Feb 23, 2024 NURS 6051 Application of Data to Problem-Solving
NURS 6051 Application of Data to Problem-Solving
NURS 6051 Application of Data to Problem-Solving
Technology has added so greatly to the effectiveness of our care. The work that has gone into vital signs and other assessment findings to create alerts when out of range is impressive. In paper forms, essential data can sometimes be missed or even go unnoticed, but having a system that connects the dots help health providers to see the bigger picture. “Advances in technology have been made available to aid nurses perform their jobs and care for patients more efficiently and safely. Nursing today is not the same as it was 30 years ago”(Pepito & Locsin, 2019).
As wonderful as technology is, it requires the working knowledge to derive or identify what is happening with the patients to offer the proper treatment. One cannot overlook the many lives technology has saved. Even the most prudent nurse can make a mistake. We have seen many things that improved in the area of medication administration. “On average, roughly 7,000 patients in the United States die each year from adverse drug events. To help curb these incidents, electronic medication administration has become commonplace”(Impact of Technology in Nursing | Nursing & Technology | Queens, 2020). Technology advancements are happening daily and will continue to revolutionize how we care for our patients. It is such a wonderful thing.
References
Impact of Technology in Nursing | Nursing & Technology | Queens. (2020, December 10). Qnstux; Queen University. https://online.queens.edu/resources/article/impact-technology-nursing/
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Pepito, J. A., & Locsin, R. (2019). Can nurses remain relevant in a technologically advanced future? International Journal of Nursing Sciences, 6(1), 106–110. https://doi.org/10.1016/j.ijnss.2018.09.013
The healthcare organization that I work for has implemented various safety measures over the past few years to promote positive healthcare outcomes and ensure patient well-being. The organization changed from paper and pen documentation of patient medical records to electronic medical recording (EMR) on portable mobile devices or electronic tablets. Also, in the hospital’s hospice inpatient department, all patients have barcoded wristbands to protect eight rights of patient drug administration to reduce the chances of medication errors (Várkony&Gradišek 2020).
Even though the healthcare organization has made remarkable advancements, certain areas require improvement, particularly the nurses working in hospice home care. This is because there was a scenario where while using the MUMMS software for collecting data such as lab reports, clinical documentation, and vital signs, a patient clinically diagnosed with bradycardia was incorrectly discharged with the wrong drugs from the hospital due to a medication reconciliation mistake. The hospital realized that this happened because the MUMMS software had somehow accidentally lost previous medication orders. Currently, since I am visiting patients at home, I have cognized how errors arise. Hence, I will recommend applying another common and well-recognized EMR like the EPIC systems that could organize, access, collect, share, and store electronic health records (VanSandt et al. 2020). This is because EPIC is significantly more suitable for big healthcare organizations like the one I work for.
The advancement of informatics is a significant advancement as it concerns the issue of safety in healthcare environments. Research by (Moore et al. 2020) shows that information technology helps healthcare nurses effectively gather, analyze, communicate, and share data to improve patient outcomes. Therefore, professional nurses and nurse leaders should examine any problems and issues in their current healthcare environment and devise solutions.
References
Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 27(5), 798-807.
VanSandt, M., Turner, K., Dash, R., Gui, D., Tuluc, M., Hart, S., &Raess, P. W. (2020). Pathologist Opinions about EPIC Beaker AP: a Multi-Institutional Survey of Early Adopters. Journal of medical systems, 44, 1-8.
Várkonyi, G. G., &Gradišek, A. (2020). Data Protection Impact Assessment Case Study for a Research Project Using Artificial Intelligence on Patient Data. Informatica, 44(4).
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Response
This is an outstanding work Jariatu Bundu. You have provided detailed illustration of the question post, which is a clear indication that you understood the course content. Indeed, I concur with your post. Currently, it is not surprising that technology is rapidly changing health care. For instance, the field of health informatics, which characterizes a specialization that brings together information technology, communication, and health care to enhance patient care, plays a significant role in transforming health care technology. Communication is among the key aspects of patient safety. Health informatics play significant role in creating and enhancing health outcomes (Kim & Groeneveld, 2017). For instance, electronic health records (EHRs) and computerized provider ordering plays significant role in cost saving by ensuring connected system, which curbs waste. EHRs ensures timely delivery of lab reports, timely and efficient care delivery, and reduction in malpractice claims.
Health informatics is also critical in improving communication, reducing medication errors, and ensuring efficiency (Veinotet al., 2019). On the other hand, health care approach through information technology has traditionally been criticized for being less personal with patients. However, health informatics enhances personalized care since the patient information collected can be arranged in order by algorithms to determine the patient issue and the appropriate care that should be given. Finally, the most important role played by health informatics in changing healthcare is through enhancement of outcomes. EHRs leads to superior quality and safe care and the coordinated teams ensure provision of better diagnosis and reduce the incidences of error. Informatics also enhances retrieval of patient records, accuracy of health insurance administration, and provision of safer ways of storing patient data (Brenner et al., 2016). Health informatics also has capacity to improve patient-centered care by providing mechanisms for patients to provide health care professionals with critical data, and to share data with family.
References
Brenner, S. K., Kaushal, R., Grinspan, Z., Joyce, C., Kim, I., Allard, R. J., & Abramson, E. L. (2016). Effects of health information technology on patient outcomes: a systematic review. Journal of the American Medical Informatics Association, 23(5), 1016-1036. https://doi.org/10.1093/jamia/ocv138
Kim, J., & Groeneveld, P. W. (2017). Big data, health informatics, and the future of cardiovascular medicine. https://www.jacc.org/doi/full/10.1016/j.jacc.2017.01.006
Veinot, T. C., Ancker, J. S., & Bakken, S. (2019). Health informatics and health equity: improving our reach and impact. Journal of the American Medical Informatics Association, 26(8-9), 689-695. https://doi.org/10.1093/jamia/ocz132
I
In the current nursing practice, data is instrumental in problem-solving and the continuous delivery of patient-centered care. Through timely and accurate data, healthcare practitioners examine health problems in-depth and initiate innovative interventions. Data also helps public health providers to implement evidence-based interventions to optimize health and safety (Hedberg & Maher, 2018). My focus scenario is care improvement in the emergency room by addressing patient delays. The delays stem from long waiting times. In this case, patients with emergency health needs spend unnecessarily longer time between arrival and the time when they receive medication.
The data that could be used to address this situation include patients’ health problems, waiting time, and possible health complications. As Paling et al. (2020) observed, long waiting time in the emergency room is associated with poor health outcomes, including complications and mortality. The data might be collected and accessed via a patient tracking system. In the emergency room and other units, patient tracking systems allow healthcare practitioners to log and monitor patients’ progress while receiving care and staying in the hospital. Typically, the data would be readily available in the system and would be accessed by authorized users. System security is crucial to avert the dangers of unauthorized access, such as privacy and confidentiality breaches.
The data can provide knowledge regarding the magnitude of waiting time in the emergency room. Typically, longer waiting time risks patients’ health and safety. A nurse leader could use clinical reasoning and judgment to form knowledge by applying analytical skills to make informed decisions. From a health perspective, clinical reasoning and judgment entail an in-depth analysis of issues to develop creative solutions for complex clinical situations (Hong et al., 2021; Guerrero, 2019). A nurse leader would benefit from a similar approach by analyzing patterns to understand the potential causes of patient delays and sustainable solutions. Such a response is a foundation of safe nursing care.
References
Hedberg, K., & Maher, J. (2018). Collecting data. Centers for Disease Control and Prevention. https://www.cdc.gov/eis/field-epi-manual/chapters/collecting-data.html
Guerrero, J. G. (2019). Practice rationale care model: The art and science of clinical reasoning, decision making and judgment in the nursing process. Open Journal of Nursing, 9(2), 79-88. https://doi.org/10.4236/ojn.2019.92008
Hong, S., Lee, J., Jang, Y., & Lee, Y. (2021). A cross-sectional study: what contributes to nursing students’ clinical reasoning competence?. International Journal of Environmental Research and Public Health, 18(13), 6833. https://doi.org/10.3390/ijerph18136833
Paling, S., Lambert, J., Clouting, J., González-Esquerré, 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, 37(12), 781-786. http://dx.doi.org/10.1136/emermed-2019-208849
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Healthcare professionals can ensure that their patients receive the best care if they are able to access medical records (McGonigle & Mastrian, 2017). Immunizations will be the focus scenario of this discussion. Immunization is recommended by a majority of clinicians, medical researchers, and healthcare facilities. There are several reasons why immunization is important but the most important ones are to protect oneself and those around you (Pelullo et al., 2020). Additionally, infectious diseases can be prevented using vaccines. The cooperation of the patient will determine the success of the immunization program (Pelullo et al., 2020).
Diseases that have no medical treatment can best be prevented by getting immunized. The vaccination will, therefore, protect those at risk of contracting conditions that are incurable and can result in complications or death at times. Those with impaired immune systems are susceptible to these conditions (Gold et al., 2020). Even though these people are vaccinated after developing the disease, the vaccination may not help them develop a strong immune system. To ensure that the illness is prevented, it is important to get vaccinated to ensure that one is fully protected from contracting the disease (Gold et al., 2020). Those people who have been immunized, are unlikely to be at risk of the epidemic.
Currently, at my organization, we work with schools, parents, and providers using immunization records for patients. However, treating families that keep moving across state lines and lack their immunization records would be difficult because clinicians will not be able to tell whether the child has received the vaccination. This will make parents track their children’s health records from their previous clinic or the immunization registry or their previous schools to get the information. Having a central hub database for all information will make it easier for parents and clinicians to access patient information.
Collected Data to Be Used and How It’s Collected
Data collected include; patient name: first, middle, last; patient birth date; patient sex/gender; patient race and ethnicity; patient birth order; patient birth State/country; mother’s name: First, middle, last, maiden; vaccine type; manufacturer; and vaccine dosage number. Currently, information for vaccine data is collected in an online database called, Immunization Information Systems (IIS). According to the National Vaccine Advisory Committee’s standards, providers need to have full access to an individual’s immunization status at every medical encounter (Gold et al., 2020).
Immunization information systems help ensure vaccinations across targeted populations as clinicians administer the vaccine across a tiered prioritization process. This system keeps track of vaccines that are administered to patients and informs providers when vaccines are due (Gold et al., 2020).
In my facility, clinicians have become fully prepared for vaccine administration and increase IIS use in the following ways: becoming comfortable and familiar with the IIS interface because patient vaccination information is readily available in the system workflow; communicating with the health system’s health IT department to see if manual data requests are required or if there is a real-time data flow between the system workflow and IIS platform; getting onboarded by the state or local health department; and communicating and sharing knowledge about the IIS with colleagues, hospital leaders, and administration to spread IIS awareness. From there, I would like to have a database that collects all of the vaccine information from each office and puts it into a central hub. Having this central hub of vaccine records would allow providers to pull vaccine records for their new patients. This would allow healthcare professionals to see their patient’s vaccination history and make clinical judgments when it came to vaccines.
Derived Knowledge
A lot of knowledge can be obtained from this data. Healthcare professionals would be able to see coverage rates in areas as well as areas of potential disease outbreaks. They would also be able to see how well community immunity (herd immunity) works. According to Ricc et al. (2020), community immunity is when enough people are vaccinated against a certain disease, it becomes hard for a disease to spread to unvaccinated people. Clinical vaccination sites are leveraging immunization information systems to order, distribute, and keep track of the vaccine. Broad and equitable use of vaccines will be instrumental in mitigating and managing different conditions (Ricc et al., 2020).
Immunization information systems are part of the critical infrastructure being used in vaccine plans to coordinate among multiple partners and systems for vaccine allocation, distribution, administration, and monitoring (Ricc et al., 2020). With the IIS, clinicians can access vaccination status in real-time. Users can also gather and store patient data and document and track vaccine products and administered doses. With limited initial vaccine supply, IISs can assist in determining the equitable allocation of available vaccines, plan and forecast when additional doses are recommended, help ensure that patients are getting the correct vaccine, and monitor vaccination series completion (Ricc et al., 2020).
How Nurse Leaders Use Clinical Reasoning and Judgment in The Formation of Knowledge from This Experience
Nurse leaders, from this experience, can use clinical reasoning and judgment to ensure that they do not miss recommended vaccine doses in addition to not receiving unnecessary, extra doses. At the same time, when taking care of patients with medical conditions, they would have the necessary ability when it comes to adding contraindications and notices regarding certain vaccines into the system. The above implies that other providers would be aware of this if the patients ever moved or were sent to the hospital.
Having the capability to access a patient’s immunization record from a central hub would be very helpful to not only healthcare professionals but to the patient as well. The more clinicians are aware of and connected to their IIS, the better the vaccination campaign will be in addressing equitable vaccine distribution, managing vaccine uptake, and monitoring vaccination series. Strengthening clinician engagement will lead to more robust IIS data, thereby enhancing clinical care and public health decision-making, which are critical to immunization programs under routine and emergency conditions.
References
Gold, M. S., MacDonald, N. E., McMurtry, C. M., Balakrishnan, M. R., Heininger, U., Menning, L., … & Zuber, P. L. (2020). Immunization stress-related response–redefining immunization anxiety-related reaction as an adverse event following immunization. Vaccine, 38(14), 3015-3020. https://doi.org/10.1016/j.vaccine.2020.02.046
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Pelullo, C. P., Della Polla, G., Napolitano, F., Di Giuseppe, G., & Angelillo, I. F. (2020). Healthcare workers’ knowledge, attitudes, and practices about vaccinations: A cross-sectional study in Italy. Vaccines, 8(2), 148. https://doi.org/10.3390/vaccines8020148
Ricc, M., Vezzosi, L., Gualerzi, G., Bragazzi, N. L., & Balzarini, F. (2020). Pertussis immunization in healthcare workers working in pediatric settings: Knowledge, Attitudes, and Practices (KAP) of Occupational Physicians. Preliminary results from a web-based survey (2017). Journal of Preventive Medicine and Hygiene, 61(1), E66. https://doi.org/10.15167/2421-4248/jpmh2020.61.1.1155
Monitoring Depression and Anxiety with an App
Even though we are in the 21 century and mental health has come a long way unfortunately it is still taboo for a lot of people. It is commonly known that for some people it is easier to talk about their physical health over their mental health. According to Maunder and White (2019), “the stigma held by members of the public towards mental illness (i.e., public mental health stigma) has a considerable impact on the lives of people with mental illness”. As a community, we must take care of everyone’s mental health including our own so we can all be stronger, healthier, safer, and have a well-functioning society. Sadly, mental health is a hard topic for some people to talk about because we have seen since the beginning of time how outcast and rejected people can be treated. After all, they have a mental health condition. It is important to talk as much as possible about mental health so people can understand every aspect of it and hopefully be more open about it.
The idea of a home monitor movement for people with depression and anxiety is great but can be a delicate subject. All USA citizens are protected by the Constitution, The Bill of Rights, and a lot of laws to protect them from a lot of things including their privacy so having patients monitor their movements inside their homes for a long time can be a delicate subject. In the words of Parker et. al. “app users may suffer loss of personal privacy due to security breaches or common data-sharing practices between app developers and third parties. Loss of privacy around personal health data may harm an individual’s reputation or health”. The idea to mix technology to see how patients are adhering to treatment is great but, in my opinion, the app can be invasive for some people. Nonetheless, it’s always good to think outside the box so we can have new innovative ways to help people with mental health conditions.
References
Maunder R.D. & White F.A. (2019) Intergroup contact and mental health stigma: A comparative effectiveness meta-analysis Retrieved from https://doi.org/10.1016/j.cpr.2019.101749
Parker L., Halter V., Karliychuk T. & Grundy Q. (2019) How private is your mental health app data? An empirical study of mental health app privacy policies and practices Retrieved from https://doi.org/10.1016/j.ijlp.2019.04.002
Great post!
The administration of neurology patients requires the understanding of the critical information relating to the patient’s medical history. The data can be collected throughout the visits that the patient has made to the hospital and can be stored in Electronic Medical Records for ease of sharing and retrieval (Nagle, 2017). Such information can be used to determine the effectiveness of the interventions and assist in modifying interventions for maximum outcomes after assessing the effectiveness of the past interventions. The adoption of nursing informatics using nursing technology software and hardware that can support clinical nursing decision-making is a major milestone in clinical nursing (Sweeney, 2017). Equally understanding the number of visits and the nature of treatments that a patient has received before and the nature of outcomes helps the nurse to apply clinical reasoning and judgment to offer custom interventions to address the challenges facing the patient. If for example, a certain drug has not proved to be effective on the patient, the healthcare provider would apply clinical reasoning to make alternative solutions suitable to the patient. Nurses have the duty to learn and understand how to effectively use nursing tools for data-driven decision-making.
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