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NU 525 Keeva
Nursing informatics is a specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice (HIMSS, 2018). Nursing informatics professionals utilize information gathered from many sources by using the latest technology to gather data about problems or potential problems, in order to provide the best patient care possible.
A. Nursing informaticists contribute to patient care quality in a great way. They are able to attain information about potential and actual problems, and devise a plan to correct issues. For example, if a certain unit in a hospital is reporting an increased number of infections post-op, nursing informatists are able to gather data related to that issue. After assessing the issue, the NI will create a plan to reduce infections, such as increased dressing changes or using a different kind of soap. After the plan is created, it will be implemented, hopefully leading to a reduction in post-op infections. A reduction in post-op infections improves patient care quality.
NU 525 Nathan
A nursing informaticist is a specialist who incorporates nursing knowledge and information sciences that can help create a system that can support the nursing practice and help improve patient outcomes.
Explain how a nurse informaticist contributes to patient care quality.
Nursing informatics has a positive impact in patient care. In a recent investigation, it was proven that the improvements in skin assessment documentation facilitated by the organization’s nursing informatics team resulted to a twenty-percent improvement in preventing perioperative pressure injuries (Monfre et al., 2022). The nursing informatics specialist organized the core team members that identified opportunities for improvements. This project reduced the workarounds in documentation which made vital information readily available for nurses to review and when necessary, to timely intervene. This optimized the documentation design of their patient record system.
NU 610 Abraham
In our first case study, a 45-year-old black male comes in for a routine checkup, and we notice many factors that may contribute to cardiovascular disease. First off our patient admits to drinking alcohol – although we do not know the amount and frequency, alcohol has been shown to contribute to cardiovascular disease (Ruan et al., 2018). Next, after calculating our patients’ BMI we come up with a 38.4 – well over the minimum of 30 to be considered obese and subject to many additional cardiovascular health risks (Ruan et al., 2018). Furthermore, our patient upon examination is shown to be hypertensive – another risk factor for cardiovascular disease. Finally, our patients’ cholesterol levels are well above the normal limits of below 200. All of the above is coupled with a family history of cardiovascular disease and hypertension – which has been shown to be an additional risk factor (Ruan et al., 2018). Punching in our patients’ details into the ACCVD risk estimator – a tool provided by the American college of cardiology to estimate lifetime and 10-year risk for cardiovascular-related disease – we get a 50% lifetime risk with a 5.5% 10-year risk – considered borderline.
NU 610 Lynell
The reduction in CO, e.g. LVSD, is caused by loss of functional cardiac myocytes through a number of pathological conditions, with the most common being myocardial infarction, hypertension, diabetes mellitus, and ischemic heart disease; with hypertension alone doubling the risk of developing heart failure compared to normotensive patients (Easa et al.,2020). A myocardial infarction is caused by disruption of coronary blood flow, also called ischemia. The decreased ventricular perfusion results in inflammation of the myocardium, infiltration of the damaged myocardium cells, and myocyte necrosis. The myocardium can lead to remodeling and scar formation, thus decreasing contractility, cardiac ischemic damage to the output, and a reduced ejection fraction. This can lead to left ventricular hypertrophy followed by left heart failure (Chahine & Alvey, 2020). Left heart failure is heart failure with reduced ejection fraction (systolic heart failure), or heart failure with preserved ejection fraction (diastolic heart failure).