NR 512 Week 7 Narrated Power Point Presentation

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Telemedicine and Telehealth in Health Care

NR 512 Week 7 Narrated PowerPoint Presentation
October 20, 2019

Introduction

Telemedicine, derived from the Greek word “Tele” (distance) and the Latin word “mederi” (to heal), refers to the remote delivery of healthcare services and clinical information through telecommunications technology. This encompasses a variety of services, including internet, wireless, satellite, and telephone media. The American Telemedicine Association defines telemedicine as a vital part of modern healthcare, and its evolution began in 1905 with the transmission of electrocardiograms. However, its broad impact became particularly evident in the 1990s, with the rise of teleradiology, which revolutionized the radiology specialty.

Telehealth, as defined by the U.S. Health Resources and Services Administration (HRSA), utilizes electronic information and telecommunications technologies to provide long-distance healthcare services, health education, and public health administration. It incorporates tools like videoconferencing, the internet, store-and-forward imaging, streaming media, and wireless communications.

Why I Chose This Topic?

The increasing complexity of healthcare needs has led to several challenges, including difficulty for physicians in obtaining appropriate call coverage, rising healthcare costs, and an aging population with a nursing shortage. These issues have resulted in diminished access to quality healthcare services. Telemedicine offers a solution by providing convenient access to healthcare anytime and anywhere, improving communication between patients and healthcare professionals.

Telemedicine addresses these challenges by offering remote services, especially in rural or remote areas where access to healthcare is often limited. By utilizing telehealth for follow-up visits and chronic care management, patients can avoid unnecessary hospital readmissions and emergency room visits. This not only helps reduce healthcare costs but also enhances patient satisfaction by providing timely, convenient care.

Impact on Practice

Telemedicine can significantly enhance healthcare delivery by enabling quicker diagnoses, reducing hospital readmissions, and allowing patients to undergo rehabilitation at home. It improves access to care, particularly in rural areas, and promotes interprofessional collaboration by linking general practitioners to specialists. Moreover, telemedicine aids in reducing healthcare costs by offering remote consultations, home monitoring, and improved management of chronic diseases.

For example, the use of telehealth in heart failure monitoring has reduced hospital readmissions from 20% to less than 4%. Additionally, timely interventions for stroke patients through telestroke programs have increased treatment effectiveness from 15% to 85%. Furthermore, telemedicine has also contributed to reducing the carbon footprint by eliminating the need for extensive travel for care.

NR 512 Week 7 Narrated Power Point Presentation

Pros and Cons of Telemedicine

Pros

• Increases healthcare accessibility.
• Improves health outcomes and patient satisfaction.
• Reduces healthcare costs by preventing unnecessary hospital visits.
• Supports clinical education and enhances interprofessional collaboration.
• Increases organizational productivity and patient engagement.

Cons

• Potential risks to patient privacy and confidentiality.
• The rapid pace of technological advancements necessitates continuous training for healthcare professionals.
• Challenges in maintaining trust and rapport between patients and healthcare providers.
• The shift to telemedicine may reduce face-to-face interaction, potentially affecting the patient-provider relationship.

Despite these challenges, telemedicine provides patients with the flexibility to consult healthcare providers remotely, including during after-hours, thus increasing healthcare accessibility and reducing no-shows and late appointments.

Application and Relevance of Informatics to Telemedicine

Nursing informatics plays a crucial role in the implementation and management of telehealth systems. Informatics nurses assist in setting up and troubleshooting the necessary equipment for telemedicine in patients’ homes and educate healthcare workers on its proper usage. This ensures that technology is integrated effectively into patient care and that nurses can use telehealth tools to monitor patient conditions remotely.

Nurse informaticists are responsible for streamlining electronic health record systems and working with IT departments to ensure that telehealth solutions are implemented smoothly. Their expertise allows healthcare providers to use technology efficiently, improving the overall healthcare experience for patients and clinicians alike.

Nursing Informatics Skills Utilized

In the field of nursing informatics, several key skills are utilized to support telemedicine:

• Technical/computer skills for managing telemedicine systems.
• Critical thinking and problem-solving to address issues with technology and patient care.
• Leadership and collaboration skills to educate and guide healthcare teams.
• Patient data protection to maintain privacy and security in telemedicine systems.
• Communication skills for educating patients and their families about telehealth services and technology.

Nurses in informatics must blend technical knowledge with clinical expertise, ensuring that technology improves patient outcomes without compromising the human aspect of care.

Future Recommendations

To ensure the sustainability and growth of telemedicine, several recommendations can be made:

• Personalizing healthcare delivery by matching patients with appropriate technologies.
• Ensuring secure, efficient data exchanges between patients and providers.
• Expanding opportunities for patient education through telehealth platforms.
• Adapting care and business models to sustain telemedicine initiatives.
• Increasing research and evidence-based practices to support telemedicine’s continued development.

These strategies will enable the ongoing integration of telemedicine into healthcare systems, improving both accessibility and quality of care.

Conclusion

Telemedicine and telehealth, integrated with nursing informatics, offer numerous benefits, including reduced healthcare costs, improved patient outcomes, and enhanced accessibility. By leveraging technology, telemedicine addresses critical issues in healthcare, such as access to care, patient satisfaction, and the management of chronic diseases. As healthcare continues to evolve, the role of informatics nurses in supporting and enhancing telehealth initiatives will be essential for the future of patient care.

References

Bose, E., & Radhakrishnan, K. (2018). Using unsupervised machine learning to identify subgroups among home health patients with heart failure using telehealth. CIN: Computers, Informatics, Nursing, 36(5), 242-248. https://doi.org/10.1097/cin.0000000000000423

Healthit.gov. (2019). Why is telehealth important for rural providers? HealthIT.gov. Retrieved October 19, 2019, from https://www.healthit.gov/faq/why-telehealth-important-rural-providers

Kalb, T. (2015). Increasing quality through telemedicine in the intensive care unit. Critical Care Clinics, 31(2), 257-273. https://doi.org/10.1016/j.ccc.2014.12.005

Rincon, T., Manos, E., & Pierce, J. (2017). Telehealth intensive care unit nurse surveillance of sepsis. CIN: Computers, Informatics, Nursing, 35(9), 459-464. https://doi.org/10.1097/cin.0000000000000355

NR 512 Week 7 Narrated Power Point Presentation

Rutledge, C., Haney, T., Bordelon, M., Renaud, M., & Fowler, C. (2014). Telehealth: Preparing advanced practice nurses to address healthcare needs in rural and underserved populations. International Journal of Nursing Education Scholarship, 11(1). https://doi.org/10.1515/ijnes-2013-0061

Sanghavi, D., Guru, P., & Moreno Franco, P. (2019). Quality improvement and telemedicine intensive care unit. Critical Care Clinics, 35(3), 451-462. https://doi.org/10.1016/j.ccc.2019.02.003

Telemedicine.arizona.edu. (2019). 8 reasons to adopt telehealth. Telemedicine.arizona.edu. Retrieved October 19, 2019, from https://telemedicine.arizona.edu/blog/8-reasons-adopt-telehealth

NR 512 Week 6 Discussion

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Introduction to Electronic Health Records (EHRs)

The electronic health record (EHR) is a key topic in the realm of HealthIT and has become a staple in healthcare institutions nationwide. EHRs are digital systems used for storing patient health information, and their adoption is widespread. According to data from the Centers for Disease Control and Prevention (CDC), nearly 80% of office-based physician practices are utilizing some form of EHR (Schaeffer, 2015). Additionally, the Office of the National Coordinator for Health Information Technology (ONC) reported that, as of 2014, 76% of hospitals had implemented a basic EHR system, and 97% of hospitals possessed certified EHR technology (ONC, 2015). This growing trend reflects the increasing reliance on EHRs to streamline patient care, enhance communication, and improve healthcare outcomes.

Challenges in EHR Training for Healthcare Students

With the rapid expansion of EHR systems, it has become critical for nursing and medical students to be trained in their use. However, literature indicates that there is a significant gap in the level of training provided to students in nursing and medical schools regarding EHR use. Despite the widespread adoption of EHR systems in healthcare settings, many students graduate without adequate training. As future healthcare providers, nursing students are often still taught traditional documentation methods, such as handwritten notes and paper-based records (Pobocik, 2014). Medical students, too, are not consistently trained in EHRs before entering their residency programs. Schaeffer (2015) points out that access to EHR training in medical schools is inconsistent, with each institution offering varying levels of exposure and instruction. This lack of formal training in EHR systems can result in students being ill-prepared for the digital health environment they will encounter in their professional careers.

The Importance of Incorporating EHR Training in Education Programs

The absence of comprehensive EHR training in medical and nursing education has significant implications for both students and future employers. It is essential that medical and nursing schools incorporate EHR systems and health information technology into their curricula to better prepare students for the realities of modern healthcare. Integrating EHR training into academic programs would help students make informed clinical decisions, collaborate more effectively with healthcare teams, and improve overall patient care. The Institute of Medicine (IOM) underscores the importance of informatics as a core competency for healthcare providers, and EHR systems are at the forefront of this transformation (Chung & Cho, 2017). By providing students with access to these tools early in their education, schools can ensure that graduates are capable of delivering safe, efficient, and effective patient care. As a future nurse educator, I aim to incorporate informatics into the curriculum to ensure that both students and new graduates are proficient in the use of EHRs and health information technology.

NR 512 Week 6 Discussion

Table: Comparison of EHR Adoption in Healthcare and Education

Conclusion

Incorporating electronic health records into healthcare education is crucial to ensure that future healthcare providers are adequately trained and prepared for the digital health landscape. The current lack of standardized training in nursing and medical schools can create significant gaps in student readiness for real-world healthcare settings. By implementing EHR training into academic curricula, healthcare institutions can help improve patient care, enhance communication, and ensure that future healthcare professionals are capable of making informed decisions.

References

Chung, J., & Cho, I. (2017). The need for academic electronic health record systems in nurse education. Nurse Education Today, 54, 83-88.

Office of the National Coordinator for Health Information Technology. (2015). Adoption of the electronic health record systems among U.S. non-federal acute care hospitals. Retrieved from https://www.healthit.gov/sites

NR 512 Week 6 Discussion

Pobocik, T. (2014). Using an educational electronic documentation system to help nursing students accurately identify patient data. International Journal of Nursing Knowledge, 26(1), 26-34.
Schaeffer, J. (2015). An academic approach to EHR training. For the Record, 27(5), 24-27.

NR 512 Week 5 HealthIT Topic of Week Assignment

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Telemedicine and Telehealth in Health Care

Introduction

The delivery of healthcare is vital in improving quality, cost-effectiveness, and speed while enhancing the relationship between healthcare providers and patients. A significant concern is the rising prevalence of chronic diseases, which has increased by 40% and is projected to reach 50% by 2023. Additionally, the shortage of nurses poses a major challenge in providing adequate healthcare (Weinstein et al., 2014). Telemedicine and telehealth utilize technology to offer reliable and efficient healthcare services that can improve quality and speed while lowering costs (Krupinski & Bernard, 2014). Nurses must possess knowledge of technology and informatics to provide effective care. The increasing demand for telemedicine has encouraged policymakers, healthcare organizations, and patient advocacy groups to adopt these technologies. This paper explores the modern need for telemedicine and telehealth, its impact on nursing practices, and the role of nursing informatics in implementing telehealth to simplify healthcare delivery.

Need for Telemedicine and Telehealth

Policies like the Affordable Care Act (ACA) aim to deliver quality care while reducing costs by minimizing healthcare complexities. The current healthcare paradigm emphasizes efficient delivery and accessibility. Remote patients often struggle to access healthcare services, and hospitals in remote areas cannot provide intensive or emergency care without a proper system in place (Kvedar, Coye & Everett, 2014). Nurse shortages lead to overcrowding in emergency rooms, resulting in delays in care (Weinstein et al., 2014). Family nurse practitioners, in particular, require support from physicians for both emergency situations and routine check-ups. The American Academy of Family Physicians (AAFP) has endorsed the use of telemedicine for efficient and appropriate longitudinal care delivery. Technologies such as electronic prescriptions, telecommunication, virtual check-ups, remote monitoring, and tele-education are essential to healthcare today (Krupinski & Bernard, 2014). Thus, telemedicine requires further discussion to explore both its advantages and challenges in improving care delivery.

Impact of Telemedicine on Nursing Practice

Telemedicine services include various specialties such as Telepsychiatry, Teledermatology, Teleophthalmology, Teleoncology, Teleobstetrics, and Telerehabilitation, among others. These services are integral to nursing practice, particularly for family nurse practitioners who work under challenging conditions. Nurses are responsible for monitoring patients’ vital signs and delivering care (Kvedar, Coye & Everett, 2014). In emergencies, telemedicine allows physicians and other healthcare professionals to provide immediate assistance, enhancing care efficiency (Weinstein et al., 2014). Delivering care to patients in remote areas remains a significant challenge, but telemedicine facilitates the initial assessment, guidance, and monitoring by connecting healthcare professionals across distances.

Telemedicine also enables nurses to diagnose patients earlier, which can reduce healthcare costs by providing timely treatment. Educating patients and managing their rehabilitation remotely can decrease hospital readmissions (Kvedar, Coye & Everett, 2014). Additionally, telehealth has contributed to a reduction in mortality rates and complications, while home monitoring further lowers care costs and alleviates hospital overcrowding.

NR 512 Week 5 HealthIT Topic of Week Assignment

Community programs are a vital component of telemedicine, as they connect healthcare professionals directly with patients, empowering them to participate actively in their healthcare. Telemedicine enhances patient safety through real-time monitoring, electronic prescriptions, and better documentation (Krupinski & Bernard, 2014). Nurses must remain proficient in technology and up-to-date with the latest tools to ensure timely care delivery. Telehealth ICUs or eICUs have been shown to reduce mortality by 12–30% and shorten hospital stays. However, nurses encounter several challenges in telemedicine, such as navigating regulatory guidelines, ensuring data privacy, and adhering to legal standards. Nurses must collaborate effectively with other professionals to make accurate decisions in care delivery.

Maintaining patient-nurse relationships is critical to patient recovery, but telemedicine presents limitations in this aspect. Periodic monitoring and data sharing can help maintain these relationships, but it also raises concerns about data privacy and security. Telemedicine’s reliance on electronic prescribing and the risk of incorrect diagnoses introduces further challenges, requiring nurses to stay informed about legal, ethical, and regulatory standards to ensure safe and effective care.

Nurse’s Informatics Skills and Knowledge

Telemedicine relies heavily on technology, including electronic health records (EHRs), communication tools, and remote care delivery systems. Nurses must possess strong informatics skills to manage patient information and collaborate across disciplines to deliver patient-centered care (Weinstein et al., 2014). Knowledge of cross-state regulations is essential to providing effective care, especially when navigating telemedicine’s legal complexities. Nurses must also be proficient in using technology to enhance communication, document patient progress, and contribute to case studies. Educating patients and families through technology-based tools like guidelines and self-management plans is another critical aspect of nursing informatics. By coordinating care with families, nurses can improve patient outcomes (Taylor et al., 2014).

Conclusion

Telemedicine plays a crucial role in reducing healthcare complexities, such as limited access to care, long wait times, and high costs. Its impact on nursing practice is significant, providing tools to improve the speed, quality, and accessibility of care. However, challenges such as regulatory issues, privacy concerns, and the need to maintain patient relationships persist. By embracing informatics and technology, nurses can overcome these challenges and contribute to the ongoing success of telemedicine in healthcare. With proper knowledge and adherence to guidelines, telemedicine can help alleviate hospital overcrowding and address the shortage of nurses in the United States.

References

Krupinski, E., & Bernard, J. (2014). Standards and Guidelines in Telemedicine and Telehealth. Healthcare, 2(1), 74-93. https://doi.org/10.3390/healthcare2010074

Kvedar, J., Coye, M., & Everett, W. (2014). Connected Health: A Review Of Technologies And Strategies To Improve Patient Care With Telemedicine And Telehealth. Health Affairs, 33(2), 194-199. https://doi.org/10.1377/hlthaff.2013.0992

Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B., & Hawley, M. (2014). Examining the use of telehealth in community nursing: Identifying the factors affecting frontline staff acceptance and telehealth adoption. Journal of Advanced Nursing, 71(2), 326-337. https://doi.org/10.1111/jan.12480

NR 512 Week 5 HealthIT Topic of Week Assignment

Weinstein, R., Lopez, A., Joseph, B., Erps, K., Holcomb, M., Barker, G., & Krupinski, E. (2014). Telemedicine, Telehealth, and Mobile Health Applications That Work: Opportunities and Barriers. The American Journal of Medicine, 127(3), 183-187. https://doi.org/10.1016/j.amjmed.2013.09.032

NR 512 Week 4 Informatics Skills

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Informatics Skills Development and Self-Assessment

Nurses are increasingly required to possess nursing informatics competencies due to their critical role in everyday practice. Informatics is integral to decision-making, and nurses interact with technology more frequently than other healthcare professionals (Darvish, Keyhanian, Bahramnezhed, & Navedhamidi, 2014). Given the nature of their work, nurses are often the primary communicators with patients and utilize various technological tools to enhance care delivery. Companies in healthcare aim to ensure that their employees uphold values of loyalty, compliance, and minimize risk, which are achieved through effective use of informatics (McGonigle, 2015).

Before embarking on this course, I had not fully grasped the significance of nursing informatics, as I was not particularly adept with computers. However, throughout the course, I have come to realize the crucial role informatics plays in my practice. I can now identify instances where informatics are integrated into my daily tasks, which I had previously overlooked. The use of informatics has directly contributed to my ability to provide safer and more effective care to patients. From electronic health records to online educational tools, informatics enhances both patient care and professional development, such as through simulators for emergency scenarios or license renewal courses.

NR 512 Week 4 Informatics Skills

However, there is a concern regarding the lack of adequate training for nurses in relation to informatics, especially when it comes to operating specialized equipment. For example, in the emergency department, nurses must be trained to operate rapid infusers correctly in situations like GI bleeds, where quick action is essential. This lack of proper training can be detrimental to patient care, as nurses may not fully understand the technological tools at their disposal.

After completing the TANIC self-assessment, I realized that my informatics skills were not as developed as I had initially thought. I felt somewhat inadequate upon recognizing the number of tasks I was unfamiliar with. However, this experience has reinforced the idea that nursing is a continuous learning process, and each day presents new opportunities to expand and enhance our skills.

NR 512 Week 4 Informatics Skills

Table: Informatics Skills Development and Reflection

References

Darvish, A., Keyhanian, S., Bahramnezhed, F., & Navedhamidi, M. (2014). The role of nursing informatics on promoting the quality of healthcare and the need for appropriate education. Global Journal of Health Science, 6(6), 11–18.

NR 512 Week 4 Informatics Skills

McGonigle, D. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

NR 512 Week 3 E-Portfolio Project

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Uses and Functions of an E-Portfolio

What is an E-Portfolio?

The term portfolio is derived from the Italian words Portare, meaning “to carry,” and Foglio, meaning “leaf” or “sheet.” An e-portfolio can be defined as a self-selected multimedia presentation of a student’s work that provides a comprehensive view of their learning and development over time. It can be summarized as the process to collect, select, reflect, and connect various learning experiences and achievements. In the context of nursing, an e-portfolio is an organized collection of a nurse’s professional work that tracks their career trajectory, demonstrating their background, skills, and expertise. It provides a snapshot of current abilities, supports self-reflection, and aids in setting new goals for professional growth. Portfolios have traditionally been used to assess competence in nursing, and they continue to be integral to nursing education and practice.

E-Portfolio for Graduate Students

In higher education, an e-portfolio is a digital collection of a student’s academic work and accomplishments. It may include course-related work, essays, projects, artwork, volunteer experiences, and extracurricular activities. A strong e-portfolio functions as both a product and a process. As a product, it represents a collection of artifacts that showcase the student’s achievements, and as a process, it involves reflecting on these artifacts and understanding their significance in academic and professional growth. E-portfolios are increasingly being used to assist students in transitioning from higher education to their careers, with many platforms offering advanced features for creating, maintaining, and showcasing these digital portfolios.

E-Portfolio for Advanced Practice Nurses

For advanced practice nurses, an e-portfolio is a collection that organizes and displays qualifications, skills, experiences, and specializations. E-portfolios serve as both tools for learning and records of professional development. They offer nurses the opportunity to reflect on their practice, document progress, and establish new learning goals. The use of e-portfolios can help advanced practice nurses (APRNs) demonstrate their expertise, track career development, and support applications for promotions or professional recognition. Additionally, creating an e-portfolio encourages self-directed learning, improves technological skills, and facilitates career growth through easier documentation and sharing of achievements.

Importance of Developing and Using an E-Portfolio for Graduate Students

E-portfolios are valuable for graduate students because they allow individuals to showcase their academic progress and professional skills in an organized and creative way. E-portfolios facilitate self-discovery, help build confidence, and provide tangible evidence of one’s abilities. They are especially beneficial in securing scholarships, grants, and job opportunities, as they offer a deeper understanding of a student’s competencies. Portfolios also play a role in personal and academic identity development, helping students connect learning across courses and reflect on their growth. Through e-portfolios, students can demonstrate their learning and engage in self-assessment, which helps them plan their future academic and professional pathways.

NR 512 Week 3 E-Portfolio Project

Importance of Developing and Using an E-Portfolio for Nurse Practitioners

For nurse practitioners, e-portfolios reflect their professional experiences and growth. They allow for the documentation of clinical and professional development, as well as setting short- and long-term career goals. E-portfolios provide a clear record of professional practice, helping nurses demonstrate their progress and readiness for further opportunities. Additionally, the process of creating an e-portfolio supports academic applications and professional interviews by providing a comprehensive record of a nurse’s qualifications and experience. E-portfolios offer a more dynamic and detailed picture of a nurse’s career, complementing traditional resumes and showcasing the nurse’s competencies, achievements, and future goals.

Items to Include in an E-Portfolio

An e-portfolio should include personal information, educational background, clinical experiences, examples of coursework, and certifications. It may also feature professional affiliations, leadership roles, research projects, and short- and long-term goals. The inclusion of these items allows employers and academic institutions to evaluate the individual’s competencies, experiences, and aspirations. For practicing nurses, an e-portfolio provides a means of reflecting on their career and determining how qualified they are for new roles. For new graduates, it helps to map out their professional growth and set goals for the future. A well-organized e-portfolio not only highlights achievements but also serves as a tool for continuous improvement.

Examples of E-Portfolio Items for Higher Education

An e-portfolio for higher education typically includes several key components, such as a biography, educational background, evidence of competencies, and letters of recommendation. The biography provides a condensed version of the student’s academic and professional background, while the educational background section expands on qualifications, listing degrees and institutions attended. Evidence of competencies demonstrates the student’s range of skills, and letters of recommendation offer testimonials from instructors, employers, or colleagues. Together, these components paint a comprehensive picture of the individual’s abilities and achievements.

Challenges and Issues

While e-portfolios offer numerous benefits, several challenges must be addressed. One key issue is the perception that e-portfolios may appear as self-advertisements, focusing only on the best work and potentially overlooking areas for growth. Additionally, selecting the right template or platform can be challenging, and users may need support in understanding the technology behind e-portfolios. Legal and ethical concerns, such as data protection, intellectual property rights, and accessibility, also play a significant role in the creation and use of e-portfolios. Finally, interoperability—ensuring that data can be transferred across systems while maintaining its integrity—is a crucial consideration, especially for those using e-portfolios throughout their careers.

Conclusion and Future Recommendations

E-portfolios are an effective tool for education and professional evaluation, particularly in nursing. They provide a comprehensive way to demonstrate competence, track professional development, and facilitate career advancement. Moving forward, it is essential to understand the impact of e-portfolios on technical knowledge, assess the legal and ethical challenges associated with their use, and optimize the information shared within portfolios. Furthermore, evaluating top e-portfolio platforms can help identify the best tools for creating and maintaining these professional documents.

References

Chamblee, T., Dale, J., Drews, B., Spahis, J., & Hardin, T. (2015). Implementation of a Professional Portfolio: A Tool to Demonstrate Professional Development for Advanced Practice. Journal of Pediatric Health Care, 29(1), 113-117. https://doi.org/10.1016/j.pedhc.2014.06.003

Dening, K., Holmes, D., & Pepper, A. (2018). Implementation of e-portfolios for the professional development of Admiral Nurses. Nursing Standard, 32(22), 46-52. https://doi.org/10.7748/ns.2018.e10825

Haggerty, C., & Thompson, T. (2017). The challenges of incorporating ePortfolio into an undergraduate nursing programme. Open Praxis, 9(2), 245. https://doi.org/10.5944/openpraxis.9.2.554

NR 512 Week 3 E-Portfolio Project

Slepcevic-Zach, P., & Stock, M. (2018). ePortfolio as a tool for reflection and self-reflection. Reflective Practice, 19(3), 291-307. https://doi.org/10.1080/14623943.2018.1437399

Ticha, V., & Fakude, L. (2015). Reflections on clinical practice whilst developing a portfolio of evidence: Perceptions of undergraduate nursing students in the Western Cape, South Africa. Curationis, 38(2). https://doi.org/10.4102/curationis.v38i2.1502

NR 512 Week 2 Wisdom vs. Judgment

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

NR 512-Week 2: Wisdom vs. Judgment

Wisdom vs. Professional Nursing Judgment

The concepts of wisdom and judgment in nursing informatics can be compared to the distinctions between novice and expert nurses. Knowledge in nursing refers to the understanding and comprehension of facts and information, while wisdom is a deeper form of knowledge, obtained through life experiences. Wisdom is knowing when and how to apply knowledge in a way that effectively addresses human needs (Matney, Staggers, & Avant, 2016). In nursing practice, wisdom would be exemplified by an expert nurse, while knowledge would align more with the role of a novice nurse. Clinical wisdom is the ability to blend experience and intuition when making decisions in patient care situations (McGonigle, 2015). For example, if a young female patient presents with shortness of breath and tachycardia, a novice nurse might interpret the symptoms as an anxiety attack, whereas an experienced nurse, utilizing wisdom, might suspect a pulmonary embolism and proceed with appropriate treatment. Wisdom in nursing judgment is a skill that takes time to develop but is crucial in providing high-quality care.

DIKW Framework in Nursing Practice

The DIKW framework, which stands for Data, Information, Knowledge, and Wisdom, is a vital tool in nursing practice. It is used by nurses daily in their decision-making processes. Nurses begin by collecting data through patient assessments. This data is then used to derive information, which can be analyzed and interpreted. With the nurse’s knowledge and wisdom, they can determine the appropriate course of action based on the patient’s condition. This process of using data to generate information, applying knowledge, and exercising wisdom in making judgments is essential to ensure that nursing decisions are sound and effective. In this way, DIKW guides nursing practice by helping nurses make informed, thoughtful decisions that enhance patient care.

NR 512 Week 2 Wisdom vs. Judgment

Importance of Judgment in Nursing Practice

Judgment plays a central role in both nursing and medical practice. It guides nurses and physicians in making decisions that affect patient outcomes. It is crucial for nurses to be proficient and competent in their judgment to ensure that they provide the best possible care for their patients. Clinical judgment, which combines knowledge, experience, and intuition, is essential for identifying and responding to patient needs effectively. Nurses who have developed clinical wisdom can use their judgment to assess situations and make decisions that lead to better patient outcomes.

References

Matney, S. A., Staggers, N., & Avant, K. (2016). Toward an understanding of wisdom in nursing. The Online Journal of Issues in Nursing, 21(1).
McGonigle, D. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

NR 512 Week 2 Wisdom vs. Judgment

Table: Comparison of Wisdom vs. Professional Nursing Judgment in Nursing Practice

NR 512 Week 1 Assignment: Self-Assessment of Tiger Nursing Informatics Competencies

Name

Chamberlain University

NR-512: Fundamentals of Nursing Informatics

Prof. Name

Date

Health and Safety Issues Related to Rodents and Open Sewer Drainage

Rodents running close to human habitats pose significant health risks. Rats, in particular, are capable of biting and scratching, which can lead to diseases such as rat-bite fever. Additionally, rat urine contributes to the spread of leptospirosis, a bacterial infection that can cause severe liver and kidney damage. This infection can also be contracted through the handling or inhalation of rat feces. Complications from leptospirosis may include renal and liver failure, as well as cardiovascular issues. Furthermore, rats are known to transmit lymphocytic choriomeningitis, a viral disease spread through their saliva and urine. While some individuals may only experience temporary discomfort, others may suffer from long-term effects. Rats are also carriers of the plague and can be potential allergens, adding to the list of health risks. According to Buckle and Smith (2015), rodents can harbor harmful organisms that can lead to human illness and may act as reservoirs for disease outbreaks.

Another major concern is the presence of open sewer drainage covers on the road, which presents a safety hazard. Open sewers on roadways can lead to accidents involving motorists, cyclists, and pedestrians. Particularly vulnerable are pedestrians, especially children, who may fall into these open sewers, resulting in fatal injuries or severe harm. Hoong (2012) notes that the condition of sewer lines can be hazardous to human health. The fluids within the pipelines may be harmful if proper protective equipment is not used. Furthermore, the collapse of a sewer line can increase traffic accidents and require additional highway maintenance, further exacerbating the safety issue. Additional safety concerns include open gates in garbage disposal areas, where small children may be playing, and the risk of unleashed dogs roaming on the streets.

NR 512 Week 1 Assignment: Self-Assessment of Tiger Nursing Informatics Competencies

Health and Safety Issues Identified

References

Buckle, A.P., & Smith, R.H. (2015). Rodent pests & their control. CABI. Retrieved from: http://www.cabdirect.org

NR 512 Week 1 Assignment: Self-Assessment of Tiger Nursing Informatics Competencies

Hoong, S. (2012). A study into CCTV sewer inspection. Retrieved from spod.tarc.edu