NR 361 Week 2: Experiences With Healthcare Information Systems
Chamberlain University NR 361 Week 2: Experiences With Healthcare Information Systems– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 361 Week 2: Experiences With Healthcare Information 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 NR 361 Week 2: Experiences With Healthcare Information Systems
Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 2: Experiences With Healthcare Information 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 NR 361 Week 2: Experiences With Healthcare Information Systems
The introduction for the Chamberlain University NR 361 Week 2: Experiences With Healthcare Information 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 NR 361 Week 2: Experiences With Healthcare Information Systems
After the introduction, move into the main part of the NR 361 Week 2: Experiences With Healthcare Information 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 NR 361 Week 2: Experiences With Healthcare Information 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 NR 361 Week 2: Experiences With Healthcare Information 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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Sample Answer for NR 361 Week 2: Experiences With Healthcare Information Systems
Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working, how has the medical record exposure in nursing school impacted your current knowledge?
Share your experiences with healthcare information systems, past or present.
In the more than 20 years I have been an R.N. at the bedside and I have seen many transitions with a wide variety of information-sharing systems. When I was a new grad in 1999 the primary form of documentation was paper charting. I remember when the Care Plans became computerized and I thought it was such a great tool that not only helped me be more efficient at my patient care but also more thorough. Fast Forward to 2019, my hospital decided to invest in the transition to Epic. Epic was not only the first HIS that I was able to experience from its initial launch, but it was also the first system I was officially trained on. Before that, in my career, I had encountered various healthcare information systems, and many seemed to be pieced together. I can not recall being formally trained on any of the other systems. Since much of my career I was either Registry or Float Pool, the expectation was that you just come in and do it. I can see the value on how much more effective I can be at my profession when I can utilize all the functions and tools available to me through my HIS. I felt more confident during the launch of the Epic program after the training classes. The administration saw the value to invest the time and money in our computer training environment. I had work shifts switched to classroom days and paid practice time with created patient scenarios. The instructors were very patient and helpful in the process. After we launched there was a superuser assigned on every unit for months to answer questions and assist. According to Hebda (2019), “Education is the key to the successful use of an information system” (p. 229). It would have been a challenging transition without the training especially since it is a holistic program, and everything is run on that one system. The benefits of all the interdisciplinary communication on one system are very helpful for safe quality and efficient patient care delivery. In the past, my patient charts were run on various programs, for instance, the MD orders were in one place, pharmacy and nutrition in another place, and even central supply and infection prevention would be accessed from an entirely different system. I had multiple passwords and had to go in and out of systems remembering which password was for which system. During an emergent situation, this could be challenging and delay patient care. Sometimes I was the only safety check. Now I can text a physician in the middle of the night on my work iPhone with the Engage app regarding arrhythmia. For example, they can access the patient’s chart with real-time data and send the pharmacy order for an antidysrhythmic appropriate for the scenario after careful consideration of the real-time data. I can initiate the drug very quickly and many times this efficiency is the key to break that rhythm quickly and therefore better patient outcomes. In emergent situations, I just simply scan my badge in and everything I need is at my fingertips. There are safeguards for these scenarios built right in. Allergy lists and hemodynamics are available for the physician to make the appropriate med choices or verify my recommendations. In my electronic MAR, we have a Lexicomp link that is the medication information at a click of a button if I am unfamiliar with medication or just need a quick review. It also has quick print access for patient education. I have a quick link to patient home medication lists so that I can follow up and reinforce changes related to the medication plan of care. I have used this list to inform the physician that perhaps a beta-blocker or anticoagulant from home has not been resumed during the hospital stay, possibly preventing an arrhythmia or a stroke to develop. This might be an area in which the program can improve in the future, new alerts are being developed and embedded for more safeguards all the time. Nursing has a unique perspective to contribute to this area. The program is a wonderful system, but improvements can continue to be made. I would like to see a link from the physician’s orders to send auto-generated messages to central supply for example. This would save time on the extra step of messaging and the follow up with central supply for specific supplies ordered for the patient. We have a Nursing I.T. department and they are always taking suggestions, working diligently to help improve and update our system. David Bates (2019) discussed how these programs are set up with safeguards, but there is still a lot that slips through the cracks because these are universally vendor developed as opposed to customized specifically to the facility. Nursing will always have continued contributions to the safeguards with patient care technology for the simple fact that patient care and pathways for treatment are always changing.
References
Bates, D. W. (2019). Getting Over the Hump: Realizing Benefit from Clinical Decision Support in Electronic Health Records. The Joint Commission Journal on Quality and Patient Safety, 45(11), 719–721. DOI: 10.1016/j.jcjq.2019.08.007
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.
Sample Answer 2 for NR 361 Week 2: Experiences With Healthcare Information Systems
The current information system that is used in my company is EPIC. This system was started in my specific location February 2020. My agency and others have been working on this system for over 5 years in Connecticut. The system is easy to navigate if you understand computers. Prior to February we were doing paper MAR and paper medical records. There were many errors and the providers weren’t pulling their weight. They would do verbal orders which aren’t the best practice. “The EHR has increased patient and provider communication, decreased the incidence of errors, and streamlined workflow processes” (Gomes, Hash, Orsolini, Watkins, & Mazzoccoli, 2016). The transition to EPIC was slow but the agency hired the EPIC team to help. The EPIC team was with us for over a month and was able to answer real time questions. That was the positive part of the transition. The negative part was that the nurses didn’t want to change and give much resistant which made it hard for others to learn. EPIC is also a good way to access medical records. I work on a detox unit, sometimes when they arrive for their admission they aren’t able to discuss the medical history. I also work in adolescent substance abuse rehab; sometimes the boys don’t know any of their medical information. The system is designed to help health professionals to collaborate patient care with other professional specialties. EPIC also allows real time communication with others. “Ineffective collaboration and poor communication have led to fragmented care and potentially dangerous errors and poor patient outcomes” (Hebda, Hunter, & Czar, 2019). Communication is the key to collaboration and improving patient center care. The more practice you have with something the easier it gets overtime. The more I used EPIC the more comfortable I began. The best part of EPIC is all the different tools and resources help in the moment and you don’t have use unreliable sources.
References
Gomes, M., Hash, P., Orsolini, L., Watkins, A., & Mazzoccoli, A. (2016). Connecting Professional Practice and Technology at the Bedside. CIN: Computers, Informatics, Nursing, 34(12), 578-586. doi:10.1097/cin.0000000000000280 https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=120485105&site=eds-live&scope=siteLinks to an external site.
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
Sample Answer 3 for NR 361 Week 2: Experiences With Healthcare Information Systems
My experience with healthcare information systems has been generally good. When I started in oncology I would have utterly failed if it was not for healthcare information systems. When I am doing telephone triage, I have everything on the internet at my fingertips. Having access to all of this allows me to answer patient questions in real time. If I am uncertain if a certain adverse event patient is experiencing is expected with the particular medication he or she is on, I can simply look up the package insert for the drug and quickly find out. According to Hebda, “an information system, at its simplest, is a combination of computer hardware and software that can process data into information to solve a problem” (2019, p.135). I use these sorts of systems daily in my nursing career. My current EMR comes with free access to UpToDate. If I need to know anything about a drug, I can simply click the link and it will take me to page regarding that drug. I utilize NCCN template guidelines when building new regimens into our EMR, I can easily trend and graph a patients’ tumor marker with a click of a button providing the patient with a visual, easy to read snapshot of how their treatment is working for them. It seems the benefits are endless yet there is some apprehension when it comes to implementing new systems.
All transitions are difficult. Implementing a new EMR is especially difficult. I have gone through a full EMR change and am now working on yet another. There is no perfect system and the learning curve is always step. Ljubicic et. al. explains some of the challenges facing these types of transitions are including but not limited to limited staff, budget concerns, and the fact that the work force is aging and my not be as tech savvy as a younger workforce. This all the in setting that patients expect us to be cutting edge and provide the most up to date, quality care possible (Ljubicic et. al., 2020). Each new system is advertised as the “best out there” yet there is no perfect system for anyone. Add on that these systems must constantly update to stay cutting edge means that you sometimes have to relearn how to use them. I can see how there is apprehension. The nature of my position puts me central in the development/transition to a new system. Working with these companies that have developed a program a certain way that they assume works for everyone is difficult at times. They are often not clinicians and do not understand why their prescribed workflow does not work for our particular office/specialty. It is a battle and a stress particularly when it seems we are speaking different languages. It’s a high stakes game. Our clinic works as a well-oiled machine to keep up with the demands of patients; if a new EMR does not help us increase efficiency then it is useless to us. I must ensure that proper workflows are in place before we go live. We know that these healthcare information systems can help us improve care but I can also see how it can have negative outcomes as well.
Reference:
Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6th edition. Pearson. New York, NY.
Ljubicic, V., Ketikidis, P., & Lazuras, L. (2020). Drivers of intentions to use healthcare information systems among health and care professionals. Health Informatics Journal 26(1). p. 56-71.
http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.1177/1460458218813629Links to an external site.
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