NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
Sample Answer for NURS 6051 Discussion: Nurses in the Systems Development Life Cycle Included After Question
In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.
In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.
To Prepare:
- Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
- Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
- Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.
By Day 3 of Week 9
Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and
provide examples.
By Day 6 of Week 9
Respond to at least two of your colleagues* on two different days, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
A Sample Answer For the Assignment: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
Title: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
The stages in SDLC include analyzing, designing, implementation, evaluation, and maintenance. Nurses play a major role as end-user, creating the need for their involvement in each stage of the SDLC (McGonigle & Mastrian, 2017). The failure of involving nurses at the analysis stage limit the understanding of the new HITS which hinder the effective operation of the information technology adopted. At the design stage, the HIT experts improve the existence of a system, thus proposing a specific role of operational mechanism to be incorporated in the new system (Ozkaynak et al., 2021). The main role of a nurse at the designing stage is to refine and test the system. Therefore, the failure of involvement of a nurse leads failure of new technology responding to the output and input requirements.
Additionally, Involving nurses in the implementation contributes to limiting the effective function of the new technology based on procedures, coordination, and workflow. If a nurse is not involved at the evaluation stage may influence invalid results (McGonigle & Mastrian, 2017). Finally, involving nurses at the maintenance stage may lead to failure to identify and report the system’s nurse
executive bug. The potential issue that affects the failure of including nurses in SDLC is that attention is limited based on the new system (Alijedaani &Babar, 2021). I have been involved in the selection and planning of new health information technology in my nursing practice. The impact resulting from the involvement was difficulty in balancing options after introducing the new system. For instance, is lost trust in the change process, thus ending up in frustration and experience burnout. The challenge likely to occur when introducing the System Develop Life Cycle is that some nurses may fail to attend the training, thus lowering their capacity to deliver quality work.
References
Aljedaani, B., & Babar, M. A. (2021). Challenges with Developing Secure Mobile Health Applications: Systematic Review. JMIR mHealth and uHealth, 9(6), e15654. https://mhealth.jmir.org/2021/6/e15654/
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Ozkaynak, M., Sircar, C. M., Frye, O., & Valdez, R. S. (2021, June). A Systematic Review of Design Workshops for Health Information Technologies. In Informatics (Vol. 8, No. 2, p. 34). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/informatics8020034
A Sample Answer 2 For the Assignment: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
Title: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
I enjoyed reading your post and completely agree with your statements. Nurses provide invaluable information that should be included within each step of the process. When collecting data to determine understanding of issues and how the proposed HIT should function, it is crucial for nurses to input their knowledge. According to Risling and Risling, “In order for this data set to be complete, functional requirements (what the intervention should do) must be collected with the involvement of all stakeholders. This may primarily be patients or practitioners, or a combination of these groups in addition to other possible end-users” (2020, para. 26). Without the inclusion of nurses during this step, nurses are unable to provide insight for what they believe would be beneficial for the HIT to do. Collecting this data is crucial because nurses make up one of the largest end-user groups, and deal with HIT daily. When the process excludes healthcare providers, HIT that is challenging to navigate or nonbeneficial could be purchased and implemented. According to McGonigle and Mastrian,
“The healthcare environment has grown more complex over the years and continues to evolve every day. Unfortunately, the complexities that help clinicians deliver better care and improve patient outcomes also take a toll on the clinicians themselves. This toll is exemplified through hours spent learning new technology, loss in productivity as users adjust and adapt to new technology, and unintended workflow consequences from the use of technology” (2022, p. 269, para. 1).
Therefore, when new HIT is implemented it must be done with nurses in mind and in collaboration with all end-users to help reduce stress from new technology systems.
References
McGonigle, D., & Mastrian, K. G. (2022). Achieving Excellence by Managing Workflow and Initiating Quality Projects. In Nursing Informatics and the Foundation of Knowledge (pp. 269–288). Jones & Bartlett Learning.
Risling, T. L., & Risling, D. E. (2020). Advancing nursing participation in user-centered design. Journal of Research in Nursing, 226–238. https://doi.org/10.1177/1744987120913590
A Sample Answer 3 For the Assignment: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
Title: NURS 6051 Discussion: Nurses in the Systems Development Life Cycle
In healthcare, modern technology is necessary to help facilitate patient care. Various clinical systems are utilized, from point-of-care testing to electronic healthcare records. When facilities introduce new methods, stakeholders are involved in creating a systems development life cycle (SDLC). With SDLC, there a various types; waterfall, rapid application development (RAD), object-oriented systems development (OODS), and dynamic system development method (DSDM). SDLC addresses a problem or need, creates a plan, implements the system, reviews and evaluates, and sometimes destroys it if it is impractical. The waterfall approach is linear, where each step must be accomplished before moving on to the next. Rapid application development is a faster method incorporating functionality and user testing. Object-oriented systems utilize incorporate data from the system to test their effectiveness. Last is DSDM, where the SDLC is very interactive and involves much user involvement.
In most healthcare facilities, patients have rights, one of which ensures that patients are provided their healthcare information in methods and language they can understand. Per the patients’ bill of rights, patients have the right to “receive complete information about diagnosis, treatment, and prognosis from the physician, in terms that are easily understood. If it is medically inadvisable to give such information to you, it will be given to a legally authorized representative” (Department of Health and Human Services, 2021).
In my facility in 2018, they implemented an SDLC as RAD by introducing My Accessible Real-Time Trusted Interpreter (MARTTI) (Gritman, 2019). The system “provides language access to help connect, communicate, and provide excellent care to your limited English proficient, Deaf, and hard-of-hearing individual” (MARTTI, 2023 ). The tablet system provides real-time interpretation in various languages, including American Sign Language. Patient representatives from my facility brought the system around to multiple units. They had them actively use the service in front of the patients requiring the MARRTTI. It was instrumental in using the nurses with the team to use the system as they are usually the first encounter with the patients. Having the nurses use the system first and ensuring they know how to effectively use the system to provide accurate communication with communication determinates. Additionally, getting the nurses’ input is crucial since they communicate with patients more often than other healthcare members. With the MARTTI system needing to incorporate the nursing staff who need to use it, it could impend vital feedback between the facility and the nursing staff.
Utilizing the RAD SDLC approach let me and other nurses immediately implement the MARTTI in real-time. Over time the MARRIT is updated as improvements are needed. Since I function in an emergency room, the RAD approach lets me and other nurses use the MARRTI right when they need it. When there are instances in my unit where there are issues connecting to the services or a particular language is unavailable. The nursing staff can and does inform the facility consistently when there are shortfalls in the system. Generally, as a nurse and interacting with the patients, I provided considerably enhanced care to my patients. I ensured they had their needs addressed during the care visits. I could provide feedback on improved patient care with the system when it ran smoothly. I had delayed care for my patients due to a long wait for an interpreter. Since the enactment of MARTTI, vast improvements in patient care have increased the unit’s efficiency.
References
Department of Health and Human Services. (2021, May 24). Patient Bill of Rights | Clinical center home page. Clinical Center Clinical Center. Retrieved April 21, 2023, from https://clinicalcenter.nih.gov/participate/patientinfo/legal/bill_of_rights.html
Gritman. (2019, January 15). Meet Martti, Gritman’s newest language interpreter. Gritman.org. https://www.gritman.org/meet-martti-gritmans-newest-language-interpreter
MARTTI. (2023, March 23). Language access is provided by Martti. Martti by UpHealth. https://www.martti.us/interpretation/
McGonigle, D., & Mastrian, K. (2021). Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making. In Nursing informatics and the foundation of knowledge (5th ed., p. 191–204). Jones & Bartlett Learning.
Penn Medicine. (2018, March 30). Meet MARTTI, Pennsy’s master of languages – Penn medicine. Penn Medicine News. https://www.pennmedicine.org/news/internal-newsletters/whats-new/2018/june/meet-martti-pennsys-master-of-languages
Grading Rubric Guidelines
| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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| Performance Category | 5 | 4 | 3 | 2 | 0 |
| Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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| Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
| Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
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| 0 points lost | -5 points lost | ||||
| Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
| Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |