Nurse informatics

Information Security in a World of Technology

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three sections, one for each item number below, as well as the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.


 The textbook discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.

 Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:

   

     Security mechanisms

     Administrative and Personnel Issues

     Level of access

     Handling and Disposal of Confidential Information

   

 

 You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12:

   

     Provide examples of how each method can be used

     How will the method and learning be evaluated?

   

 


Assignment Expectations-

Length: 1500 words total for this assignment.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment. All APA papers should include an introduction and conclusion. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.docx”)

The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of a positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:


 Review the Resources and reflect on the impact of     clinical systems on outcomes and efficiencies within the context of     nursing practice and healthcare delivery.

 Conduct a search for recent (within the last 5 years)     research focused on the application of clinical systems. The research     should provide evidence to support the use of one type of clinical system     to improve outcomes and/or efficiencies, such as “the use of personal     health records or portals to support patients newly diagnosed with     diabetes.”

 Identify and select 4 peer-reviewed research articles from your research.

 For information about annotated bibliographies,     visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies


The Assignment: ( 5-6 pages not including the title and reference page)

In a 5-6 page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:


 Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

 Include an introduction explaining the purpose of the paper.

 Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

 In your conclusion, synthesize the findings from the 4     peer-reviewed research articles.

 Use APA format and include a title page.


1) Identify the 4 peer-reviewed articles, citing each in APA format, 

2) Summarize each study explaining:

a) improvements to outcomes,

b) efficiencies (to staff, patient, facility as a result of implementing the clinical system/clinical technology described in the article), and 

c) lessons learned from the application of the clinical system/clinical technology. Be specific AND provide examples., and

3) in your conclusion, synthesize the findings from the 4 peer-reviewed research articles. 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)

· Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from 

https://www.healthit.gov/faq/what-electronic-health-record-ehr

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. 

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. 

Required Media

Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author. --Downloads-- Download Video w/CC Download Audio Download Transcript 

Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188)

· Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218)

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studies. American Journal of Nursing, 110(9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidence-based practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207. doi:10.1177/1078390309338733

Laureate Education (Producer). (2018). Appraising the Research [Video file]. Baltimore, MD: Author.

Anxiety disorder, OCD, or something else?

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:


 Decision #1: Differential Diagnosis

   

     Which Decision did you select?

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

   

 

 Decision #2: Treatment Plan for Psychotherapy

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

   

 

 Decision #3: Treatment Plan for Psychopharmacology

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

   

 

 Also include how ethical considerations might impact your treatment plan and communication with clients and their families.


Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.



Rubric:

 

Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate-level critical and analytic thinking.--

Excellent 27 (27%) - 30 (30%)Good 24 (24%) - 26 (26%)Fair 21 (21%) - 23 (23%)Poor 0 (0%) - 20 (20%)

Quality of Work Submitted: The purpose of the paper is clear.--

Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student's ability to:


Understand and interpret the assignment's key concepts.--

Excellent 9 (9%) - 10 (10%)Good 8 (8%) - 8 (8%)Fair 7 (7%) - 7 (7%)Poor 0 (0%) - 6 (6%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student's ability to:


Apply and integrate material in course resources (i.e., video, required readings, and textbook) and credible outside resources.--

Excellent 18 (18%) - 20 (20%)Good 16 (16%) - 17 (17%)Fair 14 (14%) - 15 (15%)Poor 0 (0%) - 13 (13%)

Assimilation and Synthesis of Ideas: The extent to which the work reflects the student's ability to:


Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e., video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.--

Excellent 18 (18%) - 20 (20%)Good 16 (16%) - 17 (17%)Fair 14 (14%) - 15 (15%)Poor 0 (0%) - 13 (13%)

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.--

Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)

Written Expression and Formatting

English writing standards: Correct grammar, mechanics, and proper punctuation.--

Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)

Written Expression and Formatting

The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.--

Excellent 5 (5%) - 5 (5%)Good 4 (4%) - 4 (4%)Fair 3.5 (3.5%) - 3.5 (3.5%)Poor 0 (0%) - 3 (3%)

Community and Public health

What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?

Discussion

,"Share the health policy you found during your Internet search that is directly related to your practice area. How does this policy impact your practice? 

 Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Philosophy of Nursing

Please answer the question below:

Chapter 3: Philosophy of Nursing

2.  How would you define person? Look at the following attributes given to a person: (1) the ability to think and conceptualize, (2) the capacity to interact with others, (3) the need for boundaries, and (4) the use of language (Doheny, Cook, & Stopper, 1997). Would you agree? What about Maslow’s description of humanness in terms of a hierarchy of needs with self-actualization at the top? Another possibility is that persons are the major focus of nursing. Do you see humans as good or evil?


  Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Please provide Plagiarism Report

Global trends in nursing practice

Poverty: Please view the following Ted Talk and answer the question that follows.

Collective compassion has meant an overall decrease in global poverty since the 1980s, says civil rights lawyer Gary Haugen. Yet for all the world's aid money, there's a pervasive hidden problem keeping poverty alive. Haugen reveals the dark underlying cause we must recognize and act on now.

Haugen, G. (2015, March). The Hidden Reason for Poverty the World Needs to Address Now [TED2015]. Retrieved from

https://www.ted.com/talks/gary_haugen_the_hidden_reason_for_poverty_the_world_needs_to_address_now

Question to answer in your response –

What is your interpretation of the complex relationships among social class, poverty, and discrimination in terms of the interconnections among race, ethnicity, culture, age, gender, and education?

Please ensure you are following the discussion rubric and including a nursing, scholarly journal article in addition to your text book as sources of support.

Reply post

Clinical significance can be defined as the magnitude of the actual treatment effect which will determine whether the results of the trial are likely to impact current medical practice. Statistical significance on the other hand quantifies the probability of a study’s results being due to chance (Ranganathan, Pramesh, & Buyse, 2015). In clinical practice, the clinical significance of a result is dependent on its implications on existing practice. The clinical significance should reflect the extent of change, whether the change makes a real difference, how long the effect lasts, cost effectiveness and ease of implementation. Unlike statistical significance that has established traditionally accepted values; clinical significance is often based on the judgment of the health care provider and the patient.

Statistical significance is majorly dependent on the study’s sample size; even with large sample sizes, small treatment effects can appear statistically significant and therefore the analyzer has to interpret carefully whether the significance is clinically meaningful. Statistical significance can be used to support positive outcomes in the EBP project by medical practitioners ensuring examination of the research outcomes in order to come up with the clinical significance. Several measures can be used to determine the clinical relevance required, confidence intervals and magnitude-based inferences. Statistical significance can also be used to achieve positive outcomes by analyzing the variability of subjects and the magnitude of effect on the patients during the research (Physical Therapy, 2014).

References

Physical Therapy, I. S. (2014). Beyond Statistical Significance: Clinical Interpretation of Rehabilitation Research Literature. International Journal of Sports Physical Therapy, 9(5), 726-736.

Ranganathan, P., Pramesh, C., & Buyse, M. (2015). Common Pitfalls in Statistical Analysis: Clinical versus Statistical Significance. Perspectives in Clinical research, 6(3), 169-170.


reply2

Clinical significance is defined as the practical value of an effect of treatment regardless of whether it has a real genuine, palpable, or noticeable effect on our everyday lives. Clinical significance reflects the impact on clinical practice. Statistical significance simply measures how probable any evident differences in outcome between control groups and treatment are. Statistical significance indicates the reliability of the study results. Clinically significant result occurs when medical experts believe that the finding is considered medically crucial and applied as a provision of care to patients. Clinical significance may help to validate whether a treatment effect has practical importance and if it has a real effect on daily life.

Since most statistically significant results are of clinical importance, it means that for a project to achieve positive outcomes, one must apply statistical significance. When the results are reliable, they can be applied to clinical significance. When the p-value value is positive, it means that it is not rejected; hence, the results will result in the projects achieving positive outcomes when applied to clinical significance. Although clinical significance is usually a subjective evaluation and cannot be established by a single experiential test, statistical significance must always be determined before determination of clinical significance in evidence based research practice.

I will be able to support positive outcomes and prove clinical significance of my project by ensuring that the results of decrease in 30 day readmission rates is statistically significant.

  Heavey, E.(2015). Differentiating statistical significance and clinical significance. American Nurse Today, 10(5): 26-28. Retrieved from https://www.brockport.edu/daily_eagle/doc/2015-04/item_8038_7659.pdf

Sedgwick, P. (2014). Clinical significance versus Statistical Significance. BMJ, 348(mar14 11), g2130-g2130. doi: http://dx.doi.org/10.1136/bmj.g2130

Reply post

Clinical significance can be defined as the magnitude of the actual treatment effect which will determine whether the results of the trial are likely to impact current medical practice. Statistical significance on the other hand quantifies the probability of a study’s results being due to chance (Ranganathan, Pramesh, & Buyse, 2015). In clinical practice, the clinical significance of a result is dependent on its implications on existing practice. The clinical significance should reflect the extent of change, whether the change makes a real difference, how long the effect lasts, cost effectiveness and ease of implementation. Unlike statistical significance that has established traditionally accepted values; clinical significance is often based on the judgment of the health care provider and the patient.

Statistical significance is majorly dependent on the study’s sample size; even with large sample sizes, small treatment effects can appear statistically significant and therefore the analyzer has to interpret carefully whether the significance is clinically meaningful. Statistical significance can be used to support positive outcomes in the EBP project by medical practitioners ensuring examination of the research outcomes in order to come up with the clinical significance. Several measures can be used to determine the clinical relevance required, confidence intervals and magnitude-based inferences. Statistical significance can also be used to achieve positive outcomes by analyzing the variability of subjects and the magnitude of effect on the patients during the research (Physical Therapy, 2014).

References

Physical Therapy, I. S. (2014). Beyond Statistical Significance: Clinical Interpretation of Rehabilitation Research Literature. International Journal of Sports Physical Therapy, 9(5), 726-736.

Ranganathan, P., Pramesh, C., & Buyse, M. (2015). Common Pitfalls in Statistical Analysis: Clinical versus Statistical Significance. Perspectives in Clinical research, 6(3), 169-170.


reply2

Clinical significance is defined as the practical value of an effect of treatment regardless of whether it has a real genuine, palpable, or noticeable effect on our everyday lives. Clinical significance reflects the impact on clinical practice. Statistical significance simply measures how probable any evident differences in outcome between control groups and treatment are. Statistical significance indicates the reliability of the study results. Clinically significant result occurs when medical experts believe that the finding is considered medically crucial and applied as a provision of care to patients. Clinical significance may help to validate whether a treatment effect has practical importance and if it has a real effect on daily life.

Since most statistically significant results are of clinical importance, it means that for a project to achieve positive outcomes, one must apply statistical significance. When the results are reliable, they can be applied to clinical significance. When the p-value value is positive, it means that it is not rejected; hence, the results will result in the projects achieving positive outcomes when applied to clinical significance. Although clinical significance is usually a subjective evaluation and cannot be established by a single experiential test, statistical significance must always be determined before determination of clinical significance in evidence based research practice.

I will be able to support positive outcomes and prove clinical significance of my project by ensuring that the results of decrease in 30 day readmission rates is statistically significant.

  Heavey, E.(2015). Differentiating statistical significance and clinical significance. American Nurse Today, 10(5): 26-28. Retrieved from https://www.brockport.edu/daily_eagle/doc/2015-04/item_8038_7659.pdf

Sedgwick, P. (2014). Clinical significance versus Statistical Significance. BMJ, 348(mar14 11), g2130-g2130. doi: http://dx.doi.org/10.1136/bmj.g2130

Reply post

Clinical significance can be defined as the magnitude of the actual treatment effect which will determine whether the results of the trial are likely to impact current medical practice. Statistical significance on the other hand quantifies the probability of a study’s results being due to chance (Ranganathan, Pramesh, & Buyse, 2015). In clinical practice, the clinical significance of a result is dependent on its implications on existing practice. The clinical significance should reflect the extent of change, whether the change makes a real difference, how long the effect lasts, cost effectiveness and ease of implementation. Unlike statistical significance that has established traditionally accepted values; clinical significance is often based on the judgment of the health care provider and the patient.

Statistical significance is majorly dependent on the study’s sample size; even with large sample sizes, small treatment effects can appear statistically significant and therefore the analyzer has to interpret carefully whether the significance is clinically meaningful. Statistical significance can be used to support positive outcomes in the EBP project by medical practitioners ensuring examination of the research outcomes in order to come up with the clinical significance. Several measures can be used to determine the clinical relevance required, confidence intervals and magnitude-based inferences. Statistical significance can also be used to achieve positive outcomes by analyzing the variability of subjects and the magnitude of effect on the patients during the research (Physical Therapy, 2014).

References

Physical Therapy, I. S. (2014). Beyond Statistical Significance: Clinical Interpretation of Rehabilitation Research Literature. International Journal of Sports Physical Therapy, 9(5), 726-736.

Ranganathan, P., Pramesh, C., & Buyse, M. (2015). Common Pitfalls in Statistical Analysis: Clinical versus Statistical Significance. Perspectives in Clinical research, 6(3), 169-170.


reply2

Clinical significance is defined as the practical value of an effect of treatment regardless of whether it has a real genuine, palpable, or noticeable effect on our everyday lives. Clinical significance reflects the impact on clinical practice. Statistical significance simply measures how probable any evident differences in outcome between control groups and treatment are. Statistical significance indicates the reliability of the study results. Clinically significant result occurs when medical experts believe that the finding is considered medically crucial and applied as a provision of care to patients. Clinical significance may help to validate whether a treatment effect has practical importance and if it has a real effect on daily life.

Since most statistically significant results are of clinical importance, it means that for a project to achieve positive outcomes, one must apply statistical significance. When the results are reliable, they can be applied to clinical significance. When the p-value value is positive, it means that it is not rejected; hence, the results will result in the projects achieving positive outcomes when applied to clinical significance. Although clinical significance is usually a subjective evaluation and cannot be established by a single experiential test, statistical significance must always be determined before determination of clinical significance in evidence based research practice.

I will be able to support positive outcomes and prove clinical significance of my project by ensuring that the results of decrease in 30 day readmission rates is statistically significant.

  Heavey, E.(2015). Differentiating statistical significance and clinical significance. American Nurse Today, 10(5): 26-28. Retrieved from https://www.brockport.edu/daily_eagle/doc/2015-04/item_8038_7659.pdf

Sedgwick, P. (2014). Clinical significance versus Statistical Significance. BMJ, 348(mar14 11), g2130-g2130. doi: http://dx.doi.org/10.1136/bmj.g2130