Nursing Leadership/Discussion

Part 1

My post

Hello class and Professor,

The advent of the technological era has been linked to improved patient outcomes. Most of the technologies in place are patient-centered and are aimed at improving the quality of care and service delivery. At the facility I work for, there are several technologies in place. The most recent is the point of care technology. As much as this technology is in its initial stages of implementation, the benefits have had profound effects on the operations of nursing. This technology allows nurses to access patient data such as X-rays and medication directly from the bedside. This is achieved through linked computers placed at the bedside of patients to ensure that their records can easily be accessed (Adam, 2017).

Considering that the facility has not yet adopted electronic health records, the point of care technology comes with great significance to the hospital. Through the technology, time is saved which would have otherwise been used to access the documents physically. This also allows for easier update of the patient information ensuring that they stay up to date. Point of care technology also ensures that nursing practice focuses on patient-centered care (Adam, 2017). This means that the patient is engaged in making decisions, follow-ups, and education to better their health.

The facility should, however, consider the importance of implementing electronic health records to complement the point of care technology. With electronic records coupled with this technology, nurses will have diverse alert systems such as mobile phones and tablets to ensure that they can access patient data away from the bedside.

Part2 

Professor Comments and question

It is really interesting that your organization has not implemented the electronic health record (EHR). The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provided $35 billion dollars for organizations to implement electronic health records. The incentive did not cover the entire costs of implementation to organizations, but are mandatory to meet the requirements for the Centers for Medicare and Medicaid Services the Merit-Based Incentive Payment System, or MIPS which will start in 2019. Do you think the organization will change to the EHR in the near future?

References
Schwartz, S. (2016). Defensive medicine versus value-based care. Medical Economics. Retrieved from: http://medicaleconomics.modernmedicine.com/medical-economics/news/defensive-medicine-versus-value-based-care?page=0,0

Part 3/another students comments and question

I found your topic very interesting. Prior to working on the PCU unit at a hospital, my last employer was just in the process of implementing EMR. They were actually using paper charts. It is interesting that some health care organizations are behind when it comes to information technology. Do you think that this could be due to cost? I think cost was the major reason as to why my prior employer was slow to using EMR.

Define the scope of a legal issue.

  • Define the scope of a legal issue.
  • Examine briefly the existing laws on this issue as it relates to nursing.
  • Highlight this legal issue in a clinical nursing example.
  • Explore the expert forecasts and any new needed laws regarding this legal issue as it relates to nursing practice.

references

Public Health Nursing: Pioneers in Healthcare Reform

Public Health Nursing:  Pioneers in Healthcare Reform

Read chapter 35 of the class textbook and review the attached PowerPoint presentation.  Once done present a 900 words essay discussing the influence and contributions of the public health nursing the healthcare reform.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used (excluding the class textbook).  A minimum of 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 900 words is required.

  • attachment

    CHNChapter35.pptx

An abundance of evidence can be found on almost any medical issue or health topic

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare:

  • Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.
  • Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?
  • Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.
  • Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?
  • Reflect on how nurses can disseminate findings from evidence-based practice research.

Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.