NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Evidence-based practice is an essential nurse competency that supports the provision of effective and efficient care. Through team projects and individual applications, students learn how to organize, evaluate, and use health information and knowledge to critically appraise and use information technology to enhance evidence-based practice. Students also apply evidence-based practice to improve advanced nursing practice and healthcare outcomes across organization, public-health, and consumer-health settings.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
As you plan for the future, Matthew will bring strategies and tactics for making your medical group more consumer-centric. Innovative and forward thinking, Matthew will inspire your leaders and physicians to unlock the potential of your medial group and thrive in a value-based world.The goal of this literature review is to increase our knowledge about technology use in practice and to identify where there is need for improvement. Information technology seems to be a widely discussed topic these days and most nurses have no clear idea how it can transform the way we do things on an every day basis. We will also look at the impact technology has on nursing, patients, and colleagues. We will then focus on a specific nursing setting, in this case the emergency room. This literature review is organized to grow on each independent section so that you, the reader, can form your own opinion, but take with you the universal understanding of how information technology will lead us down a new and exciting career path. NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
 
 
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Many healthcare systems in low-income sub-Saharan African countries such as Rwanda face the challenges of communicable diseases, inadequate healthcare financing and a chronic shortage of healthcare workers. At the same time, Rwanda faces an increasing challenge fighting non-communicable diseases as the country becomes more developed. In light of these issues, Partners in Health (PIH) and the Rwandan government have been implementing value-based healthcare (VBHC) reform for more than a decade. As VBHC focuses on healthcare outcomes rather than volume of services provided, this approach enables Rwanda to allocate limited resources to initiatives that can improve long-term health, such as preventative measures like vaccinations and public awareness of non-communicable diseases.

At the Millennium Summit in September 2000, 149 heads of state and government unanimously adopted the UN Millennium Declaration to reduce extreme poverty with a deadline of 2015.1 That commitment has become known as the Millennium Development Goals (MDGs). The MDGs quantified targets for addressing extreme poverty and promoting gender equality, education, environmental sustainability and basic human rights NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
While many countries in sub-Saharan Africa have faced the difficulties of building a strong healthcare system, Rwanda met unique challenges rebuilding a nation after the 1994 genocide. In the relatively short time since then, Rwanda has become one of the few African countries to have successfully met the MDGs on the reduction of maternal mortality, child mortality and combating communicable diseases such as HIV/AIDS and malaria. For example, the maternal mortality rate fell from 1,300 deaths per 100,000 live births in 1990 to 290 in 2015, below the MDG of 325.3
The introduction of the MDGs provided a key anchor in Rwanda’s success by inserting a set of targeted outcomes into the national health dialogue that domestic and international non-governmental organisation stakeholders could agree upon. Since then, better infrastructure, a stronger pipeline of qualified healthcare professionals and increased access to healthcare coverage are among the many factors that have contributed to meeting the MDGs. The reduction in the maternal mortality rate, for instance, largely occurred due to more women giving birth in healthcare facilities with properly trained professionals NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper

Technology is stated as the scientific method and material used to achieve a commercial or industrial objective. To go one step further, nursing technology is using a tool to advance nursing practice. “The Institute of medicine identified that technology as a viable method of enhancing patient care delivery and improving staff productivity” Sensmeier, Horowitz (2003 page). Because inadequate nursing staff causes shortcuts to be taken, there are mistakes made that could have possibly been prevented. Errors by nursing staff were variously reported as being responsible for between 44,000 and 98,000 hospital deaths per year. Sensmeier, Horowitz (2003). Technology can have a large impact on nursing. In the past 5 to 10 years, computerized patient records have increased less than 10%. This number shows us that we are still not embracing technology to its full potential. Today in most hospital systems computerized electronic charting is being used. Many hospitals have many different systems NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Using the Data/Information/Knowledge/Wisdom Continuum
Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.
Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.
To prepare:
Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Develop a clinical question related to your area of practice that you would like to explore.
Consider what you currently know about this topic. What additional information would you need to answer the question?
Using the continuum of data, information, knowledge, and wisdom (http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html), determine how you would go about researching your question.
Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
Once you have identified useful databases, how would you go about finding the most relevant articles and information?
Consider how you would extract the relevant information from the articles.
How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
By Day 7 of Week 4
Write a 3- to 4-page paper that addresses the following:
Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
Identify the databases and search words you would use.
Relate how you would take the information gleaned and turn it into useable knowledge.
Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.
Your paper must also include a title page, an introduction, a summary, and a reference page.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Integration between healthcare systems however can be daunting and aside from the costs of change management, the most costly aspect of any healthcare information technology initiative (Sadeghi, Benyoucef, Kuziemsky, 2012). The intent of this analysis is to evaluate the challenges that healthcare organizations face when sharing data across systems. Second, two specific interoperability challenges are discussed, and third, two strategies a healthcare organization can use to address interoperability challenges are discussed.
Challenges Healthcare Organizations Face With Systems Integration
The nature of healthcare processes and the systems supporting them is to grow more separate and siloed over time, as each often have unique roles in a healthcare organization. Breaking down the process barriers and creating a highly unified, collaborative healthcare information technologies platform is critical for any healthcare provider to continually deliver excellent service to patients (Bernstein, McCreless, Côté, 2007). The challenges of integrating healthcare processes and their supporting systems together include managing often highly diverse data formats and definitions of database records (Abu-Samaha, 2003) NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper

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Presently there are many advancements taking place in healthcare within the information technology arena, which are helping to bring about a safer, more streamlined health care environment. These IT advancements are improving the quality of care, and decreasing costs. Unfortunately, there are many challenges healthcare facilities face concerning the implementation of EHRs. There must be specific strategies employed by an organization to address these issues to enable a smooth transition toward these EHR initiatives.
The following is an analysis of the roles nurses must play as proponents of change in the successful adoption of the latest Information technology. You will see examples of how nurse

These are the kinds of questions that brought 3M Health Information Systems and Verily Life Sciences together. 3M has decades of experience in health data, and Verily has deep understanding of analytics engines. It’s a perfect match for tackling these important and costly questions.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The Medical Device industry faces constant regulatory change, escalating pressure to control costs and an increasingly complex competitive landscape. To adapt in this dynamic environment, organizations must be able to quickly respond to shifts in market conditions, customer requirements, and regulations.
Whether you’re improving lives with artificial joint implants, maintaining healthy smiles with professional dental products, or developing the next breakthrough diagnostic tool, companies operating in the Medical Device vertical face similar industry specific challenges:NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper

Product Lifecycle Management
Premarket Notification / Product Testing
Software & Process Validation
Compliance With Labeling Requirements
Component & Product Traceability
Quality Management & Control
Financial & Operational Visibility
Inventory Controls & Fulfillment

Success in Medical Device Manufacturing requires a deft combination of innovative R&D, a controlled and dependable production process, and a comprehensive sales / customer service apparatus. Orchestrating harmony between departments takes the right process, technology and people.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
We investigated health system performance against several key quality benchmarks, identified the preventable issues, and finally created a prospective savings opportunity analysis for every hospital in the U.S. healthcare system. The tool we developed for this work is the 3M™ Performance Matrix Platform—a performance management solution that can analyze health data from hundreds of health systems

All data was risk-adjusted using 3M’s proprietary methodologies to assign each patient to a clinically meaningful risk category. Risk-adjusting the data provided a standardized view of the patient population, making it possible to accurately compare performance against risk-adjusted national benchmarks. Underperformance is illustrated by its financial impact on the organization.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper

• 3M™ All Patient Refined DRG (APR DRG) Classification system– The 3M APR DRG System is widely used throughout the United States to adjust inpatient claims data for severity of illness and risk of mortality. The software is used by commissions and over 30 state agencies for risk-adjusted quality reporting and payment. Because they use readily available data, the cost-effective 3M APR DRGs help organizations avoid additional, expensive data collection outside of the normal coding process.
• 3M™ Enhanced Ambulatory Patient Grouping (EAPG) Classification System – The 3M EAPG System classifies outpatient care into patient groups and categories based by key procedures and primary diagnosis code. It consolidates multiple single procedures into a bundle and packages ancillary services together with the significant procedure, where appropriate. 3M EAPGs are a powerful tool for calculating expected payment under an outpatient prospective payment system. They also provide a useful metric for benchmarking, analytics, reporting, case management and care coordination.Current Information and Communication Technologies In today’s ever changing healthcare world, effective communication among healthcare team members is essential to provide safe and quality patient care. Conventional communication methods such as the telephone and the word of mouth are no longer the most effective ways of communicating important aspect of patient care. So health organizations are adopting communication systems which improve interaction among healthcare providers (McGonigle & Mastrian, 2012). Recently my hospital adopted a new operating system called Care Logistics. Care logistics is a “…centralized care coordination model NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
During this time, if all requirements are met to have procedure then the nurse will make this procedure green, indicating that transportation can come for this patient. But for instance if the nurse was having a hard time getting the consent because the patient has dementia and the family is unobtainable, then the nurse can make a note indicating the reason why this patient is not ready.
Benefits of Care Logistics With care logistics, nurses are able to let patients and families know their daily itinerary. This eliminates the uncertainty of the day and the constant inquiry from patients about when certain events will occur. Order logistics allow nurses to spend more time with patients instead of the repeated interruptions by phone pages from radiology and other various departments. Acknowledging the procedures and/or indicating that the patient is ready, the nurse does not have to worry about scheduling and can spend more of her time providing quality bedside care. With order logistics doctors have started receiving test results more quickly. This allows them to appropriately diagnose and treat patients. Care logistics move patients through the hospital faster, by reducing wasted time and average length of stay for patients. Care logistics enhances communication and workflow while keeping the care in the forefront. As with any new healthcare technology patient care is the focus.
Barriers of Care Logistics As with any new technological tool, there will be barriers NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”
Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.
From Data, Information and Knowledge to Wisdom The data-information-knowledge-wisdom (DIKW) continuum is a concept of the transformation of data into wisdom through cognitive processes. DIKW was initially used to illustrate principles of information management for the designing of information systems (Davenport & Pursak, 1989)(Saltworks, 2009). DIKW models utilized by nursing such as the model by Englebart & Nelson (2002), incorporate principles of increasing complexity due to increasing interactions What is important and unique to nursing is the DIKW concepts and models also help describe the critical thinking processes that nurses use to transform knowledge into the delivery of patient care, into education and learning  NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The search identified 6 articles.
According to Bernstein (2009), The Data-Information-Knowledge-Wisdom hierarchy is based on filtration and reduction, so to select the most relevant articles, the titles and the keywords of the articles were reviewed first. This resulted in one article that did not contain the search words to be elimiated from further review. Translating Clinical Data to Information To further evaluate the usefulness of the 5 remaining articles, their abstracts were read to identify any relevant information. Information is data that has some meaning to it. Davenport and Prusak (1989) describes information as data that makes a difference to the receiver of the data. The data which is now aggregated into informational sentences and paragraphs (complete thoughts) reveal that the NANDA Nursing Diagnoses, the Iowa Nursing Interventions, and Iowa Nursing Outcomes Classification SNLs have been explored for use in Nurse Practitioner practice. This is information as it has context to the reason the literature search is being performed. Linking Information to Knowledge In the DIKW continuum, Knowledge is transformed from Information At the knowledge stage in Englebart’s & Nelson’s (2002) DIKW model, an increased level of complexity in thinking must occur as a result of the increasing occurrences of interrelationships between information and knowledge (McGonigle

Cipriano, P. F., & Murphy, J. (2011). Nursing informatics. The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 282, 286–289.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.
 
Plawecki, L. H., & Amrhein, D. W. (2009). Clearing the err. Journal of Gerontological Nursing, 35(11), 26–29.
This article presents a summary of the Institute of Medicine report “To Err Is Human: Building a Safer Health System.” The authors provide an overview of what has been accomplished in the decade following the IOM report, focusing in particular on health information technology.The Data/Information/Knowledge/Wisdom Continuum Data, information, and knowledge are words used to assign meaning to our complex nursing work. In the field of information technology, these words are used to give meaning and direct the flow of organizational knowledge (Thompson & Warren, 2009).The Data/Information/Knowledge/Wisdom Continuum Data, information, and knowledge are words used to assign meaning to our complex nursing work. In the field of information technology, these words are used to give meaning and direct the flow of organizational knowledge (Thompson & Warren, 2009).NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The concept of the data-information-knowledge-wisdom (DIKW) continuum is the transformation of data into wisdom through cognitive processes, which are supportive of the nursing practice. Schleyer and Beaudry (2009) discussed how nurses in this growing specialty are accountable to provide the best evidence-based care advice possible, transform the data collected to information, and apply that
The concept of the data-information-knowledge-wisdom (DIKW) continuum is the transformation of data into wisdom through cognitive processes, which are supportive of the nursing practice. Schleyer and Beaudry (2009) discussed how nurses in this growing specialty are accountable to provide the best evidence-based care advice possible, transform the data collected to information, and apply that
Like in any field, technology plays a crucial role in the field of nursing. Clinical question for this assignment is; has the use of electronic medication administration (eMAR) (Kelley, 2016) in any way improved the safety of medication in the healthcare setting? .Technology ensures that information is processed first and delivered to the right department or personnel. Data in any field is important because from these raw data important information can be derived. Such data is important for the study and control of diseases (epidemiology).Management of chronic diseases across the world has been so difficult, the situation is even worse when it comes to developing countries. For this reason therefore, having concrete data is important in the management of these diseases. It is from these data that important control and disease management can be implemented. The main role of nursing informatics is to ensure that patients get the best medical services.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The Data/Information/Knowledge/Wisdom Continuum Data, information, and knowledge are words used to assign meaning to our complex nursing work. In the field of information technology, these words are used to give meaning and direct the flow of organizational knowledge (Thompson & Warren, 2009).
The concept of the data-information-knowledge-wisdom (DIKW) continuum is the transformation of data into wisdom through cognitive processes, which are supportive of the nursing practice. Schleyer and Beaudry (2009) discussed how nurses in this growing specialty are accountable to provide the best evidence-based care advice possible, transform the data collected to information, and apply that

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Nursing informatics as an innovation over the social insurance framework stays in its outset phase of advancement and has not been generally used or boosted to its fullest potential by most healthcare facilities . Nursing informatics in the social insurance framework is an apparatus that underlines wellbeing and quality consideration results, which are devices that pioneers in medicinal services ought to unequivocally consider. Nursing informatics permits attendants to enter and get to patient data in a practical time period that matches individualized desires for every patient.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The use of electronic in the administration in the health sector across the world has not been that simple. It has been faced with a number of challenges some of which can be overcome within a short duration while others take a long time. Apart from the challenges facing the management of most diseases, having the data is the key strategy in its management. To work through the four steps of data, information, knowledge, and wisdom continuum, it should first of all ensure that I determine the pressure of the patient in the case of data. For instance, if the result will give 130/70 then this is the data. After having this data I will ensure that I also ask the patient if he or she has a history of blood pressures of about 150/100 for the last few years, this will lead me to information. This information will be necessary n the diagnosis of the condition. For example if in one way or the other the patient the patient has a well-known history of cardiac arrest and he or she is currently having a chest pain. The drastic drop in the blood pressure in some way can indicate an onset of serious myocardial infarction. This is what is referred as to knowledge. This is the right time that the patient should be given an oxygen, aspirin, and nitrates. That is wisdom.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The databases I would use in the search Allied Health Literature CINAHL and Nursing databases. I used the Walden University website to access the databases and the search words. From the website, I would narrow down the search engines to the field “Nursing” this is to ensure that the databases I would obtain are relevant to my field. Some of the search words I would use includes readmission, critical access hospital(CAH)( United States,2010), challenges, litigation, rural, cost, staff, joint commission, patients, ratio, Illinois, Wisconsin, trauma, hypertension, fatigue, fat deposition, narrowing of the blood vessels among others. These are the words are mostly used in the nursing and health profession.
To transform information into knowledge, I should first ensure that I am clear on my findings; this should be a guiding principle towards the transformation. I would determine the information understand the topic. Next, I would ensure that I gather all the necessary materials and sources to help me gather the information I require. I would then do an evaluation of the information obtained to ensure that the information is relevant to my field of study. I would then organize this information removing and eliminating those that are irrelevant; this will ensure that I don’t possess information that is not helpful to my field. The next step is to ensure that the piece of work is free of any plagiarism and spelling mistakes, this can be done by pro-reading. The last bid is to do an evaluation of what I have obtained from the whole exercise. By doing this would have gleaned and turned the information into knowledge.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Informatics can be used to gain wisdom. This is because wisdom in its early stage exists as data from which it graduates to information then to knowledge and finally to wisdom. All the information collected from the different sources cannot be useful, the useful ones can be assessed we learn something (knowledge).Wisdom guides us to either accept or reject some of this information. Without wisdom, some fake information can be taken to be true yet they are not. This can let to wrong decision making, in the hospital setting it can also lead to the wrong diagnosis, the wrong treatment which might, in turn, lead to more complications and eventually leading to the death of the patient. It is the role of any doctor or nurse to protect life, wrong judgments can cause lives and therefore having the right information is a key thing.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Data is very important, this is so because it is from here that meaningful information and conclusion can be made. A collection of these data should be done carefully or less information that is not relevant to a particular area or field would be collected. Information obtained should be able to address the clinical question; other information not relevant to the area should be eliminated. If this information is collected in the wrong database, the whole data, information, knowledge, and wisdom continuum will be affected. This will lead to wrong decision making. Nursing involves handling lives and therefore any mess can lead to loss of lives. Sharing of information in the health profession is important because it enables medical practitioners to communicate and share information. Creating knowledge in the nursing has been on the front line to empower the medical caretaker professionals to commission their parts successfully. It begins with the establishment of the requirements of data. The idea of the data-information-knowledge-wisdom (DIKW) continuum is the conversion of data into wisdom through subjective procedures important in nursing practice.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom. The clinical research question for this paper is; has implementing the use of the electronic medication administration (eMAR) improved the safety of medication administration in the hospital setting? The purpose of this paper is to display the progression through the four steps of the data, information, knowledge, wisdom continuum that occurs through research information to answer a clinical question pertinent to nursing in an acute care setting. Electronic Medication Administration in Acute Care Setting To complete: Write a 3- to 4-page paper that addresses the following: Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific. Identify the databases and search words you would use. Relate how you would take the information gleaned and turn it into useable knowledge. Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search. Your paper must also include a title page, an introduction, a summary, and a reference page.NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper
In this video, Doris Fischer, Richard Rodriguez, Carina Perez, and Carmen Ferrell introduce the concept of nursing informatics. These individuals provide insight into how informatics is transforming the health care system by improving efficiency and quality of care. NURS 5051 – Transforming Nursing and Healthcare Through Technology Essay Paper