NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
Whether one passes or fails an academic assignment such as the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
The introduction for the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
After the introduction, move into the main part of the NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Week 5 Discussion
Clinical Decision Support Systems
Purpose
The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)
Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)
Requirements:
Post a written response in the discussion forum to EACH threaded discussion topic:
This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros” versus “Cons” table with a column for “Pro” and a separate column for “Con”. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list.
The primary goal of a CDSS is to leverage data and the scientific evidence to help guide appropriate decision making. CDSSs directly assist the clinician in making decisions about specific patients. For this discussion thread post, you are to assume your future role as an APN and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision. This post is an opportunity for you to be innovative, so have fun!
Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:
Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.
Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.
Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.
Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.
For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.
ALSO READ: NR599 Nursing Informatics for Advanced Practice Week 7 Discussion Post TANIC Self-Assessment and Reflection Post
Sample Answer for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
| PROS | CONS |
| 1. Drug interaction alerts- Helpful when prescribing new medications as a way to determine if medication will have a negative impact on the patient. | 1. Trends in clinical values- When obtaining multiple labs, procedure and blood work, this would assist the healthcare team to determine trends either up or down while looking at the whole picture. |
| 2. Next-Step treatment options- Helpful when unsure what next steps in a patients care should be. | 2. Financial Implication- Having an electronic health record can be costly to physician practices or hospitals depending on clinic and patient case load. |
| 3. Trends in clinical values- When obtaining multiple labs, procedure and blood work, this would assist the healthcare team to determine trends either up or down while looking at the whole picture. | 3. System Failure- This can happen in a multitude of ways including no internet connection, server connectivity issues or system wide failure. This poses a potential concern if the physician practice does not have a back-up method for interacting and treating patients. |
Clinical decision support systems (CDSS) is a great tool to assist health care providers in providing either computerized or non-computerized interventions (Wasylewicz & Scheepers-Hoeks (2018). This information is gathered through multiple facets and then notifies the physician of any changes or possible changes to a patients’ health.
Scenario: My patient is a 32-year-old male named Derek who presented for major depression, anxiety, and possible bi-polar disorder. Derek is on several medications which include: Zoloft, Xanax, Trazodone, and Abilify. Derek is also obese with a BMI of 43. Derek states that he doesn’t eat well, no exercise and is currently going through a divorce. When I asked how long he has been on these medications, he isn’t sure. When I asked who prescribed them, he informs me that he has been to several physicians over the past year and just keeps taking whatever medication they prescribe without stopping or asking about previous medications. Derek hasn’t had a physical in over 10 years and admits to smoking and drinking heavily. When inputting all of this information into my work flow data base, red flags keep popping up. The red flags indicate that the patient has several high risk indicators for further medical concerns. Some of the alerts that pop up are medication interaction, comorbidities, alerts for bloodwork that need completed and a full physical health assessment. I am also alerted to the fact that he has seen multiple physicians, however since they don’t use the same electronic health record, Derek’s information does not ‘flow’ from one physician practice to another, therefore vital information is being looked over or not completed because Derek is not a very good historian. The lack of information given and the comorbidities along with smoking and drinking pose a huge threat to Derek’s health and well-being.
Using the CDSS would be extremely helpful in this situation as it pinpoints all major areas for concern and even makes suggestions as to what action steps should be taken next. Unfortunately, this scenario is all too familiar when it comes to the health care some individuals receive. Having useful tools such as the CDSS can truly assist providers and future providers, like myself, in making informed and complex decisions about patient care (Sutton, Pincock, Baumgart, Sadowski, Fedorak & Kroeker, 2020).
References
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, 17. https://doi.org/10.1038/s41746-020-0221-y
Wasylewicz ATM, Scheepers-Hoeks AMJW. Clinical Decision Support Systems. 2018 Dec 22. In: Kubben P, Dumontier M, Dekker A, editors. Fundamentals of Clinical Data Science [Internet]. Cham (CH): Springer; 2019. Chapter 11. Available from: https://www.ncbi.nlm.nih.gov/books/NBK543516/doi: 10.1007/978-3-319-99713-1_11
Sample Answer 2 for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
The disconnection with providers and their patients can result in a disrupted workflow, where providers depend on CDSS and lose sight that they do need to integrate that face-to-face time with their patients (Sutton et al., 2020). Despite this issue, which is something that could easily be fixed, there is “provider and patient satisfaction” (HealthIT.gov). Errors are decreased, clinicians have information and decision-making improvements, and patients can access portals to collaborate with their providers and view results and upcoming immunizations, etc. After listing the pros and cons, do you feel CDSS are a benefit, or do you think they impair the care we deliver?
References:
HealthIT.gov. (2018, April 10). Clinical Decision Support. https://www.healthit.gov/topic/safety/clinical-decision-support.
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, 17. https://doi.org/10.1038/s41746-020-0221-y
Sample Answer 3 for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
I do agree with your pros for the CDSS. A couple parts I wanted to discuss are drug alerts, next-step treatment options, and the financial implication of the CDSS.
As a provider, it is beneficial to have a system that double-checks drug side effects or drug interactions. When presented with the facts, it is up to the NP to decide whether or not the benefits outweigh the risks. Getting alerts for drug interactions can greatly reduce potential harm to the patient and ensure that care is being provided at the optimum level.
Being prompted next-step treatment options is also helpful for providers. When seeing so many patients and having to plan so many treatment options and medication plans, I can see it being potentially difficult to keep information organized in clinical practice. With the help of the CDSS, thought process and application could improve with the helpful prompts of the CDSS. This could also greatly help improve overall workflow with having suggested treatment options presented right into an order set.
The financial cost of having an EHR with CDSS can be too great for certain practices. If a practice is part of a larger institution, it could be easier to implement the EHR and CDSS systems due to the financial support of the entire institution. This could be a problem for smaller private practices who do not have an entire institution to back them financially. This also poses an issue with smaller private practices who, because of lack of funds, do not comply with Meaningful Use of EHRs. In 2011, Centers for Medicare and Medicaid established the Medicare and Medicaid EHR Incentive Programs to encourage healthcare institutions to adopt, implement, upgrade, and demonstrate meaningful use of certified electronic health record technology, (CMS, 2022). This would mean these small practices are not eligible for financial compensation through the Medicare incentive program. Larger institutions who are better-off financially continually receive more money for being compliant while smaller private practices struggle to obtain an EHR in the first place due to financial constraints.
Overall, I think you did a great job with your pros and cons list. Your patient scenario was well thought out and clearly demonstrated how the use of CDSS would benefit clinical practice.
Lizzy
CMS. (2022). Promoting interoperability programs. https://www.cms.gov/regulations-and-
Sample Answer 4 for NR599 Nursing Informatics for Advanced Practice Week 5 Discussion Clinical Decision Support Systems
A 63-year-old male patient is admitted to the ICU status post CVA. He has right sided residual. Upon assessment his BP 182/94 HR 104 RR 22 Temp 98.4 oral, NIHSS was 10 on initial exam. He has a past medical history of HTN, HDL, diabetes type II, and COPD. He takes Lasix, Norvasc, Lipitor, Metformin, Ozempic, and Symbicort. In the emergency room he had a CT of the head, which was negative for intracranial hemorrhage, he received tPA. CDSS warns us that VTE prophylaxis would not be appropriate at this time due to the fact the patient has received tPA, it also warns us to order an MRI.
In this scenario we have seen how CDSS can warn us about the possible medication interaction between tPA and heparin. Safety alerts are put in place to warn providers of medication interactions and adverse reactions during the prescribing process (van Doormall, J. et al., 2010). CDSS can also remind us to order things we may have forgotten to order such as in this case, the MRI. It is most important to have clinical diagnostic accuracy in areas like critical care and surgery in order to provide the most appropriate patient care (Balard, A. et al., 2017).
Resources
van Doormaal, J.,E., Rommers, M. K., Kosterink, J. G. W., Teepe-Twiss, I., Haaijer-Ruskamp, F., & Mol, P. G. M. (2010). Comparison of methods for identifying patients at risk of medication-related harm. Quality & Safety in Health Care, 19(6)https://doi.org/10.1136/qshc.2009.033324Links to an external site.
Belard, A., Buchman, T., Forsberg, J., Potter, B. K., Dente, C. J., Kirk, A., & Elster, E. (2017). Precision diagnosis: a view of the clinical decision support systems (CDSS) landscape through the lens of critical care. Journal of Clinical Monitoring and Computing, 31(2), 261-271. https://doi.org/10.1007/s10877-016-9849-1