NURS 5051 Transforming Nursing and Healthcare Through Technology Essay

NURS 5051 week 1 Transforming Nursing and Healthcare Through Technology Essay

NURS 5051/6051: Transforming Nursing and Healthcare Through Information Technology Introduction Resources Discussion Week in Review ☰ Menu× NURS 5051/6051: Transforming Nursing and Healthcare Through Information Technology Back to Blackboard Syllabus Course Calendar Course Overview Course Information Resource List Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Student Support Walden Links Guidelines and Policies Back to Blackboard Help Currently Reading Introduction Resources Discussion Week in Review Week 1: Nursing Informatics and Patient SafetyIn 2011, Mason General Hospital was named by Hospitals & Health Networks magazine as one of the “Most Wired” hospitals in the United States. What makes this particularly significant is that Mason General is a small, 25-bed, rural hospital in the state of Washington. It credits its success to nurse Eileen Branscome, director of clinical informatics. Under her leadership, the hospital adopted such innovations as visual smart boards where real-time patient information is always available. NURS 5051 Transforming Nursing and Healthcare Through Technology Essay According to the magazine, those hospitals designated as “Most Wired” “show better outcomes in patient satisfaction, risk-adjusted mortality rates, and other key quality measures through the use of information technology (IT)” (Mason General Hospital and Family of Clinics, 2012).Developments in information technology have enabled patients and health care providers to collaborate for quality improvement at an unprecedented level, and nurses have consistently been at the forefront of these efforts. This week you focus on the IOM report “To Err Is Human” and consider how health information technology has helped to address the issues of patient safety and quality health care.References:Weinstock, M., & Hoppszallern, S. (2011). Health care’s most wired 2011. Hospitals & Health Network Magazine, 85(7), 26–37. Mason General Hospital and Family of Clinics. (2012). MGH&FC named most wired – Again! Retrieved from http://www.masongeneral.com/most_wired.htmlLearning ObjectivesStudents will:Analyze the utilization of health information technology to address issues raised in the IOM report “To Err Is Human”Assess the role of informatics in improving health care safetyPhoto Credit: Angela Schmidt/iStock/Getty Images Learning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsAmerican Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.“Introduction”This portion of the text introduces nursing informatics and outlines the functions of the scope and standards.McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 1, “Nursing Science and the Foundation of Knowledge”This chapter defines nursing science and details its relation to nursing roles and nursing informatics. The chapter also serves as an introduction to the foundation of knowledge model used throughout the text.Chapter 2, “Introduction to Information, Information Science, and Information Systems”In this chapter, the authors highlight the importance of information systems. The authors specify the qualities that enable information systems to meet the needs of the health care industry.Wakefield, M. K. (2008). The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (Vol. 1, pp. 47–66). Rockville, MD: U. S. Department of Health and Human Services.Pages 1–12These 12 pages highlight the issues raised by the Quality Chasm Series and examine their long-term implications for nursing. The text reviews external drivers of safety and quality, design principles for safe systems, and guidelines for health care redesign.Cipriano, P. F., & Murphy, J. (2011). Nursing informatics. The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 282, 286–289.Retrieved from the Walden Library databases. In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.Plawecki, L. H., & Amrhein, D. W. (2009). Clearing the err. Journal of Gerontological Nursing, 35(11), 26–29.Retrieved from the Walden Library databases. This article presents a summary of the Institute of Medicine report “To Err Is Human: Building a Safer Health System.” The authors provide an overview of what has been accomplished in the decade following the IOM report, focusing in particular on health information technology.Required MediaLaureate Education (Producer). (2012e). Introduction to nursing informatics. Baltimore, MD: Author.NURS 5051 Transforming Nursing and Healthcare Through Technology Essay Note: The approximate length of this media piece is 8 minutes. In this video, Doris Fischer, Richard Rodriguez, Carina Perez, and Carmen Ferrell introduce the concept of nursing informatics. These individuals provide insight into how informatics is transforming the health care system by improving efficiency and quality of care. Optional ResourcesHilts, M. E. (2010). Up from the basement. Health Management Technology, 31(9), 14–15.Retrieved from the Walden Library databases.Institute of Medicine. (1999). To err is human: Building a safer health system. Retrieved from http://iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdfKohn, L. T., Corrigan, J. M., & Donaldson, M.S. (Eds.). (2000). To err is human: Building a safer health system. Washington, D. C.: Institute of Medicine. Retrieved from the National Academies Press website: https://download.nap.edu/catalog.php?record_id=9728 Discussion: The Effects of “To Err Is Human” in Nursing PracticeThe 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.To prepare:Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.Consider the following statement:“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.

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NURS 5051 week 4 Transforming Nursing and Healthcare Through Technology Essay

NURS 6051 Transforming Nursing and Healthcare Through Information TechnologyCurrent Information and Communication Technologies Four Week Technology has an impact on our lives every day, technology seems to advance exponentially these days and healthcare and nursing a big player in the technology evolution. Various technologies toolsMost of the technologies discussed in the video are known to me and have been in place for quitesome time. These technologies such as an electronic bed board do most assuredly streamline theprocess. I work for a large hospital network and all hospitals can access each other’s bed boardsso not only my hospital but others in the network so which enables some us to get direct admitsfrom a different hospital ED if they are unable to handle the volume. Identify a Recent Adopted Information, Education, or Communication Technology ToolUsed in your Specialty AreaOn my unit, we use a bed sensor called EarlySense. These mats placed under the patient’s mattress that connect to a bedside monitor. This system monitors Respiration rate heart hate and has a multi-level bed exit sensor. There is also a turn counter that is used to help prevent pressure ulcers and reposition patients. The system consists of the matt, the bedside monitor, there is also a hallway monitor and another at the nurse’s station. The system uses a color coded and auditory alerting. The parameter can be adjusted and set individually. Also on the hallway and nurses station monitor the nurse assigned to that pat is listed. Reflect on how it is Used and how its Impacts the Quality of CareThis system has some great benefits, the turn counter can be very helpful in a busy shift as a reminder. We still rely on the bed exit alarms and do not use the bed exit sensors on the EarlySense. I have been at this hospital a short time just started in October, so I am unsure if theywere ever used and found to be unhelp, or what the reason we don’t use that feature is. Barriers preventing increased usageSince this is used on my unit but I go little training on the system, and policies surrounding the usage. I recently fond out after the fact that you cannot adjust the parameter settings without clearing it with the responding clinician. This needs to be incorporated into the orientation process which would aid the staff in using this to their full capacity.
ReferencesAmerican Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett LearningStaggers, N., & Thompson, C. B. (2002). The evolution of definitions for nursing informatics: a critical analysis and revised definition. Journal of the American Medical Informatics Association, 9(3), 255-261. Christine Shueld The hospital I work at is a 112 hospital bed with 40 emergency room bed hospital and does not have a neurologist. We get many stroke and stoke symptom patients that walk-in or are brought in by family members. As McGonigle and Mastrian (2015) state, “If there is to be significant improvement in quality and safety outcomes in the country through the use of information technology, the designs for human-technology interfaces must be radically improved so that the technology better fits human and task requirements” (p. 244). In order to treat the stroke and stroke like patients, the hospital has become stroke certified. We created a Paulding Emergency Response Team (PERT), have formulated the response actions to meet timing criteria, and have done many training modules to support and help the stroke patient. One of the very amazing things the hospital as implemented for stoke/neurological symptoms is Specialist On Call (SOC), also called teleNeurology.We have a system in place when we have a patient with stroke like symptoms; we activate the PERT team and have the patient to CT in under 5 minutes with a neurologist on call as soon as the patient gets back to their room when they leave CT. The neurologist via televised conference call,and with the help of the patient’s nurse, examines the pt and confers with the ER doctor on staff to

NURS 5051 week 8 Transforming Nursing and Healthcare Through Technology Essay

NURS 5051/6051: Transforming Nursing and Healthcare Through Information Technology | Week 8
Nurses working in the recovery room at City Hospital received many complaints from patients who were required to void prior to being released. The nurses also questioned this requirement and decided to explore current best practices based on research evidence. Using the hospital’s health information technology, they located current research indicating that City Hospital’s policy was out of date and that research evidence no longer supported this practice. As a result of accessing and utilizing health information technology to locate evidence-based research, new practice guidelines were crafted and adopted.

This week you evaluate evidence available through health information technology and consider how health information technology supports evidence-based practice.

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Learning Objectives

Students will:

Evaluate evidence available through health information technology that lead to improved patient care
Analyze how health information technology supports evidence-based practice
Discussion: Using Health Information Technology as a Source of Evidence-Based Practice
Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

Read the following scenario from the text (McGonigle & Mastrian, 2018, p. 506):
Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.

Consider how the resources identified in the scenario above could influence an organization’s practice.
Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.
By Day 3

Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

Read a selection of your colleagues’ responses. Focus particularly on those questions raised to which you can add comments based on shared experiences or situations. Consider how your colleagues’ postings reflect and/or differ from your own perceptions and opinions. Review the Learning Resources for any clarification needed before responding.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

NURS 5051 week 10 Transforming Nursing and Healthcare Through Technology Essay

NURS 5051/6051: Transforming Nursing and Healthcare Through Information Technology | Week 10
Recent headlines have covered a rash of security breaches at companies around the globe. Millions of customers and clients have had their information stolen by hackers or lost through careless data handling. With the push for switching medical records from paper to digital, people have expressed concerns about the safety and security of this information. How much faith can patients put into a health care provider’s commitment to privacy, ethical standards, and careful protection of health care information?

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The transition to digital communication presents ethical and security issues never before encountered. Despite the concerns generated by the digital paradigm shift, the key values of privacy, confidentiality, autonomy, and non-maleficence still can provide a framework for decision making in the context of health information technology. The question that health care professionals encounter when contemplating HIT is how well these ethical and security frameworks withstand the test of time as privacy and security issues grow more complex.

This week you explore the ethical and security issues that nurses need to be aware of when working with sensitive, private information. You also appraise strategies for ensuring the security of patient information.

Learning Objectives

Students will:

Analyze the responsibility of nurses to protect patient information
Appraise strategies for ensuring the appropriate use of technology that facilitates the security of patient information
Discussion: Security of Health Care Records
With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

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In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
By Day 3

Post an analysis of the nurse’s responsibility to protect patient information and the extent that HIT has made it easier or more difficult to protect patient privacy. Comment on any security or ethical issues related to the use of portable devices to store information. Assess the strategies your organization uses to safeguard patient information and how these promote a culture of safety. Describe an area where improvement is needed and one strategy that could address the situation.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.NURS 5051 Transforming Nursing and Healthcare Through Technology Essay