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NUR 514- Organizational Leadership and Informatics Week 7 Discussion

NUR 514- Organizational Leadership and Informatics Week 7 Discussion

NUR 514- Organizational Leadership and Informatics Week 7 Discussion

DQ1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.

The American Nursing Informatics Association (ANIA) has numerous resources for nurses that work in informatics. Like many other nursing associations, there are benefits to being a member. On the home page for ANIA, it states that being a member provides resources such as access to the journal of informatics nursing, networking within the specialty, posting for informatic nursing jobs, and discounts on other valuable organizations to build careers in informatics (American Nursing Informatics Association (ANIA, 2021). To support informatics nurses, the organization partners with leading organizations such as American Medical Informatics, The alliance for nursing informatics, Vanderbilt, Philips, and Ebsco Health (ANIA, 2021). By partnering with leading organizations in nursing, the ANIA can provide educational, research, and innovation opportunities and networking. Finally, the organization offers a certification review course for the Informatics Nurse certification from the ANCC. Overall, advanced practice nurses need to join an association related to their field to expand their knowledge and collaborate with others within the community.

DQ2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

According to Shindell (2016) HIPPA provides privacy for oral, written, and electronic health information with two rules that govern privacy and security. He says the privacy rule focuses on an individual’s right to control the use of personal health information. The security rule refers to a healthcare provider’s responsibility to prevent unauthorized disclosure, destruction, or loss of electronic protected health information (Shindell, 2016).

An ethical issue would be a provider leaving their unencrypted laptop on their desk and it gets stolen. Thieves can now access patient’s insurance information to gain health services or medical benefit in another person’s name with the victim risking incorrect information being placed in their actual medical records. The person who took the computer now has access to the patient’s social security numbers, health insurance information, financial information, disability codes and much more (Shindell, 2016).

 

When providers are practicing telehealth it is critical that they give special consideration to patient’s privacy and confidentiality. Informed consent releases to receive telehealth services are a vital first step. Informed consent should be treated as a process and not just a one time event. This consent should be obtained from all persons living in the home due to potential privacy considerations (McGonigle & Mastrian, 2018).

 

In order to provide protection and privacy for patient’s, efforts must be made by agencies to upgrade their information systems to always have that highest level of data security. All providers must adhere to all data privacy and confidentiality guidelines and be sure all staff is trained in privacy and confidentiality. It’s also important the patient’s know their medical information will be secured over telephone or communication lines (McGonigle & Mastrian, 2018).

McGonigle & Mastrian (2018). Nursing Informatics and the Foundation of Knowledge. (4th ed).

 

Shindell, R (2016). Hippocrates & HIPPA: What’s the Ethical Involvement? www.hmpgloballearningnetwork.com

As many have expressed, EHRs are a major part of the healthcare industry. Many providers, hospitals, clinics, and urgent cares utilize a EHR system. One ethical concern of an EHR system is the risk of confidentiality. While used appropriately, the EHR system is a benefit to both the patient and the provider, but one ethical concern is the risk of hackers or non-participating staff having access to confidential information. In the past, I worked in Labor and Delivery. This area can have a lot of private information such as someone is currently in labor, test results, concerns with baby, etc. I have seen the repercussions of someone accessing private information, telling a family member, and the staff’s family member came up to the hospital hoping to see the patient. The family member of the staff was unwanted in the hospital setting and the patient was upset their private information was spread. Additionally, this situation could also be a legal concern. The patient has a right to privacy and private information should not be spread to others without consent. Another legal concern is nurses entering false information to bypass the EHR system. Many nurses learn workarounds to get the desired effect. The concern is when false information is placed in a patient’s chart. This follows the patient and may be the reason for a denial in the future (McBride et al., 2018).

As an advanced practice nurse, I feel education is one of the most important aspects in this role. It is important for advanced practice nurses to educate the staff on safety protocols such as making sure their computer is locked when they are away, keeping their passwords private, and keeping up to date on safety protocols. Also, it is important for nurses to educate their patients on the potential of access to information and ways to protect their information. While technology continues to be a great benefit to the healthcare industry, it does come with multiple concerns.

Reference

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. The Online Journal of Issues in Nursing, 23(1).

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

NUR 514- Organizational Leadership and Informatics Week 7 Discussion
NUR 514- Organizational Leadership and Informatics Week 7 Discussion

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Also Read: NUR 514 Organizational Leadership and Informatics Week 6 Discussion 

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.