Critique Clinical Relevance

A survey was performed to identify nurses’ competence with computer databases. Many of the practicing nurses studied claimed they did not feel comfortable navigating a database to locate research information. Many were either not aware of helpful tools such as CIANHL and PubMed or did not utilize these tools due to their inability to access or navigate them. Patient charting and detailed drug information is all computerized, therefore, universities need to place emphasis on computer literacy and familiarize nursing students with computer databases if they are to be

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.

The purpose of this paper is to present an analysis of a quantitative article using Melnyk & Fineout-Overholt’s (2015) rapid critical appraisal (RCA) for a randomized clinical trial. Topics included are the validity of the research, results of the research and how the information can be applied to the clinical care of my own patient population.

Upgrading our documentation to information and informatics comes with many advantages for the health care team to improve quality and safe ty improvement. Also, the use of technology such as telehealth, telenursing and videoconferencing are on the rise, and will be embedded into our communities and nursing organizations so that we can reach people around the country who do not have accessibility quality health care. Using technology to educate patients and families about credible websites, and how to search for pertinent information that is relevant to his or her health is a priority. The goal is to eliminate unnecessary emergency rooms visits. These actions foster communication and minimize anxiety

The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies.

The levels of evidence provide the reader with a guide for evaluating and interpreting the information contained in the study. Understanding where a research study falls on the level of evidence table helps the reader to prioritize information, and decide whether to accept or reject the study’s findings. The studies by Begue et al., (2012) and Wrobleski et al., (2014); both conducted non-randomized controlled studies would be considered to have an evidence level of III (Melnyk & Fineout-Overholt, 2015). The study by Luthy et al., (2017) is also a Level III, non-randomized controlled study, however it is also quasi-experimental and would fall higher on the Level of Evidence Pyramid, while the fourth study, conducted by Okere, et al., (2016), is a non-randomized controlled study involving matched cohorts, and would be assigned a Level III/IV(Melnyk & Fineout-Overholt, 2015).

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

Although it is a systematic review, some of the research utilized were qualitative studies. The studies reviewed were a quasi-experimental study, a randomized descriptive study, a qualitative descriptive study, and a literature review. All were described in detail as a basis for the study performed in the article. The other studies used for research purposes in this study included one randomized controlled trial (RCT), one quasi-experimental study, one qualitative study, and three literature reviews. If all the studies used for research in the article were RCT’s or “a combination of RCT’s and quasi-experimental or quasi-experimental only” (jhnebp) this research would have garnered a ranking of level I or level II. The inclusion of even one qualitative study dropped the ranking to level

Over the course of several self-analyses during the Fall semester, I was able to identify some clinical areas that needed improvement with my client, C.W.B. Despite having a supervisor change half-way through the semester, out of seven self-analyses, I focused my clinical improvement in the following areas:

The complexity science provide a framework to understand the turbulence associated with transforming nursing practice with nursing electronic documentation (Davidson, 2011, P. 310). The adaptation to electronic documentation seen as a complex adaptive system we expect nurses to interact with computer systems used for the documentation, their patients (that they are documenting on), physicians, and other healthcare professionals as they transition and learn the new system.

Dr. Patricia Benner is responsible for the idea that a nurse begins her career as a novice, having a sound educational base, and eventually develops into an expert nurse after a multitude of experiences in the field (“From Novice to Expert”, 2013). This paper will explore Benner’s five stages to becoming clinically competent. This paper will also discuss the use of information technology in the clinical setting, including potential benefits of electronic health records to nurses and the impact of health information technology on consumer health.

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many

As technology has and continues to advance so will the expansion of nursing informatics. Data from (19th annual 2008 himss leadership survey, 2008) hold this statement true showing a steady increase in the implementation of technologies. As computers became smaller, it became easier and efficient for hospitals and physicians office to implement their use. (sutton, 2007)The first computers were large, expensive, and inefficient. Now, computers are compact, inexpensive, and efficient. The smaller technology allows for portability of information. PDA’s are small enough to fit in your pocket. With these small devices, you can look up a patients medication, drug interactions, side effects, and just about anything, you could think of to