DNP REFLECTIVE JOURNAL 22THE ESSENTIALS OF REFLECTIVE PRAC

DNP REFLECTIVE JOURNAL 2
2
THE ESSENTIALS OF REFLECTIVE PRACTICE
The Essentials of Reflective Practice
DNP-801A-Introduction to DNP Studies
Marian Alli
Grand Canyon University
December 10, 2021.
Introduction
The following paper offers a reflection on the validation
regarding the nursing students’ incorporation as well as
acquisition regarding the course aims associated with the
Doctor of Nursing Practice programs. This is also associated
with the inclusion of the acquisition regarding the AACN
essentials regarding the Doctoral Education for Advanced
Nursing Practice (AACN, 2019). The reflection paper will focus
on the key competencies as well as skills gained throughout the
program. The course has been highly effective in individual
develop of situation management as well as effective decision

making among the DNP graduates.
Reflection
The DNP practices are highly essential for the nursing students
which usually mandates that the growth as well as the Increment
of the cases associated with healthcare complexity are handled
with consistency and efficiency (Wheeler et al., 2017). The
guiding teams as well as the professors were adequate and
comprehensive in offering knowledge as well as learning
experiences that will see the DNP students being innovative as
well as excellent in care dispensing. There are various skills as
well as knowledge aspects which were gained. Two key skills
gained are:
· Inclusive & Organized Analysis Regarding Health Structures
This is a key skill that is essential in ensuring that all the health
and disease issues are handled with insightful knowledge and
decision making. There are numerous health complication
management issues thus the need to be adequate as well as
sufficient in the incorporation of key knowledge in handling
them. The course offered a golden opportunity to understand the
key information needed to successfully accomplish this (Reljić
et al., 2019).
· Analysis as well as Application & Framework of Health
Science type of interventions
Therapeutic form of interventions were effectively practiced.
The DNP students had an opportunity to develop as well as
carry out an analysis, the implementation, and the practical
experience of a variety of interventions. There was efficient and
sufficient knowledge sharing regarding the leadership roles as
the health educators as well as clinical presenters and even
medical project authors all with a key aim of facilitating
personal and professional growth in the health science
interventions. With this skill, there is so much insight attained
on constructive operations and constrictive feedback. This is
key in ensuring that all the processes are carried out in the most
appropriate way for efficiency and feasibility to be achieved

(Schönthaler et al., 2017).
Conclusion
The identified completion regarding the DNP program at the
university has been successful. The professor was
comprehensive in the provision of commendable guidance as
well as support and even timely reminders in the discussion
weeks. Through the course, there has been the achievement of
high level and extensive knowledge as well as skills which can
be used in the future nursing operations especially in handling
critical situations. With the knowledge as well as the skills
gained, it will be easier to enhance nursing decisions as well as
operations for feasibility in all tasks (Mlinar-Reljić, Pajnkihar
& Fekonja, 2018). The various healthcare stakeholders as well
as the identified AACN are considered elemental in making sure
the spreading regarding the knowledge as well as expertise
needed. In general, the course has been innovative as well as
engaging and as a DNP scholar one can ensure all processes are
safe as well as efficient.
References
American Association of Colleges of Nursing. (2009). American
Association of Colleges of Nursing-AACN.
The American association of colleges of nursing (AACN).
(2009, Feb 1,). HT (Salisbury, Md.), 16, 40.
Mlinar Reljić, N., Pajnkihar, M., & Fekonja, Z. (2019). Self-
reflection during first clinical practice: The experiences of
nursing students. Nurse Education Today, 72, 61-66. doi:
10.1016/j.nedt.2018.10.019
Moran, K. J., Conrad, D., & Burson, R. (2016). The Doctor of
Nursing practice scholarly project. Sudbury: Jones & Bartlett
Learning, LLC. Retrieved
from https://ebookcentral.proquest.com/lib/[SITE_ID]/detail.
action? DocID=4441649
Schönthaler, E., Schwab, P., Zettel-Tomenendal, M., & Ritschl,
V. (2017). Supporting evidence-based practice: Changes in

service provision and practitioners’ attitudes following EBP
Service Centre Consultation – a qualitative study /
evidenzbasierte praxis unterstützen: Veränderungen der
arbeitsweise und der einstellungen von ergotherapeuten/ -innen
durch die Nutzung eines EBP service centers - eine qualitative
Studie. International Journal of Health Professions (Warsaw,
Poland), 4(1), 66-78. doi:10.1515/ijhp-2017-0007
Wheeler, T. R., & Holmes, K. L. (2017). Rapid transformation
of two libraries using Kotter’s eight steps of change. Journal of
the Medical Library Association, 105(3), 276-281.
doi:10.5195/jmla.2017.97
Last Updated: Mar 14, 2022, 1:33 PM
Health Care Informatics
DNP-805A 3 Credits Jan 27 - Mar 23, 2022
Course Description
This course provides the foundations for using information
systems/technology to support and improve
patient care and health care systems. The course is designed to
provide the tools needed to manage individual
and aggregate level information and use information
systems/technology to evaluate programs of care,
outcomes of care, and care systems using industry standards and
related ethical, regulatory, and legal
principles. Learners are expected to integrate and synthesize
core program competencies and specialty
practice requirements necessary to demonstrate proficiency in

advanced nursing practice. Prerequisite:
DNP-801A.
Instructor Contact Information
Linda Wegerson
[email protected]
Amy Salgado
[email protected]
Class Resources
GCU Library Research Guides - Citing Sources
Use this resource to ensure you are using the correct APA
formatting guidelines.
http://libguides.gcu.edu/CitingSources/APA
Applied Clinical Informatics for Nurses
Alexander, S., Frith, K. H., & Hoy, H. (Eds.). (2019). Applied
clinical informatics for nurses (2nd ed.). Jones &
Bartlett Learning. ISBN-13: 9781284129175
Student Success Center - The Writing Center
Use this resource to assist with written course assignments.
Page 1 Grand Canyon University 2022 © Prepared on: Mar 14,
2022

https://www.gcumedia.com/lms-resources/student-success-
center/v3.1/#/tools/writing-center
DC Network and DNP PI Workspace
The DNP Practice Immersion (PI) Workspace is a dynamic
online learning community designated specifically
for scholars in the Doctor of Nursing Practice (DNP) program as
a forum in which to communicate, create,
collaborate, and share information with other DNP learners and
faculty members at Grand Canyon University
throughout the program. It is located within the DC Network
and is a page dedicated to the DNP program and
its learners.
The DNP PI Workspace is where you will find all the required
programmatic resources for this and all courses
in the program. You will need to access this essential course
component as soon as you are provided your
GCU email and password, as you will be using resources
immediately on the course start date.
If you experience any problems in logging into the DNP PI
Workspace, please contact the instructor and the
site administrator as soon as possible to gain or restore access.
http://dc.gcu.edu/dnp
Optional: ThinkingStorm
For additional information, the following is recommended:
ThinkingStorm is an online tutoring resource that provides
flexible support to supplement traditional
educational environments. The tutoring center is remotely
accessible to GCU learners with a computer and an

internet connection and offers convenient hours for learners
with busy schedules. ThinkingStorm tutoring
includes a writing center that offers 24/7 submission-based
writing support, as well as live writing support
across the curriculum.
If you are interested in utilizing ThinkingStorm's writing
support, submit your documents chapter by chapter,
rather than as a full manuscript.
To assist learners with their success at the university, GCU will
pay for the first 10 hours of a learner's annual
ThinkingStorm activity. Learners are responsible for usage
charges after the first 10 hours.
To access ThinkingStorm, click on the link provided and select
the yellow "Go to ThinkingStorm" button. Do not
attempt to access the Learning Lounge, which will not w ork for
DNP learners.
https://www.thinkingstorm.com/GCUinfo.aspx
LopesWrite
Refer to the LopesWrite webpage for guidance regarding
assignments requiring submission to LopesWrite.
https://support.gcu.edu/hc/en-us/articles/201277380-LopesWrite
Optional: Grammarly
2022

For additional information, the following is recommended:
Grammarly is an online writing assistance app that reviews
written submissions and suggests context-specific
corrections for grammar, spelling, word usage, wordiness, style,
punctuation, and plagiarism. The reasoning
for each suggested correction is provided, allowing users to
make informed decisions about how to correct
writing issues.
Grammarly can be installed as free browser extension, but
Grammarly Premium requires an annual
subscription. This subscription is not a GCU-required purchase,
but it is strongly recommended to DNP
learners.
https://www.grammarly.com/premium
DNP-805A Course Revision History
SPSS Statistical Package for the Social Sciences
Access the GCU Statistical Package for the Social Sciences
(SPSS) site and bookmark it to use in this and
subsequent DNP courses.
http://spss/gcu.edu
Library Walk Through Tutorial
If you have not already done so, view the "Library Walk
Through Tutorial."
https://lc.gcumedia.com/mediaElements/library-walk-through-
tutorial/v2.1/

Topic 1: Introduction to Health Care Informatics: Language and
Theories of
Informatics
Objectives:
Analyze health care information technology regulations, laws,
and ethical standards.1.
Evaluate theories used in informatics and their application to
guide integration of technology into practice.2.
Jan 27, 2022 - Feb 2, 2022 Max Points: 50
Resources
Informatics and Nursing in a Post-Nursing Informatics World:
Future Directions for Nurses in
an Automated, Artificially Intelligent, and Social-Networked
Healthcare Environment
2022
http://spss/gcu.edu
http://spss/gcu.edu
http://spss/gcu.edu
tutorial/v2.1/
tutorial/v2.1/
tutorial/v2.1/

tutorial/v2.1/
tutorial/v2.1/
tutorial/v2.1/
tutorial/v2.1/
tutorial/v2.1/
Read:
Booth, R. G. (2016). Informatics and nursing in a post-nursing
informatics world: Future directions for nurses in
an automated, artificially intelligent, social-networked
healthcare environment. Nursing Leadership, 28(4),
61-69.
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com
/login.aspx?
direct=true&db=ccm&AN=118196775&site=ehost-
live&scope=site
Possibilities and Implications of Using the ICF and Other
Vocabulary Standards in Electronic
Health Records
Read:
Vreeman, D. J., & Richoz, C. (2015). Possibilities and
implications of using the ICF and other vocabulary
standards in electronic health records. Physiotherapy Research
International, 20(4), 210-219. https://
doi.org/10.1002/pri.1559

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The EHR Evolution: New Priorities and Implementation
Challenges
Read:
Daly, R. (2016). The EHR evolution: New priorities and
implementation challenges. Healthcare Financial
Management, 70(2), 44-50.
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Associations Between Practice Characteristics and
Demonstration of Stage 1 Meaningful Use
for the Electronic Health Record Incentive Program
Read:
Shea, C. M., Reiter, K. L., Weaver, M. A., Thornhill, J., &
Malone, R. (2015). Associations between practice
characteristics and demonstration of stage 1 meaningful use for
the electronic health record incentive
program. North Carolina Medical Journal, 76(5), 280-285.
https://doi.org/10.18043/ncm.76.5.280
https://www.ncbi.nlm.nih.gov/pubmed/26946855

Read Chapters 4, 5, 7, and 11 in Applied Clinical Informatics
for Nurses.
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Meaningful Use of an Electronic Health Record in the New
York City Jail System
Read:
Martelle, M., Farber, B., Stazesky, R., Dickey, N., Parsons, A.,
& Venters, H. (2015). Meaningful use of an
electronic health record in the New York City jail
system. American Journal of Public Health, 105(9), 1752-1754.
https://doi.org/10.2105/AJPH.2015.302796
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Daily Electronic Health Record Reports Meet Meaningful Use
Requirements, Improve Care
Efficiency, and Provide a Layer of Safety for All Trauma
Patients
Read:
Stimson, C. E., & Botruff, A. L. (2017). Daily electronic health

record reports meet meaningful use requirements,
improve care efficiency, and provide a layer of safety for
trauma patients. Journal of Trauma Nursing, 24(1),
53-56. https://doi.org/10.1097/JTN.0000000000000262
/login.aspx?
live&scope=site.
Meaningful Use of Electronic Health Records
Read:
Hurston, J. (2014). Meaningful use of electronic health records.
Journal for Nurse Practitioners, 10(7), 510-512.
https://doi.org/10.1016/j.nurpra.2014.05.012
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Increasing Operating Room Efficiency through Electronic
Medical Record Analysis
Read:
Attaallah, A. F., Elzamzamy, O. M., Phelps, A. L., Ranganthan,
P., & Vallejo, M. C. (2016). Increasing operating
room efficiency through electronic medical record
analysis. Journal of Perioperative Practice, 26(5), 106-113.
https://journals.sagepub.com/doi/pdf/10. 1177/175045891602600
503

Why Nurses Need to Understand Nursing Informatics
Read:
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McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why
nurses need to understand nursing
informatics. AORN Journal, 100(3), 324-327.
https://doi.org/10.1016/j.aorn.2014.06.012
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Impact of Health Information Technology on the Quality of
Patient Care
Read:Hessels, A., Flynn, L., Cimiotti, J. P., Bakken, S., &
Gershon, R. (2015). Impact of heath information
technology on the quality of patient care. Online Journal of
Nursing Informatics, 19(3), 1-13.

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Assessments
Class Introductions
Start Date & Time Due Date & Time Points
Jan 27, 2022, 12:00 AM Jan 29, 2022, 11:59 PM 0
Take a moment to explore your new classroom and introduce
yourself to your fellow classmates. What are you
excited about learning? What do you think will be most
challenging?
Preconference Evaluation: Individual Success Plan (ISP)
Jan 27, 2022, 12:00 AM Feb 2, 2022, 11:59 PM 20
The Individual Success Plan (ISP) assignment in this course
requires your collaboration with the course faculty
early on to establish a plan for successful completion of
mutually identified and agreed-upon specific
deliverables for your programmatic requirements. Programmatic
requirements are: (1) completion of required
practice immersion hours, (2) completion of work associated
with program competencies, and (3) work
associated with completion of your Direct Practice Improvement
(DPI) Project.
A preconference meeting is intended for the learner and
preceptor/mentor to review course- and learner-
specific learning objectives: the roles, responsibilities, and
expectations of the learner and preceptor/mentor

during this practice immersion experience. All faculty and
preceptor/mentor information will be given to each
party by the learner. Any course or program information
requested by the preceptor/mentor will be provided
by the learner. During this meeting, the learner and
preceptor/mentor will discuss the course and practice
immersion goals, including any projects that are to take place.
The faculty will review the submitted document
and must approve proposed projects at this time. The faculty
will also send an introductory email to the
preceptor/mentor.
General Requirements:
Use the following information to ensure successful completion
of the assignment as it pertains to deliverables
due in this course.
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Locate and download Individual Success Plan (ISP) and Direct

Practice Improvement (DPI) timeline
documents in the DNP PI Workspace.
Review the DNP Program Milestones document in the DNP PI
Workspace and identify which domains,
competencies, and milestones apply to this course. Note: Not all
courses have milestones.
Determine what practice immersion experiences you plan to
seek in order to address each competency.
Include how many hours you plan to set aside to meet your
goals. Learners will apply concepts from each
of their core courses to reflect upon, critically examine, and
improve current practice and are required to
integrate scholarly readings to develop case reports that
demonstrate increasingly complex and proficient
practice.
Use the ISP to develop a personal plan for completing your
practice immersion hours and how
competencies will be met. Show all of the major milestones and
deliverables in the timeline.
Within the ISP, ensure you identify specific deliverables which
can include the following: individualized DNP
practice immersion contracts; comprehensive log of practice
immersion hours applied to doctoral-level
learning outcomes; learner evaluations; preceptor/mentor
evaluations; current and updated CV; scholarly
activities; GCU DNP competency self-assessment; reflective
journal; course goals and plan for how
competencies and practice immersion hours will be met; faculty
and preceptor/mentor approvals of course
goals and documented practice immersion hours; and DPI
Project milestones.
While an ISP is required, unless you have a mentor, a mentor
signature is not required for this course. A
preconference and a postconference/evaluation between learners
and preceptors/mentors are mandatory
for all learners enrolled in all DNP courses (from DNP-815A

on). Conferences may be conducted face-to-
face or via technology. A copy of the wet-ink or digitally
(digital identifier) signed document must be
uploaded into the classroom no later than the end of Topic 1.
Overall course- and learner-specific objectives: These
objectives should be discussed during each
conference, as learners are responsible for completing all
experiences as mandated for the program.
Doctoral learners are required to use APA style for their writing
assignments. The APA Style Guide is
located in the Student Success Center.
This assignment uses a rubric. Review the rubric prior to the
beginning to become familiar with the
expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Learners will submit this assignment using the assignment
dropbox in the learning management system. In
addition, learners must upload this deliverable to the Learner
Dissertation Page (LDP) in the DNP PI
Workspace for later use.
Directions:
Identify the specific deliverables you will complete throughout
this course from those defined above with 1.
your faculty. Update your faculty/chair with any revisions or
changes to the ISP.
List the challenges you expect to encounter as you continue the
practice immersion hour and competency 2.
requirements throughout this course. How might you overcome
these challenges?
Complete the Contact Information table at the beginning of the
ISP resource, and type in your signature 3.
(learner only) and the date on which you completed the table.
Read the information in the ISP document,
including the following: Learner Expectations, Derivation of the

ISP, and Instructions for Completing the ISP.
Follow the instructions and complete the ISP.4.
Topic 1 DQ 1
Jan 27, 2022, 12:00 AM Jan 29, 2022, 11:59 PM 5
Select a specific health care technology-related regulation, law,
statute, or ethical standard that applies to
informatics. Provide a summary of your example and a
statement describing your reasoning either in support
of the example you select, or in opposition to it. Take into
consideration the ethics of a Christian worldview in
relation to the ethical standard, etc. in your summary.
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Topic 1 DQ 2
Jan 27, 2022, 12:00 AM Jan 31, 2022, 11:59 PM 5
Select one informatics theory from the areas of Communication
Theories, Change Theories, or Human Factors.
Discuss how the application of the theory you select can guide
the use of technology in advanced practice.
What strengths does the theory possess that would make it
useful to the DNP-prepared nurse? What
weaknesses does the theory present that might prevent its use?
Keep in mind the Christian worldview when
preparing your submission.

Topic 1 Participation
Jan 27, 2022, 12:00 AM Feb 2, 2022, 11:59 PM 20
Topic 2: Health Care Technologies
Objectives:
Analyze the function and use of health care technologies to
include advantages, disadvantages, and 1.
unintended consequences.
Evaluate methods of patient education for use of health care
technologies.2.
Feb 3, 2022 - Feb 9, 2022 Max Points: 100
Resources
Patient Experiences Using an Inpatient Personal Health Record
Read:
Woollen, J., Prey, J., Wilcox, L., Sackeim, A., Restaino, S.,
Raza, S. T., Bakken, S., Feiner, S., Hripcsak, G., &
Vawdrey, D. (2016). Patient experiences using an inpatient
personal health record. Applied Clinical Informatics,
7(2), 446-460. https://doi.org/10.4338/ACI-2015-10-RA-0130
The Unanticipated Consequences of Technology
Read:

Healy, T. (n.d.). The unanticipated consequences of technology.
Markkula Center for Applied Ethics at Santa Clara
University.
http://www.scu.edu/ethics/publications/submitted/healy/consequ
ences.html
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Association of Electronic Health Records With Cost Savings in
a National Sample
Read:
Kazley, A. S., Simpson, A. N., Simpson, K. N., & Teufel, R.
(2014). Association of electronic health records with

cost savings in a national sample. The American Journal of
Managed Care, 20(6), e183-e190.
Read Chapters 12-14 and 16, in Applied Clinical Informatics for
Nurses.
Personal Health Record Use in the United States: Forecasting
Future Adoption Levels
Ford, E. W., Hesse, B. W., & Huerta, T. R. (2016). Personal
health record use in the United States: Forecasting
future adoption levels. Journal of Medical Internet
research, 18(3), e73. https://doi.org/10.2196/jmir.4973
Application of Nanotechnology in Cancers Prevention, Early
Detection and Treatment
Read:
Patel, S. P., Patel, P. B., & Parekh, B. B. (2014). Application of
nanotechnology in cancers prevention, early
detection and treatment. Journal of Cancer Research and
Therapeutics, 10(3), 479-486. https://
doi.org/10.4103/0973-1482.138196
Electronic Health Record (EHR) as a Vehicle for Successful
Health Care Best Practice

Read:
Ghazisaeedi, M., Mohammadzadeh, N., & Safdari, R. (2014).
Electronic health record (EHR) as a vehicle for
successful health care best practice. Medical Archives, 68(6),
419-421.
Initial Course Survey
In an effort for continuous improvement, Grand Canyon
University would like you to provide feedback about
2022
your experience with the university. Your participation is
appreciated. Click on the link to begin the "Grand
Canyon University: Initial Course Survey."
https://www.surveymonkey.com/r/GCUICS?section_id=[section

_id_value]&source_id=[source_id_value]
The Patients' Active Role in Managing a Personal Electronic
Health Record: A Qualitative
Analysis
Read:
Baudendistel, I., Winkler, E., Kamradt, M., Brophy, S., Längst,
G., Eckrich, F., Heinze, O., Bergh, B., Szecsenyi, J., &
Ose, D. (2015). The patients' active role in managing a personal
electronic health record: A qualitative
analysis. Supportive Care in Cancer, 23(9), 2613-2621.
https://doi.org/10.1007/s00520-015-2620-1
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.co
m/login.aspx?
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Engaging Primary Care Patients to Use a Patient-Centered
Personal Health Record
Read:
Krist, A. H., Woolf, S. H., Bello, G. A., Sabo, R. T., Longo, D.
R., Kashiri, P., Etz, R. S., Loomis, J., Rothemich, S. F.,
Peele, J. E., & Cohn, J. (2014). Engaging primary care patients
to use a patient-centered personal health
record. Annals of Family Medicine, 12(5), 418-426.
https://doi.org/10.1370/afm.1691
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Assessments
Emerging Technologies
Feb 3, 2022, 12:00 AM Feb 9, 2022, 11:59 PM 70
From the electronic health record (EHR) to nanotechnology to
3-D printers and beyond, there are an increasing
number of useful and innovative technologies being used in
health care settings that have an important role in
linking and organizing care and information. For this
assignment, you will create a slide presentation to
present to administrators and nurses providing direct patient
care.
General Requirements:
of the assignment:
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become 1.
familiar with the expectations for successful completion.
Use primary sources published within the last 5 years. Provide
citations and references for all sources used.2.
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assignments. The APA Style Guide is located 3.
in the Student Success Center.
You are required to submit this assignment to LopesWrite. A
link to the LopesWrite technical support 4.
articles is located in Class Resources if you need assistance.
dropbox in the learning management system. In 5.
Directions:
Your presentation must include the following elements:
Identify and provide a brief description of a clinical problem.1.

Identify a technology that can improve patient outcomes for that
clinical problem.2.
Select a theory to guide the presentation and discuss why this
theory is applicable.3.
Address how the technology you have identified will assist in
resolving the clinical problem.4.
Potential strengths and limitations of the technology selected.5.
Discuss the method for patient education for use of the
technology you have identified. Provide a rationale 6.
for its effectiveness.
Use PowerPoint to create your slide presentation. Your slide
presentation must contain a title slide, 12-15
slides of content, and a References slide. Use evidence to
support your claims. A minimum of five references
using APA style must be used. Speaker's notes must be included
for each individual slide (add a speaker notes
section to demonstrate the verbal speech you would give along
with each slide).
Presentation Tips:
Refer to the resource, "Creating Effective PowerPoint
Presentations," located in the Student Success Center, for
additional guidance on completing this assignment in the
appropriate style.
Text slides are not meant to be read by the speaker, but by the
audience. Lettering should generally be limited
to four lines and should never be more than seven, including the
title.
It is advisable not to use more than eight words per line.1.
Avoid too much detail and resist the temptation to overload the
presentation with information.2.
Avoid jargon and abbreviations, unless they are clear to all the

audience.3.
Aim at the average person in the audience.4.
Use plain English.5.
Topic 2 DQ 1
Feb 3, 2022, 12:00 AM Feb 5, 2022, 11:59 PM 5
Discuss the usefulness of the electronic health record (EHR)
and its impact on patient safety and quality
outcomes. Describe strengths and limitations that might apply to
its usage.
Topic 2 DQ 2
Feb 3, 2022, 12:00 AM Feb 7, 2022, 11:59 PM 5
You are now a DNP-prepared nurse in a new leadership position
in clinical practice. Analyze your new practice
workflow to incorporate seeing patients and in regard to
communication with the health care team and the
infusion of the EHR into your practice. What elements do you
need to consider if this position is in a magnet
2022
acute-care hospital in a busy metropolitan area? How might
your practice change if the setting was a rural
regional clinic system?

Feb 3, 2022, 12:00 AM Feb 9, 2022, 11:59 PM 20
Topic 3: Computer Provider Order Entry (CPOE) Systems and
Clinical Decision Support
Systems (CDSS)
Objectives:
Analyze the benefits and challenges with Computer Provider
Order Entry (CPOE) systems and Clinical 1.
Decision Support Systems (CDSS) in clinical practice.
Evaluate the function of Computer Provider Order Entry
(CPOE) systems and Clinical Decision Support 2.
Systems (CDSS).
Resources
Read:
Chapters 4, 9, 10, and 15 from Applied Clinical Informatics for
Nurses.
Computerized Provider Order Entry: Advancing Technology
Today, Saving Lives Tomorrow
Read:
Ghaemmaghami, V. (2014). Computerized provider order entry:
Advancing technology today, saving lives
tomorrow. AORN Journal, 100(6), 683-685.

https://doi.org/10.1016/j.aorn.2014.09.005
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Innovations in Health Information Technologies for Chronic
Pulmonary Diseases
Read:
Himes, B. E., & Weitzman, E. R. (2016). Innovations in health
information technologies for chronic pulmonary
diseases. Respiratory Research, 17, 1-7.
https://doi.org/10.1186/s12931-016-0354-3
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Summary and Frequency of Barriers to Adoption of CPOE in the
US
Read:
Kruse, C. S., & Goetz, K. (2015). Summary and frequency of
barriers to adoption of CPOE in the US. Journal of
Medical Systems, 39(2), 15. https://doi.org/10.1007/s10916-
015-0198-2
From Patient Care to Research: A Validation Study Examining
the Factors Contributing to Data
Quality in a Primary Care Electronic Medical Record Database
Read:
Coleman, N., Halas, G., Peeler, W., Casaclang, N., Williamson,
T., & Katz, A. (2015). From patient care to
research: A validation study examining the factors contributing

to data quality in a primary care electronic
medical record database. BMC Family Practice, 16(1), 1-8.
https://doi.org/10.1186/s12875-015-0223-z
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Computerized Provider Order Entry (CPOE): Important
Nontechnical Issues and
Considerations
Read:
Harrington, L., Hardison, V. L., Coates, J., Wickham, V.,
Norris, B., & Kane, M. (2014). Computerized provider
order entry (CPOE): Important nontechnical issues and
considerations. Nurse Leader, 12(3), 54-57. https://
doi.org/10.1016/j.mnl.2014.03.002
http://www.sciencedirect.com.lopes.idm.oclc.org/science/article
/pii/S154146121400086X
Assessments
Using CPOE and CDSS
Feb 10, 2022, 12:00 AM Feb 16, 2022, 11:59 PM 100
For this assignment, select one clinical practice issue that
involves a specific medication. Using a Computerized
Provider Order Entry (CPOE) system, design a Clinical
Decision Support System (CDSS) that would be
embedded in the EHR at your site of practice. Your CDSS must

connect with CPOE to include a medication. You
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must link these two applications within the design.

General Guidelines:
of the assignment:
beginning the assignment to become
citations and references for all sources
used.
link to the LopesWrite technical support
Directions:
Write a 1,000-1,250 word paper that provides the following:
Specific details of the clinical issue involving a specific
medication1.
The rationale behind your design development.2.
A description of how this CDSS will be implemented and
adopted by fellow clinicians.3.
An assessment of challenges and proposed solutions which
might apply to this scenario (e.g., information 4.
loss, communication breakdown).

Topic 3 DQ 1
Feb 10, 2022, 12:00 AM Feb 12, 2022, 11:59 PM 5
Describe how CPOE and CDSS embedded in the EHR can be
useful towards a specific patient population of
your choice. Identify one element of either the CPOE or CDSS
you would improve that could enhance the
effectiveness of the system for that patient population.
Topic 3 DQ 2
Feb 10, 2022, 12:00 AM Feb 14, 2022, 11:59 PM 5
Select a particular medication or clinical problem. Describe how
the CPOE and/or CDSS technologies support
care decisions in this area.
Feb 10, 2022, 12:00 AM Feb 16, 2022, 11:59 PM 20
Topic 4: Database Design
2022
Objectives:
Examine key concepts behind database design and use of
standardized languages.1.

Describe clinical scenarios where repurposing data is useful in
increasing patient safety and quality 2.
outcomes.
Resources
Managing Diabetes in the Digital Age
Read:
Shah, V. N., & Garg, S. K. (2015). Managing diabetes in the
digital age. Clinical Diabetes and Endocrinology, 1(16).
https://doi.org/10.0086/s40842-015-0016-2
https://clindiabetesendo.biomedcentral.com/articles/10.1186/s40
842-015-0016-2
The Intersection of IT and Human Factors: Summative Testing
in Safety-Enhanced EHR Design
Read:
Franzke, M., Wright, S., & Hautamaki, B. (2013). The
intersection of IT and human factors: Summative testing in
safety-enhanced EHR design. Horizons, 47(2), 54-58.
https://doi.org/10.2345/0899-8205-47.s2.54
https://lopes.idm.oclc.org/login?url=https://search-proquest-
com.lopes.idm.oclc.org/docview/1461394578?
accountid=7374
Healthcare Database Concepts – Databases In Healthcare
Read:

Newman, D. (2016, January 24). Healthcare database concepts –
Databases in healthcare. Healthcare IT Skills.
https://healthcareitskills.com/databases-in-healthcare-database-
concepts/
Integrating Visual Dietary Documentation in Mobile-Phone-
Based Self-Management
Application for Adolescents With Type 1 Diabetes.
Read:
Froisland, D. H., & Arsand, E. (2015). Integrating visual dietary
documentation in mobile-phone-based self-
management application for adolescents with type 1
diabetes. Journal of Diabetes Science and Technology, 9(3),
541-548. https://doi.org/10.1177/1932296815576956
2022
842-015-0016-2
842-015-0016-2
842-015-0016-2
842-015-0016-2
com.lopes.idm.oclc.org/docview/1461394578?accountid=7374

https://lopes.idm.oclc.org/login?url=h ttps://search-proquest-
concepts/
concepts/
concepts/
concepts/
concepts/
concepts/
concepts/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604541/
Human Factors and Medical IT Systems: Complex Incident
Reporting Systems and Multiple IV
Infusions
Read:

Colvin, C., Baird, P., Easty, T., & Trbovich, P. (2013, Fall).
Human factors and medical IT systems: Complex
incident reporting systems and multiple IV infusions. Horizons,
59-63. https://
doi.org/10.2345/0899-8205-47.s2.59
com.lopes.idm.oclc.org/docview/1461394405?
accountid=7374
Data Resources in the Health Sciences
Read:
University of Washington Health Sciences Library. (2019). Data
resources in the health sciences.
http://guides.lib.uw.edu/hsl/data/findclin
Read:
Chapters 3, 6, and 10-12, from Applied Clinical Informatics for
Nurses.
Can We Make Health IT Safe Enough for Patients?
Read:
Soares, M. M., Jacobs, K., & Wears, R. L. (2012). Can we make
health IT safe enough for
patients? Work, 41, 4484-4489.
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Assessments
EHR Database and Data Management
2022
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Feb 17, 2022, 12:00 AM Feb 23, 2022, 11:59 PM 100
As a DNP-prepared nurse, you may be called upon to assist in
the design of a clinical database for your
organization. This assignment requires you to integrate a
clinical problem with data technologi es to better
understand the components as well as how those components

can lead to better clinical outcomes.
General Guidelines:
of the assignment:
used.
Refer to the examples in the topic resources for health care
database examples.
Directions:
For this assignment, write a 1,000-1,250 word paper in which
you:
Select a clinically based patient problem in which using a
database management approach provides clear 1.
benefit potential.
Consider how a hypothetical database could be created to assist

with this clinically based patient problem. 2.
Identify and describe the data needed to manage this patient
problem using information from the electronic
health record (EHR).
Include a brief description of the patient problem that
incorporates information needed to manage the 3.
specific problem. Describe what information is required for the
patient to manage the condition and how
the database and health care provider can be incorporated into
the approach for better health outcomes.
Describe each entity (data or attribute) that will be pulled from
the EHR as either structured or unstructured 4.
and provide an operational definition for each. Structured data
is more easily searchable and specifically
defined. For example, structured data can be placed in a drop-
down menu like hair color: brown, black, grey,
salt and pepper, blonde, platinum, etc. Unstructured data is data
that would be included in a nurse's notes.
An operational definition is how a researcher or informatics
specialist decides to measure a variable. For
example, when the nurses enter height into the EHR, do they
enter height as measured in inches or
centimeters or in feet and inches?
Provide a complete description of data entities (the objects for
which you seek information, e.g., patients) 5.
and their relationships to the attributes collected for each entity
(data collected for each entity, e.g., gender,
birthdate, first name, last name) that apply to the hypothetical
database. You can use a concept map similar
to the "Database Concept Map" resource, to help you describe
the relationships between each entity and its
attributes.
Topic 4 DQ 1

Feb 17, 2022, 12:00 AM Feb 19, 2022, 11:59 PM 5
Select a defined patient population; for example, diabetic
patients over 65 years of age. List elements that you
think will be valuable in a database. Describe each element and
explain each term of its type of data (text,
2022
numbers, date, time, binary, etc.). If an element can be more
than one type of data, explain how that is
possible. Be sure to post an element different from that of your
peers.
Topic 4 DQ 2
Feb 17, 2022, 12:00 AM Feb 21, 2022, 11:59 PM 5
Discuss the type of integration data from your defined patient
population in Topic 4 DQ 1 would require. How
could the EHR database facilitate this type of integration
between clinical and administration systems
Feb 17, 2022, 12:00 AM Feb 23, 2022, 11:59 PM 20
Topic 5: Data Mining
Objectives:
Analyze patient-specific and aggregate data for both clinical

and administrative roles.1.
Analyze health care data quality measures.2.
Feb 24, 2022 - Mar 2, 2022 Max Points: 30
Resources
Integrating Clinical Decision Support Systems for
Pharmacogenomic Testing Into Clinical
Routine: A Scoping Review of Designs of User-System
Interactions in Recent System
Development
Read:
Hinderer, M., Boeker, M., Wagner, S. A., Lablans, M., Newe,
S., Hülsemann, J. L., Neumaier, M., Binder, H., Renz,
H., Acker, T., Prokosch, H. U., & Sedlmayr, M. (2017).
Integrating clinical decision support systems for
pharmacogenomic testing into clinical routine: A scoping
review of designs of user-system interactions in
recent system development. BMC Medical Informatics and
Decision Making, 17, 1-14. https://doi.org/10.1186/
s12911-017-0480-y
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Read:
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Chapter 8 in Applied Clinical Informatics for Nurses.
Mining for Answers From Big Data
Read:
Hayhurst, C. (2015). Mining for answers from big
data. Biomedical Instrumentation and Technology, 49(2), 84-92.
https://doi.org/10.2345/0899-8205-49.2.84

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An Efficient Data Preprocessing Approach for Large Scale
Medical Data Mining
Hu, Y., Lin, W., Tsai, C., Ke, S., & Chen, C. (2015). An
efficient data preprocessing approach for large scale
medical data mining. Technology and Health Care, 23(2), 153-
160. https://doi.org/10.3233/THC-140887
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Use Data Mining Findings as a Tool to Support CDI Education
Read:
Easterling, S., Endicott, M., Lojewski, T., Maccariella-Hafey,
P., Martin, G., & Wilson, D. D. (2014). Use data
mining findings as a tool to support CDI education. Journal of
AHIMA, 85(7), 56-59.
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Assessments
Topic 5 DQ 1

Feb 24, 2022, 12:00 AM Feb 26, 2022, 11:59 PM 5
Select a specific clinical problem and post a clinical question
that could potentially be answered using data
mining. Identify data mining techniques you would apply to this
challenge and provide your rationale. Are
there any specific data mining techniques you would not use?
Support your decision.
Topic 5 DQ 2
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Feb 24, 2022, 12:00 AM Feb 28, 2022, 11:59 PM 5
Using the clinical question you identified in the previous
discussion question, determine the individual
components to that question and pinpoint the location in the
hypothetical database where the information
you require will be extracted.
Feb 24, 2022, 12:00 AM Mar 2, 2022, 11:59 PM 20
Topic 6: Telehealth
Objectives:

Compare telehealth technologies with alternatives in population
health.1.
Critique existing implementation strategies of telehealth in the
organizational literature.2.
Mar 3, 2022 - Mar 9, 2022 Max Points: 130
Resources
Exploring the Meaning of a New Assistive Technology Device
for Older Individuals
Read:
Gramstad, A., Storli, S. L., & Hamran, T. (2014). Exploring the
meaning of a new assistive technology device for
older individuals. Disability and Rehabilitation: Assistive
Technology, 9(6), 493-498. https://
doi.org/10.3109/17483107.2014.921249
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Read:
Online Self-Management Interventions for Chronically Ill
Patients: Cognitive Impairment and
Technology Issues
Read:

Grand Canyon University 2022 © Prepared on: Mar 14,
2022
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Archer, N., Keshavjee, K., Demers, C., & Lee, R. (2014).
Online self-management interventions for chronically ill
patients: Cognitive impairment and technology
issues. International Journal of Medical Informatics, 83(4),
264-272. https://doi.org/10.1016/j.ijmedinf.2014.01.005

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Design of Smart Home Sensor Visualizations for Older Adults
Read:
Le, T., Reeder, B., Chung, J., Thompson, H., & Demiris, G.
(2014). Design of smart home sensor visualizations for
older adults. Technology and Health Care, 22(1), 657-666.
https://doi.org/10.3233/THC-140839
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Decision Support at Home ([email protected]) - System
Architectures and Requirements
Read:
Marschollek, M. (2012). Decision support at home
([email protected]) - System architectures and
requirements. BMC
Medical Informatics and Decision Making, 12(1),
43. https://doi.org/10.1186/1472-6947-12-43
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Smart Homes and Home Health Monitoring Technologies for
Older Adults: A Systematic
Review

Read:
Liu, L., Stroulia, E., Nikolaidis, I., Miguel-Cruz, A., & Rios
Rincon, A. (2016). Smart homes and home health
monitoring technologies for older adults: A systematic
review. International Journal of Medical
Informatics, 91, 44-59.
https://doi.org/10.1016/j.ijmedinf.2016.04.007
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Optional: The Role of Telehealth in an Evolving Health Care
Environment - Workshop
Summary
For additional information on telehealth, the following is
recommended:
Lustig, T. A. (2012). The role of telehealth in an evolving
health care environment: Workshop summary. The National
Academies Press.
http://books.nap.edu/openbook.php?record_id=13466
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ICT Learning by Older Adults and Their Attitudes Toward

Computer Use
Read:
González, A., Ramirez, M. P., & Viadel, V. (2015, August). ICT
learning by older adults and their attitudes toward
computer use. Current Gerontology and Geriatrics Research,
2015, 1-7. https://doi.org/10.1155/2015/849308
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Assessments
Telehealth
Mar 3, 2022, 12:00 AM Mar 9, 2022, 11:59 PM 100
Telehealth encompasses a wide range of basic to complex health
care delivery options, with an equally
expansive array of technologies to employ. For the assignment,
you will locate a scholarly article on telehealth
published within the last 5 years in a peer-reviewed journal.
You will compose a paper containing a precis,
mind map, and discussion. The precis will focus on the
scholarly article pertaining to telehealth technology.
The mind map and discussion will help to generate and
illustrate ideas about how the identified telehealth
technology can be used in your current practice.
DPI Project Content Connection: While telehealth may not be
directly associated with your project, this
assignment will help prepare you in learning how to review and

present literature. In future courses, you will
develop Chapter 2 of your manuscript in which you will review
at least 50 sources related to your DPI topic.
Learning how to succinctly synthesize scholarly sources is a
very useful skill. The precis portion will help you
learn how to summarize (future assignments will assist in
synthesis), and the mind map portion will help you
learn how to organize your ideas and establish connections
between topics and subtopics.
General Guidelines:
of the assignment:
used.
Directions:
Write a 750-1,000 word paper on a telehealth technology that

can be used in your current practice. The paper
will include a precis, mind map (provided as the Appendix),
discussion of the mind map, and conclusion,
2022
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according to the following:
Introduction

Provide an introduction that is succinct and includes a thesis or
main idea. The essence of the paper should be
contained within the thesis, and the thesis statement should
make the purpose of the paper clear. You may
also use the introduction to provide an overview of the
organization of the paper and establish the purpose
for each section.
Precis
Donald Davidson, in his book, American Composition and
Rhetoric, discusses the precis as follows:
"A precis is not an outline, but a summary or digest. It is useful
as an exercise in grasping the essential ideas of
an already completed composition and instating these ideas in
concentrated form. The precis shears away all
elaborations of the thought and gives only what is left, in such a
way as to make the summary a complete
composition. It does not, therefore, skeletonize the original
composition so much as it reduces its scale. Many
of the articles in the Reader's Digest are only precis, so
skillfully done that the average reader does not know
that he is reading a summary. Since the precis says a great deal
within a brief space, it is of great service in
taking notes on library assignments and general reading."
The precis should be an organization of ideas (including logical
sequencing of points), contain clear and
meaningful expression, and use language suitable to the
situation. Your precis section should only cite the
article you are reviewing. When finished, the precis section
should summarize a single scholarly article on the
topic of telehealth and should be four statements long:
A statement of what was studied (i.e., argued, discussed,

deliberated).1.
A statement of focus of the current scholarly article selected
(i.e., how it was organized and completed).2.
A statement of what information was identified or learned from
the scholarly article.3.
A statement of why the information in the article is important to
your field of study.4.
Mind Map
Brainstorm to generate ideas about how the identified telehealth
technology can be used in your current
practice using a mind map. Include the final mind map as the
Appendix at the end of the paper.
Create your mind map according to the following:
Take a sheet of paper and write an identifiable main idea in the
center of the page, using only one to three 1.
words. (You may also achieve this via an electronic sheet of
paper.)
Draw a branch off your main idea. On the branch, write or draw
a main topic related to your main idea.2.
Continue to branch off from your main idea with main topics as
needed.3.
From your main topics, branch off with subtopics.4.
From your subtopics, branch off with supporting details (write
or draw). Continue to add more details. You 5.
are free to add more topics, subtopics, or any other items.
When you stand back and survey your work, you should see a
sort of map: hence the name for this activity. 6.
At this point, you can start to form conclusions about how to
approach a potential area of practice change.
At the end of the day, what you do with the
particular map, cluster set, or web that you have produced
depends on what you need.

If you create your mind map on physical paper, you may scan it
in as an image and insert the image into 7.
your document. If you create the mind map electronically, you
may either convert the electronic map to an
image or use the snipping tool. Usually you can find this tool by
searching in the start menu.
Mind Map Discussion
In this section, discuss the mind map based on the scholarly
article reviewed in the precis. In your discussion
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of the mind map:
Include a critical evaluation of ideas and connections related to
the topics and subtopics, as well as how this 1.
information could be used in practice.
Include support from two additional scholarly sources (i.e.,
primary sources published within the last 5 2.
years).
Provide citations in text for all sources used and accompanying
references in the References section. In 3.
addition, refer to the mind map in the appendix and cite it
properly in text.
Conclusion
In the conclusion, provide a summary of ideas and support the
main claim of the paper. Be sure to summarize
key points rather than restating the material.

Topic 6 DQ 1
Mar 3, 2022, 12:00 AM Mar 5, 2022, 11:59 PM 5
A patient of your choice is being discharged to home and will
use telehealth technology. Post the technology
your patient will use at home and how will you connect with the
patient using this technology.
Topic 6 DQ 2
Mar 3, 2022, 12:00 AM Mar 7, 2022, 11:59 PM 5
Consider current telehealth strategies and alternatives. Evaluate
current implementation strategies for
telehealth systems and provide an assessment of the pros and
cons. Identify a particular practice area (e.g.,
clinic, hospital, primary care site) and discuss how you as a
health care leader might you implement a similar
strategy in that area?
Mar 3, 2022, 12:00 AM Mar 9, 2022, 11:59 PM 20
Topic 7: Trends in Informatics: Global and Consumer
Informatics
Objectives:
Analyze "health" from the perspective of the patient to include
technology and health literacy.1.
Explore trends in informatics at the national and international

levels.2.
Mar 10, 2022 - Mar 16, 2022 Max Points: 140
Resources
2022
Read:
Steps in Moving Evidence-Based Health Informatics From
Theory to Practice
Read:
Rigby, M., Magrabi, F., Scott, P., Doupi, P., Hypponen, H., &
Ammenwerth, E. (2016). Steps in moving evidence-
based health informatics from theory to practice. Healthcare
Informatics Research, 22(4), 255-260. https://
doi.org/10.4258/hir.2016.22.4.255
Extending Inter-Professional Learning Through the Use of a
Multi-Disciplinary Wiki
Read:
Stephens, M., Robinson, L., & McGrath, D. (2013). Extending

inter-professional learning through the use of a
multi-disciplinary wiki. Nurse Education in Practice,
13(6), 492-498. https://doi.org/10.1016/j.nepr.2013.01.009
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Fostering Therapeutic Communication While Inputting Data
Into the Electronic Health Record
Read:
Curran, H. J. (2016). Fostering therapeutic communication
while inputting data into the electronic health
record. Nursing Informatics Today, 31(1), 4-16.
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Evaluation Research Studies Essential to Ensuring Health
Information Systems Meet the
Needs of Users, Including Patients
Read: Callen, J. (2016). Evaluation research studies essential to
ensuring health information systems meet the
needs of users, including patients. Health Information
Management Journal, 45(1), 3-4. https://
doi.org/10.1177/1833358316639457
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2022
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DNP REFLECTIVE JOURNAL 22THE ESSENTIALS OF REFLECTIVE PRAC

DNP REFLECTIVE JOURNAL 22THE ESSENTIALS OF REFLECTIVE PRAC

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