THE APPLICATION OF DATA TO PROBLEM-SOLVING DISCUSSION EXAMPLE ESSAYS

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The Application of Data to Problem-Solving Discussion Example Essays

The Application of Data to Problem-Solving Discussion Example Essays
The Application of Data to Problem-Solving Discussion Example Essays
 
Discussion – Week 1
COLLAPSE
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues. The Application of Data to Problem-Solving Discussion Example Essays
REPLY QUOTE
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6 months ago
Amy Birkenstamm 
RE: Discussion – Week 1
COLLAPSE
Amy Birkenstamm
NURS 6051 Discussion Post 1
As an aesthetic nurse injector, I specialize in facial aesthetics as well as wellness for my patients. I own my own medical spa and my team and I strive to give our patients the best care day in and day out. One area in my practice that benefits from access to data is in the case of an adverse event such as blepharoptosis (drooping of an eyelid) due to migraine of neurotoxin. This is rare with an incidence of 2-5% (King, 2016). This can affect patients for up to 3 months, affecting them physically as well as emotionally due to their temporary altered appearance. It is important that all nurses within this scope of practice have access to updated, reliable data to give the best instruction on how to handle these situations in the most informed way possible. 
In recent years, OTC eye drops have been effective to a certain extent in treating blepharoptosis. In more severe cases, patients are prescribed apraclonidine, an alpha2-adrenergic agonist, which causes muscles of the eyelid to contract quickly and elevate 1-3mm (Scheinfield, 2005). In a study included in Journal of the Neurological Sciences, 100% of patients responded with some improvement to their ptosis 20-30 minutes after using apraclonidine (Jankovic, Vijayakumar, and Wijemmanne, 2017). 
In a recent severe incident of ptosis at one of my peers’ business, apraclonidine drops showed little to no improvement for her patient. Data and research was required to find a better option for the patient to find relief while her one eyelid struggled to open. Through her research she found a new FDA approved eyedrop called Upneeq, which works in a similar fashion to the other drops but is more potent. Data findings on Upneeq included an increase from baseline in mean number of points seen on superior visual field, as well as an increase from baseline in upper eyelid elevation (Wilson, 2020). This study was done with 304 patients. With incorporating Upneeq into her care for this particular patient she saw almost immediate and drastic improvement. In this scenario, new data findings helped not only her patient, but also herself and other practitioners around her to work more confidently due to the collection of newer information. 
References
King, M. (2016, December). Management of ptosis. Retrieved May 28, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300727/
N;, S. (n.d.). The use of apraclonidine eyedrops to treat ptosis after the administration of botulinum toxin to the upper face. Retrieved May 28, 2021, from https://pubmed.ncbi.nlm.nih.gov/15748550/
Wijemanne, S., Vijayakumar, D., & Jankovic, J. (n.d.). Apraclonidine in the Treatment of Ptosis. Retrieved May 28, 2021, from https://www.jns-journal.com/article/S0022-510X(17)30194-6/pdf
Wilson, L. M. (2020, October 01). JAMA ophthalmology PUBLISHES pooled analysis of data from two Phase 3 clinical trials of UPNEEQ™ (oxymetazoline hydrochloride, 0.1% solution) for ACQUIRED PTOSIS. Retrieved May 28, 2021, from https://www.biospace.com/article/releases/jama-ophthalmology-publishes-pooled-analysis-of-data-from-two-phase-3-clinical-trials-of-upneeq-oxymetazoline-hydrochloride-0-1-percent-solution-for-acquired-ptosis/
 
 
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6 months ago
Robin Moyers WALDEN INSTRUCTOR MANAGER
RE: Discussion – Week 1
COLLAPSE
Good response Amy.  Thank you for getting us started in week 1.
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6 months ago
Bailey Schaal 
RE: Discussion – Week 1
COLLAPSE
Amy,
What an interesting scenario! I have little to no knowledge on aesthetic injections. As you own your own medical spa, where do you look for to find the best EBP methods to use? Is this the first time you have ever heard of the first two eye drops not working? Is there any underlying condition that makes someone more likely to experience an adverse effect like the ptosis? Using informatics to find data on unlikely scenarios is the aesthetic field could help you be ready right when it happens, or you could also use the information to help colleagues working in the same field. Do you already have a protocol or way you access data on your field? Is it all your responsibility to analyze healthcare data too see if it should be applied at your workplace? It is the role of many supervisors or nurses managers to interpret healthcare data and apply it to their work to improve patient outcomes (Duquesne University, 2020). It will be interesting to know your role in using informatics in your business since you are likely very involved in the decision and policy making.
Reference
Duquesne University. (2020, April 16). Nurse leaders using informatics. https://onlinenursing.duq.edu/blog/nurse-leaders-using-informatics-the-past-present-and-future/
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6 months ago The Application of Data to Problem-Solving Discussion Example Essays
Marisa Buffa 
RE: Discussion – Week 1
COLLAPSE
The Benefits of Data in Problem Solving
 
Scenario
 
 In the Emergency Department (ED), data is consistently used to determine the severity of an emergency. When a patient comes to the ED, the triage nurse asks questions, visually assesses, and performs vital signs to determine the appropriate Emergency Severity Index (ESI) level. The ESI level ranges from 1 (loss of life or limb, most emergent) to 5 (non-emergent). This 5-level triage algorithm prioritizes patients that need to be seen first against those with less urgent conditions (AHRQ, 2020). 
Accessing Data
 During the triage process, the ED nurse rapidly assesses the patient. This involves observing life-threatening visual cues such as a diaphoretic patient holding his chest or an inactive and lethargic infant. Gathering information to determine how the patient appears and behaves alerts the nurse if the patient needs to be rushed into the ED or bumped up in line to be seen immediately by a provider. This visual assessment coupled with objective data such as vital sign measurements taken from the vital sign machine or cardiac abnormalities obtained from an EKG machine allows the ED nurse to assign the most fitting ESI level on the electronic health record (EHR). The EHR’s triage note also allows the ED nurse to write subjective data available to view by the ED team. 
Clinical Significance
            The nurse relies heavily on triage experience and knowledge to help sort through less emergent patients. Oftentimes, the Emergency Department sees patients with conditions that a primary care physician can solve. In 2019, the average cost of treating a patient in the ED with a primary care complaint was about 12 times higher ($2,032 vs. $167) than if the patient was seen in the office by their primary physician (Williams, 2019). Hypothetically, using the ESI data, lower acuity patients could be directed to primary care doctors for their complaints instead of consuming ED resources resulting in longer wait times and delays in treating acutely ill patients (Uscher-Pines et al., 2013). 
Application of ESI Data
            Using the ESI algorithm, once the triage nurse determines which patients have primary care provider complaints, in-house primary physicians could (theoretically) take over care of these patients. These patients could be slotted for times to meet with the primary care doctor instead of waiting for treatment from the ED team. Here, the primary care team could use their own data to take care of these patients and provide the appropriate treatment. This would decrease healthcare spending and fragmented care while improving patient satisfaction and wait times (Kirkpatrick, 2017). 
Conclusion
 Utilizing healthcare technology to enhance Emergency Department visits not only aids patients but benefits nursing as well. As data such as the ESI algorithm is used to differentiate life-threatening concerns from non-emergent ones, treatment can be instituted by the appropriate team allowing ED nurses to focus on their acutely ill patients.
 
References
Emergency Severity Index (ESI): A triage tool for the emergency department. AHRQ. (2020, May). https://www.ahrq.gov/patient-safety/settings/emergency-dept/esi.html. 
Kirkpatrick, W. (2017, January 2). The consequences of emergency Department Overuse. The Consequences of Emergency Department Overuse. https://wellness.totalaccessmedical.com/blog/the-consequences-of-emergency-department-overuse. 
Uscher-Pines, L., Pines, J., Kellermann, A., Gillen, E., & Mehrotra, A. (2013, January). Emergency department visits for nonurgent conditions: Systematic literature review. The American journal of managed care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4156292/. 
Williams, J. P. (2019). ‘Avoidable’ er visits fuel health care costs. U.S. News & World Report. https://www.usnews.com/news/health-news/articles/2019-07-22/avoidable-er-visits-fuel-us-health-care-costs. 
 
 
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6 months ago
Robin Moyers WALDEN INSTRUCTOR MANAGER
RE: Discussion – Week 1
COLLAPSE
Thank you Marisa.  Good example of the use of technology in health care.
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6 months ago
Federica Clay 
RE: Discussion – Week 1
COLLAPSE
Marisa,
            The information gathered through the triage questionnaire and the nurse’s initial assessment of the patient is a great example of obtaining valuable information to make appropriate decisions. This further upholds the statement made by McGonigle and Mastrian (2017) that “nurses must possess the technical skills to manage equipment and perform procedures, the interpersonal skills to interact appropriately with people, and the cognitive skills to observe, recognize, and collect data; analyze and interpret data; and reach a reasonable conclusion that forms the basis of a decision.”
            The Application of Data to Problem-Solving Discussion Example Essays I feel that staff nurses can play an even bigger part in nursing informatics by “monitoring the use of new technology by doing the following: monitoring and maintaining vigilance over data/technologies to identify those that add value to a given health situation; recognizing that nurses, other clinicians and patients may engage and assume responsibility independently and or interdependently for specific data (e.g., remote monitoring, self-monitoring, wearables, appliances)” (Nagle et al., 2017). These practices may also further decrease healthcare spending, wait times, and increase patient satisfaction rates.
Resources
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 1, Nursing Science and the Foundation of Knowledge” (pp. 8)
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. In J. Murphy, W. Goosen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF
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6 months ago
Alexis Liggett 
RE: Discussion – Week 1 Peer Response 1
COLLAPSE
Marisa,
            For starters, great post!  Being a perioperative and post-anesthesia care unit (PACU) nurse, I work closely with the emergency department.  The vast amount of information you provided helped give me a better idea of how the emergency department functions.  One area of your post caught my eye the most, your clinical significance section.  The hospital I work at is bursting at the seams due to the drastic influx of patients.  Although the influx of patients coincides with the vastly changing pandemic, we also see just as many cases for instances that are non-emergent.  “Factors that have been speculated to be associated with non-emergent use have been noted to include low socioeconomic status, lack of access to primary care, lack of insurance, convenience of “on demand care” and the patient’s individual perception of their complaint urgency” (Rocovich, 2012, para. 1).
Over the years, there has been a steady increase in the amount and acuity of patients visiting the emergency department.  Every year, there are over 100 million individuals that seek and receive emergency care. As you stated, triage nurses rely heavily on experience and knowledge to differentiate emergent from non-emergent patients.  “The purpose of triage is to identify patients needing immediate resuscitation, to assign to a pre-designed patient care area, and to initiate diagnostic/therapeutic measures as appropriate” (Wang et al., 2011).  Nurses must identify low acuity patients that could be seen and treated by their primary care physician.  This not only saves hospital resources but makes more time for acutely ill patients.
References
Rocovich, C., & Patel, T. (2012). Emergency department visits: Why adults choose the emergency room over a primary care physician visit during regular office hours? World journal of emergency medicine, 3(2), 91–97. https://doi.org/10.5847/wjem.j.issn.1920-8642.2012.02.002
Wang, L., Zhou, H., & Zhu, J. F. (2011). Application of emergency severity index in pediatric emergency department. World journal of emergency medicine, 2(40, 279-282. https://doi.org/10.5847/wjem.j.1920-8642.2011.04.006
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6 months ago
Kene Fall 
RE: Discussion – Week 1
COLLAPSE
Hello Marisa, I enjoyed reading your very informative post! I agree with you that data is consistently used to determine the severity of an emergency. Due to the understaffing of hospitals, patients are waiting longer than average to be seen by a healthcare provider. This leads to triage nurses using the ESI to avoid daily care for patients with more critical illnesses (Shelton, R. 2009). As Emergency Department (ED) level one trauma nurse, our ED is always overcrowded, and triage nurses prioritize patients using the ESI. The only downfall of using the ESI is the confusion it brings patients and incorrect triaging base on ESI (Grossmann et al., 2012) The Application of Data to Problem-Solving Discussion Example Essays.
 
 
 
Reference:
 
Grossmann, F. F., Zumbrunn, T., Frauchiger, A., Delport, K., Bingisser, R., & Nickel, C. H. (2012). At Risk of Undertriage? Testing the Performance and Accuracy of the Emergency Severity Index in Older Emergency Department Patients. Annals of Emergency Medicine

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