NURS 6051 Week 10 discussion – Security of Health Care Records
NURS 6051 Week 10 discussion – Security of Health Care Records
With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):
In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.
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A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).
Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.
To prepare for NURS 6051 Week 10 discussion – Security of Health Care Records:
Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
By Day 3
Post an analysis of the nurse’s responsibility to protect patient information and the extent that HIT has made it easier or more difficult to protect patient privacy. Comment on any security or ethical issues related to the use of portable devices to store information. Assess the strategies your organization uses to safeguard patient information and how these promote a culture of safety. Describe an area where improvement is needed and one strategy that could address the situation.
By Day 6
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Week 11 discussion
Health Literacy
In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.
In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.
To prepare:
Think about the nurse’s role in improving the health literacy of patients.
Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.
Reflect on experiences you have had with patients who self-diagnose using online medical sources.
Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.
What are some strategies you could employ to improve the health literacy of patients?
By Day 3
Post your assessment of the nurse’s role in improving the health literacy of patients. Then, identify the resource you would recommend to patients for evaluating online health information and why it would be beneficial. Describe additional strategies for assisting patients in becoming informed consumers of online health information.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
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| Excellent | Good | Fair | Poor | |
| Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking. |
Points: Points Range: 27 (27%) – 30 (30%)
Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics. Feedback: |
Points:Points Range: 24 (24%) – 26 (26%)
Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics. Feedback: |
Points:Points Range: 21 (21%) – 23 (23%)
Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed. Feedback: |
Points:Points Range: 0 (0%) – 20 (20%)
Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed. Feedback: |
| Quality of Work Submitted: The purpose of the paper is clear. |
Points:Points Range: 5 (5%) – 5 (5%)
A clear and comprehensive purpose statement is provided which delineates all required criteria. Feedback: |
Points:Points Range: 4 (4%) – 4 (4%)
Purpose of the assignment is stated, yet is brief and not descriptive. Feedback: |
Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Purpose of the assignment is vague or off topic. Feedback: |
Points:Points Range: 0 (0%) – 3 (3%)
No purpose statement was provided. Feedback: |
| Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts. |
Points: Points Range: 9 (9%) – 10 (10%)
Demonstrates the ability to critically appraise and intellectually explore key concepts. Feedback: |
Points:Points Range: 8 (8%) – 8 (8%)
Demonstrates a clear understanding of key concepts. Feedback: |
Points:Points Range: 7 (7%) – 7 (7%)
Shows some degree of understanding of key concepts. Feedback: |
Points:Points Range: 0 (0%) – 6 (6%)
Shows a lack of understanding of key concepts, deviates from topics. Feedback: |
| Assimilation and Synthesis of Ideas: The extend 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. |
Points: Points Range: 18 (18%) – 20 (20%)
Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to support point of view. Feedback: |
Points:Points Range: 16 (16%) – 17 (17%)
Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view. Feedback: |
Points:Points Range: 14 (14%) – 15 (15%)
Minimally includes and integrates specific information from 2-3 resources to support major points and point of view. Feedback: |
Points:Points Range: 0 (0%) – 13 (13%)
Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view. Feedback: |
| Assimilation and Synthesis of Ideas: The extend 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. |
Points:Points Range: 18 (18%) – 20 (20%)
Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. Feedback: |
Points:Points Range: 16 (16%) – 17 (17%)
Summarizes information gleaned from sources to support major points, but does not synthesize. Feedback: |
Points:Points Range: 14 (14%) – 15 (15%)
Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped. Feedback: |
Points:Points Range: 0 (0%) – 13 (13%)
Rarely or does not interpret, apply, and synthesize concepts, and/or strategies. Feedback: |
| 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. | Points: Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity Feedback: |
Points:Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time. Feedback: |
Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time. Feedback: |
Points:Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time. Feedback: |
| Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation | Points:Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors. Feedback: |
Points:Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors. Feedback: |
Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors. Feedback: |
Points:Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Feedback: |
| 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. | Points:Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors. Feedback: |
Points:Points Range: 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors. Feedback: |
Points:Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors. Feedback: |
Points:Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors. Feedback: |
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