Week 3: Discussion INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS

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BY DAY 3 OF WEEK 3

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

BY DAY 6 OF WEEK 3

Respond to at least two of your colleagues* on two different days, 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: Throughout this program, your fellow students are referred to as colleagues.

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  • Collapse SubdiscussionBertina Boma SohBertina Boma Soh Reply to Comment
  • Dec 7, 2022 at 10:38pm
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  • Interaction of nurse informaticists with other professionalsOne strategy on how these interactions might be improvedThe impact of the continued evolution of nursing informatics Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021). Approaches for defining and assessing nursing informatics competencies: a scoping review. JBI Evidence Synthesis, 19(4), 794-841.O’Connor, S., & LaRue, E. (2021). Integrating informatics into undergraduate nursing education: A case study using a spiral learning approach. Nurse Education in Practice, 50, 102934.
  • Matney, S. A., Langford, L. H., & Staggers, N. (2021). Are nursing informatics competencies good enough?. JBI Evidence Synthesis, 19(4), 747-748.
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  • The continued evolution of nursing informatics as a specialty and the emergence of new technologies will likely positively impact professional interactions. As new technologies and data systems are implemented, healthcare personnel will become more comfortable and willing to collaborate with informaticists and/or specialists. This should lead to increased efficiency and improved patient care. Additionally, the emergence of new technologies will also lead to more opportunities for informaticists and/or specialists to develop new skills and knowledge, which can be used to better serve the healthcare organization and its patients (Kleib et al., 2021).
  • One strategy for improving interactions between nurse informaticists and/or data or technology specialists and other healthcare personnel is for the informaticists and/or specialists to better understand the needs and challenges of the other personnel. This could be done by establishing regular meetings with other team members, listening to their concerns and ideas, and providing feedback on how the new technologies and/or data systems can be used to meet the team’s needs (O’Connor & LaRue, 2021). This would help to create an open and collaborative environment where everyone can work together to improve patient care.
  • Nursing informaticists and data or technology specialists play an important role in the healthcare industry, as they often oversee the implementation of new technologies and ensure that the data is secure and used correctly. In my healthcare organization, I have witnessed firsthand how these professionals interact with other professionals, such as doctors, nurses, and other healthcare personnel. These interactions typically involve the informaticists and/or specialists helping implement new technologies and/or data systems, such as electronic medical records (EMR) or computerized provider order entry (CPOE) systems. They also work with other healthcare personnel to ensure that all system users understand how to use it correctly and securely. The nurse informaticists and/or specialists will often provide one-on-one training to educate staff on the new system, provide support if there are any issues, and answer any questions that may arise (Matney et al., 2021).
    • Collapse SubdiscussionLynne TaylorLynne Taylor Reply to Comment
    • Dec 11, 2022 at 8:38am
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    • As a reminder, Walden does not support speeding through assignments.  Please do not post until the first day of the Week in which the assignment is due.  Week 3 begins Monday.
    • Collapse SubdiscussionMenard Tchatchou-TchoubiaMenard Tchatchou-Tchoubia Reply to Comment
    • Dec 15, 2022 at 4:52pm
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    • Response Post # 1Menard TchatchouNURS 6051 N12/15/2022    Nurse Informatics Interaction and Strategies            The data collected helps increase the productivity of the overall health care system, increase efficiency, and ensure the health care professional performance is increased. The fundamental purpose of nursing informatics is to help streamline random data into properly organized knowledge. Therefore, nurse leaders must ensure that they develop a data-informed environment in the healthcare industry. Nurse informatics should ensure that every system user can understand and use the system correctly and safely. The nurse informaticists are responsible for offering training to help in educating the staff and other team members on the new system and its features, offer support and address any issues that arise from the use of the system (Wilson et al.,2019). The nurse informaticists are therefore involved in observing, supervising, maintaining, and supporting another system user. This ensures that other specialists feel more comfortable when using the technology. They are focused on providing essential solutions to improve overall patient care. Therefore, the interactions ensure enhanced collaboration and communication among the healthcare team members and aim to improve overall nursing care plans and processes.            Various strategies can be implemented to help in enhancing the collaboration among healthcare specialists and nurse informaticists. One of the strategies is for the nurse informaticists to understand the other specialists’ needs clearly. This can be done by regularly evaluating the challenges and holding regular meetings (Vehko et al.,2019). Understanding the other personnel’s needs can help create a more collaborative environment as feedback is given. To enhance the collaborative experience, the nurse informaticists need to sharpen their communication skills   which is essential when interacting with other specialists. Therefore, these strategies are critical in supporting collaborative experience among health care specialists’ interactions with the nurse informaticists.            The evolution of nursing informatics has been rapid in the recent past. Nursing informatics is defined as the integration of nursing with information technology to help in supporting the health of people around the world. Furthermore, nursing informatics remains to be vital in supporting effective decision-making (Saputra & Arif, 2019). Nursing professionals are therefore required to deliver quality and safe health care in a more technical and digital environment. The impact of nursing informatics evolution has formed a fundamental foundation for using evidence-based practice (Saputra & Arif, 2019). Therefore, nurses need to continue engaging with information systems to help improve the delivery of high-quality and safe health care. Therefore, it is essential to encourage nurse informaticists to improve their skills through training and education. In addition, having the management and leadership ensure that the nurse informaticists adheres to the policies related to information technology initiatives may help derive the benefits from implementing and adopting technology into the health care and nursing processes and practice.          ReferenceVehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., … & Heponiemi, T. (2019). Experienced time pressure and stress: electronic health records usability and information technology competence play a role. BMC medical informatics and decision making, 19(1), 1-9. https://doi.org/10.1186/s12911-019-0891-zLinks to an external site.
    • Wilson, M. L., Elias, B. L., & Moss, J. A. (2020). Education in Nursing Informatics. Informatics Education in Healthcare, 23-43. https://doi.org/10.1007/978-3-030-53813-2_3Links to an external site.
    • Saputra, C., & Arif, Y. (2019). Nursing informatics system in health care delivery. KnE Life Sciences, 38-46. https://doi.org/10.18502/kls.v4i10.3827Links to an external site.
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    •  The Impact of the Continuous Nursing Informatics Evolution
    •  Strategies to Improve the Interactions
    •             Great post Bertina! I can relate with you about the importance and the transformation of nursing filed. Nurse informaticists continue to play a critical role in supporting the delivery of quality care. Technological advancements have seen an enhancement in care delivery through improved communication, the effectiveness of nursing plans, and the general improvement of the patient’s well-being. The implementation of technologies has continued to promote patient safety and improve collaboration among healthcare professionals. Nurse informaticists interact with their healthcare specialists when implementing the new electronic health systems and other data systems (Wilson et al.,2019). The nursing care data plays a significant role in operational procedures, which support effective and better decision-making.
    • Dr. Lynne Taylor
    • Walden University
      • Collapse SubdiscussionJodian WalfordJodian Walford Reply to Comment
      • Dec 17, 2022 at 4:37pm
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      • Hi Menard,Technological advancements increase the impact of healthcare; hence education is critical. “It is of vital importance that nurses are given the necessary education to use new technologies that are being introduced in their workplaces.” (Elrick,2017). There is no better person to educate than a person from the specialty of nursing informatics.   Elrick, L. (2017). Technology in nursing: How electronics are changing the field, Rasmussen University.Williamson, K.M. and Muckle, J. (2018). “Students’ perception of technology use in nursing education,” CIN: Computers, Informatics, Nursing, 36(2), pp. 70–76.
      • https://doi.org/10.1097/cin.0000000000000396.
      •  https://www.rasmussen.edu/degrees/nursing/blog/technology-in-nursing/Links to an external site.
      • Nurses must have the technological skillset to document in online charting systems, access or input health records, schedule, and even monitor care. It is vital that the new generation of nurses is integrated early, and I would also suggest that computer charting be introduced in the schooling system for nursing students as William &Muckle (2018) maintains that technology is an integral part of a nurse’s practice; therefore, it is necessary for technology to be integrated into the nursing curriculum for students.
      • Your suggested strategies are great, as nursing depends heavily on teamwork and technology to ensure the patient has the best quality of care and safety. Over the years, technological innovation has been unremarkable within the nursing profession. We have migrated from paper charting to EMR, as highlighted by Elrick (2017) “there can be temporary drawbacks when a technology is first implemented, but these are outweighed by the long-term benefits of the technology.” 
      • Collapse SubdiscussionBarkisu FortenberryBarkisu Fortenberry Reply to Comment
      • Dec 18, 2022 at 4:45am
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      • Hello Menard,ReferencesKrick, T., Huter, K., Domhoff, D., Schmidt, A., Rothgang, H., & Wolf-Ostermann, K. (2019). Digital technology and nursing care: a scoping review on acceptance, effectiveness and efficiency studies of informal and formal care technologies. BMC health services research, 19(1), 1-15. https://link.springer.com/article/10.1186/s12913-019-4238-3Links to an external site.
      • Ali, S., Kleib, M., Paul, P., Petrovskaya, O., & Kennedy, M. (2022). Compassionate nursing care and the use of digital health technologies: A scoping review. International Journal of Nursing Studies, 127, 104161. https://doi.org/10.1016/j.ijnurstu.2021.104161Links to an external site.
      • These are great strategies because patient care is a collaborative work and is currently technology-dependent to give patients quality care and ensure they are safe. The nursing profession is currently exploiting technology, including the move towards telehealth and the adoption of the electronic health record, which has reduced medical mistakes (Krick et al., 2019). However, the first times of technological investments are hugely challenging because nurses are still not very knowledgeable about the technology and are not very sure about its short-term and long-term benefits, which is why people need to be constantly educated and guided about the new technology to exploit it fully. While chosen champions can give this education and guidance within the organization, the people from nursing informatics have the knowledge, skills, and experience to give the best training on exploiting them. Still, as you have proposed, new nurses need to be integrated earlier into the world of technology so that they do not have challenging adapting to them because nursing and technology are becoming inseparable with new technology being developed every day (Ali et al., 2022).
  • Deleted by Oluyemi Adeagbo on Dec 12, 2022 at 12:10pm
  • Collapse SubdiscussionOluyemi AdeagboOluyemi Adeagbo Reply to Comment
  • Dec 12, 2022 at 12:55pm
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  •                                                              Interaction between nurse informaticists and other specialistsWhile mental health facilities appear to be behind other specialties in incorporating informatics into their practice, we have come a long way in a short time. In the facility I work we have incorporated EMRs (EPIC) and Omnicell for medication distribution. Our facility is less than two years old, so we have all the newest technology including a link with Teledoc for consultations and evaluations. Every department in our facility uses the EMR for information so it is imperative that we are all knowledgeable about the use of our EMR. The information entered by the nursing staff has the most impact on patient care since it ties all specialties together to form a cohesive treatment team. EPIC provides a comprehensive database of all the patient’s information including previous treatments both at our facility and the local hospital that is connected to our facility. Most of the information used by all the different specialties is the nursing care plans and treatment plans. “Electronic patient care plans enable health care professionals to access information and knowledge during the assessment, planning, delivery, and evaluation of patient care”(Mills et al., 2019). These plans guide all specialties in how to provide the best quality care for our patients. They can be time-consuming to enter and update so it is important for the nurse to remember that the purpose is for patient care so do not be distracted by imputing information and neglecting patient care.                            Informatics Professionals. Leading the Way.AMIA. (2021). https://www.amia.org/Links to an external site..Mills, C., Rajwer, M., & Pritchard, A. (2019, August 1). Care planning with the electronic patient record. Nursing Times. https://www.nursingtimes.net/roles/nurse-managers/care-planning-with-the-electronic-patient-record-13-09-2005/Links to an external site..
  • Torous, J., Chan, S., Luo, J., Boland, R., & Hilty, D. (2017). Clinical Informatics in Psychiatric Training: Preparing Today’s Trainees for the Already Present Future.Academic Psychiatry,42(5), 694-697. https://doi.org/10.1007/s40596-017-0811-4
  • McGonigle, D., & Mastrian, K. G. (2018).Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.
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  • We do not have an informatics nurse at our facility at this time, so it is up to our information technology specialists to work with the nursing staff to make sure that the programs we use are streamlined and allow for quick updates as needed. It is important for nursing and our information technology specialists to communicate especially with all the advances that continue to be incorporated into our daily patient care. At this time there are numerous new technologies that will become part of everyday care in the near future. Some of these are mobile apps, virtual reality, augmented reality, and artificial intelligence to name a few (Torous et al., 2017). Technology has made much of nursing easier, we just need to remind ourselves that no matter how much technology is available, patient care is the most important part of being a nurse.
  • The Mental Health Informatics Group’s mission is to “facilitate communication, collaboration, education, and networking for researchers and practitioners working at the interface of informatics and mental health, including substance use, in order to better understand and improve mental health and healthcare delivery”(2021). There needs to be a balance between innovative technology and patient care especially since the demands on nurses have increased, which sometimes leads to patient care being overlooked (McGonigle & Mastrian, 2018).
    • Collapse SubdiscussionAndrea M AllenAndrea M Allen Reply to Comment
    • Dec 14, 2022 at 7:35pm
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    • Hi Oluyemi,I also work in mental Health and it appears that a lot of mental health facilities lags behind when it comes to technology.  Recently Mental Health/Behavioral health has joined in the race to improve the type of care we give to patients. The use of IT In general healthcare has been shown to have significant potential to facilitate the delivery of safe, high-quality, and cost effective care ( Ranallo, et el., 2016).  However, its application to behavioral health care has been slow, limiting the extent to which consumers seeking care for mental health or substance use disorders can derive its benefits.
    • Ranallo, P., Kilbourne, A., Whatley, A., & Pincus H. (June, 2016) Behavioral Health Information Technology: From Chaos To Clarity.  Health Affairs Vol 35, (NO.6) https://doi.org/10.1377/hlthaff.2016.0013
    • Thanks for the read.
    • Collapse SubdiscussionBertina Boma SohBertina Boma Soh Reply to Comment
    • Dec 14, 2022 at 11pm
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    • Nurse informaticists facilitate communication between clinical and IT staff. They speak two languages—technology and health care—and focus specifically on developing strategies. Knowledge management systems combine knowledge needs, the basis of knowledge, and decision support systems that inform decision-making (McGonigle & Mastrian, 2017). Nurse informaticists play an integral role in effective knowledge management and transfer in healthcare systems by forming informatics tools and systems that facilitate new knowledge creation and sharing within interdisciplinary teams (McGonigle & Mastrian, 2017). The nurse informaticists translate between data languages, between different systems, and interdisciplinary staff, thereby enabling communication between systems and different health professionals (Public Health Informatics Institute, 2017). To prevent readmissions, nurses rely on technology to keep everything efficient and organized. Nurse informaticists play a massive role in evolving technology (Laureate Education, 2018).  McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning 
    • Laureate Education (Producer). (2018). The Nurse Informaticist [Video file]. Baltimore, MD: Author.
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    • Collapse SubdiscussionBertina Boma SohBertina Boma Soh Reply to Comment
    • Dec 15, 2022 at 10:09pm
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    • Hi Adeogbo,ReferenceDarvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2018). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11.
    • Hack-Polay, D., Mahmoud, A. B., Ikafa, I., Rahman, M., Kordowicz, M., & Verde, J. M. (2022). Steering resilience in nursing practice: Examining the impact of digital innovations and enhanced emotional training on nurse competencies. Technovation, 102549.
    • I agree that facilitating communication, collaboration, education, and networking for researchers and practitioners working at the interface of informatics and mental health helps improve mental health and healthcare delivery. This is indeed a great mission whose importance cannot be underestimated. Professionals in Nursing Informatics are essential in ensuring improved patient care, patient safety, and overall healthcare outcomes (Darvish et al., 2017). You did an excellent job with this post, and I concur that acquiring advanced nursing abilities benefits nursing professionals.  Additionally, advanced education encourages the utilization of advanced technology and the implementation of advanced nursing abilities into medical procedures, both of which help patients. According to Jefferson et al., one of the most important criteria for student nurses to successfully manage clinical circumstances during clinical practice is to develop and increase their self-assurance. In addition, the remarkable growth of healthcare practice over the past few decades has supported the notion that technology may represent the third piece of the healing triangle. I have always been interested in technology and the application of information technology to enhance the delivery of nursing services (Hack Polay et al., 2022).
    • Collapse SubdiscussionMaxine A LewisMaxine A Lewis Reply to Comment
    • Dec 16, 2022 at 3:27am
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    • Hi Oluyemi,      There are multiple reasons for this lag in EHR usage among mental health providers such as lack of finance for technology and training for independent providers as well as concern for confidentiality for their patients. Despite the fact that EHR can save providers money in the long run, the initial financial investment may be too much for a solo provider or group practice to bear as they might not have sufficient cash flow to pay for the EHR implementation training as well as technical support and personnel cost ( McGregor et.al., 2015). The concern for patient confidentially is also of great concern.ReferencesJung, S. Y., Hwang, H., Lee, K., Lee, D., Yoo, S., Lim, K., Lee, H. Y., & Kim, E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. JMIR formative research, 5(4), e18764. https://doi.org/10.2196/18764
    • Brian McGregor, P. D., Dominic Mack, M. D. . M. B. A., Glenda Wrenn, M. D. . M. S. H. P., Ruth S. Shim, M. D. . M. P. H., Kisha Holden, P. D. . M. S. C. R., & David Satcher, M. D. . P. D. (2015). Improving Service Coordination and Reducing Mental Health Disparities Through Adoption of Electronic Health Records. Psychiatric Services, 66(9), 985–987. https://doi.org/10.1176/appi.ps.201400095
    •      Thanks for you very enlighten post. I totally agree mental health tends to lag behind when it come to technology and especially transitioning to electronic health records (EHR) and according to  Jung et.al (2021)  there remains a lack of evidence regarding barriers and facilitators to the implementation of mental health care EHRs. Jung et.al further cites that, The Health Information Technology for Economic and Clinical Health (HITECH) Act was incited in 2009 as a result of evidence which shows that the  transition to “EHR can improve the quality of care delivered. HITECH drove annual increases in EHR adoption by 8% points after implementation of the act’s incentive program (2021). However when compared to other medical and surgical facilities  “possessing certified EHRs, only 49% of psychiatric hospitals have certified EHRs as of 2017. The number is lower than rehabilitation (89%), children’s (87%), and acute long-term care (59%) hospitals” (Jung et.al., 2021).
    • Collapse SubdiscussionMenard Tchatchou-TchoubiaMenard Tchatchou-Tchoubia Reply to Comment
    • Dec 16, 2022 at 7:33am
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    • Response Post # 2 Walden UniversityDr. Lynne Taylor                 Hi Olufemi, I do appreciate your insight about the role nurse informaticists, and other specialists play in healthcare settings. Nursing informatics plays a critical role in supporting technology-driven care. The advancement of healthcare technologies calls for investment in time and other resources.  According to Sousa et al. (2019), clinical and information technology supports critical decision-making and helps explore various clinical solutions. Nurse informaticists are critical in facilitating communication between healthcare professionals and IT personnel. The two groups emphasize technology and healthcare and thus focus on developing strategies for integrating information technology into healthcare service delivery (Deckro et al.,2021). They help in optimizing technology use and also workflow in healthcare organizations. As specialists, they collect, access, and apply data that support their collaboration with other specialists, which makes the data available to support decision-making that supports the overall well-being of the patient.            Every department utilizes a technology information system. Therefore, each healthcare professional is required to know how to use the information system in their department. The information the nurse enters into the system significantly impacts the overall decision-making as it contributes to the formation of a cohesive team. The organization uses a comprehensive database system where all the patient information is accessible, including their historical records. This allows the nurse specialists to integrate the information into the nursing care and treatment plans. The use of electronic health care plans is essential as it allows professional health care providers to access the relevant data and information, allows gaining of knowledge when conducting assessments, and supports the planning process, health care delivery, and evaluations (Hussey, 2021).             In the organization, electronic health records continue to support the overall delivery of quality care. Right from admission, consultations, and evaluations, patient data is transmitted effectively, which helps eliminate delays and reduce costs. Even though there is no assigned nurse to feed in the information, we are expected to update data as quickly as it is ready. The advancement in nursing informatics supports the future of nursing (Strudwick et al.,2019). The advancement in technologies supports the effective delivery of nursing care plans. Despite the advancements, nurses must prioritize patient care and use technology to enhance its effectiveness and efficiency.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.12631Links to an external site. Sousa, M. J., Pesqueira, A. M., Lemos, C., Sousa, M., & Rocha, Á. (2019). Decision-making based on big data analytics for people management in healthcare organizations. Journal of medical systems, 43(9), 1-10. https://doi.org/10.1007/s10916-019-1419-xLinks to an external site.
    • Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics competencies for nurse leaders: a scoping review.  JONA: The Journal of Nursing Administration, 49(6), 323-330.  https://doi.org/10.1097/NNA.0000000000000760Links to an external site.
    • Hussey, P. (2021). Introduction to Nursing Informatics. In Introduction to Nursing Informatics (pp. 1-13). Springer, Cham. https://doi.org/10.1007/978-3-030-58740-6_1Links to an external site.
    • References
    •             The use of informatics principles is critical as it helps enhance the quality of nursing practices, improves communication, and increases documentation and overall efficiency in nursing (Hussey, 2021). Integrating an electronic decision support system helps track documentation and support care through observation decisions and overall health outcomes throughout the nursing care process (Strudwick et al.,2019). In addition, it promotes patient safety and quality of care. Using electronic health records and systems helps ensure the quality of care. Even though updating and feeding in the information may be time-consuming, the nurse informaticists need to consider being accurate and avoid the distractions that may arise, leading to neglecting the delivery of quality patient care.
    • In relation to mental health, nurse informatics supports improving healthcare delivery to those patients with mental health problems. Furthermore, the incorporation of informatics in healthcare delivery helps in the enhancement of collaboration among healthcare specialists. Where I work, technology use has been integrated into various departments, including procurement and consultations. As one of the area’s biggest healthcare facilities, technology has been incorporated into every line of operation, including consultations, evaluations, prescriptions, procurement, and messaging, among other functions.
    • Interaction between nurse informaticists and other specialists.
    • 12/16/2022
    • NURS 6051 N
    • Menard Tchatchou
      • Collapse SubdiscussionBertina Boma SohBertina Boma Soh Reply to Comment
      • Dec 16, 2022 at 11pm
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      • Hey Menard,Technology bridged physical distance as restrictions. As the severity of the pandemic grew, some Americans were faced with performing everything from their social interactions to their work or schooling online.
      • I agree that nurse informatics supports improving healthcare delivery to those patients with mental health problems. Nurse informaticists facilitate communication between clinical and IT staff. They speak two languages; technology and health care, and focus on developing strategies for health IT procurement, implementation, maintenance, and optimization in collaboration with other clinical and operational leaders.
    • Collapse SubdiscussionMansong NtekimMansong Ntekim Reply to Comment
    • Dec 16, 2022 at 5:45pm
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    • Hi Oluyemi,Until all those facilities that are still using paper charting transition to EMR systems, they will continue to lag behind in quick access to patients’ data, nurses in such facilities will continue to lack access to current EBP information at the point of care, and there will be slow process of data dissemination among other specialties and parties of interest.Peters TE. (2017). Transformational Impact of Health Information Technology on the Clinical Practice of Child and Adolescent Psychiatry. Child Adolesc Psychiatr Clin N Am. 2017;26(1):55–66.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114086/#R3
    • Reference
    • Thanks for sharing your experience and perspective with us. Although there is a general trend by most healthcare settings to move towards incorporating informatics into their practice, yet mental health practitioners lag behind in incorporating informatics into their practice. Among physicians working in clinical informatics, child and adolescent psychiatrists are lagging behind other specialties and lapses in the translation of health information technologies to child mental health care are apparent. In fact, many EHR workflows and decision-support systems are developed for adults in medical settings that do not readily map to psychiatric and pediatric care (Peters, 2017). I did contract work in a state mental health hospital between April and July, 2022, where they are still using paper charting. I am aware of multiple mental health hospitals within my locality that are still using paper charting. And those free-standing mental health hospitals do not have the privilege of nurse informaticists.
    • Collapse SubdiscussionBarkisu FortenberryBarkisu Fortenberry Reply to Comment
    • Dec 18, 2022 at 4:54am
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    • Indeed, mental health facilities have yet to adopt technology like other specialties, affecting the safety and quality of care and services they provide. However, there are recent developments in mental health care, which have seen most facilities adopt technology, and information technology in mental health facilitates the delivery of better care and services. However, I still recommend improving how mental health facilities are adopted and how consumers benefit from those mental health services. If more emphasis is put, mental health facilities can improve the care they provide to their people, its safety, and quality. With the current improvement brought by technology, every organization must have nurse informatics to link the technology with nursing and ensure that the nursing staff is very oriented about mental health services and how they can harness the technology to benefit patients (Harerimana et al., 2019).
    • Harerimana, B., Forchuk, C., & O’Regan, T. (2019). The use of technology for mental healthcare delivery among older adults with depressive symptoms: A systematic literature review. International journal of mental health nursing, 28(3), 657-670. https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12571
    • Collapse SubdiscussionRemi Oluremi OjoRemi Oluremi Ojo Reply to Comment
    • Dec 18, 2022 at 5:19am
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    • Hi Oluyemi,ReferencesModi, S., & Feldman, S. S. (2022). The value of electronic health records since the health information technology for economic and clinical health act: Systematic review. JMIR medical informatics, 10(9), e37283. https://doi.org/10.2196/37283Links to an external site.
    • McGonigle, D., & Mastrian, K.G. (2015). Nursing informatics and the foundation of knowledge. (3rd ed). Jones & Bartlett.
    • I agree with you that mental health is behind in transitioning to electronic health records (EHR). I believe a big part of that drawback is available funds because the adoption of EHRs is a complex and expensive investment and the cost of EHR systems had prevented the widespread adoption of using the EHR system in many healthcare facilities.  Thanks to the Health Information Technology Act (HITECH) of 2009 which is the main driver of the acceptance and execution of EHRs in the United States. The HITECH Act was a part of a stimulus package named the larger American Recovery and Reinvestment Act of 2009 (Modi & Feldman, 2022). The stimulus package was enacted to pump money into the economy to avert the effects of recession during the early days of the Obama Administration. The HITECH act planned to use some of the government spending to finance the expensive plan of using EHR and bring expansion to the use of Electronic Health Records (EHRs) in the healthcare industry.  The law provides indirect and direct incentives to consumers and healthcare providers to transition using EHR (McGonigle & Mastrian, 2015). This will enhance the development of health information (HIT) to provide access to a person’s EHR and will be available to all healthcare provider who is involved in the care of the patient’s location at the time of treatment. The law also tightens rules on health care providers to make sure that EHR is secure and private. The nursing profession benefits greatly from the development and implementation of the EHR system. It possesses the ability to improve the quality and delivery of nursing care. It makes it possible to avoid errors that may harm patients. It provides the ability for nurses to provide timely and more efficient care for their patients. It provides the ability to provide wellness and health for the patients the nurses serve. Researchers in the nursing field have more access to data that can be used for evidence-based practice.
  • Collapse SubdiscussionSheila AnkrahSheila Ankrah Reply to Comment
  • Dec 13, 2022 at 2:08am
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  • Main Post Teamwork in every profession is essential. Cooperation within the nursing profession is also critical. Within the nursing profession, each person may share different roles that can sometimes be specialized. Each patient may require different needs, and every person who works with the patient must communicate with the others who interact with the patient. For example, the patient’s dietitian might have to coordinate with the patient’s doctor, nurse, and food preparers to ensure that the patient has meal options to choose from that will aid the patient in a speedy recovery. Another example is that the nurses who take the patient’s vitals must accurately enter that information for the patient’s doctor, nurse, and dietitian to review to make educated diagnoses and plans for patient care.Nursing informatics has evolved to a great degree since the mid-nineteen century. Contemporary nursing informatics uses data and information to create interventions to solve nursing-related problems. Nursing informatics includes acquiring knowledge or information through various means such as formal education, continuing education, peer-reviewed articles, research studies, evidence-based practices, accredited journals, creatively solving problems, and sharing data from different groups within the medical community (Byrne, 2020).Currently, I work in a hospital and the critical care unit. I mainly work in the intensive care unit and have seen technology play an essential role in delivering care in my unit. The intensive care unit uses a lot of telemonitoring devices for the patients. These telemonitoring techs allow clinicians to monitor our patients away from their beds. We can monitor critical health symptoms, signs, oxygen saturation, and many more. These patients are connected to cardiac monitors that monitor the hemodynamics of our patients. These monitors are connected to CERNER, the hospital’s electronic medical system, and populate the information directly to the patient’s charts. The multidisciplinary team uses the information that is populated into the system from these telemonitoring devices to plan care and treatment options for these patients.When the institution switched to CERNER, most team members were anxious and afraid of trying this new system. However, to combat this fear of trying a new system, the hospital held mandatory in-service sessions for all employees. Employees were given a chance to ask questions until everyone was comfortable. One strategy that can be used to improve new technology innovation is to incorporate frequent in-service on all new products before it is used. This strategy will make the staff comfortable and will embrace the new change.Technology should be used to enter patient data once and automatically enter the information into appropriate fields in different sections of the technological platform.Informatics will continue to evolve, and informatics will be much more collaborative among various specializations within the medical profession. I am a believer in the use and effectiveness of data and information-driven research, and both have the potential to lead to countless interventions and medical breakthroughs.Blazun, H., Carter-Templeton, H., Zavrsnik, J., and Kokol, P. (July, 2020). Nursing InformaticsByrne, M. (July 2020). Nursing Informatics Specialist: Role in the Perianesthesia Environment.Thimbleby, H. (2013). Technology and the future of healthcare. Journal of public health research, 2(3), e28. https://doi.org/10.4081/jphr.2013.e28Links to an external site.
  • Source DOI:https://doi.org/10.1016/j.jopan.2020.02.012Links to an external site.
  • A Historical Bibliometric Analysis. Source doi: 10.1097/CIN.0000000000000624
  • References
  • Conclusion
  •             Medical practices do a poor job of utilizing technology to decrease workloads and decrease data entry. Many medical offices use technology to duplicate their manual processes, making little sense to have both practices enacted simultaneously. Technology can be better utilized to simplify some tasks and eliminate others.
  • CERNER, an electronic system, also plays an essential role in healthcare at my organization. This technology makes it easy for providers to send electronic orders, lab results, and many others. This technology can also be used as a communication medium for a multidisciplinary team. When I need to communicate with a provider about any patient’s needs, I send a message in the patient’s chart directly to the provider. This eliminates the error of providers documenting or sending orders to the wrong patient’s chart. This communication stays within the patient’s chart, and anyone authorized to view the patient’s chart can see the message and what has been done. All other diagnostic tests are connected to CERNER; When I complete an EKG for my patient, the result translates directly to the patient’s chart as soon as I complete the test. Being able to accumulate lab results, records of vital signs, and other critical patient data into one centralized area, such as CERNER, has transformed the level of care and efficiency patients can expect to receive when they enter the healthcare system. Technology automates and extends things that previously had to be done by people (Thimbleby, 2013).
  • Experiences with nurse Informaticists or technology specialists within your healthcare organization
  • Blazun (2020) said that although computers did not enter the nursing field until the beginning of the 1950s, nursing informatics originated with Florence Nightingale in the mid-nineteenth century. Florence Nightingale worked hard to increase hygiene care during the spread of cholera, and her actions positively decreased the impact and spread of cholera.
  • Interaction Between Nurse Informaticists and Other Specialists
    • Collapse SubdiscussionOdion IsekiOdion Iseki Reply to Comment
    • Dec 15, 2022 at 1:49pm
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    • Hello Sheila,ReferencesA Historical Bibliometric Analysis. Source doi: 10.1097/CIN.0000000000000624
    • Blazun, H., Carter-Templeton, H., Zavrsnik, J., and Kokol, P. (July, 2020). Nursing Informatics
    • i agree with you Working in a team is essential in any profession. Nurses need to work together. Different nurses may be responsible for different things. The different needs of each patient necessitate open lines of communication between medical staff. The patient’s nutritionist may need to communicate with the medical team and the people preparing the patient’s meals. Collecting accurate vital signs is essential for doctors, nurses, and dietitians to make diagnoses and care plans for their patients.
    • Collapse SubdiscussionAndrea M AllenAndrea M Allen Reply to Comment
    • Dec 15, 2022 at 6:14pm
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    • Hi Sheila,Best,Sensmeier, J. & Anderson, C. (Jan./Feb.2021). Tracking the impact of Nursing Informatics. Nursing made Incredible Easy 19(1):p 49-53 DOI: 10.1097/01.NME.0000723408.80090.47
    • I enjoy reading your post and agree that medical practice do a poor job of utilizing technology to decrease work loads.  Working in a hospital that consistently document by writing everything was truly mind boggling initially.  Having worked in hospitals prior, where communication was done electronically made me feel like I was going back in time.  When my current job finally decided to transition to electronic documentation there was some resistance and failure at the attempts before the idea was abandoned and then revisited after there was a change in administration.  Now that there is ease at using technology to improve communication between health professionals, the work flow has decreased, information is easily accessible across the board, and yearly competencies can be done at staffs own convenience rather than sitting in a classroom.  Especially as today’s healthcare environment relies on nurses to deliver and manage care while keeping patients safe (Sensmeier & Anderson 2021).
    • Collapse SubdiscussionRaminder KaurRaminder Kaur Reply to Comment
    • Dec 16, 2022 at 3:31pm
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    • Hi Shiela, Nice Post! Additionally, as you mentioned, your primary position is in the intensive care unit, which extensively uses telemonitoring devices for patients. The modern intensive care unit is built on monitoring equipment. These revolutionary devices are necessary for clinicians to have the information they need to care for critically ill patients, significantly if their status changes quickly. Treatment delivery in the intensive care unit (ICU) relies heavily on monitors. Assessing neurologic, pulmonary, and cardiovascular (CV) function is the primary focus of the current devices. These monitors populate the patient’s charts thanks to their connection to CERNER, the hospital’s electronic medical system. The multidisciplinary team uses the information from these telemonitoring devices that are loaded into the system to plan these patients’ care and treatment options (Neideen, 2012). Neideen, T. (2012). Monitoring Devices in the Intensive Care Unit. In Surgical Clinics of North America (Vol. 92, Issue 6, pp. 1387–1402). Elsevier BV. https://doi.org/10.1016/j.suc.2012.08.010Links to an external site. 
    • Wilson, B. (2022, August 10). Why is teamwork important in nursing? The Nerdy Nurse. Retrieved December 16, 2022, from https://thenerdynurse.com/why-is-teamwork-important-in-nursing/#:Links to an external site. 
    • References: 
    • I agree that teamwork in every profession is essential, especially in nursing. Because it enables individuals to collaborate in order to achieve goals, teamwork is essential in all fields. Nurse teamwork is important because it allows nurses on different floors or units to work with other healthcare providers, like doctors and social workers, to give each patient in a hospital room the best possible care. Nursing is crucial, and nurses are the backbone of healthcare. They offer a wide range of services to patients and their families, including surgical assistance and emotional support. According to the Multi-professional Patient Safety Curriculum Guide published by the World Health Organization (WHO), “effective teamwork in delivering health care can have an immediate and positive effect on patient safety.” The World Health Organization (WHO) notes that in modern healthcare, patients rarely see a single doctor. Errors in communication and a lack of understanding of professional roles can be minimized through teamwork and coordination. The nursing profession relies heavily on trust and teamwork. Attendants cooperate to give quality patient consideration. Doctors, nurses, and other healthcare professionals comprise the teams (Wilson, 2022). 
    • Collapse SubdiscussionMaxine A LewisMaxine A Lewis Reply to Comment
    • Dec 17, 2022 at 10:48pm
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    • Hi Sheila, Holden, R. J., Binkheder, S., Patel, J., & Viernes, S. H. P. (2018). Best Practices for Health Informatician Involvement in      Interprofessional  Health Care Teams. Applied clinical informatics, 9(1), 141–148. https://doi.org/10.1055/s-0038-1626724Links to an external site. 
    • Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. The American psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298 
    • References
    • you stated that “teamwork in every profession is essential” as well as “cooperation within the nursing profession is also critical”. Without team work within the healthcare profession there would be utter chaos resulting in  increased errors and harm to  patients.  “In inter-professional health care teams, individuals with distinct professional training supply unique expertise and work together to solve health care problems” (Holden et.al., 2018). Furthermore, Holden et.al, Multidisciplinary medical teams are effective because they leverage diverse expertise to address complex problems holistically (2018). Furthermore team work is beneficial in that it produces better outcomes as well as minimizes the possibility of errors.  Rosen et.al., cites that, “teamwork processes within health care is important for two main reasons. First, the quality of teamwork is associated with the quality and safety of care delivery systems and second, the health care industry provides the means to develop and test theories on a large scale, across a wide range of team types” (2018).
    • Collapse SubdiscussionMansong NtekimMansong Ntekim Reply to Comment
    • Dec 19, 2022 at 3:49pm
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    • Hi Sheila,A nurse informaticist provides information about new workflows, guides new technology and process implementation, and assesses data quality, giving care teams the best chance of optimal care delivery (Menkiena, 2021), and having informaticists as part of the team benefits the  health system leaders and clinicians because it promotes the adoptions of new processes, as nurses are often natural change agents and can enable change management in a culture (Shoenbaum and Carroll, 2022). As you stated, it is important for all specialties involved in the care the patient to collect and record their data, and the nurse informaticists to corollate the data and make it accessible to all parties involved in the care of the patient. References Shoenbaum, A., Carroll, W. (2022). Nursing Informatics Key Role in defining Clinical Workflow, Increasing Efficiency and Improving Quality. Online Journal of Nursing Informatics. Volume 26, Winter 2022. Retrieved from https://www.himss.org/resources/nursing-informatics-key-role-defining-clinical-workflow-increasing-efficiency-and
    • Menkiena, C. (2021). The three essential Responsibilities of a nurse Informaticist. Retrieved from https://www.healthcatalyst.com/insights/nurse-informaticist-3-essential-responsibilities
    • I experienced the importance of nurse informaticists when my facility transitioned from Centricity to EPIC in 2021. The anxiety of delving into uncharted waters for most of us was debilitating but with the guidance of the nurse informaticists, the transition was not as difficult as we feared. The informaticists spent time with all specialties in the facility training and bringing everyone to a point where all functioned well.
    • Thanks for your informative discussion post.
  • Collapse SubdiscussionMenard Tchatchou-TchoubiaMenard Tchatchou-Tchoubia Reply to Comment
  • Dec 13, 2022 at 3:14pm
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  • Nurse Informaticists Experience Walden UniversityDr. Lynne Taylor    In the 1970s, information technology began being incorporated into the healthcare field due to the inventions and improvements of computers. The computer improvements accelerated the acknowledgment of health information technology among healthcare professionals. It took a long time to adapt to the new technological advancements in healthcare for the caregivers to cope and accept the changes (McGonigle & Mastrian, 2021). In addition, the acceptance rate among healthcare providers was relatively low at the initial stages but gradually improved till it became widely adopted.Healthcare reforms have diversified the roles of nurse informatics with IT on their professional background to promote and provide high-quality care for patients and improve health outcomes. This specialty is essential in healthcare practice because it offers more opportunities to strengthen the patient care process and enhance and improve communication between the stakeholders in patient’s health (Sipes, 2016). Incorporating IT in nursing practice is associated with uncountable benefits to healthcare systems, patients, and other healthcare workers. The specialty benefits all healthcare workers because collaboration between healthcare personnel is essential in service provision and attaining desirable results.Also, it has made me appreciate the importance of the information technology specialty in healthcare service provision. Healthcare and nursing practice is not solely about the clinical and medical aspects. Still, the clinical and medical aspects are aided by other professional knowledge not related to healthcare (Sipes, 2016). For instance, information about the patient needs to be stored safely and available quickly at all times for clinicians and physicians to make accurate diagnoses and intervene appropriately.In conclusion, In the 1970s, information technology began being incorporated into the healthcare field due to the inventions and improvements of computers. The improvements in computers accelerated the acknowledgment of health information technology among healthcare professionals. Healthcare reforms have diversified the roles of nurse informatics with IT on their professional background to promote and provide high-quality patient care and improve health outcomes. My experiences with nurse technology specialists have been fantastic because they have changed my initial perception of the work of a nurse. Initially, I thought nursing professionals were strictly obligated to work in the wards and directly participate in the care process. Also, it has made me appreciate the importance of the information technology specialty in healthcare service provision. Lastly, I learned the importance of collaboration and teamwork among healthcare workers to enhance and provide quality services.      ReferencesMosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: the role of executive leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.Sipes, C. (2016). Project management: essential skill of nurse informaticists. In Nursing Informatics 2016 (pp. 252-256). IOS Press.
  • Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health applications in health information technology initiatives: expanding opportunities for nurse participation in population health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.
  • McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.
  • I learned the importance of collaboration and teamwork among healthcare workers in enhancing and providing the quality services needed. Healthcare professionals depend on technology and accurate information from patient examinations, assessments, history taking, intervention, and follow-up of cases (Mosier et al. 2019). Therefore, nurse IT specialists or informatics are essential in all healthcare organizations as they help ensure the accuracy of the information available on the different platforms for healthcare workers.
  • My experiences with nurse technology specialists have been fantastic because they have changed my initial perception of the work of a nurse. Initially, I thought that nursing professionals were strictly obligated to work in the wards and directly participate in the care process. However, my perception has changed upon interacting with the nurse IT specialists who are not restricted to working in the emergency departments and wards but can participate in the healthcare processes directly and indirectly.
  • Departments such as the laboratory, pharmacy, and radiology are the pioneers of the utilizers of the technology. The gradual changes in these departments popularized IT and made it widely recognized among healthcare institutions because it helped bridge the existing gaps in information flow (Ng et al. 2018). Due to the high demand for IT specialists in healthcare settings, the Nursing Informatics specialty was developed to bridge the gap and enhance the use of technology in managing healthcare information in hospitals.
  • Nurse Informaticists Experience
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  • Collapse SubdiscussionKatrina BrooksKatrina Brooks Reply to Comment
  • Dec 13, 2022 at 5:10pm
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  •             Nurse informaticists are responsible for maintaining the EHR system and ensuring thatmaterials and sessions and provides education about the system to new or current employeesI currently work at all new employees who will use the EHR must attend a two-day CERNERdocument and perform tasks related to the required daily documentation such as vital signs,informaticists walk the floor, sit in the room and watch how providers are using technology so            One strategy to improve these interactions could be to hold monthly meetings tointeraction with the NI. If questions arise, we must ask our peers, charge nurse, or call the helpend and the nurse still has no understanding on how to resolve the problem if it arises again.process would be beneficial. It can also be used as a teaching moment to educate all available            New technologies and the evolution of nursing informatics will continue to have adownloaded have become more common. Use of health apps help patients keep track of theirblood glucose monitor readings, set daily calorie goals, add reminders, keep track of insulinprogress. “Telemedicine, which enables video or phone appointments between a patient and2022). To utilize telemedicine, you do not have to be computer savvy. For elderly patientsmiscommunication: family members will no longer have to take off of work to attendReferencesMcGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  •  Nursing informaticists are the backbone of technology-driven care. ONS Voice. (2022, November 11). https://voice.ons.org/news-and-views/nursing-informaticists-are-the-backbone-of-technology-driven-care#:~:text=Nurse%20informaticists%20facilitate%20communication%20between,other%20clinical%20and%20operational%20leadersLinks to an external site..
  • Benefits of telemedicine. Benefits of Telemedicine | Johns Hopkins Medicine. (2022, January 18). https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicineLinks to an external site.
  • appointments.
  • who require family involvement virtual appointments can help bridge the gap between
  • their health care practitioner, benefits both health and convenience” (Benefits of telemedicine,
  • regimen etc. At doctor appointments this information can be easily presented to monitor
  • medical history. With apps like Glucose Buddy Diabetes Checker patients can sync their
  • positive impact in healthcare. The use of mobile phones and health apps that can be
  • staff and answer any further questions.
  • Having an NI who is available to come to the unit and walk the nurse step by step through the
  • desk. Sometimes the help desk walks you through the problem or sometimes they fix it on their
  • discuss questions and concerns. After orientation bedside nurses rarely if ever have continued
  • they can identify problems or gaps and develop solutions” (Nursing informatics, 2022).
  • intake and output, notes, MAR, physical assessment etc. under the NI’s supervision. “Nurse
  • orientation. During orientation, the employees log into CERNER in playground mode to
  • during a system implementation or an upgrade” (McGonigle & Mastrian, 2022). At the facility
  • it is utilized properly. The nurse informaticists “develops and implements educational
    • Collapse SubdiscussionGuoming FengGuoming Feng Reply to Comment
    • Dec 16, 2022 at 2:08pm
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    • Response #1The application of technologies has increasingly affected nursing practices, but research shows that “A perennial concern is that nurses have generally not kept pace with rapid changes in digital technologies and their impact on society. This limits the potential benefits they bring to nursing practice and patient care” (Booth et al., 2021). One of the nurse informaticist’s roles is to work as an educator to the health care team. They introduce the new technologies into patient care, they maintain the technology systems, and the most important thing is that they help nurses, doctors, and other professionals to keep their proficiency with the technology.                                                                             ReferencesJobst, S., Lindwedel, U., Marx, H., Pazouki, R., Ziegler, S., König, P., Kugler, C., & Feuchtinger, J. (2022). Competencies and needs of nurse educators and clinical mentors for teaching in the digital age – a multi-institutional, cross-sectional study. BMC nursing, 21(1), 240. https://doi.org/10.1186/s12912-022-01018-6Links to an external site.
    • Booth, R. G., Strudwick, G., McBride, S., O’Connor, S., & Solano López, A. L. (2021). How the nursing profession should adapt for a digital future. The BMJ, 373, n1190. https://doi.org/10.1136/bmj.n1190Links to an external site.
    • I like your strategy of “hold monthly meeting to discuss questions and concerns” to facilitate the interaction between nurse informaticist and other specialists. My suggestion of anther strategy is that the nurse informaticists be part of educators in the health care team. Nurse informaticists will not only provide support for the specialists using the technology in health care, but also, they will evaluate the specialists how well they can apply the technology on their daily basis (Jobst et al., 2022). For example, nurse informaticists will held “technology skills fair” annually, to ensure the proficiency of technology among the specialists. This is like the annual nursing skills fair in the hospital to us. Through the skill fair, specialists will know the expectations of their technology skills in their fields and enhance their interaction with nurse informaticists in their daily works.
    • Hi Katrina,
    • Collapse SubdiscussionRaminder KaurRaminder Kaur Reply to Comment
    • Dec 17, 2022 at 1:41pm
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    • Hi Katrina, Excellent Post! References: William, B. (2022, January 18). Benefits of telemedicine. Benefits of Telemedicine | Johns Hopkins Medicine. Retrieved December 17, 2022, from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicineLinks to an external site. 
    • Avant Healthcare Professionals. (2019, September 10). How technology is impacting nursing practice in 2020. Registered Nurse Staffing and Recruitment Agency. Retrieved December 17, 2022, from https://avanthealthcare.com/blog/articles/how-technology-is-impacting-nursing-practice-in-2019.stml#:Links to an external site. 
    • As you mentioned, healthcare will continue to benefit from new technologies and the development of nursing informatics. Technological advancements have reshaped the medical landscape over the past 30 years. The days of accurate charting and recordkeeping by hand are numbered. Patients now have greater access to their data than ever before, thanks to telehealth and electronic recordkeeping technologies that are emerging. RNs can use technology to work more efficiently and communicate more effectively in nursing. The advances in data innovation and new gadgets have worked on the same personal satisfaction for patients and medical services experts. Electronic health records (EHRs) have significantly changed the healthcare information technology sector. A patient’s medical history is stored digitally in an electronic health record. It might include information about providers, problems, medications, lab results, Etc. By making data easily accessible to healthcare providers, doctors, and patients, electronic health records (EHRs) can enhance patient care by enhancing the clarity and accuracy of medical records. New technologies can lessen human error. Nurses who work long hours or in units with insufficient staff are more likely to make mistakes. Routine procedures are now made more accessible by cutting-edge medical technologies. For instance, the dosage of a patient’s medication can be measured by automated intravenous pumps. The process of changing the dosage and amount of a drip becomes quicker. Prolonged mental and physical exhaustion can make nurses feel stretched thin, which leads to nurses leaving their practice setting. Nurse burnout has been a factor in the US nursing shortage. Because fewer nurses are required to provide adequate care, emerging technologies in telehealth can help alleviate the burden placed on nurses (Avant Healthcare Professionals, 2019). Even for people who do not consider themselves computer savvy, telemedicine has become more accessible thanks to improved technology. Both health and convenience are enhanced by telemedicine, allowing patients to schedule appointments with their healthcare provider via video or phone. More and more healthcare providers are offering to “see” patients via smartphone and computer (William, 2022). 
    • Collapse SubdiscussionRemi Oluremi OjoRemi Oluremi Ojo Reply to Comment
    • Dec 17, 2022 at 8:13pm
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    • Great post Katrina,ReferencesSipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology & Informatics, 225, 252–256.
    • McCormick, K. (2016). Understanding new types of evidence ready for translation into nursing informatics. Studies in health technology & informatics, 225, 686–688.
    • Nursing informatics plays a significant role in supporting the health care system’s technology-driven care. Health informatics connects technology with healthcare using the analysis and design of Electronic Health Record (EHR) data to lower costs and improve health outcomes. Nurse informaticists are skilled in the development and utilization of healthcare technology. They are medically trained, coupled with hands-on experience, which makes them uniquely suitable to work with information technologist professionals to ensure proper healthcare delivery in the real-world electronic health records (EHR) are getting complex due to the continuous growth of healthcare technology, making the nurse informaticist relevant currently (McCormick, 2016). Some of the roles performed by the nurse informaticists are to implement and manage the transition of paper records to digital; they develop information systems using current evidence-based standards of care and update systems to remain current; they develop other healthcare technology such as patient health monitoring system and home care management system. They also work with agencies and policymakers to ensure laws are put in place to support healthcare technology and its compatibility with patients’ and providers’ needs (Sipes, 2016).
  • Collapse SubdiscussionRaminder KaurRaminder Kaur Reply to Comment
  • Dec 14, 2022 at 1:25am
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  • Interaction Between Nurse Informaticists and Other Specialists One strategy on how these interactions might be improved Having more accessible access to voice our concerns about errors and bugs in the Electronic Health Record (EHR) is one way our interactions with NI could be improved. Even though Point Click Care is a very good EHR, it has a lot of bugs and errors, the majority of which are simple to fix; this is a significant source of frustration for many of my coworkers and me. We could share our findings and disappointments and collaborate to enhance the experience if we had more accessible access to the EHR team. The ongoing emergence of new technologies directly impacts numerous professional interactions. Medical professionals can communicate more quickly with one another, thanks to new communication technologies, which can speed up treatment to improve the client’s well-being. Innovation permits faster admittance to the required clinical data from different experts within the briefest time. In addition, the emergence of new technologies will increase the opportunities for informaticists and specialists to acquire new knowledge and skills that can be utilized to serve better healthcare organizations and their patients (Kleib et al., 2021). The field of nursing informatics is moving forward, and the outlook for the profession appears promising. As a result of eliminating the manual patient record system, collaborative interactions are enhanced, costs are reduced, productivity is increased, and quality is improved (Ann & Wang, 2018). As per the creating innovation, proficient coordinated efforts enter a new level, further developing help conveyance in the health care facilities.  Ann Alexander, C., & Wang, L. (2018). Big Data and Data-Driven Healthcare Systems. In Journal of Business and Management Sciences (Vol. 6, Issue 3, pp. 104–111). Science and Education Publishing Co., Ltd. https://doi.org/10.12691/jbms-6-3-7Links to an external site. Murphy, J. (2010, May). Nursing informatics: The intersection of nursing, computer, and … Retrieved December 14, 2022, from https://www.researchgate.net/publication/45437445_Nursing_informatics_The_intersection_of_nursing_computer_and_information_sciencesLinks to an external site. Unique Writers Bay. (2021, June 20). Interaction between nurse informaticists and other specialists. Unique Writers Bay. Retrieved December 13, 2022, from https://uniquewritersbay.com/interaction-between-nurse-informaticists-and-other-specialists/#:Links to an external site. 
  • Simpson, R. L. (2005). Patient and Nurse Safety. In Nursing Administration Quarterly (Vol. 29, Issue 1, pp. 97–101). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/00006216-200501000-00015Links to an external site. 
  • Kleib, M., Chauvette, A., Furlong, K. E., Nagle, L. M., Slater, L., & McCloskey, R. (2019). Approaches for defining and assessing nursing informatics competencies. In JBI Database of Systematic Reviews and Implementation Reports (Vol. 17, Issue 6, pp. 1071–1078). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.11124/jbisrir-2017-003889Links to an external site. 
  • References 
  • The impact of the continued evolution of nursing informatics 
  • Reducing medical errors like improper medication administration is another way NI works to improve the healthcare system. NI was on the edge of making a more secure, productive prescription organization framework in an acute care facility. We must scan a patient’s wristband, confirm their information, and then the medication label; if none of these scans matches, we cannot administer that medication (Simpson, 2005). 
  • When clinical staff members are viewed as corresponding players and equally as crucial as other healthcare practitioners, the interaction between nurse informaticists and other specialists is crucial in healthcare. Primary healthcare practitioners can also interact with other specialists, exchange ideas, engage in regular brainstorming, and come up with viable solutions to problems that specialists face. Coordination is bolstered by this one action, creating a sense of community, which is especially important when building a solid team of experts (Unique Writers Bay, 2021). Even though nursing informatics tend to operate behind the scenes, they impact nearly every aspect of our work lives and are an essential component of our healthcare system. Nursing informaticists (NI) collect and analyze healthcare data and information to track health interventions and outcomes (Murphy, 2010). At the place I work, incident report tracking is one way I frequently interact with NI. The number of infections, patient-to-staff, patient-to-patient violence, and falls are all tracked by this system. They track the measures of these episodes to survey what interventions are effective and what intercessions do not have an effect. 
    • Collapse SubdiscussionSheila AnkrahSheila Ankrah Reply to Comment
    • Dec 15, 2022 at 1:50am
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    • Response to Raminder Kaur,Thanks for such an excellent post. I found your post informative. I agree with you; the transformation of nursing informatics specifically influences professional intercommunication. Nursing informatics is essential and significant in improving communication and streamlining complex clinical data collection. Cautiously, digital natives will still need to work on information literacy and management skills. It is visible that nursing informatics feasible comprehension will be assigned as the aspect of professional practice competency (Collins et al., 2017). O’Connor & LaRue, 2021, have suggested different propositions to grasp interprofessional education, work with professionals in different fields, and integrate with expertise; subsequently, students can optimize learning methods and informatics skills to collaborate across different disciplines. By embracing the nursing informatics learning process and possibilities, nurses and other fields can deliver coordinated care and the best possible patient results.Collins, S., Yen, P.-Y., Phillips, A., & Kennedy, M. K. (2017). Nursing Informatics Competency Assessment for the Nurse Leader: The Delphi Study. The Journal of Nursing Administration, 47(4), 212–218. https://doi.org/10.1097/NNA.0000000000000467Links to an external site.
    • O’Connor, S., & LaRue, E. (2021). Integrating informatics into undergraduate nursing education: A case study using a spiral learning approach. Nurse Education in Practice, 50, 102934. https://doi.org/10.1016/j.nepr.2020.102934Links to an external site.
    • References
    • Hi Raminder,
    • Collapse SubdiscussionOluyemi AdeagboOluyemi Adeagbo Reply to Comment
    • Dec 15, 2022 at 1:57am
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    • Hi Raminder,

      Park, H., & Yu, S. (2021). The role of clinical trial nurses: Transitioning from clinicians to clinical research coordinators. International Journal of Nursing Practice, 28(1). https://doi.org/10.1111/ijn.12943Links to an external site.

    • Schleyer, R. (2022). The chief nursing informatics officer’s (CNIO) view: Strategic nursing leadership for informatics-powered health and healthcare. Health Informatics, 87-97. https://doi.org/10.1007/978-3-030-91237-6_8Links to an external site.
    • References
    • Clinical staff members should get treated with high esteems based on their contribution to the healthcare industry (Park & Yu, 2021). I echo your sentiments, especially regarding the interdisciplinary engagements among healthcare specialists. Exchanges between different healthcare practitioner groups lead to devising techniques that are viable from a healthcare standpoint. Subsequently, nursing informaticists (NI) form part of the vital background force that help run healthcare databases, which get assimilated by the other nursing staff (Schleyer, 2022). I, therefore, concur that nursing informaticists are necessary for the healthcare space and would face significant drawbacks in information tracking, interventions, and outcomes. On the contrary, some institutions need to catch up in information tracking, which leaves them disadvantaged. Additionally, medical errors can be minimised by aligning medication issuance with systematised medication administration. You have equally reiterated the eradication of manual patient record systems as an ideal way of boosting patient care quality.
  • Collapse SubdiscussionMaxine A LewisMaxine A Lewis Reply to Comment
  • Dec 14, 2022 at 2:01am
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  • Week 3 Discussion question Walden University Week 3 discussion question  My curiosity of a NI in my organization was heightened in responding in this discussion question, so I decided to search Union Memorial database to find information on nurse informaticists and their role/s within the facility. As a research institution, Medstar health Research Institute (MHRI) serves as the administrator of the research informatics applications used to access and analyze system-wide data stored in MedStar’s electronic medical records (EMRs), data warehouses, and registries. MedStar has over 185 information systems, about 100 of which are classified as clinical information systems and/or repositories (Armentrout & St Clair, 2011). One strategy is to enhance NI visibility, project initiation and management is to have nurse informaticist interacting with floor nurses throughout their shifts and observe the nurses providing care and using technologies to “identify problems or gaps and develop solutions (Kwiatkoski, 2021). Visibility of the NI within the clinical area will aid in the support of “patient data analysis and identify trends and correlations that enable clinical decision-making (Kwiatkoski, 2021) as well as seen as a comrade not another IT who develops technologies which are not effective in nursing care instead results in unnecessary stress and increased risk of medical errors.  Armentrout P., St Clair C., MedStar’s EMR & Search Capabilities, 17 August 2011, https://starport.medstar.net/MHRI/RGD/_layouts/15/WopiFrame.aspx?sourcedoc=/MHRI/RGD/Boiler%20Plate%20Library/MHRI%20EMR%20Explorys%20Search%20Capabilities.docx&action=default&DefaultItemOpen=1Links to an external site. Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.  
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  • Kwiatkoski T., August 03, 2021. Nursing Informaticists Are the Backbone of Technology-Driven Care. https://voice.ons.org/news-and-views/nursing-informaticists-are-the-backbone-of-Links to an external site. technology-driven-careLinks to an external site.. 
  • References 
  • Within the MedStar organization, a system for research, patient-centered care and informatics was evident: However, it was centered more on the physicians’ medical research development with the collaboration of nurse informaticists whose role is on supporting the integration of said research into practice resulting in enhancing staff taking part in research studies. What was lacking is the inability to locate a nurse informaticists utilizing their skills in “integrating sciences into nursing practice … to identify, define, manage, and communicate data, information, knowledge (Sipes, 2016) within this hospital setting. Instead, clinical and information technicians are notable more visible and involved in the technological process rather than NI. With the visibility of non-nursing technicians comes technology which is not “nurse friendly” resulting in redundant or multiple time-consuming charting on interventions or patient assessment. 
  • Nurse informaticists (NI) within my health care organization tend to be invisible. I had never had the pleasure of interacting with a nurse informaticist or heard of one until I began my studies at Walden University. Years ago, I was a smart pump super user, but I never thought I was being taught by a clinical nurse informaticist but only by general nurse educators. The manufacturer/representatives would meet and in-service the nurse educators who then seek out volunteers to be used as “super users” who would be the expert and problem solver for their unit. 
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  • Lewis M. 
    • Collapse SubdiscussionOluyemi AdeagboOluyemi Adeagbo Reply to Comment
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    • Hi Maxine, ReferencesSchleyer, R. (2022). The chief nursing informatics officer’s (CNIO) view: Strategic nursing leadership for informatics-powered health and healthcare. Health Informatics, 87-97. https://doi.org/10.1007/978-3-030-91237-6_8Links to an external site.
    • Hussey, P., & Hannah, K. J. (2021). Nursing informatics: A core competency for the profession. Health Informatics, 55-85. https://doi.org/10.1007/978-3-030-58740-6_3Links to an external site.
    •        The nursing informaticist’s role in some institutions gets undermined, only to the peril of the institution and nursing body. Nursing informaticists exhibit valuable skills, particularly when engaging and sharing information among different levels of nurses or patients (Hussey & Hannah, 2021). I am intrigued by your example of being a smart pump user, and with that knowledge, you are informed about the unique role nursing informaticists play. Healthcare organisations that embrace nursing informaticists tend to experience higher levels of research alignment translated from theory to practical use. I recommend that the role be evaluated and appraised as a pathway to integrate sciences into actual nursing practice (Schleyer, 2022). Likewise, the interactions between floor nurses and nursing informatics enhance clinical decision-making, reducing medical errors and boosting nursing efficacy.
    • Collapse SubdiscussionMleh PorterMleh Porter Reply to Comment
    • Dec 17, 2022 at 10:52pm
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    • Hello Maxine,ReferencesHealthcare Information and Management Systems Society. (2022, June 29). What is nursing informatics? https://www.himss.org/resources/what-nursing-informaticsLinks to an external site.
    • Webb, N.  (2021, April 27). Nursing informatics as caring: A literature review. HIMSS. https://www.himss.org/resources/nursing-informatics-caring-literature-review
    • Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders: protocol for a scoping review. BMJ open, 7(12), e018855. https://doi.org/10.1136/bmjopen-2017-018855Links to an external site.
    •      I enjoyed reading your post. Healthcare organizations around the world are rapidly implementing the use of health information technologies. Nurses being the largest group of healthcare professionals, are more likely to be significant users of these technologies, making the collaborative effort between nursing informatics and the nurse vital as this will allow the nurse to use these technologies efficiently to improve productivity and patient care (Kassam et al., 2017). I agree that non-nursing technicians overseeing healthcare technologies can result in complex and time-consuming charting systems. Nurse informaticists integrate their clinical knowledge, technology, and information management skills to help improve nursing practice (Healthcare Information and Management Systems Society, 2022). Data availability can help healthcare professionals implement best practices, but these new technologies can be a challenge for healthcare professionals. A nurse informaticist is vital to help a healthcare organization use data more effectively to meet the healthcare team’s and patient’s needs (Webb, 2021). Improving the interaction between nurse informatics and floor nurses is vital to improving technologies and reducing medication errors. Another strategy to improve the interaction is for nurse leaders to evaluate the current role of the nurse informaticist within the hospital unit and implement this vital collaboration. In addition to rounding on the unit, the nurse informaticist can hold in-service meetings at least once every month to educate nurses on efficient ways to use available technologies within the healthcare organization. Nurses or other healthcare professionals struggling with any technology should be able to set up an additional meeting time with the nurse informaticist. These interactions will help increase productivity and improve patient safety.
  • Collapse SubdiscussionBarkisu FortenberryBarkisu Fortenberry Reply to Comment
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  • I remember when a nurse informaticist was creating awareness and teaching us about an application they had created and thought would be crucial to healthcare providers. The application contained various drugs, their side effects, and what nurses should look for and be cautious of before administering medications or observing patients’ responses to medication. The nurse informaticist helped us download the app and guided us on to use it. While much was done well and most people understood how to use the app and its benefit, it could have informed more audience members about the app and the awareness or educational program earlier. For instance, the audience ought to have been informed that there would be a meeting with a nurse informaticist. They also ought to have known the agenda of the meeting, including giving them links to where they can get more information about the app and why it is necessary. This way, the audience members would not have to hear about the app from the nurse informaticists for the first time. Instead, they would use that opportunity to confirm what they had already learned or seek clarification about the app. Nursing informatics is changing the nursing practice and making it easier and more effective. Nurses being able to learn about drugs, their side effects, and what to look for before and after administering medication is an excellent strategy to reduce medication mistakes and improve overall patient safety. Still, I propose that nurse informaticists create a favorable environment to enable more optimal interactions with other nursing specialties by informing them about the new technologies and vividly explaining to them how they can leverage the new technology.
  • Collapse SubdiscussionIrvin Michael JonesIrvin Michael Jones Reply to Comment
  • Dec 14, 2022 at 3:32pm
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  • Interaction Between Nurse Informaticists and Healthcare ProfessionalsStrategy to Improve InteractionsImpact of Nursing Informatics EvolutionReferences        benefits of adopting information technology in health care: a qualitative study in Iran. BMC Medical InformaticNg, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information        Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.        Technology and Informatics, 225, 252-256.
  • Sipes, C. (2016). Project management: Essential skill of nurse informaticists Links to an external site. Studies in Health
  •         Technology Initiatives Links to an external site.: Expanding Opportunities for Nurse Participation in Population
  •         and Decision Making, 20(1), 1-12.
  • Farokhzadian, J., Khajouei, R., Hasman, A., & Ahmadian, L. (2020). Nurses’ experiences and viewpoints about the
  •             Nurse informatics has been a rising specialty that can bridge the gaps between new healthcare technology and practice. With the continued evolution of nursing informatics, I believe that the healthcare interactions will continue to improve. It will ultimately improve the communication between healthcare professionals across organizations as well as improve quality of care within all nursing specialties. Farokhzadian et al. (2020) states technology has become an integral part of nursing and has also become an important responsibility for nurses to understand as it can improve safety. Improved technology can help nurses avoid medication errors, improve efficiency so that they spend more time with their patients, and improve overall workflow (Farokhzadian et al., 2020). In conclusion, nursing informatics is a specialty that is needed to improve nursing care as well as improve interactions between healthcare professionals.
  •             A strategy to improve interactions between nurse informaticists and other members of the healthcare team would be to provide additional education through in-services. The nurse informaticist that provided valuable input and project management expertise utilized emails, zoom meetings, and meetings to keep the leadership team up to data. Using in-services, the nurse informaticist can effectively incorporate the project with the staff that is ultimately going to be responsible for using the EHR. In-services could be provided to the floor staff utilizing in-person sessions as well as through technology. In many cases, it is difficult for nurses to attend in-services due to patient care or not wanting to come into work on their day off. Ng et al. (2018) states mobile devices utilized to communicate to staff can lead to an increase in staff engagement and involvement in the project. Staff buy-in and engagement is an important aspect to ensuring that a project is successful for an organization.
  •             In my prior work experience working in a nursing home on the leadership team, nurse informaticists were often utilized to assist in the development of technology related process improvement projects. During my time in the nursing home, I was able to recognize a need for an upgraded electronic health record system due to several complaints from nursing staff about the lack of efficiency with the current system. Eventually, my team was able to obtain approval to purchase a new electronic health record system for the facility. In order to present and successfully implement this new electronic health record system, we enlisted the assistance of our nurse informaticists who had a strong skillset in project management. According to Sipes (2016) nurse informaticists were primarily known for data management but have recently added project management to their skillset and expanding their role in interprofessional healthcare teams. The nurse informaticist developed a schedule to communicate with each of the units on the expectations of the project as well as provide feedback to the leadership team. The leadership team and the nurse informaticist coordinated a timeline to effectively transfer existing data from the current EHR to the new EHR. The nurse informaticist was a crucial element to producing a process improvement that could improve efficiency and improve quality of care.
  • Edited by Irvin Michael Jones on Dec 16, 2022 at 1:28pm
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    • Response #2 to Irvin Michael, Thanks, Michael, for such a fantastic post. I agree that today, caring for the healthcare needs of our patients should be fast, accurate, and accessible. I work in an ambulatory care facility where the recovery time is 30 minutes, so being able to chart quickly but accurately is very important. EHRs and the ability to exchange health information electronically can help you provide higher quality and safer patient care while creating tangible enhancements for your organization (Health IT.gov, (n.d.). Therefore, I am glad our facility utilizes electronic health records (EHRs).ReferenceTalend. (n.d.). Big data and privacy: What companies need to know to ensure trusted data. https://www.talend.com/resources/big-data-privacy/Links to an external site.
    • Health IT.gov. (n.d.). What are the advantages of electronic health records? https://www.healthit.gov/faq/what-are-advantages-electronic-healthrecords#:~:text=Electronic%20Health%20Records%20(%20EHR%20s,timeliness%2C%20efficiency%2C%20and%20equityLinks to an external site..
    • Yes, a potential risk for big data is a breach of privacy. The truth, however, is that the data itself is not the issue. The problem is poorly managed data (Talend, (n.d.). Where I work, we have an IT team that closely monitors the computers we use to care for patients. Our emails are encrypted, and they block ads from the internet that could be spam—these things help prevent hackers from hacking into the system.
    • Hi Irvin,
    • Collapse SubdiscussionErica SchulteErica Schulte Reply to Comment
    • Dec 16, 2022 at 10:37pm
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    • Response #1 to Michael JonesIn addition, I agree fully with your discussion regarding the benefits of technology and improvements that can lead to professional interactions and nurse care.  Regardless of patient to professional interactions or professional to professional interaction, there will be a requirement for professionals to maintain a level of care in order to maintain the highest level of interaction.  (McGonigle & Mastrian, 2022)McGonigle, D., & Mastrian, K. G. (2022). Chapter 26/ Nursing Informatics and the realities. In Nursing Informatics and the foundation of knowledge (pp. 612–612). essay, Jones & Bartlett Learning.
    • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing Nursing Informatics Solutions. JONA: The Journal of Nursing Administration, 49(11), 543–548. https://doi.org/10.1097/nna.0000000000000815
    • Resources
    • Hello Michael, I appreciate your post and enjoyed reading.  The strategy for improving interactions through in-services was a beneficial read and I wanted to focus on the comment regarding the issue with establishing these processes.  Certainly, there is always a challenge to pull any employee away from their regular, daily activities to focus on new processes or training.  However, as discussed in (Mosier et al., 2019), there are methods to improving and implementing informatics solutions to improve these types of collaborations to allow for proper implementation.  One method in particular requires nurse leadership to establish groups with defined responsibilities to help push these types of initiatives over the finish line.  This would allow for various stakeholders to have a say in an aspect of the new process and would in turn drive the desire for involvement.
  • Collapse SubdiscussionGuoming FengGuoming Feng Reply to Comment
  • Dec 14, 2022 at 4:11pm
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  • Main post.Interaction of nurse informaticist with other professionals            One strategy on how these interactions might be improvedThe impact of the continued evolution of nursing informatics McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health applications in health information technology initiatives: Expanding opportunities for nurse participation in population health. Computers, Informatics, Nursing, 36(5), 209-213. 10.1097/CIN.0000000000000445
  • Sensmeier, J., & Anderson, C. (2020). Tracking the impact of nursing informatics. Nursing management, 51(9), 50–53. https://doi.org/10.1097/01.NUMA.0000694880.86685.c1
  • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A system-level method for developing nursing informatics and solutions: The role of executive leadership. The Journal of Nursing Administration, 49(11), 543-548. 10.1097/NNA.0000000000000815
  • References
  • Nursing informatic role has evolved from the initial role as a clinical analyst (McGonigle & Mastrian, 2022). The continued application of technology in the health care practices makes the continued evolution nurse informaticists will play a more and more important role in the health care team. Sensmeier and Anderson pointed out that with the application of advanced technology, the collaboration in the healthcare will be more effective, and workflow in the healthcare will significantly improve; also, with the help of nursing informaticists, doctors, pharmacists, nurses, and other professionals with provide better quality patient care; nurse informaticist will adopt role as project manager, and health care researcher (Sensmeier & Anderson, 2020).
  • One of the most important strategies to improve the interactions between nurse informaticists and other professionals is to improve the communication between them. The communication could be face-to-face meeting, or through mobile phone and other computer software. For example, nurse informaticists and other professionals can have routine weekly brief meetings to discuss possible information/technology problems during health care providing. In our hospital, we’re using Zoom for daily communication among professionals; we can meet the nurse informaticists through Zoom, even when they’re working at home. Social media apps are being utilized to improve the communication efficiency among health care professionals (Ng et al., 2018).
  • The hospital I’m working at is using two separate systems: Computerized Patient Record System (CPRS) and Bar Code Medication Administration (BCMA). Doctors write note and orders/ nurses and pharmacists read note and receive orders in the CPRS; Pharmacists verify and release doctors’ medication orders/ nurses administrate medication using BCMA. The nurse informaticists in our hospital will train the new employees who need to use CPRS and BCMA for their job during the new employees’ orientation. I often see the nurse informaticists also walk to the doctors’ office, pharmacists’ office, lab, and different inpatient floors where they talk to the doctors, pharmacists, nurses, and other professionals, ask the professionals about how they are using these technology and systems, so the nurse informaticists can identify potential problems and develop solutions. The nurse informaticists’ visits make the system users including the doctors, pharmacists, and nurses feel more comfortable with new technology. Nurse informaticists are focused on creating solutions to improve overall patient care (Mosier et al., 2019). For example, in the medical surgical floor where I worked, once the doctor wrote a text order “discontinue Heparin infusion” for a patient who was going to have a bowel surgery in 8 hours. The order was generated in the CPRS, but the order was not automatically generated in the BCMA, so the Heparin infusing was still active in the BCMA. Before the nurse found the problem and called many times to the doctor and pharmacist to verify/confirm the order, Heparin infusing was prolonged, and the scheduled surgery was forced to be delayed. After this accident, our nurse informaticists investigated and found out that the lack of communication between CPRS and BCMA was a problem. They developed a link between these two systems, which let the medication order in the CPRS automatically generated in the BCMA. They also followed up with the doctors, the pharmacists, and the nurses about their experience of the change.
  • Collaboration among professionals in a healthcare team is essential, and nurse informaticist plays a critical role to facilitate of the collaboration. Nurse informaticists routinely maintains systems and ensure these systems can be utilized properly. Data collected from different disciplines will be analyzed, shared among professions, and eventually incorporated into propriate practice of multiple disciplines (McGonigle & Mastrian, 2022).
    • Collapse SubdiscussionKatrina BrooksKatrina Brooks Reply to Comment
    • Dec 15, 2022 at 4:11pm
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    • Hi Guoming,As nurse informatics evolve so will effective patient care. Although new technology and charting systems can take some time to learn the benefit far outweighs the learning curve. “To improve nursing satisfaction with EHRs, facilities must involve clinical and informatics nurses early in the process, fully preparing them for the change without overloading them with information; staff should be trained in advance of implementation and provided with continuous support after the EHR is in place” (Hoover, 2017). Bedside nurses and healthcare personnel who actually document in the EHR should be involved in the process as we are the ones who use the system. Having a system that works for all healthcare personnel can improve nursing documentation, patient care and patient outcomes. Clinical Overview. Bar Code Medication Administration (BCMA). (n.d.). https://www.ihs.gov/bcma/clinicaloverview/Links to an external site.
    • Hoover, Robin MSN-HCI, RN. Benefits of using an electronic health record. Nursing Critical Care 12(1):p 9-10, January 2017. | DOI: 10.1097/01.CCN.0000508631.93151.8d
    • Reference
    • At the facility I work at we also use the Bar Code Medication Administration (BCMA) system. BCMA was designed to help prevent medication errors. “Use of an electronic medication administration record with bar code scanning verifies patient identity as well as insuring that the patient receives the right medication, in the right dose, via the right route at the right time, commonly known as the five rights” (Clinical Overview, n.d.). With CERNER the nurse can bypass the BCMA and go directly to the MAR, from the MAR the nurse can simply click the medication and put given. A patient was once given the wrong dose of Insulin due to a nurse bypassing the system. Since that incident the NI has been making rounds to the units to provide education and performing chart audits to ensure that nurses are properly using the BCMA.
  • Collapse SubdiscussionJamee Renee LinnenbrinkJamee Renee Linnenbrink Reply to Comment
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  • Nursing Informatics Communication How to Improve the InteractionsEvolution of Nursing Informatics References McGonigle, D., & Mastrian, K. G. (2018).Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.
  • Peltonen, L. M., Nibber, R., Lewis, A., Block, L., Pruinelli, L., Topaz, M., … & Ronquillo, C. (2019). Emerging professionals’ observations of opportunities                 and challenges in nursing informatics. Nurs Leadersh (Tor Ont), 32(2), 8-18.
  • Center for Disease Control and Prevention (n.d) Sepsis, https://www.cdc.gov/sepsis/index.html
  • In the past decade, nursing informatics has grown by bounds with the expansion of technology (Peltonin et al, 2019). The study of nursing informatics will continue to grow over the next decade with the continued expansion of technology at its disposal. There will be new processes and inventions to better collect data and improve processes for overall patient and employee safety and satisfaction. The continued growth of technology should help the improvement of data collection that will help the staff relay the correct data to the nursing informatics department. There will be continued exciting advancements in this field over the decade.
  • Most of the information provided by the nursing informatics department at this particular hospital is by email and by posting charts in the break room. In the five years that I worked at this facility, I did not one time meet anyone from the nursing informatics department. I think to improve the relationship between the department and the floor staff and physicians it is important to come present at department meetings and let yourself be known and approachable. Forging a professional relationship with the people that you are communicating with can foster communication and help the growth and continual evolution of nursing informatics as we continue to grow technology.
  • Nursing Informatics is a growing necessary field that all healthcare facilities should invest in. The small company of Gila Health Resources does not employ a nursing informatics position. However, I have worked for hospitals in the past that employ nursing informatics positions and even departments.  Part of the nursing informatics definition is taking the combined sciences and then communicating the data (McGonigle and Mastrian, 2018) Being able to communicate the data effectively and with the healthcare team that is helping collect and implement the data. Most of the information that was relayed to the floor nursing staff was relayed always through emails from the nursing informatics department. One of the most common communications to the floor nurses would be the SIRS Alerts and responses to them. SIRS is short for Systematic Infamlamatory Response System and is used to collect data in the EHR to alert the clinical staff for possible sepsis (CDC, n.d.). After a SIRS Alert happens there is a response by the clinical staff. That data is then collected by the nursing informatics department. Specifically collected are things like if the provider was notified by the nurse, if fluids were ordered and if the vitals of the patient improved. This data would then be placed on a graph and emailed out to the nurses and physicians.
    • Collapse SubdiscussionMleh PorterMleh Porter Reply to Comment
    • Dec 16, 2022 at 10:58pm
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    • Hello Jamee,     Healthcare delivery today depends on technology for point-of-care testing devices, EHR systems, telehealth, and more programs. Nurses and other healthcare professionals must be confident in using these technologies effectively to improve efficiency, patient care, and safety. I agree that interactions with nurse informaticists through email could be more practical. I like your suggestion that they should attend department meetings to foster a professional relationship between the healthcare team and the nurse informaticist department. One interaction strategy to improve the collaboration between the nurse informaticist and the nursing staff is unit rounding. The nursing informatics department should have a nurse informaticist round on the nursing unit at least once every two weeks to improve the collaborative effort. If a new technology is introduced, the nursing informaticist should round more frequently and hold in-person education to help the nurses understand the benefits of the latest technology and how to use it. Understanding the benefits of technology for nurses is essential to nursing quality and safety (Booth et al., 2021). Nurse managers can also help improve the interaction between the nurses and the nurse informaticist by communicating the unit’s needs to the nurse informatics (Mosier et al., 2019).ReferencesHealthcare Information and Management Systems Society. (2022, June 29). What is nursing informatics? https://www.himss.org/resources/what-nursing-informatics
    • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: The role of executive leadership. The Journal of Nursing Administration, 49(11), 543–548. https://doi.org/10.1097/NNA.0000000000000815
    • Booth, R. G., Strudwick, G., McBride, S., O’Connor, S., & Solano López, A. L. (2021). How the nursing profession should adapt for a digital future. The BMJ, 373, n1190. https://doi.org/10.1136/bmj.n1190
    •      I enjoyed reading your post. Technology is essential in patient care and nursing in today’s healthcare world. It influences how patient care decisions are made, making collaboration between clinical staff and a data expert like the nursing informaticist necessary. Because of their clinical background and knowledge of data, nursing informaticists can help nursing staff connect the data to nursing practice leading to the safe delivery of care (Healthcare Information and Management System Society, 2022).
    • Collapse SubdiscussionGuoming FengGuoming Feng Reply to Comment
    • Dec 17, 2022 at 12:07pm
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    • Hi Jamee, Charalambous A. (2019). Social Media and Health Policy. Asia-Pacific journal of oncology nursing, 6(1), 24–27. https://doi.org/10.4103/apjon.apjon_60_18Links to an external site.
    • Reference
    • I agree with you that, as a nurse informaticist, “come present at department meetings and let yourself be known and approachable” is very important to interact with other specialists. We’re lucky that our hospital’s nurse informaticists often do rounding to the floors and answer our questions. Besides the in-person meeting, I recommend using communication apps to facilitate interaction between nurse informaticists and other professionals. Studies show that communication APPS are handy because they “can be used to improve or enhance professional networking, education, and organizational promotion” (Charalambous, 2019). Our hospital uses Team and Zoom as essential communication tools; they facilitate rapid communication within teams. Especially during the COVID-19 pandemic, when the opportunity for face-to-face meetings was limited, these computer-based meetings were beneficial.
  • Collapse SubdiscussionAndrea M AllenAndrea M Allen Reply to Comment
  • Dec 14, 2022 at 6:57pm
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  • Module 2 Week 3Interaction between Nurse Informacists and other Specialists     A Nursing Informatics Specialist combines the use of technology in health care to improve patient care.  The use of technology enables the informatics specialist to manage medical data, develop and maintain data systems that are designed to improve patients’ outcomes by incorporating the field of nursing, computer science and information science.  To improve patient care outcome, the nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions for example diagnosis and treatment of diseases and take actions to ensure the general well-being of patients (Darvish, et el., 2014).     Using Informatic Competencies as a prerequisite might be able to improve these interactions.  The informatic nurse specialist can then advance patients portal by surveys to improve interaction with the healthcare staff to safeguard patients’ safety.  The use of alerts on medication, flags and reminders, consultation and diagnoses reports, and the ability to access data though very important, needs to go a step further by having the Informatic specialists be included in departmental meetings and find ways for face-to-face contact with clinical staffs to develop a more strategic way (i.e., Facetime) of being involve in the care of the patients. This strategy can advance the nurse specialist while providing increase knowledge and testing as well as training with their institution system.  At my hospital one of the nurses were trained to be a Nursing Informatic Specialist several months ago and his value and input is demonstrated in the process of gradually changing and improving healthcare process by way of computer.     Health Informatics implement new processes and validate data quality.  It provides important data that can prevent errors.  An electronic record can prevent patients receiving wrong medication.  The Healthcare worker can provide clinical information to patients who can then retrieve that information and effectively communicate to their care givers or healthcare providers.   Darvish, A., Bahramnezhad, F., Keyhanian, S., Navidhamid, M., (6,2014) The Role of Nursing Informatics on Promoting Quality of healthcare and the need for appropriate education. PubMed Global Journal of Health Science Doi: 10.5539/gjhs. v6n6p11Booth, R., Strudwick, G., McBride, s., O’Connor, S., & Lopez, A. (6,2021) How the Nursing Profession Should Adapt for a digital future. PubMed Central doi:10.1136/buj. n1190Marc, D., Sadefer, R., (2,20220). What we Mean when we say Health Information Improves Healthcare Outcome. Journal of AHIMAMcGonigle, D., & Mastrian, K.G. (2018). Nursing Informatics and the Foundation of knowledge (4th ed.). Jones & Barlett Learning
  • References
  •      Informatics technology allows nurses to communicate with patients and diagnose and treat disease more effectively.  Nurses will be able to improve clinical policies, protocol, processes, and procedures, reduce medical errors and costs and align nursing best practices with clinical workflows and care. The Nurse Informatics Specialist has a wealth of knowledge such as Technical/ Computer skills, Clinical experience and competency, critical thinking, analysis and problem-solving skills, interpersonal skills, business correspondence skills, and Project Management skills that can be extended in the clinical experience.
  •     Nursing informatics facilitates communication between clinical and IT staffs to bridge the gap between data and nursing practice by combining clinical experience and data expertise.  They speak two languages -technology and healthcare.  In doing so, the focus aims at developing strategies for health IT procurement implementation, maintenance, and collaboration with other clinical and operational managers.  Territorial boundaries are not uncommon when using technology in nursing.  Patients find themselves interacting with technology instead of a live care provider at times when they have questions about their health.  There is also a risk of miscommunication that is not able to be clarified or verified immediately by a live person as well as a sense of lack of empathy.
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  • Collapse SubdiscussionAdrienne AasandAdrienne Aasand Reply to Comment
  • Dec 14, 2022 at 6:58pm
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  • Module 2, Week 3 Discussion: Initial Post      The organization I work for uses several technologies to enhance patient care.  A few examples of the technologies used include telemedicine, treatment planning programs, using robotics in the operating room, virtual consultations with experts from outside organizations, e-prescribing, and the electronic medical record (EMR).  As a relatively small private practice, this organization does not employ nurse informaticists.  Although, as the organization grows and as technology continues to become more complex, I believe this position would be beneficial in the future. One strategy on how these interactions might be improvedImpact of nursing informaticsReferences     ed.). Jones & Bartlett Learning.     informatics solutions: The role of executive leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.     Technology and Informatics, 225, 252-256.
  • Sipes, C. (2016). Project management: Essential skill of nurse informaticist. Studies in Health
  • Mosier, S., Roberts, W., & Englebright, J. (2019) A systems-level method for developing nursing
  • McGonigle, D. & Mastrian, K. (2022). Nursing informatics and the foundation of knowledge (5TH
  •      Adding a nurse informaticist to each clinic will have an impact on professional interactions between technology and medical staff.  One way the NI will impact interactions in the clinic is by playing a leadership role in project management for new technologies being introduced in the clinic (Sipes, 2016).  Assuming this role to design, plan, implement, monitor and evaluate new technology will allow the providers and staff to learn and use the technology efficiently (Sipes, 2016).  For example, a NI would take on the project manager role in the introduction of a new EMR to a busy clinic.  The NI applies nursing knowledge “through the creation of data culture, development of data competencies and establishment of data infrastructure” (Mosier, 2019, p. 543).  The nursing wisdom, plus the knowledge of the new technology would be beneficial to the providers and nurses learning the new EMR.
  •      Unfortunately, each of the systems using a separate technology specialist means these specialists are often unavailable when they are needed by staff.  And as the organization grows larger, the need for more available technology specialists will become greater.  In addition, these technology specialists are not nurses, and often do not have a background in healthcare.  Therefore, a strategy to improve the interactions between staff and technology specialists is to create the position of nurse informaticist in each separate clinic.  The role of this nurse will be to have knowledge of each of the systems and act as a resource to the providers and staff in the clinic.  It is important that the technologies do not just exist independently.  The information provided by each technology needs to be integrated with nursing science to “identify, define, manage, and communicate data, information, knowledge, and wisdom of nursing practice” (McGonigle & Mastrian, 2022, p. 117).  Ultimately, the goal of adding a nursing informaticist in each clinic will be to improve patient outcomes by supporting nurses, patients, providers and other staff in their healthcare decision-making roles (McGonigle & Mastrian, 2022).  In addition to having knowledge of the technologies used, this position will add nursing wisdom and be a more well-rounded resource in the clinic.
  •      Each of the different systems listed above have separate technology specialists.  These specialists interact with the staff who are using the technology in their roles within the clinic.  For example, the nurses contact the G2 (EMR) specialist with problems or concerns regarding the EMR.  The providers and nurses using e-prescribing contact the technology specialists in our pharmacy for assistance with this program.  And providers needing assistance or training with telemedicine visits will contact the VSEE telemedicine specialists.
  • Interaction between the nurse informaticist and other professionals
    • Collapse SubdiscussionBenedicta KwevieBenedicta Kwevie Reply to Comment
    • Dec 16, 2022 at 8:24pm
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    • Response 1Hi Adrienne Nurse Informatics and Its Role in an Organization | Healthcare Essay Example.https://assignology.com/nurse-informatics-and-its-role-in-an-organization/Links to an external site.Kennedy M (2017) Nurse Leadership and Informatics Competencies: Shaping Transformation of Professional Practice
    • https://pubmed.ncbi.nlm.nih.gov/28106598/Links to an external site.
    • (2021, July 13). Assignology.
    • References
    • It is interesting that your organization uses all sorts of advanced technology and devices dedicated to the safety and bettering of patient care. I wonder whether the organization has people who can do the same things or mimic that of a nursing informaticist without being one. I agree that with the organization being small, there would be much room to grow and expand. In addition, bringing in nursing informaticists can help the organization expand even further. Nurse informaticists have been trained to be skilled in all forms of technology and the knowledge behind them. According to (Assignology 2021), “They uptake various positions and roles in the organization that would require individuals from multiple different fields. Hence, playing various roles helps the organization to cut on extra expenses that would be used to hire a staff of multiple specialists for consultation, implementation, and even maintenance of the information systems.” Hiring nurse informaticists while the organization is still in the process of rising, can better the organization. I agree that nurse informaticists have significant leadership roles in workplaces and facilities. They “must demonstrate capacities and develop specific informatics competencies in order to provide meaningful leadership and support ongoing transformation of the healthcare system” (Kennedy, 2017).
    • Collapse SubdiscussionSimranjeet BrarSimranjeet Brar Reply to Comment
    • Dec 17, 2022 at 12:23am
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    • Hi Adrienne,ReferenceShields, P. (2020). ISSUES. Towards better nursing communication through emerging technologies. Australian Nursing & Midwifery Journal, 26(10), 8–9.
    • Curioso, W. H., Peña-Ayudante, W. R., & Oscuvilca-Tapia, E. (2021). COVID-19 reveals the urgent need to strengthen nursing informatics competencies: a view from Peru. Informatics for Health & Social Care, 46(3), 229–233. https://doi.org/10.1080/17538157.2021.1941974Links to an external site.
    • Please accept my gratitude for the information you’ve provided. The study of effective communication and its use in nursing informatics has received a lot of attention in recent years (Ahields, P.,2020). The converse is true, however: digital communication is where we are and where we are going. I agree that patient safety could be improved through interactional improvements made possible by technological tactics. The COVID-19 pandemic exposed a critical weakness in Peru’s nursing informatics system (Curioso, W. H., Pena-Ayudante, W. R., & Oscuvilca-Tapia, E., 2001). Telecommunication was the main method of engagement at this time, however there was a lack of informatics and exchanges due to the disjointed nature of the prevailing infrastructure. Because of this, health informatics is crucial. We hope that we will never reach a stage when we can’t properly care for our patients.
  • Collapse SubdiscussionOdion IsekiOdion Iseki Reply to Comment
  • Dec 14, 2022 at 7:35pm
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  • HOW NURSE INFORMATICISTS AND OTHER SPECIALISTS INTERACTMETHOD FOR IMPROVING THESE INTERACTIONSEXPLAIN HOW THE EVOLUTION OF NURSING INFORMATICS AND NEW TECHNOLOGY MAY AFFECT PROFESSIONAL INTERACTIONS.REFERENCEMacieria, T. G., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenana, G. (2017). Evidence of progress in making nursing praSymposium Proceedings, 2017, 1205-1214. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/221). Clifton, VA: IMIA and IOS Press.van Minde, M. R. C., van Veen-Belle, D. W., Ernst-Smelt, H. E., Rosman, A. N., Raat, H., Steegers, E. A. P., & de Kroon, M. L. A. (2019). Hand Preventive Child Healthcare professionals, a qualitative study. Midwifery, 78, 25–31. https://doi-org.ezp.waldenulibrary.org/10.1016/j.midw
  • Taylor, M. J., Shikaislami, C., McNicholas, C., Taylor, D., Reed, J., & Vlaev, I. (2020). Using virtual worlds as a platform for collaborative meet
  • Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. In J. Murphy, W. Goossen, & P. Weber (Eds.), F
  • Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47.
  • Many healthcare providers use direct methods of contact with patients, like phone calls or handoffs in person, to ensure that patients get the best care, and that information gets to other providers as quickly as possible. Van Minde et al. (2019) says that new technologies like virtual meetings for healthcare providers will improve how doctors and nurses care for patients and share information. Innovative digital and virtual technologies allow for better patient care.
  • While putting information in a digital repository makes it easier to find, Taylor et al. (2020) says that working as a team is the best way to spread that information. It is more difficult for them to collaborate to improve the quality of care due to time restrictions and the fact that certain healthcare professionals work in various parts of the country. (Taylor et al., 2020). (Taylor et al., 2020). When dealing with patients who are especially vulnerable due to their medical condition, language barriers, or lack of education, Virtual collaborative meetings produce the same results as in-person meetings, which can be difficult to obtain in other ways, such as by reading the notes of other healthcare providers (Taylor et al., 2020).
  • People in the health care system must work together and share information to speed up the delivery of quality care. The collaborative team uses the electronic health record to interact with the patient’s data, such as pain rating scores or current symptoms, to figure out the best solution. The nurse is responsible for keeping track of relevant information in the patient’s chart, and the rest of the care team is expected to consult that chart before making any treatment or care decisions (Macieira et al., 2017)
    • Collapse SubdiscussionRoberto MonroyRoberto Monroy Reply to Comment
    • Dec 16, 2022 at 10:07pm
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    • Hello Odion!            I’m glad you mentioned the emergence of digital and virtual technologies; these are other mediums to facilitate communication between healthcare personnel and patients. Most notably, during the Covid-19 pandemic, telehealth helped providers treat patients remotely, reducing the risk of infection and, in addition, keeping their faculty safe (Taberna & Moncayo, 2020). I have used this technology and have found it to be beneficial, saving me waiting times, and is surprisingly affordable. Telehealth is another excellent way communication has changed in recent years; I’m excited to see how this technology evolves.
    • Taberna, M., Gil Moncayo, F., Jané-Salas, E., Antonio, M., Arribas, L., Vilajosana, E., Peralvez Torres, E., & Mesía, R. (2020). The
      Multidisciplinary Team (MDT) Approach and Quality of Care. Frontiers in oncology, 10, 85.https://doi.org/10.3389/fonc.2020.00085
    • Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC public health, 20(1), 1193. https://doi.org/10.1186/s12889-020-09301-4
    • References
    •             Thanks for the read; you have some excellent points, especially about the importance of teamwork. As nurses, we are part of a multidisciplinary team that includes doctors, pharmacists, therapists, and dietitians, to name a few. We are often responsible for coordinating activities amongst the interdisciplinary team; we are said to be “the anchor” that holds this team together (Taberna et al., 2020). As you said, every patient is unique in their medical conditions and social determinants; therefore, communication and collaboration between healthcare professionals are essential to improve the quality of care received.
    • Edited by Roberto Monroy on Dec 16, 2022 at 10:08pm
    • Collapse SubdiscussionIrvin Michael JonesIrvin Michael Jones Reply to Comment
    • Dec 17, 2022 at 2:46pm
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    • Hi Odion,References        physicians communicate, reach out. Ophthalmology Times, 45(13), 36.        review of best practices. International orthopaedics, 44(8), 1461-1466.
    • Rubinger, L., Gazendam, A., Ekhtiari, S., Nucci, N., Payne, A., Johal, H., & Bhandari, M. (2020). Maximizing virtual meetings and conferences: a
    • Rosenfeld, J. (2020). Using electronic health records to reach vulnerable patients during COVID-19: EHR system has capabilities that can help
    • Health care professionals often work in high stress environments and working as a team is very important in achieving any goals set by the organization. I also found that working as a team is the best way to spread information as well, especially when you are able to utilize the assistance of a nurse informaticist. You bring up a good point that teams in the health care setting can utilize electronic health record systems to interact with patient data as well as to communicate pertinent information to one another. Rosenfeld (2020) states electronic health records are capable of being used as a communication tool for health care organizations to send pertinent information to patients such as preventative health tools, appointment reminders, as well as direct communication with their providers. In my experience, the electronic health record system that I used in the nursing home was capable of allowing staff members to send secure messages to one another while tagging patient information at the same time. It was a valuable tool that could be used by the interdisciplinary team when needing to communicate regarding patient concerns. As you mentioned, virtual meetings provide the same results as in-person meetings so we would often communicate through the EHR and through virtual meetings especially because of COVID-19. Rubinger et al. (2020) states virtual meetings can be beneficial as long as the objectives for the meeting are organized prior. With technology continuing to evolve I expect to see more virtual collaborations when utilizing teams in health care.
  • Collapse SubdiscussionSimranjeet BrarSimranjeet Brar Reply to Comment
  • Dec 14, 2022 at 7:49pm
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  • Main postTo achieve optimal results in nursing, it is necessary to work together with a wide variety of interested parties. Being so reliant on teamwork to achieve goals, it stands to gain the most from new tools designed to streamline collaborative efforts. Various facets of patient management are improved with the help of nursing informatics, which has developed as an enabling technology. By streamlining the transfer of patient data into electronic health records, nursing informatics helps doctors make more informed decisions more quickly (McGonigle, & Mastrian, 2022).

    As soon as a patient enters a hospital, they begin interacting with nursing informatics. When patients come in, they are greeted by the same employees who are also responsible for entering their information into the system. They also send patients to the triage area so that their vital statistics can be entered into the appropriate medical and hospital databases. The demographics, blood sugar, blood pressure, and heart rate of a patient are all part of the information that must be entered successfully. All diagnostic tests are entered into the system, and all treating physicians have instantaneous access to the results and any submitted drug suggestions (Mosier, Roberts & Englebright, 2019).

    Technology plays an essential role in the retention of data and the acceleration of processes by removing unnecessary delays, making it central to the pursuit of excellence in healthcare facilities’ strategies and methods of improvement. According to some estimates, errors in healthcare systems might result in considerable financial losses and even human deaths (Macieria et al. 2017). By entering patient data into the system, providers will always have access to it, and unnecessary steps will be cut out of the process, speeding up service dramatically.

    As nursing informatics becomes increasingly integrated into a variety of healthcare settings, collaborative efforts improve and manual processes become less common. When routine tasks are automated, nurses have more time to focus on providing lifesaving treatment, which improves both productivity and outcomes. Procedures will be carried out with minimal effort, guaranteeing top performance on assigned duties.                                                                                                  ReferencesMcGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership Links to an external site.. JONA: The Journal of Nursing Administration, 49(11), 543-548.
  • Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/Links to an external site.
  • Collapse SubdiscussionBenedicta KwevieBenedicta Kwevie Reply to Comment
  • Dec 14, 2022 at 8:38pm
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  • Week 3 Main PostInteraction Between Nurse Informaticists and Other Specialists             An open-door policy by the Nurse Informaticist whereby health professionals can come to them with any challenges at any time will significantly improve the interactions between the Nurse Informaticist and the other Healthcare professionals. My healthcare facility uses the TC51 for daily nursing work, such as giving medication, lab work, and communicating with other healthcare professionals. When we need them, the nursing informaticists have virtual meetings to help us with any problems we have with equipment. This is not ideal, as when they explain what we need to do, we might not understand and have to wait a while before we can get anyone to help us. Let’s say the informaticists roll out a new workflow. When they do, and we do not have anyone skilled enough to explain the program, it could slow down and even stop people from helping patients. This can be improved by changing the meetings from virtual to in-person. By doing this, if we do not understand their instructions, they can help us with any problems we have. They can show us what to do, so if this happens another time, we might have an idea of how to solve the problem. Alternatively, there could be regularly scheduled clinical informatics meetings with relevant stakeholders in the facility in which participants are invited to express any concerns or ideas they may have and have any misconceptions cleared.Impact of continued evolution of Nursing Informatics on professional interactions  Grenuk, J. S. (2019). How Nursing Informatics Improves Patient Care. Retrieved on 12/12/2022 from https://tigerconnect.com/blog/how-nursing-informatics-improves-patient-care/Links to an external site.McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.Walden University. (2022, October 22). What Does a Nursing Informatics Specialist Do? https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/msn-nursing-informatics/resource/what-does-a-nursing-informatics-specialist-doLinks to an external site.What Does A Data Specialist Do. (2020, October 2).
  • https://www.zippia.com/data-specialist-jobs/what-does-a-data-specialist-do/Links to an external site.
  • References
  •             In my opinion, as Nursing Informatics continues to evolve, it will bring about increased cohesion among health and technology professionals due to increased communication between them. Also, there would be fewer instances of healthcare delivery errors, which would also lead to better nursing care being made to patients based on easily accessible records showing evidence-based practices. The Nurse Informatics Specialist at my healthcare facility serves as a liaison between nursing and information technology. They inform nursing about new workflows and guide new technology processes. I believe they should have a seat at the table because in this era of technology, they will make working as a nurse easier and more efficient because they are trained to be skilled in maneuvering the newer age of technology.
  • Strategies to improve interactions
  •            By the nature of their job, nurse informaticists have to interact with almost all Healthcare professionals (such as nurses, doctors, laboratory technicians, etc.) and data and technology professionals. The Nurse Informaticist acts as a bridge between the two disciplines, facilitating communication between them (www.waldenu.edu, 2022). When Healthcare professionals work in tandem with Nurse Informaticists and technology professionals, patients receive better overall health services, and potential problems with the Healthcare delivery system are identified and avoided (McGonigle & Mastrian, 2022; Grenuk, 2019). According to (What Does a Data Specialist Do, 2020), “Their primary responsibility is to ensure the accuracy of every inputted data point and verify its authenticity by reaching out to clients or using specific software.” Both nurse informaticists and data/technology specialists manage the data and information of each patient. Let’s say you have a patient you have taken their history and saved in a file. The same patient then gets admitted again a few months later, but you are having trouble locating their file due to some new equipment installations and system updates. Nurse informaticists, data specialists, and technology specialists can help you locate the patient’s file and enter any new information. In my facility, the Nurse Informaticist’s main area of concern is the Electronic Health Record (EHR) system, facilitating the creation of records for new patients and effective access and transfer of records between nurses, physicians, and other relevant health personnel. They also have virtual meetings and conferences to help communicate with other professionals and team members.
  • Collapse SubdiscussionChristiana NuworsooChristiana Nuworsoo Reply to Comment
  • Dec 14, 2022 at 9:11pm
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  • Initial Post Nurse informatics and/or data or technology specialists work behind the scenes.  They are the ones in the background, ensuring that the integration of technology, information, and nursing sciences are working cohesively. It is infrequent that they are seen on the floor; however, I have seen them working with information technology (IT) and nursing education teams in my organization. Nurse informatics and the IT team ensure that all systems are accurately configured and maintained and that users use them correctly without errors (McGonigle & Mastrian, 2022).  As a result, I have only had the privilege to interact with them and see their interactions with others when a new technological process is being introduced and taught. Based on my brief and minimal interactions, it is very apparent that they are experts and well-versed in their craft.  And those that worked on the floor before becoming informatics have an almost familiar interaction with other nurses.  In general terms, their interactions with other professionals have been on a teaching and educational level.Another point to consider is that as technology evolves, there will be a need for more nursing informaticists, which will take nurses away from the bedside and add to the current nursing shortage that has yet to be resolved.  Nurse informaticists are no longer involved in direct patient care (Paton, 2019).  Future competencies require that nurses, other clinicians, and patients may need to engage and assume responsibility independently and/or interdependently for specific data (Nagle et al., 2017).  In addition, as we move towards virtual patient care, professionals will also be interacting in the same way; however, it is a more efficient way of interacting in a professional setting.  Just as a language line connects a non-English speaking patient with a remote translator, NI could also convey their teaching similarly.  It is a matter of gaining something to lose another.ReferencesNagle, L., Sermeus, W., & Junger, A. (2017).  Evolving Role of the Nursing Informatics Specialist Links to an external site.Links to an external site.. In J. Murphy, W. Goosen, &  P. Weber  (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REFLinks to an external site.Sensmeier, J., & Anderson, C.  (2020). Tracking the impact of nursing informatics. Nursing Management (Springhouse): 51(9), 50-53.
  • Sweeney, J. (Feb, 2017). Healthcare Informatics. Online Journal of Nursing Informatics (OJNI), 21( 1).
  • Paton, F. (2019). Nursing Informatics and Nurse Informaticists: A Career Guide. Retrieved 12/14/2022 from                   https://nurseslabs.com/nursing-informatics-nurse-informaticists/Links to an external site.
  • McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  • Nursing informatics as a specialty and/or the continued emergence of new technologies plays a crucial role in healthcare (Sensmeier & Anderson, 2020). For the betterment of quality patient care, nursing informatics and/or evolving technology will continue to develop new and better ways to integrate information science and nursing care. The impact on the future is going to be both positive and negative.  The impact will be positive because evolving technologies will continue to offer new and more efficient patient care.  However, there is a negative aspect, as with everything in life.  Direct patient interaction will be significantly affected as we move towards a more technologically-inclined era.  I foresee an era where everything is virtual and less personal interfaces.
  • It is not difficult to see the apparent benefits that informatics presents and continues to offer healthcare.  Informatics in healthcare allows for integrating healthcare science, computer science, information science, and cognitive science to help manage healthcare information (Sweeney, 2017).  Therefore, nursing informatics (NI) is a specialty specific to nursing practice that incorporates nursing science with healthcare informatics to manage and communicate data, information, and knowledge (Sweeney, 2017).
    • Collapse SubdiscussionJamee Renee LinnenbrinkJamee Renee Linnenbrink Reply to Comment
    • Dec 15, 2022 at 3:43pm
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    • Christiana, The continued growth of technology does push toward virtual care of the patients. However, the authors of The Future of Nursing Informatics in a Digitally- Enabled World (2021) stated the nurse’s traditional patient and family advocacy role will remain important, as policy, regulatory and ethical challenges arise from the development and use of these emergent digital technologies. I could not agree with this more. It is so important that we remember that the role of the nurse doing direct patient care. JameeBooth, R., Strudwick, G., McMurray, J., Chan, R., Cotton, K., & Cooke, S. (2021). The future of nursing informatics in a digitally-enabled world.             In Introduction to nursing informatics (pp. 395-417). Springer, Cham.
    • Karp, Eva L. DHA, MBA, RN-C, FACHE, SVP; Freeman, Rebecca PhD, RN; Simpson, Kit N. DrPH; Simpson, Annie N. PhD. Changes in Efficiency          and Quality of Nursing Electronic Health Record Documentation After Implementation of an Admission Patient History Essential Data Set.          CIN: Computers, Informatics, Nursing 37(5):p 260-265, May 2019.
    • References
    • You stated that your nursing informatics team works with your IT team closely behind the scenes. At my facility they work very closely with quality improvement as well. They help graph and send out the information that is collected with the programs they have in place. Do they do the same at your facility? Quality improvement departments can work closely with nursing informatics and IT to integrate effective and necessary programs onto the EHR to help collect information beneficial for patient safety and satisfaction (Karp et al, 2019).
      • Collapse SubdiscussionChristiana NuworsooChristiana Nuworsoo Reply to Comment
      • Dec 18, 2022 at 9:54am
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      • Jamee,
      • Thank you for your input.  To answer your question, in my organization, the IT and educational teams have their own quality improvement teams, including the nurse informaticist.  They are responsible for making sure things work together as a unit and if something is amidst, they correct it.  They constantly look at data and analyze which is working well, which needs improvement, and which isn’t working and need to be eliminated altogether.
    • Collapse SubdiscussionOdion IsekiOdion Iseki Reply to Comment
    • Dec 16, 2022 at 5:51pm
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    • Hello Christina,References
    • McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
    • i agree with you, Nurses that specialize in data and technology are called “nurse informaticists.” They are the unseen heroes who keep things running smoothly in the background by coordinating technology, data, and nursing science. Aside from the IT and nursing education teams, the writer rarely sees them in the field. (McGonigle & Mastrian, 2022) The IT department and the people in nursing informatics ensure that the system is set up correctly and works well.
  • Collapse SubdiscussionMleh PorterMleh Porter Reply to Comment
  • Dec 14, 2022 at 9:46pm
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  • Interaction Between Nurse Informaticists and Other ProfessionalsStrategy to Improve the InteractionEvolution of Nursing Informaticist ProfessionReferencesHealthcare Information and Management Systems Society. (2022, June 29). What is nursing informatics? https://www.himss.org/resources/what-nursing-informaticsSipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252–256.
  • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: The role of executive leadership. The Journal of Nursing Administration, 49(11), 543–548. https://doi.org/10.1097/NNA.0000000000000815
  • Alexander, S., Ng, Y. C., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209–213. https://doi.org/10.1097/CIN.0000000000000445
  •       Healthcare technology is constantly evolving to improve patient care and safety. The COVID-19 pandemic saw increased use of telehealth and other technological advances to meet the population’s growing needs. There are opportunities to use mobile technologies to improve the healthcare needs of patients. Nursing informaticists have the clinical knowledge and technological skills to impact the design and delivery of healthcare applications (Alexander et al., 2018). As technology advances, the interaction between nurse informaticists and other healthcare providers will also expand. Increased collaboration with nurse informaticists and other healthcare team members will also improve the efficiency of the healthcare team and patient care. Nurse informaticists help to enhance the workflow of the healthcare team and enable best practices to be implemented by the health team through the effective use and management of technology (Healthcare Information and Management Systems Society, 2022).
  •      Although Nursing informaticists work with the healthcare team to bring together the clinical and technical aspects of healthcare, some strategies can help improve their interaction with the healthcare team (Healthcare Information and Management System Society, 2022). One strategy for enhancing the interaction between nursing informatics and other healthcare team members is strengthening the communication channel. The nurse informaticist must understand the challenges of the healthcare team to help the healthcare team use technology more efficiently. With the nursing staff, nurse managers can help communicate the needs of the nursing staff to the nursing informaticists. Nursing leaders have a broad understanding of nursing care and can play a vital role in improving this interaction (Mosier et al., 2019). Recently, I had to schedule an appointment with a nurse informaticist at my organization. Although it was challenging to connect with a nurse informatics professional, communicating with my nurse leader facilitated the process.
  •       Nursing Informaticists are nursing professionals who combine their knowledge and skill of nursing and information science to identify, manage and communicate data to improve nursing practice. Collaboration between nurses and the nurse informaticist improves the nursing process and patient care (Mosier et al., 2019). Nursing informaticists support nurses, patients, and other healthcare team members in their decision-making process to make each team member more efficient by ensuring that healthcare technologies are used safely and effectively (Sipes, 2016). In my current healthcare organization, nursing informaticists collaborate with the healthcare team. Nurse informaticists meet individually with new hires and help them log in and navigate the organization’s EHR system. The healthcare organization recently switched its EHR system to Cerner. Nurse informaticists were there to help with the transition process, providing nursing staff and other healthcare team members with education offered in group and individual sessions to help the healthcare team navigate this new system.
  • Collapse SubdiscussionMansong NtekimMansong Ntekim Reply to Comment
  • Dec 14, 2022 at 10:13pm
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  • Interaction Between Nurse Informaticists and Other SpecialistsIn my place of employment, we have a team of nurse informaticists all of whom are bachelor’s degree holders in informatics. One of them is a colleague I worked with on a unit as an associate degree nurse. We took our bachelor’s degree together and she opted to do nursing informatics while I did my BSN. She was hired into the nursing informatics unit upon graduation. My interaction with nursing informaticists at my job is limited to attending training sessions where they spew out tons of information from data collected through a certain period and minor support issues. I often see them walking around with a clipboard in hand and consulting with various disciplines in the facility. The interaction between the nurse informaticist and members of other disciplines was mainly the collection of data, assisting with the introduction and usage of new technologies and systems. Their role was more relevant in February 2022 when the facility transitioned from the former EMR system (Centricity) to EPIC. The nurse informaticists spent a lot of time with different disciplines gathering input on the format and layout of the documentation system and changes that should be included in EPIC or removed from the former EMR system. The nurse informaticists spent time training the staff on the use of the new EMR system, and are available to support staff that has difficulty with the usage of the system. Beyond their support role for issues of system usage, the team collects data on staff certifications and sends out reminders as to renewals of professional certifications. Any staff with expired certification is denied access to the system on the day of the expiration of the certification.Nursing informatics will continue to adapt and continue to influence professional interactions in healthcare units and provide a framework for effective treatment delivery by making vital data obtained from such systems available and providing insights that assist decision-makers such as doctors, nurses, healthcare facilities, and health policymakers (Yogesh and Karthikeyan, 2022)ReferencesBooth RG. Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment. Nursing Leadership (Tor Ont). 2016;28(4):61-9. doi: 10.12927/cjnl.2016.24563. PMID: 27122092.  .
  • Yogesh MJ, Karthikeyan J. (2022). Health Informatics: Engaging Modern Healthcare Units: A Brief Overview. Front Public Health. 2022 Apr 29;10:854688. doi: 10.3389/fpubh.2022.854688. PMID: 35570921; PMCID: PMC9099090. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9099090/Links to an external site.
  • Ball, M. (2005). Nursing Informatics of Tomorrow. HealthCare Informatics, Feb 2005. Retrieved from http://www.providersedge.com/ehdocs/ehr_articles/Nursing_Informatics_of_Tomorrow.pdf
  • The proliferation of the use of technology in healthcare settings and society at large has greatly influenced nursing informatics in many ways and nursing informatics as a profession is at the crossroad of multiple challenges related to its knowledge base, established values, and its future direction (Booth, 2016). Improving the interaction between nurse informaticists and other disciplines will require regular meetings with other teams to listen to their grievances and work to improve the differences. One major complaint from teams against the nurse informaticists is the long delay in support time. Meeting with other teams will allow them to intimate other teams about the problems that create the delays.
  • Health informatics is a recent subject and numerous stakeholders participate in designing and implementing sustainable public health systems and policies for the good of society as a whole (Yogesh and Karthikeyan, 2022). Patient care is an interdisciplinary process requiring an interdisciplinary approach to documentation, data collection, and analysis. Systematic data collection reduces paperwork redundancy and improves the quality of care and fiscal efficiency. Single-entry data sets can save staff time by directly supporting reporting requirements that involve patient classification, acuity level, productivity, quality of care, decision support software, and financial analysis. Information entered by other healthcare professionals is seldom integrated into physician and/or nursing documentation. These silos of information by discipline do not lead to the best care plan. Data generated by any one group that may be of interest to other groups should be integrated, easily accessible, and visible as patient-centric information (Ball, 2005).
    • Collapse SubdiscussionAdrienne AasandAdrienne Aasand Reply to Comment
    • Dec 16, 2022 at 8:21pm
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    • Response #1:       Thank you for your post.  It is interesting to hear about how you interact with nurse informaticists where you work and that you have trainings with them.  We do not have anything like this where I work.  If presented correctly, this information would be beneficial for nurses.  I appreciate your suggestion that the nurse informaticists should have regular meetings with teams to address concerns or questions they have about the technology they work with.  This will improve communication and assist in learning new technologies.  To add to your strategy, I recommend that the nurse informaticists hold regular trainings with nurses based on the current need, trainings could be in person or web based.  To successfully train nurses on any new technology, training should be adjusted based on nurses’ feedback, and content should be tailored to the nurses’ role (Rodriguez et al., 2021).  Surveys should be given to nurses to determine where training is needed.  The nurse informaticist has many roles, one important role is educator.  The success of a new technology in a hospital or clinic is directly related to the education and training that is provided for end users (McGonigle & Mastrian, 2022).        Nursing, 36(4), e18-e19. doi.org/10/1016/j.jopan.2021.06.058
    • McGonigle, D. & Mastrian, K. (2022). Nursing informatics and the foundation of knowledge (5TH ed.). Jones & Bartlett Learning.
    • Rodriguez, T., O’Hara, K., McKanna, T., Decker, S. (2021). Implementing a new EMR. How should we train the staff? Journal of PeriAnesthesia
    • Mansong,
    • Collapse SubdiscussionRoberto MonroyRoberto Monroy Reply to Comment
    • Dec 17, 2022 at 7:41pm
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    • Hello Mansong,            As you mentioned, there are many benefits to electronic data collection; it saves time and increases productivity and quality of care. I wonder why such a system has not been implemented in my clinical setting. According to Kariotis et al. (2022), electronic health records were problematic to use in mental health settings as they disrupted workflow due to inadequate templates, care plans, and clinicians’ improper use. I see how mental health differs from other types of nursing, and charting systems may not work interchangeably. Software should be specific to each individualized hospital’s needs. I agree with your last point; nursing informatics will continue to evolve; it is only a matter of time before every specialty has its own EHR/EMR.Kariotis, T. C., Prictor, M., Chang, S., & Gray, K. (2022). Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review. Journal of medical Internet research, 24(5), e30405. https://doi.org/10.2196/30405Links to an external site.
    • McGonigle, D. & Mastrian, K. (2022). Nursing informatics and the foundation of knowledge (5TH ed.). Jones & Bartlett Learning.
    • References 
    •             Indeed, the role of an informaticist is crucial in today’s healthcare system. They facilitate communication between staff and technology to prevent errors and keep patients safe through their systems. (McGonigle & Mastrian, 2022). Unfortunately, in my mental/behavioral health hospital, we do not have an informaticist and still use paper charting. This is troublesome because paper charting is prone to be hard to read and documentation has been lost either by human error or by falling out of the chart.
    • Collapse SubdiscussionChristiana NuworsooChristiana Nuworsoo Reply to Comment
    • Dec 18, 2022 at 8:12am
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    • Mansong,We have come a long way and are still working towards improving data integration.  I have worked for three major healthcare organizations in Maryland; they all have patient data integration across the board, from the lab, ED, radiology, and others, to ensure seamless information access, which leads to better patient care and outcome.  Building integrated systems of care is one of the many ways hospitals continue to meet the mission of advancing health in America witnessed throughout the Covid-19 pandemic (Pollack, 2021).ReferencesPollack, R. (2021). Perspective: Integrated health systems help enhance value, access for patients and communities.  American Hospital Association. https://www.aha.org/news/perspective/2021-05-21-perspective-integrated-health-systems-help-enhance-value-accessLinks to an external site.
    • Behring, S. (2021). Here are the degree options available to become a nurse informaticist.  All nursing schools. https://www.allnursingschools.com/nursing-informatics/degrees/Links to an external site.
    • Thank you for your post; it was pretty insightful.  For the longest time, I’ve always thought that you need an MS degree to be a nurse informaticist since it is a specialized degree.  And all the nurse informatics I know have MS degrees in which their concentration was in informatics.  After reading your post and doing a little research, I found that all you need is BS to practice as a nurse informatics.  You can be a nurse informaticist with either a BS or master’s degree; however, the majority (about 66%) are MS degree holders (Behring, 2021).
    • Collapse SubdiscussionChristiana NuworsooChristiana Nuworsoo Reply to Comment
    • Dec 18, 2022 at 8:16am
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    • Mansong,We have come a long way and are still working towards improving data integration.  I have worked for three major healthcare organizations in Maryland; they all have patient data integration across the board, from the lab, ED, radiology, and others, to ensure seamless information access, which leads to better patient care and outcome.  Building integrated systems of care is one of the many ways hospitals continue to meet the mission of advancing health in America witnessed throughout the Covid-19 pandemic (Pollack, 2021).ReferencesPollack, R. (2021). Perspective: Integrated health systems help enhance value, access for patients and communities.  American Hospital Association. https://www.aha.org/news/perspective/2021-05-21-perspective-integrated-health-systems-help-enhance-value-accessLinks to an external site.
    • Behring, S. (2021). Here are the degree options available to become a nurse informaticist.  All nursing schools. https://www.allnursingschools.com/nursing-informatics/degrees/Links to an external site.
    • Thank you for your post; it was pretty insightful.  For the longest time, I’ve always thought that you need an MS degree to be a nurse informaticist since it is a specialized degree.  And all the nurse informatics I know have MS degrees in which their concentration was in informatics.  After reading your post and doing a little research, I found that all you need is BS to practice as a nurse informatics.  You can be a nurse informaticist with either a BS or master’s degree; however, the majority (about 66%) are MS degree holders (Behring, 2021).
  • Collapse SubdiscussionErica SchulteErica Schulte Reply to Comment
  • Dec 14, 2022 at 10:51pm
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  • Nurse informaticist interactions with other professionalsOne strategy on how these interactions might be improved.Impact of continued evolution of nursing informatics and new technologiesReferencesMcGonigle, D., & Mastrian, K. G. (2022). Chapter 26/ Nursing Informatics and the realities. In Nursing Informatics and the foundation of knowledge (pp. 612–612). essay, Jones & Bartlett Learning.
  • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing Nursing Informatics Solutions. JONA: The Journal of Nursing Administration, 49(11), 543–548. https://doi.org/10.1097/nna.0000000000000815Links to an external site.
  • Clavelle, J. T. (2018). Leveraging technology to increase patient and family engagement and improve outcomes. Nursing Administration Quarterly, 42(3), 246–253. https://doi.org/10.1097/naq.0000000000000301Links to an external site.
  • The evolution of nursing informatics and new technologies will only continue to increase the efficiency at which data can be gathered, accessed, and distributed.  In addition, it greatly enhances the speed of information flow and data review.  “With a lot of healthcare professionals able to complete data input at point of care, the timeline for data review only improves.” (Clavelle, 2018).  In the scenario above, continuing to improve on the timing and efficiency, regardless of the complexity of a particular case will not only continue to improve performances and the overall team collaboration, but also determine the beset outcomes for specific cases.  “Those who adopt and adapt the latest technologies available will continue to transform healthcare and provide patients with the most advanced care techniques.” (Mcgonigle & Mastrian, 2022).
  • I do believe that there is opportunity to improve the interaction, as well as culture and overall team interaction with the way that case study reviews are measured and discussed as a collaborative team.  Allowing for a top-down approach with executive leadership providing support and guidance and establishing ‘clear lines of responsibility’ as noted in (Mosier et al., 2019).   This type of project approach would allow for an opportunity to improve the entire process.  In this scenario, leadership would act as a ‘steering committee’, to continue to support and drive the vision of the program.  Nurse management would have the opportunity to serve as the ‘technical team’, ensuring that with the new system and technology, parameters were being met even with the new measurement structure.  Doctors would serve as the ‘subject matter experts’, providing an overall guidance and each RN would be referred to as the ‘clinical team’, ensuring that there were efficiencies to the workflow of the project team.  While this delivery would be unique to a standard healthcare system, it would allow for separate parameters to be set by the project team and allow for a more complete measurement of performance.  Not only by the RN but also the entire team’s collaboration efforts as well.
  • My current organization offers a unique perspective to these roles and would not align with most healthcare organizational structures that we are used to as nurses.  Within the healthcare side of insurance, there are constant amounts of informatics that are coming and going, not only related to individual cases but also identifying various trends and consistencies.  Beyond these individual cases though is an additional layer of informatics related to RN performance and case review outcomes.  In this scenario, our management team acts as a nurse informaticist and collects and assesses data on these individual performances on a daily basis.  This creates an interaction that is based on performance data alone.  The issue with the data collected though, is that it does not provide the layer of complexity or difficulty with each case review.  Therefore, the trends can become skewed when just looking at the overall data collected in this area.  This can, in addition to the RN to management interaction, create a negative communication strategy and motivation between RN to management or even to the doctor.
    • Collapse SubdiscussionJamee Renee LinnenbrinkJamee Renee Linnenbrink Reply to Comment
    • Dec 17, 2022 at 10:24pm
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    • Erica, There is always room for improvement in the healthcare process. I really like the model that you presented. During the course of a 4-day hospital stay, a patient may interact with 50 different employees, including physicians, nurses, technicians, and others (O’Daniel and Rosenstein 2018). This takes accurate data collection and input for the communication to work smoothly and effectively. Elysee, G., Yu, H., Herrin, J., & Horwitz, L. I. (2021). Association between 30-day readmission rates and health information technology                                  capabilities in US hospitals. Medicine, 100(8), e24755. https://doi.org/10.1097/MD.0000000000024755Links to an external site.
    • O’Daniel M, Rosenstein AH. Professional Communication and Team Collaboration. In: Hughes RG, editor. Patient Safety and Quality: An                         Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Apr. Chapter 33.
    • References
    • One does not often think of that side of healthcare when it comes to informatics. This is very interesting. The first thing that comes to mind is readmitting people to the hospital. As an emergency room nurse, this topic is very frequently visited. Health information technology is often proposed as a solution to the fragmentation of care and has been hypothesized to reduce readmission risk through better information flow (Elysee et al, 2021). Some EHRs that I work with even have a probability of readmittance percentage calculator on discharge. Even though there are many other outlying factors that clinic information can not account for, such as sufficient home care and the intellectual capacity of the patient, it can be helpful for all the team members to take as guidance before discharge.
  • Collapse SubdiscussionQuenyaita FergusonQuenyaita Ferguson Reply to Comment
  • Dec 14, 2022 at 10:52pm
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  •                 To develop a charting system that worked for my department I had to work with my organizations technology team and nurse informaticists. I found that communicating my needs to the nursing informaticist was a little easier than the data specialist. Nursing Informaticists facilitate communication between nurses and IT (Sipes,2016). Through ought the process, I was able to truly understand the role of a nurse informaticist and appreciated them a lot more.Continued Evolution Mosier, S. , Roberts, W. & Englebright, J.  (2019).  A Systems-Level Method for Developing Nursing Informatics Solutions.  JONA: The Journal of Nursing Administration,  49 (11),  543-548.  doi: 10.1097/NNA.0000000000000815.Wu Y. (2021). Utilization of telehealth and the advancement of nursing informatics during COVID-19 pandemic. International journal of nursing sciences, 8(4), 367–369. https://doi.org/10.1016/j.ijnss.2021.09.004
  • Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.
  •                                                                                                                          References
  •               Nursing Informatics has advanced passed EHR implementation. During the pandemic specialists were forced to step out of their comfort zone to create a system that could benefit our new norm.  Nursing Informaticist played an impertinent role in establishing new clinical workflows (Wu,2021). Although telehealth was utilized by many prior to the pandemic, nursing informaticists has taken it to new levels. Operational efficiencies are at it highest.
  •               The collaboration with the specialist was straightforward and my department needs were met however, the process could have been accelerated. The process included many emails between our technology team and the nurse informaticist.  At times my needs weren’t always clear, through email. A strategy that would have made the process easier, would have been a meeting with all parties, instead of so many email correspondences.
  •                Within my healthcare organization, nurse informaticists and data specialist play a crucial role.  As an organization we depend on our nurse informaticist for accurate information and to communicate with the technological team (Mosier et al. 2019).  In my professional experience, I’ve had to collaborate on many occasions with nursing informaticist.  With my lactation department being new to the organization, ensuring the appropriate data and programs are available are important.  Prior to our collaboration, my department didn’t have a designated place in our electronic health record to chart interaction with patients. Consultants would utilize a flowsheet note for documentation.
  • Experience and Collaboration
    • Collapse SubdiscussionIrvin Michael JonesIrvin Michael Jones Reply to Comment
    • Dec 16, 2022 at 1:26pm
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    • Hi Quenyaita,References        https://doi.org/10.1097/01.NUMA.0000694880.86685.c1        Electronic Health Records on Hospital Patient Safety. International Journal of Environmental Research and Public
    •          Health, 19(19). https://doi.org/10.3390/ijerph191912525
    • Trout, K. E., Chen, L.-W., Wilson, F. A., Tak, H. J., & Palm, D. (2022). The Impact of Meaningful Use and
    • Sensmeier, J. (2020). Tracking the impact of nursing informatics. Nursing Management, 51(9), 50–53.
    •         Planning and successfully implementing a new charting system for a department within a healthcare organization is certainly a daunting task, but as you mentioned having nurse informaticists on the team is crucial. The nurse informaticist collaborates with the rest of the nursing team by managing data and bridging the gap between practice and information technology (Sensmeier, 2020). Earlier this year I also needed to assist my organization in implementing a new charting system which required extensive assistance from nurse informaticists. In my interactions with the nurse informaticists versus the information technology department I felt that communication was much easier with the nurse informaticist as they understood more of the nursing terminology. It made communicating the needs for the project a lot easier as the informaticist was able to explain things in a way that made nursing staff understand the potential outcomes for the project. Trout et al. (2022) states electronic health record systems have improved overall efficiency, patient safety, and quality of patient care. Utilizing a team that includes a nurse informaticist is important to ensuring the electronic health record is implemented correctly and developing adequate communication with your nurse informaticist will ensure project success as well.
    • Edited by Irvin Michael Jones on Dec 16, 2022 at 1:29pm
    • Collapse SubdiscussionBenedicta KwevieBenedicta Kwevie Reply to Comment
    • Dec 17, 2022 at 5:54pm
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    • Hello Quenyaita Mack, J. R., PhD. (2022, July 25).https://onlinedegrees.sandiego.edu/health-informatics-impact-covid-19/Links to an external site.The informatics nurse specialist role in electronic health record usability evaluation.
    • https://pubmed.ncbi.nlm.nih.gov/24473121/Links to an external site.
    • Rojas, C. L., & Seckman, C. A. (2014).
    • How the COVID-19 Pandemic Brought Health Informatics to Center Stage. University of San Diego Online Degrees.
    • References
    • I enjoyed your post. Collaborating and communicating with nurse informaticists can help with work ethic and organization. As you said that your department did not have a place for chart interaction with patients, nursing informaticists can help with that because they have a strong knowledge and understanding of workflow and the numbers behind patient care (Rojas et al., 2014). I agree that the pandemic has caused some aspects of nursing to change and update drastically. According to an online entry, “The pandemic underscored the opportunity and importance of the health informatics discipline, as demonstrated by the widespread utilization of health informatics applications like telehealth, remote patient monitoring, patient engagement, AI-based drug discovery, precision medicine and clinical decision support.” (Mack, 2022). The pandemic has given so many opportunities for nurse informatics to better work systems and programs.
  • Collapse SubdiscussionRoberto MonroyRoberto Monroy Reply to Comment
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  •          In my facility, we use MIDAS, a data-collecting tool, to report medication errors, incident reports, injuries, and changes in patient condition to our multidisciplinary team. The interdisciplinary team then reviews the data collected and determines if any changes to treatment are needed; physicians may make medication adjustments, precaution changes, or order therapy sessions. Effective communication between the multidisciplinary team provides clarity in the patients’ treatment, prevents errors, and facilitates teamwork and collaboration (O’Daniel & Rosenstein, 2008).         Some strategies I suggest are an easy access key, which would allow staff to enter the system with the click of a button rather than remember a password. Also, instead of a universal report, I would implement a menu to choose what type of incident occurred and personalize each incident report with pertinent information only so as not to overwhelm the staff entering the data. Lastly, I would make reports more accessible to be edited as not all data is readily available at the time of submission. McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the
    foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  • O’Daniel, M., & Rosenstein, A. H. (2008). Professional Communication
    and Team  Collaboration. In R. G. Hughes (Ed.), Patient Safety and
    Quality: An Evidence-Based Handbook for Nurses    . Agency for
    Healthcare Research and Quality (US).
  • References
  •          The evolution of nursing informatics and the emergence of new technologies will profoundly affect professional interactions. One technology that stuck out is augmented reality (AR) in health care. AR can produce objects and simulations in real-world environments through holograms; these virtual experiences help enhance procedures, diagnostics, and learning in healthcare personnel and students (McGonigle, & Mastrian, 2022). Envisioning a day when a physician can project a hologram to explain a procedure is exciting to me; the future of healthcare technology looks bright.
  •          One downfall of this system is the amount of time and difficulty it takes to make a report. Passwords are shared among the whole facility, and often the program is locked out by staff who incorrectly enter the password. Once inside the program, numerous drop-down menus are small and easy to miss when entering data; these universal electronic reports may ask for information not pertinent to the situation, leading to more confusion. Also, once submitted, these reports cannot be edited, and if changes were to be made, an entirely new report would have to be generated, leading to more frustration.
  • Edited by Roberto Monroy on Dec 16, 2022 at 8:11pm
    • Collapse SubdiscussionJodian WalfordJodian Walford Reply to Comment
    • Dec 16, 2022 at 11:37pm
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    • Hi colleague Nurses are uniquely positioned to be leaders in how this technology is organized and implemented for the patient’s betterment (Huston, 2013). Teamwork and a collaboration are vital part of nursing as its promoter better patient care. The evolution of nursing informatics and the continuous growth and development of new technologies promote healthcare. The integration of technology into health care has had a great impact on the quality-of-care patient receive. The multiple disciplinary teams have access to EHR system, which save time, lives and help in eliminating human errors. EHR allows for easy access of information from all departments within the health field and decrease the need for unnecessary testing. One way to improve the efficient distribution of the information that is gathered on the inpatient unit would be to ensure that information is shared between disciplines and professions with compatible organizational approaches (Nordsteien & Bystrom, 2018).Huston, C. (2013). The impact of emerging technology on nursing care: Warp speed ahead. The online Journal of Issues in Nursing, 18(2)
    • Nordsteien, A., & Bystrom, K. (2018). Transitions in workplace information practices and culture: The influence of newcomers on information use in healthcare. Journal of Documentation, 74(4), 827–843. 
    • References
    • I agree with the strategies that you have suggested especially one of remember a bottom rather than an entire password in my work place we use Cener system and in this system, we have to have 12-character passwords and it has to be changed after 90 days. Can really be a task to remember at times but I understand it promote confidentiality.
    • Collapse SubdiscussionErica SchulteErica Schulte Reply to Comment
    • Dec 17, 2022 at 10:37pm
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    • Response #2 – Roberto MonroyIn addition, your experience would suggest the need for new technology and additional organizational support.  While the growing and improving world of technology and available EHR can improve the negative experience you’re having, there still needs to be a level of support.  A high level of support from both colleagues and organizational leadership is necessary to maintain a positive experience of new technology amongst healthcare professionals.  (Konttila et al., 2018).  Hopefully, this is something that can take place within your organization as well if it is not.  Gerup, J., Soerensen, C. B., & Dieckmann, P. (2020). Augmented reality and mixed reality for Healthcare Education Beyond Surgery: An integrative review. International Journal of Medical Education, 11, 1–18. https://doi.org/10.5116/ijme.5e01.eb1a
    • Konttila, J., Siira, H., Kyngäs, H., Lahtinen, M., Elo, S., Kääriäinen, M., Kaakinen, P., Oikarinen, A., Yamakawa, M., Fukui, S., Utsumi, M., Higami, Y., Higuchi, A., & Mikkonen, K. (2018). Healthcare professionals’ competence in Digitalisation: A systematic review. Journal of Clinical Nursing, 28(5-6), 745–761. https://doi.org/10.1111/jocn.14710
    • Resources
    • Hello Roberto, I could not help but be intrigued by your comments regarding AR.  In reading further about the potential benefits of AR, I certainly agree the future could be extremely bright!  There are efforts to not only utilize AR within educational settings but surgery and operations as well.  Based on writings and research by (Gerup et al., 2020), there is a lot of hope and excitement surrounding this technology but also still a lot of opportunities to be improved.
  • Collapse SubdiscussionRemi Oluremi OjoRemi Oluremi Ojo Reply to Comment
  • Dec 14, 2022 at 11:08pm
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  •  Interaction between nurse informaticists and other specialistsIn my organization nurse informaticists interact with other professionals within the healthcare organization by providing technical assistance, motivating staff members to integrate new technology systems into their daily practice, they educate the new employees on how to use the EHR, and periodically educating all staff members on a new update on the EHR. My first personal experience with the nurse informaticist in my organization was during my orientation, I had three days of training in how to navigate through the EHR system. They explained how processes like admissions, discharges, and medication documentation are done. The incident reports (fall processes, infections) are documented so they can track these events to evaluate the effectiveness of the interventions in place.The impact I believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions is safe and quality healthcare. The integration of healthcare technology has had a great impact on the model of quality and safe patient care. All professionals involved in the patient’s care are engaged through the same EHR system, which eliminates the problem of delays in information transfer. Another impact of technology in the healthcare system is legibility. In the past, illegible handwriting has caused a lot of medication errors. The management of medications through an EHR has reduced medication errors and adverse drug events by 52% (Hoover, 2016). The implementation of EHR flags critical lab values making it possible to be addressed promptly. EHR stores medical results such as lab results, radiology results, and immunizations, making them accessible to all clinicians involved in the patient’s care and thereby reducing the number of duplicate tests and enhancing overall effectiveness. To ensure the security, privacy, and confidentiality of patients, only authorized staff can access the patient’s information. Therefore, the authorized staff is given a user id and password to enable them to access the system (Cherry & Jacob, 2016).Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management (8th ed.). Amsterdam, Netherlands: Elsevier Health SciencesManca D. P. (2015). Do electronic medical records improve quality of care? Yes. Canadian family physician Medecin de famille canadien, 61(10), 846–851.
  • Hoover R. (2016). Benefits of using an electronic health record. Nursing, 46(7), 21–22. https://doi.org/10.1097/01.NURSE.0000484036.85939.06
  • References
  • One strategy on how these interactions might be improved is to involve nurses and other health care professionals early in the system selection and designing process. When healthcare professionals are not included early in the design of the EHR, they are left to deal with the effects of an EHR that is not structured for a proper workflow to provide patient care at a suitable time. Staff should be trained in advance before implementation and provided with continuous support after the EHR is in place (Hoover, 2016).
  • Nursing informatics is an essential part of the healthcare system and has played a major role in the delivery of patient care and healthcare by introducing electronic health records (EHR). Over the past years, medical understanding has improved, and there are more treatment choices available, patients are living longer, and chronic medical conditions are being well managed. Access to information and a multidisciplinary team of specialists and professionals has been made possible through the invention of EHR (Manca, 2015). Nurse informaticists (NI) do their jobs behind the scenes, but their impact is prominent in the health care system. As technology advances, professionals and healthcare organizations gather information and data, then analyze them to track health interventions and outcomes. Consolidating evidence-based practice and informatics can facilitate the provision of quality healthcare outcomes.
    • Collapse SubdiscussionSimranjeet BrarSimranjeet Brar Reply to Comment
    • Dec 17, 2022 at 11:21pm
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    • Hi Remi, Jason, C. (2021). Using team-based approaches to EHR usability, EHR Optimization. EHRIntelligence. Retrieved December 17, 2022, from https://ehrintelligence.com/news/using-team-based-approaches-to-ehr-usability-ehr-optimization
    • Vos, J., Boonstra, A., & Kooistra, A. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Serv Res 20, 676 (2020). https://doi.org/10.1186/s12913-020-05542-6
    • References:
    • Thank you for an informative and thorough post. As you’ve mentioned, all disciplines and professional who participate in patient care are connected through the EHR system eliminating the delays. From admitting to discharging a patient requires ongoing documentation that can be accessed by all healthcare practitioners. Providers have all the facts they need to make an informed choice about a patient’s release from care when the right information is recorded. As the EHR develops, it will be necessary for each multidisciplinary group to learn how to make the most of their specific system. Furthermore, the entire patient file enables cooperative clinical decision making based on shared data, but mutual interpretation of that data is limited by user-interfaces that are specialized for each medical profession. On top of that, not all pertinent information can be easily shared within specialists or with the outside facilities (Vos, et. al., 2020). Providers will need to keep collaborating with informacists in order to improve inter-specialty data sharing in the future. Developing each specialty tab on the dashboard of each computer system may  possibly eliminate data overlapping as a result of this action. Finally, a case study published in the Journal of the American Medical Informatics Association (JAMIA) Open demonstrates the value of a multidisciplinary team approach to EHR optimization in enhancing EHR usability and, in turn, reducing physician fatigue (Jason, 2021). This highlights the need of nurse informacists and the value of maintaining collaboration with the EHR’s creators as the field moves forward.
    • Collapse SubdiscussionChristiana NuworsooChristiana Nuworsoo Reply to Comment
    • Dec 18, 2022 at 9:45am
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    • Remi,I never really saw nurse informatics as motivators, but after reading your post, I understand how much of that they do.  Truth is, not all staff members like process change, especially those who have become comfortable with the previous way. Some people like the status quo and want things to be as they know them.  However, there is no growth without change. References
    • Hoover R. (2016). Benefits of using an electronic health record. Nursing, 46(7), 21–22. https://doi.org/10.1097/01.NURSE.0000484036.85939.06
    • Electronic Health Records (EHR) have been a savior in reducing medication errors.  I don’t even want to imagine trying to read a doctor’s order on a piece of paper, and the writing is eligible; in an emergency, I don’t see that ending well.  More than 60% of medication errors were traced to poor handwriting (Hoover, 2016).  Depending on the size of the healthcare establishment used, that can only have a detrimental effect on the patients.  Nurse informatics are best suited to teach and help other nurses and professionals get acclimated to these new technologies because they have been on the user side and know how to help other professionals understand better.
  • Collapse SubdiscussionJodian WalfordJodian Walford Reply to Comment
  • Dec 16, 2022 at 11:23am
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  • Nurses with informatics experience increase patient outcomes and add the quantity of care to the institutions as it broadens the prospects of enhancing patient care and promoting better communication within the medical profession and patients’ relationship. According to American Nursing Association, (2014) Nursing Informatics is “A specialty that integrates nursing science and computer science to manage and communicate data, information, and knowledge in nursing practice.” During the orientation phases, I went through a one-week training of Cerner system in which a training portal mimics the actual system used. This was quite helpful in learning the system. It could have improved with an Informatics nurse coming to the units or being available to answer the question in real-time as one used the existing system and went through the system’s actual process opposed to hypothetical scenarios only.   Teamwork and a collaboration are the foundation of nursing as it promotes high-quality patient care. one way to improve the efficient distribution of the information that is gathered on the inpatient unit would be to ensure that information is shared between disciplines and professions with compatible organizational approaches (Nordsteien & Bystrom, 2018). Nurses gather baseline information and history and input it into the system doctors see the same and analyze the data. The multidisciplinary team plans all departments can access to fulfill their part. For example, if medications are ordered, the pharmacy dispenses medication, or the lab can facilitate the process if X-rays are ordered. Informatics speeds up the processes and eliminates unnecessary delays that may add up costs or contribute to even the worst cases of loss of life (Macieria et al. 2017). References2nd ed. Silver Spring, MD: ANA; 2014.Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G.(2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/Links to an external site.Nordsteien, A., & Bystrom, K. (2018). Transitions in workplace information practices and culture: The influence of newcomers on information use in healthcare. Journal of Documentation, 74(4), 827–843. 
  • www.emeraldinsight.com/0022-0418.htmLinks to an external site.
  • McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
  • Cipriano, P. E. & Murphy, J. (2011). Nursing informatics. The future of nursing and health IT: The quality elixir. Nursing Economic, 29(5), 282, 286-289
  • American Nurses Association (ANA). Nursing Informatics: Scope and Standards of Practice.
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  • The nursing staff is influential in-patient care as working one, and one with the patient continuously allows for more collection of more vital data that the multidisciplinary team needs to formulate a treatment plan. Advanced Technology has made much of nursing easier and aided in Reducing human errors. Electronic Health Record (EHR) improves our interactions with nursing informatics. Continuing advanced thinking in modern days, professionally trained nurses, and the support of nursing informatics experts will help balance information science and nursing. To ensure that there is better-quality in-service delivery, the nurses must work together with the nursing informatics and technology specialists to ensure a smooth flow in the service delivery (McGonigle & Mastrian, 2017).
  • Currently, I work in a mental health facility that uses EHR Cerner coming from a prior institution that was paper charting exclusively. The system is a recent change for the organization, as mental health specialties delayed incorporating informatics. With covid 19 pandemic, many institutions were forced to transition quicky to continue facilitating the best care for patients. EMR has solved many problems. EMR provides easy access for authorized users and allows for the flow of information specific to the patient treatment, from the nurse at the bedside to the physician prescribing treatment to the pharmacy (Cipriano, 2011).
    • Collapse SubdiscussionAdrienne AasandAdrienne Aasand Reply to Comment
    • Dec 17, 2022 at 6:54am
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    • Response #2:       Thank you for your post.  It was interesting to read about your experience training with the EMR on your unit.  We also use “test patients” and hypothetical scenarios when training on our EMR.  I found the training modules very helpful at first to get used to the system.  I agree with your suggestion that when on the unit working it would be very beneficial to have a nurse informaticist on the unit working with the nurses in real time.  Although the nurse informaticist is not directly involved in patient care, they are still able to enhance patient care and safety by improving the workflow and work processes of nurses (McGonigle & Mastrian, 2022).  By training nurses in real time on the unit with a new technology such as the EMR, the nurse informaticist is contributing to better outcomes for the patients. ReferencesOsajibua, S., Jedwab, R., Calvo, R., Dobroff, N., Glozier, N., Hutchinson, A., Leiter, M., Nankervis, K., Rawson, H., Redley, B., Manias, E. (2021).      Informatics, 284, 510-515. doi.org/10/3233/SHTI210785
    •      Facilitators and barriers to the adoption of an electronic medical record system by intensive care nurses. Studies in Health Technology and
    • McGonigle, D. & Mastrian, K. (2022). Nursing informatics and the foundation of knowledge (5TH ed.). Jones & Bartlett Learning.
    •        Introducing new technology, such as an EMR to a unit can contribute to nurses’ stress and have negative effects on patient safety.  One study I read found that nurses are more likely to believe that new technology training is effective when there is proper education, simulation, staff support, champions and user-friendly computers (Osajiuba et al., 2021).  This is where the role of the nurse informaticist comes in.  Effective technology training will lead to better patient care and safety.
    • Jodian,
    • Collapse SubdiscussionKatrina BrooksKatrina Brooks Reply to Comment
    • Dec 17, 2022 at 1:32pm
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    • Hi Jodian,ReferencesRichman, E. (2019, January 25). Lack of EHRs in mental health care makes it hard to integrate: reportThe Need for Electronic Healthcare Records in Psychiatric Care Settingshttps://www.ntst.com/Blog/2018/The-Need-for-Electronic-Healthcare-Records-in-Psychiatric-Care-SettingsLinks to an external site.
    • https://www.fiercehealthcare.com/tech/lack-ehrs-mental-health-care-makes-it-hard-to-integrate-reportLinks to an external site.
    • Mental health facilities were delayed with incorporating informatics because ” the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009, which was part of the American Recovery and Reinvestment Act of 2009, provided billions of dollars in subsidies for medical providers to purchase and maintain electronic health records, but the act did not make incentive payments available for mental health and SUD providers” (Richman, 2019 ). SUD providers were initially set up this way to avoid information sharing but with COVID it presented a delay in care. Providers have no way of knowing if a patient is receiving SUD treatment unless the patient shares this information, then the provider must take time to contact the treatment facility to verify which can delay treatment. Another reason EHR’s need to be incorporated in all mental health facilities is because “it is common that a person with a mental health issue is more likely to use alcohol or drugs than those not affected by a mental illness, the inability to share an individual’s information within their network of providers creates substantial barriers to providing whole-person care” (The Need for Electronic Healthcare Records in Psychiatric Care Settings, n.d.). Mental health documentation differs from an acute care setting, therefore the right EHR system is needed to involve all healthcare personnel to be able to share information.
  • Collapse SubdiscussionColleen LewisColleen Lewis
  • Dec 17, 2022 at 5:51pm
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  • Main post week 3    Sipes, C. (2016). Project management: Essential Skills of Nuse Informaticiust. Studies in Health Technology and Informatics, 225, 252-256.
  • Taylor, D. D. (2019). A Day in the Life of a Nurse Informaticist. Journal of Informatics Nursing, 4(1), 18-20.
  • Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.
  • References
  • Nurse informaticist would further be supported in their role by collaboration with nurse leaders. The two roles could combine strengths of their individual knowledge and skill base to inform the direction of projects and improve patient outcomes. Mosier et al (2019) writes, “nursing leadership is well poised to influence these processes by virtue of their broad understanding and oversight of nursing care. While not usually engaged in the development of nursing informatics solutions, we propose that executive leadership is necessary to this process”. In conclusion, the collaboration between nursing informaticists and nurse leaders has the potential to improve patient outcomes by combining strengths of leadership, project management, communication with staff, and knowledge of IT uses in healthcare.
  • Tyler (2019) notes that nurse informaticist “manage and coordinate change so that it is less chaotic and more organized. They include staff in as many aspects of the change decisions as possible to make sure the change design has minimal negative effects on the workflow”. This nurse did not have a degree as an informatics specialist, but she was great at managing the projects and had good leadership skills and effective communication. Later, someone else was hired as the IT specialist on staff, and while he was familiar with the system, he wasn’t an effective teacher or leader for projects in improvement of workflow. I think that in hiring staff at healthcare facilities, the skills possessed by the nurse informaticists should include leadership and effective communication. Sipes (2016) writes, “we must assess and understand current competencies/skills, then address gaps in education by developing more relevant curricula that will meet needs of the workforce”. In her article, she emphasizes the importance of project management as an essential skill of nurse informaticists. These skills and competencies include “development/implementation of work plans, design development of systems, function as lead/project manager in all phases of the systems life cycle, and development and implementation of all organizational documents required” (Sipes 2016).
  • Nursing informaticists effect change through communicating often, collaborating with colleagues, managing difficult changes, and education (Tyler 2019). As I worked in a small health clinic for my first couple years as a nurse, I remember frequently asking questions to the nurse informaticist on staff for guidance in navigating the EMR system, Centricity. The pediatric portion of the clinic had only recently been opened, so a lot of changes had to be made to accommodate the new population of patients and the provider preferences. Unfortunately, I frequently encountered issues related to documentation within the system and was constantly in communication with her. This nurse informaticist was extremely knowledgeable of centricity and she helped me with “workarounds” to document when something wasn’t working properly. She often collaborated with me and the two pediatricians for feedback on what to add, how to improve the workflow in the EMR, and what issues we had encountered with documentation.