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Concept of nursing informatics
Key function of nursing informatics
Key function of nursing informatics
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Recommended: Concept of nursing informatics
Nursing Informatics and its Concepts
Nurses are viewed as knowledge workers regardless of their specialty. Nursing knowledge is generated by Nursing Informatics (NI), through the process of science and practice and using the theory of “data, information, knowledge, and wisdom.” The main goal of NI is to facilitate communication through innovated technology that will promote positive patient outcomes. NI, recognized by the American Nurses Association (ANA) in 1992, has increased the visibility and value of nursing practice. The implementation of the previously mentioned method promotes nursing beliefs, individualizes nursing care and implements nursing language (McGonigle & Mastrian, 2012). The purpose of this paper is to use the nursing informatics concepts to explore and understand ICU psychosis/delirium in order to provide evidence-practice that can limit its occurrences.
Data identification
Psychotic episodes are prominent in the patient population in the Neuro ICU where I work. This critical dysfunctional state is induced by a prolonged ICU stay or intubation period and lengthen neuropsychological deficits, all noted in the Neuro ICU environment. Studies have shown that the treatment of ICU related psychosis is provided to 80% of the patients, incurring a cost of 4 to 16 billion dollars in the United States. Regardless of all the research, adverse results and the high pervasiveness, the problem of developed ICU psychosis/delirium often goes unnoticed or considered a temporary state that will reverse once the patient leaves the ICU environment (AACN Practice Alerts, 2012). The question to assess the problem is, what is the adequate tool in detecting ICU psychosis/delirium that can be implemented to the Electroni...
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...m assessment and management. Critical Care Nurse, 32(1), 79-82. Retrieved from: http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?sid=3abf5b38-22ee-4005-853a-5c9f73966451%40sessionmgr4001&vid=3&hid=4213
Arend, E., Christensen, M., (2009). Delirium in the intensive care unit: A review. Journal of the British Association of Critical Care Nurses, 14(3), 145-154. Retrieved from: http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=8&sid=3abf5b38-22ee-4005-853a-5c9f73966451%40sessionmgr4001&hid=4213
McGonigle, D., Mastrian, K., G., (2012). Nursing Informatics and the Foundation of Knowledge (Custom ed., pp. 96-109). Burlington, MA: Jones & Bartlett Learning.
Misak, C., (2005). ICU psychosis and patient autonomy: Some thoughts from the inside. Journal of Medicine and Philosophy, 30, 411-430. Doi: 10.1080/03605310591008603.
Delirium is defined by an acute onset of disturbances in consciousness in which cognition or perception is altered. It can vary throughout the day ...
Thede, L. Q. & Sewell, J. P. (2010). The informatics discipline. In L. Q. Thede & J. P. Sewell (Eds.). Informatics and nursing: Competencies and applications (3rd ed., pp. 313-316). Philadelphia, PA: Wolters-Kluwer/Lippincott, Williams, & Wilkins.
The framework of this model is utilized throughout hospital settings to form a basis for all nursing decisions in respect to nursing diagnosis, care plans, discharge planning, and quality assurance (Reynolds & Cormack, 1991). This conceptual model focuses on the effects of internal and external environments that contribute to someone’s behavior. Pain (being the internal force) in patients with altered mental status usually manifests externally in non-verbal cues. Nursing as the external force can use tools that focus on the non-verbal cues given by the patients to accurately assess the pain and properly treat it.
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
A bachelor’s degree is required for this role, however, a master’s degree is recommended. The NI assumes both the technical roles which closely involve the design of information systems, and the less technical positions, such as project manager for the adoption of a new application or trainer of the users. They bring institutional knowledge and experience to the table when applications are designed to meet the needs of the users (AMIA, 2015). Overall, the application of nursing informatics knowledge is empowering and NP, NE, and NA require it in achieving patient centered
Working as a professional registered nurse in the hospital, I realized how nurses struggle to find balance between devoting the time charting on the computer and spending time taking care of the patients. Moreover, I’ve seen nurses where they get discouraged trying to find this balance between patients and charting. As a bedside nurse, I would love nothing, but to tend to the needs of my patients. The length of time consume on electronic charting all day, take the very essence of bedside nursing away from nurses, which is caring. Reducing the time of nurses being occupied on charting by eliminating redundant tasks while conforming to their standard, are the changes I would like to make. These are a few of the reasons why I wanted to pursue a degree in informatics. I would advocate for nurses everywhere and to become an instrument in providing them a better electronic health system to work on. Pursuing the degree in nursing informatics will benefit me in
What is ICU Psychosis, ICU is intensive Care Unit, psychosis is an impaired relationship with reality. ICU psychosis is not a specific medical diagnosis, but
Patients in the Intensive Care Unit are at a high risk to develop delirium. It is one of the most common conditions encountered by the staff in an Intensive Care Unit. Delirium can be hyperactive or hypo active according to the patients’ behavior. Disorientation, agitation, hallucinations, or delusions are characteristics that may be observed in the patient with hyperactive delirium. Apathy, quietly confused, withdrawal, lethargy, and even total lack of responsiveness are all symptoms of hypoactive delirium. Some or all of these symptoms may occur at any time.
The many concepts are very complex and have many dimensions. Concepts developed by Leininger, Watson, Gaut, Benner and Wrubel, Ihde, and many more were discussed and how they relate to ICU nurses and their caring practices. It is stressed in this article that ICU nurses have an important role of making sure they have insight into their specific behaviors so that nursing practices can be developed. Once these nursing practices are developed, ICU nurses can successfully care for their critically ill patients. Wilkin (2003) claims that caring is a, “dual component of attitudes/values and activities, which create an ongoing challenge for the ICU nurses” (p.
Delirium continues to represent the most understudied non-pulmonary disorder
Sleep deprivation and fragmentation impairs neurocognitive function and healing (Friese, 2008). This neurocognitive disruption is often referred to in the ICU environment as delirium.
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
If a patient is having hallucinations, a nurse should understand what the hallucination is about and report it to prevent any hostile behaviors that may arise from the delusional thinking. Providing a low-stimuli environment is an intervention for a patient experiencing delirium because it promotes limited confusion for the patient. Another intervention includes implementing a constant assessment of the patient’s safety and nutritional needs. This will help determine the basic needs of the patient that he or she is unable to do himself or herself, provide safety and care, and allow the nurse to determine the seriousness or level of delirium the patient is in. One
Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs and enhancement of the quality of patient care (Murphy, 2010). It is a growing area of nursing specialty that combines computer science, information technology and nursing science in the management and processing of nursing information, data and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013). They are defined as a cluster of related concepts or ideas that establish actions that act as major guidelines in nursing informatics to issues related to the central concept of data, information and knowledge. Some of the theories that inform and assist in the framing of nursing informatics include Turley's nursing informatics model, Goossen’s framework for nursing informatics research and Staggers & Parks’ nurse-computer interaction framework (Elkind, 2009).