Transforming Nursing and Healthcare through Technology (NURS – 6051N – 37)
DISCUSSION- 1
The Effects of “To Err Is Human” in Nursing Practice
The 1999 landmark study titled “To Err Is Human: Building a Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and put forth recommendations to improve patient safety. Since its publication, the recommendations in “To Err Is Human’ have guided significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations and consider the role of health information technology in helping address concerns presented in the report.
To prepare:
Review the summary of “To Err Is Human” presented in the Plawecki and Amrhein article found in this week’s Learning Resources.
Consider the following statement:
“The most significant barrier to improving patient safety identified in “To Err Is Human” is a “lack of awareness of the extent to which errors occur daily in all health care settings and organizations (Wakefield, 2008).”
Review “The Quality Chasm Series: Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health Care System.” Consider your current organization or one with which you are familiar. Reflect on one of the rules where the “current rule” is still in operation in the organization and consider another instance in which the organization has effectively transitioned to the new rule.
Please Provide References
Learning Resources
Required Readings
American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.
“Introduction”
This portion of the text introduces nursing informatics and outlines the functions of the scope and standards.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 1, “Nursing Science and the Foundation of Knowledge”
This chapter defines nursing science and details its relation to nursing roles and nursing informatics. The chapter also serves as an introduction to the foundation of knowledge model used throughout the text.
Chapter 2, “Introduction to Information, Information Science, and Information Systems”
In this chapter, the authors highlight the importance of information systems. The authors specify the qualities that enable information systems to meet the needs of the health care industry.
Wakefield, M. K. (2008). The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (Vol. 1, pp. 47–66). Rockville, MD: U. S. Department of Health and Human Services.
Pages 1–12
These 12 pages highlight the issues raised by the Quality Chasm Series and examine their long-term implications for nursing. The text reviews external drivers of safety and quality, design principles for safe systems, and guidelines for health care redesign.
Cipriano, P. F., & Murphy, J. (2011). Nursing informatics. The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 282, 286–289.
In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.
Plawecki, L. H., & Amrhein, D. W. (2009). Clearing the err. Journal of Gerontological Nursing, 35(11), 26–29.
This article presents a summary of the Institute of Medicine report “To Err Is Human: Building a Safer Health System.” The authors provide an overview of what has been accomplished in the decade following the IOM report, focusing in particular on health information technology.
Required Media
Laureate Education (Producer). (2012e). Introduction to nursing informatics. Baltimore, MD: Author.
In this video, Doris Fischer, Richard Rodriguez, Carina Perez, and Carmen Ferrell introduce the concept of nursing informatics. These individuals provide insight into how informatics is transforming the health care system by improving efficiency and quality of care.
Optional Resources
Hilts, M. E. (2010). Up from the basement. Health Management Technology, 31(9), 14–15.
Retrieved from the Walden Library databases.
Institute of Medicine. (1999). To err is human: Building a safer health system. Retrieved from http://web.archive.org/web/20141016134546/http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf
Kohn, L. T., Corrigan, J. M., & Donaldson, M.S. (Eds.). (2000). To err is human: Building a safer health system. Washington, D. C.: Institute of Medicine. Retrieved from the National Academies Press website: https://download.nap.edu/catalog.php?record_id=9728
DISCUSSION-2
Nursing Informatics Competencies
Today’s fast-paced health care environment demands nurses to be skilled not only in their clinical practice or specialty area but in the use of technology tools that improve practice and lead to better patient care. Basic and advanced technology competencies are required and expected as technology increasingly touches and changes the job of every nurse. Numerous organizations, including the American Nurses Association (ANA), the American Medical Informatics Association (AMIA), and Healthcare Information and Management Systems Society (HIMSS), have developed nurse-specific technology competencies. The challenge for nurses is to identify both needs and training opportunities.
In this Discussion, you identify the role informatics plays in your professional responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a plan for self-improvement.
To prepare:
Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes. Consider which areas relate to your current nursing responsibilities or to a position you held in the past. For this Discussion, identify one or two of the most relevant functional areas.
Review the list of competencies recommended by the TIGER Initiative. Identify at least one skill in each of the main areas (basic computer competencies, information literacy competencies, and information management competencies) that is pertinent to your functional area(s) and in which you need to strengthen your abilities. Consider how you could improve your skills in these areas and the resources within your organization that might provide training and support.
Please Provide References
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Introduce Yourself Options Menu: ForumAbout YOU but in particular how these questions relate to your academic/career choices and goals.
1. What city/state/country were you born in? Where have you resided for the past 5 years or so? Are you in your 20s, 30s, or over 40 years old?
2. Describe yourself in just 3 words.
3. What is your greatest passion?
4. What are your extracurricular activities eg work, sports, community?
5. Why did you choose this major HCA? What/who inspired you to take up this career choice? Why HCA and not a general business degree? (please elaborate)
6. Do you have a clinical background e,g, nurse/nursing student, psychologist/psychology minor, if yes, describe
If no, are you influenced by a mentor/family member who is a physician or other type of clinician?, if yes, describe
7. Think about your first job coming up post-graduation. What setting/function do you see yourself applying for? e.g. medical office/office manager; hospital/billing supervisor; long-term care facility/director of operations
8. What are you looking forward to the most from this course on hospitals?
9. What do you think is the most important role of a college professor in your major?
10. Do you have plans for additional education in the future? If yes, please describe.

Cost Comparison Analysis
Economic issues are always to be considered during the process of program planning and evaluation. Economic evaluations are analyses that center on the cost of a program and the relationship of the cost to the outcome or impact of the program.
A cost comparison analysis compares the costs of at least two programs. CEA, CBA, and CUA are examples of cost comparison analyses.
Use the South University Online Library or the Internet to research on cost comparison analysis. Create a report in a 4- to 5-page Microsoft Word document that includes the following:
An analysis and explanation of the pros and cons of a CEA. Describe how health program planners would use a CEA to assist them in making decisions about their programs.An analysis and explanation of the pros and cons of a CBA. Describe how health program planners would use a CBA to assist them in making decisions about their programs.An analysis and explanation of the pros and cons of a CUA. Describe how health program planners would use a CUA to assist them in making decisions about their programs.Select two public health programs that you would like to compare by means of an economic evaluation. Analyze, identify, and describe the type of economic analysis that you would use in the evaluation.Shows the help line number for South University Online Inc. The number is 1-888-444-3404.
Click here to submit a content alert.Arrow Use the Respond link to post responses and materials that pertain to this assignment. Use the Respond link beneath any existing postings to

Identify a specific health technology that has been used within the last 10 years. Then, create a PowerPoint presentation that includes the background, the financial implications, the ethical concerns (e.g., equality, equity), and the meaningful use of the health technology. Additionally, explain the impact that the health technology has had on the healthcare industry. Your presentation should be a minimum of 15 slides, not counting the title and reference slides. You must use a minimum of five resources, including your textbook. All sources used must be referenced; paraphrased and quoted material must have accompanying citations. All references and citations must be formatted using APA style.
Chapter 4: The Ethical Challenges of the New Reproductive Technologies, pp. 79-94 Chapter 16: Technological Advances in Health Care: Blessing or Ethics Nightmare?, pp. 259-275
Morrison, E. E., & Furlong, B. (Eds.). (2014). Health care ethics: Critical issues for the 21st century (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Assignment 1:
Professional Goals
Developing professional goals is critical to guiding your career and transitioning to become a practicing NP. The goals that you develop should be SMART. SMART goals are: Specific, Measurable, Attainable, Relevant, and Time-specific (Massachusetts Institute of Technology Human Resources, n.d.). Keeping your goals SMART will increase your chances of meeting or exceeding your professional career goals.
For this Assignment, you will identify three short-term and three long-term goals. You also will explain how each goal relates to your professional career development and how you might achieve each of these goals.
Massachusetts Institute of Technology Human Resources (n.d.). SMART goals. Retrieved from
http://hrweb.mit.edu/performance-development/goal-setting-developmental-planning/smart-goals
To prepare:
Review the SMART Goals Learning Resources
Consider professional goals that you might select to help focus on your transition from RN to NP practice.
By Day 7
For this Assignment, write a paper that is no more than 2 pages long that addresses the following:
Identify at least three short-term goals (1-2 years)
Identify at least three long-term goals (3-5 years)
Explain why you selected each goal and how they relate to your professional career development
Create a strategic plan that explains how you might achieve each of these goals