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Concept of nursing informatics
Key function of nursing informatics
Key function of nursing informatics
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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... ... middle of paper ... ...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.
Assessing for and managing Intensive Care Unit (ICU) delirium has been difficult for bedside nurses ever since its recognition by the medical field (Lemiengre, et al., 2006). For this writers unit, the CardioVascular Recover Unit (CVRU), there is a significant amount of patients who suffer from this condition. The majority of nurses in this particular CVRU are not educated about ICU delirium. When a patient begins to “act out” with confusion, agitation, and/or anxiety some degree of stereotyping is seen by both nurses and physicians. Assumptions are made that the patient’s condition is due to drug or alcohol abuse. Few think it is the environment and/or medical staff that may be contributing to the patient’s mental deterioration. Consequently, the patient is then labeled, medicated for sedation, and possibly restrained.
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
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 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.
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
“The intensive care unit (ICU) often is called the epicenter of infections, due to its extremely vulnerable population (reduced host defences deregulating the immune responses) and increased risk of becoming infected through multiple procedures and use of invasive devices distorting the anatomical integrity-protective barriers of patients (intubation, mechanical ventilation, vascular access, etc.)” (Brusselaers,Vogelaers, & Blot, 2011). The purpose of this paper is to develop a research question regarding the prevention of spreading bacteria in ICU and to identify databases and search words to collect data by using the continuum of data, information, knowledge, and wisdom . Also, I will describe how informatics can be used to gain wisdom.
In the late 1960s, the first computer systems were installed in hospitals (Murphy,2010). The computer systems started in the basements of hospitals and now are in every nursing unit. Nursing informatics allows for a more efficient and faster delivery of health care. Nursing informatics is a way of keeping patient information properly organized and creating patient care plans.
Nursing is a field that has several diverse options. These options include, bedside nursing, administration, education, case management, forensics, and numerous other possibilities. A new field of nursing has emerged, nursing informatics. Nursing informatics (NI) is defined by the American Nurses Association (2008) as a specialty that “integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.” Simply defined, nurses are using the combination of technology and nursing knowledge to care for patients and improving outcomes. Nurses are doing this by collecting data, converting that into information, and then into knowledge, where it then can be applied to their critical thinking skills to better care for their patient (Finkalman & Kenner, 2013)
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.
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
Understanding the trajectory of delirium is important as anticipated therapies will reduce the potential for significant injury and complications associated with the care of ICU patients. Fan et al. had their (2012) main focus on management approaches, maintaining safe environments and nursing care interventions for delirium and not the predictive manifestations of this common condition. The aim of this quantitative retrospective correlational study is to determine the trajectory of delirium in the mechanically ventilated patient in the adult CVICU, with the intention of implementing early interventions leading to the prevention of delirium. In addition, all conclusions indicate that further studies should be conducted and directed toward the early detection of delirium in ICU patients to obtain a better understanding of this cognitive dysfunction (Bakker et al., 2012; Bigatello et al., 2013; Cavallazzi, Saad, & Marik, 2012; Choi, 2013; Engstrom, Nystrom, Sundelin, & Rattray, 2013; Fan et al., 2012; Hoolahan, 2011; Inouye et al., 1990; Jannati, Bagheri-Nesami, Sohrabi, Yazdani-Cherati, & Mazdarani, 2014; Katz & McNeely, 2013).
Imagine how outcomes might improve if we allowed patients to sleep. My MindMap explores the processes and outcomes obtained through the implementation of an ICU sleep protocol. Instituting the sleep protocol in an ICU with various admitting physicians and patient diagnosis will allow the data to be analyzed objectively and in aggregate (Dlugacz, 2006). I believe that the implementation of a sleep protocol will enable patients to sleep in the ICU. The Inputs for this study will include the development of a sleep protocol, education to ICU staff regarding alarm management, the ability to measure sleep through the use of polysomnography and finally the use of a noise monitor to alert staff when the unit is becoming too noisy.
Nurses must identify interventions that will help the patient in their abnormal mental state. There are several types of interventions that pertain to a patient with delirium. One intervention includes ensuring the client’s safety by putting the patient’s room near the nurse’s station, assisting the client with moving around, and placing restraints on the client if he or she is very restless and excitable. Another intervention for the client would be to reorient the client continuously and to keep explanations simple enough to help the patient understand reality, to help with orientation and memory, and to allow the patient to better comprehend the scenario. A nurse should not disregard a patient’s description of hallucinations that are occurring.
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).