Week 2: Discussion 2 IMPORTANT TERMINOLOGY AND CONCEPTS

TO PREPARE
- Review the Learning Resources for this week and select two terms from the following to focus on for this Discussion.
  - Usability
  - Interoperability
  - Decision Support
  - Sustainability
- Reflect on the meaning and application of the context of these terms and consider their importance for informational technology and nursing practice.
BY DAY 4 OF WEEK 2

Post and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific. Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms.

BY DAY 6 OF WEEK 2

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected different terms than you. Expand upon your colleague’s posting or offer an alternative perspective on how the terms identified by your colleague may contribute to non-functionality in your practice if not properly aligned.
The two terms I selected are the following: Decision Support and Sustainability. These two terms are important to me within my practice because decision support means you have a supportive team you are able to collaborate with in order to better yourself and your team. Sustainability is being able to implement policies or practices that are going to hold and stick. Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility and a willingness to change. (Leffers J, 2011)Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, editors. Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan; 2005Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. Public Health Nurs. 2011;28:91–102
Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: new direction for nursing research. J Adv Nurs. 2009;65:1527–38
These terms are extremely important to nursing practice because they provide support and structure which is needed in an environment that is always changing. In order to create staff retention these two factors are majorly important. Consequences of sustainability in nursing include education in the areas of ecology, environment and sustainable development as well as sustainability as a part of nursing academic programs and in the description of the academic subject of nursing. (Hansen-Ketchum P, 2009) If these terms are not applied appropriate this can cause disorder and a stressful overwhelming environment. Sustainability in nursing was explored and found to contribute to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. (Brown VA, 2005)
Reply to Comment
- Collapse Subdiscussion Vicky Awken Ngang Vicky Awken Ngang Reply to Comment
- Dec 6, 2022 at 3:33pm
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- Thank you so much for your detailed post this week Brittney.ReferencesAnåker, A., & Elf, M. (2022). Sustainability in nursing: a concept analysis. ScandinavianJournal of Caring Sciences, 28(2), 381–389. https://doi.org/10.1111/scs.12121
- Goodman B. Developing the concept of sustainability in nursing. Nurs Philos. 2016 Oct;17(4):298-306. doi: 10.1111/nup.12143. Epub 2016 Jul 25. PMID: 27456540.
- Anderson JA, Willson P. Clinical decision support systems in nursing: synthesis of the science for evidence-based practice. Comput Inform Nurs. 2008 May-Jun;26(3):151-8. doi: 10.1097/01.NCN.0000304783.72811.8e. PMID: 18438151.
- A decision support system is designed to improve healthcare delivery by supplementing medical decisions with targeted clinical knowledge, patient information, and other health data. A decision support system is a collection of software designed to aid in clinical decision-making. Decision support today is primarily used at the point of care. Providers combine their knowledge with information or suggestions provided by the clinical decision support system (Anderson & Willson, 2018). Sustainability is a multifaceted concept that incorporates environmental, sociocultural, and financial considerations. Several studies have linked the long-term viability of health-care systems to improved people’s quality of life. (Goodman, 2016). Sustainability in nursing was found to add to sustainable development and maintain an environment that does not harm current and future generations’ opportunities for good health (Anåker & Elf, 2022).
- Collapse Subdiscussion David Adubi David Adubi Reply to Comment
- Dec 8, 2022 at 12:01pm
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- Discussion 2 Response 1Clinical decision support (CDS) delivers expertise and person-specific information, intelligently filtered or provided at the right times, to physicians, staff, patients or other individuals to improve health and healthcare. A wide range of tools are included in CDS to improve clinical workflow decision-making. A few of these tools are focused patient data reports and summaries, focused patient data alerts and reminders for healthcare professionals and patients, clinical recommendations, condition-specific order sets, documentation templates, diagnostic support, and contextually appropriate reference data. Numerous significant advantages of CDS include greater efficiency, cost-benefit analysis, provider and patient satisfaction, improved health outcomes, and decreased errors and adverse occurrences. A complex health IT component is CDS. To produce and convey useful information to clinicians while care is being provided, it requires computable biomedical knowledge, person-specific data, and a reasoning or inferencing mechanism that blends knowledge and data. This data must be filtered, arranged, and presented in a way that supports the existing process so that the user can quickly and effectively make a decision and act. Different types of CDS might be best suited for certain care processes in various locations. Because they can help clinicians deal with the mounting information overload they experience and offer a platform for incorporating evidence-based knowledge into care delivery, health information technologies intended to improve clinical decision making are particularly appealing (Clinical decision support 2018)Clinical decision support. HealthIT.gov. (2018, April 10). Retrieved December 8, 2022, from https://www.healthit.gov/topic/safety/clinical-decision-support
- Reference
- Hi Brittany,
- Collapse Subdiscussion Ijeoma C Onyeagocha Ijeoma C Onyeagocha Reply to Comment
- Dec 9, 2022 at 6:26pm
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- Important terminology and Concepts:I hope your day is going on well. First of all, good job on the post. I hope to learn more since I did not select support and sustainability for my post. I like your take on the post, as you mention how it is important to you and your practice since decision support means you have a support system with which you can easily collaborate. Responding to your definition of sustainability, AnAaker and Elf (2014) also have a similar take on sustainability. As you highlighted in your post, sustainability involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance. I agree that the nursing environment is always evolving and changing with time. Hence, underlining the great value support and sustainability have on nursing practice as they provide support and structure. AnAaker, A., & Elf, M. (2014). Sustainability in nursing: a concept analysis. Scandinavian journal of caring sciences, 28(2), 381- 389.
- Heidari, M., Seifi, B., & Gharebagh, Z. (2017). Nursing staff retention: Effective factors. Annals of Tropical Medicine and Public Health, 10(6).
- References
- You also mentioned that sustainability and support formed the major important factors in staff retention in nursing. Heidari et al. (2017) conducted a study to find out what were among the reasons that are affecting nursing staff retention. You also mentioned that the sustainability consequences in nursing included education in ecology, environment, and sustainable development, as well as sustainability as a part of the nursing academic program. Again, there are various aspects of supporting systems that contribute to nursing staff retention. Support and sustainability provide insights that nursing systems can utilize when implementing and designing strategies to arrive at a sustainable workforce.
- Hi Brittney,
- Collapse Subdiscussion Edith ?N?W?A?K?A?E?G?O Ama Edith ?N?W?A?K?A?E?G?O Ama Reply to Comment
- Dec 9, 2022 at 8:33pm
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- Nice post Brittney, References direction for nursing research. J Adv Nurs. 2009;65:1527–38
- Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health.
  Public Health Nurs. 2011;28:91–102
  Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., &amp; Kroeker,
  K. I. (2020). An overview of clinical decision support systems: benefits, risks, and
  strategies for success. NPJ digital medicine, 3(1), 1-10.
- Hansen-Ketchum P, Marck P, Reutter L. Engaging with nature to promote health: a new
- For one to understand nursing it is important to be knowledgeable of concepts that support the
  discipline. The two terms chosen in the post were sustainability and decision support (Sutton et
  al, 2020). Sustainability involves development in the delivery of high-quality patient care for all
  while promoting financial, social, and environmental development (Leffers and Mitchell).
  Therefore, nurses have to develop the quality of healthcare by minimizing the negative impacts
  of the environment and leveraging opportunities to restore it for the benefit of current and future
  generations. Sustainability gives structure to nursing practice, especially for students who are
  trying to learn and understand the whole discipline.
  Decision support systems are computer-based programs that analyze data within EHRS to
  provide prompts and reminders that help healthcare providers in implementing evidence-based
  clinical guidelines at the point of care (Hansen-Ketchum et al). Decision support systems are
  important for nurses because they enable timely problem-solving, informed decision-making,
  and improved efficiency when dealing with issues or operations, event management, and
  planning.
  Apart from the above terms, there are many other concepts that nurse use to understand better the
  whole nursing course.
Collapse Subdiscussion Sara Haynes Perry Sara Haynes Perry Reply to Comment
Dec 6, 2022 at 11:44am
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Week 2 dicsussion 2The two terms I selected were Usability and Interoperabilty. Usability refers to the health information technology by the healthcare works/user, system in which errors usability flaws occur. This can be in relation to the user, the system, and the user knowledge of system in use, Marcilly et al, (2019).Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific.Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms. HealthIT.gov. (n.d.). Health information technology advisory committee Links to an external site.Links to an external site.(HITAC). https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac0p.vPowell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site.Links to an external site.. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-care
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site.Links to an external site.. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
References
Usability errors can cause a range of problems from near misses or injury to death. While the spectrum is large, all are important factors and impacts the patient care, health, and confidence within the system. The user must be trained well, as the system must be a well-functioning user-friendly option that avoids errors and provides optimal information technology and support to the users. Interoperability can cause errors in patient centered care and problems with patient data if there are problems within the system, both the patent and the provider can be affected in regards to data accessibility and information.
It is important for these terms to be understood because they are a major part of the healthcare information technology. They were developed to secure patient data, patient safety, patient centered care, and user-friendly technology that is secure and protected. The Health Information Technology Advisory Committee, (HITAC), was set in place to provide standards, policies, implementation specifics, and certification criteria when HIT is implemented, HelathIT.gov, (n.d.). Specifically, these were important to understand as they apply directly to today’s modern technology and patient care. In order to provide the most up to date evidence-based practice and track problems or improvements, the system, when it works well, can be effective and useful with these above terms and how they pertain to the HIT.
Interoperabilty improves clinical decision making through timely and complete access to information and accessibility to evidence-based guidelines accessibility, Powell & Alexander, (2019). This in turn provides patient centered care related to access and control over personal health information,
Post and define the two terms you selected;
- Collapse Subdiscussion Vicky Awken Ngang Vicky Awken Ngang Reply to Comment
- Dec 7, 2022 at 5:46am
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- Hello Sara REFERENCESBates, D. W., & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future?. Health services research, 53(5), 3270–3277. https://doi.org/10.1111/1475-6773.12852
- Agha, Z. , Calvitti A., Ashfaq S., Farber N., Street R., Bell K., Liu L., Gabuzda M., Chen Y., Barbara G., and Rick S.. 2014. “EHR Usability Burden and Its Impact on Primary Care Providers Workflow.” SGIM 37th Annual Meeting, San Diego.
- I enjoyed your two terms interoperability and decision support. Interoperability has been defined by the Institute for Electrical and Electronics Engineering in the IEEE Standard Computer Dictionary as “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). Interoperability is very beneficial in the digital economy world noted Agha et al., 2014. Due to the post-Covid pandemic Tele-visiting has increased. Information should be shared seamlessly between healthcare providers and patients on an easy to access platform. Interoperability has improved our healthcare system in general. Patient retention has significantly increased post pandemic and it is thanks to technology.
- Collapse Subdiscussion Christian Offor Christian Offor Reply to Comment
- Dec 9, 2022 at 1:19pm
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- Sara, thanks for your post. Usability and interoperability are two essential concepts in nursing informatics. In nursing informatics, usability and interoperability are two key ideas (www.healthit.gov). Nurses that are proficient in the use of modern technology are better able to care for their patients. For instance, portable monitors allow nurses to check on patients quickly, even when occupied with other tasks. Nurses receive an alert if a patient needs urgent attention, significantly reducing response times. Nurses may only be able to use a nursing informatics system to its full potential if it is user-friendly (Lee, 2007). This could result in careless mistakes and subpar treatment for patients. Also, it’s crucial that various systems can talk to one another and share data. Nursing informatics systems that are not interoperable can make sharing patient data with other systems challenging. This can result in poorer quality care for patients and lead to duplication of effort, mistakes, and subpar care. If a nursing informatics system is not interoperable, it may be difficult or impossible to exchange information with other systems, leading to errors and suboptimal patient care.Lee, T. T. (2007). Nurses’ experiences using a nursing information system: early stage of technology implementation. Computers, informatics, nursing : CIN, 25(5), 294–300. https://doi.org/10.1097/01.NCN.0000289166.61863.0bLinks to an external site.
- Interoperability Standards. (n.d.). Retrieved from https://www.healthit.gov/Links to an external site. topic/ interoperability/standards
- References
- Collapse Subdiscussion Lovester Duncan Lovester Duncan Reply to Comment
- Dec 9, 2022 at 9:34pm
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- Sara, you are correct, usability measures whether a healthcare user and or users can accomplish a specific set of tasks in a particular setting with effectiveness, efficiency, and satisfaction. A system with good usability will also be effective, efficient, and able to deliver care and services effectively. Additionally, usability is how well a system performs its intended function and/or can perform the job that it was designed to perform effectively without flaws. In the healthcare system, usability errors and flaws can adversely affect patients’ health and well-being. When users are not trained or if the equipment is not user-friendly, they may worsen their medical conditions, increase healthcare expenditure, or even result in a lawsuit and death as you mentioned. The poor usability of HIT can result in implementation failures or rejections, difficulties in using the system, and, even more, safety concerns for patients (Marcilly, Schiro, Beuscart-Zéphir, Magrabi, 2019). In typical usage situations, poor usability is determined by the presence of usability flaws, the system, and requirements on the user that make it unpleasant, inefficient, onerous, disturbing, or impossible to reach the user’s objectives (Marcilly et al.,2019). Therefore, I agree with your point that workers and or system users need to receive in-services and or training to reduce errors and flaws. Also, systems should be functioning properly and or should be inspected annually to ensure they are functioning properly. Additionally, Health information technology (HIT) promises to improve safety, efficiency, and overall quality of care delivery. As you mentioned (Marcilly, et al.,2019), biannual inspections and certification criteria are essential for detecting usability flaws and ensuring quality care and safety. Finally, despite biases in incident reports because reporters are typically afraid of being reprimanded, it is essential to use incident reports to assess and or identify usability flaws. Information collected from incident report forms can be used by the quality improvement department in the hospital to identify the root cause of the problem and improve usability by making equipment user-friendly, safe, and usable.
- Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
- References
Collapse Subdiscussion David Adubi David Adubi Reply to Comment
Dec 7, 2022 at 11:45am
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Discussion 2 Main PostDefinition of TermsInteroperability refers to the ability of apps, equipment, products, and systems from different companies to seamlessly communicate and process data in a way that does not require any involvement from end users. This process consists of two primary methods. For the first method, businesses can share data and resources between systems through a local area network (LAN) or a wide area network (WAN). Additionally, companies can share data between different systems or machines via software and hardware. Essentially, interoperability allows different information systems to talk and comprehend information passed to each other. There are three main types of interoperability, which include syntactic, structural, and semantic. Syntactic interoperability is when two or more systems can communicate and share data, thus allowing different types of software to work together. This happens even if the interface or language is not the same. Structural interoperability defines the data exchange format, which specifies the standards used to format messages sent from one system to another. This is essential for users to be able to understand the information’s purpose clearly. In semantic interoperability, two or more systems connect and share data that each system understands in a meaningful way (Hare, 2021).Interoperability plays a key role in facilitating organized and effective data exchange between information systems. As you can imagine, businesses across most industries can benefit from this crucial functionality. Business systems that receive information can quickly and automatically connect and share the information to the relevant parties. Businesses can operate more smoothly, as necessary data is readily available and accessible to all relevant parties and systems. This is a much more efficient process compared to waiting for vital information required to achieve goals. Interoperability provides data unity, which is essential for helping businesses to manage and access information from external systems and vice versa. Data protection is a requirement for any business. Fortunately, this process helps protect sensitive data. Companies can access this via shared records offered through interoperability instead of manually and repeatedly entering personal information. Information systems that are connected usually result in better quality data and, thus, fewer errors. Lastly, synchronized systems can send and receive information automatically. In turn, this takes up fewer resources and costs compared to non-inoperable systems that must request data manually from another system. Interoperability in healthcare systems can simplify receiving, sending, and keeping updated medical records via electronic platforms. This includes everything from invoice information to lab findings. Indeed, this facilitates speedy access to a patient’s medical records by healthcare practitioners, even if they are not utilizing the organization’s internal systems (Hare, 2021). To provide patient care, nurses and other professionals heavily rely on the electronic health record (EHR). This includes coordination with other members of the healthcare team, ordering and administering medications, monitoring patients, and making clinical decisions. Nurse workload increases and patient outcomes are at risk when the EHR system prevents efficient and effective work performance. Reducing nurse fatigue and utilizing the full potential of EHRs to enhance the quality and safety of healthcare may depend on improving EHR usability.One of the many significant flaws of the EHRs currently in use, which leads to duplicate healthcare costs, increased professional workload exhaustion, and a possible risk to patient safety, is the absence of universal interoperability. This is particularly troublesome for patient populations who depend on efficient patient information sharing via EHRs to support their care, such as those with chronic diseases, polypharmacy, and numerous comorbidities. Patient safety suffers from poor EHR interoperability, which is also expensive for health systems. Increased risks of prescription errors, fragmentation of patient data, iatrogenic injury brought on by redundant testing, and increased healthcare costs are just a few of the effects (Li et al., 2021)Boldt, K. (2021, March 9). EHR usability: What is it, why is it so important, and how can it be measured? (infographic). Medsphere. Retrieved December 7, 2022, from https://www.medsphere.com/blog/ehr-usability/Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021, July 14). Electronic Health Records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ open. Retrieved December 7, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8280868/#:~:text=The%20lack%20of%20universal%20interoperability,potential%20risk%20to%20patient%20safety.
Hare, V. (2021, November 24). What is interoperability and why is it important? tokenex. Retrieved December 7, 2022, from https://www.tokenex.com/blog/what-is-interoperability-and-why-is-it-important/Links to an external site.
References
Impact of Non-Functionality in Nursing Practice
Importance to Application of Information Technology and Nursing Practice
EHR usability is described by the Healthcare Information Management Systems Society (HIMSS) as the success, efficacy, and satisfaction with which individual users can complete a particular set of tasks in a particular setting. In general, a system with strong usability is efficient and simple to operate. It is intuitive, forgiving of errors, and enables one to carry out important tasks swiftly, effectively, and with the least amount of mental effort possible. The usability—or lack thereof—of an HER affects a number of factors, including productivity, patient safety, physician satisfaction, burnout, and profitability. Some experts even come to the conclusion that it should be your top priority when selecting a new HER. Additionally, it is necessary to meet the ONC’s 2015 Edition requirements for patient safety (Boldt, 2021).
Important Terminology and Concepts
- Collapse Subdiscussion Regidor Del Rosario Regidor Del Rosario Reply to Comment
- Dec 9, 2022 at 7:46pm
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- Thank you for sharing your post with us David, the terms you’ve selected usability and interoperability are important for the APRN to fully understand and to use in their nursing practice. Interoperability is what allows for the nurse to communicate with the multidisciplinary team (Bates & Samal, 2018). Hattingh et al. (2020) refers to usability as the effectiveness, efficiency, and satisfaction with which users achieve goals using computer systems. If the utilization of these terms are not properly aligned in the nursing practice of the APRN it may lead to non-functionality. Non-functionality in relation to interoperability and usability can lead to a medication errors, harm to the patient and a decrease in the quality of care that is being provided to the patient. For example, when the EHR is not being properly utilized or it is not properly functioning, the nurse is unable to view the record of the patient; this contains medications ordered by the Healthcare Provider, vital labs, and even allergies of the patient. If the pyxis machine is not functioning properly in the hospital setting, the nurse will be unable to deliver necessary mediations for the patient.Hattingh, M, Matthee, M., Smuts, H., Pappas, I., Dwivedi, Y., & Mantymaki, M. (2020). A Methodology to Compare the Usability of Information Systems. Nature Public Health Emergency Collection, 12067, 452-463. doi: 10.1007/978-3-030-45002-1_39
- Bates, D. & Samal, L. Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? Health Services Research, 53(5), 3270 – 3277. doi: 10.1111/1475-6773.12852
Collapse Subdiscussion Rosemary Kwaven Rosemary Kwaven Reply to Comment
Dec 7, 2022 at 4:07pm
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IMPORTANT TERMINOLOGIES AND CONCEPTSInteroperabilityUsabilityPotential Impacts of Non-functionalityReferencesKieft, R. A. M. M., Vreeke, E. M., de Groot, E. M., Volkert, P. A., Francke, A. L., & Delnoij, D. M. J. (2017). The development of a nursing subset of patient problems to support interoperability. BMC Medical Informatics and Decision Making, 17(1), 158. https://doi.org/10.1186/s12911-017-0567-5Links to an external site.Links to an external site.Staggers, N., & Rodney, M. (2012). Promoting Usability in Organizations with a New Health Usability Model: Implications for Nursing Informatics. NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics, 2012, 396.
Rojas, C. L., & Seckman, C. A. (2014). The Informatics Nurse Specialist Role in Electronic Health Record Usability Evaluation. CIN: Computers, Informatics, Nursing, 32(5), 214–222. https://doi.org/10.1097/CIN.0000000000000042Links to an external site.Links to an external site.
Chow, M., Beene, M., O’Brien, A., Greim, P., Cromwell, T., DuLong, D., & Bedecarré, D. (2015). A nursing information model process for interoperability. Journal of the American Medical Informatics Association, 22(3), 608–614. https://doi.org/10.1093/jamia/ocu026Links to an external site.
An electronic system is not always perfect, and the impact of non-functionality that may arise in nursing practice if barriers exist includes a lack of consistency when identifying patients. These problems can occur when information is stored in different systems or the patient previous healthcare delivery system is different from their current system, which may lead to identification and information errors. Other barriers are the lack of standards for sending, receiving, and managing communication between health systems. The impact of the non-functionality of usability as a barrier includes hardware issues or malfunction. Nurses’ usability of health technology is to get the work done by being knowledgeable of technology and issues that could contribute to errors in the system and reporting them for prompt evaluation and correction.
Usability is vital for nursing informatics and enables the use of technology, and it is related to the proper use of information technology by healthcare providers. The success of electronic health records relies on how usable the software is for clinicians, and a thorough usability evaluation is needed before implementing a system within an organization or healthcare system (Rojas & Seckman, 2014). Healthcare practice relies more on technology, and nurses’ experiences with health technology vary greatly depending on the healthcare settings, design of the software, and hardware of each system. For instance, telehealth services allow patients to obtain healthcare services such as follow-up care. Telehealth services have made healthcare accessible and services available for patients in remote areas or underserved communities with limited access to healthcare in person. In addition, Nurses are critical frontline healthcare providers; however, not all nurses have the adequate knowledge and skills required to perform extensive usability, which could create a problem in any given setting. The informatics nurse specialist plays a critical role in ensuring all onboard nurses and healthcare providers are competent in using the available technologist to optimize patient care.
Effective health information exchange can facilitate easier access and retrieval of data by nurses which can help to ensure more safe, timely, and efficient patient-centered care . Quality patient care requires knowledgeable individuals, and information technology skills are critical in today’s healthcare system. In addition, a vital communication tool for patient care is interoperability. Interoperability is the ability of electronic systems, technology, or software to exchange information (Kieft et al., 2017). It helps brings multiple sources of information together using healthcare technology, innovations, and analytics to improve patient care outcomes. Interoperability helps clinicians deliver prompt, safe, effective, and patient-centered care through different technologies communicating within the organization or system. It enables nurses and other healthcare providers to make intelligent decisions on patient care and achieve the best care outcome for patients. Interoperable devices include electronic medical records (EMR), specialty focus, and ancillary systems, which allow data to flow spontaneously across the health system and healthcare teams, enabling quick assessment and prompt intervention (Chow et al., 2015). For instance, the patient’s past medical and surgical history and other relevant information, such as medications and hospital visits, can be shared through an electronic system and viewed in any organization that uses the same system, such as EPIC. Many patients’ information does not have to be synthesized manually, which enables nurses to spend more time caring for such patients.
Nursing Informatics and concepts combine analytical and nursing science to determine the best practice approaches. A comprehensive understanding of these terminologies enhances efficacy and improves skills in nursing specialties. Designing and creating functional health information systems requires a grasp of interoperability and usability.
- Collapse Subdiscussion Ngetla Manyineh Mbonuh Ngetla Manyineh Mbonuh Reply to Comment
- Dec 10, 2022 at 10:22pm
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- Hello Rosemary, On the other hand, Usability is also a great word you have selected, which is important in technology applications. The use of technology in healthcare is increasing, and nurses’ experiences with it vary greatly depending on the healthcare settings, the software, and the hardware of each system. Examples are telehealth services. Chow, M., Beene, M., O’Brien, A., Greim, P., Cromwell, T., DuLong, D., & Bedecarré, D. (2015). A nursing information model process for interoperability. Journal of the American Medical Informatics Association, 22(3), 608–614. https://doi.org/10.1093/jamia/ocu026Links to an external site.
- Kieft, R. A. M. M., Vreeke, E. M., de Groot, E. M., Volkert, P. A., Francke, A. L., & Delnoij, D. M. J. (2017). The development of a nursing subset of patient problems to support interoperability. BMC Medical Informatics and Decision Making, 17(1),
- References:
- You did a great job with your selection of the terminologies. As you have well elaborated, the combination of nursing Informatics and concepts is vital to determine best practice approaches. The inclusion of Interoperability leads to easier access and retrieval of data meant for nurses. It helps in various ways, such as safety and efficient patient care. Effective health information exchange can make it simpler for nurses to access and retrieve data, resulting in more secure, timely, and effective patient-centered care (Kieft, et al,. 2017). Well informed personnel are necessary for high-quality patient care, and the modern healthcare system is highly dependent on information technology expertise. Interoperability is another crucial communication tool for patient care. The capacity of software, hardware, or electronic systems to exchange data is known as Interoperability as Chow, et al, (2015) highlight. It uses healthcare technology, innovations, and analytics to combine data from various sources and improve patient care outcomes. You have also explained how Interoperability assists clinicians in delivering prompt, safe, effective, and patient-centered care through different technologies communicating within the organization or system.
Collapse Subdiscussion Nkeiruka C Emechete Nkeiruka C Emechete Reply to Comment
Dec 7, 2022 at 6:21pm
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Important Terminology and ConceptsInteroperability is important in the application of information technology and nursing practice because it determines the capability of healthcare software systems and computers to exchange and share data from numerous sources such as the laboratory, pharmacies, medical practices, hospitals and clinics (Li et al., 2021). On the other hand, decision support is a computer program that analyzes large amounts of data such as with EHRs, and in turn provides timely information at the point of care to inform clinical decisions in patient care (Sutton et al., 2020).The potential impact of non-functionality that may arise in my nursing practice if barriers exist for the proper application of interoperability include compromised patient safety associated with an increased risk for fragmentation of patient data, medication errors and increased cost of care (Li et al., 2021). On the other hand, the potential impact of non-functionality that may arise in my nursing practice if barriers exist for the proper application of decision support include medication errors and diagnostic errors secondary to missed information (Sutton et al., 2020).Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ open, 11(7), e044941.
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10.
References
Interoperability impacts nursing practice through making sharing of vital patient data efficient, safe and reduces cost of care by facilitating easier access to patient health records such as through EHRs, while and decision support impacts nursing practice by providing the most suitable options that guides decision-making by providing reminders and prompts that aid healthcare providers in implementing evidence-based clinical guidelines at the point of care (Li et al., 2021; Sutton et al., 2020).
The terms that I selected are interoperability and decision support. Interoperability is the extent to which systems and devices can exchange data, and interpret the shared data (Li et al., 2021).
- Collapse Subdiscussion Quateka Cochran Quateka Cochran Reply to Comment
- Dec 9, 2022 at 5:06pm
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- Hi Nkeiruka,
- Clinical Decision Support. (2019). Agency for Healthcare Research and Quality. https://www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
- You selected interoperability and decision support. You did an excellent job discussing interoperability but I don’t see any information concerning decision support. Decision support are tools that are used to help an organization look at the presented data and make an informed decision. Clinical decision support provides timely information, usually at the point of care, to help inform decisions about a patient’s care. Clinical decision support can effectively improve patient outcomes and lead to higher-quality health care (AHRQ, 2019). The article went on to say the main purpose of CDS is to provide timely information to clinicians, patients, and others to inform decisions about health care. CDS can potentially lower costs, improve efficiency, and reduce patient inconvenience. How do you think CDS impact informatics?
- Collapse Subdiscussion Lizzie Umejei Lizzie Umejei Reply to Comment
- Dec 9, 2022 at 10:52pm
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- Response 1 Week 2 discussion 2Hi Nkeiruka, Intriguing post. Reis et al. (2017) define interoperability as the ability of health information systems to work together within and across organizational boundaries to advance effective healthcare delivery for individuals and communities.Referenceshttps://www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.htmlLinks to an external site.Reis ZSN, Maia TA, Marcolino MS, (2017). Is there evidence of cost benefits of electronic medical records, Standards, or Interoperability in hospital information systems? overview of systematic reviews. JMIR Med Inform 2017;5:e26. 10.2196/medinform
- Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1),10.ersal%20interoperability,potential%20risk%20to%20patient%20safety.
- Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2020). Protocol: Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ Open, 11(7). https://doi.org/10.1136/bmjopen-2020-044941Links to an external site.
- Agency for Healthcare Research and Quality. (2019) Clinical Decision Support
- Agency for Healthcare Research and Quality. (2019) state that Clinical decision support (CDS) provides healthcare practitioners with the knowledge and person-specific information intelligently filtered, or presented at appropriate times, to enhance health and healthcare. Clinical decision support (CDS) refers to digital tools to help inform patient care. Patient-centered clinical decision support (PC CDS)Links to an external site. is CDS that centers on the patient or their caregiver and facilitates their active involvement in healthcare decision-making with their care team. PC CDS has the potential to be transformative to enable higher-quality care delivery and improved outcomes (Sutton et al. 2020) (AHRQ 2019). I Agree that the potential impact of the non-functionality of the two terms is a threat to patient safety.
- Collapse Subdiscussion Edith ?N?W?A?K?A?E?G?O Ama Edith ?N?W?A?K?A?E?G?O Ama Reply to Comment
- Dec 10, 2022 at 12:56pm
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- Hello Nkiru,Nursing just like other courses has concepts that help learners understand the course in detail.
  Two of the terms that could help one learn about the discipline are decision support and
  interoperability. Decision support is a program that is computer-based and used to analyze data
  within the EHRS to develop reminders and prompts that assist healthcare providers to carry out
  evidence-based clinical guidelines at every point of healthcare to each patient (Brown et al,
  2005). The system supports more informed and timely problem-solving decisions.
  Interoperability enables information technology and the healthcare system to work together
  seamlessly to provide quality healthcare (Li et al, 2021). A mobile application streamlines a
  patient’s experience across the customer journey and assists them in making more informed
  decisions when seeking medical care. Advancing technology has improved the quality of
  healthcare over time. Thus, nurses need to get acquainted with technology and all the features to
  assist in the practice (Hansem-Ketchum et al,). The two concepts above are among many
  important concepts in nursing that students get to interact with throughout the course.
  Interoperability has made it easier to learn nursing and store medical data.
  Li, E., Clarke, J., Neves, A. L., Ashrafian, H., &amp; Darzi, A. (2021). Electronic Health
  Records, Interoperability and Patient Safety in Health Systems of High-income
  Countries: A Systematic Review Protocol. BMJ open, 11(7), e044941.Hansen-Ketchum P, Marck P,Reutter L. Engaging with nature to promote health: a new
  direction for nursing research. J Adv Nurs. 2009;65:1527–38
- Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, editors. Sustainability and Health.
  Supporting Global Ecological Integrity in Public Health. London: Earthscan; 2005.
- References
- I enjoyed reading your post!
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- Dec 10, 2022 at 6:51pm
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- Thanks for the informative discussion, Nkeiruka C Emechete. The healthcare industry relies heavily on decision support. The system analyzes huge amounts of data containing patient information to enable critical decision-making when providing care, as you mentioned. A decision support program analyzes large amounts of data, as with electronic health records, and then provides clinical decisions at the point of care based on that information. A decision support system is crucial in healthcare systems because it helps with the retrieval of health information and patient data, as well as the diagnosis and treatment of patients. It is a computer program that analyzes a patient’s entire health information, including their physical information, their vital, laboratory results, their symptoms, and other healthcare data, and this analysis can help physicians diagnose patients and treat them (Blazek, Hrosova, & Collier2022). (Blazek, Hrosova, & Collier2022) showed that clinical decision support systems like wearable healthcare devices and machine learning algorithms can help prevent, detect, diagnose, and treat COVID-19. It is essential to comprehend whether tracking infected patients using machine learning algorithms can prevent the spread of COVID-19 by processing and analyzing accurate data (Blazek, Hrosova, and Collier2022). Thus, I agree that non-functionality decision support could negatively impact healthcare delivery since data might not be stored to facilitate diagnosis and treatment, which could delay diagnosis, treatment, and worsening medical conditions and lead to preventable deaths. Additionally, I believe there will be medical, medication, and outcome errors if barriers exist in decision support Blazek, R., Hrosova, L., & Collier, J. (2022). Internet of Medical Things-based Clinical Decision Support Systems, Smart Healthcare Wearable Devices, and Machine Learning Algorithms in COVID-19 Prevention, Screening, Detection, Diagnosis, and Treatment. American Journal of Medical Research, 9(1), 65–80. https://doi.org/10.22381/ajmr9120225
- References
Collapse Subdiscussion Edith ?N?W?A?K?A?E?G?O Ama Edith ?N?W?A?K?A?E?G?O Ama Reply to Comment
Dec 7, 2022 at 7:26pm
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. The knowledge of usability and Interoperability is important for nurses to fortify that they are using the most effective technologies when caring for patients. Improper application of these terms can lead to non-functionality which can have serious implications for patient care as well as cost associated with medical errors or delays in care (Graham et al., 2008). Thus, it is imperative that nurses understand these terms so that they can use technology effectively and safely in order provide quality nursing care. Interoperability refers to the ability of different systems to work in tandem without input from the end user. Interoperability promotes utilization of securely shared data to enable care, costs reduction, and enhance health outcomes (Lehne et al., 2019).Non-functionality will occur if the two do not operate optimally. As noted, if usability is poor then the healthcare worker will spend more time navigating the system rather than spending time with the patient. Patients may feel neglected and that will impact their perception of care. If interoperability does not work, interprofessional collaboration will be impacted. The billing department will not be able to work with nurses who handle EHRs because the systems are not integrated. Overall, the efficiency of care will be compromised.Graham, T. A., Kushniruk, A. W., Bullard, M. J., Holroyd, B. R., Meurer, D. P., & Rowe, B. H. to contribute to adverse medical events. AMIA … Annual Symposium Proceedings. Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine 5. https://doi.org/10.1038/s41746-019-0158-1Links to an external site.
depends on interoperability. NPJ digital medicine, 2(1), 1-
AMIA Symposium, 2008, 257–261.
(2008). How usability of a web-based clinical decision support system has the potential
References
For example, the billing system within the organization should work together with the EHR system. Interoperability makes nursing more seamless because it improves healthcare efficiency. Being able to use many systems at the same time and achieving a high degree of seamlessness helps one concentrate on working with the patient because the systems are operating optimal
The two terms that were selected are usability and interoperability. Usability refers to the effectiveness and efficiency that a user achieves as they utilize a particular technology. Usability is important in information technology and nursing practice because it may be the difference between providing efficient care and terrible care. (Graham et al., 2008). For example, if a EHR that has been adopted by the organization is not usable, it means that nurses will spend extra time trying to navigate the system rather than directing their efforts to spending time with patients.
- Collapse Subdiscussion Valerie Corvera Valerie Corvera Reply to Comment
- Dec 11, 2022 at 6:07pm
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- Hello Edith,References
- Moreira, A., Guimarães, T., Duarte, R., Salazar, M. M., & Santos, M. (2022). Interoperability and Security Issues on Multichannel Interaction In Healthcare Services. Procedia Computer Science, 201, 714–719. https://doi.org/10.1016/j.procs.2022.03.096
- de Oliveira, E. M., & Scherer, D. (2021). Usability in m-health applications for application in healthcare environments. 2021 IEEE 45th Annual Computers, Software, and Applications Conference (COMPSAC), Annual Computers, Software, and Applications Conference (COMPSAC), 2021 IEEE 45th, COMPSAC, 1904–1908. https://doi.org/10.1109/COMPSAC51774.2021.00288Links to an external site.
- Great post on the term’s usability and interoperability. It is necessary for organizations to employ new and cutting-edge methodological tools and methods and ensure that these there aren’t any usability issues because usability issues have a great impact on users (de Oliveira & Scherer, 2021). Usability is huge for technology in healthcare. It doesn’t matter what the area of patient care it involves nearly all areas have some sort of technology involved. Healthcare technology must be usable to patients and healthcare personnel. If there is non-functionality this can cause frustration for all users. Non-functionality can lead to frustration for patients, especially our older generation. Technology is new for them and having usability issues can create stress and anxiety for our older patients that may prevent them from participating in their care or treatment plans. Interoperability is such a great improvement in technology for healthcare. Patient records can be sent electronically immediately or communication between different interdisciplinary team members can be almost instantaneous. This is all great things to help improve and quicken patient care. Non-functionality for interoperability can lead to negative outcomes or delay of care for patients. Despite numerous potentialities of multichannel interaction in health services, it has led to rising concerns and issues related to security and privacy in multichannel interaction in healthcare (Moreira et al., 2022). Privacy is a huge risk these days related to patient information. It is important for advanced nurses to understand and know these terms and know what the implications are if there are non-functionality issues.
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Dec 7, 2022 at 8:59pm
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According to Khajouei & Farahani (2020), usability is the extent to which a user can utilize an information system and achieve specific goals in specific environments by considering effectiveness, efficiency, and user satisfaction for nursing informatics. Understandability, learnability, acceptability, attractiveness, utility, and performance are all issues that need to be considered regarding the usability of health information technology systems (Khajouei & Farahani, 2020). A successful installation and optimization of information systems depend on usability evaluation (Khajouei & Farahani, 2020). Software system upgrades seek to find issues and rank them according to how they affect users (Khajouei & Farahani, 2020). Pierce et al. (2020) argue that user discontent, burnout, and patient harm events are all caused by poor usability. Vendors, researchers, regulatory organizations, and doctors continue to focus on enhancing the usability of the EHR since evidence suggests that user-centered redesign can minimize errors, ease the burden, and boost satisfaction (Pierce et al., 2020). In our current healthcare environment, it is crucial to understand usability and decision support and how they relate to and work in nursing practice. Studies have shown that poor usability negatively affects CDSS acceptance and effectiveness. Usability is a significant success factor for current and future decision support systems. Such systems are increasingly used to assist human decision-makers in high-stakes tasks in complex domains such as health care (Jung et al. 2021). Patient treatment now takes place in an ever-evolving digital environment and no longer involves paper paperwork. To maximize patient care, information systems must be user-friendly and operate in a certain way because systems that are challenging to understand, ineffective, and prone to mistakes will produce subpar results. Studies show that usability allows healthcare professionals to act quickly and make important healthcare decisions sooner instead of delaying until test results can be obtained (Kruse & Ehrbar, 2020). Nurses’ usability of health technology is to get the work done by being knowledgeable, keeping logs of issues that could contribute to errors, and reporting them to management.Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges. Yearbook of medical informatics, 28(1), 71–77. https://doi.org/10.1055/s-0039-1677907Links to an external site.Kruse, C.S., & Ehrbar, N. (2020). Effects of Computerized Decision Support Systems on Practitioner Performance and Patient Outcomes: Systematic Review. JMIR Medical Informatics, 8.Mucha, H., Robert, S., Breitschwerdt, R. et al. Usability of clinical decision support systems. Z. Arb. Wiss. (2022). https://doi.org/10.1007/s41449-022-00324-8Links to an external site.Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). Medical Error Reduction and Prevention. In StatPearls. StatPearls Publishing.
Pierce, R. P., Eskridge, B. R., Rehard, L., Ross, B., Day, M. A., & Belden, J. L. (2020). The Effect of Electronic Health Record Usability Redesign on Annual Screening Rates in an Ambulatory Setting. Applied clinical informatics, 11(4), 580–588. https://doi.org/10.1055/s-0040-1715828Links to an external site.
Khajouei, R., & Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. BMC medical informatics and decision making, 20(1), 84. https://doi.org/10.1186/s12911-020-1083-6Links to an external site.
Jung, S. Y., Hwang, H., Lee, K., Lee, D., Yoo, S., Lim, K., Lee, H. Y., & Kim, E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. JMIR formative research, 5(4), e18764. https://doi.org/10.2196/18764Links to an external site.
References
The function of Decision Support Systems (DSS) is to assist the user in making more effective decisions through the provision of information in a manner that can actively assist the decision process. Software applications called decision support tools help improve patient care by disseminating knowledge and patient-specific data utilizing the tools and alerts (Kruse & Ehrbar, 2020). These tools and warnings improve clinical workflow’s ability to make decisions. Clinical decision support system methods incorporate artificial intelligence (AI), software, or algorithms to handle activities that typically require human intellect. Artificial intelligence is used by such non-knowledge-based clinical decision support systems (CDSS) to aid in clinical judgments made at the point of treatment (Kruse & Ehrbar, 2020). These AI-supported decision-support systems examine patient data, symptoms, therapies, and patient outcomes to assist in clinical decision-making. These integrated systems, which incorporate electronic medical record databases, computerized physician order input tools, and drug, patient, and treatment data, provide clinical judgments that support the best treatment recommendations (Kruse & Ehrbar, 2020).
- Collapse Subdiscussion Rosemary Kwaven Rosemary Kwaven Reply to Comment
- Dec 8, 2022 at 7:19pm
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- Hello Christian,Reference.https://www.rcn.org.uk/library/subject-guides/sustainable-nursing-practiceLinks to an external site.
- Royal College of Nursing.(7/29/2021). Sustainable Nursing Practice. Retrieved from
- Thanks for your informatic post. Decision support in nursing presents timely information during care to help make informed decisions concerning patient care. Decision support systems and tools, for instance, guide clinical teams through taking charge of certain routine tasks, providing consideration suggestions to provide quality care to the patients “According to research, Sustainability in the context of healthcare is about progress in the delivery of high-quality patient care for all by promoting the three elements of sustainable development – environmental, social, and financial (Royal College of Nursing, 2021). Decision support affects nursing practice by enhancing capabilities around decision-making. For example, the decision support concept helps our institution analyze large data sets and then present them using the best options presented to relevant stakeholders. In my nursing practice, sustainability helps in the progressive creation of systems where patient needs can get met at present times, without compromising on the future ability to provide care. Subsequently, as nurses, it helps provide support actions geared along with general national and global healthcare goals which directly impact health.”
- Collapse Subdiscussion Jennings Ubadi Mekoba Jennings Ubadi Mekoba Reply to Comment
- Dec 10, 2022 at 8:27pm
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- Response to Discussion Post to Chfristian Offor The term “usability” refers to the degree to which users can carry out their responsibilities within the context in which the product is designed to be used with precision, effectiveness, and satisfaction (Khajouei & Farahani, 2020). On the other hand, clinical decision support systems (CDSS) are applications that are run on computers and analyze the data contained in electronic health records (EHRs) (De Velde Van et al., 2018). They then send prompts and reminders to medical professionals to assist them in applying evidence-based clinical recommendations during treatment. I believe that it is true that in the healthcare setting, usability and decision support systems are essential as they determine the functionality and effectiveness of the services provided. However, although usability can promote the use of CDSS systems in healthcare, they still have many flaws that need to be dealt with before they are fully embraced or integrated into the system. According to Marcilly et al. (2019), usability issues make it uncomfortable, inefficient, tedious, perplexing, or impossible for users to fulfill their goals when using IT systems in healthcare settings. Therefore, I believe that until flaws are solved, we cannot entirely rely on usability to improve the use of CDSS in nursing.
  De Velde Van, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., & Flottorp, S. (2018). The GUIDES checklist: development of a tool to improve the successful use of guideline-based computerized clinical decision support. Implementation science: IS, 13(1), 86-86.Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: a usability-oriented analysis of incident reports. Applied clinical informatics, 10(03), 395-408.
- Khajouei, R., & Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. BMC Medical Informatics and Decision Making, 20(1), 1-10.
- References
- Very informative post Christian. The author argues that usability affects CDSS’s use, acceptance, and effectiveness. I agree that usability is a critical factor in determining the future success of the CDSS. Researchers have informed us that usability helps to assess how easy it is to use an interface like CDSS in a healthcare setting (Khajouei & Farahani, 2020). Therefore, if we want the nurses, patients, and other healthcare providers to use the CDSS system well, we must implement usability. The author informs us that in nursing, the usability of health technology refers to getting the “work done by being knowledgeable, keeping logs of issues that could contribute to errors, and reporting them to management.” However, is this the only definition of usability in nursing?
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- Dec 10, 2022 at 10:24pm
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- Hello Christian,Your discussion of Decision Support Systems such as Artificial intelligence, algorithms, and software reminds me of their application in therapy, diagnosis of patients, and overall decision-making. However, you haven’t mentioned the non-functionality aspect and barriers that may hinder the application of these technologies in the healthcare setting. Most of these systems, such as AI, are probably expensive (Jung et al., 2021). On the same note, computer systems must be supplemented with manual mechanisms. Dependency on these systems may be detrimental because they provide feedback based on the data entry and also depend on other aspects such as network connectivity, knowledge and understanding of the user, and electricity and, therefore, may fail in some instances. Hence, a backup plan must be established to minimize medical errors (Rodziewicz, Houseman, & Hipskind, 2022). Otherwise, your presentation of the advantages of these systems and their application in the healthcare setting is compelling. ReferencesKruse, C.S., & Ehrbar, N. (2020). Effects of Computerized Decision Support Systems on Practitioner Performance and Patient Outcomes: Systematic Review. JMIR Medical Informatics, 8.
- Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2022). Medical Error Reduction and Prevention. In StatPearls. StatPearls Publishing.
- Jung, S. Y., Hwang, H., Lee, K., Lee, D., Yoo, S., Lim, K., Lee, H. Y., & Kim, E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. JMIR formative research, 5(4), e18764. https://doi.org/10.2196/18764Links to an external site.Links to an external site.
- Your discussion post is commendable. Very short and comprehensive. Your selection of decision support systems differs from my concepts; therefore, your presentation is a knowledge add-in to my understanding of concepts in the healthcare sector. Based on Kruse and Ehrhar (2020), software applications add knowledge to patient management, improving patient outcomes in nursing and healthcare settings. Focusing on decision support systems (DSSs), you are right about how these support tools and algorithms facilitate decision-making toward patient clinical care. Unfortunately, the current decision-making problems are more complex than in the past, prompting the need for decision support. Most real-world decision-making situations are subject to bounded rationality, whereby the consideration of dominant subjective constraints bounds the technical and economic evaluation of all solution alternatives. DSSs were planned to be an accessory for managers to expand their capabilities but not to replace them. Decision support systems provide the means to complement decision-makers by quantitatively supporting managerial decisions that could otherwise be based on personal intuition and experience (Kruse & Ehrhar, 2020). In addition to the traditional DSS characteristics like data, interactivity, the inclusion of an intelligent knowledge base, and model orientation would be required to quantify the impacts of both technical (hard) and subjective (soft) constraints.
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Dec 7, 2022 at 9:12pm
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Important Terminology and ConceptsImprovements in software systems aim to identify problems and address them based on their impact on users. EHRs are essential in outpatient psychiatry and hospitals when managing and reducing medication-related errors, sharing medical information, managing workflow, and applying regulatory rules to workflow (Khajouei Farahani, 2020). Poor usability causes user dissatisfaction, burnout, and patient harm events. Research suggests that user-centered redesign can reduce errors, improve workload, and improve satisfaction. Hence, enhancing the usability of the EHR continues to be a focus of researchers, regulatory bodies, and clinicians.Decision support includes software programs or tools that support patient care by disseminating knowledge and patient-specific data. These tools and warnings improve clinical workflow. Artificial intelligence (AI) supports clinical judgments (Jung SY, Hwang H, Lee K, Lee D, Yoo S, Lim K, Lee HY, Kim E. (2021). User Perspectives onEt al., 2021). Non-Knowledge -based Clinical Decision Support Systems (CDSS) use artificial intelligence (AI) assistance. Clinical decision-support systems now incorporate AI, software, or algorithms to complete tasks that typically require human intellect (Jung et al., 2021). These integrated systems include computerized physician order input tools, electronic health record databases, and drug, patient, and treatment data, among others. Information systems must be user-friendly and optimized for patient care. Usually, devices that are challenging to learn, ineffective, and prone to mistakes will produce poor results. Eby, K. (2017). The complete glossary of project management terminology Links to an external site. Smartsheet. https://www.smartsheet.com/completeglossary-project-management-terminologJung SY, Hwang H, Lee K, Lee D, Yoo S, Lim K, Lee HY, Kim E. (2021). User Perspectives on Barriers and Facilitators to the Implementation of Electronic Health Records in Behavioral Hospitals: Qualitative Study. JMIR Form Res. 2021 Apr 8;5(4):e18764. doi: 10.2196/18764. PMID: 33830061; PMCID: PMC8063095.
Khajouei, R., Farahani, F. (2020). A combination of two methods for evaluating the usability of a hospital information system. BMC Med Inform Decis Mak 20, 84 (2020). https://doi.org/10.1186/s12911-020-1083-6
References
Barriers and Facilitators to the Implementation of Electronic Health Records in
Decision Support
Usability is the degree to which users can use an information system and achieve certain goals in specific work areas, emphasizing effectiveness, efficiency, and user pleasure. However, users must consider the understandability, learnability, acceptability, attractiveness, utility, and performance of health information technology systems in healthcare (Eby, 2017). System usability is determined during the design phase and the implementation phase. Therefore, usability evaluation is essential for information systems to be successfully implemented and optimized.
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Dec 7, 2022 at 10:34pm
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The two terms that I’ve selected are interoperability and decision support. Interoperability is “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). Decision support “provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and better health care” (The Office for National Coordinator for Health Information Technology, 2013). These two terms are important for nurses to understand as they are used in their practice constantly.Decision support is another important term for nurses to understand. Nurses make decisions based on evidence-based practice instead of going off based on their gut feeling. As the field of healthcare continues to evolve, so does evidence-based practice. Nurses making decisions based on evidence-based practice increases the positivity of patient outcomes (Sutton et al., 2020). For example, when administering an IV medication, we want to ensure the tubing is properly primed and there are no air bubbles on the line. If the nurse were to administer the IV medication with air in the tubing, this may cause an adverse effect to the patient such as an air embolism.If barriers to proper application of interoperability and decision support in nursing practice arise leading to non-functionality, this may lead to adverse events to the nurses, patients, and the whole organization. If the nurses are unable to access the EMR and pyxis machine, they will be unable to properly administer the required treatment for the patient and they will be unable to view the necessary information for the care of the patient. Medication errors may arise which can lead to harm to the patient. We underestimate the true value of these terms because technology is readily available for us to use, we must remember the impacts that may arise with the improper implementation of these terms in our current nursing practice.Sutton, R., Pinock, D., Baumgart, D., Sadowski, D., Fedorak, R., & Kroeker, K. (2020). An Overview of Clinical Decision Support Systems: Benefits, Risks, and Strategies for Success. Nature Partner Journals, 3, 17. https://doi.org/10.1038/s41746-020-0221-y
The Office for National Coordinator for Health Information Technology. (2013). The Basics. https://www.healthit.gov/faq/what-clinical-decision-supportLinks to an external site..
Bates, D. & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? Health Services Research, 53(5), 3270-3277. doi: 10.1111/1475-6773.12852
As mentioned earlier, these two terms are highly important in my current nursing practice. Interoperability allows me to communicate with the multidisciplinary team regarding the care of the patients. As for decision support, I am able to make sound clinical decisions in my nursing practice using evidence-based practice, I am also able to combine both by communicating with the Healthcare Provider or a trained professional with experience and asking for advice and teaching when I am not familiar with a certain situation.
Interoperability is what allows for the nurse to communicate with the multidisciplinary team (Bases & Samal, 2018). An example of interoperability is when the nurse reviews a critical lab on the EMR, relays the lab to the Healthcare Provider and carries out the new orders that were inputted by the Healthcare Provider. Without interoperability, the nurse would have to call the lab to follow up on lab results and then call the Healthcare Provider to relay the lab results and take a telephone order. The telephone order would then have to be relayed to the pharmacy and the medication would then have to be delivered to the floor.
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Dec 8, 2022 at 12:01am
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Week 2 Discussion 2: Main PostThe nursing field familiarizes learners with nursing concepts that are useful and applicable in the general scope of nursing. With time, the learner can know most of them and how they relate to the advancement of a future professional career. Nursing terminologies are essential as they improve the communication between patient data and the bodies that regulate nursing operations (Sipes, 2019). Nursing informatics has been crucial in learning to integrate nursing information and technological knowledge in managing and integrating the desired health information. The primary importance of nursing terminologies includes more efficient care, improved patient care, and maintaining a standardized communication framework (Sipes, 2019). This post will discuss critical nursing terminologies and their impacts on nursing practice.InteroperabilityDecision supportImpact of the terms on nursing practiceImpacts of non-functionality arising from the nurse practiceReferencesProbyn, J. E., & Maz, J. (2017). Project management techniques to maximize success with research. British Journal of Cardiac Nursing, 12(3). Van de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T.,Aertgeerts, B., Vandvik, P. O., Flottorp, S., & GUIDES expert panel.(2018). The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerised clinical decision.
Sipes, C. (2019). Project management for the advanced practice nurse. Springer Publishing Company.
Miranda, L. N., Farias, I. P., Almeida, T. G., da Trindade, R. F. C., Freitas, D. A., & Vasconcelos, E. L. (2017). DECISION-MAKING SYSTEM FOR NURSING: INTEGRATIVE REVIEW. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 11(10).
The barriers to the practical application of the terms include limitations in nurses’ education, knowledge, and skills. The severity of cases and unstable patient cooperation may also slow down the process. Non- functionality of some factors has various significant consequences, including pressure ulcers, nosocomial infections, falls, and medication rates (Miranda et al., 2017). Health institutions may also likely experience high rates of hospital readmissions and also an increase in mortality rates. However, understanding critical nursing concepts is vital, and applying them to the nursing practice helps attain healthcare goals and objectives.
As a student in nurse practice, Interoperability helps make crucial, high-profile decisions and life-saving adjustments much earlier in the treatment process. When patients receive healthcare services from multiple providers, they become multiplayer panels making their data flow paramount. On the other hand, Decision support provides nurses and healthcare providers with timely information, which would determine the quality of services offered to the patients (Probyn & Maz, 2017). A nurse practice student can understand the role of decision support mechanisms in securing better healthcare services for patients.
A decision support system is a system within the computer program that helps the management to make the right decisions. Decision support systems promote proactive care in nursing, where nurses can spot any health issues and personalize treatments (Miranda et al., 2017). Decision support also fosters the making of more informed decisions, thus improving efficiency in managing company operational issues. Decision support also encourages healthcare providers to implement evidence-based guidelines during medical care delivery (Van de Velde et al., 2018).
Interoperability is the characteristic ability of a system or software to exchange and use information without effort from the end user. In nursing practice, Interoperability brings relevancy of information that is shared at a more appropriate time (Probyn & Maz, 2017). An example of Interoperability in nursing practice is when providers conduct a blood test on a patient. The results are still helpful for use shortly in case a need arises, saving time, cost, and resources for conducting new tests. Interoperability is very useful in information technology. It facilitates the exchange of data between various information systems. Interoperability also enables unrestricted data sharing and resources between the local area networks or the wide area networks.
My two choices of terms are Interoperability and decision support;
Important Terminologies and Concepts
- Collapse Subdiscussion Rosemary Kwaven Rosemary Kwaven Reply to Comment
- Dec 9, 2022 at 2:53pm
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- Hello Ngetla, Dobrow, M. J., Bytautas, J. P., Tharmalingam, S., & Hagens, S. (2019). Interoperable Electronic Health Records and Health Information Exchanges: Systematic Review. JMIR Hovenga, E. J. S. (2022). Nursing Informatics Integration into Mainstream Health Informatics. Studies in Health Technology and Informatics. https://doi.org/10.3233/shti220947Links to an external site.
- Powell, K., & Alexander, G. (2022). Mitigating Barriers to Interoperability in Health Care. Journal of Nursing Informatics, 23(2).
- References
- Terminologies and concepts have different impacts on nursing practice. For example, they challenge and examine nursing judgment and nursing outcomes. Interoperability enhances the process of communication between medical departments hence reducing medical errors (Dobrow et al., 2019). Furthermore, interoperability encourages collaboration in nursing practice which boosts patient outcomes. A hospital organization that focuses on augmenting interoperability places a better opportunity to optimize skills and improve performance in nursing practice. Sustainability embarks on spreading risks and increasing and enhancing the outcomes in the nursing practice. Sustainability will challenge my objectives as a nurse, which in return, heightens performance (Hovenga, 2022). Interoperability will help me close gaps in sharing healthcare/patient information, thus succeeding in the nursing practice. Patient-centered care is a core objective in nursing practice, and it can be achieved through the collaboration of sustainability and interoperability (Powell & Alexander, 2022). The complexity of understanding interoperability and sustainability concepts challenge the application process.
- Collapse Subdiscussion Delightful Anulika Alaka Delightful Anulika Alaka Reply to Comment
- Dec 9, 2022 at 8:36pm
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- Ngetla, your post was formative. With the introduction of computers and health information technology into nursing practices, the way people interact at the workplace has changed tremendously. Therefore, the interaction between humans and computers necessitates the concept of usability and interoperability. The two terms I have chosen for this discussion are usability and decision support and I am impressed to read on interoperability. Interoperability which is also “the ability of two or more systems or components to exchange information and to use the information that has been exchanged” (Bates & Samal, 2018). I agree with you that Interoperability brings relevancy of information that is shared at a more appropriate time. In addition, Interoperability also allows for the nurse to communicate with the multidisciplinary team. An example of interoperability is when the nurse reviews a critical lab on the EMR, relays the lab to the Healthcare Provider and carries out the new orders that were inputted by the Healthcare Provider. Without interoperability, the nurse would have to call the lab to follow up on lab results and then call the Healthcare Provider to relay the lab results and take a telephone order. Great PostBates, D. & Samal, L. (2018). Interoperability: What Is It, How Can We Make It Work for Clinicians, and How Should We Measure It in the Future? Health Services Research, 53(5), 3270-3277. doi: 10.1111/1475-6773.12852
- Reference
- Collapse Subdiscussion Lizzie Umejei Lizzie Umejei Reply to Comment
- Dec 9, 2022 at 11:55pm
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- Response 2 Week 2 discussion 2 Great post. Sutton et al. (2020) note that a clinical decision support system (CDSS) aims to improve healthcare delivery by enhancing medical decisions with targeted clinical knowledge, patient information, and other health information at the point of care. These systems include bar-code point-of-care (BPOC) medication administration systems and electronic drug dispensing systems for prescribing medication orders, transcribing orders, and administering medications (Sutton et al., 2020). CDSS provides support for clinical and diagnostic coding, ordering procedures and tests, and patient triage, improving the quality of clinical documentation (Sutton et al., 2020). Dobrow et al. (2019) note that using interoperable EHRs in acute healthcare settings in the US positively impacts outcome measures such as quality of care and productivity.Dobrow MJ, Bytautas JP, Tharmalingam S, et al.. Interoperable electronic health records and health information exchanges: systematic review. JMIR Med Inform 2019;7:e12607. 10.2196/12607Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1),10.ersal%20interoperability,potential%20risk%20to%20patient%20safety.
- Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2020). Protocol: Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ Open, 11(7). https://doi.org/10.1136/bmjopen-2020-044941Links to an external site.
- References
- Hi Ngetia,
- Collapse Subdiscussion Gernita Lee Gernita Lee Reply to Comment
- Dec 10, 2022 at 9:13pm
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- NURS 8210 Transforming Nursing Week 2 Discussion 2 Peer Response 2 Diogo, R. C., Butcher, G., Silva Butcher, R. d., & Peres, H. H. (2021). Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System. Journal of Nursing Scholarship, 53(4), 519–526. doi:https://doi.org/10.1111/jnu.12659R2 Library (Online service), American Nurses Association. (2015). Nursing Informatics : Scope and Standards of Practice: Vol. (Second, Ed.) American Nurses Association.
- Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ experience and perception of technology use in practice: A Qualitative Study Using an Extended Technology Acceptance Model. CIN: Computers, Informatics, Nursing, 40(7), 478–486. doi:https://doi.org/10.1097/CIN.0000000000000850
- References
- Ngetla Manyineh Mbonuh, thank you for discussing the nursing informatics principle of decision support. Decision systems function as decision support systems that interpret data and formulate alerts that alert the user to abnormalities in the patient’s clinical condition. These alert systems inform the user of data inconsistencies, i.e., abnormal lab trends, and suggest action. However, the user must rely on clinical training and professional decision-making when deciding when to act on decision system alerts (R2 Library (Online service), American Nurses Association, 2015). Diogo et al. (2021) describe clinical decision support systems (CDSS) as clinical decision-making resources from problem resolution provided through artificial intelligence aggregation of patient clinical data (Diogo, Butcher, Silva Butcher, & Peres, 2021). Although advancements in healthcare information technology (HIT) permit the expansion of the nursing practice, inefficient HIT systems may contribute significantly to adverse patient care outcomes. These disturbances are evident through workflow disturbances, communication hindrances, and inoperable CDSS capabilities (Gaughan, Kwon, Park, & Jungquist, 2022). An example would be CDSS-designed HIT providing hundreds of system alerts, with subsequent desensitization to the intended alert systems. Desensitization to intended alarming systems exponentially increases the risk of patient harm. Decision systems must balance informing the user for crucial decision-making and aim to limit unnecessary technological burdens.
Collapse Subdiscussion Lizzie Umejei Lizzie Umejei Reply to Comment
Dec 8, 2022 at 5:18am
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Week 2 Discussion 2 Initial Post Define the two terms selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. The Terms Selected are usability and sustainability.According to Nielsen, 2012. usability is a necessary condition for survival. If a system, application, or resource is difficult to use, people will not use it. Usability is a matter of employee productivityLinks to an external site.. Time users waste pondering complex instructions is money you waste by paying them to be at work without getting work done. Best practices call for spending about 10% of a design project’s budget on usability (Nielsen, 2012).Sustainability continuously maintains or supports a process over time (Brown, 2005). In business and policy contexts, sustainability seeks to prevent the depletion of natural or physical resources so that they will remain available for the long term (Brown, 2005). Sustainability consists of three core concepts: economic, environmental, and social (Brown, 2005).How might these terms impact nursing practice? Be specific.The terms usability and sustainability have a significant impact on nursing practice.Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility, and a willingness to change. (Leffers J, 2011). Sustainability in nursing contributes to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. (Brown 2005). Explain the potential impacts of non-functionality in nursing practice if barriers exist to applying these terms correctly.For nurses and other healthcare professionals to use a system well, usability is critical. If a system is challenging to learn, users will avoid it or find workarounds to operate quickly and efficiently. If we want patients to use a system, usability is vital (Boldt, (2021). http://www.nngroup.com/articles/usability-101-introduction-to-usability
Nielsen, J. (2012). Usability 101: Introduction to Usability.
Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. Public Health Nurs. 2011;28:91–102.
Dunn Lopez K, Chin C, Leitão Azevedo RF, Kaushik V, Roy B, Schuh W, et al.( 2021) .Electronic health record usability and workload changes over time for providers and nursing staff following a transition to new EHR. Appl Ergon 2021 May;93:103359.
Cho, H., Keenan, G., Madandola, O. O., Dos Santos, F. C., Macieira, T. G. R., Bjarnadottir, R. I., Priola, K. J. B., & Dunn Lopez, K. (2022). Assessing the usability of a clinical decision support system: Heuristic evaluation. JMIR Human Factors, 9(2), e31758. https://doi.org/10.2196/31758Links to an external site.
Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, (2005). Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan.
Boldt, K. (2021). EHR usability: What is it, why is it so important, and how can it be measured? (infographic). Medsphere. Retrieved December 8, 2022, from https://www.medsphere.com/blog/ehr-usability/Links to an external site.
References
In conclusion, advances in health information technology, such as EHRs, can be expensive in implementation and usage. Finding the expenses to invest in training, support, and the physical infrastructure can be a common barrier, especially for smaller practices.
EHR usability leads to higher EHR adoption rates, fewer clinical errors, less clinician burnout, financial benefits, and improved patient safety(Boldt, (2021). Usability measures the quality of a user’s experience when interacting with a system (Cho et al ., 2022). Poor usability in EHRs is associated with increased clinicians’ cognitive workload, EHR-related fatigue, burnout, work inefficiency, job dissatisfaction, and intentions to leave the job (Dunn et al., 2021).
Usability measures the quality of a user’s experience when interacting with a system (Cho et al ., 2022). Poor usability in EHRs is associated with increased clinicians’ cognitive workload, EHR-related fatigue, burnout, work inefficiency, job dissatisfaction, and intentions to leave the job (Dunn et al., 2021).
According to Nielsen (2012). Usability is a quality attribute that assesses how easy user interfaces are to use. Usability comprises five quality components: Learnability, Efficiency, Memorability, Errors, and satisfaction (Nielsen, 2012). Learnability: How easy is it for users to accomplish basic tasks the first time they encounter the design(Nielsen, 2012).? Efficiency: Once users have learned the procedure, how quickly can they perform tasks(Nielsen, 2012).? Memorability: When users return to the design after not using it, how easily can they reestablish proficiency (Nielsen, 2012)? Errors: How many errorsLinks to an external site. do users make, how severe are these errors, and how easily can they recover from the mistakes (Nielsen, 2012)? Satisfaction: How pleasant is using the design(Nielsen, 2012)?
- Collapse Subdiscussion Delightful Anulika Alaka Delightful Anulika Alaka Reply to Comment
- Dec 10, 2022 at 7:52pm
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- Sipes, C. (2019). Project management for the advanced practice nurse. Springer Publishing Company.
- Reference
- I love reading your post on sustainability and agree with you that Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism, and maintenance Sustainability is ability to maintain or support a process over time and that it continuously maintains or supports a process over time. Sustainability is often broken into three core concepts: economic, environmental, and social. Many businesses and governments have committed to sustainable goals, such as reducing their environmental footprints and conserving resources. Nursing informatics has been crucial in learning to integrate nursing information and technological knowledge in managing and integrating the desired health information. The primary importance of nursing terminologies includes more efficient care, improved patient care, and maintaining a standardized communication framework (Sipes, 2019). The nursing field familiarizes learners with nursing concepts that are useful and applicable in the general scope of nursing. With time, the learner can know most of them and how they relate to the advancement of a future professional career. Nursing terminologies are essential as they improve the communication between patient data and the bodies that regulate nursing operations. Formative Post.
- Hi Lizzie,
- Collapse Subdiscussion Ijeoma C Onyeagocha Ijeoma C Onyeagocha Reply to Comment
- Dec 10, 2022 at 10:01pm
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- Hello Lizzie,Regardless, the currency aspect of this source may be an issue for me. Consider using sources that are more up-to-date in your subsequent discussions. Leffers (2011), on the other hand, even though it expands on our understanding of the sustainability concept by clearly defining its constituents, was improperly cited in your discussion. Most importantly, you did not comment on the impacts of non-functionality and the likely barriers to applying the sustainability concept in the nursing practice. I would wish to know more about the non-functionality aspect. Otherwise, job well done! ReferencesFleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M. C., & Denis, J. L. (2015). The sustainability of healthcare innovations: a concept analysis. Journal of advanced nursing, 71(7), 1484-1498.
- Leffers J, Mitchell E. Conceptual model for partnership and sustainability in global health. Public Health Nurs. 2011;28:91–102.
- Brown VA, Grootjans J, Ritchie J, Townsend M, Verrinder G, (2005). Sustainability and Health. Supporting Global Ecological Integrity in Public Health. London: Earthscan.
- Your selection of the sustainability concept is a transformational aspect of my life. Your discussion post has taught me the significance of this term in the nursing and healthcare setting. Indeed, it is imperative to think of future generations and maintain sustainability to prevent harming them. I understand that today, the healthcare sector is loaded with challenges that call upon creativity and innovation in dealing with them. However, the verge of solving these issues may lead to the development of ideas whose destination, if not correctly looked upon, may significantly impact the future generation (Fleiszer et al., 2015). Therefore, the sustainability concept is ideal for solving such issues. Your use of evidence to substantiate your claims is much appreciated. Indeed, Brown (2005) defines sustainability as a concept that maintains and supports a process over time.
- Collapse Subdiscussion Ngetla Manyineh Mbonuh Ngetla Manyineh Mbonuh Reply to Comment
- Dec 11, 2022 at 12:42pm
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- Hello Lizzie, ReferencesNielsen, J. (2012). Usability 101: Introduction to Usability.
- http://www.nngroup.com/articles/usability-101-introduction-to-usability
- Boldt, K. (2021). EHR usability: What is it, why is it so important, and how can it be measured? (infographic). Medsphere. Retrieved December 8, 2022, from https://www.medsphere.com/blog/ehr-usability/Links to an external site.
- I applaud you for the great choice of terminology. Indeed, Nursing terminologies are crucial because they facilitate communication between patient data and the organizations that oversee nursing operations. Integrating nursing and technological knowledge has been essential to managing and integrating the desired health information. Indeed, Hospitals and healthcare systems will benefit from sustainability initiatives’ significant financial and environmental advantages both now and in the future (Boldt, 2021). But for an initiative to be truly sustainable, it must be financially sound, supportive of the local area, and environmentally friendly. Furthermore, I believe hospitals’ strategic business plans must include sustainability as a key component and serve as the inspiration for new programs and infrastructure upgrades. However, each hospital and care system must choose the best course of action based on its objectives. There might be better strategies for one hospital than the best strategy for another. By implementing more environmentally friendly practices, the American healthcare sector could save $15 billion over the following ten years (Nielsen, 2012).
Collapse Subdiscussion Ajayi M Ajayi Ajayi M Ajayi Reply to Comment
Dec 8, 2022 at 6:20pm
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Important Terminology and Concepts Usability and Decision SupportStaggers,2018).Staggers, 2018).Reference
Staggers, N., Elias, B. L., Makar, E., & Alexander, G. L. (2018). The Imperative of Solving Nurses’ Usability Problems With Health Information Technology. JONA: The Journal of Nursing Administration, 48(4), 191–196. https://doi.org/10.1097/nna.0000000000000598Links to an external site.
HealthIT.gov. (n.d.). Health information technology advisory committee Links to an external site.(HITAC). https://www.healthit.gov/hitac/committees/health-information-technology-advisory-committee-hitac. (n.d.).
Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges. Yearbook of Medical Informatics, 28(01), 071–077. https://doi.org/10.1055/s-0039-167790Links to an external site.
The nurse plays a unique role in the usability of the health IT problem for the patient, nurses, and all healthcare providers. DNP is suitable for getting nurses involved in decision-making and creating. A better strategy for nurses in providing usability in healthcare includes accelerating nurses’ understanding of translating IT for nurse work(
Usability is one of the critical impacts of the future decision and current support of the healthcare systems that increasingly assess humans in deciding the high level for the tasks in many domains complex for all healthcare(Carayon,2019). Therefore, to understand the usability of nurses’ uses of IT, including the nurse executive, it is good to identify the significant impact of the critical responsibility of developing a better plan to improve the medical record while using IT with the nurse who has experienced and inexperienced nurses(
The health IT usability in medical devices enables the patient to live in a healthy way for the patient safely, and this IT. research makes a collective of errors related to IT uses and the excellent part of IT In health care for improving patient safety. The IT still can be wrong and can happen with the nurse’s physician. Their importance of how the IT impact of the technology they experience on poor health IT usability negative the problem experienced and many healthcare are facing problems. The Healthcare IT profession monitors how IT affects the patient, and error that can occur are suitable for monitoring outcome and the threats to patient safety and the clinicians. The research continues to show the linkage between how the technology was designed and problems with design, including the clinician’s frustration with different types of IT, which can be a big problem for many healthcare providers. The two that I choose are Usability and Decision Support(Carayon,2019)
- Collapse Subdiscussion Valerie Corvera Valerie Corvera Reply to Comment
- Dec 9, 2022 at 5:39pm
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- Hello Ajayi,References
- Thomas, L., Manoj Kumar, M. V., & Annappa. (2018). A Healthcare management using clinical decision support system. 2018 3rd International Conference on Contemporary Computing and Informatics (IC3I), Contemporary Computing and Informatics (IC3I), 2018 3rd International Conference On, 342–347. https://doi.org/10.1109/IC3I44769.2018.9007272
- Farzandipour, M., Nabovati, E., Tadayon, H., & Sadeqi Jabali, M. (2021). Usability evaluation of a nursing information system by applying cognitive walkthrough method. International Journal of Medical Informatics, 152.https://doi.org/10.1016/j.ijmedinf.2021.104459Links to an external site.
- Thank you for you post on usability and decision support. These are great concepts to consider and evaluate how the non-functionality of these terms affects professional practice. Usability is a major factor that affects the acceptance of health information systems by users and is a critical component for safe and effective use of information technology (Farzandipour, Nabovati, Tadayon, & Sadeqi Jabali, 2021). Usability can have a major impact on practice if there is a non-functionality issue. We heavily rely on technology these days especially for documentation purposes. If we have a simple downtime for a couple hours, nurses and other interdisciplinary teams are frustrated and not happy. It can delay patient care and can potentially lead to negative patient outcomes. Clinical Decision Support System is supported by an information model for decision-making by statistically analyzing the clinical data (Thomas, Manoj Kumar, & Annappa, 2018). Clinical decision support can significantly impact improvements in quality and safety. Having non-functionality can lead to errors and adverse effects for patients. It is important for us to know these terms and the potential negative outcomes that can come from non-functionality and failure.
Collapse Subdiscussion Quateka Cochran Quateka Cochran Reply to Comment
Dec 8, 2022 at 6:36pm
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Initial post This post asks that we select two terms related to informatics and discuss why it is important to understand how these terms function for the application of information technology and nursing practice. Then explain how they impact my nursing practice. And finally, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist to the proper application of these terms.Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes (Shelton, 2018). We must first determine what interventions should be implemented and sustained. Shelton went on to say it is difficult to implement and sustain something that may be a poor fit in the first place or may no longer fit in the ways that it did when originally implemented. Researchers have often conceptualized sustainability as the final stage in the overall life cycle of an intervention, including development, adoption, implementation (with potential adaptations), and sustainability. ReferencesISO. (2018). ISO 9241-11:2018 Guidance on Usability. In Ergonomics of human-system interaction — Part 11: Usability: Definitions and concepts. https://www.iso.org/obp/ui/#iso:std:iso:9241:-11:ed-2:v1:enLinks to an external site.Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care. Annual Review of Public Health, 39, 55–76. https://doi.org/10.1146/annurev-publhealth-040617-014731Links to an external site.
Kaminski, J. (2020). Theory applied to informatics – Usability | Canadian Journal of Nursing Informatics. https://cjni.net/journal/?p=8442Links to an external site.
Boldt, K. (2021, March 9). EHR Usability: What is it, why is it so important, and how can it be measured? (Infographic). Medsphere. https://www.medsphere.com/blog/ehr-usability/Links to an external site.
Usability and sustainability are critical to the implementation of EBP practices. As a nurse leader and change agent, I must first determine if a proposed change is going to be usable in the practice and if it will be sustainable. It would be fruitless to implement change if it is not usable or sustainable. Knowing if a proposed change is beneficial to the stakeholders including the patients, nurses, medical providers, company leaders, and the financial advisors is important.
The terms selected were usability and sustainability. Usability is defined as “the effectiveness, efficiency, and satisfaction with which specific users can achieve a specific set of tasks in a particular environment” (Boldt, 2021). A standard definition for usability from the International Organization for Standardization (ISO) organization in Standard # 9241-11 states: “Usability: the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use” (2018, Section 3.1). In short, usability is defined by five qualities, learnability, efficiency, memorability, errors, and satisfaction. The word “usability” is also used as a qualifier to refer to the design knowledge, competencies, activities, and design attribute that contribute to usability, such as usability expertise, usability professional, usability engineering, usability method, usability evaluation, usability heuristic” (Kaminski, 2020). Usability is critical for efficiency, productivity, engagement, and use.
IMPORTANT TERMINOLOGY AND CONCEPTS
- Collapse Subdiscussion Regidor Del Rosario Regidor Del Rosario Reply to Comment
- Dec 8, 2022 at 9:15pm
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- Thank you for sharing your post with us Quateka. The two terms you’ve selected usability and sustainability are important for the APRN to fully understand. Hattingh et al. (2020) refers to usability as the effectiveness, efficiency, and satisfaction with which users achieve goals using computer systems. Chow et al. (2021) mentions that sustainability “focuses on the planning, monitoring, controlling, and ensuring project delivery process along the project life cycle.” When a change initiative is introduced and the APRN takes on the role of leader for this project, being able to fully understand and implement usability is important. The APRN must be able to utilize the tools provided to them to achieve goals in the most effective and efficient way possible. The APRN must also take into account the sustainability of the change initiative that is being proposed. If these terms are not aligned with the nursing practice of the APRN it can contribute to non-functionality. For example, is these two terms are not fully understood and are used in nursing practice, this can lead to the change initiative having negative outcomes and it can also lead to the project not being maintained.Hattingh, M, Matthee, M., Smuts, H., Pappas, I., Dwivedi, Y., & Mantymaki, M. (2020). A Methodology to Compare the Usability of Information Systems. Nature Public Health Emergency Collection, 12067, 452-463. doi: 10.1007/978-3-030-45002-1_39
- Chow, T., Zailani, S., Rahman, M., Qiannan, Z., Bhuiyan, M., & Patwary, A. (2021). Impact of Sustainable Project Management on Project Plan and Project Success of the Manufacturing Firm: Structural Model Assessment. PLoS One, 16(11). doi: 10.1371/journal.pone.0259819
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Dec 8, 2022 at 8:41pm
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Usability– a measure of how well a user, like a nurse, can use an interface to achieve the desired goal. Interoperability– is the capability of a system (software) to exchange information efficiently. ReferencesStaggers, N., Elias, B. L., Makar, E., & Alexander, G. L. (2018). The imperative of solving nurses’ usability problems with health information technology. JONA: The Journal of Nursing Administration, 48(4), 191-196. https://doi.org/10.1097/nna.0000000000000598
Powell, K. & Alexander, G. (Summer, 2019). Mitigating barriers to interoperability in health care. Online Journal of Nursing Informatics (OJNI), 23(2). Available at http://www.himss.org/ojniLinks to an external site.
Information flow is crucial in healthcare delivery. With information exchange occurring seamlessly across all care sections and among all the personnel involved, there is better efficiency and outcome (Powell & Alexander, 2019). Thus, interoperable health information exchange (HIE) via the health data systems available, including the current EHRs, will guarantee quality care. For instance, it will help improve time management and decision-making. It also enhances person-centered care as the providers can access complete patient information (Powell & Alexander, 2019). However, barriers like limited resources and infrastructure, poor coordination among health facilities, and policies regarding the use and distribution of EHRs continue to affect interoperability with HIE (Powell & Alexander, 2019). Overcoming these barriers will allow health providers and patients to access the benefits of interoperable HIE systems.
Healthcare setups and providers are increasingly adopting electronic health records (EHRs) as the standard of practice. Thus, health providers must have information technology (IT) knowledge to efficiently apply and use the EHR interface (Staggers et al., 2018). According to Staggers et al. (2018), insufficient nurses’ health IT knowledge threatens the quality and safety of care. For example, there is potential for reduced productivity as the nurse struggles to operate the EHR systems. The nurse can also enter incorrect patient data, compromising patient safety and treatment. Therefore, health IT usability issues about EHRs impact the efficiency and productivity of nurses, compromising quality and safety standards (Staggers et al., 2018). Barriers such as inadequate training, a mismatch between the EHR models and nurses’ workflow, and insufficient resources further escalate the usability impacts. Thus, all providers must understand the usability issues and find solutions to them promptly.
Discussion two: Important Terminology and Concepts
- Collapse Subdiscussion Ajayi M Ajayi Ajayi M Ajayi Reply to Comment
- Dec 9, 2022 at 5:34pm
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- Jennings
- Howarth, M. L., Probyn, J. E., & Maz, J. (2017). Project management techniques to maximize success with research. British Journal of Cardiac Nursing Download British Journal of Cardiac Nursing, 12(3), 116–119. doi:10.12968/bjca.2017.12.3.116. (n.d.).
- Thanks for your exciting post on interoperability being significant for patient safety. That ensures the patient can get information on their record from different providers working with others is a way of collecting patient data from EHR and system to flow the patient information. All the statements must show the current treatment and continuation of treatment.(Howarth,2017).
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- Dec 10, 2022 at 9:36pm
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- Very informative post Jennings,The Interaction Design Foundation. (n.d.). What is Usability – The Ultimate Guide. https://www.interaction-design.org/literature/topics/usability
- Usability is very important to informatics and healthcare as a whole. In order for a change project to be successful it should be usable. “Usability is a measure of how well a specific user in a specific context can use a product/design to achieve a defined goal effectively, efficiently and satisfactorily” (IDF).To determine usability the tool should be efficient, effective, engaging, easy to learn and tolerant to errors.
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Dec 8, 2022 at 8:47pm
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Important terminology and Concepts: Importance of usability and interoperability in informational technology in nursing Practice Importance to understand how interoperability and usability function How Interoperability and usability impact a nursing practiceAs a nurse, the diverse goals presented by medical frameworks make it difficult to incorporate usability (Van de Velde et al., 2018). Marcilly et al. (2019) state that usability poses threats as it may result in errors when a physician uses a dosage administering technology; the users might unintentionally enter the wrong dose. Such experiences are negative as it threatens a patient’s safety. During such scenarios, a patient might as well get the wrong medication, thus leading to an adverse drug reaction.According to a YouTube video by Virtualstrategist (2016), S.W.O.T analysis is a useful tool when planning for adopting new systems in the nursing environment S.W.O.T helps by accessing the needs or challenges currently present to build a better future. Since healthcare providers access patients’ information promptly, this enables them to manage patients’ health seamlessly. However, interoperability in electronic healthcare systems prevents a challenge. One of the major barriers to the effective interoperability of IT health systems is usability (Powell, and Alexander, 2019). However, during the implementation stages, technical barriers may lead to poor and inconsistent data and cause issues with health data matching resulting in deficiencies being experienced in users’ interface. ReferencesPowell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-careVan de Velde, S., Kunnamo, I., Roshanov, P., Kortteisto, T., Aertgeerts, B., Vandvik, P. O., Flottorp, S., & GUIDES expert panel. (2018). The GUIDES checklist: Development of a tool to improve the successful use of guideline-based computerized clinical decision support Links to an external site. Implementation Science. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0772-3Links to an external site.
Virtualstrategist. (2016, October 19). How to perform a SWOT Analysis Links to an external site.[Video]. YouTube. https://www.youtube.com/watch?v=I_6AVRGLXGA
Staggers, N., Elias, B. L., Makar, E. D., & Alexander, G. L. (2018). The imperative of solving nurses’ usability problems with health information technology Links to an external site. The Journal of Nursing Administration, 48(4), 191–196. doi:10.1097/NNA.0000000000000598
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building usability knowledge for health information technology: A usability-oriented analysis of incident reports Links to an external site. Applied Clinical Informatics, 10(3), 395–408. doi:10.1055/s-0039-1691841
The potential impacts of barriers existing when applying usability and interoperability
Due to their important role in patient care, nurses are related practitioners who have a critical input in deciding what medical devices and technologies to use. These decisions regarding interoperability must incorporate the voice of a nurse. Imagine having a simpler, safer, and less stressful experience when handling the infusion pump. Here, the infusion pump should ideally have a seamless conversation with the EMR and other clinical IT systems. In the case of intolerable EMR and infusion pumps, physicians’ orders are then transmitted directly into the infusion pump from the patient record. In this instance, cases of error-prone and manual inputs are mitigated. Also, the pump can transmit accurate and time-stamped data reducing a clinician’s need for documentation.
It is important to understand how interoperability and usability function as application information technology is applied in nursing. According to Staggers et al. (2018), usability brings problems that result in frustrations, inefficiencies, reductions in productivity among the practitioners, and also posing threats to a patient’s safety. Interoperability, on the other hand, improves a clinician’s decision-making process through complete and timely access to information (Powell, and Alexander, 2019).
Information Technology (IT) is an essential component applied in healthcare improvement. Such quality is attributed to enhancing interoperability by IT among healthcare practitioners. As a result, meaningful and seamless exchange of information across diverse healthcare practitioners and institutions is facilitated effectively. However, IT interoperability in health systems is also tied to usability factors. Interoperability refers to the ability of systems (two or more) to exchange health-related information and timely access and application of the information (Powell and Alexander, 2019). Usability, on the other hand, refers to how effective, satisfactory, and efficient a system is concerning the specific users to achieve goals in the nursing work environment through developing possible solutions to help nurses improve health outcomes (Staggers et al., 2018).
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Dec 8, 2022 at 10:04pm
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The concept of interoperability refers to the ability to share resources unrestrictedly between different systems to support data sharing, data standards, infrastructure, policies, and incentives for end-to-end interoperability of patient health data across care providers, EHRs, and data-generating medical technologies (Najjar, Amro, & Macedo2022). Using interoperability, individuals and teams in the healthcare organization should be able to understand information as well as the ones who sent it (Nøhr, et l., 2019). Interoperability refers to the ability to share information between different components or machines, both via software and hardware, and it also refers to the exchange of information and resources between different computers via local area networks or wide area networks to provide effective and efficient care (Powell & Alexander 2019). Through technology and/or computers, interoperability helps clinicians deliver safe, effective, patient-centered care in the healthcare system. It’s the application of information technology and nursing practice that changes the way people and caregivers access their healthcare records. There are many ways in which interoperability impacts nursing practice, starting with the ability to communicate between healthcare providers and professionals. A multidisciplinary team can collaborate effectively and communicate effectively to improve the quality of care. For example, in a study by Wei et al (2021), the integrated smart pumps with electronic health records (EHRs) reduce medication errors by automating pump programming and HER documentation, which automates the administration of infusion medications by enabling bidirectional communication between the smart pump and the EHR. Interoperability also allows nurses and healthcare organizations to communicate in real-time across agencies and jurisdictions by using voice, data, or video-on-demand (Wei et al., 2021), Technology and computers have enabled nurses to administer medication safety, document in real-time, and conduct telehealth not only to allow access to care but to be useful and transferable through open, secure, standardized, and machine-readable formats while reducing restrictions and increasing access.Sustainability Halley EC, Sensmeier J, & Brokel JM. (2009). Nurses exchanging information: understanding electronic health record standards and interoperability. Urologic Nursing, 29(5), 305–314.Powell, K. R., & Alexander, G. L. (2019). Mitigating barriers to interoperability in health care Links to an external site.. Online Journal of Nursing Informatics, 23(2). https://www.himss.org/resources/mitigating-barriers-interoperability-health-careSweeney, D. S. (2019). CMS Seeks Changes in Telehealth, Palliative Care Payments, and Electronic Health Record Interoperability. ONS Voice, 34(6), 18–19.
Urquhart, R., Kendell, C., Cornelissen, E., Madden, L. L., Powell, B. J., Kissmann, G., Richmond, S. A., Willis, C., & Bender, J. L. (2020). Defining sustainability in practice: views from implementing real-world innovations in health care. BMC Health Services Research, 20(1), 1–7. https://doi.org/10.1186/s12913-020-4933-0
Proctor, E., Luke, D., Calhoun, A., McMillen, C., Brownson, R., McCrary, S., & Padek, M. (2015). Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support. Implementation Science, 10(1), 1–13. https://doi.org/10.1186/s13012-015-0274-5Links to an external site.
Najjar, A., Amro, B., & Macedo, M. (2022). Is lEHR, a model for electronic health records interoperability. Bio-Algorithms and Med-Systems, 18(1), 39-54. doi: https://doi.org/10.1515/bams-2021-0117Links to an external site.
Flynn, R., Stevens, B., Bains, A., Kennedy, M., & Scott, S. D. (2022). Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review. Systematic Reviews, 11(1), 1–15. https://doi.org/10.1186/s13643-022-02093-Links to an external site.
References
According to Flynn, et al. 2022, sustainability involves harvesting or using a resource in a way that prevents the resource from being depleted or permanently damaged. Additionally, it demonstrates how much progress the healthcare industry has made using informatics and technologies and will continue to hold over time to provide evidence-based care, improve quality, and uphold standards of care (Flynn, et al. 2022). A sustainable healthcare system is defined as a system that consistently implements successful strategies to satisfy various stakeholders, such as human resources, social, economic, and environmental dimensions. (Flynn, et al. 2022). In healthcare, sustainability means upgrading technology and digital programming to improve communication, documentation, and interoperability(Flynn, et al. 2022). Sustainability involves three key elements: the ability to deliver innovation, the delivery of innovation, and the benefits of innovation (Flynn, et al. 2022). A sustainable healthcare system is also one in which strategies and or techniques are implemented continually to ensure that resources, evidence-based practices and strategies, informatics, and technologies that are used to improve evidence-based practice and care are not exhausted or forgotten. Using advanced technology and informatics to deliver the best possible care could result in sustainability/ My nursing practice would also be positively impacted if resources and services were used wisely to reduce waste and excessive spending and to implement cost-effective treatment and diagnostic procedures. For example, using recycled paper, energy-saving light bulbs, or managing medical waste sustainably would impact my nursing practice. It’s possible for nursing practices to not be sustainable if there are barriers to sustainability, like technology, lack of informatics, waste of health resources, a decrease in health resources, and an increase in healthcare spending.
Interoperability enables nurses to communicate with patients, administer medications, provide safe, timely treatment, and document in real-time. Besides storing and retrieving data, it can streamline and eliminate duplicate data, screen risks, and collaborate (Sweeney2019). Without interoperability, end users are forced to piece together inherently incomprehensible systems, making them ineffective for research, care, or public health. Lack of interoperability increases end-user costs, as evidenced here. In the absence of interoperability or in the case of non-functional interoperability, care and practice will suffer. This will reduce communication, safety, and communication, and lead to poor health outcomes, disability, and death. In nursing practice, a lack of interoperability may lead to significant functional difficulties. The non-functionality of interoperability, for example, will hurt care and practice, since it eliminates technology and computer systems in care and practice. This will lead to a decrease in collaboration, effective communication, documentation, data sharing, retrieval, and access to care. By not enabling interoperability, the chances of telehealth, virtual visits, and treatment are reduced.
Interoperability
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- Dec 9, 2022 at 3:29am
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- Discussion 2 Response 2The definition of sustainability is “meeting the requirements of the present without compromising the needs of the future” and “ensuring a balance between economic growth, environmental protection, and social well-being.” Every industry, every level, and every person must engage in it. It entails accountability, planning, and foresight. In addition, a sustainable health system must be affordable for patients and families, employers, and the government. It must also be acceptable to important stakeholders, such as patients and medical professionals. Finally, a sustainable health system must be adaptable because health and health care needs are not static; it must do so in response to new diseases, shifting demographics, scientific advancements, and dynamic technologies in order to survive (Fineberg, 1970). According to Mollenkamp (2022), Sustainability is the capacity to consistently support or maintain a process across time. Sustainability aims to stop the depletion of natural or physical resources in business and policy contexts so that they will be accessible in the long run. In a health setting, social sustainability relates to the ability for hospitals and healthcare systems to enhance quality of life and improve well-being in a population. Healthcare architecture facilitates connections, enables access, improves health and enhances equity.Fineberg, H. V. (1970, December 8). A successful and sustainable health system – how to get there from here: Nejm. New England Journal of Medicine. Retrieved December 9, 2022, from https://www.nejm.org/doi/full/10.1056/NEJMsa1114777Mollenkamp, D. T. (2022, November 30). What is sustainability? how sustainabilities work, benefits, and example. Investopedia. Retrieved December 9, 2022, from https://www.investopedia.com/terms/s/sustainability.asp
- References
- Hi Lovester,
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- Dec 10, 2022 at 8:53pm
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- NURS 8210 Transforming Nursing Week 2 Discussion 2 Peer Response 1 Kim, H., & Eltz, A. J. (2020). Representing Nursing Data With Fast Healthcare Interoperability Resources: Early Lessons Learned With a Use Case Scenario on Home-Based Pressure Ulcer Care. Computers, Informatics, Nursing : CIN, 38(4), 190–197. doi:https://doi.org/10.1097/CIN.0000000000000564Silva, C. G., Vega, E. A., Cordova, F. P., Carneiro, F. A., Azzolin, K. d., Rosso, L. H., . . . Almeida, M. d. (2020). SNOMED-CT as a standardized language system model for nursing: An Integrative Review. Revista Gaúcha de Enfermagem, 41. doi:https://doi.org/10.1590/1983-1447.2020.20190281
- R2 Library (Online service), American Nurses Association. (2015). Nursing Informatics : Scope and Standards of Practice: Vol. (Second, Ed.) American Nurses Association.
- References
- Lovester Duncan, I thoroughly enjoyed reading your contribution to this week’s discussion regarding the nursing informatics principle of interoperability. Interoperability involves the formation and continual usage of universal or global terminologies such as SNOMED CT®, the primary universally accepted language of the nursing profession (R2 Library (Online service), American Nurses Association, 2015). Silva et al. (2020) presented the challenges of not having a universal and commonly accepted nursing language in Brazil. The absence of SNOMED-CT resulted in fragmented levels of care and communication (Silva et al., 2020). Depending on the healthcare system’s location in Brazil, nursing terminology lacks homogeneity or interoperability, functioning as a barrier, and preventing multiple healthcare levels of care from communicating and organizing patient care (Silva et al., 2020). Kim et al. (2020) demonstrated positive outcomes that coincide with functional interoperability principles by utilizing interoperability principles in tracking pressure ulcer treatment (Kim & Eltz, 2020). Due to the high demands for documentation regarding the onset of pressure ulcers, whether they were present on admission or formed during the clinical stay of the patient, they determine insurance reimbursement rates (Kim & Eltz, 2020). Healthcare information technology (HIT) systems that allow interprofessional communication and access to documentation foster accurate, real-time evaluation of care effectiveness and provide opportunities to improve treatment modalities (Kim & Eltz, 2020).
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Dec 8, 2022 at 10:50pm
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Post and define the two terms you selected. Explain why it may be important to understand how these terms function for the application of information technology and nursing practice. How might these terms impact your nursing practice? Be specific.Then, explain the potential impacts of non-functionality that may arise in your nursing practice if barriers exist for the proper application of these terms?ReferencesPerialathan, K., Johari, M. Z., Norrafizah Jaafar, Kong Yuke Lin, Low Lee Lan, Nur Aliyah Sodri, & Siti Nur Nabilah Mohd Yunus. (2021). Enhanced Primary Health Care Intervention: Perceived Sustainability and Challenges Among Implementers. Journal of Primary Care & Community Health, 12. https://doi.org/10.1177/21501327211014096Links to an external site.
Gupta, P., Hudnurkar, M., & Ambekar, S. (2021). Effectiveness of blockchain to solve the interoperability challenges in healthcare. Cardiometry, 20, 79–87. https://doi.org/10.18137/cardiometry.2021.20.7987
Faruk, M. J. H., Patinga, A. J., Migiro, L., Shahriar, H., & Sneha, S. (2022). Leveraging Healthcare API to transform Interoperability: API Security and Privacy. 2022 IEEE 46th Annual Computers, Software, and Applications Conference (COMPSAC), Computers, Software, and Applications Conference (COMPSAC), 2022 IEEE 46th Annual, COMPSAC, 444–445. https://doi.org/10.1109/COMPSAC54236.2022.00082Links to an external site.
Interoperability can have huge negative consequences of non-functionality. Cyber threats, delay in patient care, unintentional mishandling of patient information, delay of financial reimbursements, and the inability to complete documentation are just a few potential consequences of non-functionality related to interoperability (Gupta, Hudnurkar, & Ambekar, 2021). I deal with patient information during my daily professional practice. Safe handling of patient information is important, and I could face legal action and consequences if carriers exist with interoperability. Sending patient information needs to be done securely and responsibly to avoid violating HIPAA regulations. Non-functionality of sustainability can lead to wasted resources and potential delays in patient care. For example, let’s say I implement something related to patient care and it is not sustainable. I could potentially delay patient care by not having a backup plan or may not be able to even offer those services to patients anymore. It is important for me to know what I am capable of in my nursing practice and ensure that patient care and safety come first.
The two terms that I selected are interoperability and Sustainability. Interoperability is the ability for healthcare information systems to quickly exchange and use information within and across organizational boundaries (Faruk et al., 2022). Sustainability is defined as the extent to which a newly implemented treatment, services, practice, or innovations is maintained or institutionalized within a services (Perialathan et al., 2021). It is important to understand these terms because they are applicable to information technology and my nursing practice. Everyone uses technology now. It is required for organizations to utilize EMRs for patient information and data. Since everything is electronic these days, patient information and healthcare information are all electronic and are sent electronically. There are many ways for information to get into the wrong hands. Interoperability is required for patient care, sharing information between provider and patient or provider to provider, or provider to billing service agents such as insurance companies is done daily. Sustainability must be taken into consideration when new ideas and projects are being done and implemented because it is important to be striving to improve patient care. There is no point to invest all this time or money into projects that can’t be implemented long term or sustained. Often, resources are limited and need to be used as effectively as possible. These impact my nursing practice because I am constantly working with patient information and sending patient information to the appropriate resources that are needed. I provide care to patient and am constantly having to stay up to date on the latest evidence-based practices, but I also have to see if the resources that I have can sustain whatever is going on within my professional practice.
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Dec 9, 2022 at 9:15pm
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NURS 8210 Transforming Nursing Week 2 Main Discussion Post 2 Healthcare information technology (HIT) functions to streamline healthcare users’ processes, increase process efficiencies, congregate patient data for trend identification, and provide additional failsafe patient protections (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). The Food and Drug Administration (FDA) and the Agency for Healthcare Research and Quality (AHRQ) argue the importance of devising evaluations of HIT systems usability and end-user considerations during the design phases of HIT system developments (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). End user input is an elementary component of human factor evaluation, defined as the application of knowledge concerning human capabilities and limitations when designing tools, devices, systems, and organizational environments (Sipes, 2020; Marcilly, Schiro, Beuscart-Zéphir, & Magrabi, 2019). Failure to understand the physical, sensory, psychological, emotional, and intellectual demands required to install, implement and integrate technological innovation into clinical practice decreases the likelihood of HIT sustainability (Ben-Eli, 2018; Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). Usability and Sustainability Impacts on Clinical Nursing Practice Technology that impedes patient care presents as a stressor to the end user or poses patient safety concerns, often lack usability, ends in user workarounds, and, in some cases, incites outward refusal to utilize ineffective technology (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). When introducing a medication scanning system for safe and optimized medication administration, the newly introduced technology would require feedback from the intended users for efficacy and practical application evaluation. Healthcare organizations that mandate innovation without nursing buy-in struggle to convince team members to conform to the intended practice changes, resulting in higher associated costs, diminished staff satisfaction rates, and exposure to unnecessary risks to patient care. During the timeline of clinical practice, many providers have witnessed well-meaning HIT systems fail to achieve delivered promises for optimal functionality and become cumbersome and ineffective (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). Current HIT systems may consider gleaning HIT usability feedback through internal incident reporting (Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019). Non-functionality occurs when the HIT product is incapable of usage, does not function as designed, or does not meet the end customer’s needs and work demands (Sipes, 2020). Donald Norman coined the term “user experience” as a design philosophy focused on the relationship between the user and the technology (Harte et al., 2017). User-centered design (UCD) aims to centerpiece the user in the HIT design development phase to ensure successful usability outcomes (Harte et al., 2017). Adverse outcomes may ensue if any of these elements are missing or subpar. Barriers to installing evidence-based innovation, ensuring optimization of HIT systems, and ensuring UCD determines innovation success or failure for long-term implementation. ReferencesHarte, R., Glynn, L., Rodríguez-Molinero, A., Baker, P. M., Scharf, T., Quinlan, L. R., & ÓLaighin, G. (2017). A human-centered design methodology to enhance the usability, human factors, and user experience of connected health systems: A Three-Phase Methodology. JMIR human factors, 4(1). doi:https://doi.org/10.2196/humanfactors.5443Nøhr, C., Kuziemsky, C. E., Elkin, P. L., Marcilly, R., & Pelayo, S. (2019). Sustainable Health Informatics: Health Informaticians as Alchemists. Studies in Health Technology and Informatics. 265, 3–11. doi:https://doi.org/10.3233/SHTI190129Sipes, C. (2020). Project management for the advanced practice nurse. (2nd, Ed.) Springer Publishing Company.
R2 Library (Online service), American Nurses Association. (2015). Nursing Informatics : Scope and Standards of Practice: Vol. (Second, Ed.) American Nurses Association.
Marcilly, R., Schiro, J., Beuscart-Zéphir, M. C., & Magrabi, F. (2019). Building Usability Knowledge for Health Information Technology: A Usability-Oriented Analysis of Incident Reports. Applied Clinical Informatics, 10(3), 395–408. doi:https://doi.org/10.1055/s-0039-1691841
Ben-Eli, M. U. (2018). Sustainability: definition and five core principles, a systems perspective. SUSTAINABILITY SCIENCE, 13(5), 1337–1343. doi:https://doi.org/10.1007/s11625-018-0564-3
The project management design phase one, step four, approvals from site and project advisors; step 5, the clinical question development; and step six, evidence search elements, provide the foundation for identifying experts as resources and mentorship and the identification and buy-in of critical stakeholders. Providing prototype testing cultivates a controlled environment intended to evaluate end-user human factors and their relationship to the totality of the user experiences while simultaneously testing the overall prototype’s functionality (Harte et al., 2017). Similarly to prototype testing, the DNP project formation and development stage culminates multiple perspectives early in the development process. These committee representatives present unique opportunities to fine-tune study intentions and HIT functionality deliveries before discovering crucial oversights in the end-stage organizational practice implementation.
Non-functionality Impacts on Nursing Practice
Doctor of Nurse Practice prepared nurse leaders are encouraged to function as project coordinators for technological innovation implementation, formally lead projects, and serve as project coordinators and change agents. Conceptualizing and mastering usability and sustainability informatics principles ensure technology optimization by ensuring clinically enhancing technology functions as complementary agents and not burdensome. The primary goal of nursing informatics is the entry of nursing opinions and user feedback in the early development of emerging technological advancements. Applying usability principles and design principles provides opportunities for improvement and continual development through constant evaluation along the change cycle continuum leading to ensured sustainability (Marcilly, Schiro, Beuscart-Zéphir, & Magrabi, 2019; Nøhr, Kuziemsky, Elkin, Marcilly, & Pelayo, 2019).
The American Nurses Association (2015) describes usability as the degree a product can be utilized by a specified user in a specified context efficiently and effectively, with end-user satisfaction with attained specified goal (R2 Library (Online service), American Nurses Association, 2015.) The primary goal of healthcare usability is fortifying patient safety and optimizing human performance with supporting technological tools and systems (R2 Library (Online service), American Nurses Association, 2015). Nursing informatics competencies standard 5b, health teaching, and health promotion highlights the vital nurse leader skill of integrating informatics solutions into clinical practice workflows and the attribute of seeking out opportunities for feedback of innovation effectiveness, including reviews of usability and innovation sustainability (R2 Library (Online service), American Nurses Association, 2015). Ben-Eli (2018) defined sustainability through the lens of parts and wholes. A process system’s sustainability depends on the demand for resources and the generation of byproducts in a balanced state. In simpler terms, the rate of consumption and resource replenishment in correlation to the rate of production and absorption of said production byproducts determine the likelihood of system sustainability and the long-term ability of continued, optimal functioning (Ben-Eli, 2018). Nursing informatics and technological innovations function as expanders in the clinical environment through streamlined processes developed for functionality and efficiency.
Defining Usability and Sustainability as Cornerstones for Applying Information Technology

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