NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post

NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post

Sample Answer for NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post Included After Question

NR 599 Week 2 Pre TANIC Self-Assessment and Reflection Post

Discussion 

Purpose 

The self-assessment is completed using the TIGER-based  Assessment of Nursing Informatics Competencies  (TANIC) tool. TIGER refers to the Technology Informatics Guiding Education Reform Initiative which identified a list of the minimum informatics competencies for all nurses and students graduating from pre- and post-licensure programs.  The  graded self-evaluation of your informatics competencies is required in order to increase one’s own understanding  of competencies in nursing informatics which will enable  the planning of strategies to  enhance knowledge and skills.   

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Course Outcomes 

This assignment enables the student to meet the following course outcomes: 

1. Apply knowledge of nursing informatics and non-nursing science (CO 1 and  2)  

1. Assess nursing informatics competencies (CO2)   

1. Evaluate progress in enhancing nursing informatics competencies (CO4)  

1. Foster professional and personal development with planning strategies to enhance these competencies  (CO4)   

1. Examine ethical decision making in relation to these competencies (CO3) 

   

Due Date 

This assignment is due no later than the Sunday, 11:59 p.m. MT at the end of Week 2.    

Total Points Possible: 75 

Preparing the Assignment 

1. In order to prepare for this assignment, read the lessons as well as the assigned readings BEFORE attempting the self-assessment.  

1. Please use the following hyperlink to access and complete the survey: Week 2 Pre-TANIC Self-Assessment SurveyLinks to an external site.  

1. FAILURE TO COMPLETE THE SURVEY WILL RESULT IN A GRADE OF ZERO (0) FOR THE ASSIGNMENT. 
   After completing the survey, navigate to the Week 2 Module in Canvas and respond to EACH of the q uestion s for your Reflection Post.     

1. The Reflection Posts DOES NOT require cross-posting to a peer or faculty.   

1. Scholarly sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.   

ATTENTION: Students will not receive results following completion of this survey. For the reflection questions, please recall how you rated your proficiency/competency with the skills on the survey. 

*IMPORTANT* Upon completing the TANIC self-assessment survey, please TAKE A SCREENSHOT of the last page of the survey using a program such as Snipping Tool and save as a PDF or JPG and for your records. If you are unable to take a screenshot, please inform your faculty. 

Reflection Questions:  

Reflect upon your current or most recent clinical practice and answer the following:   

1. How is informatics used?  

1. Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.   

1. What TWO competencies do you use in your current clinical role? Provide examples.   

1. Identify TWO resources to develop a strategic plan to enhance your competency skills.    

1. Which resources are suited to your needs and why?   

1. How do you intend to enact this improvement plan? 
     

  

ASSIGNMENT CONTENT
Category	Points	%	Description
Application of Course Knowledge	40	53	This category is evaluated on the quality of the student’s ability to: Accurately describe how informatics is used ;  Compare their competency results to that of the assessment; describe at least 2 competencies that are used in the student’s current clinical role ; identify a strategic plan to enhance the student’s competency ; identify at least 2 resources suited to the student’s needs and describe why ; and describe how the intended plan will be enacted.
Scholarliness and Scholarly Resources	20	27	This category is evaluated on the quality of the student’s ability to: Support writing with appropriate, scholarly sources ; provide relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions; evaluate literature resources to develop a comprehensive analysis or synthesis ; use sources published within the last 5 years; match reference list and in-text citations match , and minimize or appropriately  format direct quotations.
			Total CONTENT Points=60 pts
ASSIGNMENT FORMAT
Category	Points	%	Description
Grammar, Spelling, Syntax, Mechanics and APA Format	15	20	Reflection post has minimal grammar, spelling, syntax, punctuation  and * APA errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.   * APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.   **Direct quote should not to exceed 15 words & must  add substantively to the discussion.
	15		Total FORMAT Points= 15pts
	75	100%	ASSIGNMENT TOTAL= 75pts

A Sample Answer For the Assignment: NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post

Title: NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post

How is informatics used? 

We use informatics in several ways. It is used to collect and store information and data, such as information our EHR. EHR’s have come a long way and now connect patients to their provider with the click of a button from their phones. Informatics is also used in research. We are able to gather data related to new and best practices which is used to initiate evidence-based changes. Informatics can also be applied to general workflows in our care settings. It is a part of every aspect of medicine. The American Medical Informatics Association describes informatics as “… computer and information science to the advancement of life sciences research, health professions education, public health, and patient care” (What is informatics, n.d.). 

Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.  

Prior to the assessment I felt good about the technology that I use daily within my current role. After using the TANIC Self-assessment tool, I was not much surprised by my results. I am confident and competent in use of systems tools and our daily technology. I am less competent when it comes to informatics research or informatic process changes. Also, informatics is such a large category. I think it would be difficult to master all of it. Finding areas of competence and mastering those areas can be helpful. For example, I excel with use of Epic. As such, I have requested to be one of our Super Users for the program. But even though I scored myself lower in some areas of the assessment, I still had no categories in the assessment that I rated as Novice. I was competent or higher in all areas. Expert or proficient when it comes to operation of personal computer and the various applications and competent or proficient with respect to use of technology to guide patient care. 

What TWO competencies do you use in your current clinical role? Provide examples.  

In my current role we use HIS to guide patient care (guidelines, plan of care, protocols) and we use HIS to communicate electronically with providers. We are able to use HIS to access policies and procedures from our organizations employee portal. This is an important guide for patient care. We always have nursing resources available on best practice procedures.

For example, if we need to refresh on proper procedure for changing a central line dressing, we can go on to our employee portal, access Eslevier clinical skills, and are able to search and view proper procedure for central line dressing changes. We have an online database of policies for use as well. While our policies cover every topic from general roles, to patient guided care, we can often cross reference clinical skills with a corporate policy addressing the same issue. We also have built in nursing protocols for triage in our emergency room. We are able to execute appropriate protocols in Epic when triaging our patients based off chief complaint, assessment, and clinical judgment.  

In my current role we also use telehealth. We are a small community based hospital. We have a 4-bed inpatient unit that I float to frequently. Since all our hospitalists are staffed at the larger locations in the city, we use telehealth for patient admissions, assessments, and any change in patient conditions. Continued innovations in the technology of telehealth has created the opportunity to provide better care to patients in remote settings (Brown, et al., 2022). By becoming familiar and competent with use of this technology allows us to stay connected with other providers and optimize the best possible care to our patients when they are admitted to our community locations.

Our telehealth equipment is fully functional. We have tools that attached to the computer station which allow our hospitalist to assess our patient in real-time but from a remote location. With assistance of the RN, they are able to inspect skin and even listen to heart and lungs. So, for my role, being able to operate the telehealth equipment and its applications with competence allows my provider to fully assess my patient leading to more accurate plan of care.  

Identify TWO resources to develop a strategic plan to enhance your competency skills.   

A study was done by Akbari, et al. gauged toward nurses self-competency related to basic computer skills, informatics knowledge, and informatics skills (Self-assessment, 2020). They found that the higher the education and training, the higher the competency in informatics (Akbari, et al., 2020). Once we have been able to identify our weaknesses in informatics (self-assessment), then we are able to develop a plan to increase our competency. Goal setting is one tool I can use to increase my competency.

Because I have been able to assess my areas of weakness and reflect on areas of needed improvement, I can set goals to increase my knowledge in the areas where I am less confident. As we grow as leaders, we must be able to assess our own knowledge base and determine what additional skills and/or experience is needed to advance our competency (Backonja, et al., 2021). I have higher competence in basic computer skills than I do in informatics knowledge and informatics skills. So, I can use goal setting as a resource to increase my competence in these two areas. 

As Akbari, et al. noted, education and training lead to higher competence (Self-assessment, 2020). I can use continuing education opportunities within my facility as a resource to increase my knowledge. I am also fortunate to have great teachers and mentors in my department. I can utilize this as a resource for learning. Backonja, et al. states that mentoring programs are resources that can provide support that take us from novice level to expert in HIT (How to support the nursing, 2022). Backonja, et al. goes on to state that mentorship is an important tool because mentors can provide real-time feedback on areas of needed improvement (How to support the nursing, 2022). 

Which resources are suited to your needs and why?  

Mentorship on the job is better suited for me. I do well with a hands on approach and having a interactive dialogue with someone. I work in a teaching environment and our providers embrace this atmosphere. I have ample opportunity to learn from them and they are a wealth of knowledge. They are also good about pointing out additional resources for learning. And while I still plan to use the educational tools offered by my organization, I think combining these education with what I can learn from my mentors will draw a better understanding in the areas of informatics where I am less proficient. 

How do you intend to enact this improvement plan? 

Miller, et al. states that looking for teachable moments is an important concept because a vast amount of learning occurs within our clinical environment (Recognizing and seizing, 2021). In this respect, learning is a purposeful and continual process that we have to act on. To enact my improvement plan I will continually assess my level of competencies, revise, or set new goals, and then actively seek teachable moments with my mentors. I will also incorporate educational modules or courses offered by my organization into my learning. This will allow me to bring learned concepts into practice and ask questions of those with more experience than myself. 

  

Akbari, H., Frazandipour, M., Jabali, M., Mohamadian, H. & Safari, S. (2020). Self-assessment of nursing informatics competencies in hospitals. HIMSS. Retrieved on 03/12/2023 from: https://www.himss.org/resources/self-assessment-nursing-informatics-competencies-hospitalsLinks to an external site. 

American Medical Informatics Association (March, n.d.). What is informatics? Informatics: Research and Practice. Retrieved on 03/12/2023 from: https://amia.org/about-amia/why-informatics/informatics-research-and-practiceLinks to an external site. 

Backonja, U., Langford, L. & Mook, P. (2021). Calling nursing informatics leaders: opportunities for personal and professional growth. OJIN: The Journal of Issues in Nursing, 26(3). https://doi.org/10.3912/OJIN.Vol26No03Man06Links to an external site. 

Backonja, U., Langford, L. & Mook, P. (2022). How to support the nursing informatics leadership pipeline recommendations for nurse leaders and professional organizations. Computers Informatics Nursing, 40(1), 8-20. DOI: 10.1097/CIN0000000000000827. Retrieved on 03/12/2023 from: https://www.journals.lww.com/cinjournal/Fulltext/2022/01000/How_to_Support_the_Nursing_Informatics_Leadership.3.aspxLinks to an external site. 

Brown, J. & Hewner, S. (2022). The role of telehealth and clinical informatics in data driven primary care redesign.  Journal of Informatics Nursing, 6(4). Retrieved on 03/12/2023 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9211055/Links to an external site. 

Miller, B. & Szymusiak, J. (2021). Recognizing and seizing the teachable moment. Academic Pediatrics, 21(5), 767-771. Retrieved on 03/12/2023 from: https://www.sciencedirect.com/science/article/pii/S187628592030485XLinks to an external site. 

 

How is informatics used?    

Informatics can be used to manage and communicate information to support health information systems.   

2.  Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.     

The Pre-TANIC Self-Assessment was useful in showing me areas of improvement needed to be successful in advancing in my graduate level studies. Where I felt competent in most areas listed, I did not really consider myself an expert. At times, I can figure out how to accomplish a task where it may take myself additional time to do so. In the future, I want to become more competent at certain computer skills to be more efficient with my time.   

What TWO competencies do you use in your current clinical role? Provide examples.   

In my current role working in the preoperative unit, I extensively use a computer to document important health information while preparing a patient for surgery. My role includes viewing patients’ charts from other institutions while searching for labs and information. This involves being competent in computer literacy and information literacy. I also extensively use library resources to search literature for up-to-date information. This is also part of information literacy.   

4. Identify TWO resources to develop a strategic plan to enhance your competency skills.  Half the battle of developing a plan to enhance competency skills is doing a thorough self-assessment of current skills. The other part is having defined competencies and role development (Pordeli, 2018). The Pre-TANIC self-assessment survey is a resource used to identify strengths and weaknesses in relation to informatics.  

Which resources are suited to your needs and why?  

 Simulation labs that help us to learn different health information systems are useful to improve informatics needs. Learning a health system in a simulation lab also takes away risk to patient safety and highlights areas of improvement prior to the health system being initiated.   Another resource I will utilize is this course. This course over the next 8 weeks will expose me to different assessment tools, programs, and areas where I can improve in the nursing informatics field.    

How do you intend to enact this improvement plan?  

Pordeli (2018) writes that it is imperative to have regular training in informatics knowledge. Also, as technology is constantly advancing it’s important to routinely review and adapt our skills to newer processes. An improvement plan is an active process that involves ongoing self –assessment, goal setting, meeting deadlines, taking action to learn and grow, and reviewing progress of that action. Once I can clearly define where my weaknesses are, I can create an appropriate plan to act and improve my skills. 

  

Pordeli, L. (2018). Informatics Competency-Based Assessment: Evaluations and Determination of Nursing Informatics Competency Gaps among Practicing Nurse Informaticists. Online Journal of Nursing Informatics, 22(3).     

The rise of technological breakthroughs in the healthcare systems has led to more accessible data collection and collation by healthcare personnel. The usefulness of technology is that it facilitates data collection, but the effectiveness of the data collected and its application is informatics. With informatics, the application of information gathered from technology will be effective. Nursing is a data gathering and data usage profession. Nurses use information collected to form a person-centered care plan that is personalized and effective.

Nurses use informatics to provide safe, evidence-based care, and educate patients on better ways to promote health and prevent diseases.
The Tannic assessment was eye-opening as I mainly rated competent in the questions asked. I have used the same EHR for six years, and though the system gets updated occasionally, the functionality has remained the same. According to Carrol (2019), for the Nurse to effectively use EHR, one must possess some level of computer skill which gets perfected with more practice and time. Nurses must attain a better understanding of the development of new technologies, understand the fundamentals of their use within the healthcare organization and make informed decisions about applying new technology to patient care.

Some competencies that I currently use is the basic computer literacy and information literacy skills. As a Nurse, I can document data and gather information from the EHR and use the data collected to improve care rendered to the patient using basic computer skills. As a student, I  research different databases and online resources to gather information and apply the knowledge to concepts or systems learned.

Resources that can help develop a strategic plan to enhance my computer skills for practice efficiency are Education and support from the health care system, according to Tiase (2022), As a healthcare leader, the Nurse is the liaison connecting the patient, communities, and organizations to promote better health outcomes. There is, however, a need for the health care system to better support the Nurse through education aids, better Education and exposure to existing and emerging technologies, and lastly, better compensation for the practicing Nurse. 

The most suited resource 

Tiase. V. L, (2022). The Future of Nursing 2030: Informatics Implications. Computers, Informatics, Nursing, 40(4), 228–229. https://doi.org/10.1097/CIN.0000000000000923Links to an external site. 

Carroll. (2019). Nursing informaticists safeguarding the use of emerging technologies. Online Journal of Nursing Informatics, 23(3).