Running head: SCHOLARLY PROJECT SYNTHESIS PAPER

Scholarly Project Synthesis Paper Nicole Cory Ferris State University

SCHOLARLY PROJECT SYNTHESIS PAPER Abstract

This paper summarizes and analyzes a project managed and completed by this student during the summer semester of 2013. The scholarly project is an opportunity for the student to learn and understand the role of the informatics nurse specialist (INS) through experience. According to the ANA, within the INS role the key responsibility is often implementation. During this project a mobile application was developed and implemented which will be used at Pine Rest to collect feedback and other data related to patient care. Also in this paper, the evidence to support the project are described and analyzed. An evaluation of the experience performed by the student and preceptor is also included. Key words: project, informatics nurse specialist

SCHOLARLY PROJECT SYNTHESIS PAPER Scholarly Project Synthesis Paper Managing and completing a project provides an opportunity for a student to gain knowledge and skills that may not be attainable through study and research alone. The experience requires the student to apply knowledge gained during the program as he or she

immerses herself in a common role of the informatics nurse specialist (INS), as project manager. Project management is a highly desired and utilized skill for the INS (ANA, 2008). Project management is such an important part of the INS role that it has been recommended that colleges begin to integrate information technology project management into the informatics curriculum (Sockolow & Bowles, 2008). Managing a project is a difficult task, and much is learned by the student while under the guidance of a preceptor with project management experience. As a student I was able to perform the majority of tasks the project with only supervision from my preceptor. I was involved in analyzing current practices related to a paper process described as cumbersome and time consuming (S. Koons, personal communication, June 19, 2013). I helped to identify technology that could replace the paper process and improve the ease of data collection at Pine Rest. I worked with the information technology (IT) department to obtain a quote from a software development company outsourced by Pine Rest and obtained approval of the budget by leadership. I helped to develop job aids, guidelines, and policies related to the use of the new technology as well as to safeguard the data collected by clinicians. I performed training on the use of the technology and assisted in expanding the use of the technology to other types of data collection beyond the InfoProject. This paper will describe a project performed by this student at Pine Rest Christian Mental Health Services with Pam Hietbrink, RN-MSN, an experienced INS. The goals and objectives related to this project are described. The paper also discusses personal and professional

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accountability as it relates to the project. There is also a comprehensive description and analysis of project outcomes and a detailed discussion of adherence to legal, ethical, nursing, and organizational standards. An evaluation is included in this paper with copies of the evaluation performed by the student, preceptor, and several project stakeholders found in Appendix A. The paper then provides recommendations for future implementation of similar projects. Description of scholarly project The project involved the development and adoption of a software or application. The technology will be used by the clinical service managers to collect feedback from patients for the info project. The goal of the info project is to get patients involved in their care and make sure their voice is heard. The development and implementation of informatics solutions that can be utilized to automate processes and support clinical decision making can drastically improve patient outcomes (Amarasingham, Plantinga, Diener-West, Gaskin, & Powe, 2009). This technology would improve the process in place at Pine Rest. The use of paper forms to collect data often resulted in delayed data analysis and decision making (S. Koons, personal communication, June 19, 2013). The paper forms also introduce potential for lost forms and missing data. Utilizing technology, we hoped to prevent these occurrences. Innovative technology has been cited as a tool for improving the quality of healthcare (Institute of Medicine [IOM], 2012). The use of information technology in healthcare has been shown to reduce mortality, complications and costs in some organizations (Amarasingham et al, 2009). As of February 2010, there were over 6,000 mobile apps related to health and healthcare (Sarasohn-Kahn, J., 2010). This is evidence that mobile technology has become common enough that Pine Rest might reconsider this policy and consider the potential that mobile technology has to positively affect patient care. The use of technology in this

SCHOLARLY PROJECT SYNTHESIS PAPER instance could improve patient outcomes and satisfaction by providing actionable data on a concurrent rather than retrospective basis. Project Goals The goals and objectives of this project revolve around the overall goal of implementing a technology solution to improve an informatics related issue. The goals were to evaluate the current state at Pine Rest to identify a situation where technology could improve practice. Another goal was to understand the technology at Pine Rest in order to select and implement a solution compatible with their current framework. Then we sought to obtain approval of the solution and a budget for the development of the solution by leadership. The next goal was to demonstrate the solution for the end-users and gain feedback in order to address any potential issues with the build. The final goal was to educate and prepare the clinical services managers on the use of the solution. Project Objectives One objective of the project was to identify problems related to the process of collecting

information for the info project at Pine Rest. According to the ANA (2008), standard two for the INS includes the assessment of informatics related problems, needs, or issues. To do this we met with the quality department analysts and the lead clinical service manager to discuss the info project. This was identified early-on as a process that might lend itself to the use of technology. Our analysis resulted in findings of lost data, potentially skewed data due to being collected by staff instead of management, and late data receipt. Another reason for selecting this project as our focus was the enthusiasm of several of the end-users in changing the process from paper to technology. This enthusiasm pointed out the willingness to change among some of the stakeholders of the project. According to Kurt Lewins

SCHOLARLY PROJECT SYNTHESIS PAPER change theory, ongoing staff involvement is essential to the phase of unfreezing, which may not be accomplished if staff doesnt agree that there is a need for change and that the change will improve their work (Kristonis, 2004). The next objective was to perform an analysis of the technology in place at Pine Rest in order to support the selection of compatible informatics solutions. Through meetings with information technology (IT) staff and a survey of the clinical service managers we were able to identify a couple of potential solutions. The INS must be able to navigate the complex

relationship between computer science and nursing science (ANA, 2008). The development of a mobile application from scratch was identified as a potential option, but due to our limited knowledge of mobile app development and lack of confidence in the security of data collected using a mobile app we chose to investigate a software application that was already in use in the IT department that could be scaled to a mobile screen and accessed via a link on any mobile device through the hospitals intranet. Another objective was to identify potential solutions to previously identified issues, and research the cost and benefits of each solution. We had already decided that we would investigate the technology identified by Dallas Thiel in IT and had considered this to be the most cost-efficient option as it had already been in use and would require minimal modification. We also looked at Info Path form development and the use of the survey templates that came standard with the hospitals version of the Sharepoint software already in place at Pine Rest. We decided that these were not user-friendly, customizable, nor did they come with adequate graphing capabilities. InfoPath and Sharepoint were limited as they only allowed the user to export the data to excel and manually manipulate the data into charts and graphs.

SCHOLARLY PROJECT SYNTHESIS PAPER The next objective was to demonstrate the technology to the end-user and collect feedback. In three meetings the survey tool was demonstrated to the clinical service managers

and the quality department analysts. I took notes on their reactions and questions and we sought to obtain answers from IT on any questions we were unable to answer on our own. There were some questions around the customization of the surveys and the security of the data. Another objective was to develop a project proposal and use it to gain the approval of the solution and a budget for the solution. During the semester I worked on a proposal to submit to the nursing leadership and quality department director. The proposal was submitted to the individuals and utilized to seek approval of the technology. The proposal identified that I would perform education and training on the use of the technology as well as submission of requests for new surveys. The proposal described who would be responsible for the technology postimplementation and a plan for the evaluation of the technology after 2 weeks of use, one month of use, and three months of use. The Health Information Management Systems Societys technology adoption framework talks about defining team roles and responsibilities early on in a project (Health Information Management Systems Society [HIMSS], n.d.). It is imperative to include this information in your written proposal which serves as a guide throughout the project. Our final objective was to educate the end-user on the use of the solution and implement the solution. I showed the clinical service managers how to use the tool and provided support as they first attempted to collect information using the tool. I also provided them with job aids with step by step instruction and screen shots to assist them in using the survey when they were on their own. Job aids are part of the training and education stage in the technology adoption framework (HIMSS, n.d.). I also showed them how to submit a request for the survey and described the types of surveys that would be appropriate.

SCHOLARLY PROJECT SYNTHESIS PAPER Professional and Personal Accountability In order for successful project completion one must demonstrate personal accountability for the deliverables assigned to them. Accountability is a major factor in the success of any

project, large or small. The project manager must work to instill a sense of accountability within the project team in order to get the deliverables completed (Simon & Canacari, 2012). Without accountability among the project team it is impossible to deliver a product within the projected timeframe for completion. Part of personal accountability is in the communication among the project team. According to the Project Management Body of Knowledge (PMBOK) (2008), communication is required to ensure timely project completion. They state that project managers spend much of their time communicating with individuals both internally and externally to the organization. Personally I committed to communicating regularly with those involved. When things change or decisions are to be made, communication is extremely important. As the project manager, I made myself available via phone or e-mail and always respond to questions, e-mails, or phone calls within the same day. During this project we spoke face to face, held phone conversation, and sent e-mails. Collaboration with other disciplines is an essential part of the INS role. Several projects cite collaboration as a critical success factor. An implementation of a barcode medication administration system utilized teams of nurses, pharmacists, information technologist, vendors, and respiratory therapists (Ross, 2008). Collaboration among multiple disciplines was cited as an integral component of the project and shared responsibility and effort had a positive impact on the outcome of the project.

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Another way I made myself and others accountable was by developing and committing to a project timeline. This project was dependent on feedback from others. We did not obtain a quote from SpringThrough until one of the final few weeks of the project. This did not meet our timeline. Luckily this was not detrimental to the project as we were able to move forward with several other deliverables as we waited. I believe this happened because we did not set expectations with the software company by giving them a date we expected to receive the information requested. I was personally responsible for many of the deliverables during this project and was able to maintain project deadlines when I wasnt waiting on another individual. The development of job aids, request forms, and a policy rough draft were also completed by me with assistance of my preceptor. My preceptor also held herself accountable and was available during the hours we had assigned to the project and attended all meetings to which she had committed. Description and Analysis of Project Outcomes The outcome of this project was an electronic method of collecting survey data. The survey can be accessed through the hospitals intranet or a link sent to an individual or group via their internal e-mail. There were several issues, concerns, and challenges related to the development of a new technology for use at a behavioral medicine facility. These concerns included, HIPAA, team human resource management, end-user resistance, and organizational policy concerning the use of mobile devices. The first major concern was the security of the data collected using the new technology. The Health Insurance Portability and Accountability Act (HIPAA) requires that certain safeguards are in place in order to protect the privacy of patients health information (Department of Health and Human Services [HHS], n.d.). We discussed privacy at length with

SCHOLARLY PROJECT SYNTHESIS PAPER the IT representative for this project as well as the software vendor. They assured us that because the survey is accessed through the intranet and not truly housed on a persons mobile device, the information would be secure. We also decided that in this survey, the only

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information collected related to the patients identification would be the patients initials and the room and bed they were in at the time of the data collection. This would further safeguard the data. Current policy at Pine Rest prohibits staff from utilizing mobile devices on any of the units within the hospital. Pine Rest will need to adopt a bring your own device policy (BYOD). BYOD is a concept some organizations have become accustomed to and for which policies have been developed. Pine Rest has yet to utilize mobile technology in practice, therefore there is a policy in place banning staff from using smart phones on the inpatient units in order to prevent workers from checking their social networking sites and texting on the units during work hours. Bring your own device (BYOD) policies exist in many organizations today. The BYOD policy seeks to regulate the types of devices used and the ways they are being used in the workplace including prestigious organizations such as the Pentagon (Armando, Costa, Merlo, & Verderame, 2012). Most BYOD policies include a way to prevent a person from introducing malware and viruses into the system and also contain and protect any sensitive information related to that organization (Armando et al., 2012). This often includes implementing additional security on the personal device as well as to register the device with the organizations system so it is recognized. Pine Rest is in a position to reconsider this policy as mobile technology is beginning to emerge as a valuable tool for the clinician. Major organizations like Johns Hopkins have deployed mobile technology to support physicians and nursees, (Wierz, Kurliand, Christina,

SCHOLARLY PROJECT SYNTHESIS PAPER Collins, & Martin, 2013). Birmingham Childrens Hospital is using mobile technology to receive feedback from patients and families (McLoughlin, 2013). Jane Phillips Medical Care developed a mobile app for nurses to use during their shift to document medication administration and review plans of care (Williams, 2012). UPMC is using an eVisit app to assess patients and determine if they really need to come and see a physician for their ailments (Williams, 2012). We worked with information technology from the beginning of the project. We discussed this issue in the first meeting with the IT representative who stated the policy could be modified to allow for the use of mobile devices in certain situations. I also drafted a revision of this policy for their use in order to allow for the implementation to occur without violating policy.

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Team management and development in this project was imperative to its success. When implementing or developing technological solutions, the INS must be sure to collaborate with IT professionals as well as the end-user in order to develop usable solutions (ANA, 2008). A major aspect of project management is managing human resources (Project Management Institute [PMI], 2008). The team is comprised of many members who need to be assigned roles and responsibilities. Selection of appropriate team members is imperative to the project success. During this project, we were able to involve several enthusiastic and committed individuals. Without their commitment to the project, we would not have been able to implement the technology successfully. Selection of an appropriate solution for an informatics related issue is a major aspect of an informatics project. Having excellent clinical and IT knowledge can assist the INS in selecting the best solutions for the end-user (ANA, 2008). The INS has to be able to speak both

SCHOLARLY PROJECT SYNTHESIS PAPER languages in order to convey the needs of the end-user; he or she must be able to speak knowledgably among clinicians as well as information technology staff members. It is imperative for the INS to advocate for improved practice and to monitor for problems caused by or exaggerated by informatics solutions. According to the Joint Commission, over-reliance or under-reliance on information systems in healthcare can cause harm to patients (Mitka, 2009). This is an issue that must be monitored and managed by the

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INS. Sometimes technology is the key to improving the efficiency of work in healthcare and this is something I also noted during the practicum semester. During the analysis and discussion around the patient rounding process it became evident that technology could reduce the time it took to round and improve the consistency and speed of which the information was shared. It also will provide data more quickly in order for leadership to review for compliance with this practice which is an organizational goal. Even so, it is important in this role to realize that technology is not always the answer, and to be careful to remain open-minded when selecting informatics solutions. Another potential issue for this project was the potential for resistance to the use of the technology by the end-user. Lewins change theory has been utilized as a framework for the implementation of change in many different organizations and projects (Cashin, Fowler, & McGarry, 2012). Lewin states that for change to take effect it must be the result of collaboration with the group. Therefore, the end-users of the proposed technology were involved throughout the project. We held meetings with them and demonstrated the product as soon as we had something to show them. We asked their opinion and attempted to answer any questions that came up during the project. Evaluation of Project

SCHOLARLY PROJECT SYNTHESIS PAPER The first goal was to evaluate the current state at Pine Rest to identify a situation where technology could improve practice. This was completed and an appropriate solution was identified. The next goal was to understand the technology at Pine Rest in order to select and

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implement a solution compatible with their current framework. Through collaboration with the IT department, we were able to complete this goal early on. Then we sought to obtain approval of the solution and a budget for the development of the solution by leadership. This goal was met as we submitted our proposal for the project to the leadership and the quality department accepted ownership and budget for the technology costs. The next goal was to demonstrate the solution for the end-users and gain feedback in order to address any potential issues with the build. This was completed through demonstrations held at the clinical service manager and quality department meetings. The final goal was to educate and prepare the clinical services managers on the use of the solution. This was completed through one to one assistance and discussion. There were some things I had wished to accomplish or that I had hoped to gain knowledge of during this project. The original plan for the project was to take our IT knowledge and resources and complete the development of the mobile solution ourselves. This would have been a valuable experience and would have provided invaluable opportunity to delve further into the standard of knowledge of information technology. However, due to constraints in time, resources, and knowledge, it was decided that developing a mobile application from scratch was not an attainable goal. An evaluation tool for this project has been included in this paper (see appendix B). The tool was developed using a Likert scale which appropriate for this evaluation because it is mostly used to assess an attitude or belief on a certain topic (Losby & Wetmore, 2012). The Likert scale

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uses a declarative statement that supplies a negative or positive attitude which is used to obtain a response that is definitive. This tool uses a 5-point Likert scale with responses starting with strongly agree to strongly disagree which provides the rater with an opportunity to respond either positively or negatively (Losby & Wetmore, 2012). The TIGER initiative makes recommendations for informatics competencies that were utilized in guiding the development of questions for this survey. The recommendations were developed in relation to the push for nurses to become adept at using technology to document and perform patient care tasks (TIGER, n.d.). The knowledge that some nurses, due to their age, may not have received formal training in the use of computers or other technology, while other younger nurses have grown up with technology (Tiger, n.d.). The TIGER recommendations were used as a guide toward the development of this evaluation tool. See appendix B for the evaluation tools completed by the student and the preceptor for the project. Recommendations for Future Implementations In future implementation projects I will be sure to do a couple of things differently. First of all, I will always develop a project timeline and communicate clear expectations with all stakeholders on a regular basis. This time we did not provide the technology vendor with a deadline and he did not deliver within what I would consider a timely manner. Had we set clear expectations and deadlines with all parties, this may not have been an issue. I will definitely utilize the HIMSS Technology Adoption Framework and the PMBOK as a guide in project management in future implementations. These two resources served as a wonderful guide to all the different aspects of managing a project. Using the PMBOK, I was able to develop a project plan, or project charter if you will, that was utilized throughout the project to keep on task. The project charter is a document that serves several purposes. The

SCHOLARLY PROJECT SYNTHESIS PAPER charter is used to formally authorize the project including the budget, stakeholders, plan, and major deliverables and responsibilities among the project team (PMI, 2008).

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The definition of project scope using a project charter actually decreases the incidence of project failure, or delays because it prevents scope creep. Scope creep is results from adding deliverables to a project without being authorized or managed (PMI, 2008). To control this phenomenon, all changes and additions are added to the project charter and reviewed and approved or disapproved by all stakeholders and modifications to the project timeline, deadlines, and budget are made as needed. Without this control, the timeline can remain the same, but the deliverables increase until it is impossible to complete the project on time or within the previously allotted budget (PMI, 2008). The technology adoption framework is a useful tool for project managers as it is able to incorporate both technical aspects of project management as well as change management methodologies (HIMSS, n.d.). This framework talks about defining scope as well as team repsonbilities, but also describes the steps to plan for change management. This includes developing a change management plan, workflow analysis, and stakeholder analysis. End-user resistance is to be anticipated when change is attempted (McCarthy & Eastman, 2010). Because of this phenomenon, these techniques, incorporated within the traditional project management strategies, allow for a more successful project because they consider the need for managing the change and preparing the organization for the change. One thing that I feel we did right was to be conscientious when you are making decision in the project and recognize when decisions are for your own benefit, versus the benefit of the organization. The INS has responsibility to By choosing to expand the use of the technology already in place we lost the opportunity to learn about mobile application development, but the

SCHOLARLY PROJECT SYNTHESIS PAPER organization saved money and time and the end-result is just as effective. We also avoided

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project failure by utilizing the resources available to us, rather than embarking on a project with unobtainable goals which may have been the case had we stubbornly adhered to the original goal of developing a mobile application from scratch. During the decision-making process Pam assisted me in seeing that the safer bet would be to adapt the existing technology, rather than gamble on developing an application that might not be widely adopted. Conclusion Completing this project provided me with experiences with the competencies related to project management which is an imperative skill for the INS. The hours I spent at Pine Rest with Ms. Hietbrink will provide a foundation for completing many projects for the duration of my future in the INS role. I will continue to learn and expand upon the knowledge gained from working with my preceptor and hope to gain project management professional (PMP) certification in the near future. This was a valuable experience as I was able to experience the different stages of a project first-hand. By assisting in the selection, development, and implementation of a technological solution to an informatics related issue, I gained experience with the competency of implementation. Through involvement in this project I have become more comfortable with managing implementation type projects. Because I was involved in all stages, I will be able to take this experience and implement it into my practice. I have a strong suspicion that many organizations could benefit from translating their paper processes to technology, even to mobile technology where real-time collection is appropriate. Because of my knowledge of and belief in Kurt Lewins change theory, we chose to involve the end users in the analysis of the issue, and brought them in to help evaluate the

SCHOLARLY PROJECT SYNTHESIS PAPER proposed technology. This gave us feedback and information from those who would be tasked

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with utilizing the technology in practice, and also gave us a realistic expectation of the adoption of the technology by those groups. The technology adoption framework provided a guide to the steps required to move from the current state using paper to the future state using technology. I have come to believe that it is my responsibility, as the INS, to assist in the development of solutions that are not disruptive to the workflow of the clinician, and only implement change when the benefits are clear and measurable. What was helpful in this project was that we had a survey to demonstrate for the end-user early on, and we were able to request the ability to modify the technology after the software development company turned the reigns over to us. This gave us opportunity to modify and tweak the product as time goes on and things change. Through the use of gained knowledge from theory and research I was able to successfully complete a project that will improve my practice as an INS, and this experience has prepared me to fulfill the role of the INS after graduating from Ferris State University.

SCHOLARLY PROJECT SYNTHESIS PAPER References Amarasingham, R., Plantinga, L., Diener-West, M., Gaskin, D. J., & Powe, N. R. (2009). Clinical information systems and patient outcomes. Archives of Internal Medicine, 169(2), 108-114. Armando, A., Costa, G., Merlo, A., & Verderame, L. (2012). Securing the bring your own device policy. Journal of Internet Services and Information Security, 2(3/4), 3-17. ANA (2008). Nursing informatics: Scope and standards of practice. American Nurses Association. MD, Silver Spring. Health Information Management Systems Society (n.d.). Technology adoption framework. Retrieved from http://thinkdcs.us/wp-content/uploads/2013/01/HIMSSChange ManagementAdoptionFramework.pdf

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Institute of Medicine: Committee on Patient Safety and Health Information Technology (2012). Health IT and patient safety: Building safer systems for better care. Washington, DC: National Academies Press. Kristonis, A. (2005). Comparison of change theories. International Journal of Scholarly Academic Intellectual Diversity, 8(1). Retrieved from http://nationalforum.com/ Electronic%20Journal%20Volumes/Kritsonis,%20Alicia%20Comparison%20of%20Cha nge%20Theories.pdf. Losby, J. & Wetmore, A. (2012). CDC coffee break: Using Likert scales in evaluation survey work. Retrieved from http://www.cdc.gov/dhdsp/pubs/docs/CB_February_14_2012.pdf. McCarthy, C., & Eastman, D. (2010). Change management strategies for an effective EMR Implementation. Chicago, IL: Health Information Management Society.

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McLoughlin, M. (2013). How one hospital is using mobile apps to gather feedback and improve services. Healthcare Professionals Network: Health Innovation Hub. Retrieved from http://www.guardian.co.uk/healthcare-network/2013/jun/18/hospital-mobile-appsfeedback Mitka, M. (2009). The Joint Commission offers warnings, advice on adoption new health care IT systems. Journal of the American Medical Association, 31(6), 587-588. Project Management Institute (2008). Project Management Book of Knowledge [PMBOK Guide]. Newtown Square, PA: Project Management Institute, Inc. Sarasohn-Kahn, J. (2010). How smartphones are changing health care for consumers and providers. California healthcare foundation. Retrieved from http://www.chcf.org/publications/2010/04/how-smartphones-are-changing-health-carefor-consumers-and-providers Simon, R. & Canacari, E. (2012). A practical guide to applying lean tools and management principles to health care improvement projects. AORN Journal, 95(1), 85-103. doi: 10.1016/j.aorn.2011.05.021 Sockolow, P. & Bowles, K. (2008). Integrating information technology project management into the nursing informatics curriculum. CIN: Computers, Informatics, Nursing, 26(1), 14-20. DOI: 10.1097/01.NCN.0000304759.71918.74 TIGER (n.d.) Informatics competencies for every practicing nurse: Recommendations form the TIGER collaborative. Retrieved from http://www.tigersummit.com/uploads/3.Tiger. Report_Competencies_final.pdf

SCHOLARLY PROJECT SYNTHESIS PAPER U.S. Department of Health and Human Services (HHS) (n.d.) Health Information Privacy. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/administrative/privacyrule /index.html

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Wierz, D. J., Kurliand, M., Christina, J., Collins, D. A., & Martin, T. (2013). Mobile technology revolutionizing healthcare, use case study: The Johns Hopkins Hospital. Retrieved from http://www.mhimss.org Williams, J. (2012). The value of mobile apps in healthcare. Healthcare Financial Management, 66(6), 96-101.

SCHOLARLY PROJECT SYNTHESIS PAPER Appendix A Screen Shots of Survey Tool

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SCHOLARLY PROJECT SYNTHESIS PAPER Appendix B Completed Evaluations Evaluation for Clinical Scholarly Project Summer 2013 Student: Nicole Cory Preceptor: Pam Heitbrink, MSN Nursing Informatics Specialist Evaluation completed by __Nicole Cory__________________________ 1= Strongly agree 2=Somewhat agree 3=neutral 4=somewhat disagree 5=strongly disagree

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1. This student demonstrates understanding of the importance of information management to clinical practice. 1 2 3 4 5

Comments: I have learned many different ways that information can affect clinical practice. The use of information management extends beyond the documentation of clinical practice and is also used to support organizational decision making and the goals of meeting business and regulatory goals and standards. 2. The student understands regulatory standards and guidelines and their relationship to information management. 1 2 3 4 5

Comments: Knowledge of regulatory standards and guidelines is an ongoing learning experience. I understand that the INS must be aware of the guidelines and know when he or she needs to seek the assistance of other more knowledgeable team members. 3. This student demonstrated understanding of the importance of privacy and security of information systems. 1 2 Comments: 3 4 5

4. The student demonstrated personal and professional accountability for the project completion.

SCHOLARLY PROJECT SYNTHESIS PAPER 1 2 3 4 5

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Comments: I was able to complete the deliverables to which I was committed within the time frame previously defined.

5. The student demonstrated the ability to work with multidisciplinary teams to accomplish information management work. 1 2 3 4 5

Comments: We worked with IT, nurse managers, and quality during this project to accomplish our goals. The experience was valuable in solidifying my understanding of the need for collaboration in the practice of the INS.

6. The student demonstrated the ability to utilize different technologies and systems to manage information. 1 2 3 4 5

Comments: During the project we explored more than one type of technology that could be utilized to manage the same information.

7. The student demonstrated understanding of change management methodologies. 1 2 3 4 5

Comments: Change management is very difficult and I believe it would take years of experience to become a successful change manager. I hold a novice amount of knowledge related to change management.

Reference Technology Informatics Guiding Education Reform (TIGER) (n.d.) Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative. Retrieved from http://www.tigersummit.com/uploads/3.Tiger.Report_Competencies_final.pdf

SCHOLARLY PROJECT SYNTHESIS PAPER Evalutation Preceptor for Student Nicole Cory

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