RESPONSE DISCUSSION
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resp1nur800wk2disc2.docxShare an insight from having read your colleagues' postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues' postings by providing additional insights or contrasting perspectives based on readings and evidence.
DISCUSSION POST:
Walden University states their mission is to offer a diverse community of professionals with an opportunity to become scholars to make positive social change (Walden, 2011). Walden also has a statement defining positive social change as creating and applying ideas, strategies and actions promoting worth and development of human and social conditions (Walden, 2011). The essentials of doctoral education for advanced nursing practice contain the eight foundational outcome competencies (AACN, 2006). Those competencies will build a foundation for students to know how to identify gaps in human and social conditions and start the process of understanding and making those changes (AACN, 2006). Some examples of DNP essentials are scientific underpinnings for practice which align with learning the foundations of nursing theory, as well as organizational and systems leadership for quality improvement and systems thinking (AACN, 2006).
Professional and Academic Goals
The two essentials I believe I can have the most success in creating positive change in given my experience and practice are Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care and Organizational and Systems Leadership for Quality Improvement and Systems Thinking (AACN, 2006). In my practice, I have found a gap in regard to electronic documentation, and how utilizing functionality that exists but is not built out by the organization could help guide documentation through tasks. According to Zabora, Bolte, Brethwaite, Weller & Friedman (2015) over half of physicians surveyed within their study stated that their EMR interfered with their direct patient care time, and 26% stated EMR’s diminished their ability to manage individual patient treatment plans. According to Walker et al. (2020), nursing time at the bedside decreased after the implementation of an electronic medical record, as nursing documentation time increased.
There are infinite possibilities for the amount of documentation that can be captured within a comprehensive electronic medical record. But for every additional documentation task, a staff member needs to document and that is time is taken away from direct patient care. My goal for positive change is to help increase efficiency and quality to the data in electronic medical records. In my experience as a data abstractor, I found that work arounds to get through the lengthy documentation staff had to complete resulted in many documentation errors and made it very difficult to abstract data, as well as understand assessment and plans for patients. I believe that working on ways to eliminate redundant documentation and creating a flow that aligns with healthcare staff will help promote documentation quality and translate to better patient outcomes through clear communication.
References
Walden University. (2011). Student publications: Vision, mission, and goals. Retrieved from http://catalog.waldenu.edu/
Walker, R. M., Burmeister, E., Jeffrey, C., Birgan, S., Garrahy, E., Andrews, J., Hada, A., & Aitken, L. M. (2020). The impact of an integrated electronic health record on nurse time at the bedside: A pre-post continuous time and motion study. Collegian, 27(1), 63–74. https://doi-org.ezp.waldenulibrary.org/10.1016/j.colegn.2019.06.006
