INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS NURS 6050
INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS NURS 6050
INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS NURS 6050
Although most nursing informatics work is done behind the scenes, it has a profound effect on many facets of our industry and daily lives. Healthcare data and information is collected and analyzed by nursing informaticists (NI) to monitor the effects of healthcare treatments. According to research (Threw, 2016). At work, I make regular use of NI for incident report tracking. The system keeps tabs on incidents like these, as well as those involving patient-to-staff and patient-to-patient violence. They monitor the frequency with which these events occur in order to determine which preventative measures are effective and which are not.
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Incorrect medicine delivery is only one example of the kinds of medical mistakes that may be reduced because to NI’s efforts to enhance the healthcare system. It was NI who spearheaded the effort to improve our hospital’s medicine delivery procedures from the ground up (McGonigle & Mastrian et al., 2017). A patient’s wristband, patient record, and medicine label must all match before we may give them a dose of medication.
Our relationships with NI might be enhanced if we had a more direct channel for reporting problems with the EHR (EHR). While Point Click Care is a fantastic EHR, it does have a lot of nitpicky flaws that we’ve had to work around. Both myself and many of my coworkers find this very irritating. If we could more easily get in touch with the people in charge of our EHR, we could share our discoveries (and our disappointments) and work together to develop solutions.
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In my opinion, the significance of NI expertise will increase in the next years. The field of NI has a lot of space to expand thanks to the development of artificial intelligence (AI) and remote monitoring tools like fall detection gadgets and remote blood sugar monitors. This emphasizes the significance of having clear lines of communication between the frontline healthcare staff and the team responsible for the EHR’s development and the NI division.
References
Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders:
protocol for a scoping review. BMJ open, 7(12), e018855.
https://doi.org/10.1136/bmjopen-2017-018855Links to an external site.
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning
Threw, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders.Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
- Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
- Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
BY DAY 3 OF WEEK 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
Nurse informaticists interact with other professionals in the healthcare setting.
Nursing informatics has evolved beyond data management, and the American Nurses Association (ANA) has expanded the definition to include that NI is a “specialty that integrates nursing science with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice” (Sipes, 2016). Nurse informaticists are especially important in the healthcare industry.
They provide critical information and support for nurses and other healthcare professionals. Nurse informaticists ensure that the information gathered is accurate and current, which helps guide nurses on how to do their job effectively and take care of patients. Communication between nurse informaticists and other specialists makes a healthcare system function successfully. Working together will ensure that patients receive the best care and will also identify ways to improve care.
Experiences & Observations
Recently my daughter was hospitalized, and I was amazed at how much the technology has changed in the last six years that I have been away from inpatient nursing. During her stay, she was given intravenous fluids (IV) and multiple IV boluses of Glucose. I observed that on the IV pump, there were several barcodes. These barcodes were scanned each time a nurse hung a fluid bag or changed the infusion rate. First, the nurse would log onto the computer and the Electronic Health Record (EHR). They then scanned my daughter’s armband with her identification, the IV fluids being hung, and the IV pump. When the IV pump was scanned, it would project the physician’s order for the IV fluids on the computer screen and show the nurse the correct rate and amount of fluid that should be infused.
It was a double check for the nurse to ensure that the correct fluid and amount of fluid were given to the right patient. As a nurse and a former PICU nurse, I know firsthand how important it is to ensure that the correct fluid, rate, and amount of fluid is given to the right patient. I have experienced many morning huddles discussing mistakes and close calls regarding IV fluid infusions. Due to these mistakes or close calls, hanging IV fluids changed and was made safer for the patients receiving the fluids. There is now a double check done by the EHR and the IV pump or Smart Pump infusing the IV fluids. “IV infusion is associated with 54% of all adverse drug events, 56% of medication errors, and 61% of serious life-threatening errors” (Giuliano, 2015).
Infusion pump therapy was introduced 45 years ago to monitor the rate and volume of IV medications (Alamer, 2023). “In 2018, about 89.5% of hospitals in the United States use Smart Pump Technology” (Alamer, 2023). The smart pump contains dose error reduction software that prevents changes in the infusion programming and warns users if they attempt to deviate from the drug library set standards. Smart Pump Technology has helped safely administer and avoid errors of infusion. However, there is still room for improvement. An even safer way to deliver IV fluids would be for the pump to auto-program after the fluid and pump are scanned by the nurse and auto-document the rate and amount of fluid to be infused. This way, the nurse only selects the start button to begin the infusion.
Impact of the evolution of nursing informatics and continued emergence of recent technologies
The advancement of technology will continue to affect nursing and nursing informatics. Nurses face challenges as increased technology is brought to the workplace. Technology has been seen as a distraction or unwelcome intrusion into nurses’ hands-on caring role and therapeutic relationships with patients and families (Booth et al., 2021). Ensuring nurses are fully present in their interactions with patients is essential with technological advancements. “Nursing will continue to offer value and importance to healthcare systems. However, the profession must consider its role, knowledge, and relationships with technologies and patients to remain relevant in digitally enabled societies and healthcare systems and continue to provide compassionate care in a digital world” (Booth et al., 2021).
References
Alamer F, Alanazi A T (March 10, 2023) The Impact of Smart Pump Technology in the Healthcare System: A Scope Review. Cureus 15(3): e36007. doi:10.7759/cureus.36007
Booth, R. G., Strudwick, G., McBride, S., O’Connor, S., & Solano López, A. L. (2021). How the nursing profession should adapt for a digital future. The BMJ, 373, n1190. https://doi.org/10.1136/bmj.n1190
Giuliano K. K. (2015). IV Smart Pumps: The Impact of a Simplified User Interface on Clinical Use. Biomedical instrumentation & technology, Suppl, 13–21. https://doi.org/10.2345/0899-8205-49.s4.13
Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.
Your post got me to reflect on the many interactions I’ve had at my facility with others that may have been interaction with a technology specialist and I just didn’t realize it at the time. I too took an Epic training class when I first started, and a nurse who had many years of experience as an emergency and intensive care nurse taught the class on how to use epic. I’m not sure how nurses were able to provide care for their patients and provide accurate documentation before electronic healthcare records(EMR). EMR’s such as Epic has helped to lower government healthcare spending while providing quality care and improving patient outcome (Beauvais et al., 2021).
Looking, back he may have had some form of experience in information technology as well. I also have been able to reflect on all the warning alerts that we receive on EPIC while caring for our patients. For example, if a patient’t Lactate comes backs abnormal, every time you log into the patient’s chart in Epic, an alert will pop up alerting you that the patient’s lactate was elevated and a new sample will need to be collected. This is something that could be easily missed with our busy task filled day, but thanks to that communication in Epic, the providers and nursing staff can be reminded on efficiently caring for the patient. I have never had a nurse informaticist or information specialist conduct an in service on my unit, but from reading other posts, this is something that is commonly done, and I believe it is beneficial to both the nursing staff and the informaticist. Nurse informaticist are part of the delivery of care because they help nursing staff collect data, develop skills and build knowledge (Grenuk, 2019).
BY DAY 6 OF WEEK 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
*Note: Throughout this program, your fellow students are referred to as colleagues.
INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
- Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
- Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
BY DAY 3 OF WEEK 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
I have found your post very interesting. According to the TIGER team, TIGER was established in 2007 to help reform technology informatics education (2007). This organization has a 10-year action plan to help implement the education of practicing nurses and nursing students to fully engage in the digital technologies of healthcare (2007). I personally have not seen educational opportunities in my organization that has been assigned to all clinical staff as mandatory learning when it comes to basic computer knowledge. They train on their software, but many older nurses that I have encountered still have trouble with basic computer knowledge and should be trained in those basic skills.
Our online e-learning site can teach some basic skills, but the nurses must assign them to themselves. The only mandatory computer skill that is conducted every year is cyber security and what to report. With the advancements in technology expanding at a rapid pace, nurses need to have a strong foundation in computer basics (2022). Essentially strong nursing leadership will need to help lead nurses to navigate new and complex technology such as AI and robotic systems possibly by 2026 (Walsh University Online, 2022).
Advocating for training nurses now to have a solid base to build upon will be essential to the success of technology advancements. I can advocate this by bringing data, and proof of productivity related to the lack of basic computer skills. Present to the educators of the organization what the needs are, and then help train those that need it, and evaluate them after training to see if educating on basic computer skills will help to maintain productivity.
BY DAY 6 OF WEEK 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
*Note: Throughout this program, your fellow students are referred to as colleagues.
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Manage Discussion Entry
Although most nursing informatics work is done behind the scenes, it has a profound effect on many facets of our industry and daily lives. Healthcare data and information is collected and analyzed by nursing informaticists (NI) to monitor the effects of healthcare treatments. According to research (Threw, 2016). At work, I make regular use of NI for incident report tracking. The system keeps tabs on incidents like these, as well as those involving patient-to-staff and patient-to-patient violence. They monitor the frequency with which these events occur in order to determine which preventative measures are effective and which are not.
Incorrect medicine delivery is only one example of the kinds of medical mistakes that may be reduced because to NI’s efforts to enhance the healthcare system. It was NI who spearheaded the effort to improve our hospital’s medicine delivery procedures from the ground up (McGonigle & Mastrian et al., 2017). A patient’s wristband, patient record, and medicine label must all match before we may give them a dose of medication.
Our relationships with NI might be enhanced if we had a more direct channel for reporting problems with the EHR (EHR). While Point Click Care is a fantastic EHR, it does have a lot of nitpicky flaws that we’ve had to work around. Both myself and many of my coworkers find this very irritating. If we could more easily get in touch with the people in charge of our EHR, we could share our discoveries (and our disappointments) and work together to develop solutions.
In my opinion, the significance of NI expertise will increase in the next years. The field of NI has a lot of space to expand thanks to the development of artificial intelligence (AI) and remote monitoring tools like fall detection gadgets and remote blood sugar monitors. This emphasizes the significance of having clear lines of communication between the frontline healthcare staff and the team responsible for the EHR’s development and the NI division.
References
Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders:
protocol for a scoping review. BMJ open, 7(12), e018855.
https://doi.org/10.1136/bmjopen-2017-018855Links to an external site.
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning
Threw, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders.Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
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How Nurse Informaticists or Data/ Technology Specialists Interact with Other Professionals in the Healthcare Organization
For the purposes of this paper, the technology or data specialist in this case will be referred to as the nurse informaticist. Any interaction between the nurse informaticist and the other professionals in the healthcare organization cannot be talked about if the role of the former has not been defined. The nurse informaticist is a relatively recent role for the advanced practice nurse and involves responsibility for all technological applications used in healthcare.
The informaticist professional is responsible for the seamless capturing of patient data, adherence to and enforcement of HIPAA (Health Insurance Portability and Accountability Act), access to the technological systems and installation or upgrading of any of the systems such as the electronic health record or EHR system (Alotaibi & Federico, 2017; McGonigle & Mastrian, 2017). Since the use of technology to capture patient data is already mandated by law, this means that the nurse informaticist must literally communicate with all the other healthcare professionals in the organization.
Continuous Education (CE)
Being the healthcare professional with both the technological and medical knowledge, the nurse informaticist is a valuable resources person who regularly gives presentations to staff on how systems are to be used. She teaches the applicability of the systems and their benefits to patients, staff, and the organization. This is one way in which she interacts with the other healthcare professionals in the organization.
Standard Operating Procedures (SOPs)
As she is the custodian of all the technological systems used in the healthcare organization, she is also the person responsible for designing and disseminating the standard operating procedures or SOPs to be used by all staff when accessing the technology systems. This means that she will also have to interact with the other staff through tools such as internal emails or memos.
Giving Individual Access or Passwords
The nurse informaticist is the gatekeeper of all technological systems within the healthcare organization. These include principally the certified electronic health record technology or CEHRT system as well as the clinical decision support or CDS system. For any individual employee in the organization to have access to the system (physicians, nurses, pharmacists, dieticians, and so on), they must be given a unique password by the nurse informaticist. She will therefore also interact with them individually at this level.
Troubleshooting
As the other healthcare professionals utilize the system functionalities such as the CPOE (computerized provider order entry), PDMS (patient data management system), BCMA (bar code medication administration), and eMAR (electronic medication administration record); they will encounter challenges here and there. The only resource person that they will consult first for troubleshooting will be the nurse informaticist. This is therefore yet another way in which she interacts with the other healthcare professionals.
New Technology Applications or Improvements (Project Management)
Last but not least, the nurse informaticist is responsible for any new project involving installation of a new system or upgrading of an existing one. This essentially makes them the project manager (Sipes, 2016). They will thus interact with the other healthcare professionals by informing them of the impending change and also educating them of the need for the same.
Future Outlook
One strategy for improving the above interactions is to strengthen the technology units taught in the basic courses for all healthcare professionals. This will enable them to see the nurse informaticist as a valuable resource and not as a nuisance. The continued evolution of nursing informatics will impact professional interactions in that data will play a very crucial role (Wang et al., 2018). The medium of communication will henceforth be electronic data.
References
Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631Links to an external site.
McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge, 4th ed. Jones & Bartlett Learning.
Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Nursing Informatics, 252-256. https://doi.org/10.3233/978-1-61499-658-3-252Links to an external site.
Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. https://doi.org/10.1016/j.techfore.2015.12.019Links to an external site.
ADDITIONAL SAMPLE
Trying to get staff comfortable with a new system can be challenging, communication and education or training in thi