Telenursing…the Future Is Now Paper
wally9111
nr361_telenursing_guidelines.docxChamberlain College of Nursing NR361 Information Systems in Healthcare
Telenursing…the Future Is Now Paper
Guidelines and Grading Rubric
Please see highlighted areas and red font as this will give you a great overview!
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)
Points
This assignment is worth a total of 200 points.
Due Date
Your completed Telenursing…the Future Is Now paper is due at the end of Week 4. Submit it to the basket in the Dropbox by Sunday, August 3, 2014 at 11:59 p.m. mountain time. Post your questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points.
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.
· Chapter 25: Telehealth (to prepare for the paper on telehealth)
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.
Please do not include the scenario in your paper and keep your TurnItIn score below 25%
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 |
How to write
Introduction
catch the attention of the reader with interesting facts and supporting sources of evidence which needs to be mentioned as in-text citations.
The Body
==Advantages and disadvantages of telenursing from patient prospective
Conclusion and Recommendations
==summarize your findings and state your position on whether Manuel should accept the position
Outline of paper
Telenursing is the use of any technology to manage and relay nursing care and conduct nursing practice in a meaningful way (McConell, 2013). For many decades, the government made an effort to hasten the adoption of electronic medical records (EHRs) and other health information technologies in an effort to curb the rising costs of health care. Finally, on September 2011, President Obama proclaimed the National Health Information Technology (HIT). This technology proclaimed that it connects doctors, patients, and other medical and non-medical staff in a way that is universal when all phases are complete. Tools like electronic health records and electronic prescriptions helps providers and the patient to connect with each other and obtain information more readily and efficiently. This technology can improve patient care, enable coordination between providers, and reduce the risk of dangerous drug interactions. It can also be used to prevent disease by recognizing early signs through an either automated computer program which recognizes abnormal numbers or a review of data when the patient encounters a visit with a qualified health care provider. My goal in this paper is to explain the basics of EHR, give Mr. Manual an overview of what it is and how can we make sense out of this information, and to give pros and cons of the process.
Paragraph # Meaningful use and how to legislation and regulations
The National Legislation and Regulations run by the federal government has placed standards on how the charting should be done on EHRs. One of the major terminology effecting every aspect of patient care is call “Meaningful Use” ( ). This regulation puts a landmark financial incentive-penalty system for the health care providers and hospitals based on the meaningful use of their EHRs. The Obama administration provided HITECH Act to help providers with assistant during emergencies, for training and equipment’s, and for better public communication. Combined, these programs build
the foundation for every American to benefit from an electronic health record, as part of a modernized, interconnected, and vastly improved system of care delivery" (ONC,
2011). It is designed to establish programs to improve health care promotion and adoption of EHRs, advanced information technologies, and private and secure electronic health information exchange. Under this act, eligible health care providers and hospitals can quality or Medicare and Medicaid incentive payments when they adopt certain certified EHR technology and use it to achieve specific objectives, i.e. Meaningful Use. One of the other regulation that has been passed identifies the technical capabilities required for certified EHR technology. Medical facilities have to report to CMS a required summary information on 38 clinical quality measures through an electronic mean.
Paragraph # CHF
Effectively leveraging the use of health information technology (HIT) is critical to
Improving health care quality, improving practice efficiency, supporting an enhanced medical home, and responding to health care emergencies, including disaster-related events. All of the above are especially important in accomplishing when it comes to core measures such as CHF. EHR has revolutionized health care delivery for these patients and their families. EHR Provides a continuous health care flow data especially important for these group of people who need their test result to be available on demand. When patients move from one place to the other, a simple click could make a test result available. EHR can also enhance communication between two cardiology specialists to manage a case such as in Children’s hospital in New York (Expedited transmission of MRIs or X-rays for a second opinion, www.childrensHeathFund.org). A radiologist reviews a spiral CT scan of a patient in California who has about 3000ml of fluid around his heart and relays the information via EMR which confirms his diagnosis legally and the surgeon reviews it instantaneously in New York to decide whether to do surgery or not (New York Children Hospital, 2011). So far the CHF foundation has over 500 providers who are connected to each other for the best care of their patients.
Paragraph #pros
EHRs and advanced information technologies have many good uses. A growing number of patients and consumers seek health care and disease information and automated clinical applications provide consumers and patients with information resources and health care specific for them that have the potential to improve or prevent declines in health status, improve care, and improve patient satisfaction. For instance, patient portals that have the capacity to allow patients to interact with the health care providers and ambulatory care practices via the internet, often have better outcome when compared to a traditional office visits (Hebda, 2013). Certainly, EHR reduces documentation time especially when certain things are automated. More time spent with patient result in more patient satisfaction especially when patient receive comprehensive explanation of their condition. During this precious time, the clinician can remember to cover all points regarding a complicated disease if the health record is accessible in clicks and patient can receive relevant information with a click if needed. In many EHR, the patient can make flow sheets of activities on their charts anywhere with an internet access and record their clinical data such as blood sugar, fluid intake amount, their daily weight and etc. Patients can ask their physicians through a click about medications, side effects, and any recommendations whenever and wherever they are. This increase patient compliance and more personal and stronger relationship between patients and doctors. EMR also give a privacy assurance to the patient when HIPAA rules are flowed which aim to prevent private or secure medical document from being leaked.
In long run, EMR is more advantageous to every aspect of medical field and improves compliance, satisfaction, productivity, and improves the medical community image (Hebda, 2013).
Box 6-1 Advantages of an Information System
1. Better access to information
1. Enhanced quality of documentation through prompts
1. Improved quality of client care
1. Increased productivity
1. Improved communications
1. Reduced errors of omission
1. Reduced hospital costs
1. Increased employee satisfaction
1. Compliance with agency regulations
1. Common clinical database
1. Improved client perception of care
1. Enhanced ability to track records
1. Enhanced ability to recruit/retain staff
1. Improved hospital image
1. Improved mandatory reporting capability
HEBDA, TONI LEE; CZAR, PATRICIA, HANDBOOK OF INFORMATICS FOR NURSES & HEALTHCARE PROFESSIONALS, 5th Edition, © 2013. Reprinted by permission of Pearson Education, Inc., Upper Saddle River, NJ.
Paragraph #cons
· Not user friendly ( people with limited computer knowledge finds difficulty to manipulate system).
· All patient's information in different tabs and not on a dashboard that links all the data
· No capability to verify new orders per shift by nurses
· Unable to track nosocomial infections with antibiotic therapies for Infection Control Trending
Disadvantages
1. No one person or group controls the Web, just as no one controls the Internet.
1. The quality of available information varies widely.
1. Documents may not supply sufficient depth in content.
1. Not all Web pages display a date of authorship or credentials of the source.
1. Web sites may change without providing a “forwarding address.”
1. The Web is vulnerable to hacker attacks.
1. The large amount of available information may be overwhelming.
1. Excessive company time spent exploring sites that are nonwork related.
1. Obsolete information may be out there.
HEBDA, TONI LEE; CZAR, PATRICIA, HANDBOOK OF INFORMATICS FOR NURSES & HEALTHCARE PROFESSIONALS, 5th Edition, © 2013. Reprinted by permission of Pearson Education, Inc., Upper Saddle River, NJ.
Paragraph # Conclusion
The meaningful use criteria are divided into five initiatives: ( I) improve quality, safety, and efficiency, and reduce health disparities, (2) engage patients and families, (3) improve care coordination, (4) improve population and public health, and
(5) ensure adequate privacy and security protections for personal health information. Nurse informatics are the key player in constructing the bridge in between the transition to EMRs. Murphy's article states, "This is an incredible opportunity to build upon our understanding of effectiveness research, evidence-based practice, innovation and technology to optimize patient care and health outcomes. The future of nursing will rely on this transformation, as well as on the important role of nurses in enabling this digital revolution" (Murphy, p. 286, 2010). Manuel will pay a major role in this transition by relaying the relevant information to the proper group so they can fix and improve the system better. Nurse informatics will continue to be very important in planning and construction a solid ground for the EMR process and without that foundation, the potential for having mistake will be high. Nurses are often the center of patient care and critical to the success of EHRs. They can help by gathering data for examining evidence-based practice, for creating logarithms of care best suited for unique situations and to overall advance. "Nurses need to be prepared to practice nursing in the digital age and become meaningful users of EHRs and advanced information technologies. A growing number of patients and consumers seek health care information and even health care on the Internet (Hebda, 2013).
Current research has found that nurses' perceptions of the overall quality of care and improvements in the quality of the care delivered was positively related the number of Telenurse present in their perspective unit (DesRoches, Miralles, Buerhaus, Hess, & Donelan, 2011). Technology Informatics Guiding Educational Reform (TIGER) initiative that aims to enable practicing nurses and nursing students to develop informatics competencies in order to fully engage in the unfolding digital era in healthcare (http://www.tigersummit.com).
References:
Center for Medicare & Medicaid Services. (2011). HER incentive. Programs. Retrieved from https://www.cms.gov/EHR/incentivePrograms.
Donelan, K. (2011). Health information technology in the workplace: Findings from a 2010 national survey of registered nurses. Journal of Nursing Administration, 41(9),357-364.
Hebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Upper Saddle River, NJ: Pearson
Murphy, J. (2010). Journey to Meaningful Use of Electronic Health Records. NURSING ECONOMIC$ , 28(4), 283-286.
National Institute of Nursing Research. (1993}. Report of the NCNR Priority Expert Panel 011 Nursing Informatics; 1993, volume 4; NIH Publication, 110. 93-2419.
Obama, B. (2011). Presidential Proclamation-National
Health Information Technology Week Retrieved from http://www. wltitehouse.gov/the-press-office/2011/09/12/presidential-proclaimation-national-health-information-technolgoy-week.
Technology informatics Guiding Educational Reform (TIGER). Retrieved from http://www.tigerswnmit.com.
National Library of Medicine. (n.d.). Evaluating Internet health information: A tutorial from the NLM. Retrieved from http://www.nlm.nih.gov/medlineplus/webeval/webeval_start.html
|
NR361 Telenursing…the Future is Now Guidelines 2-4-14 LMD |
1 |
