NUR 514 Organizational Leadership and Informatics Week 7 Discussion

NUR 514 Organizational Leadership and Informatics Week 7 Discussion

NUR 514 Organizational Leadership and Informatics Week 7 Discussion

Week 7 Discussion

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

DQ1

The emerging technologies have played an essential role in enhancing efficiency and subsequently, patient safety and high quality of care. However, these systems hold patient information, which creates legal and ethical issues in handling such information. One of the ethical issues that might impact the practice of a registered nurse is unauthorized access to sensitive patient information (Almaghrabi & Bugis, 2022). Registered nurses and other practitioners who have access to the system have a responsibility to ensure that there is no unauthorized access to this information. A registered nurse may violate this policy through various actions and acts of omission, for example, an RN may forget to sign out of their accounts after using the system, providing an opportunity for unauthorized thirty parties to access the system through their accounts (George & Bhila, 2019). Unauthorized access leads to a breach of patient information, which should be secured throughout. Furthermore, when a malicious person accesses patient information, it violates confidentiality and privacy, and such people might use the accessed information to cause harm.

One of the measures to protect patient confidentiality and privacy is to create policies that align with the requirements of HIPAA particularly the Security Rule and the Privacy Rule. Policies are an effective way to ensure that the staff is aware of the requirements of the law regarding issues of privacy and confidentiality (Hartigan et al., 2018). Additionally, policies define behaviors and conduct of the staff with an agenda of encouraging compliance with regulations such as the safety and confidentiality of patient data. Thus, a registered nurse and healthcare providers are required to adhere to organizational policies on privacy and data security.

NUR 514 Organizational Leadership and Informatics Week 7 Discussion References

Almaghrabi, N., & Bugis, B. (2022). Patient Confidentiality of Electronic Health Records: A Recent Review of the Saudi Literature. Al Habib Medical Journal 4, 126–135. https://doi.org/10.1007/s44229-022-00016-9.

George, J., & Bhila, T. (2019). Security, Confidentiality and Privacy in Health of Healthcare Data. International Journal of Trend in Scientific Research and Development (IJTSRD), 3(4), 373-379. https://doi.10.31142/ijtsrd23780.

Hartigan, L., Cussen, L., & Meaney, S. (2018). Patients’ perception of privacy and confidentiality in the emergency department of a busy obstetric unit. BMC Health Service Research, 18, 978. https://doi.org/10.1186/s12913-018-3782-6.

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

DQ2

HIPAA and PHI are laws that regulate the use and dissemination of consumer data. The regulations through the requirements for privacy and confidentiality ensure that healthcare providers do not misuse patient information in unauthorized ways (Balestra, 2018). For example, one of the legal issues that might arise is sharing patient information with a third party. Patient information should remain confidential and private. Registered nurses might share patient information through their social media posts, violating the privacy rule. Sharing patients’ identifiable information can lead to serious repercussions including loss of license or a lawsuit against the hospital. An ethical issue that a registered nurse might be involved in based on confidentiality and privacy of data is accessing information patient health information from an uncensored location (Pool, 2022). For example, accessing patient data from home computers or other personal devices is unethical because of the potential for a security breach. This is because personal devices do not have the cybersecurity features required to protect patient data. Moreover, the registered nurse might leave that information in open access to family members who will end up seeing sensitive patient information.

As the implementation of electronic health records and telehealth systems increases, they also present a challenge in the effective protection of patient data. These systems involve the electronic transmission of patient data, in the process exposing such information to a security breach (Zhou et al., 2019). To promote the security of sensitive patient information, one measure is to install cybersecurity features and make cybersecurity part of an organization’s culture (Pool, 2022). For example, electronically transmitted data should be in an encrypted format so that even if intercepted by a third party, they cannot access it. Another feature of cybersecurity is password protection using two-step verification and strong passwords to prevent other people from bypassing a provider’s passwords and accessing the system.

NUR 514 Organizational Leadership and Informatics Week 7 Discussion References

Balestra, M. (2018). Electronic Health Records: Patient Care and Ethical and Legal Implications for Nurse Practitioners. The Journal for Nurse Practitioners, 13(2), 105-111. https://doi.org/10.1016/j.nurpra.2016.09.010.

Pool, J. (2022). Data privacy concerns and use of telehealth in the aged care context: An integrative review and research agenda. International Journal of Medical Informatics, 160. https://doi.org/10.1016/j.ijmedinf.2022.104707.

Zhou, L., Thieret, R., Watzlaf, V., Dealmeida, D., & Parmanto, B. (2019). A Telehealth Privacy and Security Self-Assessment Questionnaire for Telehealth Providers: Development and Validation. International Journal of Telerehabil, 11(1):3-14. https://doi.10.5195/ijt.2019.6276.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

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

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

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

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

Weekly Participation

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

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

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

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

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

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APA Format and Writing Quality

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

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

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

Use of Direct Quotes

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

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

It is best to paraphrase content and cite your source.

LopesWrite Policy

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

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

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

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

Late Policy

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

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

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

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

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

Communication

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

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

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