...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...Importance of Nursing Theory We can define nursing theory as a group of concepts that describe and present current knowledge in nursing. Nursing theory looks to provide an overall vision and understanding of the profession of nursing. It helps to organize knowledge obtained and advances the way a discipline is practiced (Shea & Cavan, 2014). Before this course I had little exposure to nursing theory and its application in the clinical realm. I knew things were done a certain way but truly did not know the origin of the ideas that influenced current nursing care. During the completion of my BSN degree, I grasped a basic concept of nursing theory and studied the major theorist involved. It has been very enlightening to view nursing theory in another dimension and study the clinical implication of its integration in practice during this course. In the following analysis I will seek to establish the importance of nursing theory and its application. I will discuss Virginia Henderson’s theory of need nursing and the application of its key concepts into practice. I will also establish important aspects of her theory and how they apply to the nursing metaparadigm. The analysis will also address the relationship between Henderson’s views and nursing informatics. Overall the influence of theory and its application in nursing will be thoroughly discussed. The Value of Nursing Theory Throughout time, the nursing profession has been influenced by nursing theory. Nursing theory has contributed...
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...into its inception, the company found itself faced with an unexpected demand for training from different sectors of society. Fasttrack developed and conducted various IT training programs for members of the corporate community. Seeing the steady rise in demand for IT training, FastTrack made the strategic decision to change course. In 2011, Fasttrack IT (FIT) Academy emerged as a full service training facility that offers a wide range of Information Technology courses and certification, to professionals , universities and corporate sector. FIT Academy launched courses which are highly in demand not only in the country but also in the global marketplace. Courses on Mobile Development (iOS/ Android) , Business ANalytics/ Business Intelligence , WEB Design , Programming and Cloud Computing are made available in the Academy. Courses tailored-fit for the growing needs of various industries and professions were also introduced in 2012 , such as , IT for HRM (in partnership with AHLEI) and IT for Nurses (Nursing Informatics). The IT...
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...Technology, decision-making processes, and data accessibility have changed dramatically in recent years. This paper will discuss systems and informatics theories. The paper will confer on the Data, Information, and Knowledge (DIK) Model. The role of expert system in nursing care and medicine will be provided. Decision aids and decision support systems are used everyday providing focus, leadership and direction within technology and will be examined. The use of technology for patient and client management will be explored. An analysis of the impact of technology on healthcare and health status will be investigated. Systems and Informatics Theories Systems are “a group of interacting, interrelated, or interdependent elements forming a complex whole” (Systems, n.d., Definition). Systems describe healthcare, schools, computers, and a person. The systems are either open or closed. Closed systems are inoperable to function with others third party products and open systems are designed to allow third party products to plug in or interoperate with the system. Neither system interacts with the environment. Open systems consist of three characteristics; purpose, functions, and structure (Englebardt and Nelson, 2002). Systems can have more than one purpose based on the needs of the user. Functions that the system will need to carry out need to be identified for the system to achieve its purpose. The “systems are structured in ways that allow them to perform their functions” (Englebardt...
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...Nursing Information System Monique Brown Walden University Nurs-3010 Section 3: Information Management in Nursing and Healthcare December 21, 2014 Nursing Information Systems Information technology within the health industry has brought a unique set of ethical and legal concerns once adopted in health settings. The usage of nursing information systems all through the country has been found to extend numerous benefits towards patient care. Thus, the nursing information systems have been found to be very beneficial, though they possess a fair share of limitations, which among other aspects include ethics. Ethics in nursing refers to performing actions contrary the nurse’s code of ethics along with what is morally right for patients. Information systems are aimed at improving patient care, consolidating, and making patient information readily available. Nursing information systems have introduced several ethical concerns with regards to the conduct or practice of nursing. Medical Information Privacy and Confidentiality Ethics To begin with, the most emotive and majorly discussed issue concerns privacy of patients’ medical information. Privacy in nursing information systems points to the avoidance by nurses to disclose patients’ medical information to unauthorized individuals (Simpson 1). These unauthorized individuals may comprise hospital staff, non-listed family members, and non-staff among others...
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...UNIVERSITY OF SUNDERLAND School of Computing and Technology Research Skills and Academic Literacy: CETM11 Assignment 1 The application of knowledge management in hospitals and its effects on organizational culture: A Brief Comparative Literature Review. Prepared by: Yusef Haddad Submitted to: Dr. Lynn Humphries Title of the paper | Yun, E. K. (2013), ‘Predictors of attitude and intention to use knowledge management system among Korean nurses’ Nurse Education Today, 33 (12), pp. 1477–1481. Accessible from: http://www.sciencedirect.com/science/article/pii/S0260691713001974 (Read: 8 November 2014) | 1) What are the research/telling question or questions? | The core goal of this research paper is to key out the organizational and individual factors that are influencing the intention and attitude to make use of Knowledge Management systems amongst Korean nurses.The research also hypothesizes that the adoption of a knowledge management system can be molded by both organizational as well as individual constraints, and for the investigation of this issue the author made use of the framework of technology-organization-environment. | 2) What are the key concepts? | Nurses, Knowledge management, Organizational culture, Hospital information system, technology-organization-environment, nurses’ informatics competency. | 3) What methods are used? | Yun (2013) used a cross-sectional survey that was descriptive and correlational. This survey was acclimated the...
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...Informatics Needs Assessment Susan Hauck University of Phoenix HCS/482 Health Care Informatics Lynn Bertsch April 4, 2016 Informatics Needs Assessment A needs assessment is simply a systematic approach to assessing how an organization can operate more effectively (Hebda, 2013). Efficiency enhances quality of care and saves money in the long run, but if the wrong Electronic Health Record system is selected it will cost the organization time and money (Carter, 2015). Anyone who is organized and detailed orientated can orchestrate a needs assessment (Carter, 2015). Needs Assessment Why and How A needs assessment bridges the gap between the current state and the organizations strategic plans (Hebda, 2013). Keeping in mind that not all problems can be solved using the EHR (Lorenzi, Kouroubali, Detmer, & Bloomrosen, 2016). In addition to the EHR the organization should assess policies, employee training and other resources as solutions (Lorenzi et al., 2016). Additionally, an assessment of the organizations readiness to change and the personnel’s ability to accept and apply new technology are important. Key to implementing a needs assessment and purchasing an EHR is assigning an innovative person that is able to visualize the future improved by the right EHR, that person is called the Champion (Lorenzi et al., 2016). The Champion will help lead and organize the Steering Committee, a select group of personnel with varying levels of education to purchase...
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...Resistance of Nurses in Use of Electronic Documentation The field of health information technology for nursing is rapidly growing. Advancements in electronic documentation for health care, such as the electronic medical record (EMR), can be an overwhelming addition to the workload of nurses. There is resistance by nurses in use of electronic documentation (Sharifian, Askarian, Nematolahi, & Farhadi, 2014). It is this writer’s opinion that nurses are under informed regarding the rationale for changes taking place in documentation and the implications. The purpose of this paper is to provide nurses with the basics of the Federal regulations outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that require electronic documentation to be compliant and receive reimbursement. It also reviews how data are collected to determine the reimbursement for care (meaningful-use) and its role in evidence-based practice (Wright, Feblowitz, Samal, McCoy, & Sittig, 2014). Included is a review of the negative impact resistance generates on health organization reimbursement and the relevance it has on nurse staffing, jobs, wages, and satisfaction, along with, evidence reinforcing the training and support of nurses as a means to promote proper use of electronic documentation and increase user satisfaction. Federal Laws and Requirements for Compliance Health care...
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...proper tools to improve my leadership and I am intrigued about what I found out about myself on this journey to enhance my leadership skills. Discovering the tools needed from a combination of leadership theories management, time management, understanding my personality traits, understanding conflict handling styles, the importance of the emotional intelligence, using the instructor’s recommendations, and understanding the role of nurse informatics and its technology in healthcare has helped me better understand my leaderships strengths and how to repair my weaknesses. I have learned many different things about leadership, management, and time management. According to a 2014 article by MSc Nizar Said defines time management as, “The ability of a person to use the time function to accomplish the tasks in the exact timing” (Said, 2014). It is important to acquire effective time management skills to use time efficiently. This same article states, “Time management is recognized as an important component of work performance and professional nursing practice, as well as help nurses use different strategies of time management” (Said, 2014). Using time management as a tool can effectively change the way we work and allow us to work smarter instead of working harder. When I took time management assessment, on the first part, I scored a 28, and on the second part of the assessment I scored a 6. This gave me a total score of 22. This score helped me discover some new...
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...Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future.In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required...
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...enrollees participated in a Medicare Advantage plan. It was the primary payer for an estimated 15.3 million inpatient stays in 2011, representing 47.2 percent ($182.7 billion) of total aggregate inpatient hospital costs in the United States (Torio & Andrews, 2013). The program helps with the cost of health care, but it doesn’t cover all medical expenses or the cost of most long-term care A portion of the payroll taxes paid by workers and their employers cover most Medicare expenses. Monthly premiums, usually deducted from Social Security checks also cover a portion of the costs. Medicare’s Impact on Today’s Healthcare Ecosystem Medicare has four parts • Hospital insurance (Part A) helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care and hospice care. Medical insurance (Part B) helps pay for services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, and some preventive services. Part C refers to two types of...
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...Vision for the future of nursing Currently, health care in the US has been made accessible and affordable to everyone, as evidenced by the increase in the number of patients in the health care system. The nursing profession is already facing numerous challenges to deliver good quality and safe patient care. Therefore, there is a need for growth in remodeling the nursing profession to meet the high demand of an aging population with more complex needs. The nurses have to quickly adapt to a new world of technology that is complex and sophisticated. The nurse, as the primary health care provider, has the power to provide a consistent environment to the patient. In order to direct the nursing profession forward, professional nursing organizations will have to address the following: expanded role of nurses, the use of evidence- based practice, the value of the nurse’s role in research, and the changing trends in health care. Evidence-based practice and trends in health care and the future of nursing “Evidence for nursing practice comes from research and other sources. Evidence-based practice requires an understanding of how research findings and other evidence inform and guide practice” (Fawcett & Garity, 2009, p. 3). Evidence-based practice (EBP) is developed to help in the delivery of a higher quality of care and the best outcome for patient’s health. In the past, nurses have been performing in their field based on established practices and experiences. Early efforts...
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...Using the Data/Information/Knowledge/Wisdom Continuum Cathy L. Cooper Walden University NURS 6051N-13 Transforming Nursing and Healthcare Through Information Technology Instructor: Dr. Wagner March 27, 2016 Using the Data/Information/Knowledge/Wisdom Continuum Introduction Many organizations now have clinical documentation improvement programs (CDIs) designed to help an organization accurately reflect the quality of patient care, prove healthcare services, and make accurate reports of diagnosis and procedures (Cassano, 2014). A Clinical Documentation Specialist (CDS) is a registered nurse who manages, assesses, and reviews a patient’s medical records to ensure that all the information documented reflects the patient’s severity of illness, risk of mortality, clinical treatment, and the accuracy of documentation. Part of the role is to perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient’s severity of illness (Cassano, 2014). Health Information Management (HIM) professionals advocate for a strong commitment to accurate and timely clinical documentation as hospital initiatives push forward with programs such as ICD-10-CM/PCS implementation, Accountable Care Organizations reimbursement models, Fraud and Abuse compliance programs, and implementation of electronic health records (EHRs) (AMIHA, 2010). HIM...
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...allotted for stricter penalties for non-compliance. The advancement of electronic health record (EHR) systems has brought greater fluidity and compliance with healthcare but has also brought greater security risk of protected information. In order to ensure compliance with government standards organizations must adapt technologies such as CPOE and EHR. The use of such technologies also require organizations to develop policies and safeguards to protect both themselves but the community they serve. Team Members and Responsibilities To ensure success in the merger of the health care system, a team of highly trained and competent members will be needed. An implementation manager would be the leader of the team, responsible for keeping the project on schedule, keeping a list of practice issues that need to be resolved, scheduling go live dates, and also be responsible to delegate task to other members of the implementation team. A physician lead is another valuable member of the implementation team. Acting as a liaison between physicians and the implementation team, they serve as a point of reference for how things are done from a clinical standpoint, and how the physicians needs the system to function. ("Creating a Leadership Team for Successful EHR Implementation", 2013) The physician leader bridges the gap between physicians and the electronic health record implementation, they are responsible to communicate updates to physicians within the...
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...Western Governors University Nursing Informatics Nut 1 Task 2 It is often times a question as to how we, as healthcare professionals, can go about strengthening and bettering the quality of care that we provide to our patients. There are a number of ways to do that, including purposeful rounding, treating patients as a whole rather than just diagnoses, providing family and patient centered care, etc. One important action that can be taken to better the quality of care is through the use of our ever changing, always advancing, technology. Years ago, when computer systems did not exist, we did what we could to provide the best care we could, with the most efficient communication, charting, etc. Today, with the use of our advancing technology, we have the ability to use computerized management systems for efficiency, proficiency, and increased quality of care. The various aspects of using computerized management systems in the healthcare setting, including the efficiency, privacy, and cost will be discussed. How Computerized Management Systems Increase Quality of Care It is not easy to give up old habits and pick up new ones and it is certainly not easy to do that in the healthcare setting when people's lives are under our control. Computerized management systems are the use of technological advances such as computers and handheld devices to gather and input data on each patient entering and exiting your care. The use of this technology allows us, as physicians, nurses...
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