NURS 8210 – Transforming Nursing and Healthcare Through Technology

HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS

In the video, Nursing Informatics Innovators, you are provided an extensive list of 34 nursing informatics innovators. Each of these individuals has been integral in advancing nursing informatics and the field of nursing practice.

Innovators in the field of nursing informatics, led the way in shifting the perception of a nurse as an art of patient care, to the practice of nursing as a science, vested in science, technology, and advancements.

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Nursing informatics innovators facilitated and created major advancements in the field of nursing and ensured the field would be one of advancement, continual change, and scientific innovation. Exploring the work of these innovators is essential in understanding where nursing informatics began, where it is now, and where it continues to go.

For this Discussion, reflect on the role of individual nursing informatics innovators and consider their contributions, the impact of their contributions, and what you might specifically learn from them in your nursing practice. Reflect on how you might apply the knowledge of these innovators to your nursing practice, your education, and your future goals.

BY DAY 3 OF WEEK 1

Post a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.

BY DAY 6 OF WEEK 1

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.

Nursing Informatics

As Sipes (2022) notes, informatics is the study of computational systems storing and returning data. Nursing informatics has, over the years, evolved to become a significant part of the healthcare industry. Nursing informatics, as noted by McBride and Tietze (2022), is an area concerned with combining patient care with technology. The American Medical Informatics Association (2022) identifies several nursing informatics innovators who are pioneers in nursing informatics, where they have mastered expert skills and the use of technology to design, strategize, and coordinate the use of technologies and informatics in nursing.

Selected Nursing Informatics Innovators

The first innovator selected is Patricia Abbott, RN, Ph.D. Dr. Abbot is regarded as one of the pioneers of informatics innovation, obtaining her master’s degree in nursing informatics in 1992 and pursuing a Ph.D. in information systems in 1999. Dr. Abbot is currently an associate professor at the University Of Michigan School Of Nursing, where she focuses on the role of telehealth in promoting disease self-management. Moreover, the researcher emphasizes applying such knowledge to vulnerable communities, such as patients affected by heart failure living in home-based environments. From a leadership perspective, one of Dr. Abbott’s strengths is experimentation, being the first to apply data-mining techniques in the nursing discipline (Shortliffe, 2004). Dr. Abbot used such systems in promoting long-term care, extending data mining and big data concepts in care quality and safety, vital applications that continue shaping informatics and health information technologies (HIT).

The second innovator is Judy Murphy, who has more than 25 years of experience in the field of Nursing Informatics with a specialty in Electronic Health Care Records. Ms. Murphy worked in healthcare in Wisconsin, specifically in Milwaukee, where she oversaw a network of 30 hospitals (AMIA, 2021). She has lectured and published on various topics, such as applying technology in evidence-based practice and using automated clinical documentation and methodologies in system implementation (AMIA, 2021). Ms. Murphy has researched Nursing Informatics systems, their functions, and their features. This has helped nurses monitor work and thought flow related to patient care. Some of the skills explored by Murphy are using standard computer technology such as Wi-Fi, IP, and different devices that improve healthcare delivery (AMIA, 2021). Knowing how systems work can help me as a nurse leader in the future to help the nursing staff do their job better and train them through shared governance.

Contributions and Impact of Innovators on Nursing Practice and Nursing Informatics

The contribution of nursing informaticists has helped shape nursing informatics by creating desirable changes in the quality of healthcare through the proper decision-making and promotion of equity through meeting the needs of populations by meeting the needs of the targeted population (Kalsy et al., 2018). The impact of Patricia Kathleen Abbott’s and Judy Murphy’s innovations in nursing informatics on nursing practice cannot be underestimated. Undeniably, their contributions have improved effectiveness, safety, timeliness, patient-centeredness, and efficiency of care. At the same time, the two innovator’s contributions have improved patients’ access to healthcare services and overall improved quality of care. Similarly, notable impacts are evident in the field of nursing informatics. The two innovator’s contributions have led to the widespread adoption of nursing informatics innovations. Examples of innovations that healthcare organizations have adopted and incorporated through nursing informatics include electronic health records/medical records, e-prescribing, remote patient monitoring, and telehealth. These have led to an array of benefits, including enhanced coordination, healthcare cost reduction, better and more efficient storage of patient records, patient empowerment, improved quality of care and patient outcomes, and improved patient safety.

Lessons Learned from the Innovators’

The primary lesson from Patricia Abbott’s and Judy Murphy’s experiences is that the healthcare and nursing workforce must acquire nursing informatics competencies. These encompass the abilities, skills, and knowledge to perform informatics tasks (American Nurses Association, 2015).

Since nursing informatics innovations have advanced technology and approaches to care in various nursing specialties, it is indispensable that present and future professional nurses become versed in the use of informatics and technology to facilitate critical decision-making for optimal patient care. The skills and ideas demonstrated by the two pioneers would apply to my professional practice because they will enable me to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information.

References

American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators

American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2^nd ed.). American Nurses Association.

Kalsy, M., Lin, J. H., Bray, B. E., & Sward, K. A. (2018). Role of nursing informatics in the automation of pneumonia quality measure data elements. CIN: Computers, Informatics, Nursing, 36(10), 475-483.

McBride, S., & Tietze, M. (2022). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (3^rd ed.). Springer Publishing Company

Sipes, C. (2022). Project management for advanced practice nurse (2^nd. Ed.). Springer Publishing

CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT

“Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research” (Rew et al., 2020).

As you begin working on your small nursing informatics project, consider how this project will plant the seed for your future work (in and out of an educational setting). How might what you do in this course lend itself to what you will need to do in nursing practice on a day-to-day basis? Why might it be important to consider this now versus later in your education or practice?

Throughout this course, you are tasked with implementing, or proposing an implementation, of a small nursing informatics project. This project is steeped in project management concepts to drive your work.

For this Discussion, you will explore why this approach might not only will assist you in this course, but how it might assist you in nursing practice beyond your studies.

_{Reference:

Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. doi:10.1016/j.outlook.2020.01.007}

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE

Review the Learning Resources for this week and reflect on the roles of advanced nursing practice as it relates to project management.
Select one of the roles described in Chapter 8 of the Sipes text to focus on for this Discussion.
Review the article by Rew et al. (2020) and reflect on the steps and processes used by the team described in the article.
How might you use a similar approach for the completion of your DNP doctoral project or dissertation? What project management strategies might be most appropriate for your nursing research?

BY DAY 3 OF WEEK 2

Post a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.

Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.
Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?
Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.

BY DAY 5 OF WEEK 2

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different advanced nursing practice role than you. Expand upon your colleague’s posting or offer an alternative perspective on the alignment between the project management concepts and the advanced nursing practice role described by your colleague.

Case Studies: Professional Role Development

The advanced nursing practice role I selected is a psychiatric mental health nurse practitioner (PMHNP). Major competencies required for this role include clinical expertise, communication, critical thinking and problem-solving skills, interpersonal skills, leadership and management skills, and knowledge of evidence-based practices (Kumar et al., 2020). These competencies are essential to effectively assessing patient health status; diagnosing conditions; developing, implementing, and evaluating plans of care; providing counseling, education, and referral services; managing resources to maximize outcomes; and collaborating with other health professionals.

Project management concepts such as goal setting, task prioritization, timeline development, resource allocation, and risk assessment can be aligned with this advanced nursing practice role (Bakerjian, 2022). For example, a primary care nurse practitioner must set goals and prioritize tasks to facilitate the best patient outcomes. They must also develop a timeline for completing patient assessments and developing plans of care, as well as allocate resources such as time, money, supplies, and personnel to effectively meet their goals. Finally, they must assess risks associated with treatment options and identify strategies to mitigate those risks.

These same concepts and a similar approach can be used for completing a DNP doctoral project or dissertation. Rew et al.’s (2020) steps and processes, as well as the resources on techniques and tools for nursing research, provide an effective framework to guide the development, implementation, and evaluation of the project or dissertation. For example, one could use goal setting to develop a research question or hypothesis and task prioritization to break down complex tasks into smaller, more manageable steps. Additionally, timeline development can be used to create project milestones and deadlines, while resource allocation can help determine the resources needed for the project or dissertation. Lastly, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them (Lamb et al., 2018). Thus, project management concepts are essential for completing a successful DNP doctoral project or dissertation. The processes and techniques that will provide the most guidance to assist with planning and developing a DNP doctoral project or dissertation include setting goals, prioritizing tasks, developing timelines, allocating resources, developing research questions/hypotheses, conducting literature reviews, collecting data, analyzing data and making conclusions. Additionally, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them.

The project management strategies learned as a nurse leader can also be applied to facilitate nursing research or nursing practice for the DNP doctoral project or dissertation. For example, nurses in leadership roles can use goal setting and task prioritization to organize their projects, timelines for completing tasks, resource allocation for personnel and materials needed, and risk assessment to assess potential threats and develop strategies to address them. Additionally, they can use literature reviews to gain an understanding of the current evidence related to their project or dissertation, collect data relevant to their research question or hypothesis, analyze this data, and make conclusions based on the results (Rew et al., 2020). Thus, utilizing project management strategies as a nurse leader can help facilitate nursing research and practice for a successful DNP doctoral project or dissertation.

References

Bakerjian, D. (2022). The advanced practice registered nurse leadership role in nursing homes: Leading efforts toward high quality and safe care. The Nursing Clinics of North America, 57(2), 245–258. https://doi.org/10.1016/j.cnur.2022.02.011

Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275–280. https://doi.org/10.1016/j.apnu.2020.07.022

Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3), 400–413. https://doi.org/10.1002/nop2.150

Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. doi:10.1016/j.outlook.2020.01.007

Week 2: Discussion 2

IMPORTANT TERMINOLOGY AND CONCEPTS

The field of nursing requires an understanding of many terms and concepts. You may find there are some you are familiar with, and you may find you are learning something new every day. How might the exploration of nursing informatics terms and concepts help you improve your practice? What is required to stay up to date with new terminology and concepts in the field? How might you approach the ever-changing landscape of nursing practice as it relates to information technology?

For this Discussion, you will focus on two selected terms to explore their impact on nursing practice. You will also explore barriers and non-functionality related to your selected terms. Consider your specific experience and nursing practice to share with your colleagues.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE

Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.
- Usability
- Interoperability
- Decision Support
- Sustainability
Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.

BY DAY 4 OF WEEK 2

Post and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific. Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms.

BY DAY 6 OF WEEK 2

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected different terms than you. Expand upon your colleague’s posting or offer an alternative perspective on how the terms identified by your colleague may contribute to non-functionality in your practice if not properly aligned.

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Collapse Subdiscussion Telecia Shantee’ Allen Telecia Shantee’ Allen Reply to Comment
Dec 5, 2022 at 5:14am
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Important terminology and Concepts: Usability and Decision Support It is important for nurses to understand how these terms function in order to effectively use technology in their practice. For instance, if nurses are using technology that has poor usability they may be unable to access the information they need quickly and efficiently which could lead to delays in care or errors (Graham et al., 2008). Understanding decision support systems can also help nurses make informed decisions based on evidence rather than intuition alone. This can result in improved patient outcomes (Graham et al., 2008). Understanding how usability and decision support work is important for nurses in order to ensure they are using the most effective technologies when caring for patients. Improper application of these terms can lead to non-functionality which can have serious implications for patient care as well as cost associated with medical errors or delays in care (Cho et al., 2022). Thus, it is imperative that nurses understand these terms so that they can use technology effectively and safely in order provide quality nursing care. In conclusion, understanding the concepts of usability and decision support can help nurses use technology effectively in their practice which can lead to improved patient outcomes. It is important for nurses to be aware of the potential impacts that could arise from improper application of these terms in order to provide the best care possible. By understanding how usability and decision support works, nurses can ensure they are using the most effective technologies and reduce any risk from non-functionality.Cho, H., Keenan, G., Madandola, O. O., Dos Santos, F. C., Macieira, T. G. R., Bjarnadottir, R. I., Priola, K. J. B., & Dunn Lopez, K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. JMIR Human Factors, 9(2), e31758. https://doi.org/10.2196/31758Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. Npj Digital Medicine, 3(1). doi:10.1038/s41746-020-0221-y
Graham, T. A., Kushniruk, A. W., Bullard, M. J., Holroyd, B. R., Meurer, D. P., & Rowe, B. H. (2008). How usability of a web-based clinical decision support system has the potential to contribute to adverse medical events. AMIA … Annual Symposium Proceedings. AMIA Symposium, 2008, 257–261.
References
Usability and decision support can impact care provider’s practice in several ways, such as improvements in patient safety, better decision-making and time saving. The potential impacts of non-functionality that may arise in nursing practice if barriers exist for the proper application of these terms may include increased risk of medical errors, delays in care, or even lack of access to necessary information (Sutton et al., 2020). Thus, it is important for nurses to understand how usability and decision support works so they can use technology effectively and ensure they are providing quality care while also reducing costs associated with medical errors or delays in care.
Barriers to proper application of usability and decision support in nursing practice can lead to non-functionality which could have serious implications for nurses, their patients, and the healthcare system as a whole. For example, if nurses are unable to use technology due to poor usability it can lead to delays in care or errors that can be costly both financially and medically. Additionally, relying solely on intuition rather than evidence-based decision making could increase risks for patients receiving care. This highlights the importance of understanding how these terms function in order for nurses to ensure they are providing quality care while also reducing costs associated with medical errors or delays in care (Sutton et al., 2020).
The two terms that I selected from the list are Usability and Decision Support. Usability is the measure of how easy a system or product is to use and understand. Usability focuses on the user’s experience with a particular product or system (Graham et al., 2008). Decision Support refers to technologies and resources that support an individual’s decision-making processes by providing them with relevant information, advice, visual representations, and other learning materials.
- Collapse Subdiscussion Brittney Pember Brittney Pember Reply to Comment
- Dec 7, 2022 at 8:30am
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- I also chose decision support. I believe this is extremely important and I have been in positions where I have had this and where I have not. deal nurse decision-making is essential to enhanced patient care outcomes. (Cappelletti A, 2014) It creates extreme difficulty when you do not have support of leadership or staff. For example, in my role now I have great decision support and I feel like my day goes easier and effectively I feel me and my team are able to focus on what is important which is the patient. Decision-making in acute care nursing requires an evaluation of many complex factors. While decision-making research in acute care nursing is prevalent, errors in decision-making continue leading to poor patient outcomes. (Bucknall T, 2003)Cappelletti A, Engel JK, Prentice D. Systematic Review of Clinical Judgment and Reasoning in Nursing. Journal of Nursing Education. 2014;53(8):453–458. doi: 10.3928/01484834-20140724-01
- Bucknall T. The clinical landscape of critical care: nurses’ decision-making. Journal of Advanced Nursing. 2003;43(3):310–319
- Response Two
- Collapse Subdiscussion Jennings Ubadi Mekoba Jennings Ubadi Mekoba Reply to Comment
- Dec 8, 2022 at 8:48pm
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- Important Terminology And Concepts Response to Telecia Allen The contemporary healthcare setting presents complex situations that require critical decision-making to guarantee positive health outcomes. Like Allen, I believe hospitals, healthcare leaders, and healthcare professionals need the appropriate decision-support tools to achieve shared objectives and provide optimum care. Sutton et al. (2020) note that computerized clinical decision support tools in the current healthcare systems represent a fundamental paradigm shift that nurses and other healthcare workers should be aware of. Healthcare requires prompt responses, meaning that health practitioners should not only rely on their competencies to make the appropriate decision because they can also leverage the affordances of a clinical decision support tool. Patients should also be notified about such options because the conclusions being reached in whichever case affect their health. Hence, Allen offers essential insight that can be used to inform nurses about the essentiality of decision-support systems in the current health setting. Carayon, P., & Hoonakker, P. (2019). Human factors and usability for Health Information Technology: Old and new challenges. Yearbook of Medical Informatics, 28(01), 071–077. https://doi.org/10.1055/s-0039-1677907
- Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. Npj Digital Medicine, 3(1). https://doi.org/10.1038/s41746-020-0221-y
- References
- Very informative post Telecia. Given the increased technology adoption in healthcare, I agree that usability is critical to safe and quality care. This term defines a broad range of issues due to the increased potential of harm introduced with novel technologies. Lack of proper training and knowledge on the operationalization of health technology can lead to errors or delays, adversely affecting patients’ health outcomes. That can lead to mistakes. For instance, despite electronic health records being significant to effective care delivery, this instrument has to be usable by the targeted users and for its intended purpose. Carayonand Hoonakker (2019) note that while national and global mandates, incentives, and other healthcare policies advocate using novel technologies in care delivery, usability problems continue to be reported as critical impediments to successful integration. Therefore, I agree with Allen that barriers to the proper design of health technology can interfere with the delivery of care, leading to errors and delays.
- Collapse Subdiscussion Nkeiruka C Emechete Nkeiruka C Emechete Reply to Comment
- Dec 9, 2022 at 7:45am
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- Hello Telecia,ReferencesSutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10.
- Kaminski, J. (2020). Theory applied to informatics–Usability. Canadian Journal of Nursing Informatics, 15(4), 9241-11.
- I agree that usability the measure of how easy a system or product is to use and understand. I think usability can be defined as the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use (Kaminski, 2020). Also, I think usability is an important consideration when assessing the utility and user-friendliness when using technology and equipment in health care (Kaminski, 2020). It is true that an understanding of the terms has a significant impact on the effective application in practice. It is also true that decision support impacts nursing practice by providing the most suitable options that guides decision-making by providing reminders and prompts that aid healthcare providers in implementing evidence-based clinical guidelines at the point of care (Sutton et al., 2020). I think usability greatly influences the attitude and usage of a system both by the providers and patients.
- Collapse Subdiscussion Sara Haynes Perry Sara Haynes Perry Reply to Comment
- Dec 10, 2022 at 12:49am
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- Telecia, References
- Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
- I also looked at Usability. Health informatics technology is not my strong suit in nursing I appreciate the challenge, however I have been involved in pilot programs and training to begin new programs. I have respect for this as an older nurse who started with paper chart, prior to computer charting. When I started there was minimal charting on computers. I have enjoyed the change, but also experience the challenges. With usability, the health informatics system is important, however there can be flaws. This is where usability can come into play in the concerns of user error and lack of training or proper programs, Marcilly et al, (2019).
Collapse Subdiscussion Vicky Awken Ngang Vicky Awken Ngang Reply to Comment
Dec 5, 2022 at 5:41am
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Important terminology and Concepts: Usability and InteroperabilityUsabilityInteroperabilityReferencesBiltoft, J., & Finneman, L. (2018). Clinical and financial effects of smart pump–electronic medical record interoperability at a hospital in a regional health system. The Bulletin of the American Society of Hospital Pharmacists, 75(14), 10641068. https://doi.org/10.2146/ajhp161058Links to an external site.Healthcare Information and Management Systems Society. (2022). Interoperability in healthcare. Retrieved from https://www.himss.org/resources/interoperability-healthcare#Part3Links to an external site.
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. NPJ digital medicine, 2(1), 1-5. https://doi.org/10.1038/s41746-019-0158-1Links to an external site.
Interoperability is defined by the Healthcare Information and Management Systems Society (2022) as the ability of different information systems, devices and applications (systems) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries, to provide timely and seamless portability of information and optimize the health of individuals and populations globally. Interoperability enables us to utilize the securely shared data to facilitate care, reduce costs, and improve health outcomes (Lehne et al., 2019). Generally, Interoperability involves bringing together various information sources. When healthcare systems, devices, and applications can share information seamlessly, nurses can make intelligent choices about patient care. Interoperability provides a holistic view as well as valuable insights into making critical healthcare decisions and making the necessary adjustments earlier in the treatment process. Interoperability will enhance efficiency in my nursing practice because it brings together critical patient information, including comorbidities, lab assessments, medical history, and medication history, from diverse sources. This implies that nurses do not have to synthesize patient information independently, instead, they can spend more time meeting patient needs. In support, Biltoft & Finneman (2018) noted that Interoperability frees nurses from the burden of manually documenting patient information, which allows them more time to provide patient care.
Usability is defined as the effectiveness, efficiency, and satisfaction with which individual users can complete tasks within a particular environment (Marcilly, et. al. 2019, P8). Generally, a system with good usability can be described as effective, efficient, and easy to use. The significance of usability is reflected in need to provide quality and efficient care using advanced systems such as Electronic Health Records (EHRs). Usability is also regarded as a critical component of the safe and effective use of health IT. Usability has a significant impact on clinical workflows in practice. Specifically, usability is essential in ensuring that healthcare systems at the practice are easy to navigate and have an intuitive interface design that enables users to work with the tools more efficiently.
With the introduction of computers and health information technology into nursing practices, the way people interact at the workplace has changed tremendously. Therefore, the interaction between humans and computers necessitates the concept of usability and interoperability. The two terms I have chosen for this discussion are usability and interoperability.
- Collapse Subdiscussion Brittney Pember Brittney Pember Reply to Comment
- Dec 6, 2022 at 11:08am
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- Response One American Association of Critical-Care Nurses. AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. 2nd ed. Aliso Viejo, CA: Association of Critical-Care Nurses; 2016.
- Raso R, Fitzpatrick JJ, Masick K, Giordano-Mulligan M, Sweeney CD. Perceptions of authentic nurse leadership and work environment and the pandemic impact for nurse leaders and clinical nurses. J Nurs Adm. 2021;51(5):257–263.
- Usability is also a term I almost chose to define in this assignment. I like this term and feel it is actually one of the most important factors in healthcare. This term applies to tasks and individuals within the work environment. Leaders have always needed to be adaptive and agile; these skills are imperative now more than ever. The global pandemic we’ve been battling for over a year has resulted in the dramatic loss of human lives and an unprecedented impact on healthcare and public health. (Raso R, 2021) Being able to have tasks assigned to the correct people in order to get work and task done in an efficient and effective manner is why this term would be used. As a nurse leader I think understanding these terms especially this one is important in order to correctly understand your staff and give patients the care they need and deserve. This all comes back to quality care in any setting outpatient or inpatient. Leaders are expected to align vision and strategy, engage a workforce, drive for results, hold teams accountable, and celebrate successes. (American Association of Critical-Care Nurses, 2016)
- Collapse Subdiscussion Christian Offor Christian Offor Reply to Comment
- Dec 8, 2022 at 9:34am
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- Vicky, thanks for your post. I agree that usability is an essential aspect of informatics technology that should be ensured. As you mentioned, usability refers to the ability of the program or interface to be effectively used. In the health sector, user-friendly systems allow practitioners to utilize them to aid their services (Vehko et al., 2019). Also, one has to ensure that the systems should nurse decision support, meaning that the system is able to formulate judgments, determination, and actions that can be employed to inform different procedures and activities within the system. In this case, the system with these characteristics will significantly benefit the sector (Teniwut & Hasyim, 2020). However, in an instance where these aspects are not determined effectively, they could thwart the delivery of the services.Teniwut, W., & Hasyim, C. (2020). Decision support system in supply chain: A systematic literature review. Uncertain Supply Chain Management, 8(1), 131-148.
- Vehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., … & Heponiemi, T. (2019). Experienced time pressure and stress: electronic health records usability and information technology competence play a role. BMC
- References
- Collapse Subdiscussion Telecia Shantee’ Allen Telecia Shantee’ Allen Reply to Comment
- Dec 8, 2022 at 8:14pm
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- Great post Vicky, As a result, the lack of interoperability can have detrimental implications on both the quality and cost of healthcare delivery. To address these issues, healthcare organizations must make sure that their systems are properly aligned with those of their partners and that all data is securely shared across providers. By doing so, the exchange of information can be streamlined and patient care improved. Additionally, greater standardization of health technology must be adopted to ensure interoperability between different tools and systems (Bates & Samal, 2018). This will ultimately provide a more unified approach to healthcare delivery, preventing non-functionality in medical practices due to the lack of interoperability. Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. NPJ Digital Medicine, 2, 79. https://doi.org/10.1038/s41746-019-0158-1Links to an external site.
- Bates, D. W., & Samal, L. (2018). Interoperability: What is it, how can we make it work for clinicians, and how should we measure it in the future?. Health Services Research, 53(5), 3270–3277. https://doi.org/10.1111/1475-6773.12852Links to an external site.
- References
- The lack of interoperability in health technology can lead to non-functionality when such technologies are not properly aligned. This is especially problematic for medical practices due to the complex nature of data exchange, as different providers often use incompatible systems and interfaces. Without interoperability, patient records and other important information cannot be shared between providers in a secure manner, leading to errors or delays in care (Lehne et al., 2019). Furthermore, without the ability to easily access and share patient data across different providers, it becomes more difficult for clinicians to coordinate care and provide efficient treatment.
- Collapse Subdiscussion Nkeiruka C Emechete Nkeiruka C Emechete Reply to Comment
- Dec 10, 2022 at 3:18pm
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- Hello Vicky,ReferencesSutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10.
- Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ open, 11(7), e044941.
- Your post was very informative. I agree that usability measures the effectiveness, efficiency, and satisfaction with which individual users can complete tasks within a particular environment. It is true that interoperability enables us to utilize the securely shared data to facilitate care, reduce costs, and improve health outcomes. I think interoperability impacts nursing practice through making sharing of vital patient data efficient, safe and reduces cost of care by facilitating easier access to patient health records such as through EHRs (Li et al., 2021). In addition to increased time spent to meet patient needs, interoperability can lead to compromised patient safety associated with an increased risk for fragmentation of patient data, medication errors and increased cost of care (Li et al., 2021). I think it is also important to note that usability is an important consideration when assessing the utility and user-friendliness when using technology and equipment in health care, and it greatly influences the attitude and usage of a system both by the providers and patients (Kaminski, 2020).
- Collapse Subdiscussion Sara Haynes Perry Sara Haynes Perry
- Dec 10, 2022 at 9:51pm
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- Vicky,References0p.vPowell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site.Links to an external site.. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-care
- Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
- Good evening and thank you for your posting. I also chose these terms, as it seems a fair amount of people in this course did as well. I also feel that usability is important in HIT, as how it is used in relation to HIT can improve safety, efficiency, and quality of care, Marcilly et al, (2019). On the other hand it is important to have a good usability, as if errors occur it can cause problems in patient care and systems. Powell & Alexander, (2019), discuss how interoperability can make it accessible to integrate health information and electronic health records, for which our country’s hospitals are lacking the infrastructure. These terms are both important aspect of health information technology. While our country has come a long way, he have a long way to go yet. We need to continue to make our systems safer and more accurate to increase patient safety and outcomes. Thank you again!

DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1

You will use project management tools and strategies to propose how you would support and potentially implement a small nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define a small informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, plan, and propose how to implement and evaluate a small informatics project that can be completed within a 9-week time frame during this course. This project will be completed in two parts.

TO PREPARE

Continue working with a manager, or consider how you will work with a manager, to finalize a small informatics project for your organization. If time allows based on the type of project, you will also implement and evaluate the outcomes. Each week, you will develop and apply a component needed to complete the project.

BY DAY 7 OF WEEK 5

Continue working on the Scope, Charter, and SWOT Analysis, as assigned thus far. You will add Gap, WBS, Project Timeline in the coming weeks (six tools; 8–9 pages including application and rationale for tools) to be submitted in Week 5.

FOR WEEK 2, CONDUCT A SWOT ANALYSIS.

Project Design: Conduct a SWOT analysis which will provide information for the Scope and Charter. You can use a Word document and insert a table. Directions can be viewed in the video, How to Perform a SWOT Analysis. Some of the content is relevant to both the project for this course as well as organization for your DNP Project or dissertation. Overall, the first step for any project, work, or your DNP Project/dissertation requires a plan: what you will and will not do. That information is defined in a project scope and charter.

You are not required to submit this assignment this week.

BLOG: HOW HAS NURSING INFORMATICS AND TECHNOLOGY IMPACTED YOUR PRACTICE?

It is March 2020, and COVID-19 has resulted in lockdowns and stay-at-home orders nationwide. Patients are fearful to visit healthcare offices and hospitals, for routine care or other illnesses. As a result, virtual technologies are introduced to bridge the gap between healthcare needs and an emerging pandemic. Patients are encouraged to schedule visits virtually and seek care in new ways.

While the impacts of COVID-19 in 2020 were immediate, how might these changes influence the capabilities of healthcare beyond a pandemic? How might these changes become permanent or even facilitate further change and innovation?

For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE

Review the Learning Resources for this week and focus on the article, “How COVID-19 Accelerated the Digital Transformation of Healthcare.”
Reflect on the impacts of the COVID-19 pandemic on healthcare and nursing practice.
Consider your nursing background and professional interests as you view the video.
What potential skills, knowledge, or competencies might you need to develop for your healthcare organization or nursing practice given the impacts of the COVID-19 pandemic?

BY DAY 3 OF WEEK 3

Post a response to your blog describing your own experiences with digital changes and how the COVID-19 has affected your healthcare organization or nursing practice. Address the following:

Summarize how informatics has impacted or changed nursing practice, especially with the effects of the COVID-19 pandemic. Provide an example from your personal or professional experience. Be sure to also include the name of the professional organization you belong to.
Explain how established informatics competencies may influence quality of care, safety improvements, and any other changes since the pandemic for excellence in nursing practice. Be specific. What would you need to do to develop skills, knowledge, and competencies in order to apply the technology?
Describe your informatics strengths and preferences, as well as potential challenges and areas for development.
Do you think the information technology framework discussed in the Ye, et al. (2020) article is applicable in the U.S. to manage COVID and other major pandemics? How much of what is discussed do we currently use?
Describe one strategy for enhancing and updating your project management and informatics skills and competencies. You will reflect on this again in Week 11 and application to the development of your dissertation.

BY DAY 6 OF WEEK 3

Read a selection of your colleagues’ blog posts and respond to at least two of your colleagues on two different days by expanding upon their responses or sharing additional or alternative perspectives.

DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the past 2 weeks.

For Week 3, complete the following:

Create a visual using the Gap Analysis map of the identified gap, documenting the flow from the point of origin to the destination. After watching the YouTube video, “How to do a GAP Analysis” media piece in this week’s Learning Resources, identify the gap and analyze the flow or lack of flow of information as the gap in a process.
Create a Work Breakdown Structure (WBS) using PowerPoint slides or another method. Be sure to review the media piece, What Is a Work Breakdown Structure? in this week’s Learning Resources.
Create a Project Timeline using aGantt chart, which defines who is responsible, due dates to start /finish activities. (You might also use this as you track your dissertation IRB submission for your proposal). You can find an example on pp. 95–96 of the course text, using PowerPoint slides or another method. Be sure to review the Gantt Charts, Simplified media piece in this week’s Learning Resources.

BY DAY 7 OF WEEK 5

These three planning documents will be added to the three design and planning documents from Weeks 1 and 2 (totaling six tools) and kept current/updated as you develop this project.

You are not required to submit this assignment this week.

Note: You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

DEVELOPING A SMALL NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 1 (CONTINUED)

This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the last three weeks.

For Week 4, complete the following:

RACI (responsibility chart) which outlines who will be responsible for which tasks, if working with a team. An example can be found in the Sipes text on pages 102–103.
Communication plan – Include documentation of all communications, status reports, changes made, next steps, especially if others will be responsible for helping you acquire documents such as IRB site documents if applicable. An example can be found in the Sipes text on page 109 and on pages 141–143.
Change management plan – Document all changes as they occur (e.g., meetings moved, revisions of drafts of project, due dates moved due to changes, changes in scope of project, change in team members). An example can be found in the Sipes text on pages 106, 108, 138 and on pages 156–157.
Risk management plan – After viewing the “Risk Analysis How to Analyze Risks on Your Project” media piece in this week’s Learning Resources, document the impact of COVID-19 on current processes and potential for change. Be sure to also document how risk may be mitigated if possible. An example can be found in the Sipes text on pages 103–105.

BY DAY 7 OF WEEK 5

These four planning documents will be added to the six design and planning documents from Weeks 1–4. Please ensure you keep current/updated all documents as you develop this project.

You are not required to submit this assignment this week.

Note: You will need to update your Part 1 submission, incorporating Instructor feedback before the Final Project submission in Week 9.

DEVELOPING A SMALL INFORMATICS PROJECT FOR YOUR ORGANIZATION, PART 2: IMPLEMENTATION

The final summary will include the complete evaluation of the full project and lessons learned—what went well and what needs update and revisions.

This will be a professional scholarly paper using APA 7. Be sure to include a one-half to one-page executive summary.

The scholarly paper will include a minimum of 10 current citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Please note that only primary sources are to be used. Peer-reviewed journal articles should make up the bulk of your references specific page numbers when necessary. Note that an article referred in a book is a secondary source. . Please review the APA Publication Manual (APA; 7th ed.) and in the Walden Writing Center. See also “Policies on Academic IntegrityLinks to an external site..”

The final paper should be 17–20 pages, not including references.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.

Submit the Assignment by Day 7 of Week 9.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

SUBMISSION INFORMATION

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