NURS-6051N Week 1: Discussion THE APPLICATION OF DATA TO PROBLEM-SOLVING

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?

According to Walden University (2018) informatics blends technology and information otherwise known as data, that we can use to impact our nursing care (Walden University, 2018). Nurses use their acquired knowledge to collect and assess data that will come from subjective information and objective information while using technology to gather information (McGonigle & Mastrian, 2022) NURS-6051N Week 1: Discussion THE APPLICATION OF DATA TO PROBLEM-SOLVING.  

At my current place of employment data is being collected regarding our telehealth usage via two different platforms. Currently, we can utilize telehealth through MyAspirus accounts that patients must create, or we use a separate platform named doxylink that is emailed to the patient. Aspirus would like to integrate into one platform through EPIC and increase usage of MyAspirus accounts. Aspirus has initiated telehealth via EPIC by sending an email link directly from the patients account to their corresponding email and want to eliminate doxylink. Our clinic is collecting data to show that we need to have a backup option outside of EPIC. Some of the data in this collection is how many patients a provider is seeing that day, any technical issues faced with only using EPIC and the email link from EPIC vs. Doxylink, the resolution, timeframe spent on resolving issues if resolved, and patient E number (their identification).  

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McGonigle & Mastrian (2022) state that we would then use this data and transform it into useful information (McGonigle & Mastrian, 2022). In this case, our hopes are that nurse leaders would use this knowledge to advocate for keeping a backup system for our telehealth patients NURS-6051N Week 1: Discussion THE APPLICATION OF DATA TO PROBLEM-SOLVING. Or it could have the opposite effect and Aspirus and other nurse leaders will look at our data and determine that they have further work to do on the technology side of things, so we do not have all these issues. Nagle et al (2017) claims that “by 2018, 22 million households will use virtual care solutions” (Nagle et al, 2017, p. 212). This data can prove useful for improving the technology we use for telehealth. The American Hospital Association (2022) states that telehealth or virtual care is improving healthcare value, affordability, and “saving patients time money, reduces patient transfers, emergency department and urgent care center visits, and delivers savings to payers” (AHA, 2022).  

References: 

AHA. (2022). Fact Sheet: Telehealth. Retrieved November 28, 2022 from https://www.aha.org/factsheet/telehealthLinks to an external site. 

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning. 

Nagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Informatics Specialist Links to an external site. Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REFLinks to an external site. 

Walden University. (Producer). (2018). What is Informatics? Baltimore, MD: Author 

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.

Hi XXX,

Telehealth is certainly a great way to reach people that may not have access to care. My own agency relies heavily on telehealth for patient care ( we are an in-home addiction agency) and during Covid there were times when almost all of our visits were telehealth (usually a zoom or google meet meeting).

I live in Maine, and while I am in the southern part of the state (which is more densely populated) there are areas in Northern Maine that are very remote. Telehealth can be a way for individuals who may not have immediate access to get the care they need. McDougal Ronconi et al., (2011) discuss the use of telehealth to provide access to care in rural Vermont to patients that otherwise may not have gotten the mental health care they neededNURS-6051N Week 1: Discussion THE APPLICATION OF DATA TO PROBLEM-SOLVING.

Telehealth communication can also bring expertise to more rural areas. Pal et al (2021) discuss how communication through telehealth technology can give patients in rural areas the benefit of knowledge of more experienced oncology practitioners. Pal et al., (2021) point out that the mortality rate for a person with cancer in a rural area is greater than that for a city dweller. And they show how the use of technology can bring the expertise of a larger city hospital to the rural area.

Since I want to continue to live and work in Maine, the communicative aspect of nursing informatics will be very important.

Responses

McDougal Ronconi, J., Kim, S., Hackel, J., Kelly, L., & Zhang, L. (2022). Implementing

Telemental Health to Improve Access to Mental Health Care in Rural Vermont. Journal for

     Nurse Practitioners, 18(2), 226–231. https://doi.org/10.1016/j.nurpra.2021.10.007

Pal, T., Hull, P. C., Koyama, T., Lammers, P., Martinez, D., McArthy, J., Schremp, E., Tezak, A.,

Washburn, A., Whisenant, J. G., & Friedman, D. L. (2021). Enhancing Cancer care of rural

dwellers through telehealth and engagement (ENCORE): protocol to evaluate effectiveness

of a multi-level telehealth-based intervention to improve rural cancer care delivery. BMC

      Cancer, 21(1), 1–11. https://doi.org/10.1186/s12885-021-08949-4