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NURS 8210 Week 1 Assignment: Introduction to Health Information Technology Systems and Nursing Informatics

NURS 8210 Week 1 Assignment: Introduction to Health Information Technology Systems and Nursing Informatics

NURS 8210 Week 1 Assignment: Introduction to Health Information Technology Systems and Nursing Informatics

In 1943, Tom Watson was quoted as saying, “I think there is a world market for maybe five computers.” Little did this chairman of IBM realize that the advent of computers would revolutionize all facets of society, including health care. The health care industry has used the power of technology to dramatically improve the quality of patient care. Today, bar code scanners document patient medications, robotic machinery is used to perform minimally invasive surgeries, and pill bottles feature audible labels to assist patients in taking the correct medication. As health care continues to change and new innovations appear, what types of skills will nurses need in order to harness the potential of emerging and evolving technologies?

This week you will examine the history of nursing informatics as well as the Technology Informatics Guiding Education Reform (TIGER) initiatives that drive technology education for nurses. Using the TIGER and American Nurses Association guidelines, you also evaluate your own informatics competencies.

Reference:

Rinkworks. (n.d.) Things people said: Bad predictions. Retrieved from http://www.rinkworks.com/said/predictions.shtml

 

I am very excited to introduce myself to you all, my classmates, and my instructor.  My name is AddisalemTechane; before I moved to the USA, I worked in the financial sector, and nursing is my second carrier path.  In 2016, I graduated with my Bachelor of Science in Nursing (BSN) from Tennessee State University (TSU) was working as a medical-surgical floor registered nurse (RN) and floating to ICU, ER, PCU, Ortho, and rehab units.  In addition to these, I worked as a preceptor (orienting new nurses hired to our floor and student nurses doing their internship in our hospital).   After graduated my Masters Science in Nursing (MSN) leadership management, I worked as an adjunct clinical instructor in a local community college for a year.  Currently, I am working as a unit manager in a rehabilitation Center.

According to Gray and Grove (2020), nursing research is defined as a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences the delivery of evidence-based nursing.  So, I believe that in our current environment, all nurses participate in nursing researches. Some conduct the nursing research; on the other hand, some are using the researches.  My experience with nursing research was that I gathered data for a study in 2017 for a nurse who did nursing research on the effectiveness of using a female external urinary catheter (pure wick) in a confused patient.  Also, I try my best to read nursing researches to up-to-date my nursing knowledge on findings that might affect our practice.

My previous experience using evidence-based practice (EBP) was working at HCA Tri-Star Southern Hills Medical Center (SHMC). The hospital’s objective is to deliver the highest quality patient care, compassion, and respect to their patients.  They are dedicated above all to the care and enhancement of human lives (Tri-Star Southern Hills Medical Center, 2019).  To do so, the hospital continuously improves the system and implements new evidence-based practices.   The new service implemented in the hospital is Evidence-Based Clinical Documentation (EBCD).  Evidence-based Clinical Documentation enables registered nurses (RN) to document pertinent information using standard terminology, reduce RN time spent on documentation, and reduce RN dissatisfaction with documentation burden.  Moreover, give RN time to caregiving, improve patient outcomes, and create a patient-centric record that guides and informs the interdisciplinary team’s provision of safe, effective, and efficient care and produces data to evaluate the care of individuals and populations of patients (Englebright, 2018).  Also, my current organization support evidence-based practices; even three months ago, we strictly enforced nurses’ use of SBAR (Situation, Background, Assessment, and Recommendation) communication method to enhance Interprofessional and intra-professional communication.

References

Englebright Jane. Evidence-based Clinical Documentation HCA Healthcare (2018).  National Academy of Sciences [US]https://nam.edu/wp-content/uploads/2018/05/1_Englebright_Evidence-based-Clinical-Documentation.pdf

Gray, J. R., & Grove, S.K. (2020). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.

Tri-Star Southern Hills Medical Center (SHMC). (July 14, 2019). https://tristarsouthernhills.com/quality-safety/mission-and-values.dot

Learning Objectives

Students will:

  • Summarize how informatics has impacted or changed nursing practice
  • Evaluate the influence of informatics competencies on quality of care and nursing practice
  • Apply online learning resources to professional growth and development
  • Compare the contributions of two nursing informatics pioneers

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Course Text: 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.

  • Chapter 1, “Nursing Informatics: Transforming Nursing”
  • Chapter 12, “The Evolving National Informatics Landscape”

Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology’s emergence into the health care industry.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

  • “Introduction” (pp. 1–2)
  • “Informatics Competencies” (pp. 33–40)

Also Read: HP 609 Week 8 Assignment   Final Field Experience Log

The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the “Informatics Competencies” section uses research and matrices to correlate informatics competencies with the education and roles of nursing professionals.

Cesnik, B., & Kidd, M. R. (2010). History of health informatics: A global perspective. Studies in Health Technology and Informatics, 151, 3-8.

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The authors of this article begin by summarizing the rise of computer development and use. They then examine how technology will build the capabilities of future businesses.

Hovenga, E., Kidd, M, Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction. Studies In Health Technology and Informatics, 151, 9-15.

A brief explanation of informatics principles is given in this article.

Ozbolt, J. G. & Saba, V. K. (2010). A brief history of nursing informatics in the United States of America. Nursing Outlook, 56(5), 199-205.

Examine the initiatives and technological developments that have informed the field of informatics by using this article as a guide.

Technology Informatics Guiding Education Reform (TIGER). (n.d.). The TIGER Initiative: Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative. Retrieved from: http://www.mhsinformatics.org/CI-Fellowship/Workforce-Development/Competencies/Tiger.Report_Competencies_final.pdf

 

For this week, focus on the executive summary and Appendix A, B, and C for review of the TIGER initiative and resulting competencies.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: What is health informatics? Baltimore, MD: Author.

Note: The approximate length of this media piece is 13 minutes.

In this week’s media presentation, the presenters discuss the extensive applications, implications, and benefits of health informatics for patients, practitioners, and health care organizations as a whole.

Accessible player

HIMSS/AMDIS Physician Community Podcast Series. (Producer). (2009). Episode #15: TIGER initiative – technology informatics guiding education reform. [Audio podcast]. Retrieved from https://www.himss.org/episode-15-tiger-initiative-technology-informatics-guiding-education-reform

 

Joyce Sensmeier, vice president of informatics at the Healthcare Information and Management Systems Society (HIMSS), presents the Technology Informatics Guiding Education Reform (TIGER) initiative that is aimed at educating nurses on new digital technologies. This podcast also highlights the organizational accomplishments and future informatics goals of the TIGER initiative.To access the podcast, scroll through the page linked above to find Episode #15.

American Medical Informatics Association. (2011). Video Library 1: Nursing informatics pioneers.
Retrieved from http://www.amia.org/programs/working-groups/nursing-informatics/history-project/video-library-1

 

The AMIA developed a Nursing Informatics History Project, aimed at documenting and preserving the history of nursing informatics. This project consists of two video libraries. Video Library 1 portrays the viewpoints and accomplishments of those recognized as pioneers in the informatics field.

Optional Resources

Gugerty, B. Delaney, C. (August, 2009). Technology Informatics Guiding Educational Reform (TIGER). TIGER Informatics Competencies Collaborative (TICC) Final Report. Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdf

 

In the United States (US), the early adopters, developers, and innovators of technology in nursing practice are referred to as Pioneers of Nursing Informatics. These individuals are the innovators, spear headers, and groundbreakers in the specialty of nursing informatics. This paper seeks to compare two nursing informatics pioneers, Patricia Abbott and Virginia Saba, focusing on their professional accomplishments and how their contributions have influenced nursing practice.

Professional Accomplishments of Each Individual

Dr. Patricia Abbott undertook her nursing degree at the University of Maryland and later developed an interest in informatics. Dr. Abbott was among the first nurses to employ data-mining techniques in nursing (Shortliffe, 2004). She explored the existing databases in long-term care to understand factors that contribute to patient outcomes. In addition, she expanded her preliminary work into the patient safety aspect (Shortliffe, 2004). She ensured strong informatics content in programs funded by the Health Resources and Services Administration and AHRQ (American Medical Informatics Association [AMIA], (2021). She took leadership roles in preparing scholars and practitioners in nursing informatics. Besides, she led the establishment of the ANA Standards of Practice for Nursing Informatics and has been the country’s representative to the International Medical Informatics Association (IMIA) Nursing Special Interest Group.

Dr. Virginia Saba is a nationally and globally recognized pioneer of information technology in nursing. She has led the nursing informatics movement for over 40 years. Dr. Saba started academic technology programs and has supported the expansion of healthcare information technology systems such as the Clinical Care Classification (CCC) System (AMIA, 2021).  During her nursing career, Dr. Saba provided national leadership and fostered technology in nursing practice. When serving in academia, she incorporated nursing technology in nursing programs, facilities (AMIA, 2021). She also undertook federally funded research developing CCC System, National Nursing Standard. She is currently the President/CEO of Sabacare Inc & CCC System, where she integrates the CCC system into electronic healthcare documentation systems.

How Their Contributions Have Influenced Nursing Practice

Dr. Abbott’s contributions have influenced nursing practice by helping nurses to provide better patient care resulting in improved health outcomes. She explored existing databases in long-term care, which enabled nurses to understand better factors that contribute to patient outcomes (Shortliffe, 2004). As a result, nurses factor in these factors when planning patient care and implement interventions to improve outcomes. Dr. Abbott’s contributions have also influenced nurses to provide safe patient care (Shortliffe, 2004). Dr. Saba’s contributions have improved patient care efficiency through information technology systems such as the CCC system (AMIA, 2021).  The system provides nurses with a unique coding structure for assessing, documenting, and classifying patient care by nurses. Her contribution has also eased and improved nursing documentation, promoting easy access to patients’ health data.

How Their Contributions Have Shaped the Field Of Nursing Informatics

Dr. Abbott’s contributions have shaped nursing informatics by informing nurse informaticians how they can mine data from databases. As a result, informaticians obtain large data sets and use them to improve healthcare delivery (AMIA, 2021). Her contribution in leadership in preparing scholars and practitioners in nursing informatics has helped to increase the number of nurse informaticians, which promotes the growth of the informatics field. Dr. Saba shaped nursing informatics by introducing academic technology programs, which gave nurses the chance to gain informatics knowledge and thus apply technology in nursing practice (AMIA, 2021). She also supported the development of the CCC system, which helps in the electronic documentation of nursing plans of care. Besides, the CCC System is acknowledged as the terminology of choice for documenting patient care in the electronic health record system.

Lessons I Can Take Away From Their Experiences

Dr. Abbott’s experiences teach me to pursue my passion and interests in nursing. For instance, she developed a growing interest in informatics, which led her to pursue a master’s degree in nursing informatics and a Ph.D. in information systems. I have also learned that I should use my leadership skills to influence other nurses and foster the growth of the nursing profession. Lessons learned from Dr. Saba include using my knowledge and skills to develop innovative ways to improve patient care delivery. Besides, I should use my leadership position to promote the growth of the nursing profession.  I should also use my leadership power to advocate and lead movements that promote the greater good in the nursing profession.

Skills or Ideas Demonstrated That I Might Apply To My Professional Practice

Dr. Abbott’s used her leadership to prepare scholars and practitioners in nursing informatics. I would apply this idea of using my leadership position to draw more scholars and nurses to my nursing specialty or towards a certain course that will improve nursing practice. Dr. Saba used her informatics knowledge, skills, and expertise to initiate academic technology programs (AMIA, 2021). I can use my nursing knowledge and skills to establish programs that equip nurses with specific specialty skills.

Conclusion

Dr. Abbott and Dr. Saba are nursing informatics pioneers who have contributed immensely to influencing nursing practice and shaping nursing informatics. Dr. Abbott employed data mining techniques to help understand factors affecting patient outcomes. She has used her leadership role to equip other nurses with informatics skills and represent other nurse informaticians.  Dr. Saba established academic technology programs and developed the CCC System used in coding and documentation. Her efforts have helped improve patient care delivery for nurses.

 

 

References

American Medical Informatics Association. (2021). Nursing informatics innovators: Patricia Abbott. AMIA – American Medical Informatics Association. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-patricia-abbott

American Medical Informatics Association. (2021). Nursing informatics innovators: Virginia K. Saba. AMIA – American Medical Informatics Association. https://amia.org/community/working-groups/nursing-informatics/nursing-informatics-innovators-virginia-k-saba

Shortliffe, E. H. (2004). American College of Medical Informatics Fellows and International Associates, 2003. Journal of the American Medical Informatics Association: JAMIA11(3), 225–233. https://doi.org/10.1197/jamia.M1521