Posted: December 30th, 2022
Systems Development Life Cycle Essay
Please respond to the discussion by Sharing an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives in a positive way. Please us the following 2 references and 1 more APA 6th ed within 3 years. Thank. 1 Agency for Healthcare Research and Quality. (2005). A toolkit for redesign in health care. Retrieved from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference 2 McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning. Systems Development Life Cycle The focus of this week’s learning is nursing involvement across the systems development life cycle of implementing a new health information technology (HIT) system. The integration of new health information technology (HIT) systems has become an objective of many healthcare organizations secondary to the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act that was enacted as part of the American Recovery and Reinvestment Act of 2009. The HITECH Act, in general, promotes the implementation of HIT systems (Boswell, 2011, p. 138). Systems Development Life Cycle Essay. The Systems Development Life Cycle (SDLC) is a method that has been utilized to “deliver efficient and effective information systems (ISs) that fit with the strategic business plan of an organization” (McGonigle & Mastrian, 2018, p. 175). In other words, it is a model used to guide an organization through the process of implementing a new HIT system to support current practices (Laureate, Education, 2012g.)
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There are several different SDLC models presented in McGonigle & Mastrian, 2018, p. 178-184), but all tend to incorporate the following stages: (1) assess, (2) analyze, (3) design, (4) implement, (5) evaluate/test, and (6) maintain (Laureate Education, 2012g, McGonigle & Mastrian 2018, p. 175). The purpose of this paper is to explain the importance of having nurses involved during every phase of the SDLC. The first step is for the organization’s stakeholders is to conduct a needs assessment to determine the needs/problems of the healthcare organization (McGonigle & Mastrian, 2018, p. 175). Nursing is involved in a health care organization from the bedside to the executive level and typically use the HIT system more than other end-users. The nurse leader needs to be involved at this level to be able to have all nursing staff on board or buy into the need for a new HIT system. McKay & Vanaskie (2018, p. 385) report that “Lack of nursing leadership with input from nursing staff in creating a strategic vision inclusive of incremental and long-term goals can cause delays, deletion of funding, or abandonment of the project altogether.” The second step of the process is the analysis phase. This step is to determine the specifications for the system (Laureate Education, 2012g). This is the phase in which system requirements are discovered as a result of the organization’s needs. Systems Development Life Cycle Essay. The MoSCow approach is discussed in the dynamic system development method (DSDM). However, I feel that it could be utilized at this point as well. MoSCow is an acronym and stands for, “Must have, Should have, Could have, and Would have.” It allows the implementation team to create a prioritized list of system requirements (McGonigle & Mastrian, 2018, p. 182-183). Nurse leaders must meet the nursing staff to determine what they need within the HIT system to perform their job effectively (McKay & Vanaskie, 2018, p. 387). Stage three involves the design of the HIT system (Laureate Education, 2012g, McGonigle & Mastrian, 2018, p. 179). Nursing’s voice in the design of the HIT system is crucial to ensure efficient workflows, access to information such as protocols, and evidence-based practice. “Not only is there a potential for patient safety and quality issues to arise from technology implementations that do not address workflow, but a financial impact to the organization is possible as well” (McGonigle & Mastrian, 2018, p. 248). For nursing to practice efficiently, screen design, ease of access to information, and reduction in duplicate data entry should also be addressed by nursing staff (McGonigle & Mastrian, p. 179). Implementation of the HIT system is the fourth step in the SDLC process (Laureate Education, 2012g.) Part of the implementation plan is giving end-users, including nurses, exposure prior to going live so as to “…ensure that the EHR implementation will meet end-user needs…” and to “…assess the impact of the new EHR on current workflow and process” (McGonigle & Mastrian, 2018, p. 282). Implementation also includes training (McGonigle & Mastrian, 2018, p. 282). Page (2011) expresses nurses should be trained by the vendor to become super-users of the EHR and consequently train end-user nursing staff. Page (2011) points out that if nurses are involved in all stages of implementation, then they are more likely to accept the new HIT system. The fifth step of the SDLC is evaluating/testing the HIT system to determine that everything functioning correctly (Laureate Education, 2012g.) Nursing informatics specialists plays a role in the testing phase to ensure that data is being captured as needed and should also shadow the end-users to determine if work-flows need to be changed to make processes more efficient, and determines if the product meets the goals of the organization (McGonigle & Mastrian, 2018, p. 282). The final phase of SDLC is the maintenance of the HIT system (Laureate Education, 2012g), and support of the end-user. This phase provides technical support and any additional training for end-users. This is also the point where upgrades on the system are done when needed. Rehani (n.d.) states, “Constant evaluation of the system by a designated core multidisciplinary team should be administered to identify any issues that could undermine its functionality and utilization.” References Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change. Systems Development Life Cycle Essay. Consulting Psychology Journal: Practice and Research, 63(2), 138–148. McGonigle, D., & Mastrain, K.G. (2018). Nursing Informatics and the Foundation of Knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning. McKay, C., & Vanaskie, K. (2018). Partnering for success: The role of the nurse leader in health information technology implementation for coordination of care. Nurse Leader, 16(6), 385-388. Rehani, N. (n.d.). Using SDLC to implement HIT. Retrieved from https://pdfs.semanticscholar.org/7fbd/35017b7085209694cd56373e8eab62b84b2a.pdf
Systems development lifecycle
The post presents a discussion on the process of systems development within the healthcare industry. It notes that systems development is the logical progression in medical advancement since it formalizes improvement processes by operationalizing newly developed projects through structured, interactive and multistep approaches. Although the step-by-step process is important to control development, there are other equally important features that should be outlined. Firstly, the objectives of the project should be explained and matched to the proposed system to ensure that its usability is maximized. Secondly, the features that are important to the stakeholders should be enumerated to ensure that their support is garnered when implementing the system. Finally, the system aspects that should be measured to determine its effectiveness should be enumerated in terms of feasibility to measure (Agency for Healthcare Research and Quality, 2005). McGonigleand Mastrian (2018) adds to the discussion by noting that a complete lifecycle should have seven steps. Systems Development Life Cycle Essay. The first step is planning that identifying the existing problems and possible solutions while considering the expected benefits, time, costs and resources. The second step is system analysis and requirements that evaluates the functional aspects of the solution to include what the end user needs with regards to expectations. The third step is system design that describes the operations, features and specification that would satisfy the functional needs of the project. The fourth step is development that entails implementing the change through installing the project. The fifth step is integration and testing whereby the project is subjected to quality tests to determine if it functions as expected and if there are any significant shortcomings. The sixth step is implementation whereby the new system becomes operational even as the old system is phased out. The final step is operations and maintenance whereby the system is fine tuned for functionality (McGonigle&Mastrian, 2018; Whiteley, 2013). Overall, it is important to note that systems development focuses on customizing solutions in terms of what is required, with the lifecycle acting as a guide in ensuing that the solution is the right one and is implemented as soon as possible. Systems Development Life Cycle Essay
Agency for Healthcare Research and Quality (2005). A toolkit for redesign in health care. Retrieved from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference
McGonigle, D. &Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4thed.). Burlington, MA: Jones and Bartlett Learning.
Whiteley, D. (2013). An introduction to information systems. New York, NY: Palgrave Macmillan. Systems Development Life Cycle Essay
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