Healthcare Technology: A Summary Report Essay

In 1992, the American Nurses neckties (ANA) Congress of treat Practice nourishmented the recomm displaceation of the Council on Computer acts in Nursing to officially recognize treat culture processing (NI) as a breast feeding specialty. The ANA up-to-the-minutely defines NI as a specialty that integrates nurse science, calculator science, and entropy science to sway and communicate selective instruction, data, knowledge, and wisdom in nurse place (American Nurses friendship ANA, 2008).The purpose of this musical composition is to discuss the current social function of sanitarynessc atomic number 18 information engineering ( jar a amplificationst) in the acuate cargon setting by interviewing a harbour conk outing in HIT and analyze its impingement on the professional nursing practice. The Interview Jayne Thompson, RN, BC, MSN is employed at Memorial medical checkup nerve center in Springfield, Illinois as a clinical screening Support Specialist. Memorial Medical Center, is a 504 bed, Magnet buildated, level one scathe center located in central Illinois and the flagship hospital of the Memorial wellness System, which is comprised of quad hospitals and affiliated with Southern Illinois University School of Medicine.A one-hour interview with Jayne was scheduled and held on touch 13th 2013 at 700 AM in her office. Interviewee Jayne has worked at Memorial Medical Center for twenty-five years and began her rush as a staff nurse on the cardiac surgery building block where she gear uped a passion for nursing research. This led to a position as a research nurse for the Prairie learning and Research Cooperative (PERC) in Springfield, IL where she coordinated clinical runs on cardiac stents.As a research nurse, Jaynes need for gathering and sharing data spurred an interest in healthc be informatics and in 2008 she enrolled in Walden Universitys get the hang mark program in health shell out Informatics. Upon graduation in 2010 Jay ne moved into her current position as Clinical Application Support Specialist. In 2012 she realizedd her attestation in Nursing Informatics. Jaynes responsibilities let in ensuring the effective performance of the computer information system, Cerner, which is intentiond within the Memorial wellness System.She sees her role as a engagement between nursing and information engineering (IT) to guarantee that nursing is represented in decisions that impact clinical systems in the perspicacious circumspection setting. Jayne gathers end users (users for which the product is designed) preserves, suggestions and, criticisms regarding the work flow process and brings them to the attention of the IT department. Together they build, trial and implement computer system changes, which are then tacklen back to the end user. Education and TrainingThe American Nurses Credentialing Center (ANCC) describes an informatics nurse specialist (INS) as a masters disposed(p) nurse. In order to qualif y to take the ANCC exam, a nurse mustiness be, at minimum, bachelors prepared (nursing or other related field of study), complete a minimum number of hours of work experience and graduate study. Currently twain designations for certification in NI are on tap(predicate) through with(predicate) the ANCC. Nurses certifying with a bachelors degree degree or higher degree in nursing use the designator RN, BC art object nurses certifying with a degree in a related field, i. . computer sciences use the designator RN, C. (Hunt, Sproat, & Kitzmiller, 2004). The nurse, new to an informatics role call for to become familiar with current definitions, literary works and know the stove and standards of the profession as established by the ANA (ANA, 2008). Following the utmost of her MSN, Jayne needed her role as Clinical Application Support Specialist hike up defined base on the scope of responsibilities and relationships expected for the proposed implementations of the Cerner system. ChallengesJayne sees advancing evidence based nursing (EBN) as one of the biggest challenges confront nursing. The INS must focus on converting uncommitted data information into practical, accessible information that can enlighten practice. This is accomplished through alerts and computerized decision support (CDS), which make evidence-based guidelines available at the point of financial aid (Simpson, 2007) finding the best tools and methods for managing vast amounts of information requires the INS to develop methods for storing data, in both the short and coherent term and garnering information and knowledge eeded to support clinical practice, research and education. A blurb challenge facing the INS is the cost of delivering health fretting. Health cope costs are a burden to society as a whole and likely to join on along with the number of uninsured individuals (McCormick et al. , 2007). Of concern is a shortage of registered nurses intercommunicate to dole out across th e country between 2009 and 2030 (American Association of College of Nursing AACN, 2012). The INS serves as a physical contact with nursing and IT in developing technology and providing educational programs necessary to support care delivery.The goal is to optimize the existing and projected nursing workforce and ensure go along quality of care amid the anticipated nursing shortages. agency of Information Systems Informational systems (IS) deal with the development, use and management of an organizations information technology (IT) infrastructure (McGonigle & Mastrian, 2012, p. 29). As an INS, Jayne acknowledges that nurses cash in ones chips the majority of their term providing direct care to patients and hope that an EHR will increase this patient-interaction clip and consequently the quality of care delivered.Conversely, providing care requires the documentation of clinical information as an inherent aspect of routine care and is essential from both professional and level-h eaded standpoints. Nurses, according to Jayne consider an IS to be efficient if the system reduces their documentation time, even if the time savings do not rede into better patient care. Developing and introducing a new aspect of an IS for clinical practice can be frustrating, according to Jayne who much sees healthcare professionals preferring to work in silos (operating in isolation from others), rather than collaborating with other professionals in related fields of practice.Information comprises a wide range of aspects including patient-specific data, research information and procedure information. IS offer tremendous opportunities to call forth clinical practice and appropriateness of care and to increase efficiency and effectiveness in healthcare organizations (Oroviogoicoechea, Elliott, & Watson, 2008). It is important to develop and expand functional ISs that meet the take of at presents healthcare industry while evolving to handle future demands of the healthcare co mmunity. Role of PrivacyPatients cite privacy, together with security, as their issues of greatest concern about electronic reposes. The ANA Code of Ethics for Nurses with Interpretive Statements mandates that nurses encourage a patients right to privacy and confidentiality (American Nurses Association ANA, 2010). The use of an electronic health record (EHR) makes it difficult for an unauthorized person to gain access. According to Jayne, the IT department serves as the porters beer for data security. Within the Memorial Health System a provider demand a login name and a parole to access the Cerner EHS.Additionally, Cerner maintains an audit trail, required by the privacy rules of the Health Insurance Portability and duty Act (HIPAA), that documents who has accessed individual records, as well as what part of the record was viewed. Firewalls and antivirus software product protect the organization from hackers and viruses, encryption of data exiting the health system is essenti al since chthonic (HIPPA) if data is stolen but encrypted the organization is dislodge from fines. Physical access to computers and software is a foundation of computer security.Placement of computer monitors, privacy screens and a 30-second time-out take prevent inadvertent viewing of protect health information (PHI). Greatest training EHRs have a huge impact on nursing documentation. Although nurses are the largest congregation of end-users they have had minimal input in the design of EHRs. The INS works synergistically with nursing and IT to design and implement documentation software, which is integrated into the clinical workflow and functions optimally in clinical practice.If this collaboration does not occur, the frustrations of nurses may read to an EHRpractice gap similar to the long-existing possible actionpractice gap, or nurses may alter their clinical practice to see to it in with rigid systems, thereby losing the sum of money and soul of nursing as a profess ion (Stevenson, Nilsson, Petersson, & Johansson, 2010, p. 70). To ensure that the essence and complexity of nursing are not lost, the INS must be aware of the clinical needs of the nurse and the benefits of the IS which best supports patient care.