peer response week 9 ,class 6050,6051

Peer responses week 9

Class NURS 6051

Logan Butler

Logan Butler Discussion - Week 9

COLLAPSE

The systems development life cycle (SDLC) is an effective and efficient way for organizations to deliver information systems (McGonigle & Mastrian, p. 174). I believe there are several different consequences a healthcare organization can face by not involving nurses in each stage of the SDLC with purchasing and implementing a new health information technology system.

Feasibility is the first stage in the SDLC and is used to determine if the new health information technology system should be initiated and supported (McGonigle & Mastrian, p. 177). This part of the review helps look at all aspects of implementing a new system and include technical, legal, economical, operational and schedule feasibility. The consequence of not involving a nurse in this part could result in the new system not being efficient. Analysis is the next step of the SDLC. The analysis part involves work flow and involving a nurse in this step is crucial in my opinion because they will be on the front line of the new technology system. The next step is design, which involves the design of the new technology system. The nurse can assist in the design step by giving input from the clinical side of things. The next step is implement. During this stage the design comes to life (McGonigle & Mastrian, p. 178). The nurse can really get involved with the application part of this step. Nurses play a huge role and are responsible for safety, and this step is important to involve nurses in. Design thinking is an approach to improve healthcare programs and meet the demands of patients (CDC, 2018). The next step in the SDLC is test. I think this step is really important to involve the nurse in as they are more than likely the one to use the new system daily. The last step in the SDLC is maintain. The program must be maintained after the test and implementation step. The nurse plays a final critical role in this last step as they are the ones to maintain the new technology system.

One new technology system that I had input on was the use of mobile devices in my healthcare organization. My healthcare organization implemented a new technology system called imobile. HCA implemented a new communication device to improve patient care (HCA, n.d.). As a nurse, they involved me in the planning and education part of implementing the new technology system. The healthcare organization picked nurses from each department to educate the hospital on how to use the new communication device. I think that this impacted the process in a positive way by allowing nurses to educate nurses and ask question that relate to them using the device in the field. The organization allowed the master trainers, which is what they called the nurses that provided education to the staff, the opportunity to train and use the device first. This allowed the master trainers be become efficient users before teaching the other staff members how to use the new technology system.

Reference

Design Thinking in Health Care. (2018, September 27)., from https://www.cdc.gov/pcd/issues/2018/18_0128.htm

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Technology and Innovation in Nursing. (n.d.). from https://hcahealthcare.com/nurses/advancing-the-practice-of-nursing/technology-and-innovation.dot

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13 hours ago

Alexandra Alfaro

RE: Discussion - Week 9

COLLAPSE

The Systems Development Life Cycle, also termed SDLC, is a multistep, iterative process, that is methodically structured. The process helps to provide a framework for technical and non-technical activities for the purpose of delivering a quality system that meets or exceeds a business’s expectations or that can manage decision-making progression. The SDLC is used as a system development life cycle which allows users to re create a newly-developed project into an operational one (Innovative Architects, 2017).

The SDLC formerly had five stages, but has now developed into a seven-step process. Finding out the costs, time, and benefits falls under the planning process which is step one. This step determines what the problem is and how to fix it. The major challenge in step one, is determining what the problem is. Nurses can rapidly spout out what an issue is while backing it up with suggestions. Step two is systems analysis and requirements. This phase is where end users are being analyzed to make sure the new system meets their expectations; while also considering the functional requirements of the process. Determining the functional requirements may be the challenge in this phase, especially if a nurse is not involved, because the team may not understand what requirements are needed to improve the function. Phase three is termed the systems design, where the design is written out in detail with specifics. Making sure no details are missing would be the greatest concern here. Phase four is development; this phase is also termed instillation and change, which is where the work begins! Making sure things happen in order and correctly, could be the initial challenge in this area. After the development phase, the integration and testing take off. It is important to have Quality Assurance (QA) staff in this area, as they will help to identify whether the design meets the goals set. The important thing to make sure in this phase, is to have the correct QA personnel in place, and who have the most advanced questionnaires that can help with the determination of whether the design is going to meet expectations. Having a QA nurse would be optimal in this area, seeing they can see things other QA testers may not be able to. Phase six is where the program is implemented into action. This phase is where the new system’s data and components will be inserted into areas of the old system. Placing the new data into the proper place could be a challenge in this area, and having an Informatics Nurse would be ideal. Phase seven is operations and management. This is where the new users can help “fine tune” the system. (Innovative Architects, 2017). In all these areas, having a nurse present would be ideal for any sort of program that is being designed for healthcare purposes.

Nurses carry massive experiences from different positions they have had, and the best way is to utilize what has worked in previous jobs and to incorporate those modalities in new systems. It has been thought, and may continue to be, that healthcare leaders believe nurses are “too slow” to take on new technology and are disorderly or also unhelpful to change (Hamer, S. & Cipriano, P., 2013). This type of thinking damages nurses, and I would even go further to say it damages and affects patients inadvertently. Nurses are at the forefront of providing care to patients, therefore, to have this mentality, is crude.

As far as my personal experience in creating new technology, I have not so much had direct contact in this creation, but I have been responsible for implementing an already established system for blood draws in my current role. My opinion was sought after greatly as I am the only nurse in the clinic; therefore, I had complete control in the implementation process. Healthcare outcomes involving quality of life measures, are results of a multifaceted relationship between the patient, the nurse, and the treatment and healthcare system. Adopting the right technologies is a continuous process, which depends on the skills of today’s modern nurses to gain the right balance (The Journal of MHealth, 2019).

References

Hamer, S. and Cipriano, P. (2013). Involving Nurses in Developing New Technology. Nursing Times, 109(47), 18-19

Innovative Architects. (2017). 7 Phases of the Systems Development Life Cycle. Retrieved from https://www.innovativearchitects.com/KnowledgeCenter/basic-IT-systems/system-development-life-cycle.aspx

The Journal of MHealth. (2019). Technology in Nursing Today. Retrieved from https://thejournalofmhealth.com/technology-in-nursing-today/

REPLY QUOTE EMAIL AUTHOR

Class 6050

11 minutes ago

Marie Joseph

RE: Discussion - Week 9

COLLAPSE

Initial Post - According to the Gallup Organizations Poll in 2014, nursing is consistently ranked number one as the nation’s most trusted and respected profession. Therefore, they can use their strength, reputation, skills, and experiences to advocate for changes and participate in the policy review. The professional organizations offer them this opportunity. For example, the American Association of Nurse Practitioners’ communities are organized around therapeutic areas and professional interests. They discuss various subjects and share documents (aanp.gov). During the discussion, they can make sure that policies that are put to practice are useful. At their workplace, the APRNs can request a policy review if the one in place does not promote quality care.

However, nurses experience many challenges throughout the fields. Lack of time. Most nurses have to work extra hours due to financial constraints. Their employers do not support, or they have other priorities. Now, to promote participation, APRNs can develop a coalition among healthcare professionals. They can partners with dietary, physical, speech, and occupational therapy. This combination would be a great asset and reach a broader audience. APRNs can also host a forum every quarter to engage Nurse Practitioners in the decision-making process. These types of educational events will allow them to address issues or concerns. These events could be held at the hospitals, universities, or any other facilities where Nurse Practitioners are employed.

References.

Aanp.gov (n.d.) AANP Communities. Interactive Group based on Your Practice Specialty and Professional Interests. Access on October 26, 2020 from https://www.aanp.org/membership/aanp-communities

Gallup Poll (2014). Americans Rate Nurses Highest on Honesty, Ethical Standards. Access on October 26, 2020 from

https://news.gallup.com/poll/180260/americans-rate-nurses-highest-honesty-ethical-standards.aspx

Stanik, et. al (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners.

Journal of Nurse Practitioners. Access on October 26, 2020 from

https://www.npjournal.org/article/S1555-4155(13)00410-8/fulltext

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2 hours ago

Russell Ray

RE: Discussion - Week 9

COLLAPSE

Establishing and evaluating process in any area of professional endeavor is essential to provide growth and consistent performance. Policy is mandatory in the care of patients at all levels. Without guidance in our patient populations' care, there is no measure for consistent treatment and or care (ANA, 2020). There is no way to ensure the adequacy of care across the spectrum from individual to individual without guidance. Policies provide consistent guidance for healthcare agencies.

Policy evaluation maintains continued growth, and if evidence-based practice is utilized as the metric for change, then, up to date, care can be maintained within our practices (ANA, 2020). There are 2 areas of policy development, at a global level and an individual level (Brokaw, 2016). Global refers to policy encompassing a widespread group of agencies, be that national, state, or local efforts. Individual refers to specific agencies, companies, or healthcare systems. The global evaluation of policies is a collaborative effort and will include numerous agencies and professional nursing organizations (Burke, 2016). The individual evaluation process will utilize an agency's employees to process and ensure that an agency's policies are: 1. Meeting the needs of the patient population. 2. Align with the best practices as set by the regulating agencies for the process and professions being evaluated. 3. Meet with the agency's specific ideals instituting the policy (Brokaw, 2016). The steps are similar for evaluating global policies. However, they must be extrapolated to ensure the needs of a larger potential population are being met.

The struggles in each of the processes can be similar. As with any policy that people are passionate about, groupthink may inhibit groups from seeing potential short comings in a policy. The evaluation process may miss the same things if outside eyes are not brought in to backstop the process (Brokaw, 2016). Time is also a key limitation of the process. Many evaluators are professional nurses providing patient care rather than policy evaluation of formation. Finding the time in an already stressful and busy life may be difficult. A major limitation in initial policy evaluation is a limited field of study or documentation of outcomes for a given policy. (ANA, 2020). Without enough data to provide a solid basis for making changes to a policy, the evaluators are limited to making choices based on best practices and continued updates as data presents itself. The continued evaluation of policy is mandatory for a growing and patient-centered organization.

Professional evaluators or paid evaluator time is needed to ensure adequate assessment of a given policy. Large nursing organizations have paid oversight groups that evaluate changes to practices. (ANA, 2020). Most smaller agencies utilize practice/policy improvement committees or educators for policy evaluation. This is generally in addition to their assigned duties. This does not leave much time for the individual and maybe a great sacrifice, depending on the nurses’ circumstances. Paid time as an evaluator away from or in place of their daily job would be a solution to mitigate work and ensure the evaluator's full attention. Lastly, Collaborative evaluation between smaller systems would remove the group think scenario from a given process. Bringing in other trained evaluators to assess policies in question may provide a more seamless and cohesive finished product.

The truth of the process is that it should be a living thing. It should be constant and seamless within a practice. If this level of diligence is maintained, we can ensure best practices are presented in an ever-evolving profession.

ANA. (2020). Health Policy - American Nurses Association (ANA).

https://www.nursingworld.org/practice-policy/health-policy/.

Brokaw, J. J. (2016). The nursing profession’s potential impact on policy and politics. American

Nurse Today.

Burke, S. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing

Leadership.