Nursing

Colina Hill Discussion – Week 9 Initial Post

The Systems Development Life Cycle (SDLC) is a great tool to use when making decisions and changes within a company. This cycle includes Analysis, Design, Implementation, Test, and Maintenance. Each of these steps has an important part to play in successful implementation but, it is equally important to have the right team working on each of these phases. Nurses should be a primary part of the team since they use these systems and directly work with patients more than other healthcare providers.

Analysis: Requirements for the system are teased out from a detailed study of the business needs of the organization(Mcgonigle & Mastrian, 2015). During this phase workflow and business practices are examined. Having a nurse part of this phase is vital because the true issues can be identified as nurse is hands-on seeing and working. This gives a nurse a unique perspective. A key to the successful implementation of health information technology (health IT) is to recognize its impact on both clinical and administrative workflow (Workflow Assessment for Health IT Toolkit, n.d.). Not allowing a nurse to be part of this phase can lead to the wrong issues being addressed or missing ones that need to be addressed.

Design: During the design phase it is being evaluated what programs are needed and how those programs will be implemented. Nurses are vital during this phase because this will be a time that the decision to purchase programs may be made having the input from the people who will use such programs is important. If you do not have a nurse involved in this phase it could result in a program being purchased that will not work as efficiently compared to if there were expert opinions given prior.

Implementation: During this phase, the program is being brought to life(Mcgonigle & Mastrian, 2018). having a nurse part of this phase may help phase out kinks that may come into play when rolled out. They may have the ability to catch potential problems and have them corrected prior to roll out. Not having a nurse involved in this phase may result in a program being rolled out with kinks causing frustration from staff and may cause failure in the rollout.

Test: The testing phase beta testing is done to determine if the programs ready for the full roll out to all areas. Having the nurse assist with this phase will be vital as a superuser trained to use these programs and also familiar with working the area of the rollout will allow them to assist their peers and receive honest feedback. Not having a nurse involved here may cause peers to have further resistance to a new program that is unfamiliar to them but having a peer assist them may gain their confidence in this new rollout.

Maintenance: Once the new program has been tested the maintenance phase is important to keep the program running well and make changes as needed to make sure the program is serving its purpose. Nurse involvement in this phase will help to make sure that feedback of the program is being given and in a timely manner. They will also be able to give suggestions on what would help the program to be more efficient as they are using the program on a daily bases. Not allowing them to be part of this phase may cause a delay in hearing that there is a problem or feedback on what improvements would help the program be successful.

References

Mcgonigle, D., & Mastrian, K. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Jones & Bartlett Learning.

Mcgonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Workflow Assessment for Health IT Toolkit. (n.d.). https://digital.ahrq.gov. https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Lilia Roy RE: Discussion – Week 9

The system development life cycle (SDLC), is defined stages that a life of a system information system development from feasibility to its demise (Mcgonigle & Mastrian, 2018).  With technology in our hands, organizations are looking for cost-cutting and getting acquainted with the technology.  Nurses and organizations want to find a way to address the heterogeneity of nursing workflow processes such as the development of new apps or new applications that make the chart easier and less time consuming (Ehrler et al., 2019).  There is a model that explains the development of the system development life cycle that all need to have to be successful and applicable to the organization. The seven steps for SDLC are; planning, analysis, design, development, testing, implementation, and maintenance.  SDLC is implemented in technology systems for organizations (Mcgonigle & Mastrian, 2018).  Nurses need to be part of the application of an organization for the system to work. Nurses are the ones who will be using the software, and it requires the input from them to see if it is user friendly or it is going to be more cumbersome than it was intended for.

Nurses have participated in systems SDLC such as SNOMED CT is a data repository that is collected in clinical practice had nurses’ input in the development through interviews, questionnaires, emails and it is still in its early stage of implementation (Lee et al., 2013).  All methods of analysis have been gathered to design better the data that is converging into the systems.  Another system that nurses have to do all the time is DSS, which is scheduling that we all have to often do and try to accommodate everyone, along with staying within the budget of not providing overtime and achieved nursing satisfaction.  These are some systems that have been perfected by nurses and have done exceptionally well to accommodate what nurses. Implemented different areas that we can all improve because we know exactly, we need improvement in and how to make them better.

References

Ehrler, F., Lovis, C., & Blondon, K. (2019). A mobile phone app for bedside nursing care: Design and development using an adapted software development life cycle model. JMIR mHealth and uHealth, 7(4), e12551. Retrieved July 26, 2020, from https://doi.org/10.2196/12551

Kim, J., Macieira, T. G., Meyer, S. L., Ansell (Maggie), M., Bjarnadottir (Raga), R. I., Smith, M. B., Citty, S., Schentrup, D. M., Nealis, R., & Keenan, G. M. (2020). Towards implementing snomed ct in nursing practice: A scoping review. International Journal of Medical Informatics, 134, 104035. https://doi.org/10.1016/j.ijmedinf.2019.104035

Lee, D., Cornet, R., Lau, F., & de Keizer, N. (2013). A survey of snomed ct implementations. Journal of Biomedical Informatics, 46(1), 87–96. Retrieved July 27, 2020, from https://doi.org/10.1016/j.jbi.2012.09.006

Mcgonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

two sources for each discussion