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 Health Information Technology (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.
 

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

To prepare:

  • 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.
  • 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 tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are: Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing). Choose one!

2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.

3) Formulate strategies that the organization could implement to address the ethical issue.

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.

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.

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.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.

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

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.

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.

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

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 http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/EthicsandHumanRights.aspx

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.

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

At this website, you will find an 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.

Please REVIEW the topics and take a look at problems!! 12 math questions in which all work needs to be shown. Majority of the topics involved are the following:

  • Apply properties of logarithms and the change-of-base formula
  • Solve exponential and logarithmic equations and inequalities
  • Applying the mathematical modeling process to exponential models and logarithmic models
  • Dealing with functions
  • Domains and functions
  • Sketching a graph

All work must be shown and make sense. If you are not proficient or well-versed in these math categories, please do not accept. Thank you!

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    MathQuizFall2020.docx
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    Section6.2_PropertiesofLogarithms.pdf
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    Section6.3_ExponentialEquationsandInequalities.pdf
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    Section6.4_LogarithmicEquationsandInequalities.pdf
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    Section6.5_ApplicationsofExponentialandLogarithmicFunctions.pdf
Pulling It All Together
Suppose you have been assigned to analyze the data from a psychology database. Several questions have been provided to guide your analysis, and you are expected to present your findings to a panel comprised of statistics and non-statistics professionals in the field of psychology. The Unit 9 Assignment will allow you to test your ability to analyze and communicate results that are valuable and understandable to all on the panel.
The Unit 9 Assignment is designed so that you can demonstrate your proficiency with descriptive statistics and tests of hypotheses covered throughout the course.
Here are the objectives that are being assessed in the Unit 9 Assignment.

  1. Given a research question and a data set, the student will be able to conduct t-tests for means including a one sample t-test, paired samples t-test, and independent samples t-test.
  2. Given a research question and a data set, the student will be able to conduct a one-way ANOVA test comparing means of more than two independent groups.
  3. Given a research question and a data set, the student will be able to conduct simple linear regression and use the output to make a prediction.
  4. Given a research question and a data set, the student will be able to conduct a chi square test of independence to examine the association between two categorical variables.
  5. Given output generated by Excel, the student will provide the correct interpretation of the output including the rationale for that interpretation.

You will find the Unit 9 Assignment Template and the Psych_Data Excel data set in Content > Virtual Office. Be sure to download the Assignment and the data set to your computer and save using a file name that includes your first and last name. When you have completed the Assignment,
Please save your Assignment and submit it to the Unit 9 Assignment Drop Box. You MUST submit only the Template word document and no other files. Excel and/or StatKey output should be copied and pasted directly into the Assignment template.

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    Unit9AssignmentTemplate.docx
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    Psych_Dataeexcel.xlsx
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    Psych_Dataecsv.csv

Training Plan for Entry Level Position in Nursing
Pick an entry level position that you are familiar with and create a detailed training plan of approximately 1,200-1,500 words,
Include a complete discussion of:

  • needs assessment (what is a needs assessment, how will you do it and what will you train on);
  • development and conduct of the training (details on the training that will be conducted);
  • how you will evaluate the training, and
  • the key competencies (using the concepts from chapter 7) that you believe are essential for success in the position.

Include a minimum of two references.
Format your paper consistent with APA guidelines.

Grading Rubric Week 4 Points
Introduction and overview of the position to be trained 1
Needs Assessment 2
Development and Conduct of Training 3
Evaluation of the training 3
Key Competencies for success 2
Appropriate research – minimum of 2 – and use throughout the paper 3
Adherence to UOP standards for written work

  • APA format
  • Major points are organized in a logical fashion.  Each paragraph is clear and contains one major idea.
  • Rules of grammar and punctuation are followed.
  • No spelling errors
  • Word count approximately1,200-1,500 words.
2
Assignment: Outline and 2 pages Essay
Subject: Persuasive Essay for Drug Legalization.
Persuasive Essay for Drug Legalization. You must state your opinion on this topic. Narrow the scope to a specific subject within that topic to concentrate on. You will need to have at least 6 credible sources cited within the text and on your reference page.
For instance, if you wanted to discuss why we should or should not abolish the electoral college, you may want to focus on specific issues that the electoral college does or does not create, why we have an electoral college, and, if you would like to change the system, outline what our alternatives are and how they could be instituted.
You may choose the outline style that best fits your needs (problem-solution, direct refutation, Monroe’s motivated sequence, primacy effect, or recency effect) and research your topic. Your typed outline should follow the example which is attached.
  • attachment

    OUTLINE.docx

 

1.      Provide a detailed overview of the steps required to provision (create) and launch an AWS Ubuntu-based server virtual instance. The steps may be listed in bullet points or complete sentences.

  1. What are the benefits of virtualization in a cloud environment? Discuss a minimum of three benefits in detail.

3.      describe in depth what the update and upgrade commands are doing (explain why it is important to run these commands, how often should these commands be run, where do the commands pull the updates).

  1. What kind of account did you discover when you ran the whoami command? How do you know?
  2. Virtualization allows us to place the functionality of many servers into a single host while maintaining configurable levels of separation between all virtual machines. How do you believe virtualization could help in data center consolidation? What would you be leery about during and after any transition?
  3. Does virtualization increase the cybersecurity posture of the organization? If so, describe how and why. If not, describe how and why not.
  4. There are various virtualization options: bare-metal (Type 1) in which the hypervisors run directly on the hardware as their own operating systems, and user-space (Type 2) hypervisors that run within the conventional operating systems. Which of these options is more secure? Describe the vulnerabilities you believe exist in either Type 1, Type 2, or both configurations. What do you believe can be done to mitigate these vulnerabilities?

 

 

You will review both quantitative and qualitative research.  The topic is up to you as long as you choose a peer-reviewed, academic research piece.  I suggest choosing a topic that is at least in the same family as your expected dissertation topic so that you can start viewing what is out there.  There are no hard word counts or page requirements as long as you cover the basic guidelines.  You must submit original work, however,  and a paper that returns as a large percentage of copy/paste to other sources will not be accepted.  (Safe Assign will be used to track/monitor your submission for plagiarism. Submissions with a Safe Assign match of more than 25% will not be accepted.)
Please use APA formatting and include the following information:

  • Introduction/Background:  Provide context for the research article.  What led the author(s) to write the piece? What key concepts were explored? Were there weaknesses in prior research that led the author to the current hypothesis or research question?
  • Methodology:  Describe how the data was gathered and analyzed.  What research questions or hypotheses were the researcher trying to explore? What statistical analysis was used?
  • Study Findings and Results:  What were the major findings from the study? Were there any limitations?
  • Conclusions:  Evaluate the article in terms of significance, research methods, readability and the implications of the results.  Does the piece lead into further study? Are there different methods you would have chosen based on what you read? What are the strengths and weaknesses of the article in terms of statistical analysis and application? (This is where a large part of the rubric is covered.)
  • References

Assignment 2: Adjustment Case StudyDue in Week 8 and worth 230 pointsGo to NPRs StoryCorps Website located at http://www.npr.org/series/4516989/storycorps. Read one (1) article that was drafted within the last two (2) months that focuses on individuals with major adjustment issues.Next use the textbook and the Strayer Library to research evidence-based strategies to help with adjustment. Consider strategies that relate to stress and coping gender stages of life cultural and social issues and health.When referencing the selected story please use this format:A homeless teen finds solace in a teacher and a recording [Audio file]. (2014 March 7). Retrieved from http://www.npr.org/2014/03/07/286921391/a-homeless-teen-finds-solace-in-a-teacher-and-a-recording.(A homeless teen 2014).When referencing the textbook please use this format:Santrock J. (2006). Human adjustment: 2007 custom edition. Boston MA: McGraw-Hill.(Santrock 2006).Write a three to six (3-6) page paper in which you:Please organize your paper with subheadings as follows (each subheading should be followed by a paragraph containing the appropriate information):Your assignment must follow these formatting requirements:The specific course learning outcomes associated with this assignment are:Click here to view the grading rubric.

This assignment requires you to interview one person and requires an analysis of your interview experience. Part I: Interview Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview. Review The Joint Commission resource which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients. Create a survey to assess the subject’s spiritual need during the interview. The spiritual needs assessment survey needs a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses. Submit the transcript of the interview. The transcript should include the questions asked and the answers provided. Be sure record the responses during the interview by taking detailed notes. Omit specific names and other personal information from the interview. Part II: Analysis Write a 250-500 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. What would you do differently in the future?
  3. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  4. Describe the spiritual experience you had with your patient, family member, or friend using this tool. How does this tool allow you to better meet the needs of your patient?
  5. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.
Submit both the transcript of the interview and the analysis of your results. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.  ]]>

 Psychology homework help
A researcher must be knowledgeable of the different quantitative research designs and be able to effectively apply the best design as dictated by the research question. For this assignment, you will create a 3- to 4-page document following the directions below.
Part I
Compare Methods
Compare and contrast two research methods. Give an example of a situation (related to forensic counseling) in which each of the two chosen methods can be applied.

  • Experimental
  • Quasi-experimental
  • Correlational
  • Survey
  • Developmental

Part II
Answer Questions
In reference to one of the two example research scenarios that you discussed above in Part I, further explore by answering the following questions (apply these questions to your own research project):

  • Determine a suitable research goal.
  • Discuss what type of sampling could be used for this study.
  • Identify which types of research designs above (from Part I) would be most appropriate to use.
  • State your hypothesis of the expected results for this proposed study.

Your final product will be in a Microsoft Word document and be approximately 3–4 pages in length and utilize 2–3 scholarly sources in your research. Your paper should be written in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.