DNP 805 Topic 2 Assignment Emerging Technologies

From the electronic health record (EHR) to nanotechnology to 3-D printers and beyond, there are an increasing number of useful and innovative technologies being used in health care settings that have an important role in linking and organizing care and information. For this assignment, you will create a slide presentation to present to administrators and nurses providing direct patient care.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guideis located in the Student Success Center.
• Use primary sources published within the last 5 years. Provide citations and references for all sources used.
• You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Directions:

Your presentation must include the following elements:

1. Identify and provide a brief description of a clinical problem.
2. Identify a technology that can improve patient outcomes for that clinical problem.
3. Select a theory to guide the presentation and discuss why this theory is applicable.
4. Address how the technology you have identified will assist in resolving the clinical problem.
5. Potential strengths and limitations of the technology selected.

Use PowerPoint to create your slide presentation. Your slide presentation must contain a title slide, 12-15 slides of content, and a References slide. Use evidence to support your claims. A minimum of five references using APA style must be used. Speaker’s notes must be included for each individual slide (add a speaker notes section to demonstrate the verbal speech you would give along with each slide).

Presentation Tips:

Text slides are not meant to be read by the speaker, but by the audience. Lettering should generally be limited to four lines and should never be more than seven, including the title.

1. It is advisable not to use more than eight words per line.
2. Avoid too much detail and resist the temptation to overload the presentation with information.
3. Avoid jargon and abbreviations, unless they are clear to all the audience.
4. Aim at the average person in the audience.
5. Use plain English.

Portfolio Practice Hours:

It may be possible to earn portfolio practice hours for this case report. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-805

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

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Topic 2 DQ 2
Apr 21-25, 2022
You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new
practice workflow to incorporate seeing patients and in regard to communication with the health care
team and the infusion of the EHR into your practice. What elements do you need to consider if this
position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change
if the setting was a rural regional clinic system?
REPLY TO DISCUSSION
NM
Nkiruka Mgbemena
Posted Date
Apr 25, 2022, 8:09 PM
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Replies to Nkiruka Mgbemena
DNPs are uniquely prepared and qualified to accept and work in a variety of advanced healthcare roles
especially in clinical practice. Roles such as to reduce costs by focusing on primary care, health
promotion, and disease prevention as expert clinicians, faculty in schools, health care consultants,
entrepreneurs and scholars caring for multiple patient populations in various geographic areas and as
global health leaders (Zaccagnini, & Pechacek, 2019). As an expert clinician and academic scholar, the
DNP prepared nurse is able to improve patient care through initiation of quality improvement (QI)
initiatives, assisting with healthcare policy development. And also has knowledge and skills in healthcare
economics, finances, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).
Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals
such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating,
planning and the implementation of health information technologies (health IT), to improve support.
When an organization adopts an electronic health record (EHR) it changes the usual workflow standard.
Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of
looking at all the aspects of the organization and mapping out current workflows and analyzing how the
work gets done in the organization and they plan for the future and create new workflows to increase
the organizations efficiency and the quality of health care. Workflow redesign helps most organizations
to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove
chaos from your current workflow, improve care coordination (HealtIT.gov., 2019).
As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR
system. I would communicate with the senior information technology (IT) analyst team to understand
what kind of system they plan to implement and then plan for a meeting with the nurses that will be
working with the EHR to inform them of the system and when training would begin. The training would
take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately
and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow.

During the implementation, the patients will be informed of the new EHR system and that the IT
professionals and the clinical specialist would be available to help the staff to trouble shoot any
problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).
The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate
those who are able to attract and retain qualified nurses based on five goals such as transformational
leader, structural empowerment, new knowledge, innovation, and empirical outcomes and
development. The effectiveness of magnet hospitals is the existence of work environments that focus on
decentralized decision-making, autonomy, control over practice, resource adequacy, supportive
management, effective inter-professional communication, and career development.
As a DNP leader in a magnet hospital, I will ensure that the staff are well trained to maintain our nursing
excellence standards and the structures needed for the training are in place during training as well as
during implementation and maintain communication with the staff in terms of when this will take place
so that they are well prepared. Adequate structures such as adequate computers, the IT professional
team, the scheduling of their time for the training is adequate with enough staffing to cover patient care
for those in training to maintain patient safety and excellent nursing care. Providing adequate
knowledge of the improvement in the quality of nursing care that this new system will provide will
enhance their desire to learn and implement the program.
In a rural setting, the pace would be slower, so, as a DNP leader, I would have to reevaluate my strategy.
I would have to also give them time to assimilate the need for change to a new EHR system. They will
need more time to train and for implementation knowing that the patient influx maybe slower and the
staffing may be less adequate. As the DNP leader, I will collaborate with all the leadership teams to
make them aware of the process change taking place and the need for their collaboration with my team,
explain to the patients the new changes that will take place. The leader has to make sure that all
structural resources are in place as well.
References:
Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health
information exchange services into the medical practices’ workflow. Information Systems
Frontiers, 23(3), 599-605. https://doi.org/10.1007/s10796-019-09979-x

HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the
National Coordinator for Health Information Technology.
https://www.healthit.gov/faq/what-workflow-redesign-why-it-important

Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com
Blog. https://monday.com/blog/productivity/workflow/

Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing
practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for
advanced practice nursing. Jones & Bartlett Learning.

Topic 2 DQ 1

Apr 21-23, 2022

Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.

It is a digital age that we are living in. With the advent of the internet and smartphone, information is only a click away. This era we are living in has been dubbed the Third Industrial Revolution (Taalbi, 2019). Healthcare has been an active participant in this revolution from robotic surgeries to electronic medical records. Electronic health records (EHR) are digital medical records and have changed how healthcare business and work are completed. Documenting on computers, accessing important health data, electronically transmitting medical records and patient access to chart information are some implications of having an electronic health record. Meaningful use of the EHR can improve quality, efficiency, safety, and increase patient-centered care (Slight, et al., 2015).

There are numerous benefits to EHRs. One immense benefit of an EHR is the safety improvements. Communication can be a source of medical errors, by using EHRs, this risk can be mitigated (Atasoy, et al., 2019). Orders are clear and can be issued as an order set and legibility is no longer an issue. Medications can be barcode scanned reducing the risk of medication errors. Healthcare systems can run more effectively as data is instantly transferred and available. Patients have increased access to their medical records which can improve continuity of care and satisfaction for those with the ability to retrieve their records (Ford et al., 2016). Further, by using digitalized records, health information sharing is efficient, timely, and accurate. This provides continuity of care from one health system to another. Lastly, by using EHRs, reimbursement for medical care may be increased (Tsai, et al., 2020).

Electronic health records have many benefits but also come with some limitations. Concerns with EHRs include security and cost (Hoover, 2017). Some healthcare providers are concerned about the time required to adequately complete electronic documentation (Tsai, et al., 2020). Accuracy of documentation can be problematic as well if the user does not have due diligence and inappropriately uses shortcuts (like copy and paste) without personalizing for the patient. Focusing on the computer, attention can be removed from the patient and placed toward the EHR. This can be a dissatisfier for the healthcare team, patients, and families (Tsai, et al., 2020). In addition, not all people have access, ability, or can comprehend the EHR. This widens the digital divide and health disparities in at-risk populations (Alexander, et al., 2019).

References

Alexander, S., Frith, K. H., & Hoy, H. (Eds.). (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning.

Atasoy, H., Greenwood, B. N. & McCullough, J. S. (2019). The digitization of patient care: A review of the effects of electronic health records on the health care quality and utilization. Annual Review of Public Health, 40, 487-500. Doi: https://doi.org/10.1146/annurev-publhealth-040218-044206

Ford, E. W., Hesse, B.W. & Huerta, T.R. (2016). Personal health record use in the United States: Forecasting future adoption levels. Journal of Medical Internet Research, 18 (3), e73. doi: 10.2196/jmir.4973

Hoover, R. (2017). Benefits of using an electronic health record. Nursing Critical Care, 12 (1), 9-10. Doi: 10.1097/01.CCN.0000508631.93151.8d

Slight, S. P., Berner, E. S., Galanter, W., Huff, S., Lambert, B. L., Lannon, C., Lehmann, C. U., McCourt, B. J., McNamara, M., Menachemi, N., Payne, T. H., Spooner, S. A., Schiff, G. D., Wang, T. Y., Akincigil, A., Crystal, S., Fortmann, S. P., & Bates, D. W. (2015). Meaningful use of electronic health records: Experiences from the field and future opportunities. JMIR Medical Informatics, 3 (3), e30. https://doi.org/10.2196/medinform.4457

Taalbi, J. (2019). Origins and pathways of innovation in the third industrial revolution. Industrial and Corporate Change, 28 (5), 1125 – 1148. Doi: https://doi.org/10.1093/icc/dty053

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life (Basel), 10 (12), 327. Doi: https://doi.org/10.3390/life10120327