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Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.

Decision Support

Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.


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.


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.

  The two terms I selected are the following: Decision Support and Sustainability. These two terms are important to me within my practice because decision support means you have a supportive team you are able to collaborate with in order to better yourself and your team. Sustainability is being able to implement policies or practices that are going to hold and stick. Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility and a willingness to change. (Leffers J, 2011)Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, editors. Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan; 2005Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. Public Health Nurs. 2011;28:91–102

Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: new direction for nursing research. J Adv Nurs. 2009;65:1527–38
            These terms are extremely important to nursing practice because they provide support and structure which is needed in an environment that is always changing. In order to create staff retention these two factors are majorly important. Consequences of sustainability in nursing include education in the areas of ecology, environment and sustainable development as well as sustainability as a part of nursing academic programs and in the description of the academic subject of nursing. (Hansen-Ketchum P, 2009) If these terms are not applied appropriate this can cause disorder and a stressful overwhelming environment. Sustainability in nursing was explored and found to contribute to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. (Brown VA, 2005)
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Collapse SubdiscussionVicky Awken NgangVicky Awken Ngang ReplyReply to Comment
Dec 6, 2022Dec 6, 2022 at 3:33pm
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Thank you so much for your detailed post this week Brittney.ReferencesAnåker, A., & Elf, M. (2022). Sustainability in nursing: a concept analysis. ScandinavianJournal of Caring Sciences, 28(2), 381–389. https://doi.org/10.1111/scs.12121
Goodman B. Developing the concept of sustainability in nursing. Nurs Philos. 2016 Oct;17(4):298-306. doi: 10.1111/nup.12143. Epub 2016 Jul 25. PMID: 27456540.
Anderson JA, Willson P. Clinical decision support systems in nursing: synthesis of the science for evidence-based practice. Comput Inform Nurs. 2008 May-Jun;26(3):151-8. doi: 10.1097/01.NCN.0000304783.72811.8e. PMID: 18438151.
A decision support system is designed to improve healthcare delivery by supplementing medical decisions with targeted clinical knowledge, patient information, and other health data. A decision support system is a collection of software designed to aid in clinical decision-making. Decision support today is primarily used at the point of care. Providers combine their knowledge with information or suggestions provided by the clinical decision support system (Anderson & Willson, 2018). Sustainability is a multifaceted concept that incorporates environmental, sociocultural, and financial considerations. Several studies have linked the long-term viability of health-care systems to improved people’s quality of life. (Goodman, 2016). Sustainability in nursing was found to add to sustainable development and maintain an environment that does not harm current and future generations’ opportunities for good health (Anåker & Elf, 2022).
Collapse SubdiscussionDavid AdubiDavid Adubi ReplyReply to Comment
Dec 8, 2022Dec 8, 2022 at 12:01pm
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Discussion 2 Response 1Clinical decision support (CDS) delivers expertise and person-specific information, intelligently filtered or provided at the right times, to physicians, staff, patients or other individuals to improve health and healthcare. A wide range of tools are included in CDS to improve clinical workflow decision-making. A few of these tools are focused patient data reports and summaries, focused patient data alerts and reminders for healthcare professionals and patients, clinical recommendations, condition-specific order sets, documentation templates, diagnostic support, and contextually appropriate reference data. Numerous significant advantages of CDS include greater efficiency, cost-benefit analysis, provider and patient satisfaction, improved health outcomes, and decreased errors and adverse occurrences. A complex health IT component is CDS. To produce and convey useful information to clinicians while care is being provided, it requires computable biomedical knowledge, person-specific data, and a reasoning or inferencing mechanism that blends knowledge and data. This data must be filtered, arranged, and presented in a way that supports the existing process so that the user can quickly and effectively make a decision and act. Different types of CDS might be best suited for certain care processes in various locations. Because they can help clinicians deal with the mounting information overload they experience and offer a platform for incorporating evidence-based knowledge into care delivery, health information technologies intended to improve clinical decision making are particularly appealing (Clinical decision support 2018)Clinical decision support. HealthIT.gov. (2018, April 10). Retrieved December 8, 2022, from https://www.healthit.gov/topic/safety/clinical-decision-support

Hi Brittany,
Collapse SubdiscussionIjeoma C OnyeagochaIjeoma C Onyeagocha ReplyReply to Comment
Dec 9, 2022Dec 9, 2022 at 6:26pm
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                                                                                        Important terminology and Concepts:I hope your day is going on well. First of all, good job on the post. I hope to learn more since I did not select support and sustainability for my post. I like your take on the post, as you mention how it is important to you and your practice since decision support means you have a support system with which you can easily collaborate. Responding to your definition of sustainability, AnAaker and Elf (2014) also have a similar take on sustainability. As you highlighted in your post, sustainability involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance. I agree that the nursing environment is always evolving and changing with time. Hence, underlining the great value support and sustainability have on nursing practice as they provide support and structure. AnAaker, A., & Elf, M. (2014). Sustainability in nursing: a concept analysis. Scandinavian journal of caring sciences, 28(2), 381-                        389.
Heidari, M., Seifi, B., & Gharebagh, Z. (2017). Nursing staff retention: Effective factors. Annals of Tropical Medicine and Public                      Health, 10(6).
You also mentioned that sustainability and support formed the major important factors in staff retention in nursing. Heidari et al. (2017) conducted a study to find out what were among the reasons that are affecting nursing staff retention. You also mentioned that the sustainability consequences in nursing included education in ecology, environment, and sustainable development, as well as sustainability as a part of the nursing academic program. Again, there are various aspects of supporting systems that contribute to nursing staff retention. Support and sustainability provide insights that nursing systems can utilize when implementing and designing strategies to arrive at a sustainable workforce.
Hi Brittney,
Collapse SubdiscussionEdith ?N?W?A?K?A?E?G?O AmaEdith ?N?W?A?K?A?E?G?O Ama ReplyReply to Comment
Dec 9, 2022Dec 9, 2022 at 8:33pm
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Nice post Brittney,                                                                         References       direction for nursing research. J Adv Nurs. 2009;65:1527–38
Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health.
Public Health Nurs. 2011;28:91–102
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker,
K. I. (2020). An overview of clinical decision support systems: benefits, risks, and
strategies for success. NPJ digital medicine, 3(1), 1-10.
Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: a new
For one to understand nursing it is important to be knowledgeable of concepts that support the
discipline. The two terms chosen in the post were sustainability and decision support (Sutton et
al, 2020). Sustainability involves development in the delivery of high-quality patient care for all
while promoting financial, social, and environmental development (Leffers and Mitchell).
Therefore, nurses have to develop the quality of healthcare by minimizing the negative impacts
of the environment and leveraging opportunities to restore it for the benefit of current and future
generations. Sustainability gives structure to nursing practice, especially for students who are
trying to learn and understand the whole discipline.
Decision support systems are computer-based programs that analyze data within EHRS to
provide prompts and reminders that help healthcare providers in implementing evidence-based
clinical guidelines at the point of care (Hansen-Ketchum et al). Decision support systems are
important for nurses because they enable timely problem-solving, informed decision-making,
and improved efficiency when dealing with issues or operations, event management, and
Apart from the above terms, there are many other concepts that nurse use to understand better the
whole nursing course.

Collapse SubdiscussionSara Haynes PerrySara Haynes Perry ReplyReply to Comment
Dec 6, 2022Dec 6, 2022 at 11:44am
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Week 2 dicsussion 2The two terms I selected were Usability and Interoperabilty. Usability refers to the health information technology by the healthcare works/user, system in which errors usability flaws occur. This can be in relation to the user, the system, and the user knowledge of system in use, Marcilly et al, (2019).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. HealthIT.gov. (n.d.). Health information technology advisory committee Links to an external site.Links to an external site.(HITAC). https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac0p.vPowell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site.Links to an external site.. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-care
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
Usability errors can cause a range of problems from near misses or injury to death. While the spectrum is large, all are important factors and impacts the patient care, health, and confidence within the system. The user must be trained well, as the system must be a well-functioning user-friendly option that avoids errors and provides optimal information technology and support to the users. Interoperability can cause errors in patient centered care and problems with patient data if there are problems within the system, both the patent and the provider can be affected in regards to data accessibility and information.
It is important for these terms to be understood because they are a major part of the healthcare information technology. They were developed to secure patient data, patient safety, patient centered care, and user-friendly technology that is secure and protected. The Health Information Technology Advisory Committee, (HITAC), was set in place to provide standards, policies, implementation specifics, and certification criteria when HIT is implemented, HelathIT.gov, (n.d.). Specifically, these were important to understand as they apply directly to today’s modern technology and patient care. In order to provide the most up to date evidence-based practice and track problems or improvements, the system, when it works well, can be effective and useful with these above terms and how they pertain to the HIT.
Interoperabilty improves clinical decision making through timely and complete access to information and accessibility to evidence-based guidelines accessibility, Powell & Alexander, (2019). This in turn provides patient centered care related to access and control over personal health information,
Post and define the two terms you selected;

Collapse SubdiscussionVicky Awken NgangVicky Awken Ngang ReplyReply to Comment
Dec 7, 2022Dec 7, 2022 at 5:46am
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Hello Sara                                                        REFERENCESBates, D. W., & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future?. Health services research, 53(5), 3270–3277. https://doi.org/10.1111/1475-6773.12852
Agha, Z. , Calvitti A., Ashfaq S., Farber N., Street R., Bell K., Liu L., Gabuzda M., Chen Y., Barbara G., and Rick S.. 2014. “EHR Usability Burden and Its Impact on Primary Care Providers Workflow.” SGIM 37th Annual Meeting, San Diego.
I enjoyed your two terms interoperability and decision support. Interoperability has been defined by the Institute for Electrical and Electronics Engineering in the IEEE Standard Computer Dictionary as “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). Interoperability is very beneficial in the digital economy world noted Agha et al., 2014. Due to the post-Covid pandemic Tele-visiting has increased. Information should be shared seamlessly between healthcare providers and patients on an easy to access platform. Interoperability has improved our healthcare system in general. Patient retention has significantly increased post pandemic and it is thanks to technology.
Collapse SubdiscussionChristian OfforChristian Offor ReplyReply to Comment
Dec 9, 2022Dec 9, 2022 at 1:19pm
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Sara, thanks for your post. Usability and interoperability are two essential concepts in nursing informatics. In nursing informatics, usability and interoperability are two key ideas (www.healthit.gov). Nurses that are proficient in the use of modern technology are better able to care for their patients. For instance, portable monitors allow nurses to check on patients quickly, even when occupied with other tasks. Nurses receive an alert if a patient needs urgent attention, significantly reducing response times. Nurses may only be able to use a nursing informatics system to its full potential if it is user-friendly (Lee, 2007). This could result in careless mistakes and subpar treatment for patients. Also, it’s crucial that various systems can talk to one another and share data. Nursing informatics systems that are not interoperable can make sharing patient data with other systems challenging. This can result in poorer quality care for patients and lead to duplication of effort, mistakes, and subpar care. If a nursing informatics system is not interoperable, it may be difficult or impossible to exchange information with other systems, leading to errors and suboptimal patient care.Lee, T. T. (2007). Nurses’ experiences using a nursing information system: early stage of technology implementation. Computers, informatics, nursing : CIN, 25(5), 294–300. https://doi.org/10.1097/01.NCN.0000289166.61863.0bLinks to an external site.
Interoperability Standards. (n.d.). Retrieved from https://www.healthit.gov/Links to an external site. topic/ interoperability/standards
Collapse SubdiscussionLovester DuncanLovester Duncan ReplyReply to Comment
Dec 9, 2022Dec 9, 2022 at 9:34pm
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Sara, you are correct, usability measures whether a healthcare user and or users can accomplish a specific set of tasks in a particular setting with effectiveness, efficiency, and satisfaction.  A system with good usability will also be effective, efficient, and able to deliver care and services effectively.  Additionally, usability is how well a system performs its intended function and/or can perform the job that it was designed to perform effectively without flaws.  In the healthcare system, usability errors and flaws can adversely affect patients’ health and well-being. When users are not trained or if the equipment is not user-friendly, they may worsen their medical conditions, increase healthcare expenditure, or even result in a lawsuit and death as you mentioned.  The poor usability of HIT can result in implementation failures or rejections, difficulties in using the system, and, even more, safety concerns for patients (Marcilly, Schiro, Beuscart-Zéphir, Magrabi, 2019). In typical usage situations, poor usability is determined by the presence of usability flaws, the system, and requirements on the user that make it unpleasant, inefficient, onerous, disturbing, or impossible to reach the user’s objectives (Marcilly et al.,2019). Therefore, I agree with your point that workers and or system users need to receive in-services and or training to reduce errors and flaws. Also, systems should be functioning properly and or should be inspected annually to ensure they are functioning properly. Additionally, Health information technology (HIT) promises to improve safety, efficiency, and overall quality of care delivery. As you mentioned (Marcilly, et al.,2019), biannual inspections and certification criteria are essential for detecting usability flaws and ensuring quality care and safety. Finally, despite biases in incident reports because reporters are typically afraid of being reprimanded, it is essential to use incident reports to assess and or identify usability flaws.  Information collected from incident report forms can be used by the quality improvement department in the hospital to identify the root cause of the problem and improve usability by making equipment user-friendly, safe, and usable.
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841

Collapse SubdiscussionDavid AdubiDavid Adubi ReplyReply to Comment
Dec 7, 2022Dec 7, 2022 at 11:45am
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Discussion 2 Main PostDefinition of TermsInteroperability refers to the ability of apps, equipment, products, and systems from different companies to seamlessly communicate and process data in a way that does not require any involvement from end users. This process consists of two primary methods. For the first method, businesses can share data and resources between systems through a local area network (LAN) or a wide area network (WAN). Additionally, companies can share data between different systems or machines via software and hardware. Essentially, interoperability allo

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