* What did you like or dislike about taking an asynchronous online course?
I liked the fact that I could do the work when I wanted and wasn't constrained to certain times. I also liked that the module due dates were infrequent. In some of my other classes it seemed like things were due every other day, and that was very annoying. However, I am just not a fan of online classes in general. I do a lot better when I can go to a classroom and associate the material with a professor.
* What topic did you learn the most about and what was your favorite topic? What did you like least?
I learned the most about electronic health records (EHR) and health information systems. I had never really looked closely at what it would take to implement an EHR. But now I realize that there are a lot of factors. My least favorite topic was bibliographic management, specifically Endnote. That software is my nemesis.
* Do you have any other comments for us?
I enjoyed learning about these topics, I just wish it could have been in class.
Tuesday, August 3, 2010
Saturday, July 31, 2010
Module #5 Entry
-Why would a patient want to create a blog? What might they gain from this?
I have had some patients in the hospital with chronic illnesses that have been actively keeping a blog of their experiences. I believe that for some people it helps them cope with what is happening to them if they can share it with other people. Or it is used as a way to keep family members who live far away up to date with what is happening.
-Why would a health care provider create a blog?
A health care provider might have a blog with health tips that their patients could benefit from. They could post a "health tip of the week" or something like that. Or they might use it as a way for their patients to get to know them on a more personal level. I can't see very many other uses for a public blog when it might involve patients' private health information.
-What are ethical considerations when blogging on a public website, such as we've used for this class?
When posting material on a public forum such as a blog, it is important to respect the privacy of patients that you have had contact with. It would not be appropriate to post private health information in a public blog.
I have had some patients in the hospital with chronic illnesses that have been actively keeping a blog of their experiences. I believe that for some people it helps them cope with what is happening to them if they can share it with other people. Or it is used as a way to keep family members who live far away up to date with what is happening.
-Why would a health care provider create a blog?
A health care provider might have a blog with health tips that their patients could benefit from. They could post a "health tip of the week" or something like that. Or they might use it as a way for their patients to get to know them on a more personal level. I can't see very many other uses for a public blog when it might involve patients' private health information.
-What are ethical considerations when blogging on a public website, such as we've used for this class?
When posting material on a public forum such as a blog, it is important to respect the privacy of patients that you have had contact with. It would not be appropriate to post private health information in a public blog.
Tuesday, July 6, 2010
Module #4 Entry
How did the readings influence your perception of your own clinical decision-making?
The readings for this module definitely made me think about the way that I make decisions, especially the power point slides that Dr. Sward put together. In the power point presentation, Dr. Sward cites Patricia Benner and her five different levels of experience in nursing; novice through expert. Reading about these different levels made me ponder what level I am at personally and how that affects the kind of decisions I make.
I did find it interesting, however, that in Benners levels of experience the lowest level, novice, is said to strictly follow rules, while the highest level, expert, is said to follow intuition. The video that we watched of Daniel Kahneman alternatively said that intuition is often wrong, and that certain computer prediction models often perform better than so-called experts because they use simple, linear logic and stick to the rules every time.
One thing is for sure, and that is that I feel these clinical decision support systems can be very valuable in practice, and greatly assist health care personnel in making the best decisions to help their patients.
The readings for this module definitely made me think about the way that I make decisions, especially the power point slides that Dr. Sward put together. In the power point presentation, Dr. Sward cites Patricia Benner and her five different levels of experience in nursing; novice through expert. Reading about these different levels made me ponder what level I am at personally and how that affects the kind of decisions I make.
I did find it interesting, however, that in Benners levels of experience the lowest level, novice, is said to strictly follow rules, while the highest level, expert, is said to follow intuition. The video that we watched of Daniel Kahneman alternatively said that intuition is often wrong, and that certain computer prediction models often perform better than so-called experts because they use simple, linear logic and stick to the rules every time.
One thing is for sure, and that is that I feel these clinical decision support systems can be very valuable in practice, and greatly assist health care personnel in making the best decisions to help their patients.
Friday, July 2, 2010
Module #3 Entry
I am currently an ICU nurse, and I teach my patients something every shift I work. Whether it be about a new medication, or about a procedure that we are doing, teaching is an everyday event. When I finish school, I hope to be a diabetes educator, which will obviously involve a lot of educating. I will teach about diet, exercise, glucose monitoring, medication, insulin, insulin pumps, and the list could go on and on. I cannot really think of any nursing role that does not involve teaching of some kind.
Friday, June 4, 2010
Module #1 Blog Entries
1. Hi, my name is Joey McGovern (obviously). I am in the Family DNP program, just starting my third semester. I have lived in Provo since I was 5, and love it here. I like to rock climb, ice climb, backpack, camp, and ski, all of which are found in abundance here. I am also on the volunteer Utah County Search and Rescue team.
2. I think that it is important for me to know about information management because it will be an important part of my practice after I graduate. Seeing patients will create a large volume of data that will will need to be interpreted and utilized efficiently. Being able to access and utilize lab values, radiology reports, and other data will help me to provide a high standard of care. This area is also important for billing purposes, as we have to be able to code data correctly in order to be reimbursed.
3. I don't know what is happening related to IT currently for Nurse Practitioners. However, I currently work in an ICU which uses computer charting and a computer based system for medication administration. All of our assessments, vital signs, plan of care updates, and evaluations are charted on the computer. We can access lab values, radiology reports, transcribed physician progress notes and a myriad of other data. We are also constantly improving on our system. I have worked there for 4 years and we in that time we have completely revamped our system 3 times.
2. I think that it is important for me to know about information management because it will be an important part of my practice after I graduate. Seeing patients will create a large volume of data that will will need to be interpreted and utilized efficiently. Being able to access and utilize lab values, radiology reports, and other data will help me to provide a high standard of care. This area is also important for billing purposes, as we have to be able to code data correctly in order to be reimbursed.
3. I don't know what is happening related to IT currently for Nurse Practitioners. However, I currently work in an ICU which uses computer charting and a computer based system for medication administration. All of our assessments, vital signs, plan of care updates, and evaluations are charted on the computer. We can access lab values, radiology reports, transcribed physician progress notes and a myriad of other data. We are also constantly improving on our system. I have worked there for 4 years and we in that time we have completely revamped our system 3 times.
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