Lack of technologic proficiency is not an excuse in today’s electronic medical records worldwide. Nurses are required to use…
It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts, although still used in many practices today, have slowly been replaced by a more advanced method; electronic medical records or EMR’s. “The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and discovery of problems. Accelerating communication and the use of information creates new opportunities to improve healthcare, but also new opportunities for problems to occur” (Ethan, Norman, Prashila, Samuel, 2011, p.3-4). Although they are very reliable, paper medical records are becoming a thing of the past while electronic medical records are among one of the new advancements in our technologically savvy world. Both paper charts and EMR’s ultimately give clinicians and patients the same result but the journey is far from similar; A paper free work environment was once something to only imagine but in our present day is this new age technology exactly what we imagined?…
The changes in medical records have altered tremendously over the past decade. The most significant change was the merging of paper medical records to electronic medical records. However, there is still room for necessary improvement and upgrades. Electronic Medical Records are thought to improve certain areas in the deliverance of healthcare services. With current situations, not all healthcare facilities have converted to or adopted the use of Electronic Medical Records. The failure to adopt or convert to Electronic Medical Records brings about incidents and stories similar to that of the real-life story of “Where’s My Chart?” written in the textbook entitled Electronic Medical Records by Richard Gartee. The prominent answer to “Where’s My Chart?” is the adoption and implementation of Electronic Medical…
This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and the changing roles as nurses as leaders This report was the culmination of two years of research by the Robert Wood Johnson Foundation (RWJF) and focused on best nursing practices in the United States, as well as, anticipated changes in healthcare and the implication it will have on nursing.…
The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing in Education, Practice and Leadership…
Unlike hospitals that have bedside computers in the rooms which decrease the risk of error in recording information like vital signs and medications given, many of those that work in a nursing home must walk to the nurses’ station and then chart the patient’s information thus increasing the chances for error. To prevent errors in charting, this nursing home needs to update the technology present to prevent errors and /or losing a patient’s medical records. Not only is this important to improving the quality of care in the nursing home but “ the widespread use of health IT within the health care industry will improve the quality of health care, prevent medical errors, reduce health care costs, increase administrative efficiencies, decrease paperwork, and expand access to affordable health care. It is imperative that the privacy and security of electronic health information be ensured as this information is maintained and transmitted electronically”(Health Information…
Since the passing of the 2010, Health Care Legislation Laws, the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act, were instilled to increase the percentages of Americans having quality, affordable health care insurance coverage and making colleges more affordable and accessible to them. The Institute of Medicine developed a study to see how the nursing profession can be improved and to contribute to build a health care system that will meet the demand for safe, quality, patient-centered, accessible, and affordable care. (Institute of Medicine, 2010) There are three impacts on nursing that I will be focusing on in this report, the impact that the changes will have on our nursing practice, nursing education and nursing leadership. The IOM report calls for removing regulatory barriers to nursing practice, raising the education levels of the nursing workforce, and enhancing nursing’s leadership role in healthcare.…
Elliott-Carter, N., & Harper, J. (2012). Keeping Mothers and Newborns Together After Cesarean. Nursing For Women’s Health, 16(4), 290-295. doi: 10.1111/j.1751-486X.2012.01747.x…
The differences outweigh the similarities as many changes have taken place over the years. Most of the changes have been as a result of the advances in information technology in health care. Some of the differences include utilization of information systems such as e-mail for communication, documentation using electronic medical records (EMR), and utilization of advanced medical equipment. Two significant advances in health care information system over the last two decades has been the use of EMR and the advances in medical devices. These two advances have changed how care is being delivered in health care in general and more specifically, in skilled nursing facilities.…
To this day there are three types of programs that exist to allow an individual to practice as an RN: the diploma, the Associate degree, and the Baccalaureate degree. The diploma route is a hospital based program that prepares an individual to sit for the NCLEX-RN. It is usually a two to three year program. It prepares the student for nursing jobs for delivering direct patient care in the hospital or other inpatient setting. The associate route RN is typically a two-year program that focuses on teaching the student technical nursing skills with basic education requirements in math, science, and English. It prepares the student for entry-level nursing jobs in hospitals and inpatient facilities. The baccalaureate route RN holds the higher level of education in nursing. It is achieved through a more rigorous educational study through research and evidence-based practices that prepares them for leadership and management positions. In comparing the associate degree nurse vs. the baccalaureate degree nurse, in order to increase patient safety, the associate degree nurse should attain their baccalaureate degree for standardization in with our continually changing health care systems.…
In 2011, the Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to publish The Future of Nursing: Leading Change, Advancing Health. This report is a collaborative report written by a committee of scholars nationwide. Its purpose is to put forth recommendations that allow nurses to “(1) ensure that nurses can practice to the full extent of their education and training (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making” (The Robert Wood Johnson Foundation and the Institutes of Medicine [RWJF and IOM]. This report sets a blueprint to assist nurses in achieving these goal.…
In 2010, the Affordable Care Act (ACA) was signed into law by the United States government and is the largest health care reform since Medicare and Medicaid were established in 1965. With this new legislation, there will be a huge transformation of the health care system we know today. The Institute of Medicine (IOM) is an organization that is independent of government and provides unbiased advice used in making informed legislative decisions about health care. The Robert Wood Johnson Foundation (RWJF), the largest philanthropy in the United States, collaborated with the IOM to evaluate and transform the nursing profession in order to provide quality, cost-effective care for the growing population in need. It is projected that 32 million Americans will receive insurance coverage with the ACA, exponentially increasing the patient load of health care providers. The IOM recognizes nursing as the largest profession in health care and states, “By virtue of its numbers and adaptive capacity, the nursing profession has the potential to effect wide ranging changes in the health care system” (Institute of Medicine, 2010). This paper will discuss how the IOM report impacts nursing education, practice in primary care, and the role of nurses as leaders.…
On October 5, 2010, the Institute of Medicine (IOM), in collaboration with the Robert Wood Johnson Foundation (RWJF), released the report “The Future of Nursing: Leading Change, Advancing Health.” This detailed report explores the need of the nursing profession to evolve and prepare for the impact that will occur as a result of the health care reform and the transformation that will be seen to our complex health care system. With the recent passage of the Affordable Care Act (ACA), millions of Americans who were previously uninsured now find themselves with the opportunity to seek out and obtain the much needed medical attention that was previously denied to them. With the heightened number of individuals who are now able to receive primary care, there is concern as to whether or not there will be enough providers available to handle the massive increase in patient load. The reformed health care system now brings on new challenges and these challenges offer nurses the opportunity to practice with more freedom in order help close the gaps within our health care delivery system. The IOM committee formulated key messages that structure its recommendation for this transformation, focusing on three crucial areas including nursing practice, nursing education, and nursing leadership.…
Over the last 20 years dramatic changes have occurred in the health care industry. “Health care technology has exploded over the last 20 years, not just in the arena of medical diagnosis and treatment, but also in the area of health information and documentation” (The art of patient care, 2008, p. 1).…
In the 1960s, technology entered the nursing profession and the very first computer systems were integrated into hospitals. The early computer systems were implemented in order to process orders promptly and keep an accurate record of charges incurred by patients during their hospital stay (Murphy, 2010). Over the next few years, technology improved and started to revolutionize the nursing profession, documentation and communication throughout the hospital went from pen and paper to online databases filled with electronic patient information (Murphy, 2010). The introduction of NI has “prompted significant transformation in healthcare, along with increased attention to patient safety and outcome” (HIMSS Nursing Informatics Awareness Task Force, 2007, p. 38). Nursing informatics (NI) was finally recognized as a specialty in the mid-1990s (Murphy, 2010)…