NURS 6401: Informatics in Nursing and Healthcare 

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NURS 6401: Informatics in Nursing and Healthcare 

NURS 6401 Entire Course Weekly Discussions And Assignments

NURS 6401 Week 1: The Nurse Informaticist’s Influence in Health Care

At its most basic core, informatics is the marriage between the science of nursing and information technology. It is an exciting discipline that prompts the health care field to rethink how patient populations and individual encounters are managed. It also proposes that truly efficient nurses must become bilingual—fluent in both the language of nursing and the language of technology.

Whether you find yourself entering this specialization as a novice, with some informatics experience, or as an expert, throughout this course you explore how informaticists use technology to transform patient care.

This week, you examine the role and responsibilities of the nurse informaticist.

Learning Objectives

Students will:

  • Appraise roles and responsibilities of the nurse informaticist
  • Analyze the impact of a nurse informaticist in a health care setting

Just as the Internet and other technological innovations have radically changed the world, the constant evolution of informatics continues to transform nursing and health care. The nurse is at the forefront of this transformation, serving as a knowledgeable leader in system development, implementation, and management. As new technologies become integrated into health care settings, the nurse informaticist areas will continue to become more critical.

For this Discussion, you examine the informatics areas that have evolved to facilitate this transformation. You consider different functional areas and responsibilities that nurse informaticists may fulfill and how they contribute to technological progress throughout the health care field.

Note: There are many different terms used to refer to “nurse informaticist,” including informatics nurse, nurse informatician, and informatics specialist. In this specialization, the term “nurse informaticist” is applied, adhering to the American Association of Colleges of Nursing (AACN) terminology.

To prepare:

  • Review this week’s media presentation, The Role of Nurse Informaticists, reflecting on the impact that informaticists have on health care settings.
  • Using the American Medical Informatics Association web resource in this week’s Learning Resources, investigate the various working groups associated with nursing informatics.
  • Identify a nursing informatics role that is of particular interest to you. Conduct further research to find out how this specific role might contribute to patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records.

By Day 3

Post a description of a nursing informatics role that that is of interest to you and why. In your posting, explain how the nurse informaticist in this role impacts one or more of the following: patient safety, quality of care, nurse efficiency, the implementation of new informatics initiatives, and/or electronic health records. Justify your reasoning by citing authentic examples and references to the research literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence or research.
  • Validate an idea with your own experience and additional research.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 2: The Dual Nature of Informatics Systems

The field of health informatics has experienced exponential growth. Today, many health care organizations use electronic health records to gather and store patient information. For example, Kaiser Permanente—a health care organization based in California—uses a system called My Health Manager. This system stores patient information and also provides patients access to their lab test results, medication information, summaries of their health conditions, appointment scheduling, and more (Doherty, Poorsina, & Kahn, 2010, p. 4). Consider the advantages of having all that health information at your fingertips!

This week, you examine how informatics can improve the quality of patient care. You consider the use of informatics at the point of care as well as how informatics can be used to aggregate data and inform care for future patients and whole populations.

Learning Objectives

Students will:

  • Analyze the dual nature of informatics systems
  • Appraise roles and responsibilities of the nurse informaticist
  • Evaluate personal attributes and skills needed for future roles in nursing informatics

Informatics can be used for improving health outcomes not only for individual patients, but also for whole groups of patients with similar conditions. This is often referred to as the dual nature of informatics. Technologies, such as electronic health records (EHRs) and clinical decision support (CDS) systems, can provide insights and guidance for health care professionals at the point of care. In addition, data warehousing and mining allow health care organizations to use the vast amount of information stored in EHRs to make predictions and diagnoses for other patients with similar conditions.

In this Discussion, you examine the dual nature of informatics. First, you review a scenario and consider the patient information to be collected and recorded at the point of care. Then, you decide how this information could be aggregated for population health and future use.

Consider the following scenario:

Mrs. Jones has come into your office stating that she has been experiencing frequent dizzy spells. She also reports that she has been unable to eat anything substantial over the last few days due to extreme nausea. The last time Mrs. Jones was in your office, the physician had suggested she start walking around the block or bicycling around the neighborhood to get her activity level up. Mrs. Jones admits that she did very little of that after a “flip-flop” feeling of her heart scared her. You know that her symptoms could be a result of many conditions. Following the prompts on your informatics system, you begin to gather more specific information about Mrs. Jones’ symptoms and health history.

To prepare:

  • Based on the scenario, what information would you want to immediately gather about Mrs. Jones?
  • With that in mind, compile a list of patient questions you would like an EHR documentation screen to have.
  • How might the information derived from these questions help you provide high-quality care to Mrs. Jones?
  • Once this information is collected, what alerts might be critical to the evaluation of Mrs. Jones?
  • Review this week’s media presentation, Dual Nature of Informatics Systems, and reflect on the movement towards more transparent data and meaningful use. How might the data entered about an individual patient help to build preventative care and treatment for whole populations?
  • Refer back to your list of patient questions. Of these questions, which would generate data that could be aggregated for use with a larger group of patients? (Note: When developing your questions, consider the whole patient.)

By Day 3

Post a description of the ideal EHR documentation screen that you would like to have at the point of care for all patients and why. Explain how information gathered at the point of care with an individual patient can be aggregated to help provide high quality care to a larger population of patients.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 3: Theories and Conceptual Frameworks

Technology has indeed taken a place next to war, death, divorce, and taxes as a prime cause of bone-shuddering anxiety.

—John Seymour

The above quote speaks to the initial hesitation that many experience when using new technologies. Becoming accustomed to a new system takes time, planning, and communication. To better facilitate the implementation of new technologies, nurse informaticists can employ a variety of theories and conceptual frameworks. These theories and frameworks can increase the efficiency of implementations, while also decreasing the uneasiness felt by end users.

This week focuses on theories and conceptual frameworks relevant to change management and the implementation of informatics systems.

Learning Objectives

Students will:

  • Analyze theories and conceptual frameworks pertinent to nursing informatics initiatives
  • Evaluate applications of theories or conceptual frameworks to informatics initiatives

When water is in a solid state, particles are packed in a rigid pattern, conforming to the shape of its container. As the water turns into a liquid, the particles regain their fluidity, moving as the other particles around them begin to shift. Kurt Lewin’s change theory is much like the changing state of water. Applying this theory, Lewin describes workplaces as being frozen in their procedures. In this state, it is impossible for change to occur successfully because people are “frozen.” Informaticists must recognize this rigid culture and begin to implement strategies that will unfreeze the opinions and procedures of the setting. According to Lewin, only then will staff begin to accept new processes over old ones.

This process of moving from “freezing” to “unfreezing” can be a turbulent one. In fact, many nurses have equated this to “working in slush.” By applying theories and frameworks developed by Lewin and others, nurse informaticists can better facilitate informatics implementations. In this Discussion, you explore how theories and conceptual frameworks can be applied to informatics implementations.

To prepare:

  • Review this week’s media presentation, Theories and Conceptual Frameworks, and consider how a nurse informaticist can use theories to guide informatics initiatives. What are the benefits of using theories?
  • Review the article “Organization-Wide Adoption of Computerized Provider Order Entry Systems: A Study Based on Diffusion of Innovations Theory” in this week’s Learning Resources. Consider how Roger’s diffusion of innovation theory impacted the adoption of the informatics system.
  • Conduct research in the Walden Library to locate a peer-reviewed article that (1) focuses on implementing a new informatics project or procedure and (2) discusses how a theory was used to guide this implementation.
  • Consider alternative theories that might also be applicable to that specific implementation.

By Day 3

Post the APA citation for your article and a brief summary that includes the setting of the implementation, what was being implemented, the need for the implementation, and the titles of the staff who spearheaded the project (if provided). Identify the theory that drove the implementation, and explain how this theory was translated into practice by the planning team. Finally, suggest alternative theories that could have been used and support your response with references to the research literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Provide insight into how two similar implementations differed in execution and/or theory.
  • Share an insight about how your own health care organization implemented a new informatics initiative, and the theories that were explicitly or implicitly used.
  • Contrast how health care settings used the same theory differently to drive an implementation.

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NURS 6401 Week 4: Competencies for Nurse Informaticists

The rapid changes in health information technology (HIT) systems around the world are evolving the way nurses and other health care providers deliver care at the bedside and beyond. As technological advances continue, nurse informaticists will understandably become the leaders of informatics implementations. For nurse informaticists to effectively lead this charge, they must first become proficient in various competencies that are associated with their implementation role. In addition, they must be aware of the various design considerations of the systems that they are implementing.

This week you examine the competencies required of various informatics roles. You also begin to explore design considerations and the use of workarounds for informatics systems.

Learning Objectives

Students will:

  • Analyze theories and conceptual frameworks pertinent to nursing informatics initiatives
  • Evaluate applications of theories or conceptual frameworks to informatics initiatives

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Nursing informatics is a discipline that is still evolving. Yet, there is a set of core skills and knowledge that applies to all individuals who work as nurse informaticists and many competencies that are specific to informatics roles, positions, tasks, and responsibilities. For example, a nurse informaticist who works as a consultant for a health care technology company and a nurse informaticist who works as a professor at a university will share much of the same expertise and knowledge. However, they will also have distinct competencies specific to their unique roles.

In this Discussion, you explore informatics competencies within the informatics functional area you selected for the Week 1 Assignment.

To prepare:

  • Review nursing informatics competencies such as those outlined by the American Nurses Association (ANA), the Technology Informatics Guiding Education Reform (TIGER), and the Quality and Safety Education for Nurses (QSEN).
  • Review this week’s media presentation Competencies for Nurse Informaticists, and reflect on the competencies outlined by the presenters.
  • Recall the informatics functional area you identified in the Week 1 Assignment. With this in mind, what competencies would be most important for you to master? How might you go about developing these competencies?
  • Create a list of competencies you would like to master.

By Day 3

Post a brief description of the informatics functional area in which you are interested. Then, identify at least four ANA, TIGER and/or QSEN competencies that you believe to be vital for success in this functional area, and justify your choices. Explain how you might successfully develop and master each of these competencies.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Suggest other competencies that might also be important for success and explain why.
  • Validate a competency with your own experience and additional research.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 5: Policy Initiatives Impacting Informatics and Health Care

Health care expenditures in the United States are the highest per capita in the world. With costs continuing to rise, health care providers and legislators are exploring measures to help increase efficiency while simultaneously lowering costs. Information technologies offer great potential for addressing these urgent issues. To encourage safe and meaningful implementations of informatics initiatives, health care policies such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and its corresponding Meaningful Use mandates have been created.

This week you analyze how policies associated with informatics initiatives impact health care settings. In addition, you evaluate how mandates can help or hinder change in health care settings.

Learning Objectives

Students will:

  • Analyze how policies associated with informatics initiatives impact health care settings
  • Evaluate how mandates can help or hinder change in health care settings

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.

The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.

In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.

To prepare:

  • Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.
  • Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.
  • Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

By Day 3

Post a brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use. Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives. Select at least one of the following to underscore your stance:

  • Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?
  • The benefits or ramifications that stem from the use of incentives and disincentives.
  • The influence of across-the-board mandates on patient safety, ethics, and quality of care.
  • The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

Read a selection of your colleagues’ responses.

By Day 6

Respond on or before Day 6 to at least two of your colleagues on two different days using one or more of the following approaches:

  • Provide a counterpoint to a colleague who took a stance different from your own. In your counterpoint, include—as appropriate—your own experiences and/or references to this week’s Learning Resources.
  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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NURS 6401 Week 6: Patient-Centered Care

After recovering from a serious illness, Mike decided to make a more conscious effort to manage his health. To start, Mike purchased a FitBit system to track the distances he walked each day and the amount of sleep he was receiving at night. His wife, Susan, also purchased a FitBit, which inspired a friendly competition between the two as they tracked and compared one another’s progress. Mike also downloaded a nutritional cooking app to his mobile phone that allowed him to find recipes that were both appetizing and healthy. Before long, Mike began to wonder what other patient-centered technologies could spark his motivation and improve his health outcomes. He decided to make an appointment with his primary care health center to discuss additional technologies that might assist him in taking further control of his health.

As a nurse informaticist, it is crucial that you are up to date on the latest patient-centered technologies and have a thorough understanding of how these technologies can empower patients to better manage their own health.

This week, you explore the impact of patient-centered technologies on health management.

Learning Objectives

Students will:

  • Evaluate the impact of integrating personal health records into electronic health record platforms
  • Analyze design considerations that impact the success of informatics technologies
  • Evaluate the implications of workarounds when using a new technology

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When electronic health records (EHRs) first entered the market, their primary focus was to collect and analyze patient information within health care settings. As technological capabilities grew, so did the interest in making these records available to patients. In addition, many health care professionals saw benefits in allowing the patient to enter his or her own health data into EHR platforms. Though many patients are already utilizing personal health records (PHRs) to manage and track their own health, some believe that an integrated system would provide a better, more comprehensive picture of a patient’s health history.

As a result, many EHR platforms are now equipped with a PHR tool. This PHR tool allows patients to enter health information as they would in a stand-alone PHR system. In addition, web-based portals within the EHR allow patients to access information entered by their physicians and health care providers.

Like many emerging trends and technologies, there is much discussion about the potential benefits and challenges of this type of integrated system. While many health care professionals are excited about the empowerment provided to patients, others express significant concerns about access, security, ethics, and other implications.

In this Discussion, you explore how integrating PHRs into EHR platforms could impact you and your patients.

To prepare:

  • Review the media Patient-Centered Technologies, and reflect upon Dr. Simpson’s statements about the ownership of patient data.
  • Review the article, “Dreams and Nightmares: Practice and Ethical Issues for Patients and Physicians Using Personal Health Records” found in this week’s Learning Resources. Consider how PHR capabilities can be integrated into EHR platforms.
  • Examine the “dreams” and the “nightmares” the authors associate with this type of integrated health record. Select one benefit or one challenge of integrating PHRs into EHR platforms. Then, consider its potential impact on health care providers and patients. Why is this considered to be a benefit or challenge for health care professionals and patients?

By Day 3

Post a brief description of your selected benefit or challenge and support your selection. Explain the potential impact on health care professionals and patients.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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NURS 6401 Week 7: Standards and Standards Development Organizations

In the 1970s, when information technologies were just beginning to be utilized across industries, a nurse researcher named Harriett Werley imagined the possibilities that computerized data collection could provide. Through hard work and dedication, Harriet began to inspire others to explore the meaningful ways that data could be aggregated and analyzed. In addition, her efforts to standardize and categorize the many domains of nursing practice ignited nursing organizations to do the same. By the end of her career, Harriet was known to many as the founder of nursing informatics. In fact, she was so highly regarded in the informatics community that when her body began to suffer from osteoporosis, many remarked, “[Harriet], if you sometimes feel a little bent, it is only because so many of us are standing on your shoulders” (Ozbolt, 1997).

This week, you explore the standards and standards development organizations that began with pioneer Harriet Werley.

Learning Objectives

Students will:

  • Analyze standards used in health care settings
  • Evaluate standards that apply to documentation and specific nursing roles
  • Evaluate the impact standards development organizations have on health care settings

NURS 6401: Informatics in Nursing and Healthcare

What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards.

In this Discussion, you explore one health data standard of your choosing. For the purposes of this Discussion, do not focus on the standardization of nursing terminologies, as you will examine those in next week’s Discussion.

To prepare:

  • Review the health data standards presented in this week’s Learning Resources.
    • How does each provide a framework to align the terminologies and data sets used in health care settings?
  • Reflect upon your current health care setting.
    • Does your setting currently use any of the standards outlined by a specific organization? Why?
    • How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse?

Note: If you are not currently working in a health care setting, select a setting with which you are familiar for this Discussion.

By Day 3

Post a description of the health data standards your setting uses and how these standards impact documentation and your specific nursing role. Explain how standard development organizations impact your health care setting.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence or research.
  • Validate an idea with your own experience and additional research.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 8: The Standardization of Health Care Terminologies

Across health care settings, many different terms are used to describe the same or similar conditions. For example, a bed sore may alternatively be called a pressure sore, a pressure ulcer, or a decubitus ulcer. While it may be fairly manageable for a nurse to make the connection among these terms, the same cannot be said for a computer system. Nurses have the ability to reason and reflect upon their clinical knowledge. Computer systems are linear, relying on user input to output information. When diverse terms are used, systems are unable to make the connections between the data. For this reason, the health care industry is vigorously moving towards the standardization of terminologies.

This week, you explore the inconsistencies among health care terminologies. You also take a quiz to increase your awareness of terminology differences.

Learning Objectives

Students will:

  • Evaluate a terminology set using James Cimino’s desiderata
  • Analyze patient-centered technologies
  • Evaluate how patient-centered technologies can influence health management
  • Apply concepts to nursing terminologies

Desiderata is a Latin word that translates to “something that is wanted or needed.” It is obvious that James Cimino had this translation in mind when he created his “Desiderata for Controlled Medical Vocabularies.” In his work, Cimino outlines 12 desiderata he believes the health care community should consider when constructing medical vocabularies. He also highlights the need to control the vocabulary used within terminology sets, as well as the requirements for doing so.

For electronic health records (EHR) and clinical decision support systems (CDS) to truly be successful, Cimino, along with many other health care professionals, expresses the vital need to standardize and control the terminology being used in health care settings.

For this Discussion, you will use one of Cimino’s desiderata (or themes) to critically appraise a nursing terminology set:

Cimino’s 12 themes for the 21st century:

  • Vocabulary content
  • Concept orientation
  • Concept permanence
  • Nonsemantic concept identifiers
  • Polyhierarchy
  • Formal definitions
  • Reject NEC “Not Elsewhere Classified”
  • Multiple granularities
  • Multiple consistent views
  • Representing context
  • Graceful evolution
  • Recognize redundancy

To prepare:

  • Review the article “Desiderata for Controlled Medical Vocabularies in the Twenty-First Century” in this week’s Learning Resources. Consider how each theme aims to control the vocabulary used by nursing terminologies.
  • Reflect on prominent standardized nursing terminologies sets, such as NIC, SNOMED, SABA, NANDA, and NOC. How might these terminologies compare to the requirements outlined in Cimino’s 12 themes?
  • Select one nursing terminology set and one of Cimino’s themes to further examine. Does the terminology align with the requirements of this theme? Why or why not?

By Day 3

Post a brief description of the nursing terminology set and theme you selected. Explain whether this terminology aligns with the requirements and why. Provide terminology and vocabulary examples to support your answer.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Find a colleague who chose the same terminology as you and provide a comparison of your findings.
  • Find a colleague who chose the same theme as you and critically appraise their use of the theme requirements.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 9: Facilitating Successful Informatics Implementations

Despite the best efforts of nurse informaticists, systems sometimes fail when integrated into the inner workings of a health care setting. To better understand the reasons for this, reflect back to an occasion when you had to learn a new technology. This could include a time when your organization switched e-mail clients, when you bought a new phone, or when you upgraded the GPS in your car. What were your initial reactions to this experience? For many, these feelings might present a mixture of excitement and frustration. Excitement for the capabilities and features of this new technology, yet frustration due to the time it takes to learn the intricacies of this new format. If time progresses and you are still not able to navigate the system, your frustration begins to increase, while your excitement begins to wane.

In a work environment, feelings of frustration become multiplied when others around you are expressing the same discontent. The effectiveness of the implementation then becomes challenged by various factors associated with staff emotion. It is imperative that nurse informaticists employ leadership strategies that can mitigate the chances of these challenges.

This week, you examine the factors that may present challenges during informatics implementations. You also explore how nurse informaticists can use the ANCC Magnet model to lead their settings through successful implementations.

Learning Objectives

Students will:

  • Analyze factors that may present challenges during informatics implementations
  • Evaluate the use of the ANCC Magnet model during informatics implementations

NURS 6401: Informatics in Nursing and Healthcare 

Adequate technology and an understanding of that technology are necessary, but they are not enough for a successful [informatics] implementation … Researchers and others involved in [informatics] implementations have found that people skills such as leadership, communication, and training are absolutely essential.

—Fenton, Giannangelo, & Stanfill, 2006

A nurse informaticist must always remember that he or she is not leading an information technology project; but rather a clinical project using information technology tools. What exactly does that mean? It means that the technology is a tool to enhance the quality, efficiency, and safety of the organization. The phrase “clinical project” also highlights the main focus of implementation efforts: the clinicians or nurses using the tool. By overlooking the “people” side of the implementation, an organization might be put at risk of experiencing one or more of the factors that challenge the success of informatics initiatives.

In this Discussion, you identify factors that can impact an informatics implementation. You also explore how you might use the ANCC Magnet model to overcome such challenges.

To prepare:

  • Review the media, The Nurse Informatics Leader, presented in this week’s Learning Resources. How can nurses apply leadership strategies to facilitate change during informatics initiatives?
  • Select one of the factors presented in this week’s Learning Resources: organizational culture, organizational change management, or nursing leadership skills. How might this factor contribute to challenges experienced during an informatics implementation?
  • Review Chapter 31, “The Magnet Model,” of the course text Essentials of Nursing Informatics. Consider how a nurse informaticist could use a component of the ANCC Magnet model to address your selected factor.

By Day 3

Post the factor you selected and explain how inattention to this factor might present challenges during an informatics implementation and why. Identify which component of the ANCC Magnet model might be the most appropriate in helping nurse informaticists address this factor. Justify your response.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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NURS 6401: Informatics in Nursing and Healthcare 

NURS 6401 Week 10: Evidence-Based Content and Decision Support

Think about how health care has changed and progressed throughout the years. What common and accepted practices of the past are not used today? To reflect upon this, consider the following:

  • In the 1940s and 50s, lobotomies and electric shock therapy were performed as common psychiatric interventions.
  • In the 1950s and 60s, most children received tonsillectomies as a routine treatment to prevent sore throats.
  • Prior to the 1990s, smoking was permitted in most public areas, including hospitals.

In light of new research and better evidence, these and many other practices have been discarded or revised to improve health outcomes.

This week, you explore how technologies, such as clinical decision support (CDS) systems, provide nurses with evidence-based research faster than ever before.

Learning Objectives

Students will:

  • Evaluate evidence underlying health care practices
  • Analyze the use of informatics technologies to promote evidence-based practices
  • Evaluate digital communications as a means to support growth as a scholar practitioner

NURS 6401: Informatics in Nursing and Healthcare exam help

On occasion, some processes have crept into nursing and medical practice without appropriate evidence to back up their use. For example, consider tetanus shots. In the past, tetanus shots were given to patients who stepped on a rusty nail. It was assumed—at the time—that if the nail was rusty, it must have had some contact with the barnyard soil outside, which meant that it would be contaminated with bacteria. For a while this thinking made sense. As time went on, however, tetanus shots continued to be given to patients who cut themselves on rusty objects, regardless of where the rusty object had come from. And, of course, fewer and fewer people lived within close proximity to barnyards and associated contamination.

As this week’s examples highlight, not all practices that nurses engage in are tied to evidence. For this reason, clinical decision support (CDS) systems have been created. CDS systems support the decision-making tasks of nursing professionals. As the nurse inputs patient information into the CDS system, evidence-based content is provided back to the nurse. The nurse can then combine this content with their own nursing knowledge to diagnose and treat the patient. One of the most useful characteristics of CDS systems is that they are available during the point of care. No longer do nursing professionals have to consult thick research books; a great deal of information can be accessed with a few strategic clicks!.

In this Discussion, you continue to explore CDS systems. In addition, you investigate whether or not a health care practice with which you are familiar is grounded in evidence-based practice.

To prepare:

  • Review this week’s Learning Resources and consider how nurses can determine if they are using evidence-based practices in patient care.
  • Select one health care practice (e.g., using alcohol swabs before giving an injection) with which you are familiar. Conduct research to determine if this practice is grounded in research.
  • Consider how a clinical decision support system provides evidence-based content to its users.
  • What are the benefits and challenges of using CDS systems? How can this assist nurses in providing evidence-based care to their patients?

By Day 3

Post a description of the health care practice you selected. Explain whether the evidence you found supports or opposes the practice and whether you believe this process is grounded in evidence-based practice. Next, explain how informatics technologies, such as CDS systems, can facilitate nurses moving toward evidence-based practices. Justify your response.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective, using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.

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NURS 6401: Informatics in Nursing and Healthcare

NURS 6401 Week 11: The Stewardship of Health Information: Security, Ethics, and Unintended Consequences

In the 1980s, the 5.25-inch floppy disk disrupted the computer market and the sales of 8-inch floppy disks. Seen to be a more affordable and effective innovation, organizations across all industries began to purchase this new option, thus making 8-inch floppy disks virtually obsolete. As time went on, the innovative floppy disks gave way to writable compact discs (CDs). The CDs were eventually replaced by USB flash drives, which were again replaced by cloud computing via the Internet. Even though the floppy disk might still provide a storage solution for some consumers, the majority only see floppy disks as an image in the left-hand corner of a Microsoft application (i.e., the “Save” button).

This progression of obsolescence is natural in the field of information technology. What is once considered to be revolutionary soon fades away to a cheaper, smaller, more efficient technology. This technological evolution is also apparent in the field of informatics. Nurse informaticists are not only aware of these evolutions, but they are also working to anticipate the needs of tomorrow’s nurses. HIMMS found that this generation of nurses “want devices that are integrated, voice activated, handheld, use biometrics, provide translation, are portable, are wireless, auto populate, and are ‘smart’” (HIMMS, 2012). These technologies not only must be efficient, they must also be cost effective if they are to replace or “disrupt” the market of technologies that are already readily available.

This week you explore how technological innovations, nicknamed “disruptive,” have the potential to influence worldwide health care.

Learning Objectives

Students will:

  • Analyze how disruptive technologies and innovations influence health care worldwide

NURS 6401: Informatics in Nursing and Healthcare 

Consider the following excerpt from an article in Managed Care:

A disruptive technology, or technological enabler, is a new technology that unexpectedly displaces an established technology, but only if it is accompanied by an innovative business model. The enabler is generally cheaper, simpler, smaller, and frequently more convenient to use. It is initially embraced by the least profitable and usually the poorest customers in a market… Adisruptive innovation is one that brings to market products and services that are much more affordable, and, in the end, much higher in quality. It improves a product or service in ways that the market does not expect, typically by being lower priced or being designed for a different set of consumers.

(Glabman, 2009)

In health care, there are many new technologies and innovations that can be considered “disruptive” by the definitions outlined above. In this final Discussion, you explore how disruptive technologies and innovations have the potential to transform health care practices worldwide.

To prepare:

  • Review Chapter 33, “Informatics Solutions for Emergency Planning and Response,” in the course text.
  • Consider how organizations such as the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) are taking strides to address public health issues worldwide, including emergency planning and response.
  • How might disruptive technologies and innovations assist health care organizations in these efforts? Conduct additional research as necessary.

By Day 3

Post an explanation of how disruptive technologies and innovations might contribute to public health efforts worldwide, specifically in areas with disadvantaged populations. Explain how these technologies might also assist emergency planning and response efforts. Support your response with specific examples from the research literature.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

  • Ask a probing question, substantiated with additional background information, evidence or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

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