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NR 500 Week 6: Systems-Structure and Function

NR 500 Week 6: Systems-Structure and Function

Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your future practice specialty area, identify an issue or concern common to your future practice setting. In your initial response, please identify your specialty track, (NURSE INFORMATICS SPECIALTY TRACK) as well as the issue or concern. Discuss how this issue or concern impacts the system at the micro, meso, and macro levels. How will you address this issue or concern at the microsystem level? What is the expected impact of your solution on the meso- and macrosystems? Remember you can use an information technology-based solution to address the issue or concern.

Week 6 Discussion: Systems-Structure and Function

Nurse informatics possess diverse skills and expertise that spread across a wide range of sub-specialties. Nurse informatics skills are essential in systems development and implementation, clinical care, research, decision support, continuous quality improvement, project management workflow analysis, and human-computer interaction (Seh et al., 2020). Nursing informatics is a science with a high potential to enhance health care quality, safety, and efficiency (Kamerer & McDermott, 2020). Its potential can be attributed to the act that it is a combination of three science concepts namely information science, cognitive science, and computer science, with an overall emphasis on nursing science

Issue/Concern in Nursing Informatics

However, nurse informatics faces various changes in their work line, which affects their work at the micro, meso, and macro levels. One common concern in the nursing informatics track is Data Breach. Advances in ICT have enabled healthcare data to be more digitized, distributive, and mobile (Kamerer & McDermott, 2020). Nurse informatics have the role of protecting health information by ensuring confidentiality, privacy, and security.  The risks and costs attributed to data security breach are very high, yet the confidentiality of health data of millions of patients are at risk (Seh et al., 2020). These factors make data security nursing informatics the biggest concern today and a challenge for which communication and innovation are of the utmost importance (Kamerer & McDermott, 2020). Data breach is attributed to cybercrime, which is a rising concern for health systems in the US and globally. Cybercrimes in healthcare have considerably increased in type, impact, and frequency.

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Data breach impacts the health system at the micro-level since it negatively affects the ability of providers to deliver care, patient privacy, and the security of healthcare organizations. For instance, cyber threats compromise patient information, prohibit access information systems crucial to nursing and other health professionals’ job functions, and destruct system and patient information (Seh et al., 2020). The mesosystem level is affected by data breach through administrative cyber threats, which result in a breakdown of day-to-day operations, protocols, and policies. It also limits access to data that enables hospitals to develop and implement quality improvement initiatives that continuously monitor outcomes to ensure that organizational targets are met.

At the macro level, Data breach has affected the access of patient data, which enables the identification and management of disease outbreaks. It also affects the development of population health initiatives that target specific population areas based on the analysis of the health information of that population (Seh et al., 2020). Besides, data breach limits the ability to collect and merge multiple organizational datasets promptly.

Addressing Data Breach at the Microsystem Level

The challenge of Data breach can be addressed at the microsystem level by ensuring that patient data stored in the system is as secure as is possible. For instance, as a nurse informatic, I can ensure that passwords or codes are used only by staff to whom the password or code is assigned.  Health team members can be instructed never to allow others to use their code or password to gain entry into the system (Kamerer & McDermott, 2020). They should also be cautioned never to gain information for unauthorized use or to document for a person assigned that code. Furthermore, I can impose clear codes of conduct for all health team members to prohibit these actions. The proposed intervention is expected to foster proper procedures and policies to access patient data to prevent and identify potential threats (Kamerer & McDermott, 2020). It will also lower the incidence of data loss from cyber-attacks and prevent legalities that arise when a third party accesses patients’ data.

 

References

Kamerer, J. L., & McDermott, D. (2020).  Cybersecurity: Nurses on the front line of prevention and education. Journal of Nursing Regulation, 10(4), 48-53. https://doi.org/10.1016/S2155-8256 (20)30014-4

Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare (Basel, Switzerland), 8(2), 133. https://doi.org/10.3390/healthcare8020133

 

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Nurse informatics possess diverse skills and expertise that spread across a wide range of sub-specialties. Nurse informatics skills are essential in systems development and implementation, clinical care, research, decision support, continuous quality improvement, project management workflow analysis, and human-computer interaction (Seh et al., 2020). Nursing informatics is a science with a high potential to enhance health care quality, safety, and efficiency (Kamerer & McDermott, 2020). Its potential can be attributed to the act that it is a combination of three science concepts namely information science, cognitive science, and computer science, with an overall emphasis on nursing science

Issue/Concern in Nursing Informatics

However, nurse informatics faces various changes in their work line, which affects their work at the micro, meso, and macro levels. One common concern in the nursing informatics track is Data Breach. Advances in ICT have enabled healthcare data to be more digitized, distributive, and mobile (Kamerer & McDermott, 2020). Nurse informatics have the role of protecting health information by ensuring confidentiality, privacy, and security.  The risks and costs attributed to data security breach are very high, yet the confidentiality of health data of millions of patients are at risk (Seh et al., 2020). These factors make data security nursing informatics the biggest concern today and a challenge for which communication and innovation are of the utmost importance (Kamerer & McDermott, 2020). Data breach is attributed to cybercrime, which is a rising concern for health systems in the US and globally. Cybercrimes in healthcare have considerably increased in type, impact, and frequency.

Data breach impacts the health system at the micro-level since it negatively affects the ability of providers to deliver care, patient privacy, and the security of healthcare organizations. For instance, cyber threats compromise patient information, prohibit access information systems crucial to nursing and other health professionals’ job functions, and destruct system and patient information (Seh et al., 2020). The mesosystem level is affected by data breach through administrative cyber threats, which result in a breakdown of day-to-day operations, protocols, and policies. It also limits access to data that enables hospitals to develop and implement quality improvement initiatives that continuously monitor outcomes to ensure that organizational targets are met.

At the macro level, Data breach has affected the access of patient data, which enables the identification and management of disease outbreaks. It also affects the development of population health initiatives that target specific population areas based on the analysis of the health information of that population (Seh et al., 2020). Besides, data breach limits the ability to collect and merge multiple organizational datasets promptly.

Addressing Data Breach at the Microsystem Level

The challenge of Data breach can be addressed at the microsystem level by ensuring that patient data stored in the system is as secure as is possible. For instance, as a nurse informatic, I can ensure that passwords or codes are used only by staff to whom the password or code is assigned.  Health team members can be instructed never to allow others to use their code or password to gain entry into the system (Kamerer & McDermott, 2020). They should also be cautioned never to gain information for unauthorized use or to document for a person assigned that code. Furthermore, I can impose clear codes of conduct for all health team members to prohibit these actions. The proposed intervention is expected to foster proper procedures and policies to access patient data to prevent and identify potential threats (Kamerer & McDermott, 2020). It will also lower the incidence of data loss from cyber-attacks and prevent legalities that arise when a third party accesses patients’ data.

References

Kamerer, J. L., & McDermott, D. (2020).  Cybersecurity: Nurses on the front line of prevention and education. Journal of Nursing Regulation10(4), 48-53. https://doi.org/10.1016/S2155-8256 (20)30014-4

Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare (Basel, Switzerland)8(2), 133. https://doi.org/10.3390/healthcare8020133

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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource

This week I learned in depth about Evidence Base Practice and how it is important to implement that in my future NP practice.
Evidence-based practice in nursing involves reviewing and assessing the highest-quality and most current research to inform care delivery. Nursing Practitioners (NPs) have a vast knowledge that allows them to refer patients to specialists, order laboratory tests, and write prescriptions to diagnoses (Clarke et al., 2021). Other specialists also recognize them as having different skills and knowledge, including their role in research and EBP. More particularly, my role in implementing EBP as I contemplate my future as a nursing practitioner will involve administering standardized surveys, completing needs assessments, and carrying out small-scale plot projects and qualitative studies (Clarke et al., 2021). My role will also involve conducting structured literature reviews to identify future research priorities, influence policies, and inform my patients and other professionals of the excellent available evidence when making clinical and healthcare decisions.
Clinical scholarships entail various activities that aim to systematically advance nursing practice, research, and teaching through rigorous inquiries. Therefore, as NP, I will engage in the scholarship in various ways, including working with other medical professionals and NPs to systematically examine quantifiable outcomes impacting the cost of care, the quality of care, and patient’s health in general (Clarke et al., 2021). I also engage the professionals in systemic evaluation of what I do within my practice and in my research and later document my progress and contributions to the nursing practice.  
The major challenge in healthcare systems today is delivering reliable, consistent, and high-quality services. EBP aims to guarantee the professional and individual development of healthcare professionals such as nurses, reducing care costs and enhancing the overall quality of care (Clarke et al., 2021). However, there are numerous systemic barriers to implementing EBP at an individual and organizational level. Some of the obstacles, in this case, include a lack of resources, such as a shortage of nurses, insufficient access to libraries with good nursing journals, and a heavy workload (Clarke et al., 2021).