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Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: 1. Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. 2. Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology. The Assignment: (3 pages not including the title and reference page) In preparation of filling this role, develop a 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: 1.Planning and requirements definition 2. Analysis 3. Design of the new system 4. Implementation 5. post-implementation support 6. Use APA format and include a title page and reference page. Resources-3 websites and 3 videos attached 1. https://www.youtube.com/watch?v=xtpyjPrpyX8 2. https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit 3. https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference As a nurse manager in an organization where a new documentation system is going to be implemented, a good plan and a good team are necessary for the systems development lifecycle (SDLC) to be completed successfully. Having a nurse leader on the development team would prove beneficial for the organization as nurses spend most of their time utilizing the systems and nurses make up the majority of the health care professionals. The SDLC is similar to the nursing process, in which the nurse must assess, diagnose, plan, implement, evaluate, and revise (McGonigle & Mastrian, 2017). Nurses have a unique role to play in the delivery of care to patients .The nurses are the one who spend the most time with patients during the different stage of their treatment or hospitalization (Bramley &Milika,2014).With the increased adoption of health informatics technology ,the work of nurses is impacted ,as they are the ones mostly using the various technologies used in providing care. Therefore, it is important that the nurses must be included in the decision to adopt health information technology and implement it. According to Serobatse (2013) the system development life cycle (SDLC) is an approach that is often used in the implementation of HIT. Use of SDLC is crucial as the approach captures the ever -changing system requirements by getting feedback from systems users and incorporating the cognitive -social technical aspects in the five stages so as meet the needs of users. Role of Nurse in Planning and requirements definition phase The key to any successful project is having a good plan, even if the team is great and the plan is poor the project will ultimately fail. The plan will help team members see the strengths and weaknesses of the project. The point where the model or framework that will guide the development process is chosen is a central strategic aspect that will undeniably have an impact on the effectiveness of the system in the long run (Isaias & Issa, 2014). The nurse leader should be aware of the different type of models available, no need to be an expert, but be aware of This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ models that can work more efficiently with the organizations needs. The team should also be chosen carefully; there should be varying degrees of nursing represented. This phase of the SDLC process involves defining the scope and problems , examining the possible alternatives , choosing the best alternative by performing feasibility tests, creating the project schedule ,assimilating resources needed for the project and launching it (Rehani,2019).The specific role of the nurse are :  Work with the interdisciplinary team to establish shared deliverables of the project.  Work with the interdisciplinary team to determine the requirements (technical, clinical and medication) of the project.  Work with the interdisciplinary team to conduct a feasibility test for the project. Role of Nurse in Analysis Phase During the analysis phase, the role of the nurse is to help prioritize project requirements, generate and evaluate possible alternatives, and make recommendations for management (Weckman & Janzen, 2009). As stated by Thomas, Seifert, and Joyner (2016), failure to complete these tasks efficiently and meet organizational and user needs could result in project delays, data loss, errors, and breakdown of communication processes. According to Rojas and Seckman (2014), an internal part of the analysis process includes analyzing the workflow processes, communication, and decision-making tools. Another important component of the analysis stage is to analyze technical requirements and additional demands such as hardware, software, staffing This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ and space needs (Rehani, n.d.). Nurse involvement in this stage is also imperative to review relevant organizational policies and changes required to accommodate new work processes and new technology (Dennis, Wixom, & Roth, 2015) The analysis phase involves prioritizing the requirements of the project, developing and assessing possible solutions or alternatives, reviewing policies of the organization, and making recommendations for the organization (Rehani,2019). The specific roles of the graduate nurse during this phase are:  Work with the interdisciplinary team to develop a list of priority requirements of the projects  Work with the interdisciplinary team to develop and evaluate alternatives. Role of Nurse in design of the new system The nurse plays a vital role in the design phase, which is a critical part in the SDLC. It ensures that the software’s overall configuration is defined properly and determines the architecture and operation of the system with regard to the following; processes, hardware, software, networking, data retrieval, archiving and use, and user interface (Rehani, n.d.). Nurses play an integral role in reinforcing the primary purpose of the system, to improve patient safety (Rehani, n.d.). The nurse will assist in customizing the system to provide clinical decision support to accommodate practices in different specialties (Rehani, n.d.).The design phase concerns the operation and architecture of the health information adopted by the organization in terms of process, software, hardware data retrieval, networking, user interface and archiving among other thing (Rehani,2019). The role of nurse in this phase is limited with other member of the disciplinary team (IT specialists, vendor and informatic nurses) taking control of the stage. still the nurse role to play in that This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/  Study and understand the purpose and system interactions Role of Nurse in Implementation Phase In the implementation stage, the nurse works closely with the team to further customize, test, and install the system (Rehani, n.d.). The role of the nurse in this phase is critical because it involves staff training, system maintenance, and evaluation of outcomes (Rehani, n.d.). The nurse is also responsible for ensuring two-way communication between the staff and management to solicit feedback that may be useful when redesigning the system for better outcomes (Rehani, n.d.). According to Rehani (n.d.), “the feedback received from users is critical to the adaptive process of SDLC for customization and optimization of HIT.” Making safety rounds to identify workflow and system issues have been found to be an effective strategy the nurse can engage it (Rehani, n.d.). Task in the implementation phase include customizing the system, testing it, and installing it (Rehani,2019). The roles of the graduate nurse during this phase include:  Work with the interdisciplinary team to evaluate the performance of the system  Work with interdisciplinary team to redesign the system in case the evaluation deems it necessary  Provide feedback about the working of the system  Provide staff training to other staff in the organization Role of Nurse in Implementation Support Phase In this phase, the nurse is involved in providing continual support and adequate training, including understanding of the technology and its implications, to ensure there is acceptance and compliance of the new system by the staff (Rehani, n.d.). This will also help increase satisfaction This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ and adherence to the best practices (Rehani, n.d.). Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation Sample Essay. As a result, it will minimize any potential negative effects caused by technical failures (Rehani, n.d.). Nurse involvement in this stage is important to identify flaws, thus reinforcing the need for constant upgrade and maintenance of databases (Rehani, n.d.). Post-implementation support pertains to the continuation of education and improvement for the staff and the new documentation system. Nursing leaders, informatics specialists, and staff will come together with opinions and data from usage to better the process and the system. This part of the process should be ongoing and evolving with the information obtained from both qualitative and quantitative data of the new system. Changes should occur and education should be ongoing with the changes (McGonigle & Mastrian, 2018). According to Rehani (2019) maintenance and support is a continuous process and these are the main task in the post implementation support base. The role of the graduate nurse is important in this phase and include  Provide continuous training and support to help boost acceptance of the new system  Work with the interdisciplinary team to provide ongoing evaluation of the system to identify the need for changes Conclusion By leaving nursing leaders out of the SDLC process there is high likelihood of the project not being bedside friendly or possibly adding unnecessary work on health care workers. SDLC requires the active participation of health care professionals trying a new system out. If a nurse leader was not included in this process you would risk the whole system becoming voided by missing key aspects. Nurses are a large, influential part of system process development and not This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ utilizing them would be a huge flaw and possible loss of nursing support for any organization seeking to make changes within their systems (McGonigle & Mastrian, 2018) Reference Barmled l matiti (2014) How does it really feel to be in my shoes? patient experiences of compassion within nursing care and their perception of developing compassionate nurses JOurnalk of clinical nursing Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning Rehani N (2019) using sdlc methodology to implement HIT, Retrieved May 5,2019 from https://pdfs.semanticscholar.org Sebatse MD (2013) The chanllenge of implementing health information systems “a case study in charlotte maxeke Johannesburg Academic Hospital Weckman, H., Janzen, S. (2009). The critical nature of early nursing involvement for introducing new technologies. The Online Journal of Issues in Nursing, 14(2), 1- 13. doi:10.3912/OJIN.Vol14No02Man02 Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation This study source was downloaded by 100000801843586 from CourseHero.com on 08-02-2021 21:49:43 GMT -05:00 https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ Th is stu dy re so ur ce w as sh ar ed v ia C ou rs eH er o. co m Powered by TCPDF (www.tcpdf.org) https://www.coursehero.com/file/90533009/week-10-assignment-INFORMATICSdocx/ http://www.tcpdf.org WAL_NURS6051A_05_C_EN-CC.mp4 WAL_NURS6051A_05_B_EN-CC.mp4 WAL_NURS6051A_05_A_EN-CC.mp4