NURS 6051Discussion: Big Data Risks and Rewards

NURS 6051Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car Discussion: Big Data Risks and Rewards NURS 6051. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth. Discussion: Big Data Risks and Rewards NURS 6051

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare this Discussion: Big Data Risks and Rewards NURS 6051:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
  • Discussion: Big Data Risks and Rewards NURS 6051

By Day 3 of Week 5

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Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks Discussion: Big Data Risks and Rewards NURS 6051.

*Note: Throughout this program, your fellow students are referred to as colleagues.

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Big Data: Potential Benefits and Risks Example

Big Data in nursing practice has no unified definition. However, the baseline meaning of Big Data corresponds to the enormous size of data regarding volume, velocity, variety, and veracity (Wong et al., 2016).

The advancement of technology and clinical research studies has increased the amount of data handled in every facet of nursing practice. The use of big data in the clinical system has potential benefits and risks Discussion: Big Data Risks and Rewards NURS 6051. This paper will discuss the potential benefits and risks associated with the utilization of big data in nursing clinical systems and propose one strategy to prevent the risks.

Potential Benefit of Using Big Data

In the nursing practice, big data sources include the nursing clinical research findings, patient medical records, and results of clinical examination and laboratory investigations, including imaging. The application of big data concepts in the healthcare industry aims at improving the quality of healthcare outcomes by revolutionizing and modernizing healthcare practice (Agrawal & Prabakaran, 2020).

Including technology in handling big data in nursing and clinical research has potential benefits for future healthcare. Analysis and utilization of big data will positively impact healthcare quality by increasing its effectiveness while reducing costs Discussion: Big Data Risks and Rewards NURS 6051.

Secondly, insight descriptive analysis of big data yields diagnostic data that result in predictive outcomes. The predictive outcomes yield prescriptive results that lead to smarter and cost-effective health outcomes (Dash et al., 2019). Discussion: Big Data Risks and Rewards NURS 6051

This can happen in four different ways: early risk factor determination; early determination of markers or signals of adverse situations of disease or intervention; timely decision making based on analyzed past data; and ability to predict future outcomes of diseases (Pastorino et al., 2019). Through these four ways, big data ensures timely diagnosis and effectiveness of interventions, improved patient safety and pharmaco-vigilance, and disease prevention.

Scrutinizing big data differs from a secondary healthcare data analysis in the health setting. The intention of big data analysis and utilization of this data with undiscovered scope or size is to answer certain research questions and uncover certain disease conditions that are yet to be fully epidemiologically described. Therefore, big data has the potential of changing the course and practice of medicine and nursing by making them more preventive, diagnostic, and therapeutic (Ienca et al., 2018).

Potential Challenge or Risk of Using Big Data

Despite the described benefits of big data, it is still unclear whether it is the answer to the limited quality of care delivery and access faced in different global contexts. The concept of unmeasured confounding makes determinations of the statistical associations in causations Discussion: Big Data Risks and Rewards NURS 6051.

The increase in the size of data increases the chances of biases in data sets and making inferences from the analyzed big data. Various other confounders can cause a high variation in correlations from the big data analyses. As a new concept of data mining and utilization in the clinical system, big data analysis will require specialized advanced technology and skills that are yet to be widespread among clinical researchers and clinicians (Wong et al., 2016).

Further, digital maturity in healthcare lags compared to other fields (Suter-Crazzolara, 2018). There are ethical implications and violations that come with the utilization of big data, such as privacy, gender discrimination, and data protection (Alexandru et al., 2018). A study by Ienca et al. (2018) suggests a solution to the ethical challenges that entails scrutinizing biomedical research using big data regarding social benefits, data control, accountability, purpose, ability, and intention to share. While solvable, the methodological and ethical risks that come with the utilization of big data tend to require proper scrutinization.

Discussion: Big Data Risks and Rewards NURS 6051 Conclusion

The big data concept implies the enormous volume, veracity, and velocity of ever-increasing data available in biomedical research and data analysis Discussion: Big Data Risks and Rewards NURS 6051.

The benefit of the utilization of big data would reduce the cost of healthcare while increasing its effectiveness and timeliness of care. However, there still exist challenges of technical limitations and risks of ethical violations in big data use, which, alongside the apparent lag in big data usage in clinical settings, might jeopardize future integration into nursing practice.

Discussion: Big Data Risks and Rewards NURS 6051 References

Agrawal, R., & Prabakaran, S. (2020). Big data in digital healthcare: lessons learned and recommendations for general practice. Heredity, 124(4), 525-534. https://doi.org/10.1038/s41437-020-0303-2

Alexandru, A., Radu, I., & Bizon, M. (2018). Big Data in Healthcare – Opportunities and Challenges. Informatica Economica, 22(2/2018), 43-54. https://doi.org/10.12948/issn14531305/22.2.2018.05

Dash, S., Shakyawar, S., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: management, analysis, and future prospects. Journal Of Big Data, 6(1). https://doi.org/10.1186/s40537-019-0217-0

Ienca, M., Ferretti, A., Hurst, S., Puhan, M., Lovis, C., & Vayena, E. (2018). Considerations for ethics review of big data health research: A scoping review. PLOS ONE, 13(10), e0204937. https://doi.org/10.1371/journal.pone.0204937

Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European Journal Of Public Health, 29(Supplement_3), 23-27. https://doi.org/10.1093/eurpub/ckz168

Wong, H., Chiang, V., Choi, K., & Loke, A. (2016). The Need for a Definition of Big Data for Nursing Science: A Case Study of Disaster Preparedness. International Journal Of Environmental Research And Public Health, 13(10), 1015. https://doi.org/10.3390/ijerph13101015

Submission and Grading Information for Discussion: Big Data Risks and Rewards NURS 6051

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 5

To participate in this Discussion:

Week 5 Discussion

Required Readings for Discussion: Big Data Risks and Rewards NURS 6051

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
  • Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Discussion: Big Data Risks and Rewards NURS 6051 Rubric

MAIN POSTING

 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.

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NURS 6051 Module 4: Technologies Supporting Applied Practice and Optimal Patient Outcomes (Weeks 6-8)

Laureate Education (Producer). (2018). Informatics Tools and Technologies [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Learning Objectives

Students will:

  • Evaluate healthcare technology trends for data and information in nursing practice and healthcare delivery
  • Analyze challenges and risks inherent in healthcare technology
  • Analyze healthcare technology benefits and risks for data safety, legislation, and patient care
  • Evaluate healthcare technology impact on patient outcomes, efficiencies, and data management
  • Analyze research on the application of clinical systems to improve outcomes and efficiencies
  • Discussion: Big Data Risks and Rewards NURS 6051
Due By Assignment
Week 6, Days 1–2 Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 6, Day 3 Post your initial Discussion post.
Begin to compose your Assignment.
Week 6, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 6, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 6, Day 7 Wrap up Discussion.
Week 7, Days 1-7 Continue to compose your Assignment.
Week 8, Days 1-6 Continue to compose your Assignment.
Week 8, Day 7 Deadline to submit your Assignment.

Discussion: Big Data Risks and Rewards NURS 6051 Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
  • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from

https://www.healthit.gov/faq/what-electronic-health-record-ehr

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221.

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40.

Discussion: Big Data Risks and Rewards NURS 6051 Required Media

Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

NURS 6051 Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment Discussion: Big Data Risks and Rewards NURS 6051. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

  • Reflect on the Resources related to digital information tools and technologies.
  • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
  • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.
  • Discussion: Big Data Risks and Rewards NURS 6051

By Day 3 of Week 6

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described.

Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described Discussion: Big Data Risks and Rewards NURS 6051.

Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

By Day 6 of Week 6

Respond to at least two of your colleagues* on two different days, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

  • Week 6 Discussion Rubric
  • Post by Day 3 and Respond by Day 6 of Week 6
  • To participate in this Discussion:
  • Week 6 Discussion

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies Discussion: Big Data Risks and Rewards NURS 6051.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.
  • For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

  • Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
  • Include an introduction explaining the purpose of the paper.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
  • In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
  • Use APA format and include a title page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.
  • Discussion: Big Data Risks and Rewards NURS 6051

By Day 7 of Week 8

Submit your completed Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 8 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

  • Week 8 Assignment Rubric
  • Check Your Assignment Draft for Authenticity
  • To check your Assignment draft for authenticity:
  • Submit your Week 8 Assignment draft and review the originality report.
  • Submit Your Assignment by Day 7 of Week 8
  • To participate in this Assignment:
  • Week 8 Assignment
  • Next Module

To go to the next module:

Module 5

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The Use of Clinical Systems to Improve Outcomes and Efficiencies Example Approach

Inpatient Electronic Health Records Clinical System

Clinical systems play a vital role in strengthening healthcare delivery throughout the world. All healthcare organizations and professionals must try and adopt the various clinical systems in their organizations Discussion: Big Data Risks and Rewards NURS 6051.

The development of clinical systems and other information technologies in healthcare are related to improved patient outcomes and efficiencies. They are crucial to delivering patient-centered and evidence-based care, decreasing medical errors, boosting the quality of care, increasing legibility, and reducing healthcare costs (Islam et al., 2018).

In-patient electronic health records are a clinical system known to enhance access to healthcare and improve patient outcomes. The electronic health record is used in hospitals to store and retrieve various patient information so that healthcare practitioners can use it in patient care. This paper seeks to elaborate on how electronic health records have improved outcomes and efficiencies in healthcare by critiquing various research articles.

Hazazi, A., & Wilson, A. (2021). Leveraging electronic health records to improve management of non-communicable diseases at primary healthcare centers in Saudi Arabia: a qualitative study. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-021-01456-2

The study’s main aim was to examine the physician’s perspective on the contribution of the electronic health records systems in managing chronic diseases in primary healthcare centers. The study design used was qualitative, mainly involving semi-structured interviews among physicians who work in the primary healthcare centers with experience of at least one year.

Convenience and purposive sampling were applied when the participants were selected. The sample obtained was 22 physicians who work in chronic diseases clinics Discussion: Big Data Risks and Rewards NURS 6051.

The physicians reported that the application of the health information systems in their clinics has positively influenced patients with chronic diseases. It has resulted in more efficient patient care because the patient’s records and results are always available in the systems. The presence of the patient information allows the physicians to come up with diagnoses, treatments, and follow up effectively and, therefore, improve patient outcomes.

They also reported that EHR enhances accurate patient documentation, which is very rare in handwritten documentation. It also enhances early screening of non-communicable chronic diseases and, therefore, early detection and treatment of comorbidities. Through electronic health records, physicians can easily manage patients by prescribing medications and facilitating referrals Discussion: Big Data Risks and Rewards NURS 6051.

The research shows that using EHR in primary healthcare centers is associated with various positive benefits. It is vital to allow patients with non-communicable chronic diseases to access the EHR systems to manage chronic diseases Discussion: Big Data Risks and Rewards NURS 6051.

Electronic health records are a clinical system that has greatly supported positive patient outcomes and effectiveness among patients with chronic illnesses. Linking the HER to other government and private facilities can enhance communication and patient care integration, leading to improved patient outcomes.

Selvaraj, S., Fonarow, G. C., Sheng, S., Matsouaka, R. A., DeVore, A. D., Heidenreich, P. A., Hernandez, A. F., Yancy, C. W., & Bhatt, D. L. (2018). Association of Electronic Health Record Use With Quality of Care and Outcomes in Heart Failure: An Analysis of Get With The Guidelines—Heart Failure. Journal of the American Heart Association, 7(7). https://doi.org/10.1161/jaha.117.008158

The article mainly focused on how the use of electronic health records is associated with quality care and outcomes among patients with heart failure. There has been an increase in the adoption of electronic health records worldwide Discussion: Big Data Risks and Rewards NURS 6051.

However, no studies have been conducted to assess whether it improves outcomes among patients with heart failure. The sample was obtained from patients admitted in 2008 in Get With The guidelines -HF registry. The researchers obtained detailed patient information and also the various hospital-level characteristics. A longitudinal study design was used during the research. The statistical analysis mainly involved a cross-sectional and survival analysis.

Selvaraj et al. (2018) explain that through electronic health records, there can be improved care coordination, resulting in improved efficiency. The findings in the study indicated that the application of electronic records among patients with heart failure is not associated with improved quality of care based on the in-patient outcomes, predefined metrics, and other post-discharge events.

Electronic health records can have unintended adverse effects like; medication errors, increased mortality, and provider dissatisfaction. Although some of the findings indicated that electronic health records could be associated with less frequent length of stay and higher rates of discharge, it is also associated with a poor achievement rate of some measures such as smoking cessation counseling.

According to the article, using electronic health records alone among heart failure patients may not help improve patient outcomes and efficiency. It is therefore vital to set in place other interventions in addition to EHR to help improve the quality of care among those patients. It is essential to ensure increased optimization of EHR in this era because of the increased adoption of technology because there are many theoretical benefits related to its use.

Upadhyay, S., & Hu, H. (2022). A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences. Health Services Insights, 15, 117863292110707. https://doi.org/10.1177/11786329211070722

The study aimed to find out clinicians’ experiences in assessing the contributions of EHR in enhancing safety and improving the quality of care in healthcare. The study design used was qualitative. Semi-structured interviews were used among various healthcare practitioners in California and Nevada in the U.S. There were 20 participants in the study, and they included individuals from different organizations, including; medical clinics, small hospitals, trauma hospitals, hoke health centers, and academic medical centers with different job roles including; nurse practitioners, physicians, patient safety officers, hospitalists and nurses.

The findings indicated that EHR makes communication between patients and clinicians more efficient. The clinician can be able to access past patient procedures and other histories. Through clear communication, electronic health records enhance clear understanding among the nurses, physicians, and therapists, and therefore informed decisions can be made, resulting in improved patient care outcomes Discussion: Big Data Risks and Rewards NURS 6051.

Electronic health records are a critical factor in improving the quality of care. EHR has enabled the nurses to mitigate the risk of medical errors because they can clarify the interactions or side effects of medications before administering them. Patient safety can be enhanced because electronic health record provides notifications, reminders, and alerts. The results also indicated that EHR enables the healthcare providers always to set informed decisions that can play a role in improving patient outcomes.

Evidently, electronic health records help clinicians make informed decisions, reduce medical errors, and enhance safety, which is essential in improving patient outcomes and effectiveness of care. Electronic health records contain all the patient information Discussion: Big Data Risks and Rewards NURS 6051.

They can be easily accessed by the various healthcare practitioners working together as a team, such as nurses, and physicians’ therapists, among others, in providing patient care. EHR enhances accurate documentation of data which is related to effective patient safety. From the research, it is vital to train various healthcare practitioners on using electronic health records in case of any change or advancement because it greatly affects the quality of care.

Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update From the Literature. Journal of Medical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323

The research aims to summarize the value of electronic medical records. The method adopted from this research was from various literature reviews, and it involved a literature search of Edline; the keyword used was “Medical Record, system, Computerized .”The evaluation of data sources mainly involved a qualitative assessment of the medical records of publications, description of sources of data, and scoring of quality of studies. There were 1345 literature references to be reviewed by the authors, and in the end, they chose 23 studies that were relevant for the research. A semiquantitative study evaluation was applied in the research Discussion: Big Data Risks and Rewards NURS 6051.

All the 23 articles demonstrated a positive effect of electronic health records on the quality of care provided in all the healthcare organizations. 9 out of 16 of the secondary sources demonstrated decreased costs. At the same time, 14 of 18 studies indicated an increase in the quality of care. The EHR has greatly helped in reducing time for documentation and reducing various medication errors. The decrease in medication errors is related to improved patient safety and, therefore, better health outcomes.

There was no relationship found between mortality and the use of electronic health records. The introduction of electronic medical records is related to the various technological processes, and its introduction has resulted in many clinical benefits. Discussion: Big Data Risks and Rewards NURS 6051

This article shows that the application of electronic medical records in-hospital care is related to reduced medical errors and improved quality of care. Therefore, EHR can facilitate safe continuity of care and improve patient outcomes and efficiency. From the various articles assessed, since the adoption of EHR, the various processes in healthcare have been made easy and faster.

Discussion: Big Data Risks and Rewards NURS 6051 Conclusion

To sum up, clinical systems are essential in the healthcare setting. Electronic health records is one of the clinical system known to improve patient outcomes and enhance effectiveness and efficiency in the healthcare setting. All four pieces of research indicated the various ways the electronic health record reduces medication errors, enhances coordinated care among the care practitioners, and enhances accurate documentation, resulting in improved patient outcomes.

The efficiency is evident in electronic health records because of the teamwork and collaboration among the care practitioners, including the nurses, physicians, therapists, and lab technicians. The studies have also elaborated on how the EHR reduces healthcare costs and saves time used to deliver healthcare. The use of electronic healthcare records among in-patients is therefore essential, and the healthcare facilities should try to adopt it and make improvements for it to function effectively.

Discussion: Big Data Risks and Rewards NURS 6051 References

Hazazi, A., & Wilson, A. (2021). Leveraging electronic health records to improve management of non-communicable diseases at primary healthcare centers in Saudi Arabia: a qualitative study. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-021-01456-2

Islam, M., Poly, T. N., & Li, Y.-C. J. (2018). Recent Advancement of Clinical Information Systems: Opportunities and Challenges. Yearbook of Medical Informatics, 27(1), 83–90. https://doi.org/10.1055/s-0038-1667075

Selvaraj, S., Fonarow, G. C., Sheng, S., Matsouaka, R. A., DeVore, A. D., Heidenreich, P. A., Hernandez, A. F., Yancy, C. W., & Bhatt, D. L. (2018). Association of Electronic Health Record Use With Quality of Care and Outcomes in Heart Failure: An Analysis of Get With The Guidelines—Heart Failure. Journal of the American Heart Association, 7(7). https://doi.org/10.1161/jaha.117.008158

Upadhyay, S., & Hu, H. (2022). A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences. Health Services Insights, 15, 117863292110707. https://doi.org/10.1177/11786329211070722

Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update From the Literature. Journal of Medical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323

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Module 5: The Nurse Leader and the System Development Life Cycle (Weeks 9-10)

Laureate Education (Producer). (2018). Systems Implementation [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Learning Objectives

Students will:

  • Analyze how inclusion of the nurse in the purchasing of health information technology systems impacts healthcare organizations
  • Analyze the impact of nurse inclusion on each step of the systems development life cycle
Due By Assignment
Week 9, Days 1–2 Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 9, Day 3 Post your initial Discussion post.
Begin to compose your Assignment.
Week 9, Days 4-5 Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 9, Day 6 Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 9, Day 7 Wrap up Discussion.
Week 10, Days 1-6 Continue to compose your Assignment.
Week 10, Day 7 Deadline to submit your Assignment.

Discussion: Big Data Risks and Rewards NURS 6051 Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
  • Chapter 12, “Electronic Security” (pp. 229–242)
  • Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)

Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from

https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Discussion: Big Data Risks and Rewards NURS 6051 Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

Laureate Education (Producer). (2018). Interoperability, Standards, and Security [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Laureate Education (Producer). (2018). Managing Health Information Technology [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development Discussion: Big Data Risks and Rewards NURS 6051.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system Discussion: Big Data Risks and Rewards NURS 6051.

Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

By Day 6 of Week 9

Respond to at least two of your colleagues* on two different days, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Grading Criteria

To access your rubric:

  • Week 9 Discussion Rubric
  • Post by Day 3 and Respond by Day 6 of Week 9
  • To participate in this Discussion:
  • Week 9 Discussion

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support
  • Use APA format and include a title page and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

By Day 7 of Week 10

Submit your completed Role Description.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

  • Week 10 Assignment Rubric
  • Check Your Assignment Draft for Authenticity
  • To check your Assignment draft for authenticity:
  • Submit your Week 10 Assignment draft and review the originality report.
  • Submit Your Assignment by Day 7 of Week 10

To participate in this Assignment:

  • Week 10 Assignment

Next Module

To go to the next module:

Module 6

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Module 6: Policy and Regulation Supporting Informatics and Technology Integration (Week 11)

Laureate Education (Producer). (2018). Policy and Regulation [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Learning Objectives

Students will:

  • Evaluate legislative policies and regulations for health and nursing informatics
  • Create fact sheets for health and nursing informatics
  • Analyze impact of legislative policies and regulations for clinical care, patient/provider interactions, and workflows
  • Evaluate healthcare organizational policies and procedures to address legislative policies and regulations
Due By Assignment
Week 11, Days 1–2 Read/Watch/Listen to the Learning Resources.
Begin to compose your Assignment.
Week 11, Days 3-4 Continue to compose your Assignment.
Week 11, Day 5 Deadline to submit your Assignment.

Discussion: Big Data Risks and Rewards NURS 6051 Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from

https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Discussion: Big Data Risks and Rewards NURS 6051 Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
  • Use APA format and include a title page, in-text citations, and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
  • Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

  • Week 11 Assignment Rubric
  • Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

  • Submit your Week 11 Assignment draft and review the originality report.
  • Submit Your Assignment by Day 5 of Week 11

To participate in this Assignment:

  • Week 11 Assignment

Congratulations! After you have finished all of the assignments for this Module, you have completed the course. Please submit your Course Evaluation by Day 7.

Discussion: Big Data Risks and Rewards NURS 6051

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