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InformaticsInitialpostinstructions.docx

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Nur6051n Module1(week1-2) Informatics

Initial post instructions

The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

· Reflect on the concepts of informatics and knowledge work as presented in the Resources.

· Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

*Note: Throughout this program, your fellow students are referred to as colleagues.

22 hours ago

Respond 1 to Heidi in about half a page , cite 2 reference s.

RE: Discussion - Week 1

COLLAPSE

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Mental health disorders can range from mild depression to severe psychosis. Depending on how severe the mental health disorder is can sometimes determine treatment compliance. An important part of treatment is to be consistent and comply with the providers’ recommendations, which includes attending regular appointments for medication management.  In most scenarios a behavioral health patient must attend regular provider visits in order to keep receiving medication.  The provider will not prescribe for a patient who misses numerous appointments and therefore the patient may end up going without medication and declining in health.  Behavioral health disorders have worsened as a result of poor compliance (Semahegn, Torpey, Manu, Assefa, Tesfaye, & Ankomah, 2018).  It is critical that these patients see the provider in order to not decline in health.  According to Gajwani (2014), poor medical adherence such as not seeing the provider, can lead to exacerbation of symptoms, relapse and hospitalization.  With technology available today we are able to consult and keep appointments with providers via the computer, or Telehealth, to maintain patients’ health status and medication regimen without interruption.  Non-adherence with appointment keeping has been reported as high as 50% and telepsychiatry could help alleviate that inconvenience with clinic attendance (Shulman, John, & Kane, 2017).  For patients who frequently miss appointments they could still comply via a telepsychiatry visit.  The data that could be collected would be if telepsychiatry helps with compliance by those patients who frequently cancel or no- show appointments to help with medication management and decrease risk of inpatient hospitalization.  The first data we could gather is if telepsychiatry helps with missed appointments.  The second data we could collect is if the patients’ health has stayed the same or improved due to having a virtual visit with the provider versus missing an appointment and declining in health.  The information we collect could help us to determine which patients, in the future, may benefit from a virtual visit based on their ability and willingness to show up for face to face appointments.  A nurse leader could use this information to plan and implement care based on each individual patients’ needs versus treating each patient uniformly for the best possible outcome. The behavioral health population is very unique in that they need care tailored to each specific individual and diagnoses. 

References

Gajwani, P. (2014, September). Can what we learned about reducing no-shows in our clinic work for you? Retrieved from https://www.mdedge.com/psychiatry/article/86564/practice-management/can-what-we-learned-about-reducing-no-shows-our-clinic

Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2018).            Psychotropic medication non-adherence and associated factors among adult patients with      major psychiatric disorders: a protocol for a systematic review. Systematic reviews7(1),       10. doi:10.1186/s13643-018-0676-yA

Shulman, M., John, M., & Kane, J. M. (2017, March 1). Home-Based Outpatient Telepsychiatry            to Improve Adherence With Treatment Appointments: A Pilot Study. Retrieved from            https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201600244

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