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Benetolia, B., Chena, T. F., & Aslani, P. (2018). How patients’ use of social media impacts their interactions with healthcare professionals. Patient Education and Counseling, 101, 439-444.

According to the article, the patients tend to often access online health information and engage in the social media. Hence, the research explores the ways in which the patients apply the social media and how it influences their interaction with the health care providers. The focus group that participated in the research involved 36 patients with chronic conditions. They were on medications and applied social media for the health-related goals. The discussion continued from sixty to ninety minutes and they were audio-recorded, transcribed verbatim and provided analyses according to the thematic. Therefore, the results showed that participants did not interact with health care providers regarding social media and they were not expected to perform in this way since they applied social media only to communicate with peers. The most often improvement in the relations between health care providers and patients was stated due to the increased empowerment, better communication, and raised knowledge. The patients engaged supplemented the healthcare providers’ data in addition to the peers’ interaction on the social media and prepared themselves for consultations. They shared online information regarding health with health care providers during consultations in order to validate it and to actively practice it in the decision-making process. Hence, the patients perceived that social media positively influenced relations with healthcare providers. They felt empowered and were more assertive while participating in the decision-making. There are some weaknesses in the given article. Specifically, all the participants came from the Sydney metropolitan area, which restricted the findings transferability to other populations. Moreover, group heterogeneity in disorder states and demographic factors influenced the way of discussing experiences and corresponding usage. Despite the study focused on the social media platforms, some patients occasionally stated their online activities on websites. Lastly, as all results were self-reported, they could have been impacted by recollection boas, focus group dynamics and social desirability. Concerning positive issues, it is worth noting that the article represents coherent and clear research with its further application to a wide audience. The investigating is relevant and provides useful insight into the nursing informatics. Overall, the article presents the critical information regarding the role of the social media in the relations between nurses and patients. It is possible to actively apply such approach in the nursing practice, which will increase the satisfaction level among the patients. Hence, the paper is a string and contains relevant information.

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Elkind, E. C., & Higgins, K. M. (2017). The patient portal: Considerations for NPs. The Nurse Practitioner, 1-4.

The study informs that Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 keeps the promotion of the meaningful use and electronic records that are expanding due to the health consumer initiative. The meaningful use issue demands the adoption of the electronic health records certification of providers and hospitals to reach the particular objectives that relate to financial incentives. It is necessary for NRPs to realize that their employers can amend their contracts to add provision regarding their responsibilities under HITECH. On the first stage, the meaningful use focuses on the health information electronic capturing in the standardized format. Further, critical clinical conditions are tracked. One the second stage, it involves access of the patients to their electronic health records along with the ability to download their educational materials, care reminders, and information. The third stage becomes efficient in 2017 and it concentrates on further advancement of electronic health records use in practice. The NP plays a critical role in patient’s education engagement through the patient portal in addition to the promotion of its use to raise the patient’s empowerment. Hence, patient portals proved to improve their outcomes. The nurse can have the direct interaction with the individuals and family members through the given portal. Such interactions provide opportunities for the future assessment of the patient’s symptoms, their respective treatment without a physical office visit and order diagnostic testing. Such interaction type is also important for the patients with high-risk conditions that demand often assessment and follow-ups to avoid hospitalization. The portal provides the avenue to propose family support and continuing education as researchers regarding the disorder processing and treating. Therefore, technology and information initiatives promote new solutions for the effective communication as well as influence the patient’s outcomes and workflow. The main strength of the article is the representation of information about the portal importance for nurses as well as recommendations regarding nurses’ education. Specifically, nursing informatics competencies are demanded at every nursing practice level. The main competencies of modern NP devote the segment to the data and technology literacy that involves input in the clinical information systems design. Therefore, it is necessary for schools to ensure that nurses are prepared to manage current and future technology demand for practice. Such changes can be performed through the Technology Informatics guiding Education Reform initiative. However, the weaknesses of the article are a lack of coherent and consistent information flow as well as imperfect structure of the paper. The information is presented as the short description without in-depth analysis of current trends in nursing informatics. Overall, the paper provides positive impression since it shortly explains the importance of informatics competencies among nurses. It assists in realization of the nurses’ role importance in patient engagement as well as the informatics and technology components. Specifically, the article underlines that nurses can detect patients’ knowledge, preferences, and concerns regarding health care that provokes greater satisfaction and interface between nurses and patients.

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Backman, C. A., Meyer, M. A., Westhafer, K. J., & Wise, L. A. (2017). HIM prepped to shape the future of population health through HIE. Journal of AHIMA, 28-30.

The Affordable Care Act (ACA) and the value-founded programs have provided opportunities for population health initiatives regarding health information exchange and greater data sharing in the care settings. Health information exchange provides the patients and physicians with the ability to securely access and shares the critical medication information of the patient electronically. It improves the patient care cost, safety, quality, and speed. In addition, it promotes the progress toward the longitudinal patient records through the data aggregation. Moreover, health information exchange is critical in the health data analysis and it can be day supplier or the provider of analytical services. Nonetheless, there are barriers to its respective application. They are technical constraints, legal constraints, data integrity, standards, representation, definition, as well as data capture and workflow. In case the data are misinterpreted, incomplete, inaccurate, or does not fit the technical, professional or organizational standards, it cannot positively influence the population health management. The standard application will assist in ensuring that the receiver and sender interpret the data in the same ways. Moreover, health information exchange faces problems with patient data quality, data management, security, privacy, and identity. In this case, information governance initiatives play the important role. In the future, the data set can be nontraditional and have the direct influence on the patient’s health, such as access to transportation, housing, medication, and food. Health information exchange will continue to fine-tune that social determinant information use assist the providers in decreasing costs by early identification of poor outcomes, socioeconomic forces, and their resulting higher costs. The importance of standards used in the future will continue to grow supporting broader data sharing for population health management. Information management plays a critical role in the management of health population and exchanging relevant information. Hence, the corresponding staff is responsible for managing information and data in the larger ecosystem. Health information exchange concentrates on the standards implementation for promotion of the data sharing initiatives. In addition, the given professionals realize these standards importance and can assist in leading the work respectively. Moreover, health information exchange support of the population’s health is a relatively new trend. There are numerous issues to be addressed, and health information management professionals have a possibility to influence their future solution. The article’s strengths are in the representation of relevant information as well as in providing supporting evidence and examples of the health information exchange. Moreover, the positive issue is that the paper explains the main challenges of the health information exchange process and provides the insight to its future development and information management. At the same time, the main weakness of the article is lack of information regarding possible ways to manage the describe barriers and effective strategies for the health information exchange promotion. In general, the paper provides critical information regarding the healthcare informatics and the critical role of the information exchange for improvement of the patient’s outcomes. On the one hand, the article represents important data for nurses explaining the importance of health information exchange and a responsibility of the providers for the promotion of the standards implementation to support this idea. Moreover, the paper explains that the providers are able to shape the effective future of such initiative. On the other hand, there is a lack of specific information, but rather the general overview of the situation and possible future.

Walker, C. L., Kopp, M., Binford, R. M., & Bowers, C. J. (2017). Home telehealth interventions for older adults with diabetes. Home Healthcare Now, 35(4), 202-210.

The main goal of this research was to identify home telemedicine interventions directed at diabetes management among older adults. The authors researched 8 databases for relevant articles. In the end, six articles were retained. The studies involved 68 to 76.8 patients from different states with Type 1 and Type 2 Diabetes Mellitus. According to these articles, case education management, communication, closed-loop feedback, motivational coaching or interviewing, and home telemonitoring units can decrease cognitive decline among the patients with diabetes, mortality level, the costs per person annually, and admission rates. The main issue lies in the fact that in the middle of the technological advancement, main health care reform, providers’ shortages, people with diabetes by the age over 65, whereas their health care providers can experience unique challenges and opportunities. The strategies implemented to decrease the complications risks among people with diabetes often engage coaching and education sometimes referred to as the behavioral approach as well as screening and mentoring. As the diabetes treatment has advanced, the emphasis has concentrated on the maintenance and extends to home health care. Despite traditionally provided caregiver, the different telemedicine interventions are emerging as the means to manage diabetes within the homes of the patients. The main weakness of this article is that the immediate implications of the research could be limited. Nonetheless, the positive side is that scarcity of high-quality researches is consistent with previous reviews. Moreover, it provides specific information regarding the role of home telemedicine among adult patients with diabetes. Hence, this study bridges the gap present in the literature through exploring the way of employing home medicine in order to manage the increasing elderly population. Overall, the paper represents critical review and analysis of the relevant literature focusing on the specific population. Additionally, the article provides the nurses with critical tools in performing home telemedicine that proved to have a positive influence on the patients. In particular, it is critical to employ such issues as the remote technology use for monitoring, coaching, and educating the patient.

O’Shea, A., Sarrazin, A. V., Nassar, B., Cram, P., Johnson, L., Bonello, R., Panos, R. J., & Reisinger, H. S. (2017). Using electronic medical record notes to measure ICU telemedicine utilization. Journal of the American Medical Informatics Association, 24(5), 969–974.

Due to the complexity of the high-acuity healthcare, developing the efficient clinical note template can be contributing to the document patient care and clarifications regarding the ways of telemedicine use. Documented interactions “were characterized through “a standardized note template between bedside intensive care unit (ICU) providers and teleintensivists in 2 Veterans Health Administration ICU telemedicine support centers” (O’Shea et al., 2017). All intensive care units relate to the support centers and were providing care involved in the research. The assessment of interactions was performed with consideration of initiation site, patient care change, contact type, and bedside initiator. Therefore, among all intensive care units’ admissions teleintensivist, interaction was found in 21.6%. Specifically, the bedside staff initiated the increased contracts use with the time, whereas those leading to changes in the patient care were mostly initiated by the bedside nurse. Tele-ICU is a difficult intervention with technological and social implication. It is possible to suggest that bedside intensive care units and support centers are still in the implementation phase. It is evident that the telemedicine center use is only becoming the part of the intensive care unit culture. The research involves several weaknesses. Specifically, the authors relied on the data collected through the use of standardized templates in the VHA Tele-ICU program that cannot be generalizable. In addition, teleintensivists may have charted interactions with the bedside staff in different ways and authors could not consistency validate the use of theory note template. Moreover, other utilization measures were not considered when operationalizing number of calls in and out of the support center, nurse interaction, and video initiation. Nonetheless, the strengths of the study lie in the fact that it is the first research, which described the tele-ICU utilization from the standardized physician note template. In addition, it represents the first step in the robust process measures development regarding the frequency of applying Tele-ICU. Overall, the article provides critical information for nurses since it showed that nurses consider the access to TELE-ICY programs effective for quick response to changes in the patient status.

Despins, L. A., & Wakefield, B. J. (2018). The role of the electronic medical record in the intensive care unit nurse’s detection of patient deterioration: A qualitative study. CIN: Computers, Informatics, Nursing, 1-9.

Problems with patient deterioration signals’ detection lead to longer stays in the hospital, greater hospital mortality rate, and more serious challenges with functional outcomes. Surveillance, involving keeping acquisition, synthesis, and interpretation of the patient’s data by nurses is critical for early risk detection. Therefore, electronic medical records promote patients’ data accessibility and can increase the surveillance levels among the individuals. Therefore, the research involved 24 intensive care unit nurses in order to study the factors impacting the nurse responses to alarms. There is a need to appropriately design electronic medical records as well as integrate information presentation and documentation with the nursing workflow. Organizations “should involve bedside nurses in the design of handoff formats that provide key information common to all intensive care unit patient populations, as well as population-specific information” (Despins & Wakefield, 2018). The weakness of the paper is that data in this research were obtained from IGU nurses in one institution, which limited the findings transferability to other settings. Nonetheless, the strengths are that the paper represents the clear and coherent structure with the clear application of findings to practice. Therefore, the article emphasizes the importance of accurate, current and complete information for nurses. Moreover, it helps to realize that nurses’ perception in relation to the usefulness of current EMR handoff formats is critical for consideration.

You may find this article “Nursing Informatics” useful

Kleib, M. (2018). Factors associated with Canadian nurses’ informatics competency. CIN: Computers, Informatics, Nursing, 1-10.

Due to the digital innovations that continue the transformation of the health systems, it is critical to study the RNs preparedness in informatics and issues related to the informatics competency. Competency perceptions were higher in the case of the foundational computer literacy skills and lowest in case of the knowledge and information management competencies. Nonetheless, the general informatics competency means that the scores differentiated greatly regarding work setting, experience, years, educational qualification, and age. The quality of training and informatics support, which were offered by the employees, promoted changes in the mean scores of informatics competency. Other issues “such as age, educational qualification, work setting, previous informatics education, access to the Internet, use of health technology, access to supporting resources, informatics training, an informatics role, and continuing education in informatics, also contributed to mean scores variance in differing degrees” (Kleib, 2018). The research weakness is that the informatics competencies measurement can have been impacted by the social desirability bias inherent in the self-reported methodology used in the research as the respondents tend to overrate their competency level. The strength is that the outcomes of this research provide the ground for actionable policies to manage informatics educational needs and support requirements among nurses practicing currently and in the future. Therefore, the paper is critical since it emphasizes that nurses’ informatics competencies have an important influence on patients’ outcomes and organizational success. There is a need to provide training programs for nurses. Moreover, the positive side of the article is that it explains the importance of informatics education and systematic nurses’ involvement in the healthcare technology evaluation, implementation, and planning.

Eardley, D. L., Krumwiede, K. A., Secginli, S., Garner, L., DeBlieck, C., Cosansu, G., & Nahcivan, N. O. (2018). The Omaha system as a structured instrument for bridging nursing informatics with public health nursing education: A feasibility study. CIN: Computers, Informatics, Nursing, 1-9.

The development of the healthcare system involves the health information technology adoption for the respective quality assurance. Educators’ experience difficulties in determining strategies are aimed at the health information technology integration in the nursing curricula. It is critical for shaping the nursing workforce that has competence in the electronic health records, evaluation, evidence-based practice and standardized terminology. Therefore, nursing informatics represents health information technology related to the nursing profession. It is critical to integrate nursing informatics in the corresponding curricula since the effective positioning of competent graduates in the technology is driven from healthcare environment. The participants in this research had to complete the online assignment and the tasks in the class. According to the results, the students who finished the assignment online showed the higher content mastery level than those who completed the task in the class. Content mastery was based on the after-test outcomes which provide the analysis of students’ electronic health record charting for nursing evaluation, evidence-based interventions, and assessment. The weakness of the research is lack of a control group, posttest-only design, and purposive sample size. At the same time, among the strengths of the paper are clear and coherent structure and recommendations aimed at the effective teaching of the HIT. Overall, the paper explains that it is necessary to implement nurse informatics case study as the innovative approach to reach HIT involving evaluation, evidence-based practice, and HER charting. Through managing these practices, it is possible to improve HIT skills.

Lyerla, F., Durbin, C. R., & Henderson, R. (2018). Development of a nursing electronic medical record usability protocol. CIN: Computers, Informatics, Nursing, 1-5.

Accessing usability of the electronic medical records is critical for organizations desiring to customize all medical records in an electronic form and identify the usability influence. The main goal of this research is to show the protocol development to estimate the usability of electronic medical record from the nursing side and create the scoring methodology. The usability was measured through the satisfaction, efficiency, and effectiveness. Applying and expanding according to the government’s recommended usability assessment guidelines, the authors reached the success in measuring nursing electronic records stability and rating the electronic medical record. The limitation of this study is that it involves testing one electronic medical record system in one healthcare facility. The strength of the paper is that scoring calculations as well as protocol implementation can be replicated in order to estimate electronic medical record usability. Overall, the paper provides critical information regarding the use of nurse performance testing to calculate nursing electronic medical record usability scores. It is crucial for nurses to realize the possible influence of customization. Nonetheless, the paper does not involve any recommendations, which is a negative issue.

Kaye, S. P. (2017). Nurses’ attitudes toward meaningful use technologies: An integrative review. CIN: Computers, Informatics, Nursing, 35(5), 237-247.

Nurses represent the greatest part of the healthcare workforce. Therefore, their acceptance of new technologies is critical for understanding as it can involve the difference between product rejection and acceptance. The three-stage meaningful use program was aimed to assist in the data capture standardization and improvement as well as the advance clinical process for the improvement of population health outcomes. The realization of nurses’ perceptions of the healthcare technology can assist in driving acceptance and increase new technologies potential toward patient care improvement. It was found that implementation of meaningful use technologies was extremely positive. Negative issues regarding technology during the phased implementation were related to the processes and workflow changes. From the education perspective, pre-implementation training was the proposed strategy to improve perceptions of nurses. After the implementation, increased familiarity with systems, reduced redundancy, and the combination of improving usability provokes more positive perceptions of the new technologies. Therefore, technologies promote more commonplace, and the nurse’s acceptance as well as their usability raise. The weakness of this study is that the selected researches number as well as their sample sizes can be insufficient for representing the full amount of the information. Moreover, publication bias can be present in the published journal articles. In addition, some researchers combined nurses with other health care providers or studied other meaningful use aspects that could have involved relevant information. At the same time, the article represents the complex review of the present literature and provides critical information gathered from analyzed sources. Moreover, the article is logical and coherent. Overall, the paper provides positive impression and emphasizes the importance to consider nurses’ position in the new technologies implementation. Such approach has to be widely applied in order to identify the most practical and effective technologies. Moreover, through the active engagement of nurses as stakeholders in the technologies implementation and improvement, it is possible to raise their positive perceptions and acceptance.

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