Discussion: Interaction Between Nurse Informaticists NURS 6051
Week 3 Discussion
Informatics in nursing is an imperative part of our health care system and while they appear to operate behind the scenes, they touch nearly every area of our daily lives. In nursing, as in health care in general, information technology is used to solve day-to-day problems, greatly changing the way nurses operate in patient care (2020a). Having skills in both nursing and technology allows a nurse informaticist to fill the gap connecting clinical staff and technical advancement. This allows staff to observe and provide feedback concerning new technology (2020b).
continued emergence of new technologies might have on professional interactions.
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My organization’s “Event Note” is one of the ways I communicate with nursing informaticists. Like an incident report, this does not always have to be in connection with a fall or other harm. When something good or bad happens to a patient, our system uses this form of paperwork to keep track of it. Any user who accesses that particular chart will be alerted via this technique when an Event Note is available for them to view.
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A more user-friendly and descriptive manner to record an incident might be developed instead of only having a free-text area. When it comes to writing a detailed narrative of an event, not everyone is the same. Messages that omit or omit crucial facts are misunderstood (2020c; ) Interaction amongst Nurse Informaticists in NURS 6051 One method to develop and improve the documentation of Event Notes, in my opinion, is to alter the way the electronic system invites you to capture an event. There may be an option to click on specific categories, indications and symptoms, therapies delivered and outcomes instead of just providing a free-text box. In my opinion, this is significantly less confusing to others when they read the Event Note about the patient and the events that had place.
The specialty of nursing informatics will only continue to develop and move forward. Advances in the future of nursing informatics would concentrate on patient and clinical data, enhanced processes at health care facilities, streamlined data collection, monitoring and analysis, and access to patient information in real time at any moment, anywhere (n.d). Nursing informatics positively impacts the quality of care
regarding a patient. Increasing connectivity will only ameliorate knowledge sharing and collaboration between different hospitals, physicians, and patients on a worldwide scale. With an importance on patient care and the current prompt growth of technology, Nursing Informaticists are more important than ever before.
How Nursing Informatics Improves Patient Care. (2020c, May 06). Retrieved September 15, 2020, from https://tigerconnect.com/blog/how-nursing-informatics-improves-patient-care/
Informatics in Nursing: Impact and Importance: UIC Online. (2020a, July 20). Retrieved September 14, 2020, from https://healthinformatics.uic.edu/blog/the-impact-of-health-informatics-on-nursing-practice/
Nurse Informaticist: Job Description & Career Info. (2020b, March 31). Retrieved September 14, 2020, from https://www.allnursingschools.com/nursing-informatics/job-description/
Preparing for the Future of Nursing Informatics. (n.d.). Retrieved September 15, 2020, from https://online.norwich.edu/academic-programs/resources/future-of-nursing-informatics
Discussion: Interaction Between Nurse Informaticists and Other Specialists
Nature is full of examples of specialization and collaboration. Nature’s complex organizational structures are exemplified by ant colonies and bee hives. Each thrives because its members specialize in specific tasks, divide labor, and work together to ensure the food, safety, and general well-being of the colony or hive.
Of course, humans fare well in this regard as well. Healthcare is an excellent example, as demonstrated by . Nurse informaticists collaborate with specialists on a regular basis as specialists in data collection, access, and application to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
You will reflect on your own observations and/or experiences with informaticist collaboration in this Discussion. You will also make recommendations for how to improve these collaborative experiences.
The Alliance for Nursing Informatics defines informatics as the “science and practice that integrates
nursing, its information and knowledge, with information and communication technologies to promote the health of people, families, and communities worldwide.” Nursing informatics departments in hospitals aims to ease communication within the multidisciplinary team which leads to improved patient outcomes and satisfaction. I am fortunate to work for a hospital where there are minimal problems when communicating with other departments, including informatics. My unit also has an advantage because our manager previously worked for the hospitals informatics development team and is able to easily assist us and facilitate communication of concerns when they arise. I have worked for previous organizations where that was not the case and there were frequent issues with incident reporting and not having direct access to those who can troubleshoot issues over the phone. At my previous job, whenever there was an issue with EHR or any of the online systems, we would be given a ticket number and a 72 hour time frame for a solution. The organization was large and there was not a specific department per hospital- it was a call line that served all the hospital locations. In order to provide better solutions and outcomes, I feel that having a department at each hospital would be beneficial. Having a direct department within the hospital would also solve the incident reporting system (IRS) flaws “health care is undergoing a massive renovation thanks to technology, and health informatics is helping to ensure that part of the change results in greater efficiency, coordination, and improved care.” (Alotaibi, Federico, 2017).
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12), 1173–1180.
Nursing informatics. AMIA. (n.d.). Retrieved December 14, 2022, from https://amia.org/communities/nursing-informatics
Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
By Day 3 of Week 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
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Nursing is a profession that relies on data collection and interpretation. Subjective and objective data are obtained and analyzed consistently during a nurse’s shift. Nurses must be able to receive the data and then be able to know what to do with it to treat the patients they care for. “The steps of using information, applying knowledge to a problem, and acting with wisdom form the basis of nursing science practice (McGonigle & Mastrian, 2022).”
The nurse who is caring for patients who are detoxing from drugs and alcohol must be able to analyze the data that is collected on their patients. This is especially true with those withdrawing from alcohol, as it could cause a fatal seizure. I work in a behavioral health hospital, and our facility has protocols that direct the collection of data on these patients and assessment of its severity so nurses can intervene. At least every four hours and as needed, behavioral health specialists obtain patient vital signs. They scan their ID badge and the patient’s armband; the information goes directly from the vitals machine to our electronic health record (EHR) system. This information is used as a portion of the withdrawal assessment along with what the patient reports they are experiencing and what the nurse observes. The nurse enters this information into the protocol in the computer, which then assigns a severity score for the symptoms and vital signs. Based on that score, the nurse knows if there is a medication that can be given and how much to give according to parameters that have been outlined by the physicians when the protocol is ordered. These assessment scores are part of the EHR and can easily be accessed to monitor trends in the presentation of the patient’s detox symptoms. From there, the doctor may order additional medications or increase doses to keep the patient safe and comfortable during their detox or decrease them if the patient is improving. Electronic protocols and health records add an extra measure of safety for the patient. The vital signs immediately go into the chart, eliminating data entry errors. Medications are given with a computerized scanning system and charted in the EHR. Utilizing these information systems requires support at the bedside to ensure data is entered correctly so that accurate assessments and interventions can be performed.
Nursing informatics is “a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (Sweeney, 2017).” At my hospital, there is a Clinical Informatics nurse on site. Whenever changes are made in the EHR system, she makes her rounds. She completes education with all the staff to ensure everyone understands the rationale and the new way to collect data and document information. There was a recent change from a previously used detox protocol to the CIWA protocol, a widely used, evidence-based tool to assess alcohol withdrawal symptoms. Our informatics nurse was crucial in helping the nurses transition into this new data collection and analysis system. A challenge for nurses in the clinical informatics role is to stay abreast of technological advances, which are always changing and progressing at record speed. “The only way forward is to integrate and embed the new knowledge in electronic patient records using algorithms and decision support systems so that practice remains aligned with new knowledge and insights (Nagle, Sermeus, & Junger, 2017).”
A nurse leader could use clinical reasoning and judgment to form knowledge from this experience regarding staffing assignments. “Knowledge is the awareness and understanding of a set of information and ways that this information can be made useful to support a specific task or arrive at a decision (McGonigle & Mastrian, 2022).” My facility utilizes charge nurses, who take information from the current shift and use it to assign staff for the oncoming shift. The hospital assigns staff based on acuity, so every patient is given a score based on the number of interventions required to be safe and cared for appropriately with their unique needs. With the example of the patient detoxing from alcohol, the charge nurse looks at the EHR and talks to the primary nurse about how severe the withdrawal symptoms are, how many times they needed to be medicated, and how much time was spent on the interventions that are required to be performed for that patient, and then takes that into account when assigning the staff member to care for that patient for the next shift. The charge nurse needs to be sure the oncoming nurse has a balanced workload and can meet the needs of all their patients. Assigning the withdrawing patient to a nurse who is well-versed in the special care these people need would also be advantageous. Nurses are constantly taking in data, interpreting it, and gaining new knowledge, continually changing and evolving as nursing science becomes. It is a great responsibility and necessity to manage this knowledge efficiently.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
*Note: Throughout this program, your fellow students are referred to as colleagues.
My facility uses CERNER, a standardized system for recording assessments, changes in patients’ status, and contact within care areas, as its primary EHR system. Healthcare professionals can enter information about a patient’s state in the system. These are specialized to record care for certain geographic areas. The provision of patient care in all medical sectors, including research, patient care data, clinical specialists, imaging centers, laboratories, medicine, and others, depends heavily on informatics and technologies. The modern, technologically advanced environment of healthcare and hospital information systems enables an increase in the standard of patient care. Technology is evolving in new ways that can enhance data collection. The facility’s central system is connected to IV pumps, glucometers, and other point-of-care devices, which instantly update data on patient statuses.
The profession of nursing informaticist is crucial for keeping up with all the developments in communication and technology. An essential component of providing treatment is the use of informatic nurses. Based on the data gathered, they concentrate on the optimal strategy for achieving the best patient outcomes. Nurse informaticists frequently work on novel treatment plans, management, teaching, research, and clinical workflow reviews (TigerConnect). The practical applications of this modern knowledge and technology are understood by nurses (Cummings &Gundlapali). An increasing number of healthcare professionals are struggling to keep up with the daily changes in technology. Even my coworkers who have been nurses for more than 30 years found modern technology like electronic medical records, new IV pumps, and pyxis pill dispensers to be helpful. To stay informed and capable of keeping up with new technology, workforce participants must pursue continuing education.
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