One of the key roles of the master’s-prepared nurse is to lead practice change across the full spectrum of healthcare settings. Master’s-prepared nurses must be able to translate the existing body of knowledge around a phenomenon of interest (accessible through published research studies) to inform decision making related to nursing practice.
A. Identify a current nursing practice within your healthcare setting that requires change.
1. Describe the current nursing practice.
2. Discuss why the current nursing practice needs to be changed.
B. Identify the key stakeholders within your healthcare setting who are part of the current nursing practice.
1. Describe the role each identified key stakeholder will play to support the proposed practice change.
C. Create an evidence critique table (see “Sample Evidence Critique Table”).
1. Identify five sources from scholarly peer-reviewed journals, which adhere to the following standards:
a. Each source must be published within the past five years.
b. Each source must relate to the change identified in part A.c. Each source must be listed in the table using APA format.
2. Identify the evidence strength of each chosen source, using the Strength of Evidence Table in the study plan.
3. Identify the evidence hierarchy of each chosen source, using the Evidence Hierarchy Table in the study plan.
D. Develop an evidence summary based on the findings from part C that includes each of the five sources used (suggested length of 1–2 pages for all sources).
E. Recommend a specific best practice based on the evidence summary developed in part D.
F. Identify a practice change model that is appropriate to apply to the proposed practice change.
1. Justify why you chose the practice change model.
2. Explain how to apply the identified model to guide the implementation of the proposed practice change.
G. Discuss possible barriers to successful implementation of the proposed practice change.
H. Discuss any possible ethical implications that may arise while planning or implementing the proposed practice change.
Sample Evidence Critique Table:
Full APA citation for at least 5 sources
Sources Evidence Strength (1-7) and Evidence Hierarchy
1. Tricco, A. C., Cogo, E., Holroyd-Leduc, J., et al. (2013). Efficacy of falls prevention interventions: Protocol for a systemic review and network meta-analysis. Systematic Reviews, 2, 38. doi: 10.1186/2046-4053-2-38 1 and Systemic Review
Note: Evidence Strength will range from level 7 (lowest) to level 1 (highest). Evidence Hierarchy will reflect the research methodology (Expert Opinion [lowest] to Meta-Analysis [highest]).
Currently, there are many nursing practices affecting provision of quality services by nurses in the healthcare setting. The duty of master’s prepared nurses is to advocate for practice change in the healthcare setting and translate the existing problems into solutions. Most of these problems become worse due to lack of plans to address the issues. Many practice issues today need change in nursing such as lack of respect towards nurses, hospital staffing crisis, and meeting of patients’ expectation. One of the major practice issues is lack of integrated nursing informatics.
Nursing informatics refers to a field that integrates computer science, nursing science, and information science to handle and communicate information, data, and knowledge in the nursing practice. Nursing informatics aims at supporting patients, nurses, consumers, and other providers in their fields to enhance decision making in all roles. Nursing informatics helps in direct quality improvement of methods that promote responsive, timely, effective, safe, equitable, efficient, and patient centered care. This field also contributes to the integration of healthcare services within systems to affect safety and value of care to advance patient outcomes and reduce disintegration of care. Informatics nurses are experts nurse clinicians that help in utilizing the nursing processes in a healthcare setting. The nurses have the duty of understanding patient care delivery workflow and integration points for automated documentation of patients’ records (Ball et al., 2011).
Poor nursing informatics leads to many losses in the health care facilities. The nursing sector has been experiencing sophistication throughout and therefore, it has been important to incorporate the change in all the health care settings. Nursing informatics has become very crucial in nursing because of the advancing technology and complicated situations from the patients. The reasons for adopting nursing informatics in the healthcare facilities includes re-engineering clinical workflow with the aim of facilitating change management, promoting and facilitating access to resources, analyzing financial and clinical data, provision of the nursing content in standardized languages, enhance continued care, and improving relationships between the healthcare providers and the recipients.
The nursing practice involves a number of stakeholders such as chief nursing informatics officer, nurses, and government agencies. The role of the chief nursing informatics officer includes recruiting the senior informatics nurse, offering strategic leadership, guiding the implementation of the practice in the health facilities, and collaborating with other medical officers to improve this crucial area. The nurses have the duty of embracing technology as a necessary tool in implementing the nursing informatics (McGonigle et al., 2014). By doing this, they improve the safety and efficiency, allow patients to be active partners, and bring evidence for decision making to the point of care. The government agencies also play a great role in the implementation of the practice change. The government should provide funds to finance the change project and design policies that favor its implementation in the long-term.
Evidence Critique Table
|Full APA citation of journals||Sources evidence strength (1-7) and evidence hierarchy|
|1. Schleyer, R. H., Burch, C. K., & Schoessler, M. T. (2011). Defining and integrating informatics competencies into a hospital nursing department. Computers Informatics Nursing, 29(3), 167-173.
|1-review of nursing informatics|
|2. Chang, J., Poynton, M. R., Gassert, C. A., & Staggers, N. (2011). Nursing informatics competencies required of nurses in Taiwan. International journal of medical informatics, 80(5), 332-340.
|2-the importance of the nursing informatics|
|3. Ainsley, B., & Brown, A. (2009). The impact of informatics on nursing education: a review of the literature. Journal of continuing education in nursing, 40(5), 228-232.
|3-the impacts of the informatics on nursing
-The stakeholders involved in implementing the practice change
|4. Demiris, G., & Zierler, B. (2010). Integrating problem-based learning in a nursing informatics curriculum. Nurse education today, 30(2), 175-179.
|4-The curriculum applied in integrating the nursing informatics and the implications|
|5. Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6-18.
|5-The philosophy of nursing informatics; data, knowledge, information, and wisdom framework|
Evidence Based Summary
Topic: implementing nursing informatics
Background: Nursing informatics refers to a current trend that has become very important in achieving high-class health care in the health facilities.
Objective: The objective of the research is to identify nursing informatics as a nursing practice change that need to be achieved for better health care in the health care setting. It also involves understanding its importance and the why it should be incorporated in nursing.
Summary of evidence
Integration of nursing informatics in the nursing department is very important in the health care setting. This change has many benefits to both the patients and the workforce in the care facility. This means that the technology to be applied will help in promoting responsive, timely, effective, safe, equitable, efficient, and patient centered care. Nursing informatics involves the whole organization working towards embracing of a technology that makes the operations in a health care facility faster, efficient, and effective.
Poor nursing informatics poses many negative implications to patients, nurses, consumers and other health care providers. The design systems should be inter-operable, user friendly and patient centric. The nurses, system analysts, engineers, and computer specialists should collaborate to ensure the crucial field is being used in the health care facilities to improve the services provided. Finally, nursing informatics has accelerated the efforts in the nursing organizations to collaborate with other departments such as information technology to ensure its success. Although the implementation of nursing informatics has been facing many problems, it is one of the areas that when applied in the healthcare setting will improve the services offered.
The best practice based on the summary research above would be implementing the nursing informatics in all the health care facilities. The best practice model to be used in achieving nursing informatics is by integration of technology in health care. Dramatic changes in health care and the expansion of integrated delivery systems intensified practitioners’ efforts to access new information relating to approaches that enhance interdisciplinary and discipline-specific contributions towards patient outcomes. In the current healthcare environment, practitioners no longer rely on clinical experience and opinion based processes alone to make nursing decisions, therefore, it is important to introduce nursing informatics to integrate all the elements. The reason for applying nursing informatics change model is to ensure effective, efficient, and individualized patient care. The chief nursing informatics officer should asses the practice change, link it to the health facility needs, synthesize its implementation, make a design, implement and evaluate the practice and finally integrate and maintain the nursing informatics change (Schleyer et al., 2011).
There are barriers that hinder the above practice change. For instance, lack of financial support is a major problem when it comes to implementing the change. Other difficulties experienced include lack of staffing resources, difficulty in end user acceptance, dealer inability to deliver product, lack of commitment from nurses and the other staff and finally lack of inter-operable systems. Ethical implications may arise while planning or implementing the practice change. For example, a number of the staff may consider the implementing of nursing informatics to be hectic, time consuming because of the training required and they may find it cumbersome to indulge in a practice they were not used to.
In conclusion, nursing informatics is a current nursing issue that needs to be integrated into most of the systems in health care. This will ensure provision of quality services to the patients and efficiency in handling different tasks within the health care setting. Nursing informatics is one field that demonstrates how the nursing organizations are successfully adopting the use of technology to enhance provision of health care.
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