NURS 6051 Week 1 Discussion The Application of Data to Problem

NURS 6051 Week 1 Discussion The Application of Data to Problem

Sample Answer for NURS 6051 Week 1 Discussion The Application of Data to Problem Included After Question

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

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:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

NURS 6051 Week 1 Discussion The Application of Data to Problem
NURS 6051 Week 1 Discussion The Application of Data to Problem

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

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

A Sample Answer For the Assignment: NURS 6051 Week 1 Discussion The Application of Data to Problem

Title: NURS 6051 Week 1 Discussion The Application of Data to Problem

There are few professions in the modern era that do not rely on data to some way. Stockbrokers rely on market data to provide financial advice to their clients. Meteorologists rely on weather data to forecast weather conditions, whereas realtors use data to make property acquisition and sale recommendations. In these and other instances, data not only assists practitioners in resolving difficulties, but also contributes to the practitioner’s and discipline’s body of knowledge.
Naturally, the nursing profession likewise largely relies on statistics. The area of nursing informatics seeks to ensure that nurses have access to the necessary data in order to address healthcare problems, make patient-centered decisions, and contribute to knowledge.

You will consider a scenario that would benefit from data access and how such access could aid both problem solving and knowledge creation in this Discussion.

Preparation:

• Consider the informatics and knowledge work principles offered in the Resources.

• Consider a hypothetical scenario based on your own healthcare practice or organization in which data access/collection and application would be required or beneficial. Your scenario may contain an issue or a gap involving a patient, personnel, or management.

By Week 1’s third day

Include a description of the scenario’s focal point. Describe the data that could be used and the methods for collecting and accessing

the data. What kind of knowledge could be gathered from this data? How would a nurse leader apply clinical reasoning and judgment to the process of knowledge development resulting from this experience?

By Week 1’s Day 6

Respond to at least two of your colleagues* on two separate days, either by asking clarifying questions about the scenario and use of data or by suggesting additional/alternative suggestions for using nursing informatics principles.

Click the Reply button to the right to see the textbox where you can input your response. Then, on the Submit page, click the Submit button to send your message.

*Note: Throughout this program, you will refer to your classmates as colleagues.

A Sample Answer 2 For the Assignment: NURS 6051 Week 1 Discussion The Application of Data to Problem

Title: NURS 6051 Week 1 Discussion The Application of Data to Problem

I have spent the last 10 years working in emergency rooms as a staff nurse. One of the biggest challenges that my department faces regularly is delays with getting admitted patients out of the ED and onto their assigned units. These delays negatively impact the patients waiting for emergency treatment in the lobby and hallway stretchers. There are a number of factors that can prolong ED length of stay. Some of these include lack of bed availability due to hospital overcrowding, treatment delays such as loss of IV access, and delays caused by hospital personnel during the handoff report process (Paling et. al, 2020). Some of these factors, such as hospital overcrowding, are unavoidable and difficult to work around, which is why it is important for hospitals to assess which factors they can control to expedite patient flow out of the emergency room.

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For my hospital’s scenario, the emergency department would collect data about admission delays that are specifically caused by disruptions in the nursing telephone report process. In my current workplace, there is not a standardized electronic handoff form, despite the fact that several studies have demonstrated the efficiency and increased patient safety outcomes associated with the transition to standardized electronic nursing report (Wolak et al., 2020). Instead, the ED nurse calls the receiving unit on the telephone, gives a verbal patient care handoff, and then transfers the patient to their hospital room. By collecting data about where in the handoff process delays are occurring, the ED could try to streamline the handoff process with the medical floors.

The emergency department nurses would collect quantitative data about the length of time between the first attempt to call report to the medical floor, and the time of the patient’s actual departure from the ED. The data would be recorded in the section of the EMR called “time to disposition” for each patient that is admitted. The ED leadership team could then pull a certain number of charts per month (or all the admission charts, if time allowed) and assess how long it takes on average for patient transfer to happen after report. Generally, most hospitals set their goals for disposition time for handoff and transfer within a 30-minute window (Potts et. al., 2018). If there are frequent delays causing transfer time to take greater than 30 minutes, the ED leadership team or unit-based council could meet with leadership from the floors where patient transfer takes the longest. By demonstrating the hard numbers associated with patient care delays, the teams could better understand the factors that lead to admission delays and work together to find solutions that expedite the admissions process.

References:

Paling, S., Lambert, J., Clouting, J., González-Esquerré, J., & Auterson, T. (2020). Waiting times in emergency departments: Exploring the factors associated with longer patient waits for emergency care in England using routinely collected daily data. Emergency Medicine Journalhttps://doi.org/10.1136/emermed-2019-208849

Potts, L., Ryan, C., Diegel-Vacek, L., & Murchek, A. (2018). Improving patient flow from the emergency department utilizing a standardized electronic nursing handoff process. JONA: The Journal of Nursing Administration48(9), 432–436. https://doi.org/10.1097/nna.0000000000000645

Wolak, E., Jones, C., Leeman, J., & Madigan, C. (2020). Improving throughput for patients admitted from the Emergency Department. Journal of Nursing Care Quality35(4), 380–385. https://doi.org/10.1097/ncq.0000000000000462

A Sample Answer 3 For the Assignment: NURS 6051 Week 1 Discussion The Application of Data to Problem

Title: NURS 6051 Week 1 Discussion The Application of Data to Problem

You provided a detailed post on ways to collect data in nursing informatics to achieve desired outcomes. As we have studied nursing informatics this week, it further defined my understanding of its importance. According to Zytkowski, “Nursing informatics plays an essential role in the future directions of healthcare by defining the relationship between nurses and information technology as well as the knowledge that can be gained when these domains work together” (2003). There are many ways to incorporate this information into nursing education so that nurses are more equipped to be involved in this process. According to Darvish et al.,

“The NACNEP recommended to prepare nurses to adopt intelligent and quality-based information technology use in patient care by implementing five strategies: providing core informatics courses to nursing schools, educating nurses specialized in informatics skills who are able to solve related issues, offering more powerful nursing care through the implication of telecommunication projects, preparing more nursing faculties in the informatics field to facilitate students skills enhancement and enhancing collaboration to advance informatics” (2014).

Equipping students who are becoming a part of the healthcare field is one way to promote the appropriate application and understanding of nursing informatics. How have you seen the application of nursing informatics in your role as a healthcare provider?

References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

A Sample Answer 4 For the Assignment: NURS 6051 Week 1 Discussion The Application of Data to Problem

Title: NURS 6051 Week 1 Discussion The Application of Data to Problem

In health care, informatics has become a necessary resource for effectively accomplishing the goal of caring for patients.  So the question remains what informatics in healthcare is, and how do they enhance patient care quality?  The article ” Healthcare informatics ” describes healthcare informatics as “the integration of healthcare sciences, computer science, information science, and cognitive science to assist in the management of healthcare information” (Sweeney, 2017, p.1).  Additionally, “healthcare informatics focuses on managing healthcare information through capturing; retrieval; storage; presenting and sharing biomedical information and data to provide care” (Sewell, 2018, p. 5 ).

In my practice, we utilize several forms of informatics to assist in the dispositions of patient care.  Hypothetically, say patient “A” comes into the emergency room they have been sick with flu-like symptoms for several days.  Patient A’s vitals are as follows: blood pressure 90/50, Respirations 32, temperature 100.2, heart rate 123, 6/10 pain with a productive cough, and blood oxygen level of 91 at room air.  Upon arrival, an initial evaluation was conducted.  The provider utilized the electronic medical system to put in medical orders.  He requested a bedside chest x-ray, two liters of oxygen, and various labs, including blood cultures, point-of-care lactate, venous blood gases, and creatinine.

All imaging is conducted, an intervenous line is placed, and the patients are collected and returned and resulted.  It is determined that the patient has bacterial pneumonia and becoming septic.  The center for disease control and prevention (CDC) defines sepsis as sepsis is the body’s extreme response to an infection, and it is a life-threatening medical emergency.  Sepsis happens when a condition you already have in the lungs, bladder, or wounds triggers a chain reaction throughout your body  (Centers for Disease Control and Prevention, 2022).  Moreover, a sepsis protocol is initiated based on the algorithm of the patient’s medical vital signs and labs in the patient’s electronic medical record. The system suggests ordering fluids, repeat labs, and antibiotics to treat the patient.

Various informatic resources such as the electronic medical system, point-of-care lab collections, and imaging are directly communicated and transferred into patient A’s chart for effective and efficient helpmeet in evaluating, diagnosing, and treating patient A appropriately.  Different health professionals could use informatic healthcare resources to assist in care.  Utilizing healthcare informatics as an assistive tool, not a definitive means, can improve positive patient outcomes.

References

Center for Disease Control and Prevention. (2022, August 9). What is Sepsis? cdc.gov. https://www.cdc.gov/sepsis/what-is-sepsis.html#:~:text=Sepsis is the body’s extreme,%2C skin%2C or gastrointestinal tract

Links to an external site.

Sewell, J. (2018). Introduction to Nursing Informatics: Managing healthcare information. In Informatics and nursing (6th ed., p. 5). LWW.

Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics21(1), 1.

A Sample Answer 5 For the Assignment: NURS 6051 Week 1 Discussion The Application of Data to Problem

Title: NURS 6051 Week 1 Discussion The Application of Data to Problem

As healthcare professionals, we use and rely on evidence-based practice to treat and provide care for the patients we serve. The workflow that we follow as Registered Nurses help keep our patients safe while providing high quality care as apply methods that are tried and true. The technology that we use in healthcare keep us efficient with our time and allows us to communicate with each other. Having access to this data/information and being able to reference and plan care accordingly allows for the best decision making. Whether inpatient or outpatient, clinicians and patients utilize online portal systems, electronic medical records, data collection devices such as vital sign machines and glucometers (Sweeney J., 2017).

As a nurse in the ICU if I had a patient come from a MedSurg unit who was found unconscious by the rounding nurse with a sp02 of 76%, blood pressure of 80/52 and a heart rate of 56. Having access to the EMR would allow me all necessary patient information during the current admission including allergies, medication, ADL function and a full head to toe assessment of the patient who is arriving to my unit in distress. This patient’s oxygen saturation is now 70% on arrival to my unit and the anesthesia team is at the bedside intubating the patient for airway protection while I am receiving bedside report. Last reported activity was patient A&O x4 upright independently enjoying a meal. This information would also be documented in the EMR. Having access to the patient’s electronic medical health record would allow myself and the Intensivist along with the code team a better understanding of the patient’s base line and what could have possibly happened. This would lead to us as healthcare providers formulating a treatment plan for the critical patient. The EMR is used to store the assessments and information gathered about a patient in an organized fashion.

As the health care team, with variation in access to the chart depending on role, we are able to access this information to learn more about our patients to better care for them. As a nurse in the situation, I would listen to the report taken from the frantic nurse and scan the chart for possible missed pertinent information while discussing possible causes with the code team such as aspiration. As nurses we look listen and touch our patients to get a full picture, in emergency situations such as this one a skilled nurse must critically think, implement orders and discuss simulations to get the best outcomes. Time is of the essence and having the information available to reference keeps our patients safe and allows us to connect the dots.

 

Sweeney, J. (2017). Healthcare informaticsLinks to an external site.

Links to an external site.Online Journal of Nursing Informatics, 21(1).

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

Chapter 1, “Nursing Science and the Foundation of Knowledge” (pp. 7–17)

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Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource