Discussion: Nurse Informaticists Interactions

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Discussion: Interaction Between Nurse Informaticists and Other Specialists

Discussion: Nurse Informaticists Interactions

Discussion: Nurse Informaticists Interactions

RE: Discussion – Week 3

Interaction through Electronic by an Interdisciplinary Team at Virtua Hospital

A patient’s care may include several areas, many teams, and dozens of individuals. Nursing informaticists can formulate protocols and processes to ensure proper communications and interactions between departments, groups, individuals, and patients. They can help healthcare employees seek out “one view of the truth” through electronic health records, so everyone has the context and insight they need to ensure excellent care continuity (Macaria et al. 2017).

When the patient first enters the hospital lobby, he/she will meet with the receptionist for direction on where to head next after details are obtained. The patient will be sent to the triage, or other unit which is the most crucial point for a patient as the nurse’s assessment will reveal several issues, including urgency for the patient treatment. When information is collected, it is organized in electronic patient records by the nurse, the nurse documents the patient’s condition and communicates that information electronically to the primary care provider via EPIC software.

This software is managed by every Virtua hospital in the US, making it easy for admission and transfers. The provider then reviews the information transmitted through the software and send feedback to the nurse with active orders. The same order is communicated electronically to the pharmacy for review before it becomes active for the nurse used. Nurses can more effectively manage care and improve that care quality. A great deal of documentation occurs automatically due to connected devices, which collect specific information in real-time and transmit them to patient records which can be reviewed by any interdisciplinary team member. A nurse reviewing the documentation of a patient’s condition period she/he can make better decisions about providing care, and when changes or modifications need to be made. Issues such as high blood pressure, BMI, and sugar levels are essential before a patient sees the admission nurse monitors the doctor. The same results may be indicated on the patient file or recorded electronically, which can be review by the doctor for proper patient care. The doctor, the APN, the NP, or the clinician on duty then examines the patient and sent orders to the pharmacy for reviews.

Strategy to Improve Communication

Effective communication between staff and patients is essential for the success of any healthcare organization. When healthcare professionals do not communicate, it can lead to negative workplace culture and inferior patient care quality. Taking steps to enhance communication among the entire team will create a better environment for employees and patients. Learning and professional development are crucial to improving overall communication skills (Wang, Y. Kung, L., & Byrd, T. A. 2018). I think regular monthly meetings with every team member to discuss patient survey feedback to identify strengths and weaknesses. When it comes to information sharing between the interdisciplinary team, Virtua Hospital, is doing fantastic. However, scheduling meetings with team members allows employees to share their perceptions and ideas for improvement in a group setting, encouraging collaboration and open exchange of information. Some employees may have valuable ideas on how to improve communication in real-world scenarios that can be considered.

Impact of the Continued Evolution of Nursing Informatics

Nursing is one professional that cannot survive without a collaborative approach. To ensure that there is better-quality in-service delivery, the nurses must work together with the nursing informatics and technology specialists to ensure a smooth flow in the service delivery (McGonigle & Mastrian, 2017). With the advanced evolution of nursing informatics as a Specialty, nursing’s future seems more dazzling, and most manual chores are eliminated. Collaborative interactions are being enhanced, improving quality, productivity, and, eventually, cost reduction (Wang, Kung & Byrd, 2018). With advanced technology, the professional interaction is compelled to enter a whole new level where the methods will be executed with minimal time and at the expected quality level, hence improving service delivery within the health facilities. Without all the vital information, patient care could be hurt. Informatics improves this information’s coordination, allowing nurses to give their patients all the information they need, improving outcomes, and satisfaction with care. The healthcare information revolution is advancing. Clinicians have more access than before to electronic health records, diagnostics, and treatment plans. Clinical communication and collaboration with standards make it easier to manage healthcare workflows, increased coordination, and enhance patient outcomes. Systems alliance and data access mean that information and analysis are more vital than ever.

References

Macaria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126 (1), 3–13. DOI: 10.1016/j.techfore.2015.12.019.

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Discussion: Nurse Informaticists Interactions

Question Description
Discussion: 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.

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.
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.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

First Response
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)
Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
Name: NURS_5051_Module02_Week03_Discussion_Rubric

RE: Discussion – Week 3

How Do Nurse Informaticists/Data Specialists Collaborate With Other Professionals In My Healthcare Organization?

At my current place of employment (Virginia Department of Health), we do not currently have nurse informaticists hired in roles. However, VDH does have a team of data specialists/analysts who work on numerous projects at VDH and collaborate with a multitude of other professional team members depending on the specific focus of the current project. For example at VDH, data analysts interact with the Public Relations Officer to analyze and present data via infographics and social media statistical posts. Currently, many of the social media posts are related to COVID statistics and include current infection numbers separated by patient demographic data. Additionally, data analysts have been informally collaborating with public health nurses to collect and inspect COVID positive reports for the health district. Public health nurses have been primarily performing contact investigations, speaking with COVID positive clients, and then inputting collected patient data into the reporting system, which the data analysts then examine and present generalized statistics to the public.

Lastly, at VDH, data specialists recently collaborated with public health interns, the Healthy Communities Coordinator, and the Population Health Manager to collect detailed data and statistics of the community to create the 2019 MAPP2Health Report. This report focuses on improving health equity for the community and was revised from the 2016 MAPP Report. According to the Virginia Department of Health (2019), the focus of the 2019 MAPP2Health Report was to “promote healthy eating and active living, address mental health and substance abuse, reduce health disparities and improve access to care, and foster a healthy and connected community for all ages” (pp. 3, para.2). For this report, data analysts collected district demographics and supplemental data and compiled the statistical data into infographics and charts. Overall, for the success of this report, data specialists collaborated closely with community board members and VDH population health and community coordinators to analyze an present health equity data to the district.

 

Strategy to Improve Interactions Between Data Specialists and Other Professionals At My Healthcare Organization

At VDH, I feel the data specialists work closely with the VDH community health team to improve patient care and examine and present data about the community and how to improve health inequity. However, I feel that VDH could utilize public health nurses when working on community projects focused on quality improvement and increasing access to healthcare for the community. I believe if VDH had public health nurses collaborate directly with data specialists when conducting quality improvement projects and projects focused on reducing health disparities, the projects could yield high success rates.  Additionally, public health nurses could present a different, more personalized patient perspective for community projects.

Public health nurses are able to contribute to community projects by providing community resources to data analysts to include in community projects. Additionally, public health nurses can contribute to quality improvement projects that data specialists work on and can provide additional data and input on appropriate solutions to meet community healthcare needs. Overall, I believe that if VDH were to include public health nurses in the committees who compose community projects, data specialists will benefit from the input of pnulic health nurses and community needs will be achieved.

The Impact That Nursing Informatics And New Technologies Has On Professional Interactions

I believe the evolution of nursing informatics and new healthcare technology positively and negatively influences professional interactions. One way that the introduction of new technology negatively affects professional interactions is that it causes a lack of patient centered care. I know from my personal experience when working in the hospital setting that patient care was diminished due to the constant need to document in the electronic health records. One example of this is the reduction of physical interaction with patients due to having to electronically document certain aspects of the nursing care plan hourly. When you have to document certain patient findings hourly on six different patients, it takes precious time away from providing patient centered care. According to Mastrian, K. & McGonigle, D. (2018), “we need to be aware of the potential for inadvertently dehumanizing the patient experience in our technology-laden practice environments” (pp. 529, para. 2). It is important as nurses to remember that healthcare technology is a resource to utilize to assist in providing care, but it should not diminish the need for nurses to provide individualized, patient centered care.

Although new technology and nursing informatics has negative impacts on the healthcare system and professional interactions, it also positively influences interactions. According to Glassman, K. (2017), “the informatics competency helps nurses use information and technology to communicate, manage knowledge, mitigate error, and support decision-making at the point of care” (pp. 45, para. 5).  The use of technology in nursing practice and the healthcare field leads to efficient, time sensitive patient care. For example, the use of technology allows nurses to gather patient data from physical assessments and patient history reports and intervene in a fast manner when patient conditions drastically decline. Additionally, utilizing new technology and nursing informatics principles allows nurses to provide care derived from evidence based findings. Lastly, the use of technology leads to increased collaboration between healthcare professionals in order to provide specialized care. For example, providers are able to access a patient’s electronic health records to observe other specialist’s notes and recommendations for client care. The use of new technology and nursing informatics principles contributes to an increased interaction between healthcare specialties to collaborate on the appropriate patient care plan.

Reference List

Glassman, K. (November 2017). Using data in nursing practice. American Nurse Today,

12(11), 45-47. Retrieved from https://www.myamericannurse.com/wp-

content/uploads/2017/11/ant11-Data-1030.pdf

Mastrian, K. & McGonigle, D. (2018). The art of caring in technology-laden environments. In D.

McGonigle & K.G. Mastrian (Eds.), Nursing informatics and the foundation of

knowledge (4th ed., pp. 529). Jones and Bartlett Learning.

Virginia Department of Health (2019). MAPP2Health. Retrieved from:

https://www.vdh.virginia.gov/content/uploads/sites/91/2019/08/2019-MAPP2Health-

Report.pdf

RE: Discussion – Week 3

Nurses are the largest group of healthcare professionals and ensure safety and quality care for best patient outcomes (Glassman, 2017). Nursing informatics integrates the science of nursing with several information and analytical sciences (R2 Library, 2015). Nursing informatics identifies, defines, manages, and communicates data, information, knowledge, and nursing practice (R2 Library, 2015). With the utilization of information structures, information processes, and information technology, nurse informatics specialists support nurses, patients, consumers, the interprofessional team, and other stakeholders in their decision-making in all roles and settings to better achieve a desired outcome (R2 Library, 2015). With the use of properly developed technology it has proven to enhance a healthcare teams ability to collect, categorize, interpret, manage, evaluate, and share relevant information, which enhances the ability to manage client care in the most efficient and productive manner (R2 Library, 2015). Patient care in the hospital is a collaborative team based care, which requires a healthcare information system support team design to support a team based delivery (Kuziemsky et al., 2009).

Informatics and technology is widely utilized in my area of work. When a patient arrives for care on my hospital unit their personal information is faxed to the admitting department where they are entered into the Cerner computer system, once the patient is in this system we are able to provide further care. Cerner is a computer system that will have all of the patients information which connects the patient to their medical record within the RWJBarnabas healthcare system. The Cerner system can be utilized by each member of the interdisciplinary team to view and input patient specific information including doctors orders, electronic medication administration record, patient results, doctor and consultation results and more. This system is a form of technology that is utilized every day and critical to care. Centricity is another healthcare system specific to my unit; labor and delivery. Centricity is specifically designed for the antenatal, perinatal and postpartum portion of care. Centricity systems are linked with central monitoring to monitor fetal heart rates and contraction patterns. This system is used for a majority of patient documentation in my department. The Centricity system allows for all members of the interdisciplinary team to look at current and past information from visits to our specific units. This technology allows for interdisciplinary teams to correlate and connect patient care.

Interactions may be improved with the ongoing improvement in information and technology. As nurses we base our practice on evidence-based practice from ongoing research, and I feel technology requires the same basis of improvement. Continued research to improve and provide the best information and technology upgrade to provide healthcare providers with up to date systems which inturn would aid in providing the best and smooth nursing and interdisciplinary team patient care. Conditions and clinical circumstances affect application of standards and are subject to periodic review and revision (R2 Library, 2015). Information and technology is ever evolving.

Resources

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 

45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads

/2017/11/ant11-Data-1030.pdf

Kuziemsky, C. E., Varpio, L., Hall, P., Casimiro, L., Leipe, E., Weaver, L., Jelley, W., Cragg, B.,

Brajtman, S., Barnes, P., Macdonald, C., & Poitras, S. (2009). Health information systems design to support a nursing model of care: opportunities and challenges. Studies in Health Technology and Informatics, 143, 177–185.

R2 Library (Online service), & American Nurses Association. (2015). Nursing Informatics :

Scope and Standards of Practice: Vol. Second edition. American Nurses Association.

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