NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
The introduction for the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
After the introduction, move into the main part of the NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.
The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.
As you review this scenario, reflect and answer these questions for this discussion.
- What are the pros and cons of the situation in the case study?
- What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
- Do you agree or disagree with this process?
- What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.
What are the pros and cons of the situation in the case study?
A patient has access to some of their medical data as entered by their healthcare provider via their Personal Health Record (PHR) (Hebda, Hunter, & Czar, 2019, p. 113). The pros of PHRs are that the patient can communicate with their provider as well as have access some of their medical records, therefore allowing the patient to be more aware and involved in their care. The cons for this situation are that the patient was not able to access their full medical records. The fact that the patient was only able to access a portion of her lab results can make the patient more apprehensive about what they weren’t able to see. I believe this can cause the patient to speculate more about what the possible missing results are.
What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
In order to access one’s own PHR portal, the individual most first sign multiple waivers at their healthcare provider’s facility. Usually this includes a Health Insurance Portability and Accountability Act (HIPAA) disclosure and a waiver from the application or program used to access the PHR (Lester, Boateng, Studeny, & Coustasse, 2016). Once the waivers have been signed, the patient then selects a username and password using security questions and a personal email.
Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?
I agree with the current practices used for patients to obtain PHRs. I appreciate that this is optional for patients, and not the only way to access these records. There is still a population of patients who wish to keep track of their medical records in paper form instead of electronically. In the future, I believe technology will advance to where all medical records can be added to a universal database that is accessible by patients and healthcare providers from different institutions, seamlessly.
What are challenges for patients that do not have access to all of the PHRs? Remember, only portions of the EHRs are typically included in the PHRs.
The challenge for patients that do not have access to all of the PHRs is that all information that is a part of their Electronic Health Record (EHR) does not automatically become a part of their PHR. This situation highlights the worst part of PHRs, which is that separate institutions do not share results and medical records automatically. PHR databases are not perfect and may not include the complete results and reports, which can be troublesome. For patients who want complete medical records, they should stick with old-fashioned paper copies of their medical records.
References
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
Lester, M., Boateng, S., Studeny, J., & Coustasse, A. (2016). Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers?. Perspectives in health information management, 13 (Spring), 1h.
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Sample Answer 2 for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
The pros of this case study is the fact the patient was able to go home and access and engage in her healthcare. The patient was able to have the resources in order to obtain this information from the comfort of her home. The cons of this case study was the fact she was only able to access only a portion of her lab work and that caused confusion for her and made her reach out to the physician’s office.
Hebda, Hunter & Czar, (2019) stated that the stage one in meaningful use guidelines expend the door for consumers to gain access to their EHRs (p.383). In order for this to be possible safeguards like username with passwords, security questions, identity questions, certain PINS and even MRN numbers are put in place for security and privacy purposes. These safeguards make it safe and confidential for patients to access their PHI without being in a physician’s office or building.
According to Giddens (2017), transformation of health care is enabled by the future of health information technology and informatics (p.489). For better patient outcomes, patients should completely have access to their PHI. I agree with how they can gain access because it will help them be involve fully with their care. They could take their time looking over labs and notes at home instead of being in an environment where it can be time-limited. I myself as a patient like. the fact I can go home and see results from tests and lab draws so that if I have any concerns or questions I can be prepared at the next visit or call if urgent.
Challenges for patients who do not have access for all their PHI could cause further confusion with their care plan. They don’t have the pieces so they could assume the worse or take it lightly if it is something more serious in their condition. They could have a lack of perceived benefit from not being able to have all the portions of their PHI. This will require further education for the patient by the providers in their care plan. As time allow, hopefully there will be more access for patients to view everything in their PHI no matter what organization gave them care.
References
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.
Giddens, J. (2017). Concepts for Nursing Practice (2nd ed.). St.Louis, MO: Elsevier
Sample Answer 3 for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What?
The only pro of the case study is that she can only pull a portion of her labs. At least she has part of what she needs to review with her family. The other portions are with the emergency room and the other associated lab so at least she’ll know who to call and talk to and try to get her results. The con is now trying to navigate with each of the organizations to try and get her results. I’ve heard from patients the things they have to go through to get labs sent to them. Filing paperwork, paying process fees, and still having to pay to have them mailed as well. Per our assigned book, the quest to have one unified software application that would search, and compile records has gone unanswered.
Some of the safeguards for PHR’s mentioned by our textbook is to improve the quality and safety of patient care through improving accuracy and overall completeness of patient care information, enhancing coordination of care between different organizations, it can also flag dangerous drug interactions, verify medications ordered by healthcare providers, and help with the reduction of unnecessary procedures and tests.
I do not agree with the way records are obtained. The patient has to jump through many loops and navigate different offices just for simple information. It should be as simple as signing a release and having what you need in a few minutes. I’ve experienced this before and I’m many of us as well. Calling different people and having in turn to call tell you, you have to talk to someone else is irritating. With only having access to a portion of your results, it can lead to anxiety and stress for a patient. Also, the healthcare providers are facing challenges in trying to access the patient’s information as well. Which can lead to unnecessary exams and tests as I stated earlier.
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.