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NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice

Student Name Capella University NURS-FPX 6410 Fundamentals of Nursing Informatics Prof. Name Date Exploration of Regulations and Implications for Practice The central focus of this investigation is the implementation of a fall prevention program, as previously recommended for City Hospital, New York, in a prior assessment. The program’s primary objective is to enhance patient safety by mitigating the incidence of falls, thereby reducing healthcare expenses associated with fall-related injuries. To ensure a successful rollout, the program will adopt a comprehensive approach employing the Plan-Do-Study-Act (PDSA) model, a HIPAA-compliant spreadsheet, evidence-based guidelines, data trending, and regulatory adherence. The utilization of the PDSA model will facilitate the testing of interventions and the incorporation of feedback to facilitate ongoing improvement (Minnesota Department of Health, 2019). To safeguard patient confidentiality, a HIPAA-compliant spreadsheet will be utilized. Furthermore, evidence-based guidelines and standards of practice established by national organizations such as the Joint Commission and CDC will inform the program. Regular data analysis will be performed to detect trends and patterns related to falls. The program’s effectiveness will be gauged through baseline data establishment and ongoing progress assessment. Regulatory information supporting informatics and compliance with other relevant regulations will also be upheld. By employing this comprehensive approach, the effectiveness and efficiency of the fall prevention program will be ensured, ultimately enhancing patient safety for this vulnerable demographic. Safety Issue Associated with the Incidence of Falls Patient falls represent a substantial safety concern at City Hospital, New York. Recent statistics reveal that falls account for over half of all patient injuries, with individuals over the age of 60 being particularly vulnerable (Appeadu & Bordoni, 2022). The consequences of falls are severe, encompassing fractures, head injuries, and even fatalities (Vaishya & Vaish, 2020). As evidenced by the case of Mrs. Smith, an elderly patient admitted to City Hospital after a fall resulting in a hip fracture, falls can lead to prolonged recovery periods, substantial pain and discomfort, and the development of complications such as pneumonia, all of which significantly diminish a patient’s quality of life and escalate healthcare costs. Mrs. Smith’s case underscores the imperative need for proactive measures to prevent falls. Multiple risk factors contribute to falls, including underlying medical conditions, medications, and environmental factors. Consequently, a comprehensive fall prevention program must encompass all these facets. NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice A pivotal step in fall prevention is conducting a thorough fall risk assessment upon patient admission. This assessment identifies patients at risk of falling, allowing for targeted interventions. The evaluation should encompass the patient’s medical history, medication profile, and mobility status. Based on the assessment findings, interventions like bed alarms, non-slip footwear, and mobility aids can be implemented. Alongside targeted interventions, environmental modifications can play a pivotal role in fall prevention. Hospital staff must ensure dry, clutter-free floors, adequate lighting, and the availability of handrails where needed. Patients should also receive education on fall prevention strategies and be encouraged to request assistance when required. The consistent tracking and analysis of fall-related data are crucial for comprehending the effectiveness of fall prevention programs, as this data unveils trends and patterns, enabling continuous enhancement and refinement of fall prevention strategies. Stakeholders Involved The implementation of fall prevention entails the involvement of numerous stakeholders, including hospital administrators, healthcare providers, patients, families, and regulatory bodies. Hospital administrators play a pivotal role in the implementation process by providing essential resources and support to ensure program success. This includes allocating funding for training and equipment, as well as the establishment of policies and procedures to guarantee compliance with regulations. Healthcare providers represent another vital stakeholder group responsible for identifying patients at risk of falls, executing prevention strategies, and monitoring patient outcomes. Adequate training in evidence-based guidelines and standards of practice is essential to ensure the provision of high-quality care to patients aged 60 and above. Moreover, patients and their families also hold a stake in the implementation process. They must be well-informed about the fall prevention program’s purpose in preventing falls. Patients should actively participate in their care, adhere to healthcare provider instructions, and promptly report concerns or incidents. Regulatory bodies, such as the Joint Commission and Centers for Disease Control and Prevention, also play a crucial role as stakeholders. They establish guidelines and regulations for healthcare facilities to safeguard patient safety and care quality. Compliance with these regulations is pivotal to the success of the fall prevention program. Intended Goal of the Initiative The primary objective of the fall prevention program is to reduce falls and enhance patient safety for individuals aged 60 and above. Falls constitute a significant source of injury in this age group, resulting in diminished quality of life, elevated healthcare expenses, and increased mortality rates. The program will implement the Plan-Do-Study-Act (PDSA) model to test interventions and continually improve based on feedback. Additionally, it will establish a secure HIPAA-compliant spreadsheet for data storage, monitoring, and analysis of fall-related data. Evidence-based guidelines will inform fall prevention strategies, with baseline data establishment and regular progress measurement to track improvements. Regulatory compliance will ensure the highest levels of safety for patients. Analyzing the Initiative To assess the impact and effectiveness of the fall prevention initiative, it is crucial to evaluate its compliance with regulations, ethical principles, safety standards, including the utilization of evidence-based guidelines, the Plan-Do-Study-Act (PDSA) model, and adherence to regulatory bodies such as HIPAA. Ethical considerations, such as patient confidentiality and informed consent, are also of paramount importance. Measuring the program’s success in reducing falls and improving patient outcomes offers a comprehensive evaluation of its impact and effectiveness. A multifaceted analysis from various perspectives can enhance understanding of the initiative’s impact and its achievement of goals. Safe Practices To guarantee adherence to safety standards and regulations, analyzing the fall prevention intervention entails the implementation of evidence-based guidelines and utilization of the PDSA model (Gonzalez, 2021). Furthermore, the program ensures patient confidentiality and safety through the utilization of a HIPAA-compliant system for data storage and access restrictions. Regular monitoring and analysis

NURS FPX 6410 Assessment 2 Executive Summary to Administration

Student Name Capella University NURS-FPX 6410 Fundamentals of Nursing Informatics Prof. Name Date Executive Summary for Administration In the healthcare domain, Health Information Technology (HIT) plays a critical role in managing patient data comprehensively. Sheikh et al. (2021) highlight the significance of technology in facilitating communication between individuals and healthcare providers, promoting the sharing of crucial information among doctors, specialists, and other stakeholders. Effective data communication among healthcare professionals is vital for patient care planning, ensuring quality treatment, and leveraging information resources for both patients and medical practitioners. Healthcare professionals can integrate their medical knowledge with insights from patient inputs by harnessing the power of data. Strategic Outcomes through Informatics Model Solution Cutting-edge nursing informatics tools, as emphasized by Reid et al. (2021), empower healthcare professionals in tasks such as disease detection, care planning, medication administration, and patient education. The Empowerment Informatics Framework serves as a valuable guide for nurses to ethically employ technology in promoting patient self-management and evaluating the effectiveness of healthcare initiatives. This patient-centric approach highlights the role of technology in addressing patients’ needs, facilitating secure storage of confidential records, and enhancing communication between healthcare personnel, patients, and their families. Identified Gaps Analysis reveals several gaps requiring improvement, including a lack of communication with a patient’s primary care provider, non-adherence to prescription recommendations, and difficulty in accessing necessary care within a patient’s region. Organizational Benefits According to Turley’s Model (1996) and the Empowerment Informatics Framework, nursing informatics represents the intersection of informatics and the science of self-control. Health informatics contributes to enhancing collaboration, streamlining quality control procedures, increasing healthcare efficiency, and improving facility and practice management. These concepts empower informatics nurse specialists to understand how nurses process information and make decisions, facilitating practical solutions that support nursing practices. Researched Theory or Models to Effect Change Nursing informaticists recognize the value of information in mitigating health issues among at-risk patients, improving treatment outcomes, facilitating collaboration among researchers, and ensuring compliance with information legislation. Applying the Empowerment Informatics Framework and Turley’s Model within hospital information systems expedites organizational transformation through innovation adoption and skill development. Standards of Practice Efficient deployment of HIT strategies aids nurses in their daily tasks. Nursing informatics specialists can develop databases and applications adhering to accepted digital data processing and management practices, allowing for the identification and evaluation of nursing practices. ANA Standards for Healthcare Informatics The American Nurses Association (ANA) standards for healthcare informatics emphasize the importance of the physician-patient relationship, beneficence, patient sovereignty, fairness in treatment, and harm prevention during care. Implementing these ethical standards in community health systems enhances patient experiences through technology. Regulatory Information Impacts the Use of Health Information Technology Nurses play a pivotal role in enhancing hospital facilities through the effective utilization of HIT, aligning with the Affordable Care Act’s goal of improving transparency, efficiency, patient engagement, and cost management in healthcare. The Importance of Creating a HIPAA-Compliant Spreadsheet The Health Insurance Portability and Accountability Act (HIPAA) serves as a cornerstone in aligning legal compliance and healthcare data security. HIPAA-compliant spreadsheets use standardized coding and patient identification to enhance patient data security, reduce readmission rates, optimize nurse-patient ratios, improve patient-provider communication, and lower costs for both patients and providers. Conclusion Nursing informatics, coupled with advancements in health information technology, empowers healthcare professionals to analyze and leverage data swiftly, ultimately leading to improved healthcare delivery. This synergy enables nurses and other healthcare professionals to fulfill their roles effectively, ensuring timely and efficient care delivery and, ultimately, the enhancement of patient health. Nursing informatics has undeniably achieved its intended goals. References Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021). Approaches for defining and assessing nursing informatics competencies: A scoping review. JBI Evidence Synthesis, 19(4), 794–841. McIntyre, A., & Song, Z. (2019). The US affordable care act: reflections and directions at the close of a decade. PLoS Medicine, 16(2). Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. NURS FPX 6410 Assessment 2 Executive Summary to Administration Nahm, E. S., Poe, S., Lacey, D., Lardner, M., Van De Castle, B., & Powell, K. (2019). Cybersecurity essentials for nursing informaticists. Computers, Informatics, Nursing: CIN, 37(8), 389–393. Reid, L., Maeder, A., Button, D., Breaden, K., & Brommeyer, M. (2021). Defining nursing informatics: a narrative review. Studies In Health Technology and Informatics, 284, 108–112. Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association: JAMIA, 26(10), 1115–1119. Sheikh, A., Anderson, M., Albala, S., Casadei, B., Franklin, B. D., Richards, M., Taylor, D., Tibble, H., & Mossialos, E. (2021). Health information technology and digital innovation for national learning health and care systems. The Lancet. Digital Health, 3(6). Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2020). Current challenges in health information technology-related patient safety. Health Informatics Journal, 26(1), 181–189. NURS FPX 6410 Assessment 2 Executive Summary to Administration Teoli, D., & Sassan, G. (2022, September 18). Informatics ethics. Wang, J., Gephart, S. M., Mallow, J., & Bakken, S. (2019). Models of collaboration and dissemination for nursing informatics innovations in the 21st century. Nursing Outlook, 67(4), 419–432. Zhang, T., Wu, X., Peng, G., Zhang, Q., Chen, L., Cai, Z., & Ou, H. (2021). Effectiveness of standardized nursing terminologies for nursing practice and healthcare outcomes: A Systematic Review. International Journal of Nursing Knowledge, 32(4), 220–228.

NURS FPX 6410 Assessment 1 Presentation to Informatics Staff

Student Name Capella University NURS-FPX 6410 Fundamentals of Nursing Informatics Prof. Name Date Presentation to Informatics Staff Greetings, my name is Joseph, and I am tasked with delivering a presentation to the nursing informatics staff on the significance of nursing practice standards. In addition to elucidating the concepts of valid and invalid data, I will also explore how these data can be employed to identify gaps in nursing practice. The integration of evidence-based practices into treatment and research is imperative through the lens of nursing informatics. Applying Theoretical Frameworks or Models The utilization of theoretical frameworks, such as the Empowerment Informatics Framework (EIF), can aid practicing nurses in ethically leveraging technology to support self-management (Faustorilla, 2020). The EIF not only facilitates ethical technology use but also assesses methods for implementing various interventions (Faustorilla, 2020). Technology enables nursing staff to prioritize patients’ needs, making it a cornerstone of patient-centered healthcare strategies (Toni et al., 2021). An electronic personal health record (ePHR) holds promise in assisting chronic patients with self-management, education, and counseling. The EIF is dedicated to empowering patients in healthcare settings through the provision of safe and high-quality care (Toni et al., 2021). Nurses actively engage empowered patients by employing health-enabling technologies (HET) and advocating for self-care management (Faustorilla, 2020). The EIF exemplifies the collaboration between nurses and patients in conjunction with health-enabling technologies. Its primary goal is to equip patients with the necessary knowledge, skills, and preferences for managing their health conditions (Toni et al., 2021). Turley’s Model (1996) posits that nursing informatics serves as the nexus between informatics and discipline-specific science (Zhang et al., 2021). Within the field of nursing science, this paradigm integrates computer science, information science, and cognitive science (Zhang et al., 2021). Understanding how nurses make decisions and process information is crucial for informatics nurse experts to develop effective solutions supporting nursing procedures. Cognitive science is particularly beneficial for informatics nurse experts dealing with user-related informatics challenges, including decision-making and the design of computer interfaces for nurses (Zhang et al., 2021). Importance of Standards in Nursing Practice Establishing standards of practice in healthcare settings is essential for professional nurses to uphold patient safety and clinical competency. The American Nurses Association provides guidelines for nursing practices, offering a suggested path for safe practices and enhancing professional performance (Poorchangizi et al., 2019). These standards serve as a foundation for assessing the quality of nursing care, fostering effectiveness, and promoting efficiency. Nurses must be vigilant in navigating social and cultural differences, providing care without judgment, and respecting patients’ values and beliefs. These standards enhance interdisciplinary collaboration by emphasizing principles such as fairness in treatment, promotion of patient sovereignty, improvement in benevolence, and non-maleficence (Poorchangizi et al., 2019). Examples of the Standards of Practice According to the American Nursing Association’s (ANA) scope and criteria, nurse informaticians (NI) must embody nursing values and beliefs in their perspectives (Schmidt & McArthur, 2018). Registered Nurses (RNs) must proficiently gather patient data relevant to health or circumstances. For instance, nurses may collect information about a patient’s family history and monitor blood pressure in hypertensive patients. The collected data would be recorded in an electronic health record (EHR) for subsequent access (Schmidt & McArthur, 2018). RNs must also be adept at examining acquired data during the evaluation phase to identify potential or accurate diagnoses. Effective patient outcome prediction is a crucial skill for registered nurses, enabling them to carry out chosen care plans (Schmidt & McArthur, 2018). This involves organizing patient care, delivering treatment, and promoting wellness in secure healing settings. Regardless of their background, nurses must advocate for their patients and effectively communicate with them, their families, and other medical staff (Zhang et al., 2021). Distinguishing Between Validated Data & Invalidated Data Valid data, representing a fundamental value that yields accurate outcomes, stand in contrast to invalid data, which provide no information about the actual value. Validation, the process of double-checking data for accuracy, ensures reliable and complete assessment information (Bossen et al., 2019). For example, a nurse entering a hypertensive patient’s blood pressure data into the system after careful verification ensures the legitimacy and reliability of the data (Bossen et al., 2019). Invalid data lack reliability and may result from poor communication, delayed data entry, or human error. Data validation provides insights into improving data quality and offers a comprehensive picture for appreciating and understanding study results (Kislaya et al., 2019). Factors such as training in data collection, simple form design, reducing the burden of data collection procedures, and ensuring data ownership contribute to enhanced data quality (Bossen et al., 2019). How Validated Data Can Identify Gaps in Practice Validated data, by reducing the likelihood of erroneous results, assist in defect mitigation and accurately depict the situation. They help identify areas of weakness or deficiency, enabling the refocusing of resources. Validated data play a crucial role in assessing processes to close practice gaps (Kislaya et al., 2019). Moreover, validated data enable a comparison between the actual and desired states of practice, aiding in the identification of potential improvement gaps and better outcomes. The use of established gap analysis techniques lowers the likelihood of adverse outcomes for individuals with conditions like hypertension (Kislaya et al., 2019). Analyzing the Specific Regulatory Bodies The utilization of big data in healthcare organizations necessitates addressing security and privacy concerns. Regardless of its importance for the advancement of medical knowledge, big data’s success is contingent upon preventing data breaches through measures such as data encryption (Moore & Frye, 2019). The Health Insurance Portability and Accountability Act (HIPAA) is the most well-known and prominent law governing the healthcare sector, setting forth necessary precautions to ensure the privacy of patient records (Moore & Frye, 2019). The HIPAA Privacy Rule establishes national standards for safeguarding patients’ medical records and other private health information, minimizing privacy and confidentiality concerns. The adoption of electronic health records (EHR) is instrumental in upholding HITECH and HIPAA compliance laws, enhancing security and privacy of patient information (Oyeleye, 2021). Evaluating Ethical & Legal Practices The non-maleficence