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NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

The Nurse Informaticist applies data and technology to make a difference in healthcare and patient outcomes as a “system analyst, project leader, quality analyst, chief nurse informatics officer, educator[s],” or even a “consultant for healthcare organizations” (Laureate Education, 2018). At my current place of work, in Public Health, we do no utilize Nurse Informaticists but rather our technology specialists collaborate with our team of nurses to ensure our data collection and charting system is running smoothly. The technology specialists at our Public Health agency typically only interact with the other professionals in our facility when there is an issue or an update to be completed on our technology systems. These interactions usually entail an email or a quick phone call, and occasionally will be a face-to-face interaction. I think the best way these interactions can be improved is to incorporate scheduled face-to-face time through new employee orientation and staff meetings. Our technology specialists could meet with new nurse employees to brief them on the computer charting system and this early interaction creates the start of this essential professional collaboration, and the technology specialist staff could present at one to two staff meetings per year to update nurses on pertinent information and this will help to continue to grow this workplace collaboration. Even though incorporating these task would likely be challenging for our technology specialists as there is constant chatter at the office about how busy they are, but the benefits could significantly outweigh these challenges. Having technology specialists and healthcare professionals working closely together, in regards to informatics, results in many benefits such as:

  • IT infrastructure benefits- “avoid unnecessary IT costs, better use of healthcare systems, reduce system redundancy,” etc.
  • Operational benefits- “improve the quality and accuracy of clinical decisions, process a large number of health records in seconds, immediate access to clinical data,” etc.
  • Organizational benefits- “detect interoperability problems more quickly…, improve cross-functional communication…, enable to share data with other institutions…,” etc.
  • Managerial benefits- “gain insight quickly about changing healthcare trends…, provide…heads of departments with sound decision-support information…, [and] optimization of business growth-related decisions”
  • Strategic benefits- “provide a big picture view of treatment delivery, [and] create high competitive healthcare services” (Wang, Kung, & Byrd, 2018, p. 9)

The continued evolution of nursing informatics as a specialty will have a positive effect on professional interactions. According to Elsayed, El-Nagger, and Azim Mohamed (2016), “Nurses are expected to provide safe, competent, and compassionate care” in a practice that is constantly changing and technologically advancing (p. X-X).The nurse information specialists are a very important part to ensuring this kind of care and positive patient outcomes. “In every sphere of nursing practice, nursing research, and nursing education nursing informatics plays a very important role” (p. X-X2). NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

References

Elsayed, I.A., El-Nagger, N.S., Azim Mohamed, H.A. (2016, May 4). Evolution of Nursing Informatics: A key to Improving Nursing Practice. Research Journal of Medicine and Medical Sciences, 11(1), XX-XX7

Laureate Education (Producer). (2018). The Nurse Informaticist [Video file]. Baltimore, MD: Author.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

RE: Initial Post: Discussion – Week 3
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Great informational post, S…,

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with some wonderful discussion points and references.  One thing I noted in the readings – and I actually was at a conference where

this information was presented, how cool is that! – but standardized languages like the Nursing Interventions Classification (NIC) or the Nursing Outcomes Classification (NOC) can be adapted to show nursing competency, too. I presented last March in Spain at the Association for Common European Nursing Diagnoses Interventions and Outcomes related to the use of the NIC in developing critical thinking skills and in adapting to some of the protocols and guidelines, like the International Guidelines for Management of Sepsis (Dellinger et al., 2013).  NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Anyway, if I am mentoring a new nurse on a nursing unit and want to credential her skills – verifying that she accurately and logically completes a nursing intervention – I would just use a checklist developed from the intervention and that way I know she is performing up to standard.  To demonstrate, I will use the Total Parenteral Nutrition NIC and copy just a few of the activities here to demonstrate my point.  If I am documenting that this nurse is competent to do the intervention, she would meet the following criteria, most likely performed in sequence as I observe her:

  1. Assure placement of proper intravenous line related to duration of nutrients to be infused (e.g., centrally placed line preferred; peripheral lines only in well-nourished individuals expecting to need TPN for less than 2 weeks)
  2. Use central lines only for infusion of high caloric nutrients or hyperosmolar solutions (i.e., TPN solutions infused in a noncentral catheter should be limited in osmolarity to <900 mOsm/L; e.g., 10% dextrose, 2% amino acids with standard additives)
  3. Assist with or insert central line, as indicated
  4. Insert peripheral intravenous central catheter, per agency protocol
  5. Ascertain correct placement of intravenous central catheter by x-ray examination
  6. Maintain central line patency and dressing, per agency protocol
  7. Monitor for infiltration, infection, and metabolic complications (e.g., hyperlipidemia, elevated triglycerides, thrombocytopenia, platelet dysfunction)
  8. Check the TPN solution to ensure that correct nutrients are included, as ordered
  9. Maintain sterile technique when preparing and hanging TPN solutions
  10. Provide regular, aseptic and meticulous care of the central venous catheter, particularly the catheter exit site,  to assure prolonged, safe and complication-free use
  11. Avoid use of the catheter for purposes other than delivery of TPN (e.g., blood transfusions and blood sampling)
  12. Use an infusion pump for delivery of TPN solutions (Bulechek, Butcher, Dochterman, & Wagner, 2013, p. 394). NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Now there are more than just those activities – in fact, I just copied and pasted the first third, but you get the idea.  The competency would be set up so that so many of them had to be completed or it is not achieved. Some of the activities might be categorized as essential – in other words, if the nurse misses them, she has missed the essence of the intervention.

Kinda cool, huh?  What do you think?

Nice post!

References

Bulechek, G., Butcher, H., Dochterman, J., & Wagner, C. (2013). Nursing Interventions Classification (6th Ed.) St. Louis, MO: Elsevier.

Dellinger, R.P., Levy, M.M., Rhodes, A., Annane, D., Gerlach, H., Opal, S.M., …………….. and the Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. (2013).  Surviving sepsis campaign:  International guidelines for management of severe sepsis and septic shock 2012.  Critical Care Medicine, 41(2), 580-637.

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