Clinical Database
Description
As a DNP-prepared nurse, you may be called upon to assist in the
design of a clinical database for your organization. This assignment
requires you to integrate a clinical problem with data technologies to
better understand the components as well as how those components can
lead to better clinical outcomes.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
- This assignment uses a rubric. Please review the rubric prior
to beginning the assignment to become familiar with the expectations
for successful completion. - Doctoral learners are required
to use APA style for their writing assignments. The APA Style Guide
is located in the Student Success Center. - Use primary
sources published within the last 5 years. Provide citations and
references for all sources used. - You are required to submit
this assignment to LopesWrite. Refer to the directions in the Student
Success Center.
Directions:
For this assignment, write a 1,000-1,250 word paper in which you:
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- Select a clinically based patient problem in which using a
database management approach provides clear benefit potential. - Consider how a hypothetical database could be created to assist
with this clinically based patient problem. Identify and describe
the data needed to manage this patient problem using information
from the electronic health record (EHR). - Include a brief
description of the patient problem that incorporates information
needed to manage the specific problem. Describe what information is
required for the patient to manage the condition and how the
database and health care provider can be incorporated into the
approach for better health outcomes. - Describe each entity
(data or attribute) that will be pulled from the EHR as either
structured or unstructured and provide an operational definition for
each. Structured data is more easily searchable and specifically
defined. For example, structured data can be placed in a drop-down
menu like hair color: brown, black, grey, salt and pepper, blonde,
platinum, etc. Unstructured data is data that would be included in a
nurse’s notes. An operational definition is how a researcher or
informatics specialist decides to measure a variable. For example,
when the nurses enter height into the EHR, do they enter height as
measured in inches or centimeters or in feet and inches? - Provide a complete description of data entities (the objects for
which you seek information, i.e., patients) and their relationships
to the attributes collected for each entity (data collected for each
entity, i.e., gender, birthdate, first name, last name, etc.) that
apply to the hypothetical database. You can use a concept map
similar to the “Database Concept Map” resource, to help
you describe the relationships between each entity and its
attributes.
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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