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NR 393 Week 7 Discussion: Impact in the 21st Century (Graded)
The purpose of this discussion is for learners to consider one 21st century person or event significantly impacted nursing and healthcare.
This discussion enables the student to meet the following course outcome:
- CO3: Identify persons and events in nursing history impacting evidence-based practice from the 20th century and 21st century. (PO8)
- Answer post due by Wednesday 11:59 PM MT in Week 7
- Two replies to classmates and/or instructor due by Sunday 11:59 PM MT at the end of Week 7
- Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:
- Demonstrate understanding of concepts for the week
- Integrate scholarly resources
- Engage in meaningful dialogue with classmates
- Express opinions clearly and logically, in a professional manner
- Use the rubric on this page as you compose your answers.
Select one person or event in 21st century nursing that had the greatest impact on evidence in professional nursing practice. Explain your choice and the impact on healthcare.
To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.
Evidence to improve nursing practice continues to grow in the 21st century. After you select one 21st century nurse or healthcare event that had great impact on evidence, share your choice and its impact on nursing and healthcare with us.
Week 7 Discussion: Impact in the 21st Century
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Technology is an event of the 21st century that has made a huge impact on evidence in professional nursing practice. The patient’s electronic health record puts a plethora of information at the nurse’s fingertips, with nurse charting, doctor and nurse notes, test results, orders, medications, and treatments, to name some of the valuable communication available. “RNs utilize Internet resources . . .”, (Judd & Sitzman, 2014), also for patient care. Not to mention, that all this information is quick to look up and record data, thus leaving more time to enhance the patient’s quality of care. With information so readily available, and with computer charting saving time, evidence has shown that nurses have more time for “value-adding” activities, such as talking with patient’s families, increased time with the patient, communication with other team members, and personal satisfaction in their job performance (with less burnout). (Moore et al, 2020).
Health information technology also plays a part this century with patient safety, by using a barcode to scan a patient’s medication and the patient, and with information being in a typed form vs. handwritten (such as in doctor’s orders), to name a couple. According to an article from NCBI, “The impact of health information technology on patient safety”, it states, “In 1999 the Institute of Medicine’s report “To err is human” called for developing and testing new technologies to reduce medical error. . . This article is intended to review the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes. We conclude that health information technology improves patient safety by reducing medication errors, reducing adverse drug reactions, and improving compliance to practice guidelines” (Alotaibi & Federico, 2017).
Technology is ever changing and there is no getting away from it. Technology is created to improve care and provide faster care. Sometimes technology is good and sometimes not. Transitioning from paper charting to computer charting was a plus. Nurses do not have to keep track of papers during their work shift. Thanks to the role of the nurse informaticist, the flow of nurse charting on the computer has been arranged for easier charting. The computer also has all the patient information right there for you, if you need to look something up, rather than rifling through papers.
Patient safety with using technology has improved by no longer having to read a doctor’s handwriting for orders, and with medication errors. The barcode scan is a safety measure for medications that works effectively, to stop from giving a patient a wrong medication or dose. Of course, technology cannot always be relied upon. Equipment does fail at times or can give a wrong result. I have had the electronic Dynamaps read a blood pressure that did not seem correct, and in checking the blood pressure manually, there was quite a difference. Even with technology, nurses must still check the patient, as machinery cannot replace eyes, caring, and the nurse’s knowledge. Patients still need the human touch.
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631
Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras. (2nd ed.). Jones & Bartlett.
Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association : JAMIA, 27(5), 798–807. https://doi.org/10.1093/jamia/ocz231Links to an external site.
Technological changes are often discussed in this course. Other than the EMR, What technology was introduced in your area of practice that has made the biggest change in your practice area? Thinking outside the box, when reflecting on that technological change, what improvements can still be made to that technology?
I can see why technology are so important in nursing. While most nurses do think about technology equaling EMR, nurses use so much more technology than we realize. On our newest unit in the hospital we have beds that speak to the patient and tell them to not get out of bed and to call the nurse. Rather than just a loud alarm going off, the alarm only sounds on the nurses vocera and at the nurses station.
The mirrors also tell the patient good morning. We have voceras that ring a patient’s call light to the nurse in case we are not at the desk and to decrease alarm fatigue. We utilize programable IV pumps, for heparin drips, you program the patient’s weight the desired mg/kg/hr, then the pump will set the ml/hr based off the same and once the nurse programs the desired ML to infuse the pump will determine the length of infusion. The nurse just has to make sure that the ml/hr is not over the max infusion rate. In nursing school we learn how to calculate drip rates, how to calculate infusion rates, while a lot of the time the IV pumps are now doing it for you. Nurses most know how to do these things on their own to make sure that the pump is correct.
I love that you made a point to address that students coming into the nursing field, aren’t trained like nurses are today. In school, one of my instructors taught me “treat your patient – not the machine”, and I couldn’t agree more! We have become so reliant on technology that there is no underlying, baseline understanding of things like drip rates or manually taking vitals! I went to see my doctor a few days ago and the tech put a cuff that was too small on me – and my pressure was through the roof! The doctor saw this and addressed it, but it made me wonder how many students are being taught to treat the machine. I personally find it extremely important to instill these traits into our students today, even new employees. Much of my nursing knowledge and experience is from being shown how to complete tasks and document findings from older nurses who have shown me “the old fashion way”.
The nurse you referenced reminds me of how I teach my students. Unfortunately, alarm fatigue is a concern. I share that if an alarm goes off, assess the patient and work back toward the alarm instead of acknowledging the alarm first.