Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Nursing and Health Care Informatics Ethics and the Law SAMPLE

Ethical Issue

According to the VA Office of Rural Health, almost 2.7 million veterans live in rural or highly rural communities, where even basic healthcare may be hundreds of miles away (VA Office of Rural Health [ORH], 2016).  In order to meet the unique need of these rural Veterans the VA initiated a robust initiative to increase access to health care.  In 2016 the most promising of these remote initiatives include telephone-based delivery of care, connecting veterans with veteran eligible resources, community incentives for healthcare training, and telehealth/telemedicine programs (ORH, 2016).  For this discussion I am going to focus on providing remote healthcare that eliminates the need for driving distances in light of the technological challenges to providing privacy and security protections. In using telehealth programs, the information exchange is not simply between the patient and the clinician, in that, many of these programs are maintained by a third party and this poses a security challenge for all concerned (Croll, 2010).  In fact, the concern for security breach is often mitigated by the trust the patient has in the clinician and the clinician’s unawareness (Croll, 2010).  Therefore, the ethical concern is the risk of security breach versus the health outcomes for the Veteran……

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NURS 8210 Week 5 Discussion Paper Details:

Nursing and Health Care Informatics Ethics and the Law

“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.

With the continued integration of HIT, and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Nursing and Health Care Informatics Ethics and the Law Reference:

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167–175.

To prepare for Nursing and Health Care Informatics Ethics and the Law:

  • Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.
  • For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.
  • Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.
  • Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.

By Day 3 post a cohesive response that addresses the following:

  • Describe your selected ethical issue.
  • Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.
  • Formulate strategies that the organization could implement to address the ethical issue.

Read a selection of your colleagues’ postings.

By Day 6 respond to two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Nursing and Health Care Informatics Ethics and the Law Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the Reply button below to post your response.

Rubric Detail- Nursing and Health Care Informatics Ethics and the Law

Select Grid View or List View to change the rubric’s layout.

Exemplary Proficient Sufficient Developing
Discussion Postings and Responses
(100%) – 4 (100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
(75%) – 3 (75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
(50%) – 2 (50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers
(0%) – 1 (25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.
Total Points: 4

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Even the most technologically adept organizations are susceptible to security breaches. The Department of Veterans Affairs (VA) is an industry leader, known for both its Telehealth system and electronic health records (EHR). As a government entity, the VA has publicly reported unintended security failures. To date, the VA has categorized the following breaches: lost and stolen laptops, employee errors in information sharing, e-mails to the wrong account holders, hackers breaking into databases, and even acts of malicious employees. Despite the VA and other health care organizations’ preventive measures, ethical and legal breaches still pose a very real danger to patients.

This week introduces the need for constant diligence when working with patient information. Through this lens, you examine the ethical codes and laws that govern today’s use of health information technologies.

Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers Learning Objectives

Students will:
  • Analyze an ethical issue related to HIT that has the potential to create a liability
  • Formulate strategies for addressing ethical use of health information technology systems
  • Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation

Photo Credit: [verbaska_studio]/[iStock / Getty Images Plus]/Getty Images


Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

  • “Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.

Retrieved from the Walden Library databases.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47-68.

Retrieved from the Walden Library databases.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.

Retrieved from the Walden Library databases.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology and Informatics, 151, 176-182.

Retrieved from the Walden Library databases.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.

Retrieved from the Walden Library databases.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88.

Retrieved from the Walden Library databases.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.

California HealthCare Foundation. (2011).
Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.
https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.
Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/

See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.

Healthcare Information and Management Systems. (2011). Privacy & security toolkit.
Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp

At this website you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics

At this website you will find a American Medical Informatics Code of Ethics for Healthcare Professionals.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law.Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records.

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references). Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

NURS 8210 Week 5 Assignment 1: Application 2: Meaningful Use Paper

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.

To prepare:

In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

  • Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.
  • Investigate the legal, financial, and ethical issues surrounding meaningful use.
  • Ask yourself: What are the goals of meaningful use?

By Day 7 of Week 6

Write a 4- to 5-page essay in which you:

  • Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.
  • Explain how these issues might present barriers to successful implementation within an organization.
  • Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers.
  • Explain how EHR-related meaningful use legislation is being implemented in your organization.
Grading Criteria
NURS8210 Grading Rubric
Week 6 Application 2: Meaningful Use Paper Points Possible Points Earned
You summarized the legal, financial, and ethical issues that may arise because of meaningful use legislation. 4
You explained how these issues might present barriers to successful implementation within an organization. 4
You discussed ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. 4
You explained how EHR-related meaningful use legislation is being implemented in your organization. Nursing and Health Care Informatics Ethics and the Law- NURS 8210 Essay Discussion papers. 3
Spelling, grammar and APA
Note: Points may be deducted for grammar, spelling, and/or APA errors.
 Points 15  
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