Discussion: Quality of Nursing NR 390

Discussion: Quality of Nursing NR 390

Discussion: Quality of Nursing NR 390

The mid-to-late 20th century was filled with amazing changes and events in professional nursing. Select one of these changes or events, describe it, and explain how that change or event has impacted the quality of nursing practice today.

Technology is an event of the 21st century that has made a huge impact on evidence in professional nursing practice.  The patient’s electronic health record puts a plethora of information at the nurse’s fingertips, with nurse charting, doctor and nurse notes, test results, orders, medications, and treatments, to name some of the valuable communication available.  “RNs utilize Internet resources . . .”, (Judd & Sitzman, 2014), also for patient care.  Not to mention, that all this information is quick to look up and record data, thus leaving more time to enhance the patient’s quality of care.  With information so readily available, and with computer charting saving time, evidence has shown that nurses have more time for “value-adding” activities, such as talking with patient’s families, increased time with the patient, communication with other team members, and personal satisfaction in their job performance (with less burnout).  (Moore et al, 2020). 

Health information technology also plays a part this century with patient safety, by using a barcode to scan a patient’s medication and the patient, and with information being in a typed form vs. handwritten (such as in doctor’s orders), to name a couple.  According to an article from NCBI, “The impact of health information technology on patient safety”, it states, “In 1999 the Institute of Medicine’s report “To err is human” called for developing and testing new technologies to reduce medical error. . .  This article is intended to review the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes.  We conclude that health information technology improves patient safety by reducing medication errors, reducing adverse drug reactions, and improving compliance to practice guidelines” (Alotaibi & Federico, 2017). 

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Technology is ever changing and there is no getting away from it.  Technology is created to improve care and provide faster care.  Sometimes technology is good and sometimes not.  Transitioning from paper charting to computer charting was a plus.  Nurses do not have to keep track of papers during their work shift.  Thanks to the role of the nurse informaticist, the flow of nurse charting on the computer has been arranged for easier charting.  The computer also has all the patient information right there for you, if you need to look something up, rather than rifling through papers.  Patient safety with using technology has improved by no longer having to read a doctor’s handwriting for orders, and with medication errors.  The barcode scan is a safety measure for medications that works effectively, to stop from giving a patient a wrong medication or dose.  Of course, technology cannot always be relied upon.  Equipment does fail at times or can give a wrong result.  I have had the electronic Dynamaps read a blood pressure that did not seem correct, and in checking the blood pressure manually, there was quite a difference.  Even with technology, nurses must still check the patient, as machinery cannot replace eyes, caring, and the nurse’s knowledge.  Patients still need the human touch. 



Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631

Judd, D., & Sitzman, K.  (2014).  A history of American nursing:  Trends and eras.  (2nd ed.).  Jones & Bartlett.

Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association : JAMIA27(5), 798–807. https://doi.org/10.1093/jamia/ocz231Links to an external site.

NR 390 Week 7 Discussion Latest-DeVry

Interview Impact (graded)

You have completed your interview of a nurse who is making nursing history today. How will that nurse’s contributions and accomplishments impact your future professional nursing practice? As you reflect on your own nursing practice, how are you contributing to nursing history?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.



Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • 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.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


  • 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.

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