Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

At least 2 references in each peer responses!

  

Having been an RN in a few different countries, namely the Philippines, Jordan, Saudi Arabia, and Canada, impacted how I evolved as a nurse in the 21st century. Starting as an RN in a third world country 13 years ago was challenging. Instruments in the operating room, as well as gloves, were reusable through the process of autoclaving. Patients documents were hand or typewritten and attached in a solid steel frame chart. In far-flung areas where hospitals are out of reach, people die of myocardial infarction and infectious diseases due to the lack of resources. There is available transportation, including an ambulance; however, there is the absence of an AED or life-saving medications and providers to treat a disease. Besides, the travel takes at least 3 hours to arrive in the hospital. That is the reality of my hometown in the Philippines.

As I ventured along as a nurse in the Middle East, I was amazed at a national system of government-funded health care and how technology evolved. I practice how to use computer-based electronic health and utilized advanced technology in my daily patient care encounter. However, the electronic health record didn’t have much of the options in transmitting data compared to the electronic health record (EHR) that we have today. Those days, the usage of a computer was to record nurses’ notes, input records of vital signs, and check laboratory and imaging results of the patient. In today’s world, we can see competitions and evolving EHR in hospitals. Nowadays, several hospitals and health systems with mature EHRs have portals for patients to access and record their health data. (Glassman, 2017).

We are now in the future of involving patients in their care. I got awestruck with telemedicine and hospital bill payment transactions through hospital portals. Globally, the spread of information in several countries in the hospital setting evolved tremendously. Saudi Arabia’s government spends thousands to millions of dollars to develop and improve the kingdom’s health care through research and technology. King Faisal Specialist Hospital & Research Centre (KFSH&RC) is Saudi Arabia’s first integrated digital hospital that successfully utilized superior health information technology upon achieving Stage 7 on the ambulatory Electronic Medical Record Adoption Model (EMRAM). Alswailem(2017).  

Before my arrival in the US, It was part of my obligation to do a 16-week online course in Health Stream as part of my transition in the US nursing practice. It is a great advantage to re-learn basic nursing principles using animations and online patient simulations. I also learn about the problems of miscommunications in the hospital setting due to the use of abbreviations. All health care settings should create a plan for implementing an ANA recognized terminology supporting nursing practice within their EHR. (American Nurses Association, 2018). 

Interestingly, I find out that few of my colleagues still utilized abbreviations like U, IU, QOD, and other more. I realized that there is still discrepancies and incongruencies with the abscense of nursing informatics whose role is to facilitate clinical care, education, administration and research. (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014).

Indeed, it is essential to be aware that a standardized nursing language should always be carried out. This will enhance better communication among co-workers, increased visibility of nursing interventions, improved patient care, enhanced data collection to evaluate nursing care outcomes, greater adherence to standards of care, and facilitated assessment of nursing competency. (Rutherford, 2008). In the future, we may be able to defend ourselves if a quantitative or court review comes knocking on our doors.  

Ethics in Healthcare

Discussion Question

Two nurse researchers are interested in studying whether a pain assessment tool for critical care patients is valid and reliable when applied to a group of patients who cannot communicate verbally due to mechanical ventilation. They design a validation study in which randomly selected patients will be assessed using the tool after a painful procedure (tracheal suctioning) and after a nonpainful procedure (oral care). If patient responses result in higher scores after the painful procedure than after the nonpainful one, then the researchers will conclude that the tool is effective for these patients in differentiating pain responses from responses to nursing procedures in general.

Using the definitions in the textbook:

• Discuss and draw a conclusion as to whether this study will likely be exempt, expedited, or full review. 
• Would the study be considered ethical? Explain your rationale.

 

1) **********minimum 4 full pages (1 page each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. 

Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

___________________________________________________________

You must answer (1) question 4 times. 

You must submit 4 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions

_____________________________________________________________

 

Unit 5 Chapters 70, 72, 74:  https://books.google.com/books?id=NGGuCAAAQBAJ&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false 

Make a reflection: discussing your thoughts and opinions about one or several of the specific topics covered in the textbook (Unit 5 Chapters 70, 72, 74) readings pertaining to health policy and politics. 

Identify which one MSN Essential most relates to your selected topic in your discussion.

 

Choose any of these Essentials for each of the topics and answer the question:

 I. Background for Practice from Sciences and Humanities

II. Organizational and Systems Leadership 

III. Quality Improvement and Safety 

IV. Translating and Integrating Scholarship into Practice 

V. Informatics and Healthcare Technologies 

VI. Health Policy and Advocacy 

VII. Interprofessional Collaboration for Improving Patient and Population Health Outcomes 

VIII. Clinical Prevention and Population Health for Improving Health  

Course: Nursing Informatics

Assignment details:

 

Scenario: You are speaking in a meeting with the hospital compliance officer and the hospital representative for Health Insurance Portability and Accountability Act of 1996 (HIPAA) team, and have been asked “How will we maintain patient privacy with our documents on the Internet?”

Use the university library, journals, and your experience to create a strategic plan for a 200-bed acute care facility that considers possible data privacy breaches and proposes effective methods to avoid them. Additionally, explain what is required by the Joint Commission, the Health Information on Technology for Economic and Clinical Health (HITECH) Act, and the HIPAA regulations that must be followed for the protection of individually identifiable health information.

Cite at least 4 peer-reviewed references published within the past 5 years.