NURS 8210 Week 6 HIT Usability and Design Challenges

NURS 8210 Week 6 HIT Usability and Design Challenges

Walden University NURS 8210 Week 6 HIT Usability and Design Challenges-Step-By-Step Guide

 

This guide will demonstrate how to complete the Walden University NURS 8210 Week 6 HIT Usability and Design Challenges 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 Week 6 HIT Usability and Design Challenges

 

Whether one passes or fails an academic assignment such as the Walden University NURS 8210 Week 6 HIT Usability and Design Challenges 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 Week 6 HIT Usability and Design Challenges

The introduction for the Walden University NURS 8210 Week 6 HIT Usability and Design Challenges 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 Week 6 HIT Usability and Design Challenges

 

After the introduction, move into the main part of the NURS 8210 Week 6 HIT Usability and Design Challenges 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 Week 6 HIT Usability and Design Challenges

 

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 Week 6 HIT Usability and Design Challenges

 

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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By Day 3 post a cohesive response to the following:

• Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system.
• • Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.
  • Determine whether these challenges were a result of implementation or design.
  • Formulate strategies for overcoming these usability challenges.

Read a selection of your colleagues’ postings.

Sample Answer for NURS 8210 Week 6 HIT Usability and Design Challenges

The development of HIT has brought with it several problems the IT has to deal with daily. An organization needs to put together the right team for a HIT system implementation to be successful. Health information systems (HIS) can present unique requirements that can be somewhat problematic during implementation. It is almost inevitable that a system would require constant design and redesign in problem areas during its lifetime (Schlotzer & Madsen, 2010).

The usability of EHR remains a priority and has emerged as an informatics topic of national interest. After years of development of IT in healthcare, clinicians have finally concluded that it does not provi

de the kind of cognitive and workflow support they need (Staggers, N. (2010). One of the main problems is accessing information created by many professionals using different settings that may not interact. Usability is supposed to bridge the gap between people and machines, thus promising to assist in completing tasks within shorter times with minimum effort. In nursing, usability eliminates errors such as bar-coded medication administration and leads to patient satisfaction as it allows nurses to spend more time with their patients (Koppel & Kuziemsky, 2019).

Researchers often report that EHR was increasing the amount of time that nurses spend with their patients. Changes were made to the system at one organization, and now users had to input passwords with each template that they opened, which was rather time-consuming. For example, when documenting on a single patient, one would need to input a password to access the medication administration, another password to access the patient assessment templet, flow sheet for input & output, skin assessment, etc. from a nursing point of view, I would rather have one password to access the computer system then another one to access the patient record. Once in a single patient domain, the users should click and open templates without a hitch. Better still, all assessments should be on one template. I questioned this and was informed that other departments, such as Quality Improvement, wanted the templates singled out to make their work easier.

The implementation of clinical information systems (CISs) denotes a new era of technological possibilities. It is always essential to include nursing in the implementation states of any HIT systems, as not doing so may make them unprepared to use the technology in performing their work. Nurses need to be educated on using the system, and their level of computer skills needs to be enhanced in readiness to adopt the new changes. This could result in a significant delay between creating the new healthcare enterprise and the end user’s ability to fulfill its potential (Gruber et al., 2019).

 

References

Gruber, D., Cummings, G., Leblanc, L. & Smith, D. (2009). Factors Influencing Outcomes of Clinical Information Systems Implementation. CIN: Computers, Informatics, Nursing, 27 (3), 151-163. doi: 10.1097/NCN.0b013e31819f7c07.

Koppel, R., & Kuziemsky, C. (2019). Usability Across Health Information Technology Systems: Searching for Commonalities and Consistency. Studies in Health Technology and Informatics, 264, 649–653. https://doi-org.ezp.waldenulibrary.org/10.3233/SHTI190303

Schlotzer, A., & Madsen, M. (2010). Health information systems: requirements and characteristics. Studies in Health Technology and Informatics, 151, 156–166.

Staggers, N. (2010). The rapidly emerging national interest in HIT usability. Online Journal of Nursing Informatics, 14(3), 4p.

Sample Answer 2 for NURS 8210 Week 6 HIT Usability and Design Challenges

Usability in HIT refers to the success, efficiency, and satisfaction with which specific users can attain a particular set of tasks in a specific environment. However, poor usability results in errors and challenges, which are attributed to patient harm (Ratwani et al., 2019). Usability challenges that I encountered as a clinical administrator during the implementation of the EMR in the medical center include a complicated user interface (Ball et al., 2011). There was also inadequate online assistance to help the clinicians and a poorly designed command menu that could not account for the use of short-cut keys for experienced end-users.

The complicated user interface was caused by the system developers failing to consider the design specifications provided by the end-users. Besides, the inadequate use of online assistance by clinicians was due to a lack of comprehensive training on the use of online tools present in the HIT system (Ratwani et al., 2019). The poorly designed command menu was due to the developers failing to predict the potential challenge when designing the EMR system. The challenges were a result of both poor design and implementation. Issues in the system design include the complicated user interface and poorly designed command menu (Ratwani et al., 2019). These could have been identified and prevented during the system development and testing phases.  On the other hand, the ineffective use of online assistance was an implementation issue, which could have been addressed at the early stage by conducting staff training.

The challenges can be addressed by involving end-users, clinicians and nurses, at the initial stages of designing and developing the EMR system. The end users can provide insight on how the system should be designed to meet the priority needs in health care delivery (Russ & Saleem, 2018). Staff training is also crucial and should be conducted in the initial stages of implementation (Russ & Saleem, 2018). It ensures that the staff have the necessary knowledge and skills to implement the system and solve common technical challenges.

References

Ball, M. J., DuLong, D., & Hannah, K. J. (2011). Nursing informatics: where technology and caring meet.

Ratwani, R. M., Reider, J., & Singh, H. (2019). A decade of health information technology usability challenges and the path forward. Jama, 321(8), 743-744. https://doi.org/10.1001/jama.2019.0161

Russ, A. L., & Saleem, J. J. (2018). Ten factors to consider when developing usability scenarios and tasks for health information technology. Journal of biomedical informatics, 78, 123-133. https://doi.org/10.1016/j.jbi.2018.01.001

Sample Answer 3 for NURS 8210 Week 6 HIT Usability and Design Challenges

Usability refers to the ability of individuals to utilize tools and computer applications that are specific to their environment. An example within a healthcare organization would be nurses who utilize an electronic medical record (EMR). It is expected that the EMR is user-friendly and accessible to all. This would include technology availability, capacity, as well as education/training provided (Ball et al., 2011). In the given case study, four usability challenges are present. These challenges include those which were a result of implementation such as the lack of specific training provided to staff and the minimal consideration and testing of workflow. Also present were challenges of design which included preestablished order sets and documents from other sites, and the delayed arrival of technology.

As usability allows nurses to give feedback in a structured way, it would have been appropriate to engage bedside staff within the design and implementation of the EMR (Ball et al., 2011). Within previous health information technology implementation, bedside staff have been seconded to be involved firsthand in projects. As noted in Ball et al (2011), physicians, nurses and other professionals are pivotal in all phases of the design and implementation process. Involving staff would have been beneficial to mediate the challenges regarding education and training of staff (Gruber et al., 2009). Nurses who are currently practicing in the environment are the best fit to provide information regarding order sets and documents that are frequented. Furthermore, these nurses can be super-users that staff can access if they are having issues during implementation after formal training is provided (Gruber et al., 2009). The staff should also be involved in placement of technology including bedside and nursing desk computers. By engaging staff early, this ensures that an appropriate amount of technology is ordered and will arrive in a timely manner. Another method is to ensure adequate resources is to perform a needs assessment in the earlier stages of the project (Kaufman et al., 2006).

Further challenges can be overcome by conducting usability evaluations (Ball et al., 2011). This allows for systems to be tested and redesigned as necessary to ensure a successful implementation. This would be crucial in ensuring evaluation is not an afterthought and would present as a summative approach in the later design stages of the project (Kaufman et al., 2006) In design, it is beneficial to utilize order sets and documents from other sites as these have been tested and trialed.

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.

Gruber, D. , Cummings, G. , Leblanc, L. & Smith, D. (2009). Factors Influencing Outcomes of

Clinical Information Systems Implementation. CIN: Computers, Informatics, Nursing, 27 (3), 151-163. doi: 10.1097/NCN.0b013e31819f7c07.

Kaufman, D. , Roberts, W. , Merrill, J. , Lai, T. & Bakken, S. (2006). Applying an Evaluation

Framework for Health Information System Design, Development, and Implementation. Nursing Research, 55 (2), S37-S42.

Sample Answer 4 for NURS 8210 Week 6 HIT Usability and Design Challenges

The assigned scenario is the implementation of an electronic medical record (EMR) system using orders, clinical documentation and results in the perinatal units of a medical center.  Because of a previous implementation at another facility, the administration thought they could ‘plug and play’ the system with a six-month implementation timeline (Staggers & Toroseth, 2011).  The Expanded Systems Life Cycle (ESLC) framework defines four risk areas during an implementation which include key executive support, user-driven planning, buy-in from stakeholders, use of product lines, impact on workflow, and evaluation (Gruber, Cummings, Leblanc, & Smith, 2009).  Many of these aspects were not accomplished.  Usability challenges included not having order sets developed specific to perinatal as a specialty.  Workflow was not assessed for current state and future state.  Not enough computer equipment and training was not specific to the specialty (Staggers & Toroseth, 2011).

There are multiple challenges that the implementation did not plan for ahead of time, and caused frustration for the end-users. Clinical application design (CAD) should take place throughout the system designs process.  It is an iterative process including the clinicians from planning to implementation.  Evidence-based ractice (EBP) specific to the clinical specialty should be integrated into the design of the application (Staggers & Toroseth, 2011).  The lack of the clinical documentation and order sets into the system based on the new perinatal units at the medical center is a design issues.  It should have been developed based on the EBP being used for these specific units. The workflow and the training are both implementation issues.  The changes will significantly impact the clinicians and should be considered prior to the implementation.  The workflow changes should be integrated into the training plans for the clinicians (Coplan & Masuda, 2011).  The final implementation challenge is the ordering of workstations to be placed in the clinical units. It also could be considered a design issue.  Nursing informatics (NI) functional areas include consultation and coordination, facilitation, and integration.  During the implementation the NI can be used to determine the equipment to be used and placement that assists in the usability by the end users (“American Nursing Association “, 2015).

The first strategy is to use the NI in the planning and design of the system and implementation.    As the NI, the role included designing the inpatient rooms and clinic areas to facilitate the usability for the clinicians.  It was to determine where to place the computers, bar code scanners, and printers within the facilitate.  Staggers and Troseth (2011) recommend having an informatics team with knowledge of the human factors and usability issues.  The design of the system can also use the NI to work with the end users to define the needs and the characteristics of the system to make sure it includes EBP based on their patient population (Staggers & Toroseth, 2011).

The implementation of an electronic health record (EHR) is a change that includes having to learn new technology, no matter if the facility was on paper or a different EHR, and learning new workflows.  Part of the implementation project is to obtain feedback from the user about the configuration of the new system and the workflow.  The project team should listen to individuals who are resistant but offer improvements for the configuration or workflow (Coplan & Masuda, 2011).  Mcbride (2012) studied the training and practice flows of EMR implementations, and the physicians surveyed responded that more attention needs to be made on training and the background of the trainers (McBride, 2012).  Because of the specific needs for the training of the oncologists, we did not use any vendor training.  Instead we brought in twelve physicians for two days of training with the clinical informatics directors who understood the workflow and had advance experience with the system.  The concentration was on the basic usage and chemotherapy order sets.  Every two weeks after the initial training the EMR educators rounded to give advance training the system.  It was well received, and the physicians were able to function in the system.  There was also a training developed that focused on physician specialty such as pulmonary, gastro, or anesthesia and the initial setup of their user profile included tools within the EHR specific to their needs.  It was found that the physicians were less resistant to change, when the focus was on their “need to know” in training.  This type of implementation can be done with any specialty, and the organization in the scenario could have been successful if they included configuration and training specific to perinatal units.

References

American Nursing Association (2015) Nursing Informatics: Scope and standardsof practice (2nd ed.). Silver Spring, MD: American Nursing Association.

Coplan, S., & Masuda, D. (2011). Change mangement Project management for healthcare information technology (pp. 193-237). New York, NY: McGraw Hill Companies.

Gruber, D., Cummings, G. G., Leblanc, L., & Smith, D. L. (2009).Factors influencing outcomes of clinical information systems implementation. CIN: Computers, Informatics, Nursing, 27(3), 151-163. doi:10.1097/NCN.0b013e31819f7c07

McBride, M. (2012). Training, new practice flow critical with EHR installation. Study participants share insights about the effects of the technology in their practices as they approach year mark. Medical Economics, 89(22), 36.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management (Harrow, London, England: 1994), 20(1), 32-37.

Staggers, N., & Toroseth, M. R. (2011). Usability and Clinical Application Design. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.), Nursing Informatics: Where technology and caring meet (Fourth ed., pp. 219-241). London New York: Springer.

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

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If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

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Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

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

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

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