NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
This course will focus on the critical appraisal and use of information technology in advanced nursing practice. Emphasis will be on processing and managing information systems/technology resources in consumer, clinical, and public health settings. Course content will include retrieval and critical analysis of digital data to support healthcare quality improvement; electronic health records integration and evaluation; Web-based learning or intervention tools to support and improve patient care; ethical, regulatory, and legal issues; healthcare standards and principles for selecting and evaluating information systems and patient care technology; and information technology to support generation of new knowledge and emerging information technologies.
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NURS 8210 Required Course Readings
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Adams, S. A. (2010). Blog-based applications and health information: Two case studies that illustrate important questions for consumer health informatics (CHI) research.
International Journal of Medical Informatics, 79
(6), e89-e96.
Alexander, Gregory L,PhD., R.N. (2008). A descriptive analysis of a nursing home clinical information system with decision support.
Perspectives in Health Information Management, 5
(12), 1-22.
Caballero, M., & Hullin Lucay Cossio, C. (2010). Engaging clinicians in health informatics projects.
Studies in Health Technology & Informatics, 151
, 195-206.
CesnikCesnik, B. & Kidd, M. R. (e.d.). (2010). History of health informatics: A global perspective.
Studies in Health Technology & Informatics, 151
, 3-8.
Chaudhry, R., Tulledge-Scheitel, S. M., Thomas, M. R., Hunt, V. L., Liesinger, J. T., Rahman, A. S., & et. al. (2009). Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus.
Informatics in Primary Care, 17
(2), 95-102.
Croll, P. (2010). Privacy, security, and access with sensitive health information.
Studies in Health Technology & Informatics, 151
, 167-75.
Demiris, G., Washington, K., Oliver, D., & Wittenberg-Lyles, E. (2008). A study of information flow in hospice interdisciplinary team meetings.
Journal of Interprofessional Care, 22
(6), 621-629.
Grain, H. (2010). Clinical terminology.
Studies In Health Technology & Informatics, 151
, 70-83.
Gruber, D., Cummings, C. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review.
CIN: Computers, Informatics, Nursing, 27
(3),151-65.
Halley, E.C., Sensmeier, J., & Brokel, J. M. (2009). Nurses exchanging information: Understanding electronic health record standards and interoperability.
Urologic Nursing, 29
(5), 305-14.
Harrington, L., Kennerly, D., & Johnson, C. (2011). Safety issues related to the electronic medical record (EMR): Synthesis of the literature from the last decade, 2000-2009.
Journal of Healthcare Management, 56
(1), 31-43.
Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers.
Journal of Health Care Compliance, 9
(3), 47–68.
Hovenga, E. J. S. (2010). National standards in health informatics.
Studies in Health Technology & Informatics, 151
, 133-55.
Hovenga, E., Kidd, M, Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction.
Studies In Health Technology and Informatics, 151
, 9-15.
Hyppönen H., Doupi P., Hämäläinen P., Komulainen J., Nykänen P., & Suomi R. (2010). Towards a national health information system evaluation.
Studies in Health Technology And Informatics, 160
(Pt 2), 1216-20.
Hyun, S., Gakken, S., Douglas, K., & Stone, P. W. (2008). Evidence-based staffing: Potential roles for informatics.
Nursing Economic$, 26
(3), 151-8.
Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation.
Nursing Research, 55
(2, Suppl. 1), S37-S42.
Keselman, A., Logan, R., Smith, C. A., Leroy, G., & Zeng-Treitler, Q. (2008). Developing informatics tools and strategies for consumer-centered health communication.
Journal of the American Medical Informatics Association: JAMIA, 15
(4), 473-483.
Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. (2010). Developing data content specifications for the nationwide health information network trail implementations. NHIN Trial Implementations Core Services Content Working Group,
Journal of the American Medical Informatics Association: JAMIA, 17
(1), 6-12
Layman, E. J. (2008). Ethical issues and the electronic health record.
Health Care Management, 27
(2), 165-76.
Lewis, D. (2007). Evolution of consumer health informatics.
Computers, Informatics, Nursing, 25
(6), 316-316.
Liaw, S. & Gray, K. (2010). Clinical health informatics education for a 21st century world.
Studies in Health Technology & Informatics, 151
, 479-91.
Mackenzie, G., & Carter, H. (2010). Medico legal issues.
Studies in Health Technology & Informatics, 151
, 176-82.
Madsen, M. (2010). Knowledge and information modeling.
Studies in Health Technology & Informatics, 151
, 84-103.
Misra, R., Mark, J. H., Khan, S., & Kukafka, R. (2010). Using design principles to foster understanding of complex health concepts in consumer informatics tools.
AMIA …Annual Symposium Proceedings / AMIA Symposium.AMIA Symposium
, 492-496.
Munih, M., & Bajd, T. (2010). VI.3. rehabilitation robotics.
Studies in Health Technology and Informatics, 152
, 353-366.
Nahm, E., Vaydia, V., Ho, D., Scharf, B., & Seagull, J. (2007). Outcomes assessment of clinical information system implementation: A practical guide.
Nursing Outlook, 55
(6), 282-288.e2. doi:DOI: 10.1016/j.outlook.2007.09.003
Nolan, R. P., Upshur, R. E. G., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . & Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the community outreach heart health and risk reduction trial.
The American Journal of Cardiology, 107
(5), 690-696.
O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency.
Nursing Ethics, 16
(6), 786-96.
Ozbolt, J. G. & Saba, V. K. (2010). A brief history of nursing informatics in the United States of America.
Nursing Outlook, 56
(5), 199-205.
Pak, R., Price, M. M., & Thatcher, J. (2009). Age-sensitive design of online health information: Comparative usability study.
Journal of Medical Internet Research, 11
(4), e45-e45.
Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies.
Journal of Software Engineering & Applications, 3
, 983-989.
Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study.
Journal of Medical Internet Research, 13
(1), e20-e20.
Rahimi, B., & Vimarlund, V. (2007). Methods to evaluate health information systems in healthcare settings: A literature review.
Journal of Medical Systems, 31
(5), 397.
Reti, S. R., Feldman, H. J., Ross, S. E., & Safran, C. (2010). Improving personal health records for patient-centered care.
Journal of the American Medical Informatics Association, 17
(2), 192-195.
Savel, T., Hall, K., Lee, B., McMullin, V., Miles, M., & Stinn, J. (2010). A public health grid (PHGrid): Architecture and value proposition for 21st century public health.
International Journal of Medical Informatics, 79
(7), 523-529.
Schlotzer, A., & Madsen, M. (2010). Health information systems: requirements and characteristics.
Studies in Health Technology & Informatics, 151
, 156-66.
Schneider, J. M. (2010). Electronic and personal health records: VA’s key to patient safety.
Journal of Consumer Health on the Internet, 14
(1), 12-22.
Simpson, R. L. (2010). Engaged nurses lead way to improved outcomes via technology.
Nursing Administration Quarterly, 34
(3), 268-73.
Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study.
Health Services Research, 45
(4), 985-1004.
Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life.
Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 35
(6), 254-259.
Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation.
Hospital Topics, 87
(1), 3-9.
Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice.
Health Information Management Journal 39
(2), 37-9.
Wagner, P. J., Howard, S. M., Bentley, D. R., Seol, Y., & Sodomka, P. (2010). Incorporating patient perspectives into the personal health record: Implications for care and caring.
Perspectives in Health Information Management, 7
, 1-15.
Withrow, S. C. (2010). How to avoid a HIPAA horror story.
Journal of the Healthcare Financial Management Association, 64
(8), 82-88.
Wyatt, J. (2010). Assessing and improving evidence based health informatics research.
Studies in Health Technology & Informatics, 151
, 435-45.
NURS 8210N-1 Week 1 Assignment: Application 1: Nursing Informatics Pioneers
Application 1: Nursing Informatics Pioneers – One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
To prepare FOR Application 1: Nursing Informatics Pioneers:
Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
Select two nursing informatics pioneers and conduct further research on their contributions.
Consider how their contributions have influenced health information technology and nursing practice today.
By Day 7 of Week 2 OF Application 1: Nursing Informatics Pioneers
Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers. Synthesize your thoughts using the bullets below as a guide:
What are the professional accomplishments of each individual?
How have their contributions influenced nursing practice?
How have their contributions shaped the field of nursing informatics?
What lessons can you take away from their experiences? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
What skills or ideas demonstrated by these leaders might you apply to your professional practice?
NURS8210 Grading Rubric: Application 1: Nursing Informatics Pioneers
Week 2 Application 1: Nursing Informatics Pioneers
Points Possible
Points Earned
You described the professional accomplishments of each individual.
3
You have explained how their contributions influenced nursing practice.
3
You offered how their contributions have shaped the field of nursing informatics.
3
You included what lessons you can take away from their experience.
3
You described what skills or ideas demonstrated by these leaders might apply to your professional practice.
3
Spelling, grammar and APA
Note:
Points may be deducted for grammar, spelling, and/or APA errors.
Total Points
15
Comments:
NURS 8210N-1 Discussion: Welcome to the Week 1 Small Group Discussion area!
Post your responses to the Small Group Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
NURS 8210N-1 Week 1: Staying Current
Print and web-based media provide many rich and credible resources for staying abreast of the latest trends and issues in health care. As you proceed through the DNP program, you will find that receiving updates via the Internet or mail can continue to support your professional growth as a scholar practitioner. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
To prepare FOR Application 1: Nursing Informatics Pioneers:
Review several resources that provide current information about the latest trends and issues in health care
Select one that you think is most appropriate for you to stay current on the latest trends and issues in health care
By Day 7
Subscribe to the resource you selected
Copy and paste an email or photo of your successful subscription notification/confirmation into a Word document and submit it to the submission link by Day 7.
NOTE:
You are expected to maintain your subscription throughout this course. Review several of the updates you receive to inform your Discussions and Application Assignments. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Submission and Grading Information
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NURS 8210N-1Week 1: Introduction to Health Information Technology Systems and Nursing Informatics
In 1943, Tom Watson was quoted as saying, “I think there is a world market for maybe five computers.” Little did this chairman of IBM realize that the advent of computers would revolutionize all facets of society, including health care. The health care industry has used the power of technology to dramatically improve the quality of patient care. Today, bar code scanners document patient medications, robotic machinery is used to perform minimally invasive surgeries, and pill bottles feature audible labels to assist patients in taking the correct medication. As health care continues to change and new innovations appear, what types of skills will nurses need in order to harness the potential of emerging and evolving technologies? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
This week you will examine the history of nursing informatics as well as the Technology Informatics Guiding Education Reform (TIGER) initiatives that drive technology education for nurses. Using the TIGER and American Nurses Association guidelines, you also evaluate your own informatics competencies.
Reference: Rinkworks. (n.d.) Things people said: Bad predictions. Retrieved from
http://www.rinkworks.com/said/predictions.shtml
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Objectives
Students will:
Summarize how informatics has impacted or changed nursing practice
Evaluate the influence of informatics competencies on quality of care and nursing practice
Apply online learning resources to professional growth and development
Compare the contributions of two nursing informatics pioneers
Photo Credit: [Comstock]/[Stockbyte]/Getty Images
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011).
Nursing informatics: Where technology and caring meet
(4th ed.). London, England: Springer-Verlag.
Chapter 1, “Nursing Informatics: Transforming Nursing”
Chapter 12, “The Evolving National Informatics Landscape”
Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology’s emergence into the health care industry.
Course Text: American Nurses Association. (2008).
Nursing informatics: Scope and standards of practice.
Silver Spring, MD: Author.
“Introduction” (pp. 1–2)
“Informatics Competencies” (pp. 33–40)
The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the “Informatics Competencies” section uses research and matrices to correlate informatics competencies with the education and roles of nursing professionals. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Cesnik, B., & Kidd, M. R. (2010). History of health informatics: A global perspective.
Studies in Health Technology and Informatics, 151
, 3–8.
Retrieved from the Walden Library databases.
The authors of this article begin by summarizing the rise of computer development and use. They then examine how technology will build the capabilities of future businesses.
Hovenga, E. J., Kidd, M. R., Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction.
Studies in Health Technology and Informatics, 151
, 9–15. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Retrieved from the Walden Library databases.
A brief explanation of informatics principles is given in this article.
Ozbolt, J. G., & Saba, V. K. (2008). A brief history of nursing informatics in the United States of America.
Nursing Outlook, 56
(5), 199–205.
Retrieved from the Walden Library databases.
Examine the initiatives and technological developments that have informed the field of informatics by using this article as a guide.
Technology Informatics Guiding Education Reform (TIGER). (n.d.).
The TIGER Initiative: Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative
. Retrieved from: http://www.mhsinformatics.org/CI-Fellowship/Workforce-Development/Competencies/Tiger.Report_Competencies_final.pdf
For this week, focus on the executive summary and Appendix A, B, and C for review of the TIGER initiative and resulting competencies. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Required Media
Laureate Education, Inc. (Executive Producer). (2011).
Transforming nursing and healthcare through technology: What is health informatics?
Baltimore, MD: Author.
Note:
The approximate length of this media piece is 13 minutes.
In this week’s media presentation, the presenters discuss the extensive applications, implications, and benefits of health informatics for patients, practitioners, and health care organizations as a whole.
Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript
HIMSS/AMDIS Physician Community Podcast Series. (Producer). (2009).
Episode #15: TIGER initiative – technology informatics guiding education reform.
[Audio podcast]. Retrieved from https://www.himss.org/episode-15-tiger-initiative-technology-informatics-guiding-education-reform
Joyce Sensmeier, vice president of informatics at the Healthcare Information and Management Systems Society (HIMSS), presents the Technology Informatics Guiding Education Reform (TIGER) initiative that is aimed at educating nurses on new digital technologies. This podcast also highlights the organizational accomplishments and future informatics goals of the TIGER initiative.To access the podcast, scroll through the page linked above to find Episode #15. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
American Medical Informatics Association. (2011). Video Library 1: Nursing informatics pioneers.
Retrieved from http://www.amia.org/programs/working-groups/nursing-informatics/history-project/video-library-1. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
The AMIA developed a Nursing Informatics History Project, aimed at documenting and preserving the history of nursing informatics. This project consists of two video libraries. Video Library 1 portrays the viewpoints and accomplishments of those recognized as pioneers in the informatics field.
Optional Resources
Gugerty, B. Delaney, C. (August, 2009). Technology Informatics Guiding Educational Reform (TIGER).
TIGER Informatics Competencies Collaborative (TICC) Final Report
. Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdf
Technology Informatics Guiding Education Reform (TIGER). (n.d.).
Evidence and Informatics Transforming Nursing: 3-Year Action Steps toward a 10-Year Vision.
Retrieved from http://www.aacn.nche.edu/education-resources/TIGER.pdf
Rubric Detail
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Name: NURS_8210_ Week1_Discussion_Rubric
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Exemplary
Proficient
Sufficient
Developing
Discussion Postings and Responses
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
4
(100%)
– 4
(100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
3
(75%)
– 3
(75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
2
(50%)
– 2
(50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable.
0
(0%)
– 1
(25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.
Total Points: 4
Name: NURS_8210_ Week1_Discussion_Rubric
NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker
NURS 8210 Week 4: System Development Life Cycle
NURS 8210 Week 4 Discussion
HIT Projects and Decision Makers
A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system.
Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project.
To prepare:
Bring to mind a HIT project implemented in your organization. Which leaders identified the project? Which stakeholders and decision makers helped moved the project forward?
Consider methods that were used to garner the support of stakeholders and decision makers to move the project forward.
By Day 3 post
a cohesive response that addresses the following:
Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward.
Evaluate the impact of key decision makers on moving the HIT project forward.
Read
a selection of your colleagues’ postings
By Day 6 respond
to at least
two
of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return
to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Click on the
Reply
button below to post your response.
NURS 8210 Week 4 Discussion-HIT Projects and Decision Makers SAMPLE
To have more affordable and quality healthcare, disruptive innovations need to take place. It involves using technologies to become more efficient (Townsend, 2013). For healthcare systems to implement new health information technology (HIT) the use of the systems development life cycle is used. The system development life cycle includes five stages, planning, design, implementation, maintenance, and evaluation (Laureate Education, 2011). The purpose of this discussion is to describe a HIT project in my healthcare system and the impact key decision makers made on implementation of the project.
HIT Project
The healthcare system had five regional cancer centers all using the same electronic health record (EHR). The system had been implemented in 2005 and had undergone two upgrades to the system. The maintenance phase in the system development life cycle includes be aware of the new business needs and refining the system to meet those needs (Dennis, Wixom, & Roth, 2012). The physicians were proficient in CPOE and all orders were entered electronically. The cancer center had an outpatient clinic, surgery, infusion center, and inpatient settings all using the EHR. Patients moved between levels of care frequently between levels of care, and the need became apparent that electronic reconciliation of medications needed to be implemented. In the Institute of Medicine’s Report,
To Err is Human,
recommendations were made for organizations to use CPOE, barcode medication administration and medication reconciliation to increase patient safety and reduce medication errors (
To Err Is Human: Building a Safer Health System
, 2000). The healthcare system had also implemented bar-cod medication administration but had never moved on to medication reconciliation using the EHR. The project was identified by the physicians within the cancer center. Patient due to their changes of condition was moving from the outpatient to inpatient units. The manual reconciliation for a patient at discharge from inpatient status was taking a physician at least two hours and mistakes were being made due to the manual process. My friend was the director of clinical informatics for the hospital, and the chief hospitalist brought it to his attention. Together they coordinated a meeting with the chief hospitalists and informatics directors at the other four hospitals to gain consensus. The group created an enhancement request to take to the governance committee for information systems. The request was initially denied due to other projects currently prioritized.
NURS 8210 Week 4: System Development Life Cycle
“He who fails to plan, plans to fail.”
— Proverb
Whether you are building a house, buying a new software program, or going on vacation, a carefully considered plan may encourage a positive outcome. In health care, planning for the adoption and integration of health information technology systems requires research, analysis, communication, and collaboration. During the planning phase, those leading a health information technology system project must evaluate potential problems related to patient needs, staff workloads, and costs, among other things. Planning frameworks can assist leaders with this task.
This week, you examine a popular planning framework—the Systems Development Life Cycle (SDLC)—as you begin your Major Assessment for this course: investigating a health information technology system or health information application. You also explore how leaders facilitate the implementation of HIT projects and consider strategies for garnering support from key stakeholders and decision makers.
Learning Objectives
Students will:
Analyze how HIT projects are identified and moved forward within an organization
Evaluate the impact of leaders and key decision makers on implementing HIT projects within an organization
Critically analyze the development and implementation of a health information technology system or application /li>
Photo Credit: [JGI/Tom Gril]/[Blend Images]/Getty Images
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011).
Nursing informatics: Where technology and caring meet
(4th ed.). London, England: Springer-Verlag.
Chapter 17, “Disruptive Innovation: Point of Care”
This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.
Course Text: American Nurses Association. (2008).
Nursing informatics: Scope and standards of practice.
Silver Spring, MD: Author.
“Standards of Nursing Informatics Practice” (pp. 67-79)
This excerpt presents the specific measurement criteria found within each nursing informatics standard.
Madsen, M. (2010). Knowledge and information modeling.
Studies in Health Technology and Informatics, 151
, 84-103.
Retrieved from the Walden Library databases.
Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.
Peleg, M. (2011). The role of modeling in clinical information system development life cycle.
Methods of Information in Medicine, 50
(1), 7-10.
The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.
Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies.
Journal of Software Engineering and Applications, 3
(10), 983-989.
Retrieved from the Walden Library databases.
This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.
Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation.
Hospital Topics, 87
(1), 3-9.
Retrieved from the Walden Library databases.
Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Required Media
Laureate Education, Inc. (Executive Producer). (2011).
Transforming nursing and healthcare through technology: Systems analysis.
Baltimore, MD: Author.
Note:
The approximate length of this media piece is 11 minutes.
The presenters in this week’s media presentation outline the stages involved when implementing a new technology system..
Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript
Optional Resources
Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (
electronic
Point-Of-Care Project) experience.
Studies in Health Technology and Informatics, 129
(Pt 2), 1088-1092.
Discussion: Welcome to the Week 4 Discussion area!
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 4 Discussion Rubric
ockquote>
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 4 Discussion
Assignment: Application 3: Health Information Technology Project [Major Assessment 5]
In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.
Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.
To prepare:
Investigate a health information technology system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:
Consumer health applications
Clinical information systems
Electronic medical record (EMR) systems in hospitals or provider offices
Home health care applications
School health applications
Patient portal/personal health record
Public health information systems
Telehealth (i.e., from facility to home)
Simulation laboratories
Health care informatics research and development centers
Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest.
Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.
Complete a literature search to gather information about your selected information technology system. You may also need to review related scholarly articles to help answer the questions presented below. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
NOTE:
In your submitted report, do not share proprietary information, personal names, or organization names without permission.
To complete:
Your deliverable is a 12- to 15-page scholarly report, not counting the title page or references. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.
Organization Information
Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.).
Is the health information technology system/application clinical, administrative, educational, or research related?
What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows?
How did the organization determine that this specific system/application could fulfill its predetermined needs?
Who manages this health information technology system/application and where are they located within the organization’s administrative structure?
Information System Application Design and Development
Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?
How are individuals trained to use the health information technology system/application?
How are security issues addressed? How does this health information technology system/application support a legally sound health care record?
Where did initial funds for this health information technology system/application come from?
Who manages the budget for this health information technology system/application?
Have organizational or political issues impacted the ongoing funding for this health information technology system/application?
What are the arrangements for planned or unplanned downtime? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
How are health information technology system/application upgrades scheduled or planned?
How has the health information technology system/application changed in response to health care reform and related legislation?
What suggestions could you make regarding changes needed to support health care reform and related legislation?
Innovative Aspects of the System
How does the health information technology system/application utilize technology innovations?
What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?
What innovations could further promote evidence-based practice and efficiency within this organization?
End Product
Your report is a scholarly paper and needs to include a minimum of 10 citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that
primary
sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a
secondary
source. More on this topic is available in the
APA Publication Manual
and in the
Walden Writing Center
. See also “Policies on Academic Honesty” listed at the Walden website.
A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document
by Day 7
of
Week 9
.
By Day 7 of Week 9
Final Report: 12- to 15-page scholarly report is to be submitted.
Health Information Technology Project Evaluation
Program LO: 3
3: Educator / Consultant
DNP Essential: 4
4: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care
(Scroll down for table)
ASSIGNMENT PROMPT
Target
5 points
Acceptable
3 points
Unacceptable
1 point
Score/Level
Abbreviated Research Proposal Paper
Part 1: Information on Organization
(5 points)
Program LO: 3
DNP Essential: 4
Exemplary quality.Content is of a professional portfolio quality; addresses every major subsection in the assignment description of health information technology system/application and the organization type; key reasons for development of this health information technology system/application; management and administrative structure of health information technology system/application using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.
Fully meets expectations for LO 3
Fully meets expectations for Essential 4
Well-developed, good quality work. Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.
Meets expectations for LO3
Meets expectations for Essential 4
Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Insufficient to meet expectations for LO 3
Insufficient to meet expectations for Essential 4
Part 2:
Information System Application: Design
(5 points)
Program LO: 3
DNP Essential: 4
Exemplary quality.
Content is of a professional portfolio quality; addresses every major subsection in the assignment clearly and succinctly addresses how stakeholders worked together to design and fund the system application including a detailed description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system/application and how these challenges were addressed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature that supports this section, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.
Fully meets expectations for LO3
Fully meets expectations for Essential 4
Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; addresses how stakeholders worked together to design and fund the system application including a description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system application and how these challenges were addressed; includes some summarizing or paraphrasing of literature that supports this section; demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.
Meets expectations for LO 3
Meets expectations for Essential 4
Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature that supports this section; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.
Insufficient to meet expectations for LO 3
Insufficient to meet expectations for Essential 4
Part 3:
Information System Application: Implementation
(5 points)
Program LOs: 3
DNP Essential: 4
Exemplary quality.
Content is of a professional portfolio quality; addresses every major subsection in the assignment; identifies key security issues and provides a detailed description on how the issues have been addressed; provides an in-depth portrayal of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; includes a thoughtful analysis of system changes in response to health care reform/legislation and well-reasoned recommendation of additional changes needed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.
Fully meets expectations for LO 3
Fully meets expectations for Essential 4
Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; identified security issues and described how they have been addressed; provides an overview of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; describes system changes in response to health care reform/legislation and recommendation of additional changes needed; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.
Meets expectations for LO 3
Meets expectations for Essential 4
Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.
Insufficient to meet expectations for LO 3
Insufficient to meet expectations for Essential 4
Part 4:
Innovative Aspects of the System
(5 points)
Program LO: 3
DNP Essential: 4
Exemplary quality.
Content is of a professional portfolio quality; addresses every major subsection in the assignment; provides a succinct description of the role of innovation in the health information technology system/application and thoughtful recommendations for additional use of innovations using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.
Fully meets expectations for LO 3
Fully meets expectations for Essential 4
Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment; provides a description of the role of innovation in the health information technology system/application and recommendations for additional use of innovations using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.
Meets expectations for LO 3
Meets expectations for Essential 4
Superficially developed, unacceptable quality.Needs substantial revision to be worthy of a professional portfolio; addresses less than half the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.
Insufficient to meet expectations for LO 3
Insufficient to meet expectations for Essential 4
Part 5: End Product
(5 points)
The majority of references are from scholarly journals, support the topic well, and are current. All sources are peer reviewed. Minimum of 7 citations used. Paper stays within page requirements. APA format is used correctly throughout.
Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.
Excels in meeting expectations for graduate level work.
Most references are from scholarly journals and support the topic. Most references are fairly current. All sources are peer reviewed. Minimum of 7 citations used. The paper stays within page requirements. APA format is used with minimal errors.
Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.
Meets expectations for graduate level work.
References are not sufficient or are mostly from the lay literature or out of date. Sources identified are a combination of peer reviewed and nonpeer reviewed. Fewer than 7 citations used. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.
Report does not leave the reader with confidence in understanding the informatics system; graphics are minimally used or not used to illustrate key points. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Work lags behind expectations for graduate level work.
Health Information Technology Project Assignment:
Write a 12- to 15-page (plus references) paper that includes the following:
Organization Information
(5 points)
Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, software company, government health information website, private virtual health information site, etc.).
Is the health information technology system/application clinical, administrative, educational, or research related?
What were the key reasons for development of this health information technology system/application?
Who manages this health information technology system/application and where are they located within the organization’s administrative structure? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Information System Application
: Design (5 points)
Many health systems have multiple independent entities that work together toward a common goal of providing health care. How did the various stakeholders work together to make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application
How was this health information system/application initially funded? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Have organizational or political issues impacted the ongoing funding for this health information technology system/application?
Who manages the budget for this health information technology system/application?
Information System Application: Implementation (5 points)
How are security issues addressed; how does this health information technology system/application support a legally sound health care record?
How are individuals trained to use the health information technology system/application?
What are the plans for planned or unplanned downtime?
How are health information technology system/application upgrades scheduled or planned?
How has the health information technology system/application changed in response to health care reform and related legislation?
What suggestions could you make regarding changes needed to support health care reform and related legislation?
Innovative Aspects of the System (5 points)
How are technology innovations being used in the health information technology system/application?
What technology innovations could you recommend for this organization? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
End Product (5 points)
The paper is 12- to 15-page report.
The report leaves the reader with confidence in understanding the informatics system.
Graphics are used to illustrate key points. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
The report is a scholarly paper and includes a minimum of 7 citations from peer-reviewed journals.
Appropriate APA format is used.
*Note:
Up to 5 points (20%) may be deducted for grammar and APA style errors.
NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law
Nursing and Health Care Informatics Ethics and the Law SAMPLE
Ethical Issue
According to the VA Office of Rural Health, almost 2.7 million veterans live in rural or highly rural communities, where even basic healthcare may be hundreds of miles away (VA Office of Rural Health [ORH], 2016). In order to meet the unique need of these rural Veterans the VA initiated a robust initiative to increase access to health care. In 2016 the most promising of these remote initiatives include telephone-based delivery of care, connecting veterans with veteran eligible resources, community incentives for healthcare training, and telehealth/telemedicine programs (ORH, 2016). For this discussion I am going to focus on providing remote healthcare that eliminates the need for driving distances in light of the technological challenges to providing privacy and security protections. In using telehealth programs, the information exchange is not simply between the patient and the clinician, in that, many of these programs are maintained by a third party and this poses a security challenge for all concerned (Croll, 2010). In fact, the concern for security breach is often mitigated by the trust the patient has in the clinician and the clinician’s unawareness (Croll, 2010). Therefore, the ethical concern is the risk of security breach versus the health outcomes for the Veteran. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
NURS 8210 Week 5 Discussion Paper Details:
Nursing and Health Care Informatics Ethics and the Law
“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)
Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
With the continued integration of HIT, and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Nursing and Health Care Informatics Ethics and the Law Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information.
Studies in Health Technology and Informatics, 151,
167–175.
To prepare for Nursing and Health Care Informatics Ethics and the Law:
Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.
For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar.
Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.
Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.
By Day 3 post
a cohesive response that addresses the following:
Describe your selected ethical issue.
Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Formulate strategies that the organization could implement to address the ethical issue.
Read
a selection of your colleagues’ postings.
By Day 6 respond
to
two
of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return
to this Nursing and Health Care Informatics Ethics and the Law Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Click on the
Reply
button below to post your response.
Rubric Detail- Nursing and Health Care Informatics Ethics and the Law
Select
Grid View
or
List View
to change the rubric’s layout.
Name: NURS_8210_ Week5_Discussion_Rubric
Grid View
List View
Exemplary
Proficient
Sufficient
Developing
Discussion Postings and Responses
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
4
(100%)
– 4
(100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
3
(75%)
– 3
(75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
2
(50%)
– 2
(50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
0
(0%)
– 1
(25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Total Points: 4
Name: NURS_8210_ Week5_Discussion_Rubric
NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law
Even the most technologically adept organizations are susceptible to security breaches. The Department of Veterans Affairs (VA) is an industry leader, known for both its Telehealth system and electronic health records (EHR). As a government entity, the VA has publicly reported unintended security failures. To date, the VA has categorized the following breaches: lost and stolen laptops, employee errors in information sharing, e-mails to the wrong account holders, hackers breaking into databases, and even acts of malicious employees. Despite the VA and other health care organizations’ preventive measures, ethical and legal breaches still pose a very real danger to patients. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
This week introduces the need for constant diligence when working with patient information. Through this lens, you examine the ethical codes and laws that govern today’s use of health information technologies.
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Objectives
Students will:
Analyze an ethical issue related to HIT that has the potential to create a liability
Formulate strategies for addressing ethical use of health information technology systems
Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation
Photo Credit: [verbaska_studio]/[iStock / Getty Images Plus]/Getty Images
Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Required Readings
Course Text: American Nurses Association. (2008).
Nursing informatics: Scope and standards of practice.
Silver Spring, MD: Author.
“Ethics in Nursing Informatics” (p. 49-52)
This page of the text introduces three common ethical codes used in health care today.
Croll, P. (2010). Privacy, security and access with sensitive health information.
Studies in Health Technology and Informatics, 151,
167-175. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Retrieved from the Walden Library databases.
The author proposes a model for controlling the security of health information networks and systems.
Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers.
Journal of Health Care Compliance, 9
(3), 47-68.
Retrieved from the Walden Library databases.
This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.
Layman, E. J. (2008). Ethical issues and the electronic health record.
The Health Care Manager, 27
(2), 165-176.
Retrieved from the Walden Library databases.
The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.
Mackenzie, G., & Carter, H. (2010). Medico legal issues.
Studies in Health Technology and Informatics, 151,
176-182.
Retrieved from the Walden Library databases.
Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records
O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency.
Nursing Ethics, 16
(6), 786-796.
Retrieved from the Walden Library databases.
Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.
Withrow, S. C. (2010). How to avoid a HIPAA horror story.
Healthcare Financial Management, 64
(8), 82-88.
Retrieved from the Walden Library databases.
The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
California HealthCare Foundation. (2011).
Retrieved from http://www.chcf.org/
The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.
Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.
https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp
The U.S. Department of Health and Human Services defines the term
meaningful use
and also its view of meaningful use criteria, requirements, and financial impact.
American Nurses Association. (2011). Ethics and human rights.
Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.
Healthcare Information and Management Systems. (2011). Privacy & security toolkit. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp
At this website you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.
The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics
At this website you will find a American Medical Informatics Code of Ethics for Healthcare Professionals.
Required Media
Laureate Education, Inc. (Executive Producer). (2011).
Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law.
Baltimore, MD: Author.
Note:
The approximate length of this media piece is 10 minutes.
In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript
NURS 8210 Discussion: Welcome to the Week 5 Discussion area!
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).
NURS 8210 Week 5 Assignment 1: Application 2: Meaningful Use Paper
Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
To prepare:
In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.
Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.
Investigate the legal, financial, and ethical issues surrounding meaningful use.
Ask yourself: What are the goals of meaningful use?
By Day 7 of Week 6
Write a 4- to 5-page essay in which you:
Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.
Explain how these issues might present barriers to successful implementation within an organization.
Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Explain how EHR-related meaningful use legislation is being implemented in your organization.
Grading Criteria
NURS8210 Grading Rubric
Week 6 Application 2: Meaningful Use Paper
Points Possible
Points Earned
You summarized the legal, financial, and ethical issues that may arise because of meaningful use legislation.
4
You explained how these issues might present barriers to successful implementation within an organization.
4
You discussed ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.
4
You explained how EHR-related meaningful use legislation is being implemented in your organization.
3
Spelling, grammar and APA
Note:
Points may be deducted for grammar, spelling, and/or APA errors.
Points NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
15
Comments:
NURS 8210 Week 6: Health Information Technology Systems Discussion and Assignment
NURS 8210 Week 6: Health Information Technology Systems
NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges
SAMPLE
Usability and design challenges
Staggers (2010) states that usability has a strong, often direct relationship with clinical productivity, error rate, user fatigue, and user satisfaction which make for difficult adaptation. HIT usability is the thread that binds a product to specific users in a specific context in ore to achieve set goals with ‘effectiveness, efficiency and satisfaction’ (ANA, 2015). Nurses or end users are the ones that need to buy into the usability and clinical application design of new technology presented to them (Ball, Douglas, & Walker, 2011). The Technology Informing Education Reform (TIGER) summit highlighted the significance of both through identification, definition, and presentation of two pillars, informatics design, and technology, from and in which to develop their knowledge and beliefs. For usability to be effective, the goals must be met. Being able to affect and transform workflow positively, work with system developers to maximize clinical system development effectiveness with known processes and principles are the goals of which Ball et al. (2011) spoke. Clinical application designs must support evidence-based practice (EBP), be collaborative, provide support for growth and further development of new knowledge and the inception of research into practice (Staggers & Troseth, 2011) NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Implementing the case study’s new health information technology system
To implement an almost seamless transition from paper to the new HIT system, I would conduct a needs assessment, survey the facility to locate positions of possible placement of system, check workstation needs, the staff’s ability to learn and their receptiveness to change. Have systems in place in the facility prior to having experienced educators who are familiar with the system, present the HIT or have a train the trainer in-service.
NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges
Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
In this week’s Discussion, you move from the standpoint of the “ outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success.
To prepare:
Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative.
Consider the “Best Practice Exemplars” provided in the course text
Nursing Informatics: Where Technology and Caring Meet
.
Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text
Nursing Informatics: Where Technology and Caring Meet
. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges.
What strategies might you employ to overcome these HIT usability challenges and concerns?
By Day 3 post
a cohesive response to the following:
Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system.
Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.
Determine whether these challenges were a result of implementation or design.
Formulate strategies for overcoming these usability challenges.
Read
a selection of your colleagues’ postings.
By Day 6 respond
to at least
two
of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return
to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Click on the
Reply
button below to post your response.
NURS 8210 Week 6: Health Information Technology Systems
When changes are implemented or new information technology systems are adopted, organizational leaders have a responsibility to make the transition as seamless as possible. When a system is easy to learn and utilize, this transition is more easily accomplished. When a system is less “user friendly,” this can become a barrier and impede acceptance. By focusing on user needs while developing system designs, those involved in HIT can promote efficacy and buy-in throughout the organization. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
This week, you examine how nurses identify and address usability and design challenges in information technology systems.
Learning Objectives
Students will:
Formulate strategies for overcoming usability challenges of health information technology systems
Analyze the overall usability and design of a health information technology system or application
Photo Credit: [teekid]/[E+]/Getty Images
Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011).
Nursing informatics: Where technology and caring meet
(4th ed.). London, England: Springer-Verlag.
Chapter 14, “Usability and Clinical Application Design”
This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review.
CIN: Computers, Informatics, Nursing, 27
(3), 151–163.
Retrieved from the Walden Library databases.
The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.
Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation.
Nursing Research, 55
(2, Suppl. 1), S37–S42.
Retrieved from the Walden Library databases.
This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics.
Studies in Health Technology and Informatics, 151,
156–166. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Retrieved from the Walden Library databases.
Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.
NURS 8210 Week 6 Discussion: Welcome to the Week 6 Discussion area!
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 6 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 6 Discussion
Assignment 1: Application 2: Meaningful Use Paper
Continue working on Assignment 2: Meaningful Use Paper, assigned in
Week 5
.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.
Click the
Application 2 Rubric
to review the Grading Criteria for the Assignment.
Click the
Week 6 Assignment
link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the
Browse My Computer
button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click
Open
. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
If applicable: From the Plagiarism Tools area, click the checkbox for
I agree to submit my paper(s) to the Global Reference Database
.
Click on the
Submit
button to complete your submission.
Grading Criteria
Document:
Week 6 Application 2 Rubric (Word document)
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 6 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 6 Assignment
NURS 8210 Assignment 2: Application 3: Health Information Technology Project [Major Assessment 5]
Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4.
By Day 7 of Week 9
Submit your Assignment.
Grading Criteria
Document:
Week 9 Major Assessment 5 Rubric (Word document)
Week in Review
This week
you analyzed overall usability and design of a HIT system/application and formulated strategies for overcoming challenges.
Next week
you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes.
Rubric Detail- NURS 8210 Week 6
Select
Grid View
or
List View
to change the rubric’s layout.
Name: NURS_8210_ Week6_Discussion_Rubric
Grid View
List View
Exemplary
Proficient
Sufficient
Developing
Discussion Postings and Responses
4
(100%)
– 4
(100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
3
(75%)
– 3
(75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
2
(50%)
– 2
(50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
0
(0%)
– 1
(25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Total Points: 4
Name: NURS_8210_ Week6_Discussion_Rubric
NURS 8210 Week 7: Nursing and Health Care Informatics Tools: Telehealth, Robotics, and Decision Support Systems
Decision Support and Innovative Informatics Tools Discussion: NURS 8210 Week 7
Assess the applications of the technology, noting the benefits and potential challenges of the innovation.
As a nurse, the goal is to give safe, effective patient care, and improve healthcare. Courville (2017) discussed between 1995 and 2004 the joint commission reported medication errors, delays in treatment, wrong-site surgeries, and sentinel events was caused from communication failure. Research has shown that smartphones are a cheap and quicker tool to improve doctor to patient interaction, reducing costs and improving care for patients (Courville, 2017; Whitlow, 2013). They can instantly connect the entire care team with the data and tools. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
In nursing home facility, using smartphones can improve interprofessional communication and enhance workflow. Development in technology has improved over the last decade and more secure low-cost communication can be used to text message, share photos and attachments, call clinicians, video chat, document, and be used as a learning tool. It can be used anywhere, anytime. There are few studies regarding the benefits and challenges of smartphones.
Courville (2017) conclusion stated smartphones improved “time management, optimized resources, team unity, performance metrics, job satisfaction, and self-learning and professional development” (p.5). There are possible barriers that may arise as a result of incorporating the system in the organization that may hinder the way smartphones operate. Potential challenges could be smartphones depending on Wi-Fi networking and cellular networks. When many users congest the network, connectivity could slow down, or if there is an outage the smartphone would not be able to connect to a network. Another potential challenge would be risk for data lost or device is stolen. Larson, Vice President of Diagnotes (2018) stated that backup and information is stored in a secured cloud. In case of loss or theft, software developers created remote wiping and disabling that can remotely clean or disable the program. Another potential challenge would be the risk of spread of disease. Manufacturer’s warranty could have the potential of being invalid related to using cleansing isopropanol wipes (Courville, 2017). Other challengers could be battery life, and easy to misplace. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
NURS 8210 Week 7 Discussion
Decision Support and Innovative Informatics Tools
“
Never before in history has innovation offered promise of so much to so many in so short a time.
” – Bill Gates (as cited in Frazer, 2007)
Technological innovations are dramatically changing how the health care industry operates. One example of this change is the transformation of gaming systems and virtual worlds into effective health care devices. Today’s gaming systems are capable of strengthening motor skills during rehabilitation, while virtual worlds promote a form of nonjudgmental communication and self-confidence for those patients who suffer from physical and mental limitations. Innovations such as these have been well received as they promote health in a positive and entertaining way.
In this week’s Discussion, you appraise how these innovations can enhance health care practices. Focus on analyzing innovations with which you may be unfamiliar. For example, you may choose to look at the fields of decision support, robotics, telehealth, and nanotechnologies. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Decision Support and Innovative Informatics Tools References:
Olsen, S. (2008, May 29). Wii-habilitation, health games get $2 million study grant. CNET News.
Retrieved from http://news.cnet.com/8301-10784_3-9955083-7.html
Tanner, L. (2008, February 9). Hospital using Wii in combat injury rehab. Navy Times.
Retrieved from http://www.navytimes.com/news/2008/02/ap_wiihabilitation_080209/
Mollman, S. (2007, July 27). Wii + Second Life = New training simulator. Wired.
Retrieved from http://www.wired.com/gadgets/miscellaneous/news/2007/07/wiimote
Frazer, G. (2007, December 6). How to nurture innovation in your business. Computer Weekly.
Retrieved from http://www.computerweekly.com/Articles/2007/12/06/228478/How-to-nurture-innovation-in-your-business.htm
To prepare FOR Decision Support and Innovative Informatics Tools:
Review the information and websites listed in the Learning Resources focusing on decision support and technological innovations in the health care field.
Using credible resources, investigate decisions support systems or other innovations that are in their in today’s health care market.
Select a specific technological innovation to share with your classmates.
Develop a description of your selected decision support system or technology innovation as if you were making a presentation to an interdisciplinary team at your practice. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Include the potential benefits and challenges that this new system could bring to health care practices and the effect it could have on outcomes.
By Day 3 post
a cohesive response that addresses the following:
Describe your selected technology, including when it was first introduced into the health care industry.
Assess the applications of the technology, noting the benefits and potential challenges of the innovation.
Appraise the potential of the innovation to improve health care practice and related outcomes.
Read a selection of your colleagues’ postings
Read
a selection of your colleagues’ postings.
By Day 6
respond to
at least two
of your colleagues in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return
to this Decision Support and Innovative Informatics Tools Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Click on the
Reply
button below to post your Decision Support and Innovative Informatics Tools Discussion response.
NURS 8210 Discussion: Welcome to the Week 7 Discussion area!
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the
Essential Guide to APA Style for Walden Students
to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Submission and Grading Information
Rubric Detail- Decision Support and Innovative Informatics Tools
Select
Grid View
or
List View
to change the rubric’s layout.
Name: NURS_8210_ Week7_Discussion_Rubric
Grid View
List View
Exemplary
Proficient
Sufficient
Developing
Discussion Postings and Responses
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
4
(100%)
– 4
(100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
3
(75%)
– 3
(75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
2
(50%)
– 2
(50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable.
0
(0%)
– 1
(25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams
Total Points: 4
Name: NURS_8210_ Week7_Discussion_Rubric
Assignment: Application 3: Health Information Technology Project [Major Assessment 5]
Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4 and due
by Day 7
of
Week 9
. Consider the innovative aspects of the system you are evaluating. How long has the system been in place? When is an upgrade scheduled? Include information presented this week as appropriate.
By Day 7 of Week 9
Submit your Assignment.
NURS 8210 Week 7: Nursing and Health Care Informatics Tools: Telehealth, Robotics, and Decision Support Systems
Health information technology includes a wide range of systems that electronically capture and disseminate information related to patient care. These clinical systems can lead to a higher quality of care and support evidence-based practice. Prominent clinical systems include computerized provider order entry (CPOE), electronic prescribing (e-prescribing), and picture archiving and communication systems (PACS). Certain clinical systems also provide decision support to providers, serving as adjuncts to human decision making rather than supplanting it. One challenge in designing these systems is to incorporate the support tools unobtrusively into the providers’ clinical work flow. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Other clinical applications are found in the field of telehealth, or telemedicine. These permit providers and organizations to deliver care and services to patients in other geographic locations.
This week, you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes.
Learning Objectives
Students will:
Evaluate the use of decision support tools in clinical practice
Appraise innovative technologies used in health care
Photo Credit: Science Photo Library / Brand X Pictures / Getty Images
NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011).
Nursing informatics: Where technology and caring meet
(4th ed.). London, England: Springer-Verlag.
Chapter 18, “Extending Care: Voice Technology”
Chapter 21, “Local Global Access: Virtual Learning Environments”
Chapter 18 provides an overview of the capability of voice assistive technologies to address the demands of health care environments. Chapter 21 features classroom technology trends that are equipping future nurses for practice.
Course Text: American Nurses Association. (2008).
Nursing informatics: Scope and standards of practice.
Silver Spring, MD: Author.
“The Future of Nursing Informatics” (pp. 52-62)
“Integrated Functional Areas: Telehealth and Informatics” (pp. 36-37)
The excerpts found here provide an overview of future advancements of informational technology systems’ hardware and design models.
Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics.
Studies in Health Technology and Informatics, 152,
353–366.
Retrieved from the Walden Library databases.
In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial.
The American Journal of Cardiology, 107
(5), 690–696.
Retrieved from the Walden Library databases.
The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.
Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study.
Health Services Research, 45
(4), 985–1004.
Retrieved from the Walden Library databases.
This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.
Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life.
Rehabilitation Nursing, 35
(6), 254-259.
Retrieved from the Walden Library databases.
Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.
Cisco. (n.d.). Industry solutions: Healthcare.
Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html
Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.
Intuitive Surgical. (2018). da Vinci surgery.
Retrieved from https://www.intuitivesurgical.com/products/davinci_surgical_system/
See this website to view video commentaries on the da Vinci Surgical System’s ability to revolutionize surgery experiences.
Massachusetts Institute of Technology. (n.d.). MIT media lab.
Retrieved October 14, 2011, from http://www.media.mit.edu/
View various technology integration stories in the field of health care at this website
McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html
The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.
Required Media
Laureate Education, Inc. (Executive Producer). (2011).
Transforming nursing and healthcare through technology: Clinical decision support.
Baltimore, MD: Author.
Note:
The approximate length of this media piece is 12 minutes.
In “Clinical Decision Support” the presenters discuss how data management systems combine with practitioner knowledge to create the best medical and economical solutions for patient care.
Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript
Laureate Education, Inc. (Executive Producer). (2011).
Transforming nursing and healthcare through technology: Telehealth.
Baltimore, MD: Author.
Note:
The approximate length of this media piece is 8 minutes.
In “Telehealth,” Dr. Speedie and Dr. Johnson expound upon the emerging technological developments in telehealth.
Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript
Optional Resources
Bryan, C., & Boren, S. A. (2008). The use and effectiveness of electronic clinical decision support tools in the ambulatory/primary care setting: A systematic review of the literature.
Informatics in Primary Care, 16
(2), 79–91.
Feldman, L. (2010). Meaningful use: Hospitals advised to be thorough when deploying clinical decision support tools.
Hospitals & Health Networks 84
(5), 16. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.