HA3220D – Health Information Systems
Discussion 6.2: Security Steering Committee
You are in charge of forming a steering committee to evaluate the security risks at a hospital. Your first order of business is to talk about the differences between privacy, security and confidentiality. How would you explain the differences? Who would you include on the committee? Who should lead this committee? Include reasons for your selection.
1-Discussion question: Describe at least 3 nursing care delivery models.
2- 3 paragraphs of 3 sentences each
3- 2 references not older than 2015
4- APA style
Your friend Bruce calls in a panic. He has just come from the doctor and been diagnosed with a bacterial infection. The doctor told him not to worry; his B cells will take care of it in no time! Knowing that you are studying the immune response, he is calling to ask you to explain this statement. Is the doctor correct? Is there more to the story?
Requirements
Examine how might nurses and nursing organizations improve policies to encourage the judicious use of antibiotics in humans? Identify the correlation between global disease surveillance and domestic disease surveillance, and the significant role the family nurse practitioner plays. apa format, turniting , 250 words
DQ1
Technology is essential for the successful implementation of many projects in health care settings. Despite the importance of health care and medical technologies for improving the quality of care delivery, reduction of health care costs, and enhancing working conditions, Veer et al (2011) found that the introduction of new technologies can actually be met with resistance, and calls for analyses of the factors that may impede or enhance the introduction of technological innovations prior to its introduction.
My evidence based project is based on the need to educate nurses and management of the effects of burnout on nurses’ and patients’ outcomes. According to Cishahayo et al (2019), burnout is highest among Intensive Care Unit and Emergency Department nurses, and that addressing working environment, nurses staffing and training needs, operational materials, and social engagements are necessary for ensuring nurse productivity, and patient safety and satisfaction. Other research demonstrates that if not properly addressed, burnout can result in negative outcomes such as reduced job performance, poor quality of care, increased medication errors, infections, and increased nurse turnover intentions (Liu et al, 2019; Dall’Ora et al, 2020).
Considering the need to decrease nurse burnout, easing nurses’ workloads during shifts is very important; and one way to do so is to decrease the burden of documentation by introducing the electronic nursing documentation and the electronic health record. Documenting and retrieving patients’ health care records can be tasking and time consuming; however, with the introduction of e-documentation and health care record technology, the nursing staff at PowerBack Acute Center will no longer have to waste time and energy consulting with one another, trying to decipher someone’s dreadful handwriting, and fewer errors related to misinterpreted orders should follow. Nurses also like being able to find information about previous episodes of care (hospitalizations or visits) easily and having all information about a patient integrated in a single place. To a greater extent, this technology can go a long way in reducing nurse fatigue and stress, and by extension impact positively on nurses’ and patients’ outcomes.
References
Cishahayo, E. U., Tuyisenge, M. J., Mwiseneza, M. J., Sego, R., Bhengu, B. R. (2019). Perceived effects of burnout on patients and its management among nurses in the intensive care unit and emergency department of a Rwandan university teaching hospital. Rwandan Journal of Medicine and Health Sciences, 2(2). https://dx.doi.org/10.4314/rjmhs.v2i2.10
Dall’Ora, C., Ball, J., Reinius, M. et al. Burnout in nursing: a theoretical review. Human Resources for Health, 18(41). https://doi.org/10.1186/s12960-020-00469-9
de Veer, A. J., Fleuren, M. A., Bekkema, N. Francke, A. L. (2011). Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Medical Informatics and Decision Making, 11(67). https://doi.org/10.1186/1472-6947-11-67
Liu, J., Zheng, J., Liu, K., Liu, X., Wu, Y., Wang, J., & You, L. (2019). Workplace violence against nurses, job satisfaction, burnout, and patient safety in Chinese hospitals.Nursing Outlook, 67(5), pp. 558-566. https://doi.org/10.1016/j.outlook.2019.04.006
DQ2
Technology helps to improve education and engagement of asthma reduction. In the school setting nurses have access to a program called ASHR, this system allows any health care provider to see children health records and its continuity through case management and follow-ups. Nurses are not the only ones with ability to chart in a child’s health record, in the school setting there are physicians, social workers, speech and occupational therapist that can provide information relevant to a child’s health and progress. A major concern in helping children learn and maintain healthy regimens are for those children who are learning remote. Time must be set aside to implement asthma education for those with diagnosis, who may have forgotten to keep up with their asthma care plan since being in the home. As nurses we advocate for all children, and part of that requires inquiring of the causes of the lack of adherence (for those it applies). As well as coming up with or reinforcing new and improved systems, apps, and resources that can help parents and children make asthma more manageable in the home. To begin, make sure that all students have computers provided to them and access to the Internet to facilitate education. Usage of links or apps that can be accessible through cellular phones, where they can access pictures and videos is one way to deliver education an information. Technologies that could assist families with asthma self-management and care are remote monitoring technologies that help with managing asthma in the home. These monitoring techs are Propeller Health, Cohero Health, and Adherium (Sundar and Costanzo, 2019). These have the potential to help explain and reduce differences in asthma outcomes. Propeller Health – helps users monitor their asthma and stick to a plan by becoming aware of triggers, it works by allowing users to connect their inhaler medication, as the student uses the inhalers it will store data use and frequency to the phone is connected to (Propeller, 2020). Cohero Health, like Propeller health, helps user keep track of asthma health and medication usage but in addition, provides a Bluetooth enabled medication inhaler tracker with a sensor. This tracker is designed for both control and rescue medications and fit most metered dose inhalers and Diskus inhalers (Cohero Health, 2019). I also like that it automatically tracks the use of the medication, and measures lung function over time, with a Bluetooth mobile spirometer. Then there is Adherium, an international respiratory electronic health company which focused on patient adherence, remote monitoring and data management solutions for patients, physicians, payers, and providers (Adherium, 2020). These are great tools to implement in my change proposal and consider presenting to help increase management of asthma in the home, school, and the community. Barriers that I would see here, are for those who are not tech savvy, and may not have the tools necessary.
References
Adherium. (2020). About Adherium. https://www.adherium.com/about
Cohero Health. (2019). Smart technology and smart design. https://coherohealth.com/products/
Propeller. (2020). About. How it works. https://www.propellerhealth.com/how-it-works/
Sundar, K. & Costanzo, S. (2019, October 16). The role of health technology and incentives in improving asthma care for high-risk children. Children’s Hospital of Philadelphia. Research Institute. Policy Lab. https://policylab.chop.edu/blog/role-health-technology-and-incentives-improving-asthma-care-high-risk-children
Prepare 8-9 slides of comprehensive plan to implement the change you propose.
Week 7 Discussion Question: Chapter 29, Mental Health Disorders
Part two: Many older adults are prescribed psychotropic medications. What are the side effects of these medications and how do they impact the normal aging older adult?
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
The Assignment:
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template (ATTACHED). Be sure to address the following:
1. Choose one of the articles posted and read thoroughly.
2. Identify the theoretical framework used in the article you chose.
3. Go the reference section of the article and Identify/select at least one primary source and one secondary source (articles) that also used the theoretical framework.
4. Now, search the electronic database such as Gale-Infotract on LIRN, CINAHL, or ProQuest to identify the primary and secondary source articles you selected.
Post a brief review the abstracts of the primary source and secondary source in the article you chose.
The article is attached at the bottom read it and answer the questions in essay style. APA format
The article(You need to tell which article that you are discussing) talks more about the three domains that surround the nursing profession the satisfaction of nurses during work progress, nursing work environment, and quality of nursing care that is given. These domains are studied to come up with a way forward in providing a very comprehensive and quality delivery (Liaschenko, J. (1995). This write-up provides a clear relationship between the nurses and the organization that is found in this sector, example NSW health organizations. The interaction between the nurses and these organizations is important as it allows the organizations to study the needs of the nurses and providing a better environment. This writes up is concerned with the studies of how the environment for nurses has raised a major issue that compromises the nurses’ satisfaction. The satisfaction of nurses comes from the environment where nurses work from, leading to a perfect job. This study also provides valuable insights that conclude that the changes in the practice environment of the nurse come with a positive impact on the job of the nurse whereby he/she performs better that is a result of satisfaction. You never stated the framework used in the article: I suspect you are discussing “Investing n Human Relations….? which used the Structure- Process- Outcome (SBO) paradigm/model. This is stated in the article.
The literature also gives an analysis of the relationship between the three domains determining the satisfaction of the nurses. The three domains include the nursing practice environment, job satisfaction, and the quality of nursing care as a single-dimensional. The research is saying that the three Domains are mutually dependent on one another therefore, effects that come as a result of one can cause harm to the other factors. It has been Witten in this article that the services provided by nurses who are working in an unfavorable environment may end up providing fair or poor health care.
Therefore the nurses must be provided with a very conducive environment to enable them to come up with greater services that can be liked and help the patients. The research of this paper was done in the year 1999 up to 2010 but there were no findings that could explain the three domains that is nursing practice environment, job satisfaction, and equity of nursing care in reciprocal directions (Castle et.al 2006). The nursing practice environmental changes are drawn without the proper consideration of how each domain can affect each other. The change in the healthcare system will also raise issues whereby the nurses tend to believe that these changes will have effects on the effectiveness, efficiency, and timeliness of the patients’ health care. The article also says that despite all changes from the restructuring of the health system, the nurses are still getting problems at work, facing hostility, injuries, and verbal abuse. This statement makes it clear that there is a need for us to study the possible improvements in the three domains. The purpose of this paper is to reveal the possible relationship between the three domains
Primary source_ you were required to name a primary source used in the article which you did not name and provide an electronic link for the primary source with a summary of the abstract. This was not completed. Download the assignment to a word doc and complete the categories for discussion.
This source provides the strategies for analyzing the qualitative data that is used in health services research (Fylan F, 2005). These include data designing of data to come up with the relevant information that is used in the analysis. The analysis is done by using data that is collected. This data analysis can lead to practical approaches that are very important to the research. There is also a description approach of data analysis that applies the use of inductive reasoning that provides guidance and directions for data analysis and interpretation. Qualitative inquiry can help to break down the complex analysis phenomena in the health services researches.
Secondary source+ same problem here as noted with primary source. Follow the directions.
The relationship between the three domains that are; nursing practice environment, job satisfaction, and quality of nursing healthcare has been explored by many studies to provide a superior health delivery by nurses (Bradley EH, Curry LA, Devers KJ, 2007). This literature reveals that the relationship between the three domains is one dimensional that has resulted in the structural changes in the nursing environment to meet the nurses’ needs. The paper comes with the reciprocal evidence in the relationships between the domains regarding the NSW health organization. This research was conducted through questionnaires that provided the results of how the nurse’s interactions with the administrations impacted the relationships between the three domains.
References
Liaschenko, J. (1995). Faithful to the good: Morality and philosophy in nursing practice.Missing some criteria here- is this a book or journal article?
Castle, N. G., Degenholtz, H., & Rosen, J. (2006). Determinants of staff job satisfaction of caregivers in two nursing homes in Pennsylvania. BMC Health Services Research, 6(1), 1-11.
Fylan F. Chapter 6: Semi-structured interviewing. In J. Miles & P.
Gilbert (Eds.), A Handbook of Research Methods for Clinical and
Health Psychology New York, USA: Oxford University Press;
2005.
Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for
health services research: developing taxonomy, themes, and theory.
Health Services Research. 2007;42(4):1758-72.
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