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Get Homework Help: A Sample Writing Guide

Sample Essay Paper on Perspectives in Nursing Informatics

Perspectives in Nursing Informatics

Exercise 1

Every time I am asked about a clinical situation or experience in which I manipulated data, information, and knowledge to make a wise decision, the patient that comes to my mind is a 65-year-old male who had type 2 diabetes and elevated troponins that ultimately led to chronic chest pains. The patient would be subjected to dialysis three times a week, which resulted in chest pain and respiratory distress. The patient was placed on hospice. Unfortunately, he was not given hospice medication as regularly as expected. The patient was also sent to the emergency department (ED) countable times for recurrent chest pain.

One day, I decided to go through the patient's palliative care orders and found something quite disturbing. The patient objected to almost every procedure undertaken, which included being transferred to the ED. I found this information conflicting and disturbing and decided to involve a family member to hear his or her thoughts and feelings. I managed to reach the patient’s eldest son and explained to him about his father’s condition. I conveyed all information, including his father’s decision to sign "do not transfer" papers a few weeks after admission. Upon the son’s arrival, the patient confided in him and affirmed his wish to go to the hospital. The son gave his thoughts and insisted that he needed his dad alive and would appreciate if we did everything possible to prolong his life. I was forced to call the management and explained to them that the man was a hospice patient who objected to every medication given and preferred to be taken to the hospital. Since I had the rights of the client in mind, I decided to have him sent to the hospital. However, I had several questions about whether his family understood and were aware of what hospice was about when he was first admitted. I was in constant communication with hospice and the family’s social worker during this period and settled on having the family educated about hospice and the kind of care the client needed at that moment. After long engagements, the social worker informed the family that if they wished to continue medical treatment, there was a need to revoke hospice. An agreement was arrived at, and hospice was revoked to allow the provision of medical treatment at the hospital to save their father's life.

Manipulation of data, information, and knowledge are fundamental aspects that nurses rely on regularly to make wise and critical decisions. In the case of the 65-year-old male patient, I took into account his rights and leveraged my morals and ethics from a human and professional perspective. Essentially, I did what I thought was appropriate in the situation. I believed that the client had to be treated with respect and dignity in addition to respecting the family and client’s wishes. At the same time, I felt that the patient was not really stable and could not make it past one or two months; thus, he needed to be made comfortable. Only a few days after being admitted to the hospital, the client was returned to hospice. The hospital confirmed that they could not manage to give the needed treatment to prolong his life. The family was thus convinced that hospice was the most appropriate for the client in the situation. After re-admission to hospice, the client passed on only after a few weeks. The bottom line is that as nurses, we must incorporate critical thinking into everyday practice to ensure the best outcomes for clients.

Exercise 2

A model of terminology of use is used to describe how particular entities are represented and the relations between the representations. McGonigle and Mastrian (2017) argue that a model of terminology of use may help in the organization of data items in a manner that fits with that context at that time. An example is a single, shared consensus-driven model that has advantages and disadvantages. Regarding advantages, a single shared consensus-driven model makes it possible for healthcare providers around the world to communicate and agree (Hardiker, 2011). This implies that a health care provider may use this model of terminology of use in the U.S. and communicate with another health care provider in another country such as China or India and understand each other since the same model of terminology use is shared. Other advantages of having a single shared consensus-driven model of terminology of use are: provision of good nursing care; helps in the organization of data; and less time is needed in the provision of nursing care. A major disadvantage of using shared terminologies is that a certain term can be interpreted differently or have different meanings in different parts of the world, thereby leading to confusion when used in different areas (Hardiker, 2011). Other notable disadvantages are the need for standardization and a possible increase in complexity when it comes to the use of terms in different areas.

A single agreed model of terminology use can help in the integration of knowledge into routine clinical practice through the creation of a single meaning of the medical terminology in different clinical areas. For example, healthcare providers may be educated or trained to use the terminologies during communication amongst themselves to ensure that the correct information regarding a patient’s condition is conveyed to other members of the healthcare team.

Exercise 3

For the implementation, utilization, and sustenance of the necessary electronic health information system (EHIS) in Hospital C, there must be end-user engagement, and this is where the role of a nurse informatics specialist (NIS) becomes essential. Another justification for the need to hire a NIS is that the introduction of electronic health records (EHR) in many hospitals has been a challenge to many clinicians, particularly when it comes to learning the new technology and incorporating it into day-to-day practice (McGonigle & Mastrian, 2017). The fact that nurses are forced to learn about the technology has resulted in them spending as little as 15 percent of their days attending to patients and as much as 50 percent of their days documenting using EHR. This role can be played by a NIS, ultimately saving nurses more time to spend with their patients (McGonigle & Mastrian, 2017). The position of NIS is further justified for Hospital C as the NIS has the responsibility of combining the expertise of nursing science with computer science in the management of gathered data while caring for patients and ensuring that the IT system plays a key role in conveying the data to the appropriate personnel, who can then carry out their specific functions.

References

Hardiker, N. R. (2011). Developing standardised terminologies to support nursing practice. Retrieved from http://usir.salford.ac.uk/id/eprint/17895/1/Mastrian_chapter_7_Hardiker_-_pre-print.pdf

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

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