NR 541 Wk 4 Individual Development Plan SOLUTION

Understanding one\’s own competencies in nursing informatics enables the identification of goals related to each needed competency, planning of strategies to attain needed knowledge and skills, establishes accountability, and promotes self-evaluation of your progress to attain core informatics competencies.

In the post-anesthesia care unit (PACU), the five components of the nursing process are utilized (Dean, 2018). An example of this would be a patient who presents to the PACU after a shoulder arthroscopy. An initial assessment of the patient shows the patient to be moaning, wincing, as well as tachycardia and hypertensive; this is the first step in the nursing process. The second step would be to provide a diagnosis. What is the problem? The patient reports pain (as 8 on a scale of 0-10) as a result of surgery as seen by increased heart rate and blood pressure as well as pain score. The third step is planning/outcomes, what can the nurse implement as far as interventions and possible pharmacologic strategies to alleviate the patient’s pain and what could the outcomes of said implementations be? The fourth step is implementation. The nurse carries out the intervention that was previously evaluated, in this case the nurse decides to dim the lights, quiet the room, and provide the patient with pain medication per orders given by provider. The last step is evaluation. Did the intervention work? Is the patient’s pain alleviated? This step often requires another asses

NR 541 Wk 4 Individual Development Plan SOLUTION

sment to determine the effectiveness of the intervention. The Standards of Practice set forth by the BON guides this nurse process in that the nurse is able to evaluate the problem, consider options for implementing interventions then evaluating the outcomes, all based on the appropriate standards of care put in place.

The initial self- evaluation and individual development plan are based upon Level 3 and Level 4 Nursing Informatics (NI) Competencies in the following areas:

Computer skills
Informatics knowledge
Informatics skills
Tips

Identifies specific, measurable goals to attain/approve competency.
Provides plan to meet each goal must include metrics, be specific for measurement.

Self- Assessment of Professional

Nursing Informatics Competencies

Student Name: D# Session: September 26^th, 2021

Nurses play an important role in the healthcare delivery process by identifying the needs of their patients and developing customized solutions to them. The informatics skills allow the nurses to analyze data and develop meaningful interpretations and using the information to influence continuous quality improvement processes. The competencies in the nursing informatics are developed both at the college level and field experience and that is why one must have a development plan. My career path is to become a clinical informatics nurse. The report from the week 1 creates the basis for developing the plan to attain the competency in ten areas identified during the self-assessment.

Initial assessment

Core Competency

End of practicum assessment

Circle the number that best represents your development needs at this point in time.

1= minimal learning needs related to this behavior

2= need some practice in this area

3=need significant practice in this area

The nursing informaticist demonstrates competencies in professional knowledge, judgment, and skills related to nursing informatics (NI) practice.

Introduction

The purpose of this self-assessment is to help you discover your level of competency in NI. A competency is any knowledge or skill that an individual possesses that has been shown to cause or forecast excellent performance.

By assessing your level of knowledge or skill for each core-competency indicator described, you will be able to guide your learning experiences in this informatics practicum. You will be able to focus on those areas that are most important to you and to concentrate where you need the most learning.

Self-assessment of professional competencies will help you guide your learning experiences in this informatics practicum. The competencies are adapted from numerous scholarly resources but were initially identified through the Delphi study conducted by Staggers, Gassert, and Curran (2001).

It is anticipated that you will identify a number of areas of development at the initial assessment in NR541. Goals to meet these needs will be developed in the Individual Development Plan due Week 4 of NR541.

At the conclusion of the practicum courses in NR641, you will complete the assessment a second time. While it is expected that you will show growth in the development of knowledge and skills of the nurse informaticist, it is not expected that all development needs will be fully met.

You will share the assessment tool with the nurse mentor and faculty at the beginning of NR640 and at the conclusion of the NR641 practicum.

How to complete this self-assessment

This self-assessment should take about 30 minutes to complete. It is divided into the key dimensions or core competencies of NI practice.

Read every competency under each key dimension and think about what level you are able to exhibit the behavior or perform the skill. Rate your level of proficiency on a scale from 1 to 3 by determining if you have (1) minimal learning needs related to this behavior, (2) need some practice in this area, or (3) need significant practice in this area.

Circle the number that best represents your development needs at this point in time.

1= minimal learning need related to this behavior

2= need some practice in this area

3=need significant practice in this area

Initial Assessment N541	Core Competency	Student Identified specific, measurable goals to attain/approve competency (Goals must include metrics, be specific).	Plan to Meet Student Goal	Description of Attainment of Student Identified Goals/Date Attained	Date Obtained	End of Practicum Assessment NR641
Computer Skills
1 2 3	Develops or modifies spreadsheets used for complex problems	3	I will seek help from the instructor on how to develop and modify the preadsheet. Subsequently, I willpractice entering data and modifying the spreadship to address complex problems within the healthcare institution. The use of excel helps clinical nurse informatics to identify to analyze data on the given health issues and use the findings to develop appropriate recommendations.			1 2 3
1 2 3	Writes macros, shortcuts for spreadsheets	3				1 2 3
1 2 3	Manages projects with project-management software	3	I will take a short online course on the project management. In addition, I will continually practice thproject management and scheduling using the project deliverables. Project management is an important aspect of the nurse informatics practice. The project management allows the nurses to describe the evidence-based practices and the best way to implement them.			1 2 3
1 2 3	Creates queries for a database	3				1 2 3
1 2 3	Runs reports from a database	3	The running report from a database requires the understanding on how electronic health record system functions. Therore, I will develop the skill by going for clinical rotations and so this will help in understanding the various forms of reports needed in the healthcare setting. The reports are summarized data about given observations or trends in an organization. The findings helps the nurse informatics to explore the parameters falling outside the normal range and possibly the contributing factors.			1 2 3

Computer Skills—Quality Improvement
1 2 3	Determines data indicators used to monitor quality and effectiveness of nursing informatics practice	3				1 2 3
1 2 3	Collects data to monitor quality and effectiveness of nursing informatics practice	3				1 2 3
1 2 3	Determines aspects of nursing informatics practice important for quality monitoring	3				1 2 3

Computer Skills—Systems
1 2 3	Has the ability to integrate different applications or programs	2				1 2 3
1 2 3	Uses utility programs for data recovery and system performance indices	3	Enroll for a short-term computer course to get familiarized with the programs for data recovery and system performnace indicators. The course will improve my scope of understanding the application of the programs and how to effectively apply them. The clinical informatics nurse must understand how to troubleshoot the programs and integrate them for effective data management.			1 2 3

Informatics Knowledge—Data
1 2 3	Demonstrates fluency in informatics and nursing terminologies	2	I will review the class notes and be able to at least identify and explain the nursing and informatics technologies. Also, I will join the group discussions with the class members to help further understand the terminologies. I will set aside at least 2 hours per week to study the nursing and informatics terminologies.			1 2 3
1 2 3	Recognizes the capacity for data aggregation and integration	3				1 2 3

Informatics Knowledge—Education
1 2 3	Implements and evaluates application or system training programs for users and clients	3				1 2 3
1 2 3	Plans and develops application or system training programs for users and clients	3				1 2 3
1 2 3	Constructs guidelines for the purchase of software and hardware	3				1 2 3
1 2 3	Participates with practicing nurses, nurse administrators, and nurse researchers to define and develop new computer competencies	2				1 2 3
1 2 3	Teaches users and clients about effective and ethical uses of applications and systems	3				1 2 3
1 2 3	Serves as an informational resource person for applications or system	2				1 2 3

Informatics Knowledge—Impact
1 2 3	Determines the impact of computerized information management on manager and executive roles	3	I will explore the data in the impact of the computerized information on managing the operational activities and efficiency in the organization. I will have an interview with the nursing manager to understand further how the computerized information helps them improve operational efficiency in the organization. I will also spend at least one hour per week going through the online videos on the cumpterized information management and how to use them in the management and executive roles.			1 2 3
1 2 3	Interprets current legislation, research, and economics affecting computerized information management in healthcare	3	Revise the notes on the legislations, research and economics affecting the use of the information management in healthcare. The revision will help in exploring the legislation updates and their relevance to healthcare delivery. Research on the emerging news and legal issues about the use of computerized information in healthcare at least once a week.			1 2 3
1 2 3	Assesses current capabilities and limitations of technology	2				1 2 3
1 2 3	Determines projected impacts to users and organizations when changing to computerized information management	2				1 2 3
1 2 3	Assesses the social, legal, and ethical impacts of computerized information management	2				1 2 3
1 2 3	Determines the limitations and reliability of computerized patient monitoring systems	2				1 2 3
1 2 3	Applies strategies for change management to produce satisfied and productive users	3				1 2 3
1 2 3	Determines the impact of information management technologies on therapeutic outcomes and quality of care	3	I will have an interview with the nursing informatics to understand the impact of the information management technology on the therapeutic outcomes and the quality of care. Furthermore, I will use the opportunity to explore the role of continuous quality improvement process in a healthcare institutions and what input nursing informatic has in the process. I will conduct a research to determine the impact of the nursing informatics on the healthcare delivery process in the hospitals and how it can be used to improve the quality of care (Monsen et al., 2019).			1 2 3
1 2 3	Interprets the benefits and risks of computerized information management	2				1 2 3
1 2 3	Interprets research findings about the impact of computerized information management on clinical practice, education, administration, and research	2				1 2 3
1 2 3	Analyzes the impacts of information management technologies on time allocation and tasks of care	2				1 2 3

Informatics Knowledge—Privacy/security
1 2 3	Interprets copyright issues and plagiarism in this knowledge era	2				1 2 3
1 2 3	Discusses features, capabilities, and scope of user passwords	2				1 2 3
1 2 3	Differentiates issues surrounding confidentiality in computerized information management	2				1 2 3

Informatics Knowledge—Regulations
1 2 3	Incorporates relevant law and regulations into informatics practice, such as the HITECH Act	2				1 2 3

Informatics Knowledge—Systems
1 2 3	Explains various input and output devices	2				1 2 3
1 2 3	Applies theories that influence computerization in healthcare	2				1 2 3
1 2 3	Discusses computer fundamentals (hardware, software, networks, data communications)	2				1 2 3
1 2 3	Projects healthcare computing trends in nursing	2				1 2 3
1 2 3	Evaluates applications or systems available in healthcare	3				1 2 3
1 2 3	Interprets capabilities and limitations of hardware and interfaces and their relationship to the outcomes of healthcare computing	3				1 2 3
1 2 3	Demonstrates extensive knowledge of the applications or systems currently in use	3				1 2 3
1 2 3	Constructs resources to support users	2				1 2 3
1 2 3	Discusses general knowledge of computer theory and terminology	2				1 2 3
1 2 3	Recognizes viruses and other system risks	2				1 2 3
1 2 3	Devises strategies to involve clinicians in the design, selection, implementation, and evaluation of applications and systems in healthcare	2				1 2 3
1 2 3	Discusses current applications available to support clinical care	2				1 2 3
1 2 3	Discusses concepts of telehealth or telenursing and the Internet and their relationship to nursing	2				1 2 3
1 2 3	Discusses point-of-care terminals and associated issues, such as use in sterile environments	1				1 2 3
1 2 3	Interprets the current and projected future state of physiological monitoring	2				1 2 3

Informatics Knowledge—Usability
1 2 3	Analyzes the ergonomics,health, and safety aspects of the work station and its location	2				1 2 3
1 2 3	Applies human factors and ergonomics to the design of the computer screen, location and design of devices, and design of software	3				1 2 3

Informatics Skills—Analysis
1 2 3	Develops and implements work plans during application development and implementation	3				1 2 3
1 2 3	Constructs data elements appropriate to a given practice context	3				1 2 3
1 2 3	Applies principles and techniques of systems analysis	3				1 2 3
1 2 3	Applies principles of computing (e.g., reading an algorithm)	3				1 2 3
1 2 3	Analyzes user areas to determine procedural errors versus hardware and software problems	3				1 2 3
1 2 3	Interprets information flow within the organization	3				1 2 3
1 2 3	Modifies existing applications or devices to meet changing requirements	3				1 2 3
1 2 3	Conducts feasibility assessments throughout the information systems life cycle	3				1 2 3
1 2 3	Prepares process flow charts to describe current and proposed information flows for all aspects of practice-related information systems	3				1 2 3
1 2 3	Determines problems and impediments in installing computerized information management	3				1 2 3

Informatics Skills—Data/Data Structures
1 2 3	Constructs data structures and maintains data sets	3				1 2 3
1 2 3	Applies data structure concepts in designing a database system	3				1 2 3
1 2 3	Determines relationships among tables in databases and performs tasks, such as database normalization	3				1 2 3
1 2 3	Integrates nursing taxonomies, unified nomenclatures, and other data needed by nurses within database design	3				1 2 3
1 2 3	Develops procedures to establish and maintain the validity and integrity of data and databases	3				1 2 3
1 2 3	Modifies available software programs to support data aggregation and analyses	3				1 2 3

Informatics Skills—Design, Development
1 2 3	Develops screen layouts, report formats, and custom views of clinical data through working directly with clinical departments and individual users	2				1 2 3
1 2 3	Consults in the design or enhancements to integrated patient information, management, educational, or research systems	3				1 2 3
1 2 3	Participates in the development of new methods or in making modifications to improve the efficiency and effectiveness of data storage and its communication	3				1 2 3
1 2 3	Coordinates the development of integrated computer-based patient record technologies	3				1 2 3
1 2 3	Maintains database (e.g., adding, deleting fields, structuring input for others, relational database)	2				1 2 3
1 2 3	Incorporates established data and database management standards into database design	2				1 2 3
1 2 3	Participates in the development of new tools for management purposes	2				1 2 3
1 2 3	Develops methods of data communication, hardware and software integration, and data transformation	3				1 2 3
1 2 3	Develops database structures to support clinical care, education, administration, or research	2				1 2 3
1 2 3	Applies concepts of nursing theory and research to the design of health information applications and systems	3				1 2 3
1 2 3	Develops databases to facilitate clinical care, education, administration, or research	3				1 2 3
1 2 3	Develops new ways to interact with information technology and access data	3				1 2 3
1 2 3	Assists in the development of computer applications to meet clinical, education, administration, and research requirements	3	I will work with the healthcare providers in determining the key specific needs for the computer applications in the clinical setting. I will use the findings to develop the key parameters and features to be included in the computer applications in the healthcare institution. The application developed should be able to meet the needs of the organization and improve the operational efficiency (Mcgonigle, 2017). I will develop structured questioneires for collecting information from the stakeholders in the organization on what aspects to prioritize in developing the application.			1 2 3

Informatics Skills—Evaluation
1 2 3	Evaluates existing technologies for cost effectiveness	3				1 2 3
1 2 3	Evaluates data storage capacities of the system in use	3				1 2 3
1 2 3	Evaluates hardware, software, and vendor support	3				1 2 3
1 2 3	Participates on interdisciplinary teams that evaluate nursing informatics practice or health informatics services	3	Interdisciplinary team is an important component in the healthcare delivery. Therefore, I will ask the nursing manager to create regular forusm where the healthcare providers from different departments can meet regularly and discuss the issues affecting the organization’s operations. I will als o work with the healthcare administration to implement an telehealth system that will allow the healthcare providers to communicate and interact regularly with one another. The intervention will play an important role in helping achieve the competency of participating on the interdisciplinary team and evaluating the nursing informatics (Porter et al., 2020).			1 2 3
1 2 3	Analyzes the system in use	3				1 2 3

Informatics Skills—Fiscal Management
1 2 3	Develops strategies to obtain funding for information systems	3				1 2 3
1 2 3	Uses strategies to optimize application use after implementation (benefits realization)	3				1 2 3
1 2 3	Participates in budget activities for the procurement and maintenance of the system	3				1 2 3
1 2 3	§ Determines the cost versus benefit of computer technology used in practice, education, administration, and research	3				1 2 3

Informatics Skills—Implementation
1 2 3	Leads or participates in user groups during all phases of the systems life cycle	3				1 2 3
1 2 3	Devises strategies for installing applications or systems	3				1 2 3
1 2 3	Develops implementation plans	3				1 2 3
1 2 3	Distinguishes implementation phases (i.e., preimplementation, implementation, post-implementation)	3				1 2 3
1 2 3	Applies appropriate implementation strategies	3				1 2 3
1 2 3	Recognizes opportunities for applying information management technologies to clinical practice, education, administration, and research situations	3				1 2 3
1 2 3	Devises strategies to encourage interdisciplinary use of computerized information management	2

Informatics Skills—Management
1 2 3	Manages terms and conditions of a contract with an information systems vendor	3				1 2 3
1 2 3	Develops a plan for limited resources (e.g., costs, staffing, equipment)	3				1 2 3
1 2 3	Determines project scope, objectives, and resources for each proposed application, system, or enhancement	3				1 2 3
1 2 3	Develops system testing, implementation, conversion, and backup plans	3				1 2 3
1 2 3	Develops a strategic or long-range plan for the management of applications and systems	3				1 2 3
1 2 3	Develops policies, procedures, and guidelines based on research	2				1 2 3
1 2 3	Develops policies and procedures related to information systems implementation, use, and maintenance	3				1 2 3
1 2 3	Escalates client issues and problems to the next available level of management in a timely manner	2				1 2 3
1 2 3	Communicates progress of project to appropriate personnel	2				1 2 3
1 2 3	Applies principles and concepts of project management	3				1 2 3
1 2 3	Functions as a project manager	3				1 2 3


Informatics Skills—Management
1 2 3	Develops policies related to privacy, confidentiality, and security of patient and client data	2				1 2 3
1 2 3	Recommends procedures for achieving data integrity and security	3				1 2 3

Informatics Skills—Programming
1 2 3	Applies principles of computer programming in order to communicate with software developers	3				1 2 3
1 2 3	Differentiates between machine and high-level programming languages	3				1 2 3

Informatics Skills—Requirements
1 2 3	Determines priorities for new requirements within budget constraints	3				1 2 3
1 2 3	Modifies information technologies to meet changing data requirements or needs	3				1 2 3
1 2 3	Determines new requirements according to the needs of the organization	3				1 2 3
1 2 3	Demonstrates skills in the systems life cycle to support policies, procedures, and knowledge bases in organizations	3				1 2 3
1 2 3	Includes client needs in requirements development	3				1 2 3
1 2 3	Develops requirements for integrated clinical, education, administration, and research applications	3				1 2 3
1 2 3	Communicates informatics needs to a systems analyst	3				1 2 3
1 2 3	Performs needs assessment for future requirements	3				1 2 3

Informatics Skills—Role
1 2 3	Influences change to improve the impact of informatics on the system of care	3				1 2 3
1 2 3	Designs strategies to manage the impact of change to information systems implementation	3				1 2 3
1 2 3	Consults about informatics with clinical, managerial, educational, and research entities	3				1 2 3
1 2 3	Develops collegial relationships with information system technical support personnel	3				1 2 3
1 2 3	Serves as a liaison among agency departments and vendors	3				1 2 3
1 2 3	Collaborates with nursing personnel and interdisciplinary teams to accomplish information management work	2				1 2 3
1 2 3	Promotes understanding and effective use of information technology	2				1 2 3
1 2 3	§ Makes formal presentations of project findings, recommendations, and specifications to user or client department managers, supervisors, and administrators	2				1 2 3
1 2 3	Recommends changes in health informatics practice based on evaluation data from nursing informatics (e.g., a validated severity-of-illness instrument)	3				1 2 3
1 2 3	Recommends policies and procedures to improve the quality of nursing informatics practice	2				1 2 3
1 2 3	Implements activities to enhance the quality of nursing informatics practice	2				1 2 3
1 2 3	Develops recommendations to improve nursing informatics practice or outcomes	2				1 2 3
1 2 3	Acts as a liaison to support communication among providers, patients or clients, and technical communities	2				1 2 3
1 2 3	Uses software tools as appropriate during the systems life cycle	3				1 2 3
1 2 3	Applies knowledge of patient care processes to systems and their life cycles	2				1 2 3
1 2 3	Maintains a system perspective that encompasses the entire organization	3				1 2 3
1 2 3	Integrates knowledge from other informatics disciplines with nursing to improve patient care, administration, education, and research	2				1 2 3
1 2 3	Participates in top-level decisions and policy design that impact clinical information management	2				1 2 3
1 2 3	Conducts research to examine impacts of computer technology in nursing	2				1 2 3
1 2 3	Conducts research to determine application needs in clinical care, education, administration, and research	2				1 2 3
1 2 3	Conducts research in informatics	2				1 2 3
1 2 3	§ Disseminates new knowledge by informing colleagues of new developments and applications in nursing or healthcare informatics	2				1 2 3
1 2 3	Contributes to informatics education of students, peers, and colleagues	2				1 2 3

Informatics Skills—Systems Maintenance
1 2 3	Assists in the resolution of basic software problems	3				1 2 3
1 2 3	Performs complex trouble shooting in applications	2				1 2 3
1 2 3	Recommends solutions to application specific problems	3				1 2 3
1 2 3	Maintains the data dictionary and other technical support elements	3				1 2 3

Informatics Skills—System Selection
1 2 3	Designs evaluation criteria and strategies for selecting applications and systems	3				1 2 3
1 2 3	Applies ergonomics principles in the selection and use of information management technologies	3				1 2 3
1 2 3	Participates with others in selecting applications or systems (e.g., users, vendors, system designers)	3				1 2 3

Informatics Skills—Testing
1 2 3	Develops procedures and scenarios for acceptance testing, conversions, and interface testing	3				1 2 3
1 2 3	Conducts tests of information management applications, systems	3				1 2 3

Informatics Skills—Training
1 2 3	Produces short-term and long-term training plans	2				1 2 3
1 2 3	Produces training materials and operating manuals tailored to the organization and end-user	3				1 2 3
1 2 3	Delivers user training programs	2				1 2 3
1 2 3	Evaluates user training programs	2				1 2 3

The competencies selected focuses on various aspects of the clinical informatics nurse and healthcare delivery. The skills development as outlined in the plan will help in realizing the targeted quality improvement in the care delivery and patients’ outcomes. Also, the realization of the targeted goals will require different inputs; though, manageable within the stipulated time.

References

Porter Lipscomb, C., & Zupec, J. (2020). Use of Telehealth experiences to facilitate interprofessional education. American Journal of Health-System Pharmacy, 77(10), 734-738. https://doi.org/10.1093/ajhp/zxaa033

Mcgonigle. (2017). Nursing informatics and the foundation of knowledge. Jones & Bartlett Learning.

Monsen, K. A., Bush, R. A., Jones, J., Manos, E. L., Skiba, D. J., & Johnson, S. B. (2019). Alignment of American Association of Colleges of Nursing graduate-level nursing informatics competencies with American medical informatics association health informatics core competencies. CIN: Computers, Informatics, Nursing, 37(8), 396-404. https://doi.org/10.1097/cin.0000000000000537

NR 541 Wk 4 Individual Development Plan SOLUTION

Computer Skills

Computer Skills—Quality Improvement

Computer Skills—Systems

Informatics Knowledge—Data

Informatics Knowledge—Education

Informatics Knowledge—Impact

Informatics Knowledge—Privacy/security

Informatics Knowledge—Regulations

Informatics Knowledge—Systems

Informatics Skills—Data/Data Structures

Informatics Skills—Design, Development

Informatics Skills—Evaluation

Informatics Skills—Fiscal Management

§ Determines the cost versus benefit of computer technology used in practice, education, administration, and research

Informatics Skills—Implementation

Informatics Skills—Management

Informatics Skills—Management

Informatics Skills—Programming

Informatics Skills—Requirements

§ Disseminates new knowledge by informing colleagues of new developments and applications in nursing or healthcare informatics

Informatics Skills—Systems Maintenance

Informatics Skills—Testing