Assignment: Impact of Electronic Health Records on Nursing Care

Assignment: Impact of Electronic Health Records on Nursing Care

A Sample Answer For the Assignment: Assignment: Impact of Electronic Health Records on Nursing Care

Title: Assignment: Impact of Electronic Health Records on Nursing Care

Assignment Impact of Electronic Health Records on Nursing Care

Electronic health records (EHR) offer instant and secure information to users. EHR reduces the time required for documentation and ensures that nurses have more time to interact with patients (Saraswasta & Hariyati, 2018). The system helps nurses monitor small condition changes through inbuilt alerts and reminders. It offers real-time health updates that not only enhance the quality of nursing care but also the speed and accuracy of medical care. To establish the impact of EHR on nursing quality and safety standards, I conducted a library search using various electronic databases in Capella University Library.  The search terms used were “EHR”, “impact”, “nursing care” and/or “nursing quality”. The search was limited to peer-reviewed English journals published in the last five years. Another requirement was the presence of an abstract and full text as well as publication using the English language. A total of 25 articles were generated; however, after reviewing the abstracts, four key articles were found to answer the topic. An annotated bibliography will be used to describe the four articles and their relationship to the topic.

The article offers nurse reports of usability and quality of care after the adoption of electronic health records (EHR). The authors indicate that little empirical research exists that looks at factors that shape may impact EHR adoption and quality of care. The researchers executed a secondary analysis of nurse and hospital survey data. They used a sample of 122,377 nurses working in 353 hospitals. The aim was to examine the independent and joint effects of adoption EHR on nurse reports of usability, quality of care and safety. The results indicated that the comprehensive adoption of EHR was not linked to poor usability outcomes. Additionally, a better work environment offered positive usability outcomes while poor patient safety grade was linked to the work environment but not the EHR adoption level. The article is essential because it highlights the need to provide a better working environment when adopting EHR since nurses use it to evaluate EHR usability and its ability to improve the quality and safety of care.

McBride, S., Tietze, M., Hanley, M. A., & Thomas, L. (2017). Statewide study to assess nurses’ experiences with meaningful use–based electronic health records. CIN: Computers, Informatics, Nursing, 35(1), 18-28.

The article assessed nurses’ satisfaction with the use of clinical information systems. The authors used a Clinical Information System Implementation Evaluation Scale and a newly developed Demographic Survey and the Meaningful Use Maturity-Sensitive Index to assess nurses across Texas. The study employed a descriptive exploratory approach and had 1177 respondents. The study offers

information on the impact of IOM reports, which calls for the development of innovative, electronic health information systems. The limited data on nurses’ experience in EHR use acts as a foundation to conduct the study. The results indicated that nurses who had interacted with the EHR system for long were more satisfied with the system. Additionally, staff, directors, managers, and supervisors were more satisfied with the system compared to educators, case managers, and quality. The authors pointed out that increasing computer literacy may not be the ideal solution to the evolving nursing informatics competencies.  They recommended a more explicit focus on best practices as well as the development and evaluation of competencies linked to the best practices. In terms of clinical decision support, CDS alerts that support nursing practice was appreciated more than those that detracted it. The article is essential because it offers information that can enhance the usability, design, and workflow linked to EHR. The system can be set to enhance nurse satisfaction which holistically enhances care quality.

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The article explains how electronic-based nursing care documentation affects the quality of nursing care. The authors indicate that nurses require ample time to interact with their patients yet they have to perform unrelated clinical skill workloads, which reduces their time and communication with patients. EHR helps in integrating data which ensures that nurses do not ask questions repeatedly. The authors used databases like Science Direct, Scopus, Ebsco, PROQUEST and Scholar Articles to get twenty full-test studies relevant articles. Implementation of EHR helps in analyzing patient data and providing quick decisions. It also increases productivity and enhances communication. One article indicated that out of $53.7 million used in the implementation of EHR, $15.5 million were recovered from reduced length of stay (LOS) while $9.4 million was gained from unit efficiency. Electronic-based nursing care documentation is said to increase nurse satisfaction because it offers nurses more time to intervene and interact with patients and families. EHR reduce patient care cost, speeds up decision –making and stores data for longer. The system offers instant access to medical records anywhere and anytime which improves diagnoses, treatment, and results of patient care. The article offers insight into how EHR affects nursing care which makes it an ideal for review.

Walker-Czyz, A. (2016). The impact of an integrated electronic health record adoption on nursing care quality. JONA: The Journal of Nursing Administration, 46(7/8), 366-372.

The article aimed at assessing how integrated electronic health record impacted the quality of nursing care delivered. The authors looked at aspects like hospital-acquired falls, ventilator-associated pneumonia, hospital-acquired pressure ulcers, central line-associated bloodstream infections, catheter-associated urinary tract infections and costs measured in nursing hours. EHR’s impact on quality, cost and nurse satisfaction was assessed using the turnover rates. The authors used quantitative, retrospective analysis and constructed the research using the Diffusion of Innovations theory. The study noted that adoption of EHR into the bedside nurses’ workflow enhanced decision making without a negative impact on direct cost. A reduction in falls, CAUTI and CLABSI rates was noted. During implementation, the number of hospital-acquired pressure ulcers and VAP cases increased however, they reduced after implementation. During implementation, hours per patient day and overtime increased but returned to baseline after implementation. The turnover rates also increased post and pre-implementation periods. The article is essential because it points out that EHR positively impacts the quality of patient care.

Sample Answer for Assignment: Impact of Electronic Health Records on Nursing Care Included

Assignment: Impact of Electronic Health Records on Nursing Care Conclusion

The ability of electronic health records to offer instant and secure information positively impacts the quality of nursing care. EHR enhances nursing quality care because it is linked to increased satisfaction. Nurses’ reports indicate that EHR has positive usability outcomes. Nurses who have worked with the EHR system reports better satisfaction with the system. EHR components should support nursing practice rather than detract it for ease of adoption among nurses. A better working environment is also essential when implementing EHR because nurses use it to evaluate its usability and ability to enhance care. EHR offers nurses sufficient time to interact with their patients and reduces the need to ask similar questions often. The system helps nurses to reduce patient care costs, speeds-up decision-making and stores data for longer. Nurses indicate that EHR enhances diagnoses, treatment, and results of patient care. EHR results in reduced falls, CAUTI and CLABSI rates.  Nevertheless, during implementation, some measures may deteriorate but after implementation, the figures improve. Overall, EHR has a positive impact on the quality of patient care.

Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:

Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? Why are you interested in this?
What research process did you employ?
What databases did you use?
What search terms did you use?
Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
Conclusion/Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource