Feb 23, 2024 Discussion: Interaction Between Nurse Informaticists NURS 6051
Discussion: Interaction Between Nurse Informaticists NURS 6051
Discussion: Interaction Between Nurse Informaticists NURS 6051
Week 3 Discussion
Informatics in nursing is an imperative part of our health care system and while they appear to operate behind the scenes, they touch nearly every area of our daily lives. In nursing, as in health care in general, information technology is used to solve day-to-day problems, greatly changing the way nurses operate in patient care (2020a). Having skills in both nursing and technology allows a nurse informaticist to fill the gap connecting clinical staff and technical advancement. This allows staff to observe and provide feedback concerning new technology (2020b).
continued emergence of new technologies might have on professional interactions.
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My organization’s “Event Note” is one of the ways I communicate with nursing informaticists. Like an incident report, this does not always have to be in connection with a fall or other harm. When something good or bad happens to a patient, our system uses this form of paperwork to keep track of it. Any user who accesses that particular chart will be alerted via this technique when an Event Note is available for them to view.
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A more user-friendly and descriptive manner to record an incident might be developed instead of only having a free-text area. When it comes to writing a detailed narrative of an event, not everyone is the same. Messages that omit or omit crucial facts are misunderstood (2020c; ) Interaction amongst Nurse Informaticists in NURS 6051 One method to develop and improve the documentation of Event Notes, in my opinion, is to alter the way the electronic system invites you to capture an event. There may be an option to click on specific categories, indications and symptoms, therapies delivered and outcomes instead of just providing a free-text box. In my opinion, this is significantly less confusing to others when they read the Event Note about the patient and the events that had place.
Discussion: Interaction Between Nurse Informaticists NURS 6051
The specialty of nursing informatics will only continue to develop and move forward. Advances in the future of nursing informatics would concentrate on patient and clinical data, enhanced processes at health care facilities, streamlined data collection, monitoring and analysis, and access to patient information in real time at any moment, anywhere (n.d). Nursing informatics positively impacts the quality of care
regarding a patient. Increasing connectivity will only ameliorate knowledge sharing and collaboration between different hospitals, physicians, and patients on a worldwide scale. With an importance on patient care and the current prompt growth of technology, Nursing Informaticists are more important than ever before.
References
How Nursing Informatics Improves Patient Care. (2020c, May 06). Retrieved September 15, 2020, from https://tigerconnect.com/blog/how-nursing-informatics-improves-patient-care/
Informatics in Nursing: Impact and Importance: UIC Online. (2020a, July 20). Retrieved September 14, 2020, from https://healthinformatics.uic.edu/blog/the-impact-of-health-informatics-on-nursing-practice/
Nurse Informaticist: Job Description & Career Info. (2020b, March 31). Retrieved September 14, 2020, from https://www.allnursingschools.com/nursing-informatics/job-description/
Preparing for the Future of Nursing Informatics. (n.d.). Retrieved September 15, 2020, from https://online.norwich.edu/academic-programs/resources/future-of-nursing-informatics
Also Read:
NURS 6051 Discussion: The Application of Data to Problem-Solving
NURS 6051 Assignment: The Nurse Leader as Knowledge Worker
NURS 6051 Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
Discussion Interaction Between Nurse Informaticists NURS 6051
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Nursing is a profession that relies on data collection and interpretation. Subjective and objective data are obtained and analyzed consistently during a nurse’s shift. Nurses must be able to receive the data and then be able to know what to do with it to treat the patients they care for. “The steps of using information, applying knowledge to a problem, and acting with wisdom form the basis of nursing science practice (McGonigle & Mastrian, 2022).”
The nurse who is caring for patients who are detoxing from drugs and alcohol must be able to analyze the data that is collected on their patients. This is especially true with those withdrawing from alcohol, as it could cause a fatal seizure. I work in a behavioral health hospital, and our facility has protocols that direct the collection of data on these patients and assessment of its severity so nurses can intervene. At least every four hours and as needed, behavioral health specialists obtain patient vital signs. They scan their ID badge and the patient’s armband; the information goes directly from the vitals machine to our electronic health record (EHR) system. This information is used as a portion of the withdrawal assessment along with what the patient reports they are experiencing and what the nurse observes. The nurse enters this information into the protocol in the computer, which then assigns a severity score for the symptoms and vital signs. Based on that score, the nurse knows if there is a medication that can be given and how much to give according to parameters that have been outlined by the physicians when the protocol is ordered. These assessment scores are part of the EHR and can easily be accessed to monitor trends in the presentation of the patient’s detox symptoms. From there, the doctor may order additional medications or increase doses to keep the patient safe and comfortable during their detox or decrease them if the patient is improving. Electronic protocols and health records add an extra measure of safety for the patient. The vital signs immediately go into the chart, eliminating data entry errors. Medications are given with a computerized scanning system and charted in the EHR. Utilizing these information systems requires support at the bedside to ensure data is entered correctly so that accurate assessments and interventions can be performed.
Nursing informatics is “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (Sweeney, 2017).” At my hospital, there is a Clinical Informatics nurse on site. Whenever changes are made in the EHR system, she makes her rounds. She completes education with all the staff to ensure everyone understands the rationale and the new way to collect data and document information. There was a recent change from a previously used detox protocol to the CIWA protocol, a widely used, evidence-based tool to assess alcohol withdrawal symptoms. Our informatics nurse was crucial in helping the nurses transition into this new data collection and analysis system. A challenge for nurses in the clinical informatics role is to stay abreast of technological advances, which are always changing and progressing at record speed. “The only way forward is to integrate and embed the new knowledge in electronic patient records using algorithms and decision support systems so that practice remains aligned with new knowledge and insights (Nagle, Sermeus, & Junger, 2017).”
A nurse leader could use clinical reasoning and judgment to form knowledge from this experience regarding staffing assignments. “Knowledge is the awareness and understanding of a set of information and ways that this information can be made useful to support a specific task or arrive at a decision (McGonigle & Mastrian, 2022).” My facility utilizes charge nurses, who take information from the current shift and use it to assign staff for the oncoming shift. The hospital assigns staff based on acuity, so every patient is given a score based on the number of interventions required to be safe and cared for appropriately with their unique needs. With the example of the patient detoxing from alcohol, the charge nurse looks at the EHR and talks to the primary nurse about how severe the withdrawal symptoms are, how many times they needed to be medicated, and how much time was spent on the interventions that are required to be performed for that patient, and then takes that into account when assigning the staff member to care for that patient for the next shift. The charge nurse needs to be sure the oncoming nurse has a balanced workload and can meet the needs of all their patients. Assigning the withdrawing patient to a nurse who is well-versed in the special care these people need would also be advantageous. Nurses are constantly taking in data, interpreting it, and gaining new knowledge, continually changing and evolving as nursing science becomes. It is a great responsibility and necessity to manage this knowledge efficiently.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
*Note: Throughout this program, your fellow students are referred to as colleagues.
My facility uses CERNER, a standardized system for recording assessments, changes in patients’ status, and contact within care areas, as its primary EHR system. Healthcare professionals can enter information about a patient’s state in the system. These are specialized to record care for certain geographic areas. The provision of patient care in all medical sectors, including research, patient care data, clinical specialists, imaging centers, laboratories, medicine, and others, depends heavily on informatics and technologies. The modern, technologically advanced environment of healthcare and hospital information systems enables an increase in the standard of patient care. Technology is evolving in new ways that can enhance data collection. The facility’s central system is connected to IV pumps, glucometers, and other point-of-care devices, which instantly update data on patient statuses.
The profession of nursing informaticist is crucial for keeping up with all the developments in communication and technology. An essential component of providing treatment is the use of informatic nurses. Based on the data gathered, they concentrate on the optimal strategy for achieving the best patient outcomes. Nurse informaticists frequently work on novel treatment plans, management, teaching, research, and clinical workflow reviews (TigerConnect). The practical applications of this modern knowledge and technology are understood by nurses (Cummings &Gundlapali). An increasing number of healthcare professionals are struggling to keep up with the daily changes in technology. Even my coworkers who have been nurses for more than 30 years found modern technology like electronic medical records, new IV pumps, and pyxis pill dispensers to be helpful. To stay informed and capable of keeping up with new technology, workforce participants must pursue continuing education.
Submission and Grading Information
Grading Criteria
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Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 3
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Week 3 Discussion
RE: Discussion – Week 3
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At my current organization, nurse informaticist helps build our electronic medical records. They also help create our documentation system, which is currently Meditech. However, this summer, we are switching over to Epic. Right now, the nurses that work in IT are busy building the system for every department in the hospital from clinics, inpatient, outpatient, respiratory, phlebotomy, etc.
At the present day using Ameritech, nurse informaticist is available to help with problems encountered with the system. Our organization is a smaller hospital, so I feel that the communication between nurse informaticists and providers is appropriate. It is as simple as making a phone call, and they are there to help. They also help providers with data and order entry. Right now, many nurses I work with believe that Ameritech is more “physician” focused and not “nurse” focused. The system is not user-friendly. To make this system more accessible, I think when Meditech has significant updates, nurses in the departments should have a say in how the system is built and more education. According to the American Nurses Association (2018), ample training and guidance need to be available for that particular setting or department.
I also feel that we do so much charting; time is taken away from the patient. Mcgonigle and Mastrain (2018) believe that nurses feel that the caring presence is taken away due to the time it takes to chart. With Epic coming to our organization, rumor has it that the system is nurse friendly and will not take as much time to document, so therefore, more time is spent with patients.
We, as nurses, are essential communicators to providers about what is going on with the patient and their story as described by Glassman (2017). (2017). It is important to partner and communicates with the builders of Meditech and such systems to help improve the flow of the patient’s story.
I believe continued emergence with new technologies into the healthcare system will help communication between healthcare providers. I have been employed with Hays Medical Center for almost ten years and seen many technology changes from paper to electronic charting, cameras in the room to monitor falls, and now cell phones being used by employees to reach each other.
References
Glassman, K. S. (2017, November ). Using data in nursing practice. American Nurse Today, 12, 45-47. Retrieved from https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Data-1030.
Inclusion of Recognized Terminologies Supporting Nursing Practice within Electronic Health Records and Other Health Information Technology Solutions. (2018). Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/
RE: Discussion – Week 3
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Hi D…,
I agree with you that nurses should have a say in how the electronic health system is designed because we as nurses document these systems so much. It should be simple to use for all healthcare professionals who care for patients, not just doctors. “EHR documentation design must achieve a balance that ensures the capture of nursing’s impact on safety, quality, highly reliable care, patient engagement, and satisfaction” (O’Brien, Weaver, Settergren, and Ivory, 2015). Because nurses are the ones who provide direct care to patients, we are constantly documenting. As a result, our contributions should have an impact on the development of electronic health records. Healthcare professionals, particularly nurses and physicians, as well as HIT members, must collaborate to create an electronic system that is functional for healthcare professionals. “Health information technology (HIT) and electronic nursing care documentation have a direct impact on patient safety.” Effective collaboration between nurses and HIT staff is required to optimize patient safety through EHR use” (Lavin, Harper, and Barr, 2015).
I used Meditech at the hospital where I interned during my final semester of undergrad. I wasn’t a fan of Meditech, and I agree that it wasn’t “nursing friendly.” Epic has been in use at my hospital for less than three years. I like Epic, but I believe that this electronic health system requires a lot of documentation. In my opinion, it is very detail oriented. Because nurses are constantly documenting, one feature designed specifically for them is the ‘Required Shift Documentation’ tab. There is a link to a document on pain, fall risk, patient education, care plan note, safety, and assessment under this tab. These are the details that nurses must record for each patient on each shift. In Epic, there are numerous places to document the same thing; therefore, with this feature, I can simply click on the required shift documentation tab and document on these topics rather than searching for all of these separate topics throughout Epic, which can take a few minutes. It makes documentation just a tad easier.
References:
Lavin,M., Harper,E & Barr,N. (2015). Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings. The Online Journal of Issues in Nursing, 20 (2). DOI: 10.3912/OJIN.Vol20No02PPT04
O’Brien,A., Weaver,C., Settergren,T & Ivory,C. (2015). HER Documentation: The Hype and the Hope for Improving Nursing Satisfaction and Quality Outcomes. Nursing Administration Quarterly, 39(4), 333-339.
McGonigle, D., & Mastrain, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning, LLC.
RE: Discussion – Week 3
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At my current organization, nurse informaticist helps build our electronic medical records. They also help create our documentation system, which is currently Meditech. However, this summer, we are switching over to Epic. Right now, the nurses that work in IT are busy building the system for every department in the hospital from clinics, inpatient, outpatient, respiratory, phlebotomy, etc.
At the present day using Ameritech, nurse informaticist is available to help with problems encountered with the system. Our organization is a smaller hospital, so I feel that the communication between nurse informaticists and providers is appropriate. It is as simple as making a phone call, and they are there to help. They also help providers with data and order entry. Right now, many nurses I work with believe that Ameritech is more “physician” focused and not “nurse” focused. The system is not user-friendly. To make this system more accessible, I think when Meditech has significant updates, nurses in the departments should have a say in how the system is built and more education. According to the American Nurses Association (2018), ample training and guidance need to be available for that particular setting or department.
I also feel that we do so much charting; time is taken away from the patient. Mcgonigle and Mastrain (2018) believe that nurses feel that the caring presence is taken away due to the time it takes to chart. With Epic coming to our organization, rumor has it that the system is nurse friendly and will not take as much time to document, so therefore, more time is spent with patients.
We, as nurses, are essential communicators to providers about what is going on with the patient and their story as described by Glassman (2017). It is important to partner and communicates with the builders of Meditech and such systems to help improve the flow of the patient’s story.
I believe continued emergence with new technologies into the healthcare system will help communication between healthcare providers. I have been employed with Hays Medical Center for almost ten years and seen many technology changes from paper to electronic charting, cameras in the room to monitor falls, and now cell phones being used by employees to reach each other.
References
Glassman, K. S. (2017, November ). Using data in nursing practice. American Nurse Today, 12, 45-47. Retrieved from https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf
Inclusion of Recognized Terminologies Supporting Nursing Practice within Electronic Health Records and Other Health Information Technology Solutions. (2018). Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Rec
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