16 Jul THE COMPONENTS OF THE NURSING PROCESS
DESCRIPTION:
Respond to discussion one in 140 words and discussion 2 in 135 word – using one scholarly article within the last 5 years for the perspective of an emergency nurse Discussion One Nursing care involves the components of the nursing process, which includes assessment, plan, implementation, and evaluation (Sengstack, 2012). Nursing informatics specialists include these four elements into projects that benefit the clinicians and the patients. It takes a team of people to design healthcare informatics systems, from vendors who focus on infrastructure to advanced practice nurses (APNs) who specialize in informatics to the end user being the clinical nurse (Sengstack, 2012). APNs who specialize in informatics and take on project management can function as an important connection between the informatics team and the medical staff or nurses.
These APNs have an expansive knowledge of informatics as well as the nursing process, they are able to bridge communications between their departments and the clinical settings. Nursing informatics has opened up the field of nursing to an endless amount of possibilities. It has accelerated the generation and uptake of new nursing knowledge simply by providing nurses to more timely access to data and information. In the past, evidence-based research and practice was difficult to look up due to the large volumes of paperwork that was difficult to even seek out if the individual did not know that the research already existed. Today, nursing informatics is everywhere. It can be seen in the monitoring technology that measures patient’s vital signs, in the bar-coded medication administration system that allows nurses to document when medications are administered, and in the telehealth applications that allows medical professionals to examine patients who would otherwise find it difficult to be seen by specialists just to name a few. Working in one of the largest teaching hospitals in Miami FL, I have the benefit of being in an environment that supports the use of informatics tools to generate and adopt new nursing knowledge. For example, a fellow coworker read an article that was published regarding alarm fatigue in the ICU.
In this setting nurses rely heavily on the monitors that provide continuous readings of each patient’s vital signs. It was found that educating the nurses on the monitoring system and encouraging nurses to individuals the alarms for each patient resulted in a significant decrease in false alarms thus this has improved monitor fatigue. Project management concepts do affect my practice, although I do not physically participate in it on a daily or even yearly basis. I am, however, an end user so therefore if a NI specialist needed information for their project my input will always be available for them to use. Reference Sengstack, P. (2012). System Design Supporting Workflow vs. Nursing Process: A Paradigm Shift?. ANIA-CARING Newsletter, 27(3), 1-6 Harper, E. M. (2013). The economic value of healthcare data. Nursing Administrator Quarterly,37(2), 105–108. doi: 10.1097/NAQ.0b013e318286db0d Discussion 2 In this discussion post, I will discuss the role of an advanced nurse practitioner and project management concepts. I will also discuss whether or not this application has a purpose in my practice. As a nurse, we are taught to follow the nursing process to provide care to the patient.
The components of the nursing process include assessment, diagnosis, plan, implementation, and evaluation (American Nurses Association, 2017). In the ever growing field of nursing informatics, nurses are expected to have competencies in informatics and more recently in project management (Sipes, 2016). Having these skills will help the nurse in providing quality competent care to the patient (Sipes, 2016). Nursing informatics specialists include these four elements into projects that benefit the clinicians and the patients (Sipes, 2016). It takes a team of people to design healthcare informatics systems, from vendors who focus on infrastructure to APNs who specialize in informatics to the end user being the clinical nurse (Sipes, 2016). APNs who specialize in informatics and take on project management can function as an important connection between the informatics team and the medical staff or nurses. Nursing science is integrated in to nursing informatics to identify, define, manage and communicate the data, the information, knowledge, and the wisdom in to the nursing practice (Sipes, 2016).
Nursing informatics supports the decision making roles to help achieve desired outcomes in the practice for nurses, consumers, patients, the interprofessional healthcare team, and other stakeholders (Sipes, 2016). I feel that this does have a place in practice. Nurses rely on nursing informatics in the field every day in regards to computers and providing competent patient care. Nurses and APNs will conduct project management in order to improve the quality of care. For example, when I was in my BSN program, I had to come up with a project for my last class. I created a program for better communication for all staff members involved in the care of the patient. I created a morning huddle. I had to follow each step of the nursing process, assessment, diagnosis, plan, implement, and evaluate. The names of the steps were a bit different but it was the same plan.
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