NR 361 Week 5 Discussion: Trends in Informatics (graded)

NR 361 Week 5 Discussion: Trends in Informatics (graded)

NR 361 Week 5 Discussion: Trends in Informatics (graded)

Purpose 

This week’s graded discussion topic relates to the following Course Outcomes (COs). 

CO6: 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) 
CO7: Examine the use of information systems to document interventions related to achieving nurse sensitive outcomes. (PO 7) 

Due Date 

Answer post due by Wednesday 11:59 PM MT in Week 5 

Two replies to classmates and/or instructor due by Sunday 11:59 PM MT at the end of Week 5 

Directions 

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 scholarly resources 

Engage in meaningful dialogue with classmates 
Express opinions clearly and logically, in a professional manner 

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

Discussion Question 

This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology). 

Nanotechnology 
Consumer health informatics (CHI) 
Social media healthcare applications 
Health-focused wearable technology 
eHealth 

Artificial Intelligence 
Simulation 
Computerized provider order entry (CPOE) 
Bar Code Medication Administration (BCMA) 
Creative measures in healthcare for use with 3D printers

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Smart Pumps 
Smart Rooms 
Robotics in healthcare 
Mobile technology in outpatient care 
Web-based tools and software technology 

Risk Management tools 
Chatbots or Bots in healthcare 
Telenursing 
Telemedicine 
Telepharmacy 

Telerehabilitation 
Teleconsultation 
Telehospice 
Technology advancement from your clinical practice 
Palm Vein Technology 

Microchip use in healthcare 
Optical head-mounted computer glasses (Google Glass) 
Smart hospital beds 

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. 

Class, 

Welcome to the Week 5 discussion. This week, we are going to discuss the trends seen in informatics and technology. I look forward to a lively discussion! 

This week’s graded discussion topic relates to the following Course Outcomes (COs). 

CO1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO 1) 
CO6: 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) 
CO7: Examine the use of information systems to document interventions related to achieving nurse-sensitive outcomes. (PO 7) 

Select one trend from the list below and discuss: 

Your understanding of this trend in healthcare 
Its potential impact on your practice as a nurse. 
What are the legal, privacy, and ethical considerations of this trend? 

TRENDS:

Nanotechnology 

Consumer health informatics (CHI) 
Social media healthcare applications 
Health-focused wearable technology 
eHealth 
Artificial Intelligence 

Simulation 
Computerized provider order entry (CPOE) 
Bar Code Medication Administration (BCMA) 
Creative measures in healthcare for use with 3D printers 
Smart Pumps 

Smart Rooms 
Robotics in healthcare 
Mobile technology in outpatient care 
Web-based tools and software technology 
Risk Management tools 

Chatbots or Bots in healthcare 
Telenursing 
Telemedicine 
Telepharmacy 
Telerehabilitation 

Teleconsultation 
Telehospice 
Technology advancement from your clinical practice 

I’m looking forward to your responses. 

Hello Class! 

  I’m going to choose telenursing for a discussion topic this week. I don’t know why I didn’t realize this before now but I manage a whole telenursing program. We have 3-5 dedicated nurses to phones each day. I never made the connection that this is a form of telehealth always assuming that was strictly video chats with providers. Hebda tell us that telenursing uses similar processes as traditional nursing; it just does them through electronic means.

These means could involve the internet, telephones or other digital assessment tools (Hebda, 2019). Pretty much all of my experience with telenursing has been done over the phone but given COVID-19 we are looking at using other forms of technology to perform telenursing. I want to explore what that might look like. Telehealth is one trend the whole world is jumping on right now. 

I often tell training nurses that assessment via the phone is a new ball game because your assessment is limited to what the patient tells you. You are relying entirely on their perceptions of sight and feel. An example I often use is that you cannot see that the whites of a patients eyes are yellow when discussing total body itching over the phone, you must ask the patient or even better yet have the patient ask someone who is with them if the whites of their eyes are yellowing and trust their response. But what if we didn’t have to just trust what the patient says. What if, through advancing technologies we could also see the patient while they are describing their rash? Imagine how much better our assessments would be! 

The need for such telenursing practices has long been established, Elizabeth Moore and Brooke Trainum state “nearly 20%  of Americans living in rural areas suffer from a shortage of providers and healthcare facilities. This scarcity of services is detrimental to the nation’s health.” (2019, p.7). This is very true for my service area. We often must force patients to travel from 200 miles away for them to receive proper oncology care and then when they need even more specialized care, we ask them to travel even further. As nurses we need to help accelerate telehealth practices so that we can provide a high quality of care.

The implications for nursing practice are vast. As it stands in my current practice we speak to patients on the phone and ultimately comes down to three outcomes: patient can be managed entirely over the phone by the nurse, nurse decides that patient needs in person assessment by nurse or provider, or nurse recognizes emergent care is needed and patient is directed to ED.

I don’t imagine that incorporating video into our telenursing program will prevent ER trips but it certainly could prevent patients from having to come into the office. If I could actually see the rash, I could likely rule out the possibility of it being shingles without bringing the patient in for a visit. This would intern save the patient time and money. Often, we come across the scenario where we feel a patient needs to be assessed but the patient cannot get to us so they end up in urgent care. Video telehealth certainly has the potential to reduce those visits. 

There are some obstacles to consider when looking at a virtual telenursing program. One that comes immediately to mind is privacy. If you are performing a video interview anyone walking by could potentially view what is happening on the screen both on the patient side and the nurse’s side. Before my particular office could put something like this into place, we would have to look at getting the nurses private offices (which we do not currently have). Another consideration is the “hackability” of all of these wonderful devices that help us assess patients. If our e-mails are hackable then are our video chats as well? (Hoglund, 2017).

The uneasiness regarding security may make patients less like to give us all of the information over a video chat. There are definitely some hurdles to consider and rushing into a telenursing system, as many practices are right now, could have some negative effects down the line, particularly in regard to protected health information and privacy. 

  Reference: 

  Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6th edition. Pearson. New York, NY. 

Hoglund, D. (2017). Secure and Reliable Wireless Medical Device and Mobile Connectivity. Biomedical Instrumentation & Technology. Vol. 51(2). P. 130-134. http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.2345/0899-8205-51.2.130Links to an external site.  

Moore, E. & Trainum, B. (2019). Connected Health. American Nurse Today. Vol. 14(12). P. 7. https://web-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/detail/detail?vid=6&sid=a910cdbd-0f15-49d8-b011-3adfbb48d14f%40sessionmgr4007&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=140299006&db=ccmLinks to an external site. 

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