NRS 450 Topic 2 DQ 1

Discussion: Carol, a nurse on a busy medical-surgical unit, is precepting Henry, a nursing student. Carol opens Mr. Smith’s chart in the electronic health record (EHR) to document his assessment.

Review the scenario below.

Carol, a nurse on a busy medical-surgical unit, is precepting Henry, a nursing student. Carol opens Mr. Smith’s chart in the electronic health record (EHR) to document his assessment. She must step away from the computer to assist with an emergency with another patient. Carol asks Henry to continue charting the assessment in Mr. Smith’s chart while she is gone. Henry completes the charting for Mr. Smith and then opens the charts of other patients on the unit to see why they have been admitted.

Carol returns to the computer with Henry. Mr. Smith had requested a printout of his medications. Carol clicks print for the medication list but did not notice that Henry had opened another patient’s chart. Carol and Henry leave the computer to find the printer for Mr. Smith’s medication list.

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George, another nurse on the floor, sees that the EHR is logged in and is in a hurry. He switches to his patient’s chart and documents his patient’s vital signs and administration of a medication. He does not sign the computer off but leaves to go administer the medication.

Samuel, a social worker from another unit, comes by to see Mr. Smith, who is his neighbor. Mr. Smith is sleeping, and the EHR is open on the computer. Samuel is curious about why Mr. Smith is in the hospital, so he starts to read the chart.

Carol and Henry are unable to find the medication list for Mr. Smith but did find a print-out of a medication list for another patient on the unit. They return to the computer to re-print the medication list where they find Samuel reviewing Mr. Smith’s chart. NRS 450 Topic 2 DQ 1

Respond to the following prompts:

Evaluate the professional responsibilities for the ethical use of health care informatics technology.

Discuss the ethical challenges the nurse encountered in this scenario and the principles that were violated.

Describe how you would handle this in your own practice or describe one thing that could have been done differently.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 9.4

NRS 450 Topic 2 DQ 1 Sample

Evaluate the professional responsibilities for the ethical use of healthcare informatics technology.

Personnel in the healthcare industry are ethically and legally bound to safeguard patient privacy and information confidentiality. Monitoring and securing electronic records and related systems is therefore imperative to avert privacy breaches. The moral foundation of such an obligation is based on respecting patient autonomy, which entails allowing patients to maintain control over their health information, as well as refraining from causing harm to patients and preventing harm from occurring to them (nonmaleficence and beneficence). For instance, this could be accomplished by disclosing embarrassing details (Kluge, 2020). Patients are more inclined to voluntarily share their health information with clinicians for the best possible treatment if they believe it will be kept private.

Discuss the ethical challenges the nurse encountered in this scenario and the violated principles.

            Healthcare providers and organizations using EMR systems must guarantee the confidentiality of patient health information and safeguard patient privacy. Managing computer systems presents a challenging endeavor due to the ease of sharing records with multiple individuals, including physicians, nurses, clinicians, software developers, managers, IT staff, insurance personnel, government officials, patients, vendor employees, and even patients personally (Jokinen et al., 2020). In the given situation, the privacy and confidentiality of the patients were breached when unauthorized individuals gained access to their information. Consequently, this exacerbated the perplexity, compromising the security of the healthcare administered to this specific patient. Consequently, the patient experienced damage, which also opposes the ethical principles of avoiding harm and promoting well-being. Beneficence encompasses averting injury, in contrast to the principle of nonmaleficence, which focuses on abstaining from causing harm. NRS 450 Topic 2 DQ 1

Describe how you would handle this in your practice or describe one thing that could have been done differently.

            In my practice, I would personally input the patient’s data into the EHR system to maintain my professional integrity. Additionally, I would log out of the system before attending to other duties to guarantee the preservation of the patient’s privacy and confidentiality. To prevent a similar incident from happening again, I would establish and enforce certain rules and processes that ensure the preservation of the confidentiality and privacy of patients (Goodman, 2020). Employees must take certain precautions, such as not sharing their ID with anybody, logging out when leaving a terminal, and using their ID to access digital patient information.

NRS 450 Topic 2 DQ 1 References

Goodman, K. W. (2020). Ethics in Health Informatics. Yearbook of Medical Informatics, 29(01), 026–031. https://doi.org/10.1055/s-0040-1701966

Jokinen, A., Stolt, M., & Suhonen, R. (2020). Ethical issues related to eHealth: An integrative review. Nursing Ethics, 28(2), 253–271. https://doi.org/10.1177/0969733020945765

Kluge, E. W. (2020). Ethical and legal challenges for health telematics in a global world: Telehealth and the technological imperative. In Routledge eBooks (pp. 223–227). https://doi.org/10.4324/9781003074984-18