Self-Assessment of Informatics, Strength and Weaknesses
Hello Olga, I can relate with you stating that you underestimated your proficiency in informatics. I equally expected the self-assessment indicating very poor knowledge and skills in nurse informatics. But the results were quite encouraging. An organization I worked for offered classes for super users at the facility after paper charting was no longer in effect. Despite the fact that electronic health record (EHR) is meant to improve patient safety and provide and improve quality of care, users tend to encounter challenges with the system (Yuan, Bradley, & Nembhard, 2015). In this era, use of EHR has become a necessity in the healthcare system. Most of the seasoned and older nurses tend to have difficulty learning and adjusting to the new era of technology. The use of electronic health records is unavoidable as it has become a means of creating, storing and retrieving information pertinent to patient care (Samadbeik, Gorzin, Khoshkam & Roudbari, 2015). Some of the concerns expressed has been in relation to forgetting their password, inability to navigate through the system and the fear of losing information (Samadbeik et al., 2015).
Super users will help to close up the gap between these concerns that people may have. We had at least one super user trained in every unit depending on the
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G., & McGonigle, D. (2017). Informatics for health professionals. Burlington, MA:
Jones & Bartlett Learning.
Samadbeik, M., Gorzin, Z., Khoshkam, M., & Roudbari, M. (2015). Managing the security of nursing data in the electronic health record. Acta Informatica Medica, 23(1), 39–43. http://doi.org/10.5455/aim.2015.23.39-43 Yuan, C. T., Bradley, E. H., & Nembhard, I. M. (2015). A mixed methods study of how clinician
“super users” influence others during the implementation of electronic health records.
BMC Medical Informatics and Decision Making, 15, 26. http://doi.org/10.1186/s12911-
The objective of this synthesis paper is to present my readers what I have achieved during my graduate program at American Sentinel University (ASU). It assimilates all my course work, clinical experience, and nursing practice during this time, which presents a complete picture of how I accomplished my Master of Science in Nursing (MSN) consequences and Nursing Informatics track competencies. This paper will pinpoint my personal philosophy of nursing informatics and give a concise summary of my professional achievements, competencies developed during program of studies, and goals for life-long learning as an informatics nurse. The occupation of nursing is considered as both an art and science. Development of nursing comprises evidence‐based practice and fast integration of advances in technology. It is a field that has extensive uses in healthcare, as well as specialty practice. Educational curriculum and degree/certification are choices for nurses to pursue in this exciting field.
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.
In order to practice as a nurse informatics or NI specialist, one must know and understand the standard to which he or she is held. The purpose and function of scopes and standards of practice for nursing informatics is to provide an overview of the specialty, assist future specialists understand their scope of practice, and practice at a competent level to guide and support nursing care. The scopes and standards of practice further provides an insight into the foundation of clinical decision making processes and cognitive concepts as the nurse moves data to wisdom in the clinical setting. As a NI specialist, the informatics nurse follows the concepts, scopes and standards of practice to guide and define their profession. This paper will further discuss the principles that guides nurse informatics specialist, the scope and standards of practice, professional performance, functional areas for nurse informatics, competencies, evolution, progress, and the future the specialty.
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.
Informatics is a specialty in the nursing field that is combined with certain science. As stated by ANA (2008) “nursing informatics (NI) is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (p. 65). ANA further focus on the functional areas rather than the role that guides the scope of practice within NI. These functional areas include: “administration, leadership, and management; analysis; compliance and integrity management; consultation; coordination, facilitation, and integration; development; educational and professional development; research and evaluation; policy development and advocacy; and telehealth” (CCN, 2015, para. 1). With these functional areas in mind, a nursing informatics specialist can perform proficiently, depending on the specific task. Hence, the purpose of this paper is to summarize the result of an interview with a NI specialist and analyze the differences and similarities between the interviewee’s functional areas with that of scholarly ones.
Nurses are consistently rated as one of the most trusted professionals in the United States. One of the reasons for this distinction may be the many nurses who obtain specialty certification within their practice area. Certification confirms the nurse has acquired a level of skill and knowledge above average (Rauen, Shumate, & Gendron-Trainer, 2016). It is important to me to obtain certification when I complete the master’s program in informatics at American Sentinel University. This paper will discuss the American Nurses Credentialing Center (ANCC) eligibility requirements to become board certified, the competencies required on the certification test, describing those I have mastered, those I have been
As more jobs are being created, Health Information Management (HIM) professionals, especially those that are studying in the field of research and analytics should be aware and care about any and all the changes and updates related to IRBs and research. HIM professionals should care greatly about IRB’s and the research because as these jobs are evolving, patient privacy, patient rights, patient welfare and patient confidentiality are often being put at risk (Layman & Watzlaf, 2009). That said, because HIM professionals have a large amount of knowledge regarding HIPAA’s privacy and security standards, quality improvement, data management and proper use of electronic health records (EHRs), HIM professionals play a vital role in safeguarding the human subject’s rights and well-being (Layman & Watzlaf, 2009). This typically happens at the beginning of the protocol with proper documentation and ensure that reasonable recruiting standards are being met and privacy safeguards are being followed (Layman & Watzlaf, 2009). With that said, it is important for HIM professionals to care about IRBs and research, especially if they are part of a research study team and have a role of a research analyst, because their knowledge, skills and expertise play an enormous role of protecting the human subject’s health
b) One of the national forces that have influenced the direction of nursing informatics is the Institute of Medicine (IOM), which has written core competencies for all health care professionals including nurses (Pritchard, 2015). The programs devised by the the Institute of Medicine aims to teach health care professionals to be better at knowing how to manage information accurately and how to use computers to make the information available to all disciplines in order to achieve better patient outcomes. On the other hand, the National Center for Nursing Research (NCNR) is one nursing force that has influenced the direction of informatics (Pritchard, 2015). This agency has created program goals and for nurses and competencies
Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMR’s) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patient safety and confidentiality. In order to
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
I still remember the days before EHR were started. I was working as a Health Unit Coordinator, and was responsible for getting the patient’s charts together and all the required forms that will be used for the patient doing there admission. The charts were broken down upon patient discharge, and sent to medical records. The charts would have to be requested again from medical records in the event that the patient was admitted again at a later date, and the physicians and nurses would have to go through the charts to review the patient’s history. Health Care has come a long way since then. In this paper there will a discussion and examination on the current use of electronic health records and its relationship to health care. All of the providers and nurses that are responsible for the patient’s care, are able to review and share information on the patient. Any nursing care information that is beyond the basic compliance data, is not often included in the data that is being stored though EHR Today, nursing care data, beyond basic compliance data, is very seldom included in this data which is being stored electronically, even though there are studies that showing that including nursing problems will improve the accuracy of healthcare cost and patient outcomes. Welton, Halloran, and Zone-Smith (2006). By
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the
The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.
I took the “Pretest Toward Computers in Healthcare (PATCH) Assessment Scale, version 3,” (Kaminski, J.). I scored 92.0, a reasonably good score, but I would have projected a higher score because of my background in Tele-Medicine. I have spent the last 10 years in Tele-Medicine, so it would be a safe assumption that I am computer and/or technology savvy and fluent with multiple platforms. That holds true to a point, but the fact that technology is constantly evolving keeps us all somewhat behind the bubble since computer science is not our primary focus. Nursing informatics will remain a fluid environment, as each nurse becomes more comfortable with technology, each will be able to incorporate innovative