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URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City


Master of Arts in Nursing

MANS 104 NURSING ADMINISTRATION

REACTION PAPER

1. Advanced Nursing Roles

2. Quality Improvement and Health Safety

3. Leadership Role for Nursing Informatics Specialist

Submitted by:
Alyssa S. Javier, RN

Submitted to:
Mari Jane C. Andaya, MAN
Advanced Nursing Roles

The International Council of Nurses (ICN) (2009) defines the advanced practice nurse as: “A

registered nurse who has acquired the expert knowledge base, complex decision-making skills, and

clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or

country in which s/he is credentialed to practice. A master’s degree is recommended for entry level”

Advanced nursing roles emerged in response to escalating healthcare costs, labor

shortages, and a need for primary care services—especially in rural underserved populations (Woo, Lee,

& Tam, 2017).

Examples of advanced nursing roles are: nurse practitioner, clinical nurse specialist, nurse

anesthetist, nurse midwife, nurse researcher, nurse administrator, nurse educator, and nurse

entrepreneur.

However, in our country today, these advanced nursing roles are not yet applicable because

there are no trainings and certifications yet that the nurses can enroll to.

The WHO recommends that countries establish a form of standardized preparation and

assessment of clinical competency before designating a nurse the title of practitioner. Furthermore, the

literature recognizes that to be in line with international standards, advanced education should be

required for specialization (Topaz, et al., 2016).


Quality Improvement and Health Safety

Quality has been defined by the federal Agency for Healthcare Research and Quality

(AHRQ) as “doing the right thing at the right time for the right person and having the best possible result.”

Patient safety is simply defined by the World Health Organization as “the prevention of errors and adverse

effects to patients associated with health care”.

 As health care workers our number 1 priority is to ensure the delivery of quality and safe patient

care. Since our patients enter the hospital, they trusted us with their health and lives. Our

responsibility is to improve their health and not to worsen their illness. In order for us to provide

quality patient care the following must be applied:

 Adherence to evidence-based practices, comparative measures evaluating management of

outcomes and chronic conditions, as we know that providing evidence-based care results in

better patient outcomes and lower costs of care for consumers.

 Timely and effective access to care.

 Safe patient care by following 18 hospital patient safety indicators on safety and following related

events.

 Clinical outcomes through comparison to other leading health care organizations and national

benchmarks of care, while identifying and utilizing best practices.

 Coordination and management of chronic conditions and care transitions.

In order to provide a safe patient care the most important aspect is identifying the right

patient for the right procedure. To identify a patient, allow the patient to state his/her full name. If the

patient is under anesthesia or is unconscious, the nurse should check carefully his/ her identification

band.
Leadership Role for Nursing Informatics Specialist

Nursing leaders require a variety of unique skills, including informatics, to support the delivery of

safe and effective patient care (Dyess, Sherman, Pratt, Chiang-Hanisko, 2016; Leach & McFarland, 2014;

Ritchie & Blair, 2017; Saul, Best, & Noel, 2014; Solman 2017).

In this modern age, where technology is fast- paced, nurses should always be updated. Nursing

informatics is incorporated in the nursing curriculum today. It will be useful for student nurses especially

when they practiced their profession later on. Maybe five years from now, all patient charts and records

are kept electronically.

Also with nursing informatics, it will be easier for nurses to record patient progress and to

report or forward referrals for the patient’s attending physicians. It will also help nurses to communicate

effectively with the laboratory, radiology, or any department in the hospital without the hassle of going up

and down the stairs.

Like any executive nursing leader, those in nursing informatics leadership roles need various

skills, including some that aren't taught in our basic nursing education programs. Besides earning

advanced degrees, many have taken courses in topics such as professional selling; negotiation; public

speaking; and working with people, finance, and marketing skills. Although you may not think these

courses valuable to nurses, I know from experience that training in these areas has improved my value to

my employers over the years.

Nursing informatics leaders need the ability to analyze data and then present complex

information to organizations, clients, or students. These presentations need to be done in ways that are

understandable not only to clinicians but also to those whose backgrounds are in finance, information

technology, or computer science. A major responsibility of any nursing informatics leader is to present

data and insights logically and simply, yet in a way that tells a powerful story.

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