BY DAY 3 OF WEEK 1
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? NURS-6051N Module 1: Week 1: Discussion THE APPLICATION OF DATA TO PROBLEM-SOLVING How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
Electronic health record (EHR) systems are now widely used, making it easy to retrieve patient records digitally and extract helpful clinical data. As a result, several ancillary applications, including translational research, quality control, and health management, have become available. These supplementary uses are all intended to raise patient care. Data quality has a major impact on how well patients are treated and how well healthcare is provided overall. Therefore, having erroneous, lacking, and inconsistent data and documentation may lead to mistakes and unfavorable outcomes that may compromise patient safety, restrict the exchange of health information, and impede clinical research(Alzu’bi et al.,2021). The most efficient treatment plan can be created by gathering information on the patient’s health in addition to determining whether they fit the admittance standards. Making a new and more successful treatment plan for a patient requires considering previous treatment plans and their effectiveness. When establishing a treatment strategy that results in positive patient and healthcare outcomes, data from earlier treatment methods and their level of success must be considered.
Patients experiencing adverse reactions to several types of pharmaceuticals and the measures taken to ensure that the patient does not receive the same medicine while undergoing treatment are common occurrences in practice that profit from the collection and application of data. In my experience as a psychiatric nurse, I have worked with patients who had adverse responses to mental drugs, which not only complicated care processes but also created a fresh crisis and caused the patient tremendous distress. Because of this, it is essential for medical providers to know whether a patient has had unfavorable side effects from a prescription provided during a prior hospitalization. To effectively treat the patient in the scenario I just described, knowledge of previous hospital stays and treatments, bad drug reactions, notes from medical specialists about the patient’s condition, and a clear understanding of the diagnosis would all be essential (Nagle et al., 2017). Evidence-based techniques may need to be applied, the patient may need to be involved in the assessment process, and earlier evaluations may need to be identified using electronic health records. This information could enhance evidence-based practice by broadening the body of knowledge on the subject and providing an in-depth understanding of the patient’s condition and effective treatments without using drugs with unfavorable side effects. Psychiatric patients should be reminded that while it is important to discuss any prior medications with them even if they were not in the correct frame of mind, they might not remember any negative side effects. As a result, by evaluating the staff notes of those who have worked with the patient and the prior physicians, we may create an effective treatment plan using the patient’s medical record.
Knowing that a patient has had a certain response to a medication or simply a setting is extremely helpful when counseling patients, especially in the psychiatric field. If the patient had previously exhibited manic, aggressive, or self-destructive behaviors in response to a medication, we would make sure that the medication was never given to them again (McGonigle & Mastrian, 2022). We could also flag the medical record, if it has not already been done, to alert others of the reaction. Before providing the doctor with information on the patient, nurses should be aware of any allergies since they are plainly listed on the patient’s chart. Before administering medication to a patient, it should be scanned. If the patient is allergic to the medication, a warning will appear and prompt them with questions if nurses intend to ignore the allergies. I have encountered dangerous situations like this before, but fortunately, the patient’s treatment was promptly modified throughout the process.
Gaps will persist if clinicians are not involved in creating and implementing. The development of a robust product that is accessible to all healthcare team members can be facilitated by the involvement of healthcare informaticists. Despite the information acquired from the patient record being helpful, it is essential to have first-hand knowledge about the patient from practitioners who have direct contact with them (Sweeney,2017). The prior care team is typically the first to notice even the smallest changes in the patient, therefore I want to discuss the patient’s habits with them before sharing that information with my own. Clinical nursing judgment encompasses cognitive, psychomotor, and emotional processes that are expressed through actions and behaviors, whereas clinical reasoning is the metacognitive and cognitive process of interpreting knowledge that is relevant to a certain patient or clinical circumstance (Nagle et al., 2017). When applied correctly, clinical reasoning and judgment contribute to knowledge generation and the development of normative orders in nursing and healthcare. Nursing leaders must thoroughly compile and analyze data regarding the patients’ conditions before implementing any treatment strategies. They must also meticulously document the course of the treatment for future use. The nurse leader accomplishes this by using clinical judgment and reasoning to assess and modify information and data for better decision-making processes inside the information system (Sweeney,2017).
References
Alzu’bi, A. A., Watzlaf, V. J. M., & Sheridan, P. (2021). Electronic Health Record (EHR) Abstraction. Perspectives in health information management, 18(Spring), 1g. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8120673/Links to an external site.
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist…NI 2016, Switzerland. Studies in Health Technology & Informatics, 232, 212–221. https://doi.org/10.3233/978-1-61499-738-2-212Links to an external site.
Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics, 21(1), 4–1.
THE NURSE LEADER AS KNOWLEDGE WORKER
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Review the concepts of informatics as presented in the Resources.
- Reflect on the role of a nurse leader as a knowledge worker.
- Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:
- Explain the concept of a knowledge worker.
- Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
- Include one slide that visually represents the role of a nurse leader as knowledge worker.
- Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
BY DAY 7 OF WEEK 2
Submit your completed Presentation.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as WK2Assgn_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
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Develop a 5- to 6-slide PowerPoint presentation that addresses the following:· Explain the concept of a knowledge worker.· Define and explain nursing informatics.
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Develop a graphic visual representation of the role of the nurse leader as a knowledge worker. On the slide, include an explanation of the role.
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Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.
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PowerPoint presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.
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Resources
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Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation
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Written Expression and Formatting – APA:The reference list and image attribution list follow correct APA format
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Total Points: 100
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INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
- Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
BY DAY 3 OF WEEK 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
BY DAY 6 OF WEEK 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
The observations I have made with technology specialists in my current position with other healthcare professionals have been limited. I mentioned that I work with two child psychiatrists at a behavioral health outpatient clinic with most patients utilizing telehealth services. Telehealth medicine is only beginning to expand and has “received a boost with the COVID-19 pandemic” (McGonigle & Mastrian, 2022, p. 618). Our clinic allows patients to come to the clinic and access their provider via telehealth in a patient exam room, or they can access their provider from home within their EHR (Electronic health records MyAspirus), or Doxylink. Since Aspirus is trying to move away from Doxylink, I will not include further input on this system.
I do think we all know that with this technology comes technological glitches, connectivity issues, and barriers. That is the only time I have seen the providers I work with reach out to IT, if we cannot get them back online. Typically, we call the patient if they are not onsite and have them go back into the “waiting room” and we reboot the telehealth device before calling IT. What happens in the background with IT and the provider where they are located, I am unsure. What I am curious about and a strategy on how these interactions might be improved is if our nurse informaticists are collecting big data on connectivity issues within their EHR visits and could present this information to us. Big data is information that nurse informaticists work with, collect, analyze, interpret, they notice trends and patterns that could be used to enhance not only our nursing practice but patient/provider outcomes as well (McGonigle & Mastrian, 2022). This data could help our IT specialists and patients and providers potentially with decreasing these issues.
The American Hospital Association (2022) states that 76% of U.S. hospitals connect with patients via telehealth, video, or other technology (AHA, 2022). Within the behavioral health world, many behavioral health patients may not have the patience or intellectual ability to troubleshoot when technology complications arise. With telehealth just beginning to touch most of the U.S. I was not able to find data on telepsychiatry, connectivity concerns with mental health patients. I do believe the impact of telehealth on primary care, hospital care, and specialty care is only going to grow and with that hopefully we will get more data for improvements. Siegel et al (2021) has assessed benefits to telepsychiatry and has found it to include convenience, and timesaving for both the providers and the clients, a decrease in cancellations, and an increase in parental involvement because “barriers such as different households, travel or scheduling conflicts are not as prominent. This has been particularly beneficial for young patients with mood disorders and attention deficit hyperactivity disorders” (Siegel et al, 2021, p. 442). Nursing informatics is going to, telemedicine, and big data are all going to impact our nursing practice.
References:
AHA. (2022). Fact Sheet: Telehealth. Retrieved November 28, 2022, fromhttps://www.aha.org/factsheet/telehealthLinks to an external site.
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Siegel, A., Zuo, Y., Moghaddamcharkari, N., McIntyre, R., & Rosenblat, J. (2021). Barriers, Benefits, and Interventions for Improving the Delivery of Telemental Health Services during the Coronavirus Disease 2019 Pandemic: A Systematic Review. Current Opinions in Psychiatry. 34 (4): p.434-443. DOI:10.1097/YCO.0000000000000714
SAMPLE DISCUSSION POST 2
Interactions Between Nurse Informaticists and Other Specialists.
As a specialist in the collection and application of data, Nurse Informaticists (NI) collaborates with other specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions, which will bring about the general wellbeing of patients.
One way to improve the efficient distribution of information gathered among health care professionals is to ensure that information is shared between disciplines and professions, with compatible organizational approaches (Nordstein & Bystrom, 2018).
Nursing Informaticists supports nurses, consumers, patients, interprofessional healthcare team, and other stakeholders in their decision-making in all roles and settings to achieve desired outcomes (ANA, 2015). Nurse Informaticists can help with assessing and evaluating projects to see if policies and procedures implemented are having the desired impact on patient care. McGonigle and Mastrian (2018) explained the importance of standardized language in nursing practice. Standardized language is important in the improvement of healthcare. Standardized language help to translate information from discipline to discipline, from provider to administrator.
Strategy to improve interactions between Nurse Informaticists and other Specialists.
At the institution where I work, information is communicated via work email platform to all employees. There is Nurse Informaticist (NI) assigned within the nursing department to disseminate pertinent information among nurses and other professionals. NI frequently update nurses with recent and information to bring about better patient outcome. Due to recent technology, NI can communicate efficiently with thousands of nurses and other professionals via work email. For me, I make sure I check my email daily to keep me informed of any new updates that will help deliver adequate and optimum patient care. Also, we make use of EPIC to document patient care, information on this is updated at least weekly. This approach of communication makes it easier to inform health care team members on ways to improve patient’s outcome. The strategy I will recommend improving interaction between NI and other specialist is occasional in-service training for all employees at all levels. This approach will bring about exchange of ideas and help build more knowledge and 4also bring about better patient outcomes (Laureate, 2012).
Impacts of continued evolution of Nursing Informatics as a Specialty.
Nurse Informaticists (NI) specialty will continue to be beneficial to healthcare system. As the general saying, “Information is Knowledge”, efficient communication and timely access to information among health care professionals will bring about improvement in patient care. Adequate communication among health care professionals will enhance nursing interventions, better patient outcome, easy access to patient data for outcome analysis, and increased adherence to care standards (Rutherford, 2008).
References
American Nurses Association. (2015). Nursing Informatics: Scope and Standards of practice; P.1-2(2nd Ed.). Silver Spring, MD: Author.
Laureate Education. (2012). Data, information, knowledge, and wisdom continuum. Baltimore, MD: Author.
McGonigle, D., & Mastrian, K.G. (2018). Nursing Informatics and the foundation of knowledge. (4th ed.). [Kindle version]. Burlington, MA: Jones and Bartlett learning.
Nordsteien, A., & Bystrom, K. (2018). Transitions in workplace information practices and culture: The influence of newcomers on information use in healthcare. Journal of Documentation, 74(4), 827-843. www.emeraldinsight.com/0022-0418.htmLinks to an external site.
Rutherford, M.A. (2008). Standardized Nursing Language: What Does it Mean for Nursing, 13(1), 1-12. https://doi-org.ezp.waldenulibrary.org/10.3912/OJIN.Vol13No1PPT05.
BIG DATA RISKS AND REWARDS
When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.
From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.
As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
- Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
BY DAY 3 OF WEEK 5
Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.
BY DAY 6 OF WEEK 5
Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.
*Note: Throughout this program, your fellow students are referred to as colleagues.