MIDTERM Worksheet1
MIDTERM Worksheet1
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-Anthony Douglas Williams
2. Discuss how someone can get a specialty practice in Nursing informatics? What are the
preparations?
Answer:
To become a specialty, it was necessary for NI to show that educational programs
are available to prepare nurses to practice in the field.
The Division of Nursing (DN), Health and Humans Services Administration
(HRSA) founded two Master’s NI programs and one Doctoral program in NI at
the University of Maryland.
In 1997 an NI specialty program open at New York University and in 1998 a
specialty program was implemented at Duquesne University at Pittsburgh.
In her discussion of specialization, Styles included for identifying a research focus
as one criterion for a specialty.
A final requirement for a specialty is representation by at least one organization.
Within nursing, there is organizational support in the American Organization of
Nurse Executives.
3. Discuss about Healthcare Policy Impact on Nursing Informatics Practice
Answer:
a. Nursing shortage and Nursing Informatics
Nursing has experienced a number of shortages in recent history.
• An older nursing workforce
• A higher ratio of older associate degree graduates
• The availability of more attractive career opportunities for women
• Decreased interest in nursing as a career difficult work environments.
Unless something is done the shortage will rise from 6% in 2000 to 29% in
2020 or more than 800,000 nurses short of the number needed.
The Bureau of Labor Statistics As Phase 2 of the AAN technology project
began, staff nurses from three hospitals in Virginia and California were asked
to identify or verify the most difficult aspects of their practice and how
technology would improve those tasks.
As the project continues, systems will be designed, implemented, and tested to
determine their effect on nurses’ work.
It is up to NI specialists to help design and implement IT systems that will
finally assists nurses in their practice and to validate the results thru research.
(BLS) is predicting registered nurse positions will increase more than 600,000
between 2002 and 2012. To cover these new positions and replace retiring
nurses 1.1 million more nurses are needed by 2012.
Although these numbers differ it is clear that without intervention the
healthcare industry is headed for a major crisis in the nursing workplace.
Schools and colleges of nursing have shortened program lengths and instituted
accelerated program for those who already hold a baccalaureate degree in an
attempt to increase nursing workforce numbers.
Nursing organizations have been actively advocating for increased federal
funding to expand programs and increase loans, scholarships, and incentives.
In 2002 the AAN Commission on Workforce launched a multiphase project to
develop IT that will help support nurses in their day to day work.
In Phase 1, interdisciplinary, creative thinkers were assembled to determine
how technology could be use to facilitate nurses’ work.
Bradley (2003) indicated that technology solutions should improve existing
care processes and outcomes, increase access thru the use of portable
handheld devices, incorporate Internet capability to overcome distance
barriers of care and improve access to knowledge acquisition.
These authors also advocate for using bar-coding of medications, use of
speech recognition, and fine tuning the user interface of systems to support
nurses.
b. Patient safety and Nursing Informatics
Answer:
Patient safety is one of the driving forces in increased clinical automation.
National events have placed IS at the forefront of health policy. The impact of
the first two IOM reports on patient safety has been discussed.
An additional IOM report Patient Safety states even more emphatically those
electronic medical records, using standard data elements, are a critical tool to
improve patient safety.
A 2001 report from the President’s Information Technology Advisory
Committee (PITAC) highlighted key issues in IT.
PITAC indicated that the United States lacks broadly disseminated and
accepted national vision for IT in healthcare and recommended the
appointment of a senior IT person to provide strategic leadership.
On April 27, 2004, President George W. Bush issued an executive
order “Incentive s for the Use of Health Information Technology
Coordinator” that has the potential to impact every healthcare entity,
provider, and NI professional in the United States( Executive Order 2004).
4. Discuss the National Informatics Initiatives and Nursing Informatics:
a. Executive Order for National Interoperable Information System
References
DiViArL(karl). (2011, May 24). AlL aBoUT nUrSiNg InFoRmAtIcS. Retrieved from Blogger:
http://karlrufosumatra.blogspot.com/2011/05/nursing-informatics-and-healthcare.html
ONC. (2019, October 17). What is telehealth? How is telehealth different from telemedicine? Retrieved
from HealthIT.gov: https://www.healthit.gov/faq/what-telehealth-how-telehealth-different-
telemedicine