MONMOUTH UNIVERSITYMarjorie K. Unterberg School of Nursing and Health Studies

WEST LONG BRANCH, NJ

HEALTH INFORMATICS

NU 509 Hybrid (Friday: 4:30 – 7:15) Instructor: Dr. Kathryn FlemingMcAllan Hall 226 Email: keflemin@monmouth.eduFall 2014 Phone: 732-923-4617 / 732-614-00063 Credits Office Location: McAllan Hall 202

Office Hours: Wednesday 11:00 – 1:00 ORBy Appointment

COURSE DESCRIPTION

Concepts of health informatics and the impact on decision-making in nursing will be presented. Computer literacy and information literacy skills will be emphasized. Clinical practice, management, education, and research models will be presented to guide effective decision-making processes. A review of the methodology of analyzing, formalizing and processing information applicable to components of health and nursing practice. Emphasis on design, implementation, and testing the effectiveness and efficiency of computerized information as it relates to nursing and health practice will be discussed. The course will include (1) an overview of the basic computer skills required to process electronic information, (2) development of search skills associated with finding health, nursing and medical information on the World Wide Web, (3) critique types of health, nursing and medical information available on the World Wide Web, and (4) linking electronic information to decision making processes in nursing, medical, and allied health sciences.

COURSE OBJECTIVES

1. Expand basic computer literacy skills using the computer to retrieve electronic information. 2. Develop search skills associated information literacy through the electronic databases and

through the internet. 3. Critique the nature and types of health, medical, and nursing information available on search

engines on the internet and through electronic databases. 4. Examine the role of health informatics in clinical and health care decision-making. 5. Identify models of the data management and data processing of nursing, health, and medical

data. 6. Interpret from informatics sources (data, information, knowledge, and wisdom) that impact

clinical decision-making. 7. Evaluate electronic systems to manage health, medical, and nursing information.8. Utilize evidence based practice findings from the literature to make clinical decisions.

REQUIRED TEXTBOOK

McGonigle, D. & Mastrian, K. (2nd Edition). Nursing informatics and the foundation of knowledge. Boston: Jones and Bartlett Publishers.

Recommended based on students comfort and experience level with Microsoft products:

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Dummies series (i.e. Microsoft Office for Dummies) or Bible series (i.e. Microsoft Office 2010 Bible) depending on version you have

TEACHING & LEARNING STRATEGIES

Interactive lectures/discussions, games, audiovisual presentations, videos, and demonstrations. The course will be presented in two parts with one part focusing on theory and the other part working with technology.

STUDENTS WITH DISABILITIESStudents with disabilities who need special accommodations for this class are encouraged to meet with me and John Carey, Director of the Department of Disability Services, at 732-571-3460, located in the College Skills Center, as soon as possible. In order to receive accommodations, students must be registered with the Department of Disability Services as set forth in the student handbook and must follow the University procedure for self-disclosure, which is stated in the University Guide to Services and Accommodations for Students with Disabilities. Students will not be afforded any special accommodations for academic work completed prior to disclosure of the disability and, at the discretion of the University, prior to the completion of the documentation process with Department of Disability Services.

IMPORTANT TECHNOLOGY INFORMATIONTo access Monmouth University email, the library’s research databases, and computers in campus labs, students must use a “username” and “password.”

Username is your student ID. For example, S0123456.

Password: New students or students needing to retrieve their password, please call 732-923-4600 and follow the prompts to log in to get your password

If you have a problem, call the HelpDesk at 732-571-3539.

MONMOUTH E-MAIL: All students must access their Monmouth University e-mail regularly.

EMAIL: From your Internet Browser1. Browse to http://office.monmouth.edu2. Enter your Monmouth University email address in the User name field3. Enter your email password in the password field.4. Click Sign In.

EMAIL: Monmouth University Home Page1. Scroll down to Resources for Current Students > Click Current Students2. Scroll to the section > Connecting at Monmouth> Click Email3. Enter your Monmouth University email address in the User name field4. Enter your email password in the password field.5. Click Sign In.

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E-CAMPUSGo to www.monmouth.edu. Select “Current Students” then scroll down to Online Resources and select “e-Campus.” Log in with your username and password.

LIBRARYExplore the Monmouth University Library Site. You may access this site from eCampus or viahttp://library.monmouth.edu

APA WEBSITEReview APA format at the following site:http://www.vanguard.edu/faculty/ddegelman/index.aspx?doc_id=796

Adobe Reader (to view PDFs)If you do not have Adobe Reader on your computer, download it (free) from the following site:http://www.adobe.com/products/acrobat/readstep2.html

ACADEMIC INTEGRITYIn order to provide a learning process and academic environment that permits students to pursue their educational goals, you are expected to exhibit honesty in this and every class in which you enroll at Monmouth. Academic dishonesty includes cheating and plagiarism.

Cheating: Includes submitting, without prior faculty permission, any work that has been submitted in identical or similar form in fulfillment of any other academic requirement at any institution. Cheating also includes copying from someone’s test and submitting material for academic evaluation that has been prepared by another individual or by a commercial agency.

Plagiarism: Includes submitting written material without proper acknowledgement of the source, deliberate attribution to or citation of a fictitious source, or submitting data which have been willfully altered or contrived.

Turnitin:  Assignments in this course may be checked for plagiarism using Turnitin (http://www.turnitin.com), a Web-based resource that compares the text of student papers to an extensive electronic database. I will inform you in advance about which assignments will be checked for originality using Turnitin.

 Students agree that, by taking this course, all required papers may be subject to submission for textual similarity review to Turnitin.com for the detection of plagiarism.  All submitted papers will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such papers.  Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.

Your instructor has the right to assign a zero to any violation of these policies.

ATTENDANCE POLICY

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Regular attendance is expected and will be recorded at the start of each class. You are permitted one absence during the course, for any reason, without it influencing your grade. As “life happens” (e.g., illness, loss, weather, car trouble, etc.), however, it would be wise to attend every class that you are able. There is no need to provide documentation of absences (e.g., doctor’s notes, etc.). For each absence beyond the first, your final grade in the course will be reduced by 4 points, according to the scale below. Five absences will result in a final course grade of “F.” Being late to class (or leaving early) will result in a ½ absence. Missing over half a class will result in a complete absence.

Number of AbsencesChange in Final Course

Grade

0 - 1 No change

2 -4%

3 -8%

4 -12%

5 Absences = Final Course Grade of “F”

Students traveling on official university business, such as for NCAA athletic competition, are responsible for all work covered during their absence, which can be made up by completing additional work as assigned by the professor. Questions or concerns about this should be brought to the instructor’s attention in advance. Student Athletes must provide written documentation from the Athletics Department regarding class absences due to events/games/competitions.

COURSE REQUIREMENTS

Reading assignments are to be prepared prior to the class, as per the topic outline provided below. Students missing a scheduled exam due to illness are responsible for contacting the professor, by

phone or e-mail, as soon as possible. Documentation of the illness may be required at the discretion of the professor.

Academic integrity, as discussed below, is expected of each student. The format for all source acknowledgements/citations is to be according to American Psychological Association. (2010). Publication manual of the American Psychological Association. (6th Ed.). Washington, DC. All formal papers in the School of Nursing are required to adhere to these guidelines; therefore, students are advised to obtain a copy as soon as possible. Additional materials which might be helpful may be obtained at the APA website http://www.apastyle.org/pubmanual.html.

Students are responsible for announcements made in class or electronically.

ASSIGNMENTS DUE DATESAssignments are expected on the date due unless the student has consulted with the professor prior to that date. Assignments that are submitted late without permission to do so, will receive a lower grade. For each day late, a letter grade will be deducted (e. g., an “A” grade will become a B, a B+ will become a C+, etc.).You may ask the Professor to read a draft of any assignment at least 2 weeks prior to the due date. Feedback will be provided within one week.

Last date to withdraw with a grade of W: March 30, 2015

COURSE GRADING POLICY

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GRADES:The MSN Program adheres to the method of calculating GPA as discussed in the Graduate Catalogue http://www.monmouth.edu/registrar/important_information.asp.

Graduate grading system is:A, A- = ExcellentB+, B, B- = AverageC, C+, C- = PoorF = Failing – This grade is given for failure in a course; for withdrawal from a

course after (W) date; failure to remove an (I) Incomplete by the end of the next semester.

NURSING GRADING STANDARDSA = 95-100 B+ = 87-89 C+ = 77-79A- = 90-94 B = 83-86 C = 73-76

B- = 80-82 C- = 70-72

Courses in the concentration and specialty areas require a B or better. Practicums and labs remain as pass/fail.

EVALUATION

A. Library Database & Website Search 10%B. Educational Brochure/Pamphlet 15%C. PowerPoint Presentation 20%D. Excel Spreadsheet 10%E. E-Portfolio/Resume 15%F. Workflow Analysis 10%G. Participation 20%

Please refer to grading rubrics for each Project

A. Library Database/Website Search 10% 20 points

1. Search the web on a nursing informatics topic, question, issue, etc. that is of interest to you. This topic will be used to create a brochure (please see Brochure assignment).

2. Using the electronic research techniques, search at least one database for your topic. (a database IS NOT Yahoo or Google –an example is MedLine, CINAHL)

3. Using only a main search term, perform one search on your general topic. Snip or Screenshot 1st page of results > Open a Word document and Paste results

4. Perform at least one additional search limiting your topic using “and”, “or” or “not” operators. Print 1st page of results > Paste to same word document

5. Select at least two of the resulting articles to explore. If your search resulted in articles available full text, open at least one of them. Open at least one citation which does not have a full text article available. How would you go about obtaining this article? Please include two citations in APA format from this activity.

6. Write a 1-2 page paper describing the above activity, your assessment of how changing and/or limiting the search term affected the results, and your thoughts about how this search might be of

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help if you were preparing to write a brochure on your topic of choice. Include in Word document

7. Use at least 2 search engines to find websites. Snip or Screenshot the 1st page of the results obtained with each search engine > Paste to same word document

8. Explore at least two of the web sites in some depth. Snip or Screenshot the first page of each of the sites. Be sure to include the web address at the top of each page. > Paste to same Word document

9. Write a 1-2 page paper assessing the quality of the information on these web sites (using the five criteria provided on eCampus), the relevance of the information on the web sites to your topic, question, issue, etc. of interest, and the likelihood that you will use this site in the brochure assignment. Be specific about the 2 websites you used, not all websites in general.

10. Submit to dropbox by date indicated

Grading Rubric

Grammar/Spelling 5How to obtain article not in full text 1Initial search 3Additional Search 1Search engines 3Description of websites 2

5 Criteria 5

DO NOT USE COPY/PASTE on the website pages. The snip/screenshot should be small enough to fit on 1 page of your document. Points will be deducted if this requirement is not met

B. Educational Brochure/Pamphlet 15% 30 points

1. Prepare a tri-fold brochure/pamphlet on a topic related to nursing informatics (SAME as Library Database/Website topic). 2. Include relevant information to the topic. Be sure to include references where appropriate*3. Use at least two fonts AND at least one change in font formatting (e.g., Drop Cap, Word Art).4. Limit the amount of verbiage on the brochure (brochures should be easy to read). The use of bullets is appropriate and preferred. Fonts no smaller than 125. Include a graphic or image on each section of the brochure (3 sections on each side of the page)

If you do not have Microsoft Publisher on your computer, you can download a free trial version to use for this assignment OR you will need to use the computers on campus. You can also download a brochure template in Word. Mac user? Use Word’s brochure template (Mac does not have publisher)

Grading Rubric (15%) 30 points

1. Brochure Specificationsa. Tri-fold (double sided) 5b. Relevant information 5c. 2 fonts and 1 change in font formatting 7d. Use of bullets and imagery 5

2. Grammar/Spelling 86

*Reference can be cited on any page that has open space (cite as you would on a reference page)

Submit to dropbox by date indicated in content Outline.

C. PowerPoint Presentation 20% 100 points

1. Prepare a PowerPoint Presentation of at least twelve slides on a topic related to nursing informatics, instructional technology, or health informatics.

PowerPoint will need to incorporate the following elements:

1. Text a. Different font type and size on every pageb. Use of bullets and white space (DO NOT cover the entire slide with words)

2. Animationsa. Clip art – different on every slide

3. Slide transitionsa. Automatic (10 second max per slide)b. Transition different for every slide

4. Background music/sound clip or video clipa. Sound on every slideb. If using clip art sound bites then sound MUST be different on every slide

A typical PowerPoint WOULD NOT use the variety of objects that I have asked. The purpose is to get you familiar with what is available and have you use them. Changing fonts is an easy task (once you know how to do it!) This presentation is more about creation than the appearance.

Grading Rubric (25%) 100 points

1. Presentation content (inclusion of necessary information to convey understanding of topic for the reader) 30

2. Use of PPT elements 50a. Fontsb. Bulletsc. Animationsd. Slide transitionse. Background music/sound clip or video clip on all slides

3. Grammar/Spelling 204. Submit to dropbox by date indicated in Topic Outline

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D. Excel Spreadsheet 10% 15 points

1. You are bidding for a senior leadership nurse position in the Operating Room. As part of this process, you must show proficiency in EXCEL. You are interested in using data that has been collected for incidents that occur in the OR for the month of January.

2. This project involved quality assurance and you will develop a method for tracking incidents that occur in the OR. You have collected data for the month of January and decided that a spreadsheet program would help you in organizing, calculating, and displaying your data in a useful form with tables and charts.

3. Consider the tutorials that you have reviewed so far. Be sure to utilize the resources (and websites) that have been provided to help you build your table and get to your answers.

4. Data: Total Procedures for the Month of January : 620

Incident items: Sponge Count Needle Count Instrument Count Suture Items Missing Pressure Areas Equipment Other

Service Lines Cardiac General Surgery Orthopedics Neurological ENT

Incidents in January General Surgery: needle count 26,

instrument count 22, suture 17, pressure 10, items missing 11

Cardiac: follow up 4, Equipment 22, Other 7

Orthopedic: needle count 18 instrument count 2, pressure area 5, follow up 3

Neurological: follow up 10, items missing 26

ENT: sponge count 18, follow up 9, suture 6

Using the spreadsheet application, develop a spreadsheet that will display the following:5. Percentage of each incident (by service line) that occurred (1 point) i.e sponge count in ENT was

X%6. Number of each of the incidents that occurred in each service during the month (table). (1 point)7. Total count for each type of incident during the month (1 point)8. Incident rate: percentage of total incidents that occurred in the month (1 point)9. Create a graph using the chart function for each Service Line. Be sure to include the type of

incident and the percentage rate of occurrence for each. (1 point each)a. Cardiacb. General Surgeryc. Orthopedicsd. Neurologicale. ENT

10. Create a graph that provides the following information:a. Which Service Line had the highest number of incidents? (1 point)b. Which Service Line had the lowest rate of incidents? (1 point)

11. All answers and responses should be placed on the spreadsheet: 1 tab only (1 point)12. What type of incident was most common? (1 point)

8Having the answer visible on the graph does not count – you need to have the

answer with the question

13. What type of incident was the least common (1 point)14. Placement of answers (1 point):

a. Place answers to Q 12 & 13 on the spreadsheetb. Identify each answer (Q5, Q6, Q7, Q8, Q10) on the spreadsheet

Use of formulas is required (counts, percentages, averages, etc) – points taken off if manual calculation done (cells should be used as reference in ALL calculations – NO manual entry)

BE SURE TO FOLLOW THE INSTRUCTIONS. Points will be taken off if you provide the wrong information: i.e raw numbers instead of a percentage

Submit to dropbox by date indicated in content Outline.

E. E-portfolio 15% 100 points

1. Create an e-portfolio using “Linked In” http://www.linkedin.com 2. Include a welcome page and reflection in the summary section. 3. Gather and organize your information and personalize4. Send an invitation to “Join My Network” (to Professor and ALL classmates)

Content areas Content PointsProfile/ Background

Name, CredentialsPictureWhat do you want an employer to see as a welcome message?

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Experience Include all relevant work experience 15Resume Upload under Experience section

Neat, well organized, all standard criteria included10

Education Include relevant educationProvide the course information for Health Informatics.Upload ALL of the projects completed in NU509:Web/database search assignmentPowerPointExcel ProjectBrochure

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Additional Sections

Volunteer, Certifications, Awards, skills and expertise, Interests, etc 10

Gather and organize/ formatting

Use logical identifiable names/label your filesGrammarSpelling

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Endorsement You are to endorse ALL your fellow classmates 10

Invitation to Join

Send to Professor and ALL Classmates 10

Dropbox Deadline in Course Syllabus 10

10100

5. Submit a screen shot of your profile page to the dropbox

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If you have difficulty uploading any documents – you may

screen shot the 1st page and save it to a word document and then

upload that document

F. Workflow Analysis 10% 20 points

You will create a workflow analysis: Any daily function work or personalUsing the information on workflow development that you have learned you will create a workflow analysis. It will need to include all aspects of the process (essentially the analysis will need to be able to serve as a standalone document that could be handed to a person and they can follow the path and complete the task).Consider: All points in your analysis where a decision might need to be made: Is step 1 get out of bedOr is step 1 was it time to be awake (did you wake up before your alarm went off?). Grading is based on your ability to address all possible components in your process.

Consider this quote from Steve Jobs:“Simple can be harder than complex: You have to work hard to get your thinking clean to make it simple. But it’s worth it in the end because once you get there, you can move mountains.”

G. Participation 20%

Participation online and in the classroom is a mandatory component of this course. Content, Power Points, Readings, and the discussion board will open on the day of class and close on the following week at the start time of class. Please see content outline for due dates. You will be required to post a response as well as engage in a discussion with fellow classmates. A grading rubric has been included to guide your postings.

Discussion Board Guidelines

DimensionsGrading Criteria (each item is worth 20 points)

Activity Posts 2 or more discussion messages during any seven-day period. 1 post MUST be in response to a fellow student.

Content Postings are characterized by clarity of argument, depth of insight into theoretical content, originality of treatment, relevancy, and unusual insights. Arguments and facts are supported by including EVIDENCED-BASED resources.

Collaboration Evidence of support and encouragement is exchanged between students, as well as willingness to critically evaluate the work of others.

Questioning Frequently includes good questions that stimulate discussion. Frequently

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DimensionsGrading Criteria (each item is worth 20 points)

responds to questions from others.Mechanics Uses APA format to document references. A reference is included in each

post.

CONTENT OUTLINEWeek Readings for this

weekTopic/ objectives Take note!

1/23/15 Syllabus Introduction to class Course Introduction/Orientation Student e-mail eCampus Basic computer tutorial Review Examples of APA format Explore Monmouth University Library Intro: Library Database/ Website AssignmentObjective 1

Re-read Syllabus and Email Professor with any questions.

1/30/15(ONLINE)

Chapter 1 Chapter 3

Nursing Science and the Foundation of Knowledge Computer Science and the Foundation of

Knowledge Model Computer Literacy vs. Information Literacy Critique and Evaluate Nursing Literature Credibility of Electronic Information Primer on Word Objective 1, 2, 3

2/6/15 Chapter 2 APA Format - Title Page Introduction to Information, Information

Science, and Information Systems Search Strategies for Databases Research Articles versus Website Articles Publisher PracticeObjective 1, 6, 3

2/13/15(ONLINE)

Chapter 6 Chapter 7

Overview of Nursing Informatics Developing Standardized Terminologies in

Nursing Informatics CINAHL Searching Introduction to Education Brochure

AssignmentObjective 2,3, 5, 8

Library Database/Website Assignment Due

2/20/15 Chapter 18 Primer on Publisher

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Excel Demo Online Evaluating Best Evidence from Literature An Insider’s View of the Utility of a

Clinical Information SystemObjective 7, 6

2/27/15(ONLINE)

Chapter 8 Chapter 9

Nursing Informatics Roles, Competencies, and Skills Information and Knowledge Needs of Nursing

in the 21st CenturySharing of Brochures – Peer ReviewObjective 4, 5

Brochure Assignment Due

3/6/15 Chapter 17 Chapter 26

The Electronic Health Record and Clinical InformaticsNursing Research: Data collection, processing,

and analysisExcel overview

Objective 1, 6, 4, 83/13/15(ONLINE)

Chapter 19 Websites

Overview of Home TelehealthTelenursing and Remote Access Telehealth Introduction to E-portfolios Assignment PowerPoint Practice

Objective 7

Excel Assignment Due

Spring Break3/27/15(ONLINE)

Chapter 20 Chapter 21

Supporting Consumer Information and Education NeedsUsing Informatics to Promote

Community/Population HealthObjective 7, 8

4/3/15 Chapter 22 Chapter 16

Improving Workflows and Meaningful UseTools to Promote Patient SafetyObjective 7

4/10/15(ONLINE)

Chapter 11 Professional Development and Collaboration Tools

Workflow Analysis Due

4/17/15 Chapter 10 Resume / CV developmentPrimer on PowerPointLegislative aspects of Nursing InformaticsObjective 1

4/24/15(ONLINE

Chapter 29 Chapter 30

Emerging technologiesFoundation of Knowledge

PowerPoint Project Due

5/1/15 Presentations E-Portfolio Project Due

Final Exam

Presentations (continued)

**Course Outline is subject to change. The professor will announce these changes on e-campus.

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