington, MA: Jones & Bartlett Learning.

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. 
Studies in Health Technology and Informatics
, 
232
, 212–221. NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology

Application of Data to Problem-Solving

As nurses I believe we all face problems that may arise at any moment. One issue we are constantly facing is patient violence. One study reported 80% of nurses had experienced verbal abuse from patients or families, with male nurses having higher rates than females (Cho et al., 2020). On my unit we receive quite a few alcohol withdraw patients. These individuals become incoherent and aggressive if not treated properly. Many times, these individuals have no recollection of the violence they exhibited. At our organization nurses can press charges legally through our police officers for acts of violence Application of Data to Problem-Solving. It is important that management supports their worker through these situations. If management helps control the verbal abuse, this may be linked to improved patient care (Cho et al., 2020).

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While I believe the electronic medical record is a great resource, much of the data measured cannot be found on this source. Incident reports would be a great way to track injuries that have been inflicted on staff or property. This would provide a detailed document of what occurred and who was present. All the data gathered can then be processed to provide information on this scenario (McGonigle & Masrian, 2017, p. 22). Another method that may be useful is an anonymous box. Application of Data to Problem-Solving Many individuals do not want to talk to management about situations that have occurred. This box provides a way for staff to still report incidences of violence that are occurring without being named. It also allows for more accurate reporting of the number of situations that may be occurring.

This is a great scenario to apply nursing informatics principles. It is important that you included how a timeline is necessary in this process. The nurse leader is crucial in this process. They are acting as the role models for these scenarios and any future problem solving Application of Data to Problem-Solving.

 

References

Cho, H., Pavek, K., & Steege, L. (2020). Workplace verbal abuse, nurse-reported quality of care and patient safety outcomes among early-career hospital nurses.
Journal of Nursing Management,
28(6), 1250-1258.
10.1111/jonm.13071

McGonigle, D., & Mastrian, K. G. (2017).
Nursing informatics and the foundation of knowledge
(4th ed.). Jones & Bartlett Learning. Application of Data to Problem-Solving

biological basis of psychotherapy essay

Post
 an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

Foundations of psychotherapy

For the mental health nurse practitioner, the collection of the data is critical at the time of formulate the right diagnostic. Therefore, is important to gather as must information as possible from every part of patient life. According with American Nurses Association. (2014) the psychiatric nurse practitioner has the responsibility of collect comprehensive information from his client regarding psychiatric, substance physical, functional, psychosocial, emotional, cognitive, sexual, cultural, age related, environments, spiritual/transpersonal and economic assessment.  As provider is imperative to understand how each of this factor influence on our client daily life.   The purpose of this discussion is to explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments.

Cultural factor

Every culture has way of living and way they handed their problem. To understand our client, the psychotherapy needs to look on how culture affect positive and negative her/his client. The incorporation of cultural factors in psychotherapy will facilitate the adherence and acceptability Banerjee, P., & Sharma, V. (2020). For some culture, the alternative of threat mental health problem is a great choice, since do not involve the use of drug. In Addition, psychotherapy has been proving that help to threat mental health issue and it can be the first choice for some client Laureate Education (Producer). (2016).

If psychotherapy is acceptable culturally, it can be a factor where everybody wins, the client and the society. Another interesting factor is that no matter the kind of therapy you use can be effective and helpful, according with Dr. Richard Bentall Laureate Education (Producer). (2015e). The theory of Peplau`s relate the culture looking person, which is a developing organism that tries to reduce anxiety caused by needs; environment, which consists of existing forces outside of the person, and put in the context of culture; health, which is a word symbol that implies forward movement of personality and other human processes toward creative, constructive, productive, personal, and community living Petiprin, A. (2016).

 

Religion Factor

The health care professional need to be aware of the spiritual believe of their client. Many patients believe on the guide of the pastor or any other religion leader. Knowing that when chose the type of psychotherapy and lean how to integrate can make a bid difference. The Role of modeling and role modeling theory see the human been as holism, which is the belief that people are more than the sum of their parts. Instead, mind, body, emotion, and spirit function as one unit, affecting and controlling the parts in dynamic interaction with one another. This means conscious and unconscious processes are equally important Petiprin, A. (2016).

According with study Some religious or spiritual (R/S) clients seek psychotherapy that integrates R/S values, while others may be reticent to disclose R/S-related aspects of struggles in a presumably secular setting Captari, L. E., Hook, J. N., Hoyt, W., Davis, D. E., McElroy-Heltzel, S. E., & Worthington, E. L., Jr. (2018). The psychotherapy professional need to be aware or influence in the recovery of the patient. In the case of client with suicide ideation and depression, the region can help then to stay alive depending how they see the dead. Some religion see suicide as unacceptable, but other believe that depending on the reason can bring then to heaven. The critique of religions by Sigmund Freud has continuously exerted a strong impact in the fields of psychiatry and psychotherapies; in addition, regarding psychodynamics and symptoms of psychic disorders, religious phenomena in the lives of patients may be just as affected as other cognitive and emotional aspects and behaviors. Consequently, religious experience and religious behavior of patients in psychiatry and psychotherapies have rarely been object of research and teaching apart from predominantly symptomatic and pathogenic perspectives Klaus Baumann, & Frank-Gerald B. Pajonk. (2014).

 

Socioeconomics Influence

Socioeconomic status is the social classification of an individual by such measures as income, education level, occupation, and community of residence. Socioeconomic status is often subdivided into high, middle, and low categories Berman, J. O. M. C. (2019). The socioeconomic factor is always in controversy, especially the limitation that some population must access to health care service. In the other hand, how the high society and important leader can be seen for other, if need to receive psychotherapy service.  In addition, change on life event that affect the socioeconomic statute can affect the client.  Study show that Life events are recognized to link low socio‐economic status (SES) with impaired mental health. Despite attention to patients’ historical environmental circumstances in psychotherapeutic practice, events that occur over the course of counselling and psychotherapy (‘intercurrent’ events) seem to have received little attention in research Blackshaw, E., Evans, C., & Cooper, M. (2018).

Conclusion

A great mental the nurse practitioner has the responsibilities to learn as much as possible above their client include, but not limited to their culture background, religion, socioeconomic status, family history, drug abuse and education level. Looking the client as all, can help the health care professional to identify the best psychotherapy for the client, and facilitate a soon recovery.

 

Reference

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Standard 1 “Assessment” (pages 44 & 45)

 

Banerjee, P., & Sharma, V. (2020). An Insight into Psychotherapy: Indian Perspective. SIS Journal of Projective Psychology & Mental Health, 27(1), 54–56.

Blackshaw, E., Evans, C., & Cooper, M. (2018). When life gets in the way: Systematic review of life events, socioeconomic deprivation, and their impact on counselling and psychotherapy with children and adolescents. Counselling & Psychotherapy Research, 18(2), 143–153. https://doi-org.ezp.waldenulibrary.org/10.1002/capr.12156

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2015e). Therapies are helpful: Dodo bird conjecture [Video file]. Baltimore, MD: Author.

Captari, L. E., Hook, J. N., Hoyt, W., Davis, D. E., McElroy-Heltzel, S. E., & Worthington, E. L., Jr. (2018). Integrating clients’ religion and spirituality within psychotherapy: A comprehensive meta-analysis. Journal of Clinical Psychology, 11, 1938. https://doi-org.ezp.waldenulibrary.org/10.1002/jclp.22681

Petiprin, A. (2016). Psychiatric and mental health nursing. Nursing Theory. Retrieve from: http: www/nursing-theory/theory-models/psychiatric-and -mental-health nursing.php

Berman, J. O. M. C. (2019). Socioeconomic status and addiction. Salem Press Encyclopedia of Health.

Klaus Baumann, & Frank-Gerald B. Pajonk. (2014). Religions and Psychotherapies—Special Issue. Religions, 5(3), 871–875. https://doi-org.ezp.waldenulibrary.org/10.3390/rel5030871

 

Respond
 to at least two of your colleagues by providing an additional scholarly resource that supports or challenges their position along with a brief explanation of the resource.

response

I enjoy reading your post. Psychotherapy is extremely beneficial in treating several mental health issues (Laureate Education Producer, 2016). Psychotherapy is regarded as the first line of treatment (Laureate Education Producer, 2016).  I agree with your post regarding how culture influences the client’s mental illness and therapy positively and negatively; thus, where psychotherapy is concerned. I think the overall goal should be that the treatment is culturally competent. This concept is fundamental, and I assume it encompasses what you were saying when you wrote how about the diversity of patients, problems, and beliefs.

Ensuring that all care, especially therapy, is culturally competent is an essential element to promote a positive patient experience. Also, promoting social justice which focuses on the achievement and full equal participation of all groups in a society that is mutually shaped to meet the needs of the community or culture.  While we transition from the role of the nurse to PMHNP, one must incorporate multiple different strategies but also focus on diversity and social justice, which can promote a concept know as multicultural competence. Multicultural competence is typically described as the extent to which counselors and psychotherapists possess appropriate awareness (self-awareness and of the other), knowledge, and skills in working with individuals from diverse cultural backgrounds(Moleiro, Freire, Pinto, & Roberto, 2018).  This strategy helps to respond to diversity and reduce mental health disparities.

 

References

Laureate Education (Producer). (2016). Introduction to psychotherapy with individuals [Video file]. Baltimore, MD: Author.

Moleiro, C., Freire, J., Pinto, N., & Roberto, S. (2018). Integrating diversity into therapy processes: The role of individual and cultural diversity competences in promoting equality of care. 
Counselling & Psychotherapy Research
, 18(2), 190–198. https://doi-org.ezp.waldenulibrary.org/10.1002/capr.12157.