Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.

· Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.

· Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

  

Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

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

USE THE BELOW RESOURCES

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

Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

  

This is a discussion post, about 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 2: Professional mentorship has been identified as an important component

Professional mentorship has been identified as an important component of professional engagement, professional growth, and advancement.

Consider your own professional journey. 

Has a mentor shaped your professional advancement? 

Share a mentor experience from your personal or professional life. 

What benefits did the experience offer you? 

How might you mentor other providers seeking to advance in your discipline?

A minimum of THREE academic references from credible sources are required for this assignment

Assignment: Medicaid Eligibility Paper

1. Write a 1-2 page paper outlining the eligibility requirements of the Medicaid program. Explain how a person can apply for the program. (For this part of the assignment, visit your state Medicaid site to find the information.) Name your paper “Medicaid Eligibility “

Lab: Medicaid.gov Website Review

2.  Visit the Medicaid.gov (Links to an external site.)Links to an external site. website and find the answers to the following questions. Create a Microsoft Word document with your name, the date, and the answers to the following questions.

• List three mandatory benefits
• List three optional benefits
• What is the standard delivery system for the Medicaid program?
• What are three enrollment strategies?
• What are some of the outreach tools listed on the site?

Name the file “Medicaid Website”

  

Assignment 2: Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

· Create progress notes

· Create privileged notes

· Justify the inclusion or exclusion of information in progress and privileged notes

· Evaluate preceptor notes

To prepare:

· Reflect on the client family you selected for the Week 3 Practicum Assignment.

The Assignment

Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress note (without violating HIPAA regulations) the following:

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the treatment plan for progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of progress

· Clinical impressions regarding diagnosis and or symptoms

· Relevant psychosocial information or changes from original assessment (e.g., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient, even if the nurse psychotherapist was not the one prescribing them

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (e.g., phone consultations with physicians, psychiatrists, marriage/family therapists)

· The therapist’s recommendations, including whether the client agreed to the recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (e.g., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment.

In your progress note, address the following:

· Include items that you would not typically include in a note as part of the clinical record.

· Explain why the items you included in the privileged note would not be included in the client family’s progress note.

· Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

By Day 7

 NURN 3103 Theorist Paper Instructions and Grading Rubric 

Choose a nursing theorist/theory relevant to your nursing practice. Do not use non-nursing theorists (such as Maslow, Erikson, Piaget, Bloom, etc). Click on the “LINK”, and go to the website. Choose your theorist/theory: Link (Links to an external site.)Links to an external site.

You may NOT choose Florence Nightingale.

Guidelines for your paper:

Introduction: Provide a brief description of the theorist’s framework. You may use your textbook and other sources for this section. The description should be as much as possible, in your own words. Be careful not to plagiarize your information. Remember all direct quotes are to be cited, with author, date, and page number. Description should include all major aspects of the theory, not just one part or concept. You may use bullet points if there are several aspects of your theory to describe Limit the number of quotes in your paper. A paper of quotes is not a paper authored by you. Do NOT include a biography of the theorist. This paper is about the theory itself, not the theorist. (8 points)
Application of theory to Clinical Scenario: (8 points total for this section)
Describe a specific clinical scenario (interaction with patient and/or family) that you have experienced in your practice.
Clearly correlate the identified nursing theory to the clinical situation, describing how the theory and its specific concepts apply specifically to the situation. Make sure to include basic concepts related to the theory as well as a clear depiction of the implications for nursing practice.
All important concepts must be clearly applied to the situation.
Evidence of understanding theory in guiding care throughout the nursing process, not just one segment of the process.
Conclusion: Define the benefits of utilizing this specific nursing theory when examining patient care or patient issues. (4 points)
APA, References, & Paper Requirements:(5 points total for this section)
Follow APA style for formatting. APA includes, but is not limited to the title page, headings, running heads, subheadings, in text referencing, and reference page. The paper will be evaluated on grammar, spelling, and professional writing. All formal papers should have an introduction, body, and conclusion. No abstract required.
The paper should be NO LESS than 3 pages and NO MORE than 5 pages double-spaced. Page counts do not include the title page and the reference page. 
Include a minimum of 3 professional nursing old.journal references less than 10 years old. You may also use your textbook. No websites should be used unless pre-approved by the instructor.
Submit the paper to the assignment drop box by the due date. The paper must submitted electronically through Canvas. 
Total points for paper = 25 points

Criteria

High Quality
Satisfactory Quality
Low Quality

Introduction
-Theory presented is accurate, current and all major components described clearly and completely.
-theory presented is limited in depth but is accurate, current and relevant with the major components included.
Theory description is unclear. Limited depth noted. .
-No integration of sources noted.
Not addressed

Application of theory
-clearly describes a clinical example
– Clearly correlates the specific theory chosen to this scenario.
-identifies elements and concepts of the theory that applies
-evidence of theory understanding

– briefly describes a clinical example with limited detail
– attempts to apply the specific theory chosen to this scenario however relationship to situation unclear
-identifies concepts of the theory that applies however not integrated.
– unclear if understanding evident. -Paper more about listing of theory components

-clinical scenario not clearly described.
-theory named but concepts not discussed.
-limited to no application of the concepts to this situation.
Not addressed

Conclusion
Clearly Defines the benefits of utilizing this specific nursing theory when examining patient care or patient issues
Attempts to define the benefits of utilizing this specific nursing theory when examining patient care or patient issues, however, unclear
Minimally addresses the benefits of using this theory. Speaks only to theory globally.
Not addressed

Grammar,
Spelling,
APA

Specific criteria
Consistent correct use of the rules of grammar usage, punctuation, and spelling
-correct APA
-3 -5 pages
-3 professional journal references
Consistent correct use of the rules of grammar, punctuation, and spelling, with a few minor errors.
-APA errors noted
-references not all from professional journals

Several grammatical, spelling and punctuation errors
-many apa errors.
-did not follow page limits
-did not meet reference requirements
Not addressed