DNP 805 Topic 2 Discussion 2 

DNP 805 Topic 2 Discussion 2

DNPs are uniquely prepared and qualified to accept and work in a wide range of advanced healthcare roles, particularly clinical practice. Reduce costs by focusing on primary care, health promotion, and disease prevention as expert clinicians, school faculty, health care consultants, entrepreneurs, and scholars caring for multiple patient populations in various geographic areas, and as global health leaders (Zaccagnini & Pechacek, 2019). The DNP prepared nurse, as an expert clinician and academic scholar, can improve patient care by initiating quality improvement (QI) initiatives and assisting with healthcare policy development. In addition, he is knowledgeable and skilled in healthcare economics, finance, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).

Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating, planning and the implementation of health information technologies (health IT), to improve support. When an organization adopts an electronic health record (EHR) it changes the usual workflow standard. Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of looking at all the aspects of the organization and mapping out current workflows and analyzing how the work gets done in the organization and they plan for the future and create new workflows to increase the organizations efficiency and the quality of health care. Workflow redesign helps most organizations to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove chaos from your current workflow, improve care coordination (HealtIT.gov., 2019).

As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR system. I would communicate with the senior information technology (IT) analyst team to understand what kind of system they plan to implement and then plan for a meeting with the nurses that will be working with the EHR to inform them of the system and when training would begin. The training would take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow. During the implementation, the patients will be informed of the new EHR system and that the IT professionals and the clinical specialist would be available to help the staff to trouble shoot any problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).

The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate those who are able to attract and retain qualified nurses based on five goals such as transformational leader, structural empowerment, new knowledge, innovation, and empirical outcomes and development. The effectiveness of magnet hospitals is the existence of work environments that focus on decentralized decision-making, autonomy, control over practice, resource adequacy, supportive management, effective inter-professional communication, and career development.

As a DNP leader in a magnet hospital, I will ensure that the staff is well trained to maintain our nursing excellence standards, that the structures required for training are in place during training and during implementation, and that I maintain communication with the staff about when this will occur so that they are well prepared. Adequate structures, such as adequate computers, an IT professional team, and adequate staffing to cover patient care for those in training in order to maintain patient safety and excellent nursing care. Providing adequate information about the improvements in nursing care quality that this new system will provide will increase their desire to learn and implement.

Because the pace would be slower in a rural setting, I would have to rethink my strategy as a DNP leader. I would also need to give them time to adjust to the need for a new EHR system. They will require more time to train and implement because the patient influx may be slower and staffing may be insufficient. As the DNP leader, I will work with all of the leadership teams to inform them of the process change that is taking place and the importance of their collaboration with my team, as well as explain the new changes that will take place to the patients. The leader must also ensure that all structural resources are in place.

References:

Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health information exchange services into the medical practices’ workflow. Information Systems Frontiers, 23(3), 599-605. 

HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the National Coordinator for Health Information Technology.

Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com Blog. 

Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regards to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

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