NR 599 Final Exam / NR599 Final Exam
(Latest 2022): Chamberlain College Of
Nursing
● Ethical decision making
■ ANA (2015) provides specific
... [Show More] guidance for ethical decision making
via its Code of Ethics for Nurses with Interpretive Statements
● Respect for human dignity
● Respect for the individual right to self-determinism
● Primary commitment to the patient (defined as individual,
family, group, or community)
● Advocacy for the patient
● Participation in the creation, maintenance, and improvement
of healthcare environments
● Advancing the profession
● Collaboration with others to meet health needs
● Shaping social policy
○ Ethical Issues with HIT and Nursing Informatics
■ As with everything, a new way of viewing the world = enduring
values of the previous worldview
■ As healthcare transforms digitally (communications, telehealth, and
wearable technologies) it brings some familiar tools and skills
recognized in the form of values, such as privacy, confidentiality,
autonomy, and nonmaleficence.
● Although those basic values should remain unchanged, the
standards for living out these values will take on new
meaning as health professionals confront new and different
moral dilemmas brought on by the adoption of technological
tools for:
○ information management
○ knowledge development
○ and evidence-based changes in patient care
■ The ethical-decision frameworks should not change but only
become more complex.
■ Examples of issues having an ethical component include the
following:
● Failure to adapt technology or use it adaptly
● Lack of regard to data integrity such as discrepancies in
record information that are noted but no corrective action is
taken
● Failure to address threats to privacy and personal health
information
● Inappropriate access to PHI without a need to know
NR 599 Final Exam / NR599 Final Exam
(Latest 2022): Chamberlain College Of
Nursing
● Failure to recall that the patient is their primary focus
● Failure to engage in policy discussions that impact
healthcare delivery
● Failure to recognize and use technology to advance the
profession
● Failure to keep informed of emerging developments and
issues
■ Protecting health information, the privacy and security of patient
information is a top priority for patients and their families, health
care providers and professionals, and the government.
■ HIPAA: “key persons and organizations that handle health
information to have policies and security safeguards in place to
protect your PHI whether it is stored on paper or electronically.”
■ Ethical issues can result in patient harm:
● Reputation
● Physical safety
● Discrepancies in recording information and not correcting is
irresponsible
● Example: APNs continue to use written documentation when
digital is the new expectation
○ Creation of a fragmented record
■ Increasing the likelihood that important
information will be lost → in unstructured data
and is invisible for data analysis
■ APNs have an integral role not only in the proper collection of
Meaningful Use criteria but also in defining further criteria, which
will collect information that will better determine and support
population-health needs and services.
● Perhaps the biggest ethical challenge comes when nurses
fail to embrace their roles in shaping health policy and social
change.
● Nurses need to be aware of the facts related to features of
HIT legislation, particularly the Patient Protection and
Affordable Care Act (ACA).
● ACA was intended to improve care and reduce disparities
and help reform healthcare. Lachman (2012) noted
distributive justice as the major ethical principle underlying
health-reform initiatives. ■ Emerging technology will introduce new issues and dilemmas.
NR 599 Final Exam / NR599 Final Exam
(Latest 2022): Chamberlain College Of
Nursing
■ In addition to the use of EHRs, there is a growing use of social
media to market provider services and provide support.
● Many organizations struggle with questions surrounding the
proper use of social media.
● Genomics, or personalized medicine targeted to one's
specific genetic make-up, is an area within our grasp but still
not widely known.
● And, technological advancements and miniaturization are
quickly making nanotechnology an area that we will need to
address.
● Nanotechnology is science, engineering, and technologythat
is conductedat the level of the nanoscale (nano.gov, n.d.).
For reference purposes, a nanometer is equal to one
billionth of a meter.
● Bioethical standards
○ The study of healthcare ethics
○ Study and formulation of healthcare ethics.
○ Bioethics takes on relevant ethical problems experienced by healthcare
providers in the provision of care to individuals and groups.
● Telehealth and Point-of-Care (POC) Technologies
○ Many mHealth technologies are being used to broaden access to care,
either by extending the reach of providers through remote monitoring of
patients or by giving advice when users otherwise would not visit a
medical professional.
○ Apps like Pocket Doctor and iTriage, which suggest possible diagnoses on
the basis of inputs from patients, are proliferating.
○ Making medical advice available beyond traditional settings could broaden
access to care for the uninsured, those living in rural areas, immigrants,
and perhaps even elderly patients. Tremendous strides have been made
in deploying mHealth technologies to expand access to care in less
developed countries.
○ Telehealth is still an evolving technology; while the offsite interventions or
contacts often lead to less time being wasted on non-care-oriented tasks
because of the efficiencies offered by the technology applications, its use
must never be associated with less care. It is also important to note that
nursing activity in telehealth still follows the same best-practice standards
as those espoused in conventional care.
○ Clinical Uses for Telehealth
■ Transmitting images for assessment or diagnosis
NR 599 Final Exam / NR599 Final Exam
(Latest 2022): Chamberlain College Of
Nursin [Show Less]