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Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.

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Nursing homework help
Nursing and Health Care Informatics Ethics and the Law
“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)
Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167–175.
To prepare:
Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.
For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar.
Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.
Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.
By tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:
post a cohesive response that addresses the following:
1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are: Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing). Choose one!
2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.
3) Formulate strategies that the organization could implement to address the ethical issue.
Required Readings
Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
“Ethics in Nursing Informatics” (p. 49-52)
This page of the text introduces three common ethical codes used in health care today.
Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.
The author proposes a model for controlling the security of health information networks and systems.
Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47-68.
This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.
Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.
The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.
Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology and Informatics, 151, 176-182.
Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records
O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.
Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.
Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88.
The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.
California HealthCare Foundation. (2011).
Retrieved from http://www.chcf.org/
The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.
Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.
https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp
The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.
American Nurses Association. (2011). Ethics and human rights.
Retrieved from http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/EthicsandHumanRights.aspx
See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.
Healthcare Information and Management Systems. (2011). Privacy & security toolkit.
Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp
At this website, you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.
The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics
At this website, you will find an American Medical Informatics Code of Ethics for Healthcare Professionals.
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law. Baltimore, MD: Author.
Note: The approximate length of this media piece is 10 minutes.
In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records.

How might role conflict and/or ambiguity have contributed to the situation?

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Nursing homework help
Discussion: Group Management for Just Culture
The concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.
—Pepe & Caltado, 2011
This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.
To Prepare
Review the information on just culture presented in the Learning Resources.
For this discussion, you will use the Regulatory Decision Pathway found in Russell, K. A. & Radtke, B. K. (2014).
Examine an adverse event at the unit level in your organization or one with which you are familiar and apply the Regulatory Decision Pathway.
Compare the findings of the Regulatory Decision Pathway to what actually happened at the unit in your organization. Was the event deemed: bad intent, reckless, at risk, or human error? According to the pathway, do you now think it was the correct action?
Think about how a nurse leader–manager may use just culture as a framework to create or maintain a focus on accountability and outcomes throughout a group. What actions could be taken if a systems–related error was made or if an error resulted from risky behavior?
How might role conflict and/or ambiguity have contributed to the situation?
Post a description of an adverse event in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.
http://sidneydekker.com/wp-content/uploads/2013/01/JustCultureCritique.pdf
http://www.outcome-eng.com/wp-content/uploads/2012/01/manage-risk.pdf
**************Below is a paper to use as reference!!!!!!!!!
PLEASE USE THIS AS A REFERENCE ONLY.
Adverse Event
Adverse events are a part of the healthcare environment and how an event is dealt with can affect patient safety. The regulatory pathway and just culture are a means of improving the quality of care and safety culture (Russell & Radtke, 2014). Health care employees need to trust in their organization that an adverse event can be reported so that the organization and employee can learn from the event, and that it is not just a means to place blame.
An adverse event that took place in the cardiac catheterization lab was a procedure was done on the wrong patient. A patient that was to have a pacemaker instead ended up having a diagnostic catheterization. This event involved a patient identification issue by the nurse. The hospital’s patient identification policy and time out policy were not adhered to by the nurse and then the catheterization team. The incident was reported to the state, and there were several event meetings with the nurse and physician. As a result of the investigation, all staff in the catheterization lab were re-educated to the patient identification and time out policy. All staff had to sign an individual affidavit that they understood the policy. The nurse was given a written warning. This event would not have happened if the nurse and catheterization team had adhered to policy.
Regulatory Decision Pathway
Using the regulatory decision pathway, the nurse did not intend to harm the patient deliberately. The nurse asked the patient if she was Ms. X and the patient said yes. The identification policy is to check the patient’s identification band for name and medical record number against a second identifier. This was not done. There were no significant circumstances involving the system that led to the error. The nurse did not conceal the error or falsify the record. The nurse did not disregard or consciously take a substantial risk. She thought she had the correct patient. There were no similar or serious errors by this nurse. A reasonably prudent nurse would not have done the same in similar circumstances as the patient identification policy would have been adhered to. According to the regulatory decision pathway, this was at-risk behavior by the nurse (Russell & Radtke, 2014).
The catheterization team which included the physician, nurse, physician assistant, and technician contributed to this adverse event. The team did not follow the time out process policy where everything stops, and patient identification is reconfirmed with other parameters. Again, following the regulatory decision pathway, the catheterization team demonstrated at-risk behavior. At-risk behavior involves unsafe practice and carelessness which is shown by the nurse and catheterization team not adhering to policy (Russell & Radtke, 2014).
Role Conflict
The cardiac catheterization lab is very fast-paced, and the nurses can feel the stress of the workload. The procedure area and recovery room was very busy and crowded that day. Role conflict could have contributed to the situation as there is constant pressure to keep moving. Role conflict could have contributed in the time-out process not taking place in the procedure room. Nurses have to initiate the time out process when the physician arrives, and some physicians are not very cooperative in the process. Since the adverse event, patient identification and the time out policy are strictly adhered to.
Just Culture
Quality improvement and work environment improvement are a part of just culture (Lockhart, 2015). Just culture is safety issues, improving processes, and not about punishing individuals (Pepe & Cataldo, 2011). As the group’s manager using the principles of culture, I would have done firm counseling stressing the significance of the incident, but as this was the nurse’s first risky behavior, I would not have done a formal written warning with the threat of being fired if it happens again. Doing a staff meeting and re-educating the policies was appropriate. Patient identification and the time out process are now part of the cardiac catheterization lab’s monthly quality assurance surveys. All new employees are well educated in the two policies and must sign an attestation that they understand by the end of orientation. This adverse event led to improved processes in the cardiac catheterization lab which is the goal of just culture (Pepe & Cataldo, 2011).
References
Lockhart, L. (2015). Does your organization have a just culture? Retrieved from http://www.NursingMadeIncrediblyEasy.com doi-10.1097/01.NME.0000457286.16594.92
Pepe, J., & Cataldo, P. J. (2011). Manage risk, build a just culture. Health Progress. Retrieved from http://www.outcome-eng.com/wp-content/uploads/2012/01/manage-risk.pdf
Russell, K. A. & Radtke, B. K. (2014). An evidence-based tool for regulatory decision-making: regulatory decision pathway. Journal of Nursing Regulation, 5(2), 5-9. https://class.waldenu.edu/bbcswebdav/institution/USW1/201810_27/MS_NURS/NURS_6201/readings/USW1_NURS_6201_Russell.pdf

Determine the best action for your organization and make a succinct statement of your recommended plan.

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Nursing homework help
Topic is Nurse Patient Ratio.
Please review the attachemnts.
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 8, “Planned Change”
This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change.
Outline for Strategic Plan for Change Paper
Write a structured outline of your paper including the references you plan for each section.
1. Introduction and Statement of the Problem
1.1. What is the problem?
1.2. Why is it important enough to warrant a change?
1.2.1. Scholarly Reference #1
1.2.2. Scholarly Reference #2
1.2.3. Scholarly Reference #3
*References in this section support the importance (2-3 is adequate to establish that the problem is significant). These may be peer reviewed journal articles and may or may not, be original research.
2. Review of Literature
2.1. Research Reference #1
2.2. Research Reference #2
2.3. Research Reference #3
2.4. Research Reference #4
2.5. Research Reference #5
The review of literature section requires at least five current scholarly peer reviewed articles. Research articles are required for this section! Include a short synopsis of the studies, the population studied, and indicate if the research is Qualitative or Quantitative. The purpose of a literature review is to identify strategies for change to address the problem. This is not a place for articles establishing the problem (that is in the introduction/background). Example of Research Reference:
MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335-340.
Mackusick and Minick (2010) conducted an interpretive, qualitative study to identify reasons influencing the decisions of RNs to leave clinical practice.
3. Synthesis of the Evidence
3.1. Provide a clear, concise, summary of potential actions derived from your evidence review.
3.2. Compare and contrast recommendations to improve on the problem.
3.3. Determine the best action for your organization and make a succinct statement of your recommended plan.
4. Suggested Courses of Action
4.1. Restate the action you want to occur
4.2. Outline how you will implement the change
4.3. Use and identify a Change theory or Leadership strategy to guide the change process.
4.4. Who, what, when, and where?
5. Summary or Conclusion
5.1. Summarize the main ideas and arguments, pulling everything together to help clarify the thesis of the paper.

Consider how you would present the new EHR system to the nurses to win their approval

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Nursing homework help
As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.
Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:
· Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.
· Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.
· Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.
· Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.
· Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.
For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.
To prepare
· Review the Learning Resources this week about successful implementations of EHRs.
· Consider how you would present the new EHR system to the nurses to win their approval.
· Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?
Write a 3- to 5-page paper which includes the following:
· Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.
· Analyze the role of nurses as change agents in facilitating the adoption of new technology.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.