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Discussion: Nurse Informaticists Interactions

Discussion: Nurse Informaticists Interactions

Discussion: Nurse Informaticists Interactions

Question Description0700670991

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Nature is abundant with examples of specialization and collaboration. Ant colonies and bee hives are just two examples of nature’s complex organizational structures. Each thrives because its members specialize by task, divide labor, and collaborate to ensure the colony’s or hive’s food, safety, and general well-being.

Of course, humans fare well in this regard as well. And healthcare is a great example. Nurse informaticists collaborate with specialists

Discussion Nurse Informaticists Interactions
Discussion Nurse Informaticists Interactions

on a regular basis as specialists in data collection, access, and application to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

You will reflect on your own observations and/or experiences with informaticist collaboration in this Discussion. You will also make recommendations for how to improve these collaborative experiences.

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To Get Ready:

Examine the resources and consider how nursing informatics has evolved from a science to a nursing specialty.
Consider your interactions with nurse informaticists or technology specialists in your healthcare setting.
Post a description of your experiences or observations about how nurse informaticists, data or technology specialists, and other professionals in your healthcare organization interact. Provide at least one strategy for improving these interactions. Provide specifics and examples. Then, explain how you believe the continued evolution of nursing informatics as a specialty, as well as the continued emergence of new technologies, will affect professional interactions.

Discussion: Nurse Informaticists InteractionsYou should proofread your paper. However, do not rely solely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part, and your grade will suffer as a result. Papers with a high number of misspelled words and grammatical errors will be penalized. Before submitting your paper, go over it in silence and then aloud, and make any necessary changes. It is often beneficial to have a friend proofread your paper for obvious errors. Uncorrected mistakes are preferable to handwritten corrections.

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Main Post

Nurse Informatics

As technology advances, we now utilize an array of technology within the health care setting, such as EHR, telehealth, robotics, artificial intelligence, and big data analytics. In the past, we used to use handwritten patient charts in heavy file folders. An electronic health record (EHR) is a digital version of a patients’ paper chart. EHR contains a patient’s medical history, diagnoses, allergies, medications, immunization dates, laboratory and test results, radiology images, and treatment plans. It is secured to authorized users only to protect patient information. One of the primary advantages of the EHR is that it contains information from all health care professionals involved in a patient’s care (HealthIT.gov, n.d.). EHR allows sharing of patient information among the health care professionals and organizations involved in a patient’s care, including specialists, laboratories, medical imaging facilities, emergency facilities, pharmacies, schools, and workplace clinics. I strongly believe that the EHR is a great tool that helps us to deliver optimal patient care. One thing I would suggest to improve EHR usage is to provide training on EHR use for all healthcare workers. Usability challenges can frustrate healthcare professionals because they make simple tasks take longer, cause workarounds, or even lead to patient safety concerns (Bernstein, 2018). When I first worked as a new graduate RN, I did not know well about EHR. I was having a hard time utilizing it effectively. Also, some healthcare organizations use a different type of EHR system with others. It would be easy for healthcare professionals to use it more effectively if we get proper training on EHR usage.

Continued Evolution of Nurse Informatics

One of the biggest advantages of EHR is that it facilitates interprofessional collaboration. The World Health Organization (WHO) defines interprofessional collaboration as “multiple health workers from different professional backgrounds working together with patients, families, carers (caregivers), and communities to deliver the highest quality of care.” Interprofessional collaboration is an essential part of healthcare. The continued evolution of nursing informatics and the continued emergence of new technologies can lead to improved patient care and outcomes, reduced medical errors, faster treatment, and improved staff relationships (McKee, 2020).

References

Bernstein, Z. (2018, August 28). Ways to Improve Electronic Health Record Safety. Retrieved from https://www.pewtrusts.org/en/research-and-analysis/reports/2018/08/28/ways-to-improve-electronic-health-record-safety

HealthIT.gov. (n.d.). What is an Electronic Health Record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

McKee, L. (2020, December 23). Importance and Benefits of Collaboration in Healthcare. Retrieved from https://www.hucu.ai/importance-and-benefits-of-interprofessional-collaboration-in-healthcare/

While working as a nurse educator with several major cruise lines, this author interacted with many technology specialists (I.T.), shipboard and landside, to install and adapt an Electronic Medical Records (EMR) program called “Stardocs.” This program was painstakingly designed by a shipboard physician to electronically integrate a guest’s vital medical information while a patient is in the ship’s medical center. This EMR was then electronically sent to other ship departments as well as shoreside guest services nurses.

One way in which this information could be improved would be to have this valuable information centralized, in one area of the intranet, where all ships’ medical center personnel along with shoreside departments could find out all pertinent information, twenty-four hours a day, without regard to whether communications via ship-to-shore was possible. Nurses and all healthcare providers need to become familiar with medical informatics to continue to deliver state-of-the-art, patient-centric care. According to Al-Hawamdih, S., & Ahmad, M. M. (2018), there is a need for policies that advocate for every nurse to be educated in nursing informatics and the quality of information processing.

New technologies and nursing informatics will undoubtedly create many learning opportunities and consternation for nurses and other members of the ever-evolving healthcare team. New technologies must be mastered and will not only enhance the delivery of excellent patient care but necessitate the continued life-long learning that the current professional registered nurse must subscribe to. The Technology Informatics Guiding Education Reform (TIGER) Initiative was established in 2006 in the United States to develop critical areas of informatics in nursing. One of these was to integrate informatics competencies into nursing curricula and life-long learning. In 2009, TIGER developed an informatics competency framework that outlines numerous IT competencies required for professional practice. This work helped increase the emphasis of informatics in nursing education standards in the United States. O’connor, S., Hubner, U., Shaw, T., Blake, R., & Ball, M. (2017).

Professional interactions will be expected in the coming years and will be insisted on by insurers to receive appropriate reimbursement. Brazelton, N. C., Knuckles, M. C., & Lyons, A. M. (2017).

References

Al-Hawamdih, S., & Ahmad, M. M. (2018). Examining the relationship between nursing informatics competency and the quality of information processing. CIN: Computers, Informatics, Nursing, 36(3), 154-159.

Brazelton, N. C., Knuckles, M. C., & Lyons, A. M. (2017). Clinical documentation improvement and nursing informatics. CIN: Computers, Informatics, Nursing, 35(6), 271-277.

O’connor, S., Hubner, U., Shaw, T., Blake, R., & Ball, M. (2017). Time for TIGER to ROAR! Technology informatics guiding education reform.

DICUSSION WEEK #3 NURS 6051

Intravenous thrombolytics is the only FDA (Food and Drug Administration) (Food and Drug Administration) treatment approved for acute stroke. Having telemedicine capabilities allows rural, under deserved areas the chance to bring the expertise of knowledgeable neurologist to a rural hospital. In the hospitals that telemedicine machines were implanted at, they showed better outcomes in stroke patients (Amorim, 2013).

The process of communicating through our tele-stroke robot is as follows: The patient presents to the emergency room with stroke like symptoms. They are immediately taken to CT scan to rule out hemorrhagic stroke. When they return, standard orders are completed such as establishing a peripheral IV, drawing labs, EKG, and the patient is continuously monitored. The next step is to obtain a neurological consultation set up on the robot so they can assess the patient and determine the next appropriate steps in the patient’s care. We are a critical access hospital in the middle of nowhere, so the majority of our patients are stabilized and transferred to larger facilities with more resources. If the neurologist feels the patient would benefit from a stroke center, we arrange for transportation through CareFlight helicopter services.

The telemedicine robot is favorable because it offers quick, concise, reliable consultations from a specialist at any time of the day. This advancement in technology is appreciative to the patient because they get timely care to avoid complications from delay in care of strokes. Before this technology was introduced, telephone consultations were completed but did not offer the visual aspect that the robot does. Around 26% of patients with an acute onset of stroke symptoms can be treated with IV thrombolytics (Gibson, et al., 2016). By early diagnosis and treating patients who qualify with thrombolytics, there is an increased chance of regaining normal function.

According to Cossey, et al. (2019), in the past, the results of stroke patients who present for emergency care on the weekends or afterhours, had worse outcomes compared to patients who came during “normal business hours.” For this reason, telemedicine (TM) has advanced, so the mortality rate of stroke victims has decreased. Now that telemedicine is accessible 24/7 studies have found that there is little to no difference between the outcomes of people who receive care in a big facility vs. rural.

References:

Amorim, E., Shih, M.-M., Koehler, S. A., Massaro, L. L., Zaidi, S. F., Jumaa, M. A., Reddy, V. K., Hammer, M. D., Jovin, T. G., & Wechsler, L. R. (2013). Impact of Telemedicine Implementation in Thrombolytic Use for Acute Ischemic Stroke: The University of Pittsburgh Medical Center Telestroke Network Experience. Journal of Stroke and Cerebrovascular Diseases22(4), 527–531. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jstrokecerebrovasdis.2013.02.004

Cossey, T., Jagolino, A., Ankrom, C., Bambhroliya, A. B., Cai, C., Vahidy, F. S., Savitz, S. I., & Wu, T.-C. (2019). No Weekend or After-Hours Effect in Acute Ischemic Stroke Patients Treated by Telemedicine. Journal of Stroke and Cerebrovascular Diseases28(1), 198–204. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jstrokecerebrovasdis.2018.09.035

Gibson, J., Lightbody, E., McLoughlin, A., McAdam, J., Gibson, A., Day, E., Fitzgerald, J., May, C., Price, C., Emsley, H., Ford, G. A., & Watkins, C. (2016). “It was like he was in the room with us”: patients’ and carers’ perspectives of telemedicine in acute stroke. Health Expectations19(1), 98–111. https://doi-org.ezp.waldenulibrary.org/10.1111/hex.12333