NURS 8210 Discussion HIT Usability and Design Challenges

NURS 8210 Discussion HIT Usability and Design Challenges

Sample Answer for NURS 8210 Discussion HIT Usability and Design Challenges Included After Question

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including references).

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

 

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential.

In this week’s Discussion, you move from the standpoint of the “ outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success.

NURS 8210 Discussion HIT Usability and Design Challenges
NURS 8210 Discussion HIT Usability and Design Challenges

To prepare:

  • Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative.
  • Consider the “Best Practice Exemplars” provided in the course text Nursing Informatics: Where Technology and Caring Meet.
  • Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text Nursing Informatics: Where Technology and Caring Meet.
  • Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges.
  • What strategies might you employ to overcome these HIT usability challenges and concerns?

By Day 3 post a cohesive response to the following:

  • Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system.
    • Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.
    • Determine whether these challenges were a result of implementation or design.
    • Formulate strategies for overcoming these usability challenges.

Read a selection of your colleagues’ postings.

By Day 6 respond to at least two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the Reply button below to post your response.

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A Sample Answer For the Assignment: NURS 8210 Discussion HIT Usability and Design Challenges

Title: NURS 8210 Discussion HIT Usability and Design Challenges

Usability refers to the ability of individuals to utilize tools and computer applications that are specific to their environment. An example within a healthcare organization would be nurses who utilize an electronic medical record (EMR). It is expected that the EMR is user-friendly and accessible to all. This would include technology availability, capacity, as well as education/training provided (Ball et al., 2011). In the given case study, four usability challenges are present. These challenges include those which were a result of implementation such as the lack of specific training provided to staff and the minimal consideration and testing of workflow. Also present were challenges of design which included preestablished order sets and documents from other sites, and the delayed arrival of technology.

As usability allows nurses to give feedback in a structured way, it would have been appropriate to engage bedside staff within the design and implementation of the EMR (Ball et al., 2011). Within previous health information technology implementation, bedside staff have been seconded to be involved firsthand in projects. As noted in Ball et al (2011), physicians, nurses and other professionals are pivotal in all phases of the design and implementation process. Involving staff would have been beneficial to mediate the challenges regarding education and training of staff (Gruber et al., 2009). Nurses who are currently practicing in the environment are the best fit to provide information regarding order sets and documents that are frequented. Furthermore, these nurses can be super-users that staff can access if they are having issues during implementation after formal training is provided (Gruber et al., 2009). The staff should also be involved in placement of technology including bedside and nursing desk computers. By engaging staff early, this ensures that an appropriate amount of technology is ordered and will arrive in a timely manner. Another method is to ensure adequate resources is to perform a needs assessment in the earlier stages of the project (Kaufman et al., 2006).

Further challenges can be overcome by conducting usability evaluations (Ball et al., 2011). This allows for systems to be tested and redesigned as necessary to ensure a successful implementation. This would be crucial in ensuring evaluation is not an afterthought and would present as a summative approach in the later design stages of the project (Kaufman et al., 2006) In design, it is beneficial to utilize order sets and documents from other sites as these have been tested and trialed.

References

Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . .

Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet

(4th ed.). London, England: Springer-Verlag.

Gruber, D. , Cummings, G. , Leblanc, L. & Smith, D. (2009). Factors Influencing Outcomes of

Clinical Information Systems Implementation. CIN: Computers, Informatics, Nursing, 27 (3), 151-163. doi: 10.1097/NCN.0b013e31819f7c07.

Kaufman, D. , Roberts, W. , Merrill, J. , Lai, T. & Bakken, S. (2006). Applying an Evaluation

Framework for Health Information System Design, Development, and Implementation. Nursing Research, 55 (2), S37-S42.

A Sample Answer 2 For the Assignment: NURS 8210 Discussion HIT Usability and Design Challenges

Title: NURS 8210 Discussion HIT Usability and Design Challenges

The assigned scenario is the implementation of an electronic medical record (EMR) system using orders, clinical documentation and results in the perinatal units of a medical center.  Because of a previous implementation at another facility, the administration thought they could ‘plug and play’ the system with a six-month implementation timeline (Staggers & Toroseth, 2011).  The Expanded Systems Life Cycle (ESLC) framework defines four risk areas during an implementation which include key executive support, user-driven planning, buy-in from stakeholders, use of product lines, impact on workflow, and evaluation (Gruber, Cummings, Leblanc, & Smith, 2009).  Many of these aspects were not accomplished.  Usability challenges included not having order sets developed specific to perinatal as a specialty.  Workflow was not assessed for current state and future state.  Not enough computer equipment and training was not specific to the specialty (Staggers & Toroseth, 2011).

There are multiple challenges that the implementation did not plan for ahead of time, and caused frustration for the end-users. Clinical application design (CAD) should take place throughout the system designs process.  It is an iterative process including the clinicians from planning to implementation.  Evidence-based ractice (EBP) specific to the clinical specialty should be integrated into the design of the application (Staggers & Toroseth, 2011).  The lack of the clinical documentation and order sets into the system based on the new perinatal units at the medical center is a design issues.  It should have been developed based on the EBP being used for these specific units. The workflow and the training are both implementation issues.  The changes will significantly impact the clinicians and should be considered prior to the implementation.  The workflow changes should be integrated into the training plans for the clinicians (Coplan & Masuda, 2011).  The final implementation challenge is the ordering of workstations to be placed in the clinical units. It also could be considered a design issue.  Nursing informatics (NI) functional areas include consultation and coordination, facilitation, and integration.  During the implementation the NI can be used to determine the equipment to be used and placement that assists in the usability by the end users (“American Nursing Association “, 2015).

The first strategy is to use the NI in the planning and design of the system and implementation.    As the NI, the role included designing the inpatient rooms and clinic areas to facilitate the usability for the clinicians.  It was to determine where to place the computers, bar code scanners, and printers within the facilitate.  Staggers and Troseth (2011) recommend having an informatics team with knowledge of the human factors and usability issues.  The design of the system can also use the NI to work with the end users to define the needs and the characteristics of the system to make sure it includes EBP based on their patient population (Staggers & Toroseth, 2011).

The implementation of an electronic health record (EHR) is a change that includes having to learn new technology, no matter if the facility was on paper or a different EHR, and learning new workflows.  Part of the implementation project is to obtain feedback from the user about the configuration of the new system and the workflow.  The project team should listen to individuals who are resistant but offer improvements for the configuration or workflow (Coplan & Masuda, 2011).  Mcbride (2012) studied the training and practice flows of EMR implementations, and the physicians surveyed responded that more attention needs to be made on training and the background of the trainers (McBride, 2012).  Because of the specific needs for the training of the oncologists, we did not use any vendor training.  Instead we brought in twelve physicians for two days of training with the clinical informatics directors who understood the workflow and had advance experience with the system.  The concentration was on the basic usage and chemotherapy order sets.  Every two weeks after the initial training the EMR educators rounded to give advance training the system.  It was well received, and the physicians were able to function in the system.  There was also a training developed that focused on physician specialty such as pulmonary, gastro, or anesthesia and the initial setup of their user profile included tools within the EHR specific to their needs.  It was found that the physicians were less resistant to change, when the focus was on their “need to know” in training.  This type of implementation can be done with any specialty, and the organization in the scenario could have been successful if they included configuration and training specific to perinatal units.

References

American Nursing Association (2015) Nursing Informatics: Scope and standardsof practice (2nd ed.). Silver Spring, MD: American Nursing Association.

Coplan, S., & Masuda, D. (2011). Change mangement Project management for healthcare information technology (pp. 193-237). New York, NY: McGraw Hill Companies.

Gruber, D., Cummings, G. G., Leblanc, L., & Smith, D. L. (2009).Factors influencing outcomes of clinical information systems implementation. CIN: Computers, Informatics, Nursing, 27(3), 151-163. doi:10.1097/NCN.0b013e31819f7c07

McBride, M. (2012). Training, new practice flow critical with EHR installation. Study participants share insights about the effects of the technology in their practices as they approach year mark. Medical Economics, 89(22), 36.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management (Harrow, London, England: 1994), 20(1), 32-37.

Staggers, N., & Toroseth, M. R. (2011). Usability and Clinical Application Design. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.), Nursing Informatics: Where technology and caring meet (Fourth ed., pp. 219-241). London New York: Springer.

NURS 8210 Discussion HIT Usability and Design Challenges Rubric Detail

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Content

Name: NURS_8210_Week6_Discussion_Rubric

  Excellent Good Fair Poor
RESPONSIVENESS TO DISCUSSION QUESTION

Discussion post minimum requirements:

*The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.

Points Range: 8 (26.67%) – 8 (26.67%)

Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*.

Points Range: 7 (23.33%) – 7 (23.33%)

Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*.

Points Range: 6 (20%) – 6 (20%)

Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*.

Points Range: 0 (0%) – 5 (16.67%)

Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*.

CONTENT KNOWLEDGE Points Range: 8 (26.67%) – 8 (26.67%)

Discussion postings and responses: -demonstrate in-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; – are well supported by pertinent research/evidence from a variety of and multiple peer- reviewed books and journals, where appropriate; -Demonstrate significant mastery and thoughtful/accurate application of content, applicable skills or strategies presented in the course.

Points Range: 7 (23.33%) – 7 (23.33%)

Discussion postings and responses: -demonstrate understanding and application of the concepts and issues presented in the course, presented with some understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; -are supported by research/evidence from peer-reviewed books and journals, where appropriate; and · demonstrate some mastery and application of content, applicable skills, or strategies presented in the course.

Points Range: 6 (20%) – 6 (20%)

Discussion postings and responses: – demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors; –lack support by research/evidence and/or the research/evidence is inappropriate or marginal in quality; and/or lack of analysis, synthesis or evaluation of topic – demonstrate minimal content, skills or strategies presented in the course. ——-Contain numerous errors when using the skills or strategies presented in the course

Points Range: 0 (0%) – 5 (16.67%)

Discussion postings and responses demonstrate: -A lack of understanding of the concepts and issues presented in the course; and/or are inaccurate, contain many omissions and/or errors; and/or are not supported by research/evidence; and/or lack of analysis, synthesis or evaluation of topic -Many critical errors when discussing content, applicable skills or strategies presented in the course.

CONTRIBUTION TO THE DISCUSSION Points Range: 8 (26.67%) – 8 (26.67%)

Discussion postings and responses significantly contribute to the quality of the discussion/interaction and thinking and learning by: -providing Rich and relevant examples; discerning and thought-provoking ideas; and stimulating thoughts and probes; – -demonstrating original thinking, new perspectives, and extensive synthesis of ideas supported by the literature.

Points Range: 7 (23.33%) – 7 (23.33%)

Discussion postings and responses contribute to the quality of the discussion/interaction and thinking and learning by -providing relevant examples; thought-provoking ideas – Demonstrating synthesis of ideas supported by the literature

Points Range: 6 (20%) – 6 (20%)

Discussion postings and responses minimally contribute to the quality of discussion/interaction and thinking and learning by: – providing few and/or irrelevant examples; and/or – providing few if any thought- provoking ideas; and/or -. Information that is restated from the literature with no/little demonstration of critical thinking or synthesis of ideas.

Points Range: 0 (0%) – 5 (16.67%)

Discussion postings and responses do not contribute to the quality of interaction/discussion and thinking and learning as they do not: -Provide examples (or examples are irrelevant); and/or -Include interesting thoughts or ideas; and/or – Demonstrate of critical thinking or synthesis of ideas

QUALITY OF WRITING Points Range: 6 (20%) – 6 (20%)

Discussion postings and responses exceed doctoral -level writing expectations. They: · Use grammar and syntax that is clear, concise, and appropriate to doctoral level writing; · Make few if any errors in spelling, grammar, and syntax; · Use original language and refrain from directly quoting original source materials; -provide correct APA · Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints.

Points Range: 5 (16.67%) – 5 (16.67%)

Discussion postings and responses meet doctoral -level writing expectations. They: ·Use grammar and syntax that is clear and appropriate to doctoral level writing; ; · Make a few errors in spelling, grammar, and syntax; · paraphrase but refrain from directly quoting original source materials; Provide correct APA format · Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints;.

Points Range: 4 (13.33%) – 4 (13.33%)

Discussion postings and responses are minimally below doctoral-level writing expectations. They: · Make more than occasional errors in spelling, grammar, and syntax; · Directly quote from original source materials and/or paraphrase rather than use original language; lack correct APA format; and/or · Are less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints.

Points Range: 0 (0%) – 3 (10%)

Discussion postings and responses are well below doctoral -level writing expectations. They: · Use grammar and syntax that is that is unclear · Make many errors in spelling, grammar, and syntax; and –use incorrect APA format · Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints.

Total Points: 30

 

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

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

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

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