NR360 Information Systems in Healthcare RUA: We Can, But Dare We?
please read the attached files before attempting to do the assignment.
NR360 Unit 3 RUA Scenario:
Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and
lower costs, but we must also consider the impact of such technology on privacy and patient care. This
technology includes the use of social media applications, such as Facebook, Instagram, MySpace, Twitter, and
LinkedIn on smartphones. In healthcare today, smartphones are widely used for communication, efficiency,
and care. Obviously, a variety of issues (ethical, professional, and legal) from both the personal and hospital
perspectives must be considered.
You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has been
filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive pulmonary disease
(COPD) exacerbations, falls, fractures, and the routine, regular congestive heart failure (CHF) patients. Your
best friend is texting you from the concert that you had to miss tonight because you were scheduled to work,
and you respond to her between care of patients, jealous that she is there and you are not. “What a jerk to
torture me like this!” you think to yourself.
It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident victim,
ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed cup of coffee,
and prepare a room for your next patient. The medics roll in and begin to fill you in. The patient is a 28‐year‐old
male, a passenger on a bus that was involved in a crash, leaving the vehicle overturned after rolling over an
embankment. There were several fatalities among the bus passengers, and “this victim has remained
unconscious, though his vitals are currently” . . . and as you start to focus on the patient, you take a second
look. Can it be? It is! The lead singer, Jerod, from the band “Blue Lizards,” who you have adored since you first
heard his voice! The band had just left the concert that you had missed last evening when the accident
occurred. You quickly text your best friend . . . “Can you believe?” and she responds with “Yeah, right. PROVE
IT.” So you quickly snap a picture with your smartphone, when alone with the patient, and send it to her. Can’t
hurt, right? Celebrities are “public property,” and that’s a part of their life, right? Just for good measure, you
snap a few more pictures of the unconscious singer in various stages of undress and then a shot of his home
address, phone number, and demographic information from his electronic health record. You sit your phone
down on the bedside table for a minute as you continue your assessment of the patient.
At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.
What happens next? Choose an ending to the scenario, and construct your paper based on those reflections:
1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside table.
While trying to figure out to whom it belongs, you open the phone and see the photographs taken the night
before. Holy moly! What a find, and nobody could trace you to the photos.
2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos you have
taken (courtesy of your best friend). Your identity would never be revealed, and you desperately need a new
car and are behind on some bills.
3. You go on Facebook, on your day off, and talk about the night you had at work and how you didn’t really feel
as bad having to miss the concert, because you actually got to meet Jerod in person and even “Got his
number!” You then post a picture of Jerod on Facebook and Instagram, figuring that most of your contacts
would never recognize him anyway. It’s your day off and your personal time, so no harm, no foul, right?
4. You receive a message the next morning from a peer at work that there is a big investigation being
conducted at work due to a HIPAA violation and that it involved a celebrity who had been admitted to the
hospital. The word is that legal action is being taken against the hospital due to some photos that were sold to
the Gossip Gazette. Knowing that the photo you sent is safe with your best friend, you reach for your
smartphone, but it is nowhere to be found.
NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 1
Purpose
The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal
principles to its appropriate use in healthcare technology.
Course outcomes: This assignment enables the student to meet the following course outcomes:
CO 4: 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)
CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
this assignment.
Total points possible: 240 points
Requirements:
• Research, compose, and type a scholarly paper based on the scenario provided by your faculty, and choose a
conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about
technology, privacy concerns, and legal and ethical issues and address each of these concepts in the paper. Consider
the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because
other health professionals are using the technology, and you may need to apply critical thinking skills to its
applications in this scenario.
• Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological
Association, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size
(point), use of third person, etc.). Take advantage of the writing service SmartThinking, which is accessed by clicking
on the link called the Tutor Source, found under the Course Home area.
• The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the
references to a few key sources (minimum of three required).
• The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and
provides a narrative outline of what will follow (i.e., the assignment criteria).
• In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that
apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references)
included as in‐text citations.
• Choose and identify one of the possible endings provided for the scenario, and construct your paper based on its
implications to the scenario. Make recommendations about what should have been done and what could be done to
correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from
sources of evidence (references) included as in‐text citations.
• Present the advantages and disadvantages of informatics relating to your scenario and describe professional and
ethical principles appropriate to your chosen ending. Use facts from supporting sources of evidence, which must be
included as in‐text citations.
• The paper’s conclusion should summarize what you learned and make reflections about them to your practice.
• Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing and ensure that all
components are complete.
• Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in
your own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox.
2
NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 2
• Submit the completed paper to the “We Can But Dare We?” Dropbox by the end of Week 3. Please refer to the
Syllabus for due dates for this assignment. For online students, please post questions about this assignment to the
weekly Q & A Forums so that the entire class may view the answers.
Preparing the assignment
Background
Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs,
but we must also consider the impact of such technology on privacy and patient care.
Your faculty member will provide a scenario for you to address in your paper.
Choose an ending to the scenario, and construct your paper based on those reflections.
Choose one of the following outcomes:
1. A HIPAA violation occurs, and client data is exposed to the media.
2. A medication error has harmed a client.
3. A technology downtime that impacts patient care occurs, and an error is made.
4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to
patient data.
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
Include the following sections:
a. Introduction – 40 points/17%
• Catches attention of the reader
• States purpose of the paper
• Provides a narrative outline of the paper (i.e., the assignment criteria)
b. HIPAA, Legal, and Regulatory Discussion – 40 points/17%
• Presents evidence from recent scholarly publications to address the impact of technology on nursing care
related to:
• Patient privacy and HIPAA standards
• Healthcare regulations
• Legal guidelines on appropriate use of technology
c. Scenario Ending and Recommendations – 50 points/21%
• Selects and presents one scenario ending as the focus of the assignment.
• Evaluates the actions taken by healthcare providers as the situation evolved.
• Recommends actions that could have been taken to mitigate the circumstances presented in the selected
scenario ending.
• Supports recommendations with evidence from recent scholarly publications.
d. Advantages and Disadvantages – 50 points/21%
• Presents evidence from recent scholarly publications to address the impact of technology on nursing care
related to:
• The advantages of appropriately using technology in healthcare
• Risks of technology use in healthcare
• Describes professional and ethical principles guiding the appropriate use of technology in healthcare.
e. Conclusion and Reflections – 30 points/12%
• Summarizes what new information was learned by completing this assignment.
• Reflects on how this new knowledge will impact future behavior as a healthcare professional.
f. Scholarly Writing and APA Format – 30 points/12%
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NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 3
• Paper submitted as a Microsoft Word document.
• Adheres to current APA formatting guidelines including proper use of:
• Title
page
• Running head
• Page numbers
• Length is 4-5 pages, excluding title and reference pages.
• Includes at least three (3) references that are:
• From recent (within the last 5 years) scholarly sources
• Cited in text appropriately
• Included on an APA formatted reference page
• Scholarly writing reflects:
• Accurate spelling
• Correct use of professional grammar
• Logical organization of thoughts
(mechanics)
For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully
understand the concepts learned in the review module.
https://library.chamberlain.edu/APA
NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 4
Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.
Assignment Section and
Required Criteria
(Points possible/% of total points available)
Highest Level of
Performance
High Level of
Performance
Satisfactory Level
of Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
Introduction
(40 points/17%)
40 points 36 points 32 points 15 points 0 points
Required criteria
• Catches attention of the reader.
• States purpose of the paper.
• Provides a narrative outline of the paper (i.e.,
the assignment criteria).
Meets all
requirements for
section.
Includes no fewer
than 2 requirements
for section.
Includes no less than
1 requirement for
section.
Present, yet includes
no required criteria.
No requirements for
this section
presented.
HIPAA, Legal, and Regulatory Discussion
(40 points/17%)
40 points 36 points 32 points 15 points 0 points
Required criteria
Presents evidence from recent scholarly publications
to address the impact of technology on nursing care
related to:
• Patient privacy and HIPAA standards
• Healthcare regulations
• Legal guidelines on appropriate use of
technology
Meets all
requirements for
section.
Includes no fewer
than 2 requirements
for section.
Includes no fewer
than 1 requirement
for section.
Present, yet includes
no required criteria.
No requirements for
this section
presented.
Scenario Ending and Recommendations
(50 points/21%)
50 points 46 points 42 points 19 points 0 points
Required criteria
• Selects and presents one scenario ending as the
focus of the assignment.
• Evaluates the actions taken by healthcare
providers as the situation evolved.
• Recommends actions that could have been
taken to mitigate the circumstances presented
in the selected scenario ending.
Meets all
requirements for
section.
Includes no fewer
than 3 requirements
for section.
Includes 1-2
requirements for
section.
Section present yet
includes no required
criteria.
No requirements for
this section
presented.
NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 5
Assignment Section and
Required Criteria
(Points possible/% of total points available)
Highest Level of
Performance
High Level of
Performance
Satisfactory Level
of Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
• Supports recommendations with evidence from
recent scholarly publications.
Advantages and Disadvantages
(50 points/21%)
50 points 42 points 19 points 0 points
Required criteria
• Presents evidence from recent scholarly
publications to address the impact of
technology on nursing care.
• Evidence includes the advantages of
appropriately using technology in healthcare.
• Evidence includes risks of inappropriately using
technology in healthcare.
• Describes professional and ethical principles
guiding the appropriate use of technology in
healthcare.
Meets all requirements for section.
Includes no fewer
than 3 requirements
for section.
Includes 1-2
requirements for
section.
No requirements for
this section
presented.
Conclusion and Reflections
(30 points/12%)
30 points 15 points 0 points
Required criteria
• Summarizes new information learned by
completing this assignment.
• Reflects on how this new knowledge will impact
future behavior as a healthcare professional.
Meets all requirements for section.
Includes 1 requirement for section. No requirements for
this section
presented.
Scholarly Writing and APA Format
(30 points/12%)
30 points 9 points 8 points 4 points 0 points
Required criteria
• Paper submitted as a Microsoft Word
document.
• Adheres to current APA formatting guidelines
including proper use of:
Meets all
requirements for
section.
Includes no fewer
than 4 fully met
requirements for
section.
Includes no fewer
than 3 fully met
requirements for
section.
Includes 1-2
requirements fully
met requirements for
section.
No requirements for
this section
presented.
NR360 Information Systems in Healthcare
RUA: We Can, But Dare We? Guidelines
NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 6
Assignment Section and
Required Criteria
(Points possible/% of total points available)
Highest Level of
Performance
High Level of
Performance
Satisfactory Level
of Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
o Title page
o Running head
o Page numbers
• Length is 4-5 pages, excluding title and
reference pages.
• Includes at least three (3) references that are:
o From recent (within the last 5 years)
scholarly sources
o Cited in text appropriately
o Included on an APA formatted reference
page
• Scholarly writing reflects:
o Accurate spelling
o Correct use of professional grammar
o Logical organization of thoughts
(mechanics)
Total Points Possible = 240 points