Discussion: NURS 6051 Electronic Health Records
Walden University Discussion: NURS 6051 Electronic Health Records– Step-By-Step Guide
This guide will demonstrate how to complete the Walden University Discussion: NURS 6051 Electronic Health Records 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 Discussion: NURS 6051 Electronic Health Records
Whether one passes or fails an academic assignment such as the Walden University Discussion: NURS 6051 Electronic Health Records 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 Discussion: NURS 6051 Electronic Health Records
The introduction for the Walden University Discussion: NURS 6051 Electronic Health Records 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 Discussion: NURS 6051 Electronic Health Records
After the introduction, move into the main part of the Discussion: NURS 6051 Electronic Health Records 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 Discussion: NURS 6051 Electronic Health Records
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 Discussion: NURS 6051 Electronic Health Records
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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Discussion NURS 6051 Electronic Health Records
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Electronic health records (EHRs) are at the center stage of
the effort to improve health care quality and control costs. In addition to
allowing medical practitioners to access and record clinical documentation at
much faster rates, EHRs are also positively influencing care delivery and
nurse-patient interaction. Yet despite the potential benefits of EHRs, their
implementation can be a formidable task that has broad-reaching implications
for an entire health care organization.
In this Discussion, you appraise strategies for obtaining
the benefits and overcoming the challenges of implementing and using electronic
health records.
To Prepare:
Review the Learning Resources focusing on the implementation
of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with
implementing EHRs. What were some positive aspects of the implementation? What
suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation
process. Were concerns handled effectively?
If you have not had any experiences with an EHR
implementation, talk to someone who has and get his or her feedback on the
experience.
Search the Walden Library for examples of effective and poor
implementation of EHRs.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Discussion: NURS 6051 Electronic Health Records
By Day 3
Post an overview of at least three challenges in the
implementation of electronic health records and provide an example of each
challenge. Develop strategies for addressing each challenge based on what has
been demonstrated to be successful. Cite your resources.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days using one or more of the following approaches:
Ask a probing question, substantiated with additional
background information, evidence or research.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional
research.
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional
insights or contrasting perspectives based on readings and evidence.
Sample Answer for Discussion: NURS 6051 Electronic Health Records
| Pros | Cons |
| Ø EHR has led to improvements in the quality of care.
· EHRs, particularly those with CDS tools, have been linked to improved adherence to evidence-based clinical guidelines and effective care (Tsai et al., 2020). |
Ø Privacy and cyber-security issues.
· EHR systems are prone to attacks by hackers. · Hackers highly target patient healthcare information. · This can lead to legal issues regarding confidentiality if advanced data security strategies are not integrated to protect patients’ health data (Tsai et al., 2020). |
| Ø Contributes to reduced medical errors.
· EHRs promote access to accurate patient information, which helps in making correct medical decisions (Vos et al., 2020). · This is facilitated by computerization in entering patient information. · Access to correct data reduces medical errors. |
Ø Financial issues.
· EHRs are associated with high financial costs, including EHR adoption and implementation costs and maintenance costs. · Implementation costs include purchasing and installing software and hardware, converting paper charts to electronic ones, and training end-users (Tsai et al., 2020).
|
| Ø EHRs make patient data easily accessible.
· Data in the EHR can be accessed from anywhere and at any time by providers. This is unlike paper records, whereby the provider can only access the patient file in the health facility. · This has improved efficiency in patient care and promotes more coordinated care (Vos et al., 2020). |
Ø Data inaccuracy.
· If the information in the EHR is not updated immediately, once new data is collected, like a new exam or lab test results, other providers who access the EHR may receive incorrect or incomplete information. · This can lead to subsequent errors in diagnosis, treatment, and health outcomes.
|
Stage 3 Objectives for Meaningful Use
Stage 3 objectives that may impact my APN role in clinical practice are Clinical decision support (CDS) and Coordination of care through patient engagement. The CDS objective will impact my role since I will be expected to focus on improving performance in high-priority medical conditions by integrating CDS tools and strategies (Lite et al., 2020). Besides, I will be required to present clinical decision interventions through certified EHR technology when deciding on the clinical interventions necessary to benefit the patient. Patient engagement is heavily centered on increasing patient involvement in healthcare by modifying past behaviors among providers and patients (Lite et al., 2020). The objective will impact my role since I will be expected to encourage patients to engage in their care actively. I will achieve this by educating them on and providing means to view their health data. Besides, I will use secure and private communication means of certified EHR technology to engage patients.
References
Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the Meaningful Use Electronic Health Record Incentive Program With Health Information Technology Venture Capital Funding. JAMA network open, 3(3), e201402. https://doi.org/10.1001/jamanetworkopen.2020.1402
Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life, 10(12), 327. doi: 10.3390/life10120327
Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC health services research, 20(1), 1-11. https://doi.org/10.1186/s12913-020-05542-6
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Sample Answer 2 for Discussion: NURS 6051 Electronic Health Records
The incorporation of technology into clinical practice is a commonplace in the current dispensation in many healthcare institutions. This essay seeks to stage a discussion about electronic health records (EHR), indicating its components and its benefits in the clinical setting.
What is EHR?
This is an electronic version through which a patient’s medical records are store by the healthcare provider. Therefore, it is a digital version of the patient chart that makes it easy for the patient information to be keyed in on a real-time basis. The use of EHR automates the accessibility to information, and this potentially streamlines the clinical workflow (Miotto, Li, Kidd, & Dudley, 2016). Over time, this technology has the potential to impact the associated care activities either directly or indirectly in various interfaces.
Information Found in an EHR
The EHR contains administration and billing for different patients, demographic information for the patients, vital signs for the patients like temperature, blood pressure, and blood sugar levels. Further, EHR contains information about the progress of the patient (progress notes), medical and medication histories, the medications prescribed, diagnoses, and even immunization records of the patients. Other contents include allergies of the patients, imaging reports, and lab findings (Sinsky, 2017). The information is put into the system to allow sharing between different persons and departments. The information contained in the system is tailored differently to suit different healthcare settings and the unique needs of the patients or clients.
Core Functions of an EHR
EHR first functions as a storage source of data in the healthcare setting, and this enables immediate access to the information e.g., patient diagnoses and lab results. More, technology helps in the management of effects since it improves the ability of the providers to participate in the care management of the patients; there is quick access to both past and new information (Vehmas & Kaipio, 2018). This technology also enables to manage the workflow in that its prescriptions, lab tests, and other services are arranged in an order.
Moreover, EHR functions to facilitate electronic communication and connectivity. Therefore, there is an efficient and secure way to access information readily among the caregivers, thus supporting decision making. In enhancing decision making, there are reminders, alerts, and prompts that help improve decision-making and compliance with the best clinical practices. The system also supports patients by giving the patients access to essential health records, providing a forum for interaction with which they are educated, and, therefore, proper monitoring and control over the chronic conditions.
The system is also in place for administrative purposes to allow scheduling, improve efficiency, and improve hospital patient management. Importantly, EHR functions to store data in a manner that will enable reporting to enable healthcare organizations to plan well. Reporting is an essential way of ensuring accountability and transparency during the delivery of care.
How an EHR Varies by Clinical Setting
There is a difference between the high-quality hospitals and the low-quality hospitals in terms of implementing the EHR. The higher levels hospitals have higher adoption of the EHR functions, and this presents different yet better decision-makers to provide the necessary care. Besides, high-quality hospitals have greater availability of the clinical documentation, including medication lists and patient problems.
Among the non-adopters of the technology, more so the low-quality hospitals, there is the poor quality of care delivered and suboptimal outcomes. The high-quality hospitals have also been shown to consistently use the EHR at higher rates compared to moderate or low-quality hospitals. In this context, in as much as the technology may not earn complete transformation of the healthcare delivery, it is likely to contribute to optimal care being delivered (Cowie et al., 2017). The low-quality hospitals are probably hindered from using the technology because of the resources required and criteria required to install and utilize the technology.
Conclusion
EHR is a digital form of presenting the patient chart. Many healthcare institutions currently implement EHR into their daily clinical practice, intentionally to improve quality of care and hence outcome. There some of the functions of EHR include maintaining patient information and acting as a tool for management and improvement of performance. It is possible to generate reports from the system which therefore helps to inform decision.
References
Cowie, M. R., Blomster, J. I., Curtis, L. H., Duclaux, S., Ford, I., Fritz, F., … Zalewski, A. (2017, January 1). Electronic health records to facilitate clinical research. Clinical Research in Cardiology, Vol. 106, pp. 1–9. https://doi.org/10.1007/s00392-016-1025-6
Miotto, R., Li, L., Kidd, B. A., & Dudley, J. T. (2016). Deep Patient: An Unsupervised Representation to Predict the Future of Patients from the Electronic Health Records. Scientific Reports, 6(1), 1–10. https://doi.org/10.1038/srep26094
Sinsky, C. A. (2017). Infographic: Date Night with the EHR. NEJM Catalyst, 3(6).
Vehmas, N., & Kaipio, J. (2018). Physicians as usability evaluators – first aid for poor EHR usability? Finnish Journal of EHealth and EWelfare, 10(2–3), 297–309–297–309. https://doi.org/10.23996/fjhw.69162
Sample Answer 3 for Discussion: NURS 6051 Electronic Health Records
Impact of Electronic Health Records on Nursing Care
Electronic health records (EHR) offer instant and secure information to users. EHR reduces the time required for documentation and ensures that nurses have more time to interact with patients (Saraswasta & Hariyati, 2018). The system helps nurses monitor small condition changes through inbuilt alerts and reminders. It offers real-time health updates that not only enhance the quality of nursing care but also the speed and accuracy of medical care. To establish the impact of EHR on nursing quality and safety standards, I conducted a library search using various electronic databases in Capella University Library. The search terms used were “EHR”, “impact”, “nursing care” and/or “nursing quality”. The search was limited to peer-reviewed English journals published in the last five years. Another requirement was the presence of an abstract and full text as well as publication using the English language. A total of 25 articles were generated; however, after reviewing the abstracts, four key articles were found to answer the topic. An annotated bibliography will be used to describe the four articles and their relationship to the topic.
Annotated Bibliography
Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L. R., & Aiken, L. H. (2019). Electronic health record adoption and nurse reports of usability and quality of care: The role of work environment. Applied clinical informatics, 10(01), 129-139.
The article offers nurse reports of usability and quality of care after the adoption of electronic health records (EHR). The authors indicate that little empirical research exists that looks at factors that shape may impact EHR adoption and quality of care. The researchers executed a secondary analysis of nurse and hospital survey data. They used a sample of 122,377 nurses working in 353 hospitals. The aim was to examine the independent and joint effects of adoption EHR on nurse reports of usability, quality of care and safety. The results indicated that the comprehensive adoption of EHR was not linked to poor usability outcomes. Additionally, a better work environment offered positive usability outcomes while poor patient safety grade was linked to the work environment but not the EHR adoption level. The article is essential because it highlights the need to provide a better working environment when adopting EHR since nurses use it to evaluate EHR usability and its ability to improve the quality and safety of care.
McBride, S., Tietze, M., Hanley, M. A., & Thomas, L. (2017). Statewide study to assess nurses’ experiences with meaningful use–based electronic health records. CIN: Computers, Informatics, Nursing, 35(1), 18-28.
The article assessed nurses’ satisfaction with the use of clinical information systems. The authors used a Clinical Information System Implementation Evaluation Scale and a newly developed Demographic Survey and the Meaningful Use Maturity-Sensitive Index to assess nurses across Texas. The study employed a descriptive exploratory approach and had 1177 respondents. The study offers information on the impact of IOM reports, which calls for the development of innovative, electronic health information systems. The limited data on nurses’ experience in EHR use acts as a foundation to conduct the study. The results indicated that nurses who had interacted with the EHR system for long were more satisfied with the system. Additionally, staff, directors, managers, and supervisors were more satisfied with the system compared to educators, case managers, and quality. The authors pointed out that increasing computer literacy may not be the ideal solution to the evolving nursing informatics competencies. They recommended a more explicit focus on best practices as well as the development and evaluation of competencies linked to the best practices. In terms of clinical decision support, CDS alerts that support nursing practice was appreciated more than those that detracted it. The article is essential because it offers information that can enhance the usability, design, and workflow linked to EHR. The system can be set to enhance nurse satisfaction which holistically enhances care quality.
Saraswasta, I. W. G., & Hariyati, R. T. S. (2018). The implementation of electronic-based nursing care documentation on quality of nursing care: A literature review. International Journal of Nursing and Health Services (IJNHS), 1(2), 19-31.
The article explains how electronic-based nursing care documentation affects the quality of nursing care. The authors indicate that nurses require ample time to interact with their patients yet they have to perform unrelated clinical skill workloads, which reduces their time and communication with patients. EHR helps in integrating data which ensures that nurses do not ask questions repeatedly. The authors used databases like Science Direct, Scopus, Ebsco, PROQUEST and Scholar Articles to get twenty full-test studies relevant articles. Implementation of EHR helps in analyzing patient data and providing quick decisions. It also increases productivity and enhances communication. One article indicated that out of $53.7 million used in the implementation of EHR, $15.5 million were recovered from reduced length of stay (LOS) while $9.4 million was gained from unit efficiency. Electronic-based nursing care documentation is said to increase nurse satisfaction because it offers nurses more time to intervene and interact with patients and families. EHR reduce patient care cost, speeds up decision –making and stores data for longer. The system offers instant access to medical records anywhere and anytime which improves diagnoses, treatment, and results of patient care. The article offers insight into how EHR affects nursing care which makes it an ideal for review.
Walker-Czyz, A. (2016). The impact of an integrated electronic health record adoption on nursing care quality. JONA: The Journal of Nursing Administration, 46(7/8), 366-372.
The article aimed at assessing how integrated electronic health record impacted the quality of nursing care delivered. The authors looked at aspects like hospital-acquired falls, ventilator-associated pneumonia, hospital-acquired pressure ulcers, central line-associated bloodstream infections, catheter-associated urinary tract infections and costs measured in nursing hours. EHR’s impact on quality, cost and nurse satisfaction was assessed using the turnover rates. The authors used quantitative, retrospective analysis and constructed the research using the Diffusion of Innovations theory. The study noted that adoption of EHR into the bedside nurses’ workflow enhanced decision making without a negative impact on direct cost. A reduction in falls, CAUTI and CLABSI rates was noted. During implementation, the number of hospital-acquired pressure ulcers and VAP cases increased however, they reduced after implementation. During implementation, hours per patient day and overtime increased but returned to baseline after implementation. The turnover rates also increased post and pre-implementation periods. The article is essential because it points out that EHR positively impacts the quality of patient care.
Conclusion
The ability of electronic health records to offer instant and secure information positively impacts the quality of nursing care. EHR enhances nursing quality care because it is linked to increased satisfaction. Nurses’ reports indicate that EHR has positive usability outcomes. Nurses who have worked with the EHR system reports better satisfaction with the system. EHR components should support nursing practice rather than detract it for ease of adoption among nurses. A better working environment is also essential when implementing EHR because nurses use it to evaluate its usability and ability to enhance care. EHR offers nurses sufficient time to interact with their patients and reduces the need to ask similar questions often. The system helps nurses to reduce patient care costs, speeds-up decision-making and stores data for longer. Nurses indicate that EHR enhances diagnoses, treatment, and results of patient care. EHR results in reduced falls, CAUTI and CLABSI rates. Nevertheless, during implementation, some measures may deteriorate but after implementation, the figures improve. Overall, EHR has a positive impact on the quality of patient care.
References
Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L. R., & Aiken, L. H. (2019). Electronic health record adoption and nurse reports of usability and quality of care: The role of work environment. Applied clinical informatics, 10(01), 129-139.
McBride, S., Tietze, M., Hanley, M. A., & Thomas, L. (2017). Statewide study to assess nurses’ experiences with meaningful use–based electronic health records. CIN: Computers, Informatics, Nursing, 35(1), 18-28.
Saraswasta, I. W. G., & Hariyati, R. T. S. (2018). The implementation of electronic-based nursing care documentation on quality of nursing care: A literature review. International Journal of Nursing and Health Services (IJNHS), 1(2), 19-31.
Walker-Czyz, A. (2016). The impact of an integrated electronic health record adoption on nursing care quality. JONA: The Journal of Nursing Administration, 46(7/8), 366-372.