DOCSLIB.ORG

Nursing, Technology, and Information Systems

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Nursing, Technology, and Information Systems SPECIAL REPOR T: Nursing, Technology, and Information Systems This special report is sponsored by Cerner Corporation and the Healthcare Information and Management Systems Society (HIMSS). All articles contained in this special report have undergone peer review according to American Nurse Today standards. s m e t Enabling the ordinary: More time to care s y S Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, and Susan Hamer, DEd, MA, BA, RGN n o i t a Versions of this article appear in Nursing is what nurses do, m American Nurse Today and what nurses do is coordi - r (United The value of o States) and Nursing Times (Unit - nate and deliver care. So al - f n ed Kingdom) to acquaint readers though the context, technology, I technology in with common goals, challenges, and health needs of our popula - d tions have changed, nurses re - n and advances in using health in - automating and a main the foremost providers and , formation technology to enable y nurses to provide safer and more coordinators of care. g improving Why state something so obvi - o efficient care. l ous? Showcasing the caring o n patient care aspects of nursing in a techno - h logically dominated world is c e — challenging. Technology enables T , round the globe, in care and enhances safety by au - g every setting, nurses seek ening issues come to the fore - tomating functions both simple n i Ato provide care to pa - front. On the other hand, in the and complex. It doesn’t replace s r tients and families to keep them United Kingdom (UK), the de - nurses. As one expert cautions, u safe, help them heal, and return bate over resources that has automation should occur in N : them to the highest possible lev - been playing out in the media nursing, not of nursing. The val - T R el of functioning. Nowhere is the has caused confusion and public ue of technology hinges on how O struggle to achieve these simple uncertainty as to whom to be - it’s used and whether it helps or P E aims more apparent than in lieve, undermining confidence in hinders care. R hospitals. The tightrope of bal - the system as a whole. The nurs - L A ancing what nurses believe to be ing profession hasn’t been I Changing nursing practice C adequate resources for high- spared this negative view and safely E P quality care and the affordabili - has needed to reassure the pub - So why do nurses have to strug - S ty of these required resources are lic of its core values and pur - gle so hard to get the technology often at odds. Disagreement pose—that caring and compas - we need to support our practice? among leaders in healthcare de - sion are part of the core business And when this technology is livery systems as to how to allo - of nursing. available, why don’t we reap the cate nursing resources has led to tension and discord. Despite decades of research showing that the amount of care provided by registered nurses directly affects mortality and morbidity, nurse leaders continue to have to justi - fy requests for nursing resources. Universally, the desire to make care more affordable has fueled efforts to make care more efficient and effective. The public recognizes this means examin - ing all aspects of care in the pur - suit of cost-reduction measures that will not reduce quality. In the United States, nurses contin - uously rank as the nation’s most trusted professionals by the Gallup Poll and have the pub - lic’s support whenever belt-tight - American Nurse Today Volume 8, Number 11 www.AmericanNurseToday.com SR2 S benefits we’ve been seeking for P E our practice? C Comparing the U.S. and UK health systems I For years, many in the health - A care community believed nurses Despite some fundamental differences, healthcare delivery systems in the United L R were too slow to embrace new States and the United Kingdom (UK) share a national commitment to quality and E the role of nurses in improving care. In both nations, nurses are expanding the use P technologies and might disrupt O or even obstruct the change of health information technology tools to improve safety and efficiency and R involve patients in their care. The chart below compares some features of the U.S. T : process. Had they ever visited a and UK health systems. N neonatal or intensive care unit? u Although their description of Feature United States United Kingdom r s nurses and nursing wasn’t accu - i n rate, it had become a mantra Payer(s) • Government • Government g , within a wide variety of organi - • Private insurance companies (National Health Service [NHS]) T zations. • Self-pay • Private insurance companies e • Private payers c What they failed to grasp, h and continue to misunderstand, n Delivery • Hospital centric (government • Strong community-based care o are the practical realities of how l system or private) with primary-care focus o professions change and how to • Increasing shift toward • Hospitals run by trusts g support innovation in practice. illness prevention and more (public-sector corporations y , For generations, nurses have ambulatory, home, and providing services for the NHS) a changed their practice success - post-acute care n d fully and have adapted to new I challenges, such as coping with Technology • Electronic health record • Paperless system by 2018 n f rising patient acuity, safely de - vision for all citizens by 2014 • Improved availability, o • Improved availability, quality, quality, and safety of r livering dangerous drugs, and m and safety of information information preventing adverse events. And a t they did this in a world where i o management theories were only n beginning to address nursing Many of these organizations S and healthcare settings. The United States and UK treated technology to help nurs - y s At times, the need for change es deliver care as a separate t share similar goals for e has been critical and the re - case, viewing it as an additional m sponse of the nursing profession technology innovation but cost to services rather than a s has been swift. Of course, we mechanism to enhance care. can all acknowledge there are differ in the economics Thus, the possibility of being un - aspects of care we should have able to sustain the technology changed but have resisted. Nurs - and delivery-system was always real. ing professionals have sought to configurations. Increasingly, health technolo - understand how to change our gy projects have been seen as practice and increase the avail - special projects that need special able evidence on which to base if the addition would increase teams set up by senior man - our care. We understand how to the workload or change work agers, some of whom are unfa - change practice safely and how practices or whether it would be miliar with the care setting. to sustain those changes. acceptable to patients. Organi - These managers seem to struggle zations supported technology with focusing on supporting Shared vision for implementation to achieve busi - frontline practitioners to deliver technology: Enhancing care ness goals, whereas nurses saw care. Managers have failed re - The United States and UK share practice development as the peatedly to enable ordinary day- similar goals for technology in - real goal. to-day care with technologies. novation but differ in the eco - The focus on the business case The need for technology to nomics and delivery-system con - addressed primarily organiza - support practice was demonstrat - figurations. (See Comparing the tional benefits, such as the de - ed by findings from the Technol - U.S. and UK health systems .) With sire for technology to replace ogy Drill Down project of the the technology explosion, many staff time and the ability to American Academy of Nursing’s healthcare organizations have market to patients the use of Workforce Commission. Frontline sought to add new systems “cutting-edge” devices and elec - nurses and other multidiscipli - rather than integrate existing tronic record systems, not pa - nary care team members stressed ones—usually without knowing tient experience and outcomes. the importance of involving di - www.AmericanNurseToday.com November 2013 American Nurse Today SR3 s rect caregivers in technology de - m sign, selection, and testing—steps e Making care safer and more efficient with technology t often overlooked in the haste of s y acquiring systems or devices. (See The American Academy of Nursing’s Workforce Commission recognized the S Making care safer and more effi - importance of effective technologies in improving the safety and efficiency of n cient with technology .) care and in helping to return time to nurses for essential care. The Commission’s o i Technologies designed for and Technology Drill Down (TD2) project, funded by the Robert Wood Johnson t Foundation, addressed another looming nursing shortage in an attempt to a used by nurses at the point of reduce demand for nursing care. Aimed at finding technological solutions to m care haven’t always been easy to r workflow inefficiencies on medical-surgical nursing units, TD2 brings together o use. A recent international sur - f multidisciplinary teams to review the current state of nursing workflow, design n vey seeking to identify priorities the desired future state, and brainstorm technology solutions to fill gaps—with I for nursing informatics research the over arching goal of providing safer, more efficient care. d on patient care acknowledges n The Commission found that in the 25 acute-care hospitals involved in the a that despite the growing evi - TD2 project, most units already had supply storage systems, electronic nurse , y dence base on the design and documentation, provider order entry, and several other automated systems in g evaluation of health informa - place, such as telecommunications equipment and drug-dispensing units.
Load more

Recommended publications
  • Assessing the Impact of an Electronic Medical Record on Nurse
    CIN: Computers, Informatics, Nursing & Vol. 26, No. 4, 234–241 & Copyright B 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins FEATURE ARTICLE Assessing the Work sampling measured nurse documentation Impact of an time before and after the implementation of an electronic medical record on a medical-surgical Electronic Medical nursing unit. Documentation was separated into subprocesses of admissions, discharges, and Record on Nurse routine/daily documentations. Production rate of documentation time is defined and measured. The results indicate that there is no difference in Documentation Time documentation time between pre-electronic med- ical record and post-electronic medical record for BRIAN HAKES, MBA admissions and routine/daily documentation time. JOHN WHITTINGTON, MD Post-electronic medical record documentation time was longer than that in the pre-electronic medical record for patients discharged to a nursing home. It was demonstrated that the electronic medical record may reduce documentation time after the Healthcare today is facing constant pressure to decrease adoption of computerized physician order entry. waste and reduce cost. Improving efficiency, safety, and quality is the reason for implementing an electronic KEY WORDS medical record (EMR). However, studies have shown EMR Benefit Realization & variable impact.1–7 At OSF HealthCare System in Peoria, Information System Benefit Realization & IL, the EMR vendor, IDX Corporation (GE Healthcare, Nurse Documentation Time & 8 Seattle, WA), issued a press release stating that on Nurse Efficiency and Documentation & average, a nurse using a paper-based documentation Nurse Utilization & system spends about 30% of his/her time—more than 3 Work Sampling of Nurse Documentation Time hours out of each 12-hour shift—on documentation.
    [Show full text]
  • Preventive Health Care
    PREVENTIVE HEALTH CARE DANA BARTLETT, BSN, MSN, MA, CSPI Dana Bartlett is a professional nurse and author. His clinical experience includes 16 years of ICU and ER experience and over 20 years of as a poison control center information specialist. Dana has published numerous CE and journal articles, written NCLEX material, written textbook chapters, and done editing and reviewing for publishers such as Elsevire, Lippincott, and Thieme. He has written widely on the subject of toxicology and was recently named a contributing editor, toxicology section, for Critical Care Nurse journal. He is currently employed at the Connecticut Poison Control Center and is actively involved in lecturing and mentoring nurses, emergency medical residents and pharmacy students. ABSTRACT Screening is an effective method for detecting and preventing acute and chronic diseases. In the United States healthcare tends to be provided after someone has become unwell and medical attention is sought. Poor health habits play a large part in the pathogenesis and progression of many common, chronic diseases. Conversely, healthy habits are very effective at preventing many diseases. The common causes of chronic disease and prevention are discussed with a primary focus on the role of health professionals to provide preventive healthcare and to educate patients to recognize risk factors and to avoid a chronic disease. nursece4less.com nursece4less.com nursece4less.com nursece4less.com 1 Policy Statement This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses. It is the policy of NurseCe4Less.com to ensure objectivity, transparency, and best practice in clinical education for all continuing nursing education (CNE) activities.
    [Show full text]
  • Nursing Historical Highlights F RON T COV E R
    NURSING HISTORICAL HIGHLIGHTS F RON T COV E R : Forever Caring, dedicated October 7, 2003 Gift of Mayo Clinic in recognition of nursing colleagues and the philanthropic leadership of Marilyn J. (Methodist Kahler School of Nursing Graduate) and Warren F. Bateman. Artist Gloria Tew has expressed the primary value of Mayo Clinic - “the needs of the patient come first” - in the concept of this bronze tableau. Figures of nurses are arranged to portray the retrospective histories of Saint Marys Hospital, founded by the Sisters of Saint Francis, and the Rochester Methodist Hospital. Contemporary figures of a female and male nurse show the response of the nursing profession to current and future patient care needs. Nurses in advanced practice, education and research, the threefold mission of Mayo Clinic, are shown in the nurse anesthetist, the graduate nurse, and the nurse with a patient’s chart. The tableau also honors the former schools of nursing in Rochester by depicting their distinctive caps: Saint Marys School of Nursing (nurse with patient chart); Methodist Kahler School of Nursing (nurse with patient in a wheelchair), and Saint Marys School of Practical Nursing (nurse with serving tray). The following timeline offers insight into the rich history of nursing at Mayo Clinic in Rochester. From Mayo’s beginning, nursing has been a significant part of our education, practice, and research. Nursing at Mayo has mirrored the growth of the Mayo Clinic and the campuses of Mayo Clinic Hospital. While this timeline depicts nursing highlights, each of these points in time has a full history of its own.
    [Show full text]
  • APPLICATION of the PATIENT CHECKLIST TOOL in ANESTHESIA HANDOFFS Theresa Durley Northern Michigan University, [email protected]
    Northern Michigan University NMU Commons DNP Scholarly Projects Student Works 4-2017 APPLICATION OF THE PATIENT CHECKLIST TOOL IN ANESTHESIA HANDOFFS Theresa Durley Northern Michigan University, [email protected] Follow this and additional works at: http://commons.nmu.edu/dnp Part of the Perioperative, Operating Room and Surgical Nursing Commons Recommended Citation Durley, Theresa, "APPLICATION OF THE PATIENT CHECKLIST TOOL IN ANESTHESIA HANDOFFS" (2017). DNP Scholarly Projects. 2. http://commons.nmu.edu/dnp/2 This Scholarly Project is brought to you for free and open access by the Student Works at NMU Commons. It has been accepted for inclusion in DNP Scholarly Projects by an authorized administrator of NMU Commons. For more information, please contact [email protected],[email protected]. APPLICATION OF THE PATIENT CHECKLIST TOOL IN ANESTHESIA HANDOFFS By Theresa Marie Durley SCHOLARLY PROJECT Submitted to Northern Michigan University In partial fulfillment of the requirements For the degree of DOCTOR OF NURSING PRACTICE School of Nursing May 2017 SIGNATURE APPROVAL FORM APPLICATION OF THE PATIENT CHECKLIST TOOL IN ANESTHESIA HANDOFFS This DNP Scholarly Project by Theresa Marie Durley is recommended for approval by the student’s Faculty Chair, Committee and Department Head in the School of Nursing Dr. Katie Menard 4/13/17 Committee Chair: Date Dr. Melissa Romero 4/13/17 First Reader: Date Dr. Jane Campbell 4/13/17 Second Reader (optional): Date Dr. Nanci Gasiewicz 4/13/17 Department Head: Date ABSTRACT APPLICATION OF THE PATIENT CHECKLIST TOOL IN ANESTHESIA HANDOFFS By Theresa Marie Durley Accurate and essential communication is required during the transfer of patient care from one health care provider to another.
    [Show full text]
  • Clinical Case Management Practice
    chapter 2 CliniCal Case ManageMent PraCtiCe “I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.” —Florence Nightingale Case managers focus on care coordination, financial management, and resource utilization to yield cost-effective outcomes that are patient-centric, safe, and provided in the least restrictive setting. When case management is practiced in this manner, costs are contained and patients, families, and stakeholders are viewed as essential members of the team. Case management is a fluid and dynamic practice that is most effective when it changes and adapts with the challenges of the healthcare system. Stewardship of the healthcare dollars, safe transitions of care, evaluating patient adherence, and consistent stakeholder communication are critical interventions that case managers employ, while maintaining a primary and consistent focus on quality of care and patient self-determination. 22 NursiNg Case MaNageMeNt review aNd resourCe MaNual, 4th editioN Case management is not a new concept. It traces its history back to the early 1900s, when it simply functioned as a means of providing care and containing healthcare costs. In the 1920s, the practice found its roots in the fields of psychiatry and social work, and focused on long- term chronic illnesses that were managed within the community. Case management processes were also used by visiting and public health nurses in the 1930s, when making house calls was a common practice. Throughout the next 50 years, case management remained essentially in the community. The mid-1980s saw the introduction of prospective payment system (PPS) case management, which became widespread within the acute and post-acute settings (Cesta, Tahan, & Fink, 2002).
    [Show full text]
  • Health Information Technology Basics Institute for Health & Socio-Economic Policy
    Health Information Technology Basics Institute for Health & Socio-Economic Policy © Copyright IHSP 2009. All rights reserved. Table of Contents Part I Introduction 1 Part II Why Workplace Technologies Change 2 Section 1: Overview 2 Section 2: Confl icting Values 2 Section 3: Management Secrets 3 Part III Routinizing Patient Care 8 Section 1: Overview 8 Section 2: The Core Technologies 9 Section 3: Supplemental Technologies 17 Part IV Nursing Values and Resistance 19 I FOR CNA/NNOC Part I Introduction Health information technology (HIT) is widely celebrated as a universal healthcare fix. Promoters say it will contain costs, improve quality, and modernize medical care. But such promises are the public relations messages of the HIT and healthcare industries. Is HIT really the panacea to cure our healthcare crisis, or are there consequences that aren’t being discussed? RNs have good reason to be wary. Patient care processes in some hospitals have already been transformed by HIT, and many other hospitals will be adopting it in the next few years. Among other types, hospitals are adopting • electronic medical records, • clinical decision support systems, • e-prescribing, • medication dispensing, • radio frequency identification and tracking, • medical credit scoring, • telemedicine, and • robots. Clinical decision support systems (CDSS) are one widespread technology that affects patient care directly. Of the 5,139 U.S. hospitals reporting (almost all hospitals not run by the federal government), 67.6% have adopted fully automated CDSS and 8% have either begun the installation process or have contracted to do so. A revolution is well underway. It will soon reach RNs and patients in every hospital.
    [Show full text]
  • Improving Nurse Anesthetist Intraoperative Handoff Process by Developing and Implementing an Evidence-Based, Facility-Specific Cognitive Aid
    Journal of Nursing & Interprofessional Leadership in Quality & Safety Volume 2 Issue 2 Article 1 May 2019 Improving Nurse Anesthetist Intraoperative Handoff Process by Developing and Implementing an Evidence-Based, Facility-Specific Cognitive Aid Jason Silva The University of Texas MD Anderson Cancer Center, [email protected] Myron Arnaud The University of Texas Health Science Center at Houston, [email protected] Follow this and additional works at: https://digitalcommons.library.tmc.edu/uthoustonjqualsafe Part of the Anesthesiology Commons, Health and Medical Administration Commons, Health Communication Commons, Nursing Administration Commons, and the Perioperative, Operating Room and Surgical Nursing Commons Recommended Citation Silva, J., & Arnaud, M. (2019). Improving Nurse Anesthetist Intraoperative Handoff Process by Developing and Implementing an Evidence-Based, Facility-Specific Cognitive Aid. Journal of Nursing & Interprofessional Leadership in Quality & Safety, 2 (2). Retrieved from https://digitalcommons.library.tmc.edu/uthoustonjqualsafe/vol2/iss2/1 This article is free and open access to the full extent allowed by the CC BY NC-ND license governing this journal's content. For more details on permitted use, please see About This Journal. Improving Nurse Anesthetist Intraoperative Handoff Process by Developing and Implementing an Evidence-Based, Facility-Specific Cognitive Aid Abstract Miscommunication or non-transfer of pertinent patient information during intraoperative handoffs between anesthesia providers creates patient safety risks. An evidence-based facility-specific cognitive aid was developed and introduced to nurse anesthetists in an anesthesiology department of a large academic hospital with the aim of improving the intraoperative patient handoff process. The program used a handoff cognitive aid that addressed five pertinent patient information points.
    [Show full text]
  • Nursing Informatics: the Future Now
    IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 3, Issue 2 Ver. IV (Mar-Apr. 2014), PP 51-53 www.iosrjournals.org Nursing Informatics: The Future Now Mamta M.Sc Nursing (Community Health Nursing), M.Sc Applied psychology, PGD Health, Family Welfare & Population education. Nursing Tutor, College of Nursing, AIIMS, Jodhpur Abstract: Technological advancements in the health care field have always impacted the health care disciplines in a way they are being practiced. Nursing practice has also been greatly influenced by the technology a lot. In the recent year’s use of information technology, computers, handheld digital devices, internet has advanced the nursing by bridging the gap from nursing as an art to nursing as science. In every sphere of nursing practice, nursing research and nursing education nursing informatics plays a very important role. If used properly it is a way to save time, helps to provide quality nursing care and increases the proficiency of nursing personnel. Key words: Nursing Informatics, Nursing Information System I. Introduction Nursing informatics is a relatively new area and speciality of nursing. It is a rapidly developing area of nursing that has been recognized as a profession.1With the consideration that today’s nurses spend up to 50% of their work time only in documentation, Information technology and computerization comes to their saviour.2,3 Being recognized by American Nurses Association in 1992, nursing informatics is defined as a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.
    [Show full text]
  • Role of Information Technology in Nursing
    Cumhuriyet Üniversitesi Fen Fakültesi Cumhuriyet University Faculty of Science Fen Bilimleri Dergisi (CFD), Cilt:36, No: 3 Özel Sayı (2015) Science Journal (CSJ), Vol. 36, No: 3 Special Issue (2015) ISSN: 1300-1949 ISSN: 1300-1949 Role of information technology in nursing Shahnaz ISMAILZADH1*, Yousef MAHMOUDIFAR2 1Student computing, Mahabad Branch, Islamic Azad University, Mahabad, Iran 2Department of Nursing, Mahabad Branch, Islamic Azad University, Mahabad, Iran Received: 01.02.2015; Accepted: 05.05.2015 ______________________________________________________________________________________________ Abstract. Nursing information system development such as the impact on the workload, planning and working methods of communicating between multiple jobs care organizations to meet the challenges associated with it. This study aimed to investigate nurses' experiences of their impact on the performance of nursing is nursing information. Most nurses effect on speeding up information systems in nursing, having more time for patient care, easy exchange of information between parts had experienced. They believed that when clinical information into the computer at the same time they cannot care and there was duplication in data entry. Between some demographic characteristics of computer literacy and experience of nurses and there was a significant relationship. Information and communication technologies along with community-wide health promotion, due to a change in the quality of health care has become. The main field of application is remote care information technology, based on developments within health systems, and changing attitudes of health-oriented perspective, and a community-oriented and based on the quality of health services. Despite the widespread penetration of advanced technologies in the field of health, ranging from diagnosis and treatment - treatment and medical education ict because of the challenges facing not been able to find its place fully in this area.
    [Show full text]
  • New Technology in Nursing Education and Practice
    IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 6 Ver. I. (Nov. Dec .2017), PP 29-38 www.iosrjournals.org New Technology in Nursing Education and Practice Ragaa Gasim Ahmed Mohmmed1, Hanan Mohammed Mohammed2,4, Abeer El-Said Hassane El-sol3,4 1 (Assistant professor of Pediatric Nursing, Faculty of Applied Medical Sciences, Nursing Department, Al-Baha University, Saudi – Arabia) 2 (Assistant Professor of Medical-Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Egypt) 3 (Lecturer of Medical-Surgical Nursing, Medical Surgical Department, Faculty of Nursing, Shibin Elkom, Menoufia University, Egypt) 4 (Faculty of Applied Medical Sciences, Nursing Department, Al-Baha University, Saudi – Arabia) Ragaa Gasim Ahmed Mohmmed Corresponding Author: [email protected] Abstract: Technology is changing the world at warp speed and nowhere is this clearer than in health care settings. In an increasingly crowded world, people rightly expect health care to meet their needs quickly and, where possible, tailored to their needs. Technology helps to deliver these elements, putting the power back in the hands of the patient. Health care is growing increasingly complex, and most clinical research focuses on new approaches to diagnosis and treatment. In contrast, relatively little effort has been targeted at the perfection of operational systems, which are partly responsible for the well-documented problems with medical safety. If medicine is to achieve major gains in quality, it must be transformed, and information technology will play a key part, especially with respect to safety. Technological innovation in health care is an important driver of cost growth.
    [Show full text]
  • Medical-Surgical Nursing Test Content Outline
    Test Content Outline Effective Date: October 25, 2014 Medical-Surgical Nursing Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine how well these questions will perform before they are used on the scored portion of the examination. The pretest questions cannot be distinguished from those that will be scored, so it is important for a candidate to answer all questions. A candidate's score, however, is based solely on the 150 scored questions. Performance on pretest questions does not affect a candidate's score. This Test Content Outline identifies the areas that are included on the examination. The percentage and number of questions in each of the major categories of the scored portion of the examination are also shown. Category Domains of Practice No. of Questions Percent I Assessment and Diagnosis 22 14.67% II Planning, Implementation and 50 33.33% Outcomes Evaluation III Professional Role 45 30.00% IV Health Teaching and Health 33 22.00% Promotion Total 150 100% Test Content Outline American Nurses Credentialing Center Effective Date: October 25, 2014 Medical-Surgical Nursing I Assessment and Diagnosis (14.67%) A. Gather Comprehensive Patient Data Knowledge of: 1. Components of a health history and psychosocial assessment 2. Sources and procedures for obtaining diagnostic studies and test results 3. Normal structure and function (e.g., anatomy, physiology) across the life span Skills in: 4. Collecting data from multiple sources using therapeutic interviews and observations (e.g., prescribed and non-prescribed medications, allergies, immunizations, psychosocial factors, nutrition, alcohol and drug use, suicide screening, abuse and neglect, environment, complementary and alternative therapies) 5.
    [Show full text]
  • Technology Target Studies: Technology Solutions to Make Patient Care Safer and More Efficient
    Technology Target Studies: Technology Solutions to Make Patient Care Safer and More Efficient AMERICAN ACADEMY OF NURSING WORKFORCE COMMISSION MONOGRAPH Author Carole Gassert, PhD, RN, FACMI, FAAN Workforce Commission Membership Pamela F. Cipriano, PhD, RN, FAAN - Chair Pamela Mitchell, PhD, RN, FAHA, FAAN - AAN Board Liaison Ida Androwich, PhD, RNC, FAAN Linda Burnes Bolton, DrPH, RN, FAAN Marilyn P. Chow, DNSc, RN, FAAN Brenda Cleary, PhD, RN, FAAN Carole A. Gassert, PhD, RN, FACMI, FAAN Lillee Gelinas, MSN, RN, FAAN Denise H. Geolot, PhD, RN, FAAN Susan Hassmiller, PhD, RN, FAAN Diane J. Mancino, EdD, RN, CAE Margaret L. McClure, EdD, RN, FAAN Patricia Moritz, PhD, RN, FAAN Pamela Austin Thompson, MS, RN, FAAN The Technology Targets work was generously funded by the Robert Wood Johnson Foundation. © 2009 American Academy of Nursing Workforce Commission Table of Contents I. Executive Summary ................................................................................................ 3 II. Introduction to the Problem .................................................................................. 6 III. Phase I, Invitational Conference: .......................................................................... 7 Using Innovative Technology to Enhance Patient Care Delivery .................................................... 7 IV. Phase II, Pilot Study: .......................................................................................... 11 Creating a Technology Enhanced Practice Environment in Acute Care Hospitals .................
    [Show full text]