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NURS 8210 Week 2 Information Architecture ANSWER

NURS 8210 Week 2 Information Architecture ANSWER

By Day 3 post a cohesive response that addresses the following:

  • Differentiate the information needs within your organization. For example, how might the needs of an administrator differ from the needs of a physician or lab tech?
  • Explain the impact of these different needs on the implementation of HIT in your present organization.
  • Evaluate how the flow of information across HIT systems within your organization supports or inhibits evidence-based practice.

Read a selection of your colleagues’ postings.

The needs of an administrator differ greatly than those of a clinician in many ways. Take a bedside nurse for example, will use the health information system for documenting assessments, care provided, communicate patient information among care teams and support services that provide diagnostics.  In many ways the nurse at the bedside is responsible for inputting data that is used by many in the system (ANA, 2008).   The nurse follows the Greenberg’s 2005 model three phase process in (Schleyer & Beaududy, 2009) at the bedside may use the system to look at patterns and trends in the patients bloodwork, or vital signs, urinary output and others to turn the basic data into knowledge as the nurse can trend low blood pressure, high heart rate and low urinary output to determine that the patient may be in some form of shock.  Being able to deduce this will lead the nurse to communicate with other team members and provide interventions to improve the patient’s blood pressure.

An administrator uses the system in different ways than that of the bedside nurse, as the administrator’s role is to lead and direct the care at more of a system level.  An administrator will also use data to create knowledge for decision making, but rather than it being at the patient level, it is at the system level.  The administrator may be focused on outcome indicators such as hospital standardized mortality ratio (HSMR), in the case that the ratio is above the hospital’s peers, or above 100, they may use the information system to drill down to determine if the HSMR is constant across clinical portfolios, or if it is isolated in one program.  In the event that it is the later, will drill deeper into the data to analyse the root cause(s) of the high HSMR and lead the clinical teams to adopt evidence-based practice (Ball, et al., 2011) directed at improving the HSMR.

Interestingly, both practices involve gathering data, using the system to pull and unders

NURS 8210 Week 2 Information Architecture ANSWER
NURS 8210 Week 2 Information Architecture ANSWER

tand further, utilize some analysis, apply professional judgement and diagnose and create and implement a plan for improvement and then study the impacts of the plan as the ANA (2008) describes as aggregated data for decision-making by nurses in all levels of the organization.

At Red Deer Regional Hospital, the current HIT is quite rudimentary in sophistication and with this the bedside nurses are limited to admit, transfer, discharge and diagnostic ordering and reporting, and in most areas are still charting on paper.  The impacts of this include a lack of opportunity to trend data points that would support the nurse in their clinical decision-making.  The same is true for the administrator that also has limited data for the same system has limited abilities to pull data directly from the system and much of the data is sourced through health information staff that manually abstract information from the paper charts.  This current system impacts the users by reducing the opportunity for data transformation to knowledge and wisdom (ANA, 2008).

Information flow across the HIT at Red Deer Regional Hospital is very limited due to the basic system that is currently in place, the nurses are not able to leverage the use of the decision support tools found in more sophisticated HIT systems and of course, there is so much information that is not integrated into the HIT because of this, the whole hospital and health system is at a disadvantage and the opportunities aligned with an HIT that supports decision-making and guides the clinicians and the administrators (Alexander, 2008).

References

Alexander, G. L. (2008). A Descriptive Analysis of a Nursing Home Clinical Information System with Decision Support. 23.

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

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.

 

Schleyer, R., & Beaudry, S. (2009). Data to wisdom: Informatics in telephone triage nursing practice. AAACN Viewpoint 31(5), 1, 10-13.

 

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Important information for writing discussion questions and participation

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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource