NURS FPX 6616 Assessment 1 Community Resources and Best Practices

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Community Resources and Best Practices

Purpose

Technologies come with several threats, making it essential to keep system data secure. Electronic health records (EHR) are widely used in health systems across various countries, containing vital patient information. However, security breaches and ethical concerns have been raised (Ceriello et al., 2022). The primary objective of this presentation is to discuss ethical issues related to electronic health information and propose solutions.

Scenario

A 45-year-old patient, Stella, with diabetes, missed her hospital appointment due to technical disturbances and later discovered that her data was deleted from the hospital system due to a security breach.

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Ethical Issues About Using Healthcare Information Systems

EHR is a valuable healthcare system that stores detailed patient data, reducing paperwork and aiding healthcare practitioners (Marmor et al., 2018). Ethical issues include data disclosure without patient consent, privacy concerns, informed consent, data security, and equitable access (Solimini et al., 2019). EHR improves chronic disease management and reduces medication errors (Ventresca et al., 2020).

Evaluate the Legal Issues of Current Practices & Potential Changes

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Legal issues in health information systems include professional liability, adherence to HIPAA policy, and information technology security (Austin et al., 2019; Edemekong et al., 2019). Potential changes involve training, HIPAA compliance, IT security guidelines, insurance company instructions, and regulatory considerations (Ahmad et al., 2021; Telehealth HHS.gov, 2022).

Current Outcomes Compared to Outcomes Seen with Best Practices

Best practices, such as team-based care and technology implementation, improve outcomes in blood pressure control, medication adherence, patient education, and care quality (McGilton et al., 2018; Houwelingen et al., 2021).

Identifying Appropriate Evidence-Based Intervention

The Chronic Care Model (CCM) emphasizes evidence-based, team-based, patient-centered care (Yeoh et al., 2018). Health information technology (HIT) and medication management interventions, including reconciliation and adherence support, play vital roles (Sheikh et al., 2021; Margolis et al., 2022).

Role of Stakeholders & Interprofessional Teams

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Stakeholders, including patients, healthcare professionals, staff, and educators, play crucial roles in identifying and rectifying issues (Peltonen et al., 2019). They should collaborate effectively and share evidence-based interventions for telehealth security issues (Groom et al., 2021).

Use of Data-Driven Outcomes

Data-driven outcomes, based on analysis and interpretation, can assist healthcare professionals in monitoring and enhancing the quality of care (Borza et al., 2019). These outcomes help identify high-risk patients, enhance care coordination, and analyze program efficacy (Pilotto et al., 2018; Garcia et al., 2021; Margolis et al., 2022).

Ongoing Practices to Sustain Outcomes

Maintaining favorable results in healthcare requires ongoing monitoring, continuous quality improvement (CQI) procedures, patient and family engagement, and the use of health information technology systems (Smith & Mohamed, 2019; Sheikh et al., 2021; Garcia et al., 2021).

Conclusion

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

The presentation concludes by highlighting the use of resources, interventions supported by research, stakeholder involvement, data analysis results, and the effectiveness of proposed interventions.

References

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Austin, C., & Kusumoto, F. (2019). Updates in medical professional liability: A primer for electrophysiologists. Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing56(2), 151–158. https://doi.org/10.1007/s10840-018-0453-9 

Ceriello, A., Prattichizzo, F., Phillip, M., Hirsch, I. B., Mathieu, C., & Battelino, T. (2022). Glycaemic management in diabetes: Old and new approaches. The Lancet. Diabetes & Endocrinology10(1), 75–84. https://doi.org/10.1016/S2213-8587(21)00245-X 

Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2022). Health Insurance Portability and Accountability Act. In StatPearls. StatPearls Publishing. 

Garcia, A. P., Shelley Ann Francisco, & Mercado. (2021). Senior health information systems are available in Philippine government tertiary hospitals and health facilities.: Cross-sectional study. Journal of Medical Research24(2). https://doi.org/10.2196/29541

Groom, L. L., McCarthy, M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and telehealth in nursing homes: An integrative review. Journal of the American Medical Directors Association22(9), 1784–1801.e7. https://doi.org/10.1016/j.jamda.2021.02.037 

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Marmor, R. A., Clay, B., Millen, M., Savides, T. J., & Longhurst, C. A. (2018). The impact of physician EHR usage on patient satisfaction. Applied Clinical Informatics9(1), 11–14. https://doi.org/10.1055/s-0037-1620263 

Muthuppalaniappan, M., & Stevenson, K. (2021). Healthcare cyber-attacks and the COVID-19 pandemic: An urgent threat to global health. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care33(1), mzaa117. https://doi.org/10.1093/intqhc/mzaa117 

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine practice: Review of the current ethical and legal challenges. Telemedicine Journal and e-health: The Official Journal of the American Telemedicine Association26(12), 1427–1437. https://doi.org/10.1089/tmj.2019.0158 

Peltonen, L. M., Nibber, R., Lewis, A., Block, L., Pruinelli, L., Topaz, M., Perezmitre, E. L., & Ronquillo, C. (2019). Emerging professionals’ observations of opportunities and challenges in nursing informatics. Nursing Leadership (Toronto, Ont.)32(2), 8–18. https://doi.org/10.12927/cjnl.2019.25965 

Pilotto, A., Raffaella, & Petermans, J. (2018). Elderly technology. Aging47(6), 771–774. https://doi.org/10.1093/ageing/afy026

Sheikh, A., Anderson, M., Albala, S., B, Taylor, D., Tibble, & E. (2021). Digital innovation and health information technology. The Digital Health3(6), e383–e396. https://doi.org/10.1016/S2589-7500(21)00005-4

Silva, T. N. D., Freire, M. E. M., Vasconcelos, M. F., Silva Junior, S. V. D., Silva, W. J. C., Araújo, P. D. S., & Eloy, A. V. A. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista Brasileira De Enfermagem71(1), 3–10. https://doi.org/10.1590/0034-7167-2016-0565 

Solimini, R., Busardò, F. P., Gibelli, F., Sirignano, A., & Ricci, G. (2021). Ethical and legal challenges of telemedicine in the era of the COVID-19 pandemic. Medicina (Kaunas, Lithuania)57(12), 1314. https://doi.org/10.3390/medicina57121314 

Van Houwelingen, T., Ettema, R. G. A., Bleijenberg, N., van Os-Medendorp, H., Kort, H. S. M., & Ten Cate, O. (2021). Educational intervention to increase nurses’ knowledge, self-efficacy and usage of telehealth: A multi-setting pretest-posttest study. Nurse Education in Practice51, 102924. https://doi.org/10.1016/j.nepr.2020.102924