Interview with a Nursing Information Expert

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Chamberlain College of Nursing NR361 Information Systems in Healthcare

Interviewwith a Nursing Information Expert

InterviewerForm

Your Date:

YourInstructor’s Name:

Directions:Aftercompleting your interview, you mustusethis form to submit yourassignment to the Dropbox. Youmay use the form to capture information as you conduct yourinterview, or fill it in later. The form is expandable and willenlarge the textbox to accommodate your answers. Do not rely only onthis form for everything you must include! Please look in CourseResources for specific instructions in the Guidelines for thisassignment.

Criteria

Fill in the answers in this column.

Demographics: Provide initials of the RN, official job title of interviewee that includes the type of nursing information role and the date the interview was conducted.

Types of nursing information expert may be considered include, but are not limited to, Nursing Clinical Information Manager Super User, Director/Manger Clinical Education Chief Information Officer Quality Assurance or Performance Improvement Nurse Nurse Informaticist Telenursing Specialist Nurse Abstractor Case Manager Compliance Nurse.

RN Initials: A.M

Job Nursing Informatics Specialist/Clinical Information Manager

Date of Interview: 22nd March 2017

Required Questions

(answer EVERY question in this section)

  1. Describe your career path to your current position. Include information about education and experiences.

The interviewee was well-informed and responded to all questions regarding his career path. According to him, the nursing career is very fulfilling since it gives him the opportunity to serve people. The interviewee graduated with a Bachelor of Science Degree in Nursing and later specialized with a Master degree in Nursing Informatics to allow him to practice as a Nursing Informatics Specialist. He also acquired a registered nurse license to enable him practice nursing besides, he is an ANCC certified specialist. Early in his career, he worked for five years as a healthcare software vendor whereby he designed and implemented electronic health records, clinical systems, and clinical documentation systems. He joined the public health department as a nurse whereby he has risen through the ranks to become the clinical information manager. Notably, the interviewee boasts of ten years of experience both in middle and senior management positions as a nursing informatics specialist. The interviewee is also an expert medical-surgical nursing and functions as an educator and liaison person for physicians. Additionally, he works on a part-time basis as a BSN lecturer at a local university.

  1. Discuss the value of best evidence as a driving force in delivery of nursing care at your facility.

Evidence-based practice enhances the quality of patient care leading to positive patient outcomes. Integrating the best desirable evidence assists medics to tackle health care concerns both clinical and administrative through a qualitative and evaluative approach. Health practitioners can focus on patients’ values and preferences in the delivery of care since they evaluate studies and clinical guidelines by high quality finding and applying the outcomes to practice. Ultimately, the care provided would be efficient, effective, and safe.

  1. What safeguards and decision-making support tools are embedded in patient care technologies and information systems that support safe practice at your facility?

Healthcare delivery to a greater extent relies on information that facilitates successful decision making. Nurses’ knowledge is enhanced through gaining and transmitting appropriate information. Nursing informatics cannot be ignored in the current dispensation especially with the widespread adoption and integration of different information technologies that facilitate clinical diagnostic and decision making to ensure superior quality and enhanced patient care. The Health Information Privacy and Portability Act (HIPAA) provide key safeguards that promote patients’ security, confidentiality, and privacy. Information literacy allows health providers to utilize nursing-specific software like information management, computerized documentation, and patient-care technologies to analyze clinical data and support decision making. The decision-making support tools and relevant safeguards are relied upon to enhance patients’ satisfaction, lower costs, and increase safety, quality, effectiveness, and efficiency.

The main tools used in the facility include the automated alerts and reminders to health practitioners and patients as well as focused data reports and summaries, clinical guidelines, and diagnostic support systems. All this functionalities or tools are integrated into the electronic health records (EHR).

  1. Tell me about patient care technologies that have improved patient care at your facility.

The interviewee stated that the health practitioners also use EHRs, barcode medication systems, e-portfolios, emails, WIKIs, text messaging programs, genetics, and genomics, as well as 3-D printing, are used to improve the quality of patient care and information sharing. Other technologies relied on upon include clinical decision support system, computerized physician/provider order entry, biometrics, and robotics. Furthermore, Internet resources, electronic clinical databases, telehealth, social media, and personal digital assistants play a great role in management, communication, and expansion of data, wisdom, information, and knowledge in nursing practice.

  1. What groups of healthcare workers rely on you to collect high quality information/data and how is that information utilized?

Different groups of health care workers rely on data collection to promote evidence-based care. They include the social workers, technicians, doctors, and administrators. Since we work as a team, the clinical decision support system is relied upon to analyze the information which is then validated and disseminated for execution. The social workers need the information to determine the kind of family-level interventions and management the health challenges in the communities. They formulate plans to enhance prevention or mitigation of such health problems. The technicians, nurses and physicians use the patients’ information to formulate comprehensive care plans to treat the patients on a daily basis inclusive of medication regimens, tests, hygiene, feeding, wound care, or ambulating. The administrators use the information for administrative purposes and formulate strategies that ensure the facility provide quality services to its clients. Nutritionists will use the information to recommend nutritional needs and supplements for the patients. Case managers will use the information to assess the patients’ readiness for discharge or referral to assisted living, hospice, or extended care facilities. Chaplains or the clergy can use the information to determine the spiritual needs of the patients.

Optional Questions

(answer only ONE question from the choices below)

  1. Please tell me what challenges you have faced in dealing with other disciplines who may not “understand the needs of nurses/nursing?”

A.M claimed that the interdisciplinary work environment leads to many challenges as the health care workers seek to work together to deliver services. Nurses are increasingly dejected since members of other discipline fail to understand the nursing roles. Ultimately, the nurses accumulate a huge volume of work which leads to stress and burn-out. For instance, the clerks, cleaners, and accounts department employees knowingly delegate their duties to the nurses. Many doctors exhibit superiority complex which leads to communication breakdown affecting the delivery of patient care. The nurses are forced to use shortcuts ignoring the due process hence it greatly contributes towards poor patient care and medical errors.

  1. Please share an example of how garbage in/garbage out (GIGO) impacted a decision related to your information/data collection.

  1. Please give me an example of how the lack of interprofessional collaboration impacted your role.

  1. Please describe what a typical day on the job is like for you?

Follow-up Questions

(Answer all of these. Please do not ask them during the interview.

Instead, reflect and answer them afterwards.)

  1. How will completing this interview impact your practice as a BSN-prepared nurse? Give specific examples.

The interviewee was optimistic that the session was insightful since what was asked and shared greatly refreshes and shapes the perspectives and performance of nurses. A.M stressed on the challenges faced while performing their duties in a multidisciplinary team he vowed to ensure relationship and communication were enhanced, and all conflicts or misunderstandings are resolved amicably. Additionally, he reiterated the significance of technology advancement in nursing practice. He advocated for greater acceptance of the different types of technology being integrated into the facility to enhance the quality of patient care and patient outcomes. Additionally, I learned the significance of adopting the evidence-based practice and nursing informatics in a clinical setting to improve nursing service delivery. Leveraging on the two contemporary concepts helps reduce health care costs and enhance patient safety. Besides, health practitioners must use the huge volume of data or information being generated to formulate care plans that promote good health.

  1. Resources:

Scholarly articles or texts that were used prior to the interview to familiar. Complete in APA format. (The references should be within the last five years).

Clearly states how each resource helped prepare for the interview.

Resource #1:

Staggers, N., &amp Thompson, C. B. (2013). The evolution of definitions for nursing informatics.&nbspJournal of the American Medical Informatics Association,&nbsp9(3), 255-261.

The source provided evolutionary approaches which help in defining nursing informatics. The definitions include nursing informatics role specification and inclusion of information structures, decision making systems, and patients, information communication to help understand nursing informatics.

Resource # 2:

Nagle, L. M., Sermeus, W., &amp Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist.&nbspStudies in health technology and informatics,&nbsp232, 212.

The source describes how the evolution of nursing informatics practice has expanded due to technological advancement and increasing need to satisfy organizational needs

NR361 Interview Form.docx 2/18/17Rev. JM

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