EHR In Nursing

In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.

Nursing informatics really gained momentum in the 1980’s. The first national conference on computer technology and nursing was held (Ozbolt, J.G., Saba, V.K. 2008). Scholarships and the first educational courses on Nursing Informatics were introduced into the nursing programs at Boston College, University of New York and University of Utah (Ozbolt, J.G., Saba, V.K. 2008). The growing record of accomplishment allowed nurses to move into managerial roles (Edwards, H. 2011). By the mid ‘80’s, nearly three decades after Nurse Werley pushed for minimum data sets, was the idea finally embraced by nurse professionals (Ozbolt, J.G., Saba, V.K. 2008). Four specific elements of the minimum data set became a standard for nursing care: nursing diagnosis, nursing intervention, nursing outcome and the

Technological advancement is very rapidly affecting every aspect of life and is making an immense impact in Health Care. My clinical experiences as a staff nurse caring for patients can be effectively integrated with technology in the Nursing Informatics field. To make valuable contributions to the field of Nursing Informatics, I realized that a Graduate degree would be very beneficial. Therefore, I decided to pursue my MSN in Nursing Informatics to achieve my goal of using my skills and knowledge in the best possible way to make effective advancements in the field of nursing informatics for a constructive impact on my patients’ health and my colleagues.

Nurses are moving from a traditional method of performing task into the technological era. As informatics nurses recognize the need to move from the traditional to a progressive approach. There are many theorist that propose change; however, Kurt Lewin the father of psychology, introduces the theory concepts, emphasizes that the group differ from the sum of its parts. The change theory presents the three-stage model of change. The Lewins model (2011) consist of the unfreezing-change-refreeze theory. The purpose of this discussion is to examine the theories and conceptual frameworks applicable to nursing informatics, view and summarize the video, and Evaluate Applications of Theories or Conceptual Frameworks to Nursing Informatics Initiative.

Dr. Murray’s article states that nursing informatics is the combination of sciences; computer, information and nursing which helps to “manage and process nursing data, information and knowledge to support the practice of nursing and the delivery of care” (Murray, 2010, p. 3). Collecting information while

In the journal article, The Impact of an Integrated Electronic Health Record Adoption on Nursing Care Quality, they discuss how technology can improve quality of care. With electronic health records, nurses can document while at the bedside. Their study confirms that the use of electronic health records can improve patient quality of care (Walker-Czyz, 2016.)

However, whereas this seems to prove the importance of EHRs there is a need to understand the steps to quality healthcare and how EHRs enable hospitals provide these aspects. This paper will try to bring forth, the true picture of Electronic Health Records effectiveness. It is important to understand what an EHR is. According to this paper, this will take the following definition

Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly

Therefore, several authors share some of the same ideas as to what some of the barriers faced during the transition to Electronic Health Records (EHRs) and if these barriers still exist once the transition to a full EHR system is complete. Herrick, et al., 2010, states that currently, there is no hard-core evidence to support the argument that Electronic Health Record (EHRs) and Health Information Technology is the best route for health organizations to prevent errors. In fact, the use of such technology could potentially lead to errors if information incorrectly entered in the system and Haupt, 2011, statement that smart software could help to prevent life-threatening errors better when administering medicines. Whereas, Boonstra & Broekhuis, 2010, states from a physician point a view need the understanding of the possible barriers that faced during implementation of EHRs because there a tremendous amount of literature on the obstacles but no suggestion on how to resolve these barriers have not been viewed. Barriers such as, financial on great startup and ongoing cost, technical and time to train staff and how much knowledge do they have with computer skills and psychological when support needed from vendors, etc. It suggests that once those barriers have been ironed out and a plan has set in place, then the transition from paper documentation to Electronic Health Records (EHRs) may go a lot easier for the healthcare arena physician, nurses and administrative

The federal government established a nationwide health information technology (HIT) infrastructure which requires all health care facility personnel to use an electronic health record (EHR). According to Sewell & Thede, in 2004, President Bush called for adoption of interoperable electronic health records for most Americans by 2014. Electronic health records (EHR) is an automated system created by healthcare providers or organizations, such as a hospital in documenting patient care. In addition, EHR is an interoperable healthcare record that can comprise of multiple EMRs data and the personal health record (PHR). Furthermore, electronic health records can be created, managed, and accessed by approved clinicians and staff across more than one health care society (Sewell & Thede, 2013, p. 231-232). On the patients’ perspective, EHR will be used to support healthcare by providing electronic record of patients’ vital signs, demographics, allergies, medications, diagnoses, and smoking status. Consequently, on the providers’ perspective, EHR will support healthcare by use of decision support tools, enter clinical orders, such as prescriptions, provide patients with electronic versions of their health information, use systems that protect the privacy and security of HER patient data. Another meaningful use of EHR is to support activities such as conducting drug formulary checks, including clinical laboratory test results, recording advance directions for patient 65 years and

An external strength is the availability of new technology in the workplace. There are many emerging technologies that will change the practice of nursing in the coming decade including genetics and genomics, less invasive and more accurate tools for diagnosis and treatment of diseases, 3-D printing, robotic simulations, biometrics, electronic health records, and even computerized physician order sets (Huston, 2013). This skill set is forecasted to become even more essential in the coming years. One goal identified in the Healthy People 2020 initiatives is use of health information technology to improve population health outcomes and health care quality, and to achieve health equity (Healthy People 2020, 2012).

A nursing technology revolution is around the corner. In recent years several advances have been made towards the implementation of various programs that help hospitals move more efficiently from ordering tests to admitting the patient into the hospitals proprietary system. In larger hospitals computers have been installed at nursing workstation so that nurses can chart information, view trending, and print lab reports. This is a long way from where nursing was 15 years ago.

The authors conclude that in order to collect data for meaningful use, one must get back to nursing basics to satisfy regulatory requirements. Under direction of a nurse informaticist, utilizing electronic health records helps facilitate this.

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