Interaction between nurse informaticists and other specialists

Category: Nursing

Interaction Between Nurse Informaticists and Other Specialists

Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

  • Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
  • Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
By Day 3 of Week 3

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

*Note: Throughout this program, your fellow students are referred to as colleagues.

The mail discussion will need at least 3 references and also in APA 7 format

The discussion below will a reply with at least two references in APA 7 format. I will be attaching another discussion that will need a reply with the same requirement as the first.

Mikol’s discussion

Before the emergence of the computer system or the electronic health records, data entry and retrieval were manually done with paper and pen notations, a system that seemed efficient years back now becomes antiquated following the emergence of computers and upgrade in technological advancements to enhance safety and efficiency in the delivery of care to our respective clients. The paper and pen era of data entry and records management provided the necessary access needed to care for clients, but presented with numerous disadvantages. Some of the draw back to the manual way of data entry aforementioned above were; the lack of access to multiple providers across network, information on a chart can only be assessed in person since the chart can not leave the hospital or the nursing station, medical collaboration was not feasible since information dissemination was rather slow or not forthcoming.

     In this new age of computers and technological advancements in health care informatics, access to health care records, data, imaging and all other related patient information is easily accessible by the click of a computer mouse or simple operation of scanning and faxing of needed medical information across multiple discipline who are directly involved with the care of the client. An example is the laboratory inputting lab results that can be accessed by multiple auxiliary teams who are directly taking care of a particular patient, the information once entered is widely accessible by all teams who have legitimate access to the patients medical record. “Of these competencies, project management is one of the most important essentials identified since it impacts all areas of NI skills and provides an organizing framework for processes and projects including skills such as design, planning, implementation, follow-up and evaluation. Examples of job roles that specifically require project management skills as an essential part of the NI functions include management, administration, leadership, faculty, graduate level master’s and doctorate practicum courses.” (Sipes, 2016)

     Given the functionality of the electronic health records and the ease at which information is disseminated seamlessly across multiple disciplines and data bases, due to technological advancement in informatics and the need to incorporate more efficient cutting edge technology, some of the strategies that can be implemented to better serve our patient population is the implementation of a back up system that operates seamlessly in the event of a computer down time or when the maintenance team are doing certain upgrades, they should be some kind of allowance to the operability of the system instead of resorting to the antiquated way of managing operations using the pen and paper format. A perfect example is the experience I had on the unit of recent, where the informatics team set out to do an update but then the down time and shut down of the computer systems weren’t communicated to staff nurses on the night shift, so mid shift we were surprised when our systems powered down and we scrambled to look for answers only to be told the informatics team are doing updates, now we still have medications to give and orders to access alongside other disciplines have other numerous task to perform, the only resolve was going back to the paper and pen era which most of us were not familiar with to begin with, hence jeopardizing the efficiency and safety of patient care for the upgrade of systems. “Explicit knowledge is the knowledge that one can convey in letter, words, and number. It can be exchange or shared in the form of data, manuals, product specifications, principles, policies, theories, and the like. Nurses can disseminate and share this knowledge publicly or on the record and scientifically or methodically.” (McGonigle, 2017, p539)

     Following from technological advancements in the sector of health care and informatics, I believe continued evolution of the computer era in delivery of medical aid and interventions will only get better as the years go by. In this day and age, we do experience the ease and efficiency accorded by the advent of the electronic health records. Other benefits are its time saving and safety mechanisms across the board and the ease at which information is shared seamlessly across different disciplines in furtherance of patient care. In the near future technological advancement will make for even more safe and efficient ways of health care delivery in a timely fashion since innovations in the computer and informatics era presents with such hope given the level and the rate at which informatics and the health care system have merged inseparably. “The guiding principles of EBCD design were established to ensure that the final product enhanced and supported the process of patient care documentation, such as strict adherence to the style guide for consistency and alignment with the previously defined ideal workflows … In summary, we have developed a systems-level method that allows nursing executive leadership to organize, set up, and own processes related to the development nursing informatics solutions. Our organization has used this structure for several projects with positive results. Use and adaptation of the strategies of this method may offer a way for nursing leadership to guide and influence future solutions.” (Mosier, 2019)

                                                                                                         References

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

Mosier, Sammie, DHA, MA, BSN, NE-BC, CMSRN, BC, Roberts, Wm., Dan PhD, RN, et al. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. Journal of Nursing Administration, 49, 543-548. https://doi.org/10.1097/NNA.0000000000000815

Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.

Discussion for Gualn

RE: Discussion – Week 3COLLAPSE

I remember in 2009 when Electronic Health Record (HER) system was installed at a one of the organizations that I worked for. I was very happy, enthusiast and positive about the new changes in the facility. I made sure that I learnt the system very well, because I wanted to be comfortable with it. I was selected as one of the mentors for whoever needed assistance in the facility. I became a knowledge management tool! It was the beginning of EHR and it was a chocked for many nurses who had the attitude “this is the way it’s always been done here” (Melnyk & Fine-Overholt, 2019). From that day on nurse informatic and technology do not stop evolving around.

In the beginning of my nursing career, it was veery difficult to almost impossible for multiple care providers to access a patient’s chart all at once. I remember that everyone had to wait and passed the chart from one person to another. Today with HER we can have multiple providers accessing a chart and caring for a patient on site or at distance all at once. Nurse informatic era has changed health care delivery tremendously. Professional across the healthcare organizations had shown to have a better sharing of information. Knowledge management is better accessible through information technology (IT) as in intranet, extranet, blog, knowledge directories withing the organization (McGonigle, 2018).  Technology specialists within my organization interact with each other within a wide range of platforms for patient best quality of care delivery and planning, like Vital Connect monitoring devices, electrocardiogram EKG monitoring, laboratories test results, pharmacy department, radiology department just to name few. All specialists from theses specialties interact with each other by reviewing results, giving orders, sharing information while they don’t even meet most of the time. 

On the other hand, these interactions are not the best from my point of view and can be enhanced. It is wonderful that, every piece of information is accessible at the tip of a finger for everyone, but it does not take away the patient face to face interaction. It is not to forget that the reason of nursing is the patient. Patient centered care and be present for the patients are important part of their care. I have seen providers relying on the data a lot for patients’ treatment when patients have not presented any clinical signs to correlate the information displayed by the electronic gadget. It is always important to look at the patient first, then the data. 

In consequence, I believe that the continue evolution of nursing informatic, and new technologies will impact professionals’ interaction. The emergence of new technology will definitely provide a better system of delivery of care and increase nursing knowledge as the knowledge worker then able to share that knowledge and become part of the knowledge repository system of the organization as professionals acquired skills and build experiences and wisdom for tacit knowledge. I had mentioned about the vital connect that my organization is using for our cardiac patients. The vital connect provides a wireless cardiac monitoring at the bedside. It is a new technology that I have not had in the past. The nurses are aware that the cardiac rhythm is monitored, and any abnormal rhythm will be alerted to them. The devices definitely assist in monitoring and of course aid the physician in diagnosing patients. That is efficient time management that gives the nurses more time to be fully present with patients for nursing care and create a “tapestry” (McGonigle, 2018, p.538). The emergence of new technology will continue to improve communication accuracy and efficiency “Gone are the days of paper charts that had to be meticulously updated with handwritten notes” (healthinformatics.uic.edu). Although managing the knowledge across all the discipline with the emergence of technology in nursing can be challenging if there is no interprofessional collaboration within the organization. 

Reference

https://healthinformatics.uic.edu/blog/the-impact-of-health-informatics-on-nursing-practice/

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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