Eastern Florida NUR3164 Unit 5 Discussion Latest 2019 March

NUR3164 Introduction to Nursing Research and Health Informatics

Unit 5 Discussion

Follow the instructions under DISCUSSION BOARD RUBRIC and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Internal citations and references are required.

As you are new to all of this, being introduced to the many terminologies and systems of standards, you are bound to feel overwhelmed. You all will not be expected to become experts in each system. Rather, you should recognize the unique purpose and goal of the various terminologies and understand the goals of the systems, and the importance of achieving harmonization among systems of terminology. One basic & practical concept in striving for standardization. This is similar to using the “right” key words when conducting an online search. Nurses can only receive or communicate the “right” data about a patient if they are using the “right” terminology. Although it is more complicated than this, you will benefit by drawing on your own success when communicating online through standard, consistent terminology.

Choose ONE question from this week's four chapters as your discussion post, then please respond to a post on a topic other than the one you chose for your initial post:

Chapter 21: (three options to choose from)

Discuss the importance of establishing & using frameworks in designing and using health informatics. Introduce one of the currently existing health IT frameworks, and discuss areas where it is inadequate/needs further improvement. ( One option would be to discuss how the Health Human–Computer Interaction (HCI) Framework addresses the missing elements of previously existing frameworks).

User experience: Identify the elements critical to an improved user experience: user(s) characteristics, interactions, tasks, information, product(s) and their characteristics, context, and developmental timeline. Which would you identify as most needing to be addressed base on an IT framework of your choice (possibly make a quick phone call to your IT department and ask them which framework is currently used at your hospital. Research this framework and add your perspective based on personal experience.)

Define what cognitive systems engineering is and the focus of this discipline ~ Discuss the implications of a socio-technical system are and how they apply to the healthcare setting. What issues do joint cognitive systems address?

Chapter 22:

4. Discuss how standardized terminology enhances the monitoring of healthcare quality and outcomes. Review ways in which standardization of terminology will advance healthcare research. Give examples/support with data.

Chapter 23:

5. Lets look at the idea of data mining (KDDM) compared with randomized control trials (RCT): In a randomized control trial, inclusion criteria is very strict to limit errors in methodology. Compared to KDDM, RCT can be quite lengthy and time consuming as well as costly.

When is the traditional gold-standard research method of RCT not “enough”?

What are the drawbacks and limitations of RCT?

Discuss areas of needed improvement in the use of KDDM, what are the potential future benefits in cost-effectiveness of KDDM.

In your opinion, will KDDM eventually replace more traditional research methods such as RCT? Why or why not?

Chapter 24:

6. Patient safety and quality of care are not improved simply by the implementation of an HIS, but by ongoing evaluation to identify needed interventions and incentives to increase the fidelity of use. Ultimately, health IT is just a tool to improve patient outcomes. Meaningful use initiatives laid a great foundation, but have proven to be somewhat lacking. Why are these initiatives not enough to advance best practices in all settings? What else is needed?