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HA3220D – Health Information Systems 

 Assignment 10: Optimizing Technology

(1) Create a workflow diagram to demonstrate a process in healthcare.

To construct your diagram, you can use symbols and shapes found in Microsoft Word. (If you aren’t familiar with using symbols and shapes in Word, the NAU Online Library’s Learning Express video tutorials can help, or you can view “Creating a Simple Flowchart in Microsoft Word,” a YouTube video hosted by Floyd Jay Winters, for a very quick introduction.)

Alternatively, you may wish to use a web-based mind mapping tool such as Coggle or WiseMapping. These tools are specially built to make web-based mind mapping easy, and give you the ability to export your work as a .PDF for upload to the dropbox.

If you’d like to draw your mind map by hand and scan it as a .PDF for upload, you can do that, too. Just make sure you have access to all the tools and know-how you need to get the job done (See Alan Henry’s LifeHacker article “5 Best Mobile Document Scanning Apps” for ideas).

(2) Review the steps in the diagram to determine how technology could impact the workflow. Then, create a revised diagram that integrates the use of technology.

(3) In a 1-page double-spaced report, compare the workflow in both diagrams. Summarize how the workflow can be maximized through the use of technology and outline steps of the work flow that can be redesigned to better accommodate the use of technology.

Directions

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: iCARE Paper Tutorial (Links to an external site.)
3. Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
   • For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
   • Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
   • Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
   • iCARE components are:
     • C ompassion
     • A dvocacy
     • R esilience
     • E vidence-Based Practice (EBP)
   • How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
4. Select one scholarly nursing article from CINAHL as a resource for your paper.
   • Additional scholarly sources can be used but are optional.
   • When searching in the CINAHL database, please limit your search word to one component of the paper you wish to emphasize, such as ‘Resilience’.  Searching for the term iCARE will not produce the results you need.
5. Elements of iCARE paper
   • Title page
   • Below are the headings to be used for this assignment.
     • Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.
     • Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
       • Compassion
       • Advocacy
       • Resilience
       • Evidence-Based Practice
     • Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
     • References: List any references used in APA format.

Templates

The prepared paper template is RECOMMENDED for this assignment.

iCare Assignment Template (Links to an external site.) – APA 6th edition

iCare Assignment Template – APA 7th edition

Medication Errors Led to Disastrous Outcomes

 Julie Thao was licensed by the Wisconsin board of nursing as a nurse and worked in the birth unit at St Mary’s Hospital in Madison. She made a medication error when delivering care to a patient who was scheduled for labor induction by administering the wrong medication that was not prescribed. The 16-year-old Jasmine Gant delivered through cesarean section after suffering a cardiac attack and could not be rescued and this led to Thao losing her job and being charged with patient negligence (Treiber & Jones 2018). Kimberly Hiatt was also a registered nurse who did a medication error by administering an overdose of calcium chloride to an infant who had a heart problem. The baby died after 5 days and this led Kimberly to lose her job and could be hired anywhere else and this made her to commit suicide.

According to the two cases, healthcare professionals should learn that when a medication error occurs can have serious effects on patients’ health and well-being. Healthcare professionals should be very careful when administering medications to their patients to avoid such incidents (Cadwell & Hohenhaus 2011). They should avoid situations that inhibit delivery of safe and high-quality patient care such as attending to patients when they are fatigued to avoid making harmful errors.

The principle of beneficence and virtue of benevolence could have been applied by ensuring that the patients were given the correct medication according to their prescription to avoid hurting them. The hospital administration acted legally by making the nurses to be accountable for their actions, but the decisions were not ethical, it was not established that the nurses had the moral intent to make the errors.

Colleagues could have given them support by finding a quiet environment for them and let them relax. After creating a quiet place for them they would get an opportunity to ask questions which are open-ended and be more informed about the errors. Also, they could have given moral support through a show of compassion, sympathy, love, and truth-telling to help them cope with the impact of causing injury and death respectively.

Telling others how you feel about the situation can be very helpful to navigate through the whole process. Seeking support from family and friends who understands your pain can assist to go through the process (Ozeke et al., 2019). If one struggles with emotions elicited by the event, it is necessary to seek help from a health care professional to assist in developing coping skills. Also, seeking help is not a sign of weakness but it is a sign of strength.

References

Cadwell, S. M., & Hohenhaus, S. M. (2011). Medication errors and secondary victims. Journal of Emergency Nursing, 37(6), 562-563. https://doi.org/10.1016/j.jen.2011.07.010

Ozeke, O., Ozeke, V., Coskun, O., & Budakoglu, I. I. (2019). Second victims in health care: current perspectives. Advances in Medical Education and Practice, 10, 593. https://doi.org/10.2147/AMEP.S185912

Treiber, L. A., & Jones, J. H. (2018). Making an infusion error. Journal of Infusion Nursing, 41(3), 156-163. https://doi.org/10.1097/NAN.0000000000000273

Reply to Thread
 

 Respond to your colleague by providing at least two ways that their strategies may be expanded or improved.  

NOTE: Positive comment

                                                 Main Post

Clinicians  of all kinds tend to come into contact with victims of abuse many  times. This includes children who have been abused and molested in  different ways such as Morgan in the Case study. Victims of abuse are  susceptible to mental health issues such as anxiety, depression, and  PTSD. There is a very high connection between psychological outcomes in  adults and childhood maltreatment (Kisely et al., 2018). To put it  differently, childhood maltreatment is a major risk factor for mental  health issues in adulthood. This can be seen in Morgan’s case. he is  already 19 and an adult but he suffers from mental health issues because  he was molested as a child by his cousin. 

 Psychiatric  mental health nurse practitioners might interact with victims of child  abuse more than other clinicians because of the psychological outcomes  that are associated with child abuse and molestation. In some cases, the  victim may not be able to open up and point detailed information about  their past such as abuse and molestation. In such a case, the PMHNP  should have different strategies that can be used to make an assessment  and conclude that a client might be a victim of child abuse. For  example, during a client’s comprehensive assessment, physical assessment  must be done. During a physical assessment, a clinician should be able  to detect cases of physical trauma that the patient may find hard to  explain. An assessment also requires questions to be asked about trauma  history. Here, the client can be asked to point out ten most significant  disturbing events in their lives (Wheeler, 2013). This is an  opportunity to prompt the client to provide detailed information about  possible cases of child abuse. In order to be effective there is need to  make sure that the client can trust the process. A rapport should be  created from the very beginning of interacting with the client to make  sure that the client feels comfortable to share details that he would  rather not. Morgan has been silent about this for a long time and  therefore he has not been able to get over the trauma. This is an  opportunity to make sure that he is able to share as a way of helping  him face his disturbances. This will help in coming up with treatment  strategies that suit his needs. When it comes to psychotherapy,  communication is considered as the core element. It is the verbal and  non-verbal interaction between the PMHNP and the client that helps in  developing a fulfilling psychotherapeutic relationship (Del Giacco,  Salcuni & Anguera, 2019). 

 Thus,  in brief, the best ways of assessing a patient to determine a case of  abuse is through physical assessment and proper communication that  builds on trust. These are strategies that will push the client out of a  comfort zone where they feel not sharing keeps them safe. Communication  that builds on trust allows the client to feel like he is in a safe  place. This should be reinforced by the commitment from the PMHNP that  information shared during counselling cannot be shared with any other  person. Indeed, this might take time, but the client will eventually  learn to open up completely. 

 Being  exposed to the media and social media might be helpful or bad for the  client. This depends on the content that he views or reads online.  Social media might have content that allows him to cope with his  disturbances such as excessive worry and changes in mood. However,  reading or viewing the wrong content might exacerbate his distress.  During the counselling sessions, he should be asked what content he  consumes the most online. This is to allow the clinician to recommend  areas or content that he can focus on or completely avoid. Child  abuse should be reported in the United States. This is mandatory  requirement. The reporting should be done to a child protective service  agency or the police, depending on the requirements and policies in a  state. In this case, reporting will not be necessary because Morgan’s  cousin was already arrested and convicted for abuse and molestation.

                                                                References

Del  Giacco, L., Salcuni, S., & Anguera, M. T. (2019). The communicative  modes analysis system in psychotherapy from mixed methods framework:  introducing a new observation system for classifying verbal and  non-verbal communication. Frontiers in psychology, 10, 782

Kisely,  S., Abajobir, A. A., Mills, R., Strathearn, L., Clavarino, A., &  Najman, J. M. (2018). Child maltreatment and mental health problems in  adulthood: birth cohort study. The British Journal of Psychiatry, 213(6), 698-703

Wheeler, K. (2013). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. Springer Publishing Company

Student needs to know, compare and contrast the different categories of “shock” and the 

medicines used to treat “shock”

write two pages in APA stile with minimum of two referencies. 

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice? 

I’m looking for someone that knows a nurse informaticists that can answer these questions and I need to email the person and they need to email me back the responses as proof. 

Proof of Interview

If you conducted an e-mail interview, submit a copy of that e-mail with your assessment submission.

1) What types of data are transferred from your workplace to the public health department? How does it relate to electronic clinical quality measures (eCQM)?

2) How are data shared in syndromic surveillance, disasters, and epidemics?

3) What is the current state of health information exchanges (HIE)? What are the strengths and weaknesses of these organizations?

4) What are some of the issues in sharing information regarding the monitoring of infectious diseases with other agencies? 

5) What are some of the current issues in public health, bioinformatics, and biomedical research, and what is the role of the nurse informaticist in relation to these issues?

6) What advances in technology have helped you achieve or improve healthcare services and patient care outcomes? 

7) What challenges do nurse informatics face in integrating technology and nursing knowledge and information during COVID-19?

8) How do datasets and databases differ in nursing informatics? 

Workplace Environment Assessment

The health of a workplace environment may affect the patient outcome or health of the team members. This discussion aims to assess the result of my work environment assessment. My analysis will include the civility of my work environment and how civil issues have been addressed.

Work Environment Assessment Result

Improved patient care and effective teamwork hinges on polite communication (Clark, 2015). The result of the Clark Healthy Workplace Inventory for my work environment assessment is 50. According to Clark (2015), a 50 to 59 score indicates that the workplace is unhealthy. This result is accurate per my personal assessment of my facility.

Work Environment Assessment Result Analysis

A score of 50 with the Clark Healthy Workplace Inventory indicates an unhealthy workplace. There have been instances where civil communication was not utilized at my place of work, and the effects have been adverse. For example, a few months ago, there was a conflict between one of our nurses, Nurse A, and a nurse leader from another unit. On hearing about the conflict, our unit manager ordered Nurse A to apologize to the nurse manager without listening to Nurse A’s side of the story. Nurse A did not feel that the nurse manager cared for her feelings and well-being. Nurse A proceeded to put in her two-week resignation. Important aspects to achieve better patient outcome includes excellent interpersonal relationships and communication (Laureate Education, 2018). Nurse A was a valuable nurse to the unit, and the unit ended up losing her because of a lack of proper conflict resolution through excellent communication. To create a culture of excellence, nurse leaders should advocate for their team (Marshall & Broome, 2017). Nurse A did not feel the advocated for by our manager. Team members need to trust that their leaders have their best interests and advocate for the team members and their patients.

Conclusion

            Workplace civility is needed to ensure a professional space where effective teamwork can be accomplished. My workplace needs improvement from its present state of civility. The civility rate of 50 per the Clark Healthy Workplace Inventory shows that my workplace is an unhealthy environment with poor cohesive teamwork, which equals poor patient outcomes.

References

Clack, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. https://www.myamericannurse.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Laureate Education (Producer). (2018). Diagnosis: Communication Breakdown [Video file]. Baltimore, MD: Author.

Marshall, E., & Broome, M. E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

Discussion Question:

How do hospitals ensure they are meeting the needs of vulnerable populations within the communities that they serve? What factors should be considered to ensure that nurses working in acute care settings meet the six Institute of Medicine’s (IOM) Aims for Improving Healthcare Quality?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 Below is the question: 

Medicare or Medicaid – which has greater impact in your state? (USE THE STATE OF FLORIDA)

REFERENCE NO MORE THAN 5 YEARS, APA 6HT