Description
Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.
In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.
To prepare:
- Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
- Consider how you would design a flowchart to represent the current workflow.
- Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.
To complete:
Write a 3- to 5-page paper which includes the following:
- Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)
- Next, in your paper:
- Explain the process you have diagrammed.
- For each step or decision point in the process, identify the following:
- Who does this step? (It can be several people.)
- What technology is used?
- What policies and rules are involved in determining how, when, why, or where the step is executed?
- What information is needed for the execution of this step?
- Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?
- Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
- Summarize why it is important to be aware of the flow of an activity.
- Remember to include a cover page, introduction, and summary for your paper.
Running head: THE FLOWCHART FOR PSYCHIATRIC ADMISSION
The Flowchart for psychiatric admission
Stanley Okeyemi
NURS 6051: Transforming Nursing and Healthcare Through Technology
Walden University
January 22nd, 2017
1
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
START
STOP
Patient
presents to
Hospital Lobby
Discharged
Home
Transfer
Patients from
another facility
Receptionist
calls LMSW
and MHT
Admitted to
the Unit
Involuntary
and Police
escorted
Patient
STOP
2
Not Meeting
Admission
Requirement
Safety Search
Assessment by
LMSW
Tele Medicine
Doctor
Assessment
Meets
Admission
Requirements
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
3
The purpose of this paper is to identify, discuss, and evaluate the workflow process my
organization has adopted for the admission of new patients from the inception of their arrival to
the hospital, with a transition of being admitted to the inpatient unit or getting discharge, and the
various steps involved in this process, by utilizing a designed flowchart for the transitional care
of patients from the intake departments to the units. Workflow in nursing informatics could be
defined as a progression of tasks, events, and interactions that are designed to add value to the
work process of an organization’s activities (McGonigle and Mastrian, 2015). While workflow is
termed as stated, it also involves the execution of a series of tasks in a predetermined sequence
(McGonigle and Mastrian, 2015). With an understanding of this definition, this paper will further
discuss the different roles health care workers play in my organization workflow process, and the
metrics utilized to measure the effectiveness of the workflow, and then identify possible areas of
waste.
The organization I am currently employed with is an 84-bed inpatient mental and
behavioral health facility, dedicated to serving the specialized needs of children, adolescents,
adults, and seniors with mental health issues such as depression, anxiety and stress, bipolar
disorder, behavioral problems, and alcohol abuse dependency. This organization accepts patients
that are voluntary walk-ins, transfers from other facilities like medical hospitals, group homes,
nursing homes, and from other behavioral health hospitals (per patients request or due to
insurance reasons). Also, patients that present with police officers under a detention warrant
(DW) are also included in this category of candidates for admission, except on rare occasions
where an officer may present with a patient on a voluntary status, after the officer assumes that
this patient just needs help with a police escort to a behavioral facility, and the patients
presenting behavioral or complain is not justifiable to be under a warrant.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
4
Upon patients arrival to the hospital’s front desk lobby by any of these means listed
above, the receptionist at the front desk lobby is always present to receive and welcome them
into the facility. This receptionist immediately registers this patient’s arrival information on the
electronic computer screen for a free assessment as part of the Emergency Medical Treatment
and Labor Act (EMTALA), which is a federal law that requires anyone coming to an emergency
department to be stabilized and treated, regardless of their insurance status or ability to pay for
treatment. A Mental Health Technician (MHT) and a Licensed Master Social Worker (LMSW)
are called upon via phone by the receptionist with information about the arrival of this new
patient. The MHT and LMSW then walk up to the front desk lobby to escort this patient to an
assessment room in the intake department for an interview, and also to promote privacy as part
of the Health Insurance Portability and Accountability Act (HIPAA), which is a legislative law
that provides data privacy and security provisions for safeguarding patient’s medical
information. In this chamber, a handheld security detector is used to wand this patient and also
physically searched for contrabands as part of the hospital policy and procedure, and also the
Joint Commission standard of practice in ensuring the safety of this patient and every other one
around in the facility. The MHT then enters the assessment room to check the patient’s vital
signs with an electronic blood pressure monitor. The LMSW at this time starts to complete an
integrated psychosocial assessment on this patient. Upon completion, the patients information is
inputted in the Electronic Health Record (EHR) computer system called ‘ReadyAnswer’ in a
SBAR (S-Situation, B-Background, A-Assessment and R-Recommendation) format, and then
forwarded to the Telemedicine admitting physician via the computer to view all the necessary
information needed to be known about this patient before any video encounter begins between
this physician and the patient.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
5
This phase of a video encounter and assessment of the patient by the physician, also
known as Telemedicine is a major step along this transition because it determines if the patient
would be getting admitted to the facility, getting discharged, or referred to the outpatient day
clinic. Based on this patient’s presenting and past history, the LMSW recommendation, and the
physician’s assessment of the patient with his or her qualified experience, a final
recommendation is made about this patient presenting status. Once the physician completes his
interview and makes his or her recommendation, he puts the orders in the Computerized Provider
Order Entry (CPOE) in the patients EHR, which almost always includes the patients admitting
diagnoses, some form of laboratory work, specific precautions and observations, medications,
with a host of other orders for the nurses to carry out. If a patient is recommended for discharge
or outpatient care, but initially presented under DW with a police officer, the DW is lifted-off by
the physician and a cab is called upon and requested to drop off patient back to their place of
residence to ensure they are adequately and safely discharged to their place of residence as part
of the hospital discharge safety plan for patients, otherwise if a patient is recommended for an
inpatient admission, then the patient would be transferred to the unit for a continuous care and
monitoring by the nurses and the attending physicians on the units.
Leaders of healthcare organizations often design workflow with efficiency and
effectiveness in mind (Laureate Education, 2012f). With a well-designed system in my
organization to ensure an efficient and effective admission transition, Time and cost, are tools
currently used to measure the soundness of the workflow and the quality of care we provide to
our patients from the moment they walk into our facility. As part of our hospital policy to ensure
a timely transition in the admission process, a maximum of a one-hour window time frame as
been implemented for this admission process, which is being daily evaluated and audited by the
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
6
intake manager based on the information entered in our electronic EMTALA log by the
receptionist in an entirely different department as previously stated. In evaluating cost as a tool
for the measurement for effective workflow and quality care, there is a defined amount of
employee scheduled to work in this department daily and around the clock. These employees
range from the physician to the LMSW and MHT, who are scheduled based on the organizations
budget to meet up with the influx of patients seeking a psychiatric evaluation.
In my opinion, a missing piece to this line of admission process where improvements
could occur to bring about a change in the workflow is the involvement of nurses in this
admission process. Nurses possess much-advanced skills that could help with a better
coordination of this transition. With the presence of a nurse, a patient can be assessed upon
arrival for any medical concerns that immediately needs to be addressed and referred out for
medical clearance in the medical emergency department. Also, if the Telemedicine physician
considers a patient suitable for discharge or recommends an outpatient treatment, but the nurse
physically present with this patient has a doubt about this decision based on his or her own
assessment, this patient can then be advocated for by this nurse by presenting his or her concerns
about the circumstances surrounding his or her opinion about this suggestion. Lastly, the ability
to critically think, and the application of evidence-based knowledge to make sound decisions in a
situation where a Telemedicine physician is temporary unreachable due to a situation like
technical difficulties experienced in the phase of admission makes the presence of a nurse in this
line of admission critical.
In ensuring the delivery of a safe and quality care to patients by healthcare professionals,
it is important for nurse managers to be aware of the flow of activities and implement changes or
adjustments as necessary for an adequate workflow patterns that maximize the effective use of
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
7
resources and minimize activities that brings about waste of resources. In a situation experienced
by my organization, in reckoning that importance of a nurse in this admission process could
bring about quality improvement.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
8
References
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning
Laureate Education, Inc. (Executive Producer). (2012f). System design and workflow. Baltimore,
MD: Author.
Running head: ADOPTION OF NEW TECHNOLOGY SYSTEM
Adoption of new technology system
Name: Isaac Kuffour
Instructor: Camilla Jaekel, Ph.D
Course: NURS 6051 Transforming Nursing and Healthcare through Technology
Date: January 7th, 2019
1
ADOPTION OF NEW TECHNOLOGY SYSTEM
2
Our health care facility should implement the modern technology of the electronic health
record so as to help us in enhancing our lives and the lives of patients. Discussion and sharing
of information is a vital tool to enhance staff-based competency assessment. In developing
electronic health records, it guarantees eligible nurse members to share information within a
facility (Valdez, 2008). However, the extensive knowledge and diverse professional
application for which each nurse is accessing the electronic health records end up giving rise
to care service gaps and problems. Job and assigned tasks to the nursing teams seem to have a
conflicting interest violating the informatics systems that require a consistent flow of
information from medical practitioners down to the nurses.
The patient care errors developed by the study stem from the sharing of vital
information issues alleged by the junior staff against the physicians. Despite the clear tasks
assigned there is a problem that disintegrates the flow of data in the working environment that
can result in service errors (Rogers & Effken, 2003). The electronic health records will have
essential strengths, weaknesses, threats, and opportunities to the informatics that control
preceptee information management. Information and communication technologies (ICTs)
promote patient-centered care, enhance the quality of services, and educate all stakeholders in
healthcare.
In creating the electronic information system for the practicum project, it will offer an
up to date annual education for the nurse preceptor, preceptee, in-service dates, and rollout
opportunities (Valdez, 2008). The system connects through an on-campus network or VPN
using EAD account in which information can be shared within the facility. However,
weaknesses and threats arise when the staff member ignores to operate on the electronic health
records to navigate the information on their side and that of juniors. With the need to prioritize
client interest and address the threat, a collaboration website developed ensures all staff can
immediately access all process documents, procedures, schedules, and other resources. Thus
ADOPTION OF NEW TECHNOLOGY SYSTEM
3
the electronic health record acts as a virtual file cabinet of information that can open up to more
opportunities such as engaging management information, communication, and automated
decision-making systems (Newhouse, Hoffman, Suflita, and Hairston, 2007). The integration
of the EHR into nursing practice encourages new relationships between experienced nurses
and newly hired colleagues to avoid a conflict of roles and interests.
In addition, other outcomes from a well-coordinated EHR include improved nursing
practice environment, processes, professional satisfaction, and a good overview of the unit
health. Planning is a vital tool to an organization. As a communication and information sharing
instrument, the system can have the capability to integrate short, medium and long-term goals
for the nurses and staff (Rogers & Effken, 2003). The external goals involve bridging the
interests of inpatient care needs which acts as a major gap that limits standard care. The linkage
within the internal structures creates a two-way communication between the hired nurses and
already experienced colleagues for better tracking of the clients’ overall care.
Currently, there is no form of communication between the co-preceptors in evaluating
the preceptee in real time. Preceptors are usually scrambling to fill out evaluation and dates
when the essential task is performed for preceptee at the end of the evaluation (Newhouse,
Hoffman, Suflita, and Hairston, 2007). With the electronic health records, there will be realtime evaluation so that preceptors will know what preceptees have learned or been taught from
filling out the evaluation form in real-time. Communication and sharing of information within
the nursing realm enhance care activities.
Data collection and analysis will rely on individual planning transformational metrics
set within the nursing staff (Valdez, 2008). To measure the success of the system, critique
forms will be utilized to see whether senior preceptors are utilizing and satisfied with the
system in coordinating preceptee evaluation. Success will be measured if the staff is utilizing
the system as intended. The developed facility electronic health record tends to offer conclusive
ADOPTION OF NEW TECHNOLOGY SYSTEM
4
information about all activities related to preceptee services when well implemented. The
positive results achieved assess how best to merge the facility use of technology to source
information from each other, analyze and make it useful for outstanding care (Newhouse,
Hoffman, Suflita, and Hairston, 2007). When nurses utilize the EHR it serves as a central link
between the preceptee and preceptors to access information from each side to ensure a credible
care system.
With increased demand on the need to use information and communication
technologies the service delivery units in healthcare provisions serve as a primary target to
implement the objective (Valdez, 2008). That notwithstanding, studying communication and
information sharing within inpatient units shows how useful the nursing informatics has
currently transformed entire healthcare systems. In a setting that devised technological nursing
data transition platforms connect the patient, nurse, and the care practitioner the scope of this
study will fit the organization mission of providing compassionate, evidence-based nursing
care to patients and families living with cancer in healing and innovative environment
(Newhouse, Hoffman, Suflita, and Hairston, 2007). The EHR helps the preceptors offer
information that the other preceptor used to boost service delivery among recruits.
The project helps in the facilitation of the newly hired nurse recruits to have a natural
linkage to new responsibilities (Valdez, 2008). The roles involved which define sharing
information system are that relying on the nursing informatics is bounded by formal facility
procedures. Rather than much reliance on technology the hospital strategic plan might require
all information shared to general practitioners to have personal clinician consent. A clinical
unit operating under a busy schedule of inpatient services needs to initiate agent information
transition systems. The concept entitles a care center clerk with communication obligations of
receiving conveyed electronic data and verbal information to minimize distraction to the
clinical staff (Newhouse, Hoffman, Suflita, and Hairston, 2007). The outcomes of the study
ADOPTION OF NEW TECHNOLOGY SYSTEM
5
will impact patients, nurses, and care practitioners as the primary role players to enhance the
success of care services.
The EHR attracts no considerable expense given that it’s free and always available to
faculty across the organization (Rogers & Effken, 2003). However, the system can always be
improved and decisions regarding relevant information on the EHR will be eligible for all
faculties who are able to access the system. The experienced nurses hired clinical staff, and any
other relevant care stakeholder takes part in developing a strategy that receives and manipulate
the EHR.
Analyzing the role of nurses as change agents in facilitating the adoption of new technology
The role of a nurse is not only about a series of skills, knowledge, and competencies
acquired from college. In fact, being a nurse is part of the socialization process that involves
the process of internalization and professional identity development. As a registered nurse in
the Emergency Department, I must, therefore, understand how the adoption of new
technology in nursing would lead to the efficient assumption of my roles as a nurse (Valdez,
2008). In nursing, professional identity and sense of belonging facilitate easy adoption of new
technology in the workplace. Professionalism is a crucial nursing concept that I can only
acquire through interpersonal, individual-work-place and interaction relationship with my
clients and my colleagues in the Emergency Department and the health facility at large.
Through interactions with my patients in the Emergency Department, I have realized that
developing as a nurse a sense of becoming that involves internalization of values and
personal dedication during the professional socialization process with the patients, staff, and
management at the workplace (Newhouse, Hoffman, Suflita, and Hairston, 2007). How I
view myself as a nurse entails professional identity and socialization with my patient has
enabled me to appreciate that I am a nurse who can perform my nursing responsibly and
ADOPTION OF NEW TECHNOLOGY SYSTEM
6
skilfully by adopting new technologies. Many emergency cases that I have handled in the
Emergency Department have been so successful with only one exception where the patient
was referred to us after he had passed on. I have learned to consult a lot with my fellow
experts in the department to ensure that we offer the best health services to the patients
referred to us. Socialization has enabled me to acquire the required knowledge and skills to
accomplish my professional with professional and valued norms through continuous
consultation with the medics with more experience than me. I have internalized values of the
nursing profession that are paramount for my professional development since they offer a
ground for moral behaviors (Valdez, 2008). Through professional socialization, I have
obtained the necessary dedication in the profession with critical thinking, and problemsolving practices needed in nursing.
In nursing practice, planned change is essential for a broad range of reasons. However,
implementing the change theory may be challenging. Comprehending and applying the
change theory would increase my likelihood of success as I install the digital way to take data
of patient within the Emergency Department. Sophisticated comprehensions of organizational
change and organizational dynamics are critical for the development and success of initiative
of digital data entry and storage health promotion in the Emergency Department (Newhouse,
Hoffman, Suflita, and Hairston, 2007). The change theory has crucial contributions to help
me in comprehending organizational change, identifying valuable factors which I should
focus on as I install the digitalize the process of data entry and storage of clients within the
Emergency Department and in the selection of the most appropriate strategies which could be
used to enhance this change.
Nursing refers to an art, a technology, or assisting services which ensure the wellbeing of other people. Activities intentionally selected and carried out by nurses should help
people or groups under their care change or maintain the conditions in their environments or
ADOPTION OF NEW TECHNOLOGY SYSTEM
7
themselves. Rogers (2003) nursing includes the health condition perspective of the patient,
the perspective of the physicians, as well as the nursing perspectives. Once the needs are
determined, the nurses have to choose the needed nursing systems to offer care: educative
and supportive systems and wholly compensatory. The care should be provided according to
the deficit level. Immediately the care is offered, the activities of nursing and nursing systems
use can be evaluated to get an idea about whether the mutually planned objectives are
achieved or not.
References
Rogers, S. and Effken, J. (2003). Studies in perception and action VII. Mahwah, N.J.: L.
Erlbaum Associates.
ADOPTION OF NEW TECHNOLOGY SYSTEM
8
Newhouse, R. P., Hoffman, J. J., Suflita, J., & Hairston, D. P. (2007).Evaluating an
innovative program to improve new nurse graduate socialization into the acute
healthcare setting.Nursing administration quarterly, 31(1), 50-60.
Valdez, A. M. (2008). Transitioning from novice to competent: what can we learn from the
literature about graduate nurses in the emergency setting?. Journal of Emergency
Nursing, 34(5), 435-440.
Purchase answer to see full
attachment
The Flowchart for psychiatric admission
Stanley Okeyemi
NURS 6051: Transforming Nursing and Healthcare Through Technology
Walden University
January 22nd, 2017
1
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
START
STOP
Patient
presents to
Hospital Lobby
Discharged
Home
Transfer
Patients from
another facility
Receptionist
calls LMSW
and MHT
Admitted to
the Unit
Involuntary
and Police
escorted
Patient
STOP
2
Not Meeting
Admission
Requirement
Safety Search
Assessment by
LMSW
Tele Medicine
Doctor
Assessment
Meets
Admission
Requirements
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
3
The purpose of this paper is to identify, discuss, and evaluate the workflow process my
organization has adopted for the admission of new patients from the inception of their arrival to
the hospital, with a transition of being admitted to the inpatient unit or getting discharge, and the
various steps involved in this process, by utilizing a designed flowchart for the transitional care
of patients from the intake departments to the units. Workflow in nursing informatics could be
defined as a progression of tasks, events, and interactions that are designed to add value to the
work process of an organization’s activities (McGonigle and Mastrian, 2015). While workflow is
termed as stated, it also involves the execution of a series of tasks in a predetermined sequence
(McGonigle and Mastrian, 2015). With an understanding of this definition, this paper will further
discuss the different roles health care workers play in my organization workflow process, and the
metrics utilized to measure the effectiveness of the workflow, and then identify possible areas of
waste.
The organization I am currently employed with is an 84-bed inpatient mental and
behavioral health facility, dedicated to serving the specialized needs of children, adolescents,
adults, and seniors with mental health issues such as depression, anxiety and stress, bipolar
disorder, behavioral problems, and alcohol abuse dependency. This organization accepts patients
that are voluntary walk-ins, transfers from other facilities like medical hospitals, group homes,
nursing homes, and from other behavioral health hospitals (per patients request or due to
insurance reasons). Also, patients that present with police officers under a detention warrant
(DW) are also included in this category of candidates for admission, except on rare occasions
where an officer may present with a patient on a voluntary status, after the officer assumes that
this patient just needs help with a police escort to a behavioral facility, and the patients
presenting behavioral or complain is not justifiable to be under a warrant.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
4
Upon patients arrival to the hospital’s front desk lobby by any of these means listed
above, the receptionist at the front desk lobby is always present to receive and welcome them
into the facility. This receptionist immediately registers this patient’s arrival information on the
electronic computer screen for a free assessment as part of the Emergency Medical Treatment
and Labor Act (EMTALA), which is a federal law that requires anyone coming to an emergency
department to be stabilized and treated, regardless of their insurance status or ability to pay for
treatment. A Mental Health Technician (MHT) and a Licensed Master Social Worker (LMSW)
are called upon via phone by the receptionist with information about the arrival of this new
patient. The MHT and LMSW then walk up to the front desk lobby to escort this patient to an
assessment room in the intake department for an interview, and also to promote privacy as part
of the Health Insurance Portability and Accountability Act (HIPAA), which is a legislative law
that provides data privacy and security provisions for safeguarding patient’s medical
information. In this chamber, a handheld security detector is used to wand this patient and also
physically searched for contrabands as part of the hospital policy and procedure, and also the
Joint Commission standard of practice in ensuring the safety of this patient and every other one
around in the facility. The MHT then enters the assessment room to check the patient’s vital
signs with an electronic blood pressure monitor. The LMSW at this time starts to complete an
integrated psychosocial assessment on this patient. Upon completion, the patients information is
inputted in the Electronic Health Record (EHR) computer system called ‘ReadyAnswer’ in a
SBAR (S-Situation, B-Background, A-Assessment and R-Recommendation) format, and then
forwarded to the Telemedicine admitting physician via the computer to view all the necessary
information needed to be known about this patient before any video encounter begins between
this physician and the patient.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
5
This phase of a video encounter and assessment of the patient by the physician, also
known as Telemedicine is a major step along this transition because it determines if the patient
would be getting admitted to the facility, getting discharged, or referred to the outpatient day
clinic. Based on this patient’s presenting and past history, the LMSW recommendation, and the
physician’s assessment of the patient with his or her qualified experience, a final
recommendation is made about this patient presenting status. Once the physician completes his
interview and makes his or her recommendation, he puts the orders in the Computerized Provider
Order Entry (CPOE) in the patients EHR, which almost always includes the patients admitting
diagnoses, some form of laboratory work, specific precautions and observations, medications,
with a host of other orders for the nurses to carry out. If a patient is recommended for discharge
or outpatient care, but initially presented under DW with a police officer, the DW is lifted-off by
the physician and a cab is called upon and requested to drop off patient back to their place of
residence to ensure they are adequately and safely discharged to their place of residence as part
of the hospital discharge safety plan for patients, otherwise if a patient is recommended for an
inpatient admission, then the patient would be transferred to the unit for a continuous care and
monitoring by the nurses and the attending physicians on the units.
Leaders of healthcare organizations often design workflow with efficiency and
effectiveness in mind (Laureate Education, 2012f). With a well-designed system in my
organization to ensure an efficient and effective admission transition, Time and cost, are tools
currently used to measure the soundness of the workflow and the quality of care we provide to
our patients from the moment they walk into our facility. As part of our hospital policy to ensure
a timely transition in the admission process, a maximum of a one-hour window time frame as
been implemented for this admission process, which is being daily evaluated and audited by the
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
6
intake manager based on the information entered in our electronic EMTALA log by the
receptionist in an entirely different department as previously stated. In evaluating cost as a tool
for the measurement for effective workflow and quality care, there is a defined amount of
employee scheduled to work in this department daily and around the clock. These employees
range from the physician to the LMSW and MHT, who are scheduled based on the organizations
budget to meet up with the influx of patients seeking a psychiatric evaluation.
In my opinion, a missing piece to this line of admission process where improvements
could occur to bring about a change in the workflow is the involvement of nurses in this
admission process. Nurses possess much-advanced skills that could help with a better
coordination of this transition. With the presence of a nurse, a patient can be assessed upon
arrival for any medical concerns that immediately needs to be addressed and referred out for
medical clearance in the medical emergency department. Also, if the Telemedicine physician
considers a patient suitable for discharge or recommends an outpatient treatment, but the nurse
physically present with this patient has a doubt about this decision based on his or her own
assessment, this patient can then be advocated for by this nurse by presenting his or her concerns
about the circumstances surrounding his or her opinion about this suggestion. Lastly, the ability
to critically think, and the application of evidence-based knowledge to make sound decisions in a
situation where a Telemedicine physician is temporary unreachable due to a situation like
technical difficulties experienced in the phase of admission makes the presence of a nurse in this
line of admission critical.
In ensuring the delivery of a safe and quality care to patients by healthcare professionals,
it is important for nurse managers to be aware of the flow of activities and implement changes or
adjustments as necessary for an adequate workflow patterns that maximize the effective use of
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
7
resources and minimize activities that brings about waste of resources. In a situation experienced
by my organization, in reckoning that importance of a nurse in this admission process could
bring about quality improvement.
THE FLOWCHART FOR PSYCHIATRIC ADMISSION
8
References
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning
Laureate Education, Inc. (Executive Producer). (2012f). System design and workflow. Baltimore,
MD: Author.
Running head: ADOPTION OF NEW TECHNOLOGY SYSTEM
Adoption of new technology system
Name: Isaac Kuffour
Instructor: Camilla Jaekel, Ph.D
Course: NURS 6051 Transforming Nursing and Healthcare through Technology
Date: January 7th, 2019
1
ADOPTION OF NEW TECHNOLOGY SYSTEM
2
Our health care facility should implement the modern technology of the electronic health
record so as to help us in enhancing our lives and the lives of patients. Discussion and sharing
of information is a vital tool to enhance staff-based competency assessment. In developing
electronic health records, it guarantees eligible nurse members to share information within a
facility (Valdez, 2008). However, the extensive knowledge and diverse professional
application for which each nurse is accessing the electronic health records end up giving rise
to care service gaps and problems. Job and assigned tasks to the nursing teams seem to have a
conflicting interest violating the informatics systems that require a consistent flow of
information from medical practitioners down to the nurses.
The patient care errors developed by the study stem from the sharing of vital
information issues alleged by the junior staff against the physicians. Despite the clear tasks
assigned there is a problem that disintegrates the flow of data in the working environment that
can result in service errors (Rogers & Effken, 2003). The electronic health records will have
essential strengths, weaknesses, threats, and opportunities to the informatics that control
preceptee information management. Information and communication technologies (ICTs)
promote patient-centered care, enhance the quality of services, and educate all stakeholders in
healthcare.
In creating the electronic information system for the practicum project, it will offer an
up to date annual education for the nurse preceptor, preceptee, in-service dates, and rollout
opportunities (Valdez, 2008). The system connects through an on-campus network or VPN
using EAD account in which information can be shared within the facility. However,
weaknesses and threats arise when the staff member ignores to operate on the electronic health
records to navigate the information on their side and that of juniors. With the need to prioritize
client interest and address the threat, a collaboration website developed ensures all staff can
immediately access all process documents, procedures, schedules, and other resources. Thus
ADOPTION OF NEW TECHNOLOGY SYSTEM
3
the electronic health record acts as a virtual file cabinet of information that can open up to more
opportunities such as engaging management information, communication, and automated
decision-making systems (Newhouse, Hoffman, Suflita, and Hairston, 2007). The integration
of the EHR into nursing practice encourages new relationships between experienced nurses
and newly hired colleagues to avoid a conflict of roles and interests.
In addition, other outcomes from a well-coordinated EHR include improved nursing
practice environment, processes, professional satisfaction, and a good overview of the unit
health. Planning is a vital tool to an organization. As a communication and information sharing
instrument, the system can have the capability to integrate short, medium and long-term goals
for the nurses and staff (Rogers & Effken, 2003). The external goals involve bridging the
interests of inpatient care needs which acts as a major gap that limits standard care. The linkage
within the internal structures creates a two-way communication between the hired nurses and
already experienced colleagues for better tracking of the clients’ overall care.
Currently, there is no form of communication between the co-preceptors in evaluating
the preceptee in real time. Preceptors are usually scrambling to fill out evaluation and dates
when the essential task is performed for preceptee at the end of the evaluation (Newhouse,
Hoffman, Suflita, and Hairston, 2007). With the electronic health records, there will be realtime evaluation so that preceptors will know what preceptees have learned or been taught from
filling out the evaluation form in real-time. Communication and sharing of information within
the nursing realm enhance care activities.
Data collection and analysis will rely on individual planning transformational metrics
set within the nursing staff (Valdez, 2008). To measure the success of the system, critique
forms will be utilized to see whether senior preceptors are utilizing and satisfied with the
system in coordinating preceptee evaluation. Success will be measured if the staff is utilizing
the system as intended. The developed facility electronic health record tends to offer conclusive
ADOPTION OF NEW TECHNOLOGY SYSTEM
4
information about all activities related to preceptee services when well implemented. The
positive results achieved assess how best to merge the facility use of technology to source
information from each other, analyze and make it useful for outstanding care (Newhouse,
Hoffman, Suflita, and Hairston, 2007). When nurses utilize the EHR it serves as a central link
between the preceptee and preceptors to access information from each side to ensure a credible
care system.
With increased demand on the need to use information and communication
technologies the service delivery units in healthcare provisions serve as a primary target to
implement the objective (Valdez, 2008). That notwithstanding, studying communication and
information sharing within inpatient units shows how useful the nursing informatics has
currently transformed entire healthcare systems. In a setting that devised technological nursing
data transition platforms connect the patient, nurse, and the care practitioner the scope of this
study will fit the organization mission of providing compassionate, evidence-based nursing
care to patients and families living with cancer in healing and innovative environment
(Newhouse, Hoffman, Suflita, and Hairston, 2007). The EHR helps the preceptors offer
information that the other preceptor used to boost service delivery among recruits.
The project helps in the facilitation of the newly hired nurse recruits to have a natural
linkage to new responsibilities (Valdez, 2008). The roles involved which define sharing
information system are that relying on the nursing informatics is bounded by formal facility
procedures. Rather than much reliance on technology the hospital strategic plan might require
all information shared to general practitioners to have personal clinician consent. A clinical
unit operating under a busy schedule of inpatient services needs to initiate agent information
transition systems. The concept entitles a care center clerk with communication obligations of
receiving conveyed electronic data and verbal information to minimize distraction to the
clinical staff (Newhouse, Hoffman, Suflita, and Hairston, 2007). The outcomes of the study
ADOPTION OF NEW TECHNOLOGY SYSTEM
5
will impact patients, nurses, and care practitioners as the primary role players to enhance the
success of care services.
The EHR attracts no considerable expense given that it’s free and always available to
faculty across the organization (Rogers & Effken, 2003). However, the system can always be
improved and decisions regarding relevant information on the EHR will be eligible for all
faculties who are able to access the system. The experienced nurses hired clinical staff, and any
other relevant care stakeholder takes part in developing a strategy that receives and manipulate
the EHR.
Analyzing the role of nurses as change agents in facilitating the adoption of new technology
The role of a nurse is not only about a series of skills, knowledge, and competencies
acquired from college. In fact, being a nurse is part of the socialization process that involves
the process of internalization and professional identity development. As a registered nurse in
the Emergency Department, I must, therefore, understand how the adoption of new
technology in nursing would lead to the efficient assumption of my roles as a nurse (Valdez,
2008). In nursing, professional identity and sense of belonging facilitate easy adoption of new
technology in the workplace. Professionalism is a crucial nursing concept that I can only
acquire through interpersonal, individual-work-place and interaction relationship with my
clients and my colleagues in the Emergency Department and the health facility at large.
Through interactions with my patients in the Emergency Department, I have realized that
developing as a nurse a sense of becoming that involves internalization of values and
personal dedication during the professional socialization process with the patients, staff, and
management at the workplace (Newhouse, Hoffman, Suflita, and Hairston, 2007). How I
view myself as a nurse entails professional identity and socialization with my patient has
enabled me to appreciate that I am a nurse who can perform my nursing responsibly and
ADOPTION OF NEW TECHNOLOGY SYSTEM
6
skilfully by adopting new technologies. Many emergency cases that I have handled in the
Emergency Department have been so successful with only one exception where the patient
was referred to us after he had passed on. I have learned to consult a lot with my fellow
experts in the department to ensure that we offer the best health services to the patients
referred to us. Socialization has enabled me to acquire the required knowledge and skills to
accomplish my professional with professional and valued norms through continuous
consultation with the medics with more experience than me. I have internalized values of the
nursing profession that are paramount for my professional development since they offer a
ground for moral behaviors (Valdez, 2008). Through professional socialization, I have
obtained the necessary dedication in the profession with critical thinking, and problemsolving practices needed in nursing.
In nursing practice, planned change is essential for a broad range of reasons. However,
implementing the change theory may be challenging. Comprehending and applying the
change theory would increase my likelihood of success as I install the digital way to take data
of patient within the Emergency Department. Sophisticated comprehensions of organizational
change and organizational dynamics are critical for the development and success of initiative
of digital data entry and storage health promotion in the Emergency Department (Newhouse,
Hoffman, Suflita, and Hairston, 2007). The change theory has crucial contributions to help
me in comprehending organizational change, identifying valuable factors which I should
focus on as I install the digitalize the process of data entry and storage of clients within the
Emergency Department and in the selection of the most appropriate strategies which could be
used to enhance this change.
Nursing refers to an art, a technology, or assisting services which ensure the wellbeing of other people. Activities intentionally selected and carried out by nurses should help
people or groups under their care change or maintain the conditions in their environments or
ADOPTION OF NEW TECHNOLOGY SYSTEM
7
themselves. Rogers (2003) nursing includes the health condition perspective of the patient,
the perspective of the physicians, as well as the nursing perspectives. Once the needs are
determined, the nurses have to choose the needed nursing systems to offer care: educative
and supportive systems and wholly compensatory. The care should be provided according to
the deficit level. Immediately the care is offered, the activities of nursing and nursing systems
use can be evaluated to get an idea about whether the mutually planned objectives are
achieved or not.
References
Rogers, S. and Effken, J. (2003). Studies in perception and action VII. Mahwah, N.J.: L.
Erlbaum Associates.
ADOPTION OF NEW TECHNOLOGY SYSTEM
8
Newhouse, R. P., Hoffman, J. J., Suflita, J., & Hairston, D. P. (2007).Evaluating an
innovative program to improve new nurse graduate socialization into the acute
healthcare setting.Nursing administration quarterly, 31(1), 50-60.
Valdez, A. M. (2008). Transitioning from novice to competent: what can we learn from the
literature about graduate nurses in the emergency setting?. Journal of Emergency
Nursing, 34(5), 435-440.
Purchase answer to see full
attachment
Categories: