NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

Now that you have examined the Nurse of the Future Nursing Core Competencies©, why do you think these competencies were selected? Which two of the 10 competencies will be most important to your future nursing practice, and why?

Week 1: Nurse of the Future Nursing Core Competencies

According to the Massachusetts Department of Higher Education there are ten core competencies known as the Nurse of the Future: Nursing Core Competencies that are crucial for professional nursing practice. The identified competencies are patient-centered care, professionalism, leadership, systems-based practice, information and technology, communication, teamwork and collaboration, safety, quality improvement, and evidence-based practice (Hood, L.J., 2014, p. 7-8). Not only in professional nursing but for student nursing as well, core competencies are essential knowledge, capabilities, and skills that allow nurses to provide safe, effective care to patients (Hood, L.J., 2014, p. 6).

Core competencies are important to provide a guide for all nurses, starting from the beginning of their education and throughout their career. Nursing is a profession where you continue to learn, evidence-based knowledge and sensitivity to variables such as age, gender, culture, health differences, socioeconomic standing, race and spirituality are essential for caring for diverse populations and this global society (Massachusetts Department of Higher Education, 2016, p. 4). I believe these ten core competencies were chosen because it has been shown over time how important each one is to a student nurse, a new-graduate nurse, and even a nurse that has been practicing for many years. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

Of the ten core competencies’, the two that I believe to be the most important are communication and patient-centered care. The Nurse of the Future: Nursing Core Competencies states that communication is interacting effectively with patients, families, and colleagues, developing mutual respect and shared decision making, to enhance patient satisfaction and health outcomes (Massachusetts Department of Higher Education, 2016, p.32). In my career as a pediatric nurse communication is one of the more important core competencies that I use and will continue to use in my future nursing practices. Working with children means communicating in different ways. When communicating with children you use pictures to describe pain, point to areas on the body to identify the problem region, going down to eye level, and explaining details in words that they would understand. In pediatrics not only do you have to communicate with the children but their parents as well. Communicating with parents and helping them understand will put children as ease if they see that their parents aren’t in distress.

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Patient-centered care is also another tremendously important core competency for my future nursing practice, which is defined as providing compassionate, coordinated, age and culturally appropriate, safe and effective care (Massachusetts Department of Higher Education, 2016, p. 10). Again, as a pediatric nurse it is important to practice patient-centered care. In pediatrics you see children of all ages, ranging from newborns to college age children and knowing how to effectively care for children is extremely important. When working with the younger ages you have to consider all of the medical equipment looking intimidating. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies. Equipment such as a blood pressure cuff are often explained to children as a machine to measure muscles or just simply giving your arm a hug, a stethoscope is often related to listening to your heart like doc mcstuffins does. At times you even have to care for a child’s beloved stuffed animal to show everyone goes to the doctor. As children get older simply explaining tasks or discussing things you mat have in common. Both of these core competencies are important to me because communication creates clear pathways for patient care and patient-centered care shows that everyone is an individual and requires care focused to that specific person.

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

Massachusetts Department of Higher Education Nursing Initiative. (2016). Massachusetts Nurse of the Future Nursing Core Competencies© Registered Nurse. Retrieved from http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf

 

 

These are two of the articles/ sources; they were also the assigned readings. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

 

• Massachusetts Nurse of the Future Nursing Core Competencies©: pp. 1-9. (Go to the Webliography to find a link to this file.)

http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf

 

another source;

• AACN Essentials of Baccalaureate Education: pp. 3-4, 10-13. (Go to the Webliography to find a link to this file.)

http://www.aacnnursing.org/Education-Resources/AACN-Essentials

 

• for the last source we need any scholarly source which will also be cited in APA 7 format.

Here are also addition instructions  to include in the discussion,

• Share your experiences and opinions (clinical and nonclinical) as they relate to the discussions.
• Address each component (part) of the discussion question. Some questions will have more than one component.
• Support your comments each week with references to the weekly Lesson or assigned readings and at least one scholarly resource. A scholarly resource is defined as peer-reviewed publications, government reports, or sources written by a professional scholar in the field. Remember that Wikipedia, Wikis, .com websites or blogs should notbe used as anyone can add to these. For the discussions, reputable Internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.
• Show up for class, and log on several times during the week.
• Read as many posts as you can. We learn from each other.
• Use the ratings column on the grading rubric that provides the most points in each criterion as a guide and/or checklist for your posts.
• Write in a scholarly manner. This includes spelling, grammar, punctuation, and proper APA format. You can review the APA Scholarly Writing documents located in Course Resources.
• Observe netiquette rules.

Please do not be offended if your instructor

• asks you for clarification on a point you have made;
• asks you to relate your post to course content or weekly learning outcomes;
• introduces new questions and topics as the week evolves; and
• asks you to credit resources (lesson orassigned readings and a scholarly source) that support your opinions and experiences (Integrates Evidence).

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Self-Check

When constructing your weekly posts, be sure to ask yourself each of the questions listed here.

• Did I adequately cover all of initial question components and the weekly concepts in my answers?
• Did I support my answers with what I learned from the assigned reading OR online lesson AND a professional source? Did I credit these sources beside the ideas they represent and in a reference section?
• Did I engage with my peers/instructor in a respectful way and contribute much depth to the discussion? NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

Here are additional questions to consider:

• Were my posts well organized, clear, and with minimal errors in English grammar, spelling, syntax, and/or punctuation?
• Did I answer the original question(s) by Wednesday night?
• Did I post at least three times on at least two different days?

If you are able to answer each of them with a yes, congratulations you have likely met all of the criteria and can feel confident about posting your response in the discussion.

This is a graded discussion: 50 points possible

due

Week 1 Discussion: Nurse of the Future Nursing Core Competencies© (Graded)

No unread replies.11 reply.

 

Purpose

This week’s graded discussion topic relates to the following Course Outcomes (COs).

• CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

Due Date

• Answer post due by Wednesday 11:59 p.m. MT in Week 1
• Two replies to classmates and/or instructor due by Sunday 11:59 p.m. MT at the end of Week 1

Discussion

Now that you have examined the Nurse of the Future Nursing Core Competencies©, why do you think these competencies were selected? Which two of the 10 competencies will be most important to your future nursing practice, and why?

 

Week 1: Nurse of the Future Nursing Core Competencies

The Competency Committee of the Nurse of the Future Nursing Core Competencies (NOFNCC) developed a multi-step system to define the core set of nursing competencies (Massachusetts Department of Higher Education, 2010, p. 3). They were to develop a smooth transition for nurses who were planning on furthering their education. Picking the core set of nursing competencies required 3 steps. The first step was making the list of nursing competencies. They obtained their list by looking at other states competencies, current practicing standards, accreditation standards, and national initiatives (Massachusetts Department of Higher Education, 2010, p. 3). Once they had their list of core competencies, they went to stage two which was feedback. They would ask nursing educators, faculty of public or private universities, and nursing practice councils for their opinion. After they made the adjustments they needed they went to step three. The committee did another review of literature but this time they compared their set of core competencies with the national model (Massachusetts Department of Higher Education, 2010, p. 3).

 

The ten core competencies the NOFNCC in the end decided on were patient-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, safety, quality improvement, and evidence-based practice. I believe these competencies were chosen because as nurses we use them every day on the job. It is like a checklist to providing the best care to our patients. They are the guidelines for future nurses, nurses to plan to further their education, and nurses practice in the field. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

 

Of the ten competencies the two most important ones for myself are communication and patient centered care. Patient centered care is defined as “the Nurse of the Future will provide holistic care that recognizes an individual’s preferences, values, and needs and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care (Massachusetts Department of Higher Education, 2010, p. 10).” Each patient is unique and they each require different care. We can’t treat everyone as if they are all the same. As nurses we need to be able to accommodate to the patients needs and respect their space, whether it be privacy, taking their medication a certain way, or respecting their wishes to have a certain nurse. This reassures our patients that they are our main focus and that they are in control of their care. Our job as nurses is not only to care for our patients; it is to put our patients mind at ease. We are there to reassure them that their needs are met and their questions answered. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

 

As nurses we need to always remember that we are our patients advocates and the only we can fulfill this role is by gaining our patients trust. To build trust we must keep an open and honest relationship. This entails us to constantly keep our patients up to date with their condition or progress. Communication is defined as, “the Nurse of the Future will interact effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes (Massachusetts Department of Higher Education, 2010, p. 32).” Nurses have ranked as the most trusted profession for 15 years in a row. This is only possible because of the relationship nurses build with their patients through open communication. We make sure that our patients feel comfortable to ask questions and voice their concerns. Ineffective communication occurs when there is a lack of clarity or direction in a conversation. This is something as nurses we must try to avoid. To achieve this I believe as nurses we must make sure we look up our patients effectively and we must make sure during handoff we have a good idea of what our patients plan of care is for the following day.

 

I believe we should treat our patients how we would like or loved ones to be treated. Even though there are some days when it is really hard, going that extra mile to make sure our patient have all their questions answered or making some time to spend an extra 5 minutes with our patient who is anxious makes a huge difference. Nursing is a field where we put our hearts into our work and the core competencies are there to make sure we are able to be the best nurses we can be to our patients and ensure their safety. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

 

References:

Massachusetts Department of Higher Education. (2010). Massachusetts Nurse of the Future Nursing Core Competencies. Retrieved January 4, 2017, from http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf

 

Vertino, K., (September 30, 2014) “Effective Interpersonal Communication: A Practical Guide to Improve Your Life” OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 3, Manuscript 1. NR 351 Week 1 Discussion: Nurse of the Future Nursing Core Competencies

Nursing Policy and Politics

Topic 1: Policy and Politics

Read the case studies in Chapter 3 of Policy and Politics for Nurses and Other Health Professionals. Examine what Margaret Sanger, The Arkansas State Legislature, and others have done to make changes to health care policy. Outline the process that these pioneers took to effect change. Describe how policy change moves from internal adoption to legislation. Discuss expertise and internal and external advocacy. Give an example of a policy change you would advocate for.

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Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12,   (3 references- in text citations) not older than (2012-2017).   No Plagiarism please.

Topic 2: Nursing Strong Throughout Time 

Compare and contrast three nursing advocates that have brought about change to public policy. What changes need to be made in the future to be successful as a profession of nursing advocates for healthcare policy reform?

Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12,   (3 references- in text citations) not older than (2012-2017).   No Plagiarism please. Nursing Policy and Politics

NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples

Week 2: Interprofessional Collaboration Strategies

 

Question: In today’s changing healthcare environment, it is more important than ever for professional nurses to be skilled in collaborating with professionals from other healthcare disciplines. What communication strategies can professional nurses use to specifically promote collaboration with other healthcare disciplines and professionals?

There are many forms of communication that nurses can promote collaboration with other members of the interdisciplinary healthcare team. The advanced technology we have today has provided us with many different avenues for communication. We can communicate verbally via in person, over the phone, or by using a handheld communication device such as Vocera. We can also communicate in writing via secure email, fax, instant messaging, clear and concise communication notes in a medical record, written report, etc. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples

 

According to page 32 of the Massachusetts Department of Higher Education Nursing Initiative, “The Nurse of the Future will interact effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes” (Massachusetts Department of Higher Education Nursing Initiative, 2016, p. 32). I agree with this statement. Nurses are innovative! And are always thinking of new and better ways to communicate effectively with patients and members of the healthcare team.

 

Hood (pg 108) states that patient safety and quality of care depend on effective communication among all members of the healthcare team. Effective communication skills are essential in healthcare regardless of the position you hold within that team. Whether you are the physician, the nurse, an STNA, or in dietary. If we cannot communicate with each other, we cannot collaborate, and thus, we cannot provide the best care for our patients. In my current role, we not only deal with internal members of the healthcare team, we also deal with external team members. Essentially, my team members act as the lead collaborator to assure the health and welfare and the needs of their patients are being met. My team members communicate with the individuals they serve to see what their specific needs are and then collaborate across different functions to assure the health and welfare of the individuals they serve. This involves a multitude of communication strategies as some providers prefer written communication via fax, others are not permitted to email, etc. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples.  This can be challenging as we have to be able to effectively communicate using many different methods of communication while being mindful of HIPAA. “True collaborative practice involves cooperation and consultation among healthcare providers of different disciplines by working together to achieve goals” (Kearney-Nunnery, 2016).

 

References:

Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

Kearney-Nunnery, R. (2016). Advancing your career: Concepts of professional nursing (6^th ed.). Philadelphia, PA: F.A. Davis. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples

Massachusetts Department of Higher Education Nursing initiative. (2016). Massachusetts Nurse of the Future Nursing Core Competencies. Retrieved from http://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf

 

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NR351 Discussion week 2

For team work and collaboration to be effective, nurses have to first of all build a relationship of trust and care with the patients and their families. The three stages of the nurse client relationship are; facilitators, advocate and coordinator. (Hood .2010 ,pg 81). Once the trust is established between the nurse and patient/patient family, it is easy to effectively communicate with them.  According to Ledder and Pepper, nurses rely on communication during nurse-client, collegial, and inter-professional   interactions.(Hood 2010 pg 84). Developing a professional partnership helps foster a relationship based on mutual respect to achieve a common mission while each participant lives out his or her life’s purpose. (Hood .2010, pg 102). Ledder and Pepper also suggests that, to foster a healthy work relationship amongst care members, meaningful conversations needs to occur via the following principles; intention, listening, advocacy, inquiry and silence.(Hood 2010, pg 102) NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples

As part of a nursing team, nurses are responsible for open, professional communication. Regardless of the setting, a professional environment is one in which staff members respect each other’s ideas, share information, and keep one another informed. For example, keeping colleagues informed about patients with emerging problems, physicians who have been called for consultation and unique approaches that may help prevent further problems. Another way to foster a great interdisciplinary collaboration is treating our colleagues with respect, listening to their ideas without interruption, being honest, and direct while communicating.  Part of a good communication is clarifying what others are saying to avoid errors and miscommunication. An efficient team is able to count on each other when needs arises that includes sharing expectations of what, when, and how to communicate is a step toward establishing a strong work team.

Effective communication and collaboration among health professionals is imperative to providing patient centered care (AACN, pg 22). During communication we have to identify patient preferred method of communication, the intellectual ability and any language barrier that may impede communication. Sometimes, client’s inability to speak or understand English language is interpreted as client been confused or non verbal. This is where nurses step in as patient advocate to make other team members aware of client’s communication barriers and ensure plan of care is communicated to client appropriately. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples. Some of the communication tools we use at my job for patients with language barriers are the two way phone where there is a translator at the other end of the line, hired translators, colleagues who speak the same language, family members (client spokes person/responsible party), road maps (this are printed plan of care which tells client or family what labs were done, what procedure is scheduled etc) and also picture chart. For patients who are not mentally capable of communicating, we have to make sure we keep their decision makers well informed of the plan of care.  According to the nursing of the future, nursing core competencies, one must identify one’s own strengths, limitations, and values in functioning as a member of a team, while respecting the unique professional and cultural attributes that members bring to a team (Massachusetts, slide 31). Team work amongst team members ensures the deliverance of high quality and safe patient care. Being fully informed of clients plan of care help facilitate and ease communication amongst team members.  It is important we listen to each team member attentively, and talk to one another with respect. At my job we do rounds on all patients. The health care team involving the nurse, doctor, respiratory and physical therapist, case manager, social worker, unit manager and charge nurse discusses plan of care for each patient and go to the client as a group to inform the patient about their plan of care for the day. For patients who are not able to communicate, the plan of care is discussed with the client’s spokes person. Bedside shift report is another useful tool used for communicating with both the nurse and client. During bedside shift reporting, a detailed account of client’s history, why they are in the hospital and what their plan of care is at client’s bedside. Areas that could be changed to improve communication and collaboration at my job; having an onsite translator sitting next to client and translating could be very useful rather than the phone with a translator.  Secondly, giving staff lesser patients gives the staff the opportunity to listen to clients concerns and give other team members undivided attention. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples. We spend more time documenting rather than caring for the patients. Reducing the amount of documentation will allow the nurse time to get to know their patients better

In conclusion, communication and collaboration can have a truly positive impact on both the patient and the health care system. Communication, teamwork and collaboration is an essential part of patient care. When used effectively, collaboration and communication can optimize patient outcomes and improve the quality of care. Thus, nurses and other disciplines must make this a priority. The dynamics between the nurse and other members of the interdisciplinary team is incredibly important in patient care. When this relationship is optimized, it is undoubtedly professional, positive and potentially life changing. NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples.

 

Hood, L.J. (2014). Leddy& Pepper’s conceptual bases of professional nursing (8th ed.).

 

Philadelphia, PA: Lippincott Williams & Wilkins.

 

American Association of Colleges of Nursing Essentials of Baccalaureate

Education  < http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf > [8/15/2016]

 

Massachusetts Nurse of the Future Nursing Core Competencies: Creativity and Connections

< http://www.mass.edu/currentinit/documents/NursingCoreCompetencies.pdf > [8/15/2016] NR 351 Week 2 discussion: Interprofessional Collaboration Strategies essay examples

 

Big Data Risks and Rewards in Healthcare Clinical System Essay

Big data in healthcare

Potential Benefit of Big Data in Healthcare Clinical System

Big data analytics is fast becoming a promising field in the provision of insights into data sets of large magnitude while simultaneously minimizing healthcare costs. Thew (2016) points out that for big data to be utilized in influencing meaningful outcomes within the nursing field, nurse executives need to take up their role as architects and visionaries of data.One of the potential benefit of using big data is dexcribed in the article by Thew, the local hospital mentioned using Meditech, a software program that allows physicians remote access to patients’ charts. By using Meditech, it is less time consuming and easier in comparison to making medical rounds. Meditech allows physicians to view a patient’s lab tests, CT scans, ultrasounds, notes on the patients from all attending or attended physicians, among other vital information, Stware such as Meditech is beneficial to a clinical sytem as it primarily saves time through remote patient assessment by physicians. Big Data Risks and Rewards in Healthcare Clinical System Essay

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Potential Risk of Big Data Use in a Clinical System

One example of a potential challenge of using big data is in accessing and capturing data that is correctly formatted, accurate, complete and clean for utilization in multiple systems. This is because data comes from different sources and some of the sources lack impeccable governance (Bresnick, 2017).  A recent study by Valikodath, Newman, Lee, et al., (2017) depicted one such challenge. The researchers conducted a study in an ophthalmology clinic where the patient-reported data from 23.5% of EHR was analyzed. The study revealed that when patients reported three or more ocular problem symptoms, the EHR data did not reconcile the same. This was an example of poor reconciliation of data despite the accurate presentation of information by patients. Asri, Mousannif, Moatassim, et al., (2015) assert that poor usability of EHR, convoluted workflows and a failure to completely understand the importance of capturing big data well, can add to the quality issues that compromise data throughout the entire lifecycle. Big Data Risks and Rewards in Healthcare Clinical System Essay.

Strategy to Mitigate the Challenge

To ensure that data sourced by a healthcare facility is reliable, clean, and accurate, quality assurance measures need tobe put in place. More specifically policies that enforce the validation of data should be enforced in a healhtcare facility. Additionally, data on patients should be comprehensive which means that patient records should be complete with their care events as well as in the information that is of relevance regarding individual patients. Comprehensiveness will require for a healthcare faciiltiy to have accurate information on the patient’s every encounter with the system over time. Big Data Risks and Rewards in Healthcare Clinical System Essay. To achieve this, a patient seeking medical assistance in a new healthcare facility will be required to inform on whether they have had other hospital visits. The information availed by the patient will be counter-checked in the state and federal healthcare system for clarification and reconciliation. Doing so will ensure that a patient receives the right treatment and avoid medical errors.

References

Asri, H., Mousannif, H., Al Moatassime, H., & Noel, T. (2015, June). Big data in healthcare: Challenges and opportunities. In 2015 International Conference on Cloud Technologies and Applications (CloudTech) (pp. 1-7). IEEE.

Bresnick, J. (2017). Top 10 Challenges of Big Data Analytics in Healthcare. Health IT Analytics. Available online at: https://healthitanalytics. com/news/top-10-challenges-of-big-data-analytics-in-healthcare (AccessedJun20, 2018). Big Data Risks and Rewards in Healthcare Clinical System Essay

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Valikodath, N. G., Newman-Casey, P. A., Lee, P. P., Musch, D. C., Niziol, L. M., & Woodward, M. A. (2017). Agreement of ocular symptom reporting between patient-reported outcomes and medical records. JAMA ophthalmology, 135(3), 225-231.

Big Data Risks and Rewards
When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth. Big Data Risks and Rewards in Healthcare Clinical System Essay

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples. Big Data Risks and Rewards in Healthcare Clinical System Essay

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
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/ Big Data Risks and Rewards in Healthcare Clinical System Essay

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Note: You will access this article from the Walden Library databases.

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Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).

Note: You will access this article from the Walden Library databases. Big Data Risks and Rewards in Healthcare Clinical System Essay

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Note: You will access this article from the Walden Library databases.

Required Media
Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Transcript for video
Analyzing Data for Clinical Success
Program Transcript
GRANT SHEVCHIK: Probably the one disorder/disease where information
technology has had the biggest impact and really done a great job is in the
management of diabetes. Diabetes has a lot of complications too it, a lot of
different things that can go wrong. But on the surface, what you\’re managing for
the most part are numbers. Obviously, information technology is very conducive
to measuring numbers. Big Data Risks and Rewards in Healthcare Clinical System Essay
So you can pull up Joe, and you can see Joe. And you can see his numbers. You
can see the trend over time. You can see all sorts of things. This was magic. This
was one of the reasons why, way back when, we wanted to get an electronic
record, because we were able to look at that.
But the most important thing is not looking at the numbers in isolation, but looking
at them over time and being able to say to you, hey Joe, you\’re doing a great job.
You went from a hemoglobin A1C of 15. Normal is supposed to be 7. You\’re
down to 9. Most people would be unhappy with you. I\’m ecstatic, because 9 is a
lot better than 15.
By saying it in that fashion, Joe has an incentive to get down to 8. Joe\’s last
doctor never even knew what his A1C was the time before, the time before that.
In the paper chart, the chart was never there when Joe was there.
But it also makes a difference if this person shows up in the emergency room
and needs emergency surgery. Is this diabetic a diabetic under good control? Is
this a diabetic that has a lot of problems?
In the past, all we\’ve done is coded them as being diabetes. And we patted the
doctor on the back and said, good job. You let us know they have diabetes.
Now we\’re really asking for the more specific detail. What else is going on? What
else is there? Having some data is good. But then taking that data and looking
and making it more accurate is a more desirable goal and would make a big
difference in that patient in the long run.
The advantages of the whole community– meaning patients, physicians, et
cetera– becoming electronic and communicating over the internet via
smartphones, via whatever– that\’s what\’s going to really change medicine,
especially in chronic diseases. If you\’re talking about somebody\’s arthritis, they
need to be able to tell you, where does it hurt? How much does it hurt– that sort
of thing. So it\’s not as straightforward. But if you build effective questionnaires,
you can have questionnaires that the computer is smart enough to answer and
analyze for you.
© 2018 Laureate Education, Inc. 1

Analyzing Data for Clinical Success
So the future is great if you take what\’s out there and available, have the
computer work for you, design effective questionnaires, design effective things,
reach out to patients on a regular basis, know who communicates back to you,
but also know the ones who you\’ve lost. It\’s like anything else. The most
important patients are the ones that somehow got lost to follow-up. They\’re the
ones that are going to come back and be the train wreck. They\’re going to be the
ones that come back and show up in the hospital in the emergency room.
IT mean makes it a whole lot better than it used to be with just paper cards,
where he pull the cards out and see who needs to be reminded this month.
However, you still need to have people on your end, meaning the physician\’s
office end, who\’s looking at this and managing this to be able to make sure that
you\’re communicating with your patients, they\’re getting back to you, and you\’re
seeing what needs to be done. Big Data Risks and Rewards in Healthcare Clinical System Essay
As we get farther along, and more and more people sign onto a patient portal–
that sort of thing– that\’s where the magic comes in, because now, I can reach out
to all my diabetics through the portal. I can remind 1,000 people in 10 minutes by
just writing what I want to write, and send it all 1,000 of them. We didn\’t have that
ability before.
The part that really makes it easier is we\’re now actually getting to people
through their smartphones. And so we need to use these things that are out
there, the things that are available to us, that we can begin to take advantage
and really reach out to our patients. They love the convenience. And most
importantly, they appreciate that we care.
Analyzing Data for Clinical Success
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Analyzing Data for Clinical Success
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Accessible player
Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw. Big Data Risks and Rewards in Healthcare Clinical System Essay

 

Advanced Practice Nurses (APNs) Liability and Risk Management Essay

Liability and Risk Management

How Organizations Identify and Minimize Risks

Risks associated with the reliability of APNs are identified using different methods such as analyzing patient satisfaction, competencies of APNs, rates of medical errors, attitudes of APNs towards work, as well as nurse-patient relationships. Healthcare institutions have a plethora of methods to mitigate/minimize the potential risks associated with the professionalism and liability of APNs. Firstly, Advanced Practice Nurses (APNs) are highly trained in the medical and nursing fields. These healthcare professionals have either masters or Ph.D. in nursing. The healthcare institutions ensure that it recruits highly qualified and experienced APNs who have the relevant skills and expertise in specific fields (Joel, 2017).

Effective Risk Management Strategies

The internal management of the staff via robust human resources management is essential in enhancing the performance of the APNs to reduce the risks associated with the reliability of the nurses. Therefore, the APNs are well managed to enhance their involvement in creating a conducive working environment that is free from factors such as nurse-burnout, demotivation, and poor communication. Therefore, regular reports concerning the trends in the factors mentioned above assist in minimizing the risks. The improvement is of the internal environment such that the APNs work in favorable environments assists in reducing the risks. Other strategies include the provision of the right equipment, medical supplies, as well as technology. Advanced Practice Nurses (APNs) Liability and Risk Management Essay

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How APNs Help in Risk Management in their Practice

The APNs are governed by various protocols such that each person is responsible for his or her wrongs. In this manner, the hospitals have the ethics and professionalism boards that set the rules and regulations within the hospital. Such boards ensure the APNs act ethically and morally while making nursing/medication decisions. Therefore, errors in medication, diagnosis, prescription, or handling of the patient are minimized. Thus, APNs minimize risks by working within the allowed ethical and professional guidelines. The application of evidence bases practice (EBP) assists in the improvement of their performance and reliability (Coffey, 2019).

References

Coffey, S. (2019). Reducing Liability and Risk for the Advanced Practice Nurse Part 2. AAACN

              Viewpoint, 41(5), 14-13.

Joel, L. A. (2017). Advanced practice nursing: Essentials for role development. FA Davis.

 

 

Discussion for Module 9 – Liability and Risk Management
No unread replies. No replies.
Answer the following questions in the specific context of your health system and the settings you have told us where APNs will be working: Advanced Practice Nurses (APNs) Liability and Risk Management Essay

How your organization should identify and minimize the potential risks regarding professional liability for APNs?
Discuss specific strategies or actions the APN can utilize to ensure effective risk management.
Discuss how APNs will maintain standards of care to as they practice throughout your organization. Advanced Practice Nurses (APNs) Liability and Risk Management Essay