Information technologies are widely used today in the healthcare system. Technology has enabled doctors and nurses to manage information better. Still, the use of different information systems requires appropriate skills to use the systems in a clinical setting to improve the quality of care (Warm & Thomas, 2011). Implementing initiatives on adopting new health information technology systems poses new challenges for nurses and forms new roles. Professional performance of these roles will increase the credibility and effectiveness of clinical informatics (Warm & Thomas, 2011). This paper presents the practicum professional experience plan for acquiring a new role that implies the competent use of the health information technology systems.
Evaluating Opportunities for Professional Transitions
The US healthcare system is actively developing, and over the past 10 years, many changes have been introduced to improve the quality of services and simplify the work of doctors. 9 out of 10 US hospitals today use electronic health record (EHR) systems (Wachter, 2018). However, despite the generally positive consequences of implementing the health information technology systems, the context of work can quite often cause distortions and cause problems when working with EHR or other smart systems. Barriers include high burnout, low return of useful information, long time spent by doctors and nurses for data entry, reduced face-to-face communication with the patient, and related issues (Wachter, 2018). Therefore, to work effectively with information technologies in the healthcare sector, a nurse must have professional skills and qualities to overcome the listed problems and show high results in working with patients and improving service.
When I started my career in the Grand View Hospital as a nurse, I was excited to hear about the anticipated adoption of the new health information technology systems, presented to the healthcare facility by the tech companies. I wish to participate in the integration of the health information technology system into the daily work of the hospital and take on new responsibilities related to working with technology. Since I now eagerly look forward to the professional opportunities, I want to be sure that I can develop the skills and the expertise required to work with the EHR systems.
Developing Measurable Professional Development Objectives
Therefore, there is a need to formulate the measurable professional development objectives that should be accomplished during the Practicum Experience, to prepare for a new role. Here are the three main objectives that will determine my success in the new role:
- To master the skills and experiences needed for a successful professional role change in a term of 1 month.
- To determine professional positions interesting for me and prepare for them.
- Effectively communicate my role as clinical nurse informatics to students, new hires, and clinical staff as defined by evidence-based practice.
Refining the Objectives using Bloom’s Taxonomy
Meeting the objectives mentioned above will help me to achieve my job goals efficiently. However, there is a need to make these objectives more precise using Bloom’s Taxonomy. For instance, I will demonstrate the ability to apply, analyze, synthesize, and evaluate helpful information to reach my aims (“Writing SMART learning objectives,” 2018).
- Applying the knowledge on effective work with the EHR systems to master the skills and experiences needed for a successful professional role change in a term of 1 month.
- Analyzing and synthesizing the job requirements for IT nurses to determine professional positions interesting for me and prepare for them.
- Evaluate the evidence that demonstrates my professional growth to effectively communicate my role as clinical nurse informatics to students, new hires, and clinical staff as defined by evidence-based practice.
Analyzing the Areas of Experience and Professional Growth
The implementation of the EHR necessitates full ownership of the context of daily work by patients, and over several years I have been able to acquire this expertise. However, I also need to consider the advice of scientists who discovered some short-term problems associated with the implementation of EHR, since in my new position I will cope with these problems and try to find optimal solutions. In particular, Sittig et al. (2018) presented a list of nine features of the implementation of electronic systems that cause difficulties for nurses. First, scientists have identified the need to develop methods and tools that will assess the risks associated with the use of the EHR.
Second, EHRs often show a lack of standard design elements and interface features. Third, there is the problem of ensuring the safety of software in a clinical environment. Then, the program must be supplemented by introducing a method for the unique identification of the patient. Existing EHR programs also need new solutions to improve security, secure system transition management, automate performance monitoring and system security (Sittig et al., 2018). Finally, scholars point out the need to create a legal framework and a cultural environment to exchange information on EHR-related issues.
Yen et al. (2017) note that the implementation of EHR systems must be accompanied by measures for the health information technologies (HIT) adaptation. Cresswell et al. (2020) add that the HIT system design “needs to be cognizant of the accompanying social and organizational transformations” (p. 28). Since I have some experience as a software developer, I will solve some of the listed problems, for example, create a monitoring system for the safety of using the system, and develop a method for uniquely identifying a patient. Subsequently, my software can be integrated into the EHR system that the hospital uses. Having a wide range of nursing experience will help me complement the system with elements that optimize the work of nurses, allowing them to get better return information and spend less time filling out forms.
Analyzing Practicum Experience in the Context of Nursing Informatics
By working on program optimization, I will realize my potential in nursing informatics and demonstrate professional growth. I will implement my programming skills and will be able to integrate my user experience with similar systems, as I will pre-test for various types of EHR systems. I will try to optimize the work of nurses with electronic systems to improve the patient experience, reduce time costs, and mitigate the risks associated with remote diagnosis and patient counseling.
Detailed Practicum Time Log
|Applying the knowledge on effective work with the EHR systems to master the skills and experiences needed for a successful professional role change||1 month|
|Analyzing and synthesizing the job requirements for IT nurses to determine professional positions interesting for me and prepare for them.||1 month|
|Evaluating the evidence that demonstrates my professional growth to effectively communicate my role as clinical nurse informatics to students, new hires, and clinical staff as defined by evidence-based practice.||1 month|
|Performing the practical tasks: developing the programs that will be integrated into the standard EHR chosen by the hospital to ||2 months|
Table 1. Detailed practicum time log.
Cresswell, K., Williams, R., & Sheikh, A. (2020). Developing and applying a formative evaluation framework for health information technology implementations: qualitative investigation. Journal of Medical Internet Research, 22(6), e15068. Web.
Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2020). Current challenges in health information technology–related patient safety. Health Informatics Journal, 26(1), 181-189. Web.
Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informatics role. Nursing Standard, 25(44), 35–38.
Wachter, R. M., & Howell, M. D. (2018). Resolving the productivity paradox of health information technology: a time for optimism. Jama, 320(1), 25-26. Web.
Writing SMART learning objectives. (n.d.). University of North Carolina Wilmington. Web.
Yen, P. Y., McAlearney, A. S., Sieck, C. J., Hefner, J. L., & Huerta, T. R. (2017). Health information technology (HIT) adaptation: refocusing on the journey to successful HIT implementation. JMIR Medical Informatics, 5(3), e28. Web.