NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
Chamberlain University NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post 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 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
Whether one passes or fails an academic assignment such as the Chamberlain University NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post 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 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
The introduction for the Chamberlain University NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post 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.
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How to Write the Body for NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
After the introduction, move into the main part of the NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post 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 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
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 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
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 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
How is informatics used?
We use informatics in several ways. It is used to collect and store information and data, such as information our EHR. EHR’s have come a long way and now connect patients to their provider with the click of a button from their phones. Informatics is also used in research. We are able to gather data related to new and best practices which is used to initiate evidence-based changes. Informatics can also be applied to general workflows in our care settings. It is a part of every aspect of medicine. The American Medical Informatics Association describes informatics as “… computer and information science to the advancement of life sciences research, health professions education, public health, and patient care” (What is informatics, n.d.).
2. Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.
Prior to the assessment I felt good about the technology that I use daily within my current role. After using the TANIC Self-assessment tool, I was not much surprised by my results. I am confident and competent in use of systems tools and our daily technology. I am less competent when it comes to informatics research or informatic process changes. Also, informatics is such a large category. I think it would be difficult to master all of it. Finding areas of competence and mastering those areas can be helpful. For example, I excel with use of Epic. As such, I have requested to be one of our Super Users for the program. But even though I scored myself lower in some areas of the assessment, I still had no categories in the assessment that I rated as Novice. I was competent or higher in all areas. Expert or proficient when it comes to operation of personal computer and the various applications and competent or proficient with respect to use of technology to guide patient care.
3. What TWO competencies do you use in your current clinical role? Provide examples.
In my current role we use HIS to guide patient care (guidelines, plan of care, protocols) and we use HIS to communicate electronically with providers. We are able to use HIS to access policies and procedures from our organizations employee portal. This is an important guide for patient care. We always have nursing resources available on best practice procedures. For example, if we need to refresh on proper procedure for changing a central line dressing, we can go on to our employee portal, access Eslevier clinical skills, and are able to search and view proper procedure for central line dressing changes. We have an online database of policies for use as well. While our policies cover every topic from general roles, to patient guided care, we can often cross reference clinical skills with a corporate policy addressing the same issue. We also have built in nursing protocols for triage in our emergency room. We are able to execute appropriate protocols in Epic when triaging our patients based off chief complaint, assessment, and clinical judgment.
In my current role we also use telehealth. We are a small community based hospital. We have a 4-bed inpatient unit that I float to frequently. Since all our hospitalists are staffed at the larger locations in the city, we use telehealth for patient admissions, assessments, and any change in patient conditions. Continued innovations in the technology of telehealth has created the opportunity to provide better care to patients in remote settings (Brown, et al., 2022). By becoming familiar and competent with use of this technology allows us to stay connected with other providers and optimize the best possible care to our patients when they are admitted to our community locations. Our telehealth equipment is fully functional. We have tools that attached to the computer station which allow our hospitalist to assess our patient in real-time but from a remote location. With assistance of the RN, they are able to inspect skin and even listen to heart and lungs. So, for my role, being able to operate the telehealth equipment and its applications with competence allows my provider to fully assess my patient leading to more accurate plan of care.
4. Identify TWO resources to develop a strategic plan to enhance your competency skills.
A study was done by Akbari, et al. gauged toward nurses self-competency related to basic computer skills, informatics knowledge, and informatics skills (Self-assessment, 2020). They found that the higher the education and training, the higher the competency in informatics (Akbari, et al., 2020). Once we have been able to identify our weaknesses in informatics (self-assessment), then we are able to develop a plan to increase our competency. Goal setting is one tool I can use to increase my competency. Because I have been able to assess my areas of weakness and reflect on areas of needed improvement, I can set goals to increase my knowledge in the areas where I am less confident. As we grow as leaders, we must be able to assess our own knowledge base and determine what additional skills and/or experience is needed to advance our competency (Backonja, et al., 2021). I have higher competence in basic computer skills than I do in informatics knowledge and informatics skills. So, I can use goal setting as a resource to increase my competence in these two areas.
As Akbari, et al. noted, education and training lead to higher competence (Self-assessment, 2020). I can use continuing education opportunities within my facility as a resource to increase my knowledge. I am also fortunate to have great teachers and mentors in my department. I can utilize this as a resource for learning. Backonja, et al. states that mentoring programs are resources that can provide support that take us from novice level to expert in HIT (How to support the nursing, 2022). Backonja, et al. goes on to state that mentorship is an important tool because mentors can provide real-time feedback on areas of needed improvement (How to support the nursing, 2022).
5. Which resources are suited to your needs and why?
Mentorship on the job is better suited for me. I do well with a hands on approach and having a interactive dialogue with someone. I work in a teaching environment and our providers embrace this atmosphere. I have ample opportunity to learn from them and they are a wealth of knowledge. They are also good about pointing out additional resources for learning. And while I still plan to use the educational tools offered by my organization, I think combining these education with what I can learn from my mentors will draw a better understanding in the areas of informatics where I am less proficient.
6. How do you intend to enact this improvement plan?
Miller, et al. states that looking for teachable moments is an important concept because a vast amount of learning occurs within our clinical environment (Recognizing and seizing, 2021). In this respect, learning is a purposeful and continual process that we have to act on. To enact my improvement plan I will continually assess my level of competencies, revise, or set new goals, and then actively seek teachable moments with my mentors. I will also incorporate educational modules or courses offered by my organization into my learning. This will allow me to bring learned concepts into practice and ask questions of those with more experience than myself.
Akbari, H., Frazandipour, M., Jabali, M., Mohamadian, H. & Safari, S. (2020). Self-assessment of nursing informatics competencies in hospitals. HIMSS. Retrieved on 03/12/2023 from: https://www.himss.org/resources/self-assessment-nursing-informatics-competencies-hospitalsLinks to an external site.
American Medical Informatics Association (March, n.d.). What is informatics? Informatics: Research and Practice. Retrieved on 03/12/2023 from: https://amia.org/about-amia/why-informatics/informatics-research-and-practiceLinks to an external site.
Backonja, U., Langford, L. & Mook, P. (2021). Calling nursing informatics leaders: opportunities for personal and professional growth. OJIN: The Journal of Issues in Nursing, 26(3). https://doi.org/10.3912/OJIN.Vol26No03Man06Links to an external site.
Backonja, U., Langford, L. & Mook, P. (2022). How to support the nursing informatics leadership pipeline recommendations for nurse leaders and professional organizations. Computers Informatics Nursing, 40(1), 8-20. DOI: 10.1097/CIN0000000000000827. Retrieved on 03/12/2023 from: https://www.journals.lww.com/cinjournal/Fulltext/2022/01000/How_to_Support_the_Nursing_Informatics_Leadership.3.aspxLinks to an external site.
Brown, J. & Hewner, S. (2022). The role of telehealth and clinical informatics in data driven primary care redesign. Journal of Informatics Nursing, 6(4). Retrieved on 03/12/2023 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9211055/Links to an external site.
Miller, B. & Szymusiak, J. (2021). Recognizing and seizing the teachable moment. Academic Pediatrics, 21(5), 767-771. Retrieved on 03/12/2023 from: https://www.sciencedirect.com/science/article/pii/S187628592030485XLinks to an external site.
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Sample Answer 2 for NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
Informatics is used in many ways in nursing and directly affects the way in which we provide care. Informatics identifies important data and information based on nursing and computer sciences and ultimately guides evidence-based practice, process/protocol changes, and ways to improve patient care and safety. Prior to taking the TANIC self- assessment I perceived my competency level to be fairly high. I am typically good with the basic aspects of computers and try to stay up to date on new technology. I have also used multiple different EHRs throughout my career in healthcare and can very clearly identify the differences in what aspects work well based on our unit workflows. For instance, my current facility just switched from an older EHR to EPIC. In the transition process, we’ve identified the need for major workflow changes to ensure all documentation and patient care is being accurately completed. When the initial EPIC changeover happened, all the original process and procedures remained in place which left us with no idea how to correctly find and do things, including restraint documentation which drastically changed with the new system. The nice thing we are finding with EPIC is that despite the issues we initially found, the system is able to be tailored more directly to our needs (although it takes a little while to get there). After completing the self-assessment, I still believe my competency level is high. I was able to score myself as proficient and expert on the majority of the questions. Since the TANIC assessment is based on the lower-level competencies and I have nursing, research, and computer experience I believe my perceived competency to be relatively accurate.
In my current role I use aspects of level 1 competencies such as turning on/logging on to the computer via password, sending and receiving emails, and basic collection of patient data. I also use aspects of level 2 competencies regularly, which includes gathering and synthesizing data and protecting health information. Basic use of the computer is something I use on a daily basis, as we are reliant on the computer and EHR for all our unit communications and documentation. Logging on to the computer, sending emails, and charting are three main functions in my role. Protecting health information is also vital in my position. There are many factors on my unit that make it easy for PHI to unintentionally be revealed, but also many ways to prevent it. We have an open nurse’s station, meaning the patients can reach over and grab/see anything that sits on the desk. They are also able to hang around on the sides of the desk and potentially see our documentation and what is pulled up on the screens. To protect this information, we have the darkening screen protectors that make it difficult to see the screen unless directly in front of it, and we make it a point to leave all paperwork, charts, and anything with patient identifiers in the locked conference room behind the nurse’s station. We also use only first name and last initials to ensure privacy for our patients and staff alike.
One resource that with directly enhance informatics competency is the use of interprofessional education. According to Reynolds (2018), interprofessional education or IPE refers to when two or more professions work together to increase education, collaboration, and quality of care. When utilized with informatics, IPE increases collaboration and teamwork, quality improvement strategies, and can guide in depth EBP. When each profession has a better understanding of what the other does and their ultimate goals, quality of care ultimately increases. Cooperation among various professionals lends new perspectives to developmental work (Ahonen, 2018). Continued education in informatics is another incredibly useful resource for enhancing knowledge and skills. For me, this is my first official informatics class and while my basic knowledge is proficient, my advanced knowledge of informatics is lacking. The best way to gain competence and skill is to continue exploring educational information and classes that build on the basic concepts. Informatics as a specialty includes more in-depth knowledge and training with technological aspects and advancements, and without additional schooling would be increasingly difficult to become competent in. For me specifically, the best method would be to continue my informatics education to become more skilled in the specialty and be able to adequately apply it to my work. IPE is something I see being done quite often in my current facility through regular treatment team meetings and I find it to be incredibly beneficial. As a nurse I don’t always understand why the social workers, dieticians, physicians, etc. do things the way they do, but when everyone gets together in these meetings there are open discussions and education on why/how to create the best plan for each patient. This collaboration effort greatly increases the quality of patient care. In my future practice I plan to encourage such meetings and ensure open lines of communication between providers to decide the best possible practice. I also intend to continue learning as much as I can throughout this course and subsequent courses in order to improve my informatics competencies to the best of my ability.
References
Ahonen, Kinnunen, U.-M., Lejonqvist, G.-B., Apkalna, B., Viitkar, K., & Saranto, K. (2018). Identifying Biomedical and Health Informatics Competencies in Higher Education Curricula. Studies in Health Technology and Informatics, 251, 261–264. https://doi.org/10.3233/978-1-61499-880-8-261,
Reynolds, & Wilson, G. M. (2018). The Power of Interprofessional Education to Enhance Competency-Based Learning in Health Informatics and Population Health Students. The Journal of Health Administration Education, 35(3), 377–387.
Sample Answer 3 for NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
Nursing informatics, the science and practice of converting data and integrating nursing science into practice. Enriched technologies increase nurses’ knowledge communications and improve overall patient-centered care. I was apprehensive of my pre-self-assessment abilities but realized I had more basic skills than I knew. The two competencies used in my current clinical role are primary computer and informational competencies used in EHR, E-Force, and EBP research. In addition, I will utilize tools, The Essentials: core competencies for professional nursing education and Chamberlain’s library search engine, locating available information complementing each other in improving communication and technology competencies. My goal is to perform within the exceptional criteria of “Domain 8: information and communication technology tools, used in the care of patients, communities, and population.” (AACN, 2021, page 46). The plan includes a progression timeline, weekly reviews, making changes as needed working toward my goals.
American Association of Colleges of Nursing (AACN) (2021). AACNessentials. http://www.aacnnursing.org/Education-Resources/AACN-EssentialsLinks to an external site.
Sample Answer 4 for NR 599 Week 2: Pre TANIC Self-Assessment and Reflection Post
How is informatics used?
Informatics is used to improve evidence-based practice and improve healthcare delivery. It uses tools, skills, and knowledge to collect and manage health information that can be used to enhance the healthcare system (Abyaomi et al., 2017).
Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compared to after the self-assessment? Explain in detail.
Before the self-assessment, I perceived myself as competent in most areas, maybe even proficient in a few areas. However, after taking the TANIC assessment, I realized I am proficient in most categories and even an expert in a few areas. I was shocked by this as I would not necessarily describe myself as great with technology. However, after taking the assessment and reflecting back, I realized I spend more time using the computer and interacting with technology than I previously had perceived. For example, at my hospital, I utilize online learning modules, electronic charting, computerized medication dispensing systems, and an online messaging system to communicate with interdisciplinary team members. All of those technologies combined with my everyday use of my cellphone and laptop, I realized I have extensive daily interactions with technology.
What TWO competencies do you use in your current clinical role? Provide examples.
The two competencies that ii currently use in my clinical role are policy and technology and information literacy. I use the policy competencies as I am now a part of my hospital’s Unit-Based Council(UBC). In UBC, we discuss, implement and advocate for new policies based on evidence-based practice and evaluate current policies to ensure they are safe and effective. I use the technology and literacy competencies by using technology systems such as evaluating EKG readings to make complex decisions when patients have shortness of breath or chest pain. I also educate patients and family members about using the patient portal to view test results and prescribed medication to aid in the ability to self-manage their care (NONPF, 2017).
Identify TWO resources to develop a strategic plan to enhance your competency skills.
I can use two different resources to enhance my competencies skills: in-service training and being aware of current research-based practices. Ensuring I participate in in-service training on new equipment and software updates and recent research ensures I am staying up to date in a constantly changing field that continually creates new advancements.
Which resources are suited to your needs and why
Inservice training, online resources, and continuing education are all resources suited to my needs. I learn best from hands-on experience and then taking that and teaching others. Due to this, I commonly volunteer to attend superuser courses for new technological advancements. I can stay updated with new advancements and aid peers with the devices when they are rolled out onto the floors. Online resources and continued education resources will ensure I am aware of the up-to-date resources at my disposal.
How do you intend to enact this improvement plan?
I will enact this improvement plan by seeking continuing education opportunities to grow my skills and knowledge. In today’s advanced technological era, information is at our disposal twenty-four seven. As providers, we are responsible for seeking out information and learning opportunities to advance our knowledge and improve our patient care.
References
Abyaomi, O. K., Evans, N. D., & Ocholla, D. (2017). Factors that Influence Medical Doctors’ Behavioral Intention to Use Clinical Informatics. Mousaion, 35(1), 130–154. https://doi.org/10.25159/0027-2639/2321
National Organization of Nurse Practitioner Faculties (NONPF) (2017). Nurse practitioner core competencies content. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf
NR 599 Week 3 EHRs Benefits and Drawbacks
The use of CPOE has truly reduced the risk of cross prescribing, medication errors and poly pharmacy in most cases. To combat the risk of drug to drug interaction in patients taking medicines that were not prescribed by the health provider like natural remedies or over the counter meds, the NP needs to be thorough in getting clear and precise information from the patient prior to prescribing the meds. Also patients with access to their EHR are involved in their positive health outcome and are more likely to verbalize to their health care provider any medicine or natural products they may be on or even ask the provider what they think about the natural remedies before deciding to take such products. Patients are also encouraged to bring their current medications and natural remedies to their healthcare provider visit as well. A strong positive interpersonal relationship between the healthcare provider and the patient is also encouraged. Patients are most likely to open up about remedies and practices they have tried to a provider that they are comfortable with. Thank you.
Carrera-Hueso, Merino-Plaza, M. J., Ramón-Barrios, M. A., Lopez-Merino, E. I., Vazquez-Ferreiro, P., & Poquet-Jornet, J. (2019). Proposed model to determine satisfaction with computerised provider order entry systems in a long-stay hospital. European Journal of Hospital Pharmacy. Science and Practice, 26(2), 73–78. https://doi.org/10.1136/ejhpharm-2017-001345Links to an external site.