Nursing Informatics Essays (Examples)

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Nursing Course in Informatics Reflection

Words: 588 Length: 2 Pages Document Type: Essay Paper #: 94309740

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…… [Read More]

References



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.

 


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Nursing Area of Specialty Education

Words: 380 Length: 1 Pages Document Type: Essay Paper #: 97884208

ania-caring.org/mc/page.do;jsessionid=C59CE4E95A0391D35CE10B51E75DE39B.mc0?sitePageId=101757

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…… [Read More]

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Nursing Home Quality in the

Words: 2026 Length: 7 Pages Document Type: Essay Paper #: 54988994

/nursing homes.

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…… [Read More]

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Nurse Shadowing the Author of

Words: 1624 Length: 5 Pages Document Type: Essay Paper #: 5957321



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.

Conclusion

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…… [Read More]

References

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
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Nursing and Technology

Words: 504 Length: 2 Pages Document Type: Essay Paper #: 21666830

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…… [Read More]

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Informatics Implication for Nursing Safety

Words: 1316 Length: 5 Pages Document Type: Essay Paper #: 67386841

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…… [Read More]

References

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.
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Nursing Healthcare Business

Words: 5470 Length: 20 Pages Document Type: Essay Paper #: 30995758

Healthcare

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…… [Read More]

References

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.
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Healthcare and Information Technologies Nursing Colleges' Vital Course Offerings

Words: 1866 Length: 6 Pages Document Type: Essay Paper #: 36854286

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…… [Read More]

Works Cited

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).
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Future of Nursing

Words: 1657 Length: 5 Pages Document Type: Essay Paper #: 11224487

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…… [Read More]

References

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.
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Clinical Issue in Psychiatric Nursing Practice

Words: 1000 Length: 3 Pages Document Type: Essay Paper #: 32246768

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…… [Read More]

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The Nursing Field Is Evolving as Helpful Technologies Are Embraced

Words: 4845 Length: 15 Pages Document Type: Essay Paper #: 32311244

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…… [Read More]

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Nursing I Include Notes &

Words: 4151 Length: 15 Pages Document Type: Essay Paper #: 4578711



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.

Subjects

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…… [Read More]

references

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
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Nursing Concept Theoretical Background One of the

Words: 3582 Length: 10 Pages Document Type: Essay Paper #: 46011406

Nursing Concept

Theoretical Background

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…… [Read More]

REFERENCES

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

(1): 113-22.

Cohen, J. (1991). Two portraits of caring: a comparison of the artists - Leininger
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Nursing Process Improvement and Change Management or

Words: 3030 Length: 10 Pages Document Type: Essay Paper #: 27787686

Nursing Process Improvement and Change

Change management or process improvement in healthcare guarantees that the vital systems in the healthcare organizations are functioning at their optimal. The objectives of healthcare procedure enhancement are to promote the effectiveness of the systems across units while capitalizing on profits and in due course improving quality of patient's care and experience. Clinical procedure improvement does not only concentrate on patient care, but also evaluates the whole procedure from planning through patient's discharge. Process improvement entails underlining the systems selected for enhancement effort, categorizing problems in the system, starting a redesign procedure that eradicates the problems and radically enhances the system's performance (Strople & Ottani, 2006). The Critical Care Unit charge nurse reporting is crucial and determines the efficiency and quality of care provision.

The charge nurse in Critical Care Unit is a need to employ clinical expertise and managerial skills to enhance efficiency in…… [Read More]

References

Aspden, P. (2007). Preventing medication errors. London: National Academies Press

Georgieva, K ., & Stoykova. (2011).Developing a training program modules for general technical disciplines in the application of E-technologies', Trakia Journal of Sciences, 9 (4), 5-8.

Kavaler, F.(2012). Risk management in health care institutions. London: Jones & Bartlett

Publishers.
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Nursing Leadership Modern Nursing Has Become a

Words: 580 Length: 2 Pages Document Type: Essay Paper #: 90939052

Nursing Leadership

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…… [Read More]

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Nursing Home Proposal for Improving

Words: 2253 Length: 7 Pages Document Type: Essay Paper #: 40192889

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…… [Read More]

Works Cited

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.
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Nursing Healthcare Information Systems Key

Words: 3682 Length: 11 Pages Document Type: Essay Paper #: 9839470

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.

Medical Errors

According to an Institute of…… [Read More]

References

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.,
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Nurse Communication Skills for Health

Words: 1167 Length: 3 Pages Document Type: Essay Paper #: 46912984

6).

3. Identify and discuss effective communication techniques used by health professional

As has been briefly referred to above, one of the most useful and important communication technique is the ability to listen attentively and acutely in order to modulate one's response accordingly to the person or patient. There are many different techniques that can be applied to deal with different situations and types of patients. All of these techniques are intended to improve and facilitate the quality of the relationship between the healthcare worker and the patient (Berry, 2007, p. 39).

Empathy and compassion are the hallmarks of the nursing profession and a central technique in communication is allowing the patient to express his or her concerns as fully as possible without interruption and prejudice. This means keeping an open mind and reducing the influence of any prejudice or possible biases that may intrude with the communicative interpretation and…… [Read More]

References

Berry, D. (2007). Health Communication: Theory and Practice. Maidenhead, England: Open University Press. Retrieved March 14, 2011, from Questia database: http://www.questia.com/PM.qst?a=o&d=115256859

Garde, S., Harrison, D., Huque, M., & S. Hovenga, E.J. (2006). Building Health Informatics Skills for Health Professionals: Results from the Australian Health Informatics Skill Needs Survey. Australian Health Review, 30(1), 34+. Retrieved March 14, 2011, from Questia database: http://www.questia.com/PM.qst?a=o&d=5037753224

Kreuter, M., Farrell, D., & Brennan, L. (2000). Tailoring Health Messages: Customizing Communication with Computer Technology. Mahwah, NJ: Lawrence Erlbaum Associates. Retrieved March 14, 2011, from Questia database: http://www.questia.com/PM.qst?a=o&d=10084248

Riley, J.B. (2000). Communication in Nursing (4th ed.). St. Louis, MO: Mosby. Retrieved March 14, 2011, from Questia database: http://www.questia.com/PM.qst?a=o&d=100733651
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Different Nurse Practice Specialties

Words: 1049 Length: 3 Pages Document Type: Essay Paper #: 66976609

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…… [Read More]

Bibliography

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
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Importance of Nurse Informatists

Words: 2348 Length: 8 Pages Document Type: Essay Paper #: 6585266

Nurse Informatics

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.

Nursing Informatics

The information technology also affected the field of health…… [Read More]

References

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
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Standardized Coding Systems and Nursing

Words: 666 Length: 2 Pages Document Type: Essay Paper #: 48833173

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.…… [Read More]

References

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://171.67.114.118/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/ ThePracticeofProfessionalNursing/H ealth-it/StandardizedNursingLanguage.html
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Workflow Analysis of a Selected Nursing Activity

Words: 1906 Length: 6 Pages Document Type: Essay Paper #: 85486678

Workflow Anaysis

Workflow Analysis Of A Selected Nursing Activity

Workflow Analysis:

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…… [Read More]

References

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.
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History of Informatics

Words: 1016 Length: 3 Pages Document Type: Essay Paper #: 18566498

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…… [Read More]

References

AMIA (2012). Mission and history. Retrieved online: http://www.amia.org/about-amia/mission-and-history

Burke, L., & Weill, B. (2009), Information technology for the health professions (3rd ed.). Upper Saddle River, NJ: Prentice-Hall.

Detmer, D.E., Munger, B.S. & Lehman, C.U. (2009). Medical informatics board certification: History current status, and predicted impact on the medical informatics workforce. Applied Clinical Informatics 1(1): 11-18.

Hebda, T., Czar, P., Mascara, C. (2009). Handbook of informatics for nurses and healthcare professionals (4th ed). Upper Saddle River, NJ: Prentice-Hall.
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Nursing Theory Middle Range Theory

Words: 2277 Length: 7 Pages Document Type: Essay Paper #: 98474698

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.

Any…… [Read More]

References

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:

Springer Pub.

Meleis, a.I. (2011). Theoretical nursing: Development and progress. Philadelphia: Wolters
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Nursing Responses Maslow's Pyramid

Words: 787 Length: 3 Pages Document Type: Essay Paper #: 95078649

Accreditation

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…… [Read More]

References

Maslow's hierarchy of needs. (2014). R.N. Retrieved from:

http://www.rnpedia.com/home/notes/fundamentals-of-nursing-notes/maslow-s-hierarchy-of-basic-human-needs

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.

Reference
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Informatics Organizations

Words: 977 Length: 3 Pages Document Type: Essay Paper #: 32262584

Organization

Information organizations

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…… [Read More]

References

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.
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Informatics Information Systems and History

Words: 693 Length: 2 Pages Document Type: Essay Paper #: 21182061

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…… [Read More]

References

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.
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Nurse as a Patient Educator

Words: 1266 Length: 4 Pages Document Type: Essay Paper #: 8671124



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,…… [Read More]

References:

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
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Informatics in the Massachusetts Healthcare System

Words: 645 Length: 2 Pages Document Type: Essay Paper #: 24046630

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…… [Read More]

References

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.
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Nursing Administrator EHR Guide

Words: 629 Length: 2 Pages Document Type: Essay Paper #: 87751185

Job Aid

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…… [Read More]

References

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.
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Informatics Reflection

Words: 577 Length: 2 Pages Document Type: Essay Paper #: 88332893

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…… [Read More]

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Nursing Simulation

Words: 580 Length: 2 Pages Document Type: Essay Paper #: 20128077

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…… [Read More]

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Nursing Things

Words: 869 Length: 3 Pages Document Type: Essay Paper #: 40396675

Healthcare

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…… [Read More]

References

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.
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Understanding Nursing Theory

Words: 1782 Length: 5 Pages Document Type: Essay Paper #: 65561219

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…… [Read More]

References

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.
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How to Improve Nursing Education

Words: 521 Length: 2 Pages Document Type: Essay Paper #: 60329728

Nursing Curriculum

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,…… [Read More]

References

The future of nursing: focus on education. (2011). IOM. Retrieved from:

http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Report-Brief-Education.aspx
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Evidence based Nursing Practices

Words: 972 Length: 3 Pages Document Type: Essay Paper #: 37228056

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…… [Read More]

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Practicing Nursing in Modernity

Words: 2582 Length: 8 Pages Document Type: Essay Paper #: 53239738

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…… [Read More]

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.
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Technology Nursing

Words: 923 Length: 3 Pages Document Type: Essay Paper #: 10179217

Nursing

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…… [Read More]

References

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
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Curriculum of Nursing Education

Words: 1355 Length: 4 Pages Document Type: Essay Paper #: 71152410

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…… [Read More]

References

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