NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks 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 NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
Whether one passes or fails an academic assignment such as the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks 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 NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
The introduction for the Chamberlain University NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks 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 NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
After the introduction, move into the main part of the NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks 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 NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
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 NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
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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NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
Purpose
The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)
Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)
Requirements:
Post a written response in the discussion forum to EACH threaded discussion topic:
As discussed in the lesson and assigned reading for this week, EHRs provide both benefits and drawbacks. Create a “Pros” versus “Cons” table and include at least 3 items for each list. Next to each item, provide a brief rationale as to why you selected to include it on the respective list.
Refer to the Stage 3 objectives for Meaningful Use located in this week’s lesson under the heading Meaningful Use and the HITECH Act. Select two objectives to research further. In your own words, provide a brief discussion as to how the objective may impact your role as an APN in clinical practice.
Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:
Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.
Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.
Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.
Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.
For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.
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Sample Answer for NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
To improve the quality of care through HIT, electronic health record (HER) system implementation has become a top priority in US hospitals and healthcare organizations, underpinned by national initiatives such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and HER incentive programs such as Meaningful Use (MU) (Centers for Medicare and Medicaid Services, 2013). Beyond the goal of stimulating the implementation of EHR systems, the MU initiative was developed as an incentive program to assure that EHRSs are used according to standards that achieve quality, safety, and efficiency measures (Centers for Medicare and Medicaid Services, 2013). We will learn more about MU later in this lesson.
Numerous terms have been used over the years to describe the concept of an HER, leading to confusion about the definitions. HER has been used as a generic term for all electronic healthcare records and the related systems and recently became the favored term for an individual’s lifetime computerized record. In most usage, the term HER is used to mean both the displayed or printed record and the supporting software system (EHRS). A basic definition of an HER is a database of an individual’s healthcare data during healthcare encounters. An EHRS is the database management software enabling the many functions needed to create and maintain an HER. Another simple definition is that an HER is comprised of any patient data stored in electronic form. Other, lengthier definitions build from this premise. Updates to the electronic record are restricted to authorized clinicians and staff. Patients may be shown data in an HER but do not have control. The EHRS usually includes software to manage: a data repository (the HER database), practitioner order entry (POE)—also known as computerized practitioner order entry (CPOE)—clinical decision support (CDS), and practitioner documentation.
One of the major potential benefits of electronic health information is the ability to engage patients in their care and provide venues to access caregivers virtually, using email and web platforms, providing ease and convenience to the patient. The healthcare sector is just beginning to realize the potential value of the large pools of de-identified data at its disposal. This aggregate data, also known as secondary or big data, can be used to improve care, discover patterns, reduce costs, support research, and identify and respond to consumer preferences. The process of tapping this data is known by many terms, such as analytics, data mining, knowledge discovery in data bases, or business intelligence. The result is that the analysis provided can support better and timelier decision making, decrease risks, and discover valuable insights if appropriate tools are used. Harper (2013) suggested improved staffing models based upon patient information as one potential application for nurses.
Electronic record systems are built around large databases that allow input, storage, and retrieval of specific data for use in a meaningful way that can support other functions, such as decision support, results reporting, and order entry. Clinical documentation and clinical messaging are other basic functions. Use and reuse of data relies upon the collection of structured data that follows a format that supports manipulation.
In the following activity you will be presented with a patient being interviewed by a nurse practitioner. You can download the SOAP Note TemplateLinks to an external site. To fill in as you follow along with the scenario.
I also have experienced issues with electric prescriptions being appropriately transmitted. I have had several experiences where patients have come back to the ER because the pharmacy states they never received the electronic scripts. This error is not only extremely frustrating and time-consuming for the patient, but it can impact their health, especially if it is medications such as heart medications or antibiotics. It is also an issue as, a majority of the time, patients will not return to the ER or call to have the problem fixed. Instead, they go home, never receiving the necessary prescription. Unfortunately, I am not aware of a great balance to this problem; even if providers are allowed a set number of written prescriptions, there is still room for error with the remaining electronic scripts. If medicare enables no penalties for written scripts and providers revert to using them, it can bring about the issues we were trying to eliminate, incomprehensible prescriptions. The only way I see to avoid the problems electronic scripts is through a human verification process, as Olga stated, such as calling to verify prescriptions were received before discharging patients; however, this can be time-consuming and unrealistic.
Sample Answer 2 for NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
I agree that patients are more successful when they are fully engaged in their care EMR is crucial in preventing errors in order to keep patients safe. I worked in the system where we use paper charting where it was so easy to make errors like giving the wrong medication, but once they started using EMR it all started to get in place there were many checkpoints we need to pass before administering medication. Improving quality care and bringing positive patient outcomes is the main characteristic of EMR (Tapuria, Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). it is also a safe time for healthcare professionals to document in EMR than paper. Great post!
Reference:
Tapuria, Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: systematic review. Informatics for Health & Social Care, 46(2), 194–206. https://doi.org/10.1080/17538157.2021.1879810
Sample Answer 3 for NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
The World Health Organization (WHO) has identified medication safety as a top priority to protect patients from preventable harm, and electronic pharmacy ordering is a critical component of improving medication safety. However, currently, electronic prescribing systems are prone to problems, especially in the setting of an outpatient clinic, where the vast majority of drugs are prescribed. Therefore, there must be a reliable mechanism until then such a centralized medication list is in place (for example, when the prescriber discontinues a medication due to an error in the prescription, an adverse reaction, or an adequately resolved problem) so that the pharmacy does not dispense it. Pharmacies often issue refill reminders through automated systems. Ideally, a patient would know to avoid a discontinued medication. Still, there is a significant risk for errors (and waste): Erroneous prescriptions account for 2–10 percent of all prescriptions (Schiff et al., 2018). There is substantial evidence that medication-related clinical decision support can reduce errors and improve safety. Using decision support systems, for example, can reduce prescribing errors, adverse reactions, and harms caused by medications. We can anticipate a world where medication ordering and use are much safer due to enhanced systems for monitoring patients on medications providing feedback on their experiences and outcomes. E-prescribing integrated with an EHR can identify interactions with patients’ medications, health conditions, and allergies. A study determined that in just one year after adopting e-prescribing in 12 community-based practices, error rates declined from 42.5 per 100 prescriptions to 6.6 per 100 prescriptions, a nearly a seventh reduction (Porterfield et al., 2014). Indeed, entering new prescriptions takes about 20 seconds longer per patient than writing a prescription, but this difference in time is offset because electronic prescriptions require less clarification. A prescription is automatically sent to the pharmacy, the medication is dispensed, and refill requests are processed quickly. The potential for losing the prescription is eliminated because the patient does not receive a hard copy. As a result, pharmacists and providers spend less time on the phone filling prescriptions and delivering them to patients since pharmacy-initiated clarifications have decreased. A significant benefit of e-prescribing is improved compliance and monitoring of compliance. I believe there are still some major disparities that need improvement in e-prescribing, but this is expected with anything related to technology. As our world moves solely towards a computer-driven society, the potential for error will always be high. As future providers enabling ourselves to fundamentally adapt and improve the delivery of care by enhancing the way we treat our patients while relying on the advancements of technology will benefit our patients’ overall quality of care in the long run.
References:
Porterfield, A., Engelbert, K., & Coustasse, A. (2014). Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care
setting. Perspectives in health information management, 11(Spring), 1g.
Schiff, G., Mirica, M. M., Dhavle, A. A., Galanter, W. L., Lambert, B., & Wright, A. (2018). A prescription for enhancing electronic prescribing safety. Health Affairs, 37(11), 1877-1883. https://doi.org/10.1377/hlthaff.2018.0725Links to an external site.
Sample Answer 4 for NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks
Great post! You detailed a plethora of information with the pros and cons of Electronic Health Records ( EHR). As with any new implementation there is the negative and positive to consider. I know that you mentioned the charting can be time consuming for nurses and physicians, which I agree. However, when I started nursing we did not have EHR’s we narratively charted everything Yes, with pen and paper. I sound so ancient. The consumed time in writing and the increased chances of errors were unimaginable.
The first objective you mentioned regarding patients ability to view their information online is a great turning point in healthcare. It allows the patient to be involved in their and stay informed on healthcare clinical pathway. Patient involvement can differ depending on socioeconomic background, ethnicities, and availability of computer access. According to, Bergerum, Josefsson, & Wolmesjö, “to promote patient involvement efforts must start where patients prioritize their needs actively (2019).”
References
Bergerum, Thor, J., Josefsson, K., & Wolmesjö, M. (2019). How might patient involvement in healthcare quality improvement efforts work—A
realist literature review. Health Expectations : an International Journal of Public Participation in Health Care and Health Policy, 22(5), 952–964.