NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Sample Answer for NURS 6051 THE INCLUSION OF 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.
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 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.
A Sample Answer For the Assignment: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Title: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
System Development Life Cycle (SDLC) is defined as a way to deliver an effective and efficient information system, in a way that can fit an organization’s business plan (McGonigle & Mastrian, 2022). SDLC has five major stages which include: analysis, design, implementation, evaluation, and maintenance. Each of these steps is very important when it comes to an organization deciding on which health information technology system to purchase. One of the most important groups in a healthcare organization to use these technology systems are the nurses. Therefore, it is crucial for healthcare organizations to include nurses in their decision to purchase new technology systems.
For example, if nurses are left out of any of the stages of SDLC, the healthcare organization can suffer major losses not only in finances, but also in credibility, as well as likely face a decline in care of patients. If the organization leaves out the nurses in the implementation stage of SDLC of purchasing a medication administration related technology system, who would implement it (Kutney-Lee et al., 2019)?
During the analysis phase, the organization is assessing the need for that particular technology system in their facility. As mentioned above, nurses are the ones using these health information technology systems. This means that nurses know what is needed. If nurses are excluded from this stage, the organization might end up purchasing a technology system that no one needs. This can lead to loosing large amounts of money. Analysis along with design stages determine how these systems connect.
During evaluation, the success of the program is assessed, and during maintenance, the system is being sustained. Since nurses are on the floor using these systems, they would know if it works, and ways to sustain it. Leaving out the nurses will only lead to a decline in the quality of care provided (Vest et al., 2019).
I have contribute in some of the SDLC processes in the hospital where I work. Surveys are usually sent out to us all about what we thing and if we have suggestions. This has worked well for the organization. The hospital is very highly rated in in and around the community. This is because of its inclusive culture of always including nurses in decisions affecting the organization as a whole.
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L. R., & Aiken, L. H. (2019). Electronic Health Record Adoption and Nurse Reports of Usability and Quality of Care: The Role of Work Environment. Applied Clinical Informatics, 10(1), 129–139. https://doi.org/10.1055/s-0039-1678551Links to an external site.
Vest, J. R., Jung, H.-Y., Wiley, K., Kooreman, H., Pettit, L., & Unruh, M. A. (2019). Adoption of Health Information Technology Among US Nursing Facilities. Journal of the American Medical Directors
Association, 20(8), 995-1000.e4. https://doi.org/10.1016/j.jamda.2018.11.002
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A Sample Answer 2 For the Assignment: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Title: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Integrating nursing knowledge or participation in each stage of the SDLC when purchasing and implementing a new health information technology system will negate resistance and poor attitudes concerning technology in the workplace and ultimately negatively affect high-quality patient care (Barrlett, 2018). Nursing involvement creates a harmonious working relationship for improvement in workflow and collaboration, helping the success of design being more personalized and accepting of different needs centered around patient care. Since nurses are advocates by nature, their contribution is vital. According to McGonigle & Mastrian, 2022, “human factors engineering application improves ease of use, systems performance and reliability, and user satisfaction, while reducing operational errors, operator stress, training requirements, user fatigue, and product liability” (p.327).
Collaboration with nurses can be opportunistic, as Dr. Howe mentions in knowledge exchange, in minimizing the need for constant modification after implementation. This can be minimized if nursing involvement is in all steps of the SDLC stages. The idea of HIT resilience looks at a culture of using technology in healthcare. The research was done by Barrett 2021 insightful in understanding how to diligently create a collaborative HIT design culture. Just as this discussion argues how influential the nursing perspective is and how catastrophic the fallout can be if it is not, information technology scholars reevaluate the theoretical meaningfulness.
The ultimate fallout fuels the culture of technological resistance, burnout, and quality of patient care. The potential of investment will facilitate mutual respect and resilience, and leadership within the field of nursing since nursing has unique attributes and knowledge for a not one size fits all system. Continual communication and evaluation from the beginning ensure the most ensured success. “Most large IT projects – some say as many as 90% – culminate in failures in that they fail to meet user expectations, interrupt user workflow, are not user-friendly and are over-budget, delayed or ill-planned” (Barrlett, 2021, p. 781). The uniqueness of healthcare needs to have nurses be more involved than just at the bedside and have a less oppressive mindset in their abilities to do so regarding technology or other patient relationships. Leadership and empowerment are essential to building the confidence needed to place nurses in that role. I, unfortunately, do not have any personal experiences to add besides my enthusiasm to support the efforts and increase my knowledge base. Perhaps employers’ influence and policymakers can work alongside nurses in adopting strategies for improved use and participation. I think the curriculum we are collectively experiencing through this course has heightened my reality and understanding of the value of informatics, technology, and modern trends (Mendez et al., 2020). I believe advocacy in any realm of nursing gives us a voice and is imperative to outcomes for our profession, our futures as APRNs, and our patients.
The Inclusion of 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 3 For the Assignment: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Title: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Thanks for your question. I’d like to add that nurses must be able to adapt to new technologies because advocating for training nurses now so that they have a solid foundation to build on will be critical to the success of technological advancements. I can back this up with data and evidence of productivity loss due to a lack of basic computer skills.
In my organization, educational opportunities are currently available through the nursing education department and are typically assigned to all clinical staff as mandatory learning when it comes to clinical skills. However, I occasionally have to precept our new nurses, and they frequently require training in the use of electronic documentation. I would contact the education department and request that training modules be assigned to the new hires so that they can get more orientation and practice with the software. Our online e-learning site can also teach some fundamental skills, but nurses must assign them to themselves. It offers numerous opportunities to learn new skills, ranging from basic computer skills to complex clinical ones.
The organization’s educators always make a point of visiting the units and speaking with nurses to gather feedback on any educational needs. I am always advocating for new and improved mobile technology, as well as computer training and education to help maintain productivity.
A Sample Answer 4 For the Assignment: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
Title: NURS 6051 THE INCLUSION OF 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
Discussion_Rubric
| NURS_5051_Module05_Week09_Discussion_Rubric | ||||||
| Criteria | Ratings | Pts | ||||
| This criterion is linked to a Learning OutcomeMain Posting |
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50 pts | ||||
| This criterion is linked to a Learning OutcomeMain Post: Timeliness |
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10 pts | ||||
| This criterion is linked to a Learning OutcomeFirst Response |
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18 pts | ||||
| This criterion is linked to a Learning OutcomeSecond Response |
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17 pts | ||||
| This criterion is linked to a Learning OutcomeParticipation |
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5 pts | ||||
| Total Points: 100 | ||||||
NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE 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. |