NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

Chamberlain University NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion                     

Whether one passes or fails an academic assignment such as the Chamberlain University NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion                     

The introduction for the Chamberlain University NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion                     

After the introduction, move into the main part of the NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion                     

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 599 Nursing Informatics for Advanced Practice  Week 3 and 5 Discussion                     

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion Included After question

Week 3 Discussion EHRs Benefits and Drawbacks

2. Refer to the Stage 3 objectives for Meaningful Use located in this week’s lesson under the heading Meaningful Use and the HITECH Act. Select two objectives to research further. In your own words, provide a brief discussion as to how the objective may impact your role as an APN in clinical practice.  

Generate and transmit prescriptions electronically: this objective strives to ensure all eligible hospitals and critical access hospitals use electronic health record technology to transmit prescriptions to patients (CMS, 2018). Under stage 2 controlled substances were excluded but under stage 3 e-prescribing of controlled substances is included in states where allowable (CMS, 2018). As an Advanced Practice Provider, I will have to be knowledgeable about prescribing restrictions. For example, in my state of Wisconsin, there are restrictions on prescribing controlled substances (Board of Nursing, 2019). Regardless of eligibility under the objective, I will be unable to prescribe any schedule I controlled substance (Board of Nursing, 2019). One of the factors in my ability to meet this objective is the training I receive. Proper training to ensure correct utilization of the organization’s EHR to e-prescribe will be vital. Beykloo, et al. states that use of the EHR for prescribing increases patient safety by reducing risk of errors, but can add to workflow thereby increasing provider frustration (The impact of electronic prescribing, 2019). To decrease workload, reduce steps in the process, and decrease frustration, providers often use workarounds (Beykloo, et al., 2019). Although workarounds can save time, they are not best practice and can lead to adverse events or poor patient outcomes.

Actively engage in public health: this objective requires providers to show active engagement with public health agencies by meeting at least 2 of the 5 different public health measures (Forward Health, 2023). These measures are: immunization registry reporting, syndromic surveillance reporting, electronic case reporting, public health registry reporting, and clinical data registry reporting (Forward Health, 2023). Meeting these public health measures are vital in my future practice to promote the overall health of the community by focusing on the social, economic, and environmental factors that contribute to patient well-being (Bekemeier, et al., 2021). As Advanced Practice Providers, we have the capacity to work in diverse settings such as health departments, nonprofits, and complex care systems in our community. Being able and willing to engage the fore-mentioned public health measures will guide us to provide better care to the patients we serve in our future practice (Bekemeier, et al., 2021).

Aveyard, H., Butcher, D. & Forde-Johnston, C. (2022). An integrative review exploring the impact of electronic health records (HER) on the quality of nurse-patient interactions and communication. JAN, 79(1), 48-67. Retrieved on 03/19/2023 from: https://onlinelibrary.wiley.com/doi/full/10.1111/jan.15484Links to an external site.

Adebowale, A., Amanullah, S. & Gopidasan, B. (2022). Electronic medical records – a review of cost-effectiveness, efficiency, quality of care, and usability. Journal of Psychiatry Spectrum, 1(2), 76-79. DOI: 10.4103/jopsys.jopsys_17_22. Retrieved on 03/19/2023 from: https://journals.lww.com/jops/Fulltext/2022/07000/Electronic_Medical_Records___A_Review_of.2.aspxLinks to an external site.

Bekemeier, B., Johnson, K., Kaneshiro, J., Kuehnert, P., Swider, S. & Zahner, S. (2021). A critical gap: advanced practice nurses focused on the public’s health. Elsevier Public Health Emergency Collection, 69(5), 865-874. doi:10.1016/j.outlook.2021.03.023. Retrieved on 03/19/2023 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092811/Links to an external site.

Beykloo, M., Blandford, A., Franklin, B., Furniss, D., Ma, T., McLeod, M. & Mohsin-Shaikh, S. (2019). The impact of electronic prescribing systems on healthcare professionals’ working practices in the hospital setting: a systematic review and narrative synthesis. BMC Health Services Research, 19. Retrieved on 03/19/2023 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806498/Links to an external site.

Board of Nursing (2019). Chapter N8. Wisconsin Legislature. Retrieved on 03/18/2023 from: https://docs.legis.wisconsin.gov/code/admin_code/n/8.pdfLinks to an external site.

Bohsali, F., Chisolm, M. & Wolfe, L. (2018). Clinically excellent use of the electronic health record: review. JMIR Human Factors, 5(4). doi: 10.2196/10426. Retrieved on 03/18/2023 from: https://humanfactors.jmir.org/2018/4/e10426/Links to an external site.

CMS (2018). Medicare promoting interoperability program stage 3 eligible hospitals, critical access hospitals, and dual-eligible hospitals attesting to CMS objectives and measures for 2018. Department of Health and Human Services. Retrieved on 03/18/2023 from: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/MedicareEHStage3_Obj2.pdfLinks to an external site.

Dyrbye, L., Melnick, E., Nedelec, L., Shanafelt, T., Sinsky, C., Trockel, M., Tutty, M. & West, C. (2019). The association between perceived electronic health record usability and professional burnout among US physicians. Mayo Clinic Proceedings, 95(3), 476-487. Retrieved on 03/18/2023 from: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0025619619308365?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0025619619308365%3Fshowall%3Dtrue&referrerLinks to an external site.=

Eltair, S., Faber, K. & Pagulayan, J. (2018). Use the nursing process to take advantage of EHR’s capabilities and optimize patient care. The American Nurse Journal. Retrieved on 03/18/2023 from: https://www.myamericannurse.com/documentation-electronic-health-record/Links to an external site.

Forward Health (2023). Promoting interoperability program: meaningful use of certified EHR technology. Department of Health Services. Retrieved on 03/19/2023 from: https://www.forwardhealth.wi.gov/WIPortal/Subsystem/KW/Print.aspx?ia=1&p=1&sa=15&s=11&c=637&ntLinks to an external site.

A Sample Answer 2 For the Assignment: NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

Title:  NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

The use of CPOE has truly reduced the risk of cross prescribing, medication errors and poly pharmacy in most cases. To combat the risk of drug to drug interaction in patients taking medicines that were not prescribed by the health provider like natural remedies or over the counter meds, the NP needs to be thorough in getting clear and precise information from the patient prior to prescribing the meds. Also patients with access to their EHR are  involved in their positive health outcome and are more likely to verbalize to their health care provider any medicine or natural products they may be on or even ask the provider what they think about the natural remedies before deciding to take such products. Patients are also encouraged to bring their current medications and natural remedies to their healthcare provider visit as well. A strong positive interpersonal relationship between the healthcare provider and the patient is also encouraged. Patients are most likely to open up about remedies and practices they have tried to a provider that they are comfortable with.  Thank you.

Carrera-Hueso, Merino-Plaza, M. J., Ramón-Barrios, M. A., Lopez-Merino, E. I., Vazquez-Ferreiro, P., & Poquet-Jornet, J. (2019). Proposed model to determine satisfaction with computerised provider order entry systems in a long-stay hospital. European Journal of Hospital Pharmacy. Science and Practice, 26(2), 73–78. https://doi.org/10.1136/ejhpharm-2017-001345Links to an external site.

A Sample Answer 3 For the Assignment: NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

Title:  NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

This is an excellent topic, as the consumption of vitamins, supplements, and herbs has increased. Approximately 76% of adults in the U.S. consumed herbal supplements in 2017, compared to 2012 when it was about 64% (Choi & Song, 2021). It is essential to know interactions, as patient safety is a priority. To tackle this issue, I would ask if the patient is taking anything not prescribed by a physician. There could be leading questions asked to help remind or guide the patient. Asking the patient to bring in the bottles of the supplements or photos would help. Educate the patient on the importance of disclosing everything they are taking. As a provider, I can educate myself on the interactions of vitamins/ all-natural items and the interactions with pharmaceuticals as well as food. Books and databases are available that can be utilized on the spot or to gain more knowledge in general. It is impossible to know every single interaction as not all interactions are reported or traced back to the culprit. However, it is essential to educate ourselves as much as possible on interactions and alternatives outside of pharmaceutical medications. 

Choi, M.-K., & Song, I.-S. (2021). Pharmacokinetic Drug–drug interactions and herb–drug interactions. Pharmaceutics, 13(5), 610. https://doi.org/10.3390/pharmaceutics13050610

Purpose

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)

Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)

Requirements:

Post a written response in the discussion forum to EACH threaded discussion topic:

As discussed in the lesson and assigned reading for this week, EHRs provide both benefits and drawbacks. Create a “Pros” versus “Cons” table and include at least 3 items for each list. Next to each item, provide a brief rationale as to why you selected to include it on the respective list.

Refer to the Stage 3 objectives for Meaningful Use located in this week’s lesson under the heading Meaningful Use and the HITECH Act. Select two objectives to research further. In your own words, provide a brief discussion as to how the objective may impact your role as an APN in clinical practice.

Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:

Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.

Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.

Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.

Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.

NR599 Nursing Informatics for Advanced Practice

Week 5 Discussion

Clinical Decision Support Systems

Purpose

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)

Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)

Requirements:

Post a written response in the discussion forum to EACH threaded discussion topic:

This week we learned about the potential benefits and drawbacks to clinical decision support systems (CDSSs). Create a “Pros” versus “Cons” table with a column for “Pro” and a separate column for “Con”. Include at least 3 items for each column. Next to each item, provide a brief rationale as to why you included it on the respective list.

The primary goal of a CDSS is to leverage data and the scientific evidence to help guide appropriate decision making. CDSSs directly assist the clinician in making decisions about specific patients. For this discussion thread post, you are to assume your future role as an APN and create a clinical patient and scenario to illustrate an exemplary depiction of how a CDSS might influence your decision. This post is an opportunity for you to be innovative, so have fun!

Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:

Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.

Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.

Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.

Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.

A Sample Answer For the Assignment: NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion

Title: NR 599 Nursing Informatics for Advanced Practice Week 3 and 5 Discussion