The Application of Data to Problem-Solving Nursing Essay

The Application of Data to Problem-Solving Nursing Essay

The Application of Data to Problem-solving

Healthcare Scenario

In a pediatric outpatient primary care clinic, one provider alone may see 15-20 children in a day, at the least. Some of those children may live in a home where food choices and physical activity may not be the healthiest. As healthcare providers, it is important to look at the whole child and family dynamic when assessing a child’s health status The Application of Data to Problem-Solving Nursing Essay. Therefore, gaining data on children’s health in the home could help prevent certain mental and physical illnesses.

Data to be Accessed

            Some important data to be obtained could include the patient’s weight, blood pressure, a food diary for the patient, an activity diary, and a feelings/mood diary. Some other good ideas from Imoisili et al. (2021) would be to include hemoglobin A1c and liver markers such as ALT and lipids. Depending on the age, this could be done using a sort of game to help children be more motivated to document their daily choices. The patient could write it down in a notebook that the clinic can provide for them, or if they are younger, they can draw pictures in it. What might be useful for older children is documenting their food intake, activity level, or mood on a mobile device application that can be synced to the clinic’s medical record. The Application of Data to Problem-Solving Nursing Essay The only one who would have access to this would be the patient’s provider. If the patient is using a notebook to write or draw in, they would simply return it once a week to the clinic to be documented in the medical record system.

Knowledge Derived from Data

            From this specific data, we can obtain a deeper knowledge of a patient’s life at home, of the food options the patient has available to choose from, their activity level, and their emotional state. All of these play a factor in a patient’s overall health. Each category of health affects the other. This knowledge can help us to target what needs to be focused on instead of simply telling the patient and his or her parents that they must eat healthier and be more physically active. Diving into what is really the issue behind the patient’s increased weight will provide more success rates for the patient and family. The underlying issue may not even be physical activity or food choices. It may be psychological stress on the child, in which case, resources would be provided for them to help resolve the psychological issue within the patient The Application of Data to Problem-Solving Nursing Essay.

Clinical Reasoning and Judgement

            Clinical reasoning and judgement can be formed from the knowledge obtained from this specific data by observing the trends of certain ages and population groups in their physical activity and food choices. The Application of Data to Problem-Solving Nursing Essay The nurse leader can infer from this information the influences of each individual patient’s daily life and possibly be able to offer suggestions of lifestyle changes that the family and patient can implement in their daily choices.

Application of Data

            With the application of this data obtained, we as healthcare providers must keep in mind that the “psychosocial concerns such as stress and dysfunction in the family, or a child’s experience with bullying can increase the chances of dropout” (Berry et al., 2021). So we must make sure that when we apply this new information to our patient’s lives, that we follow up with them and make sure we gave them the greatest chance of success for the future and for the rest of their lives. A study performed by Thompson et al. (2019) showed that regular checkups and teachings from nutrition specialists and behavioral specialists with the patient and family greatly increase the success rate in weight management over a two-year period.

Conclusion

            Pediatric obesity is a prevalent issue in today’s world, and as we integrate data that we obtain from current patients, we can positively affect the outcome of their health now and in future years to come. We can obtain data from our patients electronically or written. That is the beauty of today’s technology and our increasing ability to help our patients in more than just the conventional method.

  

Resources

Berry, D. C., Rhodes, E. T., Hampl, S., Young, C. B., Cohen, G., Eneli, I., Fleischman, A., Ip, E., Sweeney, B., Houle, T. T., & Skelton, J. (2021). Stay in treatment: Predicting dropout from pediatric weight management study protocol. Contemporary Clinical Trials Communications22. https://doi-org.ezp.waldenulibrary.org/10.1016/j.conctc.2021.100799 The Application of Data to Problem-Solving Nursing Essay

Imoisili, O. E., Lundeen, E. A., Freedman, D. S., Womack, L. S., Wallace, J., Hambidge, S. J., Federico, S., Everhart, R., Harr, D., Vance, J., Kompaniyets, L., Dooyema, C., Park, S., Blanck, H. M., & Goodman, A. B. (2021). Body Mass Index and Blood Pressure Improvements With a Pediatric Weight Management Intervention at Federally Qualified Health Centers. Academic Pediatrics21(2), 312–320. https://doi-org.ezp.waldenulibrary.org/10.1016/j.acap.2020.11.026

Thompson, K. L., Chung, M., Handu, D., Gutschall, M., Jewell, S. T., Byham-Gray, L., & Parrott, J. S. (2019). The Effectiveness of Nutrition Specialists on Pediatric Weight Management Outcomes in Multicomponent Pediatric Weight Management Interventions: A Systematic Review and Exploratory Meta-Analysis. Journal of the Academy of Nutrition and Dietetics119(5), 799–817. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jand.2018.12.008

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Tanaka Ruzvidzo 

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Tanaka Ruzvidzo 

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The Application of Data to Problem-Solving 

Healthcare Scenario 

The Healthcare scenario I have selected is a suicide risk assessment. Suicide has been on the rise, more so due to the Covid-19 pandemic The Application of Data to Problem-Solving Nursing Essay. Working in an in-patient setting I have seen this first-hand.  It is important therefore to quickly and accurately assess the risk of suicide on all patients coming into the hospital. According to Saab et. Al (2021), risk assessment is key to effective self-harm and suicide prevention and management. This needs to be done immediately during ER triage, on admission to a unit and as needed during their hospital stay depending on behaviors assessed.  

Data to be Accessed 

A questionnaire can be developed to ask specific questions that will give guidance on how to proceed. Using informatics, an algorithm can be developed depending on the answers given that will direct course of action to be taken. Data that can be gathered include asking questions like suicide ideations, attempts, plan, depression etc. Data can also be gathered from others, like family members, friends, case workers, or anyone else. 

Clinical Reasoning and Judgment 

Depending on the algorithm the treating clinician then will put in a consultation for behavioral health to assess the patient. Behavioral health will then use the data gained from the assessment to decide if the patient is at high suicide risk and qualifies for their services or not. The Behavioral health clinician is trained to look at different things like nonverbal communication, body language as well as the patients’ responses to questions. This in addition to the data gained from the questionnaire can determine the next course of action.  

Application of Data 

Once all the data is put together, it is like the pieces of a jigsaw puzzle coming together. Information gathered from ER triage, through to patient admission and during their stay is integrated to give a wholistic picture. “Informatics are a set of tools, and that the important use of informatics has to do with how you use those tools strategically” (Paone & Shevchik, 2017). Using the data gained they can decide whether the patient needs to be admitted to the behavioral unit, whether they will need outpatient counseling, or if they are not at risk and can be discharged to go home. Strategic use of the data is important to determine the way forward. 

Conclusion 

Data analyzed regarding suicide risk can be one step in alleviating this by ensuring early identification and assessment. This will ensure aid is quickly given to those that are most vulnerable and help reduce the rate of suicide. “Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved” (Sweeney, 2017). Thanks to informatics this is doable and can improve not only patient outcomes, but also enhance the quality of healthcare provided. 

References 

Paone, S., & Shevchik, G. (2017). Trends in Population HealthYouTube. YouTube. Public Health Informatics: “translating” knowledge for health. 

Saab, M. M., Murphy, M., Meehan, E., Dillon, C. B., O’Connell, S., Hegarty, J., Heffernan, S., Greaney, S., Kilty, C., Goodwin, J., Hartigan, I., O’Brien, M., Chambers, D., Twomey, U., & O’Donovan, A. (2021). Suicide and self-harm risk assessment: A systematic review of prospective research. Archives of Suicide Research. https://doi-org.ezp.waldenulibrary.org/10.1080/13811118.2021.1938321 

Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics21(1), 4–1. 

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Tae Kim 

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Thank you for a great post, Tanaka. It is not only critical to assess the suicidal risk on admission, each shift, and as needed but also to utilize coping skills to intervene suicidal thoughts and attempts The Application of Data to Problem-Solving Nursing Essay.

Suicide is a serious issue that seems to keep growing despite prevention efforts. Suicides have increased by 24 percent in the past 20 years and now suicide is one of the top ten causes of death in the US. Not only is the problem growing there has been little progress over the last 50 years in understanding suicide and improving outcomes in at-risk individuals (Coppersmith et al., 2018). Identifying high-risk patients is difficult. RNs are considered “front-line” in suicide prevention because of their contact with patients but RNs rarely identify at-risk patients. Yet most people who do commit suicide had visited a healthcare provider within the previous month.  Part of the reason for failing to identify at-risk patients is that most RNs have little or no training on how to assess, treat, evaluate or refer a suicidal patient. RNs , therefore, feel ill-prepared and afraid to talk to patients about suicide (Bolster et al., 2015). Although PMHNPs are better trained and should be better able to identify at-risk patients, this may not necessarily be the case. One study in rural Kentucky indicated that nine of ten psychiatric nurses surveyed overestimated their ability to identify and treat persons with suicidal ideation (France, 2019).

Informatics offers significant opportunities in the effort to identify at-risk patients. One example is through the natural language processing of social media. Studies with natural language processing and machine learning have detected quantifiable signals around suicide attempts and how to design an automated system for estimating suicide risk among patients. The results could be used by those without specialized mental health training (e.g., primary care doctors) to identify at-risk patients. Although this is a potentially life-saving technology, there may be ethical and privacy implications. So far this technology has been used only for individuals who have “opted in” for analysis and intervention (Coppersmith et al., 2018) The Application of Data to Problem-Solving Nursing Essay.

References

Bolster, C., Holliday, C., O’Neal, G., & Shaw, M. (2015, January) Suicide assessment and nurses: What does the evidence show?  The Online Journal of Issues in Nursing20(1).  https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No1-Jan-2015/Suicide-Assessment-and-Nurses.html

Coppersmith, G., Leary, R., Crutchley, P., & Fine, A. (2018).  Natural language processing of social media as screening for suicide risk.  Biomedical Informatics Insights, 10, 1 – 11.  https://journals.sagepub.com/doi/pdf/10.1177/1178222618792860

France, W. F. (2019).  Psychiatric nurses’ knowledge of suicide prevention.  [Dissertation, Walden University].  Walden Dissertation and Doctoral Studies Collection.  https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=8505&context=dissertations

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April Ward 

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Tae Kim 

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When a patient or member of their family is ill, injured, or suffering from any medical condition, they and their families rely on healthcare experts to help them recover. We may help, but we can also cause harm if we make key mistakes. As nurses, we must use whatever tools we have at our disposal to enhance our capacity to serve while reducing the possibility of making mistakes. This is a career that largely relies on information. That data must be valuable and meaningful. The characteristics of valuable and meaningful information include “accessibility, security, timeliness, accuracy, relevancy, completeness, flexibility, reliability, objectivity, utility, transparency, verifiability, and reproducibility” (McGonigle & Mastrian, 2017, p. 23).

We utilize informatics from the time a patient is admitted until they are discharged at the hospital where I am presently working. Patient identification mistake is one of the avoidable issues. If they have the same first or last name, they are emphasized with a distinct letter style. In a typical scenario we use Medical Record Numbers (MRNs), patient’s initials, picture identifications and Contact Serial Numbers (CSNs). Additionally, we ask the patient to identify their name, date of birth, and scan their ID bracelet before administering medication or performing any treatments. When we collect blood for type and cross match for transfusion, we utilize two RNs to verify the patient information and compare them to the EHR. Of course, we are worried that a mistake in identification might lead to incorrect treatment, which could have significant or even deadly implications.

Patient identification may appear to be a simple procedure, but it may be complicated and requires careful preparation and attention to minimize errors when the patient’s information is stored in electronic health records (EHRs). Although technology is important in this process, it cannot assure effective patient identification on its own. Staff also must be adequately trained (Office for the National Coordinator for Health Information Technology, 2016).

Nurse managers may use information systems in their decision-making process.  It is important that managers use EHR in determining how information is organized and categorized within the EHR.  Health informatics bridges the gap between technology and processes to increase productivity, enhance healthcare, improve treatment, and empower patients (Sweeney, 2017).  Serving on the frontline of health care, RNs and NPs should ensure their organization’s procedures minimize the risk of patient misidentification.  The Office for the National Coordinator for Health Information Technology (2016) provides a self-assessment guide that can assist in assessing an organization’s patient identification status.  RNs and NPs should have a role in setting priorities among recommended practices not yet addressed by the organization and ensure a plan is in place to maintain recommended practices already in place.  They should ensure resources are dedicated to make necessary improvements and minimize the highest priority patient identification-related safety risks introduced by the EHR The Application of Data to Problem-Solving Nursing Essay.

Nursing informatics will continue to grow and impact healthcare.  Knowledge development in healthcare doubled every century until 1900.  Now, however, it is estimated that knowledge will double every 18 months.  And the pace will only get faster.  The traditional way of developing procedures, protocols and care pathways often become obsolete and outdated between initiation and when they are finalized.  Best practices can change very quickly and nurses must keep up.  The only way to keep up is to integrate and embed the new knowledge in electronic records using algorithms and decision support systems (Nagle et al., 2017).

References

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning

Nagle, L. M., Sermeus, W., Junger, Alain. (2017).  Evolving role of the nursing informatics specialist.  In J. Murphy, W. Goosen, &  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

Office for the National Coordinator for Health Information Technology (2016, September).  General instructions for the SAFER self-assessment guides.  https://www.healthit.gov/sites/default/files/safer_patient_identification.pdf

Sweeney, J. (2017, February). Healthcare informatics. Online Journal of Nursing Informatics (OJNI), 211).  https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=0&sid=6d52be0f-1109-4880-9113-9283e1b60660%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=128848047&db=rzh

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Goof insight Tae.  As useful as technology can be, health care professional need to continue to be vigilant.

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7 months ago

ZULFIQAR ABBAS 

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Hello Colleagues,

Currently, Information technology is a part of our daily life. IT is substantially involved in everyone’s life somehow for example, in school, work, personal life, or social aspects of our life as well. Nursing is also getting benefits from information technology. Nursing informatics is the integration of information technology with clinical nursing, management, and research as well (Darvish, et al; 2014). Since I am a new nurse only have experience of less than a year in nursing. I have never practiced nursing in paper format charting. I have heard that paper charting has a lot of problems and a high rate of medication errors in nursing and leading to reversible and irreversible events in healthcare The Application of Data to Problem-Solving Nursing Essay.

Since I have graduated, I have been working in a skilled nursing and long-term facility. I learned that informatics plays a significant role in all nursing specialties, but I could say that it has great importance in my workplace. As all my patients and residents are elderly have a lot of medical problems and especially, I would say the vast majority have dementia. These patients can’t remember their history, medical problems, and medications. The only source to get this information from is the Electronic Health Record. Informatics the EHR provides the maximum information to make a reasonable decision for the patients. Besides getting their health information we can also add and modify the plan of care, and they also access and update their demographic information.

A few weeks ago, I have been working as a float suspender/supervisor nurse over the weekend and floor nurse. One of the floor nurses came to me and asked about the Augmentin suspension for one of the very old residents who just came back from the hospital after being treated for sepsis and cellulitis there. I had work lately with the same resident and I do remember that she had already completed her Augmentin course a couple of days ago. I double-checked with the nurse and told her that she had completed oral antibiotics a couple of days ago. She was not sure, so I log in and showed her the orders and the last day of administration. Informatic the HER helped and prevented the medication error promptly. According to the Department of Health and Human Services, health information technology (HIT) helped in improving patient safety and quality of care (Paaske, et al; 2017). Patients and healthcare provider can access their records remotely rather than need a paper chart in the facility. According to the Center of Medicare & Medicaid Services (CMS), the meaningful use of informatics in healthcare reduces the patients’ harm and increases the reimbursement for the organization (Webb, 2021) The Application of Data to Problem-Solving Nursing Essay.

                       

                                                                            References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global journal of health science6(6), 11.

Paaske, S., Bauer, A., Moser, T., & Seckman, C. (2017). The benefits and barriers to RFID technology in healthcare. On-Line Journal of Nursing Informatics21(2).

Webb, N. (2021 Nursing Informatics as Caring: A Literature Review. Online Journal of Nursing Informatics 

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Thank you Zulfiqar.  Your post leads me to a question…

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How could data collection on medication errors be used to prevent future errors?

Dr. Moyers

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salome ugwu 

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Tina Alino 

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Kirsi Hoselton 

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Dorothy Chudi-Agbaku 

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Thank you Krisi and Dorothy.  Your post leads me to a question…

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How can data from an electronic health record serve to improve patient outcomes?

Dr. Moyers

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Kirsi Hoselton 

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Dorothy Chudi-Agbaku 

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Hi Dr Moyer,

            There are many ways by which data from EHR could serve to improve patient outcome. Data shared in an EHR could be life-saving when efficiently managed as it helps to provide history for an unresponsive patient or in a patient with allergies, it assists to select the right medication thereby improving the patient’s outcome (Steger, 2019). Patients’ outcome could also be improved when the clinicians through the EHR assess critically patient’s data as it concerns the current medication and such diseases as high blood pressure or diabetes. EHR has improved quality of care and patient’s safety through improvement in management, medication errors reduction, avoidance of unnecessary investigations, and has also improved patient and healthcare professional’ s communication and interactions (Manca, 2015) The Application of Data to Problem-Solving Nursing Essay. As point of care data are captured in the EHR, this informs the quality improvement projects and informative research, and the results invariably help to improve patient’s outcome.

Dorothy.

References

Manca, D. P. (2015). Do electronic medical records improve quality of care? Yes. Canadian family physician, 61(10), 846–851.

Steger, A. (2019). How Electronic Health Records Can Improve Patient Care.  https://healthtechmagazine.net/article/2019/11/how-electronic-health-records-can- improve-patient-care-perfcon

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Kirsi Hoselton 

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Hi Dorothy,

            You ask a great question! From personal experience, in a clinical setting previous documentation of injections and injectable medications can be traced back to provide safe patient care (Hoselton, 2021).  It allows the health professionals to ensure that there were no medical errors made. Also, as a triage nurse, I receive many calls from patients daily who are calling for advice. (Hoselton, 2021)  Sometimes the call is spent providing patient education on how to treat symptoms at home. Although, sometimes the call is spent advising the patient that they need to be seen in a clinical or hospital setting. Therefore, an electronic medical record can provide other professionals with information about the patient’s symptoms throughout a care system, include the emergency room. This is a beneficial way to review the patient’s status when symptoms first began because over time symptoms can worsen from when the call was made. Therefore, electronic medical records can provide crucial information about the patient within a health organization to provide safe and competent patient care (Hoselton, 2021).

 

Reference

 

Hoselton, K. (2021) Unpublished manuscript, Walden University.

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Kirsi Hoselton 

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 Hi Tina,

            I enjoyed reading your post. I think that patient advocacy is an essential part of nursing. Patient advocacy provides essential and effective nursing care (Shirmohammad, Abbaszadeh, & Ahmadi, 2016). It is crucial for the nurse’s role to provide empathy and advocate for patients (Shirmohammad et al., 2016). The collection of data provides health professionals with crucial information to be able to identify areas where the patient needs assistance. You make a good point regarding family interviews and asking various questions. Interviewing families can create a larger picture of the patients’ home situation. This includes the identification of physical or emotional abuse. Therefore, family members can be a credible source to gathering more information ( Lang, Marvel, Sanders, Waxman, Beine, Pfaffly, & McCord, 2002).

            As a clinical nurse, there have been numerous times that I have had to advocate for my patients. Especially, during the pandemic. For instance, health care is overloaded right now with the rise of COVID on top of everyday medical conditions. This has caused care to be overloaded in clinical, urgent care, and hospital settings. With virtual care on the rise to educate and treat patients regarding their symptoms. There have been a few incidences I had to explain to providers why a patient should be examined and treated in the clinic setting.

Patient advocacy puts a patient first and identifies the patients’ needs for better wellbeing. Patients rely on those around them with medical knowledge. This leads to optimal patient outcomes The Application of Data to Problem-Solving Nursing Essay.

 

 

 

 

References

Lang, F., Marvel, K., Sanders, D., Waxman, D., Beine, K. L., Pfaff, C., & McCord, E. (2002, April 1). Interviewing when family members are present. American Family Physician. https://www.aafp.org/afp/2002/0401/p1351.html.

 Shirmohammad, D., Abbaszadeh, A., & Ahmadi, F. (2016, June 11). Patient advocacy from the clinical nurses’ viewpoint: a qualitative study. US National Library of Medicine National Institutes of Health Search database PMC Search term Search. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958925/.

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Thank you Chaquita.  Another example of how technology can serve to improve safety and patient outcomes.

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7 months ago

Tanaka Ruzvidzo 

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Dear Chaquita, I enjoyed reading about your healthcare scenario. This led me to think of the importance of timeliness in providing care. Due to nurse informatics, we have the use of electronic health records that enables us to chart patient information in real time. “Digital tools potentially offer opportunities to ensure that patients are directed to the most appropriate care for their needs within an optimised timeframe” (Dewsbury, 2019).  

The algorithms that result from data entered chart the next course of action. Additionally, possible diagnoses are derived enabling quick access to necessary services. For instance, something as critical as a patient having a stroke, allows clinicians to ask the right questions and depending on the answers will in the case of a Code Stroke enable speedy transportation to radiology. Sometimes critical decisions are extremely time sensitive and can be the difference between life and death. Nurse informatics has therefore bridged the gap in this regard.  

Sepsis is of national concern due to the number of deaths from this diagnosis. According to Shappell et Al (2020) EHR-based clinical surveillance is a promising new tool that may provide more reliable information on sepsis incidence and outcomes and thereby help drive further innovations and improvements in sepsis prevention, detection, and management. This will hopefully improve patient outcomes and become a tool that clinicians can rely on The Application of Data to Problem-Solving Nursing Essay. 

References 

Dewsbury, G. (2019). Use of information and communication technology in nursing services. British Journal of Community Nursing24(12), 604–607. https://doi-org.ezp.waldenulibrary.org/10.12968/bjcn.2019.24.12.604 

Shappell, C. N., Klompas, M., & Rhee, C. (2020). Surveillance Strategies for Tracking Sepsis Incidence and Outcomes. Journal of Infectious Diseases222, S74–S83. https://doi-org.ezp.waldenulibrary.org/10.1093/infdis/jiaa102 

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Miguel Rodrigo Estrera 

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Hello Sophie,

I enjoyed your very informative post regarding catheter-associated urinary tract infections.  Catheter-associated urinary tract infection (CAUTI), which is caused by an indwelling urinary catheter, is a major cause of healthcare-associated infection (HAI) in the United States. Hospital systems are putting significant effort into CAUTI reduction initiatives as a result of the national focus on HAI reduction and how these infections severely impact patient outcomes (Purvis, et al., 2017).  CAUTI occurrences are thought to be preventable in 69 percent of cases; in 2009, the US Department of Health and Human Services supported nationwide initiatives to reduce CAUTI rates. Avoiding unnecessary catheterization and lowering catheterization duration are among the measures taken to reduce CAUTI rates (e.g., by using reminder systems to encourage catheter removal when the catheter is no longer indicated) (Letica-Krigel, et al., 2019). As Nurse leaders, we can analyze the data gathered and develop programs to reduce CAUTI through evidence based practice.

 

References

Letica-Krigel, A., Salmasian, H., Vawdrey, D., Youngerman, B., Green, R., Furuya, Y., . . . Perotte, R. (2019, February). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ journals, 9(2). doi:10.1136/bmjopen-2018-022137

Purvis, S., Kenendy, G., Knobloch, M., Marver, A., Marx, J., Rees, S., . . . Shirley, D. (2017, October/ December). Incorporation of Leadership Rounds in CAUTI Prevention Efforts. Journal of NUrsing Care Quality, 318-323. doi:10.1097/NCQ.0000000000000239

 

 

 

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Adam Hundley 

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The resources we accessed for module one were able to open my eyes to just how much informatics is playing a role in patient care and education. Understanding that informatics mixes technology and information to turn that into something anyone can use is the key to helping me understand the discipline (Laureate Education, 2018). Even after seeing all the information, my mind is still sort of processing and “waking up” to the subtleties which informatics has already meshed into the hospitals where I work. Healthcare and informatics integration are growing throughout the industry (Sweeney, 2017).  I do believe as humans we tend to attempt to streamline all activities related to work and will continue to integrate informatics into healthcare. 

One incident I experienced within the last year quickly comes to my mind which could use some data collection and assimilation to direct future care and protocol. A patient in the ICU was extubated at about 1500 on a given day. This patient was in constant need of oral suctioning to clear their airway afterward. Due to a need for beds and to keep nurses in ratio, the patient was pushed out to the telemetry unit at 2000. The patient then coded early the next morning and eventually died a couple of months later after the doctors declared the anoxia from the code caused irreversible brain damage. The charge nurses argued with each other, one stating, “the protocol is to not transfer a patient until they have been extubated for twenty-four hours.” The other charge disagreed citing there was no such protocol. 

Having looked a little at informatics, I wonder if data gathered from patients who have been extubated could lead to a policy regarding the appropriate time to keep in the ICU. Certain data could be collected such as the need for oral suctioning, level of consciousness/orientation, and oxygen needs including work of breathing. The staff could then look at the disposition of these patients and their outcomes. This could lead to a “score”, if you will, which could determine if the patient could be transferred after a given number of hours. After the protocol is in place, the data could continue to be monitored. 

 

 

References 

Laureate Education (Producer). (2018). What is Informatics? [Video file]. Baltimore, MD: Author. 

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics, 21(1). 

 

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The Application of data to problem-solving: The growing need for the development and advancement of nursing has resulted in seeking relevant data to help achieve this purpose in nursing. Nursing informatics is a practice within nursing that integrates the nursing science with several other analytical and information sciences to define, manage, identify and communicate information, knowledge, data, and wisdom within the nursing practice (HIMSS, 2021). One scenario that stands to benefit from access to data within nursing is patient satisfaction. Patient satisfaction data is engraved in patients’ opinions and ratings of nursing services offered in an institution and form an important pillar on which nursing has, over the years, been developed. While many healthcare institutions allow for collecting patient opinions on their satisfaction with the quality of services offered in these institutions, access to such data can help advance the nursing practice. For instance, such reviews form the core of a hospital’s directory information and are essential in managing patients, healthcare services, and public health services. They, therefore, form a crucial element of the decision making within a hospital and aid in problem-solving (Peak & Sinclair, 2002) The Application of Data to Problem-Solving Nursing Essay. The development and access to patient satisfaction data through a patient opinion database provides essential feedback about the services offered and is a source of recommendations on how service delivery can be improved in a hospital setting. As such, access to patient satisfaction data in nursing improves communication between patients and practitioners and can be an essential source of insights for improving the services offered (Nagle et al., 2017). Accordingly, patient satisfaction data improves the quality of an institution’s data by continuously reflecting current patient needs, thereby standing out as an essential tool for knowledge formation in a hospital. Through such opinions and feedbacks, a hospital’s management interacts with their clients and gets a deeper understanding of the quality of services they offer and what more could be done to improve these services. Therefore, access to patient satisfaction data is vital for the nursing profession and can facilitate problem-solving and knowledge formation within an institution. References: HIMSS. (2021). What is Nursing Informatics?. HIMSS. Retrieved 1 September 2021, from https://www.himss.org/resources/what-nursing-informatics. Peak, T., & Sinclair, S. V. (2002). Using customer satisfaction surveys to improve quality of care in nursing homes. Health and social work, 27(1), 75-79. Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics Competencies For Nurses In The Future Of Connected Health, 1-10. https://doi.org/doi:10.3233/978-1-61499-738-2-212

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Thank you Mauricio.  Your post leads me to a question…

 

Class:

What is reflection?  How does it contribute to professional development?

Dr. Moyers

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Hi Tammy,

I appreciate your response and insight. Thank you

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Paola Gaudioso 

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Mercy,

This was very interesting to me because I also work in an inpatient hospital and I have never used this scale. The hospital I work for is voluntary, but we still get patients that are violent.  I had to do some research to learn more about the tool. It seems that gathering information with in a 24 hour period can help predict how the patient will act on the unit (Sarver et al., 2019). Many psychiatric patients have violent tendencies and being able predict these behaviors can help the staffs on the units be aware of tendencies. Being able to track a patients behaviors in a system is helpful because unfortunately many psychiatric patients use hospitals frequently.

After a 5 year evaluation of charting the BVC it was found that there were 6 different behaviors that were predictive of violence and those were confusion, irritability, boisterousness, physical threats, verbal threats, and attacking objects (Almvik, 2003). After reading about the BVC scale it seems that this would be helpful in all inpatient hospitals to help with the revolving patients that come through. If staff is aware of patients and their behaviors they can decrease triggers and so forth. This would help decrease violence in the inpatient setting.

 Informatics plays a great role in this because the nurses can gather the information and do so much with it. The information can help decrease codes on the units and predict if more staff is needed. I know that in the hospital I work for all this would be extremely helpful to make sure our patients are receiving the best care possible.

References 

Almvik, R., Woods, P. (2003). Short-term risk prediction: the Brøset Violence Checklist. Journal of Psychiatric & Mental Health Nursing. 10(2), 236-238.

Sarver, W. L., Radziewicz, R., Coyne, G., Colon, K., & Mantz, L. (2019). Implementation of the Brøset Violence Checklist on an Acute Psychiatric Unit. Journal of the American Psychiatric Nurses Association, 25(6), 476–486. https://doi.org/10.1177/1078390318820668

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Mercy Ambe Mbu 

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Hi Paola.

Thank you for taking the time to respond and throwing more light to the BVC.

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Robin Moyers WALDEN INSTRUCTOR MANAGER

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Class,

Today is day 6. Make sure to have your three post in today.  We have had excellent discussions and sharing of information in data and the use of technology and informatics in nursing and healthcare.  Our next discussion thread will begin week 3 Module 2.  The Application of Data to Problem-Solving Nursing Essay

Dr. Moyers

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Tiffany Turner 

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The Importance of Informatics within the Mental Health Community

Informatics plays such a large role in all areas of health care. Working for the Department of Mental Health allows me to provide care to people of various walks of life and also allows me to see the gaps within the healthcare system. I currently work for the aging population and many of my patients are not linked to Primary Care Providers. Approximately 40% of my patients believe their Psychiatric provides the same care as an Internist or Gerontologist. Therefore, many of my patients are not link to a PCP.  Informatics can integrate behavioral and physical health care needs to a community that lacks so much (Johnson & Meyer 2019). 

To integrate behavioral and physical health care informatics is vital (Cancer, 2011). Being able to collect the data on how many of those within the mental health care community is not linked to PCP would be the first data needed to be collected. This data would be collected by assessing each patient and/or caregiver being seen within the department rather or not they’re linked to a PCP. Upon collecting said data the needs of linkage to a PCP for out patients should be clearly define and thus policy changes should be developed to ensure patient are linked to PCP upon admission into the program. 

Nursing leaders can implement new polices in light of the data that would require staff to assess in coming patients for their last PCP appointment and PCP information. Many of the patients I provide care for are not in favor of doctor visits. Therefore, patients may not be forthcoming with PCP information which would require the initial screener to obtain the PCP contact information for verification. Overall, informatics provides critical information to providers, scientists and the pharmaceutical industry which leads to developing cutting edge advancements on how care is delivered within the health care system (Ranallo, et al, 2016). 

References

Cancer, J. (2011, August 17). THE ROLE OF INFORMATICS IN PROMOTING PATIENT-CENTERED CARE. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146983/

Johnson, S. R., & Meyer, H. (2019). Behavioral health. Modern Healthcare. https://www.modernhealthcare.com/reports/behavioral-health/

Ranallo, P. A., Kilbourne, A. M., Whatley, A. S., & Pincus, H. (2016). Behavioral health information technology: From chaos to clarity. Health Affairs35(6), 1106–1113. https://doi.org/10.1377/hlthaff.2016.0013

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