Last Updated on March 3, 2023 by Admin
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data?
Discussion: The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
- Reflect on the concepts of informatics and knowledge work as presented in the Resources.
- Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
Expert Answer and Explanation
To enhance patient safety within a healthcare facility, there are a lot of dynamics that come into play. The number of missed nursing care, the number of patients’ vis-a-vis the care providers, the number of fall rates as a result of design aspects of the facilities, to list a few. These are some of the key features that need to be assessed with a conclusive solution realized to any issues concerning patient safety. However, to assist in the process, collection and assessment of data is vital.
With the evolution of healthcare systems through technology advances, collecting information in a healthcare setup has become simpler (McBride & Tietze, 2018). Using the example above where patient safety is supposed to be bolstered, there are different sets of data that may be of help. For example, data on the number of admissions per unit can be collected and the nursing staff adjusted as per the need of individual units as a result, reducing physical and emotional nurse burnout that may result in poor safety outcomes for the patient.
Another data that can be collected is the number of fall rates and the reason why they occurred in the first place. This data can be used to facilitate changes within the hospital setting to secure better patient safety.
For a nurse leader, the collection of such data is vital, especially in the decision-making process. From the collected information, the nurse leader can decide to allocate more nurses on a case-by-case scenario with an increase in the number of patients in different patient units. A nurse leader can also call for structural changes within the facility to reduce patient fall rates. Therefore, with the use of nursing informatics, a nurse leader should always assess areas for improvement by collecting relevant data that can be used to formulate organizational changes to bolster patient safety (Lee et al., 2017).
Lee, T. Y., Sun, G. T., Kou, L. T., & Yeh, M. L. (2017). The use of information technology to enhance patient safety and nursing efficiency. Technology and Health Care, 25(5), 917-928. DOI: 10.3233/THC-170848
McBride, S., & Tietze, M. (2018). Nursing informatics for the advanced practice nurse: patient safety, quality, outcomes, and interprofessionalism. Springer Publishing Company.
How would a nurse leader use clinical reasoning and judgment in the formation of knowledge?
A nurse leader would use clinical reasoning and judgment in the formation of knowledge by applying their critical thinking skills to analyze and synthesize data and information related to patient care, organizational processes, and healthcare policies.
To do so, the nurse leader would consider various sources of evidence, including current research, best practices, and clinical guidelines, and apply this knowledge to inform their decision-making process. They would also draw on their own clinical experiences and expertise to interpret and apply this knowledge in practical ways that address the unique needs of their patients and organization.
In addition, a nurse leader would use clinical reasoning and judgment to evaluate the effectiveness of their actions and interventions, monitor patient outcomes, and continuously reflect on their practice to identify areas for improvement and enhance their knowledge and skills over time. By doing so, they would be able to promote safe, high-quality patient care and contribute to the ongoing development of nursing practice and knowledge.
Definition of nursing informatics and Its Importance in healthcare
Nursing informatics is a specialty field within nursing that integrates the principles of computer science, information science, and nursing science to manage and communicate data, information, and knowledge in nursing practice. It is a relatively new field that has emerged as a response to the increasing use of technology in healthcare and the need for nurses to have the skills and knowledge to use these technologies effectively.
Nursing informatics plays a crucial role in healthcare as it enables nurses to collect, manage, and analyze data to support decision-making and improve patient outcomes. It also facilitates communication and collaboration among healthcare professionals, streamlines workflows, and enhances the quality and safety of patient care.
As healthcare continues to become increasingly reliant on technology, the importance of nursing informatics is only set to increase. Nurses must be equipped with the necessary skills and knowledge to navigate the ever-evolving landscape of healthcare technology and effectively integrate informatics into their daily practice. By doing so, they can enhance the quality and safety of care, optimize patient outcomes, and contribute to the ongoing development and evolution of nursing practice.
Historical background of nursing informatics
The historical background of nursing informatics dates back to the 1960s when computers were first introduced in healthcare. However, the field of nursing informatics emerged as a distinct discipline in the 1970s when pioneers like Virginia Saba and Marion Ball recognized the potential for computers to support nursing practice and began to explore the application of computer technology to nursing.
During the 1980s and 1990s, nursing informatics continued to gain momentum as healthcare organizations began to adopt electronic health records (EHRs) and other computerized systems to manage patient data. The American Nurses Association (ANA) recognized nursing informatics as a specialty field in 1992 and established the first formal nursing informatics certification exam in 1995.
In the early 2000s, the field of nursing informatics began to expand beyond the use of computer technology to encompass a broader range of information management and communication tools. As a result, the ANA updated the definition of nursing informatics to include the “integration of nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.”
Today, nursing informatics continues to evolve as new technologies emerge, and the role of nurses in managing and communicating patient data becomes increasingly complex. Milestones in the development of nursing informatics include the development of standardized nursing terminologies, the creation of nursing-specific EHRs, and the emergence of telehealth and mobile health technologies. These milestones have played a critical role in advancing nursing practice and improving patient outcomes by enhancing the accessibility, accuracy, and usefulness of patient data.
Scope of nursing informatics
The scope of nursing informatics is vast and encompasses a wide range of areas of practice where nurses use technology and data to improve patient care and outcomes. Nursing informatics is applied in various healthcare settings, including acute care, long-term care, community health, and public health. Some examples of areas of practice where nursing informatics is applied include:
- Electronic Health Records (EHRs): EHRs are a digital version of a patient’s medical record that contains information such as their medical history, diagnoses, allergies, medications, and lab results. Nurses use EHRs to access patient information, document care provided, and communicate with other healthcare professionals.
- Clinical Decision Support (CDS) Systems: CDS systems provide nurses with real-time clinical information and decision-making support based on patient data, evidence-based guidelines, and best practices. CDS systems help nurses make informed decisions about patient care, such as medication dosages, treatment plans, and diagnostic tests.
- Telehealth and Remote Patient Monitoring: Telehealth and remote patient monitoring technologies allow nurses to provide care to patients remotely. Examples include video conferencing for patient consultations, remote monitoring of vital signs, and mobile health apps for patient self-management.
- Nursing Terminologies and Classification Systems: Nursing terminologies and classification systems are standardized language and code sets that allow nurses to document and communicate patient data consistently. Examples include the International Classification of Nursing Practice (ICNP), the Nursing Interventions Classification (NIC), and the Nursing Outcomes Classification (NOC).
- Patient Education and Health Promotion: Nursing informatics also plays a critical role in patient education and health promotion. Nurses use technology and data to develop educational materials and programs, track patient progress, and identify opportunities for intervention and improvement.
Benefits of nursing informatics
Nursing informatics provides numerous benefits to both patients and healthcare professionals. Some of the key benefits of nursing informatics include:
- Improved Patient Safety and Quality of Care: Nursing informatics helps to improve patient safety and quality of care by providing nurses with real-time access to patient information, decision-making support, and automated alerts for potential issues or concerns. This improves accuracy and efficiency in patient care and reduces the risk of errors, adverse events, and other safety issues.
- Increased Efficiency and Productivity in Nursing Practice: Nursing informatics enables nurses to streamline workflows, automate routine tasks, and eliminate redundant or unnecessary work, freeing up time and resources for more critical patient care activities. This results in increased efficiency and productivity in nursing practice, allowing nurses to provide more comprehensive and timely care to patients.
- Enhanced Communication and Collaboration among Healthcare Professionals: Nursing informatics facilitates communication and collaboration among healthcare professionals by providing a standardized platform for sharing patient information, documentation, and decision-making support. This improves care coordination and helps to prevent communication breakdowns, reducing the risk of errors, delays, and other adverse events.
- Improved Data Analysis and Decision Making: Nursing informatics enables nurses to collect, analyze, and interpret data to support decision-making and quality improvement initiatives. This improves data accuracy, completeness, and accessibility, allowing nurses to make informed decisions about patient care and identify opportunities for improvement and innovation.
- Enhanced Patient Engagement and Empowerment: Nursing informatics can help to improve patient engagement and empowerment by providing patients with access to their health information, educational resources, and self-management tools. This improves patient understanding and participation in their care, promoting better health outcomes and patient satisfaction.
Challenges and limitations of nursing informatics
While nursing informatics provides numerous benefits to healthcare organizations and professionals, there are also several challenges and limitations that need to be addressed to ensure successful implementation and adoption. Some of the key challenges and limitations of nursing informatics include:
- Cost and Complexity of Implementing Nursing Informatics Systems: Implementing nursing informatics systems can be costly and complex, requiring significant investment in hardware, software, and training. Additionally, integrating nursing informatics systems with existing healthcare systems can be challenging, requiring significant IT resources and expertise.
- Resistance to Change and Adoption of New Technologies: Resistance to change and the adoption of new technologies can be a significant barrier to the successful implementation of nursing informatics. Nurses and other healthcare professionals may be hesitant to adopt new technologies or processes, preferring to stick to traditional ways of working. This can lead to delays in implementation, low adoption rates, and poor system utilization.
- Need for Ongoing Education and Training to Maintain Competencies in Nursing Informatics: Nursing informatics is a rapidly evolving field, with new technologies and best practices emerging regularly. To maintain competencies in nursing informatics, nurses must undergo ongoing education and training to stay up to date with the latest developments and best practices. This can be challenging for nurses who may have limited time and resources for continuing education.
- Privacy and Security Concerns: The use of nursing informatics systems raises privacy and security concerns related to the collection, storage, and sharing of patient data. Nurses and healthcare organizations must ensure that patient data is protected from unauthorized access or disclosure, and that proper security measures are in place to safeguard patient information.
- Technical Issues and System Downtime: Nursing informatics systems are complex and require significant IT resources to maintain. Technical issues and system downtime can impact the availability and accessibility of patient data and decision-making support, potentially leading to delays in care or adverse events.
Future directions in nursing informatics
Nursing informatics is a rapidly evolving field that is constantly advancing and changing. Some of the future directions of nursing informatics include:
- Potential for New Technologies to Transform Nursing Practice: Advances in technology, such as artificial intelligence, machine learning, and virtual reality, have the potential to transform nursing practice and enhance patient care. For example, the use of wearable technology and sensors can provide real-time data about a patient’s health status, allowing nurses to identify potential issues early and intervene quickly. Additionally, the use of telehealth and remote monitoring technologies can improve access to care and support continuity of care across different settings.
- Opportunities for Interdisciplinary Collaboration and Research in Nursing Informatics: Nursing informatics is an interdisciplinary field that involves collaboration across different healthcare professionals, including nurses, physicians, IT specialists, and data analysts. This creates opportunities for interdisciplinary collaboration and research in nursing informatics, including the development of new technologies, the evaluation of existing systems, and the exploration of new approaches to data analysis and decision-making support.
- Increased Focus on Data Analytics and Population Health: As healthcare shifts towards a more data-driven approach, nursing informatics is likely to place an increased emphasis on data analytics and population health. Nurses will need to develop skills in data analysis and interpretation to effectively use data to support decision-making and quality improvement initiatives. Additionally, nursing informatics can help to support population health management initiatives by identifying high-risk patients and developing targeted interventions to improve outcomes.
- Integration with Electronic Health Records (EHRs): The integration of nursing informatics with electronic health records (EHRs) is likely to become more seamless, enabling nurses to access patient information and decision-making support in real-time. This integration can improve efficiency and accuracy in patient care, reduce the risk of errors, and support continuity of care across different healthcare settings.
In conclusion, nursing informatics plays a critical role in healthcare by enabling nurses to use technology and data to support safe, efficient, and high-quality patient care. Key points to consider include the historical background of nursing informatics, its scope, benefits, challenges, and future directions. Nursing informatics has come a long way from its inception and continues to evolve, with the potential to transform nursing practice and enhance patient care.
It is crucial that healthcare organizations invest in ongoing development and adoption of nursing informatics, including the implementation of new technologies, ongoing education and training for nurses, and collaboration among different healthcare professionals. By doing so, we can ensure that nursing practice is evidence-based, data-driven, and patient-centered, and that we are providing the best possible care to patients. In conclusion, nursing informatics is an essential component of modern healthcare, and its continued development and adoption are critical for improving patient outcomes and advancing the nursing profession.