THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES

Patient Care Efficiencies and Outcomes as Affected by Nursing Informatics It might take much work to plan and carry out change in nursing practice. Nurses are now doing handoff shift reports at the nurse’s station at this healthcare facility. According to research, the use of bedside nurse reports can reduce errors and improve patient outcomes. Implementing bedside nursing reporting has the following objectives: giving staff a standardized strategy to boost staff communication at shift changes, including patients in their care, reducing adverse occurrences, and reducing medical errors. To guarantee that patient safety and patient outcomes are at the forefront of the hospital’s priorities, this project was created to enhance the change of shift reporting procedure on the units.

Project Stakeholders Affected

Hospital administrators and healthcare organizations are actively working to transform their surroundings in order to prioritize improvements in patient safety and happiness (McAllen, Stephen, Swanson-Bieraman, Kerr, & Whiteman, 2018). The main parties impacted by the implementation of bedside nursing reports are the Board of Trustees and the patients. The Board of Trustees is responsible for choosing actions that are in the hospital’s best interests. The hospital heavily depends on the knowledge of these staff members to keep the institution safe from catastrophic occurrences.

Adverse events and medication errors have a detrimental impact on the hospital. The expenses to fix bad events and mistakes could force hospitals to close permanently. The direct consumers of any hospital are the patients. Any new initiatives will inevitably have an impact on the patients who use this hospital’s services. The hospital could not make money if there were no patients. Patients have the option to go to other facilities to receive the care they require if the care they are receiving is inadequate. More patients mean lower revenue for the hospital.

Project Will Enhance Patient Outcomes or Patient Care Efficiencies

“To avoid adverse occurrences and medical mistakes, nurse shift changes necessitate the smooth transfer of information between nurses. To ensure that these transitions in care are secure and successful, patients and families may contribute. According to research, patient involvement can result in measurable enhancements in safety and quality of care (Nurse Bedside Shift Report, 2017). Increased patient involvement and understanding of care, communication between the patient and nurse about updates on their conditions, increased accountability of nurses, increased teamwork and relationships among nurses, increased patient satisfaction, and a reduced risk of mistakes are just a few of the many advantages of bedside reporting (Rush, 2012). An evaluation of the patient and surroundings follows the outgoing nurse’s introduction of the patient to the incoming nurse in the bedside report. The patient assessment will contain a basic summary of the patient’s condition and significant areas of care. These issues can include wounds, dressings, aberrant heartbeats or breath sounds, a safety check of the space, an evaluation of the IV site for fluids and inflammation, or anything else that is deemed out of the ordinary (McAllen et al., 2018). The goal of communication during the bedside shift report is to guarantee patient safety and continuity of treatment.

The bedside nursing report encourages open and honest communication between the nurses and the patient, which lowers the chance of mistakes (McAllen et al., 2018).

Technology Necessary for Project Implementation

Professionals in the field of nursing informatics have been at the fore of driving change ever since the introduction of technology in the field of healthcare (Sugrue, 2013). By streamlining processes that could be thought of as both simple and difficult jobs, technology facilitates care and improves safety. The implementation of bedside nursing reports will be significantly aided by electronic health records (EHRs). The majority of EHR paperwork is completed by nurses throughout their shifts. Creating care plans, physiological parameters, assessments, treatments, and progress evaluations are a few of these duties, all of which are essential to care integration and patient safety (Glassman, 2017). A computerized system for tracking problems found by bedside nursing reports is also being developed. The delivery of patient care at all levels of a care delivery organization must be evaluated and improved continuously as part of clinical transformation. It occurs when a company adopts a common objective of patient safety, clinical outcomes, and quality care through process reform and IT deployment and rejects existing practice patterns that provide inefficient or less effective results (Sugrue, 2013, p. 18). For instance, during a bedside nurse report, problems can be identified and resolved, such as medication errors or patient falls. To sustain the necessary gains to patient safety made with bedside nurse reports, this system would need to be in place to analyze, monitor, and evaluate data (McAllen et al., 2018).

Participants in the project team

The Quality Improvement Manager will be a member of the project team. The Quality Improvement Manager will initially need to meet with hospital administrators to go over the project’s budget and funding sources. In the end, the hospital’s budget will decide if a new project is currently financially feasible. The new method of receiving and getting a bedside report at shift change will be designed and put into place by the quality improvement manager. Also, he or she will give the new adjustments to the nurse managers of each hospital unit and explain them to them. As members of the project team, the nurse managers will be crucial. Implementing bedside nursing reports on their respective units will fall under the purview of the nurse managers. In order to guarantee that the implementation of beside report is a seamless transition, they are also responsible for giving the nurses on the units the appropriate training. The hospital may also set a strict timeline for the project to be underway in each hospital unit. On their respective units, the nurse manager is in charge of adhering to this deadline. The inclusion of computational tools and algorithms to assist with the gathering, organizing, analyzing, processing, presenting, and disseminating of biological data must be facilitated by nurse informaticists (McGonigle & Mastrian, 2018, p. 546). The nurse informaticist would design a system to monitor, quantify, and assess the many kinds of errors discovered during bedside reporting. Following up on this information would help to build on the gains in patient safety made with the bedside report (Surgue, 2013).

Conclusion

Nursing practice change can take time to plan for and implement. The foundation on which healthcare organizations were founded in patient care and the manner in which the treatment is provided. In any setting where healthcare is provided, technology-enhancing tools unquestionably impact every part of the nursing process. Healthcare institutions must be dedicated to delivering seamless care effectively and quickly in order to maximize patient happiness and safety. Using nurse communication procedures like the bedside nursing report, healthcare organizations can accomplish this more successfully. Integrating the bedside nursing report processes into the nurse workflow using technology fosters connections with patients outside of the hospital and fosters relationships and trust. By the use of bedside nursing reports, the organization may close communication gaps between nurses, patients, and families, improving clinical results and staff and patient satisfaction (Collins, 2014).

References

Glassman, K. S. (2017). Using data in nursing practice. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

McAllen, E. R., Stephen, K., Swanson-Bieraman, B., Kerr, K., & Whiteman, K. (2018, May 2). Moving shift report to the bedside: An evidence-based quality improvement project. The Online Journal of Issues in Nursing, Vol. 23. https://doi.org/DOI: 10.3912/OJIN.Vol23No02PPT22

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge

(4th ed.). Burlington, MA: Jones & Bartlett Learning.

Nurse bedside shift report. (2017). Retrieved June 10, 2019, from https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy3/index.ht ml

Rush, S. (2012, January). Bedside reporting: Dynamic dialogue. Nurse Management, 43(1), 40-

44. https://doi: 10.1097/01.NUMA.0000409923.61966.ac

Sugrue, M. (2013, November). Technology, transformation, and the nursing workforce. American Nurses Today, 8. Retrieved from https://americannursetoday.com/wp- content/uploads/2014/07/ant11-Technology-1107.pdf

Collins, R. (2014). Best practices for integrating technology into nurse communication processes. Retrieved from https://www.americannursetoday.com/best-practices- integrating-technology-nurse-communication-processes/

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In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

• Review the concepts of technology application as presented in the Resources.
• Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

weekly resources

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

• Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)
• Chapter 26, “Our Expanding Realities” (pp. 611–624)
• Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive LeadershipLinks to an external site.. JONA: The Journal of Nursing Administration, 49(11), 543-548.
• Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.
• Sipes, C. (2016). Project management: Essential skill of nurse informaticistsLinks to an external site.. Studies in Health Technology and Informatics, 225, 252-256.

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