Informatics Assignment Paper
Nursing informatics is an emerging field that integrates both the medical field of patient care with computer science and technology. In today’s society, we relieve a lot on technology as it has improved and become more accessible over the years. Access to the internet is now at the tip of our fingers as we can use our mobile phones or even our cars to explore and surf the World Wide Web. With the quick access comes positives and negatives, as anyone can publish anything on the internet; which is why as health providers it is important to direct our patient’s into the right direction. For example: cdc.gov, the Centers for Disease Control and preventions, offers up-to-date resources of any medical condition and also
…show more content…
Informatics allows researchers to take patient data and enter those into a database and computer system which analyses the data. Then the researcher is able to interpret the data and publish their findings in order to improve patient care. Informatics allow nurses to research numerous topics to implement into their everyday practice. A health care provider can go to a website, such as guidelines.gov, to find articles that has been researched and has a positive correlation between two variables that can benefit both the patients and nurses. Let’s say I wanted to improve “end of shifts reports”. Based on guidelines.gov researchers integrated multiple searches from different databases and weighted each one based on a rating scale that rated the outcome evidence levels. The ending result of the search revealed, “It is recommended that nurses perform bedside shift to shift report to increase patient/family satisfaction (National Guideline Clearinghouse, 2014).” From reading the article, the nurse could take the end results and implement bedside reports or the nurse could continue her search to find another article that supports her finding before sharing it with …show more content…
Sand-Jeklin and Sherman (2014) studied seven medical-surgical units by having a control group who did their regular routine and an experiment group that implemented bedside reports. As the experiment concluded there were some positive outcomes such as, better communication between the nurses, more involvement from the patient, also fewer falls and medication errors were found based on the study. On the contrary, the study showed that some nurses had negative attitudes toward the amount of time to take to complete bedside reports, and some nurses wasn’t consistent with the implementations of the reporting (Sand-Jeklin and Sherman, 2014). This study shows not only does bedside reporting had positive outcomes, but also some nurses was not satisfied with the format. So the consumer of the article it is important to weigh both the positive and the negative and come on with what could work for
The adoption of clinical information systems is one way that healthcare organizations are making an effort to improve patient safety, provide a means to exemplify regulatory compliance, and facilitate exchange of patient information between care providers (Kirkley & Stein, 2004; Nadzam, 2009). To achieve this goal, Barnes-Jewish Hospital (BJH) recently implemented a new CPOE/clinical documentation system. One of the objectives of the new system was to give bedside clinicians a standardized electronic tool, known as the Clinical Summary, for bedside shift hand-off reporting. Soon after go-live, it was identified that the standard nursing Clinical Summary did not meet specialized the reporting needs of the nurses on the Women and Infants divisions. Consequently, an application enhancement request was submitted. The goal of this project is to synthesize the knowledge gained throughout this Masters Degree program to initiate, plan, and execute changes to the current clinical documentation system to provide a standardized Clinical Summary review screen to meet the specialized hand-off reporting needs of the nurses on the Women and Infants divisions at BJH. This paper includes project objectives, a supporting evidence-based literature review, project methodology, formative and summative evaluation criteria, and a graphical timeline with a narrative description for the Women and Infants Clinical Summary project.
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
Hebda, T. & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals. (5th Edition). Upper Saddle River. : N.J: Pearson Education
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
This systems limits patient involvement creates a delay in patient and nurse visualization. Prior to implementation of bedside shift reporting an evidenced based practice educational sessions will be provided and mandatory for nursing staff to attend (Trossman, 2009, p. 7). Utilizing unit managers and facility educators education stations will be set up in each participating unit. A standardized script for each nurse to utilize during the bedside shift report will be implemented to aid in prioritization, organization and timeliness of report decreasing the amount of information the nurse needs to scribe and allowing the nurse more time to visualize the patient, environment and equipment (Evans 2012, p. 283-284). Verbal and written bedside shift reporting is crucial for patient safety. “Ineffective communication is the most frequently cited cause for sentinel events in the United States and in Australian hospitals 50% of adverse events occur as a result of communication failures between health care professionals.” Utilizing written report information creates accountability and minimizes the loss in important information during the bedside shift report process (Street, 2011 p. 133). To minimize the barriers associated with the change of shift reporting process unit managers need to create a positive environment and reinforce the benefits for the procedural change (Tobiano, et al.,
Health informatics is best described as the point where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and the use of information in health and biomedicine. Health informatics incorporates tools such as: computers (hardware and softwar...
... middle of paper ... ... Works Cited 1. Cooper, Paul, RN, MSN, Director of Nursing Informatics.
...ng informatics. The integration of an early warning scoring system with nursing practice is a means with which technology and nursing knowledge evolve to “applied wisdom” (McGonigle & Mastrian, 2012). The data is represented by the vital signs. The collection of vital signs will generate information. The information will be scored in the system and alert the nurse when there are abnormal findings. The nest steps can only be taken by the nurse. Critical thinking, interpretation and application of the findings from the patient’s medical record are the next steps. Nurses must be able to apply the information into their nursing practice in order to continue to develop and deliver the best care to patients. As technology continues to expand to many clinical areas, nurses will need to continue to understand how the world of technology translates to patients.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
William Goossen’s theory can be applied in nursing practice to develop nursing informatics skills and knowledge, as well as develop technological system competencies among nurses to collect, process, retrieve and communicate pertinent information across health care organizations (Goossen, 2000). This theory is highly applicable in addressing matters related to electronic health records, which are currently characterized with issues of privacy and confidentiality in relation to storage, retrieval and reproduction of patient health information. The model also provides broad applicability in guiding research at any clinical setting and contributes to the discipline of nursing by simplifying and enhancing documentation and storage of patient’s health information and by allowing better utilization of nursing resources (Elkind, 2009).
Nurses are well aware of the time constraints that often impact not only the time they have to spend with individual patients, but also the quality of their documentation (Hemsley et al., 2012). Nurses often choose time with patients over proper documentation. When this occurs, there is a high risk that crucial information will not be relayed to staff on other shifts (Casey & Wallis, 2011). There needs to be understanding between nurses and managers about how information is relayed and recorded between all members of the health care
Patient and/or their family members can voice any questions or concerns they may have with the nurses. With reports given at the bedside in the presence of the patient and family, they will know what to expect regarding their plan of care. When patients feel safe, patient satisfaction with the hospital will increase.
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
Bedside reporting and handover are further more accurate and time effectual (Cahill, 1998). Cahill reports that bedside reporting chains nursing’s learning and can be a role model to supply patient’s centred and concerted concern. Advantageous effects of bedside reporting are such as patient achieve a better consideration of their concern plans and can have the prospect to discuss their own issues and concern exertion (O'Connell & W.Penney, 2001). Benefits comprise of visualization of the patient as report is being known and obtain a baseline for that alter. Assets to the patient include recovering patient safety and amplify patient’s cooperation in their concern. Bedside reporting also demonstrates patients and the staffs’ effort as a team. Erstwhile assistance includes increased contentment in liability, interpersonal affiliation of information. There was also amplified physician fulfilment because nurses were more organized for consultation regarding the patient (P.Maxson, K.Derby, & D.Foss,