Discussion: The Application of Data to Problem-Solving
The home healthcare setting is a hypothetical scenario that would benefit from the access/collection and application of data. Electronic medical records can be used in the homecare setting for documentation, assessments, vital signs, medication administration, and completing the plan of care. All of the patient’s information could be located in a secure mobile chart. The electronic system could also have a database of medical health problems and guidelines for employees to refer to. Interprofessional communication and collaboration would be possible because all members of the healthcare team would have access to the patient’s chart. The Quality Safety Education for Nurses (QSEN) institute project states that nurses should be prepared to “ use information and technology to communicate, manage knowledge, mitigate error, and support decision making” (Cronenwett, et al., 2007). The new knowledge could be derived from how the patient is responding to nursing interventions, medications, and treatments. The nurse leader could use clinical reasoning and judgment to alter and adjust the plan of care.
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Having all of the patient’s information in one place would make the patient’s baseline assessment and key information readily accessible. Data can be collected and applied to improve the patient’s quality of care, which would improve the patient’s overall outcome. Documenting and planning patient care in an EMR along with using information management tools to monitor outcomes of care processes are quality informatic skills ( McGonigle & Garver Mastrian, 2018, p. 18). The use of EMR can lead to increased safety and quality of care for the patient. “Applying technology to knowledge may help identify potential problems earlier. For example, with the use of electronic documentation, identifying changes in patient status can occur quickly because the information is readily available” (Lee, 2014, para. 2). The use of nursing informatics will continue to enhance nursing practice. Combining information and technology is allowing us to work smarter not harder. “Nursing practice and data inform each other. All data is important to the healthcare team’s understanding of the individual patient” (Glassman, 2017, para. 7) It is evident that nurses must know how to access and use data to inform patient care decisions and add to our existing knowledge. To advance the profession we must be knowledge workers.
References
Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson J., Mitchell, P.,…Warren, J.
(2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131
Glassman, K. S., (2017) Using data in nursing practice. Retrieved February 24, 2020, from
https://www.myamericannurse.com/using-data-nursing-practice/
Lee, A., (2014). The role of informatics in nursing. Retrieved February 24, 2020, from
McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of
knowledge. (4th edition). Jones & Bartlett Learning.
response
Hi xx, I really agree with your post. Technology has a very crucial effect on the health care system. The introduction of electronic health records is one of them. In practice, the nurse acquires the knowledge from those tools and then work, generate, process, or disseminate it (McGonigle & Mastrian, 2017, pp. 24). Health records continue to evolve as a result of technology. Any changes in the documentation of care have a significant impact on nursing practice. The electronic health record (EHR) is a digital record of a patient’s health history that has records from many sources like hospitals, providers, and clinics. The EHR is available 24 hours a day, 7 days a week, and it enables patient health information confidentiality and security. According to Huston ( 2013), CPOE is a clinical software application designed for providers to write patient orders electronically rather than on paper. With CPOE, providers produce clearly typed orders, reducing medication errors based on the inaccurate transcription. CPOE also gives providers access to information tools that support a health care provider in decisions related to diagnosis, therapy, and care planning of individual patients.
References
Huston, C. (May 2013) .The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead” OJIN: H The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript
Mastrian, K., & McGonigle, D. (2017). Introduction to information, information science, and information systems. In D. McGonigle & K. Mastrian (Eds.), Nursing Informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
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.
To Prepare:
- 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?
By Day 6 of Week 1
Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
According to Dee Mcgonigle, nursing is information-intensive profession (Mastrian & McGonigle, 2017). The way of using information, applying knowledge, and acting wisely are the basics of nursing (Mastrian & McGonigle, 2017). Technology has a great impact on diagnosing patients. Information continuity consists of exchange and transfer of information among health care providers and to patients and on the other hand how the knowledge of the patient is accumulated (Nagle, Sermeus, & Junger, 2017) I work in a progressive care unit. Most of our patients admitting diagnoses are sepsis. Depending on patients’ vital signs and lab values we can interpret patient is on septic or not. Changes in the vital signs are one of the main data can use interpreting patients’ condition. In the epic system, our information technology team created sepsis alert criteria. When these criteria met our system will pop up sepsis alert. Tachycardia, fever, tachypnea, hypotension can trigger sepsis alert. In our hospital protocol, nurses will notify the doctor who is taking care of that patient and also charge nurse. The doctor will order aggressive fluid resuscitation, blood cultures, lactic acid level and infusion of broad-spectrum antibiotics. By using this tool most of the patients get diagnosed correctly and getting the right treatment discharging the hospital soon. Sepsis Bundle adherence is very useful for patients with pneumonia. The overall improved survival in patients who received bundle-adherent care was driven by patients declaring in the ICU (Milano et al.,2018).
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Milano, P. K., Desai, S. A., Eiting, E. A., Hofmann, E. F., Lam, C. N., & Menchine, M. (2018). Sepsis Bundle Adherence Is Associated with Improved Survival in Severe Sepsis or Septic Shock. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 19(5), 774–781. https://doi-org.ezp.waldenulibrary.org/10.5811/westjem.2018.7.37651
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. In J. Murphy, W. Goossen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212–221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF