General healthcare technology trends related to data/information have changed since I was an LPN in 2006. I worked in a nursing home and all our MARS were handwritten and then they went to printed, and we just had to fill in the new medications that the patients were on. For example, the antibiotics or fluids or breathing treatments. We had to fill out the care plans and update weekly.

Now everything has changed to an electronic health record (EHR) which is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users (HealthIT.gov. (2018c).

The EHR standards are evolving and barriers to adopt remain, the collective work has a positive momentum that will benefit clinicians and patients alike. The four most common benefits for EHR are  (1) increased delivery of guidelines-based care, (2) enhanced capacity to perform surveillance and monitoring for disease conditions, (3) reduction in medication errors, and (4) decreased use of care (McGonigle, D., & Mastrian, K.G (2017).

One Challenge is there is yet no EHR system available that can provide all functions for all specialties to such a degree that all clinicians would successfully adopt it. Some EHR s do a good job of supporting the work of nursing staff and physicians but are not as supportive of the work of clinicians such as dieticians, physical and occupational therapists, and other healthcare personnel (McGonigle, D., & Mastrian, K.G (2017).

The Healthcare technology trend that I believe is the most promising for impacting healthcare technology in nursing practice is Telemedicine, due to COVID-19 evolution in telemedicine is one of the biggest sources of rapid change in the US healthcare system. Telemedicine is improving diagnosing and treatment by making it easier for patients to get access to specialists, too. The availability of electronic records has also made it simpler to forward documents to specialist (MobiDev, 30 Apr. 2020).

References

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)

MobiDev, 30 Apr. 2020, “8 Healthcare Technology Trends to Watch in 2020.”  mobidev.biz/blog/technology-trends-healthcare-digital-transformatio

Using the South University Online Library or the Internet, research about power sources for a nurse leader. Based on your understanding, answer the following questions:

1. In your opinion, what are the three most important power sources for a nurse leader? Why?
2. How are they best used in a leadership role? Describe.
3. What sources of power do you see most often displayed in your work environment? Why?

This discussion will allow you to examine several different preventive guidelines related to vaccinations. Please read the following  scenario and for your initial post; be sure to address all the questions posed by the scenario and include at least three scholarly sources within your initial post.

1. Patient #1: Two five-year-old girls are on your schedule for a kindergarten physical. The foster parent of one of the children indicates she received all her immunization from birth to one year of age, but after that the child has not had any further vaccines. The second child appears to have been vaccinated per the CDC schedule.
   •  Is there a difference in the immunization plan you will initiate today for these two patients? Why or why not?
   • What immunizations will you be ordering for each of these two patients today?

• RUBRIC

Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100 

Research Critique Paper

The purpose of this assignment is to demonstrate your ability to evaluate one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Writing a critical review of a journal article can help to improve your writing and analytical skills. By assessing the work of others, you develop skills as a critical reader and become familiar with the types of evaluation criteria necessary to translating the evidence to practice. 

Instructions: 

1. Write a 2 pages assignment. 
2. Choose a primary nursing research article of interest from a refereed nursing journal. Attach a copy of the article.
3. Begin your critique by identifying the: 
   • article’s title
   • author(s)
   • date of publication
   • name of the journal or other publication in which it appeared
   • Where and when was the article published? 
   • In your introduction, you should also briefly describe the purpose and nature of the study and, if applicable, its theoretical framework. 
   • If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared. 
4. If you are reviewing a research study, organize the body of your critique according to the paper’s structure. Start with a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example: 
   1. How does the method reflect other studies of the same topic? (sample, data collection, setting). 
   2. What makes this method feasible? 
   3. How realistic is it? How does the method address questions of validity? 
   4. How does the researcher overcome the limitations of the method? 
   5. Are there large limitations or minor ones? 
   6. How will these limitations affect your ability to use this data to answer your research question? 
5. Describe the results by answering:
   1. How were the results interpreted? 
   2. How were they related to the original problem (author’s view of evidence rather than objective findings)? 
   3. Look at DISCUSSION. Were the author(s) able to answer the question (test the hypothesis) raised? 
   4. Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique? 
   5. How was the significance of the work described? 
   6. Did the reported observations/interpretations support or refute observations or interpretations made by other researchers? 
6. Describe the significance of the research by answering:
   1. Did the research make a significant contribution to human knowledge? 
   2. Did the research produce any practical applications? 
   3. What are the nursing implications of this research? 
   4. How do you evaluate the significance of the research? 
7. Utilize at least 5 cited sources to substantiate your findings or critique. 
   • Follow APA style rules.
8. Visit the following website for suggested guidelines:
   • American Nurses Association “Reading and Critiquing a Research Article”
   • The “John Hopkins Nursing Evidence Practice”
   • Articles must be based in USA 
   • Please review attachment. 

How do you envision yourself as a Agent of Change?

1. Before you answer the question above, consider the various roles we have already studied, the population that you serve, your area of expertise in your practice, and your own unique talents.
2. Your response should be 50 – 100 words.