NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

Sample Answer for NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE Included After Question

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences. 

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development. 

To Prepare: 

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources. 
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system. 
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology. 

By Day 3 of Week 9 

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. 

By Day 6 of Week 9 

Respond to at least two of your colleagues* on two different days, by offering additional thoughts regarding the examples shared, SDLC-related issues, and ideas on how the inclusion of nurses might have impacted the example described by your colleagues. 

*Note: Throughout this program, your fellow students are referred to as colleagues. 

 

A Sample Answer For the Assignment: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

Title: NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

System Development Life Cycle (SDLC), according to McGonigle and Mastrian (2018), is a way to deliver an effective, efficient information system. That can fit an organization’s business plan. The cycle is a continuous revolving process that spans the software’s life. For example, planning software production to update, renew, or a new system is developed (McGonigle & Mastrian, 2019). The SDLC process has five stages, namely, Planning, Design, Implementation, Maintenance, and Evaluation (Laureate, 2018).

Burns (2012) purports that nurses are not always included in decision-making as it relates to technology implementation. He continued, “if an organization considers what is best for the patient, they will see that nurse plays a decisive role in Information Technology (IT) system implementation, and should be involved at all stages in the process.

The planning stage incorporates the needs of a particular system and technical requirement and should answer the question” what is best for the patient (Laureate Education, 2018). Nurses represent the largest professional group, and they spend the most time interacting with patients through direct patient care. Thus, they would be the majority end users of information systems in an organization and would know what is best to meet the patients’ needs (McGonigle &Mastrian, 2018).

During analysis, the requirement for the system is identified from the organization’s data. The needs and current

NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE
NURS 6051 THE INCLUSION OF NURSES IN THE SYSTEMS DEVELOPMENT LIFE CYCLE

practices are examined to determine possible changes (McGonigle &Mastrian (2019). According to Burns (2012), organizations should ensure their data is correct, and this can be done by utilizing nurses. Because nurses are responsible for recording a large amount of data. Notably, Burns (2012) states, “nurses believe they need to play a more active role when their organization is implementing new technology.”

Analysis and design are essential in the cycle. The design focuses on what programs are needed and established how they are connected. It involves deciding on a specific function of the hardware, software, and networking possibilities. Analysis and design are crucial in the cycle; nurses can analyze the design to determine shortcomings, thus preventing costly revision dow the road (McGonigle & Mastrian, 2019).

Implementation/ Evaluation in the phase where to software is put to work, in other words, “Go Live.” Burns (2012) states implementation is an important stage where workflows occur. Nurse leaders, Nurse informaticists, and Chief Nursing Officers can ensure a smooth transition of the software for the end-users.

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I was not a part of the planning of the IT systems in my organization; however, I believe I have an impact on decision-making. I have a role to play in learning about the system, and it helps me as an individual and impacts the decision made. It is my responsibility to learn the system. I would be able to identify the software’s strengths and weaknesses and seek to become involved in the evaluation process. According to Burns (2012), if more nurses are involved in technology implementation, that could help hospitals embrace new models of care.

In conclusion, nurses are essential to quality healthcare delivery and should be involved in the life of the cycle of System Development. Nurses touch every aspect of care. This means they need to manage change and lead, particularly when it comes to IT (Burns, 2012).

 

 

References

Burns, E., (2012). Nurses have an important role to play during technology implementation

https://searchhealthit.techtarget.com/news/2240166948/Nurses-have-an-important-role-to-play-during-technology-implementation

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of

knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Laureate Education (2018). Interoperability, Standards, and Security [Video file]. Retrieved

from. https://class.waldenu.edu/bbcswebdav/institution/USW1/202070_27/MS_NURS/NURS_5051_WC/USW1_NURS_5051_module05.html?course_uid=USW1.26538.202070&service_url=https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/wslinks&b2Uri=https%3A%2F%2Fclass.waldenu.edu%2Fwebapps%2Fbbgs-deep-links-BBLEARN

Integrating nursing knowledge or participation in each stage of the SDLC when purchasing and implementing a new health information technology system will negate resistance and poor attitudes concerning technology in the workplace and ultimately negatively affect high-quality patient care (Barrlett, 2018). Nursing involvement creates a harmonious working relationship for improvement in workflow and collaboration, helping the success of design being more personalized and accepting of different needs centered around patient care. Since nurses are advocates by nature, their contribution is vital. According to McGonigle & Mastrian, 2022, “human factors engineering application improves ease of use, systems performance and reliability, and user satisfaction, while reducing operational errors, operator stress, training requirements, user fatigue, and product liability” (p.327). Collaboration with nurses can be opportunistic, as Dr. Howe mentions in knowledge exchange, in minimizing the need for constant modification after implementation. This can be minimized if nursing involvement is in all steps of the SDLC stages. The idea of HIT resilience looks at a culture of using technology in healthcare. The research was done by Barrett 2021 insightful in understanding how to diligently create a collaborative HIT design culture. Just as this discussion argues how influential the nursing perspective is and how catastrophic the fallout can be if it is not, information technology scholars reevaluate the theoretical meaningfulness.

The ultimate fallout fuels the culture of technological resistance, burnout, and quality of patient care. The potential of investment will facilitate mutual respect and resilience, and leadership within the field of nursing since nursing has unique attributes and knowledge for a not one size fits all system. Continual communication and evaluation from the beginning ensure the most ensured success. “Most large IT projects – some say as many as 90% – culminate in failures in that they fail to meet user expectations, interrupt user workflow, are not user-friendly and are over-budget, delayed or ill-planned” (Barrlett, 2021, p. 781). The uniqueness of healthcare needs to have nurses be more involved than just at the bedside and have a less oppressive mindset in their abilities to do so regarding technology or other patient relationships. Leadership and empowerment are essential to building the confidence needed to place nurses in that role. I, unfortunately, do not have any personal experiences to add besides my enthusiasm to support the efforts and increase my knowledge base. Perhaps employers’ influence and policymakers can work alongside nurses in adopting strategies for improved use and participation. I think the curriculum we are collectively experiencing through this course has heightened my reality and understanding of the value of informatics, technology, and modern trends (Mendez et al., 2020). I believe advocacy in any realm of nursing gives us a voice and is imperative to outcomes for our profession, our futures as APRNs, and our patients.

References

Barrett, A. K. (2018). Technological appropriations as workarounds. Information Technology & People31(2), 368–387. https://doi.org/10.1108/itp-01-2016-0023

Barrett, A. K. (2021). Healthcare Workers’ Communicative Constitution of Health Information Technology (HIT) resilience. Information Technology & People35(2), 781–801. https://doi.org/10.1108/itp-07-2019-0329

McGonigle, D., & Mastrian, K. G. (2022). In Nursing Informatics and the foundation of knowledge (5th ed., pp. 191–204). Jones & Bartlett Learning.

Mendez, K. J. W., Piasecki, R. J., Hudson, K., Renda, S., Mollenkopf, N., Nettles, B. S., & Han, H. R. (2020). Virtual and augmented reality: Implications for the future of nursing education. Nurse education today93, 104531. https://doi.org/10.1016/j.nedt.2020.104531

Efforts to create new technology to improve patient care have made progress. For these technologies to work well, nurses must be involved in all parts of the process, including design, planning, implementation, and evaluation. Nursing involvement is essential as we are the first defensive line for the patient, not only physiological, as we are passionate advocates who speak up on behalf of our patients. For technology to be used to its fullest extent, nurses should be involved in its design (Sharp et al., 2019). It is essential to listen carefully to what nurses say and how they feel because they can find the clues needed to solve systemic problems and develop ideas for how to fix them.

Collaborate with computing, engineering, and other disciplines. Informatics, digital health, co-design, implementation science, and data science programs are needed. For instance, data science-savvy nurses will be needed to support practice. These practitioners must be intelligent and brave to use digital patient care approaches (Booth et al., 2021).

 

References

Booth, R. G., Strudwick, G., McBride, S., O’Connor, S., & Solano López, A. L. (2021). How the nursing profession should adapt for a digital future. BMJ373(373), n1190. https://doi.org/10.1136/bmj.n1190

Sharpp, T. J., Lovelace, K., Cowan, L. D., & Baker, D. (2019). Perspectives of nurse managers on information communication technology and e‐Leadership. Journal of Nursing Management27(7), 1554–1562. https://doi.org/10.1111/jonm.12845