Genomics

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DQ 1

Name three essential structural elements of a functional eukaryotic chromosome and describe their functions. Discuss the implications related to research, health, and life span in terms of one of the structural elements.

DQ 2

Describe the difference among replication, transcription, and translation for both DNA and RNA.

Topic 2: Genetics I

DQ 1

Describe at least four factors that can be associated in a complex inheritance health issue.

DQ 2

Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available Genomics.

Topic 3: Genetics 2

DQ 1

Contrast two models used for multigenerational family health histories. Which do you prefer and why?

DQ 2

Describe the importance of a comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Topic 4: Personalized Genetic Medicine

DQ 1

Genetics testing is viewed as either positive or negative. When used to detect the genes for breast cancer, health insurance companies deny care based on genetics. Why? Describe one genetic test and its impact on health, prevention, screening, diagnostics, treatment selection, and treatment effectiveness.

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DQ 2

Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide the care with the highest level of evidence to each patient. Describe one pharmacological agent with a protocol/clinical guideline that is used. Discuss how this protocol may not take into consideration genetic variations. What can be done to tailor care to each patient while providing standardized treatments?

Topic 5: Nutrition

DQ 1

Describe one health issue and discuss how nutrition can impact this health issue positively and negatively.

DQ 2

Choose one disorder of malnutrition. Discuss the genetic and environmental influences on this disorder, including prevalence rates, testing, treatment, and prognosis Genomics.

Topic 6: Aging

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 7: Chronic Disease

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the chronic disease population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative way to care for those with chronic disease now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 8: Ethical and Legal Considerations

DQ 1

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication Genomics.

HEALTH CARE PROGRAM

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Overview of Assignment

Please take a moment to watch this Assignment Introduction, or read the presentation transcript.

Directions

Within your group, you will work to create a WebQuest. A WebQuest is an inquiry-oriented assignment. Look at sample WebQuests (search online) to see how creative you can be. The format is divided into sections or independent pages. Think of each section as a section on a paper HEALTH CARE PROGRAM.

For your WebQuest presentation, you will choose a problem that is a public policy issue. (Nursing Shortage) You will define the health care problem. 

You may be working in a certain clinical area and may see a need for more research or alternatives to treatment options. The problem may be a professional problem that you as an advance practice nurse are encountering in terms of autonomy or reimbursement for your services. It could be a workplace safety issue or a management issue. It could be a general societal problem that needs to be brought to the attention of the legislators.

Your WebQuest Presentation:

  • Most of the information for your WebQuest will come from the Web. However, you are expected to use the Library to supplement the information that you find on the Web.
  • You must also use a minimum of three graphics or images to illustrate your points. The graphics can go on any of the pages in the WebQuest and you can use more if you like. The graphics do not substitute for the text that is to explain each section.
  • You are expected to use analysis in each of the sections and provide details and explanations in each area. The Web resources are to validate what your position or argument is.
  • You will use this WebQuest PowerPoint template to build your WebQuest. Before you begin your work however, watch this video to learn how to edit the template to create your unique WebQuest.

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Movenote Presentation

In one section of your WebQuest, you will include a link to a Movenote presentation that you create. Movenote is an online tool that allows you to combine slides (e.g., PowerPoint, Google Slides, or Prezi slides) and video, displayed as an inset. The video will be of you, on camera, as you narrate. In this way, you can combine the two, presenting your ideas in video as you display your slides. Be sure to review How to Use Movenote for Your Assignment Presentation before you begin HEALTH CARE PROGRAM.

In your Movenote presentation, you will give a 5-minute talk with slides, as if you were speaking at a press conference delivering your message to a politician or to the community as a whole about what you have identified as the problem. Your presentation should explain why your identified problem needs to be addressed.

The following should be incorporated in your WebQuest:

  • The health care problem/public policy issue
  • A link to your Movenote presentation
  • A transcript of the Movenote presentation
  • What the government’s response to this problem has been previously (i.e., what has been done in terms of laws, rules, regulations, or programs; if the issue has never been addressed, you will discuss what needs to be done)
  • Your assessment of the legislative and policy-making strategies that influence health care services
  • Your proposed bill, either on the state or federal level, advancing your proposed change
  • Why these changes are important and a discussion of what opportunities nurses have to become involved in the design of this program
  • Your advice on how the program can be implemented
  • A summary of the Project
  • The credits page

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources HEALTH CARE PROGRAM.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Health Promotion During Pregnancy

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When caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby Health Promotion During Pregnancy.

Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.

1. Review Chapter 2 of the Tharpe et al. text and the 

2. Article from the Centers for Disease Control and Prevention in this week’s  Learning Resources:

3. Consider lifestyle changes that pregnant women must make in relation to smoking. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.

· 4. Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as posters, that might be most effective with your patient population.

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Post a detailed description of the educational media piece you would create for health promotion during pregnancy. Explain why you selected the particular topic (SMOKING), as well as why you selected the type of media (POSTER),  and how and why it is suitable for your patient population.

Note: Attach the POSTER to your Discussion posting before the References.

DUE ON: OCT. 17.17 by 12 noon

APA FORMAT

ZERO PLGIARISM

1&1/2 PAGE only.

:earning Resource/Required Readings/References

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

  • Review Chapter 30, “Diagnosis of Pregnancy and      Overview of Prenatal Care” (pp. 781-797)

This chapter examines the diagnosis of pregnancy, routine prenatal care, and patient education strategies for pregnant women.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers Health Promotion During Pregnancy.

  • Review: Chapter 2, “Care of the Woman During      Pregnancy” (pp. 49-90)

This chapter explores the care of women during pregnancy, including common health conditions and health promotion.

  • Chapter 3, “Care of the Pregnant Woman with      Prenatal Conditions” (pp. 93-154)

This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.

Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.html

This website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored.

Optional Resources

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/ Health Promotion During Pregnancy

SEXUALLY TRANSMITTED INFECTION

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Journal Entry 4 – (Vaginal Discharge).

Reflect on a patient who presented: 

1. with a vaginal discharge during your Practicum Experience. 2. 

2. Describe key signs and symptoms that were consistent with a sexually transmitted infection (STI) versus a non-STI related infection.  

3. If you diagnosed the patient with an STI, describe your experience in telling the patient that she had an STI, as well as the patient’s reaction to the diagnosis. 

4. Explain how the diagnosis might impact the patient’s life short-term and long-term. 

5. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient, you may select a related case study from a reputable source.

(2). Assignment: Practicum – 

Journal Entry 5 (Choose a TOPIC of your choice from the 3).

Reflect on a patient who presented:

1. with endometriosis, ovarian cysts, or amenorrhea during your Practicum Experience. (Choose one d/o).

2. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. 

3. Then, explain how treatment modalities differ for endometriosis, ovarian cysts, and amenorrhea, as well as the implications of these differences when diagnosing and treating patients. 

4. If you did not have an opportunity to evaluate a patient, you may select a related case study from a reputable source.

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(3). Assignment Practicum –

Journal Entry –  6 SEXUALLY TRANSMITTED INFECTION

(Breast Condition).

Reflect on a patient who presents with:

1. with a breast condition during your Practicum Experience. 

2. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. 

3. Then, explain your patient education strategies for patients with or at risk of breast conditions. 

4. Include a description of how you might teach patients to perform breast self-examinations. 

5. If you did not have an opportunity to evaluate a patient with this background during the last six weeks, you may select a related case study from a reputable source.

Instruction:

 There are 3 individual Journal Assignments here:

This Home Work is DUE on Monday. OCT. 9th.2017.

1. No plagiarism what so ever.

2. ALL work APA format.

3. A scholarly written work from a grad; preferably a NURSE.

4. Must address EACH number by paragraph.

5. Use 4 to 5 sources/reference on EACH journal; must be from reputable sources.

Here are some recommended sources use.

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/ SEXUALLY TRANSMITTED INFECTION

HIT Projects and Decision Makers

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A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system HIT Projects and Decision Makers.
 

Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project.
 

To prepare:

  • Bring      to mind a HIT project implemented in your organization. Which leaders      identified the project? Which stakeholders and decision makers helped      moved the project forward?
  • Consider      methods that were used to garner the support of stakeholders and decision      makers to move the project forward.

By tomorrow Wednesday 09/20/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward. (HIT stands for Health Information Technology, pick one that was implemented in the hospital. One project that comes to my mind is when my hospital upgraded their EHR system from MEDITECH to EPIC system).

2) Evaluate the impact of key decision makers on moving the HIT project forward.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

  • Chapter      17, “Disruptive Innovation: Point of Care”

This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.

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Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

  • “Standards      of Nursing Informatics Practice” (pp. 67-79)

This excerpt presents the specific measurement criteria found within each nursing informatics standard.

Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989. 

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9. 

Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Systems analysis. Baltimore, MD: Author.

Note: The approximate length of this media piece is 11 minutes.

The presenters in this week’s media presentation outline the stages involved when implementing a new technology system.

Optional Resources

Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (electronic Point-Of-Care Project) experience. Studies in Health Technology and Informatics, 129(Pt 2), 1088-1092. HIT Projects and Decision Makers

Applying Nursing Theory

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Instructions:

  1. Select one of the following scenarios related to a specific nursing. Think about what you would do in the scenario presented and post your ideas.
  2. Post two discussion questions based on the readings along with your answers.
  3. Read and then respond to at least two of your classmate’s postings.

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Theorist Scenario
Florence Nightengale Using Nightengale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing (working as an employee or student).Using Nightengale’s theory, evaluate the nursing interventions you have identified for an individual patient in your facility or practice.

OR

Your hospital patient is an 82 year-old woman. She does not have immediate family and has been living alone in her own home. Her hospitalization was unanticipated; it followed a visit to the emergency room for a burn on her lower leg. The patient has been hospitalized for 14 days. She pleads with you to allow her friend to bring her dog, a 16-year-old Scotty Terrier, to the hospital. She tells you that none of the other nurses have listened to her when she asked them about such a visit. Based on Nightingale’s model, and 13 cannon, what actions would you take for this patient?
Betty Neuman Martina is a middle-aged Hispanic woman who brings her family to a local free clinic to obtain medical care. She works part time in a restaurant for minimum wage. She lives in a small apartment with her daughter and four preschool children; her daughter speaks only very broken English. Martina’s medical diagnoses are hypertension, arthritis, and depression.

Use the Neuman System Model as a conceptual framework to respond to the following:Describe the family as a system.How does the dominant Anglo culture impact on  the family’s stability as a system?What stressors (actual and potential) threaten the family?What additional assessment data are needed related to Martina’s medical diagnoses?What additional assessment data are needed related to the family’s health status?How will cultural differences influence planning for prevention as intervention at primary, secondary, and tertiary levels?

OR
Imogene King Think about and write your personal definitions of environment, health, nursing, and person. (Do these sound familiar to you?). Compare your definitions with King’s definitions. How are they similar? How are they different? Are they more alike than different? If they are more alike, develop a plan to use King’s framework and theory more extensively in your paper (and practice).

OR

Does the philosophy of one of the agencies in which you have practiced encourage the involvement of the patients in their care? If so, does mutual goal setting occur? If not, what changes would you suggest to promote more active involvement of the patients in their own care?

Analyze an interaction  you have had with a patient. Were you able to achieve a transaction as King describes it? If so, think about what you did differently with this person? If not, think about the interaction and try to identify why the transaction was not achieved?
Hildegard Peplau During the therapeutic relationship, patients may distort their perceptions of others. Therefore they may relate to the nurse not on  the basis of the nurse’s realistic attributes, but wholly or chiefly on the basis of interpersonal relationships existing in their environment. With  the patient and nurse roles you have described above, discuss how these distorted perceptions may affect the patient’s care and the nurse-patient relationship.

OR

Considering the nurse-patient relationship created in question #1 above, discuss the phases and the changing roles that would be considered when working with this patient. Consider experiences in which you would 0r/and would not be able to accomplish the appropriate goals for each phase of the nurse-patient relationship.
Madeleine Leininger Discuss the usefulness of the Culture Care: Diversity and Universality Theory in the  21st Century to discover nursing knowledge and to provide culturally congruent care. Take into consideration the current trends of consumers of healthcare, cultural diversity factors, and changes in medical and nursing school curricula. Listed below are some examples of trends and changes you may want to consider in your discussion: The importance of transcultural nursing knowledge in an increasingly diverse worldAn increase of lay support groups to provide information and sharing of experiences and support for patients and/or families experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse and similar (common) cultures.Use of cultural values, beliefs, health practices, and research knowledge in undergraduate, alternative medicine, herbs, vitamins, minerals, and other over-the-counter medications, which demand a transcultural knowledge base.

Introduction to the Planning Process

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The nursing process provides a cornerstone for care. Engaging in assessment, diagnosis, planning, implementation, and evaluation helps to move the patient from his or her current state toward a desired outcome.

How does this correlate with the strategic planning process?

In this Discussion, you examine similarities and differences between the nursing process and strategic planning. You also consider why it is important for a nurse leader-manager to be familiar with the planning hierarchy and to apply business principles to promote strategic change at the organizational or systems level.

To prepare:

Review the information related to the nursing process and the strategic planning process addressed in Chapter 4 of the Sare and Ogilvie text and the other Learning Resources. Think about how the nursing process is similar to and different from the strategic planning process.

Reflect on the value of nurse leader-managers’ contributions to strategic planning, as discussed by Dr. Huston in this week’s media.

Using the Walden library, identify an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be familiar with the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

(Note: You may have read this in a previous course.)

This chapter describes the planning hierarchy and provides foundational information on strategic planning. As you read, think about distinctions between strategic and operational planning, as well as why a nurse leader-manager needs to be aware of and engaged in both.

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

“Introduction” (pp. xiii–xiv)

Chapter 1, “Why Nursing Needs Strategic Planning: Professional Empowerment in the New Millennium” (pp. 3–16)

Chapter 2, “The Healthcare Habitat: The Evolving Professional Home of Nursing” (pp. 17–40)

Chapter 3, “The Business That We Find Ourselves In” (pp. 41–53)

Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)

Chapter 1 sets the context for why strategic planning is important for nurses and introduces key terms, while Chapter 2 addresses the evolving landscape of healthcare. Chapter 3 explores the merging of nursing care and business, as well as developments leading up to the current business model of care. Chapter 4 examines the nursing process and strategic planning.

Carney, M. (2009). Enhancing the nurses’ role in healthcare delivery through strategic management: Recognizing its importance or not? Journal of Nursing Management, 17(6), 707–717.

Retrieved from the Walden Library databases.

The author examines the importance of strategic planning for nurse leader-managers and the extent to which nurses have adopted strategic planning into language and self-perception.

Fairholm, M. R., & Card, M. (2009). Perspectives of strategic thinking: From controlling chaos to embracing it. Journal of Management and Organization, 15(1), 17–30.

Retrieved from the Walden Library databases.

This article addresses strategic planning and strategic thinking,which can be used to fill the gaps of strategic planning.

 Lafley, A. G., Martin, R. L., Rivkin, J. W., & Siggelkow, N. (2012). Bringing science to the art of strategy: Leaders rarely succeed in marrying empirical vigor and creative thinking. Here’s how they could do better. Harvard Business Review, 90(9), 56–66.

Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/57319184/57319186/32e10ac6b49a087fb3f3b290416c5148

This article outlines how to blend creativity with a scientific method to succeed in strategic planning.

 Paul, J., Charles, T., & Davis, S. (2011). Plan for success. An effective planning cycle can reap big rewards. Marketing Health Services, 31(4), 13–15.

Retrieved from the Walden Library databases.

This article describes the planning process used by Geisinger Health System.

Peled, R., & Schenirer, J. (2009). Healthcare strategic planning as part of national and regional development in the Israeli Galilee: A case study of the planning process. Health Information Management Journal, 38(3), 43–50.

Retrieved from the Walden Library databases.

This case study demonstrates the application of three phases of strategic planning to optimally allocate scarce resources.

 American Nurses Association. (2012b). The nursing process. Retrieved from http://nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html

This item outlines the nursing process, which is a foundation for nurses in varying roles and different settings. The nursing process involves assessment, diagnosis, outcomes/planning, implementation, and evaluation.

 Authenticity Consulting. (n.d.a). All about strategic planning. Retrieved March 8, 2013, from http://managementhelp.org/strategicplanning/index.htm

View the description of strategic planning.

 Harvard Business Review. (2013). HBR blog network. Retrieved from http://blogs.hbr.org

Search for and read blog posts related to strategic planning.

 Healthy People 2020. (n.d.). Retrieved January 28, 2012, from http://healthypeople.gov/2020/default.aspx

View the information related to health care-related issues in the United States and consider their significance for strategic planning.

 Institute of Medicine of the National Academies. (n.d.).Retrieved January 28, 2012, fromhttp://www.iom.edu

Search this site for information related to the current health care environment and strategic planning.

 National Institute of Nursing Research. (2011). Bringing science to life: NINR strategic plan. Retrieved from http://www.ninr.nih.gov/AboutNINR/NINRMissionandStrategicPlan

Read the information related to strategic planning for the National Institute of Nursing Research.

 Society for Healthcare Strategy & Market Development. (n.d.). Retrieved January 28, 2012, from http:/www.shsmd.org/

Review the information on this website for information related to strategic planning.

Required Media

Laureate Education (Producer). (2013g). Skills of a nurse leader [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 7 minutes.

Dr. Carol Huston discusses why it is important for nurse leader-managers to become strategic planners regardless of their role within an organization and how they can develop the skills and disposition for proactive approaches to change rather than being reactive to change.

Accessible player  

Optional Resources

Lewis, B. E. (2011). Narrative medicine and healthcare reform. The Journal of Medical Humanities, 32(1), 9–20.

Retrieved from the Walden Library databases.

NURSING LEGACY FOR POSITIVE SOCIAL CHANGE

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During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community (state of Mississippi) and what your nursing legacy for positive social change will be.

To prepare:

  • Consider the health care issues and deficits you have recognized in your professional practice.
  • Identify a change needed in your community (state of Mississippi) in health care policy and discuss how you could impart change during your career as an NP.
  • Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

To complete:

Post 1-2 pages on:

A change needed in your community (state of Mississippi) and an explanation for how you will begin to implement that change.

Then, share with your colleagues a brief explanation of what your nursing legacy will be and how will you impart Social Change.

References

Buppert, C. (2015). Buppert, C. (2015). Lawmaking and Health Policy. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (423-436). Burlington, MA: Jones & Bartlett.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

National Conference of State Legislatures. (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

You may use other scholarly resources and websites as you see fit.  

Social Technologies in the Workplace

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As a nurse manager, it is imperative to understand how social technologies can impact productivity, peer-to-peer relationships, and patient safety within the workplace. Collaborating with HR to understand policies and the organization’s expectations related to the use of social technologies allows nurse managers to more effectively and appropriately integrate today’s social platforms while mitigating the occurrence of inappropriate behaviors.

For this week’s Discussion, your Instructor will assign you to one of the scenarios below. You will then use that scenario to investigate the social, ethical, and legal ramifications of social technologies.

Scenario One: You have recently been promoted to charge nurse for the day shift in your department. As a result of this promotion, your former peers are now reporting directly to you. You have been working in your setting for five years and consider many of these peers to be your friends. The way that one of your friends posts on social media sites has always bothered you. Many times, her comments are inappropriate, discussing her negative feelings about “ignorant superiors” and “annoying patients.” You also know that she frequently accesses these sites for extended periods of time while patients are waiting to be helped. Now that she reports directly to you, how do you address this? If your workplace does not have a formal policy on social media use, how can you adapt her behaviors to align with the expectations of nursing professionalism?

Scenario Two: It has been a little over a year since you accepted your nurse management position at a local pediatrics office. Since then, you have observed that many nurses seem uneasy when they work with one of your top physicians. You wonder why so many nurses are hesitant to work with such an experienced physician, particularly since most of your families rave about her dedication and caring nature toward their children. One day, while taking careful observation of your staff, you watch a nurse take out a patient chart and begin to text. The nurse becomes visibly upset as she sees you approach. When you question her about her behavior, she confides that the physician asks all nurses to text patient test results to her. The nurse admits that she feels uncomfortable sending private information via text message and only did so after multiple requests and increasing pressure from the physician. According to ethical and legal guidelines, who is at fault for this error in judgment? Since the nurse is the employee who sent the information, should action be taken against her, against the physician, or against both parties?

Scenario Three: A physician in your setting is an avid user of social media. On many of his personal pages, which include blogs about his various outdoor hobbies, he plasters pictures of himself and his friends out drinking. He also tends to post extreme comments about politics and the economy. Many in your setting joke with him about the intensity of his social life, to which he always comments, “Work hard, play hard.” Though his actions are not hurting the morale of the setting, and his posts are always before or after work hours, should anything be said to this physician? In the future, could your setting experience any ramifications because of his presence in social media?

Scenario Four: The environment in your critical care unit has always been somewhat hectic. However, over the last few months, the morale in your unit has noticeably deteriorated. You learn that nurses have begun to share mass e-mail chains complaining about unfair scheduling treatment. As the nurse manager, you have always tried your best to schedule staff fairly and even allow them to switch their shifts when personal problems arise. Since your effort to talk with staff individually does not seem to be working, you decide to hold a town hall meeting to openly discuss these issues. As you prepare the meeting announcement, you notice e-mails from your hospital administrator, chief operating officer and director of human resources. All are wondering why their inboxes have been inundated with e-mails from upset nurses in your unit. How do you respond to these e-mails? Furthermore, how should you address this situation to improve the morale of your unit?

To prepare

Review this week’s Learning Resources, focusing on the appropriate and inappropriate use of social technologies in the workplace.

Conduct further research on the social, ethical, and legal issues that result from inappropriate use of social technologies both inside and outside work hours.

For example, what laws protect the privacy and free speech of employees? How can workplaces legally safeguard themselves from various social technology issues such as defamation, misrepresentation, or misuse by individual employees? Of what legal ramifications, such as patient privacy and confidentiality laws, should managers be aware?

Reflect on the scenario to which you have been assigned.

How might employee use of social technologies impact the rest of the setting? How might it impact the care given to patients?

As the nursing manager who oversees the employee(s), what strategies (if any) would you employ to effectively address this situation?

Consider the social technology policies of your past or present workplace.

With regard to employee use of social media, do you believe the workplace policy is effective? Why or why not? As a nurse manager, could you use this policy to effectively address the behaviors in your assigned scenario?

Note: Before you submit your initial post, replace the subject line (“Week 11 Discussion”) with “Review of Case Study ___” identifying the number of the case study you were assigned.

Post an explanation of the possible social, ethical, and/or legal ramifications of your assigned scenario. Explain the policy your current or past workplace has on the use of social technologies and how effective you believe the policy is. If your workplace does not have a policy, explain what the accepted practices or expectations are for your setting. Has lack of policy led to any problems? Support your responses by referencing authentic examples from the workplace and this week’s Learning Resources as appropriate.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read a colleague’s posting, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Required Readings

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.

Chapter 7, “Coaching and Developing Others” (pp. 339–341)

Review the scripting model on these pages. In this chapter, Manion discusses motivation and explains how leaders can make the most of it through coaching. She explains the leader’s role, the coaching role, and the difference between coaching and being a coach.

Alichnie, C. (2012). Social media and nursing. Pennsylvania Nurse, 67(1), 3–10. 

Retrieved from the Walden Library databases.

This article discusses the use of social media in nursing. The author determines that social media can be a means to an end if it’s used wisely, professionally, and within legal and ethical boundaries.

Barrett, A., Piatek, C., Korber, S., & Padula, C. (2009). Lessons learned from a lateral violence and team-building intervention. Nursing Administration Quarterly, 33(4), 342–351. 

Retrieved from the Walden Library databases.

This study focuses on nurse interaction in relation to lateral violence. The authors conclude that the key to a cohesive work environment is a nurse leader who is able to drive and sustain change.

Barton, S. A., Alamri, M. S., Cella, D., Cherry, K. L., Curll, K., Hallman, B. D., et al. (2011). Dissolving clique behavior. Nursing Management, 42(8), 32–37. 

Retrieved from the Walden Library databases.

This article addresses clique behavior in health care settings. The argument is that the current economic climate encourages regression in health care workers.

Brinkert, R. (2010). A literature review of conflict communication causes, costs, benefits and interventions in nursing. Journal of Nursing Management, 18(2), 145–156. 

Retrieved from the Walden Library databases.

The author assesses the effects of conflict communication on nursing. The study concludes that conflict will always be a part of nursing but that it can be mitigated if nurse managers use employee-effective intervention methods.

Cronquist, R., & Spector, N. (2011). Nurses and social media: Regulatory concerns and guidelines. Journal of Nursing Regulation, 2(3), 37–40. 

Retrieved from the Walden Library databases.

Cronquist and Spector’s article provides nurses with social media guidelines. They also give the reader examples of what happens when social media is used outside of professional, legal, and ethical boundaries.

Greenlund, L. (2011). ED violence: Occupational hazard? Nursing Management, 42(7), 28–32. 

Retrieved from the Walden Library databases.

This article analyzes the effects of workplace violence on hospitals’ productivity. Because workplace violence can be costly, the author provides prevention methods.

Hader, R. (2009). Tweeting—not just for the birds. Nursing Management, 40(12), 6. 

Retrieved from the Walden Library databases.

This article focuses on what nurse leaders should do about social media in the workplace. New leadership challenges have risen because of this form of communication. Nurse leaders need to ensure that their employees are not violating a patient’s rights to privacy.

Issues & answers. Social media: Implications for nursing: Nursing Practice Statement NP 85. (2011). Ohio Nurses Review, 86(2), 6–7. 

Retrieved from the Walden Library databases

This article informs the reader about the laws and rules that apply to nursing and social media. The authors take a stance on the use of social media and list its benefits and drawbacks.

Kuhns, K. A. (2012). Social media and professional nursing: Friend or foe? Pennsylvania Nurse, 67(1), 4–8. 

Retrieved from the Walden Library databases.

Kuhn’s article introduces the reader to the many different types of social media and argues that there is more to social media than Facebook and Twitter. The article then goes on to discuss the pros and cons of the use of social media in the workplace.

Macleod, L. (2011). Avoiding “group think”: A manage’s challenge. Nursing Management, 42(10), 44–48. 

Retrieved from the Walden Library databases.

Macleod’s article focuses on the increasing costs of health care. He says that changes need to happen both within and outside of health care settings for this change to be sustainable.

Robinson, M.-A. (2012). Closing perspectives: Navigating the world of social media. Alberta RN, 67(6), 42. 

Retrieved from the Walden Library databases.

Robinson’s article addresses the hesitation that many organizations have with social networking. While there are professional benefits, there are also risks and new challenges.

Foundational Pioneers in Informatics

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The smartphone has become an increasingly valuable tool in the field of medicine. Because of the phone’s small size and powerful computing capabilities, doctors, nurses, and researchers use these smartphones in a wide range of areas.

For example, smartphones can be used as an electrocardiogram, to perform ultrasound procedures, to track patient progress, and as a decision support tool for generating diagnoses (Ozdalga, Ozdalga & Ahuja, 2012). Like most innovative technologies, the smartphone and its applications are a result of many years of incremental research and development.

In this Discussion, you focus on those who set the stage for the field of informatics today. By Day 1, your Instructor will assign you one of the pioneers in the field of informatics to research.

To prepare:

  • Read the articles listed in the Learning Resources for your assigned informatics pioneer.
  • Conduct research in the Walden Library or on the Internet to find additional works by or information about the individual.
  • Determine his or her area of interest and affiliations in the medical world.
  • Reflect on the contributions he or she made to the field of informatics. What most interests you? What most surprises you?
  • Consider how these contributions impact the field of informatics today.
  • Assess why it is important to be familiar with the foundational documents of nursing informatics.

Post a minimum of 550 words essay in APA format with a minimum of 3 scholarly references (See list provided below), which addresses the level one headings below:

1)      An overview of the individual to whom you were assigned, including his or her principal areas of interest and medical affiliations.

2)      Highlight the contributions this individual made to the field of informatics, and explain how these contributions impact the field of informatics today.

3)      Comment on the importance of being familiar with the foundational documents of nursing informatics.

Required Readings

    Kaplan, B., Brennan, P., Dowling, A., Friedman, C., & Peel, V. (2001). Towards an informatics research agenda: Key people and organizational issues. Journal of the American Medical Informatics Association, 8(3), 235–241.

 Retrieved from the Walden Library databases.

This article highlights key areas in the field of health informatics in which additional research needs to be conducted. The authors cite organizational and social trends, and they suggest questions that need to be addressed in these areas.

Pioneers in Informatics

Harriet Werley

    Werley, H. H., Devine, E. C., & Zorn, C. R. (1988). Nursing needs its own minimum data set. The American Journal of Nursing, 88(12), 1651–1653.

 Copyright 1988 by Lippincott Williams and Wilkins, Inc. Reprinted by permission of Lippincott Williams and Wilkins, Inc. via the Copyright Clearance Center.

In this article, Werley, Devine, and Zorn describe their development of the nursing minimum data set (NMDS). They also discuss how the NMDS was used and why it was important.

    Werley, H. H., Devine, E. C., Zorn, C. R., Ryan, P., & Westra, B. L. (1991). The nursing minimum data set: Abstraction tool for standardized, comparable, essential data. American Journal of Public Health, 81(4), 421–426.

Retrieved from the Walden Library databases.

In this article from 1991, the authors explain their usage of the nursing minimum data set to standardize collections of nursing data. The authors explore the importance of standardizing nursing data, as well as these data’s availability, reliability, and benefits at that time.

    Hobbs, J. (2011). Political dreams, practical boundaries: The case of the Nursing Minimum Data Set, 1983–1990. Nursing History Review: Official Journal of the American Association for The History of Nursing, 19, 127–155.

    Retrieved from the Walden Library databases.

 This article explores the development of the Nursing Minimum Data set (NMDS). The article details the contentious process that Harriet Werley utilized to identify information used in the NMDS.

    Werley, H. (1972). Research in nursing as input to educational programs. Journal of Nursing Education, 11(4), 29-38.

Retrieved from the Walden Library databases.

In this article, Harriet Werley describes the relationship between nursing research and nursing education programs. Werley cites numerous studies that emphasize the need for additional nursing research and its integration into practice and curricula.

Robert Ledley and Lee B. Lusted

    Ledley, R. S., & Lusted, L. B. (1959). Reasoning foundations of medical diagnosis. Science, New Series, 130(3366), 9–21.

  Copyright 1959 by American Association for the Advancement of Science. Reprinted by permission of American Association for the Advancement of Science via the Copyright Clearance Center.

This seminal article explores the research, observation, and risk involved in diagnosing a patient in 1959. The authors discuss the reasoning foundations behind how physicians made a medical diagnosis in their era.

    Ledley, R. S. (1964). High-speed automatic analysis of biomedical pictures. Science, New Series, 146(3641), 216–223.

 Copyright 1964 by American Association for the Advancement of Science. Reprinted by permission of American Association for the Advancement of Science via the Copyright Clearance Center.

 The authors of this article describe contemporary technologies in the nursing field of 1964. In particular, they focus on the high-speed automatic analysis of biomedical pictures.

    Ledley, R. (2004). Editorial for computerized medical imaging and graphics. Computerized Medical Imaging and Graphics, 28(1–2), 1.

   Retrieved from the Walden Library databases.

This article explains how advances in medical imaging technology have drastically changed patient care. The author also defines and explains different types of medical imaging and graphics.

    Ledley, R. S., & Lusted, L. B. (1960). The use of electronic computers in medical data processing: Aids in diagnosis, current information retrieval, and medical record keeping. IRE Transaction on Medical Electronics, ME-7(1), 31–47.

    Retrieved from the Walden Library databases.

  In this article, the authors discuss the use of computers in medical data processing in 1960. The article explains how computers changed the abilities of physicians to make educated diagnoses and keep medical records.

  Ledley, R. S. (1987). Medical informatics: A personal view of sowing the seeds. Proceedings of ACM Conference on History of Medical Informatics, 1987, 31–41.

  Retrieved from the Walden Library databases.

This 1987 article describes a personal view of medical informatics. The author relays personal experiences with early medical informatics systems.

MUMPS (Massachusetts General Hospital Utility Multi-Programming System) in Octo Barnett’s Laboratory of Computer Science, Neil Pappalardo, Curtis Marble, and Robert Greenes

    Ashenhurst, R. L., McIlroy, M. D., Gawlick, H. J., Daley, L. R., Fournier, A., Cohen, D., & … Rule, J. B. (1990). ACM Forum. Communications of the ACM, 33(5), 479–482.

Retrieved from the Walden Library databases.

    This article includes numerous letters to the editor of Association of Computing Machinery’s (ACM) journal. The letters discuss numerous issues that were prevalent in computing and informatics at the time of publication.

    Barnett, G. O. (1987). History of the development of medical information systems at the Laboratory of Computer Science at Massachusetts General Hospital. Proceedings of ACM Conference on History of Medical Informatics, 1987, 43–49.

    Retrieved from the Walden Library databases.

  In this article, the author explores the history of the development of medical information systems at the laboratory of computer science at the Massachusetts General Hospital. The author describes the importance of different medical information systems and how they were utilized at this particular hospital.

    Dezelic, G. (2007). A short review of medical informatics history. Acta Informatica Medica, 15(1), 43–48.

Retrieved from the Walden Library databases.

This article provides a summary of the history of medical informatics. The author describes key medical informatics pioneers and systems.

    Lincoln, T. L. (1987). An historical perspective on clinical laboratory information systems. Proceedings of ACM Conference on History of Medical Informatics, 1987, 117–121.

  Retrieved from the Walden Library databases.

  The author of this article discusses some of the medical information systems in use in 1987.This article provides a historical perspective on clinical laboratory information systems and how they have evolved over time.

    Waxman, B. D. (1987). Planting the seeds. Proceedings of ACM Conference on History of Medical Informatics, 1987, 27–29.

    Retrieved from the Walden Library databases.

This article describes the history of informatics prior to 1987. The author discusses the information gathered at the proceedings of the ACM conference and who “planted the seeds” of medical information systems.

Morris Collen

    Collen, M. F. (1966). Periodic health examinations using an automated multitest laboratory. JAMA: Journal of the American Medical Association, 195(10), 830–833.

  Copyright 1966 by American Medical Association.  Reprinted by permission of American Medical Association via the Copyright Clearance Center.

This article explains how automated multitest laboratories changed the way basic health examinations are performed. The article gives a brief history of health examinations, the importance of automated multitest laboratories, and the equipment used.

    Collen, M. F., Rubin, L., Neyman, J., Dantzig, G. B., Baer, R. M., & Siegelaub, A. B. (1964). Automated multiphasic screening and diagnosis. American Journal of Public Health and the Nations Health, 54(5), 741–750.

 Copyright 1964 by American Public Health Association. Reprinted by permission of American Public Health Association via the Copyright Clearance Center.

The authors of this article provide a brief description of the current state of quantitative testing in their era. In particular, they explore the use of multiphasic screening and diagnosis at that time, and its contribution to the medical field.

    Oakes, T., Syme, S., Feldman, R., Friedman, G., Siegelaub, A., & Collen, M. (1973). Social factors in newly discovered elevated blood pressure. Journal of Health And Social Behavior, 14(3), 198–204.

    Retrieved from the Walden Library databases.

    This article explores a study that sought to determine the social factors associated with newly discovered high blood pressure. The study demonstrates how automated multiphasic health testing can effectively gather information.

Homer R. Warner

    Clayton, P. D. (1995). Presentation of the Morris F. Collen Award to Homer R. Warner, MD, PhD: “Why not? Let’s do it!” Journal of the American Medical Informatics Association, 2(2), 137–142.

    Retrieved from the Walden Library databases.

This article outlines the story of Homer Warner and his contribution to the field of medical information systems. The author describes how Dr. Warner used mathematical techniques to make technological advancements in the field of cardiology.

    Warner, H. R. (1995). Viewpoint: Medical informatics: A real discipline? Journal of the American Medical Informatics Association, 2(4), 207–214.

    Retrieved from the Walden Library databases.

 In this article, Dr. Warner, a pioneer of medical informatics, states his views on medical informatics and how they are a necessary discipline in the medical field. Warner also discusses the history, importance, and usage of medical informatics.

    Warner, H. R. (1959). The use of an analog computer for analysis of control mechanisms in the circulation. Proceedings of the IRE, 47(11), 1913–1916.

    Retrieved from the Walden Library databases.

    In this 1959 article, Dr. Warner discusses the use of an analog computer for analyzing the control mechanisms in the circulation system. Dr. Warner uses examples as well as history to show how an analog computer has contributed to the field of cardiology in his practice.

    Warner, H. R. (2001). Good isn’t enough. Health Management Technology, 22(6), 30–31.

    Retrieved from the Walden Library databases.

In this article, Homer Warner examines natural language processing (NLP) technology. Warner identifies numerous areas where NLP may be applied, and he also provides predictions for its development.

    Warner, H. R. (1966). The role of computers in medical research. JAMA: Journal of the American Medical Association, 196(11), 944–949.

  Copyright 1966 by American Medical Association. Reprinted by permission of American Medical Association via the Copyright Clearance Center.

This 1966 article explores the potential uses of computers in medical research. The author describes how computers had changed the field of medical research at the time of the article’s publication.

Edward Shortliffe

    Hickam, D. H., Shortliffe, E. H., Bischoff, M. B., Scott, A. C., & Jacobs, C. D. (1985). The treatment advice of a computer-based cancer chemotherapy protocol advisor. Annals of Internal Medicine, Part 1, 103(6), 928–936.

    Retrieved from the Walden Library databases.

The authors of this article describe their use for ONCOCIN as a computer-based cancer chemotherapy protocol advisor. The article specifies how ONCOCIN combined formal guidelines with judgments of oncologists to determine the best route of therapy for certain cases.

    Shortliffe, E. H., Tang, P. C., & Deimer, D. E. (1991). Patient records and computers. Annals of Internal Medicine,115(12), 979–981.

    Retrieved from the Walden Library databases.

  This article explores improvements in clinical information-management systems using the computer technology of the early 1990s. The authors stress their concerns surrounding the use of technology to solve the problems of paper records.

    Shortliffe, E. H. (1998). Health care and the next generation Internet. Annals of Internal Medicine,129(2), 138–140.

    Retrieved from the Walden Library databases.

 In this article, the author anticipates the future of health care from a 1998 perspective. The article focuses on the potential impacts of the next version of the Internet in health care.

    Shortliffe, E. H. (2005). Strategic action in health information technology: Why the obvious has taken so long. Health Affairs, 24(5), 1222–1233.

  Retrieved from the Walden Library databases.

     This article describes the gradual advance toward implementations of health information technology. The author examines the challenges and the opportunities that the field of health information technology faced prior to the article’s publication.

    Tu, S. W., Kahn, M. G., Musen, M. A., Ferguson, J., Shortliffe, E., & Fagan, L. M. (1989). Episodic skeletal-plan refinement based on temporal data. Communications of the ACM, 32(12), 1439–1455.

    Retrieved from the Walden Library databases.

     This article describes a medical expert system (ONCOCIN) used in the late 1980s to create skeletal-planning techniques. The authors explain how this system proved to be innovative and beneficial to the health care field at that time.

Dr. Warner Slack

    Hicks, G. P., Gieschen, M. M., Slack, W. V., & Larson, F. C. (1966). Routine use of a small digital computer in the clinical laboratory. JAMA: Journal of the American Medical Association, 196(11), 973–978.

    Copyright 1966 by American Medical Association. Reprinted by permission of American Medical Association via the Copyright Clearance Center.

 The authors of this article describe the use of a small digital computer in an early clinical computer laboratory. The authors examine the benefits and drawbacks of using those digital computers in a clinical laboratory.

    Slack, W. V., & Van Cura, L. J. (1968). Patient reaction to computer-based medical interviewing. Computers and Biomedical Research, 1(5), 527–531.

    Copyright 1968 by Elsevier Science and Technology. Reprinted by permission of Elsevier Science and Technology via the Copyright Clearance Center.

 In this article, the authors discuss patients’ reactions to computer-based medical interviewing. They also theorize how patients may have thought and felt about computer-based medical technology.

    Fisher, L. A., Johnson, T., Porter, D., Bleich, H. L., & Slack, W. V. (1977). Collection of a clean voided urine specimen: A comparison among spoken, written, and computer-based Instructions.American Journal of Public Health, 67(7), 640.

    Retrieved from the Walden Library databases.

The authors of this article describe a study that sought to determine the effectiveness of different methods of instructing patients on how to collect a urine specimen. The article has a significant focus on the effects of computer-based instructions.

    Safran, C. (2002). Presentation of Morris F. Collen Award to Professors Howard Bleich and Warner Slack. Journal of the American Medical Informatics Association, 9(4), 406–408.

Retrieved from the Walden Library databases.

   This article describes the conferral of the Morris F. Collen award to Howard Bleich and Warner Slack. The article also provides an overview of the doctors’ accomplishments in the medical field.

    Safran, C., & Rind, D. M. (1995). Guidelines for management of HIV infection with computer-based patient’s record. Lancet, 346(8971), 341.

    Retrieved from the Walden Library databases.

 This article describes a trial of an electronic medical record (EMR) system that provides electronic messages to help reinforce adherence to clinical practice guidelines. The article presents findings on the effects of the EMR’s alert messages.

Ed Hammond

    Hammond, W. E. (2008). eHealth interoperability. Studies in Health Technology and Informatics,134, 245–253.

    Retrieved from the Walden Library databases.

This article explores the concept of interoperability between health information technology systems. The author outlines different types of interoperability and describes their importance.

    Hammond, W. E., Stead, W. W., Feagin, S. J., Brantley, B. A., & Straube, M. J. (1977). Data base management system for ambulatory care. In Proceedings of the Annual Symposium on Computer Application in Medical Care, (p. 173). American Medical Informatics Association. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464520/pdf/procascamc00015-0181.

 This article describes a database management system (DBMS) used for ambulatory care. The authors explain the benefits and uses of DBMSs for this type of care.

    Hammond, W. E., II, Stead, W. W., Straube, M. J., & Hammond, W. E., III. (1983). Adapting to the day to day growth of TMR. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 101). American Medical Informatics Association.

    Copyright 1983 by IEEE.  Reprinted by permission of IEEE via the Copyright Clearance Center.

This article describes computer applications in medical care and computer systems in hospitals. The authors also explore the connection between medical records and quality assurance.

    Stead, W. W., & Hammond, W. E. (1987). Demand-oriented medical records: Toward a physician work station. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 275). American Medical Informatics Association.

    Copyright 1987 by Institute of Electrical and Electronics Engineers.  Reprinted by permission of Institute of Electrical and Electronics Engineers via the Copyright Clearance Center.

This article provides a brief overview of the use of computer-based medical records at the time of publication. The authors also focus on using demand-oriented medical records at a physician workstation.

    Stead, W. W., & Hammond, W. E. (1980). How to realize labor savings with a computerized medical record. In Proceedings of the Annual Symposium on Computer Application in Medical Care, 2 (p. 1200). American Medical Informatics Association.

 In this article, the authors discuss concerns about computerized medical record systems increasing the cost of labor. The authors also examine how medical record systems may actually reduce labor costs.

Clem McDonald

    McDonald, C. J., & Tierney, W. M. (1986). The Medical Gopher—A microcomputer system to help find, organize and decide about patient data. Western Journal of Medicine, 145(6), 823–829.

Copyright 1986 by BMJ Publishing Group Ltd. Reprinted by permission of BMJ Publishing Group Ltd. via the Copyright Clearance Center.

    The authors of this article describe the purpose and uses of the Medical Gopher. The Media Gopher is a computer system that helps find, organize, and provide decision support based on stored patient data.

    McDonald, C. J., Hui, S. L., Smith, D. M., Tierney, W. M., Cohen, S. J., Weinberger, M., & McCabe, G. P. (1984). Reminders to physicians from an introspective computer medical record. Annals Of Internal Medicine, 100(1), 130.

 Retrieved from the Walden Library databases.

 This article details the effects of a computerized medical record that provides reminder messages to physicians. The authors provide recommendations for similar systems in the future.

    McDonald, C. J., & Hammond, W. E. (1989). Standard formats for electronic transfer of clinical data. Annals of Internal Medicine, 110(5), 333–335.

 Retrieved from the Walden Library databases.

The authors of this article stress the need for standardizing the way clinical systems transmit data, and they describe some early attempts to create clinical data transmission standards.

    McDonald, C. J., Murray, R., Jeris, D., Bhargava, B., Seeger, J., & Blevins, L. (1977). A computer-based record and clinical monitoring system for ambulatory care. American Journal of Public Health, 67(3), 240–245.

Retrieved from the Walden Library databases.

This article provides an overview of the Regenstrief Medical Record system, which was first implemented in 1973. The authors explain how the record system presents a pioneering approach to storing medical records electronically.

    Wilson, G. A., McDonald, C. J., & McCabe, G. P., Jr. (1982). The effect of immediate access to a computerized medical record on physician test ordering: A controlled clinical trial in the emergency room. American Journal of Public Health, 72(7), 698–702.

    Retrieved from the Walden Library databases.

    In this article, the authors describe the results of a controlled clinical trial that tested how the availability of patient computerized medical record summaries affected the rates at which physicians ordered additional testing. No significant decrease or increase in the number of tests ordered was found to have occurred.

Optional Websites

    HIMSS. (2013). Retrieved February 21, 2013, from http://www.himss.org

    ANIA. (n.d.). Retrieved February 21, 2013, from https://www.ania.org