NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
Walden University NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle– Step-By-Step Guide
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To Prepare:
- Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
- Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
- Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.
By Day 3 of Week 9
Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.
Sample Answer for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
Hello Miranda, I concur with your comments that it is crucial to include nurses in the SDLC process, especially during the development and deployment of EHR systems. The end-users of these systems are frequently nurses, who, as you indicated, play a critical role in the delivery of patient care. In order to ensure that the system is created to fit their needs and processes, they can participate in the SDLC process and provide input.
One SDLC-related issue that may arise is the lack of participation by nurses in the SDLC process due to their unfamiliarity with the design process and lack of practical expertise. The SDLC process should be explained and taught to nurses, and they should be involved in the project’s initial planning as a means of resolving this issue (Golay et al., 2020). Nurses can contribute their understanding and experience in providing patient care in this way, which could result in better design choices.
As you stated in your discussion, the assignment of the appropriate resources might also be a problem during the SDLC process. To guarantee the project’s success, it is critical to have a team with the required knowledge and abilities (Kushniruk & Borycki, 2022). Nurse involvement in the project team can help guarantee that the system is created to satisfy the needs of all end-users, in addition to having an informatics nurse specialist and team leaders for each key department.
In the example you gave, including nurses in the SDLC procedure might have ensured that the EHR system was created to fit their demands and workflows, resulting in enhanced patient safety and care delivery (Collins Rossetti et al., 2019). Nurses can offer invaluable insights into issues and potential solutions, and by allowing them to participate in the SDLC process, nurses can guarantee that the system is created to address their requirements and concerns.
In conclusion, it is essential for the project’s success that nurses participate in the SDLC procedure when implementing EHRs. They can aid in the buy-in process and offer insightful information about how the system will affect patient care and daily operations while contributing to continuing system evaluation and monitoring. Therefore, collaboration among organizations helps guarantee that the final product meets the requirements of all parties involved and enhances patient outcomes.
By Day 6 of Week 9
Respond to at least two of your colleagues* on two different days, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.
Sample Answer 2 for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
A nurse’s role is to provide nursing care in a dynamic manner, including interacting with medical providers when providing care. Keeping up with current technology is essential for nurses. Developing efficient and effective information systems is the goal of the systems development life cycle (SDLC).
A Systems Development Life Cycle consists of the following stages:
As a result of the technology system, health-care organizations are able to minimize the amount of manual work required to do their jobs, which results in better patient outcomes. A life cycle diagram of the system development lifecycle (SDLC) is shown below.
- Information delivery processes and procedures that incorporate HIT systems for their viability and usability
- Conducts an evaluation of the efficiency and usability of HIT systems.
- In order to promote health care services, the system needs to be made more efficient.
- The HIT system is implemented, taking into consideration the output that will result.
- Overall system maintenance
HIT systems are still purchased and installed by the finance department and managing director of healthcare organizations. An organization can opt to build its own HIT system or purchase one from a third party during the analysis phase. Identifying what characteristics should be included in the new system is critical. The lack of an understanding that is well-documented and well-understood.
- On the basis of their own knowledge and experiences, nurses could suggest areas in which more attention should be paid in the first stage of the process, assist in the analytical method, and manage initiatives.
- Lack of nurses’ involvement may lead to an inability for beginners to analyze and implement new health information technology systems, and end users’ inability to manage them. A critical requirement for implementing the technology may be overlooked by nurses, as end-users. Nurses should be included in equipment design to avoid costly equipment defects. In the planning process, it is important to develop training programs that clearly define vendor participation. A web page for the nursing department should be set up to provide training materials and user manuals for new systems, along with delivery times and locations for equipment. In order to encourage full stall participation, nurse managers should coordinate training sessions with organizations.
Nurses provide invaluable feedback during the implementation of new technologies, during the trial phase as well as following the official implementation. Especially when scanning the wristband, the BCMA method can be challenging. All of these factors can result in a scanning failure, including smearing, spacing, barcode placement or direction, durability when wet, and patient comfort. These concerns may be addressed by nurses through a variety of solutions. An evaluation was conducted by nurses to determine whether the wristband information matched the bar code next to it.
Evaluation of projects by nurses. To identify whether concerns are stem-wide or unit-specific, focus groups with direct care nurses are essential. The BCMA PROCESS is often bypassed by nurses, or the patient identification number is entered rather than scanned as a result of system failure. It is useful to conduct short surveys.
Also Read:
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Assignment: NURS 6051 Adoption of New Technology Systems
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Discussion: NURS 6051 Health Literacy
Discussion: NURS 6051 Security of Health Care Records
Discussion: NURS 6051 HITECH Legislation
Discussion: NURS 6051 Using Health Information Technology as a Source of Evidence-Based Practice
Discussion: NURS 6051 Understanding Workflow Design
Discussion: NURS 6051 Successful Implementation of Electronic Health Information Technology
Discussion: NURS 6051 Electronic Health Records
Discussion: NURS 6051 Current Information and Communication Technologies
Discussion: NURS 6051 Standardized Coding Systems
Discussion: NURS 6051 Nursing Informatics Competencies
Discussion: NURS 6051 The Effects of “To Err Is Human” in Nursing Practice
NURS 6051 Advocating for the Nursing Role in Program Design and Implementation
NURS 6051 client’s psychiatric history and response to treatment and guide the treatment plan
NURS 6051 promotion of safety, quality, and efficiency
NURS 6051 Software Development Life Cycle (SDLC)
NURS 6051 Discussion mental health disorders that require a long-term treatment follow-up
NURS 6051 Musculoskeletal, metabolic, and multisystem health dysfunctions
Work Cited
Yen, P. Y., & Bakken, S. (2012). Review of health information technology usability study methodologies. Journal of the American Medical Informatics Association, 19(3), 413-422.
Sengstack, P. P. (2016). Information System Lifecycles in Health Care. In Clinical Informatics Study Guide (pp. 255-286). Springer, Cham.
Sample Answer 3 for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
In healthcare, modern technology is necessary to help facilitate patient care. Various clinical systems are utilized, from point-of-care testing to electronic healthcare records. When facilities introduce new methods, stakeholders are involved in creating a systems development life cycle (SDLC). With SDLC, there a various types; waterfall, rapid application development (RAD), object-oriented systems development (OODS), and dynamic system development method (DSDM). SDLC addresses a problem or need, creates a plan, implements the system, reviews and evaluates, and sometimes destroys it if it is impractical. The waterfall approach is linear, where each step must be accomplished before moving on to the next. Rapid application development is a faster method incorporating functionality and user testing. Object-oriented systems utilize incorporate data from the system to test their effectiveness. Last is DSDM, where the SDLC is very interactive and involves much user involvement.
In most healthcare facilities, patients have rights, one of which ensures that patients are provided their healthcare information in methods and language they can understand. Per the patients’ bill of rights, patients have the right to “receive complete information about diagnosis, treatment, and prognosis from the physician, in terms that are easily understood. If it is medically inadvisable to give such information to you, it will be given to a legally authorized representative” (Department of Health and Human Services, 2021).
In my facility in 2018, they implemented an SDLC as RAD by introducing My Accessible Real-Time Trusted Interpreter (MARTTI) (Gritman, 2019). The system “provides language access to help connect, communicate, and provide excellent care to your limited English proficient, Deaf, and hard-of-hearing individual” (MARTTI, 2023 ). The tablet system provides real-time interpretation in various languages, including American Sign Language. Patient representatives from my facility brought the system around to multiple units. They had them actively use the service in front of the patients requiring the MARRTTI. It was instrumental in using the nurses with the team to use the system as they are usually the first encounter with the patients. Having the nurses use the system first and ensuring they know how to effectively use the system to provide accurate communication with communication determinates. Additionally, getting the nurses’ input is crucial since they communicate with patients more often than other healthcare members. With the MARTTI system needing to incorporate the nursing staff who need to use it, it could impend vital feedback between the facility and the nursing staff.
Utilizing the RAD SDLC approach let me and other nurses immediately implement the MARTTI in real-time. Over time the MARRIT is updated as improvements are needed. Since I function in an emergency room, the RAD approach lets me and other nurses use the MARRTI right when they need it. When there are instances in my unit where there are issues connecting to the services or a particular language is unavailable. The nursing staff can and does inform the facility consistently when there are shortfalls in the system. Generally, as a nurse and interacting with the patients, I provided considerably enhanced care to my patients. I ensured they had their needs addressed during the care visits. I could provide feedback on improved patient care with the system when it ran smoothly. I had delayed care for my patients due to a long wait for an interpreter. Since the enactment of MARTTI, vast improvements in patient care have increased the unit’s efficiency.
References
Department of Health and Human Services. (2021, May 24). Patient Bill of Rights | Clinical center home page. Clinical Center Clinical Center. Retrieved April 21, 2023, from https://clinicalcenter.nih.gov/participate/patientinfo/legal/bill_of_rights.html
Gritman. (2019, January 15). Meet Martti, Gritman’s newest language interpreter. Gritman.org. https://www.gritman.org/meet-martti-gritmans-newest-language-interpreter
MARTTI. (2023, March 23). Language access is provided by Martti. Martti by UpHealth. https://www.martti.us/interpretation/
McGonigle, D., & Mastrian, K. (2021). Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making. In Nursing informatics and the foundation of knowledge (5th ed., p. 191–204). Jones & Bartlett Learning.
Penn Medicine. (2018, March 30). Meet MARTTI, Pennsy’s master of languages – Penn medicine. Penn Medicine News. https://www.pennmedicine.org/news/internal-newsletters/whats-new/2018/june/meet-martti-pennsys-master-of-languages
Sample Answer 4 for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
I enjoyed your post; nursing care is dynamic, especially as we have learned to manage the pandemic. A journal by Nurning Management discussed the use of technology partially telehealth during the height of the pandemic. The article advised a “new staffing pool consisting of approximately 250 nurses managed health by a virtual, remote corporate nurse staffing command center, which was staffed by 16 individuals for 12 hours a day, seven days a week to assist with local campus staffing needs” (Perlstein et al., 2021, p. 53 ). I am sure that before the system took effect, they needed to implement a systems development life cycle (SDLC); they described it as a pyramid model.
Although the pyramid model pertains more to hiring staffing needs, “The hiring plan served as an automated decision support database that assisted the nurse managers to
strategically assess the impact of changes in volume, nurse availability, and costs” (Perlstein et al., 2021, p. 35), still using a clinical system to ensure they had adequate staffing needs to accommodate for the influx of critical care patients during the height of the pandemic.
With the model HIT system you mentioned in your discussion, nurses’ feedback will always be valuable. As you said, a lack of nursing feedback could harm any new system, product, or technology. All healthcare workers add valuable input with what they use in providing care to their patients, and if there isn’t an an organized system that incorporates, implementation, education, and evaluation of the effectiveness of the system, it just sets the system up for premature failure.
References
HOLLABAUGH, S., & KENDRICK, S. (1998). Staffing. Nursing Management (Springhouse), 29(2), 36C. https://doi.org/10.1097/00006247-199802000-00007
Perlstein, L., Denison, K., Kleinschmidt, C., Swift, L., & Su, G. (2021). Implementation of a dynamic nursing care model during a global pandemic. Nursing Management, 52(2), 51-54. https://doi.org/10.1097/01.numa.0000731964.86644.05
Sample Answer 5 for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
The use of technology in nursing has become increasingly important as nurses’ work and patient outcomes are influenced by it (Brown et al., 2020). With BCMA, nurses can confirm that the patient receives the right drug at the right dose, time, and route by scanning the barcodes on their armbands and prescribed medications, making it safer and avoiding medical errors. However, nurses who administer medications throughout their shift may frequently encounter unreadable barcodes or malfunctioning scanners and, therefore, may have to implement workarounds to provide timely patient care (Dykes & Chu, 2020).
To maximize the potential of healthcare technologies, nurses’ perspectives should be included in implementing technologies. By involving nurses, developers can meet the needs of their products’ end-users while maintaining nursing care efficiency without compromising organizational goals.
References
Brown, J., MPhil, N. P., Bosco, A. M., Mason, J., & Morgan, A. (2020). Issues affecting nurses’ capability to use digital technology at work: An integrative review. Journal of Clinical Nursing, 29(15-16), 2801-2819. https://doi.org/10.1111/jocn.15321
Dykes, S., & Chu, C. H. (2020). Now more than ever, nurses need to be involved in technology design: Lessons from the COVID-19 pandemic. Journal of Clinical Nursing, 30(7-8), e25-e28. https://doi.org/10.1111/jocn.15581
Sample Answer 6 for NURS 6051 Inclusion Of Nurses In Systems Development Life Cycle
I researched your question and found the following,
According to a study by Burt and colleagues (2015), the decision-making process for HIT systems typically involves multiple stakeholders, including IT, finance, clinical, and administrative departments. However, they also found that the finance department often plays a dominant role in the decision-making process:
“Burt and colleagues found that although multiple stakeholders may be involved in HIT purchase decisions, the finance department tends to play a dominant role in decision-making, with IT departmental involvement and leadership playing a close second” (Burt et al., 2015).
Another study by Walker and colleagues (2017) also found that the finance department and senior management play a crucial role in the decision-making process for HIT systems. However, there is a growing recognition of the importance of involving end-users, such as physicians and nurses:
“Most research on the decision-making process for HIT has identified senior management and the finance department as the primary drivers of HIT adoption decisions. More recently, researchers have emphasized the importance of involving end-users in the decision-making process” (Walker et al., 2017).
Finally, a review article by McGinn and colleagues (2011) also highlighted the importance of involving multiple stakeholders in the decision-making process for HIT systems, including end-users, clinical leaders, IT staff, and financial administrators.
“Successful implementation of HIT requires the involvement of a diverse group of stakeholders, including end-users, clinical leaders, IT staff, and financial administrators. Decision-making about HIT should be a collaborative effort informed by the perspectives and experiences of all stakeholders” (McGinn et al., 2011).
References:
Burt, C. W., Sisk, J. E., & Grady, M. L. (2015). Factors associated with adoption of health information technology: a conceptual model based on a systematic review. Journal of health care Finance, 42(2), 48-62.
McGinn, C. A., Grenier, S., Duplantie, J., Shaw, N., Sicotte, C., & Mathieu, L. (2011). Comparison of user groups’ perspectives of barriers and facilitators to implementing electronic health records: a systematic review. BMC Medicine, 9(1), 1-13.
Walker, J., Pan, E., Johnston, D., Adler-Milstein, J., & Bates, D. W. (2017). The value of health care information exchange and interoperability. Health Affairs, 36(5), 1037-1043.