Feb 23, 2024 NRSE Week 1 Discussion: The Application of Data to Problem-Solving
NRSE Week 1 Discussion: The Application of Data to Problem-Solving
NRSE Week 1 Discussion: The Application of Data to Problem-Solving
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
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Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
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I agree that technology is and will magically help improve efficiency in the health care setting. Many a times, i refer to the QSEN competencies whenever i think about technology and health care. For instance, at the moment technologies such as tele-health, tele-nursing, and tele-medicine as well as remote health monitoring are already in use and are impacting health sciences immensely. For example, as opposed to the traditional use of home-visits to offer ongoing patient education, remote health education and follow-up technologies can be used. In addition, remote health monitors including wearable technologies such as wrist watches can monitor a myriad of physiological variables and relay that information to a care provider in the event of an emergency care need. These are just examples of the current changes in health sciences’ practice that have been orchestrated by the technologies we have. However, can this match up to patient-centered care for example? The rapport, the patient-provider relationship, etc may all be compromised? According to a study, there was reported high quality care with technology.
References
Nwosisi, E., Carl, L. and Nwosisi, C. (2012) “A meta-analysis summary of information technology lack of connectivity and usability in Patient Centered Care,” International Journal of Engineering and Technology, 4(5), pp. 512–517. Available at: https://doi.org/10.7763/ijet.2012.v4.422.
“Weekly assessment of patient symptoms using simple technology translates to higher-quality, patient-centered care” (2021) Default Digital Object Group [Preprint]. Available at: https://doi.org/10.1200/adn.21.200749.
NRSE 6051 Transforming Nursing and Healthcare through Technology
NRSE 6051 Week 2 Assignment: The Nurse Leader as Knowledge Worker
The term “knowledge worker†was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference:
Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
To Prepare:
Review the concepts of informatics as presented in the Resources.
Reflect on the role of a nurse leader as a knowledge worker.
Consider how knowledge may be informed by data that is collected/accessed.
The Assignment:
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
Develop a simple infographic to help explain these concepts.
NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint†presented in the Resources.
Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
By Day 7 of Week 2
Submit your completed Presentation.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)†as the name.
Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment link. You will also be able to “View Rubric†for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)†and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission. NRSE Week 1 Discussion: The Application of Data to Problem-Solving
RE: Discussion – Week 1
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Initial post
I think about how the EMR helps nurses know when the last time a patient had a PRN pain medication, how easy it is to look in the computer to see the doctors’ orders of how often the patient can have the pain reliever and when the last time he had it, all in the same place. Nurses need to be organized when caring for patients, but computer systems in place make it easier for them and safer for the patients. Each nurse has their way of doing things, but the computer systems take out the nurse’s way and ensure each patient gets the same care regardless of who the caregiver is.
Another example is the prescription drug monitoring program (PDMP), an electronic database that tracks controlled substance prescriptions in a state (Prescription Drug Monitoring Programs (PDMPs), 2020, opioid overdose section). With this program in place, it helps the pandemic of the opioid overdose. The PDMP can provide healthcare professionals with timely information about prescribing and a patient’s behavior that contributes to the epidemic of fatalities due to narcotics (Prescription Drug Monitoring Programs (PDMPs), 2020, opioid overdose section). Without this program in place, a patient could go to one doctor, get a narcotic prescribed and filled, to go to another facility to get another narcotic prescribed and filled to be able to abuse the narcotics and potentially overdose. This program is saving lives.
The evolution of nursing informatics has been a significant advancement in patient safety in the healthcare environment. According to McGonigle & Mastrian, The American Nurses Association (ANA) describes nursing informatics as a specialty that incorporates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in the nursing practice (McGonigle & Mastrian, 2017). With the direct utilization of informatics, the healthcare environment has entirely converted into a technological system where the patient’s data is collected and mainstreamed for healthcare professionals to obtain patient information concurrently. Healthcare professionals are able to gain a perspective of the patient’s electronic healthcare records and work collectively to provide a better quality of patient care and safety outcomes.
Information technology enhances healthcare nurses’ various conditions to involve effective communication of patient medical information. Involving clinicians, expeditious access to policy and protocol when necessary, comfort in assembling data, and even gives notice when a task is due. Acquiring an integrated system in one spot allows professional nurses and leaders to examine any issues or problems in the current practice setting and ways it can improve. (Laureate Education, 2018).
References
Laureate Education (Producer). (2018). Health Informatics and Population Health: Trends in
Population Health (Video file). Baltimore, MD: Author.
Prescription Drug Monitoring Programs (PDMPs). (2020, June 10). Center of Disease Control and Prevention (CDC). https://www.cdc.gov/drugoverdose/pdmp/states.html
Mcgonigle, D., & Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.
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
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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
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