Prepare a 10-minute presentation (10-15 slides, not including title   or reference slide) on organizational culture and values.

1. Describe how alignment between the values of an organization     and the values of the nurse impact nurse engagement and patient   outcomes.
2. Discuss how an individual can use effective     communication techniques to overcome workplace challenges, encourage     collaboration across groups, and promote effective problem solving.     Incorporate how system needs and the culture of health may influence     the outcomes. How does this relate to health promotion and disease     prevention in the larger picture?
3. Identify a specific     instance from your own professional experience in which the values     of the organization and the values of the individual nurses did or     did not align. Describe the impact this had on nurse engagement and     patient outcomes.

While APA style format is not required for the body of this   assignment, solid academic writing is expected and in-text citations   and references should be presented using APA documentation guidelines,   which can be found in the APA Style Guide, located in the Student   Success Center.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

Discussion #1

Nurse Informatics DQ#2

Nursing informatics is a specialty in nursing that uses analytical data collection with a goal to define, manage, and communicate information in nurse practice. Informatics is used to support nurses, patients, and the healthcare team (Health Care Information and Management Systems Society, 2018). According to Health Care Information and Management Systems Society (2018), “This support is accomplished through the use of information structures, information processes, and information technology” (para. 1). Nursing informatics is committed to identify and drive practice that delivers high quality and cost-effective health care by using data to improve the health of the populations they serve (American Nursing Informatics Association, 2018).

The use of nursing informatics in health care is vital. One reason to consult the NI specialist would be for clinical decision support. According to American Medical Informatics Association (2018), “Clinical decision support is used by clinicians, patients, and other stakeholders through the use of knowledge, processes, and inference, to support decisions-makers in clinical, administrative, and managerial activities to improve the quality of health care services and outcomes” (para. 1). 

From my experience in an inpatient setting, I have seen Nurse Informatics be useful in implementing EMRs, designing and training others in the use of EMRs, serving as consultants, developing policies within their respective institutions, and analyzing and managing outcomes. The American Medical Informatics Association (2018), state that from the primary care standpoint NIs they can help facilitate research and  are used in the same manner and always with patient safety at the forefront of their practice. 

Qualifications and credentialing for nursing informatics are held by American Nurses Credentialing Center or ANCC. They have a board certification exam that is competency based. Once, one successfully passes the exam they are awarded the credential Registered Nurse- Board Certified. The credential is valid for 5 years and is kept by meeting the renewal requirements. This ANCC certification is accredited by The National Commission for Certifying Agencies and the Accreditation Board for Specialty Nursing (American Nurses Association , 2018).

Discussion #2

When would you consult with the nurse informaticists?

           Nurses are almost in every health care system involved in the process of delivering care at all levels.  Be it in the hospital, outpatient clinics, rural health centers, schools, nurses are present to provide care to individuals to promote health, prevent and treat illnesses, or help people recover to the best level of functioning they can. In our present time, this care is enabled by technology while enhancing patient safety by translating certain simple and complex functions into automation (Cipriano & Hamer, 2013).  Combined with the nurse’s training and education, her experience in the day-to-day processes involved in patient care, nurse informaticists are in the best position to be consulted for policy and process improvements to make patient care delivery safer and more efficient (Cipriano & Hamer, 2013).  Nurse informaticists mediate clinical and technology which makes them an essential part of the team in designing systems to improve quality and safety in delivery of care (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014).

           As an example, a few years ago, our hospital has involved nursing, led by a nurse informaticist, in developing a new systematic way of minimizing laboratory errors.  This was in response to an increasing rate in laboratory test errors that compromised patient safety. The workflow, half of it significantly involved nursing, specifically in the collection and sending of specimen, has been redesigned by automating from the point of receiving the laboratory order from the physician to bedside collection, and sending the specimen to the laboratory.  The automation ensures scanning of the patient’s armband and collection at the bedside.  If not for the in-depth knowledge and experience of the nurse informaticist in every detail of bedside patient care, the process improvement could have not been realized and successful.

What role does the nurse informaticists play in primary care?

           I will always be proud of how our nursing education is strongly hinged on good documentation and effective, therapeutic communication, giving it the reason why nurses are in such an important position to lead and influence change. And because technology pervades the health care system, focus on what the nurses do to be able to provide care for the patients and address their needs safely and effectively is imperative. Before care can even be initiated, information gathering and documentation need to take place. Having seen and experienced the daily processes of history taking, documentation, treatment, referrals, consultation with other specialty groups, coordinating hospital admissions, etc., the nurse informaticist can manage, interpret, and communicate the information that comes in and out of health care facilities, especially in the primary care settings where majority of patients are seen on a daily basis (Rupp, 2016). Nurse informaticists can help customize order sets, documentation templates, and point-of-care reminders based on the clinic’s target population prevalent needs (Morgan, 2017).

           Patient care in the present time is greatly influenced by individually, customized care through information gathered from patients which is organized in electronic health records (Rupp, 2016). Having access to this and the ability of nurse informaticists to give meaningful interpretation to raw information and trends, they play an important role in improving documentation, enhancing care management and coordination (Rupp, 2016), 

What qualifications and credentialing are held by nurse informaticists?

           One of the five core competencies the Institute of Medicine (IOM) identified that all health care professionals should possess to realize the redesign and transformation of the nation’s health care system is the use of informatics (Hamric, Hanson, Tracy, & O’Grady, 2014).  According to the report, health care professionals need to have a solid foundation and skills in using cutting-edge information technology to deliver high quality patient care (Bormann, 2016).  This is a core competency of nurse informaticists which encompasses computer skills, informatics knowledge, and informatics skills (Darvish, 2014).  It involves looking at four levels of nursing practice including beginning nurse, experienced nurse, informatics specialist, and informatics innovator (Darvish, 2014).

           The American Nurses Credentialing Center (ANCC) provides Informatics Nursing board certification examination, a competency based examination which assesses the entry-level clinical knowledge and skills in the informatics specialty (ANCC, n.d.). This is accredited by the National Commission for Certifying Agencies (NCCA) and the Accreditation Board for Specialty Nursing Certification (ABSNC). ANCC awards the credential Registered Nurse-Board Certified (RN-BC) after completion of eligibility requirements to take the certification examination and successfully passing the exam (ANCC, n.d.). Credential validity is five years with option to continue use of credential by maintaining license to practice and completing renewal requirements (ANCC, n.d.). The American Nurses Informatics Association (ANIA) offers a nursing informatics certification review course with certification through ANCC (ANIA, n.d.).

A multiprofessional team practice is necessary as you cannot be expected to know everything there is to know and have all the skills to address the complete range of episodic and chronic health problems commonly seen in the primary care setting. Discuss what you believe is the ideal provider mix for an interprofessional team in primary care. Design an interprofessional team to meet the primary care needs in your community and share with your peers in the discussion forum. Support your discussion with evidence based practice and recommendations.

Look up the top ten ongoing humanitarian crises around the world.  Select one and write your discussion post on that crisis. 

For example:

One of the major ongoing international crises is the humanitarian  crisis in Yemen that has been fueled by war, political, economic, and  other social upheaval in the region.  The  focus of the assignment is to bring attention to an ongoing crisis that  appears to get little attention in the west but is considered one  of the worst humanitarian crisis in our time. We are concerned about the  humanitarian issues as it relates to the global health related issues. Read  up on current news reports on what is happening in the crisis you  selected.  For example if you selected the Yemen situation you would:

1. Discuss in what ways this complex humanitarian crisis is both a  local and an international event and your views on how various nations  have responded.
2. Look for a publicly available photo that depicts this man-made disaster.  Share the photo and give appropriate credit.
3. Briefly discuss what you think are the most urgent needs of the residents and citizens of nation
4. Do you think adequate attention is being paid to this crisis?  Why or why not?
5. Make an original post (290) that includes the photo, your  commentary on the photo, and that addresses the above questions  at least 2 scholarly references that includes the citation for the  photo. 

4-Different people are motivated differently, and the motivation is determined by the desire of such an individual. For instance, extrinsically motivated individuals get their drive from the fact that they do not what to do anything which might bring punishment or negative outcome. This means that the factors which are motivating the individual are from outside and they may comprise of a good grade, recognition or financial benefits among others. On the other hand, individuals who are intrinsically motivated get their drive from within themselves. As a leader, I would motivate an intrinsically motivated individual by determining what drives the person then nature those factors. For instance, to the nurses who strive to bring the best to the patient, I would motivate them by encouraging them during the council meeting. To the nurses who are motivated extrinsically, I will find what drives them and nature them to improve service delivery (Katzenbach, & Smith, 2015).

As part of management in my department, I spend a lot of time talking to the patients, and if they happen to share a positive experience with a particular nurse, I always recognize them b writing a “Thank You” note and give them an opportunity to share their story during our meetings. Most of the nurses who are performing better in my department say that they are happy to be in a team where they are given an opportunity to give their views, and they are motivated once they meet their target or go out their way to help the patients in their best way possible. As a leader, I make sure that there is a good and clear communication channel in my department and this has seen us be voted the best department in our facility.

Reference

Katzenbach, J. R., & Smith, D. K. (2015). The wisdom of teams: Creating the high-performance organization. Harvard Business Review Press.

5- There are differences between individuals who are intrinsically motivated and those who are extrinsically motivated. According to the Vanderbilt University website, intrinsically motivated people find joy and accomplishment from learning something, and they find a way that it is relevant to their life (Mcdaniel, 2018). Someone who is intrinsically motivated will likely self-sustain this type of learning; this is an advantage, as it allows for life-long learning of the individual (Mcdaniel, 2018). It would be necessary to understand what is truly interesting to the individual before attempting to motivate. Since this comes from within a person, the interest needs to come genuinely from that particular individual. Mcdaniel states that using extrinsic rewards to someone who is intrinsically motivated can actually have a negative impact, as it takes away the intrinsic desire to learn (2018).

 Extrinsically motivated people find their motivation from other’s expectations; the expectations can come from wanting to please parents, obtain good grades, please role models, etc. (Mcdaniel, 2018). The advantage of extrinsic motivation includes the relatively quick behavior change of the individual, for example, the student receiving a scholarship will be motivated to keep up their grades in order to keep the scholarship money (Mcdaniel, 2018). Motivation for this individual could be as simple as a reward for doing well. For example, everyone who receives a “B” or higher on the test will get to participate in a pizza party.

 There are different characteristics that a performance driven team embodies. “These include a common purpose; agreed-on performance goals or results-driven structure; competent members; a common approach for the work; complementary skills; a collaborative relationships; mutual accountability; standards of excellence; external support; and principled leadership” (Huber, 2014, p. 135). Normal guidelines need to be developed before the group beings working together. I have personally seen this used in my nurse residency program that my facility enrolls me in. During the first day, the instructor asked the class for guidelines and rules for the class. The class came up with them, and we will be held accountable to our rules for the duration of the residency. I feel that developing the guidelines as team will help with the receptiveness of the rules.  

Huber, D. (2014). Leadership and Nursing Care Management, 5th Edition. [Pageburstls].

 Retrieved from https://pageburstls.elsevier.com/#/books/9781455740710/

Mcdaniel, R. (2018). Motivating Students. Retrieved from https://cft.vanderbilt.edu/guides-sub-

 pages/motivating-students/

6- thank you for your response. You are blessed to be working in such a supportive, respectful, and rewarding environment. Sounds like you are good team members; there’s strong communication skills, trust, and friendship. Also, you all share the same goal: to provide excellent nursing care to all patients whether it is your patient or your colleagues. I can imagine that the energy on your unit is pleasant and you problem solve well? Nice to know that if you have a stressful day where you’re feeling overwhelmed, somebody will come and assist. My unit is similar to what you’re describing. It makes a big difference to be able to count on your co-workers, and they know they can count on you as well. Thank you. I am happy for you.