What a topical and amazing opportunity you had! Just as we begin a class focused on nursing informatics, you stumble upon one who takes you in? That’s amazing and I’m incredibly jealous of your luck! Interestingly enough, I have seen a few posts about CERNER in this discussion, so I’m curious as to the pros and cons of this electronic health program.
It seems as though your institution was able to manage this issue of the downtimes in a manner that pleased the staff, but were they able to get to the bottom of the random downtimes? One thing I’ve noticed in my workplace is the de-escalation factor of rising issues without actual resolve. For example, if multiple units are complaining about a similar issue, management may come around and give an answer that doesn’t exactly address the underlying issue but manages to decrease the frustration of the issue. Nursing informaticists must be able to have the discussions that occur within a disciplinary team in order to keep a constant flow of information and updates. In our weekly resources, Carolyn Sipes states that “discussion is the most important trait” (2016) for this exact reason. Keeping the team updated on current issues and solutions can lead to improved patient outcomes.
Your suggestion for including floor nurses in the early phases into the transition into a new electronic health program makes perfect sense. My health system is currently implementing education for a transition into the use of EPIC. In the earlier phases of the implementation, my health system selected “superusers”, but this idea ultimately failed. The people selected for the “superuser” class openly refused the responsibility, claiming that more nurses should be involved versus having mandated nurses be experts. This led to floor nurses being involved in the early phases which in turn created a volunteer basis for the “super user” title. Although we have not implemented EPIC as of yet, this is believed to produce better results. As quoted from one of our weekly resources, “leadership engagement is a key component of the implementation process” (Mosier,S et al., 2019). Leadership needs to be aware of the demands of the staff nurse in order for these things to work as fluently as they hoped, which it seems like your health system has (and mine hopes to get to).
Discussion Interaction Between Nurse Informaticists and Other Specialists References
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
Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.
Discussion Interaction Between Nurse Informaticists and Other Specialists Rubric Detail
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Content
Name: NURS_5051_Module02_Week03_Discussion_Rubric
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Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Points Range: 35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors.
Points Range: 0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
Points Range: 15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response
Points Range: 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Responds fully to questions posed by faculty.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Response is effectively written in standard, edited English.
Points Range: 14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English.
Points Range: 12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
Points Range: 0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited.
Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_5051_Module02_Week03_Discussion_Rubric
My experiences and observations
Nurse informaticists handle analyzing data to improve patient care, as well as implementing new patient care technologies. At the hospital, I currently work for we have an infection control team. They handle collaborating with the informatics nurses and designing programs to detect early signs of sepsis. We have a main nurse that stays on our unit daily to answer questions and make corrections to the programs as needed. The program itself is greatly beneficial but is not without its issues. Having someone that can be in person, to correct errors as they occur has shown an overall improvement with the program. They stay on the phone with the tech department for real-time awareness. The infection control nurse is a licensed nurse that helps to understand our issues while relaying with needs to be corrected to the team that is correcting the program. “Appropriate health information technology education is critical to ensure quality documentation, patient privacy, and safe healthcare” (Topaz, 2013).
My Suggestions and Strategies
If I had to make one major suggestion to making this program more beneficial, it would be to have one main employee from each group trained as well. The infection nurse is only available Monday through Friday, 8 am-4 pm. If an issue arises outside of these hours, the floor nurses handle writing down the issue and hoping it gets corrected. If we always have a trained individual on staff, we can work together to ensure that all errors are corrected promptly. “A champion or superuser is recommended to maintain the momentum of the transformation and enculturation” (Kiel, 2016).
Impact of the Evolution of Nursing Informatics & New Technologies
Healthcare has received help from the evolution of nursing informatics and innovative technologies. “In interprofessional health care teams, individuals with distinct professional training supply unique expertise and work together to solve health care problems” (Holden, 2018). With each new program, and addition to our care, we can supply better care to our patients. Patient care outcomes have benefited greatly from nursing informatics and the latest changes to our technology. Being able to detect and treat sepsis before it reaches a point of no return has awarded our unit many accommodations throughout the hospital. The proof of impact is in the outcomes of the programs. We need every area of specialty coming together to create a new world of healthcare.
Discussion Interaction Between Nurse Informaticists and Other Specialists References
Holden, R., Binkheder, S., Patel, J., & Viernes, S. (2018). Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams. Applied clinical informatics, 9(1), 141–148. https://doi.org/10.1055/s-0038-1626724
Kiel, J. (2016). Using Organizational Development for Electronic Medical Record Transformation. The Health Care Manager, 35(4), 305–311. https://doi.org/10.1097/hcm.0000000000000131
Topaz, M., Rao, A., Creber, M. & Bowles, K. (2013). Educating Clinicians on New Elements Incorporated into the Electronic Health Record. CIN: Computers, Informatics, Nursing, 31(8), 375–379. https://doi.org/10.1097/nxn.0b013e318295e5a5
In addition conveying the meaning and importance of health informatics to a new nurse an adequate definition would be the acquisition, storage, retrieval and use of health information. Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information. The use of technology such as computer systems, software and other technologies promote informatics. A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network. The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information. Sending information through the post office takes time, vulnerable to be lost as well as being damaged. The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information. A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient’s medical history is readily retrievable from a health care informatics system that links providers to each other. Imagine calling around for patient information or worst yet, writing letters to request patient information. Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).
As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics. In addition, nurses should be able to efficiently and fluently use those systems. It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics. This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well. Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015). In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems. The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics. Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care. A nurse, for example, may alert the doctor or others of a patient’s pre-existing conditions or allergies thereby preventing any type of accident. The nurse should also be able to properly train other personnel in using health informatics. In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works. Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome. It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).
Thank you for your informative insight into health informatics, and the role it serves to shape continuity of care in the nursing profession, especially in behavioral health. you have brought out the multidisciplinary input that health informatics draws, from various fields of expertise to finalize attempts at utilizing data in achieving the highest possible care. The COVID-19 pandemic helped reveal the less mild spectra of behavioral and mental challenges that may exist but also improved how technology can be used to accelerate care through data-driven approaches (Ye, 2020). This is because behavioral health is delicate, and relatively data conscious.
A robust system focusing on providing health informatics services can focus on various aspects. Storage and retrieval of medical data in real-time take center stage, as this provides nurses with ample time to plan, make patient-centered decisions, and synthesize clinical information to the best of their ability. It is also easy to draw trends from past data, compare data and formulate epidemiological data that can then be exported, combined with data from other health centers, and ultimately strengthen public health measures (Gamache et al., 2018). Nursing protocols are numerous, just as in other health professions, and health informatics systems can help nurses keep up to date with peer-reviewed data that is used to guide protocols for care. Research plays a central role in revealing what pathways are to be explored to efficiently care for the patient, which nursing informatics benefits strongly from.
References
Gamache, R., Kharrazi, H., & Weiner, J. (2018). Public and Population Health Informatics: The bridging of big data to benefit communities. Yearbook of Medical Informatics, 27(01), 199–206. https://doi.org/10.1055/s-0038-1667081
Ye, J. (2020). Pediatric mental and behavioral health in the period of quarantine and social distancing with covid-19. JMIR Pediatrics and Parenting, 3(2): e19867. https://doi.org/10.2196/19867
Nursing informatics today has a major influence on the care that is provided to those in the health care system. Nursing informatics produces, “connectivity between care providers and patients, include a wide array of emerging technologies” (Nagle et al., 2017, p.212). It is often taken advantage of by health care providers due to the ease of use and accessibility that electronic health records have been available for approximately eleven years (Kroning, 2018). Without this long stride that was taken in health care there would be much more time spent on completion of hard copy of paperwork versus care provided to the patient. In my practice, the emergency room, we show a great amount of gratitude towards nursing informatics and the electronic health record. In this discussion, I will explain the benefits that come from these tools and its effects on nurse’s care/patient outcomes in the emergent care setting.
Data Collection
In the emergency room, many individuals come through the door with evidence of infection. Through our electronic health record, the patient answers a series of questions such as any evidence of infection and the level of temperature, heart rate, and/or respirations the sepsis score auto-populates, which then triggers a series of laboratory orders that can be drawn. The labs that are a reflux orders from this sepsis scoring is two sets of blood cultures, lactic acid, complete metabolic panel, and complete blood count. This enables the emergency room staff to draw labs before the doctor orders them.
Data Benefits and Usage
Two benefits can come from this data. The first benefit being that we can initiate treatment if the labwork shows evidence of sepsis. Rapid treatment of sepsis allows us to improve the outcomes of the patients. The second benefit being that the electronic health record will show record that the patient has a history of sepsis in the scenario that that patient is unresponsive. It is a known fact that “sepsis is a common diagnosis with a high mortality and is a leading cause of in-hospital death” (Ladha et al., 2019, p.12). This enables us to act in this situation to reduce the patients risk for mortality. As a whole, the knowledge that is gained is the patients risk for sepsis which allows for timely and accurate treatment coming from health care providers.
Conclusion
In conclusion, nursing informatics is the foundation that transforms the protocols that are made, such as sepsis protocols for those showing evidence of infection. Based on the data that has been collected it enables health care workers to provide improved treatment based on the data. In reflection of this data it allows for proper diagnosis and bettered outcomes for patients overall which is an overall health care goal we as nurses hope to reach.
Reference
Kroning, M. (2018). Nursing Informatics. 59 clicks in the EHR. Nursing Management, 49(5), 10–14. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000532337.74937.a1
Ladha, E., House-Kokan, M., & Gillespie, M. (2019). The ABCCs of sepsis: A framework for understanding the pathophysiology of sepsis. Canadian Journal of Critical Care Nursing, 30(4), 12–21.
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. In J. Murphy, W. Goossen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212–221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF