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NURS FPX 6111 Assessment 4 : Program Effectiveness Presentation

Assessment 4: Program Effectiveness Presentation

Name

Capella University

FPX-6111

Dr. Name

 March, 2024

Slide 2- Program Effectiveness Presentation

Slide 1: 

Hello everyone! My name is __________, and today, I have the privilege of delivering an in-depth presentation focused on the impact and efficacy of nursing informatics in modern healthcare. This presentation will explore the various facets of nursing informatics, including its role in enhancing patient care, improving the efficiency of healthcare services, and contributing to nursing decision-making processes. 

Slide 2: Nursing informatics combines technology, nursing science, and information science to improve patient care, streamline healthcare processes, and reduce costs. In this presentation, I will explore the theoretical underpinnings and philosophical approaches behind the field, including guiding principles and conceptual frameworks. Understanding these theories can help us better appreciate the role of nursing informatics in modern healthcare. I will assess how nursing informatics programs can be improved by examining current curricular designs, teaching methodologies, and learning outcomes. The aim is to propose pathways for advancing nursing informatics education, ultimately contributing to better patient care and healthcare systems worldwide (Riley & Carmack, 2020).

Purpose

Slide 3: The purpose of this presentation on the impact of nursing informatics within the realm of nursing education is to underscore the significance and advantages of weaving technology and informatics into the nursing educational framework. This presentation will showcase the ways in which nursing informatics can amplify student learning, equip students for the technological aspects of clinical practice, and foster improved patient care results. Additionally, it will offer insights into effective instances where nursing informatics has been integrated into nursing education. This will catalyze educators to contemplate the inclusion of informatics in their teaching modules.

Slide 4: Philosophical Approaches to Evaluation in Nursing Informatics

In nursing informatics, assessing the impact of technologies and systems on healthcare is essential. Evaluations use empirical evidence and theoretical frameworks to consider technical performance and influence on nursing practice, education, and patient outcomes (Iduye, 2023). Several philosophical approaches can evaluate the progress and impact of nursing informatics.

Pragmatism

This approach focuses on the practical outcomes and real-world applications of nursing informatics. It evaluates how effectively technology solutions address actual problems in nursing practice, education, and research, emphasizing functionality and results over theoretical considerations.

Constructivism

From a constructivist perspective, the focus is on how individuals construct their knowledge. In nursing informatics, this could involve examining how nurses and healthcare professionals develop their competencies and understanding of informatics tools through hands-on experience and interactive learning. 

Slide 5: 

Post-positivism

This approach is grounded in the belief that knowledge should be derived from empirical evidence. In evaluating nursing informatics, positivism stresses the importance of quantitative data, statistics, and objective measurements to assess the effectiveness and impact of informatics systems and technologies.

Critical theory

Critical theory in nursing informatics evaluation would involve questioning underlying assumptions and power structures. This approach might examine how informatics tools affect healthcare disparities, access to care, and the balance of power between different groups within healthcare settings.

 Phenomenology

This approach focuses on the lived experiences of individuals using nursing informatics systems. It involves qualitative methods to understand the personal and subjective experiences of nurses and other healthcare professionals interacting with these technologies, placing value on personal narratives and insights.

Post-Structuralism:

In post-structuralism, the evaluation of nursing informatics would involve deconstructing the language and discourse surrounding informatics. This might include examining how terms and concepts in informatics are defined and used, and how these definitions influence the understanding and implementation of informatics in nursing.

Hermeneutics: 

This philosophical approach is concerned with interpretation, especially of texts and symbolic systems. In the context of nursing informatics, hermeneutics would involve interpreting the meaning and implications of data, reports, and digital communications within healthcare systems.

Slide 6

Evidence to Support the Explanation

 Evaluating evidence is crucial in nursing informatics. The four philosophical perspectives—pragmatism, constructivism, postpositivism, and critical theory—emphasize different aspects of evidence. Pragmatism prioritizes empirical evidence and focuses on the practical results that nursing informatics produces. It examines how these technologies improve patient care and streamline operations in healthcare settings (Todić et al., 2022).

Constructivism values qualitative methods to explore nursing informatics’s social and cultural dimensions. The postpositivist perspective uses scientific methodologies, including quantitative analysis, to assess informatics’ impact on healthcare practices. Critical theory emphasizes qualitative approaches to examine power dynamics, social justice, and ethical considerations in nursing informatics. Nursing professionals can better understand nursing informatics’s impact by evaluating evidence through various philosophical lenses (Todić et al., 2022). This approach ensures a balanced assessment of the benefits and challenges of informatics in nursing.

Articulating an Evaluation Framework for Nursing Informatics Program Improvement 

Slide 7: 

A comprehensive and multifaceted evaluation design is essential to evaluate and improve a nursing informatics program. One effective framework for this purpose is the Context, Input, Process, and Product (CIPP) Model (Bove & Sauer, 2023). Here’s how the CIPP Model can be articulated and implemented, along with an impartial consideration of its limitations:

CIPP Model Articulation for Nursing Informatics Program Improvement

Context Evaluation:

  • Purpose: To understand the environment in which the nursing informatics program operates.
  • Activities: Assess the current state of the healthcare setting, technology trends, student needs, and industry requirements.
  • Data Collection: Surveys, stakeholder interviews, and industry benchmarking.

Input Evaluation:

  • Purpose: To identify resources, strategies, and theories that can be utilized for program improvement.
  • Activities: Analyze the current curriculum, faculty expertise, technological tools, and educational resources.
  • Data Collection: Curriculum analysis, faculty qualifications review, technology audits.

Process Evaluation:

  • Purpose: To understand how the program is being implemented and to identify areas for enhancement.
  • Activities: Monitor and evaluate the delivery of the curriculum, student engagement, and the integration of technology in teaching.
  • Data Collection: Classroom observations, student and faculty feedback, performance metrics.

Product Evaluation:

  • Purpose: To assess the outcomes of the program.
  • Activities: Measure graduate competencies, employment rates, student satisfaction, and the impact on patient care and healthcare systems.
  • Data Collection: Graduate surveys, employer feedback, and patient care quality indicators.

Slide 8

Limitations of the CIPP Model

The CIPP model relies on qualitative and quantitative data, and the subjective nature of qualitative data can sometimes lead to biased interpretations. Successfully executing all stages of the CIPP model demands coordinated efforts and clear communication among all stakeholders, which can be challenging in complex educational settings (Farzandipour et al., 2021). The rapidly changing nature of healthcare technology might require frequent reassessment of the program’s context and inputs, making the process more cumbersome. While the CIPP Model offers a thorough framework for evaluating and improving nursing informatics programs, it is important to know its complexities and the need for skilled execution and analysis. Careful planning, resource allocation, and ongoing adaptation to the evolving healthcare landscape are crucial for effectively using this model.

Evaluation Design

Slide 9: Incorporating the Plan-Do-Study-Act (PDSA) model alongside the CIPP framework can provide a dynamic and iterative approach to nursing informatics program improvement (Garcia, 2021). The PDSA cycle is a quality improvement tool that helps implement changes in a controlled and systematic way. Here’s how you can integrate the PDSA model within the context of nursing informatics program evaluation:

Integration of the PDSA Model in Nursing Informatics Program Evaluation

Plan:

  • Identify specific areas for improvement based on the CIPP model’s findings.
  • Develop targeted strategies or interventions. For instance, if Process Evaluation under CIPP reveals inadequate student engagement with certain informatics tools, plan a strategy to enhance interactive learning modules.
  • Set measurable objectives and determine what data will be collected to assess the impact of these strategies.

Do:

  • Implement the planned interventions in a controlled setting. For instance, introduce the new interactive learning modules in a few classes as a pilot.
  • Document the process and any challenges encountered during implementation.

Study:

  • Analyze the data collected post-implementation to assess the impact of the changes.
  • Compare this data against the objectives set in the planning stage to evaluate success.
  • If the Product Evaluation under CIPP indicates an improvement in student competencies or satisfaction, this suggests success.

Act:

  • Plan the next cycle of improvement, adapt, adopt, or abandon, possibly targeting a different area identified by the CIPP model (Reid et al., 2021).

Slide 10-Limitations of Integrating PDSA with CIPP

Integrating the PDSA model with the CIPP framework can comprehensively improve nursing informatics programs. However, it requires substantial time, resources, and expertise. The PDSA cycle focuses on incremental improvements, which can be slow in rapidly evolving fields. Both models require adaptability and stakeholder buy-in. Careful consideration is essential for effective implementation (Reid et al., 2021).

Slide 11-Data Analysis Strategies for Continuous Improvement in Nursing Informatics Programs

Data analysis plays an essential role in continuously enhancing nursing informatics programs. By systematically examining various data types, such as program usage statistics, feedback from students and faculty, and patient outcomes, nursing informatics professionals can pinpoint the strong points and the areas that necessitate improvement. This analysis is crucial for recognizing current program effectiveness and guiding strategic changes and developments within the program. One of the key ways that data analysis can contribute to ongoing program improvement is by applying quality improvement methods like Statistical Process Control and Root Cause Analysis. SPC utilizes statistical techniques to assess the performance of a nursing informatics program over time (Raghunathan et al., 2023). This monitoring helps identify trends or patterns that may highlight areas needing improvement. For instance, a consistent drop in user engagement with a specific informatics tool could signal a need for redesign or additional user training.

Root Cause Analysis (RCA) is another valuable tool. It involves delving deep into problems or inefficiencies identified through data analysis to understand their underlying causes. By identifying these root causes, nursing informatics programs can implement more targeted and effective improvements. For instance, if patient data inaccuracies are identified, RCA could help determine whether the issue stems from user error, software design, or inadequate training (Peltonen et al., 2021).

Slide 12-Identifying Areas of Uncertainty

There are areas of uncertainty and knowledge gaps that must be addressed for program improvement. Some of these include:

  • Changing Technology and Practices: The field of nursing informatics is rapidly evolving, with new technologies and practices emerging regularly. Continuous updates in data analysis methods are needed to keep pace with these changes.
  • Interdisciplinary Understanding: Nursing informatics intersects with various disciplines, including nursing, information technology, and healthcare administration. A thorough understanding of these fields is necessary for meaningful data analysis and interpretation.
  • User Perspective and Experience: Understanding the user perspective – both of the nursing staff and the patients – is crucial. Data analysis should include qualitative feedback to capture the user experience, which might not be fully reflected in quantitative data.
  • Ethical and Privacy Considerations: Data analysis in healthcare must navigate the complexities of patient privacy and ethical use of data. Ensuring compliance with legal and ethical standards is crucial and may require specialized knowledge.

While data analysis is indispensable for ongoing improvement in nursing informatics programs, it requires a comprehensive approach that considers the quality of data, the rapidly changing nature of the field, interdisciplinary insights, user experiences, and strict adherence to ethical and privacy standards. Addressing these uncertainties and knowledge gaps is vital for deriving accurate, relevant, and actionable insights from data analysis (Kleib et al., 2021).

NURS FPX 6111 Assessment 4 : Program Effectiveness Presentation Conclusion

Slide 13: Nursing informatics, an expanding discipline, holds immense promise in revolutionizing healthcare delivery. The crucial aspect of this field is effective program evaluation, which is essential for enhancing healthcare services. However, this sector faces challenges due to existing knowledge gaps and uncertainties. To address these issues, pursuing ongoing research and adopting evidence-based methodologies is imperative (Park & Park, 2023). These strategies are vital for refining program evaluation and improvement processes, thereby ensuring the delivery of superior healthcare services and fostering progress in the medical field.

Slide 14-15-16-References

Bove, L. A., & Sauer, P. (2023). Nursing faculty informatics competencies. computers, informatics, Nursing : CIN, 41(1), 18–23. https://doi.org/10.1097/CIN.0000000000000894

Farzandipour, M., Mohamadian, H., Akbari, H., Safari, S., & Sharif, R. (2021). Designing a national model for assessment of nursing informatics competency. BMC Medical Informatics and Decision Making, 21(1), 35. https://doi.org/10.1186/s12911-021-01405-0

Garcia-Dia M. J. (2021). Reimagining the role of nursing informatics. Nursing Management, 52(12), 48. https://doi.org/10.1097/01.NUMA.0000800388.33704.ab

Iduye S. (2023). Application of fawcett’s criteria in theory evaluation. Nursing Science Quarterly, 36(1), 58–63. https://doi.org/10.1177/08943184221131966

Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021). Approaches for defining and assessing nursing informatics competencies: a scoping review. JBI Evidence Synthesis, 19(4), 794–841. https://doi.org/10.11124/JBIES-20-00100

Park, J., & Park, J. (2023). Identifying the knowledge structure and trends of nursing informatics: A Text network analysis. Computers, informatics, Nursing : CIN, 41(1), 8–17. https://doi.org/10.1097/CIN.0000000000000919

Peltonen, L. M., Nibber, R., Block, L., Ronquillo, C., Lozada Perezmitre, E., Lewis, A., Alhuwail, D., Ali, S., Georgsson, M., Jeon, E., Tayaben, J. L., Lee, Y. L., Kuo, C. H., Shu, S. H., Hsu, H., Sommer, J., Sarmiento, R. F. R., Jung, H., Eler, G. J., Badger, M. K.,  Pruinelli, L. (2021). Nursing informatics research trends: Findings from an international survey. Studies in Health Technology and Informatics, 284, 344–349. https://doi.org/10.3233/SHTI210741

Raghunathan, K., McKenna, L., & Peddle, M. (2023). Baseline evaluation of nursing students’ informatics competency for digital health practice: A descriptive exploratory study. Digital Health, 9, 20552076231179051. https://doi.org/10.1177/20552076231179051

Reid, L., Maeder, A., Button, D., Breaden, K., & Brommeyer, M. (2021). Defining nursing informatics: A narrative review. Studies in Health Technology and Informatics, 284, 108–112. https://doi.org/10.3233/SHTI210680

Riley, E., & Carmack, J. K. (2020). Adopting open educational resources in a nursing informatics course: An evaluation of student performance and course satisfaction. Nurse Educator, 45(6), 336–338. https://doi.org/10.1097/NNE.0000000000000806

Todić, J., Cook, S. C., Spitzer-Shohat, S., Williams, J. S., Battle, B. A., Jackson, J., & Chin, M. H. (2022). Critical theory, culture change, and achieving health equity in health care settings. Academic Medicine, Publish Ahead of Print. https://doi.org/10.1097/acm.0000000000004680

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