NURS 6051 Week 9 Discussion respond


Respond to these people with 1-2 paragraphs plus references:
Samantha Kath
The systems development life cycle is the process of developing systems involving steps (McGonigle & Mastrian, 2021). The steps include developing a system to understand a problem or business need, followed by understanding the solution, developing a plan, implementing the plan, evaluating the plan, and performing maintenance based on results (McGonigle & Mastrian, 2021). Nurses are the primary users of new health information technology systems. The involvement of nurses in the development has historically been absent due to prioritization of cost instead of focus on functionality and a bias that nurses are resistant to change (Risling & Risling, 2020). Not including nurses in technology development may lead to interruptions in nurses’ workflow and constant workarounds to achieve timely and optimal patient care by nurses (Risling & Risling, 2020). The first step includes understanding a problem or need, this usually returns to the bedside and involves patient care which is largely done by the nurses. Involving nurses in this step allows for a clinical expert from the bedside to address problems that may not be seen by others. Understanding the solution goes hand in hand with understanding or identifying the problem. Involving nurses in the understanding of solutions and development of the plan will ensure institutional goals are met by the plan without sacrificing the efficiency of nursing care (Dykes & Chu, 2020). When technologies are developed without nursing input there are often portions that may disrupt nursing workflow, leading to more workarounds of the technology and less satisfaction from the main users. Implementation, evaluation, and maintenance should involve nursing staff to provide an opportunity to share perspectives on the functionality and operability of new technologies, which may increase the useability of technologies (Dykes & Chu, 2020). This will allow nurses to provide feedback, utilize their knowledge and experience, and ensure technology being implemented, the user, and the environment are a well-matched fit (Dykes & Chu, 2020). Involving nurses in the technology processes will also increase the competence of nursing staff in operating new technologies.
One technology system within my practice is the electronic health record utilizing EPIC systems. EPIC is often upgraded and changed, but these changes are never discussed with the nursing staff before implementation. Unfortunately, with these upgrades comes reduced efficiency due to not discussing the needs of the nursing staff. After upgrades, we are given a contact person related to our area of nursing, who deals with the technological aspect of EPIC. Often, we write numerous emails to this individual addressing what is not working within our documentation form. Due to these emails, there are constant changes being made throughout the weeks after the implementation of the upgrade. In post-anesthesia care, there are specific documentation guidelines that need to be met. Constant workarounds are being done and adding “notes” into the documentation to meet these requirements after upgrades, leading to less efficient patient care. Being involved in the upgrade process would allow for nurses to inform tech staff of the needs of each area, leading to better programming and less maintenance of the implemented technology. Nurses need to be included in process development that will ultimately impact their workflow, as this greatly impacts patient care.
Dykes, S., & Chu, C. H. (2020). Now more than ever, nurses need to be involved in technology design: Lessons from the covid?19 pandemic. Journal of Clinical Nursing, 30(7-8). to an external site.
McGonigle, D., & Mastrian, K. G. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Learning.
Risling, T. L., & Risling, D. E. (2020). Advancing nursing participation in user-centred design. Journal of Research
Nursing, 25(3), 226–238. to an external site.
Luzanna Gustafson
9:58amApr 24 at 9:58am
Manage Discussion Entry
The Inclusion of Nurses in the Systems Development Life Cycle
Healthcare organizations quickly rely on developing health information systems to keep up with the constantly changing needs in the clinical setting. As a result, a specialized health information system (HIS) makes it possible to gather, assess, track, and store critical health-related data to support service efficiency (Deckro et al., 2021). Hence, it is often advised to engage nurses in selecting and deploying new HISs for their orientation and familiarity. Any business intending to acquire and later deploy new HIS will likely suffer significant consequences if nurses are purposefully excluded from the System Development Life Cycle (SDLC). The purpose of this post is to explain the possible role nurses may play in the SDLC and the consequences of taking a passive position.
Consequences of Not Involving Nurses in Each Stage of the SDLC
The omission of nurses from the SDLC’s conception and planning stages puts any healthcare organization at risk of failing to recognize possible difficulties in the clinical nurse setting shortly after operationalization (McGonigle & Mastrian, 2022). It is essential to realize that while health information technology is generally reliable, there are still dangers associated with minor flaws that might threaten patient confidentiality in a data security breach. Research has found a clear correlation between the early failure of healthcare technology systems, the underutilization of healthcare professionals’ capabilities, and their partial participation throughout development (Deckro et al., 2021). To ensure the effectiveness of the new HIS, nurses should be involved in the planning process. To ensure efficiency quickly after introduction, nurses’ participation will be crucial in balancing organizational aims with patient demands. In addition, because of their extensive clinical expertise, nurses are more qualified to pinpoint the main goals, viability, and general compliance of new information technology systems.
A new information technology system’s intended purpose may be complicated to accurately establish for healthcare companies that do not include nurses in the design phase of the SDLC. In this case, it will only be possible for the healthcare institution and design team to assess if a new information technology system is compatible with end users’ professional capacities and skill sets. The installation of new cutting-edge information technology systems considered beyond nurses’ capabilities may eventually occur due to nurses’ absence during the design process (Ehrler et al., 2019). Yet, including nurses in the planning process could help with this issue. While attempting to determine a system’s functioning, whether or not the user interface is welcoming, and its networking capabilities, nurses should take part. By offering safety advice and preparing the healthcare facility for unexpected or unanticipated outcomes, they will also contribute to system improvement.
If nurses are not involved in the implementation process, a healthcare organization may be unable to recognize and anticipate possible problems with the new system. Nowadays, nurses are typically best qualified to assess the actual viability of a new healthcare system and determine if it will achieve its intended goals due to its broad scope of practice and direct engagement in almost all departments within a healthcare institution. Nonetheless, their participation in the implementation will guarantee that they support the final customization and the operationalization of the new systems. According to research, healthcare organizations may assess the practical usefulness of new HISs by involving nurses in the implementation and final installation phases (Risling & Risling, 2020). This will also make it possible to find any potential drawbacks and medical restrictions of the new HIS.
Selection and Planning in My Healthcare Organization
I actively participated in selecting and implementing a new HIS throughout my nursing career. Initially showing interest in nursing informatics, my healthcare company requested personnel to suggest organizationally appropriate healthcare systems. My suggestion for people with chronic medical issues to use Remote Patient Monitoring (RPM) was formally accepted (Ehrler et al., 2019). RPM was essential during the recent epidemic because healthcare personnel could still assess and keep track of patients with diabetes and high blood pressure without frequent hospital visits. So, by utilizing technology and encouraging patient self-care, integrating RPM inside our healthcare organization enables organizations to remove conventional obstacles to healthcare.
Healthcare organizations increasingly rely on establishing health information systems to keep up with the continuously changing demands in the clinical context. Nurses should be included in the planning phase to guarantee the new HIS’ efficacy. Due to their broad range of practice and direct involvement in practically all departments within a healthcare facility, nurses are now generally the most prepared to evaluate the true sustainability of a new healthcare system and determine if it will accomplish its intended aims.
Deckro, J., Phillips, T., Davis, A., Hehr, A. T., & Ochylski, S. (2021). Big data in the veterans’ health administration: A nursing informatics perspective. Journal of Nursing Scholarship, 53(3). to an external site.
Ehrler, F., Lovis, C., & Blondon, K. (2019). A Mobile Phone App for Bedside Nursing Care: Design and Development Using an Adapted Software Development Life Cycle Model. JMIR MHealth and UHealth, 7(4), e12551. to an external site.
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Risling, T. L., & Risling, D. E. (2020). Advancing nursing participation in user-centered design. Journal of Research in Nursing, 25(3), 226–238. to an external site.

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