Feb 23, 2024 NURS 6050 DQ Interaction Between Nurse Informaticists and Other Specialists
NURS 6050 DQ Interaction Between Nurse Informaticists and Other Specialists
NURS 6050 DQ Interaction Between Nurse Informaticists and Other Specialists
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In many health care organizations, nurse informaticists work behind the front line staff to ensure eradication of needless work, enhance accuracy, and foster meaningful data analysis to assist the front line nurses to improve quality care to patients. According to the American Nurses Association (ANA), nursing informatics connotes a specialty that focuses on pursuing ways to enhance communication and information management in nursing. The specialty incorporates nursing science, information science, and computer science to control and communicate information, data, and knowledge in nursing practice (Sweeney, 2017).
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Therefore, nurse informaticists operate by enabling the incorporation of information, data, and knowledge to offer support to the clinicians and patients in making informed decisions in every role and settings. This support is achieved by utilizing information processes, structures, and technology. Based on this backdrop, this paper seeks to explore the interaction between nurse informaticists and other specialists in health care settings.
According to McGonigle and Mastrian (2017), the success of nursing practice mainly depends on collaboration with other health care professionals. Therefore, it is imperative for nurse informaticists to work together with other specialists in health care settings to facilitate seamless flow in the service delivery. As a result, the flawless service delivery leads to improved quality of care and eventually ensures positive patient outcomes. Immediately from the time a patient comes to the health care setting, the patient is first received by a receptionist who is an expert in medical health record. The receptionist then directs the patient to the right health care provider after retrieving the patient’s medical records.
Consequently, the patient is directed to the triage where the patient’s medical need is prioritized based on the urgency or importance. It is at this point that other important medical issues such as blood pressure, sugar level, or BMI are assessed before presenting the patient to the right physician. Nurse informaticists help in this process by documenting the results of assessment in the patient electronic health file and in cases where the organization have automated system, the results of assessment are channeled directly to the physician who is responsible for the patient. After the physician is done examining the patient, they will make recommendations on what is to be done to the patient. Here, the nurse can take over again to fulfill the physician’s recommendations such medication prescription, wound dressing, or patient admission.
Moreover, in the course of health care delivery, health care professionals often write notes on the patients’ chart as the primary form of communicate. In turn, nurse informaticists have the potential to improve this interaction by enhancing the speed, accuracy, and timeliness of patient charting. As a result, health care providers are better positioned to make informed decisions about patient care given current information that entails complete patient (Schachner et al., 2016). Moreover, health care providers work together with nurse informaticists and other IT teams to devise ways to ease and improve documentation through sophisticated computer and information technologies.
Instead of taking much time to manually write notes into the patients’ chart, nurse informaticists fosters the documentation of patient records efficiently and quickly through an array of devices such as handheld devices, voice recognition, computers among other tools. Taken together, the aim of nursing informatics is to develop and apply systems with capability to enhance accurate documentation, foster examination of clinical data, and eradicate needless work. Therefore, nurses accomplish this aim by engaging in expertise team work with health care specialists to provide services in the appropriate way.
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Concerning the strategies to improve the interactions between nurse informaticists and other specialists, it is imperative to improve the capacity of technology to create desirable outcomes. If the technology is seamlessly implemented, the clinical processes will speed up leading to eradication in pointless delays that often reduce quality care, increase cost of care, and leading to loss of life.
For instance, when a patient visits the facility, effective electronic transmission of patient information right from the reception to the triage to the physician’s room is crucial in eradication of undue delays and consequently eases delivery of services, reduction of health care costs, and increases the satisfaction of professionals and patients’ satisfaction and health outcomes (Macieria et al., 2017). Moreover, the interactions might be improved by ensuring education and professional development. This strategy involves teaching the end users to utilize a device or applications to provide continuous education to the next generation of nurses and other health care providers on the meaningful use of the technology (Sewell, 2018).
Fundamentally, the nursing informatics has contributed to great impacts in the health care industry and it is likely that it will lead to significant impact in future. Therefore, with the ever-evolving nursing informatics as a specialty, it is probable that future professional interactions will be more efficient as much manual work in the health care organizations will be abolished (Wang, Kung & Byrd, 2018). As a result, the health care processes will be implemented with minimal time with required quality. Moreover, the collaborative interactions among professionals will increase leading to high quality of care, productivity, and reduced health care costs.
Conclusion
As nursing informatics and new technologies continue to emerge and utilized in health care, it is imperative for all stakeholders in the health care sector should strive to remain technologically informed to ensure reduced challenges and streamlined care. Remaining abreast to technological changes is critical in ensuring safe and effective patient care.
References
Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Sewell, J. (2018). Informatics and Nursing. Lippincott Williams & Wilkins.
Schachner, M. B., González, Z. A., Sommer, J. A., Recondo, F. J., Gassino, F. D., Luna, D. R., & Benítez, S. E. (2016, July). Computerization of a Nursing Chart According to the Nursing Process. In Nursing Informatics (pp. 133-137).
Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21, 4-1.
Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
I enjoyed reading your post. I believe that Nursing Informatics has the potential to improve patient safety by monitoring the effectiveness of patient safety interventions. It helps reduce medication errors, reduce adverse drug reactions, and improve compliance to practice guidelines. Nursing informatics professionals are, first and foremost patient advocates. Patient safety is their number one priority, and they work with diverse group of stakeholders across the care continuum to bridge the gap between clinical and technical perspectives. This field has helped drive healthcare’s application of technologies such as Electronical Medical Records and computerized provider order entry.
Nursing informatics are responsible for developing and implementing advanced nursing information systems and technology, as well as process and procedures that support care coordination, quality improvement initiatives and evidence-based practice and optimal outcomes. Nursing informatics meters can help improve patient safety by providing nurses with the tools to identify and manage risks. For example, if a patient’s vital signs are not stable, this may indicate patient is in danger of developing a serious health complication. Nurses can use nursing informatics sponsor tools to monitor vital signs, patient safety plans and track progress towards patient safety goals.
References:
https://soteradigitalhealth.com/blog/how-can-nursing-informatics-help-with-patient-safety?hs_amp=trueLinks to an external site.
A collaborative approach is essential for the nursing profession to thrive. Along with nursing informatics and technology specialists, nurses must provide a smooth service delivery process to assure higher quality in service delivery (McGonigle & Mastrian, 2021, p. 151). For example, the receptionist, who is also an expert in medical records, greets patients when they arrive at the medical facility and guides them on where to go after gathering their information. The patient is then directed to triage, which is the most crucial stage for them because a nurse’s examination will reveal a number of difficulties, including the urgency of the patient’s condition.
Prior to a patient seeing a doctor, other concerns like vital signs, lab results, and blood sugar levels are crucial and are tracked during the triage process. If the system is automated, the test findings will be transmitted immediately to the doctor of the day or maybe noted in the patient file. After examining the patient, the attending physician or clinical officer suggests either medicine, more testing, or ward admission. The nurse may retake control if the patient is admitted or if the doctor instructs the nurse to dress a wound. This is typically the daily routine that patients follow, and to provide services in the most effective manner, the nurse and other experts must work together expertly.
When considering a plan for improving these interactions, technology is helpful since its proper application may speed up the procedures and reduce the needless delays that could raise costs or even cause the worst cases of loss of life (Macieria et al., 2017). Effective online patient information transfer will save delays from the time of admission through triage and into the doctor’s office, resulting in a smoother delivery of services, patient and healthcare professional satisfaction, and cost savings.
Nursing prospects appear more promising due to the continued development of nursing informatics as a specialty. The majority of manual tasks are being eliminated, and collaborative interactions are being improved. These changes will lead to higher quality, increased productivity, and eventually lower costs (Wang, Kung & Byrd, 2018). In addition, with the help of innovative technology, professional interaction is certain to reach a new level where processes will be carried out quickly and with the desired level of quality, leading to an overall improvement in service delivery within health institutions.
A collaborative approach is essential for the nursing profession to thrive. Along with nursing informatics and technology specialists, nurses must provide a smooth service delivery process to assure higher quality in service delivery (McGonigle & Mastrian, 2021, p. 151). For example, the receptionist, who is also an expert in medical records, greets patients when they arrive at the medical facility and guides them on where to go after gathering their information. The patient is then directed to triage, which is the most crucial stage for them because a nurse’s examination will reveal a number of difficulties, including the urgency of the patient’s condition.
Prior to a patient seeing a doctor, other concerns like vital signs, lab results, and blood sugar levels are crucial and are tracked during the triage process. If the system is automated, the test findings will be transmitted immediately to the doctor of the day or maybe noted in the patient file. After examining the patient, the attending physician or clinical officer suggests either medicine, more testing, or ward admission. The nurse may retake control if the patient is admitted or if the doctor instructs the nurse to dress a wound. This is typically the daily routine that patients follow, and to provide services in the most effective manner, the nurse and other experts must work together expertly.
When considering a plan for improving these interactions, technology is helpful since its proper application may speed up the procedures and reduce the needless delays that could raise costs or even cause the worst cases of loss of life (Macieria et al., 2017). Effective online patient information transfer will save delays from the time of admission through triage and into the doctor’s office, resulting in a smoother delivery of services, patient and healthcare professional satisfaction, and cost savings.
Nursing prospects appear more promising due to the continued development of nursing informatics as a specialty. The majority of manual tasks are being eliminated, and collaborative interactions are being improved. These changes will lead to higher quality, increased productivity, and eventually lower costs (Wang, Kung & Byrd, 2018). In addition, with the help of innovative technology, professional interaction is certain to reach a new level where processes will be carried out quickly and with the desired level of quality, leading to an overall improvement in service delivery within health institutions.
Description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization.
As we adjust to this age of Big Data, it is essential to understand its impact on patient care decisions and health outcomes as it relates to the individual and the system. Information/ data has the propensity to affect “productivity, efficiency, performance, effectiveness, cost, and the value of nursing care (Mosier et al., 2019). Not long ago, paper charting was the gold standard for medical documentation, while faxing was how we shared patient information. Today, at the dawn of the 21st century, we have and continue to utilize novel technologies in nursing practice, which enhances safe patient care and health outcomes.
Nurses must learn to use many EMR systems (Meditech, Cerner, EPIC, Allscripts, Sorian…) to provide safe patient care. Working at one of the epicenters (New York) during the pandemic’s peak, a homeless gentleman with mental health disorder was admitted for COVID. Although he tested negative, he was admitted because of his presenting symptoms (difficulty breathing, fever, tachycardia, hypotension, generalized joint aches and pains, and recent prescription for olumiant…) and the assumption that he most likely has COVID because of his housing status. This gentleman reeked of marijuana and tobacco, and communication was difficult as he was alert and oriented to self and place only. What was most difficult was our inability to access his history.
EPIC was recently launched hospital-wide at this specific New York hospital, and a few new add-ons to the system were made right when the pandemic started. Unfortunately, only a handful of those in management was trained as super users. Nurse informaticists are nurse leaders who solve digital nursing problems to help improve patient care and safety, decrease costs, and support bedside nurses in understanding the application of machine learning and its utilization (Kwiatkoski, 2021). The unit coordinator -a super user-was able to locate and access ‘Care Everywhere’ in EPIC for the doctor and nurse assigned. Upon accessing the patient’s outside hospital records, he had a history of asthma, RA, recurrent bronchitis, poor medication compliance, etc.
We also learned that this patient often seeks care at free clinics whose documentation systems are largely paper charting and lacks electronic communications with health centers, clinics, or hospitals. Most of the patient’s scanned information was illegible; hence, the care plan was created based on stored information and real-time data. Of importance is that some of the patient’s medical records were not transferred from the old operating electronic system (Sorian). The need for interoperability of the EMR systems among healthcare facilities and interdisciplinary team members is vital to providing safe patient care. Functional, structural, and semantic interoperability with disparate terminologies is needed to effectively share data and information for nursing practice (McGonigle & Mastrian, 2022). Also, as noted by the ONC, “consistently representing electronic health information across different stakeholders and systems with shared philosophies and social meaning is the bedrock of successful organizational interoperability…health information shared between health IT systems must be consistent and machine-readable so that the meaning and integrity of information is retained as a variety of users interact with it (McGonigle & Mastrian, 2022, p. 209).
Strategy Suggestion
A strategy for improving system communication is employing a system that creates a streamlined medium of data sharing and communication with other healthcare providers in the community setting, such as mobile and free clinics. Doing so creates and improves access to accurate, updated information- a vital knowledge to guide care decision-making. For example, EPIC EMR and Cerner are the two leading EMR systems most hospitals use. Therefore, it would be prudent to establish a data communication system like Carequality for health information sharing. Carequality is an EPIC interoperable EHR system that helps healthcare providers exchange patient information via various EHR systems (Epic, n.d). For this to be achieved, IT systems must utilize disparate terminologies to exchange data seamlessly and populate the data into the appropriate fields (McGonigle & Mastrian, 2022).
To add also is the EpicCare Link and Community Connect program that does not require one to purchase an EPIC system. Instead, one only needs to create login information that will allow him/her to communicate and share patient health information with any health system via a national information exchange network (Epic, n.d). With the rapid pace of technological advancement, health information sharing among health systems will soon become as easy as a patient’s use of MyChart-a robust patient and provider health information communication medium.
Impact
Healthcare is becoming more digital, so the future of nursing care will inevitably shift from human interaction to digital interaction on a larger scale. According to McGonigle & Mastrian (2022), “virtual reality, augmented reality, 3D printing, nanotechnology, sensor technologies, AI, and robots are but a few of the technologies that will impact nursing practice in the future” (p. 606). These technological tools will require nurse leaders’ input for education and development to support and guide nursing care. Technology continues to help advance the nursing profession, from robotic surgeries to telehealth and virtual care. It is just a matter of when before the need for nurse informaticists became a global demand.
Nurse informaticists are central to the use of technology in this technology-driven health industry. Advancement in technology only “allows nurses to know their patients, provides care efficiency such as performing routine tasks…nurses will remain integral to health care by virtue of their ethical, caring, and advocacy functions” (McGonigle & Mastrian, 2022, p. 607). Nursing informatics innovates and optimizes technology use and workflow; it is the “bridge to bringing advanced technology to nurses’ daily work and streamlining documentation” (Kwiatkoski, 2021). Nursing informatics will continue to expand and improve evidence-based practice (EBP).
Trying to get staff comfortable with a new system can be challenging, communication and education or training in this situation is critical to a successful transition.With proper comprehensive training prior to implementation and ensuring the staff of the benefits of using the new system before going live can alleviate some of the future impediments .
One of the biggest problems faced by Informaticist while deploying a new EMR system is getting staff to learn how to they can use the System to its full capabilities. Staff members can discover methods to use outdated systems or to not efficiently use the new EHR system, even if a practice has “installed” one. When reluctant staff members choose to chart manually rather than electronically, it doubles the effort required because they must later enter the electronic record to chart what was written down. Increasing organizational efficiency is one rationale for putting in place a system like this, but when it’s not used correctly, it negates the objective and leads to double work. Getting employees to use the new System was one of our biggest challenges throughout implementation.
The data that we are able to obtain through the electronic system can allow hospital systems to not only get a better picture of what is going on with the patients individually, but it also helps to see what is going on with the hospital and what improvements we can make on the administrative level to continually improve the hospital which will help improve overall care for the patient.
References
Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders: Protocol for a scoping review. BMJ Open, 7(12), e018855. https://doi.org/10.1136/bmjopen-2017-018855
Links to an external site.
Medical quality management: Theory and practice (3rd ed., 2021). (2020). Springer.
Tim Scott; Thomas Rundall; Thomas Vogt; John Hsu & . (2018). Implementing an electronic medical record system (1st ed.). Taylor & Francis.
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Program DesignIn a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions.
· Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program?· Who is your target population?
· What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
· What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
41 (41%) – 45 (45%)Response provides a clear and complete summary of the healthcare program, including an accurate and detailed description of the costs and projected outcomes of the program.Response provides a clear and accurate description that fully describes the target population.
Response provides a clear and accurate explanation of the role of the nurse in providing input for the design of the program, including specific examples.
Response provides an accurate and detailed description of the role of the nurse advocate for the target population for the healthcare program selected.
Response provides an accurate and detailed explanation of how the advocate’s role influences design decisions as well as fully explaining impacts to program design.
36 (36%) – 40 (40%)Response provides a summary of the healthcare program, including a description of the costs and project outcomes of the program.Response provides an accurate description of the target population.
Response provides an accurate explanation of the role of the nurse in providing input for the design of the program, including some examples.
Response provides an accurate description of the role of the nurse advocate for the target population for the healthcare program selected.
Response provides an accurate explanation of how the advocate’s role influences design decisions and somewhat explains impacts to program design.
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