This document discusses the integration of nursing science with information management in nursing informatics. It explores the challenges faced by nurses when using electronic health record systems and provides recommendations for improvement.
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Running head: NURSING INFORMATICS Nursing Informatics Name of the Student: Name of the University: Author Note:
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1NURSING INFORMATICS Introduction- Nursing informatics closely integrates nursing science with the analytical sciences and the information management for the identification, managing and communicate the wisdom, information and knowledge into the nursing practice. Thus, it is important to note that the true interoperability includes more than the exchange of information. Interoperability deals with the ability to two or more systems to share and exchange information and also use the same information. It has been noticed that the nurse satisfaction is low when they use the electronic health record systems. The dissatisfaction of the nurses is due to the several factors and issues occurring at the system level. The factors include the non-nursing specific systems, failure to meet the requirements of the clinical needs, missing components, limited functionality, lack of the standards, poor interoperability, non-integrated systems, poor systems usability, lack of user training pertaining to the use of electronic health records (Staggers et al., 2018). The nurse’s satisfaction related to the usability of the electronic health records (EHR) is low considering the fact at the system level EHR poses several difficulties and issues. It has been observed that the EHR systems fail to meet the clinical and the nursing needs. Another concern associated with the use of EHR and its inability to capture the exact story either in the structured or in narrative format. Nurses always complain regarding the utility of the EHR and wants the EHR system to undergo major changes for it to become suitable in clinical nursing. Nurses need a better tool that can cater to the needs of the patient centred care that will be intuitive and easy for the healthcare providers (Lanier et al., 2017). It has also been noticed that the EHR systems have only a few benefits due to the fact that the EHR systems are viewed as the data repositories and do not promote patient care. EHR systems does not enhance the patient care and the large volumes of the data and documentation does not have a direct impact on the outcome.
2NURSING INFORMATICS Furthermore, the data collected through the EHR systems are not valuable for the frontline users because they do not have any documentation (Foster &Sethares, 2017). Analysis of the workflow and the identification of the root cause- Studies have indicated that the information systems pertaining to the EHR does not work well with gathering, storing and the presentation of the nursing knowledge (Lanier et al., 2017). Some of the electronic systems that have been developed for the regulatory and billing purposes do not have any usefulness in the field of nursing. For example, the nursing documentation is related to the regulatory and accreditation and it has nothing to do with the differences in the populations/families and patients. Nursing information systems have been developed for the management of the hospital expenses and they are not based on the nursing needs (Miller et al., 2014). The current information systems present in the EHR are incapable of supporting and reflect several aspects of the nursing. Nurses face several issues related to usability of the EHR systems. Majority of the time it has been highlighted by the nurses that the EHR systems have multiple screens that hinder the clinical thinking, requires too many key strokes for recording simple information, time consuming and a slow process. The interface design is also blamed and there are issues with working and identification of the interdisciplinary documentation. It has been seen that the process of documentation is duplicative and cumbersome which is even hard to keep a chronological track (Topaz et al., 2016). Recommendations-Length of the EHR training and usage-Both the novice and the nurse managers can be asked to consider an extended period of EHR training for better usage capabilities. The training will be provided at their current workplace and 24 hours of training must be made a mandatory for the interested nurses (Lanier et al., 2017).Patient loading must be reduced when learning EHR- The new nurses that will use the EHR systems are not
3NURSING INFORMATICS pressurized and at the same time the patient care load is decreased (Palabindala, Pamarthy&Jonnalagadda, 2016).Comfortable time when the EHR systems will be used- The nurses must be given a 3-month period where they can comfortably learn the EHR systems (Rosiak, 2012).Factors that influence the EHR skill and knowledge level- The more the experience of a nurse the more the nurses are capable of learning the EHR system (Miller et al., 2014). Conclusion- from the above discussion it can be concluded that the nurse satisfaction is low when they use the electronic health record systems. Nurses always complain regarding the utility of the EHR and wants the EHR system to undergo major changes for it to become suitable in clinical nursing. EHR systems does not enhance the patient care and the large volumes of the data and documentation does not have a direct impact on the outcome.
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4NURSING INFORMATICS Reference Foster, M., &Sethares, K. (2017). Current Strategies to Implement Informatics into the Nursing Curriculum: An Integrative Review.On-Line Journal of Nursing Informatics,21(3). Lanier, C., Dao, M. D., Hudelson, P., Cerutti, B., &Perron, N. J. (2017). Learning to use electronic health records: can we stay patient-centered? A pre-post intervention study with family medicine residents.BMC family practice,18(1), 69. Miller, L., Stimely, M., Matheny, P., Pope, M., McAtee, R., & Miller, K. (2014). Novice nurse preparedness to effectively use electronic health records in acute care settings: Critical informatics knowledge and skill gaps.Online Journal of Nursing Informatics (OJNI), 18(2). Palabindala, V., Pamarthy, A., &Jonnalagadda, N. R. (2016). Adoption of electronic health records and barriers.Journal of community hospital internal medicine perspectives,6(5), 32643. Rosiak, J. (2012). Tips for Transitioning to a New Electronic Health Record System.Journal of the advanced practitioner in oncology,3(5), 330. Staggers, N., Elias, B. L., Makar, E., & Alexander, G. L. (2018). The Imperative of Solving Nurses’ Usability Problems With Health Information Technology.Journal of Nursing Administration,48(4), 191-196. Topaz, M., Ronquillo, C., Peltonen, L. M., Pruinelli, L., Sarmiento, R. F., Badger, M. K., ... &Tayaben, J. L. (2016). Nurse informaticians report low satisfaction and multi-level
5NURSING INFORMATICS concerns with electronic health records: results from an international survey. InAMIA Annual Symposium Proceedings(Vol. 2016). American Medical Informatics Association.