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Are Electronic Medical Records a Cure for Health Care? case study
Components of nursing informatics
Components of nursing informatics
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NURSING INFORMATICS THEORY
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).
Various models have been formulated that describe different aspects of nursing informatics. Many of them were developed with the sole objective of providing a conceptual framework for the nursing discipline. The conceptual model origin was developed by William Goossen and was formulated in 1996 as an extension of Graves and Corcoran’s 1989 model (Goossen, 2000). Goosen began to develop foundations of nursing informatics while he was a postgraduate nursing student in Tweedegraads Leraren Opleiding Verpleegkunde in late 1980s. Goossen earned his nursing dip...
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...rsing care provided (Goossen, 2000).
William Goossen’s theory can be applied in nursing practice to develop nursing informatics skills and knowledge, as well as develop technological system competencies among nurses to collect, process, retrieve and communicate pertinent information across health care organizations (Goossen, 2000). This theory is highly applicable in addressing matters related to electronic health records, which are currently characterized with issues of privacy and confidentiality in relation to storage, retrieval and reproduction of patient health information. The model also provides broad applicability in guiding research at any clinical setting and contributes to the discipline of nursing by simplifying and enhancing documentation and storage of patient’s health information and by allowing better utilization of nursing resources (Elkind, 2009).
This is a critical review of the article entitled “Selecting a Standardized Terminology for the Electronic Health Record that Reveals the Impact of Nursing on Patient Care”. In this article, Lundberg, C.B. et al. review the different standardized terminology in electronic health records (EHR) used by nurses to share medical information to the rest of the care team. It aims at showing that due to the importance of nursing in patient care, there is a great need for a means to represent information in a way that all the members of the multidisciplinary medical team can accurately understand. This standardization varies from organization to organization as the terminologies change with respect to their specialized needs.
As the evolution of healthcare from paper documentation to electronic documentation and ordering, the security of patient information is becoming more difficult to maintain. Electronic healthcare records (EHR), telenursing, Computer Physician Order Entry (CPOE) are a major part of the future of medicine. Social media also plays a role in the security of patient formation. Compromising data in the information age is as easy as pressing a send button. New technology presents new challenges to maintaining patient privacy. The topic for this annotated bibliography is the Health Insurance Portability and Accountability Act (HIPAA). Nursing informatics role is imperative to assist in the creation and maintenance of the ease of the programs and maintain regulations compliant to HIPAA. As a nurse, most documentation and order entry is done electronically and is important to understand the core concepts of HIPAA regarding electronic healthcare records. Using keywords HIPAA and informatics, the author chose these resources from scholarly journals, peer reviewed articles, and print based articles and text books. These sources provide how and when to share patient information, guidelines and regulation d of HIPAA, and the implementation in relation to electronic future of nursing.
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
...ng informatics. The integration of an early warning scoring system with nursing practice is a means with which technology and nursing knowledge evolve to “applied wisdom” (McGonigle & Mastrian, 2012). The data is represented by the vital signs. The collection of vital signs will generate information. The information will be scored in the system and alert the nurse when there are abnormal findings. The nest steps can only be taken by the nurse. Critical thinking, interpretation and application of the findings from the patient’s medical record are the next steps. Nurses must be able to apply the information into their nursing practice in order to continue to develop and deliver the best care to patients. As technology continues to expand to many clinical areas, nurses will need to continue to understand how the world of technology translates to patients.
There are quite a few proceedings that must occur before the American Nurses Credentialing Center (ANCC) offers specialty certification in nursing informatics. Nursing informatics (NI) was recognized by the American Nurses Association (ANA) as a nursing specialty in 1992. Since its acceptance there have been several revisions to the published informatics scope of practices statement as well as the standards of practice. These resources are the foundational references for the nursing informatics certification exam.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Torrey, T. (2009, February 19). Limitations of electronic patient record keeping: Privacy and security issues. Retrieved June 29, 2011, from http://patients.about.com/od/electronicpatientrecords/a/privacysecurity.htm
The IOM report warned that the nursing profession must change, or it would not be able to meet the growing demands that are emerging as a result of health reform, new technologies and an aging population. (George Washington University, 2013) Nurse face with the new opportunities and challenges in reforming future health system. Nurses play an increasingly important role in leadership Nursing health care field is in the process of developing advance information and management systems for the goal of patient center care. And collaborate with all health care team That explicates that nurses will require advance information skills in order to uses this
Health information opponents has question the delivery and handling of patients electronic health records by health care organization and workers. The laws and regulations that set the framework protecting a user’s health information has become a major factor in how information is used and disclosed. The ability to share a patient document using Electronic Health Records (EHRs) is a critical component in the United States effort to show transparency and quality of healthcare records while protecting patient privacy. In 1996, under President Clinton administration, the US “Department of Health and Human Services (DHHS)” established national standards for the safeguard of certain health information. As a result, the Health Insurance Portability and Accountability Act of 1996 or (HIPAA) was established. HIPAA security standards required healthcare providers to ensure confidentiality and integrity of individual health information. This also included insurance administration and insurance portability. According to Health Information Portability and Accountability Act (HIPAA), an organization must guarantee the integrity, confidentiality, and security of sensitive patient data (Heckle & Lutters, 2011).
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
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
Nursing Informatics is a nursing field that involves record keeping and focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care. This field is primarily administrative but plays a part in patient care and quality of health care. There are other types of nurses, but many people focus on the nurses who perform the medical treatments with the doctors. This is evident in many films, TV shows, and in other popular media outlets. However, many people do not know what nursing informatics is nor pay attention to that side of nursing which involves the documentation of records and other miscellaneous items, use of advances in technology to improve
The nursing field has experienced plenty of advancements both in technology and medicine since the twentieth century. Not only have these advancements changed the face of nursing but have also become an intricate part of the field. Technology has the capacity to improve patient care and outcomes and is therefore of great importance to nursing. How nurses manage clinical workflows and how they deliver patient care have been completely changed by various innovations in software. The rationale used in selecting the topic of advances in nursing is that the world is fast evolving and so is the healthcare sector. Extensive analysis and synthesizing of knowledge, interpretation of information, research and innovations in nursing has been done over the years. It is interesting to have an in-depth look at what has been done by various influencers in the profession. Purpose of this paper is to demonstrate both technological and medical advancements in the nursing field.