Category: Nursing

Safe Prescribing DEA PMHNP essay assignment example

Assignment : Safe Prescribing

1. Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.

2. Explain your responsibilities when having a DEA number.

3. Explain how you apply for a DEA number.

4. Explain MARYLAND state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements. Safe Prescribing DEA PMHNP essay assignment example.

5. Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

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Safe Prescribing

The Food and Drug Administration oversees the Drug Enforcement Administration. Drug Enforcement Administration (DEA) was founded in 1973 for the enforcement of controlled substances. The DEA protect the safety of the public within the United States. They help to make sure that drugs are not misused for an illicit purpose. In the US there are over 6 million prescription drug abusers (DEA, n.d.). Controlled substances are categorized into five schedules which are schedule I, II, III IV and V.   Schedule I have the highest potential for abuse and as the schedule number gets higher the potential for abuse gets lower. Safe Prescribing DEA PMHNP essay assignment example.

Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP                                                    

A nurse practitioner that is board certified and caring for patient must be licensed and DEA certified to prescribe control substance. The DEA work with practitioners to prevent drugs diversion for an illicit purpose. The DEA work with state professional licensing boards, local and state law enforcement authorities to guarantee controlled substances are prescribed, administered and distributed for authentic medical reasons, according to the federal and state laws. Safe Prescribing DEA PMHNP essay assignment example.

The DEA can investigate practitioner at any time if there is any suspicion of violations of federal or state law. At any time, there is a violation, the state board withdraws the practitioner license, and the DEA will make sure that the practitioner voluntarily surrenders their DEA registration. A lack of compliance requires corrective action, for example, administrative action or in extraordinary cases, civil, or criminal act. These actions are taken to stop the practitioner the ability to divert or abusing controlled substances and protect the health and safety of the public. Safe Prescribing DEA PMHNP essay assignment example.

T
he PMNHP responsibilities when having a DEA number

As a practitioner, it is important to proper prescribe, administer, and distribute controlled substances because can affect patients’ health and the safety of the public. Practitioners must prescribe substance-controlled medication as authorized by the state in which they practice. Safe Prescribing DEA PMHNP essay assignment example. The practitioner acts only within the scope of employment in the institution where they work. The practitioner prescribes medication under the employer registration and is assigns a specific internal code as authorized by their employer (DEA, n.d.).

As a practitioner, it is essential to keep all prescription blanks in a safe place. It is crucial to writing out the exact amount of prescription to prevent altercations of the prescription order. Prescription blanks should not be used as notes. It is significant to assist the pharmacist when they call to verify the prescription order. It is important not to sign a blank prescription pad in advance and use a tamper-resistant prescription pad. Safe Prescribing DEA PMHNP essay assignment example. The practitioner should be careful not to be manipulated by drug-abuser. Drugs diversion may result in drug overdose, drug- related emergency room visits, drug addictions and death. All suspicious prescription activities should be reported to the nearest DEA office immediately.

                                          Explain how you apply for a DEA number

A practitioner is required by their state and DEA to apply for a DEA number by registering using DEA form 224. It can be done online or hard copy or mailed. The phone is 1-800-882-9539, and the online websites are www.DEAdiversion.usdoj.gov. and cost about $700 (DEA, n.d.).

An active license for the state of practice is required. The online registration consists of six-part which are Personal/ business information, Activity, state license, background information, payment, and confirmation. It is crucial to know that the application fees are not refundable. Safe Prescribing DEA PMHNP essay assignment example. For online application take note of the registration ID number and call after three business days to verify if the application has been approved.

Anybody who purposely or intentionally furnishes false or deceitful data in the form is liable to a term of detainment of not over four years, and a fine under Title 18 of not more than $250,000, or both (DEA, n.d.).

Explain your state’s requirements for a safe prescribing and prescription monitoring

     program. Explain your responsibility as a PMHNP to follow these requirements.

All practitioner in Maryland must be registered with Prescription Drug Monitoring Program. It helps the state to monitor prevent diversion of substance medication. As a practitioner is mandatory to follow the requirement of the state to prevent any civil or criminal charge or suspension of license. A nurse practitioner must comply with the state law of Health Occupations Article, §12-505, Annotated Code of Maryland, record the order of the prescription drug on the patient’s chart, permit the division of drug control to enter and review the practitioner office at any time. Safe Prescribing DEA PMHNP essay assignment example. A practitioner is required to stamp all schedule III, IV, V prescription with the letter “C’ in a red link (MBON, 2017). Only starter dosages or samples medication without charges, furnish the patient with a written prescription order. A practitioner should maintain two separate records one for schedule II medication and the other for other prescription and keep records for five years. The practitioner can prepare and distribute a starter dosage of any drug they want as authorized and record it in the patient chart. Safe Prescribing DEA PMHNP essay assignment example.

Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

The Schedule II drug levels have a high possibility for abuse which may lead to severe physical or psychological dependence. There is no federal time limit to numbers of drugs prescribed. Safe Prescribing DEA PMHNP essay assignment example. An oral order can be given in an emergency situation. Examples of Schedule II narcotics are hydromorphone, oxycodone and methylphenidate (Gabay, 2013).

Schedule III-Substances have a lesser potential for abuse than schedule I or II with moderate physical and psychological dependence. Example is buprenorphine (Gabay, 2013).

  Schedule IV- is a controlled substance with a little potential for abuse than schedule I, II and III. Example is Tramadol, Ambien and clonazepam
(Gabay, 2013).

   Schedule V as the lowest potential for abuse of all and it contain limited number of certain narcotics. Example Lyrica and Robitussin AC
(Gabay, 2013). Safe Prescribing DEA PMHNP essay assignment example.

 

References

Drug Enforcement Administration (n.d.). Drug Scheduling. Retrieved on September 23, 2018.https://www.dea.gov/drug-scheduling

Gabay, M. (2013). Federal Controlled Substances Act: Controlled Substances Prescriptions. Hospital Pharmacy, 48(8), 644–645. Retrieved on September 23, 2018   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847977/. Safe Prescribing DEA PMHNP essay assignment example.

Maryland Board of Nursing (2017). Division of State Documents. Retrieved on September 23, 2018.
https://mbon.maryland.gov/Pages/advanced-practice-index.aspx

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology
(5th ed.). New York, NY: Cambridge University Press.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Safe Prescribing DEA PMHNP essay assignment example.

Antisocial Personality Disorder essay research case study example

Assignment : Antisocial Personality Disorder

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:

Evaluate clients for treatment of mental health disorders

Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Antisocial Personality Disorder essay research case study example

THE CASE STUDY

Antisocial Personality Disorder

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BACKGROUND

SUBJECTIVE

Rhonda is a 32-year-old Hispanic female who presents to your office for her initial appointment. When you ask what brought her to your office, she states: “I’m at the end of my rope, I don’t know what else to do.” She then bursts into tears. Rhonda explains that she has very few friends left, and everyone seems to have “abandoned” her. Rhonda explains that she goes out of her way to help other people, and to be nice to them, but this does not seem to help.

Rhonda then stands up and begins to pace around your office at times using wild hand gestures to explain the circumstances that led up to her making the appointment with you. She describes the recent breakup with her boyfriend as traumatic and explains “when we first met, he was the best guy in the world. He treated me really well. But he just became a complete monster! Even though he broke off the relationship with me, I was glad to see it end. I hate his guts!” Antisocial Personality Disorder essay research case study example.

Rhonda explains that her current financial situation is also precarious. She states that she recently purchased an automobile, and is not certain how she is going to pay for it. She states that she had a car that was repossessed last year at that time, and that she borrowed some money from a friend to help pay for the car; the friend later turned around and accused her of theft. “It was my friend’s fault. She told me she would loan me the money and then backed out. I only took the money because she said she would loan it to me … people just can’t go back on their word like that when other people are counting on them.”

Rhonda reports that she was “always in trouble” as a kid. She states that people were always picking on her, to which she adds: “the other kids my age were just stupid. Antisocial Personality Disorder essay research case study example. They didn’t know how to have fun.” She says “I have always been impulsive, but it’s fun. Sometimes people can be such prudes … you only go around life once, so you have to make the best of it.”

OBJECTIVE

Rhonda is currently single. She has no children. Educationally, she had completed two semesters toward her bachelor of arts degree in fine arts. Rhonda currently works as a waitress at a local restaurant. She has held this job for about 2 weeks. Prior to this, Rhonda worked as a housekeeper for a local hotel chain. She states that she was fired from this job because her coworkers were jealous of her and “planted” evidence of her stealing from hotel patrons. She was also arrested for cashing checks under an alias, for which she spent 120 days in jail. Antisocial Personality Disorder essay research case study example.

Rhonda has a history of multiple incarcerations for offences ranging from larceny to possession of controlled substances to possession of an illegal firearm. She was also arrested several times for fighting and on at least one occasion, used a baseball bat to beat up a girl who she thought was trying to “set her up” with the police.

MENTAL STATUS EXAM

Rhonda is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. She reports her mood as “terrible!” Affect is labile and seems to change rapidly with the subject being discussed. Her eye contact is normal, but at times, she appears to stare at you. Rhonda is oriented to person, place, and time. She denies visual/auditory hallucinations, no overt paranoia or delusional thought processes noted. Rhonda denies any suicidal or homicidal ideation. Antisocial Personality Disorder essay research case study example.

.

Decision Point One

1. Diagnosis: Antisocial Personality Disorder

Decision Point Two

2.Refer to psychologist for psychological testing

RESULTS OF DECISION POINT TWO

– Client returns to clinic in four weeks

– The psychologist’s report indicates that a comprehensive psychological battery was performed for the purposes of diagnostic clarification. The end result suggested that Rhonda has traits of multiple personality disorders, but scores highest in antisocial personality traits, suggesting antisocial personality disorder. Antisocial Personality Disorder essay research case study example.

-When Rhonda returns to the office, you review the psychologist’s report with her. Rhonda seems upset, but also states “well, that’s why I am here, to get better … what do I need to do?”

Decision Point Three

3. Refer to group-based cognitive behavior therapy

Guidance to Student

Referral to a psychologist was appropriate for the purposes of diagnostic clarification. Psychological tests can help tease out the actual personality disorder that Rhonda has. In this case, Rhonda’s symptoms are most consistent with antisocial personality disorder, but as you can see, she has signs/symptoms of other personality disorders.

Of the available choices, group-based cognitive behavior therapy may be useful in treating individuals with this personality disorder, but all “improvement” in signs/symptoms should be met with great skepticism. Antisocial Personality Disorder essay research case study example.

Dialectical behavior therapy is ineffective in people with APD.

Beginning Latuda is not appropriate, as there are currently no FDA-approved medications to treat APD. Also, prescribing medications to someone with antisocial personality disorder could lead to misuse or diversion. Antisocial Personality Disorder essay research case study example.

The Assignment:

.

At each Decision Point, stop to complete the following:

Decision #1: Antisocial Personality Disorder

Which Decision did you select?

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

o Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

Decision #3: Treatment Plan for Psychopharmacology

o Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. Antisocial Personality Disorder essay research case study example.

o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their families. Antisocial Personality Disorder essay research case study example.

Antisocial Personality Disorder essay

Antisocial personality disorder (ASPD) is a powerlessness to fit in with the social standards that customarily govern numerous parts of a person’s behavior (Sadock, Sadock & Ruiz, 2014). A person with ASPD are often called sociopathy, is a psychological condition in which a person reliably demonstrates no respect for good and bad and disregards the rights and feelings of others. Individuals with the above disorder tend to estrange, unstable, aggressive, control or treat others cruelly or with hard aloofness. They demonstrate no blame or regret for their conduct. Ms. Rhonda is a 32year old Hispanic with no children. In the scenario She presently works at local restaurant as a waitress and in college with two semesters left from graduation. She is alert and oriented × 4. She is well spoken, speech is clear, normal eye contact, goal directed, and spontaneous. She verbalized having a terrible mood. She appears to change discussed subject quickly with a labile affect. She denies any auditory or visual hallucinations, homicidal or suicidal ideation (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

She is manipulating, exploiting impulsive, others and violated the right of others. She is also irresponsible with her work and finances. According to the American Psychiatric Association (2013), there are four diagnostic criteria for ASPD: Individual with ASPD violate others rights deceitful, impulsive, irritability, aggressiveness, irresponsible, and lack remorse with an onset before 15 years. They must be 18 years old to be diagnoses with ASPD.

                                                     Differential Diagnosis

It is important to determine which started first, if the patient started abusing drugs before their antisocial behavior began may have behavior caused from the impacts of their drug addiction. Antisocial Personality Disorder essay research case study example.

                                                        Expected Result

Ms. Rhonda showed behavior indicative of ASPD. She is deceitful with friends. She stated that she has “always been impulsive” which she finds funny (Laureate Education, 2017a). She is consistently irresponsible (her current financial situation risky/ awful). She does not know her car note will be paid for. She stated that her last car was repossessed last year because of her friends, who promised to loan her money but later backed out. Antisocial Personality Disorder essay research case study example. She expresses that she was terminated from a job because her colleagues were envious of her and “planted” proof of her stealing from hotel patrons. She was arrested for cashing checks using fake name, for which she was imprison for 120 days (lack remorse).

Rhonda has a background of various detainments for offenses running from possession of an unlawful gun to stealing to possession of controlled substances. Antisocial Personality Disorder essay research case study example. She was arrested a few times for combating and on somewhere around one event, utilized a baseball bat to thrash a young lady who she thought was attempting to “set her up” with the police (lack remorse) (Laureate Education, 2017a).

              Difference Between Expected Result and the Achieved Result

There is no difference between the expected result and achieved result since Ms. Rhonda exhibited signs and symptoms indicative of ASPD.

                                                      Decision Point Two

                                      Refer to psychologist for psychological testing

The explanation behind this choice is because diagnosing ASPD is based on psychological evaluation. Patient will be referred to psychologist for psychological testing this will enable the psychologist to even more likely comprehend the patient and her behavior. psychological testing is a procedure of critical thinking in which the psychologist attempts and decide the main components of a patient’s mental or mental health problems, Intellectual Functioning IQ, personality, behavioral or some other component. It is additionally a procedure that aides distinguish a person strength and weakness (Laureate Education, 2017a). Antisocial Personality Disorder essay research case study example.

Expected Result with this Decision

There is no different between expected result and the actual result because the psychologist report shows that a thorough psychological battery was performed for the motivations behind diagnostic elucidation. The psychological report stated that although Rhonda had other qualities of multiple personality disorder. She scored highest in antisocial personality disorder test indicating that she has ASPD.

                     Difference between what you expected to achieve with Decision #2

Rhonda was referred to psychologist so that she can get the best treatment need for her symptoms.  Rhonda has a lots of other personality disorder symptoms. The psychological tests will enable persuade to out the actual personality disorder that Rhonda possess
.
Rhonda’s indications are most predictable with reserved ASPD, however as should be obvious, she has signs/side effects of other identity issue (Laureate Education, 2017a).

                                                        Decision Point Three

                                Refer to group-based cognitive behavior therapy

Reason for Decision

There is at present no FDA-approve medication for the treatment of ASPD so prescribing medication to the patient may result to diversion or abuse. Antisocial Personality Disorder essay research case study example. Psychotherapy is effective in the treatment of ASPD. Group-based cognitive behavior has proven to be effective with ASPD.CBT uses cognitive restructuring, exposure, behavior modification, psychoeducation, and skills education.

                                            Expected Result with this Decision.

Group-based cognitive behavior has proven to be effective with ASPD. Cognitive behavioral relapse prevention theory is linked with successful correctional treatment programs (Davidson, 2008). It focuses on challenging dysfunctional beliefs and teaches the patient tactics, exercises and behavioral experiments to acquire more socially acceptable behavior. It deals with the premise that antisocial behavior is learned, motivated and strengthened within the person and within the environment factors. Antisocial Personality Disorder essay research case study example. There a few cognitive behavioral strategies can be used to acknowledge new cognitive and behavioral techniques to break the sequences of antisocial behavior (Davidson, 2008).

      Difference between Expected Result and the Achieved Result with Decision

The expected result and achieved result are the same. Ms. Rhonda returned to the clinic showing empathy, compassion, remorseful for her action and demonstrating acceptable social behavior.

                                                      Ethical
Considerations

People with ASPD are responsible for an extreme amount of social discomfort, crime, and violence and pose a critical burden to society causing distress to others, to a great extent because of the violations they commit and their antisocial behavior.  Working with ASPD patients can be challenging. ASPD is a mental disorder and requires clinicians to give proper consideration and treatment nonjudgmental (De Brito & Hodgins, 2009). Antisocial Personality Disorder essay research case study example.

 

                                                        References

Davidson K.M. (2008). Cognitive therapy for personality disorders: a guide for clinicians. Second Edition.  Routledge: Hove

De Brito S, Hodgins S (2009) Antisocial personality disorder. In: McMurran M, Howard R, editors. Personality, Personality Disorder and Risk of Violence: An Evidence-Based Approach. West Sussex, UK: John Wiley and Sons. Antisocial Personality Disorder essay research case study example.

Framingham, J. (2016). Types of Psychological Testing.
Psych Central
. Retrieved on September 23, 2018, from https://psychcentral.com/lib/types-of-psychological-testing/

Laureate Education. (2017a). A woman with personality disorder [Interactive media file] Baltimore, MD: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Antisocial Personality Disorder essay research case study example.

Maryland Nursing Certification Plan Essay Example

Assignment: Certification Plan

1. Describe the PMHNP practice environment for MARLAND state, highlighting restrictions or limitations for practice.

2. Compare the PMHNP practice environment in MARYLAND State with a neighboring state or a state in which you would like to practice.

3. Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process. Maryland Nursing Certification Plan Essay Example.

4. Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc

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Certification Plan                                                                                                   

Nurse Practitioner is advance practiced registered nurse with higher education to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and articulate treatment plans. According to the American Association of Nurse Practitioners, a nurse practitioner has a masters or doctoral level education. To practice professional licensure and certification are required in every state (AANP, 2018). They deliver care to patients in need of primary, acute, chronic, and specialty care. In some states, they can independently manage patient care and educate patients and families about illnesses. Maryland Nursing Certification Plan Essay Example.

PMHNP Practice Environment in Maryland – Maryland Nursing Certification Plan Essay Example

Licensure laws vary contingent on the state. The Maryland Board of Nursing approves the licensure of nurse practitioners who graduates from an accredited school. To practice as an NP, the NP student must sit for certification after graduating from an accredited school with one of the national credentialing associations (NPAM, 2018). As indicated by Maryland Scope of Practice (2018), preceding full practice authority can be given in Maryland, an NP must have a coordinated shared relationship for 18 months with an NP or a Doctor with a full practice authority. They have a limitation for prescribing schedule II-V controlled element, which can only be done with certification.  NP’s in Maryland has a limitation as medical staff membership. The State law doesn’t indicate Maryland’s necessities for medical staff composition.

                             PMHNP practice environment in neighboring states

The state of Virginia and the District of Columbia law have stricter laws than the state of Maryland because in the District of Columbia NPs’ cannot sign disable person placard forms and death certificates while in Virginia NPs’ cannot practice independently. They need a joint agreement with a physician to practice. The state law did not outline if NPs’ can be a primary care provider (Barton Associates, 2018).

   Professional and/or Clinical practice issue a new PMNHP will need to consider and address with the certification, licensure, credentialing, or relocation process.Maryland Nursing Certification Plan Essay Example.

One of the issues a new NP may be in the part of credentialing which is unique in relation to certification. The credentialing process incorporates the validation of education, licensure, reference checks, and accreditation. In the process of relocation an NPs may be faced with restriction of practice despite the fact they have the same educational qualification base on the state of practice for example DC, Maryland and Virginia all have different scope of practice.

Checklist for Passing the National Certification Exam

It is crucial to work towards graduating from the NP program and then proceed with getting certification. The school which the NP student graduate from sending an official transcript to the American Academy of Nurse Practitioners (AANP), or the American Nurses Credentialing Center (ANCC). The student after confirming that the AANP or ANCC have received their transcript can now register for the NP certification exam. Maryland Nursing Certification Plan Essay Example. The student is sent a candidate’s eligibility to Test notice is sent to, and candidates are expected to review the candidate handbook for the exam for relevant information about the application process, testing content, and testing procedures. The student is expected to test during an a120-day window

My plan is after my final exams in school. I will take time out from my job and read my purple book and practice Board vitals and Pocket prep questions. My aims are to read and understand the purple book and go for a review class with Barkley & Associates.

 

References

American Association of Nurse Practitioners. (2018). Nurse Practitioner Credibility. Retrieved from https://www.aanp.org/membership/107-all-about-nps/what-s-an-np-accordion/570-why-nps-are-important. Maryland Nursing Certification Plan Essay Example.

Barton Associates, (2018). Nurse Practitioner Scope of Practice Laws. Retrieved from https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/ Maryland Scope of Practice (2018).

Maryland Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/md/. Maryland Nursing Certification Plan Essay Example.

Nurse Practitioner Association in Maryland. (2018). What is a Nurse Practitioner? Retrieved from https://www.npamonline.org/page/4

Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999

Online Master of Science in Nursing (MSN) with a Specialization in Nurse Educator Courses

Master of Science in Nursing (Specialization in Nurse Educator)

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Offered at South University, Online Programs.

Nurse educators combine clinical expertise and a passion for teaching into rich and rewarding careers. These professionals, who work in the classroom and the practice setting, are responsible for preparing and mentoring current and future generations of nurses. Nurse educators play a pivotal role in strengthening the nursing workforce, serving as role models and providing the leadership needed to implement evidence-based practice. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999.

Nurse educators are responsible for designing, implementing, evaluating and revising academic and continuing education programs for nurses. These include formal academic programs that lead to a degree or certificate, or more informal continuing education programs designed to meet individual learning needs. Students will complete 176 practicum hours during progression through the program.

Specialization Outcomes

Graduates should be able to:

Create a variety of successful instructional methods to meet the needs of targeted learner populations.

Develop plans of study in nursing education based on appropriate curricular principles, pedagogical principles and strategies, and learning assessment strategies.

Integrate clinical expertise with appropriate strategies of instruction when engaged in educational experiences.

Master of Science in Nursing (Specialization in Nurse Educator): 54 Credits

MSN Core 20 Credits

NSG5000 Role of the Advanced Practice Nurse: Transformational Leadership in Advanced Practice, 4 Credit Hours

NSG5002 Advanced Theoretical Perspectives for Nursing, 4 Credit Hours

NSG5003 Advanced Pathophysiology, 4 Credit Hours

NSG6002 Health Policy and Health Promotion in Advanced Nursing Practice, 4 Credit Hours

NSG6101 Nursing Research Methods, 4 Credit Hours

Specialization in Nurse Educator: 34 Credits

NSG6003 Teaching and Learning Strategies in Nursing, 4 Credit Hours

NSG6005 Advanced Pharmacology, 4 Credit Hours

NSG6020 Advanced Health and Physical Assessment, 6 Credit Hours

NSG6102 Evaluation of Educational Outcomes in Nursing, 4 Credit Hours

NSG6103 Curriculum Design and Evaluation in Nursing Education, 4 Credit Hours

NSG6203 Practicum in Nursing Education I, 4 Credit Hours

NSG6204 Practicum in Nursing Education II, 4 Credit Hours

NSG6999 Graduate Project in Nursing, 4 Credit Hours

Note(s):

South University, Online Programs may not be available to residents of all states.  Please contact an admissions representative for further information. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

**
NOTE: Minnesota residents are not eligible to enroll in the online programs for the Doctor of Nursing Practice, Post Graduate Certificates in Nursing, the Master of Science in Nursing or the RN to Master of Science in Nursing.

Master of Science in Nursing (MSN)**

The Master of Science in Nursing degree program (MSN) is designed to develop and enhance the knowledge and skills of registered nurses. It is also designed for those nurses who want to pursue advanced positions in today’s challenging healthcare environment. The program, based on the American Association of Colleges of Nursing Master’s Essentials, blends nursing theory with advanced practice concepts that prepare students to work within a healthcare organization or educational setting.

All applicants to the MSN program must hold a current and unencumbered license in the state in which they are completing program requirements. Additionally, all applicants must successfully complete a criminal background check and a drug screening. Clinical affiliation agencies may require additional personal testing.

The program consists of five core courses and courses in an area of specialization in education, administration, informatics, and various nurse practitioner programs. Program includes practica and experiences in areas of specialization. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

Courses may be waived if the individual’s master’s transcript indicates that s/he has successfully completed the required course or its equivalent. Waivers and exceptions will be determined on the written request of individual students through a transcript analysis as determined by the Program Director, Chair, or College Dean.

Program Student Learning Outcomes

Graduates should be able to:

Synthesize theories and concepts from nursing and other disciplines for application in advanced nursing roles.

Analyze current scientific research for application of findings to initiate change and to improve practice.

Create comprehensive plans of action that address the health promotion and disease prevention needs of individual, family, and community populations.

Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner.

Apply an ethical decision-making process in professional practice and an analysis of systems of healthcare.

Model a professional leadership role that fosters improvement of healthcare and advocates scholarly activities to advance self and profession.

Employ informatics and technology in various aspects of the advanced nursing leadership role.

Practice within ethical-legal guidelines, professional policies and regulations, and standards of practice associated with a specialty area of advanced nursing practice.

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Clinical APEA Policy

Clinical (NP and NE) APEA Policy

This policy establishes guidelines and grading criteria for the use of the Advanced Practice Education Associates (APEA) products in the Family Nurse Practitioner (FNP) and Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) programs.  This policy provides a framework for consistent usage and application of APEA products.

APEA Testing

The APEA assessments are used as a component of formative and summative academic assessment in the MSN/PGC/FNP, AGPCNP and for NE (the 3P exam only) programs. The APEA online testing center provides documentation of completion of assigned proctored/non-proctored APEA exams. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

The APEA 3P exam measures competency of the core criteria for advanced health assessment, advanced pathophysiology and advanced pharmacology. This exam evaluates clinical readiness prior to entering the practicum setting. A minimum score of ≥ 67 (minimum score may change based on exam psychometrics) is the goal. This exam is administered during week eight/nine of NSG6020 Advanced Health and Physical Assessment, in NSG6021 Pre-Clinical Evaluation. Students who do not achieve the minimum score will be enrolled in NSG6022 Nurse Practitioner Enhancement, a 4 credit, 10/11-week remediation course. A new 3P exam version will be administered in week 10/11. Students who are unsuccessful after two cumulative (2) attempts will be programmatically dismissed from the MSN nurse practitioner programs. The Grading Rubric is presented in Table 1.1 below.

Table 1.1  APEA 3P Grading Rubric

APEA 3P Exam Grading Criteria

Letter Grade

Points/Percent of Grade

Score on APEA Post-predictor Exam is ≥67%

P

100 pts/100%

Score on APEA Post-predictor Exam of <67% F 0 pts/100% The APEA Pre-Predictor exam measures competency in patient management: assessment, diagnosis, planning and intervention, pharmacotherapeutics, and evaluation The Pre-Predictor Exam identifies weaknesses in knowledge areas and testing domains for remediation in preparation for the APEA Post-Predictor exam. This exam is administered for MSN AGNP students in week two of NSG6340: Practicum III: Adult Health: Primary Care and for MSN FNP students in week two of NSG6440: Practicum IV: Family Health: Primary Care. A minimum score of ≥70% is the goal. The Pre-Predictor exam is 15% of the MSN FNP NSG6440 and MSN AGNP NSG6430 course grade. The Grading Rubric is presented in Table 1.2 below. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Table 1.2 APEA Pre-Predictor Grading Rubric APEA Pre-Predictor Exam Grading Criteria Points/Percent of Grade Score on APEA Pre-predictor Exam is > 70%

100 pts/15%

Score on APEA Pre-predictor Exam of 65-69%

75 pts/15%

Score on APEA Pre-predictor Exam of < 65% 55 pts/15% Note: Score ranges may change based on exam psychometrics The APEA Post-Predictor exam measures competency in patient management by testing knowledge areas and testing domains that include: assessment, diagnosis, planning and intervention, pharmacotherapeutics, and evaluation. The APEA Post-Predictor exam identifies weaknesses in knowledge areas and testing domains for remediation in preparation for the certification exam The APEA Post-Predictor exam considered a national standardized exam or exit exam. This exam is administered for MSN AGNP students in week eight/nine of NSG6340: Practicum III: Adult Health: Primary Care and for MSN FNP students in week eight/nine of NSG6440: Practicum IV: Family Health: Primary Care. A minimum score of ≥70% is the goal. The Post-Predictor exam is worth 40% of the final grade in MSN FNP ( NSG6440) and AGNP ( NSG6340). The Grading Rubric is presented in Table 1.3 below. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Table 1.3 APEA Post-Predictor Grading Rubric APEA Post-Predictor Exam Grading Criteria Points/Percent of Grade Score on APEA Post-predictor Exam is > 70%

100 pts/40%

Score on APEA Post-predictor Exam of 65-69%

75 pts/40%

Score on APEA Post-predictor Exam of < 65% 55 pts/40% Note: Score ranges may change based on exam psychometrics Remediation Individualized remediation provides an opportunity for students to review study and acquire additional knowledge. Remediation is intended to help students recover important information that was missed when taking the assessment. Remediation is required for all APEA assessments. Students must utilize their test results to complete remediation. Content areas with a score of ≤ 66 on the 3P exam and ≤ 69% on the pre and post predictor exams require remediation (minimum score may change based on exam psychometrics). Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Failure to comply with the APEA testing policy may result in a course failure. Retesting is required for any student not achieving a minimum grade of ≥ 67% (minimum score may change based on exam psychometrics) on the APEA 3P exam or a minimum grade of ≥ 70% on the APEA Pre-Predictor or Post-Predictor exams (minimum scores may change based on exam psychometrics). Retesting of the APEA 3P exam will take place during the final week of NSG6021. A different test version will be utilized for retesting.Students who achieve a minimum grade of ≥ 67% on the retest of the 3P exam will receive an 80% for the APEA grade. Students who are unsuccessful after two (2) attempts on the 3P exam will be programmatically dismissed from the MSN nurse practitioner programs. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Comprehensive APEA Program Students have access to and are assigned the APEA resources to be used. Courses are listed in Table 3.1 and identifies APEA resources to be used in the corresponding courses. Table 3.1 Courses with Corresponding APEA Resources Course Resource NSG5003 – Advanced Pathophysiology (FNP and AGPCNP) Require Students Purchase APEA Resource: Clinical Guidelines in Primary Care. Students are required to cite clinical guidelines resources in papers and presentations throughout the program as identified in the ACOs. NSG6005 – Pharmacology (FNP and AGPCNP) APEA Resource: Begin QBank Pharmacology 6 months’ access. Students must complete 50 Pharmacology QBank questions per week in tutor mode. In week 10, students must complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam to achieve the required 80%. Students must complete all questions. Course Percentage: 10%. Suggest Students Purchase APEA Resource: Pharm in Flash cards from APEA. NSG6001 – Advanced Nursing Practice I (FNP & AGPCNP) and practicum courses. Suggest Students Purchase APEA Resource: APEA Guide to Coding. Students are required to include ICD-10, E & M and CPT codes for all diagnoses, levels of care and procedures referenced in papers, presentations and clinical documentation (comprehensive and focused SOAP notes) throughout the program as identified in the ACOs. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . NSG6020 – Advanced Health and Physical Assessment (FNP , AGNP & NE) APEA Resource: Begin QBank Patient Assessment Questions with 6 months’ access. Students must complete 50 Assessment Q bank questions per week in tutor mode. In week, 9 students will complete a 75 questions exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10%. Suggest Students Purchase APEA Resource: Dermatology DDx Deck/ Pediatric  Dermatology DDx Deck. NSG6021 Pre-Clinical Evaluation 3P Exam: Administer Week 8/9 Content areas with a score ≤66% require remediation. NSG6420 (FNP) or NSG6320 (AGNP) – Practicum I: Family or Adult Health: Adults and Gerontology APEA Resource: Continue QBank Patient Assessment. Students must complete 50 Assessment Q bank questions per week in tutor mode. In week 9, students will complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculcated in the final course grade. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Students must complete all questions. Course Percentage: 10%. APEA Resource: Begin FNP or AGNP Online Video Review Course 12 months; 2 views. Students must complete the appropriate sections for their track, sections 1 through 5 of the review course by the end week 9 or receive a zero “0” for the assignment. NSG6430 (FNP) or NSG6330 (AGNP) – Practicum II Family or Adult Health: Women’s Health APEA Resource: Begin QBank Patient Management 12 months’ access. Students must complete 50 Management Q bank questions per week in tutor mode. In week 9 students must complete a 75 question exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10% APEA Resource: Continue FNP or AGNP Online Video Review Course 12 months; 2 views Students must complete the appropriate sections for their track, sections 6 through 10 of the review course by the end week 9 or receive a zero “0” for the assignment. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . NSG6435 (FNP) – Practicum III: Family Health: Pediatrics APEA Resource: Continue QBank Patient Management. Students will complete 50 Management Q bank questions per week in tutor mode. In week, 9 students will complete a 75-question exam mode assessment with a required score of ≥ 80%. Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions. Course Percentage: 10%. APEA Resource: Continue FNP Online Video Review Course 12 months; 2 views. Students must complete sections 11 through 15 of the review course by the end week 9 or receive a zero “0” for the assignment. NSG6340 (AGNP) – Practicum III: Adult Health: Primary Care APEA Resource: Continue QBank Patient Management. Students will complete 50 Management Q bank questions per week in tutor mode. In week, 9 students will complete a 75-question exam mode assessment with a required score of ≥ 80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 . Students must complete all questions. Pass/Fail APEA Resource: Continue AGNP Online Video Review Course 12 months; 2 views. Students must complete sections 11 through 16 of the review course by the end week 9. Complete all the practice questions and the evaluation. Then submit the certificate of completion from APEA or receive an incomplete for the course. Pre-Predictor Exam (AGNP): Administer Week 2 Post-Predictor Exam (AGNP): Administer Week 8/9 NSG6440 (FNP) – Practicum IV (IV: Family Health: Primary Care APEA Resource: Continue QBank Patient Management. Students must complete 50 Management Q bank questions per week in tutor mode. In week 9 students will complete a question exam mode assessment with a required score of  ≥  80%.  Students may repeat the exam one-time only, in an attempt to receive a higher score. The highest achieved score will be calculated in the final course grade. Students must complete all questions or receive an incomplete for the course. Pass/Fail APEA Resource: Continue FNP Online Video Review Course Students must complete sections 16 through 19 of the review course by the end week 10. Complete all the practice questions and the evaluation. Then submit the certificate of completion from APEA or receive an incomplete for the course. Pre-Predictor Exam (FNP): Administer Week 2 Post-Predictor Exam (FNP): Administer Week 8/9. Master of Science in Nursing – NSG5000, NSG 5002, 5003, NSG6002, 6003, 6005, NSG6101, 6102, 6103, NSG6020, NSG 6203 6204, 6999 .

Borderline Personality Disorder Essay Discussion Post

Discussion: Treatment of Personality Disorders

Personality disorders occur in 10–20% of the population. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

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In this Discussion, you will explore personality disorders in greater detail and discuss treatment options using evidence-based research.

Learning Objectives

Students will:

Analyze diagnostic criteria for personality disorders

Analyze evidence-based psychotherapy and psychopharmacologic treatments for personality disorders

Analyze clinical features of clients with personality disorders

Align clinical features with DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

Compare differential diagnostic features of personality disorders

To prepare for this Borderline Personality Disorder Essay Discussion Post :

By Day 5 of Week 2, your Instructor will have assigned you a personality disorder, which will be your focus for your initial post for this Borderline Personality Disorder Essay Discussion Post .

Review the Learning Resources.

By Day 3

Post:

Explain the diagnostic criteria for your assigned personality disorder(Borderline Personality Disorder).

Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned personality disorder(Borderline Personality Disorder).

Describe clinical features from a client that led you to believe this client had this disorder(Borderline Personality Disorder). Align the clinical features with the DSM-5 criteria.  Borderline Personality Disorder Essay Discussion Post .

Support your rationale with references to the Learning Resources or other academic resources.

By Day 6

Respond to at least two of your colleagues Borderline Personality Disorder Essay Discussion Post  by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned. What are their similarities and differences? How might you differentiate the two diagnoses?  Borderline Personality Disorder Essay Discussion Post .

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

This course will focus on the critical appraisal and use of information technology in advanced nursing practice. Emphasis will be on processing and managing information systems/technology resources in consumer, clinical, and public health settings. Course content will include retrieval and critical analysis of digital data to support healthcare quality improvement; electronic health records integration and evaluation; Web-based learning or intervention tools to support and improve patient care; ethical, regulatory, and legal issues; healthcare standards and principles for selecting and evaluating information systems and patient care technology; and information technology to support generation of new knowledge and emerging information technologies.

Welcome to your course guide

Please find your required library readings below. If you have problems with the links below, please 
contact the Library
. If you have APA questions about these materials, please 
contact the Writing Center
.

NURS 8210 Required Course Readings

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The links are for required readings found in the Walden databases 
ONLY
. For all other readings, see your course resources.

Enter your myWalden user name and password at the prompt.

Adams, S. A. (2010). Blog-based applications and health information: Two case studies that illustrate important questions for consumer health informatics (CHI) research.
 International Journal of Medical Informatics, 79
(6), e89-e96.

Alexander, Gregory L,PhD., R.N. (2008). A descriptive analysis of a nursing home clinical information system with decision support.
 Perspectives in Health Information Management, 5
(12), 1-22.

Caballero, M., & Hullin Lucay Cossio, C. (2010). Engaging clinicians in health informatics projects. 
Studies in Health Technology & Informatics, 151
, 195-206.

CesnikCesnik, B. & Kidd, M. R. (e.d.). (2010). History of health informatics: A global perspective. 
Studies in Health Technology & Informatics, 151
, 3-8.

Chaudhry, R., Tulledge-Scheitel, S. M., Thomas, M. R., Hunt, V. L., Liesinger, J. T., Rahman, A. S., & et. al. (2009). Clinical informatics to improve quality of care: A population-based system for patients with diabetes mellitus.
 Informatics in Primary Care, 17
(2), 95-102.

Croll, P. (2010). Privacy, security, and access with sensitive health information. 
Studies in Health Technology & Informatics, 151
, 167-75.

Demiris, G., Washington, K., Oliver, D., & Wittenberg-Lyles, E. (2008). A study of information flow in hospice interdisciplinary team meetings. 
Journal of Interprofessional Care, 22
(6), 621-629.

Grain, H. (2010). Clinical terminology. 
Studies In Health Technology & Informatics, 151
, 70-83.

Gruber, D., Cummings, C. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. 
CIN: Computers, Informatics, Nursing, 27
(3),151-65.

Halley, E.C., Sensmeier, J., & Brokel, J. M. (2009). Nurses exchanging information: Understanding electronic health record standards and interoperability. 
Urologic Nursing, 29
(5), 305-14.

Harrington, L., Kennerly, D., & Johnson, C. (2011). Safety issues related to the electronic medical record (EMR): Synthesis of the literature from the last decade, 2000-2009. 
Journal of Healthcare Management, 56
(1), 31-43.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. 
Journal of Health Care Compliance, 9
(3), 47–68.

Hovenga, E. J. S. (2010). National standards in health informatics. 
Studies in Health Technology & Informatics, 151
, 133-55.

Hovenga, E., Kidd, M, Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction. 
Studies In Health Technology and Informatics, 151
, 9-15.

Hyppönen H., Doupi P., Hämäläinen P., Komulainen J., Nykänen P., & Suomi R. (2010). Towards a national health information system evaluation. 
Studies in Health Technology And Informatics, 160
(Pt 2), 1216-20. 

Hyun, S., Gakken, S., Douglas, K., & Stone, P. W. (2008). Evidence-based staffing: Potential roles for informatics. 
Nursing Economic$, 26
(3), 151-8.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation.
 Nursing Research, 55
(2, Suppl. 1), S37-S42.

Keselman, A., Logan, R., Smith, C. A., Leroy, G., & Zeng-Treitler, Q. (2008). Developing informatics tools and strategies for consumer-centered health communication.
 Journal of the American Medical Informatics Association: JAMIA, 15
(4), 473-483.

Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. (2010). Developing data content specifications for the nationwide health information network trail implementations. NHIN Trial Implementations Core Services Content Working Group, 
Journal of the American Medical Informatics Association: JAMIA, 17
(1), 6-12

Layman, E. J. (2008). Ethical issues and the electronic health record.
 Health Care Management, 27
(2), 165-76.

Lewis, D. (2007). Evolution of consumer health informatics. 
Computers, Informatics, Nursing, 25
(6), 316-316.

Liaw, S. & Gray, K. (2010). Clinical health informatics education for a 21st century world. 
Studies in Health Technology & Informatics, 151
, 479-91.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. 
Studies in Health Technology & Informatics, 151
, 176-82.

Madsen, M. (2010). Knowledge and information modeling. 
Studies in Health Technology & Informatics, 151
, 84-103.

Misra, R., Mark, J. H., Khan, S., & Kukafka, R. (2010). Using design principles to foster understanding of complex health concepts in consumer informatics tools. 
AMIA …Annual Symposium Proceedings / AMIA Symposium.AMIA Symposium
, 492-496.

Munih, M., & Bajd, T. (2010). VI.3. rehabilitation robotics. 
Studies in Health Technology and Informatics, 152
, 353-366.

Nahm, E., Vaydia, V., Ho, D., Scharf, B., & Seagull, J. (2007). Outcomes assessment of clinical information system implementation: A practical guide. 
Nursing Outlook, 55
(6), 282-288.e2. doi:DOI: 10.1016/j.outlook.2007.09.003

Nolan, R. P., Upshur, R. E. G., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . & Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the community outreach heart health and risk reduction trial. 
The American Journal of Cardiology, 107
(5), 690-696.

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. 
Nursing Ethics, 16
(6), 786-96.

Ozbolt, J. G. & Saba, V. K. (2010). A brief history of nursing informatics in the United States of America. 
Nursing Outlook, 56
(5), 199-205.

Pak, R., Price, M. M., & Thatcher, J. (2009). Age-sensitive design of online health information: Comparative usability study. 
Journal of Medical Internet Research, 11
(4), e45-e45.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. 
Journal of Software Engineering & Applications, 3
, 983-989.

Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. 
Journal of Medical Internet Research, 13
(1), e20-e20.

Rahimi, B., & Vimarlund, V. (2007). Methods to evaluate health information systems in healthcare settings: A literature review. 
Journal of Medical Systems, 31
(5), 397.

Reti, S. R., Feldman, H. J., Ross, S. E., & Safran, C. (2010). Improving personal health records for patient-centered care. 
Journal of the American Medical Informatics Association, 17
(2), 192-195.

Savel, T., Hall, K., Lee, B., McMullin, V., Miles, M., & Stinn, J. (2010). A public health grid (PHGrid): Architecture and value proposition for 21st century public health.
 International Journal of Medical Informatics, 79
(7), 523-529.

Schlotzer, A., & Madsen, M. (2010). Health information systems: requirements and characteristics. 
Studies in Health Technology & Informatics, 151
, 156-66.

Schneider, J. M. (2010). Electronic and personal health records: VA’s key to patient safety.
 Journal of Consumer Health on the Internet, 14
(1), 12-22.

Simpson, R. L. (2010). Engaged nurses lead way to improved outcomes via technology. 
Nursing Administration Quarterly, 34
(3), 268-73.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. 
Health Services Research, 45
(4), 985-1004.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life.
 Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 35
(6), 254-259.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. 
Hospital Topics, 87
(1), 3-9.

Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice.
 Health Information Management Journal 39
(2), 37-9.

Wagner, P. J., Howard, S. M., Bentley, D. R., Seol, Y., & Sodomka, P. (2010). Incorporating patient perspectives into the personal health record: Implications for care and caring. 
Perspectives in Health Information Management, 7
, 1-15.

Withrow, S. C. (2010). How to avoid a HIPAA horror story.
 Journal of the Healthcare Financial Management Association, 64
(8), 82-88.

Wyatt, J. (2010). Assessing and improving evidence based health informatics research. 
Studies in Health Technology & Informatics, 151
, 435-45.

NURS 8210N-1 Week 1 Assignment: Application 1: Nursing Informatics Pioneers

Application 1: Nursing Informatics Pioneers – One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

To prepare FOR Application 1: Nursing Informatics Pioneers:

Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.

Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.

Select two nursing informatics pioneers and conduct further research on their contributions.

Consider how their contributions have influenced health information technology and nursing practice today.

By Day 7 of Week 2 OF Application 1: Nursing Informatics Pioneers

Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers. Synthesize your thoughts using the bullets below as a guide:

What are the professional accomplishments of each individual?

How have their contributions influenced nursing practice?

How have their contributions shaped the field of nursing informatics?

What lessons can you take away from their experiences? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

What skills or ideas demonstrated by these leaders might you apply to your professional practice?

NURS8210 Grading Rubric: Application 1: Nursing Informatics Pioneers

Week 2 Application 1: Nursing Informatics Pioneers

Points Possible

Points Earned

You described the professional accomplishments of each individual.

3

You have explained how their contributions influenced nursing practice.

3

You offered how their contributions have shaped the field of nursing informatics.

3

You included what lessons you can take away from their experience.

3

You described what skills or ideas demonstrated by these leaders might apply to your professional practice.

3

Spelling, grammar and APA

Note:
 Points may be deducted for grammar, spelling, and/or APA errors.

Total Points

15

 

Comments:

NURS 8210N-1 Discussion: Welcome to the Week 1 Small Group Discussion area!

Post your responses to the Small Group Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

NURS 8210N-1 Week 1: Staying Current

Print and web-based media provide many rich and credible resources for staying abreast of the latest trends and issues in health care. As you proceed through the DNP program, you will find that receiving updates via the Internet or mail can continue to support your professional growth as a scholar practitioner. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

To prepare FOR Application 1: Nursing Informatics Pioneers:

Review several resources that provide current information about the latest trends and issues in health care

Select one that you think is most appropriate for you to stay current on the latest trends and issues in health care

By Day 7

Subscribe to the resource you selected

Copy and paste an email or photo of your successful subscription notification/confirmation into a Word document and submit it to the submission link by Day 7.

NOTE:
 You are expected to maintain your subscription throughout this course. Review several of the updates you receive to inform your Discussions and Application Assignments. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK1Proj+last name+first initial.(extension)” as the name.

Click the 
Week 1 Project 
link.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK1Proj+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

NURS 8210N-1Week 1: Introduction to Health Information Technology Systems and Nursing Informatics

In 1943, Tom Watson was quoted as saying, “I think there is a world market for maybe five computers.” Little did this chairman of IBM realize that the advent of computers would revolutionize all facets of society, including health care. The health care industry has used the power of technology to dramatically improve the quality of patient care. Today, bar code scanners document patient medications, robotic machinery is used to perform minimally invasive surgeries, and pill bottles feature audible labels to assist patients in taking the correct medication. As health care continues to change and new innovations appear, what types of skills will nurses need in order to harness the potential of emerging and evolving technologies? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

This week you will examine the history of nursing informatics as well as the Technology Informatics Guiding Education Reform (TIGER) initiatives that drive technology education for nurses. Using the TIGER and American Nurses Association guidelines, you also evaluate your own informatics competencies.

Reference: Rinkworks. (n.d.) Things people said: Bad predictions. Retrieved from 
http://www.rinkworks.com/said/predictions.shtml

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Objectives

Students will:

Summarize how informatics has impacted or changed nursing practice

Evaluate the influence of informatics competencies on quality of care and nursing practice

Apply online learning resources to professional growth and development

Compare the contributions of two nursing informatics pioneers

Photo Credit: [Comstock]/[Stockbyte]/Getty Images

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 1, “Nursing Informatics: Transforming Nursing”

Chapter 12, “The Evolving National Informatics Landscape”

 

Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology’s emergence into the health care industry.

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Introduction” (pp. 1–2)

“Informatics Competencies” (pp. 33–40)

 

The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the “Informatics Competencies” section uses research and matrices to correlate informatics competencies with the education and roles of nursing professionals. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Cesnik, B., & Kidd, M. R. (2010). History of health informatics: A global perspective. 
Studies in Health Technology and Informatics, 151
, 3–8.

Retrieved from the Walden Library databases.

 

The authors of this article begin by summarizing the rise of computer development and use. They then examine how technology will build the capabilities of future businesses.

Hovenga, E. J., Kidd, M. R., Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction. 
Studies in Health Technology and Informatics, 151
, 9–15. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Retrieved from the Walden Library databases.

 

A brief explanation of informatics principles is given in this article.

Ozbolt, J. G., & Saba, V. K. (2008). A brief history of nursing informatics in the United States of America. 
Nursing Outlook, 56
(5), 199–205.

Retrieved from the Walden Library databases.

Examine the initiatives and technological developments that have informed the field of informatics by using this article as a guide.

Technology Informatics Guiding Education Reform (TIGER). (n.d.). 
The TIGER Initiative: Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative
. Retrieved from: http://www.mhsinformatics.org/CI-Fellowship/Workforce-Development/Competencies/Tiger.Report_Competencies_final.pdf

 

For this week, focus on the executive summary and Appendix A, B, and C for review of the TIGER initiative and resulting competencies. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: What is health informatics?
Baltimore, MD: Author.

 

Note: 
The approximate length of this media piece is 13 minutes.

 

In this week’s media presentation, the presenters discuss the extensive applications, implications, and benefits of health informatics for patients, practitioners, and health care organizations as a whole.

 

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HIMSS/AMDIS Physician Community Podcast Series. (Producer). (2009). 
Episode #15: TIGER initiative – technology informatics guiding education reform.
 [Audio podcast]. Retrieved from https://www.himss.org/episode-15-tiger-initiative-technology-informatics-guiding-education-reform

 

Joyce Sensmeier, vice president of informatics at the Healthcare Information and Management Systems Society (HIMSS), presents the Technology Informatics Guiding Education Reform (TIGER) initiative that is aimed at educating nurses on new digital technologies. This podcast also highlights the organizational accomplishments and future informatics goals of the TIGER initiative.To access the podcast, scroll through the page linked above to find Episode #15. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

American Medical Informatics Association. (2011). Video Library 1: Nursing informatics pioneers.

Retrieved from http://www.amia.org/programs/working-groups/nursing-informatics/history-project/video-library-1. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

The AMIA developed a Nursing Informatics History Project, aimed at documenting and preserving the history of nursing informatics. This project consists of two video libraries. Video Library 1 portrays the viewpoints and accomplishments of those recognized as pioneers in the informatics field.

Optional Resources

Gugerty, B. Delaney, C. (August, 2009). Technology Informatics Guiding Educational Reform (TIGER). 
TIGER Informatics Competencies Collaborative (TICC) Final Report
. Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdf

Technology Informatics Guiding Education Reform (TIGER). (n.d.). 
Evidence and Informatics Transforming Nursing: 3-Year Action Steps toward a 10-Year Vision.
 Retrieved from http://www.aacn.nche.edu/education-resources/TIGER.pdf

Rubric Detail

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week1_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable.

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.

Total Points: 4

Name: NURS_8210_ Week1_Discussion_Rubric

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

NURS 8210 Week 4: System Development Life Cycle

NURS 8210 Week 4 Discussion

HIT Projects and Decision Makers

A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system.

Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project.

To prepare:

Bring to mind a HIT project implemented in your organization. Which leaders identified the project? Which stakeholders and decision makers helped moved the project forward?

Consider methods that were used to garner the support of stakeholders and decision makers to move the project forward.

By Day 3 post
 a cohesive response that addresses the following:

Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward.

Evaluate the impact of key decision makers on moving the HIT project forward.

Read
 a selection of your colleagues’ postings

By Day 6 respond
 to at least 
two
 of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

NURS 8210 Week 4 Discussion-HIT Projects and Decision Makers SAMPLE

To have more affordable and quality healthcare, disruptive innovations need to take place.  It involves using technologies to become more efficient (Townsend, 2013).  For healthcare systems to implement new health information technology (HIT) the use of the systems development life cycle is used.  The system development life cycle includes five stages, planning, design, implementation, maintenance, and evaluation (Laureate Education, 2011).  The purpose of this discussion is to describe a HIT project in my healthcare system and the impact key decision makers made on implementation of the project.

HIT Project

The healthcare system had five regional cancer centers all using the same electronic health record (EHR).  The system had been implemented in 2005 and had undergone two upgrades to the system.  The maintenance phase in the system development life cycle includes be aware of the new business needs and refining the system to meet those needs (Dennis, Wixom, & Roth, 2012).  The physicians were proficient in CPOE and all orders were entered electronically.  The cancer center had an outpatient clinic, surgery, infusion center, and inpatient settings all using the EHR.  Patients moved between levels of care frequently between levels of care, and the need became apparent that electronic reconciliation of medications needed to be implemented.  In the Institute of Medicine’s Report, 
To Err is Human, 
recommendations were made for organizations to use CPOE, barcode medication administration and medication reconciliation to increase patient safety and reduce medication errors (
To Err Is Human: Building a Safer Health System
, 2000).  The healthcare system had also implemented bar-cod medication administration but had never moved on to medication reconciliation using the EHR.  The project was identified by the physicians within the cancer center.  Patient due to their changes of condition was moving from the outpatient to inpatient units.  The manual reconciliation for a patient at discharge from inpatient status was taking a physician at least two hours and mistakes were being made due to the manual process.  My friend was the director of clinical informatics for the hospital, and the chief hospitalist brought it to his attention.  Together they coordinated a meeting with the chief hospitalists and informatics directors at the other four hospitals to gain consensus.  The group created an enhancement request to take to the governance committee for information systems.  The request was initially denied due to other projects currently prioritized.

NURS 8210 Week 4: System Development Life Cycle

“He who fails to plan, plans to fail.”
 — Proverb

Whether you are building a house, buying a new software program, or going on vacation, a carefully considered plan may encourage a positive outcome. In health care, planning for the adoption and integration of health information technology systems requires research, analysis, communication, and collaboration. During the planning phase, those leading a health information technology system project must evaluate potential problems related to patient needs, staff workloads, and costs, among other things. Planning frameworks can assist leaders with this task.

This week, you examine a popular planning framework—the Systems Development Life Cycle (SDLC)—as you begin your Major Assessment for this course: investigating a health information technology system or health information application. You also explore how leaders facilitate the implementation of HIT projects and consider strategies for garnering support from key stakeholders and decision makers.

Learning Objectives

Students will:

Analyze how HIT projects are identified and moved forward within an organization

Evaluate the impact of leaders and key decision makers on implementing HIT projects within an organization

Critically analyze the development and implementation of a health information technology system or application /li>

Photo Credit: [JGI/Tom Gril]/[Blend Images]/Getty Images

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 17, “Disruptive Innovation: Point of Care”

This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Standards of Nursing Informatics Practice” (pp. 67-79)

This excerpt presents the specific measurement criteria found within each nursing informatics standard.

Madsen, M. (2010). Knowledge and information modeling. 
Studies in Health Technology and Informatics, 151
, 84-103.

Retrieved from the Walden Library databases.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. 
Methods of Information in Medicine, 50
(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. 
Journal of Software Engineering and Applications, 3
(10), 983-989.

Retrieved from the Walden Library databases.

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. 
Hospital Topics, 87
(1), 3-9.

Retrieved from the Walden Library databases.

Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Systems analysis.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 11 minutes.

The presenters in this week’s media presentation outline the stages involved when implementing a new technology system..

 

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–Downloads–
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Download Audio
Download Transcript

Optional Resources

Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (
electronic
 Point-Of-Care Project) experience. 
Studies in Health Technology and Informatics, 129
(Pt 2), 1088-1092.

Discussion: Welcome to the Week 4 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

ockquote>

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion

Assignment: Application 3: Health Information Technology Project [Major Assessment 5]

In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.

Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.

To prepare:

Investigate a health information technology system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:

Consumer health applications

Clinical information systems

Electronic medical record (EMR) systems in hospitals or provider offices

Home health care applications

School health applications

Patient portal/personal health record

Public health information systems

Telehealth (i.e., from facility to home)

Simulation laboratories

Health care informatics research and development centers

Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest.

Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.

Complete a literature search to gather information about your selected information technology system. You may also need to review related scholarly articles to help answer the questions presented below. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

NOTE:
 In your submitted report, do not share proprietary information, personal names, or organization names without permission.

To complete:

Your deliverable is a 12- to 15-page scholarly report, not counting the title page or references. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.

Organization Information

Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.).

Is the health information technology system/application clinical, administrative, educational, or research related?

What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows?

How did the organization determine that this specific system/application could fulfill its predetermined needs?

Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application Design and Development

Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?

How are individuals trained to use the health information technology system/application?

How are security issues addressed? How does this health information technology system/application support a legally sound health care record?

Where did initial funds for this health information technology system/application come from?

Who manages the budget for this health information technology system/application?

Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

What are the arrangements for planned or unplanned downtime? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

How are health information technology system/application upgrades scheduled or planned?

How has the health information technology system/application changed in response to health care reform and related legislation?

What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System

How does the health information technology system/application utilize technology innovations?

What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?

What innovations could further promote evidence-based practice and efficiency within this organization?

End Product

Your report is a scholarly paper and needs to include a minimum of 10 citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that 
primary
 sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a 
secondary
 source. More on this topic is available in the 
APA Publication Manual
 and in the 
Walden Writing Center
. See also “Policies on Academic Honesty” listed at the Walden website.

A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document 
by Day 7
 of 
Week 9
.

By Day 7 of Week 9

Final Report: 12- to 15-page scholarly report is to be submitted.

Health Information Technology Project Evaluation

Program LO: 3

3: Educator / Consultant

DNP Essential: 4

4: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

(Scroll down for table)

ASSIGNMENT PROMPT

Target
5 points

Acceptable
3 points

Unacceptable
1 point

Score/Level

Abbreviated Research Proposal Paper

Part 1: Information on Organization

(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.Content is of a professional portfolio quality; addresses every major subsection in the assignment  description of health information technology system/application and the organization type; key reasons for development of this health information technology system/application; management and administrative structure of health information technology system/application using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

Well-developed, good quality work. Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

Meets expectations for LO3

 

Meets expectations for Essential 4

 

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 2:  
Information System Application: Design
(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment clearly and succinctly addresses how stakeholders worked together to design and fund the system application including a detailed description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system/application and how these challenges were addressed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature that supports this section, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO3

 

Fully meets expectations for Essential 4

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; addresses how stakeholders worked together to design and fund the system application including a description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system application and how these challenges were addressed; includes some summarizing or paraphrasing of literature that supports this section; demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature that supports this section; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 3: 
Information System Application: Implementation
(5 points)

Program LOs: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; identifies key security issues and provides a detailed description on how the issues have been addressed; provides an in-depth portrayal of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; includes a thoughtful analysis of system changes in response to health care reform/legislation and well-reasoned recommendation of additional changes needed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; identified security issues and described how they have been addressed; provides an overview of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; describes system changes in response to health care reform/legislation and recommendation of additional changes needed; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

 

 

 

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 4: 
Innovative Aspects of the System
(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; provides a succinct description of the role of innovation in the health information technology system/application and thoughtful recommendations for additional use of innovations using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment; provides a description of the role of innovation in the health information technology system/application and recommendations for additional use of innovations using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

Superficially developed, unacceptable quality.Needs substantial revision to be worthy of a professional portfolio; addresses less than half the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 5: End Product
(5 points)

The majority of references are from scholarly journals, support the topic well, and are current. All sources are peer reviewed. Minimum of 7 citations used. Paper stays within page requirements. APA format is used correctly throughout.

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Excels in meeting expectations for graduate level work.

 

Most references are from scholarly journals and support the topic. Most references are fairly current. All sources are peer reviewed. Minimum of 7 citations used. The paper stays within page requirements. APA format is used with minimal errors.

 

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Meets expectations for graduate level work.

References are not sufficient or are mostly from the lay literature or out of date. Sources identified are a combination of peer reviewed and nonpeer reviewed. Fewer than 7 citations used. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.

Report does not leave the reader with confidence in understanding the informatics system; graphics are minimally used or not used to illustrate key points. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

 

Work lags behind expectations for graduate level work.

Health Information Technology Project Assignment:

Write a 12- to 15-page (plus references) paper that includes the following:

 

Organization Information
 
(5 points)

Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, software company, government health information website, private virtual health information site, etc.).

Is the health information technology system/application clinical, administrative, educational, or research related?

What were the key reasons for development of this health information technology system/application?

Who manages this health information technology system/application and where are they located within the organization’s administrative structure? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Information System Application
: Design (5 points)

Many health systems have multiple independent entities that work together toward a common goal of providing health care. How did the various stakeholders work together to make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application

How was this health information system/application initially funded? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

Who manages the budget for this health information technology system/application?

Information System Application: Implementation (5 points)

How are security issues addressed; how does this health information technology system/application support a legally sound health care record?

How are individuals trained to use the health information technology system/application?

What are the plans for planned or unplanned downtime?

How are health information technology system/application upgrades scheduled or planned?

How has the health information technology system/application changed in response to health care reform and related legislation?

What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System (5 points)

How are technology innovations being used in the health information technology system/application?

What technology innovations could you recommend for this organization? NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

End Product (5 points)

The paper is 12- to 15-page report.

The report leaves the reader with confidence in understanding the informatics system.

Graphics are used to illustrate key points. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

The report is a scholarly paper and includes a minimum of 7 citations from peer-reviewed journals.

Appropriate APA format is used.

*Note:
 Up to 5 points (20%) may be deducted for grammar and APA style errors.

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Nursing and Health Care Informatics Ethics and the Law SAMPLE

Ethical Issue

According to the VA Office of Rural Health, almost 2.7 million veterans live in rural or highly rural communities, where even basic healthcare may be hundreds of miles away (VA Office of Rural Health [ORH], 2016).  In order to meet the unique need of these rural Veterans the VA initiated a robust initiative to increase access to health care.  In 2016 the most promising of these remote initiatives include telephone-based delivery of care, connecting veterans with veteran eligible resources, community incentives for healthcare training, and telehealth/telemedicine programs (ORH, 2016).  For this discussion I am going to focus on providing remote healthcare that eliminates the need for driving distances in light of the technological challenges to providing privacy and security protections. In using telehealth programs, the information exchange is not simply between the patient and the clinician, in that, many of these programs are maintained by a third party and this poses a security challenge for all concerned (Croll, 2010).  In fact, the concern for security breach is often mitigated by the trust the patient has in the clinician and the clinician’s unawareness (Croll, 2010).  Therefore, the ethical concern is the risk of security breach versus the health outcomes for the Veteran. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

NURS 8210 Week 5 Discussion Paper Details:

Nursing and Health Care Informatics Ethics and the Law

“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”

—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.  NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

With the continued integration of HIT, and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.

Nursing and Health Care Informatics Ethics and the Law Reference:

Croll, P. (2010). Privacy, security and access with sensitive health information. 
Studies in Health Technology and Informatics, 151,
 167–175.

To prepare for Nursing and Health Care Informatics Ethics and the Law:

Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.

For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar.

Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.

Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.

By Day 3 post
 a cohesive response that addresses the following:

Describe your selected ethical issue.

Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Formulate strategies that the organization could implement to address the ethical issue.

Read
 a selection of your colleagues’ postings.

By Day 6 respond
 to 
two
 of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Nursing and Health Care Informatics Ethics and the Law Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

Rubric Detail- Nursing and Health Care Informatics Ethics and the Law

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week5_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

Total Points: 4

Name: NURS_8210_ Week5_Discussion_Rubric

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Even the most technologically adept organizations are susceptible to security breaches. The Department of Veterans Affairs (VA) is an industry leader, known for both its Telehealth system and electronic health records (EHR). As a government entity, the VA has publicly reported unintended security failures. To date, the VA has categorized the following breaches: lost and stolen laptops, employee errors in information sharing, e-mails to the wrong account holders, hackers breaking into databases, and even acts of malicious employees. Despite the VA and other health care organizations’ preventive measures, ethical and legal breaches still pose a very real danger to patients. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

This week introduces the need for constant diligence when working with patient information. Through this lens, you examine the ethical codes and laws that govern today’s use of health information technologies.

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Objectives

Students will:

Analyze an ethical issue related to HIT that has the potential to create a liability

Formulate strategies for addressing ethical use of health information technology systems

Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation

Photo Credit: [verbaska_studio]/[iStock / Getty Images Plus]/Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. 
Studies in Health Technology and Informatics, 151,
 167-175. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Retrieved from the Walden Library databases.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. 
Journal of Health Care Compliance, 9
(3), 47-68.

Retrieved from the Walden Library databases.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. 
The Health Care Manager, 27
(2), 165-176.

Retrieved from the Walden Library databases.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. 
Studies in Health Technology and Informatics, 151,
 176-182.

Retrieved from the Walden Library databases.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. 
Nursing Ethics, 16
(6), 786-796.

Retrieved from the Walden Library databases.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. 
Healthcare Financial Management, 64
(8), 82-88.

Retrieved from the Walden Library databases.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term 
meaningful use
 and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.

Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.

Healthcare Information and Management Systems. (2011). Privacy & security toolkit. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp

At this website you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.

The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics

At this website you will find a American Medical Informatics Code of Ethics for Healthcare Professionals.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law.
Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 10 minutes.

In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

NURS 8210 Discussion: Welcome to the Week 5 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

NURS 8210 Week 5 Assignment 1: Application 2: Meaningful Use Paper

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

To prepare:

In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.

Investigate the legal, financial, and ethical issues surrounding meaningful use.

Ask yourself: What are the goals of meaningful use?

By Day 7 of Week 6

Write a 4- to 5-page essay in which you:

Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.

Explain how these issues might present barriers to successful implementation within an organization.

Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Explain how EHR-related meaningful use legislation is being implemented in your organization.

Grading Criteria

NURS8210 Grading Rubric

Week 6 Application 2: Meaningful Use Paper

Points Possible

Points Earned

You summarized the legal, financial, and ethical issues that may arise because of meaningful use legislation.

4

You explained how these issues might present barriers to successful implementation within an organization.

4

You discussed ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.

4

You explained how EHR-related meaningful use legislation is being implemented in your organization.

3

Spelling, grammar and APA

Note:
 Points may be deducted for grammar, spelling, and/or APA errors.

 Points NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

15

Comments:

NURS 8210 Week 6: Health Information Technology Systems Discussion and Assignment

NURS 8210 Week 6: Health Information Technology Systems

NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges
SAMPLE

Usability and design challenges

               Staggers (2010) states that usability has a strong, often direct relationship with clinical productivity, error rate, user fatigue, and user satisfaction which make for difficult adaptation. HIT usability is the thread that binds a product to specific users in a specific context in ore to achieve set goals with ‘effectiveness, efficiency and satisfaction’ (ANA, 2015).  Nurses or end users are the ones that need to buy into the usability and clinical application design of new technology presented to them (Ball, Douglas, & Walker, 2011). The Technology Informing Education Reform (TIGER) summit highlighted the significance of both through identification, definition, and presentation of two pillars, informatics design, and technology, from and in which to develop their knowledge and beliefs. For usability to be effective, the goals must be met. Being able to affect and transform workflow positively, work with system developers to maximize clinical system development effectiveness with known processes and principles are the goals of which Ball et al. (2011) spoke. Clinical application designs must support evidence-based practice (EBP), be collaborative, provide support for growth and further development of new knowledge and the inception of research into practice (Staggers & Troseth, 2011)  NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Implementing the case study’s new health information technology system

            To implement an almost seamless transition from paper to the new HIT system, I would conduct a needs assessment, survey the facility to locate positions of possible placement of system, check workstation needs, the staff’s ability to learn and their receptiveness to change. Have systems in place in the facility prior to having experienced educators who are familiar with the system, present the HIT or have a train the trainer in-service.

NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges

Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

In this week’s Discussion, you move from the standpoint of the “ outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success.

To prepare:

Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative.

Consider the “Best Practice Exemplars” provided in the course text 
Nursing Informatics: Where Technology and Caring Meet
.

Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text 
Nursing Informatics: Where Technology and Caring Meet
. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges.

What strategies might you employ to overcome these HIT usability challenges and concerns?

By Day 3 post
 a cohesive response to the following:

Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system.

Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.

Determine whether these challenges were a result of implementation or design.

Formulate strategies for overcoming these usability challenges.

Read
 a selection of your colleagues’ postings.

By Day 6 respond
 to at least 
two 
of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

NURS 8210 Week 6: Health Information Technology Systems

When changes are implemented or new information technology systems are adopted, organizational leaders have a responsibility to make the transition as seamless as possible. When a system is easy to learn and utilize, this transition is more easily accomplished. When a system is less “user friendly,” this can become a barrier and impede acceptance. By focusing on user needs while developing system designs, those involved in HIT can promote efficacy and buy-in throughout the organization. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

This week, you examine how nurses identify and address usability and design challenges in information technology systems.

Learning Objectives

Students will:

Formulate strategies for overcoming usability challenges of health information technology systems

Analyze the overall usability and design of a health information technology system or application

Photo Credit: [teekid]/[E+]/Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 14, “Usability and Clinical Application Design”

This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. 
CIN: Computers, Informatics, Nursing, 27
(3), 151–163.

Retrieved from the Walden Library databases.

The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. 
Nursing Research, 55
(2, Suppl. 1), S37–S42.

Retrieved from the Walden Library databases.

This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. 
Studies in Health Technology and Informatics, 151,
 156–166. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Retrieved from the Walden Library databases.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

NURS 8210 Week 6 Discussion: Welcome to the Week 6 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Application 2: Meaningful Use Paper

Continue working on Assignment 2: Meaningful Use Paper, assigned in 
Week 5
.

By Day 7

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.

Click the 
Application 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 6 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click 
Open
. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

Document: 
Week 6 Application 2 Rubric (Word document)

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 6 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 6 Assignment

NURS 8210 Assignment 2: Application 3: Health Information Technology Project [Major Assessment 5]

Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7 of Week 9

Submit your Assignment.

Grading Criteria

Document: 
Week 9 Major Assessment 5 Rubric (Word document)

Week in Review

This week
 you analyzed overall usability and design of a HIT system/application and formulated strategies for overcoming challenges. 
Next week
 you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes.

Rubric Detail- NURS 8210 Week 6

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week6_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

Total Points: 4

Name: NURS_8210_ Week6_Discussion_Rubric

NURS 8210 Week 7: Nursing and Health Care Informatics Tools: Telehealth, Robotics, and Decision Support Systems

Decision Support and Innovative Informatics Tools Discussion: NURS 8210 Week 7

Assess the applications of the technology, noting the benefits and potential challenges of the innovation.

As a nurse, the goal is to give safe, effective patient care, and improve healthcare.  Courville (2017) discussed between 1995 and 2004 the joint commission reported medication errors, delays in treatment, wrong-site surgeries, and sentinel events was caused from communication failure. Research has shown that smartphones are a cheap and quicker tool to improve doctor to patient interaction, reducing costs and improving care for patients (Courville, 2017; Whitlow, 2013).  They can instantly connect the entire care team with the data and tools. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

In nursing home facility, using smartphones can improve interprofessional communication and enhance workflow.  Development in technology has improved over the last decade and more secure low-cost communication can be used to text message, share photos and attachments, call clinicians, video chat, document, and be used as a learning tool. It can be used anywhere, anytime.  There are few studies regarding the benefits and challenges of smartphones.

Courville (2017) conclusion stated smartphones improved “time management, optimized resources, team unity, performance metrics, job satisfaction, and self-learning and professional development” (p.5).  There are possible barriers that may arise as a result of incorporating the system in the organization that may hinder the way smartphones operate.  Potential challenges could be smartphones depending on Wi-Fi networking and cellular networks. When many users congest the network, connectivity could slow down, or if there is an outage the smartphone would not be able to connect to a network. Another potential challenge would be risk for data lost or device is stolen.  Larson, Vice President of Diagnotes (2018) stated that backup and information is stored in a secured cloud. In case of loss or theft, software developers created remote wiping and disabling that can remotely clean or disable the program. Another potential challenge would be the risk of spread of disease. Manufacturer’s warranty could have the potential of being invalid related to using cleansing isopropanol wipes (Courville, 2017). Other challengers could be battery life, and easy to misplace. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

NURS 8210 Week 7 Discussion

Decision Support and Innovative Informatics Tools

“
Never before in history has innovation offered promise of so much to so many in so short a time.
” – Bill Gates (as cited in Frazer, 2007)

Technological innovations are dramatically changing how the health care industry operates. One example of this change is the transformation of gaming systems and virtual worlds into effective health care devices. Today’s gaming systems are capable of strengthening motor skills during rehabilitation, while virtual worlds promote a form of nonjudgmental communication and self-confidence for those patients who suffer from physical and mental limitations. Innovations such as these have been well received as they promote health in a positive and entertaining way.

In this week’s Discussion, you appraise how these innovations can enhance health care practices. Focus on analyzing innovations with which you may be unfamiliar. For example, you may choose to look at the fields of decision support, robotics, telehealth, and nanotechnologies. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Decision Support and Innovative Informatics Tools References:

Olsen, S. (2008, May 29). Wii-habilitation, health games get $2 million study grant. CNET News.

Retrieved from http://news.cnet.com/8301-10784_3-9955083-7.html

Tanner, L. (2008, February 9). Hospital using Wii in combat injury rehab. Navy Times.

Retrieved from http://www.navytimes.com/news/2008/02/ap_wiihabilitation_080209/

Mollman, S. (2007, July 27). Wii + Second Life = New training simulator. Wired.

Retrieved from http://www.wired.com/gadgets/miscellaneous/news/2007/07/wiimote

Frazer, G. (2007, December 6). How to nurture innovation in your business. Computer Weekly.

Retrieved from http://www.computerweekly.com/Articles/2007/12/06/228478/How-to-nurture-innovation-in-your-business.htm

To prepare FOR Decision Support and Innovative Informatics Tools:

Review the information and websites listed in the Learning Resources focusing on decision support and technological innovations in the health care field.

Using credible resources, investigate decisions support systems or other innovations that are in their in today’s health care market.

Select a specific technological innovation to share with your classmates.

Develop a description of your selected decision support system or technology innovation as if you were making a presentation to an interdisciplinary team at your practice. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Include the potential benefits and challenges that this new system could bring to health care practices and the effect it could have on outcomes.

By Day 3 post
 a cohesive response that addresses the following:

Describe your selected technology, including when it was first introduced into the health care industry.

Assess the applications of the technology, noting the benefits and potential challenges of the innovation.

Appraise the potential of the innovation to improve health care practice and related outcomes.

Read a selection of your colleagues’ postings

Read
 a selection of your colleagues’ postings.

By Day 6
 respond to 
at least two 
of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Decision Support and Innovative Informatics Tools Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your Decision Support and Innovative Informatics Tools Discussion response.

NURS 8210 Discussion: Welcome to the Week 7 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Submission and Grading Information

Rubric Detail- Decision Support and Innovative Informatics Tools

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week7_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable.

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams

Total Points: 4

Name: NURS_8210_ Week7_Discussion_Rubric

Assignment: Application 3: Health Information Technology Project [Major Assessment 5]

Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4 and due 
by Day 7 
of 
Week 9
. Consider the innovative aspects of the system you are evaluating. How long has the system been in place? When is an upgrade scheduled? Include information presented this week as appropriate.

By Day 7 of Week 9

Submit your Assignment.

NURS 8210 Week 7: Nursing and Health Care Informatics Tools: Telehealth, Robotics, and Decision Support Systems

Health information technology includes a wide range of systems that electronically capture and disseminate information related to patient care. These clinical systems can lead to a higher quality of care and support evidence-based practice. Prominent clinical systems include computerized provider order entry (CPOE), electronic prescribing (e-prescribing), and picture archiving and communication systems (PACS). Certain clinical systems also provide decision support to providers, serving as adjuncts to human decision making rather than supplanting it. One challenge in designing these systems is to incorporate the support tools unobtrusively into the providers’ clinical work flow. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Other clinical applications are found in the field of telehealth, or telemedicine. These permit providers and organizations to deliver care and services to patients in other geographic locations.

This week, you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes.

Learning Objectives

Students will:

Evaluate the use of decision support tools in clinical practice

Appraise innovative technologies used in health care

Photo Credit: Science Photo Library / Brand X Pictures / Getty Images

NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 18, “Extending Care: Voice Technology”

Chapter 21, “Local Global Access: Virtual Learning Environments”

Chapter 18 provides an overview of the capability of voice assistive technologies to address the demands of health care environments. Chapter 21 features classroom technology trends that are equipping future nurses for practice.

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

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

“Integrated Functional Areas: Telehealth and Informatics” (pp. 36-37)

The excerpts found here provide an overview of future advancements of informational technology systems’ hardware and design models.

Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. 
Studies in Health Technology and Informatics, 152,
 353–366.

Retrieved from the Walden Library databases.

In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. 
The American Journal of Cardiology, 107
(5), 690–696.

Retrieved from the Walden Library databases.

The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. 
Health Services Research, 45
(4), 985–1004.

Retrieved from the Walden Library databases.

This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. 
Rehabilitation Nursing, 35
(6), 254-259.

Retrieved from the Walden Library databases.

Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.

Cisco. (n.d.). Industry solutions: Healthcare.

Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html

Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

Intuitive Surgical. (2018). da Vinci surgery.

Retrieved from https://www.intuitivesurgical.com/products/davinci_surgical_system/

See this website to view video commentaries on the da Vinci Surgical System’s ability to revolutionize surgery experiences.

Massachusetts Institute of Technology. (n.d.). MIT media lab.

Retrieved October 14, 2011, from http://www.media.mit.edu/

View various technology integration stories in the field of health care at this website

McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html

The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Clinical decision support.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 12 minutes.

In “Clinical Decision Support” the presenters discuss how data management systems combine with practitioner knowledge to create the best medical and economical solutions for patient care.

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Telehealth.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 8 minutes.

In “Telehealth,” Dr. Speedie and Dr. Johnson expound upon the emerging technological developments in telehealth.

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

Optional Resources

Bryan, C., & Boren, S. A. (2008). The use and effectiveness of electronic clinical decision support tools in the ambulatory/primary care setting: A systematic review of the literature. 
Informatics in Primary Care, 16
(2), 79–91.

Feldman, L. (2010). Meaningful use: Hospitals advised to be thorough when deploying clinical decision support tools. 
Hospitals & Health Networks 84
(5), 16. NURS 8210 – Transforming Nursing and Healthcare Through Technology Essay Assignment Discussion Papers and Exams.

NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper

NURS 8210 Week 6: Health Information Technology Systems

NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges
SAMPLE

Usability and design challenges

               Staggers (2010) states that usability has a strong, often direct relationship with clinical productivity, error rate, user fatigue, and user satisfaction which make for difficult adaptation. HIT usability is the thread that binds a product to specific users in a specific context in ore to achieve set goals with ‘effectiveness, efficiency and satisfaction’ (ANA, 2015).  Nurses or end users are the ones that need to buy into the usability and clinical application design of new technology presented to them (Ball, Douglas, & Walker, 2011). The Technology Informing Education Reform (TIGER) summit highlighted the significance of both through identification, definition, and presentation of two pillars, informatics design, and technology, from and in which to develop their knowledge and beliefs. For usability to be effective, the goals must be met. Being able to affect and transform workflow positively, work with system developers to maximize clinical system development effectiveness with known processes and principles are the goals of which Ball et al. (2011) spoke. Clinical application designs must support evidence-based practice (EBP), be collaborative, provide support for growth and further development of new knowledge and the inception of research into practice (Staggers & Troseth, 2011) NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

Implementing the case study’s new health information technology system

            To implement an almost seamless transition from paper to the new HIT system, I would conduct a needs assessment, survey the facility to locate positions of possible placement of system, check workstation needs, the staff’s ability to learn and their receptiveness to change. Have systems in place in the facility prior to having experienced educators who are familiar with the system, present the HIT or have a train the trainer in-service.

ORDER A PLAGIARISM-FREE PAPER HERE

NURS 8210 Week 6 Discussion: HIT Usability and Design Challenges

Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

In this week’s Discussion, you move from the standpoint of the “ outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success.

To prepare:

Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative.

Consider the “Best Practice Exemplars” provided in the course text 
Nursing Informatics: Where Technology and Caring Meet
.

Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text 
Nursing Informatics: Where Technology and Caring Meet
.

Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

What strategies might you employ to overcome these HIT usability challenges and concerns?

By Day 3 post
 a cohesive response to the following:

Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system.

Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges.

Determine whether these challenges were a result of implementation or design.

Formulate strategies for overcoming these usability challenges.

Read
 a selection of your colleagues’ postings.

By Day 6 respond
 to at least 
two 
of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

NURS 8210 Week 6: Health Information Technology Systems

When changes are implemented or new information technology systems are adopted, organizational leaders have a responsibility to make the transition as seamless as possible. When a system is easy to learn and utilize, this transition is more easily accomplished. When a system is less “user friendly,” this can become a barrier and impede acceptance. By focusing on user needs while developing system designs, those involved in HIT can promote efficacy and buy-in throughout the organization. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

This week, you examine how nurses identify and address usability and design challenges in information technology systems.

NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample PaperLearning Objectives

Students will:

Formulate strategies for overcoming usability challenges of health information technology systems

Analyze the overall usability and design of a health information technology system or application

Photo Credit: [teekid]/[E+]/Getty Images

Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 14, “Usability and Clinical Application Design”

This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems.

Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. 
CIN: Computers, Informatics, Nursing, 27
(3), 151–163.

Retrieved from the Walden Library databases.

The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. 
Nursing Research, 55
(2, Suppl. 1), S37–S42.

Retrieved from the Walden Library databases.

This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. 
Studies in Health Technology and Informatics, 151,
 156–166.

Retrieved from the Walden Library databases.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

NURS 8210 Week 6 Discussion: Welcome to the Week 6 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 6 Discussion

Assignment 1: Application 2: Meaningful Use Paper

NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper. Continue working on Assignment 2: Meaningful Use Paper, assigned in 
Week 5
.

By Day 7

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.

Click the 
Application 2 Rubric 
to review the Grading Criteria for the Assignment.

Click the 
Week 6 Assignment 
link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

Grading Criteria

Document: 
Week 6 Application 2 Rubric (Word document)

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 6 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 6 Assignment

NURS 8210 Assignment 2: Application 3: Health Information Technology Project [Major Assessment 5]

Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7 of Week 9

Submit your Assignment.

Grading Criteria

Document: 
Week 9 Major Assessment 5 Rubric (Word document)

Week in Review

This week
 you analyzed overall usability and design of a HIT system/application and formulated strategies for overcoming challenges. 
Next week
 you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper.

Rubric Detail- NURS 8210 Week 6

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week6_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.

Total Points: 4

Name: NURS_8210_ Week6_Discussion_Rubric. NURS 8210 – Health Information Technology Systems Essay Discussion and Assignment – HIT Usability and Design Challenges Sample Paper

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Nursing and Health Care Informatics Ethics and the Law SAMPLE

Ethical Issue

According to the VA Office of Rural Health, almost 2.7 million veterans live in rural or highly rural communities, where even basic healthcare may be hundreds of miles away (VA Office of Rural Health [ORH], 2016).  In order to meet the unique need of these rural Veterans the VA initiated a robust initiative to increase access to health care.  In 2016 the most promising of these remote initiatives include telephone-based delivery of care, connecting veterans with veteran eligible resources, community incentives for healthcare training, and telehealth/telemedicine programs (ORH, 2016).  For this discussion I am going to focus on providing remote healthcare that eliminates the need for driving distances in light of the technological challenges to providing privacy and security protections. In using telehealth programs, the information exchange is not simply between the patient and the clinician, in that, many of these programs are maintained by a third party and this poses a security challenge for all concerned (Croll, 2010).  In fact, the concern for security breach is often mitigated by the trust the patient has in the clinician and the clinician’s unawareness (Croll, 2010).  Therefore, the ethical concern is the risk of security breach versus the health outcomes for the Veteran……

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NURS 8210 Week 5 Discussion Paper Details:

Nursing and Health Care Informatics Ethics and the Law

“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”

—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.

With the continued integration of HIT, and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Nursing and Health Care Informatics Ethics and the Law Reference:

Croll, P. (2010). Privacy, security and access with sensitive health information. 
Studies in Health Technology and Informatics, 151,
 167–175.

To prepare for Nursing and Health Care Informatics Ethics and the Law:

Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.

For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.

Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.

By Day 3 post
 a cohesive response that addresses the following:

Describe your selected ethical issue.

Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.

Formulate strategies that the organization could implement to address the ethical issue.

Read
 a selection of your colleagues’ postings.

By Day 6 respond
 to 
two
 of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return
 to this Nursing and Health Care Informatics Ethics and the Law Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

Rubric Detail- Nursing and Health Care Informatics Ethics and the Law

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week5_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.

Total Points: 4

Name: NURS_8210_ Week5_Discussion_Rubric

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Even the most technologically adept organizations are susceptible to security breaches. The Department of Veterans Affairs (VA) is an industry leader, known for both its Telehealth system and electronic health records (EHR). As a government entity, the VA has publicly reported unintended security failures. To date, the VA has categorized the following breaches: lost and stolen laptops, employee errors in information sharing, e-mails to the wrong account holders, hackers breaking into databases, and even acts of malicious employees. Despite the VA and other health care organizations’ preventive measures, ethical and legal breaches still pose a very real danger to patients.

This week introduces the need for constant diligence when working with patient information. Through this lens, you examine the ethical codes and laws that govern today’s use of health information technologies.

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers Learning Objectives

Students will:

Analyze an ethical issue related to HIT that has the potential to create a liability

Formulate strategies for addressing ethical use of health information technology systems

Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation

Photo Credit: [verbaska_studio]/[iStock / Getty Images Plus]/Getty Images

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. 
Studies in Health Technology and Informatics, 151,
 167-175.

Retrieved from the Walden Library databases.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. 
Journal of Health Care Compliance, 9
(3), 47-68.

Retrieved from the Walden Library databases.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. 
The Health Care Manager, 27
(2), 165-176.

Retrieved from the Walden Library databases.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. 
Studies in Health Technology and Informatics, 151,
 176-182.

Retrieved from the Walden Library databases.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. 
Nursing Ethics, 16
(6), 786-796.

Retrieved from the Walden Library databases.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. 
Healthcare Financial Management, 64
(8), 82-88.

Retrieved from the Walden Library databases.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term 
meaningful use
 and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.

Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.

Healthcare Information and Management Systems. (2011). Privacy & security toolkit.

Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp

At this website you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics

At this website you will find a American Medical Informatics Code of Ethics for Healthcare Professionals.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law.
Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 10 minutes.

In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records.

Accessible player
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NURS 8210 Discussion: Welcome to the Week 5 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

NURS 8210 Week 5 Assignment 1: Application 2: Meaningful Use Paper

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

To prepare:

In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Investigate the legal, financial, and ethical issues surrounding meaningful use.

Ask yourself: What are the goals of meaningful use?

By Day 7 of Week 6

Write a 4- to 5-page essay in which you:

Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.

Explain how these issues might present barriers to successful implementation within an organization.

Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Explain how EHR-related meaningful use legislation is being implemented in your organization.

Grading Criteria

NURS8210 Grading Rubric

Week 6 Application 2: Meaningful Use Paper

Points Possible

Points Earned

You summarized the legal, financial, and ethical issues that may arise because of meaningful use legislation.

4

You explained how these issues might present barriers to successful implementation within an organization.

4

You discussed ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.

4

You explained how EHR-related meaningful use legislation is being implemented in your organization. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

3

Spelling, grammar and APA

Note:
 Points may be deducted for grammar, spelling, and/or APA errors.

 Points

15

 

Comments:

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

NURS 8210 Week 4: System Development Life Cycle

NURS 8210 Week 4 Discussion

HIT Projects and Decision Makers

A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system.

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Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

To prepare:

Bring to mind a HIT project implemented in your organization. Which leaders identified the project? Which stakeholders and decision makers helped moved the project forward?

Consider methods that were used to garner the support of stakeholders and decision makers to move the project forward.

By Day 3 post
 a cohesive response that addresses the following:

Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Evaluate the impact of key decision makers on moving the HIT project forward.

Read
 a selection of your colleagues’ postings

By Day 6 respond
 to at least 
two
 of your colleagues in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Return
 to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the 
Reply
 button below to post your response.

NURS 8210 Week 4 Discussion-HIT Projects and Decision Makers SAMPLE

To have more affordable and quality healthcare, disruptive innovations need to take place.  It involves using technologies to become more efficient (Townsend, 2013).  For healthcare systems to implement new health information technology (HIT) the use of the systems development life cycle is used.  The system development life cycle includes five stages, planning, design, implementation, maintenance, and evaluation (Laureate Education, 2011).  The purpose of this discussion is to describe a HIT project in my healthcare system and the impact key decision makers made on implementation of the project. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

HIT Project

The healthcare system had five regional cancer centers all using the same electronic health record (EHR).  The system had been implemented in 2005 and had undergone two upgrades to the system.  The maintenance phase in the system development life cycle includes be aware of the new business needs and refining the system to meet those needs (Dennis, Wixom, & Roth, 2012).  The physicians were proficient in CPOE and all orders were entered electronically.  The cancer center had an outpatient clinic, surgery, infusion center, and inpatient settings all using the EHR.  Patients moved between levels of care frequently between levels of care, and the need became apparent that electronic reconciliation of medications needed to be implemented.  In the Institute of Medicine’s Report, 
To Err is Human, 
recommendations were made for organizations to use CPOE, barcode medication administration and medication reconciliation to increase patient safety and reduce medication errors (
To Err Is Human: Building a Safer Health System
, 2000).  The healthcare system had also implemented bar-cod medication administration but had never moved on to medication reconciliation using the EHR.  The project was identified by the physicians within the cancer center.  Patient due to their changes of condition was moving from the outpatient to inpatient units.  The manual reconciliation for a patient at discharge from inpatient status was taking a physician at least two hours and mistakes were being made due to the manual process.  My friend was the director of clinical informatics for the hospital, and the chief hospitalist brought it to his attention.  Together they coordinated a meeting with the chief hospitalists and informatics directors at the other four hospitals to gain consensus.  The group created an enhancement request to take to the governance committee for information systems.  The request was initially denied due to other projects currently prioritized. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

NURS 8210 Week 4: System Development Life Cycle

“He who fails to plan, plans to fail.”
 — Proverb

Whether you are building a house, buying a new software program, or going on vacation, a carefully considered plan may encourage a positive outcome. In health care, planning for the adoption and integration of health information technology systems requires research, analysis, communication, and collaboration. During the planning phase, those leading a health information technology system project must evaluate potential problems related to patient needs, staff workloads, and costs, among other things. Planning frameworks can assist leaders with this task.

This week, you examine a popular planning framework—the Systems Development Life Cycle (SDLC)—as you begin your Major Assessment for this course: investigating a health information technology system or health information application. You also explore how leaders facilitate the implementation of HIT projects and consider strategies for garnering support from key stakeholders and decision makers. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker Learning Objectives

Students will:

Analyze how HIT projects are identified and moved forward within an organization

Evaluate the impact of leaders and key decision makers on implementing HIT projects within an organization

Critically analyze the development and implementation of a health information technology system or application /li>

Photo Credit: [JGI/Tom Gril]/[Blend Images]/Getty Images

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 17, “Disruptive Innovation: Point of Care”

This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Standards of Nursing Informatics Practice” (pp. 67-79)

This excerpt presents the specific measurement criteria found within each nursing informatics standard. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Madsen, M. (2010). Knowledge and information modeling. 
Studies in Health Technology and Informatics, 151
, 84-103.

Retrieved from the Walden Library databases.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. 
Methods of Information in Medicine, 50
(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. 
Journal of Software Engineering and Applications, 3
(10), 983-989.

Retrieved from the Walden Library databases.

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. 
Hospital Topics, 87
(1), 3-9.

Retrieved from the Walden Library databases.

Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: Systems analysis.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 11 minutes.

The presenters in this week’s media presentation outline the stages involved when implementing a new technology system. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

 

Accessible player
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Optional Resources

Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (
electronic
 Point-Of-Care Project) experience. 
Studies in Health Technology and Informatics, 129
(Pt 2), 1088-1092.

Discussion: Welcome to the Week 4 Discussion area!

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

ockquote>

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 4 Discussion

Assignment: Application 3: Health Information Technology Project [Major Assessment 5]

In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.

To prepare:

Investigate a health information technology system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment.

Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:

Consumer health applications

Clinical information systems

Electronic medical record (EMR) systems in hospitals or provider offices

Home health care applications

School health applications

Patient portal/personal health record

Public health information systems

Telehealth (i.e., from facility to home)

Simulation laboratories

Health care informatics research and development centers

Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.

Complete a literature search to gather information about your selected information technology system. You may also need to review related scholarly articles to help answer the questions presented below.

NOTE:
 In your submitted report, do not share proprietary information, personal names, or organization names without permission.

To complete:

Your deliverable is a 12- to 15-page scholarly report, not counting the title page or references. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.

Organization Information

Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.).

Is the health information technology system/application clinical, administrative, educational, or research related?

What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows? NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

How did the organization determine that this specific system/application could fulfill its predetermined needs?

Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application Design and Development

Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?

How are individuals trained to use the health information technology system/application?

How are security issues addressed? How does this health information technology system/application support a legally sound health care record? NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

Where did initial funds for this health information technology system/application come from?

Who manages the budget for this health information technology system/application?

Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

What are the arrangements for planned or unplanned downtime?

How are health information technology system/application upgrades scheduled or planned?

How has the health information technology system/application changed in response to health care reform and related legislation?

What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System

How does the health information technology system/application utilize technology innovations?

What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?

What innovations could further promote evidence-based practice and efficiency within this organization?

End Product

Your report is a scholarly paper and needs to include a minimum of 10 citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that 
primary
 sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a 
secondary
 source. More on this topic is available in the 
APA Publication Manual
 and in the 
Walden Writing Center
. See also “Policies on Academic Honesty” listed at the Walden website. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document 
by Day 7
 of 
Week 9
.

By Day 7 of Week 9

Final Report: 12- to 15-page scholarly report is to be submitted.

Health Information Technology Project Evaluation

Program LO: 3

3: Educator / Consultant

DNP Essential: 4

4: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

(Scroll down for table)

ASSIGNMENT PROMPT

Target
5 points

Acceptable
3 points

Unacceptable
1 point

Score/Level

 
Abbreviated Research Proposal Paper

 

Part 1: Information on Organization

 

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

 

 

DNP Essential: 4

Exemplary quality.Content is of a professional portfolio quality; addresses every major subsection in the assignment  description of health information technology system/application and the organization type; key reasons for development of this health information technology system/application; management and administrative structure of health information technology system/application using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

Well-developed, good quality work. Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

Meets expectations for LO3

 

Meets expectations for Essential 4

 

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

Insufficient to meet expectations for LO 3. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

Insufficient to meet expectations for Essential 4

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

Part 2:  
 
Information System Application: Design
 

(5 points)

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

 

 

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment clearly and succinctly addresses how stakeholders worked together to design and fund the system application including a detailed description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system/application and how these challenges were addressed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature that supports this section, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO3

 

Fully meets expectations for Essential 4

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; addresses how stakeholders worked together to design and fund the system application including a description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system application and how these challenges were addressed; includes some summarizing or paraphrasing of literature that supports this section; demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature that supports this section; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

Part 3: 
 
Information System Application: Implementation
 

 

 

 

 

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LOs: 3

 

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; identifies key security issues and provides a detailed description on how the issues have been addressed; provides an in-depth portrayal of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; includes a thoughtful analysis of system changes in response to health care reform/legislation and well-reasoned recommendation of additional changes needed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4 NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; identified security issues and described how they have been addressed; provides an overview of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; describes system changes in response to health care reform/legislation and recommendation of additional changes needed; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

 

 

 

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

Superficially developed, unacceptable quality.Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 4: 
 
Innovative Aspects of the System
(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; provides a succinct description of the role of innovation in the health information technology system/application and thoughtful recommendations for additional use of innovations using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

Well-developed, good quality work.Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment; provides a description of the role of innovation in the health information technology system/application and recommendations for additional use of innovations using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 

Superficially developed, unacceptable quality.Needs substantial revision to be worthy of a professional portfolio; addresses less than half the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4

Part 5: End Product
(5 points)

The majority of references are from scholarly journals, support the topic well, and are current. All sources are peer reviewed. Minimum of 7 citations used. Paper stays within page requirements. APA format is used correctly throughout.

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Excels in meeting expectations for graduate level work.

 

Most references are from scholarly journals and support the topic. Most references are fairly current. All sources are peer reviewed. Minimum of 7 citations used. The paper stays within page requirements. APA format is used with minimal errors. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Meets expectations for graduate level work.

 

References are not sufficient or are mostly from the lay literature or out of date. Sources identified are a combination of peer reviewed and nonpeer reviewed. Fewer than 7 citations used. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.

Report does not leave the reader with confidence in understanding the informatics system; graphics are minimally used or not used to illustrate key points.

 

Work lags behind expectations for graduate level work.

 

 

 

Health Information Technology Project Assignment:

Write a 12- to 15-page (plus references) paper that includes the following:

 

Organization Information
 
(5 points)

Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, software company, government health information website, private virtual health information site, etc.).

Is the health information technology system/application clinical, administrative, educational, or research related?

What were the key reasons for development of this health information technology system/application?

Who manages this health information technology system/application and where are they located within the organization’s administrative structure? NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker.

 
Information System Application
: Design (5 points)

Many health systems have multiple independent entities that work together toward a common goal of providing health care. How did the various stakeholders work together to make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application

How was this health information system/application initially funded?

Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

Who manages the budget for this health information technology system/application?

 
Information System Application: Implementation (5 points)

How are security issues addressed; how does this health information technology system/application support a legally sound health care record?

How are individuals trained to use the health information technology system/application?

What are the plans for planned or unplanned downtime?

How are health information technology system/application upgrades scheduled or planned?

How has the health information technology system/application changed in response to health care reform and related legislation?

What suggestions could you make regarding changes needed to support health care reform and related legislation? NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

 
Innovative Aspects of the System (5 points)

How are technology innovations being used in the health information technology system/application?

What technology innovations could you recommend for this organization?

 
End Product (5 points)

The paper is 12- to 15-page report.

The report leaves the reader with confidence in understanding the informatics system.

Graphics are used to illustrate key points.

The report is a scholarly paper and includes a minimum of 7 citations from peer-reviewed journals.

Appropriate APA format is used.

 

*Note:
 Up to 5 points (20%) may be deducted for grammar and APA style errors. NURS 8210 Week 4 Discussion: HIT Projects and Decision Maker

Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N

NURS 8210N-1 Week 1 Assignment: Application 1: Nursing Informatics Pioneers

Application 1: Nursing Informatics Pioneers – One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

To prepare FOR Application 1: Nursing Informatics Pioneers:

Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.

Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.

Select two nursing informatics pioneers and conduct further research on their contributions.

Consider how their contributions have influenced health information technology and nursing practice today.

By Day 7 of Week 2 OF Application 1: Nursing Informatics Pioneers

Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers. Synthesize your thoughts using the bullets below as a guide:

What are the professional accomplishments of each individual?

How have their contributions influenced nursing practice?

How have their contributions shaped the field of nursing informatics? Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N

What lessons can you take away from their experiences?

What skills or ideas demonstrated by these leaders might you apply to your professional practice?

ORDER A PLAGIARISM-FREE PAPER HERE

NURS8210 Grading Rubric: Application 1: Nursing Informatics Pioneers

Week 2 Application 1: Nursing Informatics Pioneers

Points Possible

Points Earned

You described the professional accomplishments of each individual.

3

You have explained how their contributions influenced nursing practice.

3

You offered how their contributions have shaped the field of nursing informatics.

3

You included what lessons you can take away from their experience.

3

You described what skills or ideas demonstrated by these leaders might apply to your professional practice. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N

3

Spelling, grammar and APA

Note:
 Points may be deducted for grammar, spelling, and/or APA errors.

Total Points

15

 

Comments:

NURS 8210N-1 Discussion: Welcome to the Week 1 Small Group Discussion area!

Post your responses to the Small Group Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the 
Essential Guide to APA Style for Walden Students
 to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

NURS 8210N-1 Week 1: Staying Current

Print and web-based media provide many rich and credible resources for staying abreast of the latest trends and issues in health care. As you proceed through the DNP program, you will find that receiving updates via the Internet or mail can continue to support your professional growth as a scholar practitioner.

To prepare FOR Application 1: Nursing Informatics Pioneers:

Review several resources that provide current information about the latest trends and issues in health care

Select one that you think is most appropriate for you to stay current on the latest trends and issues in health care

By Day 7

Subscribe to the resource you selected

Copy and paste an email or photo of your successful subscription notification/confirmation into a Word document and submit it to the submission link by Day 7.

NOTE:
 You are expected to maintain your subscription throughout this course. Review several of the updates you receive to inform your Discussions and Application Assignments. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK1Proj+last name+first initial.(extension)” as the name.

Click the 
Week 1 Project 
link.

Next, from the Attach File area, click on the 
Browse My Computer
 button. Find the document you saved as “WK1Proj+last name+first initial.(extension)” and click 
Open
.

If applicable: From the Plagiarism Tools area, click the checkbox for 
I agree to submit my paper(s) to the Global Reference Database
.

Click on the 
Submit
 button to complete your submission.

NURS 8210N-1Week 1: Introduction to Health Information Technology Systems and Nursing Informatics

In 1943, Tom Watson was quoted as saying, “I think there is a world market for maybe five computers.” Little did this chairman of IBM realize that the advent of computers would revolutionize all facets of society, including health care. The health care industry has used the power of technology to dramatically improve the quality of patient care. Today, bar code scanners document patient medications, robotic machinery is used to perform minimally invasive surgeries, and pill bottles feature audible labels to assist patients in taking the correct medication. As health care continues to change and new innovations appear, what types of skills will nurses need in order to harness the potential of emerging and evolving technologies? Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

This week you will examine the history of nursing informatics as well as the Technology Informatics Guiding Education Reform (TIGER) initiatives that drive technology education for nurses. Using the TIGER and American Nurses Association guidelines, you also evaluate your own informatics competencies.

Reference: Rinkworks. (n.d.) Things people said: Bad predictions. Retrieved from 
http://www.rinkworks.com/said/predictions.shtml

Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N Learning Objectives

Students will:

Summarize how informatics has impacted or changed nursing practice

Evaluate the influence of informatics competencies on quality of care and nursing practice

Apply online learning resources to professional growth and development

Compare the contributions of two nursing informatics pioneers

Photo Credit: [Comstock]/[Stockbyte]/Getty Images

Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N Learning Resources

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 1, “Nursing Informatics: Transforming Nursing”

Chapter 12, “The Evolving National Informatics Landscape”

Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology’s emergence into the health care industry. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Course Text: American Nurses Association. (2008). 
Nursing informatics: Scope and standards of practice.
 Silver Spring, MD: Author.

“Introduction” (pp. 1–2)

“Informatics Competencies” (pp. 33–40)

 

The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the “Informatics Competencies” section uses research and matrices to correlate informatics competencies with the education and roles of nursing professionals.

Cesnik, B., & Kidd, M. R. (2010). History of health informatics: A global perspective. 
Studies in Health Technology and Informatics, 151
, 3–8. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Retrieved from the Walden Library databases.

The authors of this article begin by summarizing the rise of computer development and use. They then examine how technology will build the capabilities of future businesses.

Hovenga, E. J., Kidd, M. R., Garde, S., & Hullin Lucay Cossio, C. (2010). Health informatics: An introduction. 
Studies in Health Technology and Informatics, 151
, 9–15. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Retrieved from the Walden Library databases.

A brief explanation of informatics principles is given in this article.

Ozbolt, J. G., & Saba, V. K. (2008). A brief history of nursing informatics in the United States of America. 
Nursing Outlook, 56
(5), 199–205.

Retrieved from the Walden Library databases.

 

Examine the initiatives and technological developments that have informed the field of informatics by using this article as a guide.

Technology Informatics Guiding Education Reform (TIGER). (n.d.). 
The TIGER Initiative: Informatics competencies for every practicing nurse: Recommendations from the TIGER collaborative
. Retrieved from: http://www.mhsinformatics.org/CI-Fellowship/Workforce. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N. Development/Competencies/Tiger.Report_Competencies_final.pdf

For this week, focus on the executive summary and Appendix A, B, and C for review of the TIGER initiative and resulting competencies.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Transforming nursing and healthcare through technology: What is health informatics?
Baltimore, MD: Author. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Note: 
The approximate length of this media piece is 13 minutes.

In this week’s media presentation, the presenters discuss the extensive applications, implications, and benefits of health informatics for patients, practitioners, and health care organizations as a whole.

Accessible player
–Downloads–
Download Video w/CC
Download Audio
Download Transcript

HIMSS/AMDIS Physician Community Podcast Series. (Producer). (2009). 
Episode #15: TIGER initiative – technology informatics guiding education reform.
 [Audio podcast]. Retrieved from https://www.himss.org/episode-15-tiger-initiative-technology-informatics-guiding-education-reform

 

Joyce Sensmeier, vice president of informatics at the Healthcare Information and Management Systems Society (HIMSS), presents the Technology Informatics Guiding Education Reform (TIGER) initiative that is aimed at educating nurses on new digital technologies. This podcast also highlights the organizational accomplishments and future informatics goals of the TIGER initiative.To access the podcast, scroll through the page linked above to find Episode #15.

American Medical Informatics Association. (2011). Video Library 1: Nursing informatics pioneers.

Retrieved from http://www.amia.org/programs/working-groups/nursing-informatics/history-project/video-library-1

The AMIA developed a Nursing Informatics History Project, aimed at documenting and preserving the history of nursing informatics. This project consists of two video libraries. Video Library 1 portrays the viewpoints and accomplishments of those recognized as pioneers in the informatics field. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.

Optional Resources

Gugerty, B. Delaney, C. (August, 2009). Technology Informatics Guiding Educational Reform (TIGER). 
TIGER Informatics Competencies Collaborative (TICC) Final Report
. Retrieved from http://tigercompetencies.pbworks.com/f/TICC_Final.pdf

Technology Informatics Guiding Education Reform (TIGER). (n.d.). 
Evidence and Informatics Transforming Nursing: 3-Year Action Steps toward a 10-Year Vision.
 Retrieved from http://www.aacn.nche.edu/education-resources/TIGER.pdf

Rubric Detail

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Name: NURS_8210_ Week1_Discussion_Rubric

Grid View

List View

Exemplary

Proficient

Sufficient

Developing

Discussion Postings and Responses

Introduction
to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N

4 
(100%)
 – 4 
(100%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.

3 
(75%)
 – 3 
(75%)

• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.

2 
(50%)
 – 2 
(50%)

• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N

0 
(0%)
 – 1 
(25%)

• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.

Total Points: 4

Name: NURS_8210_ Week1_Discussion_Rubric. Introduction to Health Information Technology Systems and Nursing Informatics Pioneers Discussion Essay – NURS 8210N.