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Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Portfolio Assignment The Role of the Nurse Informaticist in Systems Development and Implementation

NURS 6050/5050 Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

The system development life cycle (SDLC), according to McGonigle and Mastrian (2017), is a model used to plan and implement changes in an organization. The primary reason for implementing the system development life cycle is to create new health information technologies and apply them to project management. The paper will describe a graduate-level nurse role that will guide participants through the SDLC execution process.

Nurse managers have a role to play in weighing the benefits and challenges of team-based health information technology implementation. Nurse managers, for example, must ensure that the new system is functional and usable (McGonigle & Mastrian, 2017). As a result, nurse managers play a larger role in facilitating the SDLC by synthesizing the technology required for quality healthcare.

The first stage of SDLC is planning, which entails providing direction for the entire project, influencing the outcome of the subsequent stages. Graduate-level nurses are responsible for researching and selecting potential solutions, establishing the project schedule and timeline, defining the scope and problems, launching the project, and assembling the necessary resources (Laureate Education, 2018). As a result, their important role is to work with the team to complete the aforementioned tasks. The graduate-level nurse uses clinical knowledge of the process and workflow, as well as critical thinking skills, to set project goals and expectations. Because this is the most critical stage, the clinical nursing perspective aids in the development of a safe and effective system.

During the analysis stage, the graduate-level nurse prioritizes the requirement, makes recommendations to management, and evaluates and generates all possible alternatives. Notably, if there is data loss, a breakdown in communication, or project delays, the project is likely to fail (McGonigle & Mastrian, 2017). The analysis stage entails communication, decision-making, and analyzing the workflow process, resulting in demands for software, staffing, and hardware for effective information management (Verma & Gupta, 2017). The involvement of a graduate-level nurse is determined by a review of organizational change and policies required to accommodate new technology and work processes.

Graduate-level nurses play an important role in the SDLC’s design stage. For example, they ensure proper software definition and operation based on data retrieval, processing, and user interface (Verma & Gupta, 2017). As a result, the graduate level nurse’s primary role is to improve patient safety while also supporting the system’s overall goal. Furthermore, graduate-level nurses contribute to system customization by providing clinical verdict support that is likely to accommodate performance.

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The team customizes collaboration with nurses to install and test the new system during the implementation stage. As a result, graduate-level nurses aid in system maintenance, outcome evaluation, and staff training (Bird, 2017). Furthermore, they aid in the collection of user feedback, which is critical in the SDLC implementation process for optimizing and customizing health information technology (Mckay & Vanaskie, 2018). Making safety rounds is the most appropriate strategy for identifying workflow and system issues.

The graduate-level nurse’s role in the final phase, post-implementation support, is to provide adequate training, understand the technology and its implications, and ensure that healthcare staff accepts and complies with the new system. The primary goal is to ensure that staff adheres to practice, thereby increasing patient satisfaction. The nurses examine whether the new system produces the expected positive results (Verma & Gupta, 2017). Furthermore, they are in a position to recommend the best course of action to make the new system more practical and relevant. Graduate-level nurses can play an effective role in guiding the developing team on the requirements to improve the patient requirements at the final stage.

Finally, the primary reason for implementing the system development life cycle is to create new health information technologies and apply them to project management. Nurse managers play a larger role in SDLC facilitation by synthesizing the technology required for quality care in healthcare. Graduate-level nurses are responsible for researching and selecting potential solutions, determining the project schedule and timeline, defining the scope and problems, launching the project, and assimilating the necessary resources. Communication, decision-making, and analyzing the workflow process are all part of the analysis stage, which results in demands for software, staffing, and hardware for effective information management. Graduate-level nurses can play an effective role in guiding the developing team on the requirements to improve the patient requirements at the final stage.

References

Bird, P. (2017). A day in the life of a nurse informaticist: Implementation support. Journal of Informatics Nursing2(2), 27. https://search.proquest.com/openview/1d006da9c7395b2a6818c9a23b7040a7/1?pq-origsite=gscholar&cbl=2044826

Laureate Education (Producer). (2018). Managing Health Information Technology [Video file]. Baltimore, MD: Author.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning.

McKay, C., & Vanaskie, K. (2018). Partnering for success: The role of the nurse leader in Health information technology implementation for coordination of care. Nurse Leader, 16(6), 385–388.  https://doi-org.ezp.waldenulibrary.org/10.1016/j.mnl.2018.07.012

Verma, M. P., & Gupta, S. (2017). Software Development for Nursing: Role of Nursing Informatics. International Journal of Nursing Education and Research5(2), 203-207. https://www.indianjournals.com/ijor.aspx?target=ijor:ijner&volume=5&issue=2&article=019

RE: Discussion – Week 9

Consequences of Healthcare Organization not Involving Nurses

Nurses play a significant role in healthcare facilities. When not included in design and decision-making regarding the Systems Development Life Cycle, there is a higher probability of poor outcomes (Oberg et al., 2018). Nurses are put in the frontline and primary users when it comes to utilizing electronic health records systems. Facilities should consider their concerns and opinions during upgrade and designing. Most facilities, however, use IT experts in choosing suitable methods for their organizations. When nurses are left out in designing and upgrading, they lack autonomy and commitment, leading to prolonged periods of implementing the system. It takes more extended periods to facilitate implementation because the providers have limited interest in the outcomes.

Inclusion of Nurses in Systems Design

Involving nurses in designing and upgrading processes improves the safety of operations. When nurses are involved earlier in each system implementation phase, the technology minimizes possible challenges after implementation (Ito et al., 2019). The facilities need to ensure that nurses provide adequate services. Therefore nurses must be involved during all stages to become familiar with the expectations they will need to uphold. Furthermore, facilities can use comments and feedback during implementation phases to guide or offer possible resolutions.

Personal input

Currently, the facility I work in plans to outsource a new electronic health records system to Epic. The facility has chosen a nurse and IT experts team to develop and adopt an Epic program. The program is named Des. The facility requires that nurses will have monthly meetings to disclose and elucidate details and upgrades to nurses. The team is also open to suggestions from other non-team members relating to the development of the program. This program will help nurses by enabling electronic recording of vital signs electronically. In previous practicums, nurses had to record vital signs for about fifteen minutes for the patients assigned. I do not think that the IT experts would have thought about recording the critical signals electronically. Involving the nurses in the program promotes appropriate choices for increasing efficiency.

References

Ito, H., Tanioka, T., Miyamoto, M., Miyagawa, M., Yasuhara, Y., & Locsin, R. C. (2019). Perceived inventory of technological competency as caring in nursing (PITCCN): Psychometric evaluation. International Journal of Studies in Nursing4(2), 1-6.

Öberg, U., Orre, C. J., Isaksson, U., Schimmer, R., Larsson, H., & Hörnsten, Å. (2018). Swedish primary healthcare nurses’ perceptions of using digital eH health services in support of patient self‐management. Scandinavian journal of caring sciences32(2), 961-970. https://doi.org/10.1111/scs.12534

RE: Discussion – Week 9

Discussion: Inclusion of Nurses in Systems Development Life Cycle

Nurses have significant responsibilities in implementing new health information technology systems. They interact more and directly with patients and are end users of any technology-based systems. therefore, their inclusion in systems development life cycle (SDLC) cannot be over-emphasized. As care providers, they get relevant data from different stakeholders that is critical to enhancing quality of patient care. As such, their exclusion of SDLC can have devastating effects at each stage. The SDLC focuses on provision of a framework to implement new IT systems in healthcare organizations with steps that include planning, system requirements and analysis, design, implementation, testing and integration and evaluation and maintenance (Kim et al., 2020). Failing to include nurses at the planning and requirements’ analysis stages lead to limited information and end user experiences that may be critical in capturing data on real or practical issues in the nursing practice. Exclusion of nurses may lead to development and design of new HIT systems that do not meet the requirements and needs of the nursing unit.

Analysis provides an opportunity for nurses to offer information on the workflow of systems and excluding them means that the project will not capture real data to implement quality interventions to enhance care. The implementation phase entails rolling out the new system to accrue its benefits like quality care and enhanced patient safety (Risling & Risling, 2020). Nurses will also be charged with the duty to implement these new measures. However, if they do are not involved, they may not have the hindsight of the components of the system to deliver its projected outcomes.

Over time, the nursing staff will evaluate and maintain the system for effective performance. Through evaluation, they can identify areas that require improvement, new approaches to quality provision, and offer effective yet important feedback that can better the new system. However, when they are not included in SDLC, it can be difficult for them to collect data and evidence on ways to improve the overall system’s delivery (Laureate Education, 2018). Additionally, they may lack the review metrics to enhance overall effectiveness of the systems to deliver quality outcomes. Systems can only be maintained when they are improved continually to deliver quality outcomes. In this case, failing to involve nurses in the maintenance stage means that they cannot make suggestions on the best ways and practices to ensure that a system works for the benefit of its stakeholders.

Nurses play a critical and active role in implementation and use of electronic healthcare information systems and their acquisitions. Involving them in these processes is vital for an organization and its leadership and management to attain projected benefits. The inclusion means that nurses will be part of the multidisciplinary team and will offer more insight on the requirements since they interact more with patients than any other healthcare professionals. As patient advocates, nurses ensure that systems in their organizations meet patient needs and enhance quality and their safety. The inclusion of nurses in SDLC is essential in getting better outcomes and stakeholder views to improve overall delivery. A good example is when I was involved in the SDLC and an informatics nurse (Qin et al., 2017). I worked alongside the project manager and the team to help roll out a biometrics system for inpatients that require close attention based on their medical condition. The assessment of patient’s conditions was based on ensuring that they can use a biometrics system to register their feelings and conditions daily before physician’s rounds. My participation motivated me as some of my suggestions were integrated into patient care.

References

Kim, J., Macieira, T. G., Meyer, S. L., Ansell, M., Bjarnadottir, R. I., Smith, M. B., … & Keenan,

G. M. (2020). Towards implementing SNOMED CT in nursing practice: a scoping review. International journal of medical informatics, 134, 104035.

doi: 10.1016/j.ijmedinf.2019.104035.

Laureate Education (Producer). (2018). Systems implementation [Video file]. Baltimore, MD:

Author.

Qin, Y., Zhou, R., Wu, Q., Huang, X., Chen, X., Wang, W., … & Yu, P. (2017). The effect of

nursing participation in the design of a critical care information system: a case study in a Chinese hospital. BMC medical informatics and decision making, 17(1), 1-12. https://doi.org/10.1186/s12911-017-0569-3

Risling, T. L., & Risling, D. E. (2020). Advancing nursing participation in user-centered design.

Journal of Research in Nursing, 25(3), 226-238. https://doi.org/10.1177/1744987120913590

Rubric

NURS_5051_Module05_Week10_Assignment_Rubric
NURS_5051_Module05_Week10_Assignment_Rubric
Criteria Ratings Pts

Develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the Systems Development Life Cycle (SDLC) stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:·   Planning and requirements definition·   Analysis·   Design of the new system·   Implementation·   Post-implementation support

25 to >22.0 pts

Excellent
Using the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: definition of planning and requirements.

22 to >19.0 pts

Good
Using the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: definition of planning and requirements.

19 to >17.0 pts

Fair
The response elements are superficially addressed.

17 to >0 pts

Poor
The response is incomplete, inaccurate, or missing.
25 pts

· Analysis· Design of the new system

25 to >22.0 pts

Excellent
Using the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: analysis and design of the new system.

22 to >19.0 pts

Good
Using the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: analysis and design of the new system.

19 to >17.0 pts

Fair
The response elements are superficially addressed.

17 to >0 pts

Poor
The response is incomplete, inaccurate, or missing.
25 pts

· Implementation· Post-implementation support

25 to >22.0 pts

Excellent
Using the literature and course resources:…An accurate and fully developed role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: implementation and post-implementation support.

22 to >19.0 pts

Good
Using the literature and course resources:…A role description is provided that supports the role of the nurse informaticist on the Systems Development Life Cycle stages including how the individual will participate and impact each of these steps: implementation and post-implementation support.

19 to >17.0 pts

Fair
The response elements are superficially addressed.

17 to >0 pts

Poor
The response is incomplete, inaccurate, or missing
25 pts

Resources

10 to >8.0 pts

Excellent
Assignment includes: 3 or more peer-reviewed articles and 2 or more course resources.

8 to >7.0 pts

Good
Assignment includes: 2 peer-reviewed articles and 2 course resources.

7 to >6.0 pts

Fair
Assignment includes: 1 peer-reviewed article and 1 course resource.

6 to >0 pts

Poor
Assignment includes: 1 or no resources.
10 pts

Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 to >4.0 pts

Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 to >3.0 pts

Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3 to >2.0 pts

Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

2 to >0 pts

Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
5 pts

Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent
Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good
Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair
Contains several (3-4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

Written Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent
Uses correct APA format with no errors.

4 to >3.0 pts

Good
Contains a few (1-2) APA format errors.

3 to >2.0 pts

Fair
Contains several (3-4) APA format errors.

2 to >0 pts

Poor
Contains many (≥ 5) APA format errors.
5 pts