Your summary should include:

• A description of the agency

• It’s work and how that contributes to the health of the community

• The characteristics of the clients served

• The role or potential role for nurses within the agency

• Your experiences

Make sure you date every journal entry with corresponding clinical Week followed by your entry of at least 100 words.

A. Research the two following topics and write a one page summary of your findings for the two scenarios: (5 points each)

1. Stem cell research for reproduction of a designer child whose sole purpose is to be a donor to a sick child.

2. Parents who decide, for religious and moral issues, to preserve umbilical cords for use in the future to potentially save a life.

B. Write a one page summary for the questions asked below. (10 points)

1. What are the moral and ethical implications of this genetic selection?

2. What conclusions have you reached about such medical technology?

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.

Part 1

My post

Hello class and Professor,

The advent of the technological era has been linked to improved patient outcomes. Most of the technologies in place are patient-centered and are aimed at improving the quality of care and service delivery. At the facility I work for, there are several technologies in place. The most recent is the point of care technology. As much as this technology is in its initial stages of implementation, the benefits have had profound effects on the operations of nursing. This technology allows nurses to access patient data such as X-rays and medication directly from the bedside. This is achieved through linked computers placed at the bedside of patients to ensure that their records can easily be accessed (Adam, 2017).

Considering that the facility has not yet adopted electronic health records, the point of care technology comes with great significance to the hospital. Through the technology, time is saved which would have otherwise been used to access the documents physically. This also allows for easier update of the patient information ensuring that they stay up to date. Point of care technology also ensures that nursing practice focuses on patient-centered care (Adam, 2017). This means that the patient is engaged in making decisions, follow-ups, and education to better their health.

The facility should, however, consider the importance of implementing electronic health records to complement the point of care technology. With electronic records coupled with this technology, nurses will have diverse alert systems such as mobile phones and tablets to ensure that they can access patient data away from the bedside.

Part2 

Professor Comments and question

It is really interesting that your organization has not implemented the electronic health record (EHR). The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provided $35 billion dollars for organizations to implement electronic health records. The incentive did not cover the entire costs of implementation to organizations, but are mandatory to meet the requirements for the Centers for Medicare and Medicaid Services the Merit-Based Incentive Payment System, or MIPS which will start in 2019. Do you think the organization will change to the EHR in the near future?

 References
Schwartz, S. (2016). Defensive medicine versus value-based care. Medical Economics. Retrieved from: http://medicaleconomics.modernmedicine.com/medical-economics/news/defensive-medicine-versus-value-based-care?page=0,0

Part 3/another students comments and question

I found your topic very interesting. Prior to working on the PCU unit at a hospital, my last employer was just in the process of implementing EMR. They were actually using paper charts. It is interesting that some health care organizations are behind when it comes to information technology. Do you think that this could be due to cost? I think cost was the major reason as to why my prior employer was slow to using EMR. 

        Research the relationship between economic growth in Saudi Arabia and how this growth is related to providing the population a higher-quality of healthcare. What opportunities for policy-makers in the Ministry of Health do you think could help improve healthcare?

Please use the following headings in your paper:

1. Introduction
2. Vision 2030
3. Economic Growth in Saudi Arabia
4. Quality Healthcare Policies
5. Conclusions
6. References

Your paper should meet the following structural requirements:

1. Be 3-4 pages in length, not including the cover or reference pages.
2. Be formatted according to APA writing guidelines.
3. Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
4. Utilize headings to organize the content in your work.
5. No plagiarism at all 
6. More citation through the text 
7. The references should not be more than 5 years ago