Feb 23, 2024 NUR 514 Week 7 DQs
NUR 514 Week 7 DQs
NUR 514 Week 7 DQs
Description
Week 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.
DQ1
The emerging technologies have played an essential role in enhancing efficiency and subsequently, patient safety and high quality of care. However, these systems hold patient information, which creates legal and ethical issues in handling such information. One of the ethical issues that might impact the practice of a registered nurse is unauthorized access to sensitive patient information (Almaghrabi & Bugis, 2022). Registered nurses and other practitioners who have access to the system have a responsibility to ensure that there is no unauthorized access to this information. A registered nurse may violate this policy through various actions and acts of omission, for example, an RN may forget to sign out of their accounts after using the system, providing an opportunity for unauthorized thirty parties to access the system through their accounts (George & Bhila, 2019). Unauthorized access leads to a breach of patient information, which should be secured throughout. Furthermore, when a malicious person accesses patient information, it violates confidentiality and privacy, and such people might use the accessed information to cause harm.
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One of the measures to protect patient confidentiality and privacy is to create policies that align with the requirements of HIPAA particularly the Security Rule and the Privacy Rule. Policies are an effective way to ensure that the staff is aware of the requirements of the law regarding issues of privacy and confidentiality (Hartigan et al., 2018). Additionally, policies define behaviors and conduct of the staff with an agenda of encouraging compliance with regulations such as the safety and confidentiality of patient data. Thus, a registered nurse and healthcare providers are required to adhere to organizational policies on privacy and data security.
NUR 514 Week 7 DQs References
Almaghrabi, N., & Bugis, B. (2022). Patient Confidentiality of Electronic Health Records: A Recent Review of the Saudi Literature. Al Habib Medical Journal 4, 126–135. https://doi.org/10.1007/s44229-022-00016-9.
George, J., & Bhila, T. (2019). Security, Confidentiality and Privacy in Health of Healthcare Data. International Journal of Trend in Scientific Research and Development (IJTSRD), 3(4), 373-379. https://doi.10.31142/ijtsrd23780.
Hartigan, L., Cussen, L., & Meaney, S. (2018). Patients’ perception of privacy and confidentiality in the emergency department of a busy obstetric unit. BMC Health Service Research, 18, 978. https://doi.org/10.1186/s12913-018-3782-6.
Week 7 Q 2 Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.
DQ2
HIPAA and PHI are laws that regulate the use and dissemination of consumer data. The regulations through the requirements for privacy and confidentiality ensure that healthcare providers do not misuse patient information in unauthorized ways (Balestra, 2018). For example, one of the legal issues that might arise is sharing patient information with a third party. Patient information should remain confidential and private. Registered nurses might share patient information through their social media posts, violating the privacy rule. Sharing patients’ identifiable information can lead to serious repercussions including loss of license or a lawsuit against the hospital. An ethical issue that a registered nurse might be involved in based on confidentiality and privacy of data is accessing information patient health information from an uncensored location (Pool, 2022). For example, accessing patient data from home computers or other personal devices is unethical because of the potential for a security breach. This is because personal devices do not have the cybersecurity features required to protect patient data. Moreover, the registered nurse might leave that information in open access to family members who will end up seeing sensitive patient information.
As the implementation of electronic health records and telehealth systems increases, they also present a challenge in the effective protection of patient data. These systems involve the electronic transmission of patient data, in the process exposing such information to a security breach (Zhou et al., 2019). To promote the security of sensitive patient information, one measure is to install cybersecurity features and make cybersecurity part of an organization’s culture (Pool, 2022). For example, electronically transmitted data should be in an encrypted format so that even if intercepted by a third party, they cannot access it. Another feature of cybersecurity is password protection using two-step verification and strong passwords to prevent other people from bypassing a provider’s passwords and accessing the system.
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NUR 514 Week 7 DQs References
Balestra, M. (2018). Electronic Health Records: Patient Care and Ethical and Legal Implications for Nurse Practitioners. The Journal for Nurse Practitioners, 13(2), 105-111. https://doi.org/10.1016/j.nurpra.2016.09.010.
Pool, J. (2022). Data privacy concerns and use of telehealth in the aged care context: An integrative review and research agenda. International Journal of Medical Informatics, 160. https://doi.org/10.1016/j.ijmedinf.2022.104707.
Zhou, L., Thieret, R., Watzlaf, V., Dealmeida, D., & Parmanto, B. (2019). A Telehealth Privacy and Security Self-Assessment Questionnaire for Telehealth Providers: Development and Validation. International Journal of Telerehabil, 11(1):3-14. https://doi.10.5195/ijt.2019.6276.
One legal issue is the use of personal technology by health professionals such as a smartphone for professional matters. Because of HIPPA privacy and security rules, nurses should not use their personal devices to take pictures or text personal health information related to patient care. It is important for nursing staff to be trained on the policies regarding “bring your own device” (BYOD) so that staff understand the boundaries between their professional and personal lives. Though sometimes it may be convenient to send a quick text to another employee about a patient using one’s personal cell phone, advanced registered nurses need to understand the repercussions of violating patient security and privacy rights. The advanced nurse needs to make sure staff have been adequately educated and trained on privacy policies and also hold staff accountable when these breaches occur.
An ethical issue is ensuring the safety of protected health information during faxing or scanning patient information to third parties. “Providers must protect their information and prevent unauthorized persons from accessing, using, disclosing, changing, or destroying a patient’s health information or otherwise interfering with the operations of a health information system” is an ethical right that the nurse should advocate for(McGonigle & Mastrian, 2022). Having incorrect fax numbers or emails can mean sending protected health information to people or organizations that the patient has not consented to the disclosing of their information. The advanced registered nurse needs to advocate for their patient’s right to privacy and security if these situations occur. The advanced registered nurse needs to know the resources and information of who to report to if these breaches occur and affect patients unknowingly.
With the emergence of telehealth, it is important for patients to understand how their personal health data will be collected, stored, accessed, and protected electronically. That is why informed consent is such a vital step in nursing practice to maintain confidentiality and privacy of data. “A typical informed consent for telehealth is a written document that describes what the patient can expect and the security measures that are in place to protect privacy”(McGonigle & Mastrian, 2022). Nurses also need to be advocates for their patients who might not know to ask what will happen to their data eventually? Are there secure data purging policies once their health data has been obtained? Because telehealth is so new, it is important that nurses educate their patients about their rights to know how secure their network is in safely storing this information. Have there been new upgrades to the health care organization’s technology systems to ensure protection from cyberattacks? Nurses need to ethically stay vigilant on behalf of their patients in ensuring safe protection for PHI.
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