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    – ## The_democratization_of_global_AI.pdf

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    – Usability_and_responsivenessAI.pdf
    – Can_Building_Artificially_IntAI.pdf
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    **## The_democratization_of_global_AI.pdf**

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 246

    https://doi.org/10.1038/s42256-024-00811-z

    Comment

    The democratization of global AI governance
    and the role of tech companies

    Eva Erman & Markus Furendal

    Can non-state multinational tech companies
    counteract the potential democratic deficit
    in the emerging global governance of AI? We
    argue that although they may strengthen core
    values of democracy such as accountability
    and transparency, they currently lack the right
    kind of authority to democratize global AI
    governance.

    After a period of intense fascination with artificial intelligence (AI)
    applications, including large language models (LLMs) such as ChatGPT,
    the public discussion is quickly turning toward the issue of the social,
    political and ethical effects of these technologies. Several regulation
    and governance initiatives are under way at national and regional levels.
    However, because cutting-edge AI development often takes place in
    multinational companies or international research labs, and AI tech-
    nology creates cross-border externalities, an additional level of trans-
    boundary regulation and cooperation is needed to solve problems or
    provide goods associated with AI technologies. The ‘global governance
    of AI’ can be said to refer to the rules, processes and decision procedures
    established by governments, international and intergovernmental
    organizations, non-state and private actors to regulate the develop-
    ment and deployment of those systems1,2. It includes soft regulations
    such as internal ethics guidelines in multinational AI-developing
    companies like Microsoft, and the ‘Bletchley declaration’ signed by
    28 countries and the European Union (EU) in 2023. It can also take the
    form of hard regulations, such as the AI Act currently under negotiation
    in the EU. Unlike the national level, regulatory efforts at the global level
    typically lack a clearly defined central institution or hierarchy. This
    means that global AI governance initiatives are partly overlapping and
    not always aligned, and are best described by the concept of ‘regime
    complex’ from international relations theory3.

    Despite the rapid pace at which this regime complex is develop-
    ing, little attention has been paid to how democratic the processes
    by which it takes shape are. It has become a trope for AI-developing
    companies to speak of a need to ‘democratize’ AI, but this often means
    simply that AI technology should be made more accessible4. Moreover,
    when the democratization of AI governance is discussed, a common
    approach is to evaluate proposals by whether they can successfully
    prevent ‘bad’ outcomes such as AI bias or existential risks, or make
    ‘good’ outcomes such as increased economic productivity more likely5.
    Similarly, the public discussion about AI regulation tends to focus on
    the pros, cons and viability of concrete proposals, such as whether AI
    development should be put on hold, to enable research into the effects
    of AI to catch up6, or whether we should create a new global institution
    akin to the International Atomic Energy Agency7. The problem with

    such an outcome-focused understanding, however, is that it reduces
    AI governance to a challenge of executing an agenda that is already set,
    thereby overlooking who has influence over the agenda and in what
    ways. It thus directs our attention towards the effects of governance
    mechanisms rather than the societal goals pursued and the means by
    which to achieve them. However, this fails to take the normative ideal
    of democracy seriously. In broad strokes, political theorists have sug-
    gested that governance arrangements are democratic to the extent
    that those affected by the decisions have a direct or indirect say in the
    decision-making on equal terms8. For AI governance to be democratic,
    this entails that those who are affected by AI technology should identify
    and decide upon the goals of AI governance collectively.

    This ideal seems unattainable at the global level. Global institu-
    tions are typically said to suffer from a democratic deficit, as it is dif-
    ficult for citizens to stay informed and exercise influence over political
    processes far removed from their daily lives. In response to this chal-
    lenge, earlier debates have often gravitated toward the democratic
    potential of non-state actors such as non-governmental organizations
    (NGOs), advocacy groups and social movements. The hope is that such
    civil society actors could represent the interests of citizens and make
    sure they appear in the decision processes of international organiza-
    tions and institutions, and that they could function as watchdogs, hold-
    ing those who wield power accountable. It is suggested that, ideally,
    civil society actors can thereby help democratize global governance,
    by promoting more inclusion, representation and transparency9,10.
    This makes it appropriate to ask whether non-state actors may help
    to democratize the global governance of AI.

    We suggest that one should not be too optimistic. This is primarily
    because in global AI governance, one kind of non-state actors is far more
    prominent than the civil society actors usually entrusted to help offset
    democratic deficits: AI-developing tech companies. The machine learn-
    ing approach to AI is, by now, so resource-intensive that breakthroughs
    are restricted to multinational corporations, such as Microsoft and its
    affiliate OpenAI, or start-ups funded by wealthy individuals, such as
    Anthropic. At the same time, a narrative is being cultivated about AI
    technology as inherently complex and difficult to understand, and of
    politics as so cumbersome that ill-informed elected officials are likely
    to cause more harm than good if they try to regulate AI on their own.
    The CEO of OpenAI, for instance, has not only provided policy advice
    at a US Senate subcommittee hearing, but also privately met with US
    lawmakers as well as the leaders of several European countries11.

    Listening to technological experts might be necessary in the process
    of finding suitable regulation for a rapidly moving policy area. At best,
    involving non-state actors could help to produce outcomes that are
    preferable, albeit not more democratic, than the alternative. At worst,
    it enables regulatory capture by companies that can hardly be said
    to represent the voices of ordinary people, let alone of marginalized
    groups12. It is thus crucial to ask what role tech companies may have
    in the democratization of global AI governance, one of our age’s most

    Check for updates

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1038/s42256-024-00811-z](https://doi.org/10.1038/s42256-024-00811-z)

    [http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf](http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 247

    Comment

    between (democratic) states in international organizations, non-state
    actors with moral (and possibly those with epistemic) authority may
    become democratic agents in a similar way in the future.

    Although the prospects for tech companies with market author-
    ity becoming democratic agents remain bleak, we argue that they may
    still become ‘agents of democracy’— that is, agents that strengthen the
    core values of democracy in their decision-making, such as the values
    of accountability, transparency, inclusion and deliberation. Non-state
    actors with moral authority, such as AlgorithmWatch, may be said to
    already be agents of democracy by providing input on ethical and human
    rights related considerations, and efforts to ensure that algorithmic
    decision-making is used in ways that are consistent with democratic
    values and principles. By contrast, market authorities operate within
    the structure and logic of the market, and may thus appear less likely to
    improve their democratic credentials in ways that scholars have hoped
    for. However, one should not disregard the fact that multinational com-
    panies often publicly support democratic values such as transparency,
    accountability and respect for human rights, in their own AI development
    and in their interactions with lawmakers. The most charitable interpreta-
    tion of the role of tech companies in the global governance of AI hence
    says that they could, in principle, act as agents of democracy1,5, as long
    as their commitments to democratic values are not simply an attempt
    to gain support and trust from consumers through ‘ethics washing’15.
    Importantly, however, although they may strengthen the empirical pre-
    requisites for future democratization of global AI governance by acting
    as agents of democracy, this does not take them closer to becoming
    democratic agents themselves and as such contribute to democratization.

    Conclusion
    AI is often perceived to be both a great threat and a promise to democ-
    racy. Pessimists worry about the way LLMs and other forms of AI can
    undermine communication and trust. Optimists point to how AI ena-
    bles technological innovations in voting procedures, or enables more
    voices to be heard in the democratic process, although rarely exploring
    this in light of existing democratic theories. In this Comment, we have
    suggested that the public debate should also recognise the distinct and
    additional point that the governance of AI should be as democratic as
    possible. Given the effect that AI technology already has on societies,
    it is crucial that there are democratically legitimate channels for the
    people affected by AI to have a say about how it is being developed and
    deployed. Specifically, we have argued that, although some non-state
    actors — most probably those with moral or epistemic authority — may
    become democratic agents in the future, and as such contribute to the
    democratization of global AI governance, most of them — in particular
    those with market authority — are more likely to increase their demo-
    cratic credentials as agents of democracy, improving the empirical
    prerequisites for future democratization.

    Eva Erman   1,2 & Markus Furendal   1,2

    1Department of Political Science, Stockholm University,
    Stockholm, Sweden. 2These authors contributed equally:
    Eva Erman, Markus Furendal.

    e-mail: eva.erman@statsvet.su.se

    Published online: 8 March 2024

    References
    1. Erman, E. & Furendal, M. Moral Philos. Politics 9, 2 (2022).
    2. Zürn, M. In The Oxford Handbook of Governance (ed. Levi-Faur, D.)

    (Oxford Univ. Press, 2012).

    important policy areas. In this Comment, we make two claims. First,
    the democratic potential of non-state actors depends on whether they
    wield epistemic, market or moral authority in global AI politics. Sec-
    ond, although including non-state actors could improve the prospects
    for future democratization of AI, the prospects for them becoming
    democratic agents of the kind that contribute to the democratization
    of global AI governance appear bleak. These insights should inform
    the discussion around the democratic challenges facing the global
    governance of AI.

    Forms of authority and the democratic role of tech
    companies
    AI-developing companies have come to exercise considerable influ-
    ence over the emerging global governance of AI in two overlapping
    ways13. First, they possess epistemic authority, rooted in their position
    as trustworthy judges of what constitutes knowledge and acceptable
    evidence in the AI domain. In this role, they not only develop AI but
    also inform the production and dissemination of knowledge, which
    in turn could shape public opinion and policy decisions. OpenAI and
    DeepMind, for example, partly function as research institutes, probing
    the limits of the capabilities of AI technologies in research papers that
    inform regulatory efforts. Second, they wield market authority and
    exert influence over economic and political decisions. For example,
    Microsoft arguably has notable power over AI development and regu-
    lation since its recent acquisition of the coding platform GitHub and
    investments in the AI-developing company OpenAI, which in turn has
    lobbied lawmakers in the negotiations on the EU AI Act14. Given that the
    category of non-state actors includes companies such as these, simply
    granting access to non-state actors is not guaranteed to democratize
    the global governance of AI.

    It is clear that tech companies cannot be considered to be ‘demo-
    cratic agents’, by which we mean agents that decide on policies and laws
    ‘on behalf’ of others, as no one has in fact authorised them to do so. In
    global governance, this occurs either by direct authorization through
    a democratic procedure (such as when EU citizens elect the EU parlia-
    ment) or by indirect authorization through delegation by a directly
    authorised body (such as when member state governments appoint
    members in the EU’s European Commission). When tech companies
    are invited into regulatory processes, however, they do not repre-
    sent anyone but themselves. And even if they attempted to transmit
    citizens’ concerns into the decision process of international organiza-
    tions, that would not be enough to make them democratic agents, as
    their authority has not arisen from the rightful source. This political–
    theoretical analysis suggests that, although tech companies can be said
    to contribute to improved global governance in many ways, by fulfilling
    different kinds of rightful ends, they cannot reduce the democratic
    deficit in global AI governance.

    That said, indirect authorization has taken place in more estab-
    lished policy areas in global governance, in which non-state actors have
    become democratic agents through delegation of authority, having
    crucial roles in several phases of the policy cycle of international organi-
    zations. The International Committee of the Red Cross, for example, has
    mandate under the Geneva Convention to monitor the implementation
    of international humanitarian law. What is important to notice in these
    cases, however, is that authority is typically delegated not to companies
    but instead to NGOs and other civil society actors, who exert a kind of
    moral authority derived from the fact that their mission is to promote
    what are generally seen as morally desirable goals. Arguably, with more
    international legislation in the AI domain, and deepened collaboration

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [http://orcid.org/0000-0001-7096-9157](http://orcid.org/0000-0001-7096-9157)

    [http://orcid.org/0000-0002-2378-750X](http://orcid.org/0000-0002-2378-750X)

    [mailto:eva.erman@statsvet.su.se](mailto:eva.erman@statsvet.su.se)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 248

    Comment

    3. Tallberg, J., Erman, E., Furendal, M., Geith, J., Klamberg, M. & Lundgren, M. Int. Stud. Rev.
    25, 3 (2023).

    4. Seger, E., Ovadya, A., Siddarth, D., Garfinkel, B., Dafoe, A. In Proc. 2023 AAAI/ACM
    Conference on AI, Ethics, and Society https://doi.org/10.1145/3600211.3604693 (2023).

    5. Erman, E. & Furendal, M. Polit. Stud. https://doi.org/10.1177/00323217221126665 (2022).
    6. Future of Life Institute. https://go.nature.com/44Apd9V (accessed 13 June 2023).
    7. Altman, S., Brockman, G. & Sutskever, I. https://go.nature.com/3I867xV (accessed 22 May

    2023).
    8. Valentini, L. Perspect. Politics 12, 4 (2014).
    9. Nanz, P., Kilssing, C. & Steffek, J. (eds.). Civil Society Participation in European and Global

    Governance (Palgrave Macmillan, 2008).
    10. Dryzek, J. & Tanasoca, A. Democratizing Global Justice: Deliberating Global Goals

    (Cambridge Univ. Press, 2021).

    11. Kang, C. The New York Times https://go.nature.com/3uLG3W5 (7 June 2023).
    12. Free Press. https://go.nature.com/42XjCtJ (8 May 2023).
    13. Hall, R.B. Harv. Int. Rev. 27, 2 (2005).
    14. Perrigo, B. Time https://go.nature.com/3Tax0qY (20 June 2023).
    15. Bietti, E. In FAT* ’20: Proc. 2020 Conference on Fairness, Accountability, and Transparency

    210–219 https://doi.org/10.1145/3351095.3372860 (2020).

    Competing interests
    The authors declare no competing interests.

    Additional information
    Peer review information : Nature Machine Intelligence thanks the anonymous reviewer(s) for
    their contribution to the peer review of this work.

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1145/3600211.3604693](https://doi.org/10.1145/3600211.3604693)

    [https://doi.org/10.1177/00323217221126665](https://doi.org/10.1177/00323217221126665)

    [https://go.nature.com/44Apd9V](https://go.nature.com/44Apd9V)

    [https://go.nature.com/3I867xV](https://go.nature.com/3I867xV)

    [https://go.nature.com/3uLG3W5](https://go.nature.com/3uLG3W5)

    [https://go.nature.com/42XjCtJ](https://go.nature.com/42XjCtJ)

    [https://go.nature.com/3Tax0qY](https://go.nature.com/3Tax0qY)

    [https://doi.org/10.1145/3351095.3372860](https://doi.org/10.1145/3351095.3372860)

    Reproduced with permission of copyright owner. Further reproduction
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    – The democratization of global AI governance and the role of tech companies

    – Forms of authority and the democratic role of tech companies

    – Conclusion

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    **## The_democratization_of_global_AI.pdf**

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 246

    https://doi.org/10.1038/s42256-024-00811-z

    Comment

    The democratization of global AI governance
    and the role of tech companies

    Eva Erman & Markus Furendal

    Can non-state multinational tech companies
    counteract the potential democratic deficit
    in the emerging global governance of AI? We
    argue that although they may strengthen core
    values of democracy such as accountability
    and transparency, they currently lack the right
    kind of authority to democratize global AI
    governance.

    After a period of intense fascination with artificial intelligence (AI)
    applications, including large language models (LLMs) such as ChatGPT,
    the public discussion is quickly turning toward the issue of the social,
    political and ethical effects of these technologies. Several regulation
    and governance initiatives are under way at national and regional levels.
    However, because cutting-edge AI development often takes place in
    multinational companies or international research labs, and AI tech-
    nology creates cross-border externalities, an additional level of trans-
    boundary regulation and cooperation is needed to solve problems or
    provide goods associated with AI technologies. The ‘global governance
    of AI’ can be said to refer to the rules, processes and decision procedures
    established by governments, international and intergovernmental
    organizations, non-state and private actors to regulate the develop-
    ment and deployment of those systems1,2. It includes soft regulations
    such as internal ethics guidelines in multinational AI-developing
    companies like Microsoft, and the ‘Bletchley declaration’ signed by
    28 countries and the European Union (EU) in 2023. It can also take the
    form of hard regulations, such as the AI Act currently under negotiation
    in the EU. Unlike the national level, regulatory efforts at the global level
    typically lack a clearly defined central institution or hierarchy. This
    means that global AI governance initiatives are partly overlapping and
    not always aligned, and are best described by the concept of ‘regime
    complex’ from international relations theory3.

    Despite the rapid pace at which this regime complex is develop-
    ing, little attention has been paid to how democratic the processes
    by which it takes shape are. It has become a trope for AI-developing
    companies to speak of a need to ‘democratize’ AI, but this often means
    simply that AI technology should be made more accessible4. Moreover,
    when the democratization of AI governance is discussed, a common
    approach is to evaluate proposals by whether they can successfully
    prevent ‘bad’ outcomes such as AI bias or existential risks, or make
    ‘good’ outcomes such as increased economic productivity more likely5.
    Similarly, the public discussion about AI regulation tends to focus on
    the pros, cons and viability of concrete proposals, such as whether AI
    development should be put on hold, to enable research into the effects
    of AI to catch up6, or whether we should create a new global institution
    akin to the International Atomic Energy Agency7. The problem with

    such an outcome-focused understanding, however, is that it reduces
    AI governance to a challenge of executing an agenda that is already set,
    thereby overlooking who has influence over the agenda and in what
    ways. It thus directs our attention towards the effects of governance
    mechanisms rather than the societal goals pursued and the means by
    which to achieve them. However, this fails to take the normative ideal
    of democracy seriously. In broad strokes, political theorists have sug-
    gested that governance arrangements are democratic to the extent
    that those affected by the decisions have a direct or indirect say in the
    decision-making on equal terms8. For AI governance to be democratic,
    this entails that those who are affected by AI technology should identify
    and decide upon the goals of AI governance collectively.

    This ideal seems unattainable at the global level. Global institu-
    tions are typically said to suffer from a democratic deficit, as it is dif-
    ficult for citizens to stay informed and exercise influence over political
    processes far removed from their daily lives. In response to this chal-
    lenge, earlier debates have often gravitated toward the democratic
    potential of non-state actors such as non-governmental organizations
    (NGOs), advocacy groups and social movements. The hope is that such
    civil society actors could represent the interests of citizens and make
    sure they appear in the decision processes of international organiza-
    tions and institutions, and that they could function as watchdogs, hold-
    ing those who wield power accountable. It is suggested that, ideally,
    civil society actors can thereby help democratize global governance,
    by promoting more inclusion, representation and transparency9,10.
    This makes it appropriate to ask whether non-state actors may help
    to democratize the global governance of AI.

    We suggest that one should not be too optimistic. This is primarily
    because in global AI governance, one kind of non-state actors is far more
    prominent than the civil society actors usually entrusted to help offset
    democratic deficits: AI-developing tech companies. The machine learn-
    ing approach to AI is, by now, so resource-intensive that breakthroughs
    are restricted to multinational corporations, such as Microsoft and its
    affiliate OpenAI, or start-ups funded by wealthy individuals, such as
    Anthropic. At the same time, a narrative is being cultivated about AI
    technology as inherently complex and difficult to understand, and of
    politics as so cumbersome that ill-informed elected officials are likely
    to cause more harm than good if they try to regulate AI on their own.
    The CEO of OpenAI, for instance, has not only provided policy advice
    at a US Senate subcommittee hearing, but also privately met with US
    lawmakers as well as the leaders of several European countries11.

    Listening to technological experts might be necessary in the process
    of finding suitable regulation for a rapidly moving policy area. At best,
    involving non-state actors could help to produce outcomes that are
    preferable, albeit not more democratic, than the alternative. At worst,
    it enables regulatory capture by companies that can hardly be said
    to represent the voices of ordinary people, let alone of marginalized
    groups12. It is thus crucial to ask what role tech companies may have
    in the democratization of global AI governance, one of our age’s most

    Check for updates

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1038/s42256-024-00811-z](https://doi.org/10.1038/s42256-024-00811-z)

    [http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf](http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 247

    Comment

    between (democratic) states in international organizations, non-state
    actors with moral (and possibly those with epistemic) authority may
    become democratic agents in a similar way in the future.

    Although the prospects for tech companies with market author-
    ity becoming democratic agents remain bleak, we argue that they may
    still become ‘agents of democracy’— that is, agents that strengthen the
    core values of democracy in their decision-making, such as the values
    of accountability, transparency, inclusion and deliberation. Non-state
    actors with moral authority, such as AlgorithmWatch, may be said to
    already be agents of democracy by providing input on ethical and human
    rights related considerations, and efforts to ensure that algorithmic
    decision-making is used in ways that are consistent with democratic
    values and principles. By contrast, market authorities operate within
    the structure and logic of the market, and may thus appear less likely to
    improve their democratic credentials in ways that scholars have hoped
    for. However, one should not disregard the fact that multinational com-
    panies often publicly support democratic values such as transparency,
    accountability and respect for human rights, in their own AI development
    and in their interactions with lawmakers. The most charitable interpreta-
    tion of the role of tech companies in the global governance of AI hence
    says that they could, in principle, act as agents of democracy1,5, as long
    as their commitments to democratic values are not simply an attempt
    to gain support and trust from consumers through ‘ethics washing’15.
    Importantly, however, although they may strengthen the empirical pre-
    requisites for future democratization of global AI governance by acting
    as agents of democracy, this does not take them closer to becoming
    democratic agents themselves and as such contribute to democratization.

    Conclusion
    AI is often perceived to be both a great threat and a promise to democ-
    racy. Pessimists worry about the way LLMs and other forms of AI can
    undermine communication and trust. Optimists point to how AI ena-
    bles technological innovations in voting procedures, or enables more
    voices to be heard in the democratic process, although rarely exploring
    this in light of existing democratic theories. In this Comment, we have
    suggested that the public debate should also recognise the distinct and
    additional point that the governance of AI should be as democratic as
    possible. Given the effect that AI technology already has on societies,
    it is crucial that there are democratically legitimate channels for the
    people affected by AI to have a say about how it is being developed and
    deployed. Specifically, we have argued that, although some non-state
    actors — most probably those with moral or epistemic authority — may
    become democratic agents in the future, and as such contribute to the
    democratization of global AI governance, most of them — in particular
    those with market authority — are more likely to increase their demo-
    cratic credentials as agents of democracy, improving the empirical
    prerequisites for future democratization.

    Eva Erman   1,2 & Markus Furendal   1,2

    1Department of Political Science, Stockholm University,
    Stockholm, Sweden. 2These authors contributed equally:
    Eva Erman, Markus Furendal.

    e-mail: eva.erman@statsvet.su.se

    Published online: 8 March 2024

    References
    1. Erman, E. & Furendal, M. Moral Philos. Politics 9, 2 (2022).
    2. Zürn, M. In The Oxford Handbook of Governance (ed. Levi-Faur, D.)

    (Oxford Univ. Press, 2012).

    important policy areas. In this Comment, we make two claims. First,
    the democratic potential of non-state actors depends on whether they
    wield epistemic, market or moral authority in global AI politics. Sec-
    ond, although including non-state actors could improve the prospects
    for future democratization of AI, the prospects for them becoming
    democratic agents of the kind that contribute to the democratization
    of global AI governance appear bleak. These insights should inform
    the discussion around the democratic challenges facing the global
    governance of AI.

    Forms of authority and the democratic role of tech
    companies
    AI-developing companies have come to exercise considerable influ-
    ence over the emerging global governance of AI in two overlapping
    ways13. First, they possess epistemic authority, rooted in their position
    as trustworthy judges of what constitutes knowledge and acceptable
    evidence in the AI domain. In this role, they not only develop AI but
    also inform the production and dissemination of knowledge, which
    in turn could shape public opinion and policy decisions. OpenAI and
    DeepMind, for example, partly function as research institutes, probing
    the limits of the capabilities of AI technologies in research papers that
    inform regulatory efforts. Second, they wield market authority and
    exert influence over economic and political decisions. For example,
    Microsoft arguably has notable power over AI development and regu-
    lation since its recent acquisition of the coding platform GitHub and
    investments in the AI-developing company OpenAI, which in turn has
    lobbied lawmakers in the negotiations on the EU AI Act14. Given that the
    category of non-state actors includes companies such as these, simply
    granting access to non-state actors is not guaranteed to democratize
    the global governance of AI.

    It is clear that tech companies cannot be considered to be ‘demo-
    cratic agents’, by which we mean agents that decide on policies and laws
    ‘on behalf’ of others, as no one has in fact authorised them to do so. In
    global governance, this occurs either by direct authorization through
    a democratic procedure (such as when EU citizens elect the EU parlia-
    ment) or by indirect authorization through delegation by a directly
    authorised body (such as when member state governments appoint
    members in the EU’s European Commission). When tech companies
    are invited into regulatory processes, however, they do not repre-
    sent anyone but themselves. And even if they attempted to transmit
    citizens’ concerns into the decision process of international organiza-
    tions, that would not be enough to make them democratic agents, as
    their authority has not arisen from the rightful source. This political–
    theoretical analysis suggests that, although tech companies can be said
    to contribute to improved global governance in many ways, by fulfilling
    different kinds of rightful ends, they cannot reduce the democratic
    deficit in global AI governance.

    That said, indirect authorization has taken place in more estab-
    lished policy areas in global governance, in which non-state actors have
    become democratic agents through delegation of authority, having
    crucial roles in several phases of the policy cycle of international organi-
    zations. The International Committee of the Red Cross, for example, has
    mandate under the Geneva Convention to monitor the implementation
    of international humanitarian law. What is important to notice in these
    cases, however, is that authority is typically delegated not to companies
    but instead to NGOs and other civil society actors, who exert a kind of
    moral authority derived from the fact that their mission is to promote
    what are generally seen as morally desirable goals. Arguably, with more
    international legislation in the AI domain, and deepened collaboration

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [http://orcid.org/0000-0001-7096-9157](http://orcid.org/0000-0001-7096-9157)

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    [mailto:eva.erman@statsvet.su.se](mailto:eva.erman@statsvet.su.se)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 248

    Comment

    3. Tallberg, J., Erman, E., Furendal, M., Geith, J., Klamberg, M. & Lundgren, M. Int. Stud. Rev.
    25, 3 (2023).

    4. Seger, E., Ovadya, A., Siddarth, D., Garfinkel, B., Dafoe, A. In Proc. 2023 AAAI/ACM
    Conference on AI, Ethics, and Society https://doi.org/10.1145/3600211.3604693 (2023).

    5. Erman, E. & Furendal, M. Polit. Stud. https://doi.org/10.1177/00323217221126665 (2022).
    6. Future of Life Institute. https://go.nature.com/44Apd9V (accessed 13 June 2023).
    7. Altman, S., Brockman, G. & Sutskever, I. https://go.nature.com/3I867xV (accessed 22 May

    2023).
    8. Valentini, L. Perspect. Politics 12, 4 (2014).
    9. Nanz, P., Kilssing, C. & Steffek, J. (eds.). Civil Society Participation in European and Global

    Governance (Palgrave Macmillan, 2008).
    10. Dryzek, J. & Tanasoca, A. Democratizing Global Justice: Deliberating Global Goals

    (Cambridge Univ. Press, 2021).

    11. Kang, C. The New York Times https://go.nature.com/3uLG3W5 (7 June 2023).
    12. Free Press. https://go.nature.com/42XjCtJ (8 May 2023).
    13. Hall, R.B. Harv. Int. Rev. 27, 2 (2005).
    14. Perrigo, B. Time https://go.nature.com/3Tax0qY (20 June 2023).
    15. Bietti, E. In FAT* ’20: Proc. 2020 Conference on Fairness, Accountability, and Transparency

    210–219 https://doi.org/10.1145/3351095.3372860 (2020).

    Competing interests
    The authors declare no competing interests.

    Additional information
    Peer review information : Nature Machine Intelligence thanks the anonymous reviewer(s) for
    their contribution to the peer review of this work.

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1145/3600211.3604693](https://doi.org/10.1145/3600211.3604693)

    [https://doi.org/10.1177/00323217221126665](https://doi.org/10.1177/00323217221126665)

    [https://go.nature.com/44Apd9V](https://go.nature.com/44Apd9V)

    [https://go.nature.com/3I867xV](https://go.nature.com/3I867xV)

    [https://go.nature.com/3uLG3W5](https://go.nature.com/3uLG3W5)

    [https://go.nature.com/42XjCtJ](https://go.nature.com/42XjCtJ)

    [https://go.nature.com/3Tax0qY](https://go.nature.com/3Tax0qY)

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    Reproduced with permission of copyright owner. Further reproduction
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    – The democratization of global AI governance and the role of tech companies

    – Forms of authority and the democratic role of tech companies

    – Conclusion

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    **## The_democratization_of_global_AI.pdf**

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 246

    https://doi.org/10.1038/s42256-024-00811-z

    Comment

    The democratization of global AI governance
    and the role of tech companies

    Eva Erman & Markus Furendal

    Can non-state multinational tech companies
    counteract the potential democratic deficit
    in the emerging global governance of AI? We
    argue that although they may strengthen core
    values of democracy such as accountability
    and transparency, they currently lack the right
    kind of authority to democratize global AI
    governance.

    After a period of intense fascination with artificial intelligence (AI)
    applications, including large language models (LLMs) such as ChatGPT,
    the public discussion is quickly turning toward the issue of the social,
    political and ethical effects of these technologies. Several regulation
    and governance initiatives are under way at national and regional levels.
    However, because cutting-edge AI development often takes place in
    multinational companies or international research labs, and AI tech-
    nology creates cross-border externalities, an additional level of trans-
    boundary regulation and cooperation is needed to solve problems or
    provide goods associated with AI technologies. The ‘global governance
    of AI’ can be said to refer to the rules, processes and decision procedures
    established by governments, international and intergovernmental
    organizations, non-state and private actors to regulate the develop-
    ment and deployment of those systems1,2. It includes soft regulations
    such as internal ethics guidelines in multinational AI-developing
    companies like Microsoft, and the ‘Bletchley declaration’ signed by
    28 countries and the European Union (EU) in 2023. It can also take the
    form of hard regulations, such as the AI Act currently under negotiation
    in the EU. Unlike the national level, regulatory efforts at the global level
    typically lack a clearly defined central institution or hierarchy. This
    means that global AI governance initiatives are partly overlapping and
    not always aligned, and are best described by the concept of ‘regime
    complex’ from international relations theory3.

    Despite the rapid pace at which this regime complex is develop-
    ing, little attention has been paid to how democratic the processes
    by which it takes shape are. It has become a trope for AI-developing
    companies to speak of a need to ‘democratize’ AI, but this often means
    simply that AI technology should be made more accessible4. Moreover,
    when the democratization of AI governance is discussed, a common
    approach is to evaluate proposals by whether they can successfully
    prevent ‘bad’ outcomes such as AI bias or existential risks, or make
    ‘good’ outcomes such as increased economic productivity more likely5.
    Similarly, the public discussion about AI regulation tends to focus on
    the pros, cons and viability of concrete proposals, such as whether AI
    development should be put on hold, to enable research into the effects
    of AI to catch up6, or whether we should create a new global institution
    akin to the International Atomic Energy Agency7. The problem with

    such an outcome-focused understanding, however, is that it reduces
    AI governance to a challenge of executing an agenda that is already set,
    thereby overlooking who has influence over the agenda and in what
    ways. It thus directs our attention towards the effects of governance
    mechanisms rather than the societal goals pursued and the means by
    which to achieve them. However, this fails to take the normative ideal
    of democracy seriously. In broad strokes, political theorists have sug-
    gested that governance arrangements are democratic to the extent
    that those affected by the decisions have a direct or indirect say in the
    decision-making on equal terms8. For AI governance to be democratic,
    this entails that those who are affected by AI technology should identify
    and decide upon the goals of AI governance collectively.

    This ideal seems unattainable at the global level. Global institu-
    tions are typically said to suffer from a democratic deficit, as it is dif-
    ficult for citizens to stay informed and exercise influence over political
    processes far removed from their daily lives. In response to this chal-
    lenge, earlier debates have often gravitated toward the democratic
    potential of non-state actors such as non-governmental organizations
    (NGOs), advocacy groups and social movements. The hope is that such
    civil society actors could represent the interests of citizens and make
    sure they appear in the decision processes of international organiza-
    tions and institutions, and that they could function as watchdogs, hold-
    ing those who wield power accountable. It is suggested that, ideally,
    civil society actors can thereby help democratize global governance,
    by promoting more inclusion, representation and transparency9,10.
    This makes it appropriate to ask whether non-state actors may help
    to democratize the global governance of AI.

    We suggest that one should not be too optimistic. This is primarily
    because in global AI governance, one kind of non-state actors is far more
    prominent than the civil society actors usually entrusted to help offset
    democratic deficits: AI-developing tech companies. The machine learn-
    ing approach to AI is, by now, so resource-intensive that breakthroughs
    are restricted to multinational corporations, such as Microsoft and its
    affiliate OpenAI, or start-ups funded by wealthy individuals, such as
    Anthropic. At the same time, a narrative is being cultivated about AI
    technology as inherently complex and difficult to understand, and of
    politics as so cumbersome that ill-informed elected officials are likely
    to cause more harm than good if they try to regulate AI on their own.
    The CEO of OpenAI, for instance, has not only provided policy advice
    at a US Senate subcommittee hearing, but also privately met with US
    lawmakers as well as the leaders of several European countries11.

    Listening to technological experts might be necessary in the process
    of finding suitable regulation for a rapidly moving policy area. At best,
    involving non-state actors could help to produce outcomes that are
    preferable, albeit not more democratic, than the alternative. At worst,
    it enables regulatory capture by companies that can hardly be said
    to represent the voices of ordinary people, let alone of marginalized
    groups12. It is thus crucial to ask what role tech companies may have
    in the democratization of global AI governance, one of our age’s most

    Check for updates

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1038/s42256-024-00811-z](https://doi.org/10.1038/s42256-024-00811-z)

    [http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf](http://crossmark.crossref.org/dialog/?doi=10.1038/s42256-024-00811-z&domain=pdf)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 247

    Comment

    between (democratic) states in international organizations, non-state
    actors with moral (and possibly those with epistemic) authority may
    become democratic agents in a similar way in the future.

    Although the prospects for tech companies with market author-
    ity becoming democratic agents remain bleak, we argue that they may
    still become ‘agents of democracy’— that is, agents that strengthen the
    core values of democracy in their decision-making, such as the values
    of accountability, transparency, inclusion and deliberation. Non-state
    actors with moral authority, such as AlgorithmWatch, may be said to
    already be agents of democracy by providing input on ethical and human
    rights related considerations, and efforts to ensure that algorithmic
    decision-making is used in ways that are consistent with democratic
    values and principles. By contrast, market authorities operate within
    the structure and logic of the market, and may thus appear less likely to
    improve their democratic credentials in ways that scholars have hoped
    for. However, one should not disregard the fact that multinational com-
    panies often publicly support democratic values such as transparency,
    accountability and respect for human rights, in their own AI development
    and in their interactions with lawmakers. The most charitable interpreta-
    tion of the role of tech companies in the global governance of AI hence
    says that they could, in principle, act as agents of democracy1,5, as long
    as their commitments to democratic values are not simply an attempt
    to gain support and trust from consumers through ‘ethics washing’15.
    Importantly, however, although they may strengthen the empirical pre-
    requisites for future democratization of global AI governance by acting
    as agents of democracy, this does not take them closer to becoming
    democratic agents themselves and as such contribute to democratization.

    Conclusion
    AI is often perceived to be both a great threat and a promise to democ-
    racy. Pessimists worry about the way LLMs and other forms of AI can
    undermine communication and trust. Optimists point to how AI ena-
    bles technological innovations in voting procedures, or enables more
    voices to be heard in the democratic process, although rarely exploring
    this in light of existing democratic theories. In this Comment, we have
    suggested that the public debate should also recognise the distinct and
    additional point that the governance of AI should be as democratic as
    possible. Given the effect that AI technology already has on societies,
    it is crucial that there are democratically legitimate channels for the
    people affected by AI to have a say about how it is being developed and
    deployed. Specifically, we have argued that, although some non-state
    actors — most probably those with moral or epistemic authority — may
    become democratic agents in the future, and as such contribute to the
    democratization of global AI governance, most of them — in particular
    those with market authority — are more likely to increase their demo-
    cratic credentials as agents of democracy, improving the empirical
    prerequisites for future democratization.

    Eva Erman   1,2 & Markus Furendal   1,2

    1Department of Political Science, Stockholm University,
    Stockholm, Sweden. 2These authors contributed equally:
    Eva Erman, Markus Furendal.

    e-mail: eva.erman@statsvet.su.se

    Published online: 8 March 2024

    References
    1. Erman, E. & Furendal, M. Moral Philos. Politics 9, 2 (2022).
    2. Zürn, M. In The Oxford Handbook of Governance (ed. Levi-Faur, D.)

    (Oxford Univ. Press, 2012).

    important policy areas. In this Comment, we make two claims. First,
    the democratic potential of non-state actors depends on whether they
    wield epistemic, market or moral authority in global AI politics. Sec-
    ond, although including non-state actors could improve the prospects
    for future democratization of AI, the prospects for them becoming
    democratic agents of the kind that contribute to the democratization
    of global AI governance appear bleak. These insights should inform
    the discussion around the democratic challenges facing the global
    governance of AI.

    Forms of authority and the democratic role of tech
    companies
    AI-developing companies have come to exercise considerable influ-
    ence over the emerging global governance of AI in two overlapping
    ways13. First, they possess epistemic authority, rooted in their position
    as trustworthy judges of what constitutes knowledge and acceptable
    evidence in the AI domain. In this role, they not only develop AI but
    also inform the production and dissemination of knowledge, which
    in turn could shape public opinion and policy decisions. OpenAI and
    DeepMind, for example, partly function as research institutes, probing
    the limits of the capabilities of AI technologies in research papers that
    inform regulatory efforts. Second, they wield market authority and
    exert influence over economic and political decisions. For example,
    Microsoft arguably has notable power over AI development and regu-
    lation since its recent acquisition of the coding platform GitHub and
    investments in the AI-developing company OpenAI, which in turn has
    lobbied lawmakers in the negotiations on the EU AI Act14. Given that the
    category of non-state actors includes companies such as these, simply
    granting access to non-state actors is not guaranteed to democratize
    the global governance of AI.

    It is clear that tech companies cannot be considered to be ‘demo-
    cratic agents’, by which we mean agents that decide on policies and laws
    ‘on behalf’ of others, as no one has in fact authorised them to do so. In
    global governance, this occurs either by direct authorization through
    a democratic procedure (such as when EU citizens elect the EU parlia-
    ment) or by indirect authorization through delegation by a directly
    authorised body (such as when member state governments appoint
    members in the EU’s European Commission). When tech companies
    are invited into regulatory processes, however, they do not repre-
    sent anyone but themselves. And even if they attempted to transmit
    citizens’ concerns into the decision process of international organiza-
    tions, that would not be enough to make them democratic agents, as
    their authority has not arisen from the rightful source. This political–
    theoretical analysis suggests that, although tech companies can be said
    to contribute to improved global governance in many ways, by fulfilling
    different kinds of rightful ends, they cannot reduce the democratic
    deficit in global AI governance.

    That said, indirect authorization has taken place in more estab-
    lished policy areas in global governance, in which non-state actors have
    become democratic agents through delegation of authority, having
    crucial roles in several phases of the policy cycle of international organi-
    zations. The International Committee of the Red Cross, for example, has
    mandate under the Geneva Convention to monitor the implementation
    of international humanitarian law. What is important to notice in these
    cases, however, is that authority is typically delegated not to companies
    but instead to NGOs and other civil society actors, who exert a kind of
    moral authority derived from the fact that their mission is to promote
    what are generally seen as morally desirable goals. Arguably, with more
    international legislation in the AI domain, and deepened collaboration

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [http://orcid.org/0000-0001-7096-9157](http://orcid.org/0000-0001-7096-9157)

    [http://orcid.org/0000-0002-2378-750X](http://orcid.org/0000-0002-2378-750X)

    [mailto:eva.erman@statsvet.su.se](mailto:eva.erman@statsvet.su.se)

    nature machine intelligence Volume 6 | March 2024 | 246–248 | 248

    Comment

    3. Tallberg, J., Erman, E., Furendal, M., Geith, J., Klamberg, M. & Lundgren, M. Int. Stud. Rev.
    25, 3 (2023).

    4. Seger, E., Ovadya, A., Siddarth, D., Garfinkel, B., Dafoe, A. In Proc. 2023 AAAI/ACM
    Conference on AI, Ethics, and Society https://doi.org/10.1145/3600211.3604693 (2023).

    5. Erman, E. & Furendal, M. Polit. Stud. https://doi.org/10.1177/00323217221126665 (2022).
    6. Future of Life Institute. https://go.nature.com/44Apd9V (accessed 13 June 2023).
    7. Altman, S., Brockman, G. & Sutskever, I. https://go.nature.com/3I867xV (accessed 22 May

    2023).
    8. Valentini, L. Perspect. Politics 12, 4 (2014).
    9. Nanz, P., Kilssing, C. & Steffek, J. (eds.). Civil Society Participation in European and Global

    Governance (Palgrave Macmillan, 2008).
    10. Dryzek, J. & Tanasoca, A. Democratizing Global Justice: Deliberating Global Goals

    (Cambridge Univ. Press, 2021).

    11. Kang, C. The New York Times https://go.nature.com/3uLG3W5 (7 June 2023).
    12. Free Press. https://go.nature.com/42XjCtJ (8 May 2023).
    13. Hall, R.B. Harv. Int. Rev. 27, 2 (2005).
    14. Perrigo, B. Time https://go.nature.com/3Tax0qY (20 June 2023).
    15. Bietti, E. In FAT* ’20: Proc. 2020 Conference on Fairness, Accountability, and Transparency

    210–219 https://doi.org/10.1145/3351095.3372860 (2020).

    Competing interests
    The authors declare no competing interests.

    Additional information
    Peer review information : Nature Machine Intelligence thanks the anonymous reviewer(s) for
    their contribution to the peer review of this work.

    [http://www.nature.com/natmachintell](http://www.nature.com/natmachintell)

    [https://doi.org/10.1145/3600211.3604693](https://doi.org/10.1145/3600211.3604693)

    [https://doi.org/10.1177/00323217221126665](https://doi.org/10.1177/00323217221126665)

    [https://go.nature.com/44Apd9V](https://go.nature.com/44Apd9V)

    [https://go.nature.com/3I867xV](https://go.nature.com/3I867xV)

    [https://go.nature.com/3uLG3W5](https://go.nature.com/3uLG3W5)

    [https://go.nature.com/42XjCtJ](https://go.nature.com/42XjCtJ)

    [https://go.nature.com/3Tax0qY](https://go.nature.com/3Tax0qY)

    [https://doi.org/10.1145/3351095.3372860](https://doi.org/10.1145/3351095.3372860)

    Reproduced with permission of copyright owner. Further reproduction
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    – The democratization of global AI governance and the role of tech companies

    – Forms of authority and the democratic role of tech companies

    – Conclusion

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    Blog: How Has Nursing Informatics and Technology Impacted Your Practice?

    ![A person looking at an x-ray AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-3-resp-blog)

    For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883248)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883261)

    To Prepare

    · Consider your nursing background and professional interests as you view the video.

    · What potential skills, knowledge, or competencies to ensure quality of care and safety improvements, might you need to develop for your healthcare organization or nursing practice to ensure continued quality care and safety?

    By Day 3 of Week 3

    **Post** a blog to address the following:

    · Explore the pivotal role of informatics competencies in enhancing the quality of care and safety in your nursing practice.

    By Day 6 of Week 3

    **Read** a selection of your colleagues’ blog posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their responses or sharing additional or alternative perspectives.

    RESPOND TO THIS DISCUSSION POST

    Madeleine

    **The Pivotal Role of Informatics Competencies in Nursing: Ensuring Quality and Safety in the Digital Era**

    Over the recent years, digital technology integration has radically transformed the nursing profession. Nurses are now working in a complex, data-driven environment, from the use of electronic health records (EHRs) to telehealth platforms and clinical decision support systems. Not only have these changes streamlined workflows and enhanced access to information, but also changed the way safe, high-quality care is provided. Being a nurse by background and having an interest in both patient safety and quality improvement, I have personally witnessed how digital tools can be both an enabler and a challenge. Technology has great potential to raise the bar on patient care, but it comes with a new set of skills and competencies, especially in the area of nursing informatics (Isidori et al., 2022).

    **The Expanding Impact of Digital Technology on Nursing**

    Today, digital technology permeates every nursing practice. EHRs provide real-time access to patient histories and reduce the chances of errors, and allow for more coordinated care. Telehealth platforms remove geographic barriers and permit patients to consult and then receive follow-up care in a timely fashion. Smart infusion pumps and barcode medication administration systems are even helping prevent medication errors and adverse events, even at the bedside. That means nurses now have to be clinically skilled but also comfortable with data, devices, and software systems. However, nursing is evolving, and the importance of informatics competencies (the skills of using, analyzing, and interpreting health information) cannot be overemphasized (Kemp et al., 2025).

    **Essential Informatics Competencies for Nurses**

    As nurses deliver safe and effective care in a digital landscape, they need to develop several informatics competencies according to Kleib et al. (2021), including:

    · Data Literacy: How to collect, interpret, and apply patient data is important. Nurses have to be able to document accurately, identify trends, and utilize data to make clinical decisions.

    · Nurses should be proficient with EHR and other clinical systems, accurate documentation, timely documentation, and documentation that is retrievable.

    · Patient data is stored electronically, and nurses need to abide by best practices to maintain privacy and confidentiality, and also take into consideration the risk of breaches or unauthorized access.

    · Familiarity with tools that provide evidence-based recommendations can be used to support safer medication administration, diagnostic processes, and care planning.

    · Continuous learning and adaptability: Nurses are required to keep learning new things and be adaptable to the new systems and processes as technology continues to evolve.

    **Ensuring Quality and Safety Through Informatics**

    Informatics competencies are not only technical proficiency, they are ensuring that technology does not interfere with but enhances quality of care. With this confidence in digital systems, nurses are more able to catch potential errors, communicate effectively with interdisciplinary teams and advocate for patient safety. Supporting nurses in developing these competencies is important for healthcare organizations. Structured training, mentorship and a culture that is open to feedback and learning can help do this. Nurses in the process of developing their informatics skills become important partners in system improvement, patient safety, and organizational change (Wynn et al., 2023).

    **Conclusion**

    Overall, nurses need to develop informatics competencies in order to manage in the digital healthcare environment. Strengthening these skills will help nurses improve patient safety, provide quality care, and guide the advancement of technology with confidence that will benefit the patients and the healthcare system as a whole.

    **References**

    Isidori, V., Diamanti, F., Gios, L., Malfatti, G., Nicolini, A., Perini, F., Forti, S., Gaudino, A., Brancorsini, S., Bizzarri, G., Fraschini, F., & Longhini, J. (2022). Digital technologies and the role of healthcare professionals: A scoping review exploring nurses’ skills in the digital era and in light of the Covid-19 pandemic. (Preprint).
    _JMIR Nursing_,
    _5_(1).
    [https://doi.org/10.2196/37631Links to an external site.](https://doi.org/10.2196/37631)

    Kemp, M., Rising, K. L., Laynor, G., Miao, J., Worster, B., Chang, A. M., Monick, A. J., Guth, A., Camacho, T. E., McIntosh, K., Amadio, G., Shughart, L., Hsiao, T., & Leader, A. E. (2025). Barriers to telehealth uptake and use: a scoping review.
    _JAMIA Open_,
    _8_(2).
    [https://doi.org/10.1093/jamiaopen/ooaf019Links to an external site.](https://doi.org/10.1093/jamiaopen/ooaf019)

    Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021). Approaches for defining and assessing nursing informatics competencies.
    _JBI Evidence Synthesis_,
    _19_(4), 794–841.
    [https://doi.org/10.11124/jbies-20-00100Links to an external site.](https://doi.org/10.11124/jbies-20-00100)

    Wynn, M., Garwood‐Cross, L., Vasilica, C., Griffiths, M., Heaslip, V., & Phillips, N. (2023). Digitizing nursing: A theoretical and holistic exploration to understand the adoption and use of digital technologies by nurses.
    _Journal of Advanced Nursing_,
    _79_(10).
    [https://doi.org/10.1111/jan.15810Links to an external site.](https://doi.org/10.1111/jan.15810)

    · Expand discussion thread from Madeleine Raymond

    ## image1.jpeg

    **## WK3BLOGTELE.docx**

    Blog: How Has Nursing Informatics and Technology Impacted Your Practice?

    ![A person looking at an x-ray AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-3-resp-blog)

    For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883248)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883261)

    To Prepare

    · Consider your nursing background and professional interests as you view the video.

    · What potential skills, knowledge, or competencies to ensure quality of care and safety improvements, might you need to develop for your healthcare organization or nursing practice to ensure continued quality care and safety?

    By Day 3 of Week 3

    **Post** a blog to address the following:

    · Explore the pivotal role of informatics competencies in enhancing the quality of care and safety in your nursing practice.

    By Day 6 of Week 3

    **Read** a selection of your colleagues’ blog posts and
    **respond** to
    **at least two** of your colleagues on
    **two different days** by expanding upon their responses or sharing additional or alternative perspectives.

    RESPOND TO THIS DISCUSSION POST

    Madeleine

    **The Pivotal Role of Informatics Competencies in Nursing: Ensuring Quality and Safety in the Digital Era**

    Over the recent years, digital technology integration has radically transformed the nursing profession. Nurses are now working in a complex, data-driven environment, from the use of electronic health records (EHRs) to telehealth platforms and clinical decision support systems. Not only have these changes streamlined workflows and enhanced access to information, but also changed the way safe, high-quality care is provided. Being a nurse by background and having an interest in both patient safety and quality improvement, I have personally witnessed how digital tools can be both an enabler and a challenge. Technology has great potential to raise the bar on patient care, but it comes with a new set of skills and competencies, especially in the area of nursing informatics (Isidori et al., 2022).

    **The Expanding Impact of Digital Technology on Nursing**

    Today, digital technology permeates every nursing practice. EHRs provide real-time access to patient histories and reduce the chances of errors, and allow for more coordinated care. Telehealth platforms remove geographic barriers and permit patients to consult and then receive follow-up care in a timely fashion. Smart infusion pumps and barcode medication administration systems are even helping prevent medication errors and adverse events, even at the bedside. That means nurses now have to be clinically skilled but also comfortable with data, devices, and software systems. However, nursing is evolving, and the importance of informatics competencies (the skills of using, analyzing, and interpreting health information) cannot be overemphasized (Kemp et al., 2025).

    **Essential Informatics Competencies for Nurses**

    As nurses deliver safe and effective care in a digital landscape, they need to develop several informatics competencies according to Kleib et al. (2021), including:

    · Data Literacy: How to collect, interpret, and apply patient data is important. Nurses have to be able to document accurately, identify trends, and utilize data to make clinical decisions.

    · Nurses should be proficient with EHR and other clinical systems, accurate documentation, timely documentation, and documentation that is retrievable.

    · Patient data is stored electronically, and nurses need to abide by best practices to maintain privacy and confidentiality, and also take into consideration the risk of breaches or unauthorized access.

    · Familiarity with tools that provide evidence-based recommendations can be used to support safer medication administration, diagnostic processes, and care planning.

    · Continuous learning and adaptability: Nurses are required to keep learning new things and be adaptable to the new systems and processes as technology continues to evolve.

    **Ensuring Quality and Safety Through Informatics**

    Informatics competencies are not only technical proficiency, they are ensuring that technology does not interfere with but enhances quality of care. With this confidence in digital systems, nurses are more able to catch potential errors, communicate effectively with interdisciplinary teams and advocate for patient safety. Supporting nurses in developing these competencies is important for healthcare organizations. Structured training, mentorship and a culture that is open to feedback and learning can help do this. Nurses in the process of developing their informatics skills become important partners in system improvement, patient safety, and organizational change (Wynn et al., 2023).

    **Conclusion**

    Overall, nurses need to develop informatics competencies in order to manage in the digital healthcare environment. Strengthening these skills will help nurses improve patient safety, provide quality care, and guide the advancement of technology with confidence that will benefit the patients and the healthcare system as a whole.

    **References**

    Isidori, V., Diamanti, F., Gios, L., Malfatti, G., Nicolini, A., Perini, F., Forti, S., Gaudino, A., Brancorsini, S., Bizzarri, G., Fraschini, F., & Longhini, J. (2022). Digital technologies and the role of healthcare professionals: A scoping review exploring nurses’ skills in the digital era and in light of the Covid-19 pandemic. (Preprint).
    _JMIR Nursing_,
    _5_(1).
    [https://doi.org/10.2196/37631Links to an external site.](https://doi.org/10.2196/37631)

    Kemp, M., Rising, K. L., Laynor, G., Miao, J., Worster, B., Chang, A. M., Monick, A. J., Guth, A., Camacho, T. E., McIntosh, K., Amadio, G., Shughart, L., Hsiao, T., & Leader, A. E. (2025). Barriers to telehealth uptake and use: a scoping review.
    _JAMIA Open_,
    _8_(2).
    [https://doi.org/10.1093/jamiaopen/ooaf019Links to an external site.](https://doi.org/10.1093/jamiaopen/ooaf019)

    Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021). Approaches for defining and assessing nursing informatics competencies.
    _JBI Evidence Synthesis_,
    _19_(4), 794–841.
    [https://doi.org/10.11124/jbies-20-00100Links to an external site.](https://doi.org/10.11124/jbies-20-00100)

    Wynn, M., Garwood‐Cross, L., Vasilica, C., Griffiths, M., Heaslip, V., & Phillips, N. (2023). Digitizing nursing: A theoretical and holistic exploration to understand the adoption and use of digital technologies by nurses.
    _Journal of Advanced Nursing_,
    _79_(10).
    [https://doi.org/10.1111/jan.15810Links to an external site.](https://doi.org/10.1111/jan.15810)

    · Expand discussion thread from Madeleine Raymond

    ## image1.jpeg

  • [Solved] The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patie…

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    $6.99

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    Assignment Prompt & Instructions

    In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?
    Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.
    **To Prepare:**
    – Review the concepts of technology application as presented in the Resources.
    – Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
    **The Assignment: (4-5 pages not including the title and reference page)**
    In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:
    – Describe the project you propose.
    – Identify the stakeholders impacted by this project.
    – Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
    – Identify the technologies required to implement this project and explain why.
    – Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
    – Use APA format and include a title page and reference page.
    – Use the Turnitin Drafts to check your match percentage before submitting your work.
    ### **Resources**
    – McGonigle, D., & Mastrian, K. G. (2022). _Nursing informatics and the foundation of knowledge_  (5th ed.). Jones & Bartlett Learning.
    – Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)
    – Chapter 26, “Our Expanding Realities” (pp. 611–624)
    – Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: [The Role of Executive LeadershipLinks to an external site.](https://openathens.ovid.com/OAKeystone/deeplink?idpselect=https://idp.waldenu.edu/openathens&entityID=https://idp.waldenu.edu/openathens&T=JS&PAGE=fulltext&D=ovft&CSC=Y&NEWS=N&SEARCH=00005110-201911000-00008.an). _JONA: The Journal of Nursing Administration_ , _49_ (11), 543-548.
    – Ng, Y. C., Alexander, S., & Frith, K. H. (2018). [Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=edo&AN=129504929&site=eds-live&scope=site&authtype=shib&custid=s6527200): Expanding Opportunities for Nurse Participation in Population Health. _CIN: Computers, Informatics, Nursing_ , _36_ (5), 209-213.
    – Sipes, C. (2016). Project management: [Essential skill of nurse informaticistsLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=EPTOC116422561&site=eds-live&scope=site&authtype=shib&custid=s6527200). _Studies in Health Technology and Informatics, 225_ , 252-256.
    \
    Module2_Week4_Assignment.pdf](https://www.sweetstudy.com/files/module2-week4-assignment-pdf "Module2_Week4_Assignment.pdf")

  • [Solved] WK 2 Assign

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – ## WK2AssignTele.docx **## WK2AssignTele.docx** DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-2-assign-20921451) You will use project management tools and strateg…

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    Assignment Prompt & Instructions

    – ## WK2AssignTele.docx

    **## WK2AssignTele.docx**

    DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION

    ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-2-assign-20921451)

    You will use project management tools and strategies to propose how you would support and potentially implement a nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define an informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, a proposed informatics project.

    To Prepare

    · Continue working with a manager, or consider how you will work with a manager, to design a proposed informatics project for your organization.

    By Day 7 of Week 6

    Continue working on the Scope, Charter, and SWOT analysis as assigned thus far. You will add Gap, WBS, Project Timeline in the coming weeks to be submitted in
    **Week 6**.

    For Week 2, conduct a SWOT analysis.

    ·
    **Project Design**: Conduct a SWOT analysis which will provide information for the Scope and Charter. You can use a Word document and insert a table. Directions can be viewed in the video,
    _How to Perform a SWOT Analysis_ . Some of the content is relevant to both the project for this course as well as organization for your DNP Project or dissertation. Overall, the first step for any project, work, or your DNP Project/dissertation requires a plan: what you will and will not do. That information is defined in a project scope and charter.

    You are not
    **required** to submit this assignment this week, however, it will be helpful to incorporate Instructor feedback before the Final Project submission in Week 6.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883188)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883198)

    ## image1.jpeg

    **## WK2AssignTele.docx**

    DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION

    ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-2-assign-20921451)

    You will use project management tools and strategies to propose how you would support and potentially implement a nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define an informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design, a proposed informatics project.

    To Prepare

    · Continue working with a manager, or consider how you will work with a manager, to design a proposed informatics project for your organization.

    By Day 7 of Week 6

    Continue working on the Scope, Charter, and SWOT analysis as assigned thus far. You will add Gap, WBS, Project Timeline in the coming weeks to be submitted in
    **Week 6**.

    For Week 2, conduct a SWOT analysis.

    ·
    **Project Design**: Conduct a SWOT analysis which will provide information for the Scope and Charter. You can use a Word document and insert a table. Directions can be viewed in the video,
    _How to Perform a SWOT Analysis_ . Some of the content is relevant to both the project for this course as well as organization for your DNP Project or dissertation. Overall, the first step for any project, work, or your DNP Project/dissertation requires a plan: what you will and will not do. That information is defined in a project scope and charter.

    You are not
    **required** to submit this assignment this week, however, it will be helpful to incorporate Instructor feedback before the Final Project submission in Week 6.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883188)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883198)

    ## image1.jpeg

  • [Solved] WK1 ASSIGNMENT HP-212

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    FILL IN THE BLANK – ## WK1ASSIGNMENTHP-212.rtf **## WK1ASSIGNMENTHP-212.rtf** 1) The complexity and intensity of procedures performed and services provided during an outpatient or physician office encounter are captured as part of fill in blank coding. 2) The intensity of services and severity of il…

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    Assignment Prompt & Instructions

    FILL IN THE BLANK

    – ## WK1ASSIGNMENTHP-212.rtf

    **## WK1ASSIGNMENTHP-212.rtf**

    1) The complexity and intensity of procedures performed and services provided during an outpatient or physician office encounter are captured as part of fill in blank coding.

    2) The intensity of services and severity of illness associated with inpatient care are captured as part of

    Fill in blank (or facility) coding.

    3) When a multi-hospital system provides physician office services along with traditional inpatient, outpatient, and emergency department hospital care, the concept of

    Fill in  coding is adopted to facilitate professional and institutional billing.

    4)A profession that is closely related to that of a coder is a health  fill in

    specialist (or claims examiner). This role involves reviewing health-related claims to determine whether the costs are reasonable and medically necessary based on the patient's diagnosis reported for procedures performed and services provided.

    **## WK1ASSIGNMENTHP-212.rtf**

    1) The complexity and intensity of procedures performed and services provided during an outpatient or physician office encounter are captured as part of fill in blank coding.

    2) The intensity of services and severity of illness associated with inpatient care are captured as part of

    Fill in blank (or facility) coding.

    3) When a multi-hospital system provides physician office services along with traditional inpatient, outpatient, and emergency department hospital care, the concept of

    Fill in  coding is adopted to facilitate professional and institutional billing.

    4)A profession that is closely related to that of a coder is a health  fill in

    specialist (or claims examiner). This role involves reviewing health-related claims to determine whether the costs are reasonable and medically necessary based on the patient's diagnosis reported for procedures performed and services provided.

  • [Solved] WK 3 Assign

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – ## WK3AssignTele.docx **## WK3AssignTele.docx** DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION (CONTINUED) ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-3-assign-20921455) You will use project management tools…

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    $6.99

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    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – ## WK3AssignTele.docx

    **## WK3AssignTele.docx**

    DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION (CONTINUED)

    ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-3-assign-20921455)

    You will use project management tools and strategies to propose how you would support and potentially implement a nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define an informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design a proposed informatics project.

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the past 2 weeks.

    **For Week 3,** complete the following:

    · Create a visual using the Gap Analysis map of the identified gap, documenting the flow from the point of origin to the destination. After watching the YouTube video, “How to do a GAP Analysis” media piece in this week’s Learning Resources, identify the gap and analyze the flow or lack of flow of information as the gap in a process.

    · Create a Work Breakdown Structure (WBS) using PowerPoint slides or another method. Be sure to review the media piece,
    _What Is a Work Breakdown Structure?_ in this week’s Learning Resources.

    · Create a Project Timeline using a Gantt chart
    _,_ which defines who is responsible, due dates to start /finish activities. (You might also use this as you track your dissertation IRB submission for your proposal). You can find an example on pp. 95–96 of the course text, using PowerPoint slides or another method. Be sure to review the
    _Gantt Charts, Simplified_ media piece in this week’s Learning Resources.

    By Day 7 of Week 6

    These three planning documents will be added to the three design and planning documents from Weeks 1 and 2
    **(totaling six tools)** and kept current/updated as you develop this project.

    You are not
    **required** to submit this assignment this week, however, it will be helpful to incorporate Instructor feedback before the Final Project submission in Week 6.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883248)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883261)

    To Prepare

    · Consider your nursing background and professional interests as you view the video.

    · What potential skills, knowledge, or competencies to ensure quality of care and safety improvements, might you need to develop for your healthcare organization or nursing practice to ensure continued quality care and safety?

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883239)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    ## image1.jpeg

    **## WK3AssignTele.docx**

    DESIGNING A NURSING INFORMATICS PROJECT FOR YOUR ORGANIZATION (CONTINUED)

    ![A person looking at a computer screen AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-3-assign-20921455)

    You will use project management tools and strategies to propose how you would support and potentially implement a nursing informatics project. While you may not have the opportunity to implement this proposed project, this project will allow you to apply the skills needed and the considerations that are required in deducing how a project of this scope might take place in your nursing practice. To complete this project, you will define an informatics project that would be beneficial to your healthcare organization or nursing practice. You can discuss this with upper leadership, in your practice or organization, explaining that you will need to design a proposed informatics project.

    This week, you will continue working on the Scope, Charter, and SWOT Analysis that you have been working on throughout the past 2 weeks.

    **For Week 3,** complete the following:

    · Create a visual using the Gap Analysis map of the identified gap, documenting the flow from the point of origin to the destination. After watching the YouTube video, “How to do a GAP Analysis” media piece in this week’s Learning Resources, identify the gap and analyze the flow or lack of flow of information as the gap in a process.

    · Create a Work Breakdown Structure (WBS) using PowerPoint slides or another method. Be sure to review the media piece,
    _What Is a Work Breakdown Structure?_ in this week’s Learning Resources.

    · Create a Project Timeline using a Gantt chart
    _,_ which defines who is responsible, due dates to start /finish activities. (You might also use this as you track your dissertation IRB submission for your proposal). You can find an example on pp. 95–96 of the course text, using PowerPoint slides or another method. Be sure to review the
    _Gantt Charts, Simplified_ media piece in this week’s Learning Resources.

    By Day 7 of Week 6

    These three planning documents will be added to the three design and planning documents from Weeks 1 and 2
    **(totaling six tools)** and kept current/updated as you develop this project.

    You are not
    **required** to submit this assignment this week, however, it will be helpful to incorporate Instructor feedback before the Final Project submission in Week 6.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    Learning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Evolution of Nursing Informatics Competencies” (pp. 37–41)

    · “The Future of Nursing Informatics” (pp. 52–62)

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)

    · American Hospital Association. (n.d.).
    [_Innovative models of care delivery: Addressing transitions across the care continuumLinks to an external site._](https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf) . https://www.aha.org/system/files/media/file/2019/05/Innovative-Models-of-Care.pdf

    · Guest in VSee. (2020).
    [_7 ways technology is transforming the nursing field_ Links to an external site.](https://vsee.com/blog/technology-transforming-nursing-field). VSee.com. https://vsee.com/blog/technology-transforming-nursing-field

    · The Medical Futurist. (2020).
    [_10 ways technology is changing healthcare_ Links to an external site.](https://medicalfuturist.com/ten-ways-technology-changing-healthcare/). https://medicalfuturist.com/ten-ways-technology-changing-healthcare/

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Schade, M. (2016, January 11).
    [_How to do a GAP Analysis_ Links to an external site.](https://www.youtube.com/watch?v=8xXReyiFtBY). [Video]. YouTube. https://www.youtube.com/watch?v=8xXReyiFtBY

    · Project Manager. (2014, June 2).
    [_What is a work breakdown structureLinks to an external site._](https://www.youtube.com/watch?v=wEWhnodF6ig) _?_ [Video]. YouTube. https://www.youtube.com/watch?v=wEWhnodF6ig

    · Project Manager. (2016, March 11).
    [_Gantt Charts, Simplified – The Project Management TrainingLinks to an external site._](https://www.youtube.com/watch?v=cGkHjby1xKM) _._ [Video]. YouTube. https://www.youtube.com/watch?v=cGkHjby1xKM

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-3-learning-resources?module_item_id=6883256)

    · Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
    [Application of project management tools and techniques to support nursing intervention researchLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://www.sciencedirect.com/science/article/pii/S0029655419304476?via%3Dihub).
    _Nursing Outlook, 68_ (4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883248)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883261)

    To Prepare

    · Consider your nursing background and professional interests as you view the video.

    · What potential skills, knowledge, or competencies to ensure quality of care and safety improvements, might you need to develop for your healthcare organization or nursing practice to ensure continued quality care and safety?

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883239)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883256)

    ## image1.jpeg

  • [Solved] see below

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    In-depth study guidance and analytical solution covering see below.

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.