Feb 23, 2024 NR 512 Week 1 Discussion: Integration of Nursing Informatics Skills and Competencies
NR 512 Week 1 Discussion: Integration of Nursing Informatics Skills and Competencies
NR 512 Week 1 Discussion: Integration of Nursing Informatics Skills and Competencies
Based on your readings this week, how has your impression of informatics, especially nursing informatics, changed? dq 2 Integration of Nursing Informatics Skills and Competencies (graded) Reflect on your own practice. Explain how much informatics you use in a shift or day of work.
Reflect on your own practice. Discuss how informatics is used in your practice. What is your primary area where you would use informatics?
A Sample Answer For the Assignment: NR 512 Week 1 Discussion: Integration of Nursing Informatics Skills and Competencies
Nursing informatics and critical thinking is an important component in the delivery of safe patient care and must be used simultaneously to ensure patient outcomes are positive. Nursing informatics is important to all nursing specialty areas; therefore, it is important for nurses to understand the relevance of incorporating nursing and informatics to the clinical practice, patient tracking, data trending, assessing workload, & appropriate and timely documentation (McGonigle, Hunter, Sipes, and Hebda, 2014).
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Nursing informatics is such an important concept to safe patient delivery that in 2004, an execute order from President Bush outlined a plan focused to ensuring that every American would have an electronic health record (EHR) by 2014; this executive order brought together a national conference in July 2004, called the Cornerstones for Electronic Health Record that included leaders across healthcare to discuss the technological infrastructure of technology into the healthcare arena (Shaw, Sensmeier, and Anderson, 2017).
The Tiger initiative was established because of this conference in 2006, to engage and prepare nurses for the proper use and development of informatics in nursing practice. Therefore, the need for nurses and nurse leaders to understand the significant of informatics in nursing is very important to practice that lead to positive patient outcomes when documentation is detailed, timely, accurate, and within the unit and facility guidelines.
References:
McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why Nurses Need to Understand Nursing Informatics. AORN Journal, 100(3), 324.
Shaw, T., Sensmeier, J., and Anderson, C. (2017). The Evolution of the TIGER Initiative. Computers, Informatics, Nursing, 35(6), 278-280.
I enjoyed reading your post about how informatics allows and ensures for patient safety and I could not agree more. My top three during admission database is going over the patients medication list, if the patient has fallen within the past six months, and if the patient has been readmitted within the past thirty days or ninety days. It is extremely important to ask patients what medications they are currently taken, what medications have been discontinued, and what medications are new.
I make sure that their medication list is updated so that physicians are able to see what medications patients are currently taking, what may need to be re-ordered, or if any medications or dosages may need to be readjusted while they are in the hospital. My second question is about falls because too many times I have patients whom are extremely independent and stubborn (my cute elderly patients in the 80s and 90s) about getting up alone and may think that they do not need any help.
It is our duty to ask when the last time patients have fallen and even if patients have never fallen, we still have to use our best judgments to consider if they are high risk for falls. If patients are considered to be high risk for falls, they get a high risk falls band, bed alarm on, and a sign outside their room letting everyone know. Sometimes older patients may be forgetful and confused when they wake up and I like to be safe and prevent a fall when possible. In every room, when patients are lying flat in their beds, there is a huge sign attached to the ceiling that says “CALL, DON’T FALL.”
We take falls very serious on our unit and charting and collecting these data is very useful. Asking patients if they have been readmitted within the past 30 days or 90 days is also very important. Informatics help in this department seeing that we are able to look back at the chart to see if it’s the same diagnosis, what kind of treatments were done, and when patients were discharged. This type of informatics also prevents any kind of treatments that may be needed to be repeated and it prevents errors as well. To prevent errors from occurring, there is a need for a set of performance indicators and metrics related to patient safety for classifying and measuring mistakes (Karami and Hafizi, 2017).
Reference:
Karami, M., & Hafizi, N. (2017). Enhancing Patient Safety Using Medical Imaging Informatics. Radiology Management, 39(2), 27-35.
Informatics is used in my personal practice through several ways. The first, is obviously through a computer. I work in the operating room, and our charting must be thorough and in-depth so that we are able to describe every event that happened during the patient’s surgery. The charting in the operating room is different than any other charting I have done. We do not do a full head to toe assessment, in fact we do not usually have time! We must be able to realize what happened in that surgery through our charting if it were too appear in court one day.
In the cognitive aspect of informatics, it is a little different in the operating room for nurses. I only get a few minutes to allow my patient to trust me with their care. They are asleep during their entire surgery and I am their advocate. I must use my cognitive intuition to call the shots regarding what this patient may or may not want.
I must use my cognitive informatics to collect enough data or information about this patient to learn their needs and wants. Usually I only have about 3-5 minutes to do this. This then puts into effect my work that I do as a nurse and my decision-making skills. I believe that the primary area I use informatics would be my initial interview with my patient.
Before the patient comes to the operating room, I am to interview them, check their health record, check their history, make sure both an anesthesiologist and the surgeon have seen the patient, and find out as much information as I can to learn everything about this patient. In the interview, I ask them questions that pertain to them, what I have learned about them through their record, and any questions I may have, or they may have regarding their surgery.NR 512 Week 1 Discussion
I believe that both the computer side to informatics and the cognitive side to informatics allow us to ensure patient safety. By viewing my patient’s electronic health record, I am ensuring that everything matches what the patient says. Yes, they had hip surgery back in 2004 and need extra padding, or no they did not have hip surgery back in 2004 and can go in stirrups. As a nurse, I am using informatics to ensure that all benefits to the patient are realized (Strudwick et al., 2016).NR 512 Week 1 Discussion
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Reference:
Strudwick, G., Booth, R., & Mistry, K. (2016). Can Social Cognitive Theories Help Us Understand Nurses’ Use of Electronic Health Records?CIN: Computers, Informatics, Nursing,34(4), 169-174. doi:10.1097/cin.0000000000000226.
DEVRY NR 512 ALL WEEK DISCUSSIONS
NR 512 Week 1 Discussion: Nursing Informatics (graded)
Based on your readings this week, how has your impression of informatics, especially nursing informatics, changed? dq 2 Integration of Nursing Informatics Skills and Competencies (graded) Reflect on your own practice. Explain how much informatics you use in a shift or day of work.
DEVRY NR 512 WEEK 2 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Transformation From Data to Information to Knowledge to Wisdom (DIKW) in Practice (graded) Describe a nursing-practice situation in which you experienced the transformations of DIKW. dq 2 Wisdom Versus Judgment (graded) How does the concept of wisdom in nursing informatics compare to the concept of professional nursing judgment?
DEVRY NR 512 WEEK 3 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Nursing Informatics and Standardized Terminologies (graded) Why do you think standardized terminology is needed today? dq 2 Impact of Standardized Terminologies on Practice (graded) What do you see as the greatest impact of nursing standardized-terminology use upon healthcare consumers?
DEVRY NR 512 WEEK 4 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Reflection on Nursing Informatics Competencies (graded) Reflect on your self-assessment completed in Week 1. How do your current competencies compare to discussions of NI competencies in the published, scholarly literature? dq 2 Reflections on Second Life Experiences (graded) How do the informatics skills you are now developing/expanding upon and validating help you meet current informatics skills levels?
DEVRY NR 512 WEEK 5 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Knowledge Generation Through Nursing Informatics (graded) What are informatics-related possibilities to accelerate the generation and uptake of new nursing knowledge? dq2 Electronic Health Records: Pros and Cons (graded) Explain to a colleague or patient/client, with evidence, a benefit and a risk of using EHRs
DEVRY NR 512 WEEK 6 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Key Legislation Shaping HIT Use and Impacting Nursing Practice (graded) What was your biggest surprise about HIT legislation this week and why? dq2 HealthIT Hot Topic of the Week and Impact on Practice (graded) What was the HealthIT Hot Topic you selected related to your specialty? Why did you select it? How will this impact your practice?
DEVRY NR 512 WEEK 7 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Current Issues and Trends in Informatics (graded) In your work setting, how might you teach and enforce ethical use of information? dq2 Safeguarding Health Information and Systems (graded) What wording would you include in a document that each staff member must sign before being allowed access to the information systems in your workplace (a.k.a., an ethical computing statement)?
DEVRY NR 512 WEEK 8 DISCUSSIONS DQ 1& DQ2 LATEST 2016
Reflection on Second Life Experiences, Nursing Informatics Skills and Impact on Speciality (graded) Discuss how Course Outcomes were supported and met by the activities you have completed in this course.
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