Value of Theoretical Framework or Model
NURS FPX 6410 Presentation to Informatics Staff
Improve
Collect and Analyze
Implement
Evaluate
Incorporate
Nursing Informatics brings a plethora of expertise and skill to the practice of nursing. Although nursing data has been around for a long time, it has evolved into what it is today. It focuses on valid data for clinical resolutions and help assess why gaps occur. Nurses are empowered to feel comfortable in their decision-making abilities. Nursing Informatics integrates EBP in research and practice and this enhances the quality of the patient’s care and overall outcomes.
2
Theoretical Frameworks and Models of Nursing Informatics in Professional Practice
Knowledge
Persuasion
Decision
Implementation
Confirmation
Empowerment Informatics framework is the integration of long term illness self regulation interventions and nursing informatics, promotion of ethical behavior, research based self management outcomes, and patient-empowering technology used by nurse. Relationships among patient behaviors, characteristics and their set goals are identified. (Knight & Shea, 2013) An example would be a totally breast feeding infant discharged from the hospital to follow up with lactation, who is an RN. The parents have been trained to write down how long the infant breast feeds, how many times and to count how many diapers in a day. A the lactation nurse, review the data and assist in adjusting the schedule according to the infants intake, diapers and weight, using you knowledge but also including the mother to assist in the management process and any changes that may be implemented.
NURS FPX 6410 Presentation to Informatics Staff
3
Standards of Practice of Nursing Informatics
Technology, patient, provider
Accountability and elevation
Provide consistency throughout the profession so patients receive quality control
Utilize an evaluation tool for safety and proficiency
Policies and guidelines
Standards in nursing practice hold nurses responsible for each action and clinical decision they make. They help nurture and guide clinical practice and expectancy of the staff. These practices can also be used as a teaching tool for competence and safety. Administrators may often use it to help in advancing safe staffing practices. Often, there are areas that require correction or enhancement and they are utilized. For example, a new type of breast milk, (Prolacta),is not being used adequately on the unit due to incificient training or no training at all.
Standards give consistency throughout the profession no matter where you work, be it in clinical office or a hospital, the goal is to ensure the patient has the best quality of care. (Davis, 2014)
Get Help With Your Assignment
If you need assistance with writing your coursework, Our Professional Help is here for you!
4
Examples of use of Standards of Practice
Electronic Medical Records
Patient Centered
Secure and private
Improve care
Cost-saving
5
Validated Information can Identify Gaps in Practice
Medical and billing errors
Continuity of Care
Privacy Regulations
Nursing practice, skill, and knowledge
Traditional versus digital
Scrutinizing or studying validated data allows the medical care team the ability to focus on the areas that insist on corrections to quality care. The analyzed data can discover areas of fragility or shortcomings, and can aid management in making decisions. Standardizing care in various departments is productive to the flow of those departments. It may also reveal staff who may need one on one training. It could also be beneficial to those transferring into the department or new hires who have no clue about the workflow. It is important to study validated data but also invalid data to assess where the issues may be and if there are certain areas where everyone is having similar or equal issues. If the answer is yes, then a change in workflow is needed to develop ways to correct invalid data. It is then that comparing performance to probable improvements can be important and inferior practice and guidelines can be addressed. (Seller, 2018)
6
Validated vs Invalidated Data
Validated Data
Trusted
Verifiable
Improves clinical practice
Complete
Represents valid information and improves data quality
Invalidated Data
Untrustworthy and not proven
Creates gaps in health practice
Poor communication
Human error
Incomplete information
Validated data is data that can be trusted It is verifiable, accurate and complete. An example would be administering a pain medication to a patient and then the patient develops whelps, tightness in the chest and shortness of breath. The nurse instantly documents in the EMR as a verified allergy. Unlike validated data, invalidated data can not be proven right away due to various components. For instance, delayed entry into the EMR, poor communication between the patient and the health care provider or the nurse, human error in documentation and incomplete records. Thinking of the same scenario, except this time the allergy was not documented in the EMR and then confirmed as an allergy. Negligence in documentation or in delaying documentation, miscommunication, and human error are actions that could directly lead to serious complications for the patient. (However et al., 2017)
Get Your Paper Ready in No Time!!
Our Professional Ph.D. Writers are here for you!
NURS FPX 6410 Presentation to Informatics Staff
7
Gap in Analysis
Identify
Recognize
Review
Regulations and Achieving Quality Outcomes
Centers for Medicare and Medicaid
Health Information Technology and Economic and Clinical Health Act
Health Insurance Portability and Accountabality Act
Center for Medicare and Medicaid-Used Health Information Technology and sharing of clinical data with the stakeholder through the Health Information Exchange has the opportunity to save the health care system billions of dollars annually. Providers were incentivized to implement HER systems to improve the safety of patient care and quality efficiency. (CDC, 2019)
HIT&ECHA: Encouraged healthcare providers to embrace electronic and health records and enhance privacy and security protections for healthcare data. This was achieved through financial incentives for adopting EHRs and increase penalties for HIPPA and Security Rules violations. It also helped to close various loopholes in HIPPA and bolster the enforcement6 of HIPPA. (McGonigle & Mastrian, 2018)
HIPAA, outlines how all of the stakeholders should collect, use and handle PIH. The stakeholders must adhere to HIPPA regulations to ensure that expanding technology continues to be incorporated into today’s policies. (Sweeney, 2021)
NURS FPX 6410 Presentation to Informatics Staff
9
Ethical and Legal Practice
Connecting health, informatics, and ethic.
Autonomy
Nonmaleficence
Justice
Ethical and Legal Practice Consideration
Quality outcomes
Privacy and confidentiality
Trust and security
Stakes and risk
Ethical practice
The ethics and legal practice of nursing informatics contribute to the quality outcome of the breast feeding mother by providing education on EBP to the staff. This enables them to better understand the treatments protocols, (like for sore nipples), look for variations in data and make informed and knowledgeable decisions. The priority is to provide privacy and security for the patient/stakeholder, security for the data of the stakeholder and improve outcomes for all stakeholders that includes the medical team and their consumers. Helping to raise awareness of the stakes involved and the risks that could be connected with these practices. (McBride et al., 2018)
NURS FPX 6410 Presentation to Informatics Staff
11
References
CDC. (2019). Million Hearts Health IT. Centers for Disease Control and Prevention.
Davis, C. (2014). The importance of professional standards. Nursing Made Incredibly Easy! 12(5), 4.
Knight, E.P., & Shea, K. (2013). A Patient-Focused Framework Integrating Self-Management and Informatics. Sigma Theta Tau International.
McBride, S., Ribochaux, C., Stokes, L., Tietz, M., & Weber, E. (2018). Identifying and addressing ethical issues with us of electronic health records. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume23-2018/No1/Identifying-andAddressing-Ethical-Issues-EHR.html#4.
McDonigle, D., & Mastrian, K.G. (2015). Nursing Informatics Foundation of Knowledge (4th ed). Burlington, MA: Jones & Bartlett.
Sweeney, J. (2021). Healthcare Informatics. HIMSS
