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DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

Topic 2 DQ 2

Apr 21-25, 2022

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

REPLY TO DISCUSSION

DNPs are uniquely prepared and qualified to accept and work in a variety of advanced healthcare roles especially in clinical practice. Roles such as to reduce costs by focusing on primary care, health promotion, and disease prevention as expert clinicians, faculty in schools, health care consultants, entrepreneurs and scholars caring for multiple patient populations in various geographic areas and as global health leaders (Zaccagnini, & Pechacek, 2019). As an expert clinician and academic scholar, the DNP prepared nurse is able to improve patient care through initiation of quality improvement (QI) initiatives, assisting with healthcare policy development. And also has knowledge and skills in healthcare economics, finances, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).

Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating, planning and the implementation of health information technologies (health IT), to improve support. When an organization adopts an electronic health record (EHR) it changes the usual workflow standard. Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of looking at all the aspects of the organization and mapping out current workflows and analyzing how the work gets done in the organization and they plan for the future and create new workflows to increase the organizations efficiency and the quality of health care. Workflow redesign helps most organizations to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove chaos from your current workflow, improve care coordination (HealtIT.gov., 2019).

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As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR system. I would communicate with the senior information technology (IT) analyst team to understand what kind of system they plan to implement and then plan for a meeting with the nurses that will be working with the EHR to inform them of the system and when training would begin. The training would take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow. During the implementation, the patients will be informed of the new EHR system and that the IT professionals and the clinical specialist would be available to help the staff to trouble shoot any problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).

The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate those who are able to attract and retain qualified nurses based on five goals such as transformational leader, structural empowerment, new knowledge, innovation, and empirical outcomes and development. The effectiveness of magnet hospitals is the existence of work environments that focus on decentralized decision-making, autonomy, control over practice, resource adequacy, supportive management, effective inter-professional communication, and career development.

As a DNP leader in a magnet hospital, I will ensure that the staff are well trained to maintain our nursing excellence standards and the structures needed for the training are in place during training as well as during implementation and maintain communication with the staff in terms of when this will take place so that they are well prepared. Adequate structures such as adequate computers, the IT professional team, the scheduling of their time for the training is adequate with enough staffing to cover patient care for those in training to maintain patient safety and excellent nursing care. Providing adequate knowledge of the improvement in the quality of nursing care that this new system will provide will enhance their desire to learn and implement the program.

In a rural setting, the pace would be slower, so, as a DNP leader, I would have to reevaluate my strategy. I would have to also give them time to assimilate the need for change to a new EHR system. They will need more time to train and for implementation knowing that the patient influx maybe slower and the staffing may be less adequate. As the DNP leader, I will collaborate with all the leadership teams to make them aware of the process change taking place and the need for their collaboration with my team, explain to the patients the new changes that will take place. The leader has to make sure that all structural resources are in place as well.

References:

Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health information exchange services into the medical practices’ workflow. Information Systems Frontiers23(3), 599-605. https://doi.org/10.1007/s10796-019-09979-x

HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the National Coordinator for Health Information Technology.

https://www.healthit.gov/faq/what-workflow-redesign-why-it-important

 

Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com Blog. https://monday.com/blog/productivity/workflow/

 

Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290

 

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

REPLY

You post has been informative and I really endorse the training and reevaluation of approaches that was used both in the magnet and non magnet hospital.

REPLY

Good job. As a leader, what ways can a leader impact communication and the use of the EHR? Dr Gabua

REPLY

I admire the knowledge you have concerning your role as a DNP trained nurse. It is indeed great when a nurse acknowledges their scope of practice both in primary care settings and management positions (Zaccagnini, & Pechacek, 2019). It is true that DNP nurses play central roles in developing projects that improve care delivery. However, am glad you identify the challenges that accompany changes in healthcare organizations. Not all healthcare providers will support transformation within a facility. It is therefore the role of the DNP nurse project to convince them that the change is necessary and inevitable. The nurse should adopt a transformational leadership style to ensure the other staff nurses understand the need for the change. I particularly like the example you use to show what you would do to implement an EHR system in a facility. The successful implementation of such a system requires proper planning, constant communication, and a learning culture (Badewi, 2016). As the DNP nurse plans for training sessions, other health care providers must be willing to learn to achieve the project goals.

References

Badewi, A. (2016). The impact of project management (PM) and benefits management (BM) practices on project success: Towards developing a project benefits governance framework. International Journal of Project Management, 34(4), 761-778.

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

REPLY

Leader rounding is very importance in leadership. This includes both team member and patient rounding. During the leader rounding you can better understand from the customer how to best improve the quality of the services provided. This time often brings up questions that they have. This is when it is best to integrate in the Electronic Medical Record (EHR). That is just one of many ways. Another example is with interdisciplinary rounds. This results in increased communication and streamlined care throughout the interdisciplinary team. These are necessary elements in magnet facilities. This is what produces the patient experience, nursing engagement, and improved patient outcomes that are necessary elements to achieve magnet designation. This also helps with efficiency of the busy acute care setting.

The beauty of this is that it does not have to change when moving into the rural setting. The only things that should change with the setting is the resources available. It is possible to rural regional hospital’s to designate as magnet facilities. They are able to do all of the same things to make sure that patient and nurse engagement are high as well as patient outcomes. I work in a community hospital that just designated as a magnet facility as well as a recent recipient of Presidential Malcomb Baldrige Award which is the highest quality achievement award. These were made possible by our lean management system. This has been as transformative to me as a leader. It has taught me how to lead thru engagement of the front line team members and pushing them to be the problem solvers, and supporting them thru it. This can and should be implement in all hospital settings regardless of size or resources. Consistent utilization of a daily lean management system has been proven to improve the quality of care and patient outcomes in the acute hospital setting (Shazia et al., 2020).

 

References

Shazia Sarwar Alvi, Zahid Hamid, Sidra Riaz, Muhammad Sarwar Alvi, & Naila Azam. (2020). Effect of Lean Daily Management (Ldm) System on Quality of Healthcare Delivery in Indoor Setting – a Pilot Suudy. Pakistan Armed Forces Medical Journal70(3), 842–848.

Greetings Alicia! Thank you for your post! My agreements reside with how you asserted that patient experience and outcomes, alongside nursing involvement, prove crucial when concerning the achievement of magnet designation. Evidence serves substantial in establishing that Magnet hospitals possess higher percentages of content nurses, lowered turnover, decreased vacancies improved clinical outcomes for patients, improved nurse autonomy, alongside augmented patient-based satisfaction than non-magnet hospitals (Start & Graystone, 2021).  In addition, urban noted that magnet-status hospitals involve nurses as critical players in developing and updating institutional policies to improve practice, patient experience, and outcomes. This practice benefits the hospital and its patients, but it can also lead to more engagement and job satisfaction among nurses (Start & Graystone, 2021). Great post!

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