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NR 532 Week 6 Discussion: Meaningful Use of Technology and Information Management (100% CORRECT)
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NR 532 Week 6 Discussion: Meaningful Use of Technology and Information Management (100% CORRECT)
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NR 532 Week 6 Discussion: Meaningul Use of Technology andInformation Management
Discuss one example where simulation technology could be beneficial for nursing or for patient care.
Explain your rationale. In addition, discuss two strategies you could implement to ensure the
confidentiality and protection of patient health information at your facility.
Good afternoon Dr. Coleman and class,
Using simulation technology in learning is gaining popularity and can be a very valuable
learning tool. Human simulation learning is a method that allows students to develop, refine, and
apply learned information, intervention and skills in a realistic simulated clinical situation.
Simulated clinical situations with specific learning goals and objectives are used to help students
gain experience, learn, and promote competency requirements for real situations. This is done
without fear of harm to a live patient and promotes patient safety and better outcomes. The
student has the opportunities to practice scenarios and apply knowledge and procedures in
clinical situations within a safe, supervised environment without posing a risk to a patient
(Durham, & Arden, 2018).
Simulation technology is a beneficial tool used to improve patient care. For example, at my
facility, we use simulation for BLS/ACLS training and certification. I find this learning tool very
effective and is a way to learn and each person’s own pace without the fear of peer ridicule or
harm to actual patients.
A study was done to evaluate the effect of simulation-based learning using a standard set of
simulated clinical situations for nursing students. The clinical thinking, nursing skills and
decision-making abilities were evaluated. 18 controlled trials (4 randomized and 14 non-
randomized designs), with a total of 1326 nursing students was conducted. The conclusion was
that simulation-based learning appeared to a positive effect on the cognitive, affective, and
psychomotor skills compared to traditional classroom learning and labs. These results suggest
that simulation-based learning has a positive impact on self-efficacy and learning, motivation,
and skill improvement ( Oh, Jeon, & Koh, 2015).
In reference to discussing strategies used that protect patient confidentiality and information,
the use of and evolving technology available to make patient care and communication more
efficient, faster and accurate has opened the door to many privacy concerns. The Health
Insurance Portability and Accountability Act (HIPAA) is used to govern issues related to the
security and privacy of any information about each patient. As a nurse leader, to ensure that
policies regarding protecting the patient’s confidential information are well known and
implemented by all nursing staff and co-workers. It is the responsibility of every nurse as well as
other care providers to use tools and interventions that are in place to ensure each patient’s
information is protected. As new technology is developed and used for information sharing,
protecting confidential information and patient privacy is more challenging (Roussel et al.,
2016).
Patient confidentiality and privacy concerns go far beyond just being aware of where you
discuss certain information at work and ensuring no names or SS#s are in emails. With the use of
,electronic medical records and the transferring of information over computers ect… more action
is required to protect it. At my facility, using a card with a chip that identifies each staff member
has to be in place before patient information can be viewed or medications can be given. Not
everyone has the same access to patient information and not all parts of the chart can be shared
or copied. There is encryption software required for information sharing and emails ect… We
only use the first initial of the last name and last 4 numbers of a SS# when sharing or discussing
information away from the bedside. No Full names are in view at the unit information desk, and
consent has to be obtained from each patient before the name and room number can be
confirmed at the front desk by visitors. Although every patient has a right to their own
information, an appointment has to be made with the patient information department, appropriate
identification documents then a signed consent before any information is given to the patient
from the records. Even with all of these strategies used, patient confidentiality and privacy is still
a concern and information breaks continue to happen. Being able to effectively protect a patient’s
privacy and confidentiality will always be a concern and must continue to be every nurse’s
priority when information is being shared whether it be on paper, verbally or electronically.
Thanks, Vickie
Durham, C. F., & Arden, K. (2018). Enhancing Patient Safety in Nursing Education Through
Patient Simulation. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2628/
Oh, P. J., Jeon, K. D., & Koh, M. S. (2015). The effects of simulation-based learning using
standardized patients in nursing students: A meta-analysis. Nurse education today, 35(5), e6-e15.
Roussel, L., Thomas, P., & Harris, J. (2016). Management and leadership for nurse
administrators (7th ed.). Burlington, MA: Jones & Bartlett Learning.
Most of us believe that our medical and other health information is private and should be
protected, and we want to know who has this information. The Health Information Portability
and Accountability Act (HIPAA), a Federal law, gives you rights over your health information
and sets rules and limits on who can look at and receive your health information. HIPAA applies
to all forms of individuals' protected health information, whether electronic, written, or oral (U.S.
Department of Health & Human Services, n.d.). There are simple steps healthcare employees
can take to ensure the privacy of patients. This may include asking if it’s ok to speak in front of
family members, asking for a contact person that it is appropriate to disclose information to.
Advance directives are also a form of proxy confirmation. An advance directive expresses a
person’s preferences for their future care if they are no longer able to make decisions for
themselves (Rolnick, Asch, & Halpern, 2017). In primary care we encourage patients to have a
plan in place. We use the Five Wishes brochure to encourage discussions and facilitate the
process which can be uncomfortable for some patients.
Other policies to protect patient information include securing or locking computers when
walking away, secure shredding or other disposal of printed patient information and having a
, radio playing in the background to help prevent the incidental disclosure of information in
waiting rooms.
Rolnick, J. A., Asch, D. A., & Halpern, S. D. (2017, Jun 1). Delegalizing advance directives-
Facilitating advance care planning. New England Journal of Medicine, 376(22), 2105-2107.
doi:10.1056/NEJMp1700502
U.S. Department of Health & Human Services. (n.d.). Health information privacy. Retrieved
from HHS.gov: https://www.hhs.gov/hipaa/index.html
Professor Coleman and Cass,
Simulation technology is a luxury in the world of nursing today. Even when I attended
nursing school 10 years ago, the manikins and simulation equipment allowed for us to practice
skills without the fear of harming an actual patient. Shin, Park, and Kim (2015) write that there
were significant post intervention improvements in various domains for nursing students who
received simulation education versus those who received the same education but no simulation.
At my hospital, we use something called Heart code. The staff take the written portion of
the advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life
support (PALS), then they take the hands-on portion using a manikin and a specially outfitted
code cart with a cardiac rhythm simulator. The monitor on the code cart can be adjusted to show
lethal rhythms for staff to identify.
Additionally, a large university in my local area has a technology center that focuses
solely on simulation exercises. These simulations range from acute stroke with interactive stroke
training using virtual patient simulation to advanced trauma care for nurses and advanced trauma
life support certification (camls.org, 2018). Other simulations include airway management for
dentists, fundamentals of simulation operations and obstetrical simulation course, detailing
emergencies and catastrophes to name a few (camls, org, 2018).
My dream is to someday send my staff through the advanced trauma life support
certification course, but at $950/student, I might be waiting awhile for that dream to come true.
Becky
Center for advanced medical learning and simulation. (2018). Retrieved August 14, 2018, from
https://camls-us.org/
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