Choices that prepared me for my online nursing classes

February 1, 2010 by Admin

We all made choices about the types of courses we wanted to take when we were in junior high school and high school. I went to high school long before the age of computers but know one course choice I made in 8th grade prepared me well for this class. No, it wasn’t a science class or a health class but instead it was a typing class. I cannot imagine doing the homework assignments if I couldn’t type fast. Thank you to my parents for encouraging me to take typing, I remember telling them, it was a waste of time and I wouldn’t need it as a nurse. I apologize to them both and thank them for guiding me well.

Online Education Health Care Informatics Certificate Program

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Health care Informatics: data, information, knowledge, and wisdom

January 29, 2010 by Admin

Health care informatics, as defined by Englebardt and Nelson, 2002, is the study of how health care data, information, knowledge, and wisdom are collected, stored, processed, communicated, and used to support the process of health care delivery to clients, providers, administrators, and organizations involved in health care delivery. There are many variations of this definition, all with ultimately the same meaning. The statement that effectively explains the importance of this field is by Hannah, Ball, and Edwards, 1999, that stated, health care informatics, is truly interdisciplinary. In its truest form it focuses on the care of the patient, not a specific discipline. Therefore, even though there are specific bodies of knowledge for each health care profession, they all interface at the patient. The increasing awareness health care organizations are developing towards the informatics discipline is proving its value. I realize it is an evolving discipline and will continue to progress and grow in correlation with technology and the electronic medical record. Information systems, information technology, information literacy, information management-information is all around us every day. Understanding how to evaluate the information available is critical to deciphering the true unbiased detail of the data. Although there is no control of the validity of data available on the Internet and the fact that there is an abundance of information, doesn’t necessarily mean the information on the subject is valid. Following criteria designed to evaluate information, will help an individual find and use quality information. Some criteria to use: is the source or authority reliable; is the data current; is it organized logically and easy to navigate; is it objective and free of bias; and is the data accurate and error-free. Developing a checklist and a form to assist with data collecting and decision making will serve as tools to enhance the evaluation of on-line material. In this age, information is plentiful. Understanding how to collect and process information is vitally important. One simply must be information literate.

Online Education Health Care Informatics Certificate Program

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Information Technology: A Mandatory Part of Nursing Curriculum

January 29, 2010 by Admin

I feel that most nursing programs do focus on the bedside care of the patients. As a clinical nursing instructor teaching disease process, nursing assessment, medications, clinical skills and patient education are a priority in our program. Our program has integrated technology however. The students that we have are very techno savvy. They have the ability to text page, while taking notes during lecture and respond to IM. These students will have no problem with the new computer charting that many of us “mature” nurses have. Our program gives the students PDA’s with dictionaries, drug books, and lab manuals loaded on them to use as references. Lectures are placed on Blackboard for students to download and study from. We have the ability to interact with our students online for preclinical assignments. This allows the students and instructors to be at home with family and friends rather than back out in the classroom. Nursing schools don’t necessarily have to teach computer skills as part of the curriculum, but can have the students take a class as a prerequisite. Each hospital has their own system and the types of equipment changes as newer and better one arrive. The new nurses will get the training on the equipment and system that is used by that hospital as part of the orientation process. I believe that we are doing a good job of using some of this technology in my program to help better prepare our students.

Online Education Health Care Informatics Certificate Program

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Information Literacy and Information Systems

January 29, 2010 by Admin

Information Literacy There is a phenomenal amount of information available to us every day, which is generally not difficult to acquire: although time-consuming in some instances. We now live in an era where information is all around us, available in various forms and from various sources and relatively inexpensive, and, often at no cost. When an issue requires researching one can gain the knowledge from resources such as: text books, journals, local and national newspapers, television, radio, and the never-ending World Wide Web. To be most effective in utilizing these areas of information gathering, it is important to know how to locate, search, obtain, access, and evaluate the information. This allows for an efficient use of resources. I am pleased to learn of the Information Literacy Competency Standards for Higher Education, which provides a framework for assessing the information by a literate individual. Developing information literacy within an individual is critical to their journey throughout their life. I find it extremely beneficial these standards extend the opportunity to articulate its information literacy competencies within K-12 grades, in order for a continuum of expectations to develop for students at all levels. How fabulous it is to see that information literacy is becoming more of a requirement than a nice-to-know subject in many areas. Additionally, I applaud the regulatory agencies for identifying the need for information literacy to be part of their criteria, this proves how valuable information literacy truly is in the world we live in today. Information Systems is yet another fascinating topic to understand the depths of its function. Basically, this is the “heart beat” of many organizations today. Information systems provide information to the users, which will facilitate the work of the organization. Many times it seems as though Information Systems departments drive an organization and until they say “yes,” to a particular project affecting the company’s infrastructure, it doesn’t happen. This tends to be frustrating for most individuals within an organization. However, understanding the needs, analysis, infrastructure, and resources involved is a critical factor in determining the necessity of implementation of a project request. Unfortunately, moving an organization to another level of automation can be very time-consuming and expensive; however, many times the outcomes can improve workflow processes, increase productivity, and improve data integrity. As I learned, the basic information system consists of 4 elements: people, procedures, communication, and data. As I reflected on these elements, I realized it is an awesome way to identify any “information system” whether manual or automated. For an organization to be successful each element plays a vital role in handling information.

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The Impact of On-line Education in The Rural Setting

January 6, 2010 by Admin

Education of nursing staff in the rural setting has long been a challenge. The cost of bringing educators out into the rural environment to present to a small handful of staff severely limit’s the amount of actual classes a facility can offer. This, coupled with the current economic times, has practically stopped on site education for the rural hospitals. The advent of easy to access and cost effective on line education has been a life saver to the educational component of nursing. It is now possible for the nurses to keep current on trends and standards of practice without having to travel long distances to do so. The hospital doesn’t have to spend as great a portion of it’s to few resources on the education needed by the staff. Those few dollars can now be used for the certifications that need to be done on site, such as trauma nursing core courses. The other benefit to on line courses is that nurses can take these classes while at work, during the times that the unit is patient free. This happens more often than we would like to see, but at least now the staff can use that time for something constructive.

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Internet Access: Changing Rural Nursing

January 5, 2010 by Admin

Working in a small rural hospital you get used to doing without and making do with what you have. Money is always an issue, and the nursing staff longingly looks at more modern equipment, better forms, and electronic medical records.

While we may be small, we are still held to the same standards of nursing that any nurse is held to. We still need to do patient assessments, carry out doctors orders, and give good, solid patient care. The area that becomes problematic is in the education and discharge instructions that must be given to patients. Without the money to buy programs it has long been a struggle to develop adequate information that can be disseminated to the patient. It is now possible to go on line and take advantage of many free programs that offer patient education materials and discharge instructions.

Our hospital has been able to pick a site that the nurses and providers felt met our needs, and we can go online and print off any education and discharge instructions that will meet each patients needs. We are now able to give disease specific, up to date, instructions. Our patients are now very informed on their disease process, and we passed our Critical Access Hospital survey tag dealing with education and discharge planning.

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Changes in Cardiac Care

January 4, 2010 by Admin

It used to be that if your heart was “acting funny” you were put in the hospital on a monitor and stuck in one unit in the hospital. Different drugs were tried on you, and you had to stay directly on that unit while someone sat at a desk and tried to capture that “funny” activity on a strip of paper.

We now have technology that allows much more freedom, both for the patient while the heart trouble is being diagnosed, and in the treatments that are available.

Patients are no longer stuck on one unit in a hospital while staff try to catch and document the funny electrical activity. A patient wears a holter monitor that is recording the hearts activity for 24 hours or longer while they continue on with their normal activities of daily living.

If the electrical activity turns out to be a conduction problem, the patient can undergo ablation therapy. This involves putting wires into the heart and stimulating the different pathways of the heart until the one that is causing the interruption is identified. At that point the pathway is ablated, cutting off the pathway. This is all done using computers to analyze the data from the heart.

If the patient does end up in the hospital, the nurse is no longer tied to the desk if they want to watch the patient’s cardiac activity. A patient’s telemetry unit now can be transmitted to small computers that the nurse carries with her as she goes about doing her usual duties. At any time the nurse can check the patient’s status. The small computer will also notify the nurse if it identifies a rhythm that is unusual.

These advances not only help with patient management, but also increase the safety of patient care.

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Charting in the Era of EMR

January 4, 2010 by Admin

I am still of the era of nurses that entered a patients room with my rounds sheet tucked into my uniform pocket.  The secret was to not let the patient see this sheet, and be able to remember their name, main diagnosis, and what you needed to check in them.  You would go through your complete assessment including vital signs, and when you left the room you would pull out your little sheet of paper and write down all of the information you just collected.  This procedure was repeated for all eight of your patients.  When you were done, you then sat at the nurses’ station and pulled the individual charts so you could transfer the information onto the required forms. 

It is not hard to see how the electronic medical record has benefited the role of nursing.  The first improvement is in time management.  You can actually take the information and enter it once.  This is the only time you write the information.  The second advantage is in correct data entry.  You can enter the data as you gather it.  There is less chance of forgetting the information before you write it in the patient record.   The third benefit is in gathering the correct information on each patient.  Electronic medical records prompt you to gather the required information.

I speak purely from a hypothetical standpoint because I personally have not had the chance to utilize an electronic medical records system.  Our hospital is still struggling to come up with the money required to purchase and implement a system.  I can, however, dream about how easy it will make my life once we get one!!!

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Stress and workload, comment

December 28, 2009 by Admin

I also agree with both the original poster and the commentor regarding the stress of completing our nursing degrees and dealing with life in general. I also have a full time job where I travel around the country. I find that our textbooks are too heavy to take on the road so most times, I leave it at home and do my work on the weekends. My family responsibilities have changed as my children have completed their educations and now I feel that I must complete my own education. I am taking the degree completion RN program and find that when I have time to study and read, it is very enjoyable. I do feel stressed during my tests but that was like that 30 years ago in my diploma nursing program. I read that "A state of stress turns on the stress response mechanism" in Thibodeau’s Anatomy and Physiology. Our body helps us respond to stress and usually that works for me. I know that I will feel a lot less stressed when I finish my current class and then my Capstone class. I really feel that I have increased my knowledge and enjoyed learning "again" so much that I learned so many years ago. I think that we will all be better nurses due to this online learning. We should all be so proud of ourselves for pushing through our "stress" and making graduation happen!

Original Post
June 15, 2009
Title: Stress and workload
I thought it was appropriate to discuss stress because that’s exactly what I am feeling about my degree program. It does feature online interaction and computer use. The purpose of my degree program was to prepare myself on how to be a better Community Health Nurse; I did not think it was to send time on academic work. I went to bed last night feeling very stressed. My workday is already 9 hours long and by the time I get to my computer at night I am already tired and stressed. What am I going to do about it? I don’t know. I am sure I am not the only one feeling this way. Many Nurses are already feeling the strain of work, family, education etc. I graduated from Nursing in 1982 at the ripe age of 19; it was a 3-year diploma program. Now it’s all about the degree and it is becoming increasingly difficult for diploma nurses to move forward in their career. With the national nursing shortage one would think the government would concentrate on more effective ways for diploma nurses to bridge over to their degree. I can’t afford to take 2 years off to go back to school and taking a course at a time I will be ready to retire by the time I get my degree.

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Patient Education, Computers, Internet; comment

December 28, 2009 by Admin

I agree that the medical knowledge is much easier for everyone to obtain. It has made it much easier to provide patient education to our patients in the occupational healthcare setting. We simply go to a program called Dynamed and can quickly obtain the information we need, print the patient education flyers, and even obtain continuing education credit for completing the entire reading on the topic. This has made it very easy to provide concise, complete, and up to date information on a variety of topics. I remember 20 years ago in the ER, we had a "card" file on about 20 diagnoses that we gave to patients for information on their diagnosis. It was very generic and non-specific compared to today’s Internet information.

Original Post
May 27, 2009
Title: Patient Education, Computers, Internet
The Internet has made access to medical knowledge much easier for everyone to obtain. At one time the information was only available through books, available at the Dr.’s office, hospital library, or medical library. The information is now available to patients as well as anyone who wants to find more information on a medical subject.
At the click of the mouse, a nurse can find out if 2 medications are compatible in IV form. Before she would have to look it up in an IV handbook, if one was available, or call the pharmacy.
I find that some patients are more informed about their own health, and can participate in their own healthcare, especially when multiple disciplines are concerned. Patients can also look on the Internet and see if there are any natural treatments to assist in their care and then discuss them with their physician. When you pick up an RX, there is printed information about the drug with it.
The Internet has made it possible for many to obtain medical information to either help them as a patient or health care provider.

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