Post tami | Nursing homework help

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Respond by offering additional thoughts regarding the examples shared, Systems Development Life Cycle SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

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                         Systems Development Life Cycle

           The systems development life cycle (SDLC) is a process whereby a company or entity determines the need for the implementation of new technology.  SDLC provides information systems that are effective at incorporating the company’s business plan (McGonigle & Garver Mastrian, 2018).  It is essential that a working knowledge of the problems or issues are understood.  In the case of healthcare organizations, this means establishing an assessment that discovers the needs of each department (McGonigle & Garver Mastrian, 2018).  Most of the time when analyzing these needs an outside company is brought in to assess, interview, and determine the type of system that would benefit the company.

Consequences of Lack of Inclusion of Nurses

In the application of any new technology or policy, it is essential to trial it with the individuals that will be using it.  When considering an update or new system in the healthcare setting, it is beneficial to involve nurses in the decision-making process.  The Agency for Healthcare and Research (n.d.a) report that it is important to consult with nurses in the preliminary period of development.  By incorporating nurses into the initial design, the researchers learn nursing processes, possible new tasks, effect the technology will have on patient care, staffing needs, and usability of the design.  This analysis of workflow is used to determine the best use of technology (McGonigle & Garver Mastrian, 2018).  Including nurses in this process opens routes for discussion and collaboration that will benefit the designers and users.  

            Failure to include nurses in the planning stages of technology design is detrimental to the intended use of the new system.  A researcher or computer designer could miss critical elements of the nursing process due to their lack of knowledge regarding nursing procedures.  McGonigle & Mastrian (2018) state, “nursing informatics professionals should always be included in these activities to represent the needs of clinicians and to serve as a liaison for technological solutions to process problems” (p. 250).  The role of the informatics nurse and a nurse, in general, can play in designing technology is critical.  Their contribution to the analysis of workflow and clinical implications is invaluable information needed for the formation of a system that will be used to its potential.

An Example of Collaboration

            A study was done in Canada to determine the impact of the initiation of computerized order entries for medications on nursing workflow and reduction of medication errors.  Registered nurses participated in a study where interviews and observations were used to study the effects of digital technology on the nursing process (Vito, Borycki, Kushniruk, & Schneider, 2017).  The researchers spent considerable time observing and recording how the technology affected nurses and the influence it made on time spent with patients.  This study is one example of the impact that nurses can have on the design and implementation of technology in the healthcare setting.

Current Healthcare Facility

             When our facility transitioned to electronic health records (EHR) as an ER nurse, I was not involved in the planning.  The nurse informaticist I assume worked with the company to create templates that are in use today.  Within the ER portion of the EHR, there have been changes made because of nursing input.  As a unit, we have asked for an ED narrator to be developed with our order sets, documentation narrators, and medication administration policies.  Recently we asked for changes to our trauma narrator to include additional documentation options for different trauma levels.  As a group we have also discussed missing pieces of data that is beneficial for everyday use and discussed this with our leaders.  The leaders take this information to the information technology (IT) individuals that work directly with the EHR company and changes are then made.  There are times when the nurse’s input is not embraced due to financial constraints or leadership ability to see the need.  The size of the healthcare organization plays a significant role in the inclusion of nurses in decision-making practices.  Many variables exist to modification of technology in healthcare.  In an ideal setting, it would be ideal to include nurses throughout the design process.

References

Agency for Healthcare Research and Quality (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide.  Retrieved April 17, 2019, from https://healthit.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf

McGonigle, D., & Garver Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning, LLC.

Vito, R., Borycki, E., Kushniruk, A., & Schneider, T. (2017). The impact of computerized provider order entries on nursing practice. Studies in Health Technology and Informatics, 234, 364-369. doi:/10.3233/978-1-61499-742-9-364

prepare a journal entry using excel and prepare a 2 3 page document based on the journal entry

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Prepare a journal entry using excel and prepare a 2 – 3 page document based on the journal entry. Assignment details are attached.
 
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700 bureau of justice statistics

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Go to the Bureau of Justice Statistics website. Find a topic that interests you and pull down the data for it.

Write a 700- to 1,050-word paper explaining the data and the results.  Pay particular attention to the statistical significance as reported and what made the data significant with respect to objective 3.1.

Include at least two peer reviewed references.

Format your paper consistent with APA guidelines.

performance art details are below

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Performance art performances

You will perform five performance art performances during the semester.Each of these performances will happen in class.Each of these performances will have two required components: (1) your performance and (2) a write-up of your performance which needs to be submitted in class in hard form before you perform.Each performance art performance also needs to have a title and make a thoughtful point about communication and the class material at hand.

For each of the performance art performances, perform for the class a rehearsed, original, in-person performance that is 30-60 seconds in length.For expediency, these performances should not have external audio, video, or projector needs.This performance is to be an original creation by you.Don’t recite something someone else said or wrote.This piece should also involve you in a performative manner.Don’t give a standard speech or presentation.For each of these assignments, a lack of performance will not be considered a performance.

It is vital that we maintain our good sense for these performances.Do not violate campus regulations and policies or any laws.Do not harm property.Do not disrupt others outside of our class or classmates as they perform.Do not be hostile or menacing toward anyone.Do not put anyone in harm’s way.Be a good audience member.

For each of the five write-ups, submit in class in hard form before you perform a write-up detailing your performance.Specifically, each write-up should provide: (1) the title of your performance and why you chose that title, (2) a description of what you’re doing and how you prepared to do it, (3) an explanation for why what you’re doing in class should be considered performance art, and (4) an explanation of the thoughtful point that your performance is making about communication and/or theory.

Each write-up’s length is 500 words.An accurate word count must be placed at the top of the first page of your paper.Failure to have an accurate word count at the very top of the first page of your paper will result in a failing grade.Your paper needs to be typed and single-spaced.Your paper should use Times New Roman 12 pin font and standard margins.In MS Word, use either the Normal or the No Spacing style (upper right on Home tab) and then change your font to Times New Roman 12 pin/size (upper left on Home tab).Please do not space between paragraphs.Indent paragraphs.All you need at the top of your paper is your name and, as stated above, an accurate word count (found in the lower left in MS Word), and then you should begin your first paragraph.

Each write-up should be written in academic prose and, likewise, be polished and precise as well as adequately developed and supported.Paragraphs should begin with a bold claim or thesis statement (i.e., a declarative sentence that encapsulates what the paragraph is about) that is then supported by the rest of the paragraph.When a new bold claim is made, a new paragraph should begin.

Use the APA format to cite in-the-text-of-your-paper all outside source material, including the textbook and the supplemental readings.Include a proper works cited page.The works cited page should NOT be counted in the word count for your paper.Spell and grammar check (F7 in MS Word).

If you are unable to make it to class on the day of a performance art performance, you can have someone else drop off your write-up about your performance art by noon that same day in the Communication Department (Morgan 206) for partial credit.Your write-up will receive up to 15 of the 20 points for your first drop off and up to 10 of the 20 points for your second drop off.No points will be given to a third and subsequent drop off.

I do not accept course assignments via email.Late work is never accepted.Make-up work is never offered.

Like the performance art performance, the write-up is to be an original work by you.Do not recycle work or writing from another class.Avoid plagiarism as well.Such behavior constitutes academic dishonesty.Academic dishonesty will be treated very seriously.See the section Academic dishonesty for further clarification as well as for guidance in avoiding plagiarism.

Rubric.

The performance art performance (up to 10 points):

  • Not long enough/30+ seconds: deduct the performance art round #
  • Not performative/artistic: deduct the performance art round #
  • Not original/creative/yours: deduct the performance art round #
  • Not insightful re: class material at hand: deduct the performance art round #
  • Not well prepared: deduct 5 points
  • Not appropriate (see the syllabus): deduct 20 points (entire assignment = ZERO)

The 500-word write-up (up to 10 points):

  • No paragraphs/too few paragraphs: deduct the performance art round #
  • Lacks the performance’s title and/or an explanation of what you’re doing and/or how you prepared to do it: deduct the performance art round #
  • Lacks two or more detailed arguments for why what you are doing should be considered performance art: deduct the performance art round #
  • Lacks a detailed, insightful explanation of the point your performance is making about a portion of the class material at hand: deduct the performance art round #
  • Poorly written: deduct 5 points
  • Missing a word count: deduct 5 points
  • Contains 400-499 words: deduct 2 points
  • Contains 300-399 words: deduct 4 points
  • Contains 200-299 words: deduct 6 points
  • Contains 100-199 words: deduct 8 points
  • Contains 000-099 words: deduct 10 points
  • Not submitted in class before performance: deduct 10 points
  • Has an inaccurate word count: deduct 20 points (entire assignment = ZERO)

Easy and manageable performance, read carefuly.

 

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