NUR 514 Topic 7 DQ 2

Grand Canyon University NUR 514 Topic 7 DQ 2-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 514 Topic 7 DQ 2 assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 514 Topic 7 DQ 2                       

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 514 Topic 7 DQ 2 depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 514 Topic 7 DQ 2                       

The introduction for the Grand Canyon University NUR 514 Topic 7 DQ 2 is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 514 Topic 7 DQ 2                       

After the introduction, move into the main part of the NUR 514 Topic 7 DQ 2  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 514 Topic 7 DQ 2                       

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 514 Topic 7 DQ 2                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NUR 514 Topic 7 DQ 2 Included After Question

Topic 7 DQ 2

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Consider the emerging role of the telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.

A Sample Answer For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

Electronic health records are subject to the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (EHR). The patient has the right to privacy with regard to all of their medical information (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). This information should only be shared with approved staff who are directly involved in the patient’s treatment. To preserve sensitive data, EHRs employ data encryption and security procedures. To gain access to the system, the user must enter a password. If patient portals are used, patients can log in with PINs or passwords. All information stored in an EHR must be used for patient care or data aggregation in order to enhance patient outcomes (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). A facility or provider is required by law to notify patients and the Secretary of Health and Human Services of any data breaches.

As an advanced practice nurse, EHR paperwork can be time-consuming. This can have an impact on the nursing-patient partnership. The patient must be able to establish a relationship with the nurse in order for cooperation and collaboration to result in positive health results for the patient (McBride et al., 2018). When a clinical decision support system is required in a certain patient population, the advanced practice nurse creates a legal position in which they do injury to the patient. A patient with a history of heart failure who presents to the emergency room with a diagnosis of potential sepsis based on a CDSS symptom detection pattern is an example. Based on the narrative and additional evaluation, the patient had a CHF exacerbation (McBride et al., 2018). The EHR will continue to detect sepsis and prioritize orders for sepsis care. The patient’s health would suffer if these order sets were followed. Understanding and teaching these concepts to students is critical for nurse educators.

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HIPAA violations result in fines or time in prison or both. I would maintain patient privacy by not speaking in public areas about PHI. This means creating a private area to speak to patients and families without others having the ability to overhear. The EHR must be locked when I am not in attendance. Family members must provide the PIN or code necessary to get any information in person or via phone. The patient must clearly state who he/she wants to have his/her information shared with unless there is a legal document giving an individual power of attorney for health care.

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

A Sample Answer 2 For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

Electronic health records are subject to the Health Insurance Portability and Accountability Act (HIPAA) and the protection of health information (EHR). All of the patient’s health care information should be kept private (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). This information can only be given to the people who work directly with the patient and are authorized to do so. EHRs protect this information by encrypting it and taking other safety steps. To get into the system, the user has a password. If there are patient portals, the patient can use PINs or passwords to get in. All of the information in an EHR is meant to be used for patient care or to put together data to improve patient outcomes (U.S. Department of Health & Human Services Office for Civil Rights, n.d.). It is against the law for a facility or provider to not tell patients or the Secretary of Health and Human Services about a data breach.

As an advanced practice nurse, it can take a lot of time to fill out EHR paperwork. This could change the relationship between the nurse and the patient. The patient must be able to get along with the nurse so that they can work together to help the patient get better (McBride et al., 2018). When an advanced practice nurse uses a clinical decision support system because it is required, but it isn’t right for a certain group of patients, they break the law and hurt the patient. A person with a history of heart failure who goes to the emergency room and is told they might have sepsis because of a CDSS symptom recognition pattern is an example. Based on the patient’s history and other tests, it turned out that he or she had a worsening of CHF (McBride et al., 2018). Sepsis will still be found by the EHR, and orders will continue to be made with sepsis management in mind. It would be bad for the patient’s health to follow these order sets. It’s important for teachers of nursing to understand these ideas and teach them to their students.

People who break HIPAA can be fined, sent to prison, or both. I would protect the privacy of patients by not talking about PHI in public places. This means making a private place where you can talk to patients and their families without other people being able to listen in. When I’m not around, the EHR must be locked. To get any information in person or over the phone, a family member must give the PIN or code. The patient must clearly say who he or she wants to have access to his or her health information, unless there is a legal document that gives someone else the power to make health care decisions on his or her behalf.

NUR 514 Topic 7 DQ 2 References

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online Journal of Issue in Nursing, 23(1). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7

U.S. Department of Health & Human Services Office for Civil Rights. (n.d.). Privacy, security, and electronic health records. https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/consumers/privacy-security-electronic-records.pdf.

A Sample Answer 3 For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

health information are applicable to the EHR. The main objective of the EHR system is to enhance the management of patient’s data. As a result, there is always the need for healthcare professionals or users to adhere to the privacy policies or confidentiality of information (McBride et al., 2018). Enhancing the confidentiality of information is one of the ethical concerns often observed by healthcare professionals when using an EHR system. The confidentiality of information can be achieved through integrating effective mechanisms to enhance the security of data (Iyengar et al., 2018). Putting security measures such as passwords is one of the main methods that can be used to enhance the confidentiality of information. Also, encryption processes can be undertaken to prevent unauthorized access of patient’s data by third parties or strangers. Additionally, adherence to the HIPAA policies is critical in ensuring the maintenance of data security.

READ ALSO: NUR 590 Topic 1 DQ 2 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

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NUR 514 Topic 7 DQ 2 References

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online Journal of Issue in Nursing, 23(1). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7

Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy. IEEE Internet Computing, 22(2), 29-31. https://ieeexplore.ieee.org/abstract/document/8345561

A Sample Answer 4 For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

The Health Insurance Portability and Accountability Act (HIPAA) requires that patient health information is protected and secure at all times. The regulations that are in place by HIPAA have an effect on healthcare institutions willingness to share data with other institutions (DeNisco & Baker, 2016). The Electronic Medical Record (EMR) is different from an Electronic Health Record (HER) because the information it contains is intended to be shared. While both the EMR and her contain protected health information (PHI), an EHRs purpose is to be shared among physicians and hospitals when needed. Unfortunately, sharing this PHI becomes a challenge. Hospitals in particular, “face a “catch-22” situation in responding to the conflicting mandates of developing electronic health records that information sharing across institutions versus ensuring absolute protection and security of patients’ individual health information” (Sarrico & Hauenstein, 2011).

An ethical issue related to HIPAA and the sharing of information through EHRs is sharing information in emergency situations. There are times in the ER when information is crucial for the care of critically ill patients. Is it ethically right to access

A Sample Answer 5 For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

This is insightful, Camille; the application or electronic health record system is associated with different legal and ethical practices that ought to be observed. As a result, Health Insurance Portability and Accountability Act (HIPAA) and protected

health information are applicable to the EHR. The main objective of the EHR system is to enhance the management of patient’s data. As a result, there is always the need for healthcare professionals or users to adhere to the privacy policies or confidentiality of information (McBride et al., 2018). Enhancing the confidentiality of information is one of the ethical concerns often observed by healthcare professionals when using an EHR system. The confidentiality of information can be achieved through integrating effective mechanisms to enhance the security of data (Iyengar et al., 2018). Putting security measures such as passwords is one of the main methods that can be used to enhance the confidentiality of information. Also, encryption processes can be undertaken to prevent unauthorized access of patient’s data by third parties or strangers. Additionally, adherence to the HIPAA policies is critical in ensuring the maintenance of data security.

NUR 514 Topic 7 DQ 2 References

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online Journal of Issue in Nursing, 23(1). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Identifying-and-Addressing-Ethical-Issues-EHR.html#McBride7
Iyengar, A., Kundu, A., & Pallis, G. (2018). Healthcare informatics and privacy. IEEE Internet Computing, 22(2), 29-31. https://ieeexplore.ieee.org/abstract/document/8345561
LA SHIONA

A Sample Answer 6 For the Assignment: NUR 514 Topic 7 DQ 2

Title: NUR 514 Topic 7 DQ 2

Patient health information must be protected and secure at all times, according to the Health Insurance Portability and Accountability Act (HIPAA). HIPAA regulations have an impact on healthcare institutions’ willingness to share data with other institutions (DeNisco & Baker, 2016). The Electronic Medical Record (EMR) differs from the Electronic Health Record (HER) in that the information contained within it is intended to be shared. While both the EMR and her contain protected health information (PHI), the purpose of an EHR is to be shared between physicians and hospitals as needed. Unfortunately, sharing this PHI becomes difficult. Hospitals, in particular, “face a “catch-22″ situation in responding to the conflicting mandates of developing electronic health records and sharing information across institutions versus ensuring absolute protection and security of patients’ individual health information” (Sarrico & Hauenstein, 2011).
Sharing information in emergency situations is an ethical issue related to HIPAA and the sharing of information via EHRs. In the emergency room, information is critical for the care of criticall

The Health Insurance Portability and Accountability Act (HIPAA) is a federal health care policy aimed at ensuring that providers and organizations adhere to set health information security protocols and usage, especially sharing of patient protected information. The protected health information (PHI) requires providers not to disclose any personal information of their patients without their express consent (Cohen et al., 2018). The privacy and confidentiality requirements implore providers to ensure that such information is not disclosed to other individuals as it is unethical and illegal. The privacy and confidentiality requirements imply that the entities cannot change the information but can store it in different formats that include paper and electronic files.

One ethical issue associated with the use of electronic health records (EHRs) based on HIPAA provisions is ensuring confidentiality of the information (PHI) and never disclosing it without informed consent. Another aspect is the legal issue where the privacy of an individual is paramount, including their health information (Keshta & Odeh, 2021). Consequently, providers cannot alter information or share it without the express informed consent of the individual or patient. The implication is that an advanced practice registered nurse (APRN) should adhere to these provisions and comply with all the legal aspects of care provision.

Telehealth is playing a critical role in care delivery for patients in remote locations and with resource limitations. The use of EHRs and telehealth can improve the health of the underserved and those with chronic conditions. However, providers must share such information using EHRs and increased interoperability. Such systems may compromise patient data, especially mobile applications that access such information (McBride et al., 2018). As such, it is essential to institute measures like enhanced data security and limiting authorization based on the level of expertise of the provider. It also requires organizational policies on data security and patient health information management to avoid any possible violations or breaches that can lead to legal actions against the facility.

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NUR 514 Topic 7 DQ 2 References

Cohen, I. G., & Mello, M. M. (2018). HIPAA and protecting health information in the 21st

           century. Jama, 320(3), 231-232. DOI:10.1001/jama.2018.5630.

Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and

challenges. Egyptian Informatics Journal, 22(2), 177-183. https://doi.org/10.1016/j.eij.2020.07.003

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. Online Journal of Issues in Nursing, 23(1), 1-4. DOI: 10.3912/OJIN.Vol23No01Man05

The HIPAA (Health Insurance Portability and Accountability Act) is a law that governs the use, confidentiality, and availability of patients protected health information (PHI). HIPAAs goal is to reduce the use of PHI to those with a “need to know “ and to “penalize those who do not comply with confidentiality regulations”(Edemekong, 2022). It is extremely important for healthcare professionals to not only understand the need and vitality of HIPAA but to ensure that PHI remains confidential. Due to the confidentiality issues of PHI, there are some ethical and legal issues for nurses to take into account. 

The breach of patient confidentiality is the largest ethical concern associated with HIPAA. “With the growth of information sharing, it became increasingly evident that existing means of transactions and systems were not ensuring privacy and confidentiality”(DeNisco, 2024). While the efficiency associated with electronic health records is useful for healthcare providers when attempting to access their patients information, it does raise the risk for others to access that data for their own personal gain, rather than the goals of the patient. This breach in patient health information shatters the trust between patient and advanced practice nurse which causes ethical issues as well as legal issues due to the violation of HIPAA. When security measures are not upheld and patient information is leaked, the violators of the security breach are responsible for severe penalties and fines. The loss of security with PHI impacts not only the patients but also the advanced practice nurse and the organization. 

With the rise in telehealth, advanced practice nurses need to be aware and more vigilant with vulnerabilities and safeguarding the PHI. The risk increases when transmitting PHI on digital platforms when using telehealth but safety measures can be taken to reduce the risk of PHI loss. Using proper encryption technologies, regular audits, staff education on privacy protocols, as well as strict authentication policies helps reduce the risk of HIPAA violations. As technology continues to evolve and change, advanced practice nurses will identify new vulnerabilities to PHI and adjust how they protect patient health information to uphold the ethical and legal standards of HIPAA to ensure the privacy and trust of their patients.

Resources

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661

Edemekong, P. F., Haydel, M. J., & Annamaraju, P. (2022, February 3). Health insurance portability and accountability act (HIPAA). Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK500019/

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HIPAA, or the Health Insurance Portability and Accountability Act, is a federal law in the United States that was enacted in 1996 to protect the privacy and security of individuals’ health information. Protected Health Information (PHI) is a key concept under HIPAA, encompassing any individually identifiable information related to an individual’s past, present, or future physical or mental health condition, provision of healthcare, or payment for healthcare services. (DeNisco, 2024).

Requirements for privacy and confidentiality in Electronic Health Records (EHRs) are essential components of HIPAA compliance. EHR systems must have stringent access controls to ensure that only authorized individuals have access to PHI. Maintaining patient autonomy and obtaining informed consent for the use of EHRs is an ethical concern. As EHRs become more prevalent, healthcare providers must ensure that patients are fully informed about how their health information will be used and shared within the electronic system. A significant legal concern in the use of EHRs is the potential for data breaches and unauthorized access to PHI. Advanced registered nurses, as stewards of patient information, must adhere to strict security protocols to prevent breaches.

The COVID-19 pandemic has accelerated the adoption and integration of telehealth practices into mainstream healthcare. While telehealth offers numerous benefits, it also introduces potential risks to patient data security and privacy. Inadequately secured telehealth platforms may be vulnerable to data breaches, putting patient information at risk. As an advanced practice nurse, I will obtain informed consent from patients explicitly detailing the security measures in place, potential risks, and the privacy protections associated with telehealth services. Choosing telehealth platforms with robust security features, such as end-to-end encryption, secure user authentication, and regular security updates is another way to keep PHI safe. Additionally, ensuring that all communication channels, including video consultations and messaging, are encrypted will protect patient data during transmission.

Furthermore, healthcare providers and staff need to be trained on the proper use of telehealth platforms and EHRs, emphasizing the importance of safeguarding patient privacy. By implementing these measures, healthcare providers can enhance the security and privacy of patient data without compromising patient confidentiality.

DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning (p495)

Gunther Eysenbach (May 21 2021) National Library of Medicine (NIH) Ethical Issues in Patient Data Ownership https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178732/