NURS-FPX4040 Assessment 1 Nursing Informatics in Health Care Paper

NURS-FPX4040 Assessment 1 Nursing Informatics in Health Care Paper

NURS-FPX4040 Assessment 1 Nursing Informatics in Health Care Paper

Nursing Informatics Proposal

Introduction

Recent technological advantages have shaped the healthcare sector in profound ways, in areas such as the delivery of care services. In today’s healthcare sector, nurses play a critical role in guaranteeing that health information technology fosters care safety, patient-centeredness of care, and the quality of services (Zadvinskis, Smith & Yen, 2018).

The important role is made possible by many factors, including the utilization of nursing informatics, which refers to the integration of nursing science with the information technology and analytics systems required to identify, explore, manage, and communicate the data, knowledge, and information required to support care service delivery (Zadvinskis, Smith & Yen, 2018).

In light of the importance of nursing informatics in care service delivery today, this proposal explores the crucial aspects of the new technology and its adoption and the practitioner’s role. The focal areas include defining nursing informatics, the critical role of the nurse informaticist, the working experience of a professional in a healthcare setting, the impact on nursing technology use, and the challenges and opportunities that affect the practitioner’s role (Zadvinskis, Smith & Yen, 2018).

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Nursing Informatics and the Role of the Practitioner 

Nursing Informatics

NURS-FPX4040 Assessment 1 Nursing Informatics in Health Care Paper

The recent increase in the adoption of information and communication technologies has profoundly affected the healthcare sector, including improving the utilization of technologies. Some common forms of nursing informatics tools in use in healthcare includes Electronic medical records (EMRs) and Computerized provider order entry (CPOE), which make service delivery easier, quicker, and more convenient for providers and patients. However, despite the widespread adoption of nursing informatics, there is some contention on the definition of the application.

According to the American Nurses Association (AMA), “Nursing informatics (NI) is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice” (ANA, 2021). The widely accepted definition is that nursing informatics refers to the integration of information and communication technologies in medicine, tackling a wide array of challenges, including access to health information and the promotion of community health.

As indicated in the definition, nursing informatics covers various aspects of information and communication technology and care delivery, including computer sciences and information sciences, in mediating and fostering data, knowledge, and information communication and sharing. Integrating nursing informatics supports patient care services, nurse practice, the work of interprofessional teams, and healthcare stakeholder decision-making across all settings towards improving care outcomes (Zadvinskis, Smith & Yen, 2018).

The Nurse Informaticist Role

Nurse informaticists are registered nurses (RNs) with clinical training and working, allowing them to understand the healthcare organization’s work environment and workflow adequately. The nurse informaticist’s role is crucial in healthcare service delivery, noting the responsibilities they play, including evaluating and selecting the technologies to employ, establishing the needs of end-users, customizing functionality, and designing and delivering healthcare training (Byrne, 2021). According to ANA (2021), the role of the nurse informaticist entails various functional areas and responsibilities that entail working as different experts.

The major roles they play include project managers, research on the impacts of service delivery for patients and service providers, analyzing information and data, and ensuring organizational compliance with national laws, regulations, and standards (ANA, 2021). The roles and responsibilities of the nursing informaticist also entail patient and organizational advocacy, helping shape and model organizational policies and care standards at the organizational, local, state, federal, regional, and international levels. Additionally, the nurse informaticist plays the crucial role as a liaison between the clinical and technical departments and communities during project implementation, staff training, education, and the adoption of healthcare applications, devices, and systems (Byrne, 2021).

The Nurse Informaticist the HCR Home Care 

Nursing informatics offers a vast array of nursing strengths, cultivates the interests, and influences the operational functions of the healthcare organization at every area of service delivery in clinical practice (Byrne, 2021). The success of an organization’s IT department is greatly dependent on the communication and collaboration between the nurse informaticist and other healthcare services delivery stakeholders.

During the interview with Johnson Michael, a nurse informaticist working with HCR Home Care, a New York-based healthcare organization that provides home-based services. During the discussion on the importance of nurse informatics, Mr. Michael explained that his role is critical to creating and adopting a new electronic medical record (EMR) system. During the process leading to the adoption of the new patient information and record capturing system, he worked closely with the IT and administration departments to pick the ideal EMR program, depending on whether it improved clinical documentation, complied with local, state, and federal regulations, and fostered the quality of patient care across the organization.

During the few weeks leading to the adoption of the EMR system, she collaboratively worked with the various departments, including training and education with nursing and administrative staff and therapists. The training and education cultivated the required levels of proficiency in using the EMR system, which they did in in-person and online-based training. By cultivating the skills, knowledge, and expertise in using the new EMR program, Mr. Michael ensured that he cultivated the understanding required to embrace the system and utilize its benefits.

In addressing the potential challenges that could limit the system’s adoption, he answered the questions and queries on adopting the new system, including the follow-up that the IT, administrative, and nursing departments required. Following the system’s adoption, the nurse informaticist did weekly meetings with the departmental heads and other critical staff, including nurses, office, administrative, and medical staff, to discuss the progress made and the issue encountered. Currently, the new system has been in use for the past three years and she continues to offer the education, training, and support required to offer the organization the most benefits, depending on routine and emergent needs (Byrne, 2021).

Impact of Full Nurse Engagement in Health Care Technology on Core Care Services

Patient Care

Due to the nurse’s perfect placement to explore and discover gaps and issues in care services delivery, by finding and using transformative ways to guide their practice outlook, which entails leading initiatives aimed at improving patient outcomes (Byrne, 2021). The nurse informaticist’s role is crucial to organizational outcomes, considering that adopting supporting technologies fosters research, access to information, and communication effectiveness, improving patient safety and supporting evidence-based nursing outcomes (Byrne, 2021).

The commonly used tools include automated blood pressure checking cuffs and electronic medical records to minimize medical errors while also improving nurse engagement and presence in patient care delivery. Adopting these technologies has expanded the operational scope of nurses, meaning that they can serve a larger number of people, including remotely, by leveraging the IT system. More importantly, the systems allow them to improve patient engagement and improve care outcomes, benefitting patients.

Protected Healthcare Information

Full nurse engagement in health care technology is equally impactful in promoting the security and privacy of patient information, which is a crucial consideration in care provision, especially due to the adoption of electronic documentation. For example, the widespread adoption of the EMR, also called electronic health records (EHRs), is crucial in planning patient care, documenting service delivery, and assessing the outcomes from the process. The adoption of technology minimized the ease of access to protected health information among unauthorized people due to the conversion of analog to digital information.

However, the change also introduced risks such as hacking and cybercrime, which are adequately contained using emerging security technologies, which have improved patient information protection. The roles of the nurse in protecting patient information include securing their passwords and using double-layer authentication where applicable. Other steps include activating the settings for automatically logging out of computers when not in use for some minutes and ensuring that computer screens are concealed from unauthorized users.

Workflow

The adoption of IT and the full engagement of nursing staff improve care service delivery efficiency and comprehensiveness (Byrne, 2021). Some practical applications that improve workflow include electronic charting, which allows nurses quick and easy access to information, allowing them to channel more time to patient-centered care, for example, at the bedside. IT adoption also fosters the recording and sharing of information, fostering access to required records and information such as diagnostic results and vital indicators in real-time, improving the speed, quality, and outcomes of care services (Byrne, 2019). For unit managers, technology improves staff performance and efficiency due to the careful planning of work shifts, using online self-scheduling platforms, allowing for ease of resource allocation.

Costs and Returns on Investment

In response to the rising demand for improved healthcare service delivery due to policy changes such as the directives under the Affordable Care Act of 2010 that incentivize care delivery in different areas. In light of the target changes, nurses have a crucial role to play, including increasing care organization accountability, quality and financial metrics observation, and improved time management (Butler, 2015; Butler, 2015).

The changes have reduced the costs of care, such as the adoption of telehealth during the Covid-19 pandemic and collaboration between practitioners operating in different healthcare organizations and areas (Jumreornvong et al., 2020). Further, technologies such as EMRs improve the planning, design, and optimization of healthcare technology implementation, which have led to improved financial outcomes in the short and long-term.

Opportunities and Challenges

The primary objective of nursing informatics and its adoption is improving patient health outcomes through the optimization of communication and information management by offering the opportunities to improve care delivery, administrative functions, and research, among other areas. The adoption of technology offers a wide array of opportunities, including improved administrative functions, improving the effectiveness of support systems, and supporting healthcare research due to the availability of real-time information (Butler, 2015).

Further, the platform offers the systems and functions that improve workflow management and the oversight of the environment. Health IT also offers solutions to some problems, including the limited interdisciplinary communication that affected teams in the past, due to lacking the systems required to share information across distances and easily (Butler, 2015). For example, telehealth allows communication and collaboration across staff, organizations, and regions (Jumreornvong et al., 2020).

The challenges nurses and healthcare organizations need to address include the limited collaboration between practitioners and other groups due to the newness of the technology and the systems. The second challenge is the limited support and willingness of patients to get service rendered using the new platforms. The third challenge is the risk of privacy and confidentiality due to the threat of cybercrime and hacking, which is a major challenge for organizations using technologies instead of analog documentation (Kruse et al., 2017). However, healthcare organizations can address the challenge with adequate research and guarantee positive outcomes for patients and organizations.

Summary of Recommendations

The nursing profession is changing profoundly, due to the fast-changing technological changes in the area of technology, which has fostered healthcare service delivery. The biggest changes have resulted from the adoption of nursing informatics, which has greatly influenced the work of nurses in patient care. Nursing informatics has improved nursing and care service delivery in different ways, including workflow, care coordination, and patient condition management. Beyond the healthcare sector, consumers are equally using technology to support care delivery, which has positively influenced nursing outcomes. The review has shown that nursing informatics is the best channel for improving patient outcomes, protecting healthcare information, improving the flow of work, and improving organizational goals.

References for NURS-FPX4040 Assessment 1 Nursing Informatics in Health Care Paper

ANA. (2021). Nursing Informatics: Scope and Standards of Practice, 2nd Ed. Nursing World. Retrieved from: https://bit.ly/3fufIjF

Butler, M. (2015). Workaday informatics: How healthcare is applying practical informatics to save dollars and lives. J AHIMA., 86, 18e2

Byrne, M. (2019). A nurse’s guide to enhancing clinical technologies. J Perianesth Nurs., 34, 1069e1073.

Byrne, M.D. (2021). Nursing Informatics Specialist: Role in the Perianesthesia Environment. Journal of PeriAnesthesia Nursing, 36, 90-92. DOI: 10.2196/medinform.8734

Jumreornvong, O., Yang, E., Race, J., & Appel, J. (2020). Telemedicine and Medical Education in the Age of COVID-19. Acad Med., 10, 10.

Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open., 7(8), e016242.

Zadvinskis, I.M., Smith, J.G., & Yen, P-Y. (2018). Nurses’ Experience with Health Information Technology: Longitudinal Qualitative Study. JMIR Med Inform., 6(2), e38. https://doi.org/10.2196/medinform.8734

NURS-FPX4040 Assessment 1 Instructions: Nursing Informatics in Health Care

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside

and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Your Online ePortfolio

Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.

Using ePortfolio to Build Your Career

As you are preparing to tell your story in the professional world, leverage your ePortfolio artifacts to demonstrate the knowledge and competencies you have gained through your program in professional conversations, performance reviews, and interviews. To do that, reflect on the knowledge and skills you have gained from your courses and the elements you have put in your portfolio, along with how you have already applied these things to your professional life or how you might apply them in the future. Next, create your story or talking points to tell your professional story.

Privacy Statement

Capella complies with privacy laws designed to protect the privacy of personal information. While you may voluntarily share your own information publicly, you are obligated to protect the personal information of others that may be associated with your academic or professional development. Before sharing information and material in any ePortfolio that is set up to be shared externally to your program at Capella, please consider privacy obligations in relation to protected populations who may be included or referenced in your academic or clinical work. Refer to the

Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) if you have specific questions or concerns about your choices.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse
informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in
her workplace. You realize that your organization is undergoing many technological changes. You believe this type of
role could provide many benefits to your organization.
You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing
officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to
support the new role. In this way, they can make an informed decision as to whether the addition of such a role
could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting. This is not
an essay, but instead, it is a proposal to create a new Nurse Informaticist position.

One important part of this assessment is the justification of the need for a nurse informaticist in a health care

organization and references from relevant and timely scholarly or professional resources to support the justification
for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist
position brings value to the organization. This justification must include evidence from the literature to support that
this position will provide a return on investment for the organization.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities: Review assessment resources and activities.

Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.

Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.

Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.

Interview peers in your network who are considered information technology experts.

Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following

headings in your proposal and to be sure to address the bullets following each heading:
Nursing Informatics and the Nurse Informaticist

What is nursing informatics?

What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations
What is the experience of other health care organizations with nurse informaticists?

How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

How does fully engaging nurses in health care technology impact:

Protected health information (security, privacy, and confidentiality)?

In this section, you will explain evidence-based strategies that the nurse informaticist and

particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.

Costs and return on investment?

What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a

How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

want the CNO and the HR manager to remember?

This is the section where the justification for the implementation of the nursing informaticist role is

Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.

Submission length: 4–5 double-spaced pages, in addition to title and references pages.

Font: Times New Roman, 12 point.

Citations and References: Cite a minimum of three current scholarly and/or authoritative sources to support

ideas. Current means no more than five years old.

APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the Evidence and APA page on Campus.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.

Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.

Competency 2: Implement evidence-based strategies to effectively manage protected health information.

Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

See Assessment 2 Here.