Emerging Technology Brief NUR 514

Rubric Criteria

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Overview of Emerging Technology

18.75 points

Criteria Description

Overview of Emerging Technology

5. 5: Excellent

18.75 points

The emerging technology and its role and function in health care are clearly discussed. Potential for improving access to care and promoting safety and quality is detailed. The narrative is well supported.

4. 4: Good

17.25 points

The emerging technology and its role and function in health care are discussed. Potential for improving access to care and promoting safety and quality is included in the narrative.

3. 3: Satisfactory

16.5 points

An overview of the emerging technology is presented. Its role and function in health care are summarized. Potential for improving access to care and promoting safety and quality is outlined.

2. 2: Less Than Satisfactory

15 points

An overview of the emerging technology is only partially discussed.

1. 1: Unsatisfactory

0 points

An overview of the emerging technology is omitted.

Ethical or Legal Issues

18.75 points

Criteria Description

Ethical or Legal Issues

5. 5: Excellent

18.75 points

Ethical or legal issues that would accompany the incorporation of the technology are accurate and thoroughly described.

4. 4: Good

17.25 points

Ethical or legal issues that would accompany the incorporation of the technology are described.

3. 3: Satisfactory

16.5 points

Ethical or legal issues that would accompany the incorporation of the technology are summarized.

2. 2: Less Than Satisfactory

15 points

Ethical or legal issues that would accompany the incorporation of the technology are only partially discussed.

1. 1: Unsatisfactory

0 points

Ethical or legal issues that would accompany the incorporation of the technology are omitted.

Role of Nurse Informatics Technology

18.75 points

Criteria Description

Role of Nurse Informatics Technology

5. 5: Excellent

18.75 points

The informatics role of the nurse regarding the technology is clearly explained. Well supported examples of roles and job functions are presented.

4. 4: Good

17.25 points

The informatics role of the nurse regarding the technology is explained. Examples of roles and job functions are presented.

3. 3: Satisfactory

16.5 points

The informatics role of the nurse regarding the technology is outlined. Some general examples of the roles and job functions are presented.

2. 2: Less Than Satisfactory

15 points

The informatics role of the nurse regarding the technology is only partially discussed.

1. 1: Unsatisfactory

0 points

The informatics role of the nurse regarding the technology is not discussed.

Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts

25 points

Criteria Description

Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts

5. 5: Excellent

25 points

The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is clearly outlined. The narrative is well supported.

4. 4: Good

23 points

The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. Some detail or information is needed for clarity or accuracy.

3. 3: Satisfactory

22 points

The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. There are some omissions or inaccuracies.

2. 2: Less Than Satisfactory

20 points

The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is only partially discussed.

1. 1: Unsatisfactory

0 points

The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is omitted.

Required Sources

3.75 points

Criteria Description

Required Sources

5. 5: Excellent

3.75 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

4. 4: Good

3.45 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

3. 3: Satisfactory

3.3 points

Number of required sources is met, but sources are outdated or inappropriate.

2. 2: Less Than Satisfactory

3 points

Number of required sources is only partially met.

1. 1: Unsatisfactory

0 points

Sources are not included.

Appendix

2.5 points

Criteria Description

Appendix

5. 5: Excellent

2.5 points

The APA Writing Checklist is complete and attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development.

4. 4: Good

2.3 points

The APA Writing Checklist is complete and attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper.

3. 3: Satisfactory

2.2 points

The APA Writing Checklist is complete and attached in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality.

2. 2: Less Than Satisfactory

2 points

The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the use of the APA Writing Checklist during development.

1. 1: Unsatisfactory

0 points

The appendix and APA Writing Checklist are omitted.

Thesis Development and Purpose

8.75 points

Criteria Description

Thesis Development and Purpose

5. 5: Excellent

8.75 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. 4: Good

8.05 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. 3: Satisfactory

7.7 points

Thesis is apparent and appropriate to purpose.

2. 2: Less Than Satisfactory

7 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

10 points

Criteria Description

Argument Logic and Construction

5. 5: Excellent

10 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. 4: Good

9.2 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion Emerging Technology Brief NUR 514. Most sources are authoritative.

3. 3: Satisfactory

8.8 points

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. 2: Less Than Satisfactory

8 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. 1: Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion Emerging Technology Brief NUR 514. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

6.25 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

6.25 points

Writer is clearly in command of standard, written, academic English.

4. 4: Good

5.75 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. 3: Satisfactory

5.5 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader Emerging Technology Brief NUR 514. Correct and varied sentence structure and audience-appropriate language are employed.

2. 2: Less Than Satisfactory

5 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

6.25 points

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

5. 5: Excellent

6.25 points

All format elements are correct.

4. 4: Good

5.75 points

Template is fully used; There are virtually no errors in formatting style.

3. 3: Satisfactory

5.5 points

Template is used, and formatting is correct, although some minor errors may be present.

2. 2: Less Than Satisfactory

5 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. 1: Unsatisfactory

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

Documentation of Sources

6.25 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

6.25 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error Emerging Technology Brief NUR 514.

4. 4: Good

5.75 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

5.5 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

5 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. 1: Unsatisfactory

0 points

Sources are not documented.

NUR 514 Topic 7: Informatics In Practice

Objectives:

1. Analyze ethical, legal, and security measures related to EHRs and the protection of patient information.
2. Evaluate the role and components of the electronic health record (EHR) and its value in patient care.
3. Evaluate emerging consumer, mobile, and telehealth technologies that impact patient care and the storage of health information.

Resources

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapter 15 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 17.

View Resource

Nursing Informatics and the Foundation of Knowledge

Read Chapters 8, 14, 16, and 18 in Nursing Informatics and the Foundation of Knowledge.

View Resource

Quality Measures

Review “Quality Measures,” located on the Centers for Medicare and Medicaid Services (CMS) website (2020).

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html

Public Health and Promoting Interoperability Programs

Explore the Public Health and Promoting Interoperability Programs section of the Centers for Disease Control a

… Read More

https://www.cdc.gov/ehrmeaningfuluse/introduction.html

ONC Cures Act Final Rule

Explore the ONC Cures Act Final Rule page of the HealthIT.gov website.

https://www.healthit.gov/curesrule/

HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data

Read “HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data,” by the HHS Press Office (2020), locate

… Read More

https://www.hhs.gov/about/news/2020/03/09/hhs-finalizes-historic-rules-to-provide-patients-more-control-of-their-health-data.html

5 Critical Considerations for Patient Privacy in Telehealth

Read “5 Critical Considerations for Patient Privacy in Telehealth,” by Nayyar (2020), located on the HIT Consultant website.

https://hitconsultant.net/2020/07/30/5-critical-considerations-for-patient-privacy-in-telehealth/#.X7LuWmhKjIV

HIPAA Guidance Materials

Explore the HIPAA Guidance Materials page of the Health Information Privacy section of the U.S. Department of Health and Human Services (

… Read More

https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/index.html

HIPAA Guidelines on Telemedicine

Read “HIPAA Guidelines on Telemedicine,” located on the HIPAA Journal website.

https://www.hipaajournal.com

Topic 7 DQ 1

Sep 15-17, 2022

Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality?

Topic 7 DQ Example

NJ

Sep 17, 2022, 10:41 PM

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As technology develops quickly, people are utilizing previously unheard-of opportunities to better manage their health issues. Thanks to new digital tools like apps, health trackers, and artificial intelligence (AI) platforms, anyone can now more easily understand their symptoms, be proactive about preventive care, and find the best self-care options. Mobile technologies ensure ongoing patient monitoring in a manner like this, improving patient safety. Telehealth technologies also facilitate patient safety by facilitating access to healthcare, informed decision-making, and communication with medical professionals. Due to new technologies, sensitive patient data is now much more secure. For instance, the fact that most of these devices are encrypted makes it easier to store and retrieve patient data.

The term “mobile learning” refers to educational processes that consider health workers’ ability to move around, their learning needs, and their access to technology, such as tablets, smartphones, and electronic notebooks. Mobile learning that is completed in person at the point of care is referred to as in situ. This is important because it enables students to access knowledge without physically going to a desktop computer or library. They can instead take advantage of the opportunity as it presents itself. As it moves closer to being accepted as a legitimate, evaluable learning activity, informal learning—which is acquired through incidental, routine, work-related, family, or leisure activities—is now recognized as an essential component of workforce development.

The use of computer and communication technologies in a variety of public health and medical settings is known as telehealth, also referred to as telemedicine (Denisco, S. M. 2019). The use of telecommunications technology and communication networks for the transfer of medical information between participants in various locations is known as telehealth, also referred to as telemedicine. The practice of providing nursing care through telecommunications technology is known as telenursing. 

The federal government should encourage the creation and implementation of genuine privacy-enhancing techniques that limit or do away with the collection of personally identifiable information (NCBI, 2019). Institutions can use standardized self-evaluations, security audits, and certification programs to protect the security of personal health data.

Reference

NCBI. (2019). National Center for Biotechnology Information. Nih.gov. https://www.ncbi.nlm.nih.gov/

DeNisco, S. M. (2019). Advanced practice nursing: Essential knowledge for the profession: Essential knowledge for the profession (4th ed.). Jones & Bartlett.

REPLY

JD

Sep 17, 2022, 8:38 PM

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Technology and the electronic health record has indeed increased the quality and safety of care. Emerging mobile and telehealth technologies has promoted preventative care, decreased length of stay and healthcare costs. The benefits of the EHRs are increased delivery of guidelines-based care, enhanced capacity to perform surveillance and monitoring for disease conditions, reduction in medication errors, and decreased use of care (DeNisco, 2019). Evidenced based guidelines are built into the electronic health record system, thus helped with maintaining compliance to current standards of care. The EHR has helped with chronic disease management. Patient have been more engaged in their care, and this has helped to reduce emergency room visits or the need for acute care. The EHR stores vast health care information that can be easily tracked and accessible for the healthcare team. 

As technology advances and we continue to strive for improvement in quality and safety of care delivery and positive patient care outcomes, it raises ethical and legal concerns as well. The internet, social media, and mobile devices all pose privacy risks to patients and to healthcare staff. Today’s nurses, no matter the role or setting, must be both competent and ethical in the use of devices, information systems, data management, and technology-mediated interaction (Matney et al., 2021). The easy access to patient information and can lead to HIPPA violations and breeches in patient privacy and confidentiality.  

Maintaining privacy and confidentiality has been a long issue in health care and it is more so now with emerging technologies. Due to high-speed communication and information sharing, the major concern is about protecting patient’s rights to privacy as well as protecting the healthcare organization from legal issues. Patient information must be used ethically and with the patient’s consent. Also, it is important to know the laws and regulations of the state where the patient is and the state the providers are practicing in. Information technology and its ethical, social, and legal implications should be incorporated into all levels of professional education. (McGonigle & Mastrian, 2021).

It is very easy to walk away from your computer without closing out a medical record. In my work, it has been an ongoing issue to remind people to close out the medical record. I have all of the computer screens in my nursing unit are facing into the nursing station and away from the public view and traffic. In my organization we have a no tolerance policy regarding HIPPA or confidentiality violation and results in immediate termination. Despite the annual education and upon hire, terminations are still happening. People are not aware that every key stroke or mouse click is being tracked. 

References:

Denisco, S. M. (2019). Advanced practice nursing: Essential knowledge for the profession: Essential knowledge for the profession (4th ed.). Jones & Bartlett.

Matney, S., Langford, L. & Staggers, N. (2021). Are nursing informatics competencies good enough?. JBI Evidence Synthesis, 19 (4), 747-748. doi: 10.11124/JBIES-21-00092.

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

REPLY

DW

Topic 7 DQ 2

Sep 15-19, 2022

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Consider the emerging role of the telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.

NUR 514 Topic 7 DQ 2 Example

W.W

Sep 17, 2022, 6:50 PM

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Replies to RC

Advanced practice nurses should be aware of the ethical and legal issues that effect Telehealth. A major legal issue is the interstate practice of telenursing. This requires attending nurses to be licensed to practice in all the states in which they provide telehealth services by directly interacting with patients. This is particularly important when nurses work for health systems that are located near state borders and draw patients from both states. So, it is vital that APRN know the state laws and scope of practice guidelines in the area that they serve. Ethical issues with using EHR are not uncommon. For example, patient data being used for research without their consent violates their privacy and confidentiality. Leaving your workstation open with patient information displayed in public areas is also a violation. APRN must be vigilant and minimize screens or close applications when no longer in use. Patient confidentiality and the privacy and safety of clinical data must be given special consideration in telehealth services, starting with informed consent. When the patient is presented with the informed consent form, the nurse must assure the patient that physiologic data, such as vital sign readings that will be transmitted over telephone lines or other public communication means, will be kept confidential and protected. (McGonigle & Mastrian, 2018). I would ensure no one else was in the area, I would keep my encounters with my patients private and limit discussions to pertinent information only, to protect their privacy and confidentiality.

References

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. 

REPLY

VW

replied to WW

Sep 18, 2022, 6:29 AM

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Replies to WW

Whitney, you brought up some very valid ethical issues, that I do not think many APRNs give much thought to, or even knew existed. The telehealth practice in different states is interesting to think about. I mention this because I work at an institution that serves primarily one state but occasionally goes into two other states. What is so interesting to me is that we often serve patients from out of state because they can only get that particular health care in our institution, but if we were to telehealth them, the majority of our practitioners would not be licensed to serve them. It is something that I had not given prior thought to until our telehealth program started expanding. It is just an interesting dilemma, as we tend to think telehealth means that healthcare is accessible anywhere by anyone.

I also really enjoyed your discussion about utilizing patients’ EHR for research without their permission. This is another interesting topic, as the electronic health care record is ultimately just a giant database for almost anything someone wants to research. However, it must be ethically done and include the patient’s permission to utilize their information. Thank you for a thought-provoking discussion Whitney! Great job!

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