DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

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Topic 2 DQ 2

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

REPLY TO DISCUSSION

DNPs are uniquely prepared and qualified for a variety of advanced healthcare roles, including clinical practice. Reduce costs as expert clinicians, school faculty, health care consultants, entrepreneurs, and scholars caring for multiple patient populations in various geographic areas, and as global health leaders by focusing on primary care, health promotion, and disease prevention (Zaccagnini & Pechacek, 2019). As an expert clinician and academic scholar, the DNP qualified nurse can improve patient care by initiating quality improvement (QI) projects and contributing to healthcare policy development. Furthermore, he is well-versed in healthcare economics, finance, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).

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Workflow refers to a recurring sequence of conventional tasks that must be accomplished in order to achieve certain goals, such as clinical processes in nursing. To increase assistance, healthcare providers (HCPs) should be included in the development, planning, and implementation of health information technologies (health IT). When a company implements an electronic health record (EHR), it alters the conventional procedure. As a result, the workflow is changed to accommodate the new system. The workflow redesign is a process that involves looking at all aspects of the organization, mapping out current workflows, analyzing how work is done in the organization, planning for the future, and creating new workflows in order to increase the organization’s efficiency and quality of health care. Most companies benefit from workflow redesign in order to improve their EHR deployment, efficiency, health care quality and safety, remove confusion from their current workflow, and increase care coordination (HealtIT.gov., 2019).

As a DNP leader, I would conduct an assessment to determine what will be involved, such as patients and a new EHR system. I would engage with the senior information technology (IT) analyst team to determine the type of system they intend to adopt, and then schedule a meeting with the nurses who will be using the EHR to notify them of the system and when training will begin. The training would be 1-2 weeks, with a maximum of one month to ensure that every personnel is properly and efficiently taught by IT professionals and clinical specialists to incorporate the EHR into their work flow. During the deployment, patients will be informed about the new EHR system, as well as the availability of IT professionals and clinical specialists to assist staff in troubleshooting any problems found when dealing with patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).

The term “Magnet” is a gold standard term for nursing practice in hospitals, used to distinguish those who are able to attract and retain qualified nurses based on five goals, including transformational leadership, structural empowerment, new knowledge, innovation, and empirical outcomes and development. Magnet hospitals are effective because they have work environments that prioritize decentralized decision-making, autonomy, control over practice, resource adequacy, supportive management, good inter-professional communication, and career development.

As a DNP leader in a magnet hospital, I will ensure that the staff is well trained to maintain our nursing excellence standards, that the structures required for training are in place during training and during implementation, and that I maintain communication with the staff about when this will occur so that they are well prepared. Adequate infrastructure, such as adequate computers, an IT professional team, and adequate staffing to cover patient care for those in training in order to preserve patient safety and effective nursing care. Providing enough information about the improvements in nursing care quality that this new system would give will increase their desire to learn and apply the program.

DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

As a DNP leader, I would have to rethink my tactics because the pace would be slower in a rural area. I would also need to give them some time to adjust to the need for a new EHR system. They will take longer to train and implement because patient flow may be slow and staffing may be insufficient. As the DNP leader, I will work with all of the leadership teams to inform them of the process change and the importance of their participation with my team, as well as to explain the new changes to the patients. In addition, the leader must ensure that all structural resources are in place.

Also Read: DNP 805 Topic 2 Discussion 2 

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: DNP 805 Topic 2 DQ 2 Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice

References:

Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health information exchange services into the medical practices’ workflow. Information Systems Frontiers23(3), 599-605. https://doi.org/10.1007/s10796-019-09979-x

HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the National Coordinator for Health Information Technology.

https://www.healthit.gov/faq/what-workflow-redesign-why-it-important

Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com Blog. https://monday.com/blog/productivity/workflow/

Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

REPLY

You post has been informative and I really endorse the training and reevaluation of approaches that was used both in the magnet and non magnet hospital.

REPLY

Good job. As a leader, what ways can a leader impact communication and the use of the EHR? Dr Gabua

REPLY

I admire the knowledge you have concerning your role as a DNP trained nurse. It is indeed great when a nurse acknowledges their scope of practice both in primary care settings and management positions (Zaccagnini, & Pechacek, 2019). It is true that DNP nurses play central roles in developing projects that improve care delivery. However, am glad you identify the challenges that accompany changes in healthcare organizations. Not all healthcare providers will support transformation within a facility. It is therefore the role of the DNP nurse project to convince them that the change is necessary and inevitable. The nurse should adopt a transformational leadership style to ensure the other staff nurses understand the need for the change. I particularly like the example you use to show what you would do to implement an EHR system in a facility. The successful implementation of such a system requires proper planning, constant communication, and a learning culture (Badewi, 2016). As the DNP nurse plans for training sessions, other health care providers must be willing to learn to achieve the project goals.

References

Badewi, A. (2016). The impact of project management (PM) and benefits management (BM) practices on project success: Towards developing a project benefits governance framework. International Journal of Project Management, 34(4), 761-778.

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

REPLY

Leader rounding is critical in leadership. This includes team member as well as patient rounding. During the leader rounding, you can better understand how to improve the quality of the services provided by the customer. This period frequently brings up questions that they have. This is the time to incorporate the Electronic Medical Record (EHR). That is just one of many possibilities. Interdisciplinary rounds are another example. This leads to improved communication and care delivery across the interdisciplinary team. These are essential components of magnet facilities. This is what results in the patient experience, nursing engagement, and improved patient outcomes required for magnet designation. This also contributes to the efficiency of the hectic acute care setting.

The beauty of this is that it does not have to change when moving into the rural setting. The only things that should change with the setting is the resources available. It is possible to rural regional hospital’s to designate as magnet facilities. They are able to do all of the same things to make sure that patient and nurse engagement are high as well as patient outcomes. I work in a community hospital that just designated as a magnet facility as well as a recent recipient of Presidential Malcomb Baldrige Award which is the highest quality achievement award. These were made possible by our lean management system. This has been as transformative to me as a leader. It has taught me how to lead thru engagement of the front line team members and pushing them to be the problem solvers, and supporting them thru it. This can and should be implement in all hospital settings regardless of size or resources. Consistent utilization of a daily lean management system has been proven to improve the quality of care and patient outcomes in the acute hospital setting (Shazia et al., 2020).

References

Shazia Sarwar Alvi, Zahid Hamid, Sidra Riaz, Muhammad Sarwar Alvi, & Naila Azam. (2020). Effect of Lean Daily Management (Ldm) System on Quality of Healthcare Delivery in Indoor Setting – a Pilot Suudy. Pakistan Armed Forces Medical Journal70(3), 842–848.

Greetings Alicia! Thank you for your post! My agreements reside with how you asserted that patient experience and outcomes, alongside nursing involvement, prove crucial when concerning the achievement of magnet designation. Evidence serves substantial in establishing that Magnet hospitals possess higher percentages of content nurses, lowered turnover, decreased vacancies improved clinical outcomes for patients, improved nurse autonomy, alongside augmented patient-based satisfaction than non-magnet hospitals (Start & Graystone, 2021).  In addition, urban noted that magnet-status hospitals involve nurses as critical players in developing and updating institutional policies to improve practice, patient experience, and outcomes. This practice benefits the hospital and its patients, but it can also lead to more engagement and job satisfaction among nurses (Start & Graystone, 2021). Great post!

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Bias is possible in everything that is done, especially in research. In research, the researcher needs to not only be aware of but avoidant of potential bias as any skewing of the data can cause the project and its results to be unreliable and no longer valid. As said by Baldwin et al. in 2022, there are potential biases in researchers related to prior knowledge of the subject, pre-registering, and more. In regard to prior knowledge, the authors state that recognizing this as a bias and staying transparent about it is helpful as well as conducting a multiverse analysis (Baldwin et al., 2022). Being aware of pre-existing knowledge of the topic is important to do as this can cause the researcher to lean one way or the other instead of accepting the data as a whole. For example, someone who has a preconceived idea about vaccinations with knowledge gained by unsubstantiated research may walk into a project or study with the goal of proving their side versus collecting unbiased data that could prove the other side. This is one of the many reasons why we must evaluate ourselves to prevent bias such as this. Now, to recognize our own bias, we must evaluate our personal thoughts and feelings on the topic. Are we too emotional about it? Do we want to show that we are right? Is this about proving ourselves right rather than helping clients? These are difficult but necessary questions we must ask ourselves in order to evaluate bias. If we find ourselves in a bias situation, we must evaluate how to detour it in order to move forward with our project.

References

Baldwin, J. R., Pingault, J. B., Schoeler, T., Sallis, H. M., & Munafò, M. R. (2022). Protecting against researcher bias in secondary data analysis: challenges and potential solutions. European journal of epidemiology37(1), 1–10. https://doi.org/10.1007/s10654-021-00839-0

REPLY

Personal bias and beliefs can have an impact on a quality improvement project. When a study reviews results that come from others research it is said to be secondary. These kinds of research can be affected by bias because it relies on the publications point of view. All research that is already conducted and available to be viewed is subjected to its own bias. Marcelin (2019), presented an article that looked at the impact of unconscious bias on our healthcare system. The authors proclaimed that unconscious or implicit bias describes associations or attitudes that reflexively alter our perceptions, thereby affecting behavior, interactions, and decision-making. The Institute of Medicine notes that bias, stereotyping, and prejudice may play an important role in persisting healthcare disparities and that addressing these issues should include recruiting more medical professionals from underrepresented communities.

Bias may unconsciously influence the way information about an individual is processed, leading to unintended disparities that have real consequences in patient care, faculty hiring, promotion, and opportunities for employee growth. Stigma and bias (both conscious and unconscious) projected by health professionals toward the different populations play a major role in perpetuating disparities. Interventions on how to mitigate this bias that draw roots from race/ethnicity or gender bias literature can also be applied to bias toward gender/sexual minorities and other underrepresented groups in healthcare. Gopal et al. (2021), understand that while scientific and medical research is thought to be free from outside influence, ‘science is always shaped by the time and the place in which it is carried out. Since the Black Lives Matter movement, many institutions may consider implementing bias training to mitigate racism. However, awareness of implicit bias or tokenistic bias training must not deflect from wider socio-economic, political and structural barriers that individuals face. These trainings are the organizations way to help with bias.

Gopal, D. P., Chetty, U., O’Donnell, P., Gajria, C., & Blackadder-Weinstein, J. (2021). Implicit bias in healthcare: clinical practice, research and decision making. Future healthcare journal8(1), 40–48. https://doi.org/10.7861/fhj.2020-0233

Marcelin, J. R., Siraj, D. S., Victor, R., Kotadia, S., & Maldonado, Y. A. (2019). The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It. The Journal of infectious diseases220(220 Suppl 2), S62–S73. https://doi.org/10.1093/infdis/jiz214

Personal beliefs and bias are idealism based upon past experiences, limited information, or preexisting perspectives. Evaluation of biases are important as it decreases the probability of skewing data to achieve the hypothesis. For example, although, scienctific data shows that lower socioeconomic populations are more likely to experience health care disparities assuming that the outcome of HbA1Cs are related to diet due to the food deserts and poor choices in the area may not be accurate. As clinicians, we assumed that the gaps in compliance can be changed with Diabetic Education and Managment interventions may help, if out premise is not support by primary research our PICOT may not be reasonable.

  1. Bias in data collection: “study a phenomenon of interest in a representative sample. By doing this, we hope that what we have learned from a sample can be generalized to the entire population (2). To be able to do so, a sample needs to be representative of the population. If this is not the case, conclusions will not be generalizable, i.e. the study will not have the external validity” should our populatiion include patients that we believe are more likely to represent the outcome a bias in data collection occures
  2. Misclassification Bias: is a kind of sampling bias which occurs when a disease of interest is poorly defined, when there is no gold standard for diagnosis of the disease or when a disease might not be easy detectable. This way some subjects are falsely classified as cases or controls whereas they should have been in another group. An example of this may look like enrolling patients presenting to the clinic with a blood sugar of 125 without supporting the data with an HbA1C.
  3. Bias in data Analysis: reporting non-existing data from experiments which were never done (data fabrication), eliminating data which do not support your hypothesis (outliers, or even whole subgroups); using inappropriate statistical tests to test your data;performing multiple testing (“fishing for P”) by pair-wise comparisons (4), testing multiple endpoints and performing secondary or subgroup analyses, which were not part of the original plan in order “to find” statistically significant difference regardless to hypothesis
  4. Publication Bias: scientific journals are much more likely to accept for publication a study which reports some positive than a study with negative findings

Understanding of how and why these biases may occur should assist with DPI credibility.

Availability bias, source Bias, and publication bias in meta-analysis. (2015). Methods of Meta-Analysis: Correcting Error and Bias in Research Findings, 513-551. https://doi.org/10.4135/9781483398105.n13

Grading Rubric

  Accomplished Emerging Unsatisfactory
Content Points Range:62.25 (41.50%) – 75 (50.00%)

Responds clearly, thoroughly, and effectively to all aspects of the assignment. All content is accurate and/or supported.

Points Range:57 (38.00%) – 61.5 (41.00%)

Responds adequately to the assignment but may not be thorough.

Points Range:0 (0.00%) – 56.25 (37.50%)

Does not respond to the assignment.

Focus and Detail Points Range:31.125 (20.75%) – 37.5 (25.00%)

There is a clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information gathered from scholarly sources.

Points Range:28.5 (19.00%) – 30.75 (20.50%)

There is a clear, well-focused topic. Main ideas are clear but are not well supported by scholarly sources and detailed information.

Points Range:0 (0.00%) – 28.125 (18.75%)

The topic and main ideas are not clear.

Organization Points Range:18.675 (12.45%) – 22.5 (15.00%)

The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong.

Points Range:17.1 (11.40%) – 18.45 (12.30%)

The introduction states the main topic and provides an overview of the paper. A conclusion is included.

Points Range:0 (0.00%) – 16.875 (11.25%)

There is no clear introduction, structure, or conclusion.

Mechanics and APA Points Range:12.45 (8.30%) – 15 (10.00%)

The assignment consistently follows current APA format and is free of errors in formatting, citation, and references. There are no grammatical, spelling, or punctuation errors. All sources are correctly cited and referenced.

Points Range:11.4 (7.60%) – 12.3 (8.20%)

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are correctly cited and referenced.

Points Range:0 (0.00%) – 11.25 (7.50%)

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are incorrectly cited and referenced or citations and references are missing.

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