Nursing Informatic Topics, Essay Example

Topic 1: nursing informatics ethical issue

A brief description of my ethical issue entails the use of nursing informatics in health care settings. The introduction of nursing informatics being commonly classified health information technology (HIT) is a relatively modern intervention in health sciences. However, one of its ethical dangers within the discipline is the potential of share information across systems to other companies without prior consent of clients/patents

An analysis of the potential liabilities that this inappropriate information sharing within nursing informatics systems, pose to the organization is embedded in the regulations established byAMIA Code of Ethics. This code reflects specific procedures under which patients/clients ‘medical records could be shared. Precisely, the code outlines‘key ethical guidelines regarding patients, their families, their significant others, and their representatives (called here collectively ‘patients’ (AMIA Code of Ethics, 2014, p 1).

Further, it is stated that patents must be alerted about t electronic records that contain personal biomedical data and the potential of the information being shared to third parties. Failure of a health care organization to disclose this information and ultimately share the data without prior consent is violation of the patients/clients privacy (AMIA Code of Ethics, 2014).

Strategies that my organization could implement to address inappropriate information sharing issues occurring both internally and externally are re-evaluating the informatics system, informing patients and enforcing signing a disclosure document. This document would release the organization of any liabilities should patients/clients biomedical data accidentallyescapes into a system not intended to have the information. Another significant strategy is mandating the information technology vendor to update the system periodically. Thiswould ensure that HIPPA compliance regulations are active as it pertains to security measures (Croll, 2010).

References

American MedicalInformatics Association (AMIA) (2011).A Code of Professional Ethical Conduct for AMIA. Retrieved on September 28^th, 2014 from http://ethics.iit.edu/ecodes/node/5033

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.

Topic 2: Decision making tools (CDS)

 An evaluation of decisionsupport tools in my practice setting encompasses the recognition of how the clinical decision support (CDS) process is applied in facilitating execution of the nursing process. As such, the knowledge based decision support system is utilized in y organization. From interacting with the system it is a very effective tool if not always accurate. For example, there are three separate tools with which staff/providers have toInteract. They are knowledge base, inference engine, and a communication mechanism .The knowledge -base stores rules and regulations of compiled data while the inference engine combines rules derived from the knowledge based with patients/clients data. Ultimately, the communication mechanism offers users opportunities to view patient data and make decisions(Berner & La Lande, 2007).

From observation the impacts of these support tools are immense with regards to providers/clinicians’ performance as well as patients’ outcomes. For example, studies reveal that they improve providers’ efficiency on the job. Essentially, unlike paper application of paper data combined with human thinking, the system scientifically utilizes patient/clients medical data to determine diagnoses. Human thinking makes many mistakes, but this decision support mechanism eliminates many such errors through scientific interventions. There are less misdiagnoses and more time to provided patient.

As such, a tool which in my opinion would that could enhance decision-making processes in my practice is practice is the diagnostic decision support tool (DDS). This tool would gather all of a patient’s data   and propose a number of appropriate/possible diagnoses. The physician/ provider would then use his/her medical knowledge along with the patients’ output data to confirm a relevant diagnosis (Berner & La Lande, 2007).

References

Berner, E., &La Lande, L. (2007). “1”. Clinical Decision Support Systems: Theory and Practice (2 ed.). New York: Springer Science and Business Media

Topic 3: Consumer health literacy

A synthesize of my previous experiences with consumer health literacy in my practice setting encompasses meeting patents who knew very little about their health condition. More importantly, with regards to health information technology and accessing their medical records online, these features of life appeared to be foreign language. However it all depends on the patient’s educational level. Minorities are often seen at certain health care intuitions and their English literacy levels may be inadequate.

Therefore, in my practice consumer health literacy was loosely related to language literacy, generally. When persons arrive at my institution who are not fluent in English, resources are available in at least two other languages to facilitate consumer health literacy receptivity. Besides there is always staff working who can assist patients/clients if there is an identifiable consumer health literacy issue

There are a number of strategies that can be used to assist patients in interpreting and applying online health information. A major technique is education and exposure to the current technology. However, when patients are ill they cannot assimilate information adequately, Therefore, persons affected by chronic diseases such as diabetes,  hypertension, kidney failure and heart failure do have clinic interactions with peers  affected by similar diseases. Health care institutions along with providers could design health education sessions to teach patients computer skills first, if this has not been mastered at the basic level; Then interpretation of information pertaining to their particular condition will be clarified though discussion

It would be most important too to include significant others/ family members to reinforce imparting the correct information.Forpatients that overuse medical websites or regularly misinterpret medical information found online; they could be directed to website that are authentic. At the same time they must be cautioned about applying information before consulting with their health care provider or medical professional(Pak, Price&Thatcher,  2009).

References

Pak, R. Price, M.,& Thatcher, J. (2009). Age-sensitive design of online health information: Comparative usability study. Journal of Medical Internet Research, 11(4), e45.