NURS 8210 – Transforming Nursing and Healthcare Through Technology
HEALTH INFORMATION TECHNOLOGY AND NURSING INFORMATICS: NURSING INFORMATICS INNOVATORS
In the video, Nursing Informatics Innovators, you are provided an extensive list of 34 nursing informatics innovators. Each of these individuals has been integral in advancing nursing informatics and the field of nursing practice.
Innovators in the field of nursing informatics, led the way in shifting the perception of a nurse as an art of patient care, to the practice of nursing as a science, vested in science, technology, and advancements.
Nursing informatics innovators facilitated and created major advancements in the field of nursing and ensured the field would be one of advancement, continual change, and scientific innovation. Exploring the work of these innovators is essential in understanding where nursing informatics began, where it is now, and where it continues to go.
For this Discussion, reflect on the role of individual nursing informatics innovators and consider their contributions, the impact of their contributions, and what you might specifically learn from them in your nursing practice. Reflect on how you might apply the knowledge of these innovators to your nursing practice, your education, and your future goals.
BY DAY 3 OF WEEK 1
Post a brief description of the two innovators you selected and explain why. Include in your description how their contributions influenced health information technology and the professional accomplishments of each innovator. Then, describe how their contributions influenced nursing practice and how these contributions may have shaped the field of nursing informatics. Be specific. Then, explain any lessons you might take away from their experiences, including an explanation of how the skills or ideas demonstrated by these pioneers might apply to your professional practice. Be specific and provide examples.
BY DAY 6 OF WEEK 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by explaining how the innovators selected by your colleague may demonstrate skills related to your professional practice and why.
Nursing Informatics
As Sipes (2022) notes, informatics is the study of computational systems storing and returning data. Nursing informatics has, over the years, evolved to become a significant part of the healthcare industry. Nursing informatics, as noted by McBride and Tietze (2022), is an area concerned with combining patient care with technology. The American Medical Informatics Association (2022) identifies several nursing informatics innovators who are pioneers in nursing informatics, where they have mastered expert skills and the use of technology to design, strategize, and coordinate the use of technologies and informatics in nursing.
Selected Nursing Informatics Innovators
The first innovator selected is Patricia Abbott, RN, Ph.D. Dr. Abbot is regarded as one of the pioneers of informatics innovation, obtaining her master’s degree in nursing informatics in 1992 and pursuing a Ph.D. in information systems in 1999. Dr. Abbot is currently an associate professor at the University Of Michigan School Of Nursing, where she focuses on the role of telehealth in promoting disease self-management. Moreover, the researcher emphasizes applying such knowledge to vulnerable communities, such as patients affected by heart failure living in home-based environments. From a leadership perspective, one of Dr. Abbott’s strengths is experimentation, being the first to apply data-mining techniques in the nursing discipline (Shortliffe, 2004). Dr. Abbot used such systems in promoting long-term care, extending data mining and big data concepts in care quality and safety, vital applications that continue shaping informatics and health information technologies (HIT).
The second innovator is Judy Murphy, who has more than 25 years of experience in the field of Nursing Informatics with a specialty in Electronic Health Care Records. Ms. Murphy worked in healthcare in Wisconsin, specifically in Milwaukee, where she oversaw a network of 30 hospitals (AMIA, 2021). She has lectured and published on various topics, such as applying technology in evidence-based practice and using automated clinical documentation and methodologies in system implementation (AMIA, 2021). Ms. Murphy has researched Nursing Informatics systems, their functions, and their features. This has helped nurses monitor work and thought flow related to patient care. Some of the skills explored by Murphy are using standard computer technology such as Wi-Fi, IP, and different devices that improve healthcare delivery (AMIA, 2021). Knowing how systems work can help me as a nurse leader in the future to help the nursing staff do their job better and train them through shared governance.
Contributions and Impact of Innovators on Nursing Practice and Nursing Informatics
The contribution of nursing informaticists has helped shape nursing informatics by creating desirable changes in the quality of healthcare through the proper decision-making and promotion of equity through meeting the needs of populations by meeting the needs of the targeted population (Kalsy et al., 2018). The impact of Patricia Kathleen Abbott’s and Judy Murphy’s innovations in nursing informatics on nursing practice cannot be underestimated. Undeniably, their contributions have improved effectiveness, safety, timeliness, patient-centeredness, and efficiency of care. At the same time, the two innovator’s contributions have improved patients’ access to healthcare services and overall improved quality of care. Similarly, notable impacts are evident in the field of nursing informatics. The two innovator’s contributions have led to the widespread adoption of nursing informatics innovations. Examples of innovations that healthcare organizations have adopted and incorporated through nursing informatics include electronic health records/medical records, e-prescribing, remote patient monitoring, and telehealth. These have led to an array of benefits, including enhanced coordination, healthcare cost reduction, better and more efficient storage of patient records, patient empowerment, improved quality of care and patient outcomes, and improved patient safety.
Lessons Learned from the Innovators’
The primary lesson from Patricia Abbott’s and Judy Murphy’s experiences is that the healthcare and nursing workforce must acquire nursing informatics competencies. These encompass the abilities, skills, and knowledge to perform informatics tasks (American Nurses Association, 2015).
Since nursing informatics innovations have advanced technology and approaches to care in various nursing specialties, it is indispensable that present and future professional nurses become versed in the use of informatics and technology to facilitate critical decision-making for optimal patient care. The skills and ideas demonstrated by the two pioneers would apply to my professional practice because they will enable me to leverage nursing informatics innovations in making critical patient care decisions supported by timely clinical information.
References
American Medical Informatics Association. (2021). Nursing informatics innovators. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators
American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). American Nurses Association.
Kalsy, M., Lin, J. H., Bray, B. E., & Sward, K. A. (2018). Role of nursing informatics in the automation of pneumonia quality measure data elements. CIN: Computers, Informatics, Nursing, 36(10), 475-483.
McBride, S., & Tietze, M. (2022). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (3rd ed.). Springer Publishing Company
Sipes, C. (2022). Project management for advanced practice nurse (2nd. Ed.). Springer Publishing
CASE STUDIES: PROFESSIONAL ROLE DEVELOPMENT
“Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research” (Rew et al., 2020).
As you begin working on your small nursing informatics project, consider how this project will plant the seed for your future work (in and out of an educational setting). How might what you do in this course lend itself to what you will need to do in nursing practice on a day-to-day basis? Why might it be important to consider this now versus later in your education or practice?
Throughout this course, you are tasked with implementing, or proposing an implementation, of a small nursing informatics project. This project is steeped in project management concepts to drive your work.
For this Discussion, you will explore why this approach might not only will assist you in this course, but how it might assist you in nursing practice beyond your studies.
Reference:
Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. doi:10.1016/j.outlook.2020.01.007
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE
Review the Learning Resources for this week and reflect on the roles of advanced nursing practice as it relates to project management.
Select one of the roles described in Chapter 8 of the Sipes text to focus on for this Discussion.
Review the article by Rew et al. (2020) and reflect on the steps and processes used by the team described in the article.
How might you use a similar approach for the completion of your DNP doctoral project or dissertation? What project management strategies might be most appropriate for your nursing research?
BY DAY 3 OF WEEK 2
Post a brief description of 4–5 major competencies required for the advanced nursing practice role that you selected.
Explain how the project management concepts you have examined thus far in the course might align with this advanced nursing practice role and why. Be specific.
Based on the steps and processes used by Rew et al. (2020) and the resources on techniques and tools for nursing research, how might you use these same concepts and a similar approach for completing your DNP doctoral project or dissertation?
Explain which processes and techniques you believe will provide the most guidance to assist you plan and develop your DNP doctoral project or dissertation. Be specific and provide examples. Then, describe how the project management strategies you will learn as a nurse leader may be applied to facilitate nursing research or nursing practice for your DNP doctoral project or dissertation.
BY DAY 5 OF WEEK 2
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different advanced nursing practice role than you. Expand upon your colleague’s posting or offer an alternative perspective on the alignment between the project management concepts and the advanced nursing practice role described by your colleague.
Case Studies: Professional Role Development
The advanced nursing practice role I selected is a psychiatric mental health nurse practitioner (PMHNP). Major competencies required for this role include clinical expertise, communication, critical thinking and problem-solving skills, interpersonal skills, leadership and management skills, and knowledge of evidence-based practices (Kumar et al., 2020). These competencies are essential to effectively assessing patient health status; diagnosing conditions; developing, implementing, and evaluating plans of care; providing counseling, education, and referral services; managing resources to maximize outcomes; and collaborating with other health professionals.
Project management concepts such as goal setting, task prioritization, timeline development, resource allocation, and risk assessment can be aligned with this advanced nursing practice role (Bakerjian, 2022). For example, a primary care nurse practitioner must set goals and prioritize tasks to facilitate the best patient outcomes. They must also develop a timeline for completing patient assessments and developing plans of care, as well as allocate resources such as time, money, supplies, and personnel to effectively meet their goals. Finally, they must assess risks associated with treatment options and identify strategies to mitigate those risks.
These same concepts and a similar approach can be used for completing a DNP doctoral project or dissertation. Rew et al.’s (2020) steps and processes, as well as the resources on techniques and tools for nursing research, provide an effective framework to guide the development, implementation, and evaluation of the project or dissertation. For example, one could use goal setting to develop a research question or hypothesis and task prioritization to break down complex tasks into smaller, more manageable steps. Additionally, timeline development can be used to create project milestones and deadlines, while resource allocation can help determine the resources needed for the project or dissertation. Lastly, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them (Lamb et al., 2018). Thus, project management concepts are essential for completing a successful DNP doctoral project or dissertation. The processes and techniques that will provide the most guidance to assist with planning and developing a DNP doctoral project or dissertation include setting goals, prioritizing tasks, developing timelines, allocating resources, developing research questions/hypotheses, conducting literature reviews, collecting data, analyzing data and making conclusions. Additionally, risk assessment can be used to identify potential barriers that may impede progress and develop strategies to mitigate them.
The project management strategies learned as a nurse leader can also be applied to facilitate nursing research or nursing practice for the DNP doctoral project or dissertation. For example, nurses in leadership roles can use goal setting and task prioritization to organize their projects, timelines for completing tasks, resource allocation for personnel and materials needed, and risk assessment to assess potential threats and develop strategies to address them. Additionally, they can use literature reviews to gain an understanding of the current evidence related to their project or dissertation, collect data relevant to their research question or hypothesis, analyze this data, and make conclusions based on the results (Rew et al., 2020). Thus, utilizing project management strategies as a nurse leader can help facilitate nursing research and practice for a successful DNP doctoral project or dissertation.
References
Bakerjian, D. (2022). The advanced practice registered nurse leadership role in nursing homes: Leading efforts toward high quality and safe care. The Nursing Clinics of North America, 57(2), 245–258. https://doi.org/10.1016/j.cnur.2022.02.011
Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275–280. https://doi.org/10.1016/j.apnu.2020.07.022
Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3), 400–413. https://doi.org/10.1002/nop2.150
Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. doi:10.1016/j.outlook.2020.01.007
Week 2: Discussion 2
IMPORTANT TERMINOLOGY AND CONCEPTS
The field of nursing requires an understanding of many terms and concepts. You may find there are some you are familiar with, and you may find you are learning something new every day. How might the exploration of nursing informatics terms and concepts help you improve your practice? What is required to stay up to date with new terminology and concepts in the field? How might you approach the ever-changing landscape of nursing practice as it relates to information technology?
For this Discussion, you will focus on two selected terms to explore their impact on nursing practice. You will also explore barriers and non-functionality related to your selected terms. Consider your specific experience and nursing practice to share with your colleagues.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
TO PREPARE
Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.
Usability
Interoperability
Decision Support
Sustainability
Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.
BY DAY 4 OF WEEK 2
Post and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific. Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms.
BY DAY 6 OF WEEK 2
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected different terms than you. Expand upon your colleague’s posting or offer an alternative perspective on how the terms identified by your colleague may contribute to non-functionality in your practice if not properly aligned.
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Collapse SubdiscussionTelecia Shantee’ AllenTelecia Shantee’ Allen ReplyReply to Comment
Dec 5, 2022Dec 5, 2022 at 5:14am
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Important terminology and Concepts: Usability and Decision Support It is important for nurses to understand how these terms function in order to effectively use technology in their practice. For instance, if nurses are using technology that has poor usability they may be unable to access the information they need quickly and efficiently which could lead to delays in care or errors (Graham et al., 2008). Understanding decision support systems can also help nurses make informed decisions based on evidence rather than intuition alone. This can result in improved patient outcomes (Graham et al., 2008). Understanding how usability and decision support work is important for nurses in order to ensure they are using the most effective technologies when caring for patients. Improper application of these terms can lead to non-functionality which can have serious implications for patient care as well as cost associated with medical errors or delays in care (Cho et al., 2022). Thus, it is imperative that nurses understand these terms so that they can use technology effectively and safely in order provide quality nursing care. In conclusion, understanding the concepts of usability and decision support can help nurses use technology effectively in their practice which can lead to improved patient outcomes. It is important for nurses to be aware of the potential impacts that could arise from improper application of these terms in order to provide the best care possible. By understanding how usability and decision support works, nurses can ensure they are using the most effective technologies and reduce any risk from non-functionality.Cho, H., Keenan, G., Madandola, O. O., Dos Santos, F. C., Macieira, T. G. R., Bjarnadottir, R. I., Priola, K. J. B., & Dunn Lopez, K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. JMIR Human Factors, 9(2), e31758. https://doi.org/10.2196/31758Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. Npj Digital Medicine, 3(1). doi:10.1038/s41746-020-0221-y
Graham, T. A., Kushniruk, A. W., Bullard, M. J., Holroyd, B. R., Meurer, D. P., & Rowe, B. H. (2008). How usability of a web-based clinical decision support system has the potential to contribute to adverse medical events. AMIA … Annual Symposium Proceedings. AMIA Symposium, 2008, 257–261.
References
Usability and decision support can impact care provider’s practice in several ways, such as improvements in patient safety, better decision-making and time saving. The potential impacts of non-functionality that may arise in nursing practice if barriers exist for the proper application of these terms may include increased risk of medical errors, delays in care, or even lack of access to necessary information (Sutton et al., 2020). Thus, it is important for nurses to understand how usability and decision support works so they can use technology effectively and ensure they are providing quality care while also reducing costs associated with medical errors or delays in care.
Barriers to proper application of usability and decision support in nursing practice can lead to non-functionality which could have serious implications for nurses, their patients, and the healthcare system as a whole. For example, if nurses are unable to use technology due to poor usability it can lead to delays in care or errors that can be costly both financially and medically. Additionally, relying solely on intuition rather than evidence-based decision making could increase risks for patients receiving care. This highlights the importance of understanding how these terms function in order for nurses to ensure they are providing quality care while also reducing costs associated with medical errors or delays in care (Sutton et al., 2020).
The two terms that I selected from the list are Usability and Decision Support. Usability is the measure of how easy a system or product is to use and understand. Usability focuses on the user’s experience with a particular product or system (Graham et al., 2008). Decision Support refers to technologies and resources that support an individual’s decision-making processes by providing them with relevant information, advice, visual representations, and other learning materials.
Collapse SubdiscussionBrittney PemberBrittney Pember ReplyReply to Comment
Dec 7, 2022Dec 7, 2022 at 8:30am
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I also chose decision support. I believe this is extremely important and I have been in positions where I have had this and where I have not. deal nurse decision-making is essential to enhanced patient care outcomes. (Cappelletti A, 2014) It creates extreme difficulty when you do not have support of leadership or staff. For example, in my role now I have great decision support and I feel like my day goes easier and effectively I feel me and my team are able to focus on what is important which is the patient. Decision-making in acute care nursing requires an evaluation of many complex factors. While decision-making research in acute care nursing is prevalent, errors in decision-making continue leading to poor patient outcomes. (Bucknall T, 2003)Cappelletti A, Engel JK, Prentice D. Systematic Review of Clinical Judgment and Reasoning in Nursing. Journal of Nursing Education. 2014;53(8):453–458. doi: 10.3928/01484834-20140724-01
Bucknall T. The clinical landscape of critical care: nurses’ decision-making. Journal of Advanced Nursing. 2003;43(3):310–319
Response Two
Collapse SubdiscussionJennings Ubadi MekobaJennings Ubadi Mekoba
