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

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.

With the continuous introduction of challenging problems within healthcare, nurse leaders must assume the role of implementing innovative care models. Utilizing technology within healthcare has the ability to provide improved care while decreasing cost, so driving policy change to incorporate further technology is essential. Nurse leaders can do this by acting as a change agent. First, nurse leaders must create an environment that is ready and willing to change (Handzel, 2021). This can be done by sharing ideas, listening to opinions from others, involving a team approach, and acting authentically. Additionally, nurse leaders must investigate levels of risk, barriers, short-term goals, and long-term goals. Once these models have been implemented, the nurse leader has the responsibility to reflect on the outcome of the change and make further changes as appropriate.

Emerging technologies such as consumer, mobile, and telehealth technologies have significantly impacted patient care and the storage of health information. One of the most significant impacts has been the ability to provide patients with greater access to healthcare services through telehealth technologies, such as remote patient monitoring and virtual consultations. The above observation enables patients to receive medical care and advice from the comfort of their own homes, which can be especially beneficial for those who live in rural or remote areas or for those who have mobility issues.

Mobile technologies also play a significant role in patient care. Many healthcare providers now offer mobile apps that allow patients to access their health records, schedule appointments, and communicate with their healthcare providers (Vyas et al., 2022). This can improve patient engagement and help patients take a more active role in managing their health. Consumer technologies, such as wearable devices, also play a role in patient care by providing patients with real-time data about their health and activity levels. This can help patients identify patterns and trends that may indicate a need for medical attention, and it can also help healthcare providers monitor patients’ progress with chronic conditions.

Regarding health information storage, these technologies have made it easier for healthcare providers to collect and store patient data, but they also raise concerns about data security and privacy. Electronic health records (EHRs) have been widely adopted in healthcare organizations and allow for more efficient and accurate sharing of patient information among providers (Vyas et al., 2022). However, issues with data breaches, hacking and cyber security still need to be addressed. Overall, emerging technologies can improve patient care and the storage of health information, but it is also essential to consider the potential risks and challenges.

One ethical or legal issue related to EHRs that can impact a registered nursing practice is the issue of patient privacy and confidentiality. Electronic Health Records (EHRs) contain sensitive personal and medical information, and if not properly secured, this information can be accessed, shared, or stolen by unauthorized individuals. This can lead to patient privacy and confidentiality breaches, which can have serious legal and ethical consequences for the nursing practice. To address this issue, nursing practices must ensure that their EHR systems are adequately secured and that all staff is trained on the importance of maintaining patient privacy and confidentiality. They must also comply with federal and state laws and regulations governing the handling and security of personal health information.

One measure that can be implemented to protect patient privacy and confidentiality in accordance with HIPAA is implementing secure communication methods, such as using encryption when sending electronically protected health information (ePHI) and ensuring that any third-party service providers have appropriate safeguards in place to protect ePHI.


Vyas, S., Bhargava, D., Bhola, J., Ujjan, J. A., Eswaran, S., & Rahmani, A. W. (2022). Critical retrospection of performance of emerging mobile technologies in health data management. Journal of Healthcare Engineering2022.

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.

Health Insurance Portability and Accountability Act (HIPAA), Protected Health Information (PHI), and requirements for privacy and confidentiality in Electronic Health Records (EHRs) have become critical issues and a requirement of deep knowledge from the healthcare professionals using them since 1996 (DeNisco & Barker, 2019). “To protect the privacy and security of health information, two sets of federal regulations were implemented (McGonigle & Mastrian, 2022).” With the HIPAA privacy rule, patients are able to expect that healthcare professionals are maintain strict privacy and limit the use and knowledge of their private health information to only people that are part of the treating team. With the Security Rule, the healthcare provider treating the are required to protect their patients’ private health information from inappropriate use or exposure, preserve the integrity of the knowledge, and guarantee its availability (McGonigle & Mastrian, 2022). Ethical and legal concerns are easy to come by when a healthcare team member unintentionally or intentionally share this PHI when they are not supposed to. In nursing one ethical issues that we are held to is autonomy, which could be compromised if the patients PHI is shared to someone not involved in the care and without their consent or understanding (McGonigle & Mastrian, 2022). Legal concerns could be many with HIPAA and PHI on EHRs, but a breach in either of these could mean fines or even jail time, as they are considered very serious offenses (McGonigle & Mastrian, 2022). Measures that I can take in my own practice to protect patient confidentiality is simple: 1) When walking away from the computer, make sure my screen is logged off, so no one can see information that is not intended for them, 2) Never share my password with another individual, 3) Never share private medical information with a caregiver who is not directly involved in the patients care, 4) When sending secure patient information over email, use least amount of identifying patient information possible, such as MRN, and use the secure email functions and identifiers.

DeNisco, S. M., & Barker, A. M. (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570

McGonigle, D., & Mastrian, K. G. (2022). Nursing Informatics and the foundation of knowledge. Jones & Bartlett Learning.


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).

Read also: NUR 514 Organizational Leadership and Informatics Week 1 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 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.