Study Document
… age such as purchasing liquor” (p. 997). The legal definition of minor indicates that all of the states place certain limits on the rights and actions of younger people, such as the right to drive a vehicle or enlist in the armed forces.
Given that the right … consent should be seen as an essential part of health care practice; parental permission and childhood assent is an active process that engages patient, both adults and children, in their health care” (p. 30).
Rather than relying on an arbitrary demarcation date concerning legal age, these and … health care providers must depend on qualitative factors such as “the experience, perspective and power of children in the collaboration between pediatricians, their patient, and parents” which “remain an essential guide for modern ethical pediatric practice” (Katz & Webb, 2016, p. 31). While very young children may ……
References
Black’s law dictionary. (1990). St. Paul, MN: West Publishing Company.
Bryden, J. (2016, February 25). Medical help in dying should be widely available, with few restrictions: Report. The Canadian Press, 6.
Hursthouse, R. & Pettigrove, G. (2018, Winter). Virtue ethics. The Stanford Encyclopedia of Philosophy. Retrieved from https://plato.stanford.edu/archives/win2018/entries/ethics-virtue .
Katz, A. L. & Webb, S. A. (2016, August). Informed consent in decision-making in pediatric practice. Pediatrics, 138(2), 30-37.
Lemmens, C. (2009, September). End- of- life decisions and minors: do minors have the right to refuse life preserving medical treatment? A comparative study. Medical Law Review, 28(3), 479-497.
Physician-assisted suicide. (2019). CNN. Retrieved from https://www.cnn.com/2014/11/26/us/ physician-assisted-suicide-fast-facts/index.html.
Salsberry, P. J. (1999, January 1). Caring, virtue theory, and a foundation for nursing ethics. Scholarly Inquiry for Nursing Practice, 6(2), 155-160.
Williams, Z. (2012, October 25). Early puberty: why are kids growing up faster? The Guardian. Retrieved from https://www.theguardian.com/society/2012/oct/25/early-puberty-growing-up-faster .
Study Document
… competent nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide culturally sensitive and patient-centered care. Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been … attitudes, behaviors, beliefs, and expectations.
Cultural competency becomes relevant to advanced nursing practice on the individual level (such as nurses working with individual patient) and also on the organizational level (built into healthcare policy or institutional policies). For the advanced practice nurse, cultural competency involves self-efficacy along … 2019, p. 1). The nurse practitioner asks the right questions, conducts research, and uses scholarly means to conduct cultural assessments of a particular patient population. Similarly, the advanced practice nurse reviews the literature for evidence-based practice models for working with specific patient populations in clinical care. Cultural competency also includes an affective domain,……
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
Study Document
… regulations that require them in many states to work under the supervision of physicians even though the nurses have the training to treat patient independently of doctors.
Still, the recommendations of the IOM are being used in states like Oklahoma to push for new legislation that would … of care will be improved as it will ensure that nurses are more coordinated less over-burdened: they will be able to engage in patient-centered care, communicate with one another effectively, and coordinate so that when a patient is handed off to the incoming nurse there is no lapse in quality of care delivered to the patient. ACOs will also be impacted, since they focus on delivering collaborative, holistic care to patient and rely on a range of medical specialists and health care professionals. Nurses will be able to play an instrumental role as ACO … providing assistance with health literacy education,……
References
American Nurses Association. (2010). New care delivery models in health system reform: Opportunities for nurses and their patients. Kansas City, MO: Author.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
Korda, H., & Eldridge, G. N. (2011). ACOs, PCMHs, and health care reform: nursing’s next frontier?. Policy, Politics, & Nursing Practice, 12(2), 100-103.
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Study Document
… US, the FBI and the Department of Health and Human Services have raided the offices of a health clinic that was treating coronavirus patient with vitamin C IVs to great success; the reason for the raid was the doctors were not following the recommended protocol for putting … vitamin C IVs to great success; the reason for the raid was the doctors were not following the recommended protocol for putting coronavirus patient on ventilators, which have a 90% kill rate (Fox 2). One must begin to see that the coronavirus scare is a manufactured crisis … just because fear and hysteria are in the air. It is a mistake to believe that people naturally and legally give up their rights as US citizens because social media users, or politicians, or media personalities, or the governor’s office is in a panic about a flu … speculation has run wild and……
Works Cited
Allen v. Harrison (2016). https://law.justia.com/cases/oklahoma/supreme-court/2016/111877.html
Baker, Sinead. “The architect of Sweden's controversially lax coronavirus response says he thinks it's working, and that the capital city is already benefiting from herd immunity.” Business Insider, 2020. https://www.businessinsider.com/coronavirus-sweden-defends-plan-not-to-lock-down-immunity-2020-4
C&A Carbone, Inc. v. Town of Clarkstown, N.Y., 511 U.S. 383 (1994). https://www.oyez.org/cases/1993/92-1402
District of Columbia v. Heller (2008). Retrieved from https://www.oyez.org/cases/2007/07-290
Fox 2. “Alleged fraudulent COVID-19 treatments spark FBI raid of Shelby Twp medical spa.” Fox 2, 2020. https://www.fox2detroit.com/news/alleged-fraudulent-covid-19-treatments-spark-fbi-raid-of-shelby-twp-medical-spa
Jacobson v. Massachusetts, 197 U.S. 11 (1905). https://supreme.justia.com/cases/federal/us/197/11/
Roe v. Wade (1973). https://www.oyez.org/cases/1971/70-18
Zucht v. King (1922). https://supreme.justia.com/cases/federal/us/260/174/
Study Document
… they work. This is no less true in the field of health care, where clinical informatics is reshaping the nursing workplace environment, how patient data is recorded and shared, and how health care is delivered. This paper will discuss clinical informatics concepts emerging in the 21st century, … shows with respect to clinical informatics, how the law figures into this issue with respect to HIPAA, privacy/confidentiality and security issues; and how patient safety, the nursing role and electronic medical records are impacted.
Clinical Informatics Concepts in the 21st Century
Controlling the flow of information to … help promote the use of more EBP in the nursing field.
Nursing informatics can also be used to promote health literacy among at-risk patient (Haupeltshofer, Egerer & Seeling, 2020). By teaching older patient how to use technology to retrieve health information, nurses can increase their access to health literature and foster their health……
References
Cho, O. M., Kim, H., Lee, Y. W., & Cho, I. (2016). Clinical alarms in intensive care units: Perceived obstacles of alarm management and alarm fatigue in nurses. Healthcare informatics research, 22(1), 46-53.
Effken, J., Weaver, C., Cochran, K., Androwich, I., & O’Brien, A. (2016). Toward a central repository for sharing nursing informatics’ best practices. CIN: Computers, Informatics, Nursing, 34(6), 245-246.
Elsayed, W. A., Hussein, F. M., & Othman, W. N. (2017). Relation between nursing informatics competency and nurses’ attitude toward evidence-based practice among qualified nurses at Mansoura Oncology Center. International Journal of Nursing Didactics, 7(6), 26-33.
Drolet, B. C., Marwaha, J. S., Hyatt, B., Blazar, P. E., & Lifchez, S. D. (2017). Electronic communication of protected health information: privacy, security, and HIPAA compliance. The Journal of hand surgery, 42(6), 411-416.
Haupeltshofer, A., Egerer, V., & Seeling, S. (2020). Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review. Health Informatics Journal, 1460458220933417.
Kharbanda, E. O., Asche, S. E., Sinaiko, A. R., Ekstrom, H. L., Nordin, J. D., Sherwood, N. E., & O’Connor, P. (2018). Clinical decision support for recognition and management of hypertension: a randomized trial. Pediatrics, 141(2).
Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529-538.
Kleib, M., & Nagle, L. (2018). Factors associated with Canadian nurses\\\\\\\\\\\\' informatics competency. CIN: Computers, Informatics, Nursing, 36(8), 406-415.
Study Document
… sets of moral dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, 2015).
The relationship between the patient and the healthcare expert, the human subject behavioral research, harvesting and transplanting of human organs, abortion, euthanasia, and allocation of healthcare resources and … a growing concern over ethical issues in the practice of medicine and healthcare in general. Such issues as accessibility, quality, the safety of patient, acquisitions and mergers, value-based care, affordability, and financial constraints all converge to make the situation baffling when one has to make hard decisions … imperative of Kant and general deontological theories are relevant and can be used in any issues relating to healthcare. For instance, if a patient on opioid prescription for a short period, after surgery, were to think of feigning the continued pain experience during the after-surgery visits. He … He assumes this to obtain……
References
Chen, Y. Y., Chu, T. S., Kao, Y. H., Tsai, P. R., Huang, T. S., &Ko, W. J. (2014). To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC medical ethics, 15(1), 1.
Morrison, E. E. (2011). Ethics in health administration: a practical approach for decision-makers. Jones & Bartlett Publishers.
Nora, C. R. D., Deodato, S., Vieira, M. M. D. S., &Zoboli, E. L. C. P. (2016). Elements and strategies for ethical decision-making in nursing. Texto&Contexto-Enfermagem, 25(2).
Reddy, M. S., &Mythri, S. V. (2016). Health-care Ethics and the Free Market Value System. Indian journal of psychological medicine, 38(5), 371–375. https://doi.org/10.4103/0253-7176.191387
Taylor, S. C. (2015). Health Care Ethics. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/h-c-ethi/#H2
Yip, C., Han, N. R., &Sng, B. L. (2016). Legal and ethical issues in research. Indian Journal of anesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627
Webster, G., Bayliss, F., Rubin, S., &Zoloth, L. (2000). Moral Residue. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group.
Study Document
… challenge for nurses. If there are too few nurses on staff it can lead to nurse burnout. The right ratio of nurses to patient is required to prevent nurses from being overburdened (Martin, 2015). The reason I selected this policy is because it is clearly important to … ensure that nurses feel confident about their work (Martin, 2015). As Martin (2015) shows, better staffing ratios helps to improve quality care for patient. And as Laschinger and Fida (2015) show, when nurses feel they are giving quality care they are happier in their jobs and are … of hospital costs (Reiter et al., 2012). Twigg, Myers, Duffield, Giles and Evans (2015).point out that increased staffing with a 4:1 ratio of patient to nurses can have a $40,000 cost per life saved for the hospital. Second, however, is the long-term savings. Twigg et al. (2015) … however, is the long-term savings.……
References
ANA. (2019). Nurse staffing. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
Fowler, D., & Comeaux, Y. (2017). The legislative role in nurse staffing ratios. MedSurg Nursing, 26(2), 12-14.
Laschinger, H. K. S., & Fida, R. (2015). Linking nurses’ perceptions of patient care quality to job satisfaction: the role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276-283.
Martin, C. J. (2015). The effects of nurse staffing on quality of care. MedSurg Nursing, 24(2), S4-S4.
Reiter, K. L., Harless, D. W., Pink, G. H., & Mark, B. A. (2012). Minimum Nurse Staffing Legislation and the Financial Performance of C alifornia Hospitals. Health Services Research, 47(3pt1), 1030-1050.
Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and nursing turnover. Journal of Nursing Education and Practice, 6(10), 101.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an economic case for investing in nursing care–what does the literature tell us?. Journal of advanced nursing, 71(5), 975-990.
Study Document
… in a persistent vegetative state that her parents sought to intervene and end what they saw as her unnecessary suffering. According to Quinlan’s patient, chances of their daughter returning from the state she was in were slim at best. Thus, to end her suffering, the said parents … the appointment of a guardian. As a matter of fact, the AMA Code of Medical Ethics points out that in situations that involve patient with no surrogate and are incapable of making decisions, the ethics committee ought to be consulted by physicians on key decisions (Singer, 2013). … guardian is granted legal authority in as far as all decisions appertaining to the incapacitated person are concerned. In those instances whereby the patient is in permanent vegetative state, it is the responsibility of the guardian to make decisions that are in the best interests of the … is in permanent vegetative state,……
References
Drane, J.F. (1994). Clinical Bioethics: Theory and Practice in Medical Ethical Decision-making. New York, NY: Rowman & Littlefield.
Holland, S., Kitzinger, C. & Kitzinger, J. (2014). Death, treatment decisions and the permanent vegetative state: evidence from families and experts. Med Health Care Philos., 17(3), 413-423.
Karen Ann Quinlan Hospice (2019). The Story of Karen Ann Quinlan Made Headlines! Retrieved from https://www.karenannquinlanhospice.org/about/history/
Mizzoni, J. (2011). Ethics: The Basics. Hoboken, NJ: John Wiley & Sons.
Rosenthal, M.S. (2018). Clinical Ethics on Film: A Guide for Medical Educators. New York, NY: Springer.
Singer, P. (2013). A Companion to Ethics. Hoboken, NJ: John Wiley & Sons.
Study Document
… developed will educate the healthcare professionals on how to tackle some of the common ethical dilemmas they might face when they are treating patient. All healthcare professionals are required to always demonstrate appropriate knowledge, behaviors, skills, and judgment anytime they are in a clinical setting (Manson, 2018). … In case a healthcare professional feels they are not capable to handle a case they should consult with a colleague or refer the patient to a professional they are certain has the knowledge and skills to treat the patient. This way they can be certain they have treated the patient ethically since they did not harm him or her, and they recognized the limitation of their ability. This would also be a perfect … profession and this is done by adhering to the policies of the organization and the codes of their profession (Manson, 2018). Treating a patient without requisite skills……
References
Fiske, A., Tigard, D., Müller, R., Haddadin, S., Buyx, A., & McLennan, S. (2020). Embedded ethics could help implement the pipeline model framework for machine learning healthcare applications. The American Journal of Bioethics, 20(11), 32-35.
Manson, L. (2018). Ethical Integrated Healthcare Training to Deliver Integrated Care (pp. 213-224). New York, NY: Springer.
Study Document
… of Tools and Safeguards Required within HIS
Introduction
Few practices are more important in managing health information systems than managing medical records, safeguarding patient’ medical history, and ensuring that all end users of medical information technology are approved and trained. Some of the biggest factors in security … used in health care is the relational database (Campbell, 2004). These are the most commonly used because they allow for the tracking of patient care, such as treatments, outcomes, heart rate, and so on. The relational database can connect to various other systems already in place—i.e., they … and so on. The relational database can connect to various other systems already in place—i.e., they are compatible with other systems—so, for example, patient information entered into the system in the emergency department can be linked to billing and so on. Or the registration system can be … can be linked to billing……
References
Campbell, R. J. (2004). Database Design: What HIM Professionals Need to Know.
Perspectives in Health Information Management 2004, 1:6 (August 4, 2004). Retrieved from http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_024637.hcsp?dDocName=bok1_024637
Crossler, R. E., & Posey, C. (2017). Robbing Peter to Pay Paul: Surrendering Privacy for Security's Sake in an Identity Ecosystem. Journal of The Association for Information Systems, 18(7), 487-515.
Donovan, F. (2018). Judge Gives Final OK to $115M Anthem Data Breach Settlement. Retrieved from https://healthitsecurity.com/news/judge-gives-final-ok-to-115m-anthem-data-breach-settlement
HealthIT.gov. (2018). Health Information Privacy, Security, and Your EHR. Retrieved from https://www.healthit.gov/providers-professionals/ehr-privacy-security
The IMIA Code of Ethics for Health Information Professionals. (n.d.). Retrieved from http://www.imia medinfo.org/new2/pubdocs/Ethics_Eng.pdf
Jackson, R. (2018). Pulling strings. Retrieved from https://iaonline.theiia.org/2018/Pages/Pulling-Strings.aspx
Prince, B. (2013). Programming Languages Susceptible to Specific Security Flaws: Report. Eweek, 12. Retrieved from https://www.eweek.com/security/programming-languages-susceptible-to-specific-security-flaws-report
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