NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice For support with “NURS FPX 6410 Assessment 3: Exploration of Regulations and Implications for Practice, Impacts of Regulatory Constraints

It is important to keep the regulatory considerations in mind when delivering care and a professional nurse would be someone who efficiently complies with the policies developed at any level be it national, facility, or state. One such regulatory consideration is by the Agency for Healthcare Research and Quality (AHRQ). The regulatory considerations are to successfully implement EHR by accepting and adapting to it with enthusiasm. And no amount of training should be underestimated to help the staff switch to EHR (Electronic Health Records, n.d.). The right expertise is necessary for the implementation of EHR and there should be less paper consumption, improved compliance with the joint commission, and a secure and strong network should be established.

Another regulatory consideration is the standard of practice laid out by HIPAA to ensure the confidentiality of the data being stored in EHR. The data stored should be encrypted, and password-protected, and should only have access from authorized users. Confidentiality should be maintained as this data is sensitive and any security breach can lead to the patients being exploited which is unethical (Rosenbloom et al., 2019). The governmental bodies as well as the non-governmental ones are promoting the spaces of health informatics to promote the safety of patients by guiding the nurses.

Structure of Ethical & Legal Practices

There are structures of ethical and legal practices that need to be considered when using the science of informatics which in this case is EHR. Some of the major ethical concerns with the use of EHR is confidentiality as with poor security, there can be threats to the extremely sensitive privacy of data. With a lack of training or awareness, the use of EHR can rather be time-consuming for nurses. There can be ethical challenges if a third party gets too interested in the data stored in this technology. There needs to be proper compliance with policies and structure of protection.

The ethical implications that need to be considered are the presence of justification for the data being stored and determining who has access to these data (Jacquemard et al., 2021). The implementation of EHR is also something that needs to be carefully considered as it needs a large number of funds, engagement, and education to successfully implement it. There can be concerns with the accuracy or reliability of the data being stored in the EHR.

The legal implications of the use of EHR should also be considered are the availability of audits within the system to ensure there is no elimination or change in information when it is being entered such as age or gender. The legal challenges that can be associated with EHR are the breach of privacy, any errors in the data, or the deletion of any information that may be important (Balestra, 2017). Integrity must be maintained to document complete information without any late entries and ignorance of the alerts or recommendations made by the EHR. Nursing informatics must be aware of the ethical and legal components to protect the patient’s data and must follow the code of ethics.

Stakeholders

Stakeholders are the important members that need to be involved throughout the process to ensure that the implementation and use of technology are up to the mark. There needs to be efficient communication with the stakeholders through meetings and presentations to allow for efficient transmission of data. They need to stay informed and engaged to solve any issue and maintain the confidentiality of the patients. The stakeholders that will be involved in this project will be nurses, nurse informatics, IT auditors, doctors, hospital board members, and the billing team. Nurse informatics would make room for innovation and can take initiatives based on the gaps that have been recognized in health care specifically in medication errors.

Nurses and doctors would be working closely with the patients so their input in the design and implementation as stakeholders would be highly necessary. The billing team will make sure that the system is being integrated with the billing plans of the organizations effectively, IT auditors will ensure that patients’ security has no weak point of breaches and all the standards are being followed, and the board members will make the most important decisions related to the finances and operating system of the EHR.

The stakeholders like nurses and doctors must be educated on the EHR to make sure its use is safe and efficient. The healthcare workers and nurse informatics must be able to document any errors that take place and should be able to evaluate any clinical gaps in the data.