NURS 6050 Discussion The Application of Data to Problem-Solving

Sample Answer for NURS 6050 Discussion The Application of Data to Problem-Solving Included After Question

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

BY DAY 3 OF WEEK 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

BY DAY 6 OF WEEK 1

Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

*Note: Throughout this program, your fellow students are referred to as colleagues.

A Sample Answer For the Assignment: NURS 6050 Discussion The Application of Data to Problem-Solving

Title: NURS 6050 Discussion The Application of Data to Problem-Solving

We live in an era where technology is on the rise and continues to progress within the healthcare field. Nursing informatics plays a big part in developing technology. Electronic health records (EHR) play a big part in how we function as a nurse today. Before my time as a nurse, I would always hear stories about how everything was done with pen and paper. Some nurses prefer the old ways, but my personal preference is doing everything on the computer. EHR refining may not seem so important to nurses working the floor, but it may mean everything for an informatics nurse.

EHR’s today have developed so well over the years, especially at bigger hospitals. They developed algorithms within our workflows that flag us, or pop up as an “alert”, just to make sure we are aware of certain issues. Ideas such as missed immunizations would pop up on the screen, or a bad mixture of vital signs could possibly you’re your patient may be having systemic inflammatory response syndrome (SIRS). In this given situation, it would “hint” at making a decision whether or not the patient should be evaluated for sepsis. According to Nibbelink et. al (2018), poor decision-making has been linked with up to 98,000 deaths in hospitals each year. EHRs are a huge database, and informatics nurses are able to gather and collect information regarding patient statistics. More recently our hospital changed our diabetic ketoacidosis protocol to the two-bag method which has proven greater outcomes and shortens the length of admissions. Another example of another recent change to our protocol is that we have completely phased out the administration of tissue plasminogen activator (tPA) for acute ischemic stroke patients and have brought back the administration of tenecteplase (TNK) which completely overrides the need to infuse a medication of “x” amount of time. According to Zitek et. al (2020), tenecteplase has shown that it has fewer complications for acute bleeding complications when compared to tPA, and is less expensive.

The EHR that my hospital utilizes provides access to previous records from outside hospitals, but only if that hospital uses the same EHR. If a patient received care at a facility that did not utilize the EHR, then we would not have any access unless we request it. I think that having a database that is on the same platform would exponentially increase the quality of care, especially if the patient came in unresponsive and was resuscitated. Having the ability to see previous medical records is crucial. Without medical records, the quality of care decreases and essentially we are left to figure out what we “presume” rather than what we

“know”.

A Sample Answer 2 For the Assignment: NURS 6050 Discussion The Application of Data to Problem-Solving

Title: NURS 6050 Discussion The Application of Data to Problem-Solving

A 68yr old African American male is admitted to the Intensive Care Unit with a diagnosis of sepsis. He requires vasopressors, fluids resuscitation, and antibiotics. The patient is from a nursing home and recently became bedbound due to a recent Stroke. Past medical history includes diabetes mellitus type 2, hypertension, coronary artery disease, recurrent urinary tract infection, and cerebral vascular accident. The ICU Nurse completed an admission assessment which required documentation of a Braden Scale. The Braden scale is a tool used in predicting pressure score risk to improve the early identification of patients at risk for developing sores (Bergstrom et al., 1987).

Data Collection and Application of Evidence-Based Practice

The Braden scale uses six areas to assess the risk for ulcers. These categories include moisture, activity, mobility, nutrition, perception, and friction/shear. Data collected based on this information populates a score for this patient. This score is then used to determine if patients are at risk for developing ulcers. This Patient’s Braden scale resulted in a very low score after data was inputted into the computer. For this reason, the patient was at very high risk for acquiring pressure injury. The nurse then implemented appropriate measures based on evidence-based practice to prevent skin breakdown. Preventative actions included repositioning this patient every 2 hours, applying pressure-reducing devices to bony prominences, consulting the dietician for adequate nutrition, controlling moisture such as padding on the bed, avoiding the use of diapers according to unit/hospital policy, etc.

Conclusion

The application of evidence-based practices resulted from the collection of data from studies that were successful. As stated in the video presented by Walden University, the utilization of information technology by healthcare professionals will lead to better patient outcomes and reduce costs for consumers (Walden University, 2018). In this situation, proper application of data from the Braden Scale reduces this patient’s risk of acquiring hospital-acquired pressure injury (HAPI). According to the Center for Medicare and Medicaid Services, HAPI rates were reduced from 40.3 to 30.9 per 1,000 discharges between 2010 and 2014. This is due to efforts made by healthcare leaders to properly collect data on patients at risk for HAPI and ensure the implementation of preventative measures (Rondinelli et al.,)

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A Sample Answer 3 For the Assignment: NURS 6050 Discussion The Application of Data to Problem-Solving

Title: NURS 6050 Discussion The Application of Data to Problem-Solving

The phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), “For information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.

This information could be valuable to many leaders in the healthcare team. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, “Computer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base ”p. 35). Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.

An additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.

From this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used.  An ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff. A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices.  Health information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership could use this as a cost-effective strategy.

                All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, “Teams are working across boundaries of organizations and will be organized around a particular patient.” (Nagale et al, 2017, p. 215).   Within most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)

This hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.

Scenario

Data Collection and Application of Evidence-Based Practice

Conclusion

References

Nauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role

for nurses,Nursing Outlook, 47(5) , 219-226.https://doi.org/10.1016/S0029-6554(99)90054-4.

Nagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Informatics Specialist Links to an external site. Links to an external site.. In J. Murphy, W. Goosen, &  P. Weber  (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221).

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

A Sample Answer 4 For the Assignment: NURS 6050 Discussion The Application of Data to Problem-Solving

Title: NURS 6050 Discussion The Application of Data to Problem-Solving

The scenario reflects the importance of healthcare data collection. It is crucial in improving patient outcomes, informing healthcare policies and decision-making, advancing medical research, and promoting public health. Collecting and analyzing healthcare data allows healthcare providers to track patient health outcomes, identify patterns, and make informed decisions about treatment plans (Bashshur et al., 2020). Data collection enables the monitoring of patient progress, the identification of risk factors, and the development of personalized care strategies. Additionally, healthcare data collection helps identify areas for improvement in healthcare delivery. Analyzing data on clinical outcomes, patient satisfaction, and process measures enables healthcare organizations to identify gaps, implement evidence-based practices, and enhance the quality and safety of patient care (Turner et al., 2020). Healthcare data also serves as a valuable resource for medical research and innovation. Researchers can identify trends, risk factors, and potental treatment options by analyzing large datasets. This data-driven approach leads to advancements in medical knowledge, the development of new therapies, and the improvement of healthcare practices.

References

Bashshur, R., Doarn, C. R., Frenk, J. M., Kvedar, J. C., & Woolliscroft, J. O. (2020). Telemedicine and the COVID-19 pandemic, lessons for the future. Telemedicine and E-Health, 26(5). https://doi.org/10.1089/tmj.2020.29040.rbLinks to an external site.

Turner, K., Jo, A., Wei, G., Tabriz, A. A., Clary, A., & Jim, H. S. L. (2020). Sharing patient-generated data with healthcare providers: Findings from a 2019 national survey. Journal of the American Medical Informatics Association. https://doi.org/10.1093/jamia/ocaa272Links to an external site.

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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