Summarize how informatics has impacted or changed nursing practice. Provide an example from your professional experience.     

 

     Informatics has a huge influence on nursing practice. It is how agencies like Joint Commission audits patient care. For example, in my own experience, if a patient in the unit had a pressure ulcer/injury that was acquired while in the unit the hospital was not reimbursed for their care. How this information was audited, was by the admission note. If the patient has a pressure ulcer/injury in the nursing admission assessment, then the hospital would be reimbursed. If this was not in the nursing admission assessment, then it was hospital-acquired and the facility was not reimbursed for the care of the injury. We at one time in the ICU had an influx of new staff and pressure ulcers/injuries were being missed and the facility was losing a large amount of funding. As a result, we had informatics create a need for a cosigner on the note. This caused the nurses to have two RNs assess the skin upon admission instead of one. It helped significantly with our pressure ulcers/injuries noted upon admission. It also helped increase the facility’s funding. This also helped to improve patient care. Informatics help improves patient safety, budget, and documentation.

     On the other hand, I have worked with informatics and had a hard time getting the computer to do what I needed it to do. An article talks about how information is continually trying to improve “computer language” (Cesnik & Kidd, 2010). it is sometimes difficult for the individual to communicate with the computer in the proper language to get it to do what is need (Cesnik & Kidd, 2010). Therefore, it is key to work with informatics to help improve this process.

 

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