...SYNTHESIS OF ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic...
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...interdisciplinary team. This team would be comprised of several members, each with a specific job. The first member selected would be a Clinical Nurse Informaticist. This team member would be charged with giving valuable input on the software needed for nurses to properly care for and chart on their patients. With the knowledge of nursing practice and informatics, this team member would very valuable in bringing the two together in the most efficient way possible. The next team member would also be from the IT department. A Director of Clinical Informatics would be chosen for this project. The Director of Clinical Informatics play a vital role in the project because of the knowledge of current hospital technology, upgrades that may be needed, software that is available, and regulations for patient privacy. A Chief Nursing Information team member would in charge of researching what each department needs in a software system. With each unit being different in charting needs and the flow of the unit, this team member would be very important and work closely with the Clinical Nurse Informaticist. These two team members would work closely with nursing staff to ensure everyone becomes competent with the system once it is in place. Just as nurses need a representative, the Doctors would also have a team member on this project. This would be a Chief Medical Information team member. This team member would be an experienced physician and be given the task of providing input on the needs...
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...Decisions in Health Care In this paper the role of technology in decision making is presented and systems and informatics theories are discussed followed by the DIK Model, and the role of expert system in nursing care and medicine. Furthermore, the use of decision aids and decision support systems are presented in correlation with the uses of technology for patient and client management, and the paper is concluded with an analysis of the effect of technology on health care and health status. Medical technology has major effects on health care decision making at the patient-physician interaction, community-health care institution, and the society-national government levels. Informatics and the development of what are known as tele-health/telemedicine have a variety of innovative uses to facilitate the decisions of health care professionals across the world. Some of these innovative uses are the ability to provide remote consultations among professionals outside of their facility, the ability to diagnosis and assess various disease states, the ability to access patients, and their medical histories, and the ability to prescribe medications and therapies. Many health care organizations are working to implement or upgrade their information systems. Hospitals are hiring information technology specialists to set up Intranets designed for the sharing of information among health care professionals, and is using public networks in the distribution of health-related information...
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...Personal Health Record (PHRs) Nursing Informatics Oluwatoyin Abolarin Dr. Randolph Schild 11/30/2014 ABSTRACT The purpose of this paper is to generate information in regards to Personal Health Records (PHRs) in relation to the nursing profession. The emergence of PHRs came to light as a collective result of our complex set of medical needs, increasing need for timely access to health information’s without jeopardizing our privacy rights as patients, increasing advancement in technologies and pressure to reduce cost of effectively healthcare delivery. I will be providing different definitions of PHRs, types and general features. I will support my definitions will existing literatures to show how close it is in meaning and features to Electronic Health Records (EHR) as literature has shown preference for PHRs that are tethered to EHR. PHRs have several benefits and barriers with more emerging as new studies are being generated. This paper will also look at ways nurses can contribute to PHRs through the use of standardized nursing language and home education information’s searchable on the PHRs. I will be using online database searches through CINAHL, MEDLINE to support this review. INTRODUCTION Access to the internet has dramatically grown over the years thereby awarding a huge strength to the capacity of the internet to expand health care delivery. Research has shown that, “seeking information related to the users’ health concerns, including disease, disease management, medications...
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...this paper is on the study of continuous quality improvement (CQI) as it is applied to the Joint Commission national safety goals. In particular, the use of medications safely goal (NPSG.03.06.01) reads: record and pass along correct information about the client’s medicines. Find out what medications they are taking, compare them to new medications that they are prescribed and make sure the client knows what to take. By having a more up to date electronic medical record and charting system we can improve the client care within the home. Often the information that is needed, is back in the office or another nurse is caring for the client than normally would. In this paper, it is of importance that we resolve this problem. By having a more efficient electronic record, we can better care for our client’s when we are in the home. This will be helpful for our own clients and when helping out other nursing staff. CQI Research Paper Overview Improving quality healthcare services requires strengthening various elements of the services we provide for our clients. One of these is how we store and receive information about our clients (AlNotee, 2003). By using health informatics, we can do just that. Health informatics gives us the knowledge and the skills that we need to collect, manage and share information in the healthcare system as well as promote our clients health (AlNotee, 2003). We can use the continuous quality improvement (CQI) model to help us get what we need to...
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...examined to be familiarized about how these quality initiative surveys were structured including goals, methods, how they used their results and how they are impacting healthcare organizations specifically hospitals and nurses. Also the author personally reflects on HCAHPS and NDNQI. Keywords: HCAPS, NDNQI, quality initiative, survey, ` Rising health care costs and limited health care resources has produced a need of utilization of data. Moreover data management and monitoring is essential in order to ensure that implementations are being made to change and improve nursing practice and patient care and outcomes. One specific way that this was employed was when the health care system was transformed from a system that was based on the number of admissions to the quality of care (Sewell & Thede, 2013). This was made more evident in 2007, when the Centers for Medicare & Medicaid, (CMS) mandated required participation in improvement initiatives in order for hospitals to receive full reimbursements for patient care (Sewell et al. 2013). These mandated programs that determine quality and the achievement of best outcomes for healthcare organizations are Health Consumer Assessment of Health Providers and Systems (HCAHPS) and the National Database of Nursing Quality Indicators (NDNQI). The initiation and utilization of these tools has encompassed an environment where quality improvement is a goal to improve patient care. HCAHPS ...
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...Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other doctors during training and implementation. This doctor is familiar with several computerized management systems and will be able to contribute...
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...Future Reform Donna Smith Strayer University Future Reform Let’s think ahead. What do we have to look forward to in the form of healthcare? Of course, information systems / technology will be upgraded for survival, but as I researched the predictions of healthcare in 2030, I ran across some intriguing thoughts. Barry H. Ostrowsky from Barnabas Health, West Orange, N.J. stated, “We reached a conclusion a long time ago that if we were going to advance as a health system we would have to have a certain level of information technology, not simply for the advantages that it provides in the practice of medicine but also to ensure the most intimate connectivity among our physicians and between our physicians and our institution.” Barnabas Health is simultaneously connecting its 4,000 doctors, of whom 3,300 are attending physicians. (Birk, 2012, p. 28) The purpose of this paper is to predict the form and function of medical health records in 2030, to describe the most likely impediments to health care information access in 2030, and to discuss the most significant “health care bake in” that could be embedded into organizational workflows and probable impact. 1. Predict the form and function of medical health records in 2030 (provide specific examples to support your response). Predictions of healthcare in 2030 are amazing, to say the least. We could free up scarce physician resources if we empower physician extenders (registered nurses, advanced...
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...Associate degree in Nursing and the Bachelors degree in nursing ultimately lead to a nursing profession in the health care industry, there are many differences between them. The fast growing complexity of health care and broadening clinical knowledge have forced nurses to have the educational preparation to meet its complex demand. Unlike the Associate degree program (ADN), the Baccalaureate program (BSN), prepares professional nurses whose practice is based upon science in order to restore and maintain health. Both the ADN and the BSN degrees lead to a profession as a registered nurse upon successfully passing the NCLEX board of licensure exam. However there are major differences that set both degrees apart in the Health care industry There are major differences between the ADN and BSN degrees. One of the differences is the length of time required to complete both programs. The Associate degree requires two years of course work to complete whereas the Bachelors degree normally requires four years of course work. In some instances it but could be less especially in cases where the prospective student already has a bachelors degree in another field or an associate degree in nursing from a community college. In comparing the competencies of both the ADN and BSN degrees both programs produce competent graduates even though the BSN offers courses that are not offered in the ADN program. Some examples of the courses include: leadership and management, nursing theories including...
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...Professional Development of Nursing Professionals Today’s healthcare system is consistently evolving with new advances, technologies, and evidence based research, which challenges nurses to continue to stay on top of the industry to meet the increasing demands of our specialty to ensure continued safe and effective practice, and positive patient outcomes. Nursing most specifically is focused on a future of preventative, community, and palliative care to promote an increase in healthy living, and a proactive approach to ones health which will help to prevent an increase in healthcare cost in the future. In order to be successful our profession will need to focus on nursing education, leadership, and nursing practice. Nurses are the nerve center of the healthcare system and ensuring these key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example;...
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...Adverse Trend: Telecare Abandonment of Calls Cindy Roloff HCS/482 August 4, 2014 Lynn Bertsch Adverse Trend: Telecare Abandonment of Calls Utilization of data to resolve an adverse trend is a form of process improvement that has a basis in factual and representable information. Upon identification of an adverse trend, there must be relevant data collection to determine an etiology prior to taking action. Technology can assist with this search to expedite the improvement process. The purpose of this paper is to discuss applying technology to create an objective response to the adverse trend of abandoned calls in the Telecare clinical setting. Telecare Overview Telecare triage nurses manage symptom-based calls from patients at the Department of Veterans Affairs (VA) Outpatient Clinic incoming call center. Currently, there are seven nurses that staff telephone triage with a volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition...
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...Task 724.4.2-01-05 Discuss an original presentation to introduce the new EMR system to staff on you unit. In your Presentation: 1. Discuss how access to information is important to the delivery of nursing care, specifically how the EMR system will benefit nurses in their work with Pt’s. Hello everyone. My name is John Smith. I am a RN here at the Hospital and I am the Director of Nursing Informatics. As I’m sure all of you know to be successful in the care of our Patients you have to work as an interdisciplinary team and timely COMMUNICATION is key! As you can see I have capitalized communication to emphasize how important it is. As a Nurse on the unit a big part of communication is reporting a patient’s condition after you have assessed and treated them. This is not only done verbally be talking to the Attending MD, Consulting MD’s Patients and their Family members, but also documenting this in the Pt’s legal medical record. Without effective, accurate and timely documentation of all aspects of a Patients care by the multiple disciplines taking care of the Patients you can have severe consequences including and up to death of the patient. I’m here to discuss the implementation of the EMR system we will be going live with next month. For those of you who don’t know what EMR stands for it means “Electronic Medical Record”. I do not want you to feel intimidated by having to use a computer for those of you who don’t use one often or at all. We will be training all of...
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...Advanced Information Management and Application of Technology Maydene A Huie Western Governors University Proposal for a New Information Management System to Implement Meaningful Use Interdisciplinary Committee Team Members Implementing a new information management system for a 100 bed hospital to bring them into compliance with Meaningful Use Legislation, requires the expertise of different disciplines within the hospital. For this hospital the team will consist of myself, a Clinical Nurse Specialist with a Post-Masters Nursing Informatics Certificate, Health Information Management (HIM) Specialist, in charge of medical records, and ensuring regulatory compliance, Information Technology (IT) Specialist who is knowledgeable in computer software and hardware, Physician who is a the Medical director with extensive experience with electronic medical charting, Pharmacy Director who is a pharmacist with EMR and PYSIX experience and , Chief Financial Officer to manage the budget, and the Director of staff development who is a Mastered prepared RN with EMR experience and is in charge of staff education. The HIM Specialist is chosen because of his experience with health information management, regulatory compliance and HIPAA. This knowledge is vital for implementing this system to ensure that the EMR chosen will meet the criteria for the stages of Meaningful Use. The IT Specialist is chosen for his knowledge of computer hardware and software and will be instrumental in the...
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...'Health Informatics' (HI) is the term used to describe the science of information management in health care and its application to support clinical research, decision-making and practice, Pearson C,and Severs M (1999). McCormick, Saba, (2001) state nursing informatics and information technology to be an integral part of the nursing information system and the nursing profession. Improving IT is an essential part of delivering patient centred care in the NHS. Ball M, Hannah K, Newbold S, (2005) state that the extent to which nurses use computers to assist them in performing complex and increasingly challenging duties is rapidly increasing. Within this assignment I will be discussing the introduction of the National Programme for Information Technology, its aim, along with the introduction of Picture Archiving and Communication Systems (PACS) which is one service which the programme aimed to deliver. The National Programme for Information Technology (NPfIT) is a national 6 billion pound programme implemented by the NHS to improve IT infrastructure and services. It began in 2000 and aimed for completion by 2010, aiming to introduce a set of new services to support the continued modernisation of the NHS (Anon,NHS, 2004). It is about supporting major improvements in care, by using technology to improve patients experiences, with information being available at the right time, in the right place, for the right person. Dr S Eccles (2006) stated the aim of the programme is to create...
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...Informatics Solution Proposal (Part Three): Areas of Evaluation Nicole Thomason, Anna Davis-Walker, Jacqueline Rankin, Lynda Venezia, and Rhonda Freeman HCS/482 October 26, 2015 Kevin Hamon Informatics Solution Proposal (Part Three): Areas of Evaluation With the increase in admission to bed times seen in multiple healthcare facilities across the nation, a need to have better access to the available hospital beds is a necessity. We are in agreement that an electronic bed tracking system is a viable option to help decrease this time length, thus allowing for better continuation of patient care. As a team we have picked two different companies and decided on criteria that staff and management can agree upon. We have looked at the ease of use, clarity, and time factors of both these products. These were criteria were ones that we felt our nursing staff would look at, as they will be the ones working with the system that is implemented. The ability for them to learn a new system and be able to quickly maneuver within it is critical. The other two criteria we chose are compatibility and customization. The ability for the system to be customize to the staff and hospital needs will be instrumental to the decision process, while the compatibility of the system to be integrated into our current system is needed. Here is a summary of our findings. Comparison of the five criteria set forth In a comparison of both systems chosen, the ease of use is comparable for both. The systems...
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