Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question<\/strong><\/em><\/span><\/h2>\nI work at a children’s hospital in the outpatient setting of Rheumatology. \u00a0One thing that we do often is joint injections in swollen and inflamed joints such as the knee, ankle, elbow, wrists, and even fingers. \u00a0When I first started in the department about 7 years ago we did not utilize the ultrasound machine as much as we do now. \u00a0The physicians would just feel for the marker points of the joint and inject, hoping that they were in the joint space. \u00a0One of our physicians took a course in the ultrasound machine and found it to be beneficial in joint injections. \u00a0The ultrasound machine is now used in almost all of our joint injections. \u00a0The physician can use to US machine to pin point the joint and the fluid that is in the joint cavity. \u00a0They will then insert the needle for the injection, which you can see on the US so they know they are exactly where they are. Then they inject the medication, a white area forms in the joint cavity ( that is the medicine going in), now they know for sure the medication went where it needed to go. Through this we found that we had better responses to the injections because we knew that the injection was exactly where it needed to be, we also found that in some of the smaller joints we were using too much medication and it was leaking out of the joint cavity causing irritation and the patient to have increased pain.<\/p>\n
<\/p>\n
The healthcare sector continues to evolve in the application and use of technologies to support the delivery of care (Nagle, 2017). The use of the ultrasounds\u00a0machine\u00a0in my department is a prime example of this. \u00a0We are able to give better care to our patients\u00a0with\u00a0the use of\u00a0technology that we had but didn’t really start using until recently.<\/p>\n
<\/p>\n
References:<\/h2>\n
Nagle, L., Sermeus, W., & Junger, A. (2017).\u00a0\u00a0Evolving Role of the Nursing Informatics<\/a> SpecialistLinks to an external site.. In J. Murphy, W. Goosen, &\u00a0 P. Weber\u00a0 (Eds.),\u00a0Forecasting Competencies for Nurses in the Future of Connected Health<\/em>\u00a0(212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https:\/\/serval.unil.ch\/resource\/serval:BIB_4A0FEA56B8CB.P001\/REF<\/p>\n![\"NURS](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2021\/10\/NURS-6051-Discussion-The-Application-of-Data-to-Problem-Solving-1-300x118.png\")
NURS 6051 Discussion The Application of Data to Problem-Solving<\/figcaption><\/figure>\nSample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question<\/strong><\/em><\/span><\/h2>\nIn 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\u2019s and the discipline\u2019s body of knowledge.<\/p>\n
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.<\/p>\n
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.<\/p>\n
RESOURCES<\/h2>\n
Be sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.<\/p>\n
WEEKLY RESOURCES<\/strong><\/a><\/h2>\nTo Prepare:<\/strong><\/h3>\n\n- Reflect on the concepts of informatics and knowledge work as presented in the Resources.<\/li>\n
- 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.<\/li>\n<\/ul>\n
BY DAY 3 OF WEEK 1<\/h2>\n
Post<\/strong>\u00a0a 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?<\/p>\nBY DAY 6 OF WEEK 1<\/h2>\n
Respond<\/strong>\u00a0to at least\u00a0two<\/strong>\u00a0of your colleagues* on two different days<\/strong>, asking questions to help clarify the scenario and application of data, or offering additional\/alternative ideas for the application of nursing informatics principles.<\/p>\n*Note:<\/em><\/strong>\u00a0Throughout this program, your fellow students are referred to as colleagues.<\/em><\/p>\nA Sample Answer For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nAs healthcare providers<\/a> in our medical institution, we would use nursing informatics as the data to effect any changes in our healthcare policies and processes. We are aware of how scary change can be. This data is necessary to integrate nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice (Sweeney, 2017). Nursing informatics is a technology available to us for problem-solving purposes, move us forward and assist us in caring for our patients. We could use the data by tracking our operating room, which has since struggled with late starts yet lagging and disrupting our timely patient care. Focusing on our struggles with starting cases on time, we can track the late codes that nurses insert in the EMR. This insertion of late codes helps us select various reasons why the \u201cin-room\u201d operations start late, including physician lateness, consents not signed, patient in the bathroom, room not in order, et cetera. By tracking various late codes, we will be able to access how to handle each issue individually and change \u2018unsuitable\u2019 policies to try and avoid excessive late starts. Our team will act upon the synthesized data as soon as possible since staff and patients are currently irritated with the situation at hand. However, synthesizing massive data might take several years. Therefore we shall consider the small-scale synthesis of data collected for interpretation and integration in a short period, guaranteeing a faster transformation into the new guidelines and pathways (Nagle et al., 2017).\u00a0<\/span>\u00a0<\/span><\/p>\nWith that data, our nurse leaders would be better placed to meet and discuss the challenges that arise from physicians and their lateness. We would be able to identify late start policies, like \u201cphysicians to arrive 10 minutes before the scheduled surgical time.\u201d The leadership might realize that the schedule for surgical times is not adequately communicated to the physicians concerned and find a way to resolve this problem. Using our data, we would ably see the commonality trends of how some physicians are late, others that are early and need not be talked to about lateness. Moreover, our leaders could place a standing order protocol for our pre-op nurses to use if a physician forgets to place his pre-op orders.\u202f They would effectively identify our unprepared nurses for a bedside shift report, a possibility that can delay surgery start too. Our nurse leaders would use our EMR data to offer timely patient care. As they engage in further discussion via the potential data collection, our nurse leaders and staff nurses might develop a Foundation of Knowledge, and such knowledge might also be beneficial for other units. Such information sharing and feedback enable our medical team to make suitable changes in our department for more smooth operations (McGonigle & Mastrian, 2021).<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nMcGonigle, D., & Mastrian, K. (2021). <\/span>Nursing informatics and the foundation of knowledge<\/span><\/i>. Jones & Bartlett Publishers.<\/span>\u00a0<\/span><\/p>\nNagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving role of the nursing informatics specialist. <\/span>Stud Health Technol Inform<\/span><\/i>, <\/span>232<\/span><\/i>, 212-22.<\/span>\u00a0<\/span><\/p>\nSweeney, J. (2017). Healthcare informatics. <\/span>On-Line Journal of Nursing Informatics<\/span><\/i>, <\/span>21<\/span><\/i>(1).<\/span>\u00a0<\/span><\/p>\nA Sample Answer 2 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTelephone triage<\/span><\/b>\u00a0<\/span><\/h2>\nThe phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse<\/a> using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), \u201cFor information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.<\/span>\u00a0<\/span><\/p>\nThis information could be valuable to many leaders in the healthcare team<\/a>. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, \u201cComputer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base \u201dp. 35). Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.<\/span>\u00a0<\/span><\/p>\nAn additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.<\/span>\u00a0<\/span><\/p>\nFrom this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used. \u202fAn ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff. A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices. \u202fHealth information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership<\/a> could use this as a cost-effective strategy.<\/span><\/p>\n\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, \u201cTeams are working across boundaries of organizations and will be organized around a particular patient.\u201d (Nagale et al, 2017, p. 215). \u202f\u202fWithin most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)<\/span>\u00a0<\/span><\/p>\nThis hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.<\/span><\/p>\nReferences<\/span><\/b>\u00a0<\/span><\/h2>\nNauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role<\/span>\u00a0<\/span><\/p>\nfor nurses,<\/span>Nursing Outlook<\/span><\/i>, 47(5) , 219-226.https:\/\/doi.org\/10.1016\/S0029-6554(99)90054-4.<\/a><\/span>\u00a0<\/span><\/p>\n <\/p>\n
Nagle, L., Sermeus, W., & Junger, A. (2017).\u202f\u202f<\/span>Evolving Role of the Nursing Informatics Specialist\u202fLinks to an external site.\u202fLinks to an external site.<\/span><\/a>. In J. Murphy, W. Goosen, &\u202f P. Weber\u202f (Eds.),\u202f<\/span>Forecasting Competencies for Nurses in the Future of Connected Health<\/span><\/i>\u202f(212-221).<\/span>\u00a0<\/span><\/p>\nMcGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.<\/span>\u00a0<\/span><\/p>\nA Sample Answer 3 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nPatient falls is a scenario that would benefit from the collection and application of data in our healthcare organization. Falls have been a common and distressing event in the hospital, mostly in geriatrics. They result in severe injuries on patients, such as head trauma and fractures, which prolong hospital stay and increase healthcare costs (Venema et al., 2019). Data that could be used in relation to patient falls include the number of patient falls weekly or monthly and common conditions of patients who suffer falls (Lucero et al., 2019). In addition, data on the length of hospitalization from falls and patient costs incurred from falls can be used to address the issue of falls.<\/p>\n
Data on patient falls can be collected from patients\u2019 medical records where every fall incidence is documented and the events surrounding the fall. Besides, data can be collected from the hospital\u2019s incidence reporting system. Nurses may be required to report every case of fall in the incidence reporting system, which can provide data on the total number of falls in a specific period (Lucero et al., 2019). The data can provide knowledge on patients\u2019 at the highest risk of falls and the factors that put patients at risk of falls in the inpatient units. Data on the diseases with the highest falls can offer insight into the patients\u2019 conditions that health providers should take additional measures to prevent falls (Lucero et al., 2019). Furthermore, the data can enlighten nurses on the gaps in patient care that contribute to patient falls and the measures they should implement to address the issue (McGonigle & Mastrian2017). The data can also provide knowledge on the nursing care interventions that need to be optimized to prevent patient falls and promote patient safety.<\/p>\n
A nurse leader would apply clinical reasoning and judgment to generate knowledge from the experience by applying research-based knowledge from nursing as the foundation for practice (Guerrero, 2019). The leader can utilize their scientific research-based knowledge to form knowledge on nursing interventions that can be modified to reduce patient falls in the hospital and improve patient safety.
\n<\/strong><\/p>\nA Sample Answer 4 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI really\u00a0enjoyed reading your post and you did a great job explaining evidence-based\u00a0practice and data collection. I just want to add that evidence-based\u00a0practice has\u00a0been used in helping healthcare workers to meet the needs of their patients and it uses two different approaches: Infusing research and data collection which empirically supports interventions in nursing practice. The process of implementing evidence-based\u00a0practice interventions include\u00a0the process of assessing patients’\u00a0needs, selecting the interventions and monitoring the progress by data collection. And like you rightly said\u00a0proper application of data from the Braden Scale reduces this patient\u2019s risk of acquiring hospital-acquired pressure injury (HAPI). According to the Center for Medicare and Medicaid Services, HAPI rates were reduced from 40.3 to 30.9 per 1,000 discharges between 2010 and 2014. This is due to efforts made by healthcare leaders to properly collect data on patients at risk for HAPI and ensure the implementation of preventative measures (Rondinelli et al.,)<\/p>\n
REFERENCE<\/strong><\/h2>\nWalden University, LLC. (Producer). (2018).\u00a0Health Informatics and Population Health: Trends in Population Health<\/em>\u00a0[Video file]. Baltimore, MD: Author.<\/p>\nRondinelli J, Zuniga S, Kipnis P, Kawar LN, Liu V, Escobar GJ. Hospital-Acquired Pressure Injury: Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nurs Res. 2018 Jan\/Feb;67(1):16-25. doi: 10.1097\/NNR.0000000000000258. PMID: 29240656; PMCID: PMC6013055.<\/p>\n
A Sample Answer 5 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI 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.<\/p>\n
For my hospital\u2019s 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.
\nThe 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\u2019s actual departure from the ED.<\/p>\n
The data would be recorded in the section of the EMR called \u201ctime to disposition\u201d 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.<\/p>\n
\u00a0References:<\/h2>\n
Paling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPotts, 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 Administration, 48(9), 432\u2013436. https:\/\/doi.org\/10.1097\/nna.0000000000000645<\/a>
\nWolak, E., Jones, C., Leeman, J., & Madigan, C. (2020). Improving throughput for patients admitted from the Emergency Department. Journal of Nursing Care Quality, 35(4), 380\u2013385. https:\/\/doi.org\/10.1097\/ncq.0000000000000462<\/a><\/p>\nA Sample Answer 6 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThis is insightful Andrea; admission delays often lead to adverse treatment outcomes. The delays in patients\u2019 admission to different hospitals are attributed to the increased number of patients or overcrowding. The impacts of delayed admission can be severe, including longer hospital stays, the inability of patients to access appropriate beds, and experienced healthcare experts (Goertz et al., 2020). Most patients leave without getting treatment due to delayed admissions to different healthcare facilities (Paling et al., 2020). There is a need for quality improvement to facilitate improvements in admission rates. The quality improvements should rely on the data collected in the course of operation. The application of the EMR system is one of the best methods of data collection in healthcare (Pastorino et al., 2019). Measuring and recording the time taken during hospital admission is necessary for determining areas that require adjustments. Through the analysis of the collected data or information, healthcare institutions are able to initiate quality improvement processes and ensure effective outcomes in the management of patients. One of the questions that I would ask is: What variables ought to be involved in the data collection processes?<\/p>\n
References<\/h2>\n
Goertz, L., Pflaeging, M., Hamisch, C., Kabbasch, C., Pennig, L., von Spreckelsen, N., … & Krischek, B. (2020). Delayed hospital admission of patients with aneurysmal subarachnoid hemorrhage: clinical presentation, treatment strategies, and outcome. Journal of neurosurgery, 134(4), 1182-1189. https:\/\/doi.org\/10.3171\/2020.2.JNS20148<\/a>
\nPaling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23-27. https:\/\/doi.org\/10.1093\/eurpub\/ckz168<\/a><\/p>\nClick here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/a><\/span><\/h3>\nA Sample Answer 7 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nCurrently, most organizations are involved in the use of data to solve different problems in the operational processes. In the healthcare system, the knowledge work of nurses is data intensive (You et al., 2018). With the technological innovation and applications in the healthcare system, healthcare institutions use complex information systems, networks and other technologies to enhance the management of financial, clinical, and epidemiological activities that must always be integrated in a meaningful way (Tekieh & Raahemi, 2015). There are different scenarios in the healthcare system where data can be applied to enhance healthcare delivery. Nurse to patient ratio has been a problem in most healthcare institutions (Gupta & Rokade, 2016). The problem is always attributed to the increase in the number of patients in the healthcare system as well as the lack of enough healthcare professionals. The application of data in this case can enhance the management of influx of patients in disaster situations and during the normal operational processes.<\/p>\n
The data collected in the above case may involve recording number of patients who visits a healthcare facility at a given time, the reason for visits (diseases and complications), whether the patients are inpatients or outpatients, time of visit, and number of nurses and other healthcare professionals at a particular time (Chen et al., 2019). The data collected can be used to establish the rates of inflow of patients and the number of patients in the hospital at a given time, the information can then be applied in the establishment appropriate nurse to patient ratio to ensure effective patient outcome (Coviello, Avitabile, & Florio, 2020). In the above case, data can be collected through the electronic medical record (EMR) systems. With the EMR system, the data is always captured at the point of admission, during diagnosis, treatment processes, and discharge (Qureshi et al., 2019). The data are then stored safely in the databases and can be analyzed at any given time to provide information on the status of healthcare system and the adjustments that needs to be undertaken (Lang et al., 2017).<\/p>\n
The knowledge that can be derived from the data include the number of patients, types of medication required by most patients, the number of nurses, and finally, the nurse to patient ratio. Nurse leaders can apply clinical reasoning and judgement in the establishment of accurate nurse to patient ration to enhance the management of patients. In other words, nurse leaders can apply the knowledge of nurse to patient ration obtained from data analysis to establish enough nurses and other healthcare workers in the management of patients.<\/p>\n
\u00a0References<\/strong><\/h2>\nChen, Q., Olsen, G., Bagante, F., Merath, K., Idrees, J. J., Akgul, O., … & Pawlik, T. M. (2019). Procedure-specific volume and nurse-to-patient ratio: implications for failure to rescue patients following liver surgery.\u00a0World journal of surgery<\/em>,\u00a043<\/em>(3), 910-919. https:\/\/doi\/10.1007\/s00268-018-4859-4<\/a><\/p>\nCoviello, G., Avitabile, G., & Florio, A. (2020, June). The importance of data synchronization in multiboard acquisition systems. In\u00a02020 IEEE 20th Mediterranean Electrotechnical Conference (MELECON)<\/em>\u00a0(pp. 293-297). IEEE. Retrieved from: https:\/\/ieeexplore.ieee.org\/abstract\/document\/9140622<\/a><\/p>\nGupta, K. S., & Rokade, V. (2016). Importance of quality in health care sector: a review.\u00a0Journal of Health Management<\/em>,\u00a018<\/em>(1), 84-94. https:\/\/doi\/abs\/10.1177\/0972063415625527<\/a><\/p>\nLang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. L. (2017). Nurse\u2013patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes.\u00a0JONA: The Journal of Nursing Administration<\/em>,\u00a034<\/em>(7), 326-337. https:\/\/doi\/2004\/07000\/<\/a><\/p>\nQureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the effect of nurse\u2013patient ratio on nurse workload and care quality using discrete event simulation.\u00a0Journal of nursing management<\/em>,\u00a027<\/em>(5), 971-980. https:\/\/doi\/abs\/10.1111\/jonm.12757<\/a><\/p>\nTekieh, M. H., & Raahemi, B. (2015, August). Importance of data mining in healthcare: a survey. In\u00a0Proceedings of the 2015 IEEE\/ACM International Conference on Advances in Social Networks Analysis and Mining 2015<\/em>\u00a0(pp. 1057-1062). https:\/\/doi\/abs\/10.1145\/2808797.2809367<\/a><\/p>\nYou, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … & Sermeus, W. (2018). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.\u00a0International journal of nursing studies<\/em>,\u00a050<\/em>(2), 154-161. Retrieved from: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748912001563<\/a><\/p>\nLopes Write Policy<\/strong><\/h2>\nFor 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 \u201cfinal submit\u201d to me.<\/p>\n
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.<\/p>\n
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else\u2019s thoughts more than your own?<\/p>\n
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.<\/p>\n
Late Policy<\/strong><\/h2>\nThe university\u2019s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.<\/p>\n
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.<\/p>\n
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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.<\/p>\n
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.<\/p>\n
Important information for writing discussion questions and participation<\/strong><\/h2>\nWelcome to class<\/strong><\/h3>\nHello 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 \u201cmessage\u201d 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<\/p>\n
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.<\/p>\n
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.<\/p>\n
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.<\/p>\n
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.<\/p>\n
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.<\/p>\n
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\u2019s 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!<\/p>\n
Hi Class,<\/h2>\n
Please read through the following information on writing a Discussion question response and participation posts.<\/p>\n
Contact me if you have any questions.<\/p>\n
Important information on Writing a Discussion Question<\/strong><\/h2>\n\n- Your response needs to be\u00a0a minimum\u00a0of 150 words (not including your list of references)<\/li>\n
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.<\/li>\n
- Include in-text citations in your response<\/li>\n
- Do not include quotes\u2014instead summarize and paraphrase the information<\/li>\n
- Follow APA-7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n<\/ul>\n
Participation \u2013replies to your classmates or instructor<\/strong><\/h2>\n\n- A minimum of 6 responses per week, on at least 3 days of the week.<\/li>\n
- Each response needs at least ONE reference with citations\u2014best if it is a peer reviewed journal article<\/li>\n
- Each response needs to be at least 75 words in length (does not include your list of references)<\/li>\n
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of \u201cI agree\u201d or \u201cgreat post\u201d does not count for the word count.<\/li>\n
- Follow APA 7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n
- Remember to use and follow APA-7th\u00a0edition for all weekly assignments, discussion questions, and participation points.<\/li>\n
- Here are some helpful links<\/li>\n
- Student paper example<\/a><\/li>\n
- Citing Sources<\/a><\/li>\n
- The\u00a0Writing Center\u00a0<\/a>is a great resource<\/li>\n<\/ul>\n
A Sample Answer 8 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThe scenario chosen is a patient in a hypertensive crisis in a home health visit following a total knee replacement. The focus will be to show how experience, knowledge, and an EMR can help improve patient outcomes, decision-making, and patient care. The data that may be used will be a sphygmomanometer, a pulse ox, and an EMR as a clinical database to see past trends of blood pressure. Nurses must be able to use their clinical guidelines and interpersonal skills to interact with their patients to form the basis of a decision. (Mastrian & McGonigle, 2022)<\/p>\n
This data can be accessed by a EMR such as Kinnser. The immediate data would be the blood pressure and heart rate during the initial rapid assessment. Technology and evidence that support his findings of very high blood pressure will alert other clinicians of this event. This will appear (hopefully) in the patient’s electronic medical record. Another method of collecting data would be directly having a conversation or interview with the patient in crisis.<\/p>\n
Looking at the patient’s post-op report before seeing the patient, the clinician can see that the patient had to stay an extra day for uncontrolled blood pressure. The clinician can then compare that data and information with their own knowledge base and medications prescribed to determine which interventions are appropriate. Once the patient’s blood pressure is controlled and his PCP has been called, the clinician can then start disseminating knowledge and staff can learn from feedback to then help others in the future when running into this scenario.<\/p>\n
As a nurse leader, the nurse would use this information and convert it to knowledge. The nurse would then act on this knowledge by initiating a plan of care or updating an existing one. By using advanced formal education and applying analytical knowledge, the nurse is acting as a knowledge worker. (Mastrian & McGonigle, 2022).<\/p>\n
I like your senario \u00a0and would to emphasize the need for health care staf to learn how to navigate\u00a0health informatics like EPIC. It is like an acquisition, storage, retrieval and use of health information.\u00a0 Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information.\u00a0 The use of technology such as computer systems, software and other technologies promote informatics.\u00a0 A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network.\u00a0 The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information.\u00a0 Sending information through the post office takes time, vulnerable to be lost as well as being damaged.\u00a0 The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information.\u00a0 A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient\u2019s medical history is readily retrievable from a health care informatics system that links providers to each other.\u00a0 Imagine calling around for patient information or worst yet, writing letters to request patient information.\u00a0 Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).<\/p>\n
As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics.\u00a0 In addition, nurses should be able to efficiently and fluently use those systems.\u00a0 It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics.\u00a0 This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well.\u00a0 Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015).\u00a0 In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems.<\/p>\n
The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics.\u00a0 Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care.\u00a0 A nurse, for example, may alert the doctor or others of a patient\u2019s pre-existing conditions or allergies thereby preventing any type of accident.\u00a0 The nurse should also be able to properly train other personnel in using health informatics.\u00a0 In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works.\u00a0 Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome.\u00a0 It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).<\/p>\n","protected":false},"excerpt":{"rendered":"
NURS 6051 Discussion The Application of Data to Problem-Solving Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question I work at a children’s hospital in the outpatient setting of Rheumatology. \u00a0One thing that we do often is joint injections in swollen and inflamed joints such as the knee, ankle, […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8874","post","type-post","status-publish","format-standard","hentry","category-nursing-papers"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"yoast_head":"\n
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Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question<\/strong><\/em><\/span><\/h2>\nIn 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\u2019s and the discipline\u2019s body of knowledge.<\/p>\n
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.<\/p>\n
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.<\/p>\n
RESOURCES<\/h2>\n
Be sure to review the Learning Resources before completing this activity.
\nClick the weekly resources link to access the resources.<\/p>\n
WEEKLY RESOURCES<\/strong><\/a><\/h2>\nTo Prepare:<\/strong><\/h3>\n\n- Reflect on the concepts of informatics and knowledge work as presented in the Resources.<\/li>\n
- 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.<\/li>\n<\/ul>\n
BY DAY 3 OF WEEK 1<\/h2>\n
Post<\/strong>\u00a0a 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?<\/p>\nBY DAY 6 OF WEEK 1<\/h2>\n
Respond<\/strong>\u00a0to at least\u00a0two<\/strong>\u00a0of your colleagues* on two different days<\/strong>, asking questions to help clarify the scenario and application of data, or offering additional\/alternative ideas for the application of nursing informatics principles.<\/p>\n*Note:<\/em><\/strong>\u00a0Throughout this program, your fellow students are referred to as colleagues.<\/em><\/p>\nA Sample Answer For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nAs healthcare providers<\/a> in our medical institution, we would use nursing informatics as the data to effect any changes in our healthcare policies and processes. We are aware of how scary change can be. This data is necessary to integrate nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice (Sweeney, 2017). Nursing informatics is a technology available to us for problem-solving purposes, move us forward and assist us in caring for our patients. We could use the data by tracking our operating room, which has since struggled with late starts yet lagging and disrupting our timely patient care. Focusing on our struggles with starting cases on time, we can track the late codes that nurses insert in the EMR. This insertion of late codes helps us select various reasons why the \u201cin-room\u201d operations start late, including physician lateness, consents not signed, patient in the bathroom, room not in order, et cetera. By tracking various late codes, we will be able to access how to handle each issue individually and change \u2018unsuitable\u2019 policies to try and avoid excessive late starts. Our team will act upon the synthesized data as soon as possible since staff and patients are currently irritated with the situation at hand. However, synthesizing massive data might take several years. Therefore we shall consider the small-scale synthesis of data collected for interpretation and integration in a short period, guaranteeing a faster transformation into the new guidelines and pathways (Nagle et al., 2017).\u00a0<\/span>\u00a0<\/span><\/p>\nWith that data, our nurse leaders would be better placed to meet and discuss the challenges that arise from physicians and their lateness. We would be able to identify late start policies, like \u201cphysicians to arrive 10 minutes before the scheduled surgical time.\u201d The leadership might realize that the schedule for surgical times is not adequately communicated to the physicians concerned and find a way to resolve this problem. Using our data, we would ably see the commonality trends of how some physicians are late, others that are early and need not be talked to about lateness. Moreover, our leaders could place a standing order protocol for our pre-op nurses to use if a physician forgets to place his pre-op orders.\u202f They would effectively identify our unprepared nurses for a bedside shift report, a possibility that can delay surgery start too. Our nurse leaders would use our EMR data to offer timely patient care. As they engage in further discussion via the potential data collection, our nurse leaders and staff nurses might develop a Foundation of Knowledge, and such knowledge might also be beneficial for other units. Such information sharing and feedback enable our medical team to make suitable changes in our department for more smooth operations (McGonigle & Mastrian, 2021).<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nMcGonigle, D., & Mastrian, K. (2021). <\/span>Nursing informatics and the foundation of knowledge<\/span><\/i>. Jones & Bartlett Publishers.<\/span>\u00a0<\/span><\/p>\nNagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving role of the nursing informatics specialist. <\/span>Stud Health Technol Inform<\/span><\/i>, <\/span>232<\/span><\/i>, 212-22.<\/span>\u00a0<\/span><\/p>\nSweeney, J. (2017). Healthcare informatics. <\/span>On-Line Journal of Nursing Informatics<\/span><\/i>, <\/span>21<\/span><\/i>(1).<\/span>\u00a0<\/span><\/p>\nA Sample Answer 2 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTelephone triage<\/span><\/b>\u00a0<\/span><\/h2>\nThe phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse<\/a> using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), \u201cFor information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.<\/span>\u00a0<\/span><\/p>\nThis information could be valuable to many leaders in the healthcare team<\/a>. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, \u201cComputer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base \u201dp. 35). Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.<\/span>\u00a0<\/span><\/p>\nAn additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.<\/span>\u00a0<\/span><\/p>\nFrom this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used. \u202fAn ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff. A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices. \u202fHealth information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership<\/a> could use this as a cost-effective strategy.<\/span><\/p>\n\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, \u201cTeams are working across boundaries of organizations and will be organized around a particular patient.\u201d (Nagale et al, 2017, p. 215). \u202f\u202fWithin most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)<\/span>\u00a0<\/span><\/p>\nThis hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.<\/span><\/p>\nReferences<\/span><\/b>\u00a0<\/span><\/h2>\nNauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role<\/span>\u00a0<\/span><\/p>\nfor nurses,<\/span>Nursing Outlook<\/span><\/i>, 47(5) , 219-226.https:\/\/doi.org\/10.1016\/S0029-6554(99)90054-4.<\/a><\/span>\u00a0<\/span><\/p>\n <\/p>\n
Nagle, L., Sermeus, W., & Junger, A. (2017).\u202f\u202f<\/span>Evolving Role of the Nursing Informatics Specialist\u202fLinks to an external site.\u202fLinks to an external site.<\/span><\/a>. In J. Murphy, W. Goosen, &\u202f P. Weber\u202f (Eds.),\u202f<\/span>Forecasting Competencies for Nurses in the Future of Connected Health<\/span><\/i>\u202f(212-221).<\/span>\u00a0<\/span><\/p>\nMcGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.<\/span>\u00a0<\/span><\/p>\nA Sample Answer 3 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nPatient falls is a scenario that would benefit from the collection and application of data in our healthcare organization. Falls have been a common and distressing event in the hospital, mostly in geriatrics. They result in severe injuries on patients, such as head trauma and fractures, which prolong hospital stay and increase healthcare costs (Venema et al., 2019). Data that could be used in relation to patient falls include the number of patient falls weekly or monthly and common conditions of patients who suffer falls (Lucero et al., 2019). In addition, data on the length of hospitalization from falls and patient costs incurred from falls can be used to address the issue of falls.<\/p>\n
Data on patient falls can be collected from patients\u2019 medical records where every fall incidence is documented and the events surrounding the fall. Besides, data can be collected from the hospital\u2019s incidence reporting system. Nurses may be required to report every case of fall in the incidence reporting system, which can provide data on the total number of falls in a specific period (Lucero et al., 2019). The data can provide knowledge on patients\u2019 at the highest risk of falls and the factors that put patients at risk of falls in the inpatient units. Data on the diseases with the highest falls can offer insight into the patients\u2019 conditions that health providers should take additional measures to prevent falls (Lucero et al., 2019). Furthermore, the data can enlighten nurses on the gaps in patient care that contribute to patient falls and the measures they should implement to address the issue (McGonigle & Mastrian2017). The data can also provide knowledge on the nursing care interventions that need to be optimized to prevent patient falls and promote patient safety.<\/p>\n
A nurse leader would apply clinical reasoning and judgment to generate knowledge from the experience by applying research-based knowledge from nursing as the foundation for practice (Guerrero, 2019). The leader can utilize their scientific research-based knowledge to form knowledge on nursing interventions that can be modified to reduce patient falls in the hospital and improve patient safety.
\n<\/strong><\/p>\nA Sample Answer 4 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI really\u00a0enjoyed reading your post and you did a great job explaining evidence-based\u00a0practice and data collection. I just want to add that evidence-based\u00a0practice has\u00a0been used in helping healthcare workers to meet the needs of their patients and it uses two different approaches: Infusing research and data collection which empirically supports interventions in nursing practice. The process of implementing evidence-based\u00a0practice interventions include\u00a0the process of assessing patients’\u00a0needs, selecting the interventions and monitoring the progress by data collection. And like you rightly said\u00a0proper application of data from the Braden Scale reduces this patient\u2019s risk of acquiring hospital-acquired pressure injury (HAPI). According to the Center for Medicare and Medicaid Services, HAPI rates were reduced from 40.3 to 30.9 per 1,000 discharges between 2010 and 2014. This is due to efforts made by healthcare leaders to properly collect data on patients at risk for HAPI and ensure the implementation of preventative measures (Rondinelli et al.,)<\/p>\n
REFERENCE<\/strong><\/h2>\nWalden University, LLC. (Producer). (2018).\u00a0Health Informatics and Population Health: Trends in Population Health<\/em>\u00a0[Video file]. Baltimore, MD: Author.<\/p>\nRondinelli J, Zuniga S, Kipnis P, Kawar LN, Liu V, Escobar GJ. Hospital-Acquired Pressure Injury: Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nurs Res. 2018 Jan\/Feb;67(1):16-25. doi: 10.1097\/NNR.0000000000000258. PMID: 29240656; PMCID: PMC6013055.<\/p>\n
A Sample Answer 5 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI 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.<\/p>\n
For my hospital\u2019s 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.
\nThe 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\u2019s actual departure from the ED.<\/p>\n
The data would be recorded in the section of the EMR called \u201ctime to disposition\u201d 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.<\/p>\n
\u00a0References:<\/h2>\n
Paling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPotts, 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 Administration, 48(9), 432\u2013436. https:\/\/doi.org\/10.1097\/nna.0000000000000645<\/a>
\nWolak, E., Jones, C., Leeman, J., & Madigan, C. (2020). Improving throughput for patients admitted from the Emergency Department. Journal of Nursing Care Quality, 35(4), 380\u2013385. https:\/\/doi.org\/10.1097\/ncq.0000000000000462<\/a><\/p>\nA Sample Answer 6 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThis is insightful Andrea; admission delays often lead to adverse treatment outcomes. The delays in patients\u2019 admission to different hospitals are attributed to the increased number of patients or overcrowding. The impacts of delayed admission can be severe, including longer hospital stays, the inability of patients to access appropriate beds, and experienced healthcare experts (Goertz et al., 2020). Most patients leave without getting treatment due to delayed admissions to different healthcare facilities (Paling et al., 2020). There is a need for quality improvement to facilitate improvements in admission rates. The quality improvements should rely on the data collected in the course of operation. The application of the EMR system is one of the best methods of data collection in healthcare (Pastorino et al., 2019). Measuring and recording the time taken during hospital admission is necessary for determining areas that require adjustments. Through the analysis of the collected data or information, healthcare institutions are able to initiate quality improvement processes and ensure effective outcomes in the management of patients. One of the questions that I would ask is: What variables ought to be involved in the data collection processes?<\/p>\n
References<\/h2>\n
Goertz, L., Pflaeging, M., Hamisch, C., Kabbasch, C., Pennig, L., von Spreckelsen, N., … & Krischek, B. (2020). Delayed hospital admission of patients with aneurysmal subarachnoid hemorrhage: clinical presentation, treatment strategies, and outcome. Journal of neurosurgery, 134(4), 1182-1189. https:\/\/doi.org\/10.3171\/2020.2.JNS20148<\/a>
\nPaling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23-27. https:\/\/doi.org\/10.1093\/eurpub\/ckz168<\/a><\/p>\nClick here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/a><\/span><\/h3>\nA Sample Answer 7 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nCurrently, most organizations are involved in the use of data to solve different problems in the operational processes. In the healthcare system, the knowledge work of nurses is data intensive (You et al., 2018). With the technological innovation and applications in the healthcare system, healthcare institutions use complex information systems, networks and other technologies to enhance the management of financial, clinical, and epidemiological activities that must always be integrated in a meaningful way (Tekieh & Raahemi, 2015). There are different scenarios in the healthcare system where data can be applied to enhance healthcare delivery. Nurse to patient ratio has been a problem in most healthcare institutions (Gupta & Rokade, 2016). The problem is always attributed to the increase in the number of patients in the healthcare system as well as the lack of enough healthcare professionals. The application of data in this case can enhance the management of influx of patients in disaster situations and during the normal operational processes.<\/p>\n
The data collected in the above case may involve recording number of patients who visits a healthcare facility at a given time, the reason for visits (diseases and complications), whether the patients are inpatients or outpatients, time of visit, and number of nurses and other healthcare professionals at a particular time (Chen et al., 2019). The data collected can be used to establish the rates of inflow of patients and the number of patients in the hospital at a given time, the information can then be applied in the establishment appropriate nurse to patient ratio to ensure effective patient outcome (Coviello, Avitabile, & Florio, 2020). In the above case, data can be collected through the electronic medical record (EMR) systems. With the EMR system, the data is always captured at the point of admission, during diagnosis, treatment processes, and discharge (Qureshi et al., 2019). The data are then stored safely in the databases and can be analyzed at any given time to provide information on the status of healthcare system and the adjustments that needs to be undertaken (Lang et al., 2017).<\/p>\n
The knowledge that can be derived from the data include the number of patients, types of medication required by most patients, the number of nurses, and finally, the nurse to patient ratio. Nurse leaders can apply clinical reasoning and judgement in the establishment of accurate nurse to patient ration to enhance the management of patients. In other words, nurse leaders can apply the knowledge of nurse to patient ration obtained from data analysis to establish enough nurses and other healthcare workers in the management of patients.<\/p>\n
\u00a0References<\/strong><\/h2>\nChen, Q., Olsen, G., Bagante, F., Merath, K., Idrees, J. J., Akgul, O., … & Pawlik, T. M. (2019). Procedure-specific volume and nurse-to-patient ratio: implications for failure to rescue patients following liver surgery.\u00a0World journal of surgery<\/em>,\u00a043<\/em>(3), 910-919. https:\/\/doi\/10.1007\/s00268-018-4859-4<\/a><\/p>\nCoviello, G., Avitabile, G., & Florio, A. (2020, June). The importance of data synchronization in multiboard acquisition systems. In\u00a02020 IEEE 20th Mediterranean Electrotechnical Conference (MELECON)<\/em>\u00a0(pp. 293-297). IEEE. Retrieved from: https:\/\/ieeexplore.ieee.org\/abstract\/document\/9140622<\/a><\/p>\nGupta, K. S., & Rokade, V. (2016). Importance of quality in health care sector: a review.\u00a0Journal of Health Management<\/em>,\u00a018<\/em>(1), 84-94. https:\/\/doi\/abs\/10.1177\/0972063415625527<\/a><\/p>\nLang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. L. (2017). Nurse\u2013patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes.\u00a0JONA: The Journal of Nursing Administration<\/em>,\u00a034<\/em>(7), 326-337. https:\/\/doi\/2004\/07000\/<\/a><\/p>\nQureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the effect of nurse\u2013patient ratio on nurse workload and care quality using discrete event simulation.\u00a0Journal of nursing management<\/em>,\u00a027<\/em>(5), 971-980. https:\/\/doi\/abs\/10.1111\/jonm.12757<\/a><\/p>\nTekieh, M. H., & Raahemi, B. (2015, August). Importance of data mining in healthcare: a survey. In\u00a0Proceedings of the 2015 IEEE\/ACM International Conference on Advances in Social Networks Analysis and Mining 2015<\/em>\u00a0(pp. 1057-1062). https:\/\/doi\/abs\/10.1145\/2808797.2809367<\/a><\/p>\nYou, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … & Sermeus, W. (2018). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.\u00a0International journal of nursing studies<\/em>,\u00a050<\/em>(2), 154-161. Retrieved from: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748912001563<\/a><\/p>\nLopes Write Policy<\/strong><\/h2>\nFor 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 \u201cfinal submit\u201d to me.<\/p>\n
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.<\/p>\n
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else\u2019s thoughts more than your own?<\/p>\n
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.<\/p>\n
Late Policy<\/strong><\/h2>\nThe university\u2019s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.<\/p>\n
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.<\/p>\n
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.<\/p>\n
I do not accept assignments that are two or more weeks late unless we have worked out an extension.<\/p>\n
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.<\/p>\n
Communication<\/strong><\/h2>\nCommunication is so very important. There are multiple ways to communicate with me:<\/p>\n
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.<\/p>\n
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.<\/p>\n
Important information for writing discussion questions and participation<\/strong><\/h2>\nWelcome to class<\/strong><\/h3>\nHello 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 \u201cmessage\u201d 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<\/p>\n
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.<\/p>\n
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.<\/p>\n
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.<\/p>\n
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.<\/p>\n
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.<\/p>\n
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\u2019s 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!<\/p>\n
Hi Class,<\/h2>\n
Please read through the following information on writing a Discussion question response and participation posts.<\/p>\n
Contact me if you have any questions.<\/p>\n
Important information on Writing a Discussion Question<\/strong><\/h2>\n\n- Your response needs to be\u00a0a minimum\u00a0of 150 words (not including your list of references)<\/li>\n
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.<\/li>\n
- Include in-text citations in your response<\/li>\n
- Do not include quotes\u2014instead summarize and paraphrase the information<\/li>\n
- Follow APA-7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n<\/ul>\n
Participation \u2013replies to your classmates or instructor<\/strong><\/h2>\n\n- A minimum of 6 responses per week, on at least 3 days of the week.<\/li>\n
- Each response needs at least ONE reference with citations\u2014best if it is a peer reviewed journal article<\/li>\n
- Each response needs to be at least 75 words in length (does not include your list of references)<\/li>\n
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of \u201cI agree\u201d or \u201cgreat post\u201d does not count for the word count.<\/li>\n
- Follow APA 7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n
- Remember to use and follow APA-7th\u00a0edition for all weekly assignments, discussion questions, and participation points.<\/li>\n
- Here are some helpful links<\/li>\n
- Student paper example<\/a><\/li>\n
- Citing Sources<\/a><\/li>\n
- The\u00a0Writing Center\u00a0<\/a>is a great resource<\/li>\n<\/ul>\n
A Sample Answer 8 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThe scenario chosen is a patient in a hypertensive crisis in a home health visit following a total knee replacement. The focus will be to show how experience, knowledge, and an EMR can help improve patient outcomes, decision-making, and patient care. The data that may be used will be a sphygmomanometer, a pulse ox, and an EMR as a clinical database to see past trends of blood pressure. Nurses must be able to use their clinical guidelines and interpersonal skills to interact with their patients to form the basis of a decision. (Mastrian & McGonigle, 2022)<\/p>\n
This data can be accessed by a EMR such as Kinnser. The immediate data would be the blood pressure and heart rate during the initial rapid assessment. Technology and evidence that support his findings of very high blood pressure will alert other clinicians of this event. This will appear (hopefully) in the patient’s electronic medical record. Another method of collecting data would be directly having a conversation or interview with the patient in crisis.<\/p>\n
Looking at the patient’s post-op report before seeing the patient, the clinician can see that the patient had to stay an extra day for uncontrolled blood pressure. The clinician can then compare that data and information with their own knowledge base and medications prescribed to determine which interventions are appropriate. Once the patient’s blood pressure is controlled and his PCP has been called, the clinician can then start disseminating knowledge and staff can learn from feedback to then help others in the future when running into this scenario.<\/p>\n
As a nurse leader, the nurse would use this information and convert it to knowledge. The nurse would then act on this knowledge by initiating a plan of care or updating an existing one. By using advanced formal education and applying analytical knowledge, the nurse is acting as a knowledge worker. (Mastrian & McGonigle, 2022).<\/p>\n
I like your senario \u00a0and would to emphasize the need for health care staf to learn how to navigate\u00a0health informatics like EPIC. It is like an acquisition, storage, retrieval and use of health information.\u00a0 Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information.\u00a0 The use of technology such as computer systems, software and other technologies promote informatics.\u00a0 A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network.\u00a0 The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information.\u00a0 Sending information through the post office takes time, vulnerable to be lost as well as being damaged.\u00a0 The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information.\u00a0 A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient\u2019s medical history is readily retrievable from a health care informatics system that links providers to each other.\u00a0 Imagine calling around for patient information or worst yet, writing letters to request patient information.\u00a0 Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).<\/p>\n
As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics.\u00a0 In addition, nurses should be able to efficiently and fluently use those systems.\u00a0 It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics.\u00a0 This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well.\u00a0 Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015).\u00a0 In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems.<\/p>\n
The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics.\u00a0 Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care.\u00a0 A nurse, for example, may alert the doctor or others of a patient\u2019s pre-existing conditions or allergies thereby preventing any type of accident.\u00a0 The nurse should also be able to properly train other personnel in using health informatics.\u00a0 In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works.\u00a0 Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome.\u00a0 It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).<\/p>\n","protected":false},"excerpt":{"rendered":"
NURS 6051 Discussion The Application of Data to Problem-Solving Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question I work at a children’s hospital in the outpatient setting of Rheumatology. \u00a0One thing that we do often is joint injections in swollen and inflamed joints such as the knee, ankle, […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8874","post","type-post","status-publish","format-standard","hentry","category-nursing-papers"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"yoast_head":"\n
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\nClick the weekly resources link to access the resources.<\/p>\n
To Prepare:<\/strong><\/h3>\n\n- Reflect on the concepts of informatics and knowledge work as presented in the Resources.<\/li>\n
- 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.<\/li>\n<\/ul>\n
BY DAY 3 OF WEEK 1<\/h2>\n
Post<\/strong>\u00a0a 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?<\/p>\nBY DAY 6 OF WEEK 1<\/h2>\n
Respond<\/strong>\u00a0to at least\u00a0two<\/strong>\u00a0of your colleagues* on two different days<\/strong>, asking questions to help clarify the scenario and application of data, or offering additional\/alternative ideas for the application of nursing informatics principles.<\/p>\n*Note:<\/em><\/strong>\u00a0Throughout this program, your fellow students are referred to as colleagues.<\/em><\/p>\nA Sample Answer For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nAs healthcare providers<\/a> in our medical institution, we would use nursing informatics as the data to effect any changes in our healthcare policies and processes. We are aware of how scary change can be. This data is necessary to integrate nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice (Sweeney, 2017). Nursing informatics is a technology available to us for problem-solving purposes, move us forward and assist us in caring for our patients. We could use the data by tracking our operating room, which has since struggled with late starts yet lagging and disrupting our timely patient care. Focusing on our struggles with starting cases on time, we can track the late codes that nurses insert in the EMR. This insertion of late codes helps us select various reasons why the \u201cin-room\u201d operations start late, including physician lateness, consents not signed, patient in the bathroom, room not in order, et cetera. By tracking various late codes, we will be able to access how to handle each issue individually and change \u2018unsuitable\u2019 policies to try and avoid excessive late starts. Our team will act upon the synthesized data as soon as possible since staff and patients are currently irritated with the situation at hand. However, synthesizing massive data might take several years. Therefore we shall consider the small-scale synthesis of data collected for interpretation and integration in a short period, guaranteeing a faster transformation into the new guidelines and pathways (Nagle et al., 2017).\u00a0<\/span>\u00a0<\/span><\/p>\nWith that data, our nurse leaders would be better placed to meet and discuss the challenges that arise from physicians and their lateness. We would be able to identify late start policies, like \u201cphysicians to arrive 10 minutes before the scheduled surgical time.\u201d The leadership might realize that the schedule for surgical times is not adequately communicated to the physicians concerned and find a way to resolve this problem. Using our data, we would ably see the commonality trends of how some physicians are late, others that are early and need not be talked to about lateness. Moreover, our leaders could place a standing order protocol for our pre-op nurses to use if a physician forgets to place his pre-op orders.\u202f They would effectively identify our unprepared nurses for a bedside shift report, a possibility that can delay surgery start too. Our nurse leaders would use our EMR data to offer timely patient care. As they engage in further discussion via the potential data collection, our nurse leaders and staff nurses might develop a Foundation of Knowledge, and such knowledge might also be beneficial for other units. Such information sharing and feedback enable our medical team to make suitable changes in our department for more smooth operations (McGonigle & Mastrian, 2021).<\/span>\u00a0<\/span><\/p>\nReferences<\/span>\u00a0<\/span><\/h2>\nMcGonigle, D., & Mastrian, K. (2021). <\/span>Nursing informatics and the foundation of knowledge<\/span><\/i>. Jones & Bartlett Publishers.<\/span>\u00a0<\/span><\/p>\nNagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving role of the nursing informatics specialist. <\/span>Stud Health Technol Inform<\/span><\/i>, <\/span>232<\/span><\/i>, 212-22.<\/span>\u00a0<\/span><\/p>\nSweeney, J. (2017). Healthcare informatics. <\/span>On-Line Journal of Nursing Informatics<\/span><\/i>, <\/span>21<\/span><\/i>(1).<\/span>\u00a0<\/span><\/p>\nA Sample Answer 2 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTelephone triage<\/span><\/b>\u00a0<\/span><\/h2>\nThe phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse<\/a> using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), \u201cFor information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.<\/span>\u00a0<\/span><\/p>\nThis information could be valuable to many leaders in the healthcare team<\/a>. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, \u201cComputer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base \u201dp. 35). Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.<\/span>\u00a0<\/span><\/p>\nAn additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.<\/span>\u00a0<\/span><\/p>\nFrom this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used. \u202fAn ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff. A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices. \u202fHealth information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership<\/a> could use this as a cost-effective strategy.<\/span><\/p>\n\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, \u201cTeams are working across boundaries of organizations and will be organized around a particular patient.\u201d (Nagale et al, 2017, p. 215). \u202f\u202fWithin most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)<\/span>\u00a0<\/span><\/p>\nThis hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.<\/span><\/p>\nReferences<\/span><\/b>\u00a0<\/span><\/h2>\nNauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role<\/span>\u00a0<\/span><\/p>\nfor nurses,<\/span>Nursing Outlook<\/span><\/i>, 47(5) , 219-226.https:\/\/doi.org\/10.1016\/S0029-6554(99)90054-4.<\/a><\/span>\u00a0<\/span><\/p>\n <\/p>\n
Nagle, L., Sermeus, W., & Junger, A. (2017).\u202f\u202f<\/span>Evolving Role of the Nursing Informatics Specialist\u202fLinks to an external site.\u202fLinks to an external site.<\/span><\/a>. In J. Murphy, W. Goosen, &\u202f P. Weber\u202f (Eds.),\u202f<\/span>Forecasting Competencies for Nurses in the Future of Connected Health<\/span><\/i>\u202f(212-221).<\/span>\u00a0<\/span><\/p>\nMcGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.<\/span>\u00a0<\/span><\/p>\nA Sample Answer 3 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nPatient falls is a scenario that would benefit from the collection and application of data in our healthcare organization. Falls have been a common and distressing event in the hospital, mostly in geriatrics. They result in severe injuries on patients, such as head trauma and fractures, which prolong hospital stay and increase healthcare costs (Venema et al., 2019). Data that could be used in relation to patient falls include the number of patient falls weekly or monthly and common conditions of patients who suffer falls (Lucero et al., 2019). In addition, data on the length of hospitalization from falls and patient costs incurred from falls can be used to address the issue of falls.<\/p>\n
Data on patient falls can be collected from patients\u2019 medical records where every fall incidence is documented and the events surrounding the fall. Besides, data can be collected from the hospital\u2019s incidence reporting system. Nurses may be required to report every case of fall in the incidence reporting system, which can provide data on the total number of falls in a specific period (Lucero et al., 2019). The data can provide knowledge on patients\u2019 at the highest risk of falls and the factors that put patients at risk of falls in the inpatient units. Data on the diseases with the highest falls can offer insight into the patients\u2019 conditions that health providers should take additional measures to prevent falls (Lucero et al., 2019). Furthermore, the data can enlighten nurses on the gaps in patient care that contribute to patient falls and the measures they should implement to address the issue (McGonigle & Mastrian2017). The data can also provide knowledge on the nursing care interventions that need to be optimized to prevent patient falls and promote patient safety.<\/p>\n
A nurse leader would apply clinical reasoning and judgment to generate knowledge from the experience by applying research-based knowledge from nursing as the foundation for practice (Guerrero, 2019). The leader can utilize their scientific research-based knowledge to form knowledge on nursing interventions that can be modified to reduce patient falls in the hospital and improve patient safety.
\n<\/strong><\/p>\nA Sample Answer 4 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI really\u00a0enjoyed reading your post and you did a great job explaining evidence-based\u00a0practice and data collection. I just want to add that evidence-based\u00a0practice has\u00a0been used in helping healthcare workers to meet the needs of their patients and it uses two different approaches: Infusing research and data collection which empirically supports interventions in nursing practice. The process of implementing evidence-based\u00a0practice interventions include\u00a0the process of assessing patients’\u00a0needs, selecting the interventions and monitoring the progress by data collection. And like you rightly said\u00a0proper application of data from the Braden Scale reduces this patient\u2019s risk of acquiring hospital-acquired pressure injury (HAPI). According to the Center for Medicare and Medicaid Services, HAPI rates were reduced from 40.3 to 30.9 per 1,000 discharges between 2010 and 2014. This is due to efforts made by healthcare leaders to properly collect data on patients at risk for HAPI and ensure the implementation of preventative measures (Rondinelli et al.,)<\/p>\n
REFERENCE<\/strong><\/h2>\nWalden University, LLC. (Producer). (2018).\u00a0Health Informatics and Population Health: Trends in Population Health<\/em>\u00a0[Video file]. Baltimore, MD: Author.<\/p>\nRondinelli J, Zuniga S, Kipnis P, Kawar LN, Liu V, Escobar GJ. Hospital-Acquired Pressure Injury: Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nurs Res. 2018 Jan\/Feb;67(1):16-25. doi: 10.1097\/NNR.0000000000000258. PMID: 29240656; PMCID: PMC6013055.<\/p>\n
A Sample Answer 5 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nI 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.<\/p>\n
For my hospital\u2019s 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.
\nThe 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\u2019s actual departure from the ED.<\/p>\n
The data would be recorded in the section of the EMR called \u201ctime to disposition\u201d 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.<\/p>\n
\u00a0References:<\/h2>\n
Paling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPotts, 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 Administration, 48(9), 432\u2013436. https:\/\/doi.org\/10.1097\/nna.0000000000000645<\/a>
\nWolak, E., Jones, C., Leeman, J., & Madigan, C. (2020). Improving throughput for patients admitted from the Emergency Department. Journal of Nursing Care Quality, 35(4), 380\u2013385. https:\/\/doi.org\/10.1097\/ncq.0000000000000462<\/a><\/p>\nA Sample Answer 6 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThis is insightful Andrea; admission delays often lead to adverse treatment outcomes. The delays in patients\u2019 admission to different hospitals are attributed to the increased number of patients or overcrowding. The impacts of delayed admission can be severe, including longer hospital stays, the inability of patients to access appropriate beds, and experienced healthcare experts (Goertz et al., 2020). Most patients leave without getting treatment due to delayed admissions to different healthcare facilities (Paling et al., 2020). There is a need for quality improvement to facilitate improvements in admission rates. The quality improvements should rely on the data collected in the course of operation. The application of the EMR system is one of the best methods of data collection in healthcare (Pastorino et al., 2019). Measuring and recording the time taken during hospital admission is necessary for determining areas that require adjustments. Through the analysis of the collected data or information, healthcare institutions are able to initiate quality improvement processes and ensure effective outcomes in the management of patients. One of the questions that I would ask is: What variables ought to be involved in the data collection processes?<\/p>\n
References<\/h2>\n
Goertz, L., Pflaeging, M., Hamisch, C., Kabbasch, C., Pennig, L., von Spreckelsen, N., … & Krischek, B. (2020). Delayed hospital admission of patients with aneurysmal subarachnoid hemorrhage: clinical presentation, treatment strategies, and outcome. Journal of neurosurgery, 134(4), 1182-1189. https:\/\/doi.org\/10.3171\/2020.2.JNS20148<\/a>
\nPaling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23-27. https:\/\/doi.org\/10.1093\/eurpub\/ckz168<\/a><\/p>\nClick here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/a><\/span><\/h3>\nA Sample Answer 7 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nCurrently, most organizations are involved in the use of data to solve different problems in the operational processes. In the healthcare system, the knowledge work of nurses is data intensive (You et al., 2018). With the technological innovation and applications in the healthcare system, healthcare institutions use complex information systems, networks and other technologies to enhance the management of financial, clinical, and epidemiological activities that must always be integrated in a meaningful way (Tekieh & Raahemi, 2015). There are different scenarios in the healthcare system where data can be applied to enhance healthcare delivery. Nurse to patient ratio has been a problem in most healthcare institutions (Gupta & Rokade, 2016). The problem is always attributed to the increase in the number of patients in the healthcare system as well as the lack of enough healthcare professionals. The application of data in this case can enhance the management of influx of patients in disaster situations and during the normal operational processes.<\/p>\n
The data collected in the above case may involve recording number of patients who visits a healthcare facility at a given time, the reason for visits (diseases and complications), whether the patients are inpatients or outpatients, time of visit, and number of nurses and other healthcare professionals at a particular time (Chen et al., 2019). The data collected can be used to establish the rates of inflow of patients and the number of patients in the hospital at a given time, the information can then be applied in the establishment appropriate nurse to patient ratio to ensure effective patient outcome (Coviello, Avitabile, & Florio, 2020). In the above case, data can be collected through the electronic medical record (EMR) systems. With the EMR system, the data is always captured at the point of admission, during diagnosis, treatment processes, and discharge (Qureshi et al., 2019). The data are then stored safely in the databases and can be analyzed at any given time to provide information on the status of healthcare system and the adjustments that needs to be undertaken (Lang et al., 2017).<\/p>\n
The knowledge that can be derived from the data include the number of patients, types of medication required by most patients, the number of nurses, and finally, the nurse to patient ratio. Nurse leaders can apply clinical reasoning and judgement in the establishment of accurate nurse to patient ration to enhance the management of patients. In other words, nurse leaders can apply the knowledge of nurse to patient ration obtained from data analysis to establish enough nurses and other healthcare workers in the management of patients.<\/p>\n
\u00a0References<\/strong><\/h2>\nChen, Q., Olsen, G., Bagante, F., Merath, K., Idrees, J. J., Akgul, O., … & Pawlik, T. M. (2019). Procedure-specific volume and nurse-to-patient ratio: implications for failure to rescue patients following liver surgery.\u00a0World journal of surgery<\/em>,\u00a043<\/em>(3), 910-919. https:\/\/doi\/10.1007\/s00268-018-4859-4<\/a><\/p>\nCoviello, G., Avitabile, G., & Florio, A. (2020, June). The importance of data synchronization in multiboard acquisition systems. In\u00a02020 IEEE 20th Mediterranean Electrotechnical Conference (MELECON)<\/em>\u00a0(pp. 293-297). IEEE. Retrieved from: https:\/\/ieeexplore.ieee.org\/abstract\/document\/9140622<\/a><\/p>\nGupta, K. S., & Rokade, V. (2016). Importance of quality in health care sector: a review.\u00a0Journal of Health Management<\/em>,\u00a018<\/em>(1), 84-94. https:\/\/doi\/abs\/10.1177\/0972063415625527<\/a><\/p>\nLang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. L. (2017). Nurse\u2013patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes.\u00a0JONA: The Journal of Nursing Administration<\/em>,\u00a034<\/em>(7), 326-337. https:\/\/doi\/2004\/07000\/<\/a><\/p>\nQureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the effect of nurse\u2013patient ratio on nurse workload and care quality using discrete event simulation.\u00a0Journal of nursing management<\/em>,\u00a027<\/em>(5), 971-980. https:\/\/doi\/abs\/10.1111\/jonm.12757<\/a><\/p>\nTekieh, M. H., & Raahemi, B. (2015, August). Importance of data mining in healthcare: a survey. In\u00a0Proceedings of the 2015 IEEE\/ACM International Conference on Advances in Social Networks Analysis and Mining 2015<\/em>\u00a0(pp. 1057-1062). https:\/\/doi\/abs\/10.1145\/2808797.2809367<\/a><\/p>\nYou, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … & Sermeus, W. (2018). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.\u00a0International journal of nursing studies<\/em>,\u00a050<\/em>(2), 154-161. Retrieved from: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748912001563<\/a><\/p>\nLopes Write Policy<\/strong><\/h2>\nFor 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 \u201cfinal submit\u201d to me.<\/p>\n
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.<\/p>\n
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else\u2019s thoughts more than your own?<\/p>\n
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.<\/p>\n
Late Policy<\/strong><\/h2>\nThe university\u2019s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.<\/p>\n
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.<\/p>\n
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.<\/p>\n
I do not accept assignments that are two or more weeks late unless we have worked out an extension.<\/p>\n
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.<\/p>\n
Communication<\/strong><\/h2>\nCommunication is so very important. There are multiple ways to communicate with me:<\/p>\n
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.<\/p>\n
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.<\/p>\n
Important information for writing discussion questions and participation<\/strong><\/h2>\nWelcome to class<\/strong><\/h3>\nHello 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 \u201cmessage\u201d 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<\/p>\n
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.<\/p>\n
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.<\/p>\n
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.<\/p>\n
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.<\/p>\n
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.<\/p>\n
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\u2019s 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!<\/p>\n
Hi Class,<\/h2>\n
Please read through the following information on writing a Discussion question response and participation posts.<\/p>\n
Contact me if you have any questions.<\/p>\n
Important information on Writing a Discussion Question<\/strong><\/h2>\n\n- Your response needs to be\u00a0a minimum\u00a0of 150 words (not including your list of references)<\/li>\n
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.<\/li>\n
- Include in-text citations in your response<\/li>\n
- Do not include quotes\u2014instead summarize and paraphrase the information<\/li>\n
- Follow APA-7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n<\/ul>\n
Participation \u2013replies to your classmates or instructor<\/strong><\/h2>\n\n- A minimum of 6 responses per week, on at least 3 days of the week.<\/li>\n
- Each response needs at least ONE reference with citations\u2014best if it is a peer reviewed journal article<\/li>\n
- Each response needs to be at least 75 words in length (does not include your list of references)<\/li>\n
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of \u201cI agree\u201d or \u201cgreat post\u201d does not count for the word count.<\/li>\n
- Follow APA 7th edition<\/li>\n
- Points will be deducted if the above is not followed<\/li>\n
- Remember to use and follow APA-7th\u00a0edition for all weekly assignments, discussion questions, and participation points.<\/li>\n
- Here are some helpful links<\/li>\n
- Student paper example<\/a><\/li>\n
- Citing Sources<\/a><\/li>\n
- The\u00a0Writing Center\u00a0<\/a>is a great resource<\/li>\n<\/ul>\n
A Sample Answer 8 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nTitle: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\nThe scenario chosen is a patient in a hypertensive crisis in a home health visit following a total knee replacement. The focus will be to show how experience, knowledge, and an EMR can help improve patient outcomes, decision-making, and patient care. The data that may be used will be a sphygmomanometer, a pulse ox, and an EMR as a clinical database to see past trends of blood pressure. Nurses must be able to use their clinical guidelines and interpersonal skills to interact with their patients to form the basis of a decision. (Mastrian & McGonigle, 2022)<\/p>\n
This data can be accessed by a EMR such as Kinnser. The immediate data would be the blood pressure and heart rate during the initial rapid assessment. Technology and evidence that support his findings of very high blood pressure will alert other clinicians of this event. This will appear (hopefully) in the patient’s electronic medical record. Another method of collecting data would be directly having a conversation or interview with the patient in crisis.<\/p>\n
Looking at the patient’s post-op report before seeing the patient, the clinician can see that the patient had to stay an extra day for uncontrolled blood pressure. The clinician can then compare that data and information with their own knowledge base and medications prescribed to determine which interventions are appropriate. Once the patient’s blood pressure is controlled and his PCP has been called, the clinician can then start disseminating knowledge and staff can learn from feedback to then help others in the future when running into this scenario.<\/p>\n
As a nurse leader, the nurse would use this information and convert it to knowledge. The nurse would then act on this knowledge by initiating a plan of care or updating an existing one. By using advanced formal education and applying analytical knowledge, the nurse is acting as a knowledge worker. (Mastrian & McGonigle, 2022).<\/p>\n
I like your senario \u00a0and would to emphasize the need for health care staf to learn how to navigate\u00a0health informatics like EPIC. It is like an acquisition, storage, retrieval and use of health information.\u00a0 Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information.\u00a0 The use of technology such as computer systems, software and other technologies promote informatics.\u00a0 A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network.\u00a0 The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information.\u00a0 Sending information through the post office takes time, vulnerable to be lost as well as being damaged.\u00a0 The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information.\u00a0 A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient\u2019s medical history is readily retrievable from a health care informatics system that links providers to each other.\u00a0 Imagine calling around for patient information or worst yet, writing letters to request patient information.\u00a0 Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).<\/p>\n
As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics.\u00a0 In addition, nurses should be able to efficiently and fluently use those systems.\u00a0 It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics.\u00a0 This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well.\u00a0 Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015).\u00a0 In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems.<\/p>\n
The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics.\u00a0 Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care.\u00a0 A nurse, for example, may alert the doctor or others of a patient\u2019s pre-existing conditions or allergies thereby preventing any type of accident.\u00a0 The nurse should also be able to properly train other personnel in using health informatics.\u00a0 In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works.\u00a0 Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome.\u00a0 It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).<\/p>\n","protected":false},"excerpt":{"rendered":"
NURS 6051 Discussion The Application of Data to Problem-Solving Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question I work at a children’s hospital in the outpatient setting of Rheumatology. \u00a0One thing that we do often is joint injections in swollen and inflamed joints such as the knee, ankle, […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8874","post","type-post","status-publish","format-standard","hentry","category-nursing-papers"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"yoast_head":"\n
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BY DAY 3 OF WEEK 1<\/h2>\n
Post<\/strong>\u00a0a 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?<\/p>\n Respond<\/strong>\u00a0to at least\u00a0two<\/strong>\u00a0of your colleagues* on two different days<\/strong>, asking questions to help clarify the scenario and application of data, or offering additional\/alternative ideas for the application of nursing informatics principles.<\/p>\n *Note:<\/em><\/strong>\u00a0Throughout this program, your fellow students are referred to as colleagues.<\/em><\/p>\n As healthcare providers<\/a> in our medical institution, we would use nursing informatics as the data to effect any changes in our healthcare policies and processes. We are aware of how scary change can be. This data is necessary to integrate nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice (Sweeney, 2017). Nursing informatics is a technology available to us for problem-solving purposes, move us forward and assist us in caring for our patients. We could use the data by tracking our operating room, which has since struggled with late starts yet lagging and disrupting our timely patient care. Focusing on our struggles with starting cases on time, we can track the late codes that nurses insert in the EMR. This insertion of late codes helps us select various reasons why the \u201cin-room\u201d operations start late, including physician lateness, consents not signed, patient in the bathroom, room not in order, et cetera. By tracking various late codes, we will be able to access how to handle each issue individually and change \u2018unsuitable\u2019 policies to try and avoid excessive late starts. Our team will act upon the synthesized data as soon as possible since staff and patients are currently irritated with the situation at hand. However, synthesizing massive data might take several years. Therefore we shall consider the small-scale synthesis of data collected for interpretation and integration in a short period, guaranteeing a faster transformation into the new guidelines and pathways (Nagle et al., 2017).\u00a0<\/span>\u00a0<\/span><\/p>\n With that data, our nurse leaders would be better placed to meet and discuss the challenges that arise from physicians and their lateness. We would be able to identify late start policies, like \u201cphysicians to arrive 10 minutes before the scheduled surgical time.\u201d The leadership might realize that the schedule for surgical times is not adequately communicated to the physicians concerned and find a way to resolve this problem. Using our data, we would ably see the commonality trends of how some physicians are late, others that are early and need not be talked to about lateness. Moreover, our leaders could place a standing order protocol for our pre-op nurses to use if a physician forgets to place his pre-op orders.\u202f They would effectively identify our unprepared nurses for a bedside shift report, a possibility that can delay surgery start too. Our nurse leaders would use our EMR data to offer timely patient care. As they engage in further discussion via the potential data collection, our nurse leaders and staff nurses might develop a Foundation of Knowledge, and such knowledge might also be beneficial for other units. Such information sharing and feedback enable our medical team to make suitable changes in our department for more smooth operations (McGonigle & Mastrian, 2021).<\/span>\u00a0<\/span><\/p>\n McGonigle, D., & Mastrian, K. (2021). <\/span>Nursing informatics and the foundation of knowledge<\/span><\/i>. Jones & Bartlett Publishers.<\/span>\u00a0<\/span><\/p>\n Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving role of the nursing informatics specialist. <\/span>Stud Health Technol Inform<\/span><\/i>, <\/span>232<\/span><\/i>, 212-22.<\/span>\u00a0<\/span><\/p>\n Sweeney, J. (2017). Healthcare informatics. <\/span>On-Line Journal of Nursing Informatics<\/span><\/i>, <\/span>21<\/span><\/i>(1).<\/span>\u00a0<\/span><\/p>\n The phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse<\/a> using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), \u201cFor information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.<\/span>\u00a0<\/span><\/p>\n This information could be valuable to many leaders in the healthcare team<\/a>. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, \u201cComputer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base \u201dp. 35). Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.<\/span>\u00a0<\/span><\/p>\n An additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.<\/span>\u00a0<\/span><\/p>\n From this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used. \u202fAn ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff. A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices. \u202fHealth information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership<\/a> could use this as a cost-effective strategy.<\/span><\/p>\n \u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f\u202f All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, \u201cTeams are working across boundaries of organizations and will be organized around a particular patient.\u201d (Nagale et al, 2017, p. 215). \u202f\u202fWithin most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)<\/span>\u00a0<\/span><\/p>\n This hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.<\/span><\/p>\n Nauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role<\/span>\u00a0<\/span><\/p>\n for nurses,<\/span>Nursing Outlook<\/span><\/i>, 47(5) , 219-226.https:\/\/doi.org\/10.1016\/S0029-6554(99)90054-4.<\/a><\/span>\u00a0<\/span><\/p>\n <\/p>\n Nagle, L., Sermeus, W., & Junger, A. (2017).\u202f\u202f<\/span>Evolving Role of the Nursing Informatics Specialist\u202fLinks to an external site.\u202fLinks to an external site.<\/span><\/a>. In J. Murphy, W. Goosen, &\u202f P. Weber\u202f (Eds.),\u202f<\/span>Forecasting Competencies for Nurses in the Future of Connected Health<\/span><\/i>\u202f(212-221).<\/span>\u00a0<\/span><\/p>\n McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.<\/span>\u00a0<\/span><\/p>\n Patient falls is a scenario that would benefit from the collection and application of data in our healthcare organization. Falls have been a common and distressing event in the hospital, mostly in geriatrics. They result in severe injuries on patients, such as head trauma and fractures, which prolong hospital stay and increase healthcare costs (Venema et al., 2019). Data that could be used in relation to patient falls include the number of patient falls weekly or monthly and common conditions of patients who suffer falls (Lucero et al., 2019). In addition, data on the length of hospitalization from falls and patient costs incurred from falls can be used to address the issue of falls.<\/p>\n Data on patient falls can be collected from patients\u2019 medical records where every fall incidence is documented and the events surrounding the fall. Besides, data can be collected from the hospital\u2019s incidence reporting system. Nurses may be required to report every case of fall in the incidence reporting system, which can provide data on the total number of falls in a specific period (Lucero et al., 2019). The data can provide knowledge on patients\u2019 at the highest risk of falls and the factors that put patients at risk of falls in the inpatient units. Data on the diseases with the highest falls can offer insight into the patients\u2019 conditions that health providers should take additional measures to prevent falls (Lucero et al., 2019). Furthermore, the data can enlighten nurses on the gaps in patient care that contribute to patient falls and the measures they should implement to address the issue (McGonigle & Mastrian2017). The data can also provide knowledge on the nursing care interventions that need to be optimized to prevent patient falls and promote patient safety.<\/p>\n A nurse leader would apply clinical reasoning and judgment to generate knowledge from the experience by applying research-based knowledge from nursing as the foundation for practice (Guerrero, 2019). The leader can utilize their scientific research-based knowledge to form knowledge on nursing interventions that can be modified to reduce patient falls in the hospital and improve patient safety. I really\u00a0enjoyed reading your post and you did a great job explaining evidence-based\u00a0practice and data collection. I just want to add that evidence-based\u00a0practice has\u00a0been used in helping healthcare workers to meet the needs of their patients and it uses two different approaches: Infusing research and data collection which empirically supports interventions in nursing practice. The process of implementing evidence-based\u00a0practice interventions include\u00a0the process of assessing patients’\u00a0needs, selecting the interventions and monitoring the progress by data collection. And like you rightly said\u00a0proper application of data from the Braden Scale reduces this patient\u2019s risk of acquiring hospital-acquired pressure injury (HAPI). According to the Center for Medicare and Medicaid Services, HAPI rates were reduced from 40.3 to 30.9 per 1,000 discharges between 2010 and 2014. This is due to efforts made by healthcare leaders to properly collect data on patients at risk for HAPI and ensure the implementation of preventative measures (Rondinelli et al.,)<\/p>\n Walden University, LLC. (Producer). (2018).\u00a0Health Informatics and Population Health: Trends in Population Health<\/em>\u00a0[Video file]. Baltimore, MD: Author.<\/p>\n Rondinelli J, Zuniga S, Kipnis P, Kawar LN, Liu V, Escobar GJ. Hospital-Acquired Pressure Injury: Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nurs Res. 2018 Jan\/Feb;67(1):16-25. doi: 10.1097\/NNR.0000000000000258. PMID: 29240656; PMCID: PMC6013055.<\/p>\n 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.<\/p>\n For my hospital\u2019s 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 data would be recorded in the section of the EMR called \u201ctime to disposition\u201d 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.<\/p>\n Paling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a> This is insightful Andrea; admission delays often lead to adverse treatment outcomes. The delays in patients\u2019 admission to different hospitals are attributed to the increased number of patients or overcrowding. The impacts of delayed admission can be severe, including longer hospital stays, the inability of patients to access appropriate beds, and experienced healthcare experts (Goertz et al., 2020). Most patients leave without getting treatment due to delayed admissions to different healthcare facilities (Paling et al., 2020). There is a need for quality improvement to facilitate improvements in admission rates. The quality improvements should rely on the data collected in the course of operation. The application of the EMR system is one of the best methods of data collection in healthcare (Pastorino et al., 2019). Measuring and recording the time taken during hospital admission is necessary for determining areas that require adjustments. Through the analysis of the collected data or information, healthcare institutions are able to initiate quality improvement processes and ensure effective outcomes in the management of patients. One of the questions that I would ask is: What variables ought to be involved in the data collection processes?<\/p>\n Goertz, L., Pflaeging, M., Hamisch, C., Kabbasch, C., Pennig, L., von Spreckelsen, N., … & Krischek, B. (2020). Delayed hospital admission of patients with aneurysmal subarachnoid hemorrhage: clinical presentation, treatment strategies, and outcome. Journal of neurosurgery, 134(4), 1182-1189. https:\/\/doi.org\/10.3171\/2020.2.JNS20148<\/a> Currently, most organizations are involved in the use of data to solve different problems in the operational processes. In the healthcare system, the knowledge work of nurses is data intensive (You et al., 2018). With the technological innovation and applications in the healthcare system, healthcare institutions use complex information systems, networks and other technologies to enhance the management of financial, clinical, and epidemiological activities that must always be integrated in a meaningful way (Tekieh & Raahemi, 2015). There are different scenarios in the healthcare system where data can be applied to enhance healthcare delivery. Nurse to patient ratio has been a problem in most healthcare institutions (Gupta & Rokade, 2016). The problem is always attributed to the increase in the number of patients in the healthcare system as well as the lack of enough healthcare professionals. The application of data in this case can enhance the management of influx of patients in disaster situations and during the normal operational processes.<\/p>\n The data collected in the above case may involve recording number of patients who visits a healthcare facility at a given time, the reason for visits (diseases and complications), whether the patients are inpatients or outpatients, time of visit, and number of nurses and other healthcare professionals at a particular time (Chen et al., 2019). The data collected can be used to establish the rates of inflow of patients and the number of patients in the hospital at a given time, the information can then be applied in the establishment appropriate nurse to patient ratio to ensure effective patient outcome (Coviello, Avitabile, & Florio, 2020). In the above case, data can be collected through the electronic medical record (EMR) systems. With the EMR system, the data is always captured at the point of admission, during diagnosis, treatment processes, and discharge (Qureshi et al., 2019). The data are then stored safely in the databases and can be analyzed at any given time to provide information on the status of healthcare system and the adjustments that needs to be undertaken (Lang et al., 2017).<\/p>\n The knowledge that can be derived from the data include the number of patients, types of medication required by most patients, the number of nurses, and finally, the nurse to patient ratio. Nurse leaders can apply clinical reasoning and judgement in the establishment of accurate nurse to patient ration to enhance the management of patients. In other words, nurse leaders can apply the knowledge of nurse to patient ration obtained from data analysis to establish enough nurses and other healthcare workers in the management of patients.<\/p>\n Chen, Q., Olsen, G., Bagante, F., Merath, K., Idrees, J. J., Akgul, O., … & Pawlik, T. M. (2019). Procedure-specific volume and nurse-to-patient ratio: implications for failure to rescue patients following liver surgery.\u00a0World journal of surgery<\/em>,\u00a043<\/em>(3), 910-919. https:\/\/doi\/10.1007\/s00268-018-4859-4<\/a><\/p>\n Coviello, G., Avitabile, G., & Florio, A. (2020, June). The importance of data synchronization in multiboard acquisition systems. In\u00a02020 IEEE 20th Mediterranean Electrotechnical Conference (MELECON)<\/em>\u00a0(pp. 293-297). IEEE. Retrieved from: https:\/\/ieeexplore.ieee.org\/abstract\/document\/9140622<\/a><\/p>\n Gupta, K. S., & Rokade, V. (2016). Importance of quality in health care sector: a review.\u00a0Journal of Health Management<\/em>,\u00a018<\/em>(1), 84-94. https:\/\/doi\/abs\/10.1177\/0972063415625527<\/a><\/p>\n Lang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. L. (2017). Nurse\u2013patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes.\u00a0JONA: The Journal of Nursing Administration<\/em>,\u00a034<\/em>(7), 326-337. https:\/\/doi\/2004\/07000\/<\/a><\/p>\n Qureshi, S. M., Purdy, N., Mohani, A., & Neumann, W. P. (2019). Predicting the effect of nurse\u2013patient ratio on nurse workload and care quality using discrete event simulation.\u00a0Journal of nursing management<\/em>,\u00a027<\/em>(5), 971-980. https:\/\/doi\/abs\/10.1111\/jonm.12757<\/a><\/p>\n Tekieh, M. H., & Raahemi, B. (2015, August). Importance of data mining in healthcare: a survey. In\u00a0Proceedings of the 2015 IEEE\/ACM International Conference on Advances in Social Networks Analysis and Mining 2015<\/em>\u00a0(pp. 1057-1062). https:\/\/doi\/abs\/10.1145\/2808797.2809367<\/a><\/p>\n You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … & Sermeus, W. (2018). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.\u00a0International journal of nursing studies<\/em>,\u00a050<\/em>(2), 154-161. Retrieved from: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748912001563<\/a><\/p>\n 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 \u201cfinal submit\u201d to me.<\/p>\n 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.<\/p>\n Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else\u2019s thoughts more than your own?<\/p>\n Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.<\/p>\n The university\u2019s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.<\/p>\n 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.<\/p>\n If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.<\/p>\n I do not accept assignments that are two or more weeks late unless we have worked out an extension.<\/p>\n 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.<\/p>\n Communication is so very important. There are multiple ways to communicate with me:<\/p>\n 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.<\/p>\n 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.<\/p>\n 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 \u201cmessage\u201d 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<\/p>\n 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.<\/p>\n 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.<\/p>\n If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.<\/p>\n 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.<\/p>\n 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.<\/p>\n 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\u2019s 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!<\/p>\n Please read through the following information on writing a Discussion question response and participation posts.<\/p>\n Contact me if you have any questions.<\/p>\n The scenario chosen is a patient in a hypertensive crisis in a home health visit following a total knee replacement. The focus will be to show how experience, knowledge, and an EMR can help improve patient outcomes, decision-making, and patient care. The data that may be used will be a sphygmomanometer, a pulse ox, and an EMR as a clinical database to see past trends of blood pressure. Nurses must be able to use their clinical guidelines and interpersonal skills to interact with their patients to form the basis of a decision. (Mastrian & McGonigle, 2022)<\/p>\n This data can be accessed by a EMR such as Kinnser. The immediate data would be the blood pressure and heart rate during the initial rapid assessment. Technology and evidence that support his findings of very high blood pressure will alert other clinicians of this event. This will appear (hopefully) in the patient’s electronic medical record. Another method of collecting data would be directly having a conversation or interview with the patient in crisis.<\/p>\n Looking at the patient’s post-op report before seeing the patient, the clinician can see that the patient had to stay an extra day for uncontrolled blood pressure. The clinician can then compare that data and information with their own knowledge base and medications prescribed to determine which interventions are appropriate. Once the patient’s blood pressure is controlled and his PCP has been called, the clinician can then start disseminating knowledge and staff can learn from feedback to then help others in the future when running into this scenario.<\/p>\n As a nurse leader, the nurse would use this information and convert it to knowledge. The nurse would then act on this knowledge by initiating a plan of care or updating an existing one. By using advanced formal education and applying analytical knowledge, the nurse is acting as a knowledge worker. (Mastrian & McGonigle, 2022).<\/p>\n I like your senario \u00a0and would to emphasize the need for health care staf to learn how to navigate\u00a0health informatics like EPIC. It is like an acquisition, storage, retrieval and use of health information.\u00a0 Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information.\u00a0 The use of technology such as computer systems, software and other technologies promote informatics.\u00a0 A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network.\u00a0 The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information.\u00a0 Sending information through the post office takes time, vulnerable to be lost as well as being damaged.\u00a0 The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information.\u00a0 A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient\u2019s medical history is readily retrievable from a health care informatics system that links providers to each other.\u00a0 Imagine calling around for patient information or worst yet, writing letters to request patient information.\u00a0 Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).<\/p>\n As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics.\u00a0 In addition, nurses should be able to efficiently and fluently use those systems.\u00a0 It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics.\u00a0 This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well.\u00a0 Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015).\u00a0 In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems.<\/p>\n The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics.\u00a0 Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care.\u00a0 A nurse, for example, may alert the doctor or others of a patient\u2019s pre-existing conditions or allergies thereby preventing any type of accident.\u00a0 The nurse should also be able to properly train other personnel in using health informatics.\u00a0 In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works.\u00a0 Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome.\u00a0 It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).<\/p>\n","protected":false},"excerpt":{"rendered":" NURS 6051 Discussion The Application of Data to Problem-Solving Sample Answer for NURS 6051 Discussion The Application of Data to Problem-Solving Included After Question I work at a children’s hospital in the outpatient setting of Rheumatology. \u00a0One thing that we do often is joint injections in swollen and inflamed joints such as the knee, ankle, […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8874","post","type-post","status-publish","format-standard","hentry","category-nursing-papers"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":6}},"yoast_head":"\nBY DAY 6 OF WEEK 1<\/h2>\n
A Sample Answer For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
References<\/span>\u00a0<\/span><\/h2>\n
A Sample Answer 2 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Telephone triage<\/span><\/b>\u00a0<\/span><\/h2>\n
References<\/span><\/b>\u00a0<\/span><\/h2>\n
A Sample Answer 3 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
\n<\/strong><\/p>\nA Sample Answer 4 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
REFERENCE<\/strong><\/h2>\n
A Sample Answer 5 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
\nThe 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\u2019s actual departure from the ED.<\/p>\n\u00a0References:<\/h2>\n
\nPotts, 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 Administration, 48(9), 432\u2013436. https:\/\/doi.org\/10.1097\/nna.0000000000000645<\/a>
\nWolak, E., Jones, C., Leeman, J., & Madigan, C. (2020). Improving throughput for patients admitted from the Emergency Department. Journal of Nursing Care Quality, 35(4), 380\u2013385. https:\/\/doi.org\/10.1097\/ncq.0000000000000462<\/a><\/p>\nA Sample Answer 6 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
References<\/h2>\n
\nPaling, S., Lambert, J., Clouting, J., Gonz\u00e1lez-Esquerr\u00e9, 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 Journal. https:\/\/doi.org\/10.1136\/emermed-2019-208849<\/a>
\nPastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23-27. https:\/\/doi.org\/10.1093\/eurpub\/ckz168<\/a><\/p>\nClick here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/a><\/span><\/h3>\n
A Sample Answer 7 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
\u00a0References<\/strong><\/h2>\n
Lopes Write Policy<\/strong><\/h2>\n
Late Policy<\/strong><\/h2>\n
Communication<\/strong><\/h2>\n
Important information for writing discussion questions and participation<\/strong><\/h2>\n
Welcome to class<\/strong><\/h3>\n
Hi Class,<\/h2>\n
Important information on Writing a Discussion Question<\/strong><\/h2>\n
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Participation \u2013replies to your classmates or instructor<\/strong><\/h2>\n
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A Sample Answer 8 For the Assignment: NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n
Title: <\/strong> NURS 6051 Discussion The Application of Data to Problem-Solving<\/strong><\/h2>\n