NR 360 Nursing Informatics in Healthcare

NR 360 Nursing Informatics in Healthcare

NR 360 Nursing Informatics in Healthcare

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.


  • 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 allcomponents are complete.
  • Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (inyour own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox.NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 1

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:

  1. 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)
  2. HIPAA, Legal, and Regulatory Discussion – 40 points/17%
    • Presents evidence from recent scholarly publications to address the impact of technology on nursing carerelated to:

    • Patient privacy and HIPAA standards
    • Healthcare regulations
    • Legal guidelines on appropriate use of technology
  3. 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 selectedscenario ending.
    • Supports recommendations with evidence from recent scholarly publications.
  4. Advantages and Disadvantages – 50 points/21%
    • Presents evidence from recent scholarly publications to address the impact of technology on nursing carerelated 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.
  5. 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 7 Format – 30 points/12%

• 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)


NR360 Informatics Systems in Healthcare RUA: We Can, But Dare We? Case Scenario Imagine yourself as a new nurse working on the medical-surgical unit of a large hospital. You are recently (2 weeks) off orientation and have been taking care of 4 to 5 patients per day. Today is July 2, 2020, and you are waiting to receive a patient from PACU (Post-Anesthesia Care Unit), post-surgical procedure. You currently have 2 patients. The new patient is a 50 year old female with a medical history consisting of post-back injury from a fall and HTN, which is controlled with Losartan 50 mg daily. Postprocedure the patient has an epidural catheter for pain control. The medication being delivered through the catheter is Morphine. When the patient arrives she is complaining of a headache and nausea. You call the on-call physician and update him on her arrival and complaints. He gives you a verbal order to administer Demerol 75 mg IV every 4 hours for breakthrough pain. You enter the order into the computer and finish checkoff all orders from the surgeon and anesthesiologist. It was written by anesthesia to not administer any “narcotics, sedatives, or any other respiratory depression medications during the infusion of the Morphine epidural medication and for at least 12 hours post removal of the epidural catheter”. NR 360 Nursing Informatics in Healthcare
You go back to the patient’s room after retrieving the Demerol 75 mg IV medication and scan the medication prior to administering and find a message that states medication on hold. You override the medication and administer it to the patient. After 20 minutes you go in to reassess your patient’s pain level and find her unresponsive, CPR is started and a code blue called. The patient was intubated and moved to ICU. After 24 hours it was determined that there was no brain activity and the family requested the patient be removed from the ventilator.
The patient expired approximately 5 minutes later. You, as the nurse who administered the Demerol, are very upset and go to your social media page and post the entire situation leaving out the patient’s name, but posted a picture of yourself from that day where you are seen in the nurse’s station and the patients name was in the background on a chart. You also state on this page that you were tired that day because you had went to a concert the night before your scheduled work day and did not get home until 0100 am and had to be at work at 0645 am. The family seen your post and immediately called an attorney. … NR 360 Nursing Informatics in Healthcare