NURS 8210 Discussion – Week 2 Information Architecture
Walden University NURS 8210 Discussion – Week 2 Information Architecture-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8210 Discussion – Week 2 Information Architecture 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 NURS 8210 Discussion – Week 2 Information Architecture
Whether one passes or fails an academic assignment such as the Walden University NURS 8210 Discussion – Week 2 Information Architecture 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 NURS 8210 Discussion – Week 2 Information Architecture
The introduction for the Walden University NURS 8210 Discussion – Week 2 Information Architecture 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 NURS 8210 Discussion – Week 2 Information Architecture
After the introduction, move into the main part of the NURS 8210 Discussion – Week 2 Information Architecture 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 NURS 8210 Discussion – Week 2 Information Architecture
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 NURS 8210 Discussion – Week 2 Information Architecture
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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Sample Answer for NURS 8210 Discussion – Week 2 Information Architecture
Differing Information Needs and The Impact on the Organization The healthcare system includes six hospitals and multiple physician practice organizations. EPIC is used by physicians, nursing therapy, etc. for inpatient and EPIC Ambulatory for outpatient and physician practice. The laboratory uses a system called SoftLab and radiation oncology uses Aria. For each of these systems to share patient data, an HL7 interface passes the information between the systems. Health Level Seven International (HL7) is the standard used to map data fields between systems and allow for the communication of the data (Nursing Informatics: Scope and standards of practice, 2015). The EHR has been configured with evidence-based order sets and documentation templates to guide patient care. In February 2016, an international task force was convened to define sepsis and septic shock (Singer, Deutschman, Seymour, & et al., 2016). Which is impacting several areas of the healthcare system technology, including the EBP order sets and the 3M 360 application.
Information Flow Across HIT and Evidence-Based Practice
Interfaces have been developed across 3M 360 and EPIC, but they are not complete. For example, all documentation from EPIC is interfaced into 3M 360 to all the clinical documentation improvement (CDI) nurse to review the record for completeness of the documentation to support the diagnosis and to meet quality measures. The CDI nurse if they find a lack of documentation or need for clarification, for example sepsis as a diagnosis, the nurse creates a query in EPIC. Because there is no interface for query information, the nurse must copy and paste the information back into 3M 360 for tracking. 3M 360 is supported by multiple EBP references by mapping information through Natural Language Processing (NLP) and through buttons. For example, the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is built into the system. The NLP will suggest diagnoses or needs to query based on the documentation from EPIC and if it meets certain EBP data within the documentation. EPIC and 3M 360 have the old definitions of sepsis and the EBP built into the systems to document and care for patients with sepsis. The issue now, is that the EBP has changed with SEPSIS 3 to include organ dysfunction based on Sequential [Sepsis-Related] Organ Failure Assessment Score (SOFA) (Singer et al., 2016). Recommendations to use codes R65.20 and R65.21 have also been made on the ICD-CM-10 codes to use, because the current codes do not match the new definitions (Singer et al., 2016). Even when a healthcare organization is trying to support EBP within HIT, when changes are made to the EBP it has clinical and billing impacts on the organization.
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References
Hanson, D. (2011). Evidence-Based clinical decision support. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.),
Nursing informatics: Where technology and caring meet (Fourth ed., pp. 243-258). London New York:
Springer. Nursing Informatics: Scope and standards of practice. (2015). (Second ed.). Silver Spring,
MD: American Nursing Association.
Piedmont Now. (2016). Retrieved from http://www.piedmont.org/patienttools/piedmont-now
Singer, M., Deutschman, C. S., Seymour, C., & et al. (2016). THe third international consensus definitions
for sepsis and septic shock (sepsis-3). JAMA, 315(8), 801-810. doi:10.1001/jama.2016.0287
Sample Answer 2 for NURS 8210 Discussion – Week 2 Information Architecture
Health information systems (HIS) facilitate patient safety in the organization through improved communication between health care professionals, improved tracking and reporting, quality care through clinical decision support systems, and improved medication safety (Ball et al., 2011). At my organization, the HIT system collects data for QI, outcome reporting, and surveillance purposes.
Information Workflow
When the patient enters the facility, the patient details are captured through the patient registration point. The next step in the flow of information is the triage nurse, who inputs the patient history and patient values into the Electronic Health Records (EHR). Next, providers record the patient’s diagnosis, notes, medications, and care plans. The data on medicines flow towards the laboratory and scans for evaluation of diagnostic tests. Afterward, the provider has a chance to integrate changes to care plans based on lab data. The information then flows to the pharmacy department as the patient awaits medications. The information flow represents a multidisciplinary facility. The communication between providers is collaborative and efficient, and gears towards patient-centered care (El-Said & El-Sol, 2018). Information continuity is a feature in the Women’s hospital, and the flow is efficient and contributes to quality care.
HIT Systems and Evidence-Based Practice
The health information system facilitates evidence-based practice through data collection to assess the efficacy of interventions and clinical decision support systems and alerts that optimize best practices. There is record uniformity to reduce variations in care. The HIS can also be utilized for a QI audit to assess compliance with (Evidence Based Practice) EBP. Patients can access medical records and are empowered to take an active role in managing their conditions. HIS can facilitate diagnostic tests and follow-ups for appointments/consultations. However, computerized order entry compromises EBP despite its benefits of decreased processing time and lower risk for adverse events. Clinical expertise is an integral domain of EBP, and automated entry disrupts workflow with incompatibilities that prevent full assessment of the patient’s needs (Oach & Watter, 2016). Improvements in design and integration between platforms and robust interoperability will facilitate evidence-based care. However, the exchange of data across all settings and providers within the organization improves safety.
References
Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., & Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
El-Said, A., & El-Sol, H. (2018). Technology into nursing practices: Enhance patient’s outcomes. Mansoura Nursing Journal, 5(1), 191-195. https://dx.doi.org/10.21608/mnj.2018.150637
Oach, P., & Watter, A. (2016). Health information management: Concepts, principles, and practice (Fifth ed.). Chicago: AHIMA.
Sample Answer 3 for NURS 8210 Discussion – Week 2 Information Architecture
This is insightful , the application of technology in the healthcare system is critical in enhancing patient safety and facilitating workflow. Health information system has been widely used in various healthcare institutions to facilitate the delivery of quality care through the improvement of approaches and general healthcare delivery systems (El-Said & El-Sol, 2018). With the health information systems, organizations have been able to improve communication among the healthcare professional and the entire organizational stakeholders. Communication in the healthcare system is key to success in the diagnosis and treatments. Through the health information systems, it is easier to achieve or improve clinical decision support systems.
The EHR system is one of the technologies used in most healthcare systems to manage patients’ information and generally enhance the quality of healthcare services delivered to patients. With EHR systems, it is easier to develop workflows that can be used to guide healthcare professionals in achieving the best treatment outcomes. The EHR system should be integrated with other systems to ensure a continuous flow of information and data management (Johnson & Ehrenfeld, 2018). Today, quality improvement processes are always based on the healthcare data that have been collected over time through the EHR system and other technological systems.
In my healthcare organization, the health information system facilitates evidence-based practice through data collection to assess the efficacy of interventions and clinical decision support systems and alerts that optimize best practices. Besides, the health information system has been used to develop different technologies such as telemedicine to enhance communication between patients and healthcare providers (Hossain et al., 2019). Telemedicine has been widely used to provide remote healthcare services to patients from different locations. Also, the system has been applied in delivering evidence-based practices.
References
El-Said, A., & El-Sol, H. (2018). Technology into nursing practices: Enhance patient’s outcomes. Mansoura Nursing Journal, 5(1), 191-195. https://dx.doi.org/10.21608/mnj.2018.150637
Hossain, A., Quaresma, R., & Rahman, H. (2019). Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in healthcare system of Bangladesh: An empirical study. International Journal of Information Management, 44, 76-87. https://www.sciencedirect.com/science/article/abs/pii/S0268401218304432
Johnson, K. B., & Ehrenfeld, J. M. (2018). An EPIC switch: preparing for an electronic health record transition at Vanderbilt University Medical Center. Journal of medical systems, 42(1), 6. https://link.springer.com/article/10.1007%2Fs10916-017-0865-6
Sample Answer 4 for NURS 8210 Discussion – Week 2 Information Architecture
Each area of practice lends itself to some common information requirements which can be utilized amongst health care professionals, but there are also areas such as administration that has differing information needs. While watching the VA video, the discussion around the Vista CPRS fully integrated system looked very extensive. They incorporated concepts that were derived from Blum’s and later Graves and Corcoran, which include data (objective), information (subjectively reviewed), and knowledge (formally completed content) (ANA, 2014). Although the Vista CPRS has a bountiful amount of content to support best practice, there are other areas of health needs that are specific and therefore require a unique set of system requirements. In the video, we see that a system was implemented that focused on the needs of the veterans to allow them prescription refills and other personal health needs (United Stats department of Veterans Affairs, 2011). In our area we have three major hospitals networks. The difficulty is that each of these networks have chosen different interfaces as their HIT systems. So a patient can go to two different hospitals in the same day and there is no communication or dialogue around the patients needs. This can become a dangerous situation if this patient was prescribed narcotics from two different health care prescriber and was planning on taking these together. In the hospital network I worked in, we used meditech as our HIT. This HIT system supports some evidence based practice and is great from a lab testing and sharing of patients personal data such as medical history, specific medical orders currently active and previous tests and diagnostics. Where we see it lacking is in the knowledge section. We are using another format of HIT for continuing education, looking up medication knowledge and skills. We would like to click on a patients prescribed medication and then that drug be linked to knowledge that would be applicable to the understanding and administration of it. We now must leave meditech and go into another application for this knowledge. Overall the needs of HIT continue to grow as our knowledge is being transmitted faster than ever before, and our patients’ health complexities also increase with an ageing population. Preparing for current and future trends such as seeing more integration between electronic health records, improved research, artificial intelligence (AI) and the use of robotics will be facilitated by partnerships and education amongst private and public institutions to develop an advancing approach to HIT (Sheikh et al., 2021).
References
ANA. (2014). Nursing Informatics (2nd Edition). American Nurses
Association. https://mbsdirect.vitalsource.com/books/9781558105812
Sheikh, A., Anderson, M., Albala, S., Casadei, B., Franklin, B. D., Richards, M., Taylor, D.,
Tibble, H., & Mossialos, E. (2021). Health information technology and digital innovation for national learning health and care systems. The Lancet. Digital Health, 3(6), e383–e396. https://doi-org.ezp.waldenulibrary.org/10.1016/S2589-7500(21)00005-4
United States Department of Veterans Affairs. (Producer). (2011). Innovation in VA, the Story
of VistA [Video]. Washington, DC: Author.