The Impact of Specific, Text-Based Feedback on Online Student Learning

The rapid evolution of healthcare technology has transformed patient care, clinical decision-making, and workflow efficiency. AI has a significant impact on patient safety, management of staffing, and protection of patient data through the inclusion of predictive analytics and clinical information systems. As a scientific field, Nursing informatics integrates the innovative solutions into the practice within a legal and ethical perspective: The Impact of Specific, Text-Based Feedback on Online Student Learning.

As a BSN-prepared nurse applying for a nurse informaticist position, it is essential to understand how emerging healthcare technologies impact patient care and workflow efficiency. It is essential to adjust the use of these innovations to the ethical norms and security policies. This consideration focuses on five significant aspects of nursing informatics: staffing and patient flow technology, ethical policies in clinical information systems, patient education technology, and security of protected health information (PHI). Furthermore, it discusses learning that took place in this course and the evolving nature of technology in twenty-first-century health care.

Innovative Technology for Staffing and Patient Flow in Oncology

Managing staffing shortages and patient flow is a significant challenge in healthcare, especially in high-acuity units such as oncology. Nurse staffing shortages and imbalances have negative consequences on staff, patients, and safe patient care. Real-time optimization of nurse-to-patient ratios can be achieved with the help of descriptive and prescriptive analytics, which would help in predicting the current admission trends, employee availability, and patient severity levels in hospitals.

Suresh Pavuluri et al. (2024) have revealed that using artificial intelligence in workforce management increases staffing effectiveness and decreases RN burnout by forecasting patient volume. Staffing models also contribute to patient safety by assessing staffing levels that could lead to developing a staffing plan that can be implemented in a health facility (Nashwan et al., 2023). In addition to that, bed management systems reduce discharge intervals and congestion within the emergency department as well.

Applying AI technologies to workforce management allows for proper hospital resource distribution, decreasing nurse exhaustion, and enhancing patient outcomes. These technologies help avoid the shortage of workforce to contract or expand to meet the organizational demands. With the increasing need for healthcare services, it is expected that predictive analytics will have even greater prominence in projecting safety and quality care.

Ethical Policy for Clinical Information Systems

The ethical use of clinical information systems is essential for safeguarding patient confidentiality, maintaining data integrity, and ensuring responsible decision-making. Healthcare organizations are required to be protected with control mechanisms, where only authenticated individuals who meet predefined roles in a healthcare organization gain access to the EHRs or any part of it. Limitation of access minimizes the likelihood of unauthorized pick or change of data and guarantees patients’ information privacy. Additional measures to circumvent access to unauthorized personnel also minimize the likelihood of data being leaked in case of a cyber-attack.

Audit trails and monitoring systems also play a crucial role in ethical data management. Documentation is critical to comprise records of the modifications made and those who performed the operations. In this manner, healthcare organizations may discover breaches and act upon them before they become issues. Also, mandatory training and compliance programs on HIPAA and HITECH, as well as securing the system, guarantee that all the healthcare staff has knowledge of the regulatory measures needed.

Subsequently, healthcare organizations should also enforce policies prohibiting the use of personal devices for accessing or storing PHI. The use of personally owned gadgets such as smartphones and insecure means of communication also remains another security risk; therefore, there is a need to encourage the use of institution-authorized systems only. These ethical safeguards are in line with the HIPAA and HITECH acts that require strict security measures on e-PHI (Wani et al., 2020).

According to Edemekong et al. (2024), ethical informatics policies increase the patient’s overall confidence in health tech and lower the risk of data violations. The systematic approach to the definition of ethical standards is effective in terms of following compliance rules and creating the necessary level of protection for clinical information systems.

Technology for Patient Education & Reducing Readmissions in Cardiology

Engaging patients in their care is an option that can be used to reduce hospital readmissions. In cardiology, creating and using an IPEP would enable the improvement of patient knowledge and medication adherence, as well as achieve improved lifestyles. It also leverages the use of health applications, AI patient chatbots, and telemedicine practice to provide instant post-discharge lessons, chronic disease self-care, and other health-enhancing practices.

Studies indicate that digital patient education tools can reduce readmission rates by up to 30% (Fitzpatrick, 2023). Virtual coaching systems powered by artificial intelligence – recommended medications, timely exercises, and recommendations for a proper diet- assist patients in supporting heart health. Suresh Pavuluri et al. (2024) also affirm the use of telehealth as well as mobile health (mHealth) as effective tools for patient education aimed at enhancing self-management and management of chronic illness.

By integrating interactive patient education technologies, healthcare providers can ensure that patients are well-informed about their conditions. This proves effective in attaining the patients’ total satisfaction, minimizing complications and readmissions, and enhancing value. Social networks and other digital tools engage patients more actively in the process of maintaining health and consistently follow the doctor’s advice on prevention and treatment.

Strengthening Technological Security Protecting PHI

As healthcare organizations increasingly rely on digital technology, securing PHI is a top priority. The threat of cybercrimes has been on the rise, and it is important to have measures put in place to enhance patient data security. Multi-factor authentication is one of the most effective approaches in preventing any unauthorized user from accessing the healthcare systems through the inclusion of an extra level of identification of users. These enhancements substantially reduce the risk that originates from identity theft and lost passwords.

Blockchain is another significant advancement in data security since it offers a non-destructive approach to the storage of patient records. Some of the ways through which data is secured on the blockchain are decentralizing data and putting in place cryptographic techniques in a way that will not allow all patient information to be accessed by the wrong people in the wrong way. AI-based advanced threat detection systems go a step further by alerting whenever any access pattern of identified murderers and any infringements. These systems would employ machine learning to monitor the systems in real time to find out if any behaviours may be suspected as being brought by cyber-attacks.

To complement PHI security, the institution has implemented role-based access control (RBAC), which allows one to access PHI depending on the role determined by their position in the organization. Another layer of security is offered by system monitoring and data encryption to encrypt EHRs and watch system usage in real time. Encryption of patient records means that even where the data is intercepted, no one can comprehend it.

Wani et al. (2020) recommend MFA and blockchain technology to prevent unauthorized access and cyber threats. Edemekong et al. (2024) recorded a 40% decline in the rate of cyberattacks in hospitals that employ AI security systems, proving the efficiency of the measures in protecting PHI. It is, therefore, mandatory to adhere to HIPAA and HITECH regulatory reforms for patient trust and to avoid legal consequences of non-compliance. Thus, by implementing these security measures, the healthcare organization can achieve a safer digital environment for its data and minimize organized cyberattacks and unauthorized access.

Course Competencies Reflection

In this particular course, I was able to acquire essential knowledge regarding the roles of healthcare technology, nursing informatics, and the concerns of ethical practices in the nursing clinical setting. The competencies that I attained included effective usage of predictive analytics in staffing, patient education via the webpage, and data protection using artificial intelligence analytic threat detection and blockchain solutions. HIPAA, HIT, and ethical implications taught me how to maintain HIPAA compliance while effectively utilizing technology responsibly.

Critical analysis and decision-making are other major areas in which I developed my abilities. I assessed and selected communication technologies and workflow solutions that benefit patient care. This course has prepared me for the position of nurse informaticist. It will enable me to implement advanced technology ethically and effectively to enhance the patient experience and support evidence-based practice in view of the current challenges in the healthcare field.

References

Edemekong, P. F., Haydel, M. J., & Annamaraju, P. (2024, November 24). Health Insurance Portability and Accountability Act (HIPAA). National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK500019/

Fitzpatrick, P. J. (2023). Improving Health Literacy Using the Power of Digital Communications to Achieve Better Health Outcomes for Patients and Practitioners. Frontiers in Digital Health, 5(1). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693297/

Nashwan, A. J., Abujaber, A. A., Nashwan, A. J., & AbuJaber, A. (2023). Nursing in the Artificial Intelligence (AI) Era: Optimizing Staffing for Tomorrow. Cureus, 15(10). https://doi.org/10.7759/cureus.47275

Suresh Pavuluri, Rohit Sangal, Sather, J., & R Andrew Taylor. (2024). Balancing act: the complex role of artificial intelligence in addressing burnout and healthcare workforce dynamics. BMJ Health & Care Informatics, 31(1), e101120–e101120. https://doi.org/10.1136/bmjhci-2024-101120

Wani, T. A., Mendoza, A., & Gray, K. (2020). Hospital BYOD Security Challenges and Solutions: A Systematic Review of Grey Literature (Preprint). JMIR MHealth and UHealth, 8(6), e18175. https://doi.org/10.2196/18175

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Scenario

You are applying for positions as a new BSN nurse and seeking a position that fills your passion and enthusiasm for leveraging emerging healthcare technologies. Your current nurse manager at Healing Spaces Hospital has encouraged you to apply for the internal nurse informaticist position in the oncology unit. You enjoy working at this hospital and appreciate the private, non–profit nature in the small, rural community.

The qualifications do ask for applicants to have a certification or a master‘s degree in nursing informatics, but it does have a grace period for those willing to get one of these advancements. Therefore, you have gone ahead and submitted the application and submitted a letter of reference from your nurse manager and current nursing informaticist on your unit.

You received an email that your application has been accepted and you are scheduled for a panel interview with nursing leaders next Friday at noon.

The Impact of Specific, Text-Based Feedback on Online Student Learning

Instructions

Part A
You have received a packet of panel interview questions to come prepared with answers to show how you would fill this Nursing Informatics role. You must creatively address the scenario questions using support from credible evidence within the field of nursing informatics. Using a Word document answer the following four interview questions:

• Our hospital is considering purchasing innovative technology to support staffing and patient flow in the oncology unit, what would you recommend and why?
• Support your choice with current evidence
• You need to design a policy for ethical use of clinical information systems. What would you propose for this policy?
• Support your choice with current evidence

• We are considering purchasing technology to support patient education and decrease re: admissions in the cardiology unit, what would you recommend and why?
• Support your choice with current evidence
• Healing Spaces would like to increase our technological security to increase patient safety, specifically protecting PHI. What technological security measures do you feel are most important to consider and why?
• Support your choice with current evidence

Part B
Reflect on the course competencies, explaining how each course competency was achieved. Use detailed and specific examples of learning, growth, and the application of competencies in clinical practice. Illustrate advanced critical thinking, insight, and self–awareness.

Resources

• McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.