Discussion: The Inclusion of Nurses in the Systems Development Life Cycle Solution

Discussion: The Inclusion of Nurses in the Systems Development Life Cycle. Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system.

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In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

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By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.(Inclusion of Nurses in the Systems Development Life Cycle)

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Inclusion of Nurses in the Systems Development Life Cycle: Discussion

The inclusion of nurses in the systems development life cycle

Health systems development facilitates the improvement of quality, outcomes, and better delivery of patient care. As the frontline of healthcare, it is pivotal to engage nurses in the systems development life cycle, leading to systems that meet organizations’ and patient needs. Nurses are supposed to provide their input at every stage of the system development. The inclusion of nurses in the processes enables succinct contributions that shape the systems and significantly influence their effectiveness.

The planning stage involves assembling all the tools and identifying the needs which the system should address. Excluding nurses at this stage means the technology’s overall objective may fail to account for the critical aspects of patient care and experience (Brown et al., 2020). Nurses know more about the patients, and exclusion means the system will not be tailored to address some inherent patient needs. Besides, the requirements stage captures the key clinical environment processes and needs. Failing to engage nurses in the requirements stage means that the system will not capture the ideal processes used in attending to patients. Nurses are well informed about the various processes patients go through and can offer unique perspectives to enhance the process and minimize bottlenecks.(Inclusion of Nurses in the Systems Development Life Cycle)

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The designing and prototyping stage utilizes the requirements to create prototypes that can be tested and applied within the clinical environment. Secluding nurses from the process is likely to lead to a product that does not fit their work procedures and the organization (Moore et al., 2020). The fourth stage entails coding. Engaging nurses in an iterative approach ensures that the systems and adjusted to meet the healthcare needs. The testing process entails reviewing the functionality of the technology. In this phase, nurses’ feedback provides vital input needed to make adjustments and corrections to the systems, critical to its effectiveness (García‐Sierra, & Fernández‐Castro, 2018). The software stage deployment allows the organization to try the technology before being channeled to the market. Lack of participation by nurses facilitates introducing technology with faults associated with organizations’ nursing aspects. Consequently, failing to consult nurses at the maintenance stage means that the system will not capture new changes that emerge in the nursing profession.(Inclusion of Nurses in the Systems Development Life Cycle)

I consider myself as having been directly involved in providing input to develop my organization’s technology systems. The involvement includes giving suggestions to our nursing leaders, who were then tasked with presenting our opinions to the SDLC team. Despite knowing that all of us cannot participate in the systems development decision-making process, leaders’ and nurse managers’ engagement ensures that most nurses’ views are presented and well-incorporated.(Inclusion of Nurses in the Systems Development Life Cycle)

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References

Brown, J., Pope, N., Bosco, A. M., Mason, J., & Morgan, A. (2020). Issues affecting nurses’ capability to use digital technology at work: An integrative review. Journal of clinical nursing, 29(15-16), 2801-2819.

García‐Sierra, R., & Fernández‐Castro, J. (2018). Relationships between leadership, structural empowerment, and engagement in nurses. Journal of advanced nursing, 74(12), 2809-2819. (the inclusion of nurses in the systems development life cycle)

Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 27(5), 798-807. The Inclusion of Nurses in the Systems Development Life Cycle

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The Inclusion of Nurses in the Systems Development Life Cycle Discussion Sample 2 – sdlc in healthcare

System Development Life Cycle (SDLC) is a standard project management framework useful in information infrastructure systems and application projects development. The methodology follows a multi-step iterative process that transforms ideas into practical and useful systems. SDLC classifies and prioritizes tasks, has defined results and process reviews, and ensures project management processes are consistent for all projects (Curry, McGregor, & Tracy, 2007). With its proven effectiveness, SDLC allows for stakeholder involvement, which ensures solutions are sustainable, effective, and of high quality. (Inclusion of Nurses in the Systems Development Life Cycle)

System Development Life Cycle (SDLC) commences in the planning stage, where the scope of the problem is defined, and solutions are determined. With nurses at the frontline of care delivery, they understand better the needs and gaps that have to be addressed by any system and have a better understanding of the effectiveness of suggested solutions (Von Dincklage et al., 2018). The second phase is system analysis and requirements, which necessitates the analysis of the needs of end-users (nurses). In this stage, the input of nurses is paramount as it will ensure the new system performs the role of improving the nurse’s efficiency and productivity.(Inclusion of Nurses in the Systems Development Life Cycle)

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The system design and development phases detail the specifications, development, and production. In these phases, nurses could play an essential role in ensuring the functional requirements identified previously and accurately transitioned to system requirements. The integration and testing phase will require the input of nurses (end users) who will ascertain that the system meets the initial goals and aims of the system. In this stage, the nurses’ input is critical as the system is piloted, and its performance assessed in line with the needs of patients and usability by nurses (Kim et al., 2019). Finally, engaging nurses in every step of implementation reduces resistance and facilitates a better assessment of the impact of the system. Moreover, the nurses’ input is also fundamental in operation and maintenance as it helps identify areas for improvement, thereby continually monitoring and improving the system.(Inclusion of Nurses in the Systems Development Life Cycle)

I have had the opportunity of being engaged in the initial planning stages of system development and the identification of a clinical information system design. Even though I was not engaged in other SDLC phases, I found it easier to learn, integrate, and adopt the system. For instance, in the system, a nurse suggested the addition of a text communication platform, which helped improve clinical decision making. Hence, the engagement of nurses in the process ensures the system is designed to suit the needs of its users (clinicians) and also works to improve efficiency and nurse performance.(Inclusion of Nurses in the Systems Development Life Cycle)

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References (systems development life cycle in healthcare scholarly articles)

Curry, J. M., McGregor, C., & Tracy, S. (2007). A Systems Development Life Cycle approach to patient journey modeling projects. Studies in health technology and informatics, 129(Pt 2), 905–909.

Kim, J., Macieira, T. G., Meyer, S. L., Ansell, M., Bjarnadottir, R. I., Smith, M. B., … & Keenan, G. M. (2019). Towards implementing SNOMED CT in nursing practice: A scoping review. International Journal of Medical Informatics, 104035. involving nurses in developing new technology(Inclusion of Nurses in the Systems Development Life Cycle)

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Von Dincklage, F., Suchodolski, K., Lichtner, G., Friesdorf, W., Podtschaske, B., & Ragaller, M. (2018). Functional requirements of critical care information systems (CCIS) from the users’ perspective. International journal of medical informatics, 120, 8–13. https://doi.org/10.1016/j.ijmedinf.2018.09.018\

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