nurs677 Week 2 Informatics in Improving Patient Care Presentation

Using Kaltura, create a presentation that discusses the role of health informatics in improving patient care. Include an example of a new trend in digital technology that has helped improve patient care (e.g., telehealth, patient portals). Do not focus on just one topic, but include an overview of how the informatics technology you chose to research in general improves patient care. Make sure to reference at least three scholarly resources. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

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Your presentation—created using the Kaltura recording tool—should include, audio, video, and either tool you chose an integrated PowerPoint presentation or a recording using visual aids and should be a maximum of 10 minutes in length. See the Getting Started with Kaltura link in your main menu on the left for instructions on how to use the Kaltura recording tool.

nurs677 Week 2 Informatics in Improving Patient Care Presentation

Measuring and Improving Patient Outcomes Essay Assignment paper

In W3: Assignment, you began describing and analyzing the process of measuring and improving patient outcomes in your practicum setting. This week, you will build upon your work by continuing your analysis and conducting a SWOT analysis. You will submit your assignment in the format of a presentation.

Begin this assignment by incorporating the instructor’s feedback on the assignment you submitted in Week 3.

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Then, prepare a 8–10-slide PowerPoint presentation covering the following:

Present the information you described in W3: Measuring and Improving Patient Outcomes Essay Assignment paper 2, including the following:

The measurements or outcome metrics being utilized in your practicum setting to gather and monitor patient satisfaction and patient outcomes data.

The current process of how, when, and by whom these data are collected.

The frequency with which the data are collected.

The process for sharing patient satisfaction and patient outcomes data with nurses, staff members, and other members of the healthcare delivery team.

Analyze the current status of the healthcare organization with respect to patient satisfaction and outcomes to date.

Conduct a SWOT analysis of the process followed by your practicum setting to measure and improve patient satisfaction and outcomes. Use the SWOT matrix to present your analysis.

Examine the role of the nurse leader in the structure, process, and outcome of gathering and monitoring patient satisfaction and patient outcomes data.

Use APA style and formatting for your assignment. Make sure to include the following in your presentation:

A title and a reference slide (these do not count toward the number of slides in your assignment)

Headings for each slide or section

Speaker notes in support of the information in each slide

Submission Details:

Submit your Measuring and Improving Patient Outcomes Essay Assignment paper in a PowerPoint presentation to the Submissions Area by the due date assigned.

Name your document SU_NSG6630_W5_A2_LastName_FirstInitial.ppt.

On a separate slide, cite all sources using the APA format.

Measuring and Improving Patient Outcomes Essay Assignment paper

Discussion: The Application of Data to Problem-Solving

Once upon a time, there was an era of paper charting and this was the norm in many health care facilities. There were using MAR and TAR  , I had an opportunity to be part of that generation where health care professionals where  locked in this system .This paper system was very stressful and it was hard to find the information needed regarding patients .Little did we all know that technology was evolving so fast and later on , Many software with EMR and ETR emerged . Now, most hospitals I work for are using Electronic Medical Records (EMR) and life is so much better. Since the implementation of EMR, access to critical information or data has been faster and more convenient for all health care professionals.

In the ICU where our patients are usually in a state of shock or going to it, various data collection sets are used to predict the severity of shock or if a patient is going to septic.  The use of MEWS or Modified Early Warning Score together with laboratory data has provided many hospital units to prevent delay in interventions of critically ill patients (Gardner-Thorpe et al., 2006). My current hospital integrated MEWS with our EPIC EMR which triggers or flags nurses to pay more attention to warning signs of sepsis or shock. The nurses will then contact the Rapid Response nurses to evaluate the patient and interventions are made to prevent further decline in health.

Without the integration of data as a useful source of information to drive nursing interventions, it would take nurses and other health care providers some time to gather information and formulate a solution Discussion: The Application of Data to Problem-Solving. With our EPIC system, which is maintained by the Information Systems department, led by a Nursing Informatics graduate, the digital solution to electronic records and retrieval is modeled on the nursing science. McGonigle and Mastrian enumerated the foundations of nursing informatics being knowledge acquisition, generation, dissemination, processing and feedback (2018). These processes drive the current nursing practice model to that of information systems.

Access to a vast collection of data about any medical issues has also been integrated into our EPIC. Medline and Micromedex for drugs are excellent resources that enable the nurses to administer correct medications and know the side effects of each medication that are not familiar to them (Flynn, 2001). As we can see, technology has come a long way to help as a tool for health care professionals to work effectively and safely.

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References

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

Gardner-Thorpe, J., Love, N., Wrightson, J., Walsh, S., & Keeling, N. (2006). The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study. Annals of the Royal College of Surgeons of England, 88(6), 571-5.

Flynn, M. B. (2001). Nursing and informatics: Implications for critical care practice. Critical Care Nurse, 21(4), 8-8, 10, 14, 16. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search-proquest-com.ezp.waldenulibrary.org/docview/228169558?accountid=14872

Response

Henry, I came into the nursing field just as the nursing field was transitioning into electronic records.  I remember seeing and hearing the older nurse’s frustrations because their generation was not as familiar with using computers.  Wu, Deoghare, Shan, Meganathan & Blondon (2019) reports that electronic health record (EHR) systems that are not easy to navigate through can increase frustration among users, which can result in increased errors.  While transitioning to EHR systems was difficult in the beginning, it was easier once everyone adjusted to the system.  Unlike paper systems, EHR systems allow providers to review lab results and diagnostic tests promptly  Discussion: The Application of Data to Problem-Solving. There is less of a chance that records will be misplaced or misfiled when an EHR system is in place.

Ayaad, Alloubani, ALhajaa, Farhan, Abuseif, Hroub & Akhu-Zaheya (2017) conducted a comparative study comparing paper-based records and EHR systems.  What the study showed was that the patients in hospitals that used EHR systems received higher quality care compared to those that did not.  EHR system allows providers to print off a summary of the patient’s condition that can be given to their peers during the change of shift, or when a patient is being transferred to a different unit (Wu, Deoghare, Shan, Meganathan & Blondon, 2019).  This help ensure that the oncoming nurse has all the information available to provide quality care.

References

Ayaad, O., Alloubani, A., ALhajaa, E., Farhan, M., Abuseif, S., Al Hroub, A., & Akhu-Zaheya, L. (2019). The role of electronic medical records in improving the quality of health care services: Comparative study. International Journal of Medical Informatics, 127, 63–67. Doi: 10.1016/j.ijmedinf.2019.04.014

Wu, D., Deoghare, S., Shan, Z., Meganathan, K., & Blondon, K. (2019). The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study. Health Systems, 8(3), 203–214. Doi: 10.1080/20476965.2019.1620637Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation. Discussion: The Application of Data to Problem-Solving

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.
• Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

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Focus of My Scenario

In my clinical scenario, the danger of surgical smoke goes wholly ignored by my hospital. The surgical staff is constantly exposed to smoke from electrocautery and lasers without apparent care for their occupational health. Ignorance of the situation by surgeons and management is persistent. Examining the basis of such ignorance reveals multiple potential motivations. First, surgeons may believe, and it is frequently said, that there is no danger presented by inhaling surgical smoke. However, there is sufficient and credible evidence to the contrary. Second, there may be a corporate fear associated with the cost associated with smoke abatement technologies. However, the ethical and moral concern associated with cost-based value judgments when it comes to employee safety becomes ugly very quickly. This is especially true when such a clear body of knowledge regarding the issue exists. Third, there may be conflict within the scientific community about the subject. As more contemporary scientific knowledge is revealed, older notions that were once considered as knowledge are laid to rest. In this case, the most strident of the old-school thinkers still demand their say at the cost of so many affected healthcare workers.

Data Use, Collection and Access

The credible data required for a transformative effort in the knowledge of this the subject is current, copious and widely available through Google Scholar, the U.S. Department of Labor Occupational Safety and Health Administration, the National Institute of Health or any reputable research library. Discussion: The Application of Data to Problem-Solving

Using Knowledge Derived from Data

Under direct experimentation, exposure to surgical smoke has been definitively shown to increase the risk of lung cancer and may also promote chronic bronchitis, asthma , and emphysema. Increased mortality and increased risk of lung and airway disease are directly tied to biological and chemical pathogens transmitted by the inhalation of the contents of surgical smoke (Karjalainen et al., 2018). According to the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA), upper respiratory tract irritation and visual problems are well-established dangers of repeated exposure to surgical smoke. OSHA has acknowledged that surgical smoke may contain toxic gases that have mutagenic and carcinogenic properties (United States Department of Labor, 2019). According to the research of Sissler et al. (2018), surgical smoke contains biological and chemical pollutants that result in cytotoxicity and pulmonary irritation when inhaled. They feel that their research strongly supports other published research and that surgical smoke is a direct occupational hazard for surgical workers (Sissler et al., 2018). She et al. (2017) stated that surgical smoke contains known carcinogens and has established the inhalation of it as a vector for the transmission of infectious biological particles. Formaldehyde and benzene were shown to exist in surgical smoke at levels that exceed the United States Environmental Protection Agency’s cancer risk index by 1×10^6. They suggested that since the negative health impact of surgical smoke inhalation was so profound and highly carcinogenic in nature, a control measure must be taken (She, Lu, Yang, Hong, & Zhu, 2017). Furthermore, the Association of Perioperative Registered Nurses (AORN) believes that there is sufficient credible data to lobby for changes in the law regarding the protection of surgical staff. According to AORN, Colorado and Rhode Island have already enacted compulsory smoke evacuation laws. Similar efforts will soon become law in Oregon and Tennessee (Azzara, 2019).

References

Azzara, N. (2019, December). Standing up against surgical smoke. Outpatient Surgery. AORN. Retrieved from http://www.outpatientsurgery.net/surgical-facility-administration/personal-safety/standing-up-against-surgical-smoke–12-19

Karjalainen, M., Kontunen, A., Saari, S., Rönkkö, T., Lekkala, J., Roine, A., & Oksala, N. (2018). The characterization of surgical smoke from various tissues and its implications for occupational safety. PloS one, 13(4).                                                               doi:10.1371/journal.pone.0195274

She, S., Lu, G., Yang, W., Hong, M., & Zhu, L. (2017). Health risk assessment of VOCs from surgical smoke. Preprints, 2017070042. doi:10.20944/preprints201707.0042

Sisler, J., Shaffer, J., Soo, J., LeBouf, R., Harper, M., Qian, Y., & Lee, T. (2018). In vitro toxicological evaluation of surgical smoke from human tissue. Journal of Occupational Medicine and Toxicology, 13(12). doi:10.1186/s12995-018-0193-x . Discussion: The Application of Data to Problem-Solving.

United States Department of Labor. (2019). Smoke plume. Retrieved from https://www.osha.gov/SLTC/etools/hospital/surgical/surgical.html#LaserPlume

response

I agree that the danger of surgical smoke is an important issue that is often dismissed. When I switched from outpatient cardiology to plastic surgery, I became aware of the potential long-term health risks of being exposed to surgical smoke. I also felt that smoke evacuation systems were not always used properly in an effort to save money. When considering legal guidelines, it is important that the protection measures are consistent with the data. Similarly, exposure issues continue to surface at the VA, with disability compensation being requested for diseases related to military service. Unfortunately, it seems the data for possible connections between illnesses and exposure to environmental agents is lacking. While various hazards have been reported, data on long-term effects of exposure to surgical smoke are not available (Steege, Boiano, & Sweeney, 2016). According to the National Research Council (n.d.), the need for exposure assessment measures can improve the ability to assess adverse effects from environmental agents. As nurse leaders, it is important to provide clear, supported justifications for changes to existing protocols to encourage adoption of the new policies and procedures.

References

National Research Council (n.d.) Environmental Epidemiology: Volume 2: Use of the

Gray Literature and Other Data in Environmental Epidemiology. Washington (DC): National Academies Press (US). Retrieved February 28, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK233635/

Steege, A. L., Boiano, J. M., & Sweeney, M. H. (2016). Secondhand smoke in the

operating room? Precautionary practices lacking for surgical smoke. American journal of industrial medicine, 59(11), 1020–1031. https://doi.org/10.1002/ajim.22614. Discussion: The Application of Data to Problem-Solving.

Professionalism and Social Media Essay

Professionalism and Social Media

Social media plays crucial roles in the personal and professional lives of nurses. Numerous social media platforms are available for nurses, including blogs and social networking sites. Social media can facilitate professional networking by enabling nurses to connect with colleagues. However, social media poses potential risks to nurses and patients regarding violation of professional-personal boundaries, violations of patient confidentiality, harm to professional image and legal or licensing issues.   The paper identifies social media items that would be regarded as unprofessional and possibly detrimental to a nurse’s career and that adversely impact the reputation of the nursing profession.

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Posts that may be considered inappropriate

After reviewing my posts, I have noticed that I have made several posts on Facebook that may be regarded as inappropriate. In one post, I  complained about how I had a hard day at work and how I was made to working beyond my working hours and how exhausted  IN another post, I stated how I was annoyed by a drunkard who staggered in and peed on himself on the waiting area. Although I did not mention any names or post ant photos, the posts are inappropriate. Professionalism and Social Media Essay According to Weiss et al., (2019), nurses should not describe patients in a criticizing way, even if they do not identify patients using names or photos.  It is inappropriate and unprofessional to publicly air discontentment with her or his employer or talks about problems at work that might make the employer susceptible to mockery or loss of image in the health care field or community (Cherry & Jacob, 2018).

Why nurses have a responsibility to uphold a standard of conduct

Nurses have the responsibility of upholding standards of conduct consistent with the standards governing the profession of nursing in their personal lives and at work to safeguard the reputation of the nursing profession and their careers.  According to Ventola (2014), when nurses post unprofessional content on social media, it can reflect adversely on them or their organizations.   The activities of nurses on social media sites are regarded as public activities. Thus, the content that nurses post directly reflects the whole professionalism of nurses and are capable of influencing the opinions that the public has on nurses as well.

Inappropriate behavior might damage the professional image of nurses as well as a health care setting’s reputation. Furthermore, a nurse might face adverse consequences such as fines, job termination, or permanent or temporary revocation of license (Selekman et al., 2019).  Several social media behaviors can be interpreted as unprofessional Professionalism and Social Media Essay. For example, infringement of patient confidentiality, use of biased or profanity language, images of intoxication or sexual suggestiveness along with disparaging comments about an employer or patients (Ventola, 2014).

Personal confidentiality can violate HIPPA or considered unethical or unprofessional if it breaches patient privacy or confidentiality.   The disclosure of confidential health data, either intentional or unintentional, is a breach of HIPPA guidelines. According to Hao and Gao (2017), infringement of patient’s privacy and confidentiality when utilizing social media can be either unintentional or intentional and can occur in numerous diverse manners. A nurse might breach the privacy of a patient by the information that they post on social media sites, for instance, photos or videos of clients with no any valid approval even if there is no any information identifying them,   comments about patients in demeaning or degrading manners and exposure of too many details of patients that makes them be easily identified such as their room numbers and their treatments or medical conditions Professionalism and Social Media Essay.

Social media activity that reflects Christian values

Keeping the information of all my patients, regardless of their age, medical condition, nationality ethnicity are areas of y social media activity that reflect Christian values connected with respect for human value and dignity for all individuals.  As a professional nurse, I am committed to preserving the value and dignity of my patients and I understand that I am ethically bound to offer compassionate care by respecting the innate worth and dignity of all people. As indicated by Hao and GAO (2017), the privacy of patients involves their expectation and rights that they are treated in a dignified way. When patients’ privacy is breached, even unintentionally, it can make patients have the feeling that they have lost dignity and their therapeutic relationship with nurses has been damaged.

The areas of my asocial media activity that could be improved include engaging in conversations with my patients on my social media sites and accepting friend requests from my current and past patients. I will avoid accepting a social media friend request from patients, and if any patient sends me a friend request, I will redirect them to a means of communication that is more secure or connect them to a professional social networking page like LinkedIn. Patients can become fans or friends of this page, which offers only information that is pertinent to the professional nursing practice. Professionalism and Social Media Essay According to Chism (2019), health care professionals need to observe professional boundaries when using social media. Similar to face to face interactions, it is the responsibility of the nurse to establish, talk about and implement professional boundaries with clients within an online environment.  Nurses should be cautious when initiating conversations with their clients or former clients or their families.  It might be sensible to keep away from having contact with patients.

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References

Cherry, B., & Jacob, S. (2018). Contemporary Nursing E-Book: Issues, Trends, & Management.  St. Louis, MO: Elsevier.

Chism, L.  (2019). The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues. Burlington, MA: Jones & Bartlett Learning

Hao, J., & Gao, B. (2017). Advantages and Disadvantages for Nurses of Using Social Media. Journal of Primary Health Care and General Practice, 1(1), 1-4.

Selekman, J.,  Shannon, R., & Yonkaitis, C. (2019).  School Nursing: A Comprehensive Text.  Philadelphia, PA: F.A. Davis.

Ventola, C. (2014).  Social Media and Health Care Professionals: Benefits, Risks, and Best Practice.  Pharmacy and Therapeutics, 39(7), 491-499 Professionalism and Social Media Essay.

Weiss, S., Tappen, R., & Grimley, K. (2019).  Essentials of Nursing Leadership & Management. Philadelphia, PA:  F. A. Davis.

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field. Professionalism and Social Media Essay
In 500-750 words, summarize the findings of your review. Include the following:
Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this Professionalism and Social Media Essay assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.