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Nursing Informatics: Computerized Management Systems Could Increase Quality of Care
A computerized management system refers to the use of hardware and soft ware in the managing process within an organization. Computerized management systems in a community-based health institution can be used in management of the organization and treatment of the patients. The management can use the computerized systems to manage the financials of the patients. Improved financial management will enable the organization to be aware of its debtors and collect money owed to the organization. Improved revenue collection will enable the organization to finance its operations and pay its bills on time. The organization will run efficiently with the adequate management thus improved quality of healthcare.
The medical team can also utilize the computerized management systems to manage patient's information. The patient's personal information can be stored in the medical institutions database to manage the patient's health. The information stored…
Hasman, A., Annual congress of the German Association for Medical Informatics, Biometry and Epidemiology, GMDS 2000, MIE 2000, & Medical Informatics Europe Congress. (2000). Medical Infobahn for Europe: Proceedings of MIE2000 and GMDS2000. Amsterdam [u.a.: IOS Press.
De, B.K. (2006). Public systems management. New Delhi: New Age International (P) Ltd., Publishers.
Schiller, M.R., Miller-Kovach, K., & Miller, M.A. (1994). Total quality management for hospital nutrition services. Gaithersburg, Md: Aspen Publishers.
Singh, S.R. (2007). Information system management. New Delhi: APH Publishing.
Annotated bibliography: Nursing informatics
Shaw, Ryan & Jeffrey Ferranti. (2011). Patient-provided internet portals: Patient outcomes and use. IN: omputers, Informatics, Nursing, 29 (12): 714 -- 718.
Keeping accurate electronic records on patients has become an important goal of our nation's health system. Electronic records encourage the free flow of information between providers, enhancing accuracy and efficiency of medical care. However, the Internet can also be used to improve patient care by enhancing the flow of information between patients and healthcare providers. This article studies patient-provider Internet portals, interactive Web sites where patients can transmit information to healthcare providers as well as access their own records and services. The article specifically studies the impact of the use of such a portal on patients with diabetes. Portal use was a statistically significant predictor of glycosylated hemoglobin (HbA1c) (P G .001). However, portal use was not a significant predictor of LDL…
Cooke, Catherine E., Brian J. Isetts, Thomas E. Sullivan, Maren Fustgaard, & Daniel A Belletti.
(2010). Potential value of electronic prescribing in health. economic and outcomes research. Patient outcome measures.
eRx (electronic prescribing) is the most commonly used feature of general practice computing systems. Through eRx systems, physicians have full access to patients' histories, including previous prescriptions and allergies. E-prescribing eliminates the problems deciphering physician's handwriting, which has frequently been a challenge for many pharmacists. eRx has a high rate of accuracy, is consistent with paper records 80% -- 95% of the time and also features additional forms of surveillance, such as tracking if the patient failed to fill his or her first prescription. It is also hoped that the use of eRx could make a contribution to research about the efficacy of various drugs when used by certain patient populations, so long as the HIPPA guidelines regarded confidentiality are respected.
Nursing informatics or NI is a field specialty that blends and integrates the nursing, computer and information sciences in managing and transferring information and insights in nursing (Anderson, 2008; Coleman et al., 2010). It is aimed at assisting in the decision-making function of patients, nurses and other participants in patient care through information structures, processes and technology. Nurses who integrate this specialty into their regular practice are called nurse informaticists. They are expert nursing clinicians, clinicians with extensive clinical practice, and those with additional and technology-and-information-related know-how and experience. With the infusion of the new specialty, they increase their competencies. These competencies include administration, leadership and management; analysis; compliance and integrity management; consultation; coordination, facilitation, and integration; development; educational and professional development; policy development and advocacy; and research and evaluation (Anderson, Coleman).
My selected functional area is staff and patient education. This can be developed by…
Anderson, C. (2012). Nursing informatics. Healthcare Informatics and Management
Systems Society. Retrieved on September 22, 2013 from http://www.himss.org/files/HIMSSorg/handouts/NI101.pdf
Brunt, B. (2007). Competencies for staff education. HCPro, Inc. Retrieved on September
22, 2013 from http://www.marketplace.com/supplemental/4940_browse.pdf
Nursing informatics has been defined as, "a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice" (Shuler, 2011). The systems development life cycle (SDLC) is a conceptual model used in project management that describes the stages involved in the information system development, from a feasibility study to the maintenance of the completed system (Rouse, 2009). With these two definitions in mind, the nursing informaticist plays a vital role in the development of the healthcare information system that incorporates the quality of care and safety outcomes of patients as well as the affect the system plays on effective decision making processes.
The most frustrating elements and challenges has involved poor integration and/or interoperability, regular system failures, limited access to information and applications, and the lack of training (Tietz, 2008). A key concept is the transformation of data to…
Choi, J. & . (Feb 2013). Developing a Computer Interpretable Guildeline with Nursing Knowledge: A Pilot Study of a Pressure Ulcer Risk Assessment and Intervention. Online Journal of Nursing Informatics, 17(1), retrieved from http://ojni.org/issues/?p=2393 .
McCool, C. (Summer 2013). A Current Review of the Benefits, Barriers, and Consideration for Implementing Decision Support Systems. Online Journal of Nursing Informatics, 17(2), retrieved from http://onji.org/issues/?p=2673.
Nursing Informatics 101. (2012). Retrieved from HIMSS: http://www.himss.org/files/HIMSSorg/handouts/NI101.pdf
Rouse, M. (2009, May). Systems development life cycle (SDLC). Retrieved from Tech Target: http://searchsoftwarequality.techtarget.com/definition/systems-development-life-cycle
Nursing Informatics Pioneers
According to the American Medical Informatics Association (AMIA), nursing informatics has been classified as the "science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide" (2013), and this emerging field has the potential to dramatically improve the delivery of healthcare services across the board. Just as the intrepid Florence Nightingale paved the way for modern nursing as we know it today by establishing the first nursing school at St. Thomas' Hospital in 1860, defining nursing in her famous notes on the profession as "the act of utilizing the environment of the patient to assist him to recovery" (Nightingale, 1860), the widespread adoption and integration of nursing informatics was made possible by the tireless contributions of several influential pioneers. As part of their continued efforts to document the history of nursing…
Abbott, P. (2008, November 19). [Video Tape Recording]. Nursing informatics pioneer interview. American Medical Informatics Association Nursing Informatics History Project, Bethesda, MD., Retrieved from http://www.amia.org /sites/amia.org/files/Patricia-Abbot-NIWG.pdf' target='_blank' REL='NOFOLLOW'>
Health information technology is information technology that is used in the health care setting. Technological advances and government regulation have combined to create a dramatic increase in the use of information technology across all fields, and health care is starting to come on board now as well. So important is health informatics that a new C-suite position is emerging, the Chief Nursing Informatics Officer, or CNIO (Murphy, 2011). This paper will look at health informatics, and how it relates to my field which is education and training within the nursing field. Murphy notes that informatics nurses no longer see finances as a significant barrier to their ability to progress, but that there remains work to be done in the field with respect to integrating different types of information technology. This is one of the many roles that nursing informatics professional play with in the industry.
My main interest…
Hannah, K., Ball, M. & Edwards, M. (1994). Nursing informatics education. Introduction to Nursing Informatics. Vol. 1994, 183-188.
McNeil, B. & Odom, S. (2000). Nursing informatics education in the United States: Proposed undergraduate curriculum. Health Informatics Journal. Vol. 6 (1) 32-38.
McNeild, B., Elfrink, V., Pierce, S., Beyea, S., Bickford, C. & Averill, C. (2005). Nursing informatics knowledge and competencies: A national survey of nursing education programs in the United States. International Journal of Medical Informatics. Vol. 74 (11-12) 1021-1030.
Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economics. Vol. 29 (3) 150-153.
Imagine learning within one's organization that medical records are becoming electronic and additional training is needed. Will one react in a positive or negative manner? How long does it take to implement technology? What current statistics are available in this matter? Nursing-informatics is a growing field of study that deals with ethics, effects of implementation, shaping medical performance, nurse patient communication as well as the advantages and disadvantages in this elucidation.
Nursing informatics is the "integrating the triad of computer, information and nursing sciences" (Nursing-Informatics, 2011). Since the change of technology, management seeks to understand how computers process all the necessary nurse information. This is done through "human processing of data, information, and knowledge within a computer system" (Nursing-Informatics, 2011). In other words, patient information is put into a computer, and it becomes an electronic medical record for medical personnel to access anytime the person is in the…
Anderson, L.L. (2011, January). Communication in nursing. Retrieved April 11, 2011, from Nurse Together:
Mattke, E. (2010). Afford A Care case study on situational leadership. International Journal of Diversity.
Medical News Today. (2007, August 29). Nurses express concern about technology's effects on patient care. Retrieved April 11, 2011, from Medical News Today:
Nursing Informatics Field
Definition of informatics nurses
Example of nursing informatics in practice (software applications)
Nursing shortage and its impact
Need for automated processes over manual processes
Need for increased patient safety in terms of medication, care and records
Need for data security and compliance with HIPPA rules
Need for increased healthcare coordination between nurses and others
Phases of Nursing Informatics Implementation
Design and Analysis Phases
a) equest for Proposal (FP) process
b) Need for collaboration with other stakeholders
Final implementation Phase
Importance of nursing informatics
Benefits of nursing informatics
Impact to information management
Increased nursing satisfaction
Continued evolution of the field
Future direction and precaution for organizations
End benefit to patients
Current Trends and the Future of Nursing Informatics
Nursing informatics is a specialized area of healthcare information technology (HIT) that involves the design, testing, implementation and training associated with…
Childs, L., Alexander, E., & Duong, M. (2012). Risk evaluation and mitigation strategies: Assessment of a medical center's policies and procedures. American Journal of Health-System Pharmacy, 69(10), 885-889. doi:10.2146/ajhp110356.
Kumar, S., & Aldrich, K. (2010). Overcoming barriers to electronic medical record (EMR) implementation in the U.S. healthcare system: A comparative study. Health Informatics Journal, 16(4), 306-318. doi:10.1177/1460458210380523.
Lynn, K. (2011). What's the "buzz" on labs and EMRs? MLO: Medical Laboratory Observer, 43(4), 42-47.
Mayer, B. (2009). Wary, But Prepared. Health Management Technology, 30(3), 12-29.
Nursing Informatics Career Viability Analysis
Nursing Informatics Career Analysis
As the concept of healthcare delivery systems continues a rapid evolutionary path in order to keep pace with technological advancement, the role of health information technology deployment has become fundamentally important within America's hospitals, community clinics, and private medical practice. The advantages provided by digitally storing massive amounts of patient data -- also known as the electronic health record (EH) system -- have been empirically established, and even with the passage of federal legislation mandating the eventual shift to EH methodologies, many healthcare providers have fallen behind in this capacity. esearch has indicated that this alarming trend is not does not result from unwillingness on the part of medical center executives to adapt, but rather from the lack of institutional capability to process EH data effectively and efficiently. In order to address this pressing issue, many major hospitals now employ entire…
Healthcare Information and Management Systems Society (HIMSS). (2013, January 28). Job
descriptions, 2012 to 2013: Professional development, career services. Retrieved from http://www.himss.org/files/HIMSSorg/Content/files/CareerServices/HIMSS%20Career%20Services%20Job%20Description%20Project%20May%202013.pdf
Hebda, T., Czar, P., & Mascara, C.M. (2012). Handbook of informatics for nurses and healthcare professionals. (5th ed.). New York, NY: Pearson Education.
Kaplan University. (2013, September 19). Nurse informatics graduate certificate. Retrieved from http://www.kaplanuniversity.edu/nursing/nurse-informatics-graduate-certificate.aspx
The inclusion of a database system in the workplace induces efficiency, in that it allows management and nurses to monitor daily tasks accomplished and services given to patients, not to mention enabling every member to be informed of the right conduct of services given within the medical institution / organization. Stakeholders and constituents would also become more informed about the medical institution's daily operations, helping them provide useful and constructive inputs for the continued improvement and development of healthcare servicing in the institution/organization (122).
Apart from increased efficiency and improvement of healthcare servicing in medical institutions, an efficient database systems or informatics in the workplace would have a significant role to the organization and introduction of new nursing data/information and knowledge. ecause nursing is a profession dependent primarily on the skills and experience of nurses as medical professionals, nurses are not able to involve themselves actively in the field of…
Pressure growing for healthcare it adoption." (2006). Healthcare Financial Management, Vol. 60, Issue 1.
Swan, B. (2004). "Access to quality health care: links between evidence, nursing language, and informatics." Nursing Economics, Vol. 22, Issue 6.
Young, D. (2002). "CMS starts nursing-home quality-performance reporting project." American Journal of Health-System Pharmacy, Vol. 59, Issue 2.
Nursing Informatics Competencies
In an increasingly digital world driven by more and newer technology, nurses are still expected to deliver quality, compassionate care to the best of their ability. While this new technology may often seem overwhelming at first, it can, in fact, prove very beneficial to the nurses who are exposed to it. In order to get more nurses comfortable with utilizing the technology to its fullest potential the field of nursing informatics has evolved to integrate nursing science, computer and information science ("The TIGE Initiative," p.3). Nurses who become certified in nursing informatics are valuable to their organizations by increasing accuracy in documentation and improving workflow ("The TIGE Initiative," p.3). Eventually such measures will be considered commonplace in the nursing profession.
Most of the new technology enhancing the profession pertains to information handling. This includes technology to collect data, analyze the data, and then present the…
Fetter, M.S. (2009). Improving information technology competencies: Implications for Psychiatric mental health nursing. Issues in Mental Health Nursing, 30(1), 3-13.
Gugerty, B. & Delaney, C. (2009). TIGER informatics competencies collaborative (TICC)
Final report. Retrieved March 10, 2013 from:
Informatics is important to the health care system, especially when it comes to creating and maintaining a culture of safety. Medication errors, and other treatment errors, can be eliminated with the use of informatics systems. With informatics, health care workers can rely on information to implement as evidence-based practice. Therefore, nurses should be vocal advocates for informatics in their organizations. Informatics are enacted in my health care organization haphazardly and tentatively. For many years, we have maintained digital databases of patient information. The problem is that nurses are confined to the computer systems at nursing stations to access information. We do not yet have access to portable handheld devices linked up to patient medical records. Most importantly, our databases are not truly electronic medical records. They list some patient history with medication information, but the information cannot be shared with all members of the health care team easily or…
Snyder, C.F., Wu, A.W., Miller, R.S., Jensen, R.E., Bantung, E.T. & Wolff, A.C. (2011). The role of informatics in promoting patient-centered care. Cancer Journal 17(4): 211-218.
Titler, M.G. (n.d.). The evidence for evidence-based practice implementation. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Retrieved online: http://www.ncbi.nlm.nih.gov/books/NBK2659/
Introducing Informatics Early in Nursing Education
As Shackelford (2019) notes in “Industry Voices—Healthcare is Changing,” there is a serious need to reach future workforce members at an earlier age, before they enter into college and a nursing program. Students need to start developing real world skills that will translate well to professional development in the healthcare industry—and that means they need to develop communication skills, technological understanding, and have access to intro-level health care courses when they enter high school. Getting students interested in a future healthcare career at the age of 14 or 15 is a great way to prepare the future workforce and provide them with “career-ready” skills, as Shackelford (2019) puts it. The rationale for selecting this topic regarding the need to expose younger students to skills that can be used in healthcare informatics is that in today’s digital age technology is so much a part…
Clinical Question Using Nursing Informatics
The main objective of nursing informatics is to manage and communicate data information, knowledge, and wisdom. This various aspects are part of a continuum in the nursing field that reflects the overarching structure of nursing informatics. The use of data, information, knowledge, and wisdom continuum is increasingly vital in conducting a study on a particular issue that relates to a specific area in the nursing field. Once a research question is developed relating to a practice area in nursing, the researcher works through the progression in this continuum to help address the question. This is an important process in research because a search for a journal article on a particular topic usually generates a huge number of journals that are available in the health care field.
Summary of Clinical Question
As a nurse in an acute care setting, one of the most important aspects of…
Katz et al. (2009). A Before-after Implementation Trial of Smoking Cessation Guidelines in Hospitalized Veterans. Implementation Science, 4(58). Retrieved December 19, 2015, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2753631/
Topaz, M. (2013). Invited Editorial: The Hitchhiker's Guide to Nursing Informatics Theory: Using the Data-Knowledge-Information-Wisdom Framework to Guide Informatics Research. Online Journal of Nursing Informatics (OJNI), 17 (3). Retrieved December 19, 2015, from http://ojni.org/issues/?p=2852
computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge to support the practice of nursing and the delivery of nursing care"
Why Nurses Need To Understand Nursing Informatics
"track patient outcomes"
"find data trends"
"assess workload and interventions"
"develop technologies, such as apps, to help health care workers virtually monitor and stay in touch with patients"
"help patients deal with their diseases"
(McGonigle Hunter et al. 2014, 324)
(Insert Slide#1 Organizational structure and model of Nightingale Home Care, Inc.)
(Insert Slide#2 Organization chart for Nightingale Home Care Inc.)
ole of Informatics Nurse at Nightingale Home Care, Inc.
Informatics centralizes the available data for any given patient
All information collected and stored on a central computer
educes need to take down same information twice
educes chance of error when that information is…
McGonigle, D, Hunter, K, Sipes, C, Hebda, T. (2014). Why nurses need to understand nursing informatics. AORN Journal 100: 324-327.
Schwirian, PM. (2013). Informatics and the future of nursing: Harnessing the power of standardized nursing terminology. Bulletin of the Association for Information Science and Technology 39: 20-24.
Thede, L. (2012). Informatics: Where is it? Online Journal of Issues in Nursing 17:1.
nursing competencies, outline what they are, and how they will influence the trajectory of my nursing career path. The American Association of Colleges of Nursing and the Quality and Safety Education in Nursing have put together a joint document that outlines six different competencies associated with nursing (QSEN, 2012). These six competencies are quality improvement, safety, teamwork and collaboration, patient-centered care, evidence-based practice and informatics. Quality improvement is associated with using data "to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems" (QSEN, 2012).
Safety refers to minimizing the risk of harm to patients. Teamwork reflects the ability to "function effectively within nursing and interprofessional team, fostering open communication" (QSEN, 2012). Patient-centered care recognizes the patient as the source of control and full partner in care. Evidence-based practice integrates the best current evidence and…
Buysse, V., Winton, P., Rous, B., Epstein, D. & Inglim, C. (2012). Evidence-based practice. Zero to Three March 2012. Retrieved May 19, 2016 from http://wmmgreatstart.org/wp-content/uploads/2015/06/Evidence-based-practice.pdf
Kitson, A., Harvey, G., & McCormack, B. (1998). Enabling the implementation of evidence-based practice: A conceptual framework. Quality in Health Care. Vol. 7 (1998) 149-158.
McKibbon, K. (1998). Evidence-based practice. Bull Med Libr Assoc Vol. 86 (3) 396-401.
McNeil, B., Elfrink, V., Pierce, S., Beyea, S., Bickford, C. & Averill, C. (2005). Nursing informatics knowledge and competencies: A national survey of nursing education programs in the United States. International Journal of Medical Informatics. Vol. 74 (2005) 1021-1030.
Healthcare incentive program
Nursing Informatics/Meaningful use
Meaningful Use Program
Overview of Meaningful Use program
Meaningful use is basically an enticement program available for healthcare providers and hospitals for attaining the aims as per the Centers for Medicare and Medicaid Services (CMS). The healthcare providers and hospitals should ensure that they are making use of certified EH technology visibly represented in methods. From 2015 and onwards, healthcare providers and hospitals will be penalized for nonconformity with these regulations (Halimi, Brandes, & Bassi, 2012). Meaningful Use (MU) incentive program was started back in 2011. CMS started coordinating the monetary incentives to the participants of the program, fulfilling the requirements as per MU. The criteria were developed by a panel of experts known as National Quality Forum. The development of the criteria was to incorporate, promote and support EH systems which enhanced patient's care whilst keeping privacy and security of EH systems intact.…
CMS (2013).Eligible Professional Meaningful Use Table of Contents Core and Menu Set Objectives. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/EP-MU-TOC.pdf
Gale, J.A., Hartley, D., & Croll, Z. (2014).Meaningful use of electronic health records by rural health clinics. Retrieved from http://muskie.usm.maine.edu/Publications/rural/WP52-Meaningful-Use-EHR-RHC.pdf
Halimi, M., Brandes, A. & Bassi, S.(2012). What does "meaningful use" mean for perioperative nurses? Retrieved from http://www.nursingcenter.com/_PDF_.aspx?an=01271211-201207000-00002
HealthIT (n.d.).How to Attain Meaningful Use. Retrieved from http://www.healthit.gov/providers-professionals/how-attain-meaningful-use
Knowledge, and Wisdom Continuum
The selected topic is drug abuse amongst teenagers. The prevalence of drug abuse amongst teenagers has been on the rise over the past decade. The increase is attributed to many factors, but it mostly has to do with the ease of access, peer pressure, and lack of knowledge on the effects of drugs. Most teenagers do not intend to abuse drugs, they are only experimenting with the drugs, but they end up becoming addicted. This causes huge problems for them later on in life when they try to quit. The problems associated with drug abuse not only have to do with addiction, but teenagers are faced with other health problems like STDs, stroke, cancer, lung disease, and mental disorders. These are all problems that a person can avoid if they stay away from drugs. STDs will mostly be transmitted from one addict to another when…
Bernstein, J.H. (2011). The data-information-knowledge-wisdom hierarchy and its antithesis. NASKO, 2(1), 68-75.
Hunter, K., McGonigle, D., & Hebda, T. (2013). The integration of informatics content in baccalaureate and graduate nursing education: a status report. Nurse educator, 38(3), 110-113.
Matney, S., Brewster, P.J., Sward, K.A., Cloyes, K.G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6-18.
McGonigle, C.V.L.E.P.G.P.C.C.N.E.I.C.O.J.N.I.D., McGonigle, D., & Mastrian, K. (2011). Nursing Informatics and the Foundation of Knowledge: Jones & Bartlett Learning.
A medication error is actually any preventable incident that could result in or pave way towards wrong medication usage or perhaps patient harm. Such incidents might be associated with professional activities of healthcare professionals, healthcare solutions, monitoring, education, administration, distribution, dispensing, compounding, nomenclature, packaging, product labeling, order communication, prescriptions, systems, procedures, as well as use.
While it may be the outcome of problems within the system or perhaps plain human mistake, medication slipups result in serious bodily harm and sometimes even death for patients. These avoidable mistakes may also result in serious economic, psychological, and mental stress to not only the healthcare organization but also the provider (QuckSmart, 2017).
Healthcare informatics Objectives and medical errors
The objective here's gathering adequate info which would assist in grasping the implication of medical mistakes and what might be carried out to lessen and/or completely alleviate them. In the interest of acquiring and synthesizing…
Athanasakis, E. (2012). Prevention of medication errors made by nurses in clinical practice. Health Science Journal.
Chen, C. C., Hsiao, F. Y., Shen, L. J., & Wu, C. C. (2017). The cost-saving effect and prevention of medication errors by clinical pharmacist intervention in a nephrology unit. Medicine (United States), 96(34)
Choi, I., Lee, S.-M., Flynn, L., Kim, C., Lee, S., Kim, N.-K., & Suh, D.-C. (2016). Incidence and treatment costs attributable to medication errors in hospitalized patients. Research in Social and Administrative Pharmacy, 12(3), 428–437.
Cohen, M. R. (2015, September 1). Medication Errors. Nursing. Lippincott Williams and Wilkins.
Cloete, L. (2015). Reducing medication errors in nursing practice. Nursing Standard, 29(20), 50–59.
QuckSmart (2017). Impact of Medication Errors on Patients, Healthcare Providers and Hospitals. Retrieved 21, December, 2017, From https://www.qlicksmart.com/impact-medication-errors/
Decision Support System
ONE (a) -- how do you decide who should be in the selection process?
The decision as to who will be part of the selection process should be made based on how interested each person is in terms of establishing a strategy and system for increasing knowledge that can become part of an informatics. It should also be made based on a person's availability, a person's ability to transition into new nursing fields, and the competency when it comes to statistics and data. The selection should take into consideration persons who have proven competency at patient centered care.
Should a consumer or patient be included? Certainly a consumer who is knowledgeable and interested should be included, and if possible a patient should also be included in the selection process. Nurses are knowledge workers and that knowledge also means keeping an open mind when it comes to other…
Agency for Healthcare Research and Quality. (2009). Navigating Health Care: Clinical
Decision Support -- Improving Health Care Quality. Retrieved May 12, 2016, from http://www.ahrq.gov .
Capella.edu (2010). Riverbend City: Knowledge Discovery Mission. Retrieved May 12, 2016,
Information technology transforms healthcare services. However, the integration of information technology into existing healthcare systems has been challenging. This course has helped me to understand how healthcare workers and their organizations can better utilize healthcare informatics, with the goal of improving patient outcomes and public health. Similarly, this course has illuminated specific pathways to success. Nurse leaders need to take concrete steps towards advocating for improved information technology integration, transforming organizational cultures, practices, and procedures. Ultimately, this course helps show how nurses can become active in healthcare policy analysis.
The core competencies gained in this course have been related to the theoretical and practical concerns related to informatics and information technology. Secondary competencies include greater awareness of health disparities and other population health issues, and how technology can help reduce those disparities and problems. We learned about existing laws and regulations related to healthcare informatics, coming to terms with issues…
Burwell, S.M. (2015). Setting value-based payment goals. The New England Journal of Medicine 372(1): 897.
Kvedar, J., Coye, M.J. & Everett, W. (2014). Connected health. Health Affairs 33(2): 194-199.
The American Nurses Association (2008) define nursing informatics as the mixture of computer and information science and nursing towards improving healthcare delivery and patient outcomes. Nursing informatics is a career that has developed from the evolution of health informatics, which involves the use of knowledge to examine and translate health data into useful information that can be utilized in enhancing patient outcomes through improved processes. As the healthcare field continues to adopt technology rapidly, nursing informatics is one of the educational programs that has emerged to prepare the workforce towards effective use of health information technology to enhance patient care delivery (Dalrymple, 2011). Nursing informatics education include formal graduate programs that provide both theoretical and practical training (which includes working with an already practicing preceptor). The ANA Scope and Standards of Nursing Informatics Practice requires students in this profession to complete a formal practicum as part of practical…
American Nurses Association (ANA). (2008). Nursing informatics: Scope & standards of practice. Washington, D.C.: Nursesbooks.org.
Dalrymple, P. W. (2011). Data, information, knowledge: The Emerging Field of Health Informatics. Bulletin of the American Society for Information Science and Technology, 37(5), 41-44. doi:10.1002/bult.2011.1720370512
Gugerty et al. (2007). Challenges and Opportunities in Documentation of the Nursing Care of Patients. Retrieved from Nursing Workforce Commission of Maryland website: http://mbon.maryland.gov/Documents/documentation_challenges.pdf
McLane, S. and Turley, J. P. (2011). Informaticians: How They May Benefit your Healthcare Organization. The Journal of Nursing Administration, 41 (1), 29-35. doi: 10.1097/NNA.0b013e3181fc19d6
Credentialing in Nurse Informatics
As health information technology (HIT) continues to develop in the modern healthcare environment, nursing informatics is a career on the rise. In essence, nursing informatics has emerged as an important career/profession in the healthcare field because of increased adoption of technology and the development of health information technology. Similar to other fields in nursing, credentialing is an important aspect for specializing in nurse informatics. Credentialing is defined as procedures that are utilized to determine that an individual, program or organization has met the necessary standards for qualification as established by governmental and/or non-governmental agencies. For an individual to specialize in nurse informatics, he/she needs to meet the established standards for qualifications for practice. This is vital because nurse informatics is increasing developing as a career choice that can put individuals ahead with regards to achieving significant growth in nursing (ichins, 2013).
Since nursing informatics continues to…
Lee, A. (2014, August). The Role of Informatics in Nursing. Nursing Made Incredibly Easy, 12(4), 55. http://journals.lww.com/nursingmadeincrediblyeasy/Fulltext/2014/07000/The_role_of_informatics_in_nursing.12.aspx
Richins, S. (2013, January 23). Nursing Informatics: A Career on the Rise. Retrieved April 8, 2017, from http://nursing.advanceweb.com/Features/Articles/Nursing-Informatics-A-Career-on-the-Rise.aspx
As a future nurse educator, using technology to gather and disseminate healthcare information will become even more critical for me in the future. Students and patients alike will expect that their teachers will have a broad, in-depth range of knowledge about new technology in the field of heath informatics.
The organization offers information about 'best practices' in healthcare technology, such as how to protect patient privacy in the online age. Medical ethics and best practices will no doubt be a topic of debate in many of the classes I will teach in the future, whether I am educating future nurses or patients.
The organization offers continuing education resources in the field of health technology. Keeping one's education current is essential, as healthcare computer systems are constantly changing and improving.
Members can attend conferences, and interact with nurses from a wide variety of backgrounds, thus broadening my framework of knowledge…
Clearly, since the focus of these articles are based on an institutional economics point-of-view of healthcare quality, a limitation of the study is that it does not take into consideration other variables that might influence the efficiency of nursing homes in providing quality healthcare. Among these unaccounted variables are the politics behind healthcare, specifically federal laws and policies related to the provision of healthcare. Apart from policies and laws, another variables unaccounted for in this study is a thorough look or analysis of the relational dynamics between patients and nurses, as well as other healthcare practitioners and professionals. This variable is vital in understanding the concept of quality healthcare because it provides an in-depth look at the 'experiential" dimension or perspective healthcare -- that is, healthcare quality as assessed by patients and healthcare professionals/practitioners.
In terms of socio-demographic characteristics, the literature collated regarding nursing home care does not…
Next, the amount of legal and ethical hoops that electronic health records must jump through is substantial and no doubt overwhelming to someone who is new to it. With the advent of laws like HIPAA and even general ethical concerns that are not technically codified in law, that can be a tall order for anyone to adjust to. Lastly, the work that these electronic health records people do is indispensable and it truly is a job oriented to serving the sick and infirmed even if there is a significant career and financial incentive to doing the job well.
In a day where health care is always in the headlines and on people's minds, electronic health records continue to evolve and improve and this shall also be true of people's mindsets and adeptness with technology as the generations move on. Even so, we are not yet at a point where…
Middleton, Blackford & Bloomrosen, Meryl & Dente, Mark a & Hashmat, Bill & Koppel,
Ross & Overhage, J Marc & Payne, Thomas H & Rosenbloom, S Trent & Weaver, Charlotte & Zhang, Jiajie. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems:
recommendations from AMIA. Journal of the American Medical Informatics
Association: JAMIA, . Retreived from http://www.biomedsearch.com/nih/Enhancing-patient-safety-quality-care/23355463.html
educational training plan nursing hires describes nurse's role informatics technology. Incorporate theory (nursing theory, informatics theory, change theory, supporting theory) relates informatics nursing.
Informatics in nursing
While the masses have a general understanding of technology and its relationship with the medical environment, not many people are familiarized with nurse informatics and to the degree to which it plays a significant role in helping the world of medicine experience progress. Technology available in nursing environments can make it possible for nurses to have a strong impact on patient outcomes, can lower costs associated with nursing in general, and can create tools and strategies that would otherwise be unavailable.
An informatics nurse can identify and collect data more efficiently as a consequence of the devices he or she has available. Furthermore, they can manage information in ways that improve the nursing community as a whole. "The Nurse Informaticist utilizes nursing knowledge to…
challenging environment that the world faces has placed much strain and stress on the health care industry and their many institutions. Despite the rapid advances in technology, nutrition and fitness, the world is in constant need of medical treatment and assistance. The role of the nurse and the professional duties that accompany this experience has also changed rapidly along with technology and medical advancement. It is important to investigate how nurses can take advantage of these newly developed systems to perform at a higher level and eventually ease the suffering and pain that accompanies medical procedures in today's day and age.
Informatics is a newly formed discipline that provides some of the solutions to the many problems that nurses are faced with. The purpose of this essay is to discuss and highlight the importance of informatics and its synthesis into the nursing profession. The essay will first give some background…
Healthcare Information and Management Systems Society (2008). Nursing Informatics: Scope and Standards of Practice, ANA 2008. Retrieved from http://www.himss.org/resourcelibrary/TopicList.aspx?MetaDataID=767
Oroviogoicoechea, Cristina, Barbara Elliott, and Roger Watson. "Review: evaluating information systems in nursing." Journal of clinical nursing 17.5 (2008): 567-575.
Thede, L., Schwiran, P., (February 25, 2011) "Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses' Experiences and Attitudes - Survey I*" OJIN: The Online Journal of Issues in Nursing Vol. 16 No. 2.
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
Nursing is not only a profession, it is a ministry. Nurses not only provide care for their patients, they oftentimes minister to them in order to provide comfort and in some cases, peace of mind. Nursing is a profession that the healthcare system cannot do without. We know that the profession of a physician goes back to even Biblical times, but even though nursing has been around for many years, it does not date back as far as the profession of a physician does. This is not to say that nursing is less important than any other profession. The field has grown so much over the past few decades and nursing is a profession that is in high demand. Nurses now have to decide if they want to do a traditional educational path or get the four-year degree; they must stay ahead of nursing trends in order to gauge the…
Delaney, C., & Piscopo, B. (2007). There really is a difference: Nurses' experiences with transitioning from RNs to BSNs. Journal of Professional Nursing, 23(3), 167-173. Retrieved May 3, 2012, from the ScienceDirect database.
Franklin, P.D., Archbold, P.D., Fagin, C.M., Galik, E., Siegal, E., Sofaer, S., et al. (2011). Building academic geriatric nursing capacity: Results after the first 10 years and implications for the future. Nursing Outlook, 59(4), 198-206. Retrieved May 3, 2012, from the ScienceDirect database.
Ozbolt, J.G., & Saba, V.K. (2008). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205. Retrieved May 3, 2012, from the ScienceDirect database.
Wildman, S., & Hewiston, A. (2009). Rediscovering a history of nursing management: From Nightingale to the modern matron. International Journal of Nursing Studies, 46(12), 1650-1661. Retrieved May 3, 2012, from the Science Direct database.
Nursing research is one of the most important components in answering a clinical question through an investigation process. The research or investigation process involves a series of steps that are geared towards identifying suitable evidence that can be utilized in answering the research question. This process requires narrowing down the research topic, which helps in obtaining information that is applied to develop knowledge, which generates wisdom if applied in meaningful ways. In this case, the research process entails the use of a data, information, knowledge and wisdom continuum. This paper examines how nursing informatics through this continuum can be utilized to gain wisdom on a clinical issue in the field of psychiatric nursing.
Clinical Issue and Question
Psychiatric nursing practice entails the provision of comprehensive, patient-centered psychiatric care to patients with psychiatric or mental health problems. This nursing practice is considered as an integral component of the continuum of nursing…
Nursing Informatics / Annotated Bibliography & Brief Critique
Harris, R., Bennett, J., and Ross. F. (2013). Leadership and innovation in nursing seen through a historical lens. Journal of Advanced Nursing, 70(7. 1629-1638.
Aim of the Article and Main Findings
There was a time when technology was a distant vision in the minds of healthcare professionals, but the values that emerged from nurses nearly a hundred years ago are values that should be alive and well today notwithstanding all the wonderful tools that the healthcare field has today. This peer-reviewed article looks into the past to see how (qualitatively) nurses in the UK responded to the leadership style of Dame / Matron Muriel Powell between the years 1920-1980, well before today's nurses are empowered with the advanced technologies and communication standards of today. The point of the research is to review interviews that were conducted with nurses that worked and trained…
The stengths of this design ae elated to the ease of application and usage. The design of the suvey was easy to administe and self explanatoy. While the weakness was elated to the willingness of the paticipant to Chapte Thee 5
paticipate complete the suvey and povide tuthful esponses. An additional weakness is elative to the age goup that was pesent fo the suvey and thei elationship to the use of computes.
Afte appoval of the study fom the Institutional Review Boad at Indiana
Wesleyan Univesity and Methodist Hospitals, Inc. Nusing staff wee ecuited to paticipate in fo the study. Paticipants wee eligible fo the study if they wee cuently an employee of the employed by Methodist Hospitals, Inc., It was also necessay that they hold a cuent nusing license, paticipated in online leaning, and wee able to ead and wite English. A egisteed nuse who has paticipated in…
Student characteristics for online learning success
The Internet and Higher Education, Volume 9, Issue 2, 2nd Quarter 2006, Pages 91-
105 Marcel S. Kerr, Kimberly Rynearson, Marcus C. Kerr
Chapter Three 13
One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a three-part template for nursing: respect for patient value & individuality, education of patients, and cognition and respect for the realities of contemporary medicine. In many ways, too, modern technology has advanced further than societal wisdom, especially when confronting the issue of death. The modern nurse's role is to create a nurse-patient culture that encourages the individual to take responsibility for their healthcare and, in partnership with the nurse, to be involved in their recovery. The modern complexities of…
Basford, L. And O. Slevin. (2003). Theory and Practice of Nursing: An Integrated Approach to Caring Practice. New York: Nelson Thomas.
Beckstead, J. And Beckstead, L. (2004). A multidimensional analysis of the epistemic origins of nursing theories, models and frameworks. International Journal of Nursing Studies. 43
Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger
Modern nursing has become a multi-disciplinary career that encompasses a number of roles and requires more expertise than ever before. In modern nursing, there are a number of stakeholders: patients, families, the community, insurance companies, governmental agencies, administrators, colleagues, staff and physicians. Healthcare solutions in the 21st century require a collaborate effort that remains focused on continual progress towards customer service satisfaction. The key is to understand the overall paradigm of healthcare and nursing management -- even through the terms "manager" and "leader" are often used interchangeably, they are not. In general, management organizes affairs, projects, and people -- therefore subordinates are involved. The manager is in charge, but not necessarily leaders in that they do as directed and then direct tasks. Leaders do not have subordinates, rather they have followers. Leaders motivate, challenge, coach and inspire vision, enable others to act and encourage (Carrroll, 2005; Kouzes and…
The pathways scheme aims to offer opportunities for every grade of practitioner. This is part of a national process that anticipates quality improvement as a continuously evolving process.
Achieving fair and equal access to professional development for nurses and healthcare providers in the private sector has been difficult in the past. Education has sometimes been viewed as expensive and time-consuming, with staff release for learning difficult to achieve especially acute staff shortages are a definable obstacle already to effective treatment provision. However, it is vital to the principle of performance improvement and the pursuit of standardizing quality outcomes that healthcare provision be based on the active pursuit of staff excellence. This is to be seen as a far more desirable approach to personnel orientation than the imposition of sanctions for poor performance. Central to this is the need for improvement of the local facility's knowledge economy. To this extent, knowledge…
Burgess, M.M. (2003). What difference does public consultation make to ethics? Electronic Working Papers Series. W. Maurice Young Centre for Applied Ethics, University of British Columbia.
Cho, I. & Park, H. (2003). Development and evaluation of a terminology-based electronic nursing record system. Journal of Biomedical Informatics, 36(4), 304-312.
Cooymans, M.P.M. And Hintzen, E.F.M. (2000) Winst en Waarden. Deventer and Den Bosch: Samson.
DoH. (2004) Quality Standards. The Department of Health.
Others include delays in data accessibility, albeit shorter delays and the continued need for source data verification (Donovan, 2007).
Other obstacles have occurred in the developing of mobile healthcare applications. These have included mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust (Keng and Shen, 2006).
A third problem that has been encountered is that of a lack of education on not only the importance of the information technology but also training on how to use the specific pieces of equipment. The tools that are provided to people are only as good as the training that is provided on how to use them. The tools may be able to do wonderful things, but if those that are using them do not know how to get the best use out of them they will in the end be less efficient.
According to an Institute of…
Al-Assaf, Al F., Bumpus, Lisa J., Carter, Dana, and Dixon, Stephen B. (2003). Preventing Errors
in Healthcare: A Call for Action. Hospital Topics. 81(3), 5-12.
Brommeyer, Mark. (2005). e-nursing and e-patients. Nursing Management -- UK. 11(9), 12-13.
Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E.,
Nurse Practice Specialties
The objective of this study is to locate four evidence-based research articles in nursing peer-reviewed journal. Specialty nursing includes various areas of nursing practice, which are examined in this study. Articles reviewed in this study include those related to emerging specialties and opportunities for nurses, Advanced Practice Registered Nursing, Nurse Practitioner Primary Care in Competencies in Specialty Areas, and the Specialty Practice of Nursing Informatics.
The first article examined in this study is the work of Cruz (2012) who reports that Advanced Practice Registered Nurses (APRN) "arose out of the trailblazing efforts of nurses from four separate nursing specialties whose individual histories were shaped by a common threat: the answer the call to deliver a high level of healthcare to individuals and groups in an area of clinical practice where a need for such level of healthcare existed." (p.1) Cruz (2012) additionally reports four areas of concern…
Beattle, L. (2010) Emerging Specialties, and Opportunities for Nurses. NurseZone. 11 Jun 2010. Retrieved from: http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=34360
Bickford, CJ and Lewis, D (2007) ANI Connection: The Specialty of Nursing Informatics. CIN Computers, Informatics, Nursing, Vol. 25, No. 6, Dec 2007. Retrieved from: http://www.nursingcenter.com/lnc/journalarticle?article_id=753408
Cruz, J. (2012) Whose Consensus Is It Anyway? All Nurses. 1 Sept 2012. Retrieved from: http://allnurses.com/nurse-practitioners-np/whose-consensus-anyway-779977.html
Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health (2002) U.S. Department of Health and Human Services, Health Resources and Service Administration, Bureau of Health Professions, Division of Nursing, April 2002. Retrieved from: http://www.aacn.nche.edu/education-resources/npcompetencies.pdf
The era of Information technology and knowledge explosion that introduced the comprehensive and complicated information systems has brought drastic changes in the health care sector like all other industries. The attention towards patient's safety has been increased and health care centers are pressurized to improve the efficiency and performance by standardizing the process and maintaining the quality of health care. One of these important changes and a new concept that emerged in the last decade in "Nursing Informatics."
The purpose of writing this paper is to explore the importance of nursing informatics by studying the current and emerging meta-structures, concepts and tools of nursing informatics. In addition, this paper will also explain the importance of nursing informatics in areas like EH, its meaningful use and standardized terminology that helps in improving the delivery of quality patient care.
The information technology also affected the field of health…
McGonigle, D., and Mastrian, K. (2011). Nursing Informatics and the Foundation of Knowledge
Jones & Bartlett Learning, LLC.
Rutherford, M.A. (2008). "Standardized nursing language: What does it mean for nursing practice?" OJIN: Online Journal of Issues in Nursing, 13(1). Retrieved from www.nursingworld.org/OJIN on 26th Oct 2013.
Schwirian, P.M. & Thede, L.Q. (2011). "Informatics: The standardized nursing terminologies: A national survey of nurses' experience and attitudes." OJIN: Online Journal of Issues in Nursing, 16(2). Retrieved from www.nursingworld.org/OJIN
Each standardized nursing language is designed for use in a number of clinical settings, including home care, ambulatory care, and inpatient treatment, with certain languages providing decided advantages within particular circumstances. Although it is true that "improved communication with other nurses, health care professionals, and administrators of the institutions in which nurses work is a key benefit of using a standardized nursing language" (utherford, 2008), the proliferation of several nursing languages throughout the years has inevitably resulted in discrepancies, wherein the personal preferences of nurses, the policy of a hospital's corporate ownership, or other factors determine when, where, and why a specific language is used.
To address the growing concern over the inability of nurse's to communicate through a single standardized language system, the International Council of Nurses (ICN) commissioned a comprehensive study which resulted in the International Classification for Nursing Practice (ICNP) being selected as the most advantageous option.…
Cho, I., & Park, H. (2006). Evaluation of the expressiveness of an ICNP-based nursing data dictionary in a computerized nursing record system. Journal of the American Medical Informatics Association, 13(4), 456-464. Retrieved from http://188.8.131.52/content/13/4/456.full
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice?. OJIN: The Online Journal of Issues in Nursing, 13(1), 57-69. Retrieved from http://www.nursingworld.org/MainMenuCategories /' target='_blank' REL='NOFOLLOW'>
Workflow Analysis Of A Selected Nursing Activity
The Tele-Management System
Medication errors have resulted to numerous injuries, which has led to some healthcare providers adopting IT systems such as electronic records and information systems as a measure to minimize the errors. The adoption of these technologies involves several stakeholders, but most importantly, the informatics nurses. These nurses play an important role in optimization by representing the needs of clinicians. In addition, they also assist in improving technological solutions in case of technological hitches with the IT systems. When hospitals adopt technology solutions, it will influence their workflow process (McGonigle and Mastrian, 2012).
The informatics nurses come in to redesign the workflow to accommodate the solution, through evaluation of tasks that will require the utilization of technology. However, the solutions adopted should allow for exchange of information across different hospitals to improve or eliminate dependence on one…
Hussain, A.A. (2011). Meaningful use of information technology: A local perspective. Ann Intern Med, 154, 690-692.
Logan, G.A. et al. (2007).Mobile Phone -- Based Remote Patient Monitoring System for Management of Hypertension in Diabetic Patients. AJH, 20, 942-948.
McGonigle, D., & Mastrian, K.G. (2012). Nursing informatics and the foundation of nursing (2nd ed.). Burlington, MA: Jones and Barlett Learning.
Pickering, T.G., Gerin, W., Holland, J.K. (1999). Home blood pressure teletransmission for better diagnosis and treatment. Curr Hypertension Rep, 1, 489 -- 494.
Health care has always been concerned about information management, especially as health care interventions and management have become increasingly complex. In spite of this, health care has weakly welcomed information technology into its midst, shunning computerized data management systems in favor of anachronistic and antiquated ones. When health care started using information technology, the role informatics played was largely ancillary. There were few specialists, and informatics were considered novel and strange. Yet since Virginia Saba introduced technology specifically designed for healthcare, the informatics field has become one of the most relevant to the gamut of healthcare management and operations. Currently, healthcare informatics stands alone as a unique area of specialization that fuses passion for health care management, concern for patient care, and computer technology.
There are five major milestones in the creation and evolution of health informatics. The first was the initial first wave of computing and information technology that…
AMIA (2012). Mission and history. Retrieved online: http://www.amia.org /about-amia/mission-and-history' target='_blank' REL='NOFOLLOW'>
The respondents who step out to be part of the research process should be protected from any unwanted intrusion or any other form of personal or group harassment (Smith & Liehr, 2008).
It is formal to have and conduct nursing research according to the set ethical frameworks where the entire review of the proposal will be undertaken. Whether to be undertaken by the staff or students, this research should be subjected to ethical approvals, which will make sure that the research, proposal is directed at serving the nursing school dream and intentions. Using the Middle range theory, the nursing problems and challenges will be solved in various ways as follows (Smith & Liehr, 2003).
All the nursing researchers and educators, being the staff members, must have respect upon the dignity, interests, and rights of the nursing students and other staff members related and participating in practical and theoretical learning.
Basford, L., & Slevin, O. (2003). Theory and practice of nursing: An integrated approach to patient care. Cheltenham, U.K: Nelson Thornes.
Fitzpatrick, J.J., & Kazer, M.W. (2012). Encyclopedia of nursing research. New York:
Meleis, a.I. (2011). Theoretical nursing: Development and progress. Philadelphia: Wolters
According to the Commission on Collegiate Nursing Education (CCNE), "accreditation is a nongovernmental process conducted by representatives of postsecondary institutions and professional groups. As conducted in the United States, accreditation focuses on the quality of institutions of higher and professional education and on the quality of educational programs within institutions" (Standards of accreditation for post-baccalaureate nurse residency programs, 2008, CCNE). Accreditation is a source of objective evidence from an outside entity that a program meets certain quality and content standards. This is essential for both students and patients. Students make a considerable financial and time investment in their education and need to expect that they can emerge with real skills as well as a diploma upon graduation. They do not have to tools to vet a program before they are accepted. Patients have a right to expect that the nurses who oversee them graduated from high-quality programs. Accreditation serves…
Maslow's hierarchy of needs. (2014). R.N. Retrieved from:
Q4. "The strongest predictor of nurse job dissatisfaction and intent to leave a job is stress in the practice environment" (Paris & Tehaar 2011). Not only is Maslow's hierarchy of needs extremely useful for nurses to better understand their patients: it is also useful for nurses to better understand themselves. Burnout is very common in the nursing profession because nurses do not attend to their own, personal needs. The nurse must recognize that she has physiological and safety needs that must be addressed before accessing the higher needs of social and personal fulfillment on the hierarchy. It is vital that nurses engage in appropriate self-care, ensuring that they get adequate enough healthy food and sleep to be able to treat their patients in a compassionate manner. It is also important that healthcare organizations address the human needs of nurses and do not ignore the need for nurses to take care of their mental and physical health.
Description of Selected Informatics Organizations
In this paper, we will describe a selected number of informatics organizations dealing with the field of healthcare and medicine. We would assess the main purpose of these organizations and what they stand for in brief detail, also the main aim here is to focus on the major points which define these organizations.
American Medical Informatics Association
American Health Information Management Association
American Society of Health Informatics Managers
Healthcare Information and Management Systems Society
International Medical Informatics Association
Introduction to informatics organizations
American Medical Informatics Association (AMIA)
AMIA is known to be a group of personals from many different disciplines whose purpose is to convey for the sole interest of bringing improvement in health informatics since it relates to different aspects of the main health care policy. This group has about four thousand members which include pharmacists, physicians, consultants, educators and government…
Harris, L. (1995). Health and the New Media. New Jersey: Lawrence Erlbaum Associates.
Kulge, E. (2001). The Ethics of Electronic Patient Records. New York: Peter Lang.
Rees, A. (2003). Consumer Health Information Source Book. Connecticut: Greenwood Press.
Slack, W. (2001). Cybermedicine. San Francisco: Jossey-Bass.
electronic medical records have yet to become standardized in the United States, the contemporary physician's office differs significantly from one from twenty years ago. Information systems govern multiple aspects of care delivery, from patient intake, processing, and billing to medical records, access to electronic scholarly databases for knowledge management to purchasing and human resources management. Understanding issues like the system development life cycle (SDLC) and project management life cycles have now become common practice in most healthcare offices, whereas twenty years ago only the most cutting edge of those offices would have dedicated information technology specialists who would handle and address matters like product life cycles. Full time consultants or advisory positions related directly to IT are now expected of most medical practices. Since the Health Insurance Portability and Accountability Act (HIPAA) was passed just over twenty years ago, physicians offices have made significant strides by incorporating informatics into their…
Grandia, L. (n.d.). Healthcare information systems: A look at the past, present, and future. Health Catalyst. Retrieved online: https://www.healthcatalyst.com/healthcare-information-systems-past-present-future
Healthcare Information and Management Systems (HIMSS, 2016). Evolution of Healthcare Informatics Standards. Retrieved online: http://www.himss.org/library/interoperability-standards/Evolution-of-Healthcare-Informatics-Standards
Sewell, J.P. & Thede, L.Q. (2012). Computer development and health care information systems 1950 to present. Chapter 1. Retrieved online: http://dlthede.net/informatics/chap01introni/healthcare_computers.html
Wager, K. A., Lee, F. W., & Glaser, J. P. (2013). Health care information systems: A practical approach for health care management (3rd ed.). San Francisco, CA: Jossey-Bass.
Health Information Technology has significant impacts on nursing policy and practice including the role of these professionals in patient education. Actually, the Information Technology development process in healthcare is based on the nurses' ability to understand the community and provide distinctive insights about patient education among other factors (Effken & Abbott, 2009). Since nurses are important elements of the healthcare system, they are critical in ensuring that the confidence of patients in the health providers is maintained even as technology mediates interactions.
The main impact of the emergence of Health Information Technology on the role of a nurse in patient education is that technology mediates interactions between patients and their care providers. As a result, nurses are required to ensure that the role technology plays in mediating these interactions does not affect the insights provided in the process or the delivery of improved patient care. Moreover, through Health Information Technology,…
Adams, K., Greiner, a.C. & Corrigan, J.M. (2012). Chapter 5 -- Patient Self-Management
Support. Retrieved from the National Academies Press website: http://www.nap.edu/openbook.php?record_id=11085&page=57
Bastable, S.B. (2008). Nurse as educator: principles of teaching and learning for nursing practice (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
Effken, J.A. & Abbott, P. (2009, August). Health it-enabled Care for Underserved Rural
Innovation at Baystate Health
Informatics and Technology Innovations at Baystate Health
Baystate Health is among the largest health systems in New England and the largest employer in Western Massachusetts ("About Baystate Health," 2014). The crown jewel is the Baystate Medical Center (BMC), which represents the only level 1 trauma center for the region and the western campus for Tufts University School of Medicine. Each year, close to 2,000 residents, fellows, medical students, and nursing students call BMC home, so it should come as no surprise that BMC and Baystate Health are among the top healthcare innovators for the region and nationally.
In 2013, the health informatics software company InterSystems announced Baystate Health will adopt Intersystems' HealthShare platform to provide region-wide health information sharing capabilities. This health information exchange (HIE) will be called the Pioneer Valley Health Information Exchange (PVIX). PVIX will be designed to allow any provider within the Baystate…
About Baystate Health. (2014). Retrieved from http://baystatehealth.org/Baystate/Main+Nav/About+Us .
Baystate Health. (2014). Patients & visitors: Frequently asked questions. Retrieved from http://www.baystatehealth.org/Baystate/Main+Nav/Patients+%26+Visitors/Medical+Records/FAQs .
InterSystems. (2013). Who we are: Baycare Health Partners and Baystate Health select InterSystems HealthShare as strategic informatics platform for coordinating community engagement. Retrieved from http://www.intersystems.com/who-we-are/newsroom/news-item/baycare-health-partners-and-baystate-health-select-intersystems-healthshare-as-strategic-informatics-platform-for-coordinating-community-engagement/ .
Kudler, N.R. & Pantanowitz, L. (2010). Overview of laboratory data tools available in a single electronic medical record. Journal of Pathology Informatics, 1, 3.
Electronic health records are information systems that allow for the convenient storage and retrieval of patient health records. These systems make it easier for health professionals to have a full patient history, which can aid with diagnosis and prescription, and ensure that patient care is at the highest level. It is important, therefore, that EHs have the highest standards of quality and consistency in order to perform this role effectively (Hoerbst & Ammerwerth, 2010). There are several different EH systems from which to choose, and the one that will be described here is Allscripts.
Allscripts was founded in 1986 as Mysis, having since changed its name. Today, Allscripts provides comprehensive electronic health record service that includes such functions and features as analytics, billing, information, patient safety and other related features. Today, Allscripts provides service for a wide range of health care facilities including clinics, hospitals, hospices and other…
Hoerbst, A. & Ammerwerth, E. (2010). Electronic health records: A systematic review on quality requirements. Methods Information Medicine. Vol. 49 (4)
Van der Linden, H., Kalra, D., Hasman, A. & Talmon, J. (2009). Inter-organizational future proof EHR systems. Medical Informatics. Vol. 78 (3) 141-160.
master's program with SON, I had worked as a nurse in a hospital setting for 16 years. As a manager, I did gain some experience with informatics through patient satisfaction scores. The corporation I work for, HCA, is big on numbers. I would share the patient satisfaction scores with staff because it is a reflection on work performance. The patient satisfaction scores told employees where performance was good and what areas needed a higher focus for higher improvements in our work performance.
After entering the master's program, Healthcare Research and Statistical Analysis was a requirement. This class was very valuable in how the SON helped me to learn. Assignments included how to apply for an IRB application process, literature review, learning how to analyze data, learning how to interpret articles and publications, and completing a research paper that required reading multiple articles and data analysis. Additional learning experience came with…
Lewin model of change can be useful as a way of encouraging people to get motivated about changing an ingrained policy that is no longer serving the organization. The first, foundational step of the model is the need to 'unfreeze' current standard operating procedures and to convince workers of the need for change. In the scenario you described, it seems as though there was a base level of understanding of the workers about the need for more effective use of bar code medication administration (BCMA) at the end of twelve months, given the organization had already had this program in existence for one year with a compliance rate of 90%. However, there was clearly a failure in terms of the implementation of the actual change component in terms of the design of the training program. The 'refreezing' should not take place until the standard operating procedures have taken hold in…
International health care funding programs are collaborative, multinational, cross-disciplinary endeavors with a broad philanthropic outlook and scope. There are dozens of different international health care funding programs, all of which depend at least in part on private funding sources due to the prevalence of the neoliberal economic, political, and social justice model (Pfeiffer, 2003). Two of the most significant international health care funding programs include the Global Fund, which focuses on AIDS, tuberculosis, and malaria to provide funding, consultation, leadership, research, coordination, and policy standardization; and the Commonwealth Fund, which is a fully private foundation dedicated to equitable access to healthcare resources. Both the Global Fund and the Commonwealth Fund perform similar functions as international health care funding programs. They provide services, support, human resources, and infrastructural support to primary health care delivery in the developing world but also in any region of need. Although utilization of the Global…
Anderson, G.F., Frogner, B.K., Johns, R.A. & Reinhardt, W.E. (2006). Health care spending and use of information technology in OECD countries. Health Affairs 25(3): 819-831.
Pfeiffer, J. (2003). International NGOs and primary health care in Mozambique: the need for a new model of collaboration. Social Science and Medicine 56(4): 725-738.
Nursing Theory -- oy Adaptation Model
The oy Adaptation Model is one of the most commonly cited and used options when it comes to nursing theories. It has been in existence since 1976, and has had a number of years to be adjusted and changed to work with the adjustments that have occurred in the field of nursing over time (Alligood, 2011). Being able to adapt and change is a very important part of nursing, because all patients are different. Additionally, treatments and medications change rapidly, and that can be difficult to keep up with if a nurse is not focused on adapting his or her style and beliefs to the changing nature of medicine. Here, the importance of nursing theory will be explored, along with the key points that are used in the oy Adaptation Model. The views and ideas that the model provides when it comes to nursing…
Alligood, M.R. (2011). The power of theoretical knowledge. Nursing science quarterly, 24(4), 304-305.
Polit, D.F., & Beck, C.T. (2013). Essentials of nursing research. Lippincott Williams & Wilkins.
Roy, C. (2011). Extending the Roy adaptation model to meet changing global needs. Nursing science quarterly, 24(4), 345-351.
Roy, C. (2011). Research based on the Roy Adaptation Model last 25 years. Nursing science quarterly, 24(4), 312-320.
Healthcare is changing so rapidly, there will be a need to profoundly alter the nature of nursing education to address the needs of providers and patients. "Nurse researchers are calling for curricular changes that emphasize how, along with what, students learn. Educators are bringing classroom and clinical teaching together by integrating knowledge acquisition and situated knowledge use in the classroom and clinical practice. The health care system and the patient population have undergone dramatic changes in the last half-century, but many nurse educators teach their students in the same way that they were taught decades ago" (A new dawn in nursing education, 2012, WJF). A number of innovations have been instituted, both technological and pedagogical in nature. For example, simulation technology allows nursing students to have an experience more accurate to the 'real world' of the nursing environment very early in their education, even before their residency. Also,…
The future of nursing: focus on education. (2011). IOM. Retrieved from:
Nursing is a tough profession to perform well. There are constant innovations and changes in healthcare that make research and education a top priority among nurses to achieve the goal of providing high quality care. Evidence-based practice offers nurses a way to use the research continuously developed to create strategies and techniques that better suit the needs of patients. However, it is a daunting task that many nurses have not successfully accomplished. From problems with nursing leaders to an inability to apply knowledge learned, evidence-based practice has not caught on in nursing practice as desired.
To create strategies to better foster evidence-based nursing practice, it is important first to understand competencies and identify which competencies can lead to successful implementation of evidence-based practice. A 2014 article defined competencies and provided core competencies that may foster evidence-based nursing practice. "Competencies are a mechanism that supports health professionals in providing high-quality, safe…
Nusing Concens in Pactice
Synthesize knowledge fom the libeal ats and sciences and nusing science to undestand global pespectives, stimulate citical thinking, and use cuent technologies
Thee ae multiple ways that I was able to fulfill this paticula couse objective. Some of the moe cutting edge developments in infomation technology ae outside of the ealm of nusing science, and ae geneally applied to libeal ats and sciences. Howeve, while netwoking with colleagues at the clinic I was able to tain and pactice at, I was able to implement some of those IT developments to help futhe my education and infom my pactice. In ode to help lean about diffeent social, cultual, and economic factos that can infom the teatment of patients, I was able to ead about cetain factos that impacted my patients fom lowe socio-economic sphees of life. Specifically, I was able to undestand how thei limited budgets impacted…
references for interactions with others. Specifically, I was able to reference some of the research I had conducted with my peers and other staff members, as well as with patients. To that end the research I conducted for this course in the form of the various articles I perused helped to convince me of the value of life-long learning. They were able to do so in two different ways. The first of these pertained to the fact that they helped to reinforce various facets of the scholarly method that I learned while taking this course, as well as while fulfilling other course requirements for this degree. In this regard these articles served to function as real-life applications of the methodology that I had been taught, which helped me to absorb these concepts even more. More importantly, perhaps, these articles helped me to understand the merit of continual scholarship and a focus on nursing education (Hancock, 2008, p. 263). It is not enough for one to simply obtain a degree or an advanced degree and consider one finished with the pursuit of scholasticism. Instead, these articles convinced me that such scholarship is a life-long pursuit.
Hancock, P.K. (2008). Nurse migration: the effects on nursing education. International Nursing Review. 55(3), 258-264.
Technology is crucial for healthcare delivery. Healthcare technologies range from those directly related to medical care interventions, namely medical technologies, and technologies that support and enhance care delivery and administration. It is the latter sector that healthcare leader and hospital administrator Jane Doe Francis became interested in after attending a seminar in 2008 on emerging technologies. The seminar inspired Francis to explore the different types of healthcare information technologies, informatics, and options for making administration more efficient, more effective, and error-free. Digital medical records became Francis's passion, and she has spoken about the importance of creating technology standards for American healthcare institutions. Consistency and reliability, as well as confidentiality and privacy, are key concerns for Francis and her colleagues in hospital administration. Currently, Francis is involved with a massive push toward cloud-based medical technologies that go beyond the electronic medical records database to include connectivity with medical technologies themselves…
Carr, D.F. (2015). UPMC: New leaders, same big health tech ambitions. Information Week. Retrieved online: http://www.informationweek.com/healthcare/leadership/upmc-new-leaders-same-big-health-tech-ambitions/d/d-id/1318430
Francis, J.D. (2015). Interview.
Leung, S. (2015). Mass. Business leaders bet on health care tech. The Boston Globe. 4 Feb 2015. Retrieved online: http://www.bostonglobe.com/business/2015/02/03/leung/PKOkXUsTSyG3tKGRwvZXnK/story.html
Dynamic curriculum offers diversity, growth, caring, self-care, development, adaptation, the nursing process, evidence-based practice, and a way in which relevance for future practice can be identified. By including all the important concepts, the curriculum is better able to provide exactly what is needed for nurses who want to provide the best care to their patients. The competencies that are studied and the knowledge that is required are both centered around how nurses get their education and what they do with their knowledge once they have acquired it. There are several current trends in health care that affect the development of curriculum and the outcomes of the programs nurses must take. These include understanding the increasing severity of patient illnesses in both community-based and acute care settings, along with the rising demand for affordable prices and good care. Quality assurance and safety for the patients is another area where emphasis is…
Billings, D., & Halstead, J. (2009). Teaching in nursing: A guide for faculty (3th ed.). St. Louis, MO: Saunders.
Billings, D., & Halstead, J. (2012). Teaching in nursing: A guide for faculty (4th ed.). St. Louis, MO: Elsevier Saunders.
Faison, K., & Montague, F. (2013). Paradigm shift: Curriculum shift. ABNF Journal, 24(1), 21-22.
Morris, T.L., & Hancock, D.R. (2013). Institute of medicine core competencies as a foundation for nursing program evaluation. Nursing Education Perspectives, 34(1), 29-33. Retrieved from http://web.a.ebscohost.com.proxy.devry.edu/ehost
While some might argue that there’s no real difference when it comes to a nurse prepared at the associate-degree (ADN) level versus the baccalaureate-degree (BSN) level, this is actually not as accurate as some would have you believe. Some people argue that for a nurse, the most important thing is years of education under their belt, and that as long as they have a basic education, that’s all that matters. Experience is crucial to excellence in any profession, particularly in the field of medicine and professional healthcare. However, there are still some rather stark differences between a nurse with an ADN versus a BSN.
All nursing programs prepare the students to offer real care within a clinical setting. Most healthcare professionals would agree that both types of nurses are competent enough to offer care that conforms to the overall accepted standards of excellence. Many job positions focus on just hiring…