Registered Nurse Model

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.

The United States health care system is lacking the needs to create a reliable system to achieve quality, access, cost, and educate for the consumers. Despite the efforts of the government to find a common ground to meet the standard for the societies, the system has yet to have a major improvement. These issues must be reexamined to fix the broken system. The United States health care expenditure is another issue that needs to be addressed to achieve the future goals of the healthcare system in the United States. Healthcare societies will need to interact differently by incorporating consumer’s empowerment, technology, and education to meet the future goals of the health care system. Also, the consumer must be highly educated on the purpose of preventive care to lower the risk of chronic diseases which account for a lot health care spending. The process of correcting the United States health care system will take time and effort from all individual to achieve greatness.

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.

The confounding factor is that people do not always respond to information and make choices based on common rationale. For example research demonstrates that 1 in 5 prescriptions go unfilled after a treatment plan has been provided by a physician. Among patients being treated for chronic conditions such as diabetes, medication adherence is actually lowest. NEHI research estimates cost of medication non-adherence at 290 billion dollars annually in the U.S. The National Diabetes Prevention Program cites nearly 29 million people in the U.S. have diabetes which cost the U.S. healthcare system 176 billion dollars in 2012, despite diabetes being largely preventable with diet, exercise and not smoking. These and other examples such as missed physician appointments, misuse of emergency care services, and lack of commitment to healthier lifestyles demonstrates complexity in managing the human aspect of healthcare. If population health management programs are to be successful they must be able to effectively support various risk cohorts of patients in making decisions to maximize benefits from healthcare services. As healthcare organizations increase focus on keeping patients healthy, many organizations are questioning the most effective use of technology and support services to enable better decisions regarding health

At this point in time there is no standard model for the regulation of Nurse Practitioner (NP) practice throughout the country. Currently, each state determines the scope of practice, roles, and basic educational requirements for NPs (Zaccagnini & White, 2017). In addition to general confusion on the part of medical professionals and patients, this results in issues accessing health care for patients as well as limiting the mobility of NPs to move throughout the country and continue to practice. Important terms to consider when discussing the regulation of advanced nursing practice are licensure, accreditation, certification. These terms are occasionally used interchangeably, leading to further confusion.

The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most

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

Increased public demand to access health information and growth of consumerism in health care industry are two important reasons form increasing attention to Personal Health Records (PHRs) in the recent years. Surveys show that a considerable number of people want to have access to their health information. In one survey, 60 percent of respondents wanted physicians to provide online access to medical records and test results, and online appointment scheduling; 1 in 4 said they would pay more for the service.

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.

A nurse practitioner (NP) are trained, educated and knowledgeable professionals that flourish in primary care. There is no comparison between NP and physician, their aim should be to provide exceptional care for patients. With all respect to the medical doctors, nurse practitioners are capable of managing the medical problem as well as nursing problems (Weiland, 2015). There are many barriers which APNs have to face within their scope of practice especially in the state of Georgia (Shilling, & Hodnicki, 2015). This barrier impedes the type of care which are delivered by NPs to their patients.

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.

Sir, can you please step up to the glass, put your palm on the screen and follow the directions from the computer? This is where our future lies…in biometrics, computers, and science. Soon there will be no need to fill out tedious paperwork, to try to remember medications or past medical history. I know it exists in hospitals across America, I have seen it in action many times. Are we as nurses changing with the times? What is nursing informatics? Why is it important to me? How do I rate on the nursing informatics knowledge scale? What is my plan to increase my knowledge base? These questions should be at the forefront of every nurse’s thoughts. The information age has come crashing down on us from every possible angle in our lives, it

According to Dr. Ken Majowski (Laureate, 2011) health care informatics has been in existence for at least the past two to three decades. Ozbolt & Saba (2008) state that “in the second half of the 20th century” the focus of nursing informatics was on the development of “a standardized language” (p. 199). In the 1970’s, informatics included “nursing care planning and documentation” (Ozbolt & Saba, 2008, p. 200). In the 1980’s, nursing informatics research and education led to the “establishment of data standards … unleashing the potential of nursing informatics to improve practice” thus giving nursing the opportunity to “translate knowledge to practice via decision support, and to create new knowledge from the data generated in nursing practice” (Ozbolt & Saba, 2008, p 201). In the 1990’s the “Nursing Terminology Summit Conferences” met “to develop concept-oriented reference terminology models for nursing” (Ozbolt & Saba, 2008, p. 203). The 2000’s proved to be a decade of additional progress with the call for “an electronic health record” for every

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