Feb 23, 2024 NURS 6050 Application of Data to Problem-Solving
NURS 6050 Application of Data to Problem-Solving
NURS 6050 Application of Data to Problem-Solving
I like your senario and would to emphasize the need for health care staf to learn how to navigate health informatics like EPIC. It is like an acquisition, storage, retrieval and use of health information. Health informatics promotes efficient and effective patient care through the fluid transmittance and retrieval of health care information. The use of technology such as computer systems, software and other technologies promote informatics. A good and simple example of the efficiency and importance of informatics can be seen when considering mail via the post office and emails via computer systems and network.
The delivery of mail using email transmittance allows for the quick, efficient and certain delivery of information. Sending information through the post office takes time, vulnerable to be lost as well as being damaged. The same efficiency is needed in addressing patient Care as patients lives at times will be dependent on the efficient transmittal of information. A patient, for example, that meets in a car accident and requires emergency surgery, would benefit from health informatics as the patient’s medical history is readily retrievable from a health care informatics system that links providers to each other. Imagine calling around for patient information or worst yet, writing letters to request patient information. Antiquated systems can jeopardize patient care and patient safety (Alotaibi and Frederico, 2017).
As the main health care personnel, nurses are charged with the responsibility of operating systems that utilize informatics. In addition, nurses should be able to efficiently and fluently use those systems. It is therefore important that nurses understand the full purpose of informatics as well as to navigate any system in their network that utilizes informatics. This is a critical part of nursing care as it promotes proper nursing care for patients as well as to increase positive outcome for the patients as well. Informatics should also be part of the core curriculum in nursing school because it teaches student nurses how to better care for their patients (Leung et. al., 2015). In addition, this core curriculum should again be reinforced in the clinical setting, as there are nuances to different informatics network systems.
The nurse should be familiar with these nuances so that they can best utilize the system when dealing with health informatics. Nurses understanding and use of informatics should be greater than any other personnel in the clinical setting as the nurse is the main point of contact for patient care. A nurse, for example, may alert the doctor or others of a patient’s pre-existing conditions or allergies thereby preventing any type of accident. The nurse should also be able to properly train other personnel in using health informatics. In training a new on how to use health informatics, it is also important that the nurse possess basic technology skills such as computer skills and understanding how software works. Health informatics is the wave of the future and the nurse should also be at the forefront of this wave as it directly impacts patient care and patient outcome. It has also been shown that hospitals that uses health informatics efficiently, has more positive patient outcomes (Snyder et. al., 2011).
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References:
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on
patient safety. Saudi medical journal, 38(12), 1173–1180.
Snyder, C. F., Wu, A. W., Miller, R. S., Jensen, R. E., Bantug, E. T., & Wolff, A. C.
(2011). The role of informatics in promoting patient-centered care. Cancer journal (Sudbury, Mass.), 17(4), 211–218.
Leung AA, Denham CR, Gandhi TK, Bane A, Churchill WW, Bates DW, et al. A safe
practice standard for barcode technology. J Patient Saf. 2015;11:89–99.
RE: Main Post – Week 1
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Carter-Templeton (2019) describes the crucial role of nursing informatics that uses technology to obtain data that will provide knowledge to improve the clinical processes and clinical judgment, allowing for future innovations to be created. Carter-Templeton (2019) explains that the Alliance for Nursing Informatics (ANI) has plans to transform healthcare through nursing informatics and allowing leadership in the ANI to participate in educational opportunities that allow mentorships for a few years to create members that are skilled in communication, networking, negotiation, leadership, and managing. Conduent Health Healthcare Provider Solutions (2017) has created Midas’s online care management system that outlines data into information used to improve performance.
Conduent Health Healthcare Provider Solutions (2017) gives examples of their abilities, as quality improvement and risk reduction among patients, case management, and reducing central line infections. Conduent Health Healthcare Provider Solutions (2017) expresses that it is the largest provider in business processes services with advanced capabilities in analyzing and processing data that is entered into the program to create interventions that directly affect the problem at hand to decrease any adverse risks that are currently occurring in a specific healthcare facility. Midas provides and creates “an individualized patient care plan worksheet that includes goals, outcomes, and interventions to meet Joint commission” (Conduent Health Healthcare Provider Solutions, 2017, para 8).
Having the potential to be a future nurse leader, the Midas program shows significant value in creating interventions and positive outcomes by analyzing certain events or data listed in the program. Midas can create outcomes, but the ability to comprehend the accurate implementation of the outcomes allows a nurse leader to use clinical reasoning and judgment from experience and knowledge. An example of how data could be collected about current healthcare issues that are arising at an all-time high is the nurse-to-patient ratio since there is a shortage of bedside nurses in the field. Paulson (2018) explains a study and the collected results directly related to nurse-patient ratios through nursing informatics. The hypothetical situation, which soon will not be as speculative considering the nursing shortage sweeping through every hospital, is based on using the Midas program to enter in information for when staffing is not met and how that directly influences patient care.
Paulson (2018) stated that current hospitals staff using hours per patient day algorithm calculated by using the average number of patients in a day multiplied per month days or per year, which is three-hundred and sixty-five days. The hour per patient day does not include patient acuity, meaning the number of nurses remains the same whether the acuity is average or higher than usual. Paulson (2018) expressed that if staffing needs were not met on a unit, mortality of patients increased as well as if the majority of nurses have less than two years’ experience, mortality among patients would increase.
This is an essential topic since many experienced nurses have retired, quit, or moved on to take travel contracts during this pandemic; hospitals are left with new nurses and a lack of nurses to staff the hospitals adequately. Midas would be of great use in any hospital to track and monitor mortality rates caused by a nursing shortage and inexperienced nurses. Through Midas, a nurse leader would use clinical judgment and experience to put forth interventions to reduce mortality in the unit and use other resources to ensure that the unit is staffed accordingly.
References
Carter-Templeton, H., & Sensmeier, J. (2019). The Value and Impact of the Alliance for Nursing Informatics Emerging Leaders Program. CIN: Computers, Informatics, Nursing, 37(12), 612–614. https://doi.org/10.1097/CIN.0000000000000603
Conduent Health Healthcare Provider Solutions . (2017). Midas Health Analytics Solutions Care Management – Improving Patient Safety and Quality Management. Retrieved November 27, 2021, from https://downloads.conduent.com/content/usa/en/brochure/midas-care-management.pdf.
Paulson, R. A. (2018, July). Taking Nurse Staffing . Retrieved November 27, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039374/pdf/numa-49-42.pdf.
NURS 6050 Application of Data to Problem-Solving
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.
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.
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.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
Telephone triage
The phone rings on a busy Saturday afternoon and the pleasant voice of a registered nurse answers professionally, greeting the caller seeking advice and care. This could be a day for a typical for an ambulatory telephone triage nurse. The concept of telephone triage and consultation can be one of a registered nurse using evidence-based algorithms from electronic databases. The nurses, like most nurses, working in a progressive health care industry are using technology to counsel patients. According to McGonigue & Mastrian, (2022), “For information to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure.” p.9.
This information could be valuable to many leaders in the healthcare team. Accessibility would be easiest in form of electronic records and telephone recordings. McGonigue & Mastrian (2022), argue, “Computer science offers extremely valuable tools that when used skillfully, can facilitate the acquisition and manipulation of data and information by nurses, who then can synthesize the data into an evolving knowledge and wisdom base ”p. 35).
Accurate and timely information could be an interest in nursing quality and control. One argument on how telephone triage could be cost-effective is that paying nurses to man the phone lines is cheaper than using inappropriate resources such as the emergency room to care that can be directed elsewhere. Flexibility, reliability, simple, verifiable and secure would require a more in-depth look into the nature of telephone triage and program development within a system, but the concept of triage nursing seems to be malleable to the interest of how the data would be used.
An additional source of centralized evidence-based algorithm software program could also be used and from my research is being used in assisting the nurses to effectively triage the caller and ensure best practice standards. Documentation done by triage nurses would have data from the callers that are subjective and objective, the nursing assessment, and recommendations based on the call.
From this data collection, multiple departments within healthcare could use this or would have an interest in this data collection. Intradisciplinary teams have an opportunity to look at how to retrieve data from electronic retrieval of health records or from recorded lines if those are being used. An ambulatory nurse manager might be interested in using the data as a system educator of staff development and improvement strategy to support the training needs within their triage staff.
A quality nurse might want to use this data to help in creating of protocol development and safety improvements for effective triage and outcomes. Ambulatory providers could use data to see the patient population’s interests and barriers to care and from there use it to modify their practices. Health information technology departments within health care organizations could be supportive of this nursing department in implementing programs in making documentation more time efficient and detailed. Nursing leadership could use this as a cost-effective strategy.
All departments could build off one another and become temporary team members to gain knowledge and benefit in patient care and satisfaction. Emerging roles could be created as, “Teams are working across boundaries of organizations and will be organized around a particular patient.” (Nagale et al, 2017, p. 215). Within most healthcare systems the mission and visions of these organizations are built on patient outcomes and patient centered care. An informatics nurse specialist could support patients, nurses, providers, and leaders with the interpretation of data analytics and therefore participate in applying new knowledge from data to wisdom. (Nauright et al., 1999)
This hypothetical scenario of a nurse working at a telephone triage call center would benefit immensely from data access, problem-solving and the process of knowledge formation. In a real-time, scenario, I could see how this could impact patient care and outcomes on a global level and be a perfect role for a nurse informatics specialist to pilot.
References
Nauright,L.P.,Moneyham,L.& Williamson,J.1999. Telephone triage and consultation: An emerging role
for nurses,Nursing Outlook, 47(5) , 219-226.https://doi.org/10.1016/S0029-6554(99)90054-4.
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist Links to an external site. Links to an external site.. In J. Murphy, W. Goosen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221).
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
By Day 6 of Week 1
Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 1
To participate in this Discussion:
Week 1 Discussion
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Content
Name: NURS_5051_Module01_Week02_Assignment_Rubric
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Excellent Good Fair Poor
Develop a 5- to 6-slide PowerPoint presentation that addresses the following:
Explain the concept of a knowledge worker.
· Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
Points Range: 32 (32%) – 35 (35%)
The presentation clearly and accurately explains the concept of a knowledge worker.
NURS 6050 Application of Data to Problem-Solving
The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.
Includes: 3 or more peer-reviewed sources and 2 or more course resources.
Points Range: 28 (28%) – 31 (31%)
The presentation explains the concept of a knowledge worker.
The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.
Includes: 2 peer-reviewed sources and 2 course resources.
Points Range: 25 (25%) – 27 (27%)
The presentation inaccurately or vaguely explains the concept of a knowledge worker.
The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.
Includes: 1 peer-reviewed sources and 1 course resources.
Points Range: 0 (0%) – 24 (24%)
The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing.
The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.
Includes: 1 or fewer resources.
· Develop a simple infographic to help explain these concepts.
Points Range: 14 (14%) – 15 (15%)
The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.
Points Range: 12 (12%) – 13 (13%)
The presentation provides an infographic that helps explain the concepts related to the presentation.
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Points Range: 11 (11%) – 11 (11%)
The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.
Points Range: 0 (0%) – 10 (10%)
The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.
· Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.
Points Range: 32 (32%) – 35 (35%)
The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.
Points Range: 28 (28%) – 31 (31%)
The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.
Points Range: 25 (25%) – 27 (27%)
The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.
Points Range: 0 (0%) – 24 (24%)
The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module01_Week02_Assignment_Rubric
RE: Discussion – Week 1
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As a Psych nurse, I feel that there is a significant disconnect between the physical duties of nursing and the documentation process. Many times, documentation feels useless and unproductive. An example where I found data has been collected and assessed that could have made a difference is in suicide prevention.
On two occasions, I have witnessed patients successfully commit suicide in the hospital. After talking to other staff who had direct contact with these individuals within the days leading, I found two things in common. Both patients were eating and sleeping much less than usual. Ironically, in this facility, we count sleep hours each night and the percent of food consumed. However, these numbers are not available in any assessment to help predict someone for risk of suicide. Instead, the way that we detect a patient’s suicidality is to do a suicide risk assessment. A suicide risk assessment is composed of questions like; Have you ever tried to kill yourself or attempted suicide? Do you have a plan to end your life? Have you made any preparations? (Dueweke, 2018). In an inpatient psychiatric facility, we ask patients these series of questions two times a day for the entire duration of their stay. According to Bolster (2015), the suicide risk assessments were inconclusive in determining the patient’s willingness to commit suicide.
I believe informatics could play a role in this situation by integrating the information from the patient’s assessments. The assessments we fill out as nurses could contain more potency if they were integrated and analyzed through a much larger algorithm better to determine our patient’s mental/physical health. For instance, sleep hours, food intake, body weight changes, medication compliance, PRN requests, suicide risk assessment, and mental status exam scoring could show potential trajectories that a patient’s health could take. These hypothetical trajectories could be shown on an interface as red flags and alerts.
With this data integration, a nurse leader would be more informed on the patient’s overall health. The nurse leader would have access to more information on the patient allowing them to make better decisions on patient care. Had there been an algorithm to detect those patients’ mental health decline, we would have had a better chance of stopping them from taking their own lives.
References
Bolster, C., Holliday, C., Oneal, G., Shaw, M., (2015) “Suicide Assessment and Nurses: What Does the Evidence Show?” OJIN: The Online Journal of Issues in Nursing Vol. 20, No. 1, Manuscript 2.
Dueweke, A. R., & Bridges, A. J. (2018). Suicide Interventions in Primary Care: A Selective Review of the Evidence. Families, Systems, & Health. Advance online publication.http://dx.doi.org/10.1037/fsh000034
In health care, informatics has become a necessary resource for effectively accomplishing the goal of caring for patients. So the question remains what informatics in
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