NUR 514- Organizational Leadership and Informatics Week 8 Discussion
NUR 514- Organizational Leadership and Informatics Week 8 Discussion
DQ1 Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your response.
“All the work of interprofessional collaborations involves communication. Success or failure of the team is dependent on the effectiveness of the communication processes. Communication is a complex process of transmitting a message between a sender and receiver” (DeNisco, 2021, p. 159). Relationships of all kinds depend heavily on effective communication. Ineffective communication results in misunderstandings, conflict, failure to meet goals and frustrations amongst the participants in the relationship. The complexity of the health care environment increases the importance of quality communication in order to facilitate collaboration amongst all members of the health care team. Effective communication is essential to avoid mistakes of misunderstanding which could lead to patient harm.
Technology has an ever-growing impact on all aspects of health care, including communication. As Rouleau, et al. (2017) point out, communication systems are utilized for a variety of purposes, including management, education, support and counseling, and diagnoses and the sharing of this information between care providers or between providers and their patients. The modalities include email, smart phones, telemedicine, messaging and clinical decision support systems.
One specific example of communication technology new tp my work setting is the use of “secure chat” whereby members of the healthcare team can send text messages to each other through the EHR. This messaging can either be patient-specific, or not. The benefits of this modality include a convenient method of communicating non-urgent information from the bedside nurse to the provider or therapist. For example, the nurse can communicate to the provider that a pediatric patient’s parent has just arrived at the bedside and would like an update when the provider is free. The ability to communicate via the EHR reduces the need to call the provider and potentially interrupt their current work. This system is also helpful for the provider to communicate to the physical therapist that they would like to be notified when the therapist is working with the patient in order to meet at the bedside and discuss recommendations in person. While this technology has many benefits, it also has some challenges. These include the reality that nurses and providers may not look at the EHR for a period of time and therefore don’t see messages immediately. This reality necessitates the practice that any time-sensitive communication must still be communicated in person of over the phone to assure receipt of the information in the necessary time frame.
DeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.
Rouleau, G., Gagnon, M., Côté, J., Payne-Gagnon, J., Hudson, E., & Dubois, C. (2017).
Impact of information and communication technologies on nursing care: results of an overview of systematic reviews. J Med Internet Res,19(4):e122.https://www.jmir.org/2017/4/e122
DQ2 Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.
As advanced registered nursing implement practice change, it is crucial that research with qualitative and quantitative data is used. Anytime there is a practice change or new technology APRN’s should be benchmarking and identifying best practices through validated information. APRNs can determine the strength of information by following Evidenced Based practice procedures and evaluating the evidence. The AACN has published a tool to evaluate the quality and strength of information (DeNisco, 2021, p 575). When comparing the level of evidence of quantitative research versus opinions, it shows that using quality and quantitative research provides more validity to the information and practice than expert opinion. Thus, when searching for information to support best practices, APRN’s should seek the highest level of evidence that can be identified when looking for information on best practices and implementation strategies.
Virtual and telehealth technologies in healthcare have truly come a long way over the last decade, however I believe that it has rapidly evolved over the last couple years due to the covid pandemic. “The evolving roles of the Internet, electronic and personal health records, mobile health, health information exchanges, and telehealth all will support a more integrated healthcare model (McGonigle & Mastrian, 2022).” I have witnessed pros and cons with the technologies. For example, during the pandemic our ED deployed the use of telemedicine for some specialty consults and for some hospitalists. This allowed the provider to not have to come to the ED and potentially be exposed and to prevent spread to other patients. Another pro I have experienced was when my grandmother had a stroke and there was not a comprehensive stroke center nearby to get her to in time to start a thrombolytic if needed, but they had a neurologist on virtual/telehealth call 24/7 for stroke consults. After this telehealth bedside consult, the decision was made by the neurologist to administer thrombolytics. This decision saved her life, she made a full recovery after having a severe CVA. One con with telehealth is the fact that you cannot have a hands-on experience. Sometimes this is necessary to get a full picture as to what is going on with the patient, such as skins, etc. One negative experience I have seen with telehealth was a patient with complaints of chest pain, who was scared to come into the ED due to the covid pandemic. The patient instead had a telehealth visit with their primary physician where the patient’s wife had shared with us that the physician felt the patient did not need to come to the ED. The patient coded at home shortly thereafter and was brought in via EMS in full arrest. Unfortunately, the patient was unable to be revived. This was a point early in the covid pandemic that really broke me down as a nurse, as this patient might have been someone who if had come to the ED, we might have been able to quickly identify a STEMI, medicate and go to cath lab and save him. The point is, if the patient had been in person, you would’ve likely performed an EKG, rapid troponin or chem 8, checked skins, peripheral pulses and other vitals and this would have led you down a different diagnosis path.
McGonigle, D., & Mastrian, K. G. (2022). Nursing Informatics and the foundation of knowledge. Jones & Bartlett Learning.
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Discussion Questions (DQ)
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