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Discussion: Interaction Between Nurse Informatics and Other Specialists

NURS 6051 Discussion: Interaction Between Nurse Informatics and Other Specialists

Discussion: Interaction Between Nurse Informatics and Other Specialists

            Informatics is changing the nursing profession in how nurses deliver patient care daily (McGonigle & Mastrian, 2021). With technology development, the authors believe that medical organizations and health experts can come together and interpret massive data more effectively and efficiently. Consolidating informatics alongside evidence-based practice can assist in improving quality care results for patients. When assessing massive data, health informatics becomes an essential part of care coordination in nursing. Health informatics enhances education, research, and management. It also assists in tracking staffing, workflow, communication and aids nurses in detecting various needs. The primary focus of nurse informatics is to offer the highest quality of patient outcomes. It constitutes process design, new diagnosis, clinical workflow, and treatment. Nurses using health informatics are open to several new ways to offer patient-based care (Mosier, Roberts & Englebright, 2019). This informatics offer staff training, consultation, and resolution of their problem. It minimizes medical errors and facilitates a higher quality of care via Electronic Health Records or EHR implementation. EHR data causes interactions between nurses, other professions, their teams, interdepartmental, including individuals and patients, to ascertain continuity of care. According to Sipes (2016), nursing schools have student nurses educated on specialized information skills to help them solve nursing issues and implement telecommunication stages. Such education prepares nurses for the new field of informatics to approach it with sufficient skills for collaboration.

A good example is an e-learning versus technical information in education. E-learning is an education reform that helps to interpret IT execution and knowledge of data. Electronic health records help record a patient’s past and present medical history and enhance easy access to such data more quickly and efficiently, thus improving daily workflow. Besides nurses who use the EHR, other professionals, including doctors and staff members and even the whole medical organization, use the exact data for easy interaction. It facilitates better coordination in workflow, health care, and communication in another area. Evidence-based practice increases care quality and safety of patients.

References

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: the role of executive leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

Sipes, C. (2016, January). Project Management: Essential Skill of Nurse Informaticists. In Nursing Informatics (pp. 252-256).

Great informational post, with lots of great citations and wonderful discussion points!  I absolutely think one of our first agenda items with nursing informaticists is to have them delve into whatever documentation system their nurses are currently using and make it useful for nurses and each organization.

I wonder, though, how difficult it would be to make one that suited perfectly the needs of each hospital.  Some things could be

Discussion Interaction Between Nurse Informatics and Other Specialists
Discussion Interaction Between Nurse Informatics and Other Specialists

standardized – maybe labs and xrays, possibly pharmacy – but then if we could branch out to individualize it to the needs of the physicians or the nurses.  I actually worked with a system – years ago if you can believe it – that developed in exactly that manner, and in the end everyone used it and loved it – although maybe I am glamorizing it because that system was fully functional in the mid to late 1980s and was one of a kind and extraordinarily useful. Until its creator company went out of business.

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Anyway, the opposite of that coin, however, is to force a standardized system on everyone. That is what is puzzling me – would that work?  Unless it was mandated, would it take forever for organizations to embrace it? Building a home-grown system from scratch, like my 1980s system, involves buy-in and cooperation from everyone, and can actually incorporate everyone’s needs. So if, for example, the nurses want to be able to document using a standardized nursing language, they can pick the one they like, have the vendor of the EHR build it into their system, and the nurse informaticist can review it each step of the way and champion the nurses’ needs during the process.

But it does seem like this is then mandating what will be used, and more or less forcing a system on everyone that they may not like.

And yet it seems that many of the vendors are doing just that – forcing their system on poor unsuspecting organizations who are making the erroneous assumption that the vendors know what they are doing.  They do not – they are selling a product. The less they have to adapt to an organization, the more profit for them (Mooney & Boyle, 2011).

Kind of an interesting twist to this is that some of the nursing standardized languages can be adapted pretty easily to medical diagnoses and then that might help with physician buy in (Johnson et al., 2012).

But the main take away is that the organization should really shy away from just using what the vendor already has up its sleeve. IMHO.  And the nurse informaticist needs to be on top of the information so he or she can steer the organization away from a vendor system that is not right for them.

What do you think?

Nice work!

References

Johnson, M., Moorhead, S., Bulechek, G., Butcher, H., Maas, M., & Swanson, E.  (2012). NOC and NIC linkages to NANDA-I and clinical conditions.  Maryland Heights, MO: Elsevier Mosby.

Mooney, B. & Boyle, A. (2011). 10 steps to successful EHR implementation.  Medical Economics 5, S4-S11.

RE: Discussion – Week 3

Intercollaboration takes many different forms in types of professionals that it correlates with the healthcare organization. Nurses collaborate care with many different types of professionals during a care for just one patient. Nurses will work directly with physicians, pharmacists, therapists and social workers. The goal for all professionals to work together is to provide each individual patient with the best care possible. On the back side of collaboration is informatic professionals such as IT workers, Biomed, and lab techs. All these roles play a large part in taking best practice care for patients. “Nursing Informatics (NI) is the specialty that integrates nursing science with information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice. NI supports nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders in their decision- making in all roles and settings to achieve desired outcomes.” (Sipes, 2016).

Nurse managers or nurse leaders work hand in hand with informatics and statistics to propose best practice for each unit. “These data can potentially affect the productivity, efficiency, performance, effectiveness, cost, and value of nursing care when properly collected and used.” (Mosier, Roberts, & Englebright, 2019).

Currently our facility is going through an expansion of our computer system. There have been extensive hours of training to best prepare staff to best take care of patients. The goal with this expanse is to allow for satellite facilities to have access to most accurate patient charts. This is incredibly important especially now that we have started regularly testing of our patients for Covid prior to a procedure. We have patients that travel a long way to have a procedure done and at times it has been difficult to see if the patients have been tested to ensure staff and other patients are safe from active Covid patients. This is potentially a lack of communication when the patient arrives and their test has not been completed and we are unable to do the procedure.  “Adoption of devices that support HIT efforts, particularly those containing mHealth applications, offers ways to improve the quality, efficacy, and safety of healthcare delivery, and contribute significantly to productivity within healthcare settings.” (Ng, Alexander, & Frith, 2018). The new expanse will be highly beneficial for all healthcare staff, this improves adequate charging of services, effective interdisciplinary communication and timely results.

References

Mosier, S., Roberts, D. W., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions. JONA: The Journal of Nursing Administration, 49(11), 543-548. doi:10.1097/NNA.0000000000000815.

Ng, Y., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives. CIN: Computers, Informatics, Nursing, 36(5), 209-213. doi:10.1097/CIN.0000000000000445

Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=mnh&AN=27332201&site=eds-live&scope=site.

RE: Discussion – Week 3

The great thing about the nursing field is the abundance of opportunities that it provides and one of the areas of specialities nurses can focus on is informatics. A nursing informaticists is a nurse that specializes in nursing science and works with information and analytical sciences to help define, manage, communicate data, information, and knowledge into nursing practice (Sipes, C., 2016). Now with the advancement of technology it has been proven to be beneficial with patient care and helping to improve patient outcomes and with informatics it helps provide data that plays a crucial part is decision making and the data can affect the productivity, efficiency, performance, cost, and value of nursing care when collected properly (Mosier, S., et al., 2019).

Discussion: Interaction Between Nurse Informatics and Other SpecialistsFrom a personal experience I can say that I have not had many experiences with a nurse informaticists, the one time I had a hands on experience with a nurse informaticists is when I first started working as a registered nurse and was going through orientation. During the first two days of my orientation, we had to be trained on how to use the hospital’s charting system, the system they used was called Meditech and the new nurses were trained on how to work the system and learning the basics of documenting. The staff member who was in charge of this course was a nurse informaticists she explained throughly how to work meditech, provided with tips and tricks on documentation, and she explained how she works with other healthcare providers with any technical issues on the charting system and helps educate staff members on updates with charting system. 

Also, recently our hospital merged with a bigger hospital and this provided our hospital with a bunch of new changes and one of the changes was transitioning to a new charting system. This allowed for the nurse informaticists to start familiarizing herself with the new system and helping healthcare providers understand and utilize the new system more efficiently so this allows them to be able to spend more time working with patients and less time focusing on technological issues. She also help addressed any concerns that healthcare providers had withe system and the nurse informaticists would take these concerns and try her best to optimize that system in a way that is beneficial to the healthcare team. 

Reference

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration49(11), 543-548.

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

RE: Discussion – Week 3

Interaction Between Nurse Informaticists and Other Specialists

Before the emergence of the use of the computer system and the storage of health records electronically, the entry and retrieval of data were done manually by the use of a pen and paper. The entry of records was efficient at the time, but now it cannot work with technological advancements everywhere (Sipes, 2016). Besides, the use of pen and paper had numerous disadvantages such as there were lack of backups and limited security of information, inconsistent layout, time-consuming, and highly prone to errors (McGonigle & Mastrian, 2017). In the age of technological advancements in healthcare informatics, the entry and retrieval of healthcare records can only be done by the click of a computer using a mouse (Sipes, 2016). An example is a laboratory inputting lab results that are easily accessible by all the teams who may be taking care of a patient.

The implementation of the strategy of the use of a backup system is necessary since every technological device may be prone to fail at some point leading to the loss of medical records. There should be the availability of an allowance in the operability of the whole system in case the system needs maintenance at some point (Mosier et al., 2019). Without a backup system, the last resort would be going back to the pen and paper methodology. With the continued evolution of nursing informatics as a specialty, the future of nursing seems bright since manual tasks are being replaced with the use of electronic devices (Mosier et al., 2019). The replacement assures people of improved quality, more productivity, and a reduction in costs (Sipes, 2016). The professional interaction will ensure that there is the execution of processes within a minimal period and with the expected quality level hence an overall improvement of service delivery in the healthcare system.

References

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

Mosier, Sammie, DHA, MA, BSN, NE-BC, CMSRN, BC, Roberts, Wm., Dan PhD, RN, et al.     (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The            Role of Executive Leadership. Journal of Nursing Administration, 49, 543-548.             https://doi.org/10.1097/NNA.0000000000000815

Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.

For the purposes of this paper, the technology or data specialist in this case will be referred to as the nurse informaticist. Any interaction between the nurse informaticist and the other professionals in the healthcare organization cannot be talked about if the role of the former has not been defined. The nurse informaticist is a relatively recent role for the advanced practice nurse and involves responsibility for all technological applications used in healthcare.

The informaticist professional is responsible for the seamless capturing of patient data, adherence to and enforcement of HIPAA (Health Insurance Portability and Accountability Act), access to the technological systems and installation or upgrading of any of the systems such as the electronic health record or EHR system (Alotaibi & Federico, 2017; McGonigle & Mastrian, 2017). Since the use of technology to capture patient data is already mandated by law, this means that the nurse informaticist must literally communicate with all the other healthcare professionals in the organization.

Continuous Education (CE)

Being the healthcare professional with both the technological and medical knowledge, the nurse informaticist is a valuable resources person who regularly gives presentations to staff on how systems are to be used. She teaches the applicability of the systems and their benefits to patients, staff, and the organization. This is one way in which she interacts with the other healthcare professionals in the organization.

Standard Operating Procedures (SOPs)

As she is the custodian of all the technological systems used in the healthcare organization, she is also the person responsible for designing and disseminating the standard operating procedures or SOPs to be used by all staff when accessing the technology systems. This means that she will also have to interact with the other staff through tools such as internal emails or memos.

Giving Individual Access or Passwords

The nurse informaticist is the gatekeeper of all technological systems within the healthcare organization. These include principally the certified electronic health record technology or CEHRT system as well as the clinical decision support or CDS system. For any individual employee in the organization to have access to the system (physicians, nurses, pharmacists, dieticians, and so on), they must be given a unique password by the nurse informaticist. She will therefore also interact with them individually at this level.

Troubleshooting

As the other healthcare professionals utilize the system functionalities such as the CPOE (computerized provider order entry), PDMS (patient data management system), BCMA (bar code medication administration), and eMAR (electronic medication administration record); they will encounter challenges here and there. The only resource person that they will consult first for troubleshooting will be the nurse informaticist. This is therefore yet another way in which she interacts with the other healthcare professionals.

New Technology Applications or Improvements (Project Management)

Last but not least, the nurse informaticist is responsible for any new project involving installation of a new system or upgrading of an existing one. This essentially makes them the project manager (Sipes, 2016). They will thus interact with the other healthcare professionals by informing them of the impending change and also educating them of the need for the same.

Future Outlook

One strategy for improving the above interactions is to strengthen the technology units taught in the basic courses for all healthcare professionals. This will enable them to see the nurse informaticist as a valuable resource and not as a nuisance. The continued evolution of nursing informatics will impact professional interactions in that data will play a very crucial role (Wang et al., 2018). The medium of communication will henceforth be electronic data.

 References

Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631Links to an external site.

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

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Nursing Informatics, 252-256. https://doi.org/10.3233/978-1-61499-658-3-252Links to an external site.

Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. https://doi.org/10.1016/j.techfore.2015.12.019Links to an external site.

Information technology has enhanced healthcare by utilizing various applications to gather, store, and retrieve data as needed. When collected and used effectively, these data can impact nursing care’s productivity, efficiency, performance, effectiveness, cost, and value (Mosier, Roberts & Englebright, 2019). Data gathering has significantly improved the healthcare environment in this era of nursing practice because of nursing informatics. Although information technologies have many advantages for improving the standard of patient care, they can easily jeopardize the patients’ care if they are not timely and accurately used, as in your case. Decision-making based on outdated data delays care and worsens patients’ conditions.

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing Nursing Informatics Solutions: The role of executive leadership. The Journal of nursing administration. Retrieved March 15, 2023, from https://pubmed.ncbi.nlm.nih.gov/31651614/.