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NURS FPX 6214 Assessment 1 Technology Needs Assessment

NURS FPX 6214 Assessment 1 Technology Needs Assessment

Student Name

Capella University

NURS-FPX 6214 Health Care Informatics and Technology

Prof. Name

Date

Technology Needs Assessment 

Technological advancements enable healthcare systems to improve their healthcare delivery and make healthcare accessible to the population worldwide. One such technological advancement that is widespread during the COVID-19 pandemic is telemedicine. Telemedicine is a beneficial technology that makes healthcare accessible to every individual despite their social, economic, and geographical differences. It assists people from taking preventive measures to the long-term treatment of their health problems. Moreover, it provides systematic, individualized, and cost-effective care to the population (Haleem et al., 2021). 

This assessment is focused on the telemedicine technologies (real-time telemedicine – video conferencing and remote patient monitoring) that I want to introduce in Miami Valley Hospital. The objective of this assessment is to conduct a technology needs assessment whereby the relevance and importance of the needs assessment will be shared, key issues in nursing care will be identified, and safety and security regulations will be shared in terms of the utilization of the technology, the concept of patient’s privacy and confidentiality will be discussed, and the role of stakeholders and end-users will be elaborated related to the acquisition of the technology. 

Importance and Relevance of the Needs Assessment 

Needs assessment is an effective method by which an organization identifies the gaps between current and desired outcomes. Understanding the value and relevance of a needs assessment process and how to conduct one, helps in developing effective improvement strategies to achieve desired goals. Additionally, it is considered a beneficial tool for deliberate planning of resource allocation, setting priorities, and bringing reforms to improve the outcomes. It is also ideal for establishing various policies according to the requirements of an organization (Diori, 2021). 

The needs assessment conducted for technological advancements specifically in the healthcare sector, helps in the identification of the technological requirements of an organization. In healthcare sectors, the technology assessment has various positive outcomes in the promotion of health, prevention of various diseases, provision of treatment for illnesses, and reduction of the risk of morbidity and mortality. Furthermore, the needs assessment provides adequate guidance on the deployment of these healthcare technologies to maximize the efficiency of healthcare practices and achieve the desired outcomes (Wang et al., 2021).

The possible consequences of not performing adequate needs assessment are poor identification of the organization’s requirements which will lead to inadequate decision-making about the allocation of resources and unimportant expenditures will take place which will enhance the organization’s costs and put a financial burden. Moreover, an improper needs assessment will also have negative impacts on patient’s health outcomes, and hospital growth, and eventually will hinder the process of achieving desired outcomes. 

Key Issues in Nursing Care that Impact Patient Outcomes

There are several challenges that the healthcare sector encounters in terms of nursing practices. These issues negatively impact the healthcare delivery, patients’ outcomes, and overall growth of the healthcare organization. Practice errors are one of the most commonly encountered issues in nursing practices which may impair patients’ safety. These practice errors are related to medication administration, patients’ falls, pressure ulcer incidences, patient identification errors, and healthcare-associated infections (Vaismoradi et al., 2020). Undoubtedly, these malpractices are associated with poor health outcomes, reduced patient safety, decreased patient satisfaction levels, and overall poor delivery of healthcare. Another important issue in nursing care is ineffective communication between interprofessional teams.

Ineffective communication is correlated with patient dissatisfaction, incorrect diagnosis, delayed treatment, and medical errors, and may lead to mortality (Stewart, 2018). Poor communication between nurses and other healthcare professionals can also reduce adherence to the treatment regimen thus bringing negative outcomes on patients’ disease processes, increasing the length of stay, and increasing healthcare costs (Tiwary et al., 2019). Staff shortages and excessive workload are other key issues in nursing care. These issues not only impact the personal and professional well-being of the nurses but indirectly affects healthcare delivery too. Nursing shortage leads to increased adverse events due to inclined error rates which eventually rises the morbidities and mortalities among the patients and poses negative outcomes on patients’ health (Haddad et al., 2023). 

NURS FPX 6214 Assessment 1 Technology Needs Assessment

The introduction of telehealth services reduces the number of patients visiting the hospital thus, short-staffed units can be benefitted from this facility and organizations will reduce the costs associated with hiring and retention of nurses. This will eventually reduce the number of errors that nurses may commit to the patients improving patients’ outcomes and safety. Moreover, telehealth methods require effective communication and collaboration among healthcare professionals to provide effective remote care to patients hence, improving interprofessional communication within an organization. 

Safety Requirements and Regulatory Considerations

Real-time telemedicine technologies which include video conferencing as well as remote patient monitoring (RPM) have been increasingly growing in healthcare sectors after COVID-19. RPM is described as remotely monitoring a patient without any supervision from a healthcare professional where their signs and symptoms, vital signs, and other important data are gathered using various technological devices. Whereas in video conference consultation, the patient interacts with the healthcare professional using camera-assistive devices.

The data which is collected in both technologies is transmitted to the healthcare professionals who then collaborate with interprofessional teams to present preventive and treatment measures for the patients (Gerke et al., 2020). Since the devices are automated and unlikely to humans, it is essential to consider some of the safety and regulatory requirements before introducing them in the healthcare organization. Moreover, these are also the criteria after the technology is introduced to evaluate if the safety and regulatory considerations are met. 

NURS FPX 6214 Assessment 1 Technology Needs Assessment
  1. According to the US Food and Drug Administration (FDA), medical devices should not track patients’ locations or contacts. The devices which are tracking these aspects of consumers are not acceptable because they are breaching safety requirement rules (Gerke et al., 2020). 
  2. Secondly, it is essential to conduct a risk-benefit analysis before the utilization of any medical device. This will help in improving patients’ safety. Health regulators are responsible for effectively playing a role in this regard (Gerke et al., 2020). 
  3. Avoidance of fraudulent medical device vendors is essential to prevent patients’ safety. Hospitals should consider consumer-protection-act rules before implementing and introducing any technology in the healthcare sector (Gerke et al., 2020). 
  4. Practitioners should follow the regulations that are developed by the organization, state, and federal levels to ensure patients’ safety and technological benefits are properly executed (Fields, 2020). 
  5. Ethics, conflict of interests, and protected health information (PHI) contemplations and laws should be considered an important aspect of telemedicine health similar to hospital-based medicine (Fields, 2020). 

Patients’ Privacy Protections and Confidentiality 

Telemedicine especially remote patient monitoring technology raises privacy concerns as it collects and disseminates patients’ healthcare data. The law of Health Insurance Portability and Accountability Act of 1996 (HIPAA), privacy, confidentiality, and security of patients’ protected health information (PHI) are applicable in terms of telehealth as well. This rule states that the information collected from the patients should be protected for maintaining privacy, confidentiality, and security while providing healthcare to the patients (Bassan, 2020).

The areas of uncertainty in these privacy protections and confidentiality points are; 1) who will be the developers of these technologies, 2) how will these technologies be regulated within the healthcare system, 3) will there be extra costs associated with integrating these aspects in the technologies, 4) will patients and healthcare providers need training for the acquisition of the technology, and 5) who will be responsible to carry the quality assurance audits of these technologies. Some of the confidentiality and privacy protections points that the technology must address are: 

NURS FPX 6214 Assessment 1 Technology Needs Assessment
  1. The data should be encrypted, run through authentic channels, and must be password protected so that only authorized individuals can access the information which is useful for patients’ treatment and management (Rezaeibagha & Mu, 2018).  
  2. The technology must be developed in a way that whenever a patient requests for the deletion of their information, it should be removed from the system entirely. Moreover, if a patient breaks the treatment or the treatment is completed, the information should be automatically removed from the system to avoid breaching the rules of HIPAA law (Gerke et al., 2020). 
  3. It must have the ability to identify cyber-attacks to ensure the security of electronically protected data. The healthcare team must collaborate with the IT team to ensure effective monitoring is conducted for preventing these cyber-attacks (Gerke et al., 2020). 
  4. The data should be anonymized whenever possible and appropriate. This not only protects the information but also covers the ethical aspects of data protection (Gerke et al., 2020). 
  5. Limited access to the PHI is essential, which means that access to the information should be given to only concerned healthcare professionals for individual patients. 

Stakeholders and End-users on Acquisition of this Technology

Various stakeholders play an important part in the introduction and execution of the technologies within the healthcare organization (Laurisz et al., 2023). Administrators, directors, and the QA team of the hospital are responsible for understanding the importance of these technologies, approving the plan according to the hospital’s needs, adequately performing the QA of these technologies, and executing the plan by bringing the technologies into the organization. The finance team will be responsible to provide the budget according to the existing financial resources of the organization and how will the monetary funds be outsourced from external links. Nursing leadership and educators will be responsible to train and prepare healthcare professionals for the use of these technologies keeping in mind the ethical, legal, safety, and privacy concerns. Moreover, they will also train frontline staff to teach patients and their families the effective use of these devices. 

These stakeholders will help in bringing organizational change by collaboratively working to improve patient outcomes. These outcomes will be improved by the use of telemedicine technologies. It is essential to develop insight among the staff and the stakeholders to direct them toward the vision and mission of the organization and minimize their resistance to the change (SumChan et al., 2019). Moreover, adequate training and development, sessions on the importance of the technologies, and effective evaluation of positive outcomes will help in reducing their resistance and motivating them to use such technologies in the organization. The discussion is based on the assumption that to bring a change in an organization, the collaborative involvement of a team is essential. This will result in successful improvements for improving patient outcomes and the growth of the organization. 

References 

Bassan, S. (2020). Data privacy considerations for telehealth consumers amid covid-19. Journal of Law and the Biosciences7(1). https://doi.org/10.1093/jlb/lsaa075 

Diori, H. I. (2021). A critical insight into needs assessment technique and the way social needs are actually assessed. Advanced Journal of Social Science8(1), 3–9. https://doi.org/10.21467/ajss.8.1.3-9 

Fields, B. G. (2020). Regulatory, legal, and ethical considerations of Telemedicine. Sleep Medicine Clinics15(3), 409–416. https://doi.org/10.1016/j.jsmc.2020.06.004 

Gerke, S., Shachar, C., Chai, P. R., & Cohen, I. G. (2020). Regulatory, safety, and privacy concerns of home monitoring technologies during COVID-19. Nature Medicine26(8), 1176–1182. https://doi.org/10.1038/s41591-020-0994-1 

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2023). Nursing shortage. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK493175/

NURS FPX 6214 Assessment 1 Technology Needs Assessment

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for Healthcare: Capabilities, features, barriers, and applications. Sensors International2, 100117. https://doi.org/10.1016/j.sintl.2021.100117 

Kichloo, A., Albosta, M., Dettloff, K., Wani, F., El-Amir, Z., Singh, J., Aljadah, M., Chakinala, R. C., Kanugula, A. K., Solanki, S., & Chugh, S. (2020). Telemedicine, the current COVID-19 pandemic, and the future: A narrative review and perspectives moving forward in the USA. Family Medicine and Community Health8(3). https://doi.org/10.1136/fmch-2020-000530 

Laurisz, N., Ćwiklicki, M., Żabiński, M., Canestrino, R., & Magliocca, P. (2023). The stakeholders’ involvement in Healthcare 4.0 services provision: The perspective of co-creation. International Journal of Environmental Research and Public Health20(3), 2416. https://doi.org/10.3390/ijerph20032416 

Rezaeibagha, F., & Mu, Y. (2018). Practical and secure telemedicine systems for User Mobility. Journal of Biomedical Informatics78, 24–32. https://doi.org/10.1016/j.jbi.2017.12.011 

Stewart, M. A. (2018). Stuck in the middle: The impact of collaborative interprofessional communication on Patient Expectations. Shoulder & Elbow10(1), 66–72. https://doi.org/10.1177/1758573217735325 

SumChan, A. M., Bambacas, M., & Patrickson, M. (2019). Identification of stakeholders in an organizational change process. In SAGE Business Cases. SAGE Publications: SAGE Business Cases Originals. https://doi.org/10.4135/9781526476746 

Tiwary, A., Rimal, A., Paudyal, B., Sigdel, K. R., & Basnyat, B. (2019). Poor communication by health care professionals may lead to life-threatening complications: Examples from two case reports. Wellcome Open Research4, 7. https://doi.org/10.12688/wellcomeopenres.15042.1 

NURS FPX 6214 Assessment 1 Technology Needs Assessment

Vaismoradi, M., Vizcaya-Moreno, F., Jordan, S., Gåre Kymre, I., & Kangasniemi, M. (2020). Disclosing and reporting practice errors by nurses in residential long-term care settings: A systematic review. Sustainability12(7), 2630. https://doi.org/10.3390/su12072630 

Wang, Y., Rattanavipapong, W., & Teerawattananon, Y. (2021). Using Health Technology Assessment to set priority, inform Target Product Profiles, and Design Clinical Study for Health Innovation. Technological Forecasting and Social Change172, 121000. https://doi.org/10.1016/j.techfore.2021.121000