May 30, | nursing, med, NURS, Paper
Systems Development Life Cycle Discussion Essays
Systems Development Life Cycle Discussion Essays
By Day 3 of Week 9
Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples Systems Development Life Cycle Discussion Essays.
Main post
The Inclusion of Nurses in the Systems Development Life Cycle
The process of system development life cycle usually takes into account for major steps that helps in defining its success; they are analysis, design, development and implementation. If I was part of this system development process firstly I would include two more phases in the overall process, they would be testing process before implementation and maintenance process after implementation. This would help in ensuring that the system that has been developed is completely safe and thoroughly tested before its implementation, as it will bring down the risk factors related to system development and its usage by a huge margin. Further as a nurse I can also contribute to the system development life cycle process by providing inputs from the daily experiences in handling patient on a regular basis. This knowledge input would ensure a practical understanding that would help in improving the overall system development life cycle, further providing flexibility to the structure of SDLC as nurses are continuous contact line between patient and hospital and between changing duty of attendant for patient. This would allow everyone in the process to stay updated with any change related SDLC Systems Development Life Cycle Discussion Essays.
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However in case of absence of participation from nurses in the process of system development life cycle, it can result in development of major gap, as practical knowledge input, testing, implementation and maintenance process will be thoroughly affected, since the contribution of the nurses are major in these segments. This in turn will impact the overall structure along with lack of knowledge input from nurses in SDLC it can also impact the design, which is basic source to successful functioning of SDLC, since nurses are the primary source of contact.
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference
Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit Systems Development Life Cycle Discussion Essays
sample 2
Health care organizations across the country and world are choosing to implement electronic medical records (EMR) into their practice. “ In 2008, The New England Journal of Medicine reported that 82% of EHR users report improved clinical decision-making, 92% report improvement in communication with other providers and their patients and 82% of users report a reduction in medication errors”(Palabindala et al., 2016, p. 1). The choice to move away from pen and paper to a more organized system is based on governmental guidelines and the necessity to keep pace with the demands of safety and the best interest of our patients. Without system-wide input from all end-users, the implementation and results of unilateral decisions could be devastating.
Many organizations realize the importance of EMRs but some don’t understand the consequences of input from nurses during the Systems Development Life Cycle (SDLC). “ Fifty percent of information system projects fail because of a lack of staff acceptance and willingness to use the system.’ A crucial step in the design, implementation, and reception of an EMR is for administrators and project managers to assess the attitudes of all staff within the organization. (“Nursing Leaders Serving as a Foundation for the Electronic Medical Record,” 2012, p. 111). Starting with the planning phase the nurse’s input could shed light on what specific functions are necessary to have and gain buy-in from staff at the beginning Systems Development Life Cycle Discussion Essays. I have never been in the planning stage but have seen nursing administration joining project teams to add input. On an administrative level, the analyst phase is a crucial piece to know. Working with the informatics team to understand what systems interact with each other is key. If one system doesn’t have the correct interface scheduling won’t be able to talk with registration. In wound care our EMR system is separate from the hospital EMR system and without recognition and nursing input data wouldn’t manually flow through. The design and implementation phases are the two most crucial aspects nurses need to be involved with. As nurses make up the majority of end-users in the hospital, their comfort, usability, and comfort with the EMR are critical in its success. “Sociotechnical theory suggests that EHR systems cannot be designed or implemented successfully without thoughtful consideration of the “fit” of the technology with the people providing care and the existing context of care delivery, including the work environment”(Kutney-Lee et al., 2019, p. 131). Without our input on how the design looks, feels, and operates will lead to dissatisfaction and poor adoption.
I am currently in the process of converting a paper system to an EMR system in one of my centers in NY. This center has decided to choose a wound care-specific EMR that I was able to help re-tool to make the system function better. What I enjoy about the system I am using is that it is easy to adjust to fit the needs of the staff and that the nurse’s input matters. We went live on conversion last week and in real-time were able to make changes to help flow and output better. We were able to redesign the product list to match the centers. We were able to re-organize workflow in the system and build workflows specific for users. The nurses requested the ability to fax from the program and we enabled that capability for them. The ability for me and my team to get input from the staff and make changes based on their unique center has lead to what I believe is a more positive transition and hopefully better long-term adoption to it Systems Development Life Cycle Discussion Essays.
References
Kutney-Lee, A., Sloane, D., Bowles, K., Burns, L., & Aiken, L. (2019). Electronic health record adoption and nurse reports of usability and quality of care: The role of work environment. Applied Clinical Informatics, 10(01), 129–139. https://doi.org/10.1055/s-0039-1678551
Nursing leaders serving as a foundation for the electronic medical record. (2012). Journal of Trauma Nursing, 19(2), 115–116. https://doi.org/10.1097/jtn.0b013e31825de6cb
Palabindala, V., Pamarthy, A., & Jonnalagadda, N. (2016). Adoption of electronic health records and barriers. Journal of Community Hospital Internal Medicine Perspectives, 6(5), 32643. https://doi.org/10.3402/jchimp.v6.32643
sample 3
Week 9 Discussion
One of the major consequences of not involving nurses when purchasing and in SDLC purchasing and implantation can have adverse effects. Nurses’ area the front line, and when deciding on implementing or purchasing a program, nurses should be consulted, along with providers. The program should be user friendly long with supportive soft wear to where the nurse is accurately able to chart on each patient. “Nurses are well qualified to assume this responsibility. They are intimately aware of the failings of paper records and spend far too much of their own time on clinical documentation – time that could be better spent on providing care to patients. And, as key staff involved in patient intake and information management efforts, they also know that well-designed IT systems are essential to support their own workflows as well as those of other care providers.” (Rein, A., 2017) I know from personal experience that when we went live with the new EHR, it was noted that there were several “bands” with duplicate charting. This led to increased charting, and les time to assessing and spending time with patients Systems Development Life Cycle Discussion Essays.
Potential issues could be “EHR implementation can mess up the workflow in a practice entirely if it is not customized to fit its purpose properly.” (Kressly, S., 2021) Messing up the workflow for nurses and providers could potentially not only cause harm to the patient but will cause the nurse to work twice as hard. This can lead to decreased nurse satisfaction.
I did not have a say in the design of the EHR that we implemented 3 years ago, but I was part of the training. I was a trained as a super user and was working the day we went live. The EHR that the hospital that I currently work for chose Cerner. While over the last 3 years there has been updates and changes, there are still several areas that we are duplicating charting, the notes system is not user friendly, and over all the program is mediocre. While I know this sounds harsh, it is better than the Meditech that we had previously. The pros to Cerner are that the program “offers strategic advisory services, performance improvement, revenue cycle management, practice management, community care management, wellness and scorecards and registries.” (Cerner Review) Overall, I am not disappointed in the system, I just wish they would have tried to include more nurses, not only from ED, but from OR, PACU, Radiology, Cath Lab, and floor nurses. The pros to Cerner are that the program offers strategic advisory services, performance improvement, revenue cycle management, practice management, community care management, wellness and scorecards and registries Systems Development Life Cycle Discussion Essays.
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Rein, A. (2017, March 17). Early and often: Engaging nurses in health it. RWJF. https://www.rwjf.org/en/blog/2011/12/early-and-often-engaging-nurses-in-health-it.html.
Kressly, S. (2021, April 16). 6 common challenges in EHR IMPLEMENTATION. Office Practicum. https://www.officepracticum.com/blog/6-common-challenges-in-ehr-implementation.
https://ehrguide.org/ehr-reviews/cerner-reviews/ Systems Development Life Cycle Discussion Essays
May 30, | nursing, med, NURS, Paper
NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making
NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making
Policy-making is a key factor of having order in health care professions. There are a few ways that RNs and APRNs can contribute to policy-making. The first opportunity that exists is nursing associations or organizations. When nurses join these organizations, they analyze problems to create resolutions in nursing. According to Koehn, two “ordinary problem” policy issues are analyzed, with the examination of how nurses, individually and organizationally, collaborated and advocated to address these issues by triggering local, state, and national action by stakeholders (2020). There are various professional organizations for RNs and APRNs. Many professional nursing organizations have an explicit commitment to advancing health policy and have established a presence on social media platforms; yet, little is known about what policy topics professional nursing organizations choose to disseminate (Waddell,2019). According to Waddell, the American Nurses Association and the American Academy of Nursing are two organizations that often represent the voice of nurses in policy discussions (2019). Professional organizations warrant that any policy that is implemented is effective and that it has the best interest for nurses. The second opportunity is through administrations in workplaces. The RNs and APRNs are professionals who have the opportunities to sit on boards in facilities where policies are reviewed. According to Rasheed et. al, educational institutions and nurse leaders should adequately prepare nurses for policy-making, and nurses should participate in policy-making at the organization, system, and national levels (2020).Through their workplace, RNs and APRNs have a chance to influence a policy review by having the first-hand experience on if the policy is effective in their places of work NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making.
The professional organizations and associations may endure challenges when it comes to exposure and getting information out. Many people nowadays receive information thru social media platforms. According to Waddell, organization leaders and members should consider how social media content could enhance nurses’ policy participation and advance the dialogue about health and well‐being in the context of high‐stakes healthcare debates (2019). The opportunity of the workplace has its challenges as well. In most facilities, administrators are the prominent people in policy-making. According to Rasheed et. al, the extent of involvement was inadequate, and nurses mainly worked as policy implementers rather than as policy developers (2020). This statement signifies the limitations nurses may have in policy-making in certain facilities.
The two strategies that lead to better communication of the existence of these opportunities are proper training and self-sufficiency. According to Rasheed et. al, nursing institutions and regulatory bodies should prepare and encourage nurses to work as policymakers rather than implementers and advocate for the rightful place of nurses at policy-making forums (2020). With effective training for the nurses, they can better understand their roles and carry out the policies appropriately. Also, leaders of an organization determine whether the nurses will have a chance to review a given policy. Training and good leadership are key elements of a solid, knowledgeable nursing team NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making.
References
Koehn, K. (2020). Triggers for nursing policy action: Getting to the critical point to solving “ordinary problems” in nursing. Nursing Forum, 55(1), 11–15. https://doi-org.ezp.waldenulibrary.org/10.1111/nuf.12376
Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: An integrative review. Journal of Nursing Scholarship, 52(4), 446. https://doi-org.ezp.waldenulibrary.org/10.1111/jnu.12567
Waddell, A. (2019). Nursing organizations’ health policy content on facebook and twitter preceding the 2016 United States presidential election. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 75(1), 119–128. https.//doi-org.ezp.waldenulibrary.org/10.1111/jan.13826
response
Thank you for your post. I agree with you that joining professional organizations and sitting on boards enables nurses to help in policy making. According to Woodward et al. (2016), nurses possess many qualities that are easily transferrable to the political side. They are great communicators and advocates for their patients. Nurses have valuable expertise when drafting policies that protect and promote public health (Woodward et al., 2016). The nurse has direct contact with patients and understand the needs of the patient and the community. The three factors that influence the nurses participation in politics are political education in school, a personal interest in a topic, and membership in professional organizations (Woodward et al., 2016).
You had also briefly mentioned the use of social media platform. According to Roland (2017), using multimedia presentations on social media is a cost-effective way to promote health policy. There are millions of people that use social media on a daily basis and health messages could be easily disseminated. Some of the drawbacks of using social media can be the reliability of the information and it may act as a deterrent for a patient to seek care (Roland, 2017). I honestly believe that social media could be better used to educate the public about health.
Roland, D. (2017). Social media, health policy, and knowledge translation. Journal of the American College of Radiology, 15(1), 149-152. https://doi.org/10.1016/j.jacr.2017.09.009
Woodward, B., Smart, D., & Benavides-Vaello, S. (2016). Modifiable factors that support political participation by nurses. Journal of Professional Nursing, 32(1), 54-61. https://doi-org.ezp.waldenulibrary.org/10.1016/j.profnurs.2015.06.005 NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making
Discussion 2: The Role of the RN/APRN in Policy-Making
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.
What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?
Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.
To Prepare:
Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.
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By Day 3 of Week 8
Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.
By Day 6 of Week 8
Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.
One of the most apparent, and possibly one of the easier methods for registered nurses (RN) and advanced practice registered nurses (APRN) to become active in policymaking is by joining nursing organizations. These organizations range from local or regional organizations to national organizations. Within these organizations are often members who work within the legislative process. “These organizations often have lobbyists that bring nursing issues to Capitol Hill” (American Nurses Association, 2016). These lobbyists can also act as an aid for nurses or advanced practice registered nurses to get their foot in the door with legislators to present the concerns they would like to address.
A second opportunity for registered nurses and advanced practice registered nurses to participate in the policy-making process is to write to legislators. As discussed earlier in the semester, this is most effective if the nurse does research prior to and voiced their concerns to policymakers who have similar views on the concern (Laureate Education, 2018).
Challenges that inhibit nurses and APRNs include a lack of understanding in regard to the policymaking process. This may include lacking a full understanding of the relevant knowledge of the specific legislator the nurse is working with (Shariff, 2014). A strategy to overcome this barrier to policymaking would be for the RN or APRN to work with other members of their organizations who have previously done this. A second strategy is for the RN or APRN should also familiarize themselves with the legislators they plan to approach in order to invoke change. As discussed previously in the semester, nurses will be more successful in making changes if they have something to offer the legislator. The nurse or advanced practice registered nurse should find a way they can help the legislator while also pushing for change on the specific issue at hand (Laureate Education, 2018).
References
American Nurses Association. (2016, September 22). The nursing profession’s potential impact on policy and politics. https://www.myamericannurse.com/nursing-professions-potential-impact-policy-politics/
Laureate Education (Producer). (2018). The Policy Process [Video file]. Baltimore, MD: Author.
Shariff, N. (2014, July 10). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. National Institutes of Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105513/
response
Nurses are known to implement policies and rather not be part of the formulation process, not because they are not good advocates but because they lack the awareness. I do agree with you; one of the barriers nurses face is political awareness. Nurses have the skills and courage; they advocate and fight for their patients and families (Anders, 2020). However, to get political confidence, there must be an effort made in the workplace to encourage nurses to participate in the policy-making process. Healthcare professionals need to have expert knowledge, communication skills, active listening, negotiation, and group processes to function in the pollical arena (Milstead & Short, 2019). Nurses are the largest profession in healthcare, and collaborating with other healthcare professionals will speak louder as there is power in numbers NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making.
References
Anders, R. L. (2020). Engaging nurses in health policy in the era of Covid-19. Nursing Forum, 56(1), 89-94.
https://doi.org/10.1111/nuf.12514
Milstead, J. A., & Short, N.M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones Bartlett Learning NURS 6050 Discussion 2: The Role of the RN/APRN in Policy-Making.
