Clinical companion for Fundamentals of nursing Essay

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Clinical companion for Fundamentals of nursing Essay

            The spreadsheet provided shows the information on ten different de-identified patients in a hospital that introduced bedside alarms as new technology to help curb the number of patients in the surgical ward. Patient falls are a noteworthy menace in healthcare provision because they lead to injuries and, subsequently, patient re-admissions. The national benchmark for patient falls stands at 3.44 falls/1000 patients in surgical units (Venema et al., 2018). The hospital’s fall rate is higher than the benchmark, considering its rate was 5.3 falls/1000 patients in the surgical units. Re-admission is costly because the hospital and patient bear the additional admission cost burdens. Therefore, introducing bedside alarms as a form of nursing informatics produced positive results for the patients following inpatient falls reduction.

Discussion

Patients in the surgical ward consistently experienced patient falls, rendering them to worse health outcomes because of the injuries caused by the falls (Peterson, 2017). The hospital had made steps to rectify this problem by installing wooden support bars along the hospital corridors for patients to use for support and reduce the incidence of falling. However, a new problem arose: patients would decrease from their beds while calling the nurse for help or relieve themselves in the washroom. Clinical companion for Fundamentals of nursing Essay.  Surgical patients are often fragile or in pain; therefore, mobility is reduced, and patient falls increase. To address this problem, the management introduced bedside alarms that patients press whenever they need any form of assistance from the nurses, who help them with their mobility needs. Since the introduction of this new technology, patient falls in the surgical ward have reduced by 83%, which depicts these devices’ efficacy in enhancing patient outcomes and reducing hospital readmission costs. The change in the patient fall rate was recorded one month after introducing the bedside alarms.

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            Reducing patient falls critical for the hospital because it helps it achieve its strategic plan to provide quality care to patients. Patient falls in healthcare settings are detrimental to patient health and are preventable. Therefore, by installing bedside alarms, the management achieves its strategic plan, given that these alarms helped reduce the patient fall rate by 83%.

Bedside alarms are an integral aspect of nursing informatics because they utilize technology to collect patient data, for the nurses to take action (McGonigle & Mastrian, 2018; Darvish et al., 2014). The alarm sounds at the nursing station, indicating the name and room number of the patient. This kind of information is critical in nursing, and in this case, has enabled the reduction of patient falls because, upon receipt of the alarm, the nurse swiftly responds to patient calls. This means that the nursing station must always be staffed with a minimum of two nurses in any given shift, to ensure that support is extended to patients whenever required. The installation of the bedside alarms was influenced by the ANA standards of practice, which require that nurses ensure they provide high-quality care to patients (American Nursing Association, 2015). Preventing patient falls are a critical aspect of care provision in nursing because nurses are supposed to provide care to patients.

To effect this change, the leading theory used was change theory, which requires that nurses use informatics to create new information and reject old knowledge (Snowden, Donnell, & Duffy, 2014). Patient falls are preventable by introducing bedside alarms that alert nurses whenever patients have mobility needs (Hasman, Gallos, & Liaskos, 2018). Old knowledge is that the installed wooden bars along the corridors are sufficient for patient mobility and fall prevention. To prove that the new experience is effective in combating problems such as patient falls, it is necessary to create a spreadsheet that shows compliance with HIPAA guidelines as provided with this executive summary. This HIPAA spreadsheet indicates the importance that nurses in this hospital have placed on achieving positive patient outcomes, necessary for monitoring and ensuring compliance with HIPAA guidelines (Joos, Wolf & Nelson, 2019). HIPAA compliance, in this case, requires that the organization implement solutions that produce safe practice, such as preventing patient falls. The organization used the spreadsheet as a form of nursing informatics to record the changes, after introducing the bedside alarms, which are another form of informatics, to produce safe practice. The spreadsheet indicates that patient falls reduced by 83%, new knowledge created after implementing an intervention. The 83% reduction demonstrates the change from old experience to new knowledge. Additionally, it is also ethical that nurses prioritize patient health by installing the new bedside alarms and showing their willingness to respond to the alerts whenever patients send for them. Clinical companion for Fundamentals of nursing Essay.

Conclusion

The 83% change inpatient falls indicates the importance of using nursing informatics to provide safe practice. A safe way, in this case, is the prevention of falls by installing the bedside alarms. Additionally, this measure depicts nursing ethics, which seeks to promote the nurse-patient relationship and patient outcomes. In this case, the patient outcomes are the reduced number of patient falls.

References

American Nurses Association. (, 2015). Nursing informatics: Scope and standards of practice (2nd ed.). Author

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics in promoting the quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

Hasman, A., Gallos, G., & Liaskos, J. (2018). Data, Informatics, and Technology. IOS Press, Incorporated.

Joos, I., Wolf, D., & Nelson, R. (2019). Introduction to computers for healthcare professionals. Jones & Bartlett Learning.

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

Peterson, V. (2017). Clinical companion for Fundamentals of nursing. Mosby/Elsevier.

Snowden, A., Donnell, A., & Duffy, T. (2014). Pioneering theories in nursing. Andrews UK.

Venema, D.M., Skinner, A.M., Nailon, R. et al. Patient and system factors associated with unassisted and injurious falls in hospitals: an observational study. BMC Geriatr 19, 348 (2019). https://doi.org/10.1186/s12877-019-1368-8

            The spreadsheet provided shows information on 10 different de-identified patients in a hospital that introduced bedside alarms as new technology to help curb the number of patients falls in the surgical ward. Patient falls are a noteworthy menace in healthcare provision because they lead to injuries and subsequently, patient re-admissions. Re-admission are costly because the hospital and patient bear the additional admission cost burdens. Therefore, introducing the bedside alarms as a form of nursing informatics produced positive results for the patients following the reduction in number of patient falls.

Discussion

Patients in the surgical ward consistently experienced patient falls, rendering them to worse health outcomes because of the injuries caused by the falls (Peterson, 2017). The hospital had made steps to rectify this problem by installing wooden support bars along the hospital corridors, for patients to use for support and reduce the incidence of falling. However, a new problem arose, where patients would fall from their beds, while trying to either call the nurse for help, or relieve themselves in the washroom. Surgical patients are often fragile or in pain, therefore, mobility is reduced, and chances of patient falls increased. Clinical companion for Fundamentals of nursing Essay.  To address this problem, the management introduced bedside alarms that patients press whenever they need any form of assistance from the nurses; who in turn help them with their mobility needs. Since the introduction of this new technology, patient falls in the surgical ward have reduced by 83%, which depicts the efficacy of these devices in enhancing patient outcomes and reducing readmission costs for the hospital. The change in the patient fall rate was recorded one month after introducing the bedside alarms.

Reducing patient falls is critical for the hospital because it helps it achieve its strategic plan, which is to provide quality care to patients. Patient falls in healthcare settings are detrimental to patient health and are preventable. Therefore, by installing bedside alarms, the management achieves its strategic plan, given that these alarms helped reduce the patient fall rate by 83%.

Bedside alarms are an integral aspect of nursing informatics because they utilize technology to collect patient data, for the nurses to take action (McGonigle & Mastrian, 2018; Darvish et al., 2014). The alarm sounds at the nursing station, indicating the name and room number of the patient. This kind of information is critical in nursing and in this case, has enabled the reduction of patient falls because upon receipt of the alarm, the nurse swiftly responds to patient calls. This means that the nursing station must always be staffed with a minimum of two nurses in any given shift, to ensure that support is extended to patients whenever required. The installation of the bedside alarms was influenced by the ANA standards of practice which require that nurses ensure they provide high quality care to patients (American Nursing Association, 2015). Preventing patient falls is a critical aspect of care provision in nursing because nurses are supposed to provide care to patients.

To effect this change, the main theory used was change theory, which requires that nurses use informatics to create new information and reject old knowledge (Snowden, Donnell, & Duffy, 2014). The new information is that patient falls are preventable by introducing bedside alarms that alert nurses whenever patients have mobility needs (Hasman, Gallos, & Liaskos, 2018). Old knowledge is that the installed wooden bars along the corridors are sufficient for patient mobility and fall prevention. To prove that the new knowledge is effective in combating problems such as patient falls, it is necessary to create a spreadsheet that shows compliance with HIPAA guidelines as provided with this executive summary. This HIPAA spreadsheet indicates the importance that nurses in this hospital have placed on achieving positive patient outcomes, which is necessary for monitoring and ensuring compliance with HIPAA guidelines (Joos, Wolf & Nelson, 2019). HIPAA compliance in this case requires that the organization implement solutions, which produce safe practice such as preventing patient falls. The organization used the spreadsheet, as a form of nursing informatics to record the changes, after introducing the bedside alarms, which are another form of informatics, to produce safe practice. The spreadsheet indicates that patient falls reduced by 83%, which is new knowledge created after implementing an intervention. The 83% reduction demonstrates the change from old knowledge to new knowledge. Additionally, it is also ethical that nurses have prioritized patient health by installing the new bedside alarms, and also showing their willingness to respond to the alerts whenever patients send for them.

Conclusion

The 83% change in patient falls indicates the importance of using nursing informatics to provide safe practice. Safe practice in this case is the prevention of falls by installing the bedside alarms. Additionally, this measure depicts the practice of nursing ethics, which seek to promote the nurse-patient relationship and patient outcomes. In this case, the patient outcomes are the reduced number of patient falls.

 

References

American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Author

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

Hasman, A., Gallos, G., & Liaskos, J. (2018). Data, Informatics and Technology. IOS Press, Incorporated. Clinical companion for Fundamentals of nursing Essay.

Joos, I., Wolf, D., & Nelson, R. (2019). Introduction to computers for healthcare professionals. Jones & Bartlett Learning.

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

Peterson, V. (2017). Clinical companion for Fundamentals of nursing. Mosby/Elsevier.

Snowden, A., Donnell, A., & Duffy, T. (2014). Pioneering theories in nursing. Andrews UK.

Thank you for adding and making some revisions to your paper. You have provided some information that is helpful but still needs to have a great depth to the responses specifically the theoretical framework/model, the regulatory section, and the actual spreadsheet

 

I have also commented on your assessment file.

COMPETENCY:

Apply theoretical frameworks and models of nursing informatics to professional nursing practice.

CRITERION:

Apply an informatics model solution to a specific organizational strategic outcome related to regulatory and legal requirements.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Basic

Identifies a specific organizational outcome, but it is not clear either how the organization benefits from the use of informatics in this instance or how the initiative supports the strategic plan of an organization.Â

Faculty Comments:

“

I can see you attempted to identify a specific organizational outcome- reducing patient falls, but it is not clear either how the organization benefits from the use of nursing informatics in this instance or how the initiative supports the strategic plan of an organization. Can you be more specific on this section? What missing information or gaps in information can you identify?

”

 

CRITERION:

Apply outcome data in the context of using researched theory or models to effect change.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Basic

Identifies but does not apply outcome data in the context of using researched theory or models to effect change.

Faculty Comments:

“

I see you attempted to apply outcome data in the context of using research theory or models, but I do not see how you connected outcome data to an informatics model to affect change. Can you provide a description of each?

”

 

COMPETENCY:

Apply standards of practice in nursing informatics to address gaps in practice in a health care organization, practice setting, or community.

CRITERION:

Apply outcome data in the context of standards of practice to support the main points of the executive summary.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Distinguished

Applies outcome data in the context of standards of practice to support the main points of the executive summary. Supports the initiative with references to the professional literature.

Faculty Comments:

“

You thoroughly applied outcome data in the context of nursing informatics standards of practice to support the main points of the executive summary. Your initiative was supported by using reputable and credible references from professional literature. Well done!

”

 

COMPETENCY:

Analyze how regulatory bodies, rules, regulations, and requirements impact the use of health information technology in nursing practice and organizational operations.

CRITERION:

Assess the use of regulatory information related to your example in the context of safe practice.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Proficient

Assesses the use of regulatory information to support informatics as science to produce safe practice.

Faculty Comments:

“

You assessed the use of regulatory information to support informatics as science to produce safe practice. To move this to a distinguished level, you would need to discuss HIPAA, PHI, HITECH, and how they can affect patient outcomes.

”

 

COMPETENCY:

Integrate ethical and legal practices into delivering quality health care using technology in various environments.

CRITERION:

Analyze the importance of creating a HIPAA compliant spreadsheet.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Basic

Explains but does not analyze the importance of creating a HIPAA compliant spreadsheet.

Faculty Comments:

“

I see you worked hard on trying to analyze the importance of creating a HIPAA compliant spreadsheet., What details can you add to clarify your analysis of the importance of creating a HIPAA compliant spreadsheet? See my comments on your paper. Can you add specifics to this section? What reliable, up-to-date sources did you use to support your information?

”

 

COMPETENCY:

Communicate as a practitioner-scholar, consistent with the expectations of a nursing professional.

CRITERION:

Written communication is professional in tone, free of grammar and spelling errors, and appropriate for the intended audience.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Proficient

Written communication is professional in tone, free of grammar and spelling errors, and appropriate for the intended audience. Clinical companion for Fundamentals of nursing Essay.

Faculty Comments:

“

Writing: Your writing has a few grammatical errors that can be easily addressed. Please incorporate faculty feedback to your assessment to create a complete, succinct, and professionally flowing document. I made some recommendations where Academic Writer resource and tools such as spell check and Grammarly.com can help to minimize writing errors. I recommend careful proof-reading before submitting for a grade. Thereâs always room for improvement in scholarly writing and I hope that you will consider using the Smarthinking feature located along the left side of the course home page. This is needed for a higher performance score.

APA: I noticed several inconsistencies in your APA formatting and referencing – see my comments. Please use level headings for each of the grading rubric (1-5) areas to organize your assessment and include each of the pertinent areas. Each area should have several well developed sentences with appropriate sources. Please refer to your Resource tab in the course for additional APA support. Capella uses the latest edition APA guidelines which can be purchased in book form if that is easier for you. There is also a Smarthinking link in this course for you to utilize as well.

  • Create a hypothetical data set of 10 patients in an Excel spreadsheet that demonstrates the results of an informatics initiative. Write a 2 page executive summary explaining the spreadsheet and the results of the initiative.

Nursing Informatics can provide health care organization executives with critical information to aid them in prioritizing organizational initiatives and measuring organizational results. Nowhere is this more important than in the realm of ethics and regulation. Once gathered, it is imperative data be accurately interpreted and efficiently communicated to key stakeholders for use in on-going decision making.

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

  • Competency 1: Apply theoretical frameworks and models of nursing informatics to professional nursing practice.
    • Apply an informatics model solution to a specific organizational strategic outcome related to regulatory and legal requirements.
    • Apply outcome data in the context of using researched theory or models to effect change.
  • Competency 2: Apply standards of practice in nursing informatics to address gaps in practice in a health care organization, practice setting, or community.
    • Apply outcome data in the context of standards of practice to support the main points of the executive summary.
  • Competency 3: Analyze how regulatory bodies, rules, regulations, and requirements impact the use of health information technology in nursing practice and organizational operations.
    • Assess the use of regulatory information related to your example in the context of safe practice.
  • Competency 4: Integrate ethical and legal practices into delivering quality health care using technology in various environments.
    • Analyze the importance of creating a HIPAA compliant spreadsheet.
  • Competency 6: Communicate as a practitioner-scholar, consistent with the expectations of a nursing professional.
    • Written communication is professional in tone, free of grammar and spelling errors, and appropriate for the intended audience.

 

Resources

Assessment Examples

  • Assessment 2 Example 1 [XLSX].
  • Assessment 2 Example 2 [PDF].

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you must ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide can help direct your research, and the Supplemental Resources and Research Resources, linked in the left navigation menu in your courseroom, provide additional resources to support you.

Health Insurance Portability and Accountability Act (HIPAA)

  • McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge(4th ed.). Burlington, MA: Jones & Bartlett. Available in the courseroom via the VitalSource Bookshelf link.
    • Chapter 8, “Legislative Aspects of Nursing Informatics,” pages 145–166.

Theoretic Framework and Models

  • American Nurses Association. (2015). Nursing informatics: Scope and standards of practice(2nd ed.). Silver Spring, MD: Author.
    • “The Scope of Nursing Informatics Practice,” pages 1–16.
  • McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge(4th ed.). Burlington, MA: Jones & Bartlett. Available in the courseroom via the VitalSource Bookshelf link.
    • Chapter 1, “Nursing Science and the Foundation of Knowledge,” pages 7–18.
    • Chapter 2, “Introduction to Information, Information Science and Information Systems,” pages 21–33.
    • Chapter 3, “Computer Science and the Foundation of Science Model,” pages 35–62.
    • Chapter 4, “Introduction to Cognitive Science and Cognitive Informatics,” pages 65–74.

 

ANA Standards of Practice

  • American Nurses Association. (2015). Nursing informatics: Scope and standards of practice(2nd ed.). Silver Spring, MD: Author.
    • “Standards of Nursing Informatics Practice,” pages 67–95.

Informatics Regulatory Compliance and Safe Practice

  • American Nurses Association. (2015). Nursing informatics: Scope and standards of practice(2nd ed.). Silver Spring, MD: Author.
    • “Functional Areas of Nursing Informatics.”
      • Compliance and Integrity Management, page 22.
      • Quality and Performance Improvement, page 32.
      • Safety, Security and Environmental Health, page 34.
      • Trends in Regulatory Changes and Quality Standards, page 62.

Writing Resources

  • APA Module.
  • Assessment Instructions

There can be tremendous legal ramifications if regulatory and legal requirements are not met. Demonstrate the science of informatics in an executive summary to administration highlighting the importance of ethics and regulation.

Identify a specific organizational health care outcome that benefits from the use of informatics and supports the strategic plan of an organization, keeping in compliance with ethics and regulations. This assessment has two parts:

Part 1—Spreadsheet

  • Create a HIPAA compliant spreadsheet (you can find, create, or use data from your practice setting) of the initiative.
    • This is a basic Excel spreadsheet for one identified patient population issue using the requirements described below.

Part 2—Executive Summary

  • Develop a 2 page narrative in the form of an executive summary to explain the spreadsheet. As you prepare the content for your summary, consider the following:
    • Your target audience. Keep in mind that the goal of this summary is to ensure that stakeholders have accurate and concise data, information, and plans.
    • The importance of creating a HIPAA compliant spreadsheet. Clinical companion for Fundamentals of nursing Essay.
    • How selected theory or conceptual models were used to effect the change.
    • How standards of practice were used to effect the change.
    • An explanation of the trending of data and how this helped the organization understand the current health care outcome.
      • Define baseline data, how often you measured data for data trending, and why this was important for the organization to understand related to safe practice.
    • The use of regulatory information supporting informatics as science to produce safe practice.

Review the Executive Summary to Administration scoring guide prior to submission to ensure you address all required grading criteria

Example Assessment: You may use the assessment examples, linked in the Assessment Examples section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Additional Requirements

Part 1—Spreadsheet:

  • A basic Excel spreadsheet using:
    • 10 hypothetical de-identified patients.
    • Trending data for each of 2 quantitative data criteria.
    • 2 Excel formulas (addition, multiplication, et cetera).

Part 2—Executive Summary:

  • Title page:Include a running head your name, course, date, and faculty name.
  • Reference:Include 5–7 scholarly sources. Additional references may be used.
  • Written communication:Written communication is free of errors that detract from the overall message.
  • APA formatting:Resources and citations are formatted according to current APA style and formatting. Use a running head, title on the first line of the first page of text, a brief introduction, a minimum of Level 1 headings used for each section of the paper, and a conclusion.
  • Length of paper:2 typed, double-spaced pages.
  • Font and font size:Times New Roman, 12 point. Clinical companion for Fundamentals of nursing Essay.