Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy.  

 

• How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively?
• What are the ethical and legal implications of the use of personal devices?
• What does the professional literature say about how communication devices can support safe nursing practice?

  

I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Healthcare has shifted from improving sanitation, to disease prevention, to health promotion. In “…the early 19th century, infectious diseases were widespread and difficult to contain largely because of the lack of proper sanitation methods, including insufficient disinfection of drinking water and improper removal of human waste. During this time, health was viewed in basic terms as being free of disease” (Falkner, 2018). However, there has been a shift in the definition of health, especially with healthcare focusing on improving access to primary and preventative health services. “The goal is to create a culture of health in which health promotion and disease prevention is the focus rather than seeking treatment after disease has set in” (Falkner, 2018). Nurses are always thinking about ways to get in front of a problem before a problem gets to a patient, and this is especially important when providing care with the improved vision on health promotion and disease prevention. Nurses should understand the provisions in Healthy People 2020: and nurses are pivotal in educating patients to take control of their health to maintain a healthy state and thus prevent disease. Wellness, which is the “State of well-being that is not necessarily equated with the absence of disease, ability to adapt, and continue to function and live life well are contributing factors to wellness” (Falkner, 2018), goes hand-in-hand with health. The hospital system I work for incorporates these concepts by providing more holistic options to patients and employees. For example, there are mediation stations throughout the hospital. Another example is in the ICU where I work; recently some of the nurses that I work with and me all found a ton of evidence-based research on the benefits of essential oils for critically ill patients. Now we have lavender oil and cardamom/grapefruit oil available on our unit and use them regularly in certain patients. We are currently running our own unit-based project to see if there is a decrease in sedation use when essential oils are on board. While it is crucial for nurses to continue to use evidence-based practice, it is exciting to be able to incorporate more holistic/wellness modalities in delivery of nursing care; especially because these more wellness-based modalities are becoming increasing studied and accepted in evidence-based practice. 

Paragraph 2

Traditionally, health was defined as the absence of illness with great emphasize on the role of clinical diagnosis and intervention. Early 1990s, the main cause of death were infectious diseases such as pneumonia, caused by viruses and bacteria. Therefore, the definition of health during the 1990s was based on freedom from illness. Due to medical advancement over the years, infectious diseases can be cured and prevented. The ensuing discussion describes the changes in the concept of health. With the control of infectious diseases, in modern days the main cause of poor health is life-styles (Polsen & Borui, 2015). Therefore, the concept of heath has shifted its focus from illness to wellness, a positive broad health approach that includes intellectual, social, physical, and emotional well-being. Wellness refers to putting more effort to live your life to the fullest potential and conducting activities that prevent diseases. Overall wellness is an active process of change to enhance complete physical, social, and mental wellbeing. Traditionally, health was considered the opposite of illness, therefore, people were concerned with treating diseases rather than promoting health. World Health Organization changed the view of health from disease to a full life perspective. Thus, health promotion has become a priority in the modern society. Currently, health promotion encompasses efforts to promote health while preventing injuries and diseases through education, good working conditions, and policies that facilitate a healthy lifestyle. Nurses need to implement health interventions through evidence-based practices because these practices foster for efficient, effective and safeness in the health sector. Nurse’s aims to improve caregiving and enhance high quality intended patient’s outcomes through evidence-based practice (Steven, 2013). In conclusion, the concept of health and health promotion has transformed over time due to the changes in the predisposing conditions. Traditionally, the concept of health was concerned with treating illness, however, this increased the incidence of infectious diseases. Due to the high incidence of infectious diseases, the concept of health changed into the state of well-being and promoting health.

When it comes to constructing projects for presentation, organization is a great strength of mine. I have somewhat of a phographic memory, and am a visionary planner. Therefore, I can envision what I want my project to look like, including all of the information I want to be included in the project. This comes in handy for making sure the project has everything it is suppose to have. I am very organized in my thoughts and produce the end product in a very systemmatic manner, with a well thought out agenda. My weakness however, is stage fright. I become very intimidated when speaking in front of an audience, especially people I do not know. In order to improve on presentations, I have found that it is very important to connect with stakeholders in a collaborative way. It then becomes easier to speak in front of them because I have already gotten to know my audience. For example, it is important to meet with the stakeholders privately either in their office or on the phone. This way each stakeholder can be filled in informally first so that when the formal meeting takes place, the background is done and I am familiar with them. It is important to work on public speaking skills because the stakeholders must be engaged. The entire team must be lead through the process of the change practice that is being presented for it to be successful (Gallagher-Ford L. etal 2011)ReferenceGallagher-Ford L., Fireout-Overholt E., Melnyk B., Stillwell S. (2011) Evidence-Based Practice, Step By Step: Implementing an Evidence-Based Practice Change; ASN American Journal of Nursing Mar 2011; 111(3): 54-60 https://lpes.idm.oclc.org/loginurl=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446201103000-00031&LSLINK=80&D=ovft

The largest barrier to change in an ambulatory surgery setting would be resistance to change, as people often create habits or specific ways of performing different tasks, asking a group to change the way they think and perform these tasks, is often a difficult undertaking (Strategies for Nurse Managers, 2002). In the ambulatory surgical setting, time and operating room schedules are very important, at times even dominating the day and taking precedence.Overcoming this barrier effectively would require a variety of different strategies to gain compliance and understanding, however, maintain these standards could prove to be tricky. It is expected that five of the major surgeons who share ownership of the center. They will assist in creating the changes to practice, and how they wish the patients receive this information, as well as providing input into changes to their prescribing habits. Through the months after implementation, stakeholder satisfaction with protocol changes and implementation will be assessed through clinical staff meetings. Another way to overcome these barriers is by gaining support from the administration staff (Ginex, 2018) such as our Director of Nursing. The administration will be able to provide important information through surveys that will provide valuable feedback that nurses are continuing to follow protocol through the post-operative patient surveys. Furthermore, the administration can assist with the coordination of education and informational meetings to follow up on the new changes in practice, and reviews of the evidence that supports these changes, and the reason for implementing these new protocols (Strategies for Nurse Managers, 2002). Nurses will also be consulted in follow up meetings as to their satisfaction with the new protocols taking place, and their opinions, as well as any suggestions they may have to further increase satisfaction to the patients and staff. ReferencesGinex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-changeStrategies for Nurse Managers. (2002). Breaking down resistance. Retrieved from http://www.strategiesfornursemanagers.com/content/31710.pdf