NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology
- Alice D
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- Evaluate healthcare technology trends for data and information in nursing practice and healthcare delivery
- Analyze challenges and risks inherent in healthcare technology
- Analyze healthcare technology benefits and risks for data safety, legislation, and patient care
- Evaluate healthcare technology impact on patient outcomes, efficiencies, and data management
- Analyze research on the application of clinical systems to improve outcomes and efficiencies
|Week 6, Days 1–2||Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
|Week 6, Day 3||Post your initial Discussion post.
Begin to compose your Assignment.
|Week 6, Days 4-5||Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
|Week 6, Day 6||Post at least two peer Discussion responses on two different days (and not the same day as the initial post).|
|Week 6, Day 7||Wrap up Discussion.|
|Week 7, Days 1-7||Continue to compose your Assignment.|
|Week 8, Days 1-6||Continue to compose your Assignment.|
|Week 8, Day 7||Deadline to submit your Assignment.|
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
- Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
- Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
- Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
- Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)
Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from
Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221.
Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40.
Discussion: Healthcare Information Technology Trends
Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.
In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.
- Reflect on the Resources related to digital information tools and technologies.
- Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
- Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.
By Day 3 of Week 6
Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.
Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
- Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
- Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
- Identify and select 4 peer-reviewed research articles from your research.
- For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
- Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
- Include an introduction explaining the purpose of the paper.
- Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
- In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
- Use APA format and include a title page.
- Use the Safe Assign Drafts to check your match percentage before submitting your work.
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
Nursing informatics integrates nursing science with information and analytical sciences. It identifies, defines, and manages data, information, knowledge, and wisdom in nursing practice (Sipes, 2016). Due to nursing informatics projects, the stakeholders like nurses, patients, and healthcare leaders make more informed decisions. Given that the decisions are based on data, there is more chance of making positive changes in healthcare settings (Pastorino et al, 2019).
Nursing Informatics Project
The project proposal is aimed at improving patient outcomes and patient care efficiencies. It addresses one of the major concerns in healthcare, which includes nursing fatigue, stress, and depression. The project will have two components. The first component will include the distribution of tablet or mobile devices to nurses. The nurses will have the mobile devices with them during the whole working day. The tablet and mobile devices will have a built-in application. This application can also be downloaded on nurses’ own mobile devices if the devices will technically support the applications’ capabilities.
The application will send regular notifications to nurses. Every two hours they will receive questions which they will need to answer either by short phrases, a multiple-choice question, or use a grade scale. The first question will ask the nurse to write what they are doing at the moment. Nurses will also answer a couple of multiple questions on how they are feeling at the moment, whether they feel stressed, tired or depressed. Question examples include: “Do you feel you are overwhelmed with your activities?”, “Are you happy doing the job you have done today? and “Did you experience an unpleasant patient interaction today?”. With every notification, the nurses will receive different sets of questions. It will take less than five minutes to answer these questions. The answers of nurses will be anonymous and at a later period, it will be impossible to understand which nurses gave which answers.
The second component of this project is data aggregation and analysis. The answers of nurses will be collected in the nurse informatics’ database, which will then be ready for analysis. The nursing informaticists will review the data, analyze and integrate it with the existing patient data. The data will be analyzed after one month to examine how nurses work and feel. It will be possible to understand in which days, times, and circumstances the nurses feel unhappy. This data will also be analyzed in the context of general hospital statistics. As a result, it will be possible to understand what makes nurses experience different emotions. Also, it will show at what times of date what nurses are doing. It will be possible to assess task load data for each nurse specialty. The nurse leader will then access the aggregated analysis and derive conclusions on how to improve nurses’ jobs. There can be both HR-related and job-related solutions. Some solutions may include hiring more staff, doing training for nurses, reorganizing shifts of nurses, etc. In any case, the nurse leader will be able to access highly valuable data on employee satisfaction, which can create an opportunity to increase patient outcome quality.
Nurses will be the major stakeholders involved in this process. They will be using the application and answer the questions. The overall project will aim to improve the experiences of nurses at the hospital. Nursing informaticists and data specialists will be other primary stakeholder because they will be possessing the data. It will be their job to analyze the data and provide conclusions. Even if there is a lot of data collected, it will be useless if nursing informatics and data specialists do not derive valuable conclusions from this data. The data should become a piece of information and then knowledge. This knowledge will be used by nurse leaders to become a pearl of wisdom. Thus, the nurse leader is the third important stakeholder who will be making the conclusions and making the final changes.
Finally, patients will be very important stakeholders. All of the activities in the hospital are aimed at improving patient outcomes and make care more efficient. Nurses’ satisfaction has a direct influence on patient satisfaction and the quality of care provided. Only by making patients happy, the organization can continue growing and expanding, which makes patients so important for healthcare organizations.
Patient Outcomes and Patient Care Efficiencies
The performance of nurses has a direct impact on patient outcomes. According to Yakusheva et al (2019), the term called individual productivity is generally used in economics and relates to the quality of an outcome associated with a care process of an individual employee. The aggregated productivities of employees lead to the overall productivity of the hospital. Thus, the explanation of Yakusheva et al (2019) leads to the understanding that the performance of each employee is very important and has a direct impact on the overall performance of the hospital. Considering the direct relationship between patients and nurses, it is critical to keep nurses satisfied and productive.
Smooth and interactive relationship between nurses and patients reduces the days of hospital stay and improves the quality and satisfaction of both the nurse and the patient (Molina-Mula & Gallo-Estrada, 2020). The quality of nursing care will lead to better patient outcomes. Additionally, the analytics of nurses’ answers will allow the nurse lead to making changes in nurses’ work shifts and loads. Patient care will also become more efficient. For example, the nurse leader may see that in the emergency unit all nurses are very unhappy and they even do not have time to respond to applications’ notifications. In that case, the nurse leader will have to come up with solutions on how to involve more nurses in the emergency unit.
The project will require both hardware and software inputs. The hardware will include tablets and mobile phones distributed to nurses. Nurses can use their cell phones as well, if their technologies support the nursing application.
The project will mostly be based on software that will be regularly sending notifications to the nurses. This software application will be developed by hiring an outsourcing company or individuals that will try to develop the application based on project goals. It will be critical to be in close contact with the outsourcing company to make sure the application is developed necessarily.
Project Team Roles
Mosier, Roberts and Englebright (2019) mention that nursing leadership can play an essential role in the development of nursing informatics solutions, as they can contribute by their broad understanding and oversight of nursing care. Thus, nurse leaders will have a central role in developing, running, and evaluating the application. The nurse leader will have a supporting team of nurses who can work on developing the questions of the software. The nurse leader will also work with data specialists and nursing informaticists to make sure that useful and valid data is generated. The data should be structured and accurate enough to be able to have useful insights.
The project team will also involve technical professionals who will be developing the software and connect with the hardware. Additionally, for purchasing the hardware there should be a procurement specialty in the team.
Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of Nurse-Patient Relationship on
Quality of Care and Patient Autonomy in Decision-Making. International journal of environmental research and public health, 17(3), 835. https://doi.org/10.3390/ijerph17030835
Mosier, S. , Roberts, W. D. & Englebright, J. (2019). A Systems-Level Method for
Developing Nursing Informatics Solutions. JONA: The Journal of Nursing Administration, 49(11), 543–548. doi: 10.1097/NNA.0000000000000815
Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., &
Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23–27. https://doi.org/10.1093/eurpub/ckz168
Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health
Technology and Informatics, 225, 252–256.
Yakusheva, O., Weiss, M. E., Bobay, K. L., Costa, L., Hughes, R. G., Hamilton, M., Bang, J., &
Buerhaus, P. I. (2019). Individual Nurse Productivity in Preparing Patients for Discharge Is Associated With Patient Likelihood of 30-Day Return to Hospital. Medical care, 57(9), 688–694. https://doi.org/10.1097/MLR.0000000000001170