Research project (final paper)

Important: I need someone with the necessary experience for this task. It is not a cut-and-paste but analyzes each phase that is previously done.
Throughout the semester I was presenting phase by phase until I finished my project. This week’s assignment is as follows:
1 – To unite all the phases in a single document with the consecutive and organization that takes a project.
2- each phase of the project will be sent through private chat.
As always, APA style, etc.  

Note: sample provided by professor available.

Professor instructions: The final submission is basically the combination of the other four phases into one paper. This paper will need to be corrected with all of the feedback provided form previous papers. Include on this paper a conclusion and  learning experiences from the essentials and from the class. 

 1 PAGE REPONSE NEEDED APA STYLE REFERENCE MUST BE LESS THAN 5 YEARS OLD  FOR ADVANCE NURSING INFORMATICS CLASS

Without the various roles and expertise of professional nurses in the development of nursing informatics, clinical information systems would not be able to have a foundation based on evidence-based practice. Evidence based practice is essential to developing clinical information systems in order to further the generation of nursing knowledge. Evidenced based practice is a process that uses the current best evidence in the care of patients as an approach to problem solving (McEwen & Wills, 2017). By nature, nurses gather data and record and collect clinical data that is objective on a daily basis. Professional nurses will gather this clinical data and identify trends seen across groups of patients (McGonigal & Mastrian, 2017). A solution to a problematic trend may be identified, implemented and seen to improve or make a positive impact on such trend which would be an example of evidence-based practice.

            The use of nursing informatics through the electronic medical record, which is one of the most widely used clinical information systems in nursing today, has been heavily dependent on evidence-based practice. The EMR can be broken down to professional nurses chronicling their daily clinical challenges and queries (McGonigal & Mastrian, 2017). Documenting in an EMR includes using clinical practice guidelines which have been generated through evidence-based practice. For example, a patient can be identified as a fall risk using a basic fall risk assessment that has been previously synthesized to tailor specific criteria in identifying fall risks through daily nursing practice. This will usually would include age, previous fall incidence, medication, mobility and cognition. Once this fall risk has been identified, the nurse would open a clinical practice guideline parameter to document implemented patient centered care and focused interventions in the real-world setting (Vance, 2012). This is merely one example of knowledge brought into the CIS through research conducted by nurses. Evidence based practice was founded only to be useful in integrating into clinical information systems when is it used in clinical workflow (Bakken, Currie, Lee, Roberts, Collins & Cimino, 2008).  Hence, the implementation of the CPG driven support system. Every clinical practice guideline has been developed through the use of evidence-based practice and then brought into the clinical information system of EMR.

            The use of an info button is another example of evidence-based practice incorporated into CIS. The primary advantage of the info button approach from the clinician perspective is that the information provided is context-specific (Darvish, Bahramnezhad, Keyhanian & Navidhamidi, 2014). Info buttons actually serve as an additional source of evidence-based practice which can be accessed within another clinical information system, such as an EMR. They can be used to determine critical lab results and possibly their perspective treatments or they can be used to gain access to medication inquisitions. In both instances, the use of evidence-based practice is the foundation of the knowledge and information used.

           Incorporating the use of informatics through clinical information systems such as electronic health records and info buttons allows for information to be computed on a daily basis. Through research, nurses become experts on analyzing and synthesizing knowledge and furthermore put the knowledge to practice with patients and family members. Clinical information systems are a vessel of nursing evidenced based practice put into clinical workflow which allows the continuous and further generation of nursing knowledge. Since clinical information systems are used widely throughout the nursing practice from bedside nurses, nurse practitioners to nurse researchers, it is imperative that the information being provided by such systems stay evident and factual, through evidence based practice.

Your summary should include:

• A description of the agency

• It’s work and how that contributes to the health of the community

• The characteristics of the clients served

• The role or potential role for nurses within the agency

• Your experiences

Make sure you date every journal entry with corresponding clinical Week followed by your entry of at least 100 words.

Comment

Professional Nursing Organizations are very important in the profession to nurses. They provide a sense of unity and community, as well as giving nurses additional resources for professional growth and backing. For many years nursing was a ill thought of career; as was discussed through this class we have seen exactly how that has changed. The same goes for nursing organizations. They have given nurses the tools and ability to connect with others and exchange research and ideas about complex cases. It is like social networking for nurses, I like to think of it. In professional organizations they can bring up important issues that happen through out the country in nursing; for example staffing ratios is a big issue that the country is dealing with at this time, with a whole organization backing up each other it creates a more solid fighting ground than if only a few voices band together. There have been collective bargaining units who have helped with activism over the course of time for and by nurses who want there to be safe and productive conditions in the workplace. 

Comment

The American Nurses Association (ANA) believes that advocacy is a pillar of nursing. Nurses instinctively advocate for their patients, in their workplaces, and in their communities. The ANA works with legislature to ensure that nurses are protected as it pertains to the nurse patient ratio and a safe environment for practice. Organizations advocates for nurse to further their studies in the field of nursing in order to become more efficient as it pertains to the reduction of infections, mortality rate and overall the best and safest outcome for the patient and family members. As stated in the Nurses Bill of Rights, “Nurses have the potential to lead the way in improving health and health care for all, but in order to realize that potential they must operate in an environment that is safe, empowering, and satisfying.” 

APA format. Scholar authors only. I have provided references. Please read all instructions before started. Total of 3 pages and the title and reference page does not count. 

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition

Analysis

Design of the new system

Implementation

Post-implementation support

References:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Chapter 12, “Electronic Security” (pp. 229–242)
Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)

Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit