we can but dare we?

 investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology following the rubric and scenario

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R360 Information Systems in Healthcare

RUA: We Can, But Dare We?

You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight because you were scheduled to work, and you respond to her between care of patients, jealous that she is there, and you are not. “What a jerk to torture me like this!” you think to yourself.

It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed cup of coffee and prepare a room for your next patient. The medics roll in and begin to fill you in. The patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle overturned after rolling over an embankment. There were several fatalities among the bus passengers, and “this victim has remained unconscious, though his vitals are currently stable. As you start to focus on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue Lizards,” who you have adored since you first heard his voice! The band had just left the concert that you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can you believe?” and she responds with “Yeah, right. PROVE IT.” So, you quickly snap a picture with your smartphone, when alone with the patient, and send it to her. Cannot hurt, right? Celebrities are “public property,” and that is a part of their life, right? Just for good measure, you snap a few more pictures of the unconscious singer in various stages of undress and then a shot of his home address, phone number, and demographic information from his electronic health record. You sit your phone down on the bedside table for a minute as you continue your assessment of the patient.

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You will be making up the rest of the scenario based on the ending you choose. Choose an ending to the scenario, and construct your paper based on those reflections.

Choose one of the following outcomes:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.

NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 1

  • Purpose
  • The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal
    principles to its appropriate use in healthcare technology.

    Course outcomes: This assignment enables the student to meet the following course outcomes:
    CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information

    systems to support a safe practice environment for both patients and healthcare workers. (PO 4)
    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)
    CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)

    Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
    this assignment.

    Total points possible: 240 points

  • Requirements:
  • • Research, compose, and type a scholarly paper based on the scenario provided by your faculty, and choose a

    conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about
    technology, privacy concerns, and legal and ethical issues and address each of these concepts in the paper. Consider
    the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because
    other health professionals are using the technology, and you may need to apply critical thinking skills to its
    applications in this scenario.

    • Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological
    Association, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size
    (point), use of third person, etc.). Take advantage of the writing service SmartThinking, which is accessed by clicking
    on the link called the Tutor Source, found under the Course Home area.

    • The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the
    references to a few key sources (minimum of three required).

    • The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and
    provides a narrative outline of what will follow (i.e.,

    the assignment criteria).

    • In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that
    apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references)
    included as in‐text citations.

    • Choose and identify one of the possible endings provided for the scenario, and construct your paper based on its
    implications to the scenario. Make recommendations about what should have been done and what could be done to
    correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from
    sources of evidence (references) included as in‐text citations.

    • Present the advantages and disadvantages of informatics relating to your scenario and describe professional and
    ethical principles appropriate to your chosen ending. Use facts from supporting sources of evidence, which must be
    included as in‐text citations.

    • The paper’s conclusion should summarize what you learned and make reflections about them to your practice.
    • Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing and ensure that all

    components are complete.
    • Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in

    your own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox.

    2

    NR360 Information Systems in Healthcare
    RUA: We Can, But Dare We? Guidelines

    NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 2

    • Submit the completed paper to the “We Can But Dare We?” Dropbox by the end of Week 3. Please refer to the
    Syllabus for due dates for this assignment. For online students, please post questions about this assignment to the
    weekly Q & A Forums so that the entire class may view the answers.

  • Preparing the assignment
  • Background
    Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs,
    but we must also consider the impact of such technology on privacy and patient care.

    Your faculty member will provide a scenario for you to address in your paper.

    Choose an ending to the scenario, and construct your paper based on those reflections.
    Choose one of the following outcomes:

    1. A HIPAA violation occurs, and client data is exposed to the media.

    2. A medication error has harmed a client.

    3. A technology downtime that impacts patient care occurs, and an error is made.

    4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to
    patient data.

    Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
    Include the following sections:

    a. Introduction ‐ 40 points/17%
    • Catches attention of the reader
    • States purpose of the paper
    • Provides a narrative outline of the paper (i.e., the assignment criteria)

    b. HIPAA, Legal, and Regulatory Discussion ‐ 40 points/17%
    • Presents evidence from recent scholarly publications to address the impact of technology on nursing care

    related to:
    • Patient privacy and HIPAA standards
    • Healthcare regulations
    • Legal guidelines on appropriate use of

    technology

    c. Scenario Ending and Recommendations ‐ 50 points/21%
    • Selects and presents one scenario ending as the focus of the assignment.
    • Evaluates the actions taken by healthcare providers as the situation evolved.
    • Recommends actions that could have been taken to mitigate the circumstances presented in the selected

    scenario ending.
    • Supports recommendations with evidence from recent scholarly publications.

    d. Advantages and Disadvantages ‐ 50 points/21%
    • Presents evidence from recent scholarly publications to address the impact of technology on nursing care

    related to:
    • The advantages of appropriately using technology in healthcare
    • Risks of technology use in healthcare

    • Describes professional and ethical principles guiding the appropriate use of technology in healthcare.
    e. Conclusion and Reflections ‐ 30 points/12%

    • Summarizes what new information was learned by completing this assignment.
    • Reflects on how this new knowledge will impact

    future behavior as a healthcare professional.

    f. Scholarly Writing and APA Format ‐ 30 points/12%

    3

    NR360 Information Systems in Healthcare
    RUA: We Can, But Dare We? Guidelines

    NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 3

    • Paper submitted as a Microsoft Word

    document.
    • Adheres to current APA formatting guidelines.

    • Length is 4‐5 pages, excluding title and reference pages.
    • Includes at least three (3) references that are:

    • From recent (within the last 5 years) scholarly sources
    • Cited in text appropriately
    • Included on an APA formatted reference page

    • Scholarly writing reflects:
    • Accurate spelling
    • Correct use of professional grammar
    • Logical organization of thoughts

    (mechanics)

    For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing page in the online library.

    Please note that your instructor may provide you with additional assessments in any form to determine that you fully
    understand the concepts learned in the review module.

    https://library.chamberlain.edu/APA

    NR360 Information Systems in Healthcare
    RUA: We Can, But Dare We? Guidelines

    NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 4

  • Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.
  • Assignment Section and

    Required Criteria

    (Points possible/% of total points available)

    Highest Level of

    Performance

    High Level of
    Performance

    Satisfactory Level
    of Performance

    Unsatisfactory
    Level of

    Performance

    Section not
    present in paper

    Introduction
    (40 points/17%)

    40 points 36 points 32 points 15 points 0 points

    Required criteria
    • Catches attention of the reader.
    • States purpose of the paper.
    • Provides a narrative outline of the paper (i.e.,

    the assignment criteria).

    Meets all
    requirements for
    section.

    Includes no fewer
    than 2 requirements
    for section.

    Includes no less than
    1 requirement for
    section.

    Present, yet includes
    no required criteria.

    No requirements for
    this section
    presented.

    HIPAA, Legal, and Regulatory Discussion
    (40 points/17%)

    40 points 36 points 32 points 15 points 0 points

    Required criteria
    Presents evidence from recent scholarly publications
    to address the impact of technology on nursing care
    related to:
    • Patient privacy and HIPAA standards
    • Healthcare regulations
    • Legal guidelines on appropriate use of

    technology
    Meets all
    requirements for
    section.
    Includes no fewer
    than 2 requirements
    for section.

    Includes no fewer
    than 1 requirement
    for section.

    Present, yet includes
    no required criteria.

    No requirements for
    this section
    presented.

    Scenario Ending and Recommendations
    (50 points/21%)

    50 points 46 points 42 points 19 points 0 points

    Required criteria
    • Selects and presents one scenario ending as the

    focus of the assignment.
    • Evaluates the actions taken by healthcare

    providers as the situation evolved.
    • Recommends actions that could have been

    taken to mitigate the circumstances presented
    in the selected scenario ending.

    Meets all
    requirements for
    section.

    Includes no fewer
    than 3 requirements
    for section.

    Includes 1‐2
    requirements for
    section.

    Section present yet
    includes no required
    criteria.

    No requirements for
    this section
    presented.

    NR360 Information Systems in Healthcare
    RUA: We Can, But Dare We? Guidelines

    NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 5

    Assignment Section and
    Required Criteria

    (Points possible/% of total points available)

    Highest Level of
    Performance

    High Level of
    Performance
    Satisfactory Level
    of Performance
    Unsatisfactory
    Level of
    Performance
    Section not
    present in paper

    • Supports recommendations with evidence from
    recent scholarly publications.

    Advantages and Disadvantages
    (50 points/21%)

    50 points 42 points 19 points 0 points

    Required criteria
    • Presents evidence from recent scholarly

    publications to address the impact of
    technology on nursing care.

    • Evidence includes the advantages of
    appropriately using technology in healthcare.

    • Evidence includes risks of inappropriately using
    technology in healthcare.

    • Describes professional and ethical principles
    guiding the appropriate use of technology in
    healthcare.

    Meets all requirements for section. Includes no fewer
    than 3 requirements
    for section.

    Includes 1‐2
    requirements for
    section.
    No requirements for
    this section
    presented.

    Conclusion and Reflections
    (30 points/12%)

    30 points 15 points 0 points

    Required criteria
    • Summarizes new information learned by

    completing this assignment.
    • Reflects on how this new knowledge will impact

    future behavior as a healthcare professional.

    Meets all requirements for section. Includes 1 requirement for section. No requirements for
    this section
    presented.

    Scholarly Writing and APA Format
    (30 points/12%)

    30 points 26 points 20 points 9 points 0 points

    Required criteria
    • Paper submitted as a Microsoft Word

    document.
    • Adheres to current APA formatting guidelines.
    Meets all
    requirements for
    section.

    Includes no fewer
    than 4 fully met
    requirements for
    section.

    Includes no fewer
    than 3 fully met
    requirements for
    section.

    Includes 1‐2
    requirements fully
    met requirements for
    section.

    No requirements for
    this section
    presented.

    NR360 Information Systems in Healthcare
    RUA: We Can, But Dare We? Guidelines

    NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: January 2021 6

    Assignment Section and
    Required Criteria
    (Points possible/% of total points available)
    Highest Level of
    Performance
    High Level of
    Performance
    Satisfactory Level
    of Performance
    Unsatisfactory
    Level of
    Performance
    Section not
    present in paper

    • Length is 4‐5 pages, excluding title and
    reference pages.

    • Includes at least three (3) references that are:
    o From recent (within the last 5 years)

    scholarly sources
    o Cited in text appropriately
    o Included on an APA formatted reference

    page
    • Scholarly writing reflects:

    o Accurate spelling
    o Correct use of professional grammar
    o Logical organization of thoughts

    (mechanics)

    Total Points Possible = 240 points

      Purpose
      Requirements:
      Preparing the assignment
      Background
      Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

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