Field of Nursing Informatics

Field of Nursing Informatics Professional Portfolio and Self-Marketing Plan Kelsey Hopkins Abstract â€Å"Nursing is a dynamic, evolving profession that presents limitless career opportunities for nurses with graduate degrees† (American National College of Nursing). Today, more than ever, that is evident in nursing informatics (NI). Nursing informatics involves the use computer software systems to enhance and improve patient care documentation tools, indirectly improving the quality of care patients receive worldwide. Nursing informatics is an expanding, fast-paced, ever changing nursing career that continues to grow worldwide. Key words: Nursing informatics, computer software systems, quality, patient care Professional Portfolio Self-Marketing Plan Nursing Informatics is the integration of nursing science, computer and information science, and cognitive science to manage communication and expand the data, information, knowledge, and wisdom of nursing practice† (American Nurses Association Nursing Informatics Scope and Standards, 2008). Nursing informatics utilizes health information technology to improve the health of patients and their families worldwide. A nurse informatics specialist streamlines the management and communication in nursing, vastly enhancing productivity, minimizing healthcare services costs and improving patient care quality. The field of nursing informatics is one of the fastest growing specializations in healthcare today. The American Medical Informatics Association (AMIA) estimates that within the next few years 70,000 nursing informatics specialists will be needed to fulfill jobs (AMIA, 2013). Purpose of Nurse Informatics Specialist With the implementation of the Electronic Healthcare Record (EHR), documentation has become an essential communication tool among healthcare providers in providing quality care to patients. The purpose of a nurse informatics specialist is to outline and apply computerized documentation systems that enhance accuracy, reduce workload, and facilitate the analysis of clinical data between healthcare providers. A nurse informatics specialist determines ways to improve the rate, usability, readiness and precision of healthcare provider’s documentation, thus simplifying and enhancing documentation. Required competencies and scope of practice standards for Nursing Informatics The Technology Informatics Guiding Education Reform (TIGER) Initiative was formed to develop competencies for the field of nursing informatics. The TIGER initiative identified a list of competencies grouped into three basic categories: computer competencies, informatics skills and informatics knowledge (TIGER Sumit). A nurse informatics specialist must have working knowledge of basic software applications (Microsoft Word, Excel, and PowerPoint) and knowledge of software design and project management. Specific nursing informatics skills include experience with template editing and the capability to develop methods to test for validity. Overall the nursing informatics specialist must be highly self-motivated and have excellent people skills. Nursing Informatics scopes and standards of practice are outlined in the 2008 ANA Nursing Informatics: Scopes and Standards of Practice. The book highlights nursing informatics characteristics, development and trends, educations and training, and ethical and conceptual roots (ANA, 2008). Type of Facility and Department The nurse informatics specialist can work at a variety of healthcare facilities; anywhere clinical nurses are found, a nurse informatics specialist can be found. From companies like Cerner, a public company focused on health information technology, which employs mainly traveling nurse specialists, to a community hospital, a nurse informatics specialist can be employed. The nurse informatics specialist generally works within the information technology department. Primary Responsibilities and Knowledge required of the Nurse Informatics Specialist The nurse informatics specialist is responsible for all aspects of planning, design, development, implementation, maintenance and evaluation of clinical information systems (Nursing informatics). The nurse informatics specialist assists with the development and implementation of quality tracking and reporting systems and utilizes knowledge and skills of nursing practice to determine clinical functions. The nurse informatics specialist utilizes computer software systems to enhance and improve patient care documentation tools, indirectly improving the quality of care patients receive worldwide. Educational and Professional Requirements The nurse informatics specialist should be a registered nurse with three-five years of clinical experience. Possess at least a BSN, although a MSN is preferred. The job applicant must also demonstrate the ability to plan and implement clinical information systems. A Nursing Informatics Certification is necessary, and Certified Professional in Healthcare Information Management Systems (CAHIMS), and Certified Professional in Healthcare Information Management Systems (CPHIMS) are highly recommended. Rationale for Nurse Informatics Specialists According to ANA Nursing Informatics: Scopes and Standards of Practice, â€Å"Nurses trained in NI support improved patient outcomes through their expertise in information processes, structures, and technologies, thus helping nurses and other care providers to create and record the evidence of their practice† (American Nurses Association, 2008, Pg.2). Through the use of technology and computerized documentation, the nurse informatics specialist indirectly improves the lives of patients and their families worldwide. The nurse informatics specialist improves the efficiency of healthcare provides thus enhancing patient care through the implementation of accurate, simple to use patient documentation tools. Services of Nurse Informatics Specialist Electronic documentation is the primary responsibility of the nurse informatics specialist. After all, documentation is how healthcare providers communicate with one another. A nurse informatics specialist, through the use of computer software and information technologies, finds ways to enhance and simplify documentation thus improving the quality of patient care. The goal is to develop a clinical system that is user-friendly, effective, and enhances patient care. Benefit to the Organization and Customers The ultimate go of healthcare is better health for all. Employed and utilized properly, a nurse informatics specialist is able to help healthcare organizations and patients achieve their ultimate goal. Nursing informatics utilizes health information technology to improve the health of patients and their families worldwide. A nurse informatics specialist improves information management and communication in nursing, thus improving efficiency, reducing costs and enhancing the quality of patient care (American Nurses Association, 2008). A nurse informatics specialist gives back valuable time to healthcare providers by enhancing the efficiency of the healthcare organizations documentation system allowing them to spend more time on direct patient care activities. Characteristics of a Master’s Prepared Nurse A master’s prepared nurse is a well-rounded nurse with diverse experiences, knowledge, and insight. A master’s prepared nurse is determined, highly motivated, well-educated employee. A master’s prepared nurse is a critical thinker with invaluable leadership skills; eager for new challenges and professional growth. It’s this skill set that allows the master’s prepared nurse to flourish in the quick paced, ever changing field of nursing informatics. Unique Attributes Anywhere a clinical nurse is employed, a nurse informatics specialist is employed. Nurse informatics specialists can work in virtually all healthcare settings; from a public health agency to a public health information technology company, nurse informatics specialists are employable in every healthcare setting in the world. To be successful as a nurse informatics specialist, one must possess certain competencies. The nurse informatics specialist must have excellent computer skills with an understanding of how to effectively use computer software programs (Microsoft Word, Excel), knowledge flow of clinical workflow in hospitals and outpatient care settings, and knowledge of Federally Qualified Healthcare standards (JCAHO). The American Recovery and Reinvestment Act of 2009 mandated that by January 1, 2014, all public and private healthcare providers and other eligible professionals (EP) must have adopted and demonstrated meaningful use of electronic medical records (EMR) in order to maintain their existing Medicaid and Medicare reimbursement levels† (Centers of Medicare and Medicaid, ). This act also provides healthcare providers with financial incentives if they are able to demonstrate â€Å"meaningful use† of EHR. The field of nursing informatics is unlike any other nursing field today. Nursing informatics utilizes the technology advances of the 21st century to influence and improve the quality of patient care in an indirect patient care role. Unlike the specialties of clinical systems management or nurse educator, a nurse informatics specialist works side by side with healthcare providers to outline and apply computerized documentation systems that enhance accuracy, reduce workload, and facilitate the analysis of clinical data between healthcare providers. A nurse informatics specialist determines ways to improve the rate, usability, readiness and precision of healthcare provider’s documentation, thus simplifying and enhancing documentation Conclusion The field of nursing informatics is one of the fastest growing specializations in healthcare today. Nursing informatics utilizes health information technology to improve the health of patients and their families worldwide. A nurse informatics specialist streamlines the management and communication in nursing, vastly enhancing the productivity, reducing healthcare services costs and improving patient care quality. The nurse informatics specialist must have excellent computer skills with an understanding of how to effectively use computer software programs (Microsoft Word, Excel), knowledge flow of clinical workflow in hospitals and outpatient care settings, and knowledge of Federally Qualified Healthcare standards.

Use of Power: Blade Runner vs. The Handmaid’s Tale

Compare the ways In which the authors of two texts you studied this year explore the use of power. The Handmaid's Tale by Margaret Atwood and Blade Runner: Director's Cut by Riddle Scott both explore the use of power albeit in similar and dissimilar ways. Power in both texts Is portrayed as humankind's power over the natural world, power over those considered Inferior In society, and power over women. In Blade Runner, the human race is seen to have abused an outstanding amount of power over the natural world, as seen by the environmental decrepitude in the 2019 Los Angels city.There is a large amount of photochemical smog from which the constant acidic rain falls, deteriorating the large buildings. Costuming such as umbrellas and raincoats, dark lighting from unnatural sources, and camera techniques such as the claustrophobic crane shot compile together to create a polluted and dank environment. Apart from the safe fantasy haven of Decker's dreams, not once in the film are flowers or trees shown, and the only animal seen is ‘artificial' or in black and white photographs.Unlike The Handmaid's Tale in which children are a key feature of society, no children are seen in Blade Runner, which suggests that the state of the world is irreparable. There is a large amount of manmade technology however; for example repellents, ever-present blimps, and flying cars or ‘spinners'. This suggests that the progression of technology was far more important to humankind than the preservation of the natural world. In this text, Scott illustrates a world that has quite literally gone to ruin, due to humankind's domination over the natural world.The Handmaid's Tale depicts a world where this dominance is also evident, although it is far less obvious. Contrasting to the Mathew colorless 2019 Los Angels, the world of Gilead boasts rose beds, sunshine and shady streets. But there are also toxic wastelands and skyrocketing infertility rates. The alarm Is described to have â⠂¬Å"got too full, once, of chemicals, rays, radiation† and the water to â€Å"swarm with toxic molecules,† all of which are the consequence of human activity and thus illustrate the power over the natural world.As a result, â€Å"still births, miscarriages and genetic deformities are widespread and on the increase. † The condition and state of the environment in both texts illustrate the vegetating effects of humankind having power over the natural world. Power over those considered inferior in society is also explored in these two texts. In Blade Runner, the replicates are deemed as unequal, which is evident due to the use of language. For example, the euphemism â€Å"retirement† is used to describe their death, and Declared uses the term â€Å"it† instead of ‘he' or ‘she' when referring to them.When Chord Is killed on the street, the lack of reaction from the public suggests that morally incorrect. Besides replicates, however, non-Cauc asian people suffer inequality also. This is evident as the blimps that advertise a â€Å"new life† in the off- world colonies speak in English, despite majority of the population being Asian. Caucasian people in the film are seen to have all the power due to their positions in society, for example Tersely, the lavishly dressed people in Taffy's bar, and Bryant, the head police officer.Bryant is heard using derogatory language, which suggests his power as a Caucasian, as he refers to those below him in the overpopulated streets as â€Å"little people. † Those who are not physically perfect are also shown as powerless in the film. For example, J. F. Sebastian â€Å"couldn't pass the medical† to live in an off-world colony because he suffers from Methuselah's syndrome, despite being a killed engineer (as shown by his ‘living toy creations. ) Bigotry against those considered inferior is also seen in The Handmaid's Tale.In the ‘Historical Notes' it is ex plained that a specific strain of syphilis was produced to drop over India, which is similar to the type of ‘racial cleansing seen in Blade Runner. Moreover, those who cannot serve the â€Å"greater good† are exposed of as if they are mere objects, for instance, abortion actors and homosexuals, both of whom are publicly hung on The Wall. Handmaids also suffer similar inequality and powerlessness. This is largely evident as the Aunts in the Red Centre are explained to have â€Å"scriptural precedent† to hit the handmaids.Offered communicates the power over those considered substandard in society by explaining that â€Å"Better never means better for everyone†¦ It always means worse for someone. † Atwood and Scott both explore power over those considered inferior in order to enhance the already dyspeptic worlds, and to evoke a strong emotional response from their audience. Power over women in both texts is a significant area explored by both Atwood and Scott. In Blade Runner, women are sexualities and objectified for the pleasures of men, which indicates male dominance.Chord, who works as an exotic dancer â€Å"taking pleasures from the snake† is highly sexualities to the point of ridiculousness, for example, her see-through, impractical rain Jacket – paired with knee high heeled boots. Camera techniques also illustrate her objectification as a sex toy. For example, the camera imposes on her privacy by following her into the shower, despite Declared eyeing the only one talking at the time. Additionally, the framing tends to focus on her body.Prism similarly is an example of men's power over women in the Blade Runner world. Although she is seen wearing more clothing than Chord, she also wears a collar, which signifies ‘ownership' as if she is an animal that could belong to someone. This costuming differs to what is described in The Handmaid's Tale, where female clothing is â€Å"long and concealing. † How ever, in both worlds clothing is a means of identification, for example in Gilead, the color red represents the Handmaids, as the liar on Prism supposedly represents a â€Å"basic pleasure model. The creation of Prism as a replicate to serve as a â€Å"basic pleasure model† indicates that women are considered to have no other purpose in life besides their sexual organs. This idea is present in The Handmaid's Tale also. Due to the infertility rates, sexual violence and rape are justified, leading to women becoming no more than â€Å"two-legged wombs, that's all. † Even Rachel, who contrasts from Prism and Chord in her role in society, is powerless in between her and Declared, which presents the idea that women should be observing to men.This is indicated as when she dodges his advances and attempts to leave, he angrily slams the door shut, pushes her against the wall and demands her to kiss him. Similarly in The Handmaid's Tale, women are subject to violence, despite t he desire for their â€Å"protection,† for example the â€Å"electric cattle prods† used to maintain power over the handmaids. Inequality due to gender is also largely evident as women are given only three chances at pregnancy before they are cast off to the colonies to die of â€Å"unnatural causes. It is clear that if infertility is a problem, ales are Just as ‘responsible' as females, but not once are men punished for faulty semen. Although women are not as obviously unequal in Blade Runner, it is evident that both authors have deeply explored the disturbing idea of men's power over women. Atwood and Scott explore the use of power in both The Handmaid's Tale and Blade Runner; particularly power over the natural world, those considered inferior, and women. This evokes strong emotional responses, and despite differing means of exploration, both texts successfully raise questions and provoke thought.

To Vaccinate or Not to Vaccinate

A lot of parents stress over the choice of deciding wither or not to vaccinate their children. The reason why deciding to vaccinate children is so difficult is due to the wide range of myths and side effects that are connected with vaccinations. Examples of myths spread to parents all over the United States is that the diseases don’t even exist anymore, rumors of vaccinations weakening a child’s immune system, and the risk of a child becoming autistic due to thimerisol in vaccinations causing autism. Side effects also scare parents out of getting their children vaccinated like brain damage, seizures, or allergic reactions. But then parents are pulled back to the thought of the possibility of their child or children catching a very serious life threatening disease. Any of these terrible things occurring in a child’s life makes it very easy for a parent to steer clear of the whole situation, and in ending result, not get their child vaccinated. When children aren’t vaccinated, they are left defenseless against diseases like hepatitis B, measles, mumps, chicken pox, polio, pertussis (whooping cough),   rubella, and more. All these diseases have the ability to easily kill a child within days, and if it weren’t for the vaccines protection over many children in the United States, the spread of these diseases would travel rapidly. There are a lot of people that do not recommend or get vaccinations for children because they think it is unnecessary to vaccinate for a disease that is no longer around. But let’s look at the big picture. If everyone stopped getting the vaccinations what would happen? Todd Neale from Medpage today inquires in San Diego 2008, â€Å"  Although the rate of two-dose immunization against measles was 95% in the area, a single case of measles from a 7-year-old child returning from overseas sparked an outbreak that exposed 839 people and sickened 11 other children†. If those 839 people weren’t protected with strong immune systems or vaccinations, there would have been a drastic dilemma. This is a perfect example of how fast a disease can get out of control. When parents think that its o. k. not to vaccinate because the diseases aren’t around anymore, they are really relying on other children who are vaccinated to keep their own children healthy, which is a gamble. In other words, According to the Children’s hospital of Philadelphia, if the immunizations rates drop only a little bit, outbreaks of diseases would sweep across the country rapidly. Another reason parents don’t want to vaccinate is because of the rumor of he vaccinations weakening children’s immune system. According to the Children’s hospital of Philadelphia â€Å"If 11 vaccines were given to infants at one time (which they aren’t), then about 0. 1 percent of the immune system would be used up, but because B cells and other lymphocytes are constantly replenished, a vaccine never really uses up a fraction of the immune system. For example, the immune system has th e ability to replenish about 2 billion lymphocytes each day. Also a study in Germany revealed that 496 vaccinated and unvaccinated children who received immunizations within the first three months of life had fewer infections with vaccine-related and unrelated pathogens than the non-vaccinated group. So here is the proof that vaccinations will not affect a child’s immune system. Then there is the big scare of vaccines containing the ingredient thimerisol causing autism in children. According to FDA, thimerosal is a mercury containing preservative found in vaccines that prevents bacterial and fungal growth which might occur with repeated puncture of multi dose vials. A lot of controversy has been held between doctors and parents because of prediction of autism being linked to thimerosal. According to the Centers for Disease Control and Prevention Vaccine Safety Datalink, â€Å"Preliminary results from the VSD Thimerosal Screening Study published in 2003 did not find an association between thimerosal exposure and autism risk and recent ecological studies has not found a correlation between thimerosal content of vaccines and autism rates†. Numerous studies by many scientists have been done and prove that Thimerosal and autism are not related. Examples: Vaccine Education Center at The Children’s Hospital of Philadelphia, â€Å"Multiple studies have shown that thimerosal in vaccines does not cause autism†. Another reason people do not get their children vaccinated is because of risks associated with getting the vaccinations. Scary examples of some of the side effects associated with vaccinations include: seizures, brain damage, high fevers and even death. Let’s take the vaccine for hepatitis B as a good example. The Children’s Hospital  of Philadelphia states, â€Å"About one of every 600,000 doses of hepatitis B vaccine is complicated by a severe allergic reaction called anaphylaxis. The symptoms of anaphylaxis are hives, difficulty breathing and a drop in blood pressure. On the other hand, every year about 5,000 people die soon after being infected with hepatitis B virus. According to Car Accident Statistics from Edgar Snyder and Associates,† Each year, lmost 250,000 children are injured in car crashes, meaning nearly 700 kids are harmed every day. But this doesn’t stop people from putting their children in cars. The chicken pox vaccine is another example that side effects are very rare. According to Medic 8, â€Å"A macular or accine rash usually consisting of a few lesions at the injection site is reported in 3% of children and 1% of adolescents. Cases of allergic reactions to children are very low a nd should hold any parent back from getting children vaccinated. So in conclusion, the diseases that vaccines are made to treat are still around, and it is very easy for a disease to spread. Vaccines do not weaken a child’s immune system because of B cells and lymphocytes being constantly replenished by immune system. Numerous studies have been conducted proving that thimerisol does not cause autism. And The risk of a child having a adverse reaction to a vaccine is so low that its safer than driving down the street in a car. Protect your children from deadly diseases, get them vaccinated.

The Sonnets Of Shakespeare s Sonnets - 1396 Words

There are 154 sonnets Shakespeare wrote, though it is popularly theorized that he himself did not publish them; they were published by a man named Thomas Thorpe, who is said to have stolen the sonnets. This explains the unrefined lines found in several of the sonnets. More evidence for this theory stems from the idea that Shakespeare’s heterosexuality had to be proven by publishing the sonnets and claiming that each one about romance was written for or about women. It is not known what Shakespeare’s true sexuality was, though in his time being homosexual was viewed as a grave sin and would have wiped Shakespeare’s name from fame. Ernest Sutherland Bates says in his publication The Sincerity of Shakespeare’s Sonnets, â€Å"The criterion of†¦show more content†¦Many of the sonnets are romantic, with more than half appearing to be written about a romance with a young man, and the rest are written about a woman referred to often as the Dark Lady. Thi s paper will be concerned with Sonnet 7. Shakespeare’s Sonnet 7 strays from the main theme of love and romance, as it is mainly about youth turning into old age. The first four are as follows: â€Å"Lo! in the orient when the gracious light / Lifts up his burning head, each under eye / Doth homage to his new-appearing sight / Serving with looks his sacred majesty.† Already the theme of youth fleeing into old age can be seen; the â€Å"gracious light† refers to the sun, which rises in the east and sets in the west. The â€Å"orient† refers to the East, and so this line depicts someone young. This is reinforced by the phrase â€Å"lifts up his burning head† in the second line, as it characterizes the sun as just rising up over the horizon, burning bright and full of energy for the day ahead. In the third line, â€Å"his new-appearing sight,† also reinforces this imagery of the sun rising each day. 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The line â€Å"that she might think me some untutored youth† points out that the speakerRead MoreWilliam Shakespeare s Sonnet 301181 Words   |  5 PagesIn â€Å"Sonnet 30’’, William Shakespeare introduces the audience to a sad state of mind, extreme abstract metaphors ,and the use of very strong mechanical features ,which opens an intake on ageing love for his audience to imagine the memories of love, all regrets ,and pain that soon evaporates. â€Å"Sonnet 30’’ closely repeats â€Å"Sonnet 29’s† theme that the memories of youth are priceless and it also uses the same structure in Shakespeare’s other sonnets. The quatrains focuses on the emotions of pain with