NUR 514 Discussion evolutionary impacts of informatics
NUR 514 Discussion evolutionary impacts of informatics
Technology is an indispensable part of today’s health practice, with many procedures giving way to machines and programmed software. Amid this, the evolutionary impacts of informatics are far-reaching, with the overall health practice outcomes improving immensely. Informatics reduces wastage, increases patient participation in health care delivery, and enhances coordination, among other significant outcomes. It is an evolution that will be critical in health care delivery for a long time as health care providers continue to seek ways of improving patient outcomes.
The American Nursing Informatics Association (ANIA) has numerous resources for nurses that work in informatics. Like many other nursing associations, there are benefits to being a member. On the home page for ANIA, it states that being a member provides resources such as access to the journal of informatics nursing, networking within the specialty, posting for informatic nursing jobs, and discounts on other valuable organizations to build careers in informatics (American Nursing Informatics Association (ANIA, 2021). To support informatics nurses, the organization partners with leading organizations such as American Medical Informatics, The alliance for nursing informatics, Vanderbilt, Philips, and Ebsco Health (ANIA, 2021). By partnering with leading organizations in nursing, the ANIA can provide educational, research, and innovation opportunities and networking. Finally, the organization offers a certification review course for the Informatics Nurse certification from the ANCC. Overall, advanced practice nurses need to join an association related to their field to expand their knowledge and collaborate with others within the community.
The use of AI as a powerful technology raises a slew of new ethical and legal concerns about topics such as safety, privacy, and preferences. Patients may be concerned about this technology because it implies that their information and data are accessible and can be used for a variety of purposes without their explicit consent. Many people are still concerned about the existing COVID-19 monitoring and tracking apps used by various health institutions and governments to track their movements. Patients who do not fully understand how artificial intelligence can help them improve their health and provide benefits will face some limitations (OECD, 2020). As a result, improved provider and patient understanding of AI’s critical role in healthcare and how it can help reduce adverse events in people with chronic diseases like diabetes is required. The legal issues surrounding AI must also be simplified to ensure that patients’ health information is not compromised and is only used to improve health care and provide quality treatment.
Generally, informatics is vital in enhancing safety and quality of care by reducing medication errors. Skochelak (2020) described informatics as a way to patients’ knowledge since it improves understanding of patients’ problems through knowledge sharing. It also helps to personalize care and increase coordination. Such outcomes are instrumental in the provision of safe and quality care.
Topic 7 DQ 1
Description:
Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality?
Topic 7 DQ 2
Description:
Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs.
Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice.
Consider the emerging role of the telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.
Description
Objectives:
- Analyze ethical, legal, and security measures related to EHRs and the protection of patient information.
2. Evaluate the role and components of the electronic health record (EHR) and its value in patient care.
3. Evaluate emerging consumer, mobile, and telehealth technologies that impact patient care and the storage of health information.
S Study Materials
Description:
Explore the ONC Cures Act Final Rule page of the HealthIT.gov website.
HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data
Description:
Read “HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data,” by the HHS Press Office (2020), located on the U.S. Department of Health and Human Services (HHS) website.
5 Critical Considerations for Patient Privacy in Telehealth
Description:
Read “5 Critical Considerations for Patient Privacy in Telehealth,” by Nayyar (2020), located on the HIT Consultant website.
HIPAA Guidance Materials
Description:
Explore the HIPAA Guidance Materials page of the Health Information Privacy section of the U.S. Department of Health and Human Services (HHS) website (2020).
Topic 7 Participation
Description:
NA
The Emerging Technology, Its Purpose, and How it Would Function in a Health Care Setting, Including Any Ethical or Legal Issues That Would Accompany the Incorporation of the Technology
35.0
A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is not included.
A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is present, but it lacks detail or is incomplete.
A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is present.
A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is clearly provided and well developed.
A comprehensive discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is thoroughly developed with supporting details.
How This Technology Improves Access to Care and Promotes Patient Safety and Quality
30.0
A discussion of how this technology improves access to care and promotes patient safety and quality is not included.
A discussion of how this technology improves access to care and promotes patient safety and quality is present, but it lacks detail or is incomplete.
A discussion of how this technology improves access to care and promotes patient safety and quality is present.
A discussion of how this technology improves access to care and promotes patient safety and quality is clearly provided and well developed.
A comprehensive discussion of how this technology improves access to care and promotes patient safety and quality is thoroughly developed with supporting details.
Required Sources
5.0
Sources are not included.
Number of required sources is only partially met.
Number of required sources is met, but sources are outdated or inappropriate.
Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Presentation
10.0
The piece is not neat or organized, and it does not include all required elements.
The work is not neat and includes minor flaws or omissions of required elements.
The overall appearance is general, and major elements are missing.
The overall appearance is generally neat, with a few minor flaws or missing elements.
The work is well presented and includes all required elements. The overall appearance is neat and professional.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
10.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
The writer is clearly in command of standard, written, academic English.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
10.0
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Naturally, people meet and interact at various levels all through life. Through the interaction, it is common for a human being to learn new ideas from other people that could either impact them positively or adversely. Likewise, as an oncology nurse with a practicing experience of more than twenty years, it was a pleasure to mentor a great author, Dr. Mark Braunstein and see him rise as a high-ranking personality in the nursing informatics career. Dr. Braunstein is the pioneer of Patient Care Technologies. Besides, he is credited with initiating plans to create structured electronic health records (EHRs). Dr. Braunstein is an alumnus of Massachusetts Institute of Technology alongside other prominent personalities such as Neil Pappalardo who is the originator of Meditech. Neil Pappalardo is also the pioneer of the Massachusetts General Hospital Utility Multi-Programming System (MUMPS). Today, the health care system is increasingly becoming dynamic, making it imperative to put an equally dynamic process in place to help in coping with this evolving nature of health care. Consequently, nursing informatics has grown in prominence for nursing professionals due to the ability to assist in tracking and trending patient data. This discussion, therefore, seeks to delve into an analysis of Dr. Kathleen A. McCormick and Dr. Susan K. Newbold by considering their achievements and influence on nursing informatics, what can be learned from them, and how to use such lessons in nursing practice.
Overview of Achievements of Dr. Kathleen A. McCormick and Dr. Susan K. Newbold
Dr. Kathleen A. McCormick
Dr. Kathleen A. McCormick is undoubtedly one of the prominent people in the development of the nursing informatics field. Dr. McCormick, a graduate of computer science (minor) has served the United States Public Health Service (USPHS) for more than 30 years. Dr. McCormick traces her achievement in nursing informatics to her period at the National Institute of Health (NIH) when she applied Teknekon system technology to conduct her nursing researches. Dr. McCormick also mentored prominent people such as Virginia Saba. They would later team up to teach the initial course on nursing informatics at NIH. Besides, Dr. McCormick and Virginia Saba authored numerous works of literature on informatics. Furthermore, Dr. McCormick has also served at different public institutions, including the Agency for Health Care Policy and Research (AHCPR), where she created clinical guidelines and tools to support nurses in decision making. She also served in private institutions such as SRA International, Inc., where she contributed immensely in bioinformatics and genomics. She also took advantage of her presence in various committees and boards to advance nursing informatics.
Dr. Susan K. Newbold
On her side, Dr. Newbold has gained popularity in the field of nursing informatics as a pacesetter and entrepreneur. Her interest in information technology is traced back to her days as an undergraduate student, where she submitted a class project about the application of computers in nursing. This unrelenting enthusiasm would later see her put in charge of overseeing the implementation of the computer system at the institution. During her practice, Dr. Newbold joined other founders of nursing informatics in the Symposium for Computer Applications in Medical Care (SCAMC). It is from this symposium that these nursing informatics pioneers created the Capital Area Roundtable and Informatics in Nursing (CARING). CARING was instrumental in drumming up support for nursing informatics mainly through newsletters. Dr. Newbold later founded her company and organized Nursing Informatics Boot Camp. She is also a prominent writer of many several nursing informatics books.
Contributions to Nursing Practice/Informatics
The influence of DR. McCormick in nursing informatics and practice is the utilization of databases for sourcing data and transform care. Through her groundbreaking application of Teknekon system to conduct research. As a result, nurses are currently utilizing the framework of data, information, knowledge, and wisdom to address issues relating to their practices. Notably, DR. McCormick also created evidence-based clinical guidelines and decision tools. The clinical guidelines and decision tools have enabled nurses to make informed decisions while delivering care to patients. Through creating partnerships with other founders of nursing informatics, DR. McCormick immensely impacted the development of nursing informatics. Finally, DR. McCormick’s remarkable work on genomics and databases has provided a crucial basis to record correct data on genomic information; thus, influencing insightful lessons on treatment based on genomes.
On the other hand, the influence of Dr. Newbold on the area of nursing informatics is attributed to the formulation of the CARING initiative. Through this initiative, nurses specializing in informatics can learn the importance of the development of teamwork to achieve the common goal of providing quality care. Essentially, CARING initiative enabled nursing informatics pioneers to learn from one another’s experience. The essence of working together through CARING initiative was evident when the American Nurses Credentialing Center approved that nursing informatics should be a field in the nursing profession. Although there was no available literature on nursing informatics, DR. Newbold and her colleagues struggled to learn and pass the test. In turn, she initiated the Nursing Informatics Boot Camp that trained and prepared nurses for the nursing informatics certification assessment. To date, Dr. Newbold still commands a great influence in the nursing informatics field by authoring books and lecturing nurses at the university.
Lessons Learned and Application to Nursing Practice
Essentially, Dr. McCormick and DR. Newbold’s achievement in nursing informatics have inspired many nurses to pursue a career in this nursing field. Besides, nurses can learn a lot from these two protagonists. Foremost, the single most important lesson common among these nurses is flexibility to improvement. In both cases, it is evident that Dr. McCormick and DR. Newbold possessed unrelenting enthusiasm and inquisitiveness towards to computer systems that eventually enabled them to create significant changes in the health care industry through the application of information systems. Therefore, nurses are challenged to emulate these two protagonists by striving to remain relevant and keen on the emerging trends in health care to be able to turn them into opportunity. For instance, a CARING initiative, that DR. Newbold co-founded with her colleagues turned to be an effective networking opportunity for nurses to share about the application of computer in nursing. Besides, Dr. McCormick’s Nursing Informatics Boot Camp played a significant role in creating nursing informatics awareness among trainee nurses to prepare them for clinical practice. Notably, also, nurses can learn that they are responsible for sharing the knowledge they have acquired in nursing informatics with the future nursing generations. Finally, nurses should learn that the art of applying informatics to conduct research and enhance patient care outcome is crucial to their practice as illustrated by DR. McCormick.
Conclusion
The health care system today is multifaceted, and the utilization of the information systems to improve clinical outcomes has proven effective and therefore, used extensively. These information systems competencies are believed to have originated from Technology Informatics Guiding Educational Reform (TIGER) that the founders of nursing informatics created to guide nurses using technology. Among the requirements of TIGER is the inclusion of nursing informatics at every nursing education level. Ultimately, the influence of the nursing informatics founders is still being felt in the current health care field, mostly through the pioneer’s writings, work, and education. Subsequently, as a nurse practitioner, it is imperative to apply the lessons from these pioneers into the clinical practice to ensure positive patient outcomes.