These nursing assignments discuss standardized coding systems and nursing informatics competencies. Regarding coding systems, standardized terminologies are important for consistent, high-quality care across different healthcare settings and professionals. Regarding competencies, the assignments identify relevant functional areas of nursing informatics for an individual's role and gaps in their skills, then develop a plan for improving skills through available resources.

1. These are nursing assignments
QUESTIONAUG 26, 2017These are nursing assignmentsTransforming Nursing and
Healthcare through Technology (NURS – 6051N – 37)DISCUSSION- 1The Effects of “To Err
Is Human” in Nursing PracticeThe 1999 landmark study titled “To Err Is Human: Building a
Safer Health System” highlighted the unacceptably high incidence of U.S. medical errors and
put forth recommendations to improve patient safety. Since its publication, the
recommendations in “To Err Is Human’ have guided significant changes in nursing practice
in the United States.In this Discussion, you will review these recommendations and consider
the role of health information technology in helping address concerns presented in the
report.To prepare:Review the summary of “To Err Is Human” presented in the Plawecki and
Amrhein article found in this week’s Learning Resources.Consider the following
statement:“The most significant barrier to improving patient safety identified in “To Err Is
Human” is a “lack of awareness of the extent to which errors occur daily in all health care
settings and organizations (Wakefield, 2008).”Review “The Quality Chasm Series:
Implications for Nursing” focusing on Table 3: “Simple Rules for the 21st Century Health
Care System.” Consider your current organization or one with which you are familiar.
Reflect on one of the rules where the “current rule” is still in operation in the organization
and consider another instance in which the organization has effectively transitioned to the
new rule.Please Provide ReferencesLearning ResourcesRequired ReadingsAmerican Nurses
Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver
Springs, MD: Author.“Introduction”This portion of the text introduces nursing informatics
and outlines the functions of the scope and standards.McGonigle, D., & Mastrian, K. G.
(2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA:
Jones and Bartlett Learning.Chapter 1, “Nursing Science and the Foundation of
Knowledge”This chapter defines nursing science and details its relation to nursing roles and
nursing informatics. The chapter also serves as an introduction to the foundation of
knowledge model used throughout the text.Chapter 2, “Introduction to Information,
Information Science, and Information Systems”In this chapter, the authors highlight the
importance of information systems. The authors specify the qualities that enable
information systems to meet the needs of the health care industry. Wakefield, M. K. (2008).
The Quality Chasm series: Implications for nursing. In R. G. Hughes (Ed.), Patient safety and
quality: An evidence-based handbook for nurses (Vol. 1, pp. 47–66). Rockville, MD: U. S.
Department of Health and Human Services.Pages 1–12These 12 pages highlight the issues
raised by the Quality Chasm Series and examine their long-term implications for nursing.

2. The text reviews external drivers of safety and quality, design principles for safe systems,
and guidelines for health care redesign. Cipriano, P. F., & Murphy, J. (2011). Nursing
informatics. The future of nursing and health IT: The quality elixir. Nursing Economic$,
29(5), 282, 286–289.In this article, the authors focus on how nurses can use health
information technology to help transform health care using the recommendations included
in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing
Health.” The author also discusses the 2011 National Strategy for Quality Improvement in
Health Care.Plawecki, L. H., & Amrhein, D. W. (2009). Clearing the err. Journal of
Gerontological Nursing, 35(11), 26–29.This article presents a summary of the Institute of
Medicine report “To Err Is Human: Building a Safer Health System.” The authors provide an
overview of what has been accomplished in the decade following the IOM report, focusing in
particular on health information technology.Required MediaLaureate Education (Producer).
(2012e). Introduction to nursing informatics. Baltimore, MD: Author.In this video, Doris
Fischer, Richard Rodriguez, Carina Perez, and Carmen Ferrell introduce the concept of
nursing informatics. These individuals provide insight into how informatics is transforming
the health care system by improving efficiency and quality of care.Optional ResourcesHilts,
M. E. (2010). Up from the basement. Health Management Technology, 31(9), 14–
15.Retrieved from the Walden Library databases. Institute of Medicine. (1999). To err is
human: Building a safer health system. Retrieved
from http://web.archive.org/web/20141016134546/http://www.iom.edu/~/media/Files
/Report%20Files/1999/To-Err-is-
Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf Kohn, L. T.,
Corrigan, J. M., & Donaldson, M.S. (Eds.). (2000). To err is human: Building a safer health
system. Washington, D. C.: Institute of Medicine. Retrieved from the National Academies
Press website: https://download.nap.edu/catalog.php?record_id=9728DISCUSSION-
2Nursing Informatics CompetenciesToday’s fast-paced health care environment demands
nurses to be skilled not only in their clinical practice or specialty area but in the use of
technology tools that improve practice and lead to better patient care. Basic and advanced
technology competencies are required and expected as technology increasingly touches and
changes the job of every nurse. Numerous organizations, including the American Nurses
Association (ANA), the American Medical Informatics Association (AMIA), and Healthcare
Information and Management Systems Society (HIMSS), have developed nurse-specific
technology competencies. The challenge for nurses is to identify both needs and training
opportunities.In this Discussion, you identify the role informatics plays in your professional
responsibilities. You pinpoint personal gaps in skills and knowledge and then develop a
plan for self-improvement.To prepare:Review Nursing Informatics: Scope and Standards of
Practice in this week’s Learning Resources, focusing on the different functional areas it
describes. Consider which areas relate to your current nursing responsibilities or to a
position you held in the past. For this Discussion, identify one or two of the most relevant
functional areas.Review the list of competencies recommended by the TIGER Initiative.
Identify at least one skill in each of the main areas (basic computer competencies,
information literacy competencies, and information management competencies) that is
pertinent to your functional area(s) and in which you need to strengthen your abilities.

3. Consider how you could improve your skills in these areas and the resources within your
organization that might provide training and support.Please Provide ReferencesLearning
ResourcesRequired ReadingsAmerican Nurses Association. (2015). Nursing informatics:
Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.“Functional Areas for
Nursing Informatics”This chapter describes the key functional areas of nursing informatics.
It also clarifies the roles of informatics nurse specialists and informatics nurses.“Informatics
Competencies: Spanning Careers and Roles”This chapter details an informatics
competencies matrix that has been developed by reviewing research. It outlines best
practices for successful use of health information technology.McGonigle, D., & Mastrian, K. G.
(2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA:
Jones and Bartlett Learning.Chapter 7, “Informatics Roles and the Knowledge Work of
Nursing”This chapter details the roles, competencies, and skills that ensure effective
nursing informatics practice. The text also details the future of nursing informatics.Chapter
8, “Information and Knowledge Needs of Nurses in the 21st Century”In this chapter, the
author emphasizes the need for embedding the core concepts and competencies of
informatics into the practice of nurses. The chapter describes how this integration of
concepts and competencies is necessitated by the integration of clinical information
technologies into nursing practice.Wakefield, M. K. (2008). The Quality Chasm series:
Implications for nursing. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based
handbook for nurses (Vol. 1, pp. 47–66). Rockville, MD: U. S. Department of Health and
Human Services. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2677/Pages 12–
19This chapter discusses four of the Institute of Medicine’s reports on the quality and safety
of health care. Specifically, the chapter focuses on the issues, concepts, findings, and
recommendations of To Err Is Human, Crossing the Quality Chasm, Health Professions
Education: A Bridge to Quality, and Quality Through Collaboration: The Future of Rural
Health Care. Cheeseman, S. E. (2011). Are you prepared for the digital era? Neonatal
Network, 30(4), 263–266.This article explores the application of health information
technology (HIT) in neonatal intensive care units. In addition, the article highlights national
initiatives advocating for the implementation of HIT throughout the health care delivery
system. AMIA. (2012). AMIA. Retrieved from http://www.amia.org/This homepage of AMIA
(formerly known as the American Medical Informatics Association) details the activities of
the AMIA, including its publications, programs, events, and policies. Healthcare Information
and Management Systems Society. (2012a). Healthcare Information and Management
Systems Society. Retrieved from http://www.himss.org/ This homepage of the Healthcare
Information and Management Systems Society displays research conducted by HIMSS and
introduces various tools, events, and resources for professional development. Healthcare
Information and Management Systems Society.(2012b). Resources/reports. Retrieved
from https://web.archive.org/web/20151108084347/http://www.thetigerinitiative.org/r
esources.aspx This page of the TIGER website contains a list of resources and reports
related to the development and implementation of technology informatics. Healthcare
Information and Management Systems Society.(2012c). The TIGER initiative. Retrieved
from http://www.thetigerinitiative.org/This site includes information on the phases of the
TIGER Initiative and includes related resources and reports, opportunities for strategic

4. partnerships, and general information about TIGER.Technology Informatics Guiding
Educational Reform. (2009). TIGER informatics competencies collaborative final report.
Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdfThis text details
foundational informatics competencies that nurses should possess in order to meet
standards of providing safe, quality, and competent care. In particular, this article specifies
requirements for nurses in the areas of basic computer competencies, information literacy,
and information management.The TIGER Initiative. (2009). Informatics competencies for
every practicing nurse: Recommendations from the TIGER collaborative. Retrieved
from https://web.archive.org/web/20150323183938/http://thetigerinitiative.org/docs/T
igerReport_InformaticsCompetencies_001.pdfThis report supplies the findings and
recommendations of the Informatics Competencies Collaborative Team. The text describes
the background, methodology, findings, and recommendations for future work as stated by
the team. Quality and Safety Education for Nurses. (2012). Quality and Safety Education for
Nurses. Retrieved from http://www.qsen.org/This homepage supplies information on
quality and safety competencies, teaching strategies, faculty resources, pilot schools, and
QSEN Consultants.Required MediaLaureate Education (Producer). (2012d). Health
information technology competencies. Baltimore, MD: Author.Optional ResourcesSchleyer,
R. H., Burch, C. K., & Schoessler, M. T. (2011). Defining and integrating informatics
competencies into a hospital nursing department. CIN: Computers, Informatics, Nursing,
29(3), 167–173.DISCUSSION-3Standardized Coding SystemsAs a result of the fragmented
nature of the health care system, professionals in various specialty areas of medicine have
developed their own unique sets of terminology to communicate within that specialty. In
the past, limited attention has been given to codifying practices in order for them to be
understood and utilized across disciplines or through different information technology
systems. The implementation of a federally mandated electronic medical records system,
therefore, poses a challenge to nursing professionals and others who must be prepared to
utilize standardized codes for the new system. Why are coding standards important for
promoting consistent, high-quality care?According to Rutherford (2008, para. 15),
“Improved communication with other nurses, health care professionals, and administrators
of the institution in which nurses work is a key benefit of using a standardized nursing
language.” In this Discussion you consider the reasoning behind and the value of
standardized codification.To prepareReview the information in Nursing Informatics: Scope
and Standards of Practice. Determine which set of terminologies are appropriate for your
specialty or area of expertise.Reflect on the importance of continuity in terminology and
coding systems.In the article, “Standardized Nursing Language: What Does It Mean for
Nursing Practice?” the author recounts a visit to a local hospital to view its implementation
of a new coding system. One of the nurses commented to her, “We document our care using
standardized nursing languages but we don’t fully understand why we do” (Rutherford,
2008, para. 1). Consider how you would inform this nurse (and others like her) of the
importance of standardized nursing terminologies.Reflect on the value of using a standard
language in nursing practice. Consider if standardization can be limited to a specialty area
or if one standard language is needed across all nursing practice. Then, identify examples of
standardization in your own specialty or area of expertise. Conduct additional research

5. using the Walden Library that supports your thoughts on standardization of nursing
terminology.Please Provide ReferencesLearning ResourcesRequired ReadingsAmerican
Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.).
Silver Springs, MD: Author.“Metastructures, Concepts, and Tools of Nursing
Informatics”This chapter explores the connections between data, information, knowledge,
and wisdom and how they work together in nursing informatics. It also covers the influence
that concepts and tools have on the field of nursing.McGonigle, D., & Mastrian, K. G. (2015).
Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and
Bartlett Learning.Chapter 6, “Overview of Nursing Informatics”This chapter defines the
foundations of nursing informatics (NI). The authors specify the disciplines that are
integrated to form nursing informatics, along with major NI concepts.Brokel, J. (2010).
Moving forward with NANDA-I nursing diagnoses with Health Information Technology for
Economic and Clinical Health (HITECH) Act Legislation: News updates. International Journal
of Nursing Terminologies & Classifications, 21(4), 182–185.In this news brief, the author
describes the initiatives that NANDA-I will implement to remain abreast of the HITECH
legislation of 2009. The author explains two recommendations for the federal government’s
role in managing vocabularies, value sets, and code sets throughout the health care
system.Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011).
Philosophical approaches to the nursing informatics data-information-knowledge-wisdom
framework. Advances in Nursing Science, 34(1), 6–18.This article proposes a philosophical
foundation for nursing informatics in which data, information, and knowledge can be
synthesized by computer systems to support wisdom development. The authors describe
how wisdom can add value to nursing informatics and to the nursing profession as a
whole. Rutherford, M. A. (2008). Standardized nursing language: What does it mean for
nursing practice? OJIN: The Online Journal of Issues in Nursing, 13(1). Retrieved
from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodica
ls/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursin
gLanguage.htmlThe author of this article provides justification for the use of a standardized
nursing language, which will be necessary for incorporating electronic documentation into
the health care field. The author defines standardized language in nursing, describes how
such a language can be applied in a practice setting, and discusses the benefits of using a
standardized language.Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S.,
Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records
through the integration of the Nursing Management Minimum Data Set. The Journal of
Nursing Administration, 40(7–8), 336–343.This article explains the nursing management
minimum data set (NMMDS), which is a research-based minimum set of standard data for
nursing management and administration. The article describes how the NMMDS can be
used to minimize the burden on health care administrators and increase the value of
electronic health records within the health care system.Required MediaLaureate Education
(Producer). (2012a). Data, information, knowledge, and wisdom continuum. Baltimore, MD:
Author.McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of
knowledge (2nd ed.). Burlington, MA: Jones & Bartlett Learning. (p. 98, Chapter 6, Figure
6)The continuum of data, information, knowledge, and wisdom is used in the health care

6. field to describe discrete levels of understanding related to patient care and decision
making. This video provides an overview of the continuum from data to wisdom.Optional
ResourcesTruran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in
health information management practice. Health Information Management Journal, 39(2),
37–39.Brown, B. (2011). ICD-10-CM: What is it, and why are we switching? Journal of
Health Care Compliance, 13(3), 51–79.Discussion:-4Current Information and
Communication TechnologiesWith so much attention focused on health care reform, it is
important that nurses be given the opportunity to use high-quality technology tools. These
tools can increase access to vital medical information, promote effective communication
among health care professionals, and improve the patient experience. By actively seeking
out and adopting these tools, nurses can greatly enhance the quality and safety of care that
they provide.This Discussion focuses on identifying quality technology tools that increase
the ability of nurses to provide safe, effective care.To prepare:Review the various
technology tools described in this week’s Learning Resources.Identify a recently adopted
information, education, or communication technology tool in your specialty area. Reflect on
how it is used and how its use impacts the quality of care.Consider how your identified
technology tool might impact nursing practice if it were more widely used. What are some
barriers preventing increased usage? How could wider implementation be
facilitated?Please Provide ReferencesLearning ObjectivesStudents will:Evaluate the
effectiveness of a technology tool in your specialty areaAppraise the barriers and facilitators
of implementing an information technology tool in your specialty areaLearning
ResourcesRequired ReadingsAmerican Nurses Association. (2015). Nursing informatics:
Scope & standards of practice (2nd ed.). Silver Springs, MD: Author.“The Future of Nursing
Informatics”McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation
of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 12, “The
Human-Technology Interface”This chapter describes the human-technology interface and
explores some of the problems that result from its usage. The author also reflects on
methods for improving the interface.Chapter 19, “Telenursing and Remote Access
Telehealth”This chapter explores the usage of telehealth in nursing practice. The authors
examine the role of telehealth, along with potential issues that may arise in its
usage.Brewer, E. P. (2011). Successful techniques for using human patient simulation in
nursing education. Journal of Nursing Scholarship, 43(3), 311–317.This article identifies
studies that have used human simulation as an effective instructional tool in nursing
education. The article describes different strategies for incorporating human simulation
into nursing education, and it also offers insight on improvements that could be made to
current practices.Guarascio-Howard, L. (2011). Examination of wireless technology to
improve nurse communication, response time to bed alarms, and patient safety. Herd, 4(2),
109–120.The author explains the results of a study on the outcomes of using wireless
communication devices to improve patient safety by allowing nurses to communicate more
quickly and easily with other nurses. The results indicate that this technology can increase
the value of team nursing, improve response time, and increase patient safety, although
there are some drawbacks and challenges associated with the devices.Simpson, R. L. (2012).
Technology enables value-based nursing care. Nursing Administration Quarterly, 36(1), 85–

7. 87.This article describes how technology can be used to address problems in the U.S. health
care system, such as lack of consistency and lack of effective treatment. The article explains
the use of value-based care initiatives and outlines how nurses can use these initiatives to
improve outcomes in treatment and research.Vinson, M. H., McCallum, R., Thornlow, D. K., &
Champagne, M. T. (2011). Design, implementation, and evaluation of population-specific
telehealth nursing services. Nursing Economic$, 29(5), 265–272, 277.Telehealth is defined
as health services that integrate electronic information and telecommunications to improve
health care access, outcomes, and costs. This article describes how a telehealth
implementation project was designed, enacted, and evaluated, and it analyzes the results of
that project.Required MediaLaureate Education (Producer). (2012c). Health care
technologies. Baltimore, MD: Author.This video features Katie Skelton, Doris Fischer, Carina
Perez, Shannon Mori, Carmen Ferrell, and Lynn Tamanaha as they discuss current
technologies and innovations in health care. They also describe a specific bed management-
system that has improved their hospitals’ efficiency.