Respond to the Main post bellow offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Note: the answer should be in a positive way 

                                                             Main Post

Nurse informatics

            According to Sipes (2016), The American Nurses Association (ANA) defines nurse informatics as “the specialty that integrates nursing science with information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice” (p.252). The nursing profession indeed has come a long way. As new technology in healthcare improves so will the nursing process. Nurse informaticists use technology to connect healthcare workers to the collected data wherein information is readily available for nurses to postulate interventions to deliver the best outcome.

Interaction between bedside nurses and nurse informaticists

In my experience as a bedside nurse, I don’t normally interact with the nurse informaticists of the organization I work for. Perhaps a few minutes every now and again when there is a new process that was just introduced or when they need to follow up and ask about how the staff nurses are doing with the new technology that came along. As a staff nurse, I get to interact more with the “super users” of the new technology that comes along. They are the ones that teach us bedside nurses about the new equipment, process change, charting on and of the new technology and how to navigate the new system. Given these new iphones that we now use, piloted in February of this year, the super users were the ones that are in attendance in the unit, available for any questions or difficulty we may face. Prior to the initiation of the said process, we had to attend an hour-long training about it and complete online training as well. This is not to say that we cannot call the nurse informaticists if we get into major issues. However for times as such, we go through the chain of command and if no one is knowledgeable to fix the issue, we call the experts. More often we call the service desk and they fix the issues we encounter on the system (EHR) over the phone. 

                                                         Opportunities for improvement

Nursing is a continuous learning experience. It constantly evolves. From paper charting, now we have electronic charting, and from here, I’m quite sure we will see more interesting changes in the near future. EHR is really a marvelous technology, with the use of EHR, we can go back months, even years of patient history and we are able to compare from presentation or baseline even without having seen the patient first, we can pretty much formulate a good picture. My only comment about this is that human interaction is missing. My suggestion is that nurse informaticists should hold meetings probably, if feasible, at least every quarter, to check on the system’s strengths and weaknesses coming from the bedside nurses, the ones that use the technology day in and day out. I think, in that way, we, as bedside nurses at least can feel their palpable support. Additionally, nurse informaticists should work on possibly reducing redundancy in charting. The current EHR system we use at the organization I work for has so many redundant charting that I feel as though, it takes away from nurse to patient interaction. Moreover, honestly, I don’t even know the name of our organization’s nurse informaticists. Although I’m sure I can find it on the intranet and perhaps the one we see in the unit asking about any system issues is one of them, or maybe she is just another superuser, I honestly don’t know. I think we, as a people, are so in awe of new technology that we forget that human interaction is just as important. 

References

Adams, E., Hussey, P., & Shaffer, F. A. (2015). Nursing informatics and leadership, an essential competency for a global priority: eHealth. Nurse Leader, 13(5), 52-57.

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. Retrieved from: https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Sipes, C. (2016). Project Management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 255, 252-256.

Me    6 posts   Re: Topic 4 DQ 1  I agree with you that the first step to bringing about change in the community is to know the community. One should acknowledge and understand the need for such change. It is usually very tempting to see that something needs fixing and quickly jump into a solution. One should resist this temptation and instead take the time to study the community to get a clear understanding of all the needed change.I, further, agree with you that understanding the healthcare system at the local level involves important questions such as those you mentioned. One needs to understand the services offered in the community so that they can be effective while implementing evidence-based practice. To implement the right change in the community, it is important for the healthcare professionals to put their biases aside and talk to the people on the ground, to get a good understanding of what matters most to the citizens. In the long run, this prevents the implementation of underused EBP initiatives (Saunders & Vehviläinen-Julkunen, 2018). Carrying out such an assessment for the community will help in the identification of the available community resources and how those services can be accessed for the benefit of the patient.I also agree with the insights of your mentor about the importance of focusing on lead education especially in this day and age. I think than this is an area that has not received a lot of attention and tends to be ignored yet it is very important especially for community health. Basing your research in this field will add to the exiting limited knowledge hence contribute to the future body of research. Generally, I find your post to be very informative. All the best.  References  Saunders, H., & Vehviläinen-Julkunen, K. (2018). Key considerations for selecting instruments when evaluating healthcare professionals’ EBP competencies: A discussion paper. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/30019462

This is what I need 

Terri O’Brien    25 posts   Alimatu – substantive credit and APA  Alimatu  As your link contains the journal name and other information, please revisit the link and then provide a complete reference in APA format so I can give you credit for this post.  Thank you.

this is what  i need

Choose one of the congenital disorders discussed in your text book and create a concept map. You can easily create a concept map using the insert tab in Microsoft Word. Click on Shapes, and drag the shape you choose to your paper. Then right click to add text to your shape. You can go to the format tab by right clicking on your shape to add color, depth, and other special effects. Be sure to cite your concept map in APA format.

Be sure to cover these topics:

Pathophysiology Assessment findings Diagnostic tests – labs, x-rays etc. Focused assessment Medications, surgical procedures and other treatments Preventative measures, risk factors, or at risk groups What client teaching might a practical nurse reinforce under the guidance of the RN? Prognosis and long term outlook for the patient Support groups Resources (cited in APA format)

For the Assignment this week, you will evaluate and determine a diagnosis for the case study patient who presents with symptoms of a possible GI/hepatobiliary disorder.  You will then justify your diagnosis, including your rationale for the diagnosis.  Based upon your diagnosis, you will then determine an appropriate treatment plan for the case patient.  For full credit, please ensure that you provide the appropriate dose, route and frequency of administration of the medication(s) prescribed.  Approach this as if you are writing a prescription for your patient – what drug, dose, route and frequency would you prescribe?

When writing your Week 4 Assignment, consider the following scenario:

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

·  Synthroid 100 mcg daily

·  Nifedipine 30 mg daily

·  Prednisone 10 mg daily

Diagnosis is Gastritis

·  Explain your diagnosis for the patient, including your rationale for the diagnosis.

·  Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

·  Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Use 3 or more scholarly reference APA format

 Quality is an overriding principle in the AACN BSN Essentials document. Essential II specifically describes the role of the baccalaureate nurse in quality improvement. As you complete this course, reflect on how you will implement lessons learned about quality improvement into your future nursing practice. Provide details about what you plan to do to improve quality in your current or ideal future professional nursing position. Think big!

Sherwood, G., & Barnsteiner, J. (Eds.). (2012). Quality and safety in nursing: A competency approach to improving outcomes. Ames, IA: Wiley-Blackwell.Chapter 16: pp. 305–319