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NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date Introduction Hello, my name is Alex, today I welcome you all to my presentation about nursing-sensitive quality indicators and how technology can help us collect data and report. The session is organized based on an interview with the director of the quality control department. The topic of the conversation was the prevalence of pressure ulcers and the collection and reporting of data. This presentation is based on the same topic. Before I discuss pressure ulcers and how their prevalence is a quality indicator for nursing practice, I would like you to understand the purpose of establishing quality indicators and their importance.  Nursing-Sensitive Quality Indicators The American Nursing Association developed the National Database of Nursing Quality Indicators (NDNQI) in 1998, to collect data on specific quality indicators to evaluate and monitor nursing care. These indicators are subdivided into three categories, a) structural indicators, b) process indicators and c) outcomes indicators. This database provides quarterly and yearly reports on various indicators which are helpful for healthcare organizations to improve their nursing practices and care (Barchielli et al., 2022). The goal of NDNQI is to bring together interprofessional teams to work to achieve positive outcomes for patients by improving the quality of care. These measures also indicate the importance of nurses and nursing practices for patients’ well-being and positive healthcare results. Thus, they are highly important for you people as new nurses to understand your role in patients’ lives and this will help you improve your practices in clinical settings.  Quality Indicator – Prevalence of Pressure Ulcers in Adult Patients As mentioned earlier, out of several quality indicators, today’s discussion is about pressure ulcers and how incidences of pressure ulcers are related to poor nursing care. Furthermore, we will discuss the importance of improving nursing care for the prevention of these ulcers. Pressure ulcers are confined skin and tissue injuries that are usually caused by friction or pressure that occurs between an object and the surface of the skin. Globally, the progression and deaths related to pressure ulcers have increased by 60% in elderly patients. NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators A report developed in an ulcer summit revealed that around 60,000 people die due to complicated pressure ulcers. Moreover, approximately 700,000 patients develop pressure ulcers and most of them occur due to inadequate care (Tesfa Mengist et al., 2022). Some of the causative factors for pressure injuries are older age, bladder incontinence, a bedridden state, lack of proper nutrition and water intake, neurological deficiency, pressure on the skin due to medical devices, and multiple secondary diagnoses. As frontline care staff, nurses are primarily responsible healthcare providers with the major responsibility to prevent pressure ulcers by enhancing their knowledge and practices. Caring for patients’ pressure areas is an imperative element of nursing practices. The nurses must maintain patients’ skin integrity and prevent complications. This is done by early recognition of high-risk patients and providing special attention to them for which nurses must be knowledgeable and have an insight into their poor practices (Ebi et al., 2019). These positive outcomes are better achieved when multidisciplinary teams work together.  Interdisciplinary Teams’ Role in Collecting and Reporting Data  Healthcare facilities function with the help of interdisciplinary teams; thus, data collection and establishing an organizational report on quality indicators also require a team of individuals from various professions. Nurses play an important role in this regard. The process of data collection for pressure ulcers (PU) and the knowledge of nurses related to PU include nurses, nurse instructors, the quality control department, the IT department, and administrators if the incidences are high and require hospital management to be involved. To collect effective data two things are required; a) a pressure ulcer reporting system and b) a questionnaire for nurses. Some of the hospitals in the US have this in-built software called Medicare Patient Safety Monitoring System (MPSMS), which is developed for various patient safety indicators (Smith et al., 2018). The purpose of this software is to report every new hospital-acquired incidence of PU or any old pressure ulcers which get complicated during the hospital stay. This reporting system is then audited by the quality control department to identify the high-risk units in the hospital. Then, data is disseminated among the stakeholders of each patient unit to identify the risk factors in nursing care.  NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Another approach to data collection and reporting is by analyzing nurses’ knowledge related to PU. For this purpose, nurses are given a survey questionnaire which is then submitted to the nurse instructors. The data collected from surveys is then transmitted in the statistical software on the computers. It is then compiled in mean and percentages which help to identify the average of nurses who lack knowledge about pressure ulcers and give an idea to instructors for conducting educational training (Ebi et al., 2019).  The data collected helps in improving patients’ safety through various unit-level and organizational-level interventions thus improving the quality indicators of the organization. Interprofessional team members when working together in their areas of expertise will be able to collect the data effectively, analyze it using various technologies, prepare organizational reports, and bring successful reforms in the organization to improve patients’ safety.  Nursing-Sensitive Quality Indicators for Healthcare Organizations So as we discussed earlier, nursing-sensitive quality indicators are essential to improve the results of the data collected, eventually enhancing quality care. Healthcare organizations use these indicators for three purposes, 1) improving patients’ safety, 2) enhancing patient care outcomes, and 3) improving organizational performance reports.  Like other hospitals, our organization is also interested in providing quality care to the patients, especially in terms of decreasing the incidences of  pressure ulcers. Nurses being the frontline care providers have this responsibility to ensure care quality and patients’ safety (Vaismoradi et al., 2020). The data received from NDNQI about the prevalence of pressure ulcers helps nurses and nurse leaders to
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NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date Technology in Healthcare The role of technology in healthcare has shaped our views about patient care, healthcare management, innovation, and quality of care. The main goal of technological advancements is to maintain and enhance current practices, minimize the workload of healthcare providers, and improve the quality of care by decreasing human errors. Electronic Medication Administration (EMAR) with Bar-code medication administration (BCMA) is one of the healthcare technology which is beneficial for improving healthcare quality. I have chosen this technology because of its relation to my primary responsibility as a nurse – administering medications. EMAR with barcoding is useful in my organization as it will help me and my colleagues for effective management of medications, reduction of workload, and improvement in our meditation practices.  NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing Nurses are primarily responsible for medication administration on which they spent about 40% of their shift time (Wondmieneh et al., 2020). Thus, it is essential to have impactful technological advancements so that effective care is provided and nurses are relieved of their burden as well. Data from a study reveals that around 35% of incidences are near-miss for medication errors while 65% are actual errors reported in the year 2016. The introduction of EMAR with BCMA was identified to be the best intervention for medication safety (Naidu & Alicia, 2019).  The databases I used to identify the sources for this annotated bibliography are Google Scholar, PubMed Central, BioMed Central, and CINAHL Library. The search terms which I utilized on these databases are; “What is EMAR?”, “What is BCMA?”, “Impact of technology of medication practices”, “safe medication administration technology”, “Impact of EMAR and BCMA on patients’ safety”, “Quality care through technology”, “Interdisciplinary team and medication technologies”, and “importance for healthcare professionals”.  Annotated Bibliography Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526. https://doi.org/10.4236/health.2019.115044  This annotated literature review by authors focused on finding outcomes of using BCMA and EMAR, clinical practices, and hospital policies that may impact nurses for administering medications. The authors concluded that to improve medication practices and reduce medication errors, the use of electronic medication administration and barcoding technology is recommended in various literature. This article describes the impacts of EMAR and BCMA on Patients’ Safety and Quality Care According to the article, EMARs are effective if used along with BCMA which helps in reducing medication errors (misunderstood orders, delayed administration, or wrong administration). The implementation of the BCMA system reduces these errors, consequently reducing costs associated with these errors which ultimately helps in improving patients’ safety. Improved efficiency of medication administration and better patient outcomes results in effective healthcare practices. This benefits an organization as a whole to grow in this advancing healthcare world because of the quality healthcare that they provide.  Nursing Practices and Interdisciplinary Team   This article is relevant for nursing practices as it helps nurses to enhance their knowledge, improve their practices and provide quality care to patients. Moreover, it is relevant for the interdisciplinary team because to bring an effective change in the organization team members need to work together and fulfill their assigned duties which will help the organization embrace the change and gain a reputation. Leaders should play an effective leadership role for this purpose.  This resource is useful for healthcare practitioners as it provides a comprehensive review of literature that states the positives and challenges of these technologies as well as provides strategies to overcome the challenges.  Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a barcode medication administration system on patient safety. Oncology Nursing Forum, 45(1). https://doi.org/10.1188/18.onf.e1-e13  NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This article conducted a pre/post-intervention study that focuses on the impact of barcode medication administration in the oncology unit. It is identified by research that most medication administration errors (MAEs) occur while administering chemotherapy agents (0.04%- 18.8%). This study recommends BCMA because it is useful for nurses to adequately follow the five rights of medication (right patient, drug, dose, route, and time). This study shows that BCMA was effective in reducing various medication errors in the hospital setting due to effective verification of patient and the drugs however, there is still a need to improve the technicalities of the system so that errors with greater risks can be detected as well.  Patients’ Safety and Quality Care  Since cancers are already harmful to patients, improving medication safety in these patients can help in enhancing patients’ safety. Moreover, the study identifies that implementation of BCMA does not increase their length of stay which ultimately improves patients’ safety from other hospital-acquired infections. The decrease in the incidences of MAEs in a hospital is evidence that quality care is provided. Thus, it is recommended in this article to introduce electronic barcode medication administration systems.  Nursing Practices and Interdisciplinary Team  The BCMA system is useful for nurses as it helps them to check the five rights of medication without manually assessing it. Moreover, barcoding systems improve chemotherapy administration which is an important part of nursing practices and helps nurses to give extra time to other tasks as well. The article also highlights the importance of interprofessional team which plays a significant role in the implementation and sustainability of this technology through statistical, financial, educational, and leadership support.  Health practitioners should read this source as it gives an insightful review of various literature that indicates the importance of barcoding systems in medication administration specifically for cancer patients. The information provided in the article helps healthcare workers to overcome organizational factors like higher incidences of MAEs which will be reduced by the barcode system in a healthcare setting.  Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of Health Information Technology on Nurses’ Time. Journal of the American
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NURS FPX 4040 Assessment 2 Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practice

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date References American Medical Association. (2023). HIPAA violations & enforcement. American Medical Association. https://www.ama-assn.org/practice-management/hipaa/hipaa-violations-enforcement  Chen, J., & Wang, Y. (2020). Social media usage for health purposes: Systematic review. Journal of Medical Internet Research, 23(5). https://doi.org/10.2196/17917  Isola, S., & Al Khalili, Y. (2023). Protected Health Information. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553131/  Martin, C. L., Kramer-Kostecka, E. N., Linde, J. A., Friend, S., Zuroski, V. R., & Fulkerson, J. A. (2020). Leveraging interdisciplinary teams to develop and implement secure websites for behavioral research: Applied tutorial. Journal of Medical Internet Research, 22(9), e19217. https://doi.org/10.2196/19217  Mbonihankuye, S., Nkunzimana, A., & Ndagijimana, A. (2019). Healthcare data security technology: HIPAA compliance. Wireless Communications and Mobile Computing, 2019(1), 1–7. https://doi.org/10.1155/2019/1927495 

NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date Nursing Informatics in Health Care Nursing informatics is a science which is defined as a specialized nursing science. This includes knowledge of different analytical sciences that helps to describe, manage and transmit data and prudence in nurse practitioners.To provide the best opportunity to the care teams ; nurses help with lot of things from providing information on novel ideas, technologies, devising plans to implement for the health care and patient benefit. They also evaluate data. The scope of practise for nurses in informatics jobs has evolved and shifted over the last two decades in response to the needs of health care organizations. While informatician practise has rarely been well defined or limited in terms of role responsibilities and scope, it has made a substantial contribution to the evolution and spread of information and communication technology (ICT) around the world. Furthermore, the formation of linked certifications and placed informatics as a specialization within nursing and other health professions has resulted from the introduction of institutionalized education in nursing and health informatics. Role of Nurse as Informaticist In interdesciplinary groups nurse informaticist collaborate with their colleagues to improve communication. This not only strengthen the patient safety but also bridge the gap between the patient and nurse and make a better understanding. An informaticist is a trained nurse practitioner that is skilful in performing many different tasks with efficiency. They have wider area of expertise. This helps them acquiring knowledge as well as made them favorable for evaluating data based on electronic health records. A nurse informaticist, for example is in charge of enabling the computer-based provider order entry (CPOE) system. Which captures assessment result from electronic medicine records (EMRs) along with the progress, nursing and prescription notes. Nursing informaticist take the initiative to meet nursing needs from electronic medicine records while also raising interdisciplinary groups’ health care and prevention standards (Strudwick ., et al 2019) They are the most recommended nursing structure because they play an important role in patient’s health care by preserving clinical records of patient’s health structures, monitoring access to health care norms and evaluating health providers from interdisciplinary groups. Nursing informatics commonly employ informatics solutions to detect patients with increased risks inside serious diseases by including curative and preventative measures into early therapeutic modalities (Nagle 2021). NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care Early medical techniques also reduce the probability of treatment errors by notifying interdisciplinary groups about the dangers of unintentional harmful effects, such as diseases linked to patients’ allergies induced by unsafe drug combinations (Kim 2018). The developments in electronic-technology and nurse informaticist have made a massive influence on health-care system globally (Edward., et al 2018). An important nursing science and practice goal is to connect technology to improve nursing practice and patient health in the clinic. Nurse informaticist played a huge role in estimating the health of patients. It guide nurses to make their own research and provide evidence based care to their patients. The research claimed that the nurse informaticist can immensely benefit doctors and other health care staff. As their main objective is to provide better communication, precision and easy approach to patient’s data. Already said that nurses played a key role in maintaining the environment of hospital and as they re trained to supervise any kind of change. Hence it was deduced that nurses with the collaboration of nurse informaticist can make a dynamic effect by promoting novel strategies of health and implementing administrative rules. Consequently, nurse informaticist have made a significant reduction in medical errors, patient-treatment delays and medicinal costs ( Bakonja., et al 2021). Nurse informaticist are able to translate the data of foreign language as they are convenient with the use comprehensive tools. Further they are also found to have expertise in data transmission from one source to another by carefully managing the confidentiality. Collaborations of Nurses with interdisciplinary Team  It has been estimated that nurses are efficient collaborators and focal persons of patient health. As they conduct repeated evaluations to check the treatment plan for the patient.Also they make sure the protection of their rights in interdisciplinary group discussions. They make better suggestion for cure as they are better able to deal the patient with understanding them emotionally.  The performance level of nurse  can be defined by the team work, collaboration, communication, coordination, protection of patient right and health, care initiatives. Moreover it also employs to make excellent solutions for patient problems by taking care of their family and personal health. Risk of liability of medicinal use can be estimated by the efficiency of care nurse provide to the chronic disease patient beacuse these patients might react to the medicines differently (Wang., et al 20). NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care Furthermore, it is recommended that to assess the competency of nurses as a personal support; the quality level of nurses in a interdisciplinary group must be maintained. The patient history must be known to the nurses to make prime care possible. Nurses must be vigilant to track the record of the patient medicine, expiry dates must be viewed before giving. They must bed constantly informed of the new methods for patient safety and terminating the use of  drug that is being banned by FDA under any circumstances (McGonigle., et al 2021). Requiring Nurse Informaticist in Health-Care-Settings In today’s world, it is important for nurse informaticists in health-care settings to take preventive measures for the enhancement and greater quality of life of patients by utilizing technology in accordance with the disease’s requirements. However, it is only applicable when dealing with modern technology and leveraging nurses’ experience in interdisciplinary health care settings. Simply by coordination of health care system, making use of telehealth, social media utilization as a support group and building health care networks can aid nurse informaticist  vulnerable to succeed. Nurses’ roles remained toiling and productive for four decades (Sensmeier., et al 2019). Nursing professionals employ
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