NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

Sample Answer for NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation Included After Question

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

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To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support
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A Sample Answer For the Assignment: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

Title: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

Nurse leaders have critical roles in implementing new documentation systems as part of the project teams designed to enhance care delivery in their practice environment. The increased demand for data management and security of patient health information and the need to comply with regulatory requirements implore healthcare organizations to allocate more resources for the development and training of IT staff, solutions, and related systems (Kassam & Nagle, 2017). The implementation of these systems needs the inclusion of nurse leaders based on the requirement of frameworks like system development life cycle (SDLC) that offers guidelines on deploying new technology infrastructure like documentation in a healthcare entity (Sipes, 2019). The purpose of this paper is to discuss the critical role that graduate-level- nurse plays in guiding their participation in the implementation team. The role description is based on the stages and tasks of the SDLC framework.

Role Description Based on the SDLC Processes

The primary aspect addressed by nurse informaticists in the development of a documentation system that addresses inherent challenges of nursing. As the majority and the main care providers in the health workforce, they should participate and be involved actively in the development of information systems for organizations to attain successful outcomes (Verma & Gupta, 2017). The system development life cycle (SDLC) describes the systematic problem-solving approach that system developers use to design, troubleshoot, and implement an information technology system in a healthcare organization to enhance efficiency in the workflow. The system contains critical stages with respective tasks that require the inclusion of nurse Informaticists at each level (Kassam & Nagle, 2017). These stages include planning and requirement definition, analysis, design of the new system, implementation, and post-implementation.

Planning and Requirement Definition

The planning and requirement definition stage identifies and analyzes the scope of the present system and provides an overview of the

NURS 6051 Portfolio Assignment The Role of the Nurse Informaticists in Systems Development and Implementation

proposed new systems and their objectives (Yen et al., 2017). The stage entails considerations on a host of issues like time, benefits, costs, and other components of the new system. The stage also identifies constraints, threats, and security issues of the new system (Wager et al., 2017). The participation of the graduate-level nurse at this initial stage is critical to delivering the clinical nursing perspective to contribute to the development of a responsive, safe, efficient, and effective system (McGonigle & Mastrian, 2018). The graduate nurse interacts with the team leaders to execute certain tasks that include determining the nature and issues of the present systems and challenges to efficiency and workflow, examination and selection of possible solutions, assimilation of required resources, and identification of project’s timelines and its initiation.

The nurse identifies the system’s requirements, from technical to clinical and medical components (Magnuson & Dixon, 2020). The nurse leader also helps in system testing and identification of any design flaws in the new system for improvement. The overriding role of the graduate nurse is bringing to the fore the concerns of frontline nurses so that the new system is tailored to meet their needs as super and end-users (Wang et al., 2018). The failure to include the nurse at this stage means that the team will not capture the system needs of frontline nurses as end-users of the new documentation system.

Analysis Phase

The analysis stage helps the implementation team to establish the system’s processes and workflows. A determination to ascertain if the requirements offered are satisfactory and an evaluation of the processes for possible changes or alterations happen at this stage. The analysis stage also defines the requirements and prototype of the new system at this stage (Kassam & Nagle, 2017). The graduate nurse has key roles at this stage of working with the interdisciplinary team to identify the core challenges that the proposed system may pose to nurses as end-users and offer feasible solutions or seek alternatives from the team. The graduate nurse should have an idea of how the system will be deployed and the anticipated challenges to make informed suggestions and recommend alternatives (Magnuson & Dixon, 2020). Through this approach, the team will avoid implementing a system that possesses obvious faults for use in the facility.

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Design of the New System

The design stage defines core components of the new system including the databases, applications, system, and user interfaces that will be deployed in the facility. These components represent the functional attributes that will make the system work flawlessly (Magnuson & Dixon, 2020). The team generates reports, prototypes mockups, and screenshots to determine possible hitches that may occur.

The role of the graduate nurse is to scrutinize the developed system to ensure that it has appropriate performance and display for the effective end-user experience. The graduate nurse may have a limited role at this stage because of the technical nature of its attributes (Sipes, 2019). However, the nurse can still make recommendations and suggest operational mechanisms to enhance the functionality of the system. The graduate nurse ensures that the system design is safer and user-friendly for nurses. The nurse should establish the functionality of the system to meet nurses’ needs as end-users.

Implementation

The implementation entails setting up the program and ensuring that it works based on the input from different stakeholders. The stage entails transferring data and components from the current system to the new one, system’s installation, and roll out for use by end-users (McGonigle & Mastrian, 2018). The graduate nurse works in collaboration with the interdisciplinary team to undertake performance evaluation and identify opportunities for redesigning the system. The graduate nurse educates and trains other nurses and staff members on the operationalization of the novel system.

Post-Implementation Support

The stage emphasizes system maintenance and support to the users and administrators as an ongoing or continuous process. Maintenance and support ensure that the system functions without any critical hitches or issues. As end-users, nurses can fine-tune the system by adding new capabilities to improve performance (Magnuson & Dixon, 2020). The graduate nurse’s role is to document all issues experiences and share them with the system’s developers and the management for effective reviews, interventions, and possible systems upgrades.

Conclusion

The paper demonstrates that a graduate nurse acting as a leader on the system implementation team plays a critical role in the system development life cycle. The essay shows that at each stage, the nurse leader ensures that all concerns and considerations which may impact the staff’s ability to deploy the system are addressed through the interdisciplinary team. The graduate nurse plays a core role in ensuring that the developed documentation system meets nurses’ and organizational needs.

References

Kassam, I., & Nagle, L. (2017). Informatics competencies for nurse leaders: protocol for a

scoping review. BMJ Open, 7(12). doi:10.1136/BMJ open-2017-018855

Magnuson, J. A., & Dixon, B. E. (Eds.). (2020). Public health informatics and information

systems. Springer Nature.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge

(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Sipes, C. (2019). Nursing Informatics: Project Management. Application of Nursing Informatics:

Competencies, Skills, and Decision-Making, 79.

Verma, M. P., & Gupta, D. S. (2017). Software Development for Nursing: Role of Nursing

Informatics. International Journal of Nursing Education and Research, 5(2) 203-207.

doi:10.5958/2454-2660.2017.00044.8

Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: a practical

approach for health care management. John Wiley & Sons.

Wang, J., Gephart, S. M., Mallow, J., & Bakken, S. (2019). Models of collaboration and

dissemination for nursing informatics innovations in the 21st century. Nursing Outlook, 67(4), 419-432. DOI: 10.1016/j.outlook.2019.02.003.

Yen, P. Y., Phillips, A., Kennedy, M. K., & Collins, S. (2017). Nursing informatics competency

assessment for the nurse leader: instrument refinement, validation, and psychometric analysis. JONA: The Journal of Nursing Administration, 47(5), 271-277. https://doi.org/10.1097/NNA.0000000000000478

A Sample Answer 2 For the Assignment: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

Title: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

The incontestable role of nursing informatics is to get advanced information and knowledge on nursing to improve the health of individuals, families, and society. Health care providers conclude possible decisions about the kind of health to be provided through the authority of nursing informatics. Nursing informatics include healthcare apps, electronic medical records (EMRs) among others. Significantly, the tracking ability of nursing staff, progress and services helps in identifying issues that can be corrected to improve healthcare systems. The role of nurse informaticist is helpful in planning, analysis, designing new systems, implementations, and post-implementation support.

Informaticists contribute to planning nursing sectors by providing advanced nursing practices and non-stop workflows. According to (Serra, et al, 2020), informatics aims to provide patients with the best results and to promote patient care all over. In consequence, workflows, design processes, and new treatment plans and testing are developed. Secondly, informaticists come up with improved clinical strategies, agreements, and procedures among others. For instance, the performance of a nursing organization can be determined by the outcome of patients. According to (Serra, et al, 2020) a good-performing organization should have positive feedback from the patients. With the data used to know the outcome of the patient, it becomes easy to identify areas that need to be corrected. Additionally, it helps the organization in finding suitable ways for improving the healthcare system. Thirdly, informaticist planning contributes in reduced health error cases. For instance, the patient’s communication and information to the health organization is used by the informaticist to provide recommendations to avoid errors. Fourthly, there is continuity of healthcare due to the availability of many healthcare providers. For instance, communication and interaction between the department, healthcare providers, and patients remain consistent to provide continuity of healthcare.

Nursing informaticist plays a major role in health analysis. For instance, when improving clinical policies, protocols, processes, and procedures, data analysis is taken to measure the performance of the protocol. As a result, these analyses are used to make changes that improve healthcare. Secondly, the analysis assists in establishing options that are patients based when straightening best nursing practices and work continuity. Thirdly, informaticists use analysis to provide training for healthcare providers. For instance, they use data to identify some of the indigenous health issues and seek the best ways of solving them. Fourth, analysis help in identifying new testing devices. In particular, nursing informaticists are positioned to understand the new Internet of Things (IoT) and give recommendations on its record, use, and accessibility. As a result, healthcare providers are informed on the diagnostics, treatment plans, and patient outcomes from the use of new devices (Booth, et.al 2021). Furthermore, the access to unlimited data gives the informaticists role of data supervision and accuracy in accordance of the organizational support in wide data strategy.

Designing Electro- Phrenic Respiration(EPR) requires the knowledge of informaticists and some technological skills. For instance, informaticists provide efficient information flow in decision-making and specific information on patients. Additionally, nursing informaticists produce reports and prototypes among others to identify factors that can determine occurrences of errors as stated by (Booth, et al, 2021). Informaticists can also supervise the results of the devices to prevent inappropriate results as expected by the organization. Informaticists’ role in implementation involves tracking of health providers’ familiarity and outcome in the system. Further, the informaticist provides correct information during implementation by checking coding schemes. According to (Booth, et al, 2021), implementation period requires informaticists to organize training sessions with the health providers to achieve positive transitional implementation in the system. Post implementation support mainly involve testing and maintenance. At this stage, an informaticist is required to the health requirement given by the system are correct analysis. Additionally, informaticist organize training with nurses to familiarize them with the new system. As expected, the informaticist is able to tell the performance of the system into the organization and where changes need to be done.

Conclusion

Nursing informaticists’ main role is to provide or deliver positive health to the patients. Additionally, the information provided by the informaticists is accurate since they involve the use of technology. With the existence of nurse informaticists, health care is efficient and easily accessible. Data management, processing, and organization are practiced to keep electronic health records through the help of nursing informaticists. Finally, nursing informatics contributes to the advanced healthcare system by providing software tools for healthcare providers to use.

References

Booth, R., Strudwick, G., McMurray, J., Chan, R., Cotton, K., & Cooke, S. (2021). The Future of Nursing Informatics in a Digitally-Enabled World. In Introduction to Nursing Informatics (pp. 395-417). Springer, Cham.

da Silva, R., Baptista, A., Serra, R. L., & Magalhães, D. S. (2020). Mobile application for the evaluation and planning of nursing workload in the intensive care unit. International journal of medical informatics, 137, 104120.

A Sample Answer 3 For the Assignment: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

Title: NURS 6051 Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

I agree, failure to involve nurses would result in the adoption of a system that will produce unwanted outcomes in the organization. The SDLC is a standard project management framework that improves hospital technology by using steps in planning, analysis, design, implementation, and evaluation (Wang et al., 2019, p. 419). The involvement of nursing staff in the SDLC is an important aspect of maintaining high performance in medical settings. For example, at my facility, the organization attempted to reduce falls by purchasing visual monitors (VM). Upper management focus was on savings from sitters as opposed to including the quality and how nurses would respond to this new technology. Fortunately, the only nurses who were a part of the SDLC process were the unit Nurse managers and Directors. Floor nurses should be on the board for situations like this because VM is very unpredictable, and the screen frequently freezes while observing the patient.

It creates issues between the primary nurse who blame the visual monitor (VM) tech for not watching the monitor, if a patient fall despite being a system error. Currently, management is trying to increase the number of video monitoring from 16 patients to 20 patients and this decision did not consider the responses of the nurses. Nursing’s participation in the big data and data science initiatives now underway is essential to ensure that the discoveries are not only shaped by our profession’s unique understanding of the patient experience but also that the discoveries lead to knowledge that is useful to nursing (Brennan & Bakken, 2015, p. 477). I believe if floor nurses were a part of the SDLC, more education would have been encouraged and the evaluation process would have challenged the new technology defects, before making the final decision to use VM as the first intervention before ordering a sitter.