NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Sample Answer for NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists Included After Question

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

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:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

BY DAY 3 OF WEEK 3

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

BY DAY 6 OF WEEK 3

Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

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

A Sample Answer For the Assignment: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Title: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

My experiences and observations 

Nurse informaticists handle analyzing data to improve patient care, as well as implementing new patient care technologies. At the hospital, I currently work for we have an infection control team. They handle collaborating with the informatics nurses and designing programs to detect early signs of sepsis. We have a main nurse that stays on our unit daily to answer questions and make corrections to the programs as needed. The program itself is greatly beneficial but is not without its issues. Having someone that can be in person, to correct errors as they occur has shown an overall improvement with the program. They stay on the phone with the tech department for real-time awareness. The infection control nurse is a licensed nurse that helps to understand our issues while relaying with needs to be corrected to the team that is correcting the program. “Appropriate health information technology education is critical to ensure quality documentation, patient privacy, and safe healthcare” (Topaz, 2013).  

My Suggestions and Strategies 

If I had to make one major suggestion to making this program more beneficial, it would be to have one main employee from each group trained as well. The infection nurse is only available Monday through Friday, 8 am-4 pm. If an issue arises outside of these hours, the floor nurses handle writing down the issue and hoping it gets corrected. If we always have a trained individual on staff, we can work together to ensure that all errors are corrected promptly. “A champion or superuser is recommended to maintain the momentum of the transformation and enculturation” (Kiel, 2016).  

Impact of the Evolution of Nursing Informatics & New Technologies 

  Healthcare has received help from the evolution of nursing informatics and innovative technologies. “In interprofessional health care teams, individuals with distinct professional training supply unique expertise and work together to solve health care problems” (Holden, 2018). With each new program, and addition to our care, we can supply better care to our patients. Patient care outcomes have benefited greatly from nursing informatics and the latest changes to our technology. Being able to detect and treat sepsis before it reaches a point of no return has awarded our unit many accommodations throughout the hospital. The proof of impact is in the outcomes of the programs. We need every area of specialty coming together to create a new world of healthcare.  

References 

  Holden, R., Binkheder, S., Patel, J., & Viernes, S. (2018). Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams. Applied clinical informatics, 9(1), 141–148. https://doi.org/10.1055/s-0038-1626724 

  Kiel, J. (2016). Using Organizational Development for Electronic Medical Record Transformation. The Health Care Manager, 35(4), 305–311. https://doi.org/10.1097/hcm.0000000000000131 

  Topaz, M., Rao, A., Creber, M. & Bowles, K. (2013). Educating Clinicians on New Elements Incorporated into the Electronic Health Record. CIN: Computers, Informatics, Nursing, 31(8), 375–379. https://doi.org/10.1097/nxn.0b013e318295e5a5 

A Sample Answer 2 For the Assignment: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Title: 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.

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A Sample Answer 3 For the Assignment: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Title: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

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:

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)
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)
Assist with or insert central line, as indicated
Insert peripheral intravenous central catheter, per agency protocol
Ascertain correct placement of intravenous central catheter by x-ray examination
Maintain central line patency and dressing, per agency protocol
Monitor for infiltration, infection, and metabolic complications (e.g., hyperlipidemia, elevated triglycerides, thrombocytopenia, platelet dysfunction)
Check the TPN solution to ensure that correct nutrients are included, as ordered
Maintain sterile technique when preparing and hanging TPN solutions
Provide regular, aseptic and meticulous care of the central venous catheter, particularly the catheter exit site, to assure prolonged, safe and complication-free use
Avoid use of the catheter for purposes other than delivery of TPN (e.g., blood transfusions and blood sampling)
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.

A Sample Answer 4 For the Assignment: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Title: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

The evolution of nursing informatics as a specialty will improve the interaction among professionals. One of the impacts is the ease of collaboration. For instance, electronic health records have made it easier for the healthcare provider to collaborate in providing quality and safe care. Vos et al. (2020) found that EHR allows comprehensive patient files which facilitates joint clinical decision-making based on shared data among the healthcare providers. With seamless access to patient data, the collaboration will improve as technology evolve and advance. Studies have also shown that digital technologies can communication processes (Huter et al., 2020). However, the evolution will mean more responsibilities hence the need to update the skills for the professional to collaborate and interact effectively using the new technologies.

References

Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of Multidisciplinary Healthcare, 13, 1905–1926. https://doi.org/10.2147/JMDH.S286193

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6

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A Sample Answer 5 For the Assignment: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

Title: NURS 6051 Discussion Interaction Between Nurse Informaticists and Other Specialists

I am grateful for this, and I completely agree with you. The field of nursing informatics is vital to all other aspects of healthcare. I agree with your statement about where issues may arise when nurses are not familiar with the use of technology, and I appreciate you bringing this situation to light. Ironically, the primary purpose of nursing informatics is to make things easier. I also appreciate you bringing this situation to light, considering that it is possible for problems to arise when nurses are not familiar with the use of technology. It is true that some nurses have a reputation for having weak skills and knowledge, and when they struggle with adaptation, it takes a significant amount of time away from their being able to care for patients. As a registered nurse, I worked in a hospital where I encountered a situation that was quite familiar to me: a nurse was very confused about her impending career with telemedicine. According to a reliable source from 2015, “nursing informatics, the integration of nursing science with data and information sciences to enhance nursing practice and patient care, faces several issues: developing facility-specific policies and procedures regarding the use of the informatics system, training system users, etc..”

For upcoming shifts, I would like to add that nurses need to be able to adapt to certain new technologies because the clinical information storage of protected health information is really important. This is something that I would want to add. For instance, hand-held computers are required to incorporate a validated security measure in order to thwart any intrusion by an unauthorized party. An article claims “HIPAA increasingly governs decisions made in information technology. Informatics professionals need to know how to implement high-grade security and encryption in their systems in order to protect records from hackers or theft. This is the primary way that the law affects the health informatics profession”. This reference to HIPAA, demonstrates that the healthcare industry is super dependent on nurses to learn these skills, as their patient information is meant to be safe in their hands. After all, the main goal of Nursing Informatics as mentioned “Goal of informatics is to improve the health of populations, communities, families, and individuals by optimizing information management and communications” (ANA 2008 p.1)

The Application of Data to Problem Solving

Information technology plays an increasingly significant role in healthcare. The invention of information systems that collect and analyze big data to produce useful information that can help improve patient care has added new dimensions to healthcare (McGonigue & Mastrian, 2022). Hence, many progressive health care providers obtain, record, analyze, and utilize patient data using technologies like electronic records, computerized disease registries, and clinical decision support. A scenario that can benefit from collection and application of data is a situation whereby hospital infection rates are higher than normal although management has implemented a best practice strategy like hand hygiene without observing the expected improvement in outcomes. Collecting and analyzing appropriate data in the above scenario will help a nurse leader make evidence-based adjustments to the implemented strategy that will improve outcomes.

Strategies for improving infection control in healthcare facilities include hand hygiene compliance. Providing the necessary materials, setting reminders, and hand hygiene training are all important techniques to improve hand hygiene. However, Ahmed et al. (2020) emphasizes the need for strict monitoring of hand hygiene compliance. Monitoring compliance helps management understand the impact of the implemented strategy and the level of adoption by the workforce which will inform possible policy changes or adjustments to the strategy. In the scenario described above, the data to be collected is hand hygiene events. This data can be efficiently collected through a hand hygiene compliance monitoring system. After collection, the data on hand hygiene events can be accessed through the system dashboard. It provides information on how employees interact with hand washing stations as well as the rate of hand hygiene compliance. An electronic data collection method has an inherent advantage over direct observation methods because not only is it more efficient and accurate, it also provides the data with the related time and place which helps decision makers identify the problem areas, departments, or individuals and act accordingly (Pong et al., 2019).

Clinical reasoning and judgment are core competencies for nurse leaders. A nurse leader can demonstrate clinical reasoning in the above scenario by using formal and informal thinking strategies to analyze the described clinical problem and find solutions that are rooted in evidence-based research. Infection control is a widely studied topic in healthcare. Therefore, there are various evidence-based studies that can be reviewed to define the problem and find solutions. To demonstrate good clinical judgment, a nurse leader must be able to determine which data is to be collected, accurately interpret such data, and then identify appropriate interventions to improve outcomes. Hence, a nurse leader with good clinical reasoning and judgment skills will be able to analyze the problem, determine the data to be collected, interpret the data collected, and develop evidence-based strategies that will improve infection control outcomes based on the interpretation of the acquired data and existing knowledge.

References

Ahmed, J., Malik, F., Memon, Z. A., Arif, T. B., Ali, A., Nasim, S., … & Khan, M. A. (2020). Compliance and knowledge of healthcare workers regarding hand hygiene and use of disinfectants: a study based in Karachi. Cureus, 12(2).

Clemett, V. J., & Raleigh, M. (2021). The validity and reliability of clinical judgement and decision-making skills assessment in nursing: a systematic literature review. Nurse Education Today, 102, 104885.

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

Pong, S., Holliday, P., & Fernie, G. (2019). Secondary measures of hand hygiene performance in health care available with continuous electronic monitoring of individuals. American journal of infection control, 47(1), 38-44.