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Write a 4–5 page evidence-based proposal to support the need for a nurse informaticist
in an organization who would focus on improving health care outcomes.
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Introduction
Nurses at the baccalaureate level in all practice areas are involved in nursing
informatics through interaction with information management and patient care
technologies. Nurses must not only demonstrate knowledge of and skills in health
information and patient care technologies, but also how to use these tools at the
bedside and organizational levels. Moreover, nurses need to recognize how information
gathered from various health information sources can impact decision making at the
national and state regulatory levels.
Preparation
As you begin to prepare this assessment, you are encouraged to complete the Team
Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed
with the assessment as you explore the nurse informaticist’s role from the different
perspectives of the health care team. Completing activities is also a way to demonstrate
engagement.
To successfully prepare for this assessment, you will need to complete these
preparatory activities:
● Review assessment resources and activities.
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○ Review the focus of the new nurse informaticist position you will
propose by examining the Assessment 01 Supplement: Nursing
Informatics in Health Care [PDF]
○ Download Assessment 01 Supplement: Nursing Informatics in
Health Care [PDF]
○ resource.
○ Conduct independent research on the nursing knowledge and skills
necessary to interact with health information and patient care
technology.
○ Focus your research on current resources available through
peer-reviewed articles, professional websites, government
websites, professional blogs, wikis, job boards, and so on.
● Consult the BSN Program Library Research Guide for help in identifying
scholarly and authoritative sources.
● Interview peers in your network who are considered information technology
experts.
○ Ask them about how information technology advances are
impacting patient care at the bedside, at the organizational level,
and beyond.
Scenario
For this assessment, assume you are a nurse attending a meeting of your state’s
nurses association. A nurse informaticist conducted a presentation on her role and its
impact on positive patient and organizational outcomes in her workplace. You realize
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that your organization is undergoing many technological changes. You believe this type
of role could provide many benefits to your organization.
● Review the focus of the new nurse informaticist position you will propose by
examining theAssessment 01 Supplement: Nursing Informatics in Health
Care [PDF]
● Download Assessment 01 Supplement: Nursing Informatics in Health Care
[PDF]
● resource.
You decide to pursue proposing a nurse informaticist role in your organization. You
speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask
you to prepare a 4–5 page evidence-based proposal to support the new role. In this
way, they can make an informed decision as to whether the addition of such a role could
justify the return on investment (ROI). They need your proposal before an upcoming
fiscal meeting. This is not an essay, but instead, it is a proposal to create a new
Nurse Informaticist position.
One important part of this assessment is the justification of the need for a nurse
informaticist in a health care organization and references from relevant and timely
scholarly or professional resources to support the justification for creating this nurse
informaticist position. The term justify means to show or prove that the nurse
informaticist position brings value to the organization. This justification must include
evidence from the literature to support that this position will provide a return on
investment for the organization.
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Proposal Format
The chief nursing officer (CNO) and human resources (HR) manager have asked you to
include the headings below in your proposal and to be sure to address the bullets
following each heading. Remember that you will emphasize the focus of the new nurse
informaticist position as described in the Assessment 01 Supplement: Nursing
Informatics in Health Care [PDF]
Download Assessment 01 Supplement: Nursing Informatics in Health Care [PDF]
resource.
Nursing Informatics and the Nurse Informaticist
● What is nursing informatics?
● What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
● What is the experience of other health care organizations with nurse
informaticists?
● How do these nurse informaticists interact with the rest of the nursing staff
and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
● How does fully engaging nurses in health care technology impact:
○ Patient care?
○ Protected health information (security, privacy, and confidentiality)?
■ In this section, you will explain evidence-based
strategies that the nurse informaticist and
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interdisciplinary team can use to effectively manage
patients’ protected health information, particularly
privacy, security, and confidentiality. Evidence-based
means that they are supported by evidence from
scholarly sources.
○ Workflow?
○ Costs and return on investment?
Opportunities and Challenges
● What are the opportunities and challenges for nurses and the interdisciplinary
team with the addition of a nurse informaticist role?
○ How can the interdisciplinary team collaborate to improve
quality care outcomes through technology?
Summary of Recommendations
● What are 3–4 key takeaways from your proposalabout the recommended
nurse informaticist role that you want the CNO and the HR manager to
remember?
○ This is the section where the justification for the implementation of
the nursing informaticist role is addressed. Remember to include
evidence from the literature to support your recommendation.
Additional Requirements
● Written communication: Ensure written communication is free of errors that
detract from the overall message.
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● Submission length: 4–5 double-spaced pages, in addition to title and
references pages.
● Font: Times New Roman, 12 point.
● Citations and References: Cite a minimum of threecurrent scholarly and/or
authoritative sources to support your ideas. In addition, cite a minimum of
one current professional blog or website to support your central ideas.
Current means no more than five years old.
● APA formatting: Be sure to follow APA formatting and style guidelines for
citations and references. For an APA refresher, consult the Evidence and APA
page on Campus.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in
the following course competencies and scoring guide criteria:
● Competency 1: Describe nurses’ and the interdisciplinary team’s role in
informatics with a focus on electronic health information and patient care
technology to support decision making.
○ Define nursing informatics and the role of the nurse informaticist.
○ Explain how the nurse collaborates with the interdisciplinary team,
including technologists, to improve the quality of patient care.
○ Justify the need for a nurse informaticist in a health care
organization.
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● Competency 2: Implement evidence-based strategies to effectively manage
protected health information.
○ Explain evidence-based strategies that the nurse and
interdisciplinary team can use to effectively manage patients
protected health information (privacy, security, and confidentiality).
● Competency 5: Apply professional, scholarly communication to facilitate use
of health information and patient care technologies.
○ Follow APA style and formatting guidelines for citations and
references.
○ Create a clear, well-organized, and professional proposal that is
generally free from errors in grammar, punctuation, and spelling.
Nursing Informatics in Health Care Scoring Guide
NON-PERFO
CRITERIA
DISTINGUIS
BASIC
PROFICIENT
RMANCE
HED
Define nursing
Does not
Defines
Defines
Defines
informatics and
define
nursing
nursing
nursing
nursing
informatics
informatics
informatics
informatics
and the role
and the role
and the role
the role of the
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nurse
and the role
of the nurse
of the nurse
of the nurse
informaticist.
of the nurse
informaticist,
informaticist.
informaticist.
informaticist.
but the
References
description
current data,
lacks detail or
evidence, or
is missing
standards to
important
support and
information.
refine
definition.
Explain how the
Does not
Identifies but
Explains how
Explains how
nurse
explain how
does not
the nurse
the nurse
the nurse
explain how
informaticist
informaticist
informaticist
the nurse
collaborates
collaborates
collaborates
informaticist
with the
with the
with the
collaborates
interdisciplina
interdisciplina
interdisciplina
with the
ry team,
ry team,
ry team,
interdisciplina
including
including
including
ry team,
technologists,
technologists,
technologists,
including
to improve
to improve
to improve
technologists,
informaticist
collaborates with
the
interdisciplinary
team, including
technologists, to
improve the
the quality of
9
quality of patient
the quality of
to improve
the quality of
patient care.
care.
patient care.
the quality of
patient care.
Makes
patient care.
explicit
reference to
scholarly or
professional
resources to
support
explanation.
Justify the need
Does not
Proposes but
Justifies the
Justifies the
for a nurse
justify the
does not
need for a
need for a
need for a
justify the
nurse
nurse
nurse
need for a
informaticist
informaticist
informaticist
nurse
in a health
in a health
in a health
informaticist
care
care
care
in a health
organization.
organization
organization.
care
and
organization.
references
informaticist in a
health care
organization.
relevant and
timely
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scholarly or
professional
resources to
support the
justification.
Explain
Does not
Describes but
Explains
Explains
evidence-based
explain
does not
evidence-bas
evidence-bas
evidence-bas
explain
ed strategies
ed strategies
ed strategies
evidence-bas
that the nurse
that the nurse
that the nurse
ed strategies
informaticist
informaticist
informaticist and
informaticist
that the nurse
and
and
interdisciplinary
and
informaticist
interdisciplina
interdisciplina
interdisciplina
and
ry team can
ry team can
ry team can
interdisciplina
use to
use to
use to
ry team can
effectively
effectively
effectively
use to
manage
manage
patients’
manage
effectively
patients’
patients’
protected health
patients’
manage
protected
protected
protected
patients’
health
health
health
protected
information
information
strategies that
the nurse
team can use to
effectively
manage
information
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(privacy,
information
health
(privacy,
(privacy,
security, and
(privacy,
information
security, and
security, and
security, and
(privacy,
confidentiality
confidentiality
confidentiality
security, and
).
), with
).
confidentiality
reference to
).
specific data,
confidentiality).
evidence, or
standards to
support the
explanation.
Follow APA style
Does not
Partially
Follows APA
Follows APA
and formatting
follow APA
follows APA
style and
style and
style and
style and
formatting
formatting
formatting
formatting
guidelines for
guidelines for
guidelines for
guidelines for
citations and
citations and
citations and
citations and
references.
references
references.
references.
guidelines for
citations and
references.
with flawless
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precision and
accuracy.
Create a clear,
Does not
Creates a
Creates a
Creates a
well-organized,
create a
proposal that
clear,
clear,
clear,
lacks clarity
well-organize
comprehensiv
well-organize
and/or has
d, and
e,
d, and
errors in
professional
well-organize
generally free
professional
grammar,
proposal that
d, and
from errors in
proposal that
punctuation,
is generally
professional
is generally
and spelling.
free from
proposal that
free from
errors in
is error-free in
errors in
grammar,
grammar,
grammar,
punctuation,
punctuation,
punctuation,
and spelling.
and spelling.
and professional
proposal that is
grammar,
punctuation, and
spelling.
and spelling.
Use the resources linked below to help complete this assessment.
Expand All
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History of Information Technology in Nursing
● Chauvette, A. (2016). History of nursing informatics in Canada. Canadian Journal of
Nursing Informatics, 11(4).
○ This paper examines the evolution of nursing informatics in Canada and
its significant influence on nursing practice.
● Grandia, L. (2017). Healthcare information systems: A look at the past, present, and
future
[PDF].http://www.healthcatalyst.com/wp-content/uploads/2014/05/A-Look-at-the-Pa
st-Present-and-Future-Healthcare-Information-Systems.pdf
○ This article provides a rationale for prioritizing data warehousing and
analytics over other improvements in health care information technology.
● OpenText. (2017, May 2). The history of health information management – from then
to now. OpenText Blog.
https://blogs.opentext.com/history-heath-information-management-now/
○ This article explores the history of health information management from
the 15th century through the early 21st century.
How Information Technology Is Changing Health Care
● Classen, D., Li, M., Miller, S., & Ladner, D. (2018). An electronic health
record-based real-time analytics program for patient safety surveillance and
improvement. Health Affairs, 37(11), 1–8.
○ This article provides insight on how EHRs improve patient outcomes.
● Heath, S. (2018). Patient health data access top-of-mind in ONC draft framework.
https://patientengagementhit.com/news/patient-health-data-access-top-of-mind-in-onc
-draft-framework
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○ This article explains the need for patients to have seamless access to their
own health data to improve patient engagement as prioritized by the
Office of the National Coordinator for Health IT (ONC).
● Healthcare Information and Management Systems Society. (2011). Position statement
on transforming nursing practice through technology and informatics [PDF].
https://www.himss.org/sites/hde/files/d7/HIMSSorg/handouts/HIMSSNIPositionState
mentMonographReport.pdf
○ This position statement identifies specific recommendations for
eliminating barriers and addressing nursing’s role in transforming health
care through the use of IT, particularly in regard to the role of nursing
informatics.
● Murphy, Z. R., Wang, J., & Boland, M. V. (2020). Association of electronic health
record use above meaningful use thresholds with hospital quality and safety
outcomes. JAMA Network Open, 3(9), 1–13.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770283
○ This article provides examples of ways EHR affects health care.
● Neumeier, M. (2016). Can nursing informatics improve person-centered care?
Canadian Journal of Nursing Informatics, 11(4).
○ This discussion reviews how care recipients and care providers need
better access to more appropriate information in a more timely fashion in
order to improve care.
● Patel, M. R., Smith, A., Leo, H., Hao, W., & Zheng, K. (2019). Improving
patient–provider communication and therapeutic practice through better integration of
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electronic health records in the exam room: A pilot study. Health Education &
Behavior, 46(3), 484–493.
○ Study authors say that evidence-supported training initiatives that can
help providers meet greater demands to manage information are
promising.
● Rauv, S. (2017, June 14). The impact of technology in healthcare.
https://www.elcomcms.com/resources/blog/the-impact-of-technology-in-healthcare-tr
ends-benefits-examples
○ Rauv examines the top five health care technology trends and innovations.
● Seljelid, B., Varsi, C., Solberg Nes, L., Stenehjem, A.-E., Bollerslev, J., & Børøsund,
E. (2020). Content and system development of a digital patient-provider
communication tool to support shared decision making in chronic health care:
InvolveMe. BMC Medical Informatics and Decision Making, 20(1), 1–14.
○ This study used interviews with patients with chronic conditions and
focus groups with HCPs to gather narrative on their chronic conditions
and consider the potential value of a tool for decision-making.
● Wass, S., Vimarlund, V., & Ros, A. (2019). Exploring patients’ perceptions of
accessing electronic health records: Innovation in healthcare. Health Informatics
Journal, 25(1), 203–215.
○ The authors discuss whether access to electronic health records increases
patient involvement.
Health Care and Nursing Informatics Professional Resources
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The following health care and nursing informatics websites provide resources, education, and
networking opportunities for nursing informatics professionals:
● Healthcare Information and Management Systems Society. (n.d.).
https://www.himss.org/
● American Nurses Informatics Association. (n.d.). https://www.ania.org/
● Alliance for Nursing Informatics. (n.d.). https://www.allianceni.org/
Assessment 01 – Nursing Informatics in Health Care
For this assessment, you will write a 4–5 page evidence-based proposal to support the need
for a nurse informaticist in an organization who would focus on improving health care outcomes.
Before you complete the detailed instructions in the courseroom, first review the focus of the
new nurse informaticist position you will propose by examining the description below. You will
write your evidence-based proposal to support the need for a new nurse informaticist who would
focus on developing and implementing clinical decision support systems to enhance patient
safety.
•
Developing and Implementing Clinical Decision Support Systems (CDSS) to
Enhance Patient Safety:
o Background: Clinical Decision Support Systems (CDSS) are health information
technology systems designed to provide physicians and other health
professionals with clinical decision support (CDS), that is, assistance with clinical
decision-making tasks.
o Benefits: Studies have shown that CDSS can significantly reduce diagnostic
errors, improve patient safety by providing real-time alerts for potential drug
interactions or contraindications, and integrating CDSS with Electronic Health
Records (EHR) for seamless patient care. For instance, a CDSS can alert a
physician if they try to prescribe a drug that could cause an allergic reaction in a
patient.
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