Discuss  and provide 2 specific ways Early Conceptualization About Nursing Theory can be applied to advanced practice nursing. Identify one MSN Essential that most relates to this particular topic.

*Under the Class Resources tab, students will find the MSN Essentials which help to guide and shape graduate nursing education. Select 1 of these essentials that most closely reflect the concepts of this theory.*

All discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  Please be sure to cite your reference(s) in APA format, at the end of your posting.

 

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emerging health-care environment. You need to predict the future based on present evidence.

The E-Poster needs to include the following:

1. Introduction

2. Statement of the issue

3. Evidence supporting the issue

4. Prediction of the future role of the nurse

5. Conclusion

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

  

Unit 2 Assignment: EHR Certification & Release of Information

Course outcome addressed in this Assignment:

· HI510-1: Given access to a health information system, evaluate whether it meets Meaningful Use, including goals, components, criteria, certification, attestation, and MU program outcomes.

Description:

The field of health information is subject to many laws, regulations, requirements, and standards. The interaction between regulation and health influences the daily operations of healthcare providers. Sharing data between two separate organizations can be a delicate balance between the patient and organizations. Knowing the regulations that govern health information and the release of information is imperative. Failing to adhere to and think about the rules and regulations when forming decisions and policy can expose the organization and provider to unwarranted risk. In this Assignment, you will review select two EMR systems and review them for compliance with Meaningful Use and EMR certification requirements. You will also review release of information requirements.

Instructions:

Select two EMR systems from the list below.

· OpenMRS
https://openmrs.org

· VistA
http://worldvista.org/AboutVistA

· FreeMED
http://freemedsoftware.org/

· OpenEMR
https://www.open-emr.org/

· One Touch EMR
https://www.onetouchemr.com/

· Solismed
https://www.solismed.com/demo.html

Assignment Requirements

Create a 5–6-page document that addresses the following:

1. Provide an introduction of the two systems that have been selected for comparison. In your comparison discuss the features offered by each system.

2. Discuss meaningful use (MU) and its phases.

3. Do the systems that you have selected meet MU requirements? Discuss whether the system is compliant with MU program outcomes and certification including:

1.  

· Goals, components, criteria, certification, and MU program outcomes.

· Medicare MU program requirements

· Medicaid MU program requirements

4. Discuss how MU has improved data quality.

5. Discuss release of medical information and how MU law applies.

Conduct research to answer the discussion points and questions and be sure to fully describe and support your answers and cite sources when necessary. This is a fact-based Assignment that should not include unsupported opinion.

  

 

Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper: Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one. Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper. Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.  

Your paper should be 4-5 pages.

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

 Bioethical Decision Making Model 1. Define the dilemma: Use your own words to describe the problem. State it in a way that others can quickly understand your dilemma. Review 2. Identify the medical facts: Describe the facts that are relevant to the dilemma. 3. Remember that the diagnosis and prognosis are medical facts. 4. Identify the non-medical facts (patient and family, external influences): a. Patient and family facts such as culture, religion, social, economic, the existence of an Advance Healthcare Directive, verbal preferences made by the patient, how the patient lived his/her life. b. Those that you discuss should be relevant to the situation. 5. External influences include: organizational policies, federal and state laws, practice acts, code of ethics. These should be relevant to the situation. 6. For both step 2 or 3, separate the facts from the assumptions: Sometimes all healthcare professionals allow assumptions to guide their decision-making. These must be identified so that these assumptions do not interfere with the process. 7. Identify items that need clarification. Your paper should identify facts that you need to clarify. When initially discussing an ethical situation, it is not unusual to not have all of the answers. 8. Identify the decision makers: Is the patient an adult competent to make their own choices? Is the patient a child who is old enough to have a say in the decision. If the patient cannot make their own decision, who is the decision maker? How was this person selected? 9. Review the underlying ethical principles: Review which ones and why they apply t this particular case: beneficence, nonmaleficience, veracity, fidelity, autonomy and justice. 10. Define alternatives: One-Way to proceed may be apparent at this point. However, sometimes there are different choices. They should be addressed identifying the benefits and burdens for doing one thing versus the other. 11. Follow-up: Define the process to be used with the chosen alternative. Reference Source: Levine-Ariff, J. & Groh, D.H. (1990). Creating an Ethical Environment. Nurse m  

 

 1.Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

 

2.Describe two external stressors that are unique to adolescents. Discuss what risk-taking behaviors may result from the external stressors and what support or coping mechanism can be introduced.