Capella 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Informatics and Nursing-Sensitive Quality Indicators

Salutation nurses. Presenting here in front of you is ________. Today’s presentation is a tutorial on a nursing-sensitive quality indicator – pressure ulcer rate. Pressure ulcer rate is a process and outcome indicator that measures the frequency of pressure ulcers (bedsores) in patients, reflecting the quality of nursing care. 

Introduction: Nursing-Sensitive Quality Indicator 

A national database that tracks nursing-related outcomes and the quality of nursing practices across healthcare organizations is called the National Database of Nursing-Sensitive Quality Indicators (NDNQI). Nursing-sensitive quality indicators (NSQI) measure the standard of nursing care and its effect on patients’ health. Nursing practices have a direct impact on these metrics, such as staffing levels, patient assessment, and care interventions (Barchielli et al., 2022). In this tutorial, we focus on the pressure ulcer rate, a critical nursing-sensitive quality indicator. Monitoring pressure ulcer rates is essential because it directly impacts patient safety and quality of care. 

Prolonged pressure can cause avoidable lesions to the skin and underlying tissue, known as pressure ulcers (Getie et al., 2020). A high rate of pressure ulcers indicates a need for improvement in nursing practices related to patient mobility, skin care, and repositioning. New nurses must be familiar with this indicator because it underscores the importance of preventive care and early intervention. Understanding and preventing pressure ulcers not only improves patient outcomes but also reduces the risk of complications, such as infections or extended hospital stays (Getie et al., 2020). Familiarity with this quality indicator equips new nurses to provide better, safer, and more effective care, ultimately enhancing overall patient safety and satisfaction.

Collection and Distribution of Quality Indicator Data 

According to insights from a professional colleague, our organization employs a robust electronic health record (EHR) system to gather data on pressure ulcer rates. The system is designed to track real-time data related to pressure ulcers and high-risk patients (Padula et al., 2024) from nursing documentation that includes skin assessments and wound care interventions. This data is then aggregated, allowing for a comprehensive analysis of trends over time. The organization then disseminates cumulative data through regular quality reports, which are shared with nursing staff, management, and relevant stakeholders. These reports are typically distributed through internal dashboards that display performance trends, helping teams to compare organizational goals with standardized benchmarks (Helminski et al., 2022). Additionally, the data is used in continuous quality improvement initiatives, guiding decision-making processes aimed at enhancing patient care. 

Nurses play an essential role in accurately reporting pressure ulcers ensuring excellent outcomes. Godfrey et al. (2023) underscore the accuracy of the assessment and documentation of nursing interventions related to pressure ulcer management in providing trustworthy and precise data. Accurate entry of nursing interventions into the EHR is essential, as it directly influences the reliability of the quality indicators. Additionally, nurses play a crucial role in quality improvement initiatives to implement effective prevention strategies, ultimately contributing to improved patient safety and care quality (Wu et al., 2022). 

Interdisciplinary Team and Data Collection and Reporting 

The interdisciplinary team is vital in collecting and reporting data on pressure injury rates, which is essential for enhancing safe practices, improving patient outcomes, and optimizing organizational performance. This team typically includes nurses, physicians, dietitians, and IT professionals, each contributing their expertise to ensure comprehensive care and accurate data reporting. Nurses are on the frontline, conducting thorough skin assessments and documenting the findings to implement preventive measures (Penilla Lozano, 2021). Their role is crucial in collecting data on pressure ulcers and identifying high-risk patients. Physicians collaborate by evaluating underlying health conditions that may contribute to pressure ulcers, while dietitians ensure nutritional support to promote skin integrity and healing. IT professionals are instrumental in managing the electronic health record (EHR) system, ensuring that data entry processes are user-friendly and that the collected data is accurate, accessible, and can be efficiently analyzed. The interdisciplinary collaboration enhances the reliability of data, leading to more accurate reporting of pressure ulcer rates. This allows for targeted interventions to prevent the incidence of pressure ulcers, improving patient outcomes (Awoke et al., 2022). Eventually, the organization meets quality benchmarks and enhances overall organizational performance.

Healthcare Organizations Use of Pressure Ulcer Rate – NSQI

A healthcare organization uses data on pressure ulcer rates to preserve patient safety, enhance outcomes, and optimize organizational operations in various ways. These include: 

Enhancing Patient Safety 

Using data on pressure injury rates, a healthcare organization can identify high-risk patients and practice gaps that lead to those injuries (Godfrey et al., 2023). Regular monitoring allows organizations to detect pressure ulcers early, prompting timely interventions. This proactive approach not only prevents further deterioration of the ulcers but also reduces the risk of complications. Consequently, the use of this indicator helps in creating a safer environment where patients receive the necessary care to avoid preventable injuries.

Improving Patient Outcomes  

The pressure ulcer rate serves as a critical metric for assessing and improving patient care outcomes. Tracking this indicator allows organizations to evaluate the effectiveness of nursing practices and interventions aimed at preventing pressure ulcers (Awoke et al., 2022). By identifying trends and outcomes, healthcare teams can implement evidence-based strategies to enhance patient care, such as improved skin care protocols and patient mobility programs. These targeted interventions lead to a reduction in the incidence of pressure ulcers, thereby improving overall patient outcomes and enhancing patient satisfaction with the care they receive.

Optimizing Organizational Performance Reports

Nursing measures are integral to organizational performance reports as they reflect the quality of nursing care provided, which is used to benchmark against established requirements (Barchielli et al., 2022). The data on pressure ulcer incidence assists organizations in showcasing their commitment to quality care in performance reports, which are often reviewed by accreditation bodies, payers, and the public. This data-driven approach supports continuous quality improvement initiatives and strengthens the organization’s reputation, attracting more patients. 

Data-driven Guidelines for Nurses to Use Technologies

Pressure ulcer rates are critical in establishing guidelines for nurses to use patient care technologies, such as EHRs and wearable sensors for skin integrity monitoring. These guidelines ensure that patients receive appropriate care, maintain safety, and enhance health outcomes. For example, data on pressure ulcer rates enables nurses to use EHR systems accurately. These systems are essential in tracking and documenting nursing interventions related to pressure ulcer prevention, such as patient repositioning and skin assessments (Padula et al., 2024). By analyzing data on pressure ulcer rates, organizations can develop guidelines that standardize the use of EHRs for consistent documentation and early identification of at-risk patients. These guidelines ensure that nurses regularly input accurate data, enabling real-time alerts for necessary interventions. This data-driven approach not only enhances patient safety by preventing pressure ulcers but also improves patient satisfaction through timely and effective care.

Capella 4040 Assessment 4

Similarly, the data on pressure ulcers and high-risk patients is crucial in the use of wearable sensors. Wearable sensors are emerging as a valuable technology for continuous monitoring of skin integrity, providing data on factors like moisture, temperature, and pressure that contribute to pressure ulcer formation. These sensors alert nurses when a patient’s skin is at risk, allowing for immediate intervention (Lu et al., 2022). Organizations can establish guidelines that define the use of wearable sensors for high-risk patients. These evidence-based guidelines help ensure that nurses can promptly respond to changes in skin condition, preventing pressure ulcers, improving patient outcomes through proactive care, and enhancing patient satisfaction by minimizing discomfort and potential complications.

Conclusion

I would like to conclude this tutorial by revising the concepts shared in the presentation. We discussed the national database that tracks and measures nursing-sensitive quality indicators to improve nursing practices. This tutorial focused on pressure ulcer rates as a nursing-sensitive quality indicator, which is essential for enhancing patient safety, care outcomes, and organizational performance. Healthcare organizations collect data on quality indicators through various methods, such as using electronic health records and disseminating them through internal dashboards to improve patient care. The interdisciplinary team, including nurses, physicians, dietitians, and IT professionals, collaborates to ensure accurate data entry and effective use of technology. This data is then used to maintain patient safety, enhance outcomes, and heighten performance levels. Moreover, this quality indicator data collection process also helps to establish data-driven guidelines for using patient care technologies, such as EHRs and wearable sensors. Ultimately, the goal is to produce better patient outcomes and increase patient satisfaction, contributing to continuous improvement in healthcare delivery.

References 

Awoke, N., Tekalign, T., Arba, A., & Lenjebo, T. L. (2022). Pressure injury prevention practice and associated factors among nurses at Wolaita Sodo University teaching and referral hospital, South Ethiopia: A cross-sectional study. British Medical Journal Open, 12(3), e047687. https://doi.org/10.1136/bmjopen-2020-047687 

Barchielli, C., Rafferty, A. M., & Vainieri, M. (2022). Integrating key nursing measures into a comprehensive healthcare performance management system: A Tuscan experience. International Journal of Environmental Research and Public Health, 19(3), 1373. https://doi.org/10.3390/ijerph19031373

Getie, A., Baylie, A., Bante, A., Geda, B., & Mesfin, F. (2020). Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration, Eastern Ethiopia. Public Library of Science ONE, 15(12), e0243875. https://doi.org/10.1371/journal.pone.0243875

Godfrey, T., Garcia, G., Tolentino, A., Chairez, G., & Kwak, J. (2023). Analyzing reporting of hospital-acquired pressure injuries in the acute care setting. Master’s Projects and Capstones. https://repository.usfca.edu/capstone/1603

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Helminski, D., Kurlander, J. E., Renji, A. D., Sussman, J. B., Pfeiffer, P. N., Conte, M. L., Gadabu, O. J., Kokaly, A. N., Goldberg, R., Ranusch, A., Damschroder, L. J., & Landis-Lewis, Z. (2022). Dashboards in health care settings: Protocol for a scoping review. JMIR Research Protocols, 11(3), e34894. https://doi.org/10.2196/34894 

Lu, S.-H., Samandari, M., Li, C., Li, H., Song, D., Zhang, Y., Tamayol, A., & Wang, X. (2022). Multimodal sensing and therapeutic systems for wound healing and management: A review. Sensors and Actuators Reports, 4, 100075. https://doi.org/10.1016/j.snr.2022.100075 

Padula, W. V., Armstrong, D. G., Pronovost, P. J., & Saria, S. (2024). Predicting pressure injury risk in hospitalised patients using machine learning with electronic health records: A US multilevel cohort study. British Medical Journal Open, 14(4), e082540. https://doi.org/10.1136/bmjopen-2023-082540

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Penilla Lozano, K. D. (2021). HAPI prevention bundle: An initiative to prevent hospital-acquired pressure injuries. Master’s Projects and Capstones. https://repository.usfca.edu/capstone/1291 

Wu, J., Wang, B., Zhu, L., & Jia, X. (2022). Nurses’ knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the pressure ulcer knowledge assessment tool. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.964680 

Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Annotated Bibliography on Technology in Nursing

Tele-ICU technology connects remote critical care specialists with on-site ICU teams, enhancing patient monitoring and management. This annotated bibliography examines the role and impact of these technologies on patient safety, care quality, nursing, and interprofessional team practices. 

Introduction to the Selected Technology Topic

I chose to focus on Tele-ICU technology because of its meaningful potential to revolutionize critical care by bridging the gap between limited local resources and the expertise of remote specialists. This technology is instrumental in enhancing patient outcomes and addressing the challenges faced in underserved areas (Van Ee et al., 2022). To thoroughly explore Tele-ICU technology, I conducted a systematic research process that involved multiple steps. I accessed several reputable databases, including PubMed and CINAHL, to gather a wide range of peer-reviewed articles related to Tele-ICU technology. 

Furthermore, a combination of specific search terms and Boolean operators was used to refine my search results. Key terms included “Tele-ICU and patient care,” “remote monitoring in ICU,” “critical care telemedicine,” and “telehealth and quality of care.” This approach allowed me to gather a comprehensive understanding of the current landscape of Tele-ICU technology, including its applications in nursing practices, impact on patient outcomes, and future potential in healthcare. 

Annotation Elements

Kaplow, R., & Zellinger, M. (2021). Nurses’ perceptions of telemedicine adoption in the intensive care unit. American Journal of Critical Care, 30(2), 122–127. https://doi.org/10.4037/ajcc2021205 

This article is a descriptive correlational study that evaluates nurses’ viewpoints on the implementation of telehealth technology in intensive care units. The focus of the research is to understand how nurses view the integration of Tele-ICU systems, particularly in terms of its impact on their workflow, patient care, and interdisciplinary collaboration. The study highlights positive perceptions of nurses working in both respiratory and cardiovascular ICUs, indicating the benefits of the technology. The publication provides a comprehensive overview, emphasizing the role of technology in enhancing patient safety and quality of care through improved monitoring and rapid response capabilities.

Nurses noted that Tele-ICU systems support continuous patient observation and facilitate quicker decision-making, ultimately contributing to better patient outcomes (Kaplow et al., 2021). Moreover, according to the article, this technology is highly relevant to nursing practice, where nurses adapt to new modes of communication and collaboration with remote teams, thereby altering traditional care dynamics. The interdisciplinary healthcare team benefits from the enhanced information flow and the ability to consult with specialists in real time. This publication is valuable for healthcare practitioners to understand nurses’ viewpoints on the effective integration of tele-ICU in nurses’ workflows, enhancing patient care and streamlining practices. 

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Lilly, C. M. (2021). The era of evidence-based ICU telemedicine. Critical Care Medicine, 49(7), 1217–1218. https://doi.org/10.1097/ccm.0000000000004996 

This article focuses on the shift toward evidence-based practices in the implementation of ICU telemedicine, emphasizing the importance of rigorous research to validate the benefits and optimize the use of Tele-ICU systems. The primary findings of the study include direct linkages between the implementation of tele-ICUs, reduced length of hospital stay, and lower mortality rates. Through enhanced monitoring, early detection of complications, and timely interventions, this technology maintains patient safety. It improves care quality by reducing the death rate and culminating hospital days, ultimately enhancing patient outcomes.

For nursing professionals, this technology is relevant as it enhances their ability to provide continuous, high-quality care. Tele-ICU supports evidence-based decision-making, enabling nurses to respond promptly to patient needs, improve outcomes, and maintain consistent care standards across diverse ICU settings. It benefits the interdisciplinary healthcare team by facilitating collaboration, streamlining decision-making, and ensuring that care is consistent and standardized across different settings. For healthcare practitioners, understanding the proven benefits of Tele-ICU is critical for informed decision-making and successful implementation. This resource highlights the necessity of integrating research findings into clinical practice to ensure that Tele-ICU technologies are utilized to their full potential.

Song, X., Liu, X., Dong, R., Kummer, K. A., & Wang, C. (2022). Implementation of tele-intensive care unit services during the COVID-19 pandemic: A systematic literature review and updated experience from Shandong province. Telemedicine and E-Health, 29(5), 646–656. https://doi.org/10.1089/tmj.2022.0302

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This article examines the implementation of Tele-ICU services during the pandemic, focusing on the experiences of Shandong and a systematic review. The publication provides a detailed overview of the challenges and successes associated with Tele-ICU implementation during the pandemic. It concludes that this technology not only benefitted patient care but also mitigated risk to health professionals during the pandemic. Tele-ICU services allowed for continuous monitoring, timely interventions, and efficient use of limited healthcare resources, all of which were critical in improving the quality of care for COVID-19 patients.

This article also discusses how tele-ICU maintains patient and professional safety by preventing cross-contamination and reducing exposure to the virus. For nursing practice, the relevance of this technology is substantial. Tele-ICU enabled nurses to monitor and manage a higher volume of critically ill patients effectively, allowing for more flexible staffing arrangements. The interdisciplinary healthcare team benefited from enhanced communication and resource allocation, leading to improved patient outcomes during the pandemic. This publication provides a contemporary analysis of Tele-ICU technology under exceptional conditions, which is essential for healthcare practitioners to understand how Tele-ICU can be leveraged in crises. It also offers insights into its practical applications and benefits in a high-pressure and low-resourced environment.  

Watanabe, T., Ohsugi, K., Suminaga, Y., Somei, M., Kikuyama, K., Mori, M., Maruo, H., Kono, N., & Kotani, T. (2023). An evaluation of the impact of the implementation of the Tele-ICU: A retrospective observational study. Journal of Intensive Care, 11(1), 1. https://doi.org/10.1186/s40560-023-00657-4 

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This article focuses on evaluating the influence of Tele-ICU implementation in a clinical setting through an observational study. The study concludes with quantitative data on reducing patient mortality, decreasing ICU length of stay, and minimizing physician’s workload in critical care settings. These results are interpreted to provide insights into addressing intensivist shortages and reducing healthcare disparities. The publication shows that Tele-ICU significantly improved safety and care excellence. The outcomes indicated a decline in ICU expiry rates and a shorter length of hospitalization, suggesting that the real-time monitoring and expert consultations facilitated by Tele-ICU contribute to better patient management and outcomes.

The connection of this technology to nursing care is highlighted by its capacity to decrease staff workload. Although the article focuses on physicians’ capacity, the findings can be generalized to enhance nurses’ capacity to reduce EMR-related tasks and concentrate on patient care activities, allowing for timely interventions. The study also emphasizes the role of tele-ICU in fostering interdisciplinary collaboration to enhance decision-making, optimize resource use, and improve care coordination. For healthcare practitioners, it is valuable to read this resource as it not only underscores the tangible benefits of Tele-ICU on patients but also for healthcare workers, making it an essential resource to develop insights for the successful implementation of innovative technology in improving healthcare practices and patient outcomes. 

Summary of Recommendation 

The four publications on Tele-ICU technology reveal its significant advantages in critical care. Tele-ICU improves nursing workflows and interdisciplinary collaboration through remote monitoring and real-time decision support. Evidence shows it reduces mortality rates and shortens ICU stays by enabling better monitoring and timely interventions. Its role during the COVID-19 pandemic was crucial in enhancing patient care and safety while reducing healthcare workers’ exposure. Finally, the literature also highlights how Tele-ICU addresses intensivist shortages, improves care coordination, and reduces healthcare workers’ workload, demonstrating its transformative impact on patient outcomes and team efficiency.

Nevertheless, several organizational factors influence the successful selection and implementation of the technology. These include organizational infrastructure, availability of resources, leadership commitment, and comprehensive training programs. Kobeissi and Hickey (2023) present that the existing technological infrastructure in the organization directs the selection of appropriate technology. This structure helps leadership identify and integrate the system that the existing environment can entail and what further upgrades are required. Moreover, the availability of resources, including financial and technical support, determines the feasibility of adopting new technologies (Jacob et al., 2020). However, commitment from leadership is another crucial aspect in the prioritization of technology initiatives and allocation of necessary resources. Lastly, comprehensive training programs are vital for effective implementation, as they equip staff with the skills needed to utilize new technologies proficiently. Together, these factors shape technological integration and utilization, impacting overall effectiveness and outcomes in healthcare settings.

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Implementing Tele-ICU technology in a healthcare setting is justified based on substantial evidence of its benefits. The literature highlights that Tele-ICU significantly enhances patient care by improving monitoring and enabling timely interventions, which leads to reduced mortality rates and shorter ICU stays (Lilly, 2021; Watanabe et al., 2023). This technology also addresses intensivist shortages and optimizes resource allocation, benefiting the organization by enhancing operational efficiency (Watanabe et al., 2023).

Another justification is that it improves patient satisfaction through continuous, high-quality care facilitated by real-time expert consultations. Moreover, it enhances the interdisciplinary team’s productivity and satisfaction due to streamlined workflows and enhanced collaboration (Kaplow & Zellinger, 2021). Finally, this technology not only benefits patients but also mitigates the risk for healthcare professionals by preventing cross-transmission of diseases, thus creating a positive working environment for healthcare professionals and ensuring better patient outcomes (Song et al., 2022). Overall, these studies justify the implementation of tele-ICU, indicating it as a valuable investment for improving organizational performance and patient care.

References

Jacob, C., Sanchez-Vazquez, A., & Ivory, C. (2020). Social, organizational, and technological factors impacting clinicians’ adoption of mobile health tools: A systematic literature review (preprint). JMIR MHealth and UHealth, 8(2). https://doi.org/10.2196/15935 

Kaplow, R., & Zellinger, M. (2021). Nurses’ perceptions of telemedicine adoption in the intensive care unit. American Journal of Critical Care, 30(2), 122–127. https://doi.org/10.4037/ajcc2021205 

Kobeissi, M. M., & Hickey, J. V. (2023). An infrastructure to provide safer, higher quality, and more equitable telehealth. The Joint Commission Journal on Quality and Patient Safety, 49(4), 213–222. https://doi.org/10.1016/j.jcjq.2023.01.006 

Lilly, C. M. (2021). The era of evidence-based ICU telemedicine. Critical Care Medicine, 49(7), 1217–1218. https://doi.org/10.1097/ccm.0000000000004996 

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Song, X., Liu, X., Dong, R., Kummer, K. A., & Wang, C. (2022). Implementation of tele-intensive care unit services during the COVID-19 pandemic: A systematic literature review and updated experience from Shandong province. Telemedicine and E-Health, 29(5), 646–656. https://doi.org/10.1089/tmj.2022.0302 

Van Ee, S. K., McKelvey, H., Williams, T., Shao, B., Lin, W.-T., Luu, J., Sunny, D., Kumar, S., Narayan, S., Urdaneta, A., Perez, L., Schwab, H., Riegle, S., & Jacobs, R. J. (2022). Telemedicine intensive care unit (tele-ICU) implementation during COVID-19: A scoping review. Cureus, 14(5). https://doi.org/10.7759/cureus.25133 

Watanabe, T., Ohsugi, K., Suminaga, Y., Somei, M., Kikuyama, K., Mori, M., Maruo, H., Kono, N., & Kotani, T. (2023). An evaluation of the impact of the implementation of the Tele-ICU: A retrospective observational study. Journal of Intensive Care, 11(1), 1. https://doi.org/10.1186/s40560-023-00657-4 

Capella 4040 Assessment 2 Protected Health Information PHI Privacy Security and Confidentiality Best Practice

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practices

In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was established to offer individuals rights and protections regarding their health information (CDC, 2018). HIPAA provides guidelines for the secure use and disclosure of protected health information (PHI) by organizations managing health data. PHI encompasses data related to an individual’s past, current, or future physical or mental health, collected or generated by healthcare providers, health plans, employers, public health authorities, or other entities. This includes identifiable information like names, Social Security numbers, birth dates, addresses, account numbers, clinical data, and diagnoses (HIPAA, 2018).

Summary of PHI Laws

The HIPAA Security Rule mandates that covered entities implement measures to safeguard electronic PHI (ePHI), establishing national standards to protect this information from unauthorized access, misuse, or exposure (Gatehouse, 2020). If unprotected PHI is compromised, the HIPAA Breach Notification Rule requires covered entities to inform affected individuals and may involve notification to the Department of Health and Human Services (HHS) and, in certain cases, the media (Heath et al., 2021). Additionally, the HIPAA Enforcement Rule outlines procedures for HHS to investigate violations and impose penalties on entities that fail to comply. Penalties can include monetary fines, corrective actions, and legal sanctions (Moore & Frye, 2019).

Best Practices for Privacy, Security, and Confidentiality

HIPAA regulations provide a structured approach for multidisciplinary teams to secure ePHI, requiring entities to adopt appropriate safeguards against unauthorized access or use. These regulations also allow HHS to take legal actions against non-compliant entities and ensure individuals maintain control over their PHI. This legal framework underscores the importance of teamwork in managing ePHI security.

The Importance of Interdisciplinary Collaboration

Interdisciplinary collaboration is essential for securing ePHI, as it enables diverse stakeholders to work together to safeguard patient data in compliance with privacy and security regulations. An interdisciplinary team comprising a privacy officer, IT staff, legal counsel, and health information management specialists can enhance a healthcare organization’s ability to secure ePHI. Such teams can establish policies and procedures, including access controls and encryption, to protect sensitive data. In addition, these teams are instrumental in formulating response strategies for potential data breaches (Beckmann et al., 2021).

Evidence-Based Strategies to Mitigate Risks for Patients and Healthcare Staff

Organizations can implement evidence-based practices to minimize risks associated with the use of social media that may involve sensitive ePHI (Health, 2022). Recommended strategies include:

• Developing a social media policy with clear guidelines for interacting with patients and sharing health information.
• Utilizing HIPAA-compliant and encrypted communication tools to maintain data security.
• Educating employees on social media risks and the importance of protecting private health information.
• Monitoring social media for unauthorized disclosures and ensuring compliance.
• Restricting access to sensitive health information to necessary personnel.
• Implementing authentication processes for anyone accessing sensitive data.
• Regularly updating best practices and protocols for protecting private health information.

Effective Staff Training for Interprofessional Teams

Healthcare providers are responsible for securing patient data privacy, particularly when utilizing social media (Arigo et al., 2018). Medical professionals must maintain patient confidentiality and follow established rules when using social media. Key guidelines include avoiding discussions about patient health or treatment, refraining from posting patient-identifying details, and not requesting or sharing patient information over social media.

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References

Almaghrabi, N. S., & Bugis, B. A. (2022). Patient confidentiality of electronic health records: A recent review of the Saudi literature. Dr. Sulaiman al Habib Medical Journal, 4(4). https://doi.org/10.1007/s44229-022-00016-9

Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10). https://doi.org/10.7759/cureus.30168

HIPAA Journal. (2023, February). HIPAA social media rules – updated 2023. https://www.hipaajournal.com/hipaa-social-media/

Javaid, D. M., Haleem, Prof. A., Singh, D. R. P., & Suman, D. R. (2023). Towards insighting cybersecurity for healthcare domains: A comprehensive review of recent practices and trends. Cyber Security and Applications, 1(100016). https://doi.org/10.1016/j.csa.2023.100016

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Kerr, H., Booth, R., & Jackson, K. (2020). Exploring the characteristics and behaviors of nurses who have attained microcelebrity status on Instagram: Content analysis. Journal of Medical Internet Research, 22(5), e16540. https://doi.org/10.2196/16540

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6

Vukusic Rukavina, T., Viskic, J., Machala Poplasen, L., Relic, D., Marelic, M., Jokic, D., & Sedak, K. (2020). Dangers and benefits of social media on e-professionalism of healthcare professionals: Scoping review (preprint). Journal of Medical Internet Research, 23(11). https://doi.org/10.2196/25770

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Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19(Spring), 1i. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123525/

Capella 4040 Assessment 1 Nursing Informatics in Health Care

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Nursing Informatics in Health Care

Clinical Decision Support Systems (CDSS) are essential for enhancing patient safety by integrating evidence-based guidelines into clinical workflows (Zhao et al., 2023). These systems offer physicians and other healthcare professionals timely, relevant information and alerts to assist in accurate decision-making and reduce human errors. This proposal supports the role of a nurse informaticist in the organization to develop and implement CDS systems, enhancing patient care outcomes. 

Nurse Informatics and the Nurse Informaticist 

Nursing informatics is a medical domain that prepares nurses to integrate information technology to improve patients’ health, healthcare quality, and safety (American Nurses Association, n.d.). It entails developing, implementing, and managing health information systems to improve communication, securely store patient data, enhance clinical decision-making, and optimize healthcare workflows. This field incorporates the American Nurses Association (ANA) standards to promote nursing practices and adheres to technological regulations to maintain patient privacy and data security.

Role of the Nurse Informaticist

Nurse informaticists are critical to connecting clinical practice with information technology. Their primary role is to optimize data collection, promote equitable healthcare, and utilize ground-breaking technologies to influence clinical practices (Johnson, 2024). The nurse informaticist in our healthcare organization will focus on planning and executing CDSS to heighten patient safety. By tailoring CDSS tools to meet specific clinical needs, this professional will ensure that nurses have access to real-time, evidence-based information, thereby improving care outcomes and reducing errors.

Their role extends beyond managing health information systems; it encompasses fostering a culture of ongoing enhancement and innovation in healthcare. A nurse informaticist will collaborate with multidisciplinary teams, ensuring that technology aligns with clinical workflows and enhances patient care. They will provide training and support to healthcare professionals, helping them adapt to new CDS systems (Zhao et al., 2023). Additionally, a nurse informaticist will analyze data to identify trends, support quality improvement initiatives, and ensure compliance with regulatory standards, ultimately driving better patient outcomes and organizational performance. 

Nurse Informaticists and Other Health Care Organizations 

Various healthcare organizations in the United States have introduced the role of nurse informaticist, experiencing positive outcomes for patients and healthcare facilities. In a report by HIMSS Northern Ohio Chapter (2022), several nurse informaticists present their opinions of how integrating informatics into healthcare systems have upgraded the quality of healthcare. The experience has been largely positive, with initiatives to integrate health information systems, such as electronic health records and CDSS, resulting in improved patient outcomes and streamlined workflows. However, some challenges were faced, including initial resistance from staff, the complexity of integrating new technologies into existing practices, and training nurses and other professionals to use these technologies. 

Nurses completely engaged in healthcare technology leave a positive impact on patient care by improving accuracy, reducing errors, and promoting evidence-based practices (Johnson, 2024). Involving nurses in technology decisions improves buy-in, reduces resistance and enhances system effectiveness. The resulting improvements in efficiency and error reduction contribute to cost savings and a higher return on investment as fewer healthcare resources are utilized. They also play a crucial role in the protection of health information by fostering compliance with security protocols and confidentiality measures, ensuring that data is handled responsibly. 

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Evidence-based strategies are vital for managing protected health information. These strategies reduce breaches and enhance trust in care systems. One key strategy is the use of role-based access controls, which limit access to medical data based on authorization (Shojaei et al., 2024). This approach is supported by healthcare standards, thereby reducing the risk of breaches. Encryption is another critical strategy, as it safeguards data both in data storage and during data transmission, significantly reducing the likelihood of unauthorized access and protecting patient information from cyber threats (Shojaei et al., 2024). Regular staff training and awareness programs are also essential, as they keep healthcare professionals informed about the latest security protocols and privacy regulations. 

Opportunities and Challenges 

The introduction of a nurse informaticist in the organization to develop and implement a CDS system has significant opportunities and challenges for nurses and the interdisciplinary team. This specialist brings an opportunity to enhance patient care by using real-time, evidence-based information to make clinical decisions (Yogesh & Karthikeyan, 2022). Moreover, these specialists streamline communication and workflows for nurses and other interdisciplinary professionals, ultimately reducing errors related to communication breakdowns.

The nurse informaticist can also facilitate training and support, ensuring that all team members effectively use the CDSS, thereby fostering collaboration and improving overall care coordination (Zhao et al., 2023). However, several challenges are associated with the addition of this role. Initial impediments include disrupting workflows due to new systems and approaches, requiring significant adjustments. Moreover, staff resistance to change from accustomed traditional practices may lead to ineffective implementation of the role. Despite these challenges, the role of the nurse informaticist is crucial in navigating these obstacles, optimizing system implementation, and ensuring that the CDSS aligns with clinical needs and organizational goals.

Interdisciplinary Collaboration 

 A nurse informaticist in our organization will improve care quality by collaborating with interprofessional team members, including technology specialists. They promote collaboration among multidisciplinary teams to manage health information systems holistically and connect technology solutions with clinical needs (American Nurses Association, n.d.). The nurse informaticist in our organization will work closely with physicians, nurses, and other healthcare providers to identify critical areas where CDSS can improve care processes. They will gather input from these stakeholders to tailor the functionalities of the technology to meet specific clinical requirements, ensuring that the system supports evidence-based decision-making and integrates seamlessly into existing workflows.

Additionally, the nurse informaticist will collaborate with IT professionals to design, implement, and refine health information systems, ensuring they are user-friendly and effective. They will also ensure that the systems are securely managed, using evidence-based strategies suggested earlier, to protect patient data, prevent unauthorized breaches, and maintain patients’ trust (Shojaei et al., 2024). This collaboration involves regular feedback loops and iterative testing to refine systems and enhance patient care. Moreover, this specialist will facilitate training sessions for staff to improve their proficiency with new technologies, address any concerns, and gather feedback to make continuous improvements, eventually contributing to interprofessional collaboration. The primary goal is to ensure that technological innovations are utilized effectively to support high-quality, patient-centered care.

Summary of Recommendation 

This proposal provides vital takeaways for the Chief Nursing Officer (CNO) and HR manager to implement the nurse informaticist role in our organization. These takeaways include: 

• Enhanced Patient Safety and Care Quality: The nurse informaticist will improve patient safety by implementing a CDS system. Armando et al. (2023) show that CDSS can reduce medication errors and improve the decision-making process in the organization, leading to better patient outcomes. 
• Streamlined Workflow and Efficiency: By integrating technology seamlessly into clinical practice, the nurse informaticist helps streamline workflows and reduce administrative burdens (American Nurses Association, n.d.). This optimization enhances productivity and allows healthcare professionals to spend more time on direct patient care.
• Facilitation of Effective Training and Support: The nurse informaticist ensures that staff are effectively trained and supported in using new technologies (Zhao et al., 2023). This training helps mitigate resistance to change and ensures that technology is utilized to its fullest potential. 

Justification for Implementation 

Justifying the implementation of a nurse informaticist role is supported by substantial evidence demonstrating its impact on improving patient care and operational efficiency. While CDSS can enhance patient safety by providing real-time, evidence-based guidance, the nurse informaticist ensures that these systems streamline clinical workflows and increase efficiency (Zhao et al., 2023). Furthermore, their role in training and supporting staff is crucial for overcoming resistance to new technologies and maximizing their benefits. The American Nurses Association (n.d.) highlights that dedicated informatics professionals are essential for leveraging technology to improve patient care and healthcare delivery. Implementing this role will enhance the quality of care and optimize operational performance, aligning with evidence-based practices and organizational goals.

References 

American Nurses Association. (n.d.). The scope of nursing informatics practice. https://www.nursingworld.org/~49c602/globalassets/catalog/book-toc/nursing-informatics-3e-sample-chapter.pdf

Armando, L. G., Miglio, G., de Cosmo, P., & Cena, C. (2023). Clinical decision support systems to improve drug prescription and therapy optimisation in clinical practice: A scoping review. British Medical Journal Health and Care Informatics, 30(1). e100683. https://doi.org/10.1136/bmjhci-2022-100683 

HIMSS Northern Ohio Chapter. (2022, May 9). Informatics nurses make a difference | HIMSS. Northernohio.himss.org. https://northernohio.himss.org/resources/informatics-nurses-make-difference 

Capella 4040 Assessment 1

Johnson, C. B. (2024). Nurse informaticists’ role in promoting health equity. Nursing, 54(5), 38–44. PubMed. https://doi.org/10.1097/01.nurse.0001007640.39208.74

Shojaei, P., Gjorgievska, E. V., & Chow, Y.-W. (2024). Security and privacy of technologies in health information systems: A systematic literature review. Computers, 13(2), 41. https://doi.org/10.3390/computers13020041

Yogesh, M. J., & Karthikeyan, J. (2022). Health informatics: Engaging modern healthcare units: A brief overview. Frontiers in Public Health, 10, 854688. https://doi.org/10.3389/fpubh.2022.854688 

Capella 4040 Assessment 1

Zhao, C., Liang, N., Zhang, H., Li, H., Yang, Y., Zong, X., Chen, Y., Wang, Y., & Shi, N. (2023). Harnessing the power of clinical decision support systems: Challenges and opportunities. Open Heart, 10(2), 1–11. https://doi.org/10.1136/openhrt-2023-002432 

NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Informatics and Nursing Sensitive Quality Indicators

Welcome, and thank you for participating in this audio training session dedicated to “Nursing-Sensitive Quality Indicators” (NSQIs). Throughout this tutorial, we will underscore the significance of NSQIs, highlighting nurses’ pivotal role in attaining exceptional patient care outcomes and bolstering organizational performance. Healthcare professionals must grasp the importance of NSQIs and comprehend their profound impact on patient care outcomes and organizational efficacy. First, let us delve into introducing Nursing-Sensitive Quality Indicators (NSQIs).

These indicators serve as a metric for gauging the caliber of care nurses administer to patients. Termed “nursing-sensitive” due to their direct correlation with nursing interventions, they focus on patient outcomes influenced by nursing care. A crucial reference for NSQIs is the “National Database of Nursing-Sensitive Quality Indicators,” which offers a standardized dataset to assess and appraise the quality of nursing care. This repository encompasses various indicators, including but not limited to falls, pressure ulcers, and patient satisfaction (Alshammari et al., 2023).

Selection and Significance of Quality Indicator

For this tutorial, I have chosen to highlight the significance of the quality indicator, specifically focusing on “Patient Falls Without Injury Process,” for a particular reason. The selection of this indicator is driven by its profound importance in the comprehensive evaluation of healthcare quality. Patient falls, even when they result in no injury, represent a critical aspect of the care continuum that demands our attention. This deliberate choice underscores my recognition of the need for preventative strategies and the ongoing assessment of protocols to minimize fall occurrences.

The significance of this selection lies in its ability to reflect the efficacy of implemented strategies, protecting patients from potential harm throughout their healthcare journey. Through continuous scrutiny and analysis of the process for preventing falls without injury, there is a substantial contribution to the augmentation of patient safety and the overall enhancement of healthcare quality. In essence, my decision to focus on this indicator is driven by its potential to serve as a valuable compass, guiding healthcare practitioners in refining protocols and promoting an environment that highlights the safety and well-being of patients (Heng et al., 2020).

The Significance of the Interdisciplinary Team in Reporting Quality Indicator Data

The interdisciplinary team assumes a vital and professional role in collecting and reporting quality indicator data, particularly concerning Patient Falls Without Injury – Process. Their involvement is integral to the enhancement of patient safety, the improvement of patient care consequences, and the facilitation of reports on organizational performance. The team leverages advanced tools for efficient data collection and reporting in the nursing informatics domain and the use of electronic health information and patient care technology. This includes effectively utilizing electronic health records (EHRs) and patient care technology to capture real-time information, facilitating timely decision-making and interventions (Vos et al., 2020). The collaborative effort of the interdisciplinary team ensures the accuracy and completeness of quality indicator data related to Patient Falls Without Injury – Process. Nurses, physicians, pharmacists, and other healthcare professionals contribute their expertise to capture nuanced details, such as contextual factors leading to falls, the effectiveness of preventative measures, and patient-specific considerations (DiGerolamo & Chen-Lim, 2021).

Utilizing standardized data collection methods in adherence to best practices and regulatory requirements, the team employs electronic systems to streamline the reporting process. This enhances the reliability of patient safety and care outcome assessments and contributes to the overall efficiency of organizational performance reporting (Labrague et al., 2021). The interdisciplinary team’s impact on data collection extends beyond mere compilation. Actively analyzing trends and patterns within the Patient Falls Without Injury – Process, they offer valuable insights that inform evidence-based practices. Through collaborative discussions, the team identifies areas for improvement in care protocols and implements targeted interventions to mitigate the risk of falls without injury (Milano, 2023).

Their role also involves effective communication and collaboration with all team members, fostering a culture of shared responsibility for patient safety. Regular team meetings, training sessions, and feedback mechanisms ensure a continuous improvement cycle where the interdisciplinary team collectively works towards refining processes and optimizing patient care outcomes (Allen et al., 2021). The interdisciplinary team’s role in gathering and reporting quality indicator data for the Patient Falls Without Injury Process is multifaceted and integral to improving patient safety, care consequences, and organizational performance. Their informed approach, leveraging technology and collaboration, signifies their commitment to excellence in healthcare quality.

Utilization of Nursing-Sensitive Quality Indicators by Healthcare Organizations

The strategic utilization of nursing-sensitive quality indicators within our healthcare organization, specifically focusing on the Patient Falls Without Injury Process, is pivotal in elevating patient safety, enhancing care outcomes, and optimizing organizational performance. Our approach to data collection integrates diverse methods, including electronic health records (EHRs), incident reports, and direct observations. Nurses are vital contributors to this process, diligently documenting patient-specific details, contextual factors, and the nuances of nursing interventions related to falls. The dissemination of aggregate data underscores our commitment to transparency and informed decision-making. Regular performance review meetings bring together key stakeholders, fostering collaborative discussions among nurses, physicians, and administrative staff. A centralized reporting system also provides real-time access to data trends, supporting continuous monitoring and analysis. Shared through presentations and collaborations with external entities, periodic reports contribute to the broader healthcare community’s understanding and engagement (Lindberg et al., 2020).

The pivotal role of nurses in ensuring accurate reporting is highlighted through ongoing education and training initiatives. Emphasizing the importance of detailed documentation, particularly regarding the effectiveness of fall prevention interventions, nurses are equipped with the skills and knowledge needed to uphold reporting standards. Their active involvement in accurate data entry, such as documenting the successful implementation of bed alarms and timely responses to call lights, becomes a cornerstone for assessing intervention efficacy and steering continuous quality improvement efforts (Dykes et al., 2020). In essence, our organization’s commitment to utilizing nursing-sensitive quality indicators is not merely a process but a culture of excellence. Through collaborative efforts, transparent communication, and ongoing education, we strive to continuously enhance the safety of patients, improve care outcomes, and achieve excellence in organizational performance, ensuring high-quality healthcare services.

Evidence-Based Practices for Nurses to Enhance Patient Safety and Care

Nursing-Sensitive Quality Indicators (NSQIs) are a foundational framework for establishing evidence-based practice guidelines, particularly when integrating patient care technologies in Patient Falls Without Injury – Process. The adoption of these technologies is intricately tied to the insights derived from NSQIs, which play a pivotal role in evaluating and enhancing patient safety, satisfaction, and outcomes. NSQIs guide the effect assessment of patient care technologies on desired results. Incorporating technologies, such as electronic health records (EHRs) and fall prevention monitoring systems, aligns with the indicators that precisely measure nursing-sensitive aspects of care. The systematic evaluation against NSQIs ensures that these technologies contribute to improved patient care outcomes and organizational performance, as identified through evidence-driven quality indicators. This approach underscores the integral role of NSQIs in validating the effectiveness of patient care technologies in real-world clinical settings (Oh-Park et al., 2020).

The utilization of patient care technologies in the setting of the Patient Falls Without Injury Process is justified through NSQIs. These indicators serve as empirical evidence, showcasing the impact of technology on nursing-sensitive outcomes. For example, NSQIs may reveal the correlation between implementing specific technologies, like bed alarms and reducing falls without injury incidents. This evidence becomes the foundation for developing and refining evidence-based practice guidelines that guide nurses in leveraging technology to enhance patient safety, satisfaction, and overall outcomes. NSQIs, with their focus on nursing care-related outcomes, ensure that technology recommendations align with the overarching goals of nursing excellence (Tanwar et al., 2022). In the case of the Patient Falls Without Injury Process, NSQIs guide nurses in understanding the effect of patient care technologies on nursing-sensitive results related to falls. The cyclical relationship between NSQIs and evidence-based guidelines ensures that nursing practices stay dynamic and responsive to emerging evidence and technological advancements. This iterative process allows nurses to continuously refine their approach, aligning with NSQIs and optimizing patient care (Rangel, 2022).

Conclusion

In conclusion, the comprehensive integration of Nursing-Sensitive Quality Indicators (NSQIs), is particularly exemplified through the Patient Falls Without Injury Process. It underscores the pivotal role of nurses and interdisciplinary teams in ensuring patient safety, optimizing care outcomes, and enhancing organizational performance. The commitment to evidence-based practices, supported by technology and transparent reporting, establishes a culture of excellence within healthcare organizations. By leveraging NSQIs, healthcare professionals continually refine protocols, foster collaboration, and uphold a steadfast dedication to continuous improvement, ultimately providing high-quality, patient-centered healthcare services.

References

Allen, D. (2021). Interdisciplinary leadership council. Nursing Management, 52(10), 51–54. https://doi.org/10.1097/01.numa.0000792052.82959.3d 

Alshammari, S. M. K., Aldabbagh, H. A., Anazi, G. H. A., Bukhari, A. M., Mahmoud, M. A. S., & Mostafa, W. S. E. M. (2023). Establishing standardized nursing quality sensitive indicators. Open Journal of Nursing, 13(8), 551–582. https://doi.org/10.4236/ojn.2023.138037 

DiGerolamo, K. A., & Chen-Lim, M. L. (2021). An educational intervention to improve staff collaboration and enhance knowledge of fall risk factors and prevention guidelines. Journal of Pediatric Nursing, 57, 43–49. https://doi.org/10.1016/j.pedn.2020.10.027 

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries. JAMA Network Open, 3(11), 1–10. https://doi.org/10.1001/jamanetworkopen.2020.25889 

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A.-M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1), 1–12. https://doi.org/10.1186/s12877-020-01515-w 

NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2021). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management, 30(1). https://doi.org/10.1111/jonm.13491 

Lindberg, D. S., Prosperi, M., Bjarnadottir, R. I., Thomas, J., Crane, M., Chen, Z., Shear, K., Solberg, L. M., Snigurska, U. A., Wu, Y., Xia, Y., & Lucero, R. J. (2020). Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach. International Journal of Medical Informatics, 143, 104272. https://doi.org/10.1016/j.ijmedinf.2020.104272 

Milano, J. (2023). Promoting safety through advocacy and practice: Nurse input and beliefs regarding hospital fall prevention policies in the inpatient setting. Doctor of Nursing Practice Scholarly Project. https://digitalcommons.pittstate.edu/dnp/90/ 

Oh-Park, M., Doan, T., Dohle, C., Vermiglio-Kohn, V., & Abdou, A. (2020). Technology utilization in fall prevention. American Journal of Physical Medicine & Rehabilitation, Publish Ahead of Print(1). https://doi.org/10.1097/phm.0000000000001554

Rangel, S. (2022). Leader Rounding- It is Not Just for Patient Experience Anymore. 2023 Ruth K. Palmer Research Symposium. https://ecommons.luc.edu/loyola_palmerresearchsymposium/2022/Asynchronous_Posters/10/ 

NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Tanwar, R., Nandal, N., Zamani, M., & Manaf, A. A. (2022). Pathway of trends and technologies in fall detection: A systematic review. Healthcare, 10(1), 172. https://doi.org/10.3390/healthcare10010172 

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6 

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Technology in Healthcare

Technology is a transformative force in the dynamic healthcare landscape, reshaping patient care through innovations like electronic health records and advanced imaging. Stroke, a leading cause of death and disability in the U.S., affects approximately 795,000 individuals annually, and this prevalence is expected to rise by 20.5% by 2030. Achieving improved outcomes hinges on early recognition and evidence-based treatment. Among these advancements, Telestroke emerges as a crucial telemedicine application by breaking down geographical barriers to provide timely stroke diagnosis and treatment.

This technology facilitates remote consultations, ensuring that even individuals in underserved areas can access specialized stroke care. (Witrick et al., 2020). The choice of Telestroke is driven by its ability to offer swift expert interventions by ultimately enhancing patient outcomes and addressing the critical, time-sensitive nature of stroke care. The seamless integration of Telestroke expands the reach of specialized expertise. It underlines its role in minimizing long-term impacts and saving lives in the face of one of healthcare’s most time-critical challenges.

Identifying Academic Peer-Reviewed Journal Articles

For this annotated bibliography, I extensively explored PubMed, Google Scholar, Capella University Library, ScienceDirect, and CINAHL to uncover relevant findings and review publications about Telestroke. The search involved the use of specific keywords such as “Telestroke interventions,” “Impact of Telestroke technology on healthcare practices,” “Quality of care in Telestroke systems,” and “Interdisciplinary collaboration in Telestroke monitoring in healthcare settings.” I applied the CRAAP (Currency, Relevance, Accuracy, Authority, and Purpose) criteria to gauge the reliability and relevance of the research-based materials. This model is a valuable tool for evaluating the accuracy and pertinence of research papers. The chosen articles meet the CRAAP criteria, being both current and pertinent. Authors possessing medical expertise have contributed valuable insights, aligning with the CRAAP criteria (Muis et al., 2022).

Annotated Bibliography

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10(10). https://doi.org/10.1002/brb3.1787 

The research extensively investigates the impact of telestroke on acute stroke management in rural areas, encompassing prehospital and in-hospital telemedicine approaches. The meta-analysis reveals a substantial reduction in Onset-to-Treatment Time (OTT), primarily attributed to mobile stroke units (MSUs) and remote thrombolysis, indicating that telestroke expedites the administration of intravenous thrombolysis (IVT). The study underscores an associated increase in IVT rates, suggesting swifter access to thrombolytic therapies and potentially improved clinical outcomes. Patients managed through telestroke exhibit superior functional outcomes compared to conventional care, signifying telestroke’s pivotal role in fostering enhanced recovery and minimizing disability. Lower in-hospital mortality rates associated with telestroke implementation emphasize its positive impact on overall survival for acute stroke patients.

Notably, the absence of a significant increase in symptomatic intracranial hemorrhage (sICH) rates with telestroke suggests its safety profile. The research also highlights the significance of prehospital telestroke triage, demonstrating a significant reduction in treatment time when employed, underscoring the technology’s crucial role in streamlining prehospital processes and enhancing the overall stroke care pathway. The research strongly supports telestroke’s positive impact on patient safety and acute stroke care quality in rural settings. Recognizing its relevance to nursing practice, the study emphasizes telestroke’s potential to enhance efficiency, improve outcomes, and provide cost-effective solutions, making it indispensable for informed healthcare practitioners in rural areas.

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke. https://doi.org/10.1177/17474930231206066 

The chosen research article critically examines the impact of telestroke systems on the outcomes of acute ischemic stroke (AIS) patients. The study meticulously compares various parameters, including critical treatment times, clinical outcomes, and baseline characteristics, between patients treated through telemedicine (TM) and those receiving non-telemedicine (NTM) interventions. The findings indicate that telestroke is as effective as traditional face-to-face treatment and demonstrates non-significantly higher rates of intravenous thrombolysis (tPA). An intriguing facet of the study is its exploration of different patient transport models, such as the mothership (MS) and drip-and-ship (DS) models, suggesting that these models influence outcomes differently.

The absence of significant differences in door-to-needle times, 90-day mortality, symptomatic intracranial hemorrhage, or modified Rankin scale scores between TM and NTM groups is noteworthy. The study underscores the safety and efficacy of telestroke, particularly beneficial in regions with limited healthcare access, while emphasizing the need for further research to optimize patient care. Regarding relevance to nursing practice and the interdisciplinary healthcare team, the research implies that telestroke technology can enhance the efficient delivery of healthcare services, especially in remote or underserved areas.

Its findings are significant for healthcare practitioners as they contribute a nuanced understanding of the evolving landscape of telestroke technology and its implications for patient care, highlighting its potential role in optimizing stroke treatment strategies. Overall, this publication stands out for its thorough analysis, large sample size, and valuable insights, making it essential reading for healthcare professionals navigating the dynamic intersection of telemedicine and stroke care.

Tumma, A., Berzou, S., Jaques, K., Shah, D., Smith, A. C., & Thomas, E. E. (2022). Considerations for the implementation of a telestroke network: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 31(1), 106171. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106171 

The research article comprehensively explores the impact of telestroke on the quality of care in acute stroke management. Rooted in the Consolidated Framework for Implementation Research (CFIR), the study underscores the transformative influence of telestroke on global networks by emphasizing key factors such as pre-implementation planning, governance structures, and stakeholder engagement in shaping care quality. It navigates the evolving landscape of the increased telestroke networks globally and the revolutionary influence of imaging-guided therapies like endovascular thrombectomy.

The research highlights positive outcomes, including enhanced hospital processes, reduced treatment times, and improved access to effective therapies, contributing to an elevated standard of care. Recognizing the resource-intensive nature of telestroke systems, the study emphasizes the imperative for sustainable funding. It addresses staff beliefs and attitudes, critical elements in ensuring and maintaining high-quality care. This is an invaluable resource for healthcare practitioners by providing practical insights, overcoming challenges, and offering a comprehensive guide to implement or enhance telestroke services, recognizing the growing importance of telestroke in advancing stroke care and advocating for continued research to refine and optimize telestroke networks.

Croatti, A., Longoni, M., & Montagna, S. (2022). Applying telemedicine for stroke remote diagnosis: The telestroke system. Procedia Computer Science, 198, 164–170. https://doi.org/10.1016/j.procs.2021.12.224 

The selected article explores the implementation of the TeleStroke system, a telemedicine-oriented software designed to facilitate the remote diagnosis of strokes within a Hub & Spoke healthcare organization. The TeleStroke system enables teleconsultation between remote neurologists and on-site physicians through smart glasses, aiming to optimize the diagnosis and treatment of strokes. It underscores the impact on patient safety by emphasizing timely and accurate diagnoses, which is especially crucial in managing time-dependent pathologies like strokes. Furthermore, the relevance of TeleStroke to nursing practice is highlighted, stressing its potential to enhance interdisciplinary healthcare teamwork through improved communication and decision-making.

Nurses can benefit from increased access to specialized consultations, contributing to better patient care. It focuses on an innovative telemedicine solution for stroke care and wearable technology’s role in facilitating real-time collaboration. The detailed insights into the system’s architecture and ongoing evaluations make it a valuable resource for healthcare practitioners seeking to effectively understand and implement telemedicine applications in stroke diagnosis. The TeleStroke system’s emphasis on interdisciplinary collaboration aligns with the evolving healthcare landscape, showcasing the potential for enhanced teamwork and communication among healthcare professionals, ultimately improving patient outcomes in stroke care.

Summary of Recommendations

In the collective examination of four pertinent articles, several vital recommendations emerge regarding the efficacy and implementation of telestroke technology. Lazarus et al. (2020) demonstrate that telestroke, mainly through mobile stroke units (MSUs) and remote thrombolysis, significantly reduces Onset-to-Treatment Time (OTT), leading to increased intravenous thrombolysis (IVT) rates and improved patient outcomes. Mohamed et al. (2023) support these findings, emphasizing the safety and comparable effectiveness of telestroke, particularly in regions with limited healthcare access.

Tumma et al. (2022) systematic review underscores the transformative influence of telestroke on global networks, emphasizing pre-implementation planning, governance structures, and stakeholder engagement. Positive outcomes include enhanced hospital processes, reduced treatment times, and improved access to effective therapies. Croatti et al. (2022) focus on the TeleStroke system, showcasing its role in facilitating remote stroke diagnosis and interdisciplinary collaboration, aligning with the evolving healthcare landscape. In selecting telestroke technology, organizational factors such as policies, resources, culture, commitment, and training programs play pivotal roles. Tumma et al. (2022) underscore the importance of pre-implementation planning and stakeholder engagement in shaping care quality, highlighting the need for a strategic approach to technology integration.

The justification for telestroke implementation is firmly supported by the evidence presented in the literature. Lazarus et al. (2020) and Mohamed et al. (2023) collectively provide evidence for the positive impact of telestroke on patient safety, reduced treatment times, and improved clinical outcomes. The emphasis on safety, efficacy, and non-significantly higher thrombolysis rates makes a compelling case for the implementation of telestroke, particularly in regions with limited healthcare access.  The implementation of telestroke technology positively influences healthcare organizations by enhancing processes, reducing treatment times, and improving access to effective therapies (Tumma et al., 2022). Patient care and satisfaction benefit from swifter access to thrombolytic therapies and superior functional outcomes (Lazarus et al., 2020).

Furthermore, interdisciplinary team productivity, satisfaction, and retention are positively impacted through improved communication and collaboration facilitated by telemedicine applications like the TeleStroke system (Croatti et al., 2022). In essence, the evidence collectively justifies the implementation of telestroke technology as it emerges as a transformative and efficient tool in advancing stroke care and optimizing healthcare delivery.

Conclusion

In conclusion, the reviewed articles underscore the transformative impact of telestroke technology on acute stroke management. From significantly reducing treatment times and improving clinical outcomes to enhancing interdisciplinary collaboration and global healthcare networks, telestroke is pivotal in advancing stroke care. The evidence supports its implementation, particularly in underserved areas, showcasing its potential to positively influence patient safety, organizational processes, and healthcare practitioner satisfaction. As technology continues to evolve, the integration of telestroke stands as a compelling solution to address the time-sensitive nature of stroke care, ultimately optimizing healthcare delivery and improving patient outcomes on a global scale.

References

Croatti, A., Longoni, M., & Montagna, S. (2022). Applying telemedicine for stroke remote diagnosis: The telestroke system. Procedia Computer Science, 198, 164–170. https://doi.org/10.1016/j.procs.2021.12.224 

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10(10). https://doi.org/10.1002/brb3.1787 

Mohamed, A., Elsherif, S., Legere, B., Fatima, N., Shuaib, A., & Maher Saqqur. (2023). Is Telestroke more effective than conventional treatment for acute ischemic stroke? A systematic review and meta-analysis of patient outcomes and thrombolysis rates. International Journal of Stroke. https://doi.org/10.1177/17474930231206066 

Muis, K. R., Denton, C., & Dubé, A. (2022). Identifying CRAAP on the internet: A source evaluation intervention. Advances in Social Sciences Research Journal, 9(7), 239–265. https://doi.org/10.14738/assrj.97.12670 

NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Tumma, A., Berzou, S., Jaques, K., Shah, D., Smith, A. C., & Thomas, E. E. (2022). Considerations for the implementation of a telestroke network: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 31(1), 106171. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106171 

Witrick, B., Zhang, D., Switzer, J. A., Hess, D. C., & Shi, L. (2020). The association between stroke mortality and time of admission and participation in a telestroke network. Journal of Stroke and Cerebrovascular Diseases, 29(2), 104480. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104480 

NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Protected Health Information (PHI)

In the fast-evolving landscape of healthcare, protecting sensitive electronic health information (EHI) is paramount. This interprofessional staff update aims to educate ICU team members on Health Insurance Portability and Accountability Act (HIPAA) laws, emphasizing the importance of safeguarding patient information, particularly in the context of social media use.

Electronic Health Confidentiality

HIPAA governs the use and disclosure of PHI. PHI includes any individually identifiable health information transmitted or maintained in any form or medium. It is crucial for ICU staff to understand HIPAA regulations to ensure compliance and protect

Confidentiality is maintained during interdisciplinary discussions in the ICU by ensuring that only relevant healthcare professionals have access to sensitive patient information, thus preventing unauthorized disclosure and preserving patient privacy (Alnobani et al., 2021).

Interdisciplinary Collaboration

Balancing Technology and Patient Privacy

In the ICU, navigating the intricate relationship between technological progress and patient privacy is crucial. Recognizing this delicate balance emphasizes the ongoing need for seamless communication and collaboration among team members

patient privacy and confidentiality (Kaplan, 2020). Effective teamwork is vital in the ICU to

to ensure the highest standards of

Privacy, Security, and Confidentiality

Privacy in the ICU setting involves controlling access to personal health information, such as implementing strict protocols for electronic health record access and ensuring that only authorized personnel can retrieve patient data (Thoral et al., 2021).

Security measures in the ICU focus on protecting data from unauthorized access, including securing electronic health records through encryption and authentication systems to safeguard patient information from potential breaches (Mahesh & Nuthana, 2023).

protect electronic health information. Interdisciplinary collaboration ensures a holistic approach to privacy, security, and confidentiality, especially in the context of sensitive patient data (Yamamoto, 2022).

Holistic Approach to Patient Privacy

Recognizing that patient privacy is a collective effort emphasizes the need for active involvement from all team members in maintaining confidentiality in the ICU.

care while safeguarding patient

confidentiality (Pilosof et al., 2021).

Social Media Best Practices

In the emotionally charged ICU setting, team members must be acutely aware of their online impact, strictly adhering to HIPAA regulations due to the heightened sensitivity of patient data. Obtaining explicit patient consent before sharing online is crucial, considering the unique challenges in ICU care. Ongoing educational campaigns within the ICU inform team members about the risks of inappropriate social media use, fostering a culture of responsible online behavior tailored to the ICU context (Eaton et al., 2020).

Raising Awareness Beyond Policies: Emphasizing that awareness extends beyond policy adherence reinforces the need for a culture where ICU team members actively discuss responsible social media use (Rolls et al., 2020).

Empowering Team Members with Knowledge: Recognizing that education empowers individuals ensures that ICU team members are well-informed about the risks associated with social media, fostering a sense of responsibility among the staff (Navarro Martínez et al., 2021).

Risks to Patient Information

The comprehensive understanding of the risks associated with social media usage in the ICU is crucial.  Instances of terminations underscore the severity, with healthcare professionals facing consequences for inappropriate social media use.  Healthcare organizations impose sanctions on ICU team members violating policies, and financial penalties may be incurred due to such breaches. Employing evidence-based strategies is imperative, ensuring proactive measures within ICU settings to prevent social media-related breaches and uphold patient confidentiality (Chan et al., 2020).

Learning from Examples: Acknowledging real-life examples of terminations and sanctions reinforces the potential consequences, serving as a powerful deterrent for ICU team members tempted to compromise patient information on social media.

Building a Culture of Accountability: Understanding that financial penalties affect the organization and the quality of patient care reinforces the need for a culture of accountability in safeguarding patient data in the ICU.

Steps to Take in Case of a Breach

Immediate Reporting: Promptly report any social media breaches to the privacy officer in the ICU.

Swift Action: Privacy officers must take swift action to remove the offending post in the ICU.

Educational Measures: Implement educational initiatives in the ICU to prevent future breaches.

Task Force Creation:  Establish task forces in the ICU to continuously address and educate on PHI breaches.

Creating a Rapid Response Culture: Emphasizing the importance of immediate reporting and swift action in the ICU creates a culture where every team member is a frontline defender of patient privacy (Olsen et al., 2019).

Continuous Improvement through Task Forces: Recognizing that task forces provide a mechanism for ongoing improvement emphasizes the commitment to learning from breaches and implementing proactive measures to prevent future incidents in the ICU (Gabbard et al., 2021).

References

 Alnobani, O., Zakaria, N., Temsah, M.-H., Jamal, A. A., Alkamel, N., & Tharkar, S. (2021). Knowledge, attitude, and perception of health care personnel working in intensive care units of mass gatherings toward the application of telemedicine robotic remote-presence technology: A cross-sectional multicenter study. Telemedicine And E-Health, 27(12). https://doi.org/10.1089/tmj.2020.0469

 Chan, A. K. M., Nickson, C. P., Rudolph, J. W., Lee, A., & Joynt, G. M. (2020). Social media for rapid knowledge dissemination: Early experience from the COVID-19 pandemic. Anaesthesia, 75(12). https://doi.org/10.1111/anae.15057

 Eaton, I., & McNett, M. (2020). Chapter six – protecting the data: Security and privacy (M. McNett, Ed.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780128165430000066

 Gabbard, E. R., Klein, D., Vollman, K., Chamblee, T. B., Soltis, L. M., & Zellinger, M. (2021). Clinical nurse specialist: A critical member of the icu team. Aacn Advanced Critical Care, 32(4), 413–420. https://doi.org/10.4037/aacnacc2021511 

 Kaplan, B. (2020, October 26). PHI Protection under HIPAA: An overall analysis. Papers.ssrn.com. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3833983

 Mahesh, P., & Y. Nuthana. (2023). Enhancing patient outcomes with predictive analytics in intensive care units. European Journal of Modern Medicine and Practice, 3(9), 154–165. http://www.inovatus.es/index.php/ejmmp/article/view/1989

 Navarro Martínez, O., Igual García, J., & Traver Salcedo, V. (2021). Estimating patient empowerment and nurses’ use of digital strategies: eSurvey study. International Journal of Environmental Research and Public Health, 18(18), 9844. https://doi.org/10.3390/ijerph18189844

NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice

 Olsen, S. L., Søreide, E., Hillman, K., & Hansen, B. S. (2019). Succeeding with rapid response systems – a never-ending process: A systematic review of how health-care professionals perceive facilitators and barriers within the limbs of the RRS. Resuscitation, 144, 75–90. https://doi.org/10.1016/j.resuscitation.2019.08.034

 Pilosof, N. P., Barrett, M., Oborn, E., Barkai, G., Pessach, I. M., & Zimlichman, E. (2021). Telemedicine implementation in COVID-19 ICU: Balancing physical and virtual forms of visibility. HERD: Health Environments Research & Design Journal, 14(3), 34–48. https://doi.org/10.1177/19375867211009225

 Rolls, K. D., Hansen, M. M., Jackson, D., & Elliott, D. (2020). Intensive care nurses on social media: An exploration of knowledge exchange on an intensive care virtual community of practice. Journal of Clinical Nursing, 29(7-8), 1381–1397. https://doi.org/10.1111/jocn.15143

 Thoral, P. J., Peppink, J. M., Driessen, R. H., Sijbrands, E. J. G., Kompanje, E. J. O., Kaplan, L., Bailey, H., Kesecioglu, J., Cecconi, M., Churpek, M., Clermont, G., van der Schaar, M., Ercole, A., Girbes, A. R. J., & Elbers, P. W. G. (2021). Sharing ICU patient data responsibly under the society of critical care medicine/european society of intensive care medicine joint data science collaboration. Critical Care Medicine, Publish Ahead of Print. https://doi.org/10.1097/ccm.0000000000004916

 Yamamoto, K. (2022). Association between interdisciplinary collaboration and leadership ability in intensive care unit nurses: A cross-sectional study. Journal of Nursing Research, 30(2), e202. https://doi.org/10.1097/jnr.0000000000000483  

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care

Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Nursing Informatics and the Nurse Informaticist

What is nursing informatics?

Nursing informatics combines nursing science with information science, computer science, and analytical science to manage and share data, information, knowledge, and wisdom in nursing practice. To achieve the best possible health outcomes, nursing informatics, according to the American Nurses Association, aids nurses, patients, and the larger healthcare team in decision-making across various roles and situations. (American Nursing Association, n.d.). It significantly impacts medication safety by reducing errors and adverse drug events, supports patient education, and contributes to public health through effective data management. The role of a nurse informaticist involves designing, implementing, and optimizing electronic health records (EHRs) and other health information systems to improve patient care and healthcare delivery.

Nurse informaticists ensure accurate data management, enhance clinical decision support systems (CDSS), and educate and train healthcare staff on new technologies. Nurse informaticists play a significant part in guaranteeing the productive integration of technology and procedural enhancements to achieve patient safety by minimizing medication errors even without technological aids. Furthermore, their involvement in scrutinizing data concerning patient care quality, coupled with pinpointing areas for enhancement, results in the elevated quality of care and increased patient contentment (Najjar & Shafie, 2022). Additionally, they are instrumental in developing and managing systems that provide real-time alerts about potential drug interactions, thereby improving medication safety and reducing adverse drug events (ADEs). Evidence supports the effectiveness of these systems; for example, a research study found that hospitals using EHRs saw a 52% reduction in medication errors (Lahti et al., 2022). By leveraging data and technology, nurse informaticists enhance patient care, increase efficiency, and improve communication within healthcare teams, ultimately leading to better health outcomes and reduced healthcare costs.

Nurse Informaticists and Other Health Care Organizations

Several healthcare organizations have experienced significant improvements in medication safety and reduction of adverse drug events (ADEs) through the collaboration of nurse informaticists, the interdisciplinary team, and the other nursing staff. One hospital in Spain implemented a Clinical Decision Support System (CDDS) with the help of nurse informaticists to improve medication safety. The CDDS system called HIGEA generated 8.9 alerts in one day, which were examined by the nurse informaticist and pharmacists. The 51 % of alerts generated led to interventions that prevented possible ADE (Ibáñez-Garcia et al., 2019). Additionally, 20 % of hospitals in Spain utilized CDDS with the significant contribution of nurse informaticists (Ibáñez-Garcia et al., 2019).

Additionally, nurse informaticists analyze data on medication errors and ADEs to identify trends and areas for improvement. They collaborate with quality improvement teams to develop targeted interventions to reduce medication errors and enhance patient safety. Through these collaborative efforts, nurse informaticists effectively contribute to improving medication safety and reducing ADEs within healthcare organizations. Similarly, 500 nurses were members of the Office of Nursing Informatics’ Field Alliance at the U.S. Department of Veteran Affairs (VA) (Alsubaie et al., 2022). They contributed to implementing Electronic Health Records (EHRs) for Veterans to improve their medication management while receiving care from VA health care (Deckro et al., 2021).

Impact of Full Nurse Engagement in Health Care Technology

Nurses with sufficient knowledge and skills in nursing informatics play a crucial role in enhancing patient care, including safeguarding patient information, optimizing workflow, managing costs, and maximizing returns on investment. Their proficiency in utilizing healthcare information technology significantly improves patient care quality. By leveraging technologies such as electronic health records and barcode medication administration systems, nurses can effectively reduce the occurrence of medication errors, ensuring accurate and precise care delivery, which ultimately enhances medication safety. Moreover, seamless communication among interdisciplinary teams is facilitated when nurses adeptly utilize technologies like electronic health records and patient portals to coordinate care effectively. As a result, adverse drug events and treatment errors are minimized, improving medication safety and patient care outcomes  (Najjar & Shafie, 2022).

Evidence-Based Strategies to Manage Patients’ Protected Health Information

Nurse informaticists and interdisciplinary teams can implement three evidence-based strategies to effectively manage patients’ protected health information (PHI) while utilizing technology to enhance medication safety and reduce adverse drug events (ADEs). Firstly, By limiting access to PHI based on an individual’s duties and responsibilities, role-based access control (RBAC) solutions ensure that only authorized staff can view sensitive data (Nweke et al., 2020). Secondly, encryption techniques and data masking methods protect the confidentiality of PHI during electronic transmission and storage, minimizing the risk of unauthorized access and breaches (Ahmad et al., 2021). Thirdly, regular security audits can help identify system vulnerabilities and reinforce best practices for safeguarding PHI, contributing to a culture of privacy and compliance within healthcare organizations (Jayanthilladevi et al., 2020). These strategies collectively ensure the secure management of PHI while leveraging technology to improve patient safety and care outcomes.

Impact on Workflow, Costs, and Return on Investment

Healthcare information technologies enable nurses to optimize workflow by facilitating seamless interdisciplinary communication and accurate documentation of patient health data, thereby enhancing medication safety and reducing adverse drug events (ADEs). Electronic documentation allows for efficient exchange of information, presenting patients’ data comprehensively and minimizing errors in medication administration and treatment. This streamlined approach saves healthcare providers time, enhances productivity, and reduces the risk of ADEs.

While integrating technology and recruiting nurse informaticists may require initial investment in budget, resources, and training programs, the long-term benefits outweigh the costs (Fuller et al., 2020). Decreased incidences of adverse events, improved efficiency in patient care, and accurate data management contribute to cost savings in the long run. Moreover, nurse informaticists’ expertise in healthcare information technologies leads to improved patient outcomes and satisfaction, attracting more patients and increasing revenue. Enhanced workflow efficiency and reduced administrative tasks result in more patient encounters and higher returns on investment (Najjar & Shafie, 2022).

Opportunities and Challenges

The integration of a nurse informaticist role into the interdisciplinary team presents both opportunities and challenges. With the expertise of nurse informaticists, there is a notable opportunity to enhance medication safety through the implementation of technology-driven solutions such as electronic health records (EHRs) and clinical decision support systems (CDSS). These systems provide real-time alerts and recommendations to healthcare providers, significantly reducing the risk of adverse drug events (ADEs) and improving patient outcomes (Ibáñez-Garcia et al., 2019). Additionally, nurse informaticists can streamline workflow processes, improving efficiency and time management for nurses and the interdisciplinary team.

However, challenges such as technology adoption, training, and concerns regarding data security and privacy may arise (Wilson & Obasanya, 2022). Overcoming resistance to change and ensuring effective communication among team members is crucial to successfully integrating nurse informaticists and leveraging technology to enhance medication safety. Collaboration within the interdisciplinary team is essential, and technology can facilitate this collaboration by providing platforms for seamless communication and data-sharing. Through continuous quality improvement efforts and patient engagement initiatives supported by technology, the interdisciplinary team can work together to achieve better medication safety outcomes and improve patient care quality (Sherwood & Barnsteiner, 2021).

Summary of Recommendations

Justification for the Need for a Nurse Informaticist

The proposal emphasizes the critical role of nurse informaticists in healthcare organizations, underlining their capacity to significantly enhance medication safety and reduce adverse drug events (ADEs) through technology-driven solutions such as electronic health records (EHRs) and clinical decision support systems (CDSS), as evidenced by successful implementations in various healthcare settings (Ibáñez-Garcia et al., 2019). Furthermore, nurse informaticists’ expertise in data management and technology integration streamlines workflow processes, improves efficiency, and time management for nurses and the interdisciplinary team, ultimately leading to improved patient care quality (Sherwood & Barnsteiner, 2021).

The proposal underscores evidence-based strategies implemented by nurse informaticists to ensure the secure management of patients’ protected health information (PHI) while leveraging technology to promote medication safety and reduce ADEs, aligning with regulatory standards and organizational goals (Nweke et al., 2020; Ahmad et al., 2021; Jayanthilladevi et al., 2020). Overall, the proposal highlights the opportunities presented by the addition of a nurse informaticist role, emphasizing the potential for healthcare organizations to achieve better patient care outcomes, reduce healthcare costs, and increase revenue through enhanced workflow efficiency, reduced administrative tasks, and improved communication within interdisciplinary teams (Najjar & Shafie, 2022; Fuller et al., 2020).

References

Ahmad, G. I., Singla, J., & Giri, K. J. (2021). Security and privacy of e-health data. Multimedia Security, 199–214. https://doi.org/10.1007/978-981-15-8711-5_10 

Alsubaie, M. S. M., Alshamrani, A. A. R., Althobaiti, K. M., Al-Rashidi, A. A., Alshamrani, A. M. N., Almudeebry, M. O. M., Alsulami, M. M., Alsubaie, A. M. H., & Almuthaybiri, Z. S. (Year). Improving patients outcomes through health informatics and quality management: The roles of nursing, laboratory and pharmacy. Journal of Namibian Studies, 31(3), https://doi.org/10.59670/evd92f61

American Nursing Association. (n.d.). Nursing informatics: Scope and standards of practice, 2nd ed. American Nursing Association. https://www.nursingworld.org/nurses-books/nursing-informatics-scope-and-standards-of-practice-2nd-ed/#:~:text=Nursing%20informatics%20(NI)%20is%20the

Deckro, J., Phillips, T., Davis, A., Hehr, A. T., & Ochylski, S. (2021). Big data in the veterans health administration: A nursing informatics perspective. Journal of Nursing Scholarship, 53(3), 288–295. https://doi.org/10.1111/jnu.12631 

Fuller, R., Joynes, V., Cooper, J., Boursicot, K., & Roberts, T. (2020). Could COVID-19 be our “There Is No Alternative” (TINA) opportunity to enhance assessment? Medical Teacher, 42(7), 781–786. https://doi.org/10.1080/0142159x.2020.1779206 

Harerimana, A., Wicking, K., Biedermann, N., & Yates, K. (2021). Nursing informatics in undergraduate nursing education in Australia before COVID-19: A scoping review. Collegian, 29(4). https://doi.org/10.1016/j.colegn.2021.11.004 

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care

Ibáñez-Garcia, S., Rodriguez-Gonzalez, C., Escudero-Vilaplana, V., Martin-Barbero, M. L., Marzal-Alfaro, B., De la Rosa-Triviño, J. L., Iglesias-Peinado, I., Herranz-Alonso, A., & Sanjurjo Saez, M. (2019). Development and evaluation of a clinical decision support system to improve medication safety. Applied Clinical Informatics, 10(3), 513–520. https://doi.org/10.1055/s-0039-1693426 

 Jayanthilladevi, A., Sangeetha, K., & Balamurugan, E. (2020). Healthcare biometrics security and regulations: Biometrics data security and regulations governing PHI and HIPAA act for patient privacy. 2020 International Conference on Emerging Smart Computing and Informatics (ESCI), 244–247. https://doi.org/10.1109/ESCI48226.2020.9167635 

Najjar, R. I. A., & Shafie, Z. M. (2022). Impact of nursing informatics on the quality of patient care. International Journal of Medical Science and Clinical Research Studies, 02(05). https://doi.org/10.47191/ijmscrs/v2-i5-19 

Lahti, C. L., Kivivuori, S.-M., Lehtonen, L., & Schepel, L. (2022). Implementing a new electronic health record system in a university hospital: The effect on reported medication errors. Healthcare, 10(6), 1020. https://doi.org/10.3390/healthcare10061020 

Nweke, L. O., Yeng, P., D., S., & Yang, B. (2020). Understanding attribute-based access control for modelling and analysing healthcare professionals’ security practices. International Journal of Advanced Computer Science and Applications, 11(2). https://doi.org/10.14569/ijacsa.2020.0110286 

Wilson, G. M., & Obasanya, M. (2022). Principles of health informatics. Health Informatics, 15–38. https://doi.org/10.1007/978-3-030-91237-6_2

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care

Sherwood, G., & Barnsteiner, J. (2021). Quality and safety in nursing: A competency approach to improving outcomes. In Google Books. John Wiley & Sons. https://books.google.com/books?hl=en&lr=&id=KzxKEAAAQBAJ&oi=fnd&pg=PR9&dq=quality+improvement+methods+for+improving+collaboration+and+medication+safety&ots=YNX4-xLrZx&sig=RlwJ3RQjLbm928HQupcs50emcWw