NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems

Chamberlain University NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University  NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems                        

Whether one passes or fails an academic assignment such as the Chamberlain University  NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems       depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems                        

The introduction for the Chamberlain University  NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems      is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems                        

After the introduction, move into the main part of the NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems      assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems                        

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems                        

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems

Most of my nursing experiences with healthcare information systems are from nursing school as a nursing student. I had clinical rotations at nursing home, short/Long-term rehab center, and hospitals. In nursing home setting, they use both paper and computer charting. Paper charting is used for daily activities such as vital signs, In&out and daily schedule. Computer charting is used for administration, health history, meds record, doctor’s order, and notes. In rehab center, they used computer basis charting all the time, but they also provided a binder with paper sheets/forms for each patient at nurse station. I feel kind of like this style especially when computer is not enough for everybody to use, or computer doesn’t work for some reason. The information is actually straight forward for nursing student who want to know the whole picture of patient and not familiar their electrical information system. In hospital setting, I was able to have experiences with EPIC system. As a student, we have access to the system with our own username and password, but we are not allowed to do documentation unless it approved by our supervisor. I thought it is simple and straight forward to use after training. “Due to the applied nature of HIT, provision of skilled training plays a critical role in adoption and maximized use of HIT. Nurses, Physicians, allied health care professional, and healthcare support staff must become skilled in both the use of computer technology and the use of health-information system; effective training is a key piece of this process.” (Hebda, Hunter, & Czar, 2019 p. 219.)

   I am currently in orientation at a long term rehab center in Connecticut where I had clinical rotation as a nursing student last year. The transition is a lot easier for me since I practiced there for a whole semester, and they basically had no big change of the information system. I believe my previous nursing experience in the facility as a nursing student build a very good foundation for successful transition. They use Point Click Care system for data entry including health history, assessment, treatment, notes such as fall accident, fracture, ulcers, etc. They also have paper sheet for charting since they just have two computers available at nurse station. At the end of the shift, the floor supervisor will check everything and enter the data into computer selectively.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

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Sample Answer 2 for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems

My experience with different healthcare information systems is limited because I have only worked at one hospital. When I started at this hospital, the physicians were still hand-writing orders and progress notes. They had already integrated a basic electronic charting system called Meditech, for the nurses to chart and the secretaries to transcribe the hand-written documentation from the physicians. In 2013, my hospital converted to all electronic medical records and overall it was an easy transition. As a 19-year-old, computers and new applications did not scare me. But I believe the sudden implementation of this system forced some of the older physicians and nurses out of the hospital setting. My experience with healthcare information systems has been positive. According to our textbook, Electronic Health Records have the ability to “add decision support and flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures” (Hebda, Hunter, & Czar, 2019, p. 119). One example of how this feature has helped me is when I have patients who are receiving IV Furosemide, the system will alert me if the patient’s last Potassium level was low and it has not been re-drawn recently. The government was a driving force in the implementation of electronic healthcare information systems. In 2009 President Barack Obama signed a piece of legislation called the Health Information Technology for Economic and Clinical Health (HITECH) Act. This act provided more than $35 billion to hospitals and clinics to encourage the use of Electronic Health Records (Reisman, 2017).

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Reisman M. (2017). EHRs: The Challenge of Making Electronic Data Usable and Interoperable. P & T : a peer-reviewed journal for formulary management, 42(9), 572–575.

Sample Answer 3 for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems

Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working in a healthcare setting, how has the medical record exposure in nursing school impacted your current knowledge?

I have worked in a variety of healthcare settings throughout my career before I became a nurse. You could even consider lifeguarding part of healthcare because I was CPR certified, although I didn’t ever have to document anything or save anyone. I worked in a doctor’s office for a few years while I was starting school. This office was private practice, so they didn’t have an electronic documenting system. All the charts were paper, and they were very heavy! If I took a call from a patient, I had to find their chart in the files and hand write what they needed and give it to the doctor for him to reply. I learned spelling and medical terms very quickly! Although this system mostly worked for their needs, I sometimes found other patients results in others charts. Every result was faxed to us and sorted and filed by hand. Therefore, a lot of mistakes were made and there wasn’t a great way to monitor that the correct papers were getting into the correct charts. If a specific result was lost, there was really no way to find out where it went, we would just have to have another copy faxed. Thankfully while I was there nothing catastrophic happened, but with no safeguards in place, it’s really only a matter of time. In a study comparing electronic documentation verses conventional (paper) charting, this found that the electronic documenting showed more diagnoses for each patient, less false or redundant ICD codes, and less time spent on documenting (Stengel, Bauwens, Martin, Kopfer, & Ekkernkamp, 2004). Improper or false ICD billing codes can get you in a lot of trouble, even if you’re not doing in on purpose. Medicare fraud is highly monitored and can negatively affect a physician’s medical license. Not to mention the potential repercussions for the patient receiving wrong information and potentially having to pay more money unnecessarily.

I found the transition from that old paper system to an electronic system to be very smooth. I often felt like I lacked detail in some instances and I know how important documenting is. But the amount of time I spent hand writing requests in the chart took away from the amount of detail I could put into it. I was already spending extra time after the office closed to call back the patients who had called that day, I didn’t have any extra time to write more. I can type a lot faster than I can write, so an electronic system would have really helped streamline this office. I understand how expensive it can be to convert, so I realize why they never changed over. I used Epic documenting now and I could not imagine what it would be like to try and document a hospital patient with a pencil and paper. I already spend a lot of time charting, I feel like I would never get the amount of detail necessary while trying to hand write all my documentation.

Stengel, D., Bauwens, K., Martin, W., Kopfer, T., & Ekkernkamp, A. (2004). Comparison of Handheld Computer-Assisted and Conventional Paper Chart Documentation of Medical Records: A Randomized, Controlled Trial. Journal of Bone and Joint Surgery, 86(3), 553-560.

Sample Answer 4 for NR 361 Week 2 Discussion: Experiences with Healthcare Information Systems

My experience with healthcare information systems has been generally good. When I started in oncology I would have utterly failed if it was not for healthcare information systems. When I am doing telephone triage, I have everything on the internet at my fingertips. Having access to all of this allows me to answer patient questions in real time. If I am uncertain if a certain adverse event patient is experiencing is expected with the particular medication he or she is on, I can simply look up the package insert for the drug and quickly find out. According to Hebda, “an information system, at its simplest, is a combination of computer hardware and software that can process data into information to solve a problem” (2019, p.135).  I use these sorts of systems daily in my nursing career. My current EMR comes with free access to UpToDate. If I need to know anything about a drug, I can simply click the link and it will take me to page regarding that drug. I utilize NCCN template guidelines when building new regimens into our EMR, I can easily trend and graph a patients’ tumor marker with a click of a button providing the patient with a visual, easy to read snapshot of how their treatment is working for them. It seems the benefits are endless yet there is some apprehension when it comes to implementing new systems.

            All transitions are difficult. Implementing a new EMR is especially difficult. I have gone through a full EMR change and am now working on yet another. There is no perfect system and the learning curve is always step. Ljubicic et. al. explains some of the challenges facing these types of transitions are including but not limited to limited staff, budget concerns, and the fact that the work force is aging and my not be as tech savvy as a younger workforce. This all the in setting that patients expect us to be cutting edge and provide the most up to date, quality care possible (Ljubicic et. al., 2020).  Each new system is advertised as the “best out there” yet there is no perfect system for anyone. Add on that these systems must constantly update to stay cutting edge means that you sometimes have to relearn how to use them. I can see how there is apprehension. The nature of my position puts me central in the development/transition to a new system. Working with these companies that have developed a program a certain way that they assume works for everyone is difficult at times. They are often not clinicians and do not understand why their prescribed workflow does not work for our particular office/specialty. It is a battle and a stress particularly when it seems we are speaking different languages. It’s a high stakes game. Our clinic works as a well-oiled machine to keep up with the demands of patients; if a new EMR does not help us increase efficiency then it is useless to us. I must ensure that proper workflows are in place before we go live. We know that these healthcare information systems can help us improve care but I can also see how it can have negative outcomes as well.

Reference:

Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6^th edition. Pearson. New York, NY.

Ljubicic, V., Ketikidis, P., & Lazuras, L. (2020). Drivers of intentions to use healthcare information systems among health and care professionals. Health Informatics Journal 26(1). p. 56-71.
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