NR 361 Week 5: Trends in Informatics (graded)

Chamberlain University NR 361 Week 5: Trends in Informatics (graded)-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 361 Week 5: Trends in Informatics (graded) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 361 Week 5: Trends in Informatics (graded)                     

Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 5: Trends in Informatics (graded) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 361 Week 5: Trends in Informatics (graded)                     

The introduction for the Chamberlain University NR 361 Week 5: Trends in Informatics (graded) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 361 Week 5: Trends in Informatics (graded)                     

After the introduction, move into the main part of the NR 361 Week 5: Trends in Informatics (graded) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 361 Week 5: Trends in Informatics (graded)                     

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 361 Week 5: Trends in Informatics (graded)                     

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 361 Week 5: Trends in Informatics (graded) Included

A Sample Answer For the Assignment: NR 361 Week 5: Trends in Informatics (graded)

Title: NR 361 Week 5: Trends in Informatics (graded)

For my Discussion, this week I chose the trend Computerized provider order entry (CPOE). “In general, CPOE serves as a tool to increase standardization, quality, and efficiency in the delivery of care provided to patients in healthcare organizations” (Kruse and Goetz, 2015). I can testify from my experience from the paper chart days, we have come a long way with the CPOE. Although one of my special talents used to be interpreting difficult to read physician orders, it is a gift that I do not miss utilizing. The EHR is a useful tool because it is better organized, easier to read, drives patient care, guides documentation, improves the speed of communication, increases productivity by guiding workflow, makes it easier to decrease costs while increasing reimbursement, and promotes safety and accountability. It improves patient care. Alerts and reminders are built to promote quality care, guide documentation, and prevent errors. Standardized terminology allows interdisciplinary communication to happen more accurately and quickly. It also aides the reimbursement process. As Heba, Hunter, and Czar state, “Organizations that implement EHR’s using standardized terminologies will observe benefits such as the ability to measure an improvement in patient care outcomes and cost efficiency” (2019). CPOE promotes privacy and accountability by requiring authors to use special names and passwords to gain access to a patient’s information.

This is also why a direct entry is the preferred technique of data entry. In my facility, on the night shift, we are continually encouraging physicians to follow policy regarding this issue. I understand the value of this because years ago I had taken a telephone order from a physician for a paper chart that resulted in a centennial event. When taken to the review board the physician attempted to deny the order was given. Fortunately, I had performed a verbal readback that was heard by my charge nurse and she was able to support me in this scenario. As far as legal, ethical, and financial considerations, there are many. Legally a provider has a responsibility to review all the patient’s data before moving forward with recommendations. There is also the responsibility to report EHR safety issues. A downfall of the built-in reminders can be alert fatigue. Ethically there are issues with patients electing not to participate in the EHR secondary to the concern of privacy issues. Vendors can sell information about data. Minors may not have access to or the right to manage their EHR. Financially the question arises, who is responsible for the payment of implementing and maintaining the system? Should it fall on the providers, the health insurers, or patients? Surprisingly, there is not a standardized protocol defining this, but I’m sure it’s only a matter of time before it will become an even hotter topic. As Kruse and Goetz suggest, “Policymakers should incentivize the adoption of CPOE through the use of levers that help organizations overcome some of the barriers” (2015).

Reference

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.

Kruse CS, Goetz K. Summary and Frequency of Barriers to Adoption of CPOE in the U.S. J Med Syst. 2015 02;39(2):1-5.

A Sample Answer 2 For the Assignment: NR 361 Week 5: Trends in Informatics (graded)

Title: NR 361 Week 5: Trends in Informatics (graded)

I’m going to choose telenursing for a discussion topic this week. I don’t know why I didn’t realize this before now but I manage a whole telenursing program. We have 3-5 dedicated nurses to phones each day. I never made the connection that this is a form of telehealth always assuming that was strictly video chats with providers. Hebda tell us that telenursing uses similar processes as traditional nursing; it just does them through electronic means. These means could involve the internet, telephones or other digital assessment tools (Hebda, 2019). Pretty much all of my experience with telenursing has been done over the phone but given COVID-19 we are looking at using other forms of technology to perform telenursing. I want to explore what that might look like. Telehealth is one trend the whole world is jumping on right now.

I often tell training nurses that assessment via the phone is a new ball game because your assessment is limited to what the patient tells you. You are relying entirely on their perceptions of sight and feel. An example I often use is that you cannot see that the whites of a patients eyes are yellow when discussing total body itching over the phone, you must ask the patient or even better yet have the patient ask someone who is with them if the whites of their eyes are yellowing and trust their response. But what if we didn’t have to just trust what the patient says. What if, through advancing technologies we could also see the patient while they are describing their rash? Imagine how much better our assessments would be!

The need for such telenursing practices has long been established, Elizabeth Moore and Brooke Trainum state “nearly 20%  of Americans living in rural areas suffer from a shortage of providers and healthcare facilities. This scarcity of services is detrimental to the nation’s health.” (2019, p.7). This is very true for my service area. We often must force patients to travel from 200 miles away for them to receive proper oncology care and then when they need even more specialized care, we ask them to travel even further. As nurses we need to help accelerate telehealth practices so that we can provide a high quality of care. The implications for nursing practice are vast. As it stands in my current practice we speak to patients on the phone and ultimately comes down to three outcomes: patient can be managed entirely over the phone by the nurse, nurse decides that patient needs in person assessment by nurse or provider, or nurse recognizes emergent care is needed and patient is directed to ED. I don’t imagine that incorporating video into our telenursing program will prevent ER trips but it certainly could prevent patients from having to come into the office. If I could actually see the rash, I could likely rule out the possibility of it being shingles without bringing the patient in for a visit. This would intern save the patient time and money. Often, we come across the scenario where we feel a patient needs to be assessed but the patient cannot get to us so they end up in urgent care. Video telehealth certainly has the potential to reduce those visits.

There are some obstacles to consider when looking at a virtual telenursing program. One that comes immediately to mind is privacy. If you are performing a video interview anyone walking by could potentially view what is happening on the screen both on the patient side and the nurse’s side. Before my particular office could put something like this into place, we would have to look at getting the nurses private offices (which we do not currently have). Another consideration is the “hackability” of all of these wonderful devices that help us assess patients. If our e-mails are hackable then are our video chats as well? (Hoglund, 2017). The uneasiness regarding security may make patients less like to give us all of the information over a video chat. There are definitely some hurdles to consider and rushing into a telenursing system, as many practices are right now, could have some negative effects down the line, particularly in regard to protected health information and privacy.

Reference:

Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6^th edition. Pearson. New York, NY.

Hoglund, D. (2017). Secure and Reliable Wireless Medical Device and Mobile Connectivity. Biomedical Instrumentation & Technology. Vol. 51(2). P. 130-134. http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.2345/0899-8205-51.2.130Links to an external site. 

Moore, E. & Trainum, B. (2019). Connected Health. American Nurse Today. Vol. 14(12). P. 7. https://web-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/detail/detail?vid=6&sid=a910cdbd-0f15-49d8-b011-3adfbb48d14f%40sessionmgr4007&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=140299006&db=ccmLinks to an external site.

A Sample Answer 3 For the Assignment: NR 361 Week 5: Trends in Informatics (graded)

Title: NR 361 Week 5: Trends in Informatics (graded)

I to provide telenursing already through work.  In Case Management, 80% of our position is work from home and so we do communicate with patients through telephone and video chat. (This has been a blessing during a time of pandemic as many hospitals in my area are laying nurses off and offering severance packages).  I find it to be successful.  I don’t feel that it will decrease ER visits either, but I do see a continuity of care.  Many questions I receive are medications, signs and symptoms of simple things like a cold, and many patients want direction on how to manage their health at home and information on providers.  I also do phone visits for home health.  The agency I work for has implemented phone visits to save money with recent Medicare reimbursement changes.  Phone visits are less expensive and therefore this is how they are filling the gap with their reimbursement loss.  Patients are very receptive to the phone visit.  Without being able to physically see them (as in a video conference) does make me nervous as I am relying on them to tell me the truth!  I also would like to share that last year, I used telehealth and video conferenced a NP through my insurance.  I was suffering with poison ivy.  Within 5 minutes, she diagnosed me, gave me education, and sent a script to the pharmacy for prednisone.  (Before contacting her, I had contacted my regular PCP and they would not prescribe without a visit and their next available visit was a week out.)

Many nurses in the home health agency worry that telenursing is going to replace our jobs.  They feel if patients can be treated telephonically, there will be less demand for hands on positions.  An article by  Balenton & Chiappelli (2017),  explores telenursing and concludes that nursing is being enhanced with today’s technology and the continuous generation of bioinformational developments and advancements; trends establish that telenursing is an evolving bioinformation-based tool that improves the nursing practice by bringing the nurses’ skills and knowledge to patients who are out of physical reach.

Reference:

Balenton, N., & Chiappelli, F. (2017). Telenursing: Bioinformation Cornerstone in Healthcare for the 21st Century. Bioinformation, 13(12), 412–414. https://doi.org/10.6026/97320630013412

Select one of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend?

• Nanotechnology
• Consumer health informatics (CHI)
• Telehealth (or telenursing)/virtual healthcare
• Social media healthcare applications
• Health-focused wearable technology
• eHealth

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A Sample Answer 4 For the Assignment: NR 361 Week 5: Trends in Informatics (graded)

Title: NR 361 Week 5: Trends in Informatics (graded)

Hi Nora! Great post.  Using CPOE is very different from the paper charting days! I prefer using CPOE for the benefit that there is error decrease in communication of the order. We still take verbal orders from time to time and I always read back and document, document, document… but it is scary just as you stated. If a physician denies the verbal the nurse is put into a predicament. Thank goodess in your instance, you preformed the task correctly by repeating back the order, and fortunately your charge nurse heard and was proactive for you. We are also able to take verbal orders from a provider’s office and simply ask for the person’s name and credentials of who we spoke to. I am always leary of this as well. There can be so many factors that present the possibility for error taking verbal order and written order from the physician. A language barrier can be challenging and also can cause conflict. Reading an order is a special talent! I just read a written script over the weekend that said “120mg bid” and under it said “80mg tab”… and now we are trying to get ahold of a physician on a Sunday!

CPOE has been proven to reduce the number of medication errors for hospitalized patients. It has safety features such as allergy alerts, drug-drug, drug-food, and drug-disease interaction checks, can suggest safe medication dose ranges and intervals, can guide users in implementing clinical practice guidelines and care pathways and embed reference material such as drug and disease monographs, toxicology information, and local policies and protocols (Connelly & Korvek, 2020). A drawback is that it has also been proven to increased time for workflows (Connelly & Korvek, 2020). I feel that using CPOE is a benefit for all. Nurses are able to provide safer care to patients with decreased risk of error.

Reference:

Connelly TP, Korvek SJ. Computer Provider Order Entry (CPOE) [Updated 2020 Feb 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470273/

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