Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues

§ Reference slide – list of academic references, using APA style

o Ensure to support the content of your slides with research from your text or the LRC.

·

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template).

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

Comment 1

Communication may be described as the process by which information, understanding as well as perception are transmitted from one person to the other as an integral part of a relationship. In nursing, communication is significant and patient care needs to be improved continuously (Huber, 2017). After having the idea of improving patient, I would gather and collect data first from the published trials with the current literature which support innovation. The data I have collected I would compile it in a PowerPoint presentation that includes research information associated with the idea. Then in a staff meeting, I would present my idea. This will help me because my fellow colleagues would assist me to edit the finding and adding more information to make it perfect. I would also have some members to support me so that we can form a team. This team will join me on the board where the upper management will view the presentation. This makes the idea more realistic and only a few people can resist the change. I would present the information to the upper management verbally to ensure that the project importance is understood. I would use the corporate social responsibility model which is reproductive, standardization as well as consistency. Once the trial runs effectively, I would develop another presentation containing the stated problem and statistical research. This information can be presented using the visual graphs as well as employee accounts of experience to ensure that the idea sounds beneficial to staff, budget as well as patients (Jones, 2015). Giving visuals and the actual accounts from the employees are important when influencing the change.

Comment 2

Motivation is an essential part to everyday life, task completion and performance results. Two types of motivation to be discussed are intrinsic and extrinsic. “Intrinsic motivation is something internal, either primal (such as the need to eat) or learned (such as the knowledge of healthful eating). Extrinsic motivation is something external and may be both positive (such as rewards) or negative (such as punishment). Repeated exposure to extrinsic motivation may help create an intrinsic motivation. (Eggenberger, Sherman & Keller, 2014)

When dealing with intrinsic motivation and example that relates to me is that of knowledge of nursing skills. I placed a great deal of motivation into my everyday tasks as a nurse, from practicing proper infection control to medication management and administration. These tasks need to be completed and with precision at that. Extrinsic motivation is a little different, an example that pertains to be would be picking up overtime at work or covering shifts that need to be filled. Currently at my place of employment we are short staffed on our 11pm to 7am shift. My work is offering an incentive to those whom are willing to work of an additional $100 dollars per shift worked. This is a reward that motivated employees to pick up overtime and coverage.

“In any setting, high-performance work teams rarely occur naturally. They must be created and managed. To instill effective teamwork into health care, leaders need to recognize and emphasize its importance. They play a key role in helping a team develop the ability to collaborate effectively, build relationships and trust, innovate, and achieve results at a consistently high level.” ( Repovich, 2013) Characteristic that are essential are communication skills, team work ethics and motivation.

For clarification purposes, please submit each assignment with according to their unit numbers

Unit 1

Should all nurses be considered leaders? What characteristics of nurses make them leaders? How do your responses compare or contrast with the view of power according to servant leadership? Support your response with evidence from the textbook or Topic Materials.

RESOURCES

Electronic Resource

1. Guidelines for Graduate Field Experience Manual

Please refer to the Guidelines for Graduate Field Experience Manual. Students need to log hours in Typhon as a time log. The preceptor must approve time log entry by clicking on green box to lock entry. For questions, please contact typhon@gcu.edu or the Office of Field Experience.

http://students.gcu.edu/academics/college-of-nursing-and-health-care-professions.php

2. Issue of Power

View the “Issue of Power” video.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nur670_vpv01GUI.php

3. What Is the Difference Between Leadership and Management?

Read “What Is the Difference Between Leadership and Management?” by Murray, from The Wall Street Journal (2014).

http://guides.wsj.com/management/developing-a-leadership-style/what-is-the-difference-between-management-and-leadership/

e-Library Resource

1. The Role of Values in Servant Leadership

Read “The Role of Values in Servant Leadership,” by Russell, from Leadership and Organization Development Journal (2001).

https://lopes.idm.oclc.org/login?url=http://search.proquest.com/docview/226915965?accountid=7374

Other

1. Nurse Leadership Practicum Clinical Log

The “Nurse Leadership Practicum Clinical Log” is a pass/fail assignment due at the end of the course, but the instructor may ask at any time to review the document.

Students must update the “Nurse Leadership Practicum Clinical Log” each week.

NUR-670-RS-NurseLeadershipPracticumClinicalLog.docx

Unit 2

In the secular approach to leadership, there is an inherent belief that hard work will get you to the top and guarantee success. Think of a time in your professional life when this has proven to be true. What were the circumstances? How much influence did you have on the outcome? Based on the textbook, how do your responses compare to the views of servant leadership? How do your responses compare to the secular view of leadership?

Unit 3

You are in a place of influence in your professional life where you can help people be successful. Describe the relationship and what actions you have taken or could take to serve others. Based on the textbook, how does your response compare to the views of authority according to servant leadership? How does your response compare to the secular view of authority?

Unit 4

What is your given “authority” at your work place and/or professional life? Describe a time when you have exercised this authority in your journey as a professional nurse? How does your response compare to the secular view of power? How does your response compare to the secular view of authority? How does your response compare to the view of power according to servant leadership? How does your response compare to the view of authority according to servant leadership?

Unit 5

Describe a time in your professional life when you felt used and manipulated. What were the circumstances? Did you feel valued by the leader? Based on the textbook, explain how the issue of purpose, in the servant-leader paradigm, could have yielded a more beneficial outcome for the leader and yourself.

Discuss the major local, national, and international obstacles to implementing standardized terminologies within EHRs.

 You mention the importance of autonomy within the role of the practitioner. What role does collaboration play in the role of the practitioner?  How does one use collaboration effectively within this role?