Assessment 1-4040

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Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.​ This is not an essay, but instead, it is a proposal to create a new Nurse Informaticist position.

One important part of this assessment is the justification of the need for a nurse informaticist in a health care organization and references from relevant and timely scholarly or professional resources to support the justification for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist position brings value to the organization. This justification must include evidence from the literature to support that this position will provide a return on investment for the organization.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

  • Review assessment resources and activities.
    • Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
    • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.
  • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
  • Interview peers in your network who are considered information technology experts.
    • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets following each heading:

Nursing Informatics and the Nurse Informaticist

  • What is nursing informatics?
  • What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

  • What is the experience of other health care organizations with nurse informaticists?
  • How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

IMPACT OF FULL NURSE ENGAGEMENT IN HEALTH CARE TECHNOLOGY

  • How does fully engaging nurses in health care technology impact:
    • Patient care?
    • Protected health information (security, privacy, and confidentiality)?
      • In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients’ protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.
    • Workflow?
    • Costs and return on investment?

Opportunities and Challenges

  • What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
    • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

Summary of Recommendations

  • What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
    • This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include evidence from the literature to support your recommendation.

Additional Requirements

  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Submission length: 4–5 double-spaced pages, in addition to title and references pages.
  • Font: Times New Roman, 12 point.
  • Citations and References: Cite a minimum of three current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of one current professional blog or website to support your central ideas. Current means no more than five years old.
  • APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the Evidence and APA page on Campus.

PEER RESPONSE: please respond to the following discussion post

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Ethics in Nursing Research

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Lisa Fugit posted Apr 11, 2023 6:34 AM

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The ethics of research are the principles and standards used in conducting research, specifically with living subjects (Tappen, 2016). While many in the healthcare field believe in doing no harm, there is a sordid history of unethical, by today’s standards, research and experimentation that has led to our current shape of ethics in nursing research. Understanding and acknowledging this dark history can help prevent research from harming participants. Modern ethics codes have developed as a result of the troubling past of some researchers. This past includes Nazi experiments during World War II, the Tuskegee syphilis study, an experimental measles vaccine given to infants without parental consent in Los Angeles, and many documented cases of prisoners being used as subjects in experiments without consent (Doody & Noonan, 2016).

            The result of these unethical experiments is the current principles of ethics used today in nursing research (Tappen, 2016). These principles include autonomy or respect for the person to make their own decisions. This is the basis of informed consent. Another principle is beneficence. This is trying to benefit the participants and/or society as a whole. A third principle is non-maleficence. This means to do no harm and that researchers must weigh potential benefits against potential harms. Another principle is justice. Researchers must handle all research participants in a fair and equitable manner (Doody & Noonan, 2016).

            One issue that I have worked with involves confidentiality and veracity. Just as researchers must be truthful with research participants about the potential benefits and harms of the experiment, so must the participants be truthful with researchers about their personal information. It has occurred where a participant did not disclose an underlying medical condition for fear of it being told to a potential employer and another participant because they feared it would prohibit them from the experimental medication. The first participant was worried about confidentiality. This is part of the informed consent that should describe the procedures in place to protect the participant’s personal information (Tappen, 2016). The second participant put themselves at risk of unknown complications by not being honest about their past medical history. Veracity has to be honored by both researchers and participants.

           

 

Reference

Doody, O., & Noonan, M. (2016). Nursing research ethics, guidance and application in

practice. British Journal of Nursing (Mark Allen Publishing), 25(14), 803–807. https://doi.org/10.12968/bjon.2016.25.14.803

Tappen, R. (2016). Advanced nursing research: From theory to practice (2nd ed.). Jones and

Bartlett Learning.

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PEER RESPONSE: please respond to the following discussion post

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Module 3 Discussion

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Corey Suzukawa posted Apr 11, 2023 11:38 AM

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Module 3 Discussion

            Participants in research studies are entitled to respect and ethical treatment while researchers and medical professionals are responsible to act in an ethical manner as well. While this is generally true for most research studies, a few past studies in history have shaped the ethics of nursing research today. The Tuskegee Syphilis Study, Nazi medical experimentation, and research at the Willowbrook State School are examples of how research should not be conducted (Barrow et al., 2022). Not only did these studies endanger the health of the participants, but it also has led to reduced trust from the public and further questions regarding the reported results of certain studies. This greatly affects all researchers, even those who are conducting research ethically (Tappen, 2016). Violations within the studies listed above led to the creation of research standards known as the principles of ethical conduct. The three fundamental principles of ethical conduct for human research are respect for person, beneficence, and justice (Tappen, 2016). Respect for person is one of the vital principles and greatly changed how research is conducted as vulnerable populations such as children and prisoners are still provided with the same ethical considerations as every other participant. 

            These principles are also enforced by federal requirements for training in the ethical conduct of research. Every member of the research team must complete the training prior to conducting the study, which is a safeguard for ensuring the study is performed ethically. Past research deficiencies also set in motion the use of informed consent which consists of key elements of protection for participants (Tappen, 2016). While there are some scenarios where the informed consent is waived, participants are much more protected than they were in the past. An additional issue to be mindful of is the coercion of potential participants to participate in studies. Researchers must ensure they do not engage in coercion, which can include threats of punishment or even rewards to entice participants (George, 2016). This is something that I have personally witnessed as a participant in past studies where I received monetary payment for my participation. Coercion and incentives can hinder the self-determination of participants. From experience, the incentive I received made a difference in whether I participated or not. Researchers need to ensure that participants have the autonomy to voluntarily decide if they want to participate in studies without any influences.

References

Barrow, J. M., Brannan, G. D., & Khandhar, P. B. (2022). Research ethics. In StatPearls

[Internet]. StatPearls Publishing.

George, A. J. (2016). Research ethics. Medicine, 44(10), 615-618.

Tappen, R. (2016). Advanced nursing research: From theory to practice (2nd ed). Jones and

Bartlett.

Module 5 Assignment: Implementation of Research: Recruitment, Data Collection, and Intervention

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This module focuses on the implementation phase of research, beginning with an overview of participant recruitment and data collection. Topics covered include recruitment, retention, preparation for collecting data, and interviewing. Structured, semi-structured, and unstructured interviews are also covered. We then focus on Internet sources, secondary analysis, historical research, and intervention.

Recruitment and retention are two tremendous hurdles faced by any researcher. In this module we explored the process of participant recruitment and enrollment, what motivates people to participate in a research study—the incentives, and why they may decline—what barriers to participation exist. We also considered the question of retention, which becomes important if you need to maintain contact and retest or re-interview participants.

The type of data you decide to collect and how you go about collecting it will have a great impact on its value in the analysis, reporting, and application phases of your research study. We began with the initial planning and preparation for data collection, including selection of measures, and then consider procedures for specific data collection modes. Specific approaches to testing and observation were discussed, as well as interviewing, and online, secondary, and archival sources.

In this module we discussed online research, secondary analysis of existing databases, and historical research. Each of these methods of data collection has its advantages but also poses some challenges for the researcher. There is still a lot to be learned about the strengths and weaknesses of Internet-based research and questions to be answered about the ethics of using existing data that are felt to be private yet are publicly available. Secondary data analysis probably should be done more often than is currently the case. Although there are challenges to using data collected for another purpose, secondary data analyses often generate a rich yield for the effort expended. Historical research addresses entirely different questions and uses different data collection methods. It requires a sense of context and continuity unlike that of the other data collection strategies. As different as they are, each contributes to our understanding of the patients, clients, their families, and the environment in which nurses provide care.

The intervention phase of research requires active involvement of the investigator and members of the research team. A carefully designed intervention based upon previous research and an underlying theoretical framework are the basis for undertaking this phase of the study. Those providing the intervention need to be well trained, the provision of the intervention needs to be monitored and recorded meticulously, and safety of participants needs to be assured throughout the study.

Assignment Description:

Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions.

No audio recording is required. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) citations through-hut your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video.

Part 1: Provide three example questions, one for each category, that can be defined as a structured, semi-structured, or unstructured interview question. Provide a short justification for each choice. (Part 1 of the assignment should be addressed using at least 3 slides).

Part 2: What are some issues you are likely to encounter with a study that focuses on childhood disease and illness? For example, what ethical and legal issues must you consider, and how can you cope with such issues as retention? (Part 2 should be answered using at least 3 slides)

Part 3: Describe three techniques, methods, or recommendations you can use to promote retention in a study. Include any additional personal examples of promoting retention you can lend that might not already be in the course materials. (Part 3 of the assignment should be addressed using at least 3 slides)

The following specifications are required for this assignment:

  • Length: 15-17 slides; answers must thoroughly address the questions in a clear, concise manner
  • Structure:
  • Title: 1 slide
  • Objectives: at least 2 slides
  • Example questions: at least 3 slides
  • Justification: at least 3 slides
  • Techniques, methods, or recommendations: at least 3 slides
  • Conclusion: at least 2 slides
  • References: at least 1 slide
  • References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.