Introduction: The aim of this paper is to illustrate the nursing project proposal to the leadership of a healthcare institution.
The essence of proposing nursing informatics project is to improve the quality of care and patient outcomes (Ngiam & Khor, 2019). The first section entails detailed information on the proposed project. The second section will entail the stakeholders for the proposed project to be effective. Furthermore, the paper will elaborate on how this project will influence the stakeholders and their relationship to the project.
Additionally, the paper will highlight patient outcomes that the project focuses on improving and how the improvement will be achieved. Also, the technology necessary for project implementation will be discussed in detail. The last bit will be the project team members and their roles and, most notably, the functions of nurse informatics on the project.
Description of the project
The proposed project is applying telehealth technology in a health institution; this includes smartphones and laptops. For every shift, all health care providers should utilize portable monitored smartphones and laptops for recording and analyzing information. The information will be used in making sound clinical decisions that will ensure the quality care and safety of patients (Ngiam & Khor, 2019). The health care providers can communicate via a wearable monitor smartphone concerning patient care. For example, radiology staff can communicate to other health care providers regarding a critical imaging result. The interventions can be implemented immediately without wasting time, preventing unnecessary deaths and complications.
For the project to be practical and running, it should have active operators who are the stakeholders. Stakeholders in nursing informatics include the physicians, specialists, therapists, patients, clinicians, nurses, therapists, imaging staff, laboratory technicians, Information Technology (IT) department team, nursing director, supporting staff, chief financial officer, and Board members (Catalyst, 2018). The patients are the consumers of health services, and their health outcomes depend on the quality of care provided. Specialists, clinicians, physicians, therapists, and nurses are health team members who utilize the devices to deliver care. The IT department members are responsible for providing a suitable internet line and connection to support the project.
The most vital stakeholder is the nurse informaticists; they have the technical knowledge and proficiency necessary to determine the appropriate technology that meets needs for both patients and healthcare institutions (Manocchia, 2020). Another stakeholder is the chief financial officer responsible for ensuring the affordability and cost effectiveness of the proposed project and weighing the benefits and harms considering the institution’s financial status. Additionally, the hospital board members assist in decision-making and provide guidance and support to other members when necessary.
The primary role of the Director of Nursing Service is overseeing nursing staff, train and developing policies for nurses (catalyst, 2018). The Director of Nursing Service will train current and new employees about the new technology and formulate the rules and regulations to guard the project.
Patient-Care Efficiencies and patient outcomes
Technology has a vital role in health care delivery. It has changed ways of delivering healthcare services, and as a result, there has been a vast improvement in the quality of care and patients’ outcomes (Manocchia, 2020). Telehealth in healthcare will improve patient access to care efficiently and effectively by enabling patients to book appointments without necessarily meeting the doctors or avail themselves to the hospital premises. This will decrease strain to the health facility and minimize time wastage for both the patient and health care providers. Furthermore, the application of telehealth technology will aid patients with limited mobility; they can access and seek through telehealth devices provided by health institutions at their comfort.
According to Manocchia (2020), “Telehealth offers patients and providers significant benefits at a lower cost, easier way to access quality care.” The application of telehealth technology will enable the accurate collection of information and provide an avenue for comparing current and previous data; this will eliminate diagnostic errors and improve the quality of care and patient outcomes. The use of smartphones and laptops in delivering care will reduce the cost of healthcare and improve the quality of care and patient outcomes (Catalyst, 2018). The telehealth technology will provide an avenue for booking appointments, cutting costs on unnecessary trips to health institutions for patient and reduce strains on health facilities resources.
With the application of telehealth technology, i.e., wearable monitor smartphones and portable computers, healthcare providers can reduce mortality rates and possible complications (Zhu & Cahan, 2016). They can easily share patients’ critical information from different departments, implementing appropriate intervention preventing the patient from foreseen harm and dangers of health events.
Telehealth technology provides an avenue for communication to stable isolated patients either to family members or health workers essential in improving care quality. This practice will minimize nosocomial infections and reduce the costs of Personal Protective Equipment (PPEs). Additionally, telehealth technology can be used in the live interactive video; the information obtained can be transferred electronically and used to diagnose and recommend patient care plans, saving time and resources (Zhu and Cahan, 2018).
Technologies Required for the project
For the project to run, it requires supporting technology. The supporting technology is the wearable monitor smartphones and portable smartphones. The portable laptop can be placed at the nursing desk and isolation centers while Healthcare providers on shift are supposed to wear monitored smartphones. The wearable monitor smartphones and portable laptops will need a server to integrate with the rest of the healthcare institution (Catalyst, 2018). An iPhone can be used as a wearable monitor smartphone, and, in this case, the portable laptop must be mac OS for compatibility. IT department and nurse informatics are responsible for training and orientation for the usage of the new devices.
The project team will include nurses, nurse informatics, clinicians, physicians, therapists, specialists, the nutrition team, radiology team, laboratory technicians, and patients. Any team health worker involved in patients’ admission to discharge and can use the devices to provide care is part of the project team.
For the project to be functional and practical, the nurse informaticists are responsible for teaching and training members in each department; they are required to gather data on telehealth technology and interpret information for members. Furthermore, the IT experts and nurse informatics work in conjugation to orient the project team members to the technology and how to use and handle devices (Zhu & Cahan, 2016). Also, the nurse informaticists are expected to reach the IT team for any system change and upgrades to better the project technology.
Catalyst, N. E. J. M. (2018). What is telehealth?. NEJM Catalyst, 4(1). https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0268
Manocchia, August (2020). Telehealth: Enhancing Care through Technology. Rhode Island Medical Journal, 103(1), 18-20. https://pubmed.ncbi.nlm.nih.gov/32013298/
Ngiam, K. Y., & Khor, W. (2019). Big data and machine learning algorithms for healthcare delivery. The Lancet Oncology, 20(5), e262-e273. DOI: 10.1016/S1470-2045(19)30149-4
Zhu, X., & Cahan, A. (2016). Wearable technologies and telehealth in care management for chronic illness. In Healthcare Information Management Systems (pp. 375-398). Springer, Cham. DOI:10.1007/978-3-319-20765-0_22
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of
Medicine, 377(16), 1585-1592. https://doi.org/10.1056/nejmsr1503323
Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of
Medicine, 377(16), 1585-1592. https://doi.org/10.1056/nejmsr15033
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