The Technology Into Our Nursing World

According to Porter-O’Grady, 2016 et al p 324, our healthcare systems today are at the center of what is considered major change. Much of the change today is directly related to the foundational principles, concepts and associated with complexity in systems and relationships, and an understanding by nurse leader and follower; of what it takes to make meaningful change. Nurse Leaders, registered nurses, advance practice nurses, and other followers, at every level of our organizations must be increasingly aware of meaningful and sustainable changes that improves our healthcare systems (Porter-O’Grady, 2016 et al p 324).

To provide a positive impact on the lives of patients (Fuchs, 2014) based on the care that was rendered to them, the Centers for Medicare and Medicaid Services (CMS) implemented an incentive program in the year of 2011 and provided bonuses to eligible providers (EP) that displayed a meaningful aspect by way of technology, by using electronic health records (EHR). The purpose of this paper is to provide an overview of the Meaningful Use program and an analysis of the implications for nurses. Also, in this paper additional recommendations for Meaningful Use will be discussed.

Planned Organizational Change: In this situation, University Hospital underwent a significant planned organizational change. They took traditional nurses and put them into “care coordinator” positions. This planned change is defined as a process where an organization explores the need for change and possible solutions, plans for how that change is to be instituted, implements the change and disseminates information about the change, and integrates those changes into the day to day operation of the organization. It seems as if University Hospital did not implement this change in the best way possible. They seem to have thrown care coordinators into their roles without giving them much input into what their job would really entail.

Every profession embraces change. Whether it is small, like a simple word addition to the important Patient Information document, or large, like a staff shift, the medical field is constantly changing. To fully understand the scope of what it means to change, I have been challenged to ask “Why?” The answers have helped me grow at Eastside Medical Center.

The Affordable Care Act of 2010 (ACA) will have a great effect on nursing. According to this article nursing will have to change it role in the ACA and the three main categories that need to be changed and redeveloped is transforming practice, education and leadership.

When I became a nurse, the hospital I work for was still using paper charts. Within a few years of being at the hospital, there was a gradual incorporation of electronic health record (EHR) charting. Now looking back there have been many great positives to the implementation to EHR including past medical history, allergies, insurance and other information.

Nursing has come a long way in the recent centuries. Nursing is now one of the most demanded professions and is continually growing. Nurses have evolved into being the primary care takers of hospitalized patients. New contemporary advances have paved the way to allow nurses to expand their capabilities by having additional roles in patient care. The purpose of this paper is to demonstrate the new advances that have been created to help assist modern day nurses such as, technology, patient centered care, current roles and responsibilities, and expanded career paths.

As a new graduate nurse, it is difficult to talk about changing my practice because I am always changing my practice with my growing knowledge. The IOM report has helped me realize that even later down the road when I am a seasoned nurse, my practice should still always be changing. Nurses that are stuck in their old routines are not providing the best patient care possible.

Tele-nursing is the use of telecommunications technology such as videos, computers and tele-monitoring technologies to provide nursing care and advice at a distance. This growing technology offers many advantages in the delivery of healthcare information, disease monitoring, health promotion and disease prevention services, as well as nursing diagnosis, treatment and education to patient at home from a centralized location. Tele-nursing can be instrumental in helping patients and families to be active participants in their care, particularly in the self-management of chronic illness such as congestive heart failure. It is a service that is currently offered by a growing number of hospitals and health maintenance

Anyone, especially nursing leaders, can bring about change within a healthcare system. In this week’s lesson, we discussed change theories, conflict theories, and leaders as change agents. Overall, change is based upon a variety of factors. They range from different situations to the environment. The three change theories that we discussed this week include the environmental change theory, the teleological change theory, and the life cycle change. The environmental change theory basically states that various environmental factors are the reason for change. These changes are happening for survival. Teleological change can be identified as planned change or scientific management. This type of change is purposeful and includes planning,

Give nurses the technology they need to help perform their tasks on a daily basis, but do not let this technology take over caring, which is at the center of nursing (Tomey & Alligood, 2006). We need to teach our students, and our aging nurses, that caring is essential to nursing no matter what happens in the world today. “Nurses aspire for a practice that is based on the authentic nursing intention to know persons fully as human beings rather than as objects. When the nurse is able to simultaneously portray technological competency and caring in nursing, transformation is achieved” (Locsin, 2001, p. 3). This transformation is needed for the profession to recruit and retain nurses. If this transformation does not happen, then patients will not receive the safe, high quality care that they desire. There will be no trust of the nursing profession and nursing will never reach its full potential as a profession.

There are numerous developing advancements that will change the act of nursing in years to come (Huston, 2013). Since 3D printing was introduced in 1989, hospital, physicians and the public have seen how creating customized medical devices such as dental implants, hearing aids, contact lenses, and prosthesis have offered many advantages for the patients. “The reach of 3D printing has improved and even saved lives. In 2011, a man in the UK who lost half his pelvis to bone cancer received a new pelvis created of 3D materials, and is still happy with the results. In 2012, infant Kaiba Gionfriddo made headlines when doctors in Ohio implanted a 3D printed airway splint that allowed him to breathe normally. The child is now a healthy toddler”

Change is unavoidable in today’s society, especially in the healthcare field. In order for change to occur smoothly, we must encourage others to accept why there is a need for the change to occur. In a healthcare organization change is typically began as a response to an outside pressure. These change that need to occur are typically initiated by the directors or managers of the facility. As nurses we are all well aware that change is never easy, often we are face with the resistance of others. This is where it is essential for the leaders of the facility to be able to manage the changes that may occur a good leader must be able to utilize the management process to be an effective leader. A leader must be able to plan, Planning is the

I would advise continuous staff engagement and pilot testing for all change processes that will be placed. Clinicians, leadership team members, stakeholders, nurses, and staff from all other ancillary teams should be engaged in this process (Melnyk & Fineout-Overholt, 2015). Educational content and strategies about any practice changes or strategic goals should be given to all affected. Nurse leaders should discuss with those directly affected about their attitudes or additional thoughts about the strategic goals. Additional discussions can take place by other influential leaders on the unit that have a good working relationship with their colleagues (Melnyk & Fineout-Overholt, 2015).

Computerized management systems or electronic medical records can work to increase the quality of care in several ways. One way being that because medical record data is all computerized, there is a significant improvement in the legibility and translation of the health information therefore resulting in fewer errors and miscommunications. Other benefits to an electronic medical record is that it aids in increasing accuracy, timeliness, and efficiency overall. Computerizing medical records is a safer and more convenient way to store, review, track, and analyze data on any given patient versus paper charting. It also cuts down on loss, cost and clutter. Therefore, because of all