Need to have access to this text.
By: Sally A Weiss, Ruth M Tappen
-Who is your target population?
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
You are asked to develop ways for a group of clients implanted with telemedicine devices to interact remotely. What types of interactions could the clients use that are both easily accessible and user friendly?
Implementation systems are used to allow the necessary changes in an organization to take place. Kurt Lewin described change into three phases: unfreezing, moving and refreezing (Nelson, 2014, p. 29). Determining which parts of an organization need change falls under the first phase of change called unfreezing. According to Lewin’s theory, limiting the amount of resistance would result in the most successful implementation. During phase one, allowing employees to have an input on what they wish could be improved would create a more harmonious decision-making process and therefore result in the least resistance. My work environment does not include the working nurses in this portion of change. In my opinion, this is the reason that most of the nurses are not happy with all the adjustments brought about in the workplace. The second phase “is the most unstable period for the system. Anxiety levels can be expected to increase, and this is when resistance can be felt” (Nelson, 2014, p. 29). Management can use this time to sway the system users with incentives, words of encouragement and requests for feedback. For me, I do not see this occurring when a new system is added. We receive emails explaining the new protocol, how to use the system and disciplinary actions if not used properly. Ideally, I believe that a test
run of new systems would be an effective way to prepare nurses for what to expect and fine tune hiccups before threatening repercussions. The last phase occurs after implementation and involves maintaining the change. This refreezing process encourages resistance to change (Nelson, 2014, p. 29). There have been occasions when I noticed faults in the system and places where improvement can happen. At that point I usually call the office and explain what is going on. My concerns are met with understanding and they work with me when they can afford to do so, however it does not usually go beyond verbal support over the phone. Over time, small changes have been made to the system and emails sent out to review expectations with nurses. Reading about effective change in the textbook explains that this way of doing things will most likely bring about the most resistance. “An information technology in and of itself cannot do anything, and when the patterns of its use are not tailored to the workers and their environment to yield high quality care, the technological interventions will not be productive” (AHRQ, 2019). In the healthcare setting, nurses should be voices in the change that occurs and management should be supportive and open to an interdisciplinary way of establishing information systems. Until this occurs, negative reactions to change will continue to make the process difficult and challenging for all employees.
References
AHRQ. (2019). Barriers to HIT Implementation | AHRQ National Resource Center; Health Information Technology: Best Practices Transforming Quality, Safety, and Efficiency. Retrieved from https://healthit.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/barriers-hit-implementation (Links to an external site.)
REPLY 2
Training, New Information System, & Evaluation
Modern healthcare systems are characterized by the utilization of sophisticated information systems to facilitate critical care provision. Healthcare organizations that focus on improving the quality and cost of care through information systems realize their relevance after implementation. The inadequacy of effective and reliable infrastructures is among the factors that facilitate poor performance in healthcare. The integration of different information systems enables excellent management of patient data, funds, and healthcare-related projects. The complexity of an information system affects its implementation process, hence attaining anticipated results (Gomes & Romao, 2018). It is essential to engage healthcare nurses in implementing and evaluating different information systems; however, such activities require adequate training.
Most nurses are unfamiliar with the newly implemented information systems that aim to improve the quality of care. Notably, the unfamiliarity is commonplace in healthcare facilities in the country and abroad. In my current organization, nurses are acquainted with new skills to utilize the existing information systems through training. Most of the activity occurs through attending workshops where nurses interact with experts or through simulated programs. The nursing workshops acquaints the nurses with the basics, outlook, and functionality of the newly implemented infrastructure. The simulation models involve interacting with the new technologies artificially. The simulation approach is highly effective in information systems such as the EHR, one of the technologies that continue to change patient data management in healthcare.
After the training, it is essential to engage the nurses in implementing and evaluating the information system. Davidson et al. (2020) note that the implementation of new information systems is characterized by ultimate complexity; however, they are essential when improving the quality of services rendered to patients. Although the designs are highly effective, it is necessary to ensure that there are constant evaluations. Several evaluation criteria can be used in healthcare facilities that require the engagement of nurses. For instance, the current organization utilizes an evaluation model that assesses the impacts of the information system. Nurses are engaged in data collection and analysis. The evaluation model is among the reputable tools used in the assessment stage.
Secondly, a visualization tool is also essential in evaluating an information system; however, its effectiveness associates with the evaluation model—the tool helps map the progression of an information system. Additionally, the performance of the device depends on the contribution of healthcare nurses. The commonly used visualization tools include Google Analytics and R language that also require a resourceful foundation for evaluating an information system’s performance. Several aspects affect the performance and effectiveness of visualization tools in healthcare facilities. One is that the device requires individuals who are conversant with different computer software. Therefore, nurses who help evaluate information systems must undergo thorough training to increase their competence in the evaluation procedure.
Summing up, current information systems in healthcare systems are among the promising initiatives for improving the quality of care and increasing affordability. Information systems provide a reputable framework for effective data management and execution of multiple activities within the healthcare facility. However, it is essential to engage the healthcare nurses as they play various significant responsibilities when handling patient’s data and other critical information. These professionals should also be involved in evaluating the effectiveness of the newly implemented systems. Such engagements serve as a motivating factor improving the quality of services rendered to patients.
References
Davidson, B., Dewan, M. A., Kumar, V. S., Chang, M., & Liggett, B. (2020). Visualizing benefits: Evaluating the healthcare information system using the IS-impact model. IEEE Access, 8, 148052-148065. doi:10.1109/access.2020.3015467
Gomes, J., & Romão, M. (2018). Information system maturity models in healthcare. Journal of Medical Systems, 42(12). doi:10.1007/s10916-018-1097-0
All replies must be constructive and use literature where possible.
Your assignment will be graded according to the grading rubric.
200 words each reply
REPLY:to another student-one page/three references
Registered nurses and Advanced practice nurses, mold and shape health care and policies, in a big way. Most RNs and APRNS, join health care organizations like the American Nurses Association
(ANA), to make a big difference. Being apart of a bigger organization gives them advantage, by being with similar thinking individuals. Additionally, health care organizations are mostly inthe favor of
the nurse. With that, a push for policy changes, would makes it more in their favor. Another way nurses make an impact, is by expressing their beliefs and ideas, at their workplace. As a nurse, you are
mostly looked as a role model. So when it comes to nursing students, or techs, they come to you for advise and help. Making them leaders and giants in their industry. With this, they can push for
change and help with hospital programs in their workplace if needed. Like helping to develop fall programs for patients, or creating a charge nurse committee for the units.
With these advantages, comes greater obstacles. One of the issues, would be to try and get accepted into a health careorganization. Sometimes membership fees, issues with your nursing license
in the past, or the simple fact of getting chosen, becomes burdens. Sometimes trying to become a member is not a very task and it becomes a complex process. Another issue, would be on trying to
voice your opinion at work, and not being heard. For example, what is the point of fighting for your unit, when the staff it self, only looks out for themselves and it does not make you feel like you are
part of a team. To add, having bad management leaders who only care about the unit numbers and the unit budget, would push for more tension in the workplace. Making you feel like no matter how
hard you try, you can always be replaced.
In order to overcome these challenges, like any good relationship, their has to be trust and above all, communication. Voicing your opinion on items or procedures you do not agree with. If you are
not heard by your own manager, then take it to upper management. Working hard to achieve your nursing license, is not worth the risk to do something that is not ethical. With it, more training for
veteran and future nurses, should be also implemented. To be given the opportunity to be aware of new changes or medications, that will affect their place of work. Additionally, having great
leadership and courage to speak up for the unit staff and the safety of patients.
Hearing & Eye Age-Related Diseases
After studying Module 5: Lecture Materials & Resources, discuss the following:
Submission Instructions:
Discuss at least 3 regulations impose in APRN in the state of Florida and would you like to change the process.
Review the following websites: https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
American Association of Nurse Practitioners “Standards of Practice”
https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf
Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
