NRSG 311 Unit 2 Discussion Board
NRSG 311 Unit 2 Discussion Board
Situation
Electronic health records present various ethical challenges regarding access and responsible use of patient data. In one particular situation, it came to my attention that a nurse was using patient information from the EHR on social media. The nurse was using the information for patient education and awareness to the public. However, she used the information without hiding identifiable patient information (McBride et al., 2018). According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), providing patient health information without consent from the patient is a violation (HIPAA Journal, 2022). Additionally, HIPAA requires that healthcare providers use health information anonymously, eliminating any elements that might identify the patient.
Describe the ethical dilemma.
The ethical dilemma in this situation was protecting the nurse by not reporting her versus protecting patients’ privacy and confidentiality. HIPAA violations are serious and can result in loss of license (Edemekong et al., 2022).
Describe what you did and your rationale for your action(s).
While I would not have wished to see my colleague lose her license, protecting a patient’s privacy and confidentiality overrides any optional decision (McBride et al., 2018). I reported the matter to the nurse administrator. My rationale was based on doing what is in the patient’s best interest. Since the nurse was a novice with limited knowledge and experience on regulations applying to the use of patient information, the nurse administrator let her off with a warning. She had only made one post and was asked to pull it down. Also, the nurse was trained with other staff members on relevant regulations safeguarding access, use, and sharing of patient information and other issues concerning patient privacy and confidentiality.
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Other team members
The situation did not involve other healthcare team members.
NRSG 311 Unit 2 Discussion Board References
Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2022). Health Insurance Portability and Accountability Act. Treasure Island (FL): StatPearls Publishing.
HIPAA Journal . (2022). HIPAA Social Media Rules. HIPAA Journal .
McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and Addressing Ethical Issues with Use of Electronic Health Records. OJIN: The Online Journal of Issues in Nursing , 23(1), Manuscript 5.
Assignment Details
Assignment Description
Primary Discussion Response is due by Thursday (11:59:59pm Central), Peer Responses are due by Saturday (11:59:59pm Central).
Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your
thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.
You are explaining to new staff nurses that they have to ensure patient privacy and confidentiality when using patient information from the healthcare information system. For this assignment, address the following:
- Describe a situation in which you have had to make an ethical decision or invoke a regulation when deciding how to ensure patient privacy and confidentiality in the use of information from an information system in a healthcare setting.
- Describe the ethical dilemma.
- Describe what you did and your rationale for your action(s).
- Did the situation involve others from the healthcare team (e.g., physician, aide, therapists, and so on), and how did your decision and action affect the others on the team?
Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following question:
- Do you agree with the person’s actions and rationale? Why or why not?
NRSG 311 Unit 2 Discussion Board Rubric
The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This Discussion Board Grading Rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric
For assistance with your assignment, please use your text, Web resources, and all course materials.
| Discussion Board Rubric | |||
| Expectation | Weight | % Score Earned | Comments |
| Support From Literature: Support from current literature (less than 5 years old) is present and includes a minimum of one scholarly in-text citation and matching reference for each topic. | 20% | 20% | |
| Application of Course Knowledge: Post contributes unique perspectives or insights gleaned from personal experience or examples from healthcare field. | 30% | 30% | |
| Organization: Post presents information in logical, meaningful, and understandable sequence, clearly relevant to discussion topic. | 20% | 20% | |
| Interactive Dialogue: Responds substantively to two posts from student peers that are topic-related. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion. | 20% | 20% | |
| Grammar, Syntax, APA: APA format, grammar, spelling, and/or punctuation are accurate or with no errors. | 10% | 10% | |
| Total Percentage | 100% | 100% | |
| Possible Points | 50 | ||
| Points Earned | 50 | ||