Discussion: Interaction Between Nurse Informaticists and Other Specialists

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Interaction between nursing Informatics and other Professionals

The Association of American nurses recognizes nursing informaticists as a recognized specialty. Nursing informaticists use data science, behavioral science, and nursing science to manage and improve healthcare data to improve patient care and the nursing profession. Frequently, the nurse informatics communicates with other hospital personnel to ensure that service delivery runs well. Nurse informaticists can make significant contributions to ensuring the population’s general health because of their mix of clinical understanding and technology skills (Umich, 2020). Before a patient visits a doctor, nursing informaticists check conditions such as blood pressure, BMI, and sugar levels in our hospital. The nurse informaticists wire the results instantly to the appropriate doctor since the system in our hospital is automated.

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Additionally, nursing informatics may comprise computerized provider order entry (CPOE), nursing notes, progress notes, medication records, and electronic Medical records (EMRs). Other examples may include telehealth, various data reporting tools, health care apps, and patient portal. One application of informatics in health care can be seen in the provider-patient relationship. Whereby, the role of nurses in integrating and communicating data from several other providers like other physicians, nurses, and pharmacists is vital for availing high-quality integrative patient care.

The second scenario of nursing informatics is in the degree to which nurses are impacted by informatics, the knowledge to benefit human health as well as quality healthcare, and the science of utilizing information and data. Nurses, in distinct, are optimized in the importance of communication and accuracy when it comes to patient care and data. Thirdly, in nursing, just as in general health care, informatics has been capitalized on addressing various challenges of patient  health care, such as integrating wearable technologies- that have a positive impact on how nurses provide quality patient care.

Technology enhances relationships between nursing informaticists and other professionals in my health care organization. Technology can aid in the speeding up of operations and the avoidance of unnecessary delays, which can result in increased expenses or even more severe incidents resulting in loss of life. Effective on line patient information transmission from admission to screening to the doctor’s office would reduce delays and assure smooth service delivery, resulting in patient and health care professional satisfaction (Ons, 2021). Nurse informatics can increase efficiency and communication with other professionals through information systems and new technology. Implementing information systems, such as master patient index, electronic medical record, and remote patient monitoring will improve access to records that can enhance interactions among health care specialists.

The future of nursing appears brighter and more productive with the continuous evolution of nursing informaticists as a specialization. Collaboration between nursing informaticists and other professionals improves, resulting in better service quality. New technologies will revolutionize the health care system. Professional interactions will continue to advance with modern technology, with processes being completed in minimal time, improving service delivery within health institutions. Patients’ smart phones are being used to interact with them and monitor their health. The nurse informaticists will be at the forefront of the changes (Sipes, 2016).

References

Ons. (2021). Nursing Informaticists Are the Backbone of Technology-Driven Care [web log]. Retrieved from  https://voice.ons.org/news-and-views/nursing-informaticists-are-the-backbone-of-technology-driven-care.

Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists [web log]. Retrieved from  https://pubmed.ncbi.nlm.nih.gov/27332201/.

https://online.nursing.umich.edu/blog/how-nursing-informatics-can-improve-healthcare/Umich. (2020). How Nursing Informatics Can Improve Health care [web log]. Retrieved from

https://www.onlinenursingessays.com/discussion-interaction-between-nurse-informaticists-and-other-specialists/

Discussion: Interaction Between Nurse Informaticists and Other Specialists SAMPLE 2

I believe you articulated all that needed to be said precisely, since by providing patients the “VIP treatment,” they will feel more at ease and cooperative with us, which will help us ensure they are receiving the right professional help they deserve. The notion of having pharmaceuticals readily available at all times is a fantastic one that will improve how patients feel about coming to medical centers and asking for treatment, knowing that help will always be available to them. It will make patients more cooperative and trusting, and it will play a significant role in enhancing the patient-nurse relationship. Furthermore, returning to the “VIP treatment,” I wanted to emphasize that having the meds on hand at all times is not what makes the treatment a “VIP treatment,” rather it is more than that. When people deal with a VIP, their attitude toward them is significantly different; they are very pleasant and cooperative with the VIP member, which helps the VIP member feel more at ease. All I want to emphasize is that the nurse’s attitude toward the patient is the most important aspect of the “VIP treatment,” and having the medication on hand will only assist and assure that the patient feels that way. According to Iddirsu (2021),  a study was conducted to determine how nurses’ attitudes toward patients influence their collaboration, and it was discovered that in health care settings, the contact between nurses and patients is crucial in sustaining effective and efficient health care delivery. Many of the participants had good opinions of nurses’ attitudes, which influenced their hospital attendance, whereas others believed that nurses’ attitudes toward them caused them to attend a private facility. Almost all participants agreed that patients should have a positive attitude and behavior toward nurses, and that better communication between patients and nurses is essential for enhancing the nurse-patient relationship.

References

Kennedy Diema Konlan, Joel Afram Saah, Abdul-Razak Doat, Roberta Mensima Amoah, Juliana Asibi Abdulai, Iddrisu Mohammed, & Kennedy Dodam Konlan. (2021). Influence of nurse-patient relationship on hospital attendance. A qualitative study of patients in the Kwahu Government Hospital, Ghana. Heliyon, 7(2). https://doi.org/10.1016/j.heliyon.2021.e06319

Hello Kelly,

It was enlightening reading your post. At our home hospital, we have a tough time getting medications at scheduled times from the pharmacy. The drug could be due at 12 pm but won’t arrive in the unit until nearly 7 pm! The late arrival occurs even after the nurse has called the pharmacy numerous times and sent med requests through Epic. Medications arriving this late to the unit are entirely unacceptable and provide horrible customer service and healthcare services to the patients. “Errors of omission occur due to actions not taken. Examples are not strapping a patient into a wheelchair or not stabilizing a gurney before patient transfer.” (Rodziewiez & Hipskind, 2018). Not giving patients medications when they are due could be an error of omission and cause significant patient problems.

Also, I love the idea of setting up tube stations inside the patient’s room to improve the overall care of the patients. Having a better system with the Pharmacist technician could also play a vital role in improving patients’ overall health. At my home hospital, pharmacist techs are used to restock the Pyxis system. I believe that if more pharmacist technicians were supplying the Pyxis system, the current protocol in place would work better.

I also agree with you about notifying the pharmacist early about the medications needed for the patients. Currently, we must request the drugs after the patient arrives at the unit. If there were a system that could update the pharmacy about which unit the patient would be placed on as soon as the patient receives a room, the medication could arrive faster. I believe that having more pharmacist technicians and having a more integrated system could make a significant difference when it comes to patients receiving their medications on time. “Physical burden on staff can be decreased by improving workflow with acuity-adaptable rooms, limiting the need to transfer patients within the hospital.” (AHRQ, 2017). By upgrading the rooms to include pharmacist pyxis areas, it could improve the overall stay for the patient.

References

Agency for Healthcare Research and Quality. (2017, February). Transforming hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html#cost

Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2018). Medical error prevention.

Discussion: Interaction Between Nurse Informaticists and Other Specialists

Discussion: Interaction Between Nurse Informaticists and Other Specialists SAMPLE 3

RE: Discussion – Week 3

Just like anywhere and any profession there will always be some glitch every so often-usually when you are the busiest. It is no different in my experience as a floor nurse. A huge part of nursing these days uses mostly technology. Most recently in the news, Kronos was hacked. My hospital system just switched to a new company, but Kronos is how healthcare professionals in various systems track their time, request days off, get paid, etc. Another example is Mobile Heartbeat. This is the system our work phones are on. Anytime there is an issue with calls being dropped or force log-outs, Mobile Heartbeat System representatives come to the floor and help troubleshoot whether it be a Wi-Fi issue, app issue, etc. Additionally, Meditech has a lot of glitches. Frequently when doing Meditech downtime, Meditech does not come back up for the nurses to use which results in paper charting. According to research, organizations encourage sharing knowledge among workers because it builds competence, engagement and enhances the quality of work life. (McGonigle & Mastrian, 2022). I truly feel one strategy that could help with the interactions in situations as stated above would be to have someone who works on the other side of these systems than IT have some part of the rebuilding and implementation of systems. I think making it user-friendly for the nurses is important. A lot of times systems are created, or solutions are made by people who do not directly use such systems for their daily work. I think there would be a better understanding of the frustrations and wishes on both sides if there was a go-between who understands both. Some issues that were found to cause challenges are resistance to use the knowledge base, confidence of content, usability, content restrictions, stakeholder’s buy-in, organization-specific technologies, and ease of use and access. (McGonigle & Mastrian, 2022). Nursing informatics has evolved immensely especially over the last several years. There is a lot of benefit to this but there are some negatives as well. I feel that things are not always as personal such as meetings or interviews over zoom versus in person. The way nursing informatics has evolved has made the nursing job easier and, in some instances, more accurate findings/data. But on the flip side, more technology=less human interaction. Nursing informatics works with nurse executives to improve patient processes which in turn improves patient care. (Mosier, S. , Roberts, W. & Englebright, J., 2019). Overall, the evolution of nursing informatics has been life-changing in healthcare and can only improve more from here.

References:

McGonigle, D., & Mastrian, K. (2022). Nursing Informatics and the foundation of knowledge. Jones et Bartlett Learning.

Mosier, S. , Roberts, W. & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions. JONA: The Journal of Nursing Administration, 49 (11), 543-548. doi: 10.1097/NNA.0000000000000815.

 

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Discussion: Interaction Between Nurse Informaticists and Other Specialists SAMPLE 4

RE: Discussion – Week 3

As a manger in a long-term care facility, I spend much of my day creating and maintaining care plans for our residents.  This at times involves working with the technology specialists via webex to make improvements or corrections in our electronic health record (Point Click Care).  During our most recent state survey we found that the canned text for some of our interventions in the care plans were not accurate.  For example, the interventions for c-difficile precautions stated that we placed soiled linens in red bags to be wasted with our other biohazardous materials.  This in fact is not the process for our facility.  Upon discovering this discrepancy, I had to call our technology specialists and explain our protocol for c-difficile.  Together we were able to make the necessary corrections.

We have since discovered other discrepancies in Point Click Care which has made me realize that there’s a communication gap between our facility and the technology specialists who maintain the canned text for care plans.  “Nurses, who do most of the EHR documentation (including plans of care, physiological parameters, assessments, interventions, and progress evaluations) in hospitals, are critical to care integration and patient safety” (Glassman, 2017, pg. 45).  It would be helpful if the canned text were reviewed quarterly for accuracy with the technology specialists and medical staff.  This would ensure the care plans are kept up to date on issues such as infection control policies/procedures, postsurgical precautions (such as with hip surgery), and pharmacology.

With continued improvements in nursing informatics I foresee a more transparent and communicative healthcare system.  In a 2016 article it was explained that “When a CNE is analyzing and synthesizing data, it’s typically done manually and is a very time- and labor- intensive process, in part, because technology systems have traditionally been built in silos” (Thew, 2016).  I hope to continue working with our technology specialists to create a universal care planning system that can increase data collection by streamlining terminology, policies and procedures.  “Documentation entered by nurses into EHRs, for the first time ever, is a potential source for discovering the impact of nursing care on patient outcomes and using the knowledge to improve care” (Macieria, 2017).

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. Retrieved March 10, 2020, from https://www.myamericannurse.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Macieria, T. G. R.,Smith, M. B., Davis, N., Yao, Y. Wilkie, D. J., Lopex, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205—1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

RE: Discussion – Week 3

Hello J..,

I always enjoy reading your discussion post. Thank you for sharing an excellent job this week. I do agree about the miscommunication between the technologies team and healthcare workers create so many mistakes. To reduce miscommunication, my manager always updates on communication boards so everyone can see.  Also, he updates every in- charges in the unit so that they can huddle every shift about every new update. By doing this, we have excellent communication in our group. For example, we are practicing new cleaning techniques for C- diff contaminated rooms or other isolation rooms differently than others. All the linin and pillows discarded permanently from the isolation room. By doing this, it cost a few extra dollars for linin and pillows, but we have decrease cases of hospital-acquired C- diff incidences in the unit.

Nursing informatics plays an essential role in hospitals and for nurses to make their work easy and perfect.  Glassman (2017) said nurses use information and technology to communicate, manage knowledge, mitigate error, and support decision-making at the point of care. Also, informatics increases the correct and timely communication between nurses and providers. Also, informatics helps to exchanged knowledge among healthcare workers. According to McGonigle & Mastrian (2017) “Knowledge can be exchanged or shared in the form of data, manuals, product specifications, principles, policies, theories, and the like”(page 539).  Calling providers for the nonimportant task makes busy for providers and nurses, so to reduces extra phones call our technology team create DOC-HALO system. By utilizing the Doc -halo messaging system, we can text the interdisciplinary team for nonemergency tasks. I also agree with you about the fact of continued improvements in nursing informatics, creating a more transparent and communicative healthcare system. Thank you.

References

Glassman K.S.(2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. Retrieve from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. (pp. 539).

Discussion: Interaction Between Nurse Informaticists and Other Specialists SAMPLE 5

The Nurse Informaticist applies data and technology to make a difference in healthcare and patient outcomes as a “system analyst, project leader, quality analyst, chief nurse informatics officer, educator[s],” or even a “consultant for healthcare organizations” (Laureate Education, 2018). At my current place of work, in Public Health, we do no utilize Nurse Informaticists but rather our technology specialists collaborate with our team of nurses to ensure our data collection and charting system is running smoothly. The technology specialists at our Public Health agency typically only interact with the other professionals in our facility when there is an issue or an update to be completed on our technology systems. These interactions usually entail an email or a quick phone call, and occasionally will be a face-to-face interaction. I think the best way these interactions can be improved is to incorporate scheduled face-to-face time through new employee orientation and staff meetings. Our technology specialists could meet with new nurse employees to brief them on the computer charting system and this early interaction creates the start of this essential professional collaboration, and the technology specialist staff could present at one to two staff meetings per year to update nurses on pertinent information and this will help to continue to grow this workplace collaboration. Even though incorporating these task would likely be challenging for our technology specialists as there is constant chatter at the office about how busy they are, but the benefits could significantly outweigh these challenges. Having technology specialists and healthcare professionals working closely together, in regards to informatics, results in many benefits such as:

  • IT infrastructure benefits- “avoid unnecessary IT costs, better use of healthcare systems, reduce system redundancy,” etc.
  • Operational benefits- “improve the quality and accuracy of clinical decisions, process a large number of health records in seconds, immediate access to clinical data,” etc.
  • Organizational benefits- “detect interoperability problems more quickly…, improve cross-functional communication…, enable to share data with other institutions…,” etc.
  • Managerial benefits- “gain insight quickly about changing healthcare trends…, provide…heads of departments with sound decision-support information…, [and] optimization of business growth-related decisions”
  • Strategic benefits- “provide a big picture view of treatment delivery, [and] create high competitive healthcare services” (Wang, Kung, & Byrd, 2018, p. 9)

The continued evolution of nursing informatics as a specialty will have a positive effect on professional interactions. According to Elsayed, El-Nagger, and Azim Mohamed (2016), “Nurses are expected to provide safe, competent, and compassionate care” in a practice that is constantly changing and technologically advancing (p. X-X).The nurse information specialists are a very important part to ensuring this kind of care and positive patient outcomes. “In every sphere of nursing practice, nursing research, and nursing education nursing informatics plays a very important role” (p. X-X2).

References

Elsayed, I.A., El-Nagger, N.S., Azim Mohamed, H.A. (2016, May 4). Evolution of Nursing Informatics: A key to Improving Nursing Practice. Research Journal of Medicine and Medical Sciences, 11(1), XX-XX7

Laureate Education (Producer). (2018). The Nurse Informaticist [Video file]. Baltimore, MD: Author.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Discussion: Interaction Between Nurse Informaticists and Other Specialists SAMPLE 6

RE: Discussion – Week 3

            In my health care organization, electronic intensive care has been a developing role in patient care over the past few years.  Our tele-ICU consists of an intensivist assigned to our facility and 1 nurse for every 10 patients.  These nurses also collect data to aid in research studies such as skin care, repositioning, hand hygiene, alarm fatigue, and medication titration.  On night shift, our unit does not physically have an intensivist present and we are reliant on the tele-medicine team for orders or care management.  Although they are part of the health care team, communicating with tele-ICU is not always easy.  For example, common frustrations with tele-health is they call for unnecessary reasons such as monitor disruption or admission details.  When a patient is taken off of monitor for any reason, the bedside nurse already has monitor room and the secretary calling to verify the monitor has been disrupted.  That extra call from tele-health can be an overkill.  As for admission details, tele-medicine desires this information for data collection.  The bedside nurse gets frustrated with this call because this information is typically available in the chart.  Recent studies indicate bedside nurses complain these calls interrupt workflow and the delivery of patient care (Moeckli, Cunningham, & Reisinger, 2013). Some nurses also discussed their discomfort with being monitored even if they were not evaluated in any way (Moeckli, Cunningham, & Reisinger, 2013). Because of similar frustrations, our unit created a more efficient way to communicate directly with tele-medicine.  They can call us directly on our work phones as opposed to having the secretary call us and forcing us to step away from the bedside to take the call.  We also have a unit committee that meets with theirs once a month to discuss their data collection and how we can implement their results into patient care.  A few months after these staff meetings began, there was definitely a more positive attitude towards tele-medicine on the unit.  Nurses were more willing to take calls from them and participate in data collection because they witnessed the impact of these results on patient care.

Strategy for Improvement

            One way to improve communication between the ICU staff and tele-medicine is to bridge ideas during monthly staff committee meetings.  For example, instead of tele-medicine discussing data collection, perhaps both groups can suggest potential research and develop a plan for data collection.  This collaboration would serve as a motivator for ICU staff to have a more positive outlook on telemedicine because they would have a role in their cause.  Studies indicate tele-medicine is the most successful when relationships are built with the bedside staff (Kleinpell, et. al., 2016).  This would be a fantastic way to build trust and support between the two teams.

Nursing Informatics on Professional Interactions

            Because of constant technological advances, nursing informatics could not be more relevant.  Evidence-based practice is generated from data collection and analysis through technology, making it easier to improve the quality of patient care (Gregory, et. al., 2012).  With each advancing technology, a new way to communicate is born.  Using the example of tele-medicine, intensivists no longer have to be at the bedside which saves the hospital money and provides quality care remotely.  It is exciting to see where informatics takes healthcare over the next decade.

                                                                                                  References

Gregory, D., Meriweather, B., Sanders, B., & Doolittle, J. (2012). Nursing informatics. Healthcare design and IT solutions. Nursing Management43(3), 13–14. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000412227.13783.18

Kleinpell, R., Barden, C., Rincon, T., McCarthy, M., & Zapatochny Rufo, R. J. (2016). Assessing the Impact of Telemedicine on Nursing Care in Intensive Care Units. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses25(1), e14–e20. https://doi-org.ezp.waldenulibrary.org/10.4037/ajcc2016808

Moeckli, J., Cram, P., Cunningham, C., & Reisinger, H. S. (2013). Staff acceptance of a telemedicine intensive care unit program: a qualitative study. Journal of Critical Care28(6), 890–901. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jcrc.2013.05.008