NR599 Final Exam Study Guide Questions With Complete Solutions A+ Graded

NR599 Final Exam Study Guide Questions With Complete Solutions A+ Graded Ethical Decision Making - ANS -Process that requires striking a balance between science and morality -Making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Ethical Decision Making Process - ANS 1. Identify the ethical dilemma 2. Discover alternative actions 3. Decide who might be affected 4. List the probable effects of the alternatives 5. Select the best alternative Rational justification - ANS developed through a logical process of decision making that gives proper attention to such things as facts, alternative perspectives, consequences to all stakeholders, and ethical principles. American Nurses Association- Code of Ethics for Nurses with Interpretive Statements. - ANS provides specific guidance for ethical decision making and provides a valuable framework that can be used when working with HIT issues having an ethical component includes the following - ANS 1. Failure to adopt technology or use it adeptly 2. Lack of regard for data integrity such as discrepancies. in record information that are noted but no corrective action is taken. 3. Failure to address threats to privacy and personal health information. 4. Inappropriate access of PHI without a need to know. 5. Failure to keep informed of emerging developments and issues. 6. Failure to recognize and use technology to advance the profession. 7. Failure to engage in policy discussion that impact healthcare delivery. 8. Failure to recall that the patient is their primary focus. 9. Failure to actively participate in the selection, use, and/or evaluation of technology that has the potential to improve healthcare. ANAs Code of Ethics for Nurses - ANS 1. Respect for human dignity 2. Respect for individual right to self-determinism 3. Primary commitment is to the patient (individual, family, group or community) 4. Advocacy for the patient 5. Participation in the creation, maintenance, and improvement of healthcare environments 6. Advancing the Profession 7. Collaboration with others to meet health needs 8. Shaping social policy. 6 contemporary Bioethical Standards - ANS Autonomy freedom veracity privacy beneficence fidelity What is the Husted bioethical decision making model centered on - ANS healthcare professionals implicit agreement with the patient Virtue Ethics Approach - ANS moral behavior stems from personal virtues Example of virtue ethics approach - ANS If a manager develops good character traits and learns to overcome negative traits, he or she will make ethical decisions based on personal virtue Telehealth - ANS use of technology to deliver health care, health information, or health education (i.e. telephone, videophone, computer, store and forward imaging, streaming media, terrestrial and wireless communications) telemedicine - ANS medical information exchange from one site to another via electronic communications to improve patients health status Telehealth tools - ANS Central stations, web servers, and portals Peripheral biometric(medical) devices telephones video cameras personal emergency response systems sensor and activity monitoring medication management devices special needs telecommunications ready devices(preprogrammed infusion pumps, peak flow meters) Telemedicine applications types (2) - ANS Store-and-forward or asynchronous real-time or synchronous Store and forward or asynchronous applications - ANS exchange prerecorded data between 2 or more individuals at different times real time or synchronous applications - ANS all involved individuals are present for immediate exchange of information mHealth - ANS generation, aggregation, and dissemination of health info via mobile and wireless devices How can mHealth wearable devices reduce mortality rates - ANS wrist monitors that can monitor vital signs including respiratory rate, bp, hr, spo2, and temp which can send the info to an EHR which can calculate a wellness index based on the stats and a 0-5 scale (below 2.9 is good but above 3.0 is potentially bad)