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Telenursing…the Future Is Now Paper

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to explore the specialty of telenursing as one example of the use of technology in various practice settings. Advantages and disadvantages for the patient and legal and ethical principles for the nurse of this technology will be explored.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO #2: 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)

Background

Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care.

Scenario

The following scenario serves as the basis for your paper:

Manuel, one of your colleagues, is considering leaving his medical-surgical position where both of you have worked for the past 12 years. In fact, he has an interview in two weeks for a Telenurse Specialist position at a nurse-owned home health agency. This agency monitors the elderly and those with chronic illnesses to keep them from being readmitted to the hospital. Manuel is doing some research on his own and knows that the hours sound great and the pay is comparable. One advantage is that he can work from home (telecommute) most of the time and only interface with the agency for required meetings.

Manuel knows you are enrolled in this course. You have discussed various concepts that you noted in your Syllabus including technology, privacy, confidentiality, interoperability, legal and ethical issues, and patients’ access to the World Wide Web, just to name a few. Manuel has shared that he does not know much about telehealth and the role of nursing in this “new” technology. He has asked you to educate him on the advantages and disadvantages to patients of telenursing. Frankly, he does not understand what he might be doing on a day-to-day basis. One concern is the technology that may be involved.

Manuel has indicated that he realizes the final decision about a career move will be his choice, but he is seeking your knowledge based on concepts presented in this course. He wants to be knowledgeable about the role of the professional nurse in this practice setting prior to his interview.

You tell Manuel that you will need to do some research and that you will get back to him about your conclusion and recommendation. You have heard of telenursing and how it can prevent patients with COPD (chronic obstructive pulmonary disease) and CHF (congestive heart failure) from being readmitted to the hospital, but you recognize that you will need to do much more investigation.

Directions

1. You are to research (find evidence), compose, and type a scholarly paper based on the scenario described above. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be on the professional nurse’s role in telehealth, such as telenursing. Therefore, do not limit your review of the literature to your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical thinking skills to development of your paper.

2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home tab. Also, review and use the various documents in Doc Sharing related to APA.

3. The length of the paper should be 4–5 pages, excluding the title page and the reference page. Limit your references to key sources.

4. The paper should contain an Introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. The Body should present the advantages and disadvantages of telenursing from a patient perspective. The Conclusion and Recommendations should summarize your findings and state your position on whether Manuel should accept the position should it be offered to him.

5. NOTE: Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words) unless properly cited. This assignment will automatically be submitted through Turnitin, a plagiarism detection system.

6. Submit the completed paper to the Telenursing…the Future Is Now Dropbox by Sunday, 11:59 p.m. mountain time at the end of Week 4. Please post questions about this assignment to the weekly Q & A Forum so that the entire class may view the answers.

Grading Criteria

Category	Points	%	Description
Introduction	50	25%	The Introduction provides evidence of an information search including in-text citations of the sources of evidence. It catches the reader’s attention with interesting facts and supporting sources.
Body	100	50%	Appropriate headings are used to delineate when the introduction ends. More than three advantages and three disadvantages are identified, discussed briefly, and supported by citations.
Conclusion and Recommendations	25	12.5%	Appropriate headings are used, making clear the conclusion and recommendations based on solid evidence, privacy rights, and ethical principles, and so forth. Writing in the third person, state your position regarding whether your colleague should consider this position.
Scholarly Writing and APA Format	25	12.5%	· Title page, running head, and page numbers. (3 pts.) · Introduction, body, and conclusion/recommendations sections are clearly labeled. There is a logical flow between the sections. (10 pts.) · Grammar, punctuation, and sentence structure are correct. (2 pts.) · Citations throughout demonstrate support of student’s ideas and opinions. (5 pts.) · Reference page includes all citations. (3 pts.) · Evidence of spell and grammar check. (2 pts.)
Total	200	100%	A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria	A Outstanding or Highest Level of Performance	B Very Good or High Level of Performance	C Competent or Satisfactory Level of Performance	F Poor or Failing or Unsatisfactory Level of Performance
Introduction 50 points	Evidence of information search. Catches the reader’s attention with interesting facts and supporting sources that include citations to three or more scholarly sources. 46–50 points	Evidence of information search. Catches the reader’s attention with interesting facts and supporting sources that include citations to two scholarly resources. 42–45 points	Evidence of information search includes only one citation to scholarly resource. No attention catching “hook” noted. 38–41 points	Little or no evidence of information search. No citations provided and/or there is no attention-catching “hook.” 0–37 points
Body 100 points	More than 3 advantages and 3 disadvantages from a patient perspective are identified and supported by citations. 92–100 points	At least 3 advantages and 3 disadvantages from a patient perspective are identified and supported by citations. 84–91 points	At least 2 advantages and 2 disadvantages from a patient perspective are identified and supported by citations. 76–83 points	Only one advantage and one disadvantage from a patient perspective is identified and supported by citations. 0–75 points
Conclusion and Recommendation 25 points	Conclusion is presented with recommendation based on solid evidence, personal privacy rights, and ethical principles supported by citations. 23–25 points	Conclusion contains evidence for recommendation, but may lack persuasive use of privacy rights and/or ethical principles. Includes citations. 21–22 points	Indicates conclusion and recommendation but does not address privacy rights and/or ethical principles. 19–20 points	Fails to include conclusion or recommendation. 0–18 points
Scholarly Writing & APA Format 25 points	· Title page, running head, and page numbers. (3 pts.) · Minimum of three sections including the Introduction, Body, and Conclusions and Recommendations. Each section has at least three sentences. (10 pts.) · Grammar, punctuation, and sentence structure are correct. (2 pts.) · Citations throughout demonstrate support of student’s ideas and opinions. (5 pts.) · Reference page includes all citations and no errors in format are noted. (3 pts.) · Evidence of spell and grammar check. (2 pts.) 23–25 points	· Some errors in APA title page noted. · Some errors in grammar, spelling, punctuation, and/or sentence structure noted. · Citations are present but not in correct format. · References are present, with some errors in format. · Some red or green wavy lines within document. 21–22 points	· Minimal error in APA title page noted. · Minimal errors in grammar, spelling, punctuation, and/or sentence structure noted. · Citations are present but not in correct format. · References are present, with minimal errors in format. · Minimal red or green wavy lines within document. 19–20 points	· Multiple errors in APA formatting. · Multiple grammar, spelling, and punctuation errors noted. · Citations are missing. · References are missing or incomplete. · No evidence of proofreading prior to submitting paper. 0–18 points
	Total Points Possible = 200 points

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