6051 Week 1 Responses
My post was order 223362. Respond to the two posts attached with the following response instructions. 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.
Response 1: Annette
The discussion post offers the author’s understanding of how nurses can apply data to solve problems within the professional environment. In this regard, the author explores how telemedicine can be leveraged as a data management tool to help in the fight against Covid-19. The post makes it clear that the virus has changed the public health landscape and created a new norm. This is particularly so for Veteran Affairs that must similarly conform to the new public health guidelines that insist on social distancing in order to curtail the virus spread. In this regard, telemedicine has been identified as a tool that can be leveraged to allow medical personnel to provide medical care to patients without having physical contact thereby supporting efforts against the epidemic. This information is useful in presenting a strategy for addressing the primary care gaps resultant from the social distancing needs occasioned by Covid-19. In addition, the post mentions that telemedicine offers a good tool for collecting and assessing data.6051 Week 1 Responses. However, there is a need to mention that telemedicine can be integrated with electronic health records (EHR) systems to help with data management efforts. EHR systems already have established data management schemes that can be integrated with telemedicine and other online tools to develop a better understanding of health care delivery (Saba & McCormick, 2015). The post concludes with opinions on how clinical reasoning and judgment can be used in the formation of knowledge from using telemedicine. The author intimates that awareness of telemedicine is important in this regard. Also, the need to evaluate current evidence is discussed. Still, there is a need to mention that the right data must be collected to identity trends and correlations (McGonigle & Mastrian, 2018). Overall, the post offers an informative analysis of how nurse leaders can leverage data to solve existing problems within the health care environment.
Response 2: Audrey
The discussion post offers an explanation of how nurse leaders can apply data to problem solving within the professional environment. The post offers t typical problem scenario in a health care environment. The scenario discusses the need for collecting data to understand the health care needs of a patient and prepare an appropriate care plan. This is an informative scenario as the majority of nursing tasks involve assessing the care needs of patients. The post then goes on to discuss the data that was collected and assessed with regards to the case scenario. It particularly highlights the use of medical technologies to collect health information. In addition, it highlights the need for analytical skills to make sense of the collected knowledge. The post concludes with a post on how a nurse leader can use clinical reasoning and judgment in the formation of knowledge from case experience. The author mentions that informatics allows nurse leaders to leverage the available information to form knowledge. Still, it is important to mention that collecting data helps with identifying trends and correlation that help with informing problems and cases. Evaluating the collected information would help with identifying feasible and affective interventions (McGonigle & Mastrian, 2018). Overall, the discussion post offers an informative analysis of how nurse leaders can apply data in problem solving within the professional environment. 6051 Week 1 Responses.
McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones and Bartlett Learning.
Saba, V., & McCormick, K. (2015). Essentials of nursing informatics (6th ed.). McGraw-Hill.
ANNETTE DE LA C.
RE: Discussion – Week 1
Top of Form
COVID 19 has changed the way we socialize and practice medicine. The new norm at the Veteran Affairs (VA) in Primary Care consists of virtual visits and telemedicine. “The nurses providing these tele-homecare services are not necessarily informatics specialists, but the design and management of the monitoring tools, infrastructure, and support services may be provided by them in the future” Nagle, Sermeus, & Junger (2017). We utilize VA Video Communication (VVC) and the smartphone application Doximity. Our nurses and providers rotate working from home with a limited clinic or patient face to face contact. Annual visits, blood pressures, weight checks, phone triage, and management of chronic disease are handled and documented using various technologies. Consults for pain, opioid use, diabetic teaching, dermatology, mental health, and specialty providers all communicate via these tools. Assessment, diagnosis, patient history, education, medication reconciliation, and treatment require VA embedded applications that help to alert healthcare providers of risks, services, and opportunities to improve and track patient outcomes. Gaps in coverage include patients who are not technology savvy, lack technical resources such as smartphones, tablets, computers with cameras, internet, or dexterity to operate devices.
Data Collection & Assessment
Healthcare providers rely on accurate and consistent data to treat patients. Data should be complete and consist of integrity and quality facts. There are many ways to collect data such as through video, images, numeric, alphabetic, and audio. Safeguards to prevent inaccurate data are valuable in forming the highest quality data used by knowledge workers. Assessment and decision making should be based on “characteristics of valuable quality information, include accessibility, security, timeliness, accuracy, relevancy, completeness, flexibility, reliability, objectivity, utility, transparency, verifiability, and reproductivity” McGonigle, & Mastrian. (2017). 6051 Week 1 Responses. Everything in the VA is assessable through various systems that communicate with one another. Healthcare providers provide real-time assessment of comorbidities, medications, when those medications were last filled, allergies, scans, labs, vitals, other providers (including a specialist) progress notes and procedures within the VA (non-active) and Tricare (active duty) systems.
Nurse leaders apply knowledge and critical thinking skills into making judgments to improve patient outcomes. These skills come from education, research, and on the job training. This training, education, and experience all stem from various sources of information science. Knowledge is a life-long learning process that is constantly growing changing and reforming. Nurse leaders may rely on scholarly articles, company intranet, and internet databases to help them assess and treat patients with the most up to date and reliable practice. A nurse leader can utilize their facilities’ provider education and training to formulate clinical reasoning and judgment. Webinars, procedure videos, committees, and company emails with up to date information. “VA has a variety of resources available for community providers to equip you with the knowledge needed to successfully provide care to Veterans” VA.gov. (n.d.).
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 2, “Introduction to Information, Information Science, and Information Systems” (pp. 21–33)
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. In J. Murphy, W. Goosen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212- 221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF
VA.gov. (n.d.). Provider Education and Training Resources. Retrieved from
Audrey Rose R.
RE: Discussion – Week 1
Working in the surgical unit is a hectic and busy area. A female patient undergone left hip arthroplasty with a history of hypertension and atrial fibrillation. On the 1st postoperative day, during hourly rounds, the patient found sitting on a chair, showed lethargy and severe generalized weakness. An initial assessment was performed, vital signs as follows bp-70/50mmhg, Sp02 80% room air, respiration 26bpm, heart rate- 130bpm irregular rhythm. A surgical site to the left hip found a large hematoma and swelling, and there was minimal active bleeding noted. 6051 Week 1 Responses.
The patient placed on the bed, oxygen delivered, and a large-bore IV inserted, and a Rapid Response Team with a hospitalist called and arrived for rescue. The following stat orders as follows, a Normal Saline 1000ml bolus, ABG, CBC, and other lab tests, EKG, and a cardiac monitor show AFIB, a stat chest, and hip Xray and C.T. performed. The patient transferred to ICU for monitoring, possible blood transfusion, Hgb 7g/dl, and possible surgical hematoma evacuation and drainage. Cardiologist referral consulted for the history of AFIB.
The Data Collected and Accessed
The hospital used Meditech to access patients with personal information. The information is composed of data that processed using knowledge; to be valuable, it must be accessible, accurate, timely, complete, cost-effective, flexible, reliable, relevant, simple, verifiable, and secure (McGonigle, D., & Mastrian, K. G., 2017). Using technology such as the cardiac monitor, EKG, Xray, C.T., and laboratory sciences are essential for physicians and nurses for appropriate patient treatment and intervention choices. Meditech technology is useful and valid to collect primary data and information saved for access to patient health history, initial assessment, provided physician order and intervention for delivered appropriate care and treatment, and working with a collaboration of the healthcare team.
These opportunities recognizing the the necessity of informatics knowledge and skills now and particularly into the future, as they face an increasingly connected world of digital healthcare ( Nagle, L., Sermeus, W., & Junger, A., 2017). The knowledge gathered from the data are healthcare team notes, patient assessment and history, diagnosis, test, and medications collected was accurate, secure, legal, and available, used to continue for the treatment regimen and a collaboration of the healthcare team member throughout hospitalization. 6051 Week 1 Responses.
Formation of Knowledge
As a traditional nurse, I have minimal knowledge of basic computers, and now in the healthcare industry, nursing informatics has become an essential and fast-growing specialty. The set of nursing informatics competencies published by the Technology Informatics Guiding Education Reform initiative contains three categories of competencies the basic computer skills, information literacy, and clinical information management (Hunter, K. M., Dee, M., & Hebda, T, 2012). Nursing informatics is vital for all nursing jobs and recommended by national organizations as an integral component of nursing education and practice, and limited information is available on the skills and informatics competencies. In patients safety and treatment priority, this scenario is an example of illustrating that nurses and physician order entry systems with decision support and collaboration, help reduce medication and diagnostic errors, improve prescribing patterns and interventions and guided treatment decisions ( Ortiz, E., Meyer, G., & Burstin, H., 2002). These helped providers and nurses assist the use of an information system to make possible clinical decisions and evidence of clinical informatics applications, and computerized decision support systems can improve patient safety.
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. 6051 Week 1 Responses.
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of Nursing Informatics Specialist, In J. Murphy, W. Goosen, & P. Weber (Eds), Forecasting Competencies for Nurses in the Future of Connected Health (212-221), Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:B|B_4A0FEA56B8CB.P001/REF
Clinical Informatics and Patient Safety at the Agency for Healthcare Research and Quality. Journal of the American Medical Informatics Association: JAMIA, 9(6 Suppl 1), s2–s7. https://doi.org/10.1197/jamia.M1216
Hunter, K. M., Dee, M., & Hebda, T. (2012). Operationalizing TIGER NI Competencies for Online Assessment of Perceived Competency. N.I. 2012: 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th: 2012: Montreal, Quebec), 2012, 181. 6051 Week 1 Responses.