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Write a 4-5 page evidence-based proposal to support the need for a nurse
informaticist in an organization who would focus on improving health care outcomes.


For this assessment, assume you are a nurse attending a meeting of your state’s nurses
association. A nurse informaticist conducted a presentation on her role and its impact on
positive patient and organizational outcomes in her workplace. You realize that your
organization is undergoing many technological changes. You believe this type of role could
provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to
your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a
4–5 page evidence-based proposal to support the new role. In this way,
they can make an informed decision as to whether the addition of such a role could justify the
return on investment (ROI). They need your proposal before an upcoming fiscal meeting. This
is not an essay, but instead, it is a proposal to create a new Nurse Informaticist

One important part of this assessment is the justification of the need for a nurse informaticist in
a health care organization and references from relevant and timely scholarly or professional
resources to support the justification for creating this nurse informaticist position. The term
justify means to show or prove that the nurse informaticist position brings value to the
organization. This justification must include evidence from the literature to support that this
position will provide a return on investment for the organization.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include
the following headings in your proposal and to be sure to address the bullets following each

Nursing Informatics and the Nurse Informaticist

● What is nursing informatics?
● What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

● What is the experience of other health care organizations with nurse informaticists?

● How do these nurse informaticists interact with the rest of the nursing staff and the
interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

● How does fully engaging nurses in health care technology impact:
○ Patient care?
○ Protected health information (security, privacy, and confidentiality)?

■ In this section, you will explain evidence-based strategies that the nurse
informaticist and interdisciplinary team can use to effectively manage
patients’ protected health information, particularly privacy, security, and
confidentiality. Evidence-based means that they are supported by
evidence from scholarly sources.

○ Workflow?
○ Costs and retur

Assessment 2 Instructions: Protected
Health Information (PHI): Privacy, Security,
and Confidentiality Best Practice

● Prepare a 2-page interprofessional staff update on HIPAA
and appropriate social media use in health care.


In this assessment, assume you are a nurse in an acute care, community, school, nursing
home, or other health care setting. Before your shift begins, you scroll through Facebook and
notice that a coworker has posted a photo of herself and a patient on Facebook. The post
states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am
excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize
this is a breach of your organization’s social media policy. Your organization requires employees
to immediately report such breaches to the privacy officer to ensure the post is removed
immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The
privacy officer takes swift action to remove the post. Due to the severity of the breach, the
organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main

● Educate staff on HIPAA and appropriate social media use in health care.
● Prevent confidentiality, security, and privacy breaches.

The task force has been charged with creating a series of interprofessional staff updates on the
following topics:

● Social media best practices.
● What not to do: Social media.
● Social media risks to patient information.
● Steps to take if a breach occurs.

You are asked to select one or more of the topics and create the content for a staff update

containing a maximum of two content pages. This assessment is not a
traditional essay. It is a staff

educational update about PHI. Consider creating a flyer, pamphlet, or
PowerPoint slide. Remember it should not be more than two
pages (excluding a title and a reference page).


The task force has asked team members assigned to the topics to include the following content
in their updates in addition to content on their selected topics:

● What is protected health information (PHI)?
○ Be sure to include essential HIPAA information.

● What are privacy, security, and confidentiality?
○ Define and provide examples of privacy, security, and confidentiality concerns

related to the use of technology in health care.
○ Explain the importance of interdisciplinary collaboration to safeguard sensitive

electronic health information.
● What evidence relating to social media usage and PHI do interprofessional team

members need to be aware of? For e

Assessment 3 Instructions:
Evidence-Based Proposal and Annotated
Bibliography on Technology in Nursing

Write a 4-6 page annotated bibliography where you
identify peer-reviewed publications that promote the
use of a selected technology to enhance quality and
safety standards in nursing.
Technology is essential to the advancement of the nursing profession, maintaining quality care
outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can
enhance quality and safety standards in nursing. You will prepare an annotated bibliography on
technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary
on the content of scholarly publications and other sources of evidence about a selected
nursing-related technology. A bibliography of this type provides a vehicle for workplace
discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses
become more accountable in their practice, they are being called upon to expand their role of
caregiver and advocate to include fostering research and scholarship to advance nursing
practice. An annotated bibliography stimulates innovative thinking to find solutions and
approaches to effectively and efficiently address these issues.


To successfully complete this assessment, perform the following preparatory activities:

● Select a single direct or indirect patient care technology that is relevant to your current
practice or of interest to you. Direct patient care technologies require an interaction, or
direct contact, between the nurse and patient. Nurses use direct patient care
technologies every day when delivering care to patients. Electronic thermometers or
pulse oximeters are examples of direct patient care technologies. Indirect patient care
technologies, on the other hand, are those employed on behalf of the patient. They do
not require interaction, or direct contact, between the nurse and patient. A handheld
device for patient documentation is an example of an indirect patient care technology.
Examples of topics to consider for your annotated bibliography include:

○ Delivery robots.
○ Electronic medication administration with barcoding.
○ Electronic clinical documentation with clinical decision support.
○ Patient sensor devices/wireless communication solutions.
○ Real-time location systems.
○ Telehealth.
○ Workflow management systems.

● Scan the search results related to your chosen technology.
● Select four peer-reviewed publications focused on your selected topic that are the most

interesting to you.
● Evaluate the impact of patient care technologies on desired outcomes.

○ Analyze current evidence on the impact of a selected patient care technology on
patient safety, quality of care, and the interdisciplinary team.

○ Integ

Assessment 4 Instructions: Informatics
and Nursing Sensitive Quality Indicators

● Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on
the importance of nursing-sensitive quality indicators. Powerpoint TO BE


As you begin to prepare this assessment you are encouraged to complete the Conabedian
Quality Assessment Framework activity. Quality health care delivery requires systematic action.
Completion of this will help you succeed with the assessment as you consider how the triad of
structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and
process (such as the delivery/coordination/education/protocols/practice style or standard of
care) may be modified to achieve quality outcomes.

The American Nursing Association (ANA) established the National Database of Nursing Quality
Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by
nursing action.

NDNQI® was established as a standardized approach to evaluating nursing performance in
relation to patient outcomes. It provides a database and quality measurement program to track
clinical performance and to compare nursing quality measures against other hospital data at the
national, regional, and state levels. Nursing-sensitive quality indicators help establish
evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality
care outcomes and initiate quality improvement educational programs, outreach, and protocol

The quality indicators the NDNQI® monitors are organized into three categories: structure,
process, and outcome. Theorist Avedis Donabedian first identified these categories.
Donabedian’s theory of quality health care focused on the links between quality outcomes and
the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses
deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in
data collection and analysis. In addition, monitoring organizations, including managed care
entities, exist to gather data from individual organizations to analyze overall industry quality. All
of these roles are important to advance quality and safety outcomes.

The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality
indicator data. You will develop an 8–10 minute audio (or video) training module to orient new
nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization.

Your recording will address how data are collected and disseminated across the organization
along with the nurses’ role in supporting accurate reporting and high quality results.


For this assessment, imagine you ar