Discussion: Emerging Technologies DNP 805
Discussion: Emerging Technologies DNP 805
Discussion: Emerging Technologies DNP 805
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Details:
From the electronic health record (EHR) to nanotechnology to 3-D printers and beyond, there are an increasing number of useful and innovative technologies being used in health care settings that have an important role in linking and organizing care and information. For this assignment, you will create a slide presentation to present to administrators and nurses providing direct patient care.
General Requirements:
Use the following information to ensure successful completion of the assignment:
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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
Use primary sources published within the last 5 years. Provide citations and references for all sources used.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Topic 2 DQ 1
Apr 21-23, 2022
Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.
Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes.
Describe strengths and limitations that might apply to its usage.
The apprehensions regarding patient safety and quality improvement in health care setting are mounting (Hurston, J. 2014). For decades, the remarkable utilization of technology in the health care setting, specifically the use of electronic health record (EHR) greatly contributes to the changes in the health care system. Technology for information conduction and dissemination has been advancing swiftly and steadily for more than a century.
Nowadays in the age of advanced technology, the electronic health record is now greatly recognize by anyone who uses it. For instance, a simple scenario at the hospital setting, wherein a patient is admitted from Emergency department, wherein admission process is initiated and entered into the computer by the registration staff. Then the order system is entered by the attending physician as part of the electronic health record. A name band is placed in the patient’s wrist that contains barcode which is then later scanned by staff whenever the patient receives treatment, medication, or procedure. Therefore, with this process of scanning the patient’s barcode, the right information entered during the registration will then be reflected in the computer. The patient then confirmed by saying the right name, birthday, and even allergy to any medication when asked by staff before any treatment begin. This process shows patient safety is achieved. In other words, when a right name indicated in the electronic health record as confirmed by the patient, errors can be prevented. Thus, quality of care is improved.
Using electronic health record (EHR) as an instrument can advance outcomes of care, decrease clinical errors, and operate as a cost saving clinical system (Hurston, J. 2014). EHR are intended to accumulate different and many kinds of data, such as patient’s demographic, laboratory and radiology results, placing patient’s orders, and sending messages to anyone within the system (Alexander, S., Frith, K.H., & Hoy, H., 2019) This set up is readily available through electronic health record.
Meanwhile, many of the operating machines that are utilized while giving care to the patients have an implanted clinical decision – support systems (CDSSs) like a pathway in which it in provide an alarm to the attending physician and assigned nurses whenever certain parameters are beyond the actual normal limits. As a whole CDSSs has the ability to provide recommendation when certain action is needed and an alarm when certain action is not accurate, this alone, lead to patient safety and achieve improvement in the quality of care. Considering that patient satisfaction is the most important goal as the technology is consolidated into practice (Hessels, A., Flynn, L., Cimiotti, J. P., Bakken, S., & Gershon, R., 2015).
Different clinical scenarios can contribute to missing and possibly lack of data / information by any staff who accessed the EHR. For instance, busyness, complicated work surroundings, and inadequate workflow contribute as any staff haste in entering any data to electronic health record (Alexander, S., Frith, K.H., & Hoy, H., 2019).This then leads to errors that can potentially produce harm to any patient. Despite the advantages linked with EHR systems, challenges while using still continue to occur in healthcare setting. There are few existing challenges considered disadvantages in utilizing the EHR namely, the absence of interoperability, which is probably the main concern when using it, purchasing it with a very high price and not to forget how to keep it up to date and intact.
Anyone who uses EHR regardless which worksite one belongs, acknowledging the concerns, usefulness, and challenges that the system bring, we must not put our patients in danger due to errors that can be avoided. Hence, focusing our goal to achieve patient safety daily and keep the quality of care improved is all that matters.
Alexander, S., Frith, K. H., & Hoy, H. (Eds.). (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning. ISBN-13: 9781284129175
Hessels, A., Flynn, L., Cimiotti, J. P., Bakken, S., & Gershon, R. (2015). Impact of heath information technology on the quality of patient care. Online Journal of Nursing Informatics, 19(3), 1-13.
Hurston, J. (2014). Meaningful use of electronic health records. Journal for Nurse Practitioners, 10(7), 510-512. https://doi.org/10.1016/j.nurpra.2014.05.012
Directions:
Your presentation must include the following elements:
Identify and provide a brief description of a clinical problem.
Identify a technology that can improve patient outcomes for that clinical problem.
Select a theory to guide the presentation and discuss why this theory is applicable.
Address how the technology you have identified will assist in resolving the clinical problem.
Potential strengths and limitations of the technology selected.
Use PowerPoint to create your slide presentation. Your slide presentation must contain a title slide, 12-15 slides of content, and a References slide. Use evidence to support your claims. A minimum of five references using APA style must be used. Speaker’s notes must be included for each individual slide (add a speaker notes section to demonstrate the verbal speech you would give along with each slide).
Presentation Tips:
Text slides are not meant to be read by the speaker, but by the audience. Lettering should generally be limited to four lines and should never be more than seven, including the title.
It is advisable not to use more than eight words per line.
Avoid too much detail and resist the temptation to overload the presentation with information.
Avoid jargon and abbreviations, unless they are clear to all the audience.
Aim at the average person in the audience.
Use plain English.
Portfolio Practice Hours:
It may be possible to earn portfolio practice hours for this case report. Enter the following after the references section of your paper:
Practice Hours Completion Statement DNP-805
I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Topic 2 DQ 2
You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new
practice workflow to incorporate seeing patients and in regard to communication with the health care
team and the infusion of the EHR into your practice. What elements do you need to consider if this
position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change
if the setting was a rural regional clinic system?
REPLY TO DISCUSSION
DNPs are uniquely prepared and qualified to accept and work in a variety of advanced healthcare roles
especially in clinical practice. Roles such as to reduce costs by focusing on primary care, health
promotion, and disease prevention as expert clinicians, faculty in schools, health care consultants,
entrepreneurs and scholars caring for multiple patient populations in various geographic areas and as
global health leaders (Zaccagnini, & Pechacek, 2019). As an expert clinician and academic scholar, the
DNP prepared nurse is able to improve patient care through initiation of quality improvement (QI)
initiatives, assisting with healthcare policy development. And also has knowledge and skills in healthcare
economics, finances, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).
Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals
such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating,
planning and the implementation of health information technologies (health IT), to improve support.
When an organization adopts an electronic health record (EHR) it changes the usual workflow standard.
Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of
looking at all the aspects of the organization and mapping out current workflows and analyzing how the
work gets done in the organization and they plan for the future and create new workflows to increase
the organizations efficiency and the quality of health care. Workflow redesign helps most organizations
to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove
chaos from your current workflow, improve care coordination (HealtIT.gov., 2019).
As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR
system. I would communicate with the senior information technology (IT) analyst team to understand
what kind of system they plan to implement and then plan for a meeting with the nurses that will be
working with the EHR to inform them of the system and when training would begin. The training would
take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately
and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow.
During the implementation, the patients will be informed of the new EHR system and that the IT
professionals and the clinical specialist would be available to help the staff to trouble shoot any
problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).
The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate
those who are able to attract and retain qualified nurses based on five goals such as transformational
leader, structural empowerment, new knowledge, innovation, and empirical outcomes and
development. The effectiveness of magnet hospitals is the existence of work environments that focus on
decentralized decision-making, autonomy, control over practice, resource adequacy, supportive
management, effective inter-professional communication, and career development.
As a DNP leader in a magnet hospital, I will ensure that the staff are well trained to maintain our nursing
excellence standards and the structures needed for the training are in place during training as well as
during implementation and maintain communication with the staff in terms of when this will take place
so that they are well prepared. Adequate structures such as adequate computers, the IT professional
team, the scheduling of their time for the training is adequate with enough staffing to cover patient care
for those in training to maintain patient safety and excellent nursing care. Providing adequate
knowledge of the improvement in the quality of nursing care that this new system will provide will
enhance their desire to learn and implement the program.
In a rural setting, the pace would be slower, so, as a DNP leader, I would have to reevaluate my strategy.
I would have to also give them time to assimilate the need for change to a new EHR system. They will
need more time to train and for implementation knowing that the patient influx maybe slower and the
staffing may be less adequate. As the DNP leader, I will collaborate with all the leadership teams to
make them aware of the process change taking place and the need for their collaboration with my team,
explain to the patients the new changes that will take place. The leader has to make sure that all
structural resources are in place as well.
References
Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health
information exchange services into the medical practices’ workflow. Information Systems
Frontiers, 23(3), 599-605. https://doi.org/10.1007/s10796-019-09979-x
HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the
National Coordinator for Health Information Technology.
https://www.healthit.gov/faq/what-workflow-redesign-why-it-important
Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com
Blog. https://monday.com/blog/productivity/workflow/
Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing
practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290
Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for
advanced practice nursing. Jones & Bartlett Learning.
General Requirements:
Use the following information to ensure successful completion of the assignment:
- This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
- Use primary sources published within the last 5 years. Provide citations and references for all sources used.
- Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
- You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
- Learners will submit this assignment using the assignment dropbox in the learning management system. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.
Directions:
Your presentation must include the following elements:
- Identify and provide a brief description of a clinical problem.
- Identify a technology that can improve patient outcomes for that clinical problem.
- Select a theory to guide the presentation and discuss why this theory is applicable.
- Address how the technology you have identified will assist in resolving the clinical problem.
- Potential strengths and limitations of the technology selected.
- Discuss the method for patient education for use of the technology you have identified. Provide a rationale for its effectiveness.
Use PowerPoint to create your slide presentation. Your slide presentation must contain a title slide, 12-15 slides of content, and a References slide. Use evidence to support your claims. A minimum of five references using APA style must be used. Speaker’s notes must be included for each individual slide (add a speaker notes section to demonstrate the verbal speech you would give along with each slide).
Presentation Tips:
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Text slides are not meant to be read by the speaker, but by the audience. Lettering should generally be limited to four lines and should never be more than seven, including the title.
- It is advisable not to use more than eight words per line.
- Avoid too much detail and resist the temptation to overload the presentation with information.
- Avoid jargon and abbreviations, unless they are clear to all the audience.
- Aim at the average person in the audience.
- Use plain English.
Emerging Technologies – Rubric
Collapse All Emerging Technologies – RubricCollapse All
Brief Description of Clinical Problem
7 points
Criteria Description
Brief Description of Clinical Problem
- Excellent
7 points
Brief description of clinical problem is insightful and forward-thinking. Information presented is from current scholarly sources.
- Good
6.44 points
Brief description of clinical problem is convincing. Information presented is from scholarly though dated sources.
- Satisfactory
6.16 points
Brief description of clinical problem is present but done at a perfunctory level.
- Less Than Satisfactory
5.6 points
Brief description of clinical problem is present but incomplete.
- Unsatisfactory
0 points
Brief description of clinical problem is not present.
Problem-Specific Technology to Improve Patient Outcomes
10.5 points
Criteria Description
Problem-Specific Technology to Improve Patient Outcomes
- Excellent
10.5 points
Discussion of a problem-specific technology to improve patient outcomes is insightful and forward-thinking. Information presented is from current scholarly sources.
- Good
9.66 points
Discussion of a problem-specific technology to improve patient outcomes is convincing. Information presented is from scholarly though dated sources.
- Satisfactory
9.24 points
Discussion of a problem-specific technology to improve patient outcomes is present but done at a perfunctory level.
- Less Than Satisfactory
8.4 points
Discussion of a problem-specific technology to improve patient outcomes is present but incomplete.
- Unsatisfactory
0 points
Discussion of a problem-specific technology to improve patient outcomes is not present.
Applicable Theory to Guide Presentation
10.5 points
Criteria Description
Applicable Theory to Guide Presentation
- Excellent
10.5 points
Discussion of applicable theory to guide presentation is insightful and forward-thinking. Information presented is from current scholarly sources.
- Good
9.66 points
Discussion of applicable theory to guide presentation is convincing. Information presented is from scholarly though dated sources.
- Satisfactory
9.24 points
Discussion of applicable theory to guide presentation is present but done at a perfunctory level.
- Less Than Satisfactory
8.4 points
Discussion of applicable theory to guide presentation is present but incomplete.
- Unsatisfactory
0 points
Discussion of applicable theory to guide presentation is not present.
How the Technology Will Assist in Resolving the Select Clinical Problem
10.5 points
Criteria Description
How the Technology Will Assist in Resolving the Select Clinical Problem
- Excellent
10.5 points
Discussion of how the technology will assist in resolving the select clinical problem is insightful and forward-thinking. Information presented is from current scholarly sources.
- Good
9.66 points
Discussion of how the technology will assist in resolving the select clinical problem is convincing. Information presented is from scholarly though dated sources.
- Satisfactory
9.24 points
Discussion of how the technology will assist in resolving the select clinical problem is present but done at a perfunctory level.
- Less Than Satisfactory
8.4 points
Discussion of how the technology will assist in resolving the select clinical problem is present but incomplete.
- Unsatisfactory
0 points
Discussion of how the technology will assist in resolving the select clinical problem is not present.
Discussion of Potential Strengths and Limitations of the Technology
7 points
Criteria Description
Discussion of Potential Strengths and Limitations of the Technology
- Excellent
7 points
Discussion of the potential strengths and limitations of the technology is insightful and forward-thinking. Information presented is from current scholarly sources.
- Good
6.44 points
Discussion of the potential strengths and limitations of the technology is convincing. Information presented is from scholarly though dated sources.
- Satisfactory
6.16 points
Discussion of the potential strengths and limitations of the technology is present but done at a perfunctory level.
- Less Than Satisfactory
5.6 points
Discussion of the potential strengths and limitations of the technology is present but incomplete.
- Unsatisfactory
0 points
Discussion
Rubric Criteria
|
Criterion |
1. Unsatisfactory |
2. Less Than Satisfactory |
3. Satisfactory |
4. Good |
5. Excellent |
|---|---|---|---|---|---|
|
Layout Layout |
0 points The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. |
2.8 points The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. |
3.08 points The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. |
3.22 points The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. |
3.5 points The layout is visuall |