NURS-FPX4040 Assessment 1: Nursing Informatics in Health Care

Nursing Informatics in Health Care

Nursing is an important profession within the healthcare industry. It is a broad field consisting of different types of nurses, patients, and work environments. The work environment for a nurse might change as one receives further education. Nursing informatics is one of the specialties in nursing care (Strudwick, Nagle, Kassam, Pahwa, & Sequeira, 2019). The demand for nurse informaticists has greatly increased owing to the rise of advanced technology in healthcare. Organizations undergoing technological changes need nurse informaticists more than ever. This paper is a proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Nursing Informatics and the Nurse Informaticist

Nursing informatics is defined as the use of practice and science to ingrate nursing information and knowledge with technology to manage healthcare information (HIMSS, 2019). Nurse informaticists have a specific role in the healthcare system, which entails improving patients’ outcomes. The professionals drive the accurate usage of health information technologies such as electronic medical records and computerized provider order entries. Nurse informaticists communicate or work in between the clinical nurses and information technology staff (Strudwick et al., 2019). They work with the patient information system to ensure that data about patients are entered. Other roles include maintaining privacy, security, and confidentiality of patients’ data. They educate other professionals about health information technology to enhance care. They often focus on administrative issues to ensure quality patient care (Feldman, Buchalter, & Hayes, 2018). Therefore, nurse informaticists, just like nurses in other specialties, are an important portion of the healthcare system.

Nurse Informaticists and Other Health Care Organizations

Healthcare organizations have greatly improved in terms of care delivery, patient satisfaction, and outcome with the help of nurse informaticists. These professionals have enabled the collection and analysis of data more effectively, which influenced the way care is delivered and how resources are managed (Kruse, Smith, Vanderlinden, & Nealand, 2017). With the influence of nurse informaticists, the medical staff in these facilities have gained further knowledge regarding the use of health information technologies such as electronic health records and others. These healthcare organizations have experienced none or limited medical errors. They have also experienced the reduced cost of medication, improved communication, improved network, and internet systems, among other things.

The nursing informaticists interact with the interdisciplinary team and the rest of the nursing staff in different ways. The nurse informaticists create an informatics team from all interdisciplinary teams and departments to improve data flow and data handling strategies (Kruse et al., 2017). Furthermore, the nurse informaticist interacts with other professionals by increasing communication efficiency. They collaborate with doctors, clinicians, and other nurses to provide easy communication and educate them on basic informatics skills. New health technologies have enabled clinicians to text, and email with a lot of ease.  According to Wager, Lee, and Glaser, (2017), informatics promotes the integration of data, knowledge, and information to support other professionals as well as interdisciplinary teams and patients in their decision-making process. When the interdisciplinary teams have access to complete, up-to-date patient’s notes, they can now make better decisions about their patients.

Impact of Full Nurse Engagement in Health Care Technology

Engaging nurses fully in healthcare technology may have a positive impact on patient care, health information, workflow, and cost and return on investment. The use of health information technology and electronic documentation of nursing directly impact patient’s safety and care (Strudwick et al., 2019). They facilitate real-time communication among healthcare professionals to ensure quality outcomes. Additionally, engaging nurses in healthcare technology will help improve patient care by reducing the chance of medical error within the organization. Educating nurses about technology along with best practices will limit patients’ risks.

Full nurse engagement in healthcare technology may also help protect health information. For example, the use of electronic health records promotes data security, confidentiality, and privacy. The system ensures that the information is not accessed by unauthorized individuals. The process of managing health information limits who can see what in the system (Kruse et al., 2017). Nurses are assigned usernames and passwords and the type of information they can access depending on the department or specialty that they operate. Technology also enables the information to be stored accurately without possible alterations. Data transcription can improve the security of data transmitted between physicians, nurses, or providers to the patient.

Workflow, cost, and return on investment are also impacted by healthcare technology. The cost of medical health is decreased when the system eliminates or reduces medical errors. Since healthcare technology is associated with reduced medical errors, it similarly leads to decreased cost of healthcare expenses (Feldman et al., 2018). This will automatically impact positively the return on investment of the organization. Health technology is associated with reducing the length of stay due to improvement in hospital workflow. Data can easily be transmitted between the departments. Also, the system alerts nurses regarding when to administer particular drugs.  Besides, information about every patient is easily accessible. These features improve hospital workflow.

Opportunities and Challenges

The introduction of the nurse informaticist in the organization comes along with both opportunities and challenges. For instance, the hospital will have the opportunity to improve communication and data transmission between different health providers, departments, and interdisciplinary teams (Feldman et al., 2018). Also, they will be able to detect early enough medical errors to prevent the complexity of treatment. Another opportunity that comes along with the introduction of the nurse informaticist is that nurses and interdisciplinary teams will acquire further training regarding health technology to ensure the processes run smoothly. Nurses and physicians will have access to a number of computers to enable smooth data transfer, storage, and communication.

On the other hand, challenges related to the introduction of the nurse informaticist position include spending more money than usual to buy computers and software used in nursing informatics. More money will also be needed to educate other staff and patients about health information technology (Wager et al., 2017). This amount of money may be a lot in the beginning but will gradually reduce by time as providers get used to health information technology. Patient safety is threatened especially when a doctor or a nurse forgets to log out.

Also, mismatch of patients’ data across departments, organizations or interdisciplinary teams may hinder care delivery. The interdisciplinary team can access adequate training regarding data security and confidentiality while using technology (Kruse et al., 2017). They should also comply with rules and regulations regarding the use of health technology to avoid these challenges.

Summary of Recommendations

  • The introduction of nurse informaticists will lead to improved care delivery and patient outcome. Detection of errors and system alerts help improve patient care.
  • The nurse informaticist will ensure easy and quick communication among providers across disciplines and departments.
  • The post will lead to reduced length of stay and improve workflow, and reduced cost of healthcare within the organization. This will in turn impact positively the organizational return on investment.
  • All nurses will have health information technology skills and knowledge as a result of the efforts made by the nurse informaticist.

Conclusion

Nurse informaticists have a specific role in the healthcare system to improve patients’ outcomes. Advantages associated with nursing informatics include improved healthcare, improved communication among providers, effective handling of healthcare information, reduced length of stay, and smooth workflow among other things. Therefore, the hospital should introduce the position of a nurse informaticist to improve the institutional operations.

 

 

References

Feldman, S. S., Buchalter, S., & Hayes, L. W. (2018). Health information technology in healthcare quality and patient safety: literature review. JMIR medical informatics6(2), e10264. doi: 10.2196/10264.

HIMSS. (2019). Informatics: what is nursing informatics? Retrieved from https://www.himss.org/resources/what-nursing-informatics

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security techniques for the electronic health records. Journal of medical systems41(8), 127. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/

Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics competencies for nurse leaders: a scoping review. JONA: The Journal of Nursing Administration49(6), 323-330. 10.1097/NNA.0000000000000760.

Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: a practical approach for health care management.  Hoboken: John Wiley & Sons.

 

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.​ This is not an essay, but instead, it is a proposal to create a new Nurse Informaticist position.

One important part of this assessment is the justification of the need for a nurse informaticist in a health care organization and references from relevant and timely scholarly or professional resources to support the justification for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist position brings value to the organization. This justification must include evidence from the literature to support that this position will provide a return on investment for the organization.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

  • Review assessment resources and activities.
    • Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
    • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.
  • Consult the for help in identifying scholarly and authoritative sources.
  • Interview peers in your network who are considered information technology experts.
    • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets following each heading:

Nursing Informatics and the Nurse Informaticist
  • What is nursing informatics?
  • What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
  • What is the experience of other health care organizations with nurse informaticists?
  • How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

  • How does fully engaging nurses in health care technology impact:
    • Patient care?
    • Protected health information (security, privacy, and confidentiality)?
      • In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients’ protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.
    • Workflow?
    • Costs and return on investment?
Opportunities and Challenges
  • What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
    • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
  • What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
    • This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include evidence from the literature to support your recommendation.
Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Submission length: 4–5 double-spaced pages, in addition to title and references pages.
  • Font: Times New Roman, 12 point.
  • Citations and References: Cite a minimum of three current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of one current professional blog or website to support your central ideas. Current means no more than five years old.
  • APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the page on Campus.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Define nursing informatics and the role of the nurse informaticist.
    • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
    • Justify the need for a nurse informaticist in a health care organization.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.