The Role of the Nurse Informaticist in Systems Development and Implementation

 

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support
  • Use APA format 

3 References include :

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)

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Advance Pathophysiology case study NP program

 42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch. 

 Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. 

 Explain why prostatitis and infection happen. Also explain the causes of systemic reaction. 

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Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation6051

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support
  • 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.

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Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation6051

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support
  • 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.

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Academic Success and Professional Development Plan Part 4: Research Analysis

 

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Hence research analysis skills are critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

  • Reflect on the strategies presented in the Resources this week in support of locating and analyzing research.
  • Use the Walden Library to identify and read one peer-reviewed research article focused on a topic of interest to you in your specialty field.
  • Review the article you selected and reflect on the professional practice use of theories/concepts as described by the article

The Assignment:

 Conduct an analysis of the elements of the research article you identified. Be sure to include the following:

  • Clearly identify the topic of interest you have selected.
  • Provide an accurate and complete APA formatted citation of the article you selected, along with link or search details.
  • Clearly identify and describe in detail a professional practice use of the theories/concepts presented in the article.
  • Provide a clear and accurate analysis of the article using the Research Analysis Matrix section of the template.
  • Write a 1-paragraph justification that clearly and accurately explains in detail whether you would recommend the use of this article to inform professional practice. Note: You can use the CARP method as presented in the Resources for this week on evaluating resources.
  • Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:
    • Clearly and accurately describe in detail your approach to identifying and analyzing peer-reviewed research.
    • Clearly identify and accurately describe in detail at least two strategies that you would use that you found to be effective in finding peer-reviewed research.
    • Provide a complete, detailed, and specific synthesis of at least one resource you intend to use in the future to find peer-reviewed research.
    • Integrate at least one outside resource and 2-3 course specific resources to fully support your summary.

Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan Template.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph.

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Political Competency Development Plan Assignment

 

Purpose

The purpose of the political competency development plan is the opportunity to reflect upon and translate skills that have been acquired through education, professional nursing experience, and life experiences into political action to improve healthcare outcomes. This development plan should focus on areas of strength and opportunities for continued growth and development to build political capital and practice readiness as a DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 3: Demonstrate collaborative leadership as a political resource in the development and implementation of health care policy to improve healthcare delivery and outcomes. (PO 9)

CO 4: Build political competency to enhance and support professional identity formation. (PO 2)

CO 5: Advocate for value-based, equitable, and ethical health policies at the micro-, meso-, and macrosystem levels. (PO 9)

Due Date(s)

The Late Assignment Policy applies to this assignment.

The competency development plan is due at 11:59 p.m. (MT) at the conclusion of Week 5.

Total points possible: 350

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the ePortfolio. The development of political competency is an important attribute to the DNP Leader as it will serve as a guiding framework for the development of learning and skills congruent with gaining political experience.

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

  1. For this assignment, use the guidelines provided by Warner (2003) on designing a political competency development plan.
    1. Include a title page, body content, and full reference list.
    2. Paper should be between 5-7 pages long (not including title and reference page).
    3. Include a minimum of at least 4 scholarly, peer-reviewed research articles.
    4. Use the following subheadings to organize the content of your paper:
      1. Nursing Expertise & Health Policy Advocacy
      2. Competency Development Plan
      3. Conclusion
      4. References
  2. The assignment should include the following components:
    1. Title page
    2. Introduction
      1. Introduce topic of paper
      2. Present the value of the political competency development plan to support professional formation of the DNP practice scholar
      3. Purpose statement
    3. Nursing Expertise & Health Policy Advocacy (4-6 paragraphs, well-cited)
      1. Discuss the impact of social determinants on health and health policy
      2. Present the value of understanding health policy for DNP practice scholars
      3. Explore the influence of nursing expertise and advocacy in the development of health policy
      4. Discuss the importance of political competence for DNP practice scholars
    4. Competency Development Plan (6-8 paragraphs)
      1. Discuss each of the six areas and provide a specific plan to enhance your political competency in each. Be specific with at least two specific action steps in each of the performance areas:
        1. Nursing Expertise as Valued Currency
        2. Networking
        3. Powerful Persuasion
        4. Collective Strength: Grass roots, special interest groups, and coalition development
        5. Strategic Perspective: Developing a strategic perspective and ability to provide perspective (analysis with policy brief) on a health care policy driven using evidence (to support recommendations or revision) and community need as demonstrated through social determinants in health
        6. Perseverance: Discuss what a “win” looks like to you and how can you better develop your awareness of political gains despite not getting all you expected from the political process
    5. Conclusion
      1. Well-rounded and comprehensive conclusion
      2. Summarizes the paper
      3. Provides a call to action
    6. Clarity of Writing
      1. Use standard English grammar and sentence structure
      2. There should be no spelling errors or typographical errors
      3. Paper should be organized around the required components using appropriate headers.
    7. APA/Formatting/References All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (current edition of the APA manual) format including:
      1. Document setup
      2. Title and reference pages
      3. Proper in-text citations with a properly formatted reference list

Rubric

NR708 Political Competency Development Plan Assignment RubricNR708 Political Competency Development Plan Assignment RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction Requirements:1) Introduce topic of paper
2) Present the value of the political competency development plan to support professional formation of the DNP practice scholar
3) Purpose statement10 ptsHighest Level of PerformanceIncludes no fewer than 3 requirements.9 ptsVery Good or High Level of PerformanceIncludes no fewer than 2 requirements.8 ptsAcceptable Level of PerformanceIncludes no fewer than 1 requirement.0 ptsNo MarksNo requirements for this section presented.10 pts
This criterion is linked to a Learning OutcomeNursing Expertise & Health Policy Advocacy Requirements:1) Discuss the impact of social determinants on health and health policy
2) Present the value of understanding health policy for DNP practice scholars
3) Explore the influence of nursing expertise and advocacy in the development of health policy
4) Discuss the importance of political competence for DNP practice scholars80 ptsHighest Level of PerformanceIncludes no fewer than 4 requirements.72 ptsVery Good or High Level of PerformanceIncludes no fewer than 3 requirements.64 ptsAcceptable Level of PerformanceIncludes no fewer than 2 requirements.0 ptsNo MarksIncludes 1 or fewer requirements for this section.80 pts
This criterion is linked to a Learning OutcomeCompetency Development Plan Requirements:Discuss each of the six areas and provide a specific plan to enhance your political competency in each. Be specific with at least two specific action steps in each of the performance areas:
1) Nursing Expertise as Valued Currency
2) Networking
3) Powerful Persuasion
4) Collective Strength
5) Strategic Perspective
6) Perseverance200 ptsHighest Level of PerformanceIncludes no fewer than 6 requirements.180 ptsVery Good or High Level of PerformanceIncludes no fewer than 5 requirements.160 ptsAcceptable Level of PerformanceIncludes no fewer than 4 requirements.0 ptsNo MarksIncludes no fewer than 3 requirements.200 pts
This criterion is linked to a Learning OutcomeConclusion Requirements:1) Well-rounded and comprehensive conclusion
2) Summarizes the paper
3) Provides a call to action20 ptsHighest Level of PerformanceIncludes no fewer than 3 requirements.18 ptsVery Good or High Level of PerformanceIncludes no fewer than 2 requirements.16 ptsAcceptable Level of PerformanceIncludes no fewer than 1 requirement.0 ptsNo MarksNo requirements for this section presented.20 pts
This criterion is linked to a Learning OutcomeClarity of Writing. Requirements:1) Use of standard English grammar and sentence structure. 2) No spelling errors or typographical errors. 3) Organized around the required components using appropriate headers.20 ptsHighest Level of PerformanceIncludes no fewer than 3 requirements.18 ptsVery Good or High Level of PerformanceIncludes no fewer than 2 requirements.16 ptsAcceptable Level of PerformanceIncludes no fewer than 1 requirement.0 ptsNo MarksNo requirements for this section presented.20 pts
This criterion is linked to a Learning OutcomeAPA Formatting/References Requirements:All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (current edition of the APA manual) format.
1) Document setup
2) Title and reference pages
3) Citations in the text and references20 ptsHighest Level of PerformanceIncludes no fewer than 3 requirements.18 ptsVery Good or High Level of PerformanceIncludes no fewer than 2 requirements.16 ptsAcceptable Level of PerformanceIncludes no fewer than 1 requirement.0 ptsNo MarksNo requirements for this section presented.20 pts
Total Points: 350PreviousNext
 

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Change Implementation and Management Plan6053

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

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Benchmark-Capstone Project Change Proposal

In this assignment, students will pull together the capstone project change proposal components (Topic after discharge follow up) they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Clinical problem statement.
  3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
  4. PICOT question.
  5. Literature search strategy employed.
  6. Evaluation of the literature.
  7. Applicable change or nursing theory utilized.
  8. Proposed implementation plan with outcome measures.
  9. Discussion of how evidence-based practice was used in creating the intervention plan.
  10. Plan for evaluating the proposed nursing intervention.
  11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
  12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

The topic is after discharge follow up, the facility is Perdue Medical Center a long term and rehab facility

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Professional Capstone and Practicum Reflective Journal (week 8)

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  1. Health policy

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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ETOH and gambling case study

BACKGROUND

Mrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.” 

SUBJECTIVE

Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health. 

She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. 

Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know. 

MENTAL STATUS EXAM

The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.

Diagnosis: Gambling disorder, alcohol use disorder

Decision Point One

Antabuse (disulfiram) 250 mg orally every morning

RESULTS OF DECISION POINT ONE

  • Client returns to clinic in four weeks
  • Mrs. Perez reports to the office complaining of sedation, fatigue, and a “metallic taste” in her mouth, which “seems to be going away.” She also reports that she had just one drink about 5 days after starting the drug and thought that she would “die.” She reports that her face was red, and she felt that her heart would “pound right out of my chest.” 
  • Mrs. Perez also reports that she continues to visit the casino but has not been spending as much money there. She has noticed that her cigarette smoking is increasing 

Decision Point Two

Continue current dose of Antabuse and refer to counseling for ongoing gambling issues 

RESULTS OF DECISION POINT TWO

  • Client returns to clinic in four weeks
  • Mrs. Perez in 4 weeks and reports that she has met with the counselor, but she did not really like her. She also started going to a local meeting of Gamblers Anonymous 
  • She states that last week, for the first time, she spoke during the meeting. She reports feeling supported in this group. She also reports that she is still smoking quite a bit

Decision Point Three

Explore the issue that Mrs. Perez is having with her counselor, encourage her to continue attending the Gamblers Anonymous meetings, and discuss smoking cessation options

The Assignment: 5 pages

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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