You are caring for five patients on a busy, 28-bed neurological medical-surgical unit, which recently transitioned to all electronic documentation and healthcare computerized provider order entry (CPOE). There is no longer any bedside paperwork.
All of your staff members have completed the required training and you have been assigned as expert lead for any questions that may arise during your shift. The expectation is that all nurses and clinical staff will document all care delivery in the bedside computers located in each patient’s room or via the workstation on wheels (WOW).
However, you have noticed a trend with experienced nurses spending extra time at the end of their shifts (30 or more minutes) documenting the nursing care provided during the shift. The expectation is that they should be documenting care delivery as soon as it is complete rather than at the end of their shifts.
Answer the following questions based on the information provided:
1. Explain how you would address the concern with the delay in nursing documentation with your team.
2. Do you see the transition to all electronic documentation as having a positive or negative effect on patient-centered care? Support your answer with evidence from the literature.
3. Explore the role of advancement in information technology and its effect in patient care. Does more technology use improve time with patients? Use at least two sources to support your response.
You will examine two case studies in this course. These assignments will help apply your theoretical learning to real-world scenarios. Within each paper, be sure to address each question in the given prompt thoroughly and include the following elements:
1. A thorough response to all parts of the prompt
2. An assessment of the role of patient care technologies
3. Incorporation of sources to support your response
(ADD LOTS OF DETAILS PLEASE)
What to Submit:
Case study papers should be 2–3 pages in length with double spacing, one-inch margins, and 12-point font. Each case scenario should include at least two peer-reviewed sources. APA formatting is to be used for references and in-text citations.
Required Resources:
Textbook: Nursing Informatics and the Foundation of Knowledge, Chapters 13 and 25
Additional Support (Optional):
Library Article: http://ezproxy.snhu.edu/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft,yrovft,ovrn&AN=00024665-200903000-00004&PDF=y
This nursing journal article details a small study in which the researchers collected data before and after the implementation of an electronic healthcare system at a Florida hospital. The results demonstrate a positive effect on time spent in direct care and less time spent on administrative tasks by nurses in one unit.
You may find this article useful as you complete the assignment in this module and as you build support for your final presentation.
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