When Standards of Practice, 2nd Edition, ANA 2015

When I began my nursing studies several years ago I only studied in and familiar with traditional classroom. Now as a nursing student, because of my busy schedule, I embraced online learning to pursue my further studies in nursing. Online learning has allowed me to become a lifelong learner in my profession.

Nursing informatics allow me to learn more about the advancement in technologies which leads to professional development. First of all, I would like to give a brief picture on nursing informatics. This support is accomplished through the use of information structures, information processes, and information technology. (Retrieved from Nursing Informatics: Scope and Standards of Practice, 2nd Edition, ANA 2015Digital media literacy: Digital literacy is the ability to find, evaluate, utilize, share and create content using information technologies and internet .Media are powerful forces in the lives of youth. Music, TV, video games, magazines and other media all have a strong influence on how we see the world, an influence that often begins in infancy. To be engaged and critical media consumers, kids need to develop skills and habits of media literacy.

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Retrieved from, Media literacy fundamentals.Cyber security or IT security is the protection of computer systems from the theft or damage to the hardware, software or the information on them,. includes controlling physical access to the hardware, as well as protecting against harm that may come via network access, data and code injection and due to malpractice by operators, https://www.quora.com/Whats-the-difference-between-IT-security-and-ethical-hacking Computer hacker, or a computer security expert, who specializes in penetration testing and in other testing methodologies to ensure the security of an organization’s information systems. Ethical hacking is a term coined by IBM meant to imply a broader category than just penetration testing. White-hat hackers may also work in teams called “sneakers”, red teams, or tiger teams.Health literacies:Health literacy means using many different skills to get, understand, communicate and use information to make informed decisions about your health and navigate the health care system.

For example, you are using health literacy skills when you: follow instructions for taking your medicines , prepare before a test or surgery , act on medical advice and filling out medical forms , understand treatments and medical terms , find and use health information , know where to go to get health services from home or in the community ,ask questions and advocating for yourself or your family member While caring for a patient, nurses use evidence from different sources such as nursing knowledge and nursing experience. Both nurses and patients gather information from internet these days. In the digital age, information is a click away and a disease treatment may sound promising but may not be true clinically. Therefore, nursing practice should come from evidence from research.

A filter bubble is the intellectual isolation that can occur when websites make use of algorithms to selectively assume the information a user would want to see, and then give information to the user according to this assumption. https://www.techopedia.com/definition/28556/filter-bubble. Ultimate goal is to improve quality of care in the health care system by improved patients outcome, lower cost of care, superior nursing skill.

In order to have evidence based practice we need evidence with knowledge and gained experience. For example working in a long term care center, will give you a clear picture of the need of evidence based practice. Here by I would like to explain the bed rail entrapment program implemented in my work place. Several surveys of deaths occurring in the bed environment demonstrate the risk of entrapment when a resident slips between the mattress and bed rail or when the resident becomes entrapped in the bed rail itself. At risk category in elderly are on agitation, delirium, confusion, pain, uncontrolled body movement, hypoxia, fecal impaction, and acute urinary retention that cause them to move about the bed or try to exit from the bed.

The absence of: timely toileting, position change, and frequent individualized care are factors that may also contribute to the risk of entrapment. The risk may also increase due to technical issues such as improperly sized mattresses, bed rails with winged edges, loose bed rails, or design elements such as wide spaces between vertical bars in the rails themselves. To avoid those complication, even though they used for safety , bed rails are not recommended as per new policy. https://www.usfhealthonline.com/.

../consumer-health-informatic. Credible Web sites should be perceived to have high levels of trustworthiness and expertise, according to Fogg, et al. (2001). Perceptions of both factors can be enhanced if designers:, Ensure the site looks professionally designed Arrange the Web site in a logical way Keep the site is as current as possible Provide an archive of past content (where appropriate) Intermediation involves the “matching” of lenders with savings to borrowers who need money by an agent or third party, such as a bank.

If this matching is successful, the lender obtains a positive rate of return, the borrower receives a return for risk taking and entrepreneurship and the banker receives a return for making the successful match. Apo mediation is a term used to describe using a person who facilitates your pursuit of information on the Internet. You are assisted in getting and understanding the information, but you are not required to go to a gatekeeper to get the information.Communities of practice (COP) involve people interacting with one another, sharing and learning from one another. It may occur anywhere such as workplace, school, home, social media, etc. It’s main aim is to share knowledge and promote learning whereas team’s goal is to complete specific task. Community of practice members is voluntary, part-time whereas in team, members are selected and work full-time.

Electronic health record (EHR) and electronic medical record (EMR) sounds similar and used interchangeably, there is a difference between them. Electronic medical record is collection of medical history, diagnosis and treatment of a patient in one practice. To communicate between health professionals, EMR needs to be printed and sent by person or mail to the specialist. They are designed to share and access health information about patient between health organizations and professionals in real-time. Patients can also access their health records in EHR but depends upon the jurisdiction law. When all health care providers can have same and current information, it can provide better care outcome for patients.

A patient can log into his/her lab tests and health records, and know how to adjust to lifestyle to manage disease condition.Doyles Barnes event, Patients’ communities of practice vs. team. All these discussion helped us be learn about social media policies, be sensitive about patient’s privacy and confidentiality, and to maintain ethical practice even on social media post. We also discussed about patients’ communities of practice vs. team, advantages and disadvantages of team care for patient. Even though social media may have negative effects such as breach in privacy and confidentiality, mistrust in health care professionals, loss of job/career, etc., it has also positive aspect if used properly.

Social media can be a great platform for patients and health professionals to discuss on health topics which may provide emotional support, sense of connectivity/belonging, learning ground, provides a sense of community, medium to enhance organization and planning, etc. In the summary, social media policy and course should be mandatory in nursing school and practice setting; nurse should have strong knowledge of law, CNO social media policies, organizational policy on social media use, ethical practice standards, and be accountable for unprofessional social media post.Nurses have an ethical responsibility to safeguard information obtained in the context of the nurse-client relationship. When clients entrust their health care and health information to a nurse, they expect and rely on it being kept confidential.

Privacy and confidentiality CNO standard created to educate nurses and other stakeholders about the serious legal responsibility of protecting personal health information. The College’s Therapeutic Nurse-Client Relationship, Revised 2006, and practice standard describes the expectations for all nurses in establishing, maintaining and terminating a therapeutic relationship. Identify the five components of the nurse-client relationship. Describe how nurses maintain boundaries within the nurse-client relationship. Identify strategies that protect clients from abuse. Employers are responsible for providing necessary systems and supports to meet legislated requirements for the collection, use and disclosure of personal and health information.

With EHRs comes the opportunity for patients to receive improved coordinated care from providers and easier access to their health information. It’s a way to make it easier for everyone to be better informed and more involved in the patient’s health care. HIPAA– (the Health Insurance Portability and Accountability Act) accountable for the privacy and security of patient’s health information. The system utilizes software that embeds medication information in to barcodes so nurses can be better informed to administer correct dose of medication and help to prevent the mistakes. All nurses are on the front line of patient care and while they are not only responsible for seeing that each individual receives a greater possible treatment, they are expected to handle number of other responsibilities as well. Today nursing informatics uses technology to improve its clinical nursing practice as well as to enhance the quality of patient care (Saba,2001).Nursing is one of the most challenging and exhausting professions both physically and emotionally. Advances in technology in nursing are helping to make life easier for nurses.

It is good to remember that, in our high tech world, the human touch cannot be substituted. Nursing is about combining the art of caring with the science of health care.References:HIMSS Nursing informatics awareness task Force. (2007, March).

Informatics. Nursing Management, 38, 38-42. Retrieved from https://www.himss.org/what-nursing-informaticsA patient focused framework integrating self-Management and informatics.

Journal of nursing scholarship,46,91-97.Murphy, J. (2010). Nursing informatics: the intersection of nursing, computer, and information sciences. Nursing economic$, 28(3), 204-207. Retrieved from EBSCOhost.