Commend on this 

     Good article. Okay, sounds like your assessment on quasi-experimental is logical. There were different comparison groups without  random assignment. The intervention was the use of numbers to document pain ratings. Was this the numerical pain scale? I would assume so. The tool is the intervention and the data collection were the EBP pain rating tools. So there was a patient side and a provider side to this study in terms of assessment it sounds like. The second part, the provider part, sounds like qualitative in terms of collecting data on experiences of providers managing palliative pain. No random assignment either, since 2 teams were used. So they were designated groups. Yes, then this is also non-probability sampling because the researcher wants to only look at a certain population. They consisted of 9 teams from a population of 125 employees, have I got this right? 

     Again, non-probability is easier to use since you have the set population at hand, but there can be bias too as well as questionable population representation. 

Great discussion,

Substantial cross posts to peer response.

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from Substantial cross posts peer response.(No not use the same reference from the original post

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from a scholarly source. APA formatting with reference citations. References should be timely, published within the previous five (5) years.

-Discussion cross posts should elaborate upon the ideas and content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. 

-The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) 

-There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

-Listed below is the discussion post you must respond to in 300-350 words max. APA formatting with reference citations. References should be timely, published within the previous five (5) years. And please check for grammatical errors.

Make sure the cross post is a response and not a whole new discussion. Try to engage in a conversation while stating a new point of view that relates to the original discussion.

ORIGINAL DISCUSSION POST YOU MUST REPLY TO

The Background and Significance of the CNIO

            Healthcare is a field that is constantly changing, facing new challenges, and overcoming problems with patient care; which is why technology is becoming one of the most important aspects of healthcare. Nurses are at the forefront of patient care as they spend the most time with the patient, chart, and care for patients over a twelve-hour period. The CNIO, short for the Chief Nursing Informatics Officer, is a role that was introduced to healthcare facilities directly to overlook the electronic medical record, and to better optimize its use and functionality (McCleerey, 2019). The role was meant to solely manage healthcare providers use of the EMR, but new research is showing the need for a paradigm shift from the CNIO’s focus on its own EMR, to working with developers and vendors to create better programs and change weak links in the current EMR. (McCleerey, 2019).

How the CNIO Relates to Healthcare Informatics

            The Chief Nursing Informatics Officer directly relates to healthcare as the forefront of health care is based off the development of new technology (McCleerey, 2019). Documentation, research, education, and evidence-based practice have all shifted to using software, computers and cloud data storage. The CNIO overlooks the technology adopted by facilities to better optimize patient care and time management in healthcare and will soon move on to helping developers create better software that focuses on patient care rather than time optimization (McCleerey, 2019). Because CNIO’s directly overlook hospital technology, they have a strong relationship with today’s healthcare system.

The Opportunities and Challenges CNIO’s Face

            CNIO’s, just like other nursing specialists, face many opportunities and challenges, but CNIO’s have a rapidly evolving job description, allowing for a variety of rewards and problems to come up. CNIO’s can change nursing for the better by implement systems that give patients better and safer care. The challenges that CNIO’s face directly relate to the new role that the must adopt: relaying information to developers and working with vendors to change and create better software and technology (McCleerey, 2019). Both the opportunities and challenges allow for a rewarding and exciting career as a nurse.

The Benefits of the Electronic Health Record on Quality and Safety in Patient Care

            The EHR help health care providers access patient’s medical history: which is an important aspect of treatment. From the EHR alone, nurses and doctors can see allergies, past procedures, scans and x-rays, and other important patient history and problems. By accessing this, providers can help to make the best decisions using evidence-based practice to give the highest quality care to patients (Sewell, 2019).

References

McCleerey, M.  (Winter 2019). Vendor support of the expanded role of the CNIO.  Online Journal of Nursing Informatics (OJNI), 23 (1), Available at http://www.himss.org/ojni

 study the following aspects

Risk management 

Distinguish negligence from malpractice

Examine the Good Samaritan laws and their   relevance for health care deliverer

After reading  

Joel Chapters : 28 & 29

https://www.napnap.org/sites/default/files/userfiles/for_providers/NP_Malpractice_FAQ_NSO.pdf

•  List the elements of malpractice and give   examples of each element in professional nursing practice, including ways to   avoid or lessen the potential of future malpractice cases 

PICOT Question and Literature Search

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

You are not required to submit this assignment to LopesWrite.

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”