Feb 23, 2024 NR 361 Week 8 Discussion: AACN Essentials Informatics Self-Assessment (graded)
NR 361 Week 8 Discussion: AACN Essentials Informatics Self-Assessment (graded)
NR 361 Week 8 Discussion: AACN Essentials Informatics Self-Assessment (graded)
I can not believe this session is over! I wish everyone nothing but the best of luck while achieving their dreams in the healthcare profession = )
This course has led me to understand that informatics is used all throughout the health care industry, as it utilizes ” …basic computer skills, information literacy and information management which are essential components of current nursing practice” (Foster, 2017). Looking back on my previous score of the AACN Essentials Self-Assessment, I scored a 29. The one topic I did not score well on was “…evaluation of information systems in practice settings through policy and procedure development” (AACN, 2008). However, after learning more about informatics in healthcare, my score has went up to 31. It is not a big jump, but it has improved, which I wish to continue to improve throughout my nursing career.
Through this session I have gained more of an understanding how I can have an impact on my facility by using informatics to amend previous or implement new policies and procedures, specifically when it comes to patient safety (Hebda et al., 2019, p. 6). I can use my new found knowledge to look closer and the technology that is used, including mobile devices, electronic medical records (EMR), etc. and see how it impacts patient safety and quality of care. I feel more comfortable in knowing I can use this information to bring up to the Quality Improvement team and know I can help improve patient care.
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References
American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-EssentialsLinks to an external site.
Foster, M., Sethares, K., (2017). Current strategies to implement informatics into the nursing curriculum: An integrative review. Online Journal of Nursing Informatics. 21(3). doi: 10899758
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
Upon completing this post-class self-assessment, my score increased by 3 points when compared to my previous self-assessment score. My scores have improved in the “Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice” and the “Use standardized terminology in a care environment that reflects nursing’s unique contribution to patient outcomes” sections.
This class has sparked an interest in informatics in nursing. I am a fan of technology and the implementation of new products that help in providing patient care. I foresee myself joining committees at my hospitals whenever a new piece of technology is being introduced.
My score improved from 35 to 38. I most improved in the areas of ‘participate in evaluation of information systems in practice settings through policy and procedure development’ and ‘use telecommunication technologies to assist in effective communication in a variety of healthcare settings’. We have recently implemented a secure chat system in Epic, so I can instant message providers and it reduces the number of pages i have to send and reduces the time it takes to get the orders I need. This definitely streamlines my work, and makes patient’s happier that they don’t have to wait too long for their medication or whatever need they have.
While I don’t do much with policy and procedure development, I can give feedback on how a new practice or system is working for me. When the secure chat system was first implemented, it was a little over used and not used in the proper way. Some things aren’t appropriate for the chat, like urgent labs or abnormal vitals. I often use it for fyi updates or simple medication requests such as tylenol. I gave feedback on how it was working for me and how I decided what was appropriate to use it for, and that was taken into account when they were defining how to use the chat.
Assuming I have understood the scoring system correctly I gave myself a 31/48 on the AACN Nursing self-assessment. I have been in nursing for 9 years now (primarily in oncology) and before that I spent 6 years working as an unlicensed nurse aid working in home with adults with physical and developmental disabilities. I have worked both in nursing practice where everything where all documentation was handwritten (from the MAR to progress notes to incident reports) as well as a practice that is primarily paperless. I have been through two major EMR transitions and spend time evaluating the cost verses benefit of new technology/products. If I feel, after the review, that product or technology will assist the practice I present a proposal to the partners and if agreed upon write the policy surrounding its use.
One area I could use improvement in is participating in evaluation of information systems in practice settings through policy and procedure development. Sweeney states that in regard to informatics, “considering these systems and how they effect the process and flow of the clinical setting , it is important to not only consider the technology at hand but also the workflow and the data collection process” (2017, p. 1). In my current position I must define how we collect data in a reportable format. It’s one of my job requirements that I don’t really care for. I am all for creating policies that enhance patient safety and increases efficiencies but I dislike being forced to create cumbersome policies simply so that we can get a higher MIPS score, Our EMR computes the big data for us, but rather than “provide new opportunities for healthcare to discover new insights and create new methods to improve healthcare quality ” (Hebda, et. al, 2019,p. 5) we are forced to focus on perhaps not what is best for specialty patient group but what the government suggests that we do. The amount of time spent on writing policies to ensure we get patients enrolled into our sub-par; not very useful, patient portal could have been spent writing new comprehensive training manuals for nurses new to oncology. The time we spend clicking all the right buttons so that our EMR can pull the data is time that could have been spent performing care calls on patients. I take the time do click the right buttons and write the policies but in my particular care setting (outpatient medical oncology) I’m doing it because I have to, not to improve or enhance patient care and outcomes. If I can find a way to glean something of actual value from this data collection and reporting then I’m sure my motivation would change and I could give myself a higher score in this area. Perhaps this program will help me figure out how programs like MIPS can be used to bring care back to being patient centered.
Reference:
Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6th edition. Pearson.
Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics 21(1). https://web-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/detail/detail?vid=11&sid=6ae9fe7d-c036-4e7b-abf4-3f272609a961%40sdc-v-sessmgr01&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=ccm&AN=128848047&anchor=AN0128848047-
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