Review the steps of the Systems Development Life Cycle (SDLC)
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.To Prepare:Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.BELOW IS THE ASSIGNMENTThe Assignment: (2- pages not including the title and reference page)In preparation of filling this role, develop a 2- page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impacteach of the following steps:Planning and requirements definitionAnalysisDesign of the new systemImplementationPost-implementation supportUse APA format and include a title page and reference page.BELOW IS THE REQUIRED READINGLearning ResourcesRequired ReadingsMcGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175-187)Chapter 12, “Electronic Security” (pp. 229-242)Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245-261)Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, fromhttps://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-referenceAgency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkitRequired MediaLouis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8PLEASE DONT FORGET TO ADD 4 REFERENCIES NOT MORE THAN 5 YEARS OLD WITH APA FORMAT:please refer to the attached rubic.PLEASE READ BELOW CAREFULLYAssign 4 – Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and ImplementationPosted on: Monday, July 26, 2021 6:57:00 AM EDTPortfolio Assignment: This is the most important assignment for this course.This is not a paper.Be mindful to adhere to page count.1st page – Title pageAssignment – 2-3 pagesLast page – Reference page CORE SKILL: understanding WHY nurse involvement in system design is a SAFETY issue rather than a courtesy — and being able to name what goes wrong at each phase when nurses are absent.
THE PHASES (versions vary slightly; use a consistent one):
1. PLANNING AND REQUIREMENTS DEFINITION / FEASIBILITY — identify the problem, define needs, assess feasibility and cost. WITHOUT NURSES: the requirements reflect what administrators and vendors THINK nurses do, rather than what nurses actually do. This is the most consequential phase to be excluded from, because every later phase inherits its errors — and requirements errors are the most expensive to fix later (the cost of fixing a defect rises by orders of magnitude at each subsequent phase, which is a well-established finding in software engineering and a powerful argument to cite).
2. ANALYSIS / SYSTEM SELECTION — evaluate options against requirements; workflow analysis; gap analysis. WITHOUT NURSES: the system is chosen on price and feature lists rather than on WORKFLOW FIT, and clicks-per-task (the real currency of clinician time) is never measured.
3. DESIGN OF THE NEW SYSTEM — screens, fields, alerts, order sets, documentation templates. WITHOUT NURSES: alert thresholds get set by people who will never receive the alerts, producing ALERT FATIGUE; documentation fields multiply because every stakeholder wants their data captured, and the burden lands on the nurse.
4. IMPLEMENTATION / TESTING AND TRAINING — build, configure, test (unit, integration, user acceptance testing), train, go live (big-bang vs. phased). WITHOUT NURSES: user acceptance testing is performed by people who don’t do the work, training is scheduled without backfill, and go-live support is under-resourced.
5. POST-IMPLEMENTATION SUPPORT / MAINTENANCE AND EVALUATION — optimization, issue resolution, evaluating whether the system achieved its aims. WITHOUT NURSES: workarounds go undetected and become permanent, and the system is declared a success on the basis of go-live completion rather than outcomes.
THE CONSEQUENCES TO NAME: workarounds (which are ADAPTATIONS to bad design, and should be read as diagnostic information rather than as staff misbehavior — that reframe is an excellent point to make); alert fatigue and override rates; documentation burden and its established link to burnout (“pajama time”); e-iatrogenesis; and outright abandonment of expensive systems.
THE NURSE INFORMATICIST role bridges clinical and technical domains — translating clinical requirements into technical specifications and vice versa. That translation function is the job, and it is the answer to “why not just have IT do it?”
FRAMEWORKS: the SEIPS model (work system → process → outcomes) for human factors; usability testing and heuristic evaluation; interoperability standards (HL7, FHIR); and the ANA scope and standards for nursing informatics.
FOR THE ASSIGNMENT: describe each phase, state what a nurse contributes, and describe the concrete consequences of exclusion. Then, if required, propose a graduate-prepared nurse’s role on the selection/implementation team.
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