NR 361 Week 7 Discussion: Use of Personal Communication Devices in Patient Care Settings

NR 361 Week 7 Discussion: Use of Personal Communication Devices in Patient Care Settings

NR 361 Week 7 Discussion: Use of Personal Communication Devices in Patient Care Settings

Use of Personal Communication Devices in Patient Care Settings

Discussion

Purpose

This week’s graded discussion topic relates to the following Course Outcome (CO).

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

Due Date

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):

Posts in the discussion at least two times, and

Posts in the discussion on two different days

Total Points Possible: 50 points

Preparing the Discussion

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Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

Demonstrate understanding of concepts for the week

Integrate outside scholarly sources when required

Engage in meaningful dialogue with classmates and/or instructor

Express opinions clearly and logically, in a professional manner

Use the rubric on this page as you compose your answers.

Best Practices include:

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

Enter the discussion often during the week to read and learn from posts.

Select different classmates for your reply each week.

Discussion Question

A nurse colleague uses his personal cell phone to take a photo of a patient’s wound and then sends a message with the photo to the primary care provider via a text. Please consider the following in your discussion post:

What principles of patient confidentiality might be an issue? Consider legal and ethical.

How might this nurse use a communication device to support safe patient practices?

What would your organization’s policy on ‘personal communication device use in a patient care setting’ reveal related to this case? (If your organization does not have a written policy, or you are not currently working in an organization, what do you think should be included in such a policy and why?)

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

Students,

This week, we will discuss the use of personal communication devices in healthcare. This will be an interesting conversation, especially when it feels like we are attached to our phones 24/7.

We are covering the following Course Outcomes:

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and the client’s right to privacy. (PO 6)

I look forward to more exciting discussions!

RNBSN_50_Point_Discussion_Rubric_1_21

RNBSN_50_Point_Discussion_Rubric_1_21
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Answer Post

•Answers the discussion question(s) in a detailed manner, and

•Demonstrates excellent knowledge and understanding of course concepts

16 pts

100% Excellent

Answers the discussion question(s) in a detailed manner and demonstrates excellent knowledge and understanding of course concepts.

14 pts

88% Good

Answers the discussion question(s) but detail is lacking, and demonstrates good knowledge and understanding of course concepts.

13 pts

80% Fair

Partially answers the discussion question(s) and partially demonstrates knowledge and understanding of course concepts.

6 pts

38% Poor

Minimally answers the discussion question(s) and minimally demonstrates knowledge and understanding of course concepts.

0 pts

0% Missing

Does not answer the discussion question(s).
16 pts

This criterion is linked to a Learning Outcome Scholarly Sources

•Integrates evidence from assigned reading OR lesson,

•Integrates evidence from at least one outside scholarly source,

•All sources are credited within the body of the post,

•Evidence supports the discussion, and

•APA format is not required but is encouraged.

12 pts

100% Excellent

Integrates evidence from assigned reading OR lesson AND from at least one outside scholarly source. All sources are credited within the body of the post. Evidence supports the discussion.

11 pts

88% Good

Integrates evidence from assigned reading OR lesson only. All sources are credited within the body of the post. Evidence supports the discussion.

10 pts

80% Fair

Integrates evidence from outside scholarly source only. All sources are credited within the body of the post. Evidence supports the discussion.

5 pts

38% Poor

Lists sources at conclusion of post but does not integrate/credit evidence into body of post OR integrates evidence but evidence does not support the discussion.

0 pts

0% Missing

Does not integrate any evidence.

12 pts

This criterion is linked to a Learning Outcome Reply Post

•Replies to a classmate’s and/or instructor’s post,

•Reply post provides additional information or clarification, and

•Reply post adds excellent depth to the discussion.
14 pts

100% Excellent

Replies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds excellent depth to the discussion.

12 pts

88% Good

Replies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds good depth to the discussion.

11 pts

80% Fair

Replies to a classmate’s and/or instructor’s post. Limited information or clarification provided. Brief reply post adds fair depth to the discussion.

5 pts

38% Poor

Replies to a classmate’s and/or instructor’s post. Reply does not provide additional information or clarification. Brief reply post does not add depth to the discussion.

0 pts

0% Missing

No reply post to classmates or instructor.
14 pts

This criterion is linked to a Learning Outcome Communicates Professionally

All posts:

•are clear and concise,

•are respectful, civil, and caring, and

•contain excellent English grammar, spelling, and punctuation.
8 pts

100% Excellent

All posts are clear, concise, respectful, civil, and caring. Posts contain excellent English grammar, spelling, and/or punctuation.

7 pts

88% Good

All posts are clear, concise, respectful, civil, and caring. Posts contain good English grammar, spelling, and/or punctuation.

6 pts

80% Fair

All posts are respectful, civil, and caring but are not clear or concise. Posts contain fair English grammar, spelling, and/or punctuation.

3 pts

38% Poor

All posts are not clear and concise, AND contain poor English grammar, spelling, and/or punctuation.

0 pts

0% Missing

All posts are not respectful, civil, and caring.
8 pts
This criterion is linked to a Learning Outcome Participation

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):

•Posts in the discussion at least two times, and

•Posts in the discussion on two different days

0 pts

No Points Deducted

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Posts in the discussion at least two times, and •Posts in the discussion on two different days

0 pts

Points Deducted (-5 Points)

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Does NOT post in the discussion at least two times AND/OR •Does NOT post in the discussion on two different days

0 pts

Total Points: 50

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Week 7 Discussion

Technology integration into patient care has allowed nurses to use many devices, systems, and tools to improve health outcomes. However, how and when nurses use smartphones has ethical and legal implications, hence the need to comply with the established guidelines (Hitti et al., 2021). A nurse colleague using a personal cell phone to take a photo of a patient’s wound and sharing the image with a primary care provider via text breaches the confidentiality principle due to the lack of consent. In nursing, confidentiality restricts access and unauthorized use of personal information. As Tegegne et al. (2022) noted, the right to confidentiality gives patients the privilege of their data being kept secret and only disclosed when they authorize it. Respecting confidentiality also promotes autonomy since it allows the patient to exercise self-determination and ensure they are part of key decision-makers regarding their health.

Although using personal devices is highly controlled through policies and laws, nurses can use them to support safe patient practices. According to de Jong et al. (2020), nurses can use smartphone technology to locate patient-centered care information, communicate with team members, and share authorized patient data. For instance, medical apps like Medscape guide nurses on medication administration and safe procedures. The informed and ethical use of personal devices is a foundation of optimal communication between team members, safe patient care, and healthy patient-provider relationships.

Organizations apply different policies to regulate the use of personal communication devices in patient care settings. Such policies outline privacy essentials, protection (safety), and ethical use of personal data (Kwame & Petrucka, 2021). Consequently, the organizational policy would reveal whether the nurse adhered to confidentiality guidelines and whether information sharing was used to benefit the patient (beneficence). Such policies should also include disciplinary measures for the nurse and recommended practices to ensure the safe, legal, and ethical use of personal communication devices. In this case, it should be clear how, when, and where personal devices can be used for patient-related purposes and the implications of such practices.

References

de Jong, A., Donelle, L., & Kerr, M. (2020). Nurses’ use of personal smartphone technology in the workplace: Scoping review. JMIR mHealth and uHealth, 8(11), e18774. https://doi.org/10.2196/18774

Hitti, E., Hadid, D., Melki, J., Kaddoura, R., & Alameddine, M. (2021). Mobile device use among emergency department healthcare professionals: prevalence, utilization and attitudes. Scientific Reports, 11(1), 1917. https://doi.org/10.1038/s41598-021-81278-5

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00684-2

Tegegne, M. D., Melaku, M. S., Shimie, A. W., Hunegnaw, D. D., Legese, M. G., Ejigu, T. A., … & Chanie, A. F. (2022). Health professionals’ knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study. BMC Medical Ethics, 23(1), 26. https://doi.org/10.1186/s12910-022-00765-0