Part 2 Report on your experiences during the second 2 hours of your practicum. Who did you meet with? What did you learn from them? Comment on the evidence-based practice (EBP) documents or websites you reviewed. What did you learn from that review? Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual. Did your plan to address the problem change based on your experiences? What surprised you or was particularly interesting to you, and why? Capella Academic Portal

State Board Nursing Practice Standards and Governmental Policies on Use of Health Care Technology, Care Coordination, and Community Resources

My actions when applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individuals during the management of heart disease will be guided by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The HIPPA provides standards for covered entities to protect personal patient information (CDC, 2022). It allows the use of telemedicine to provide care services. I will ensure that the technologies I use comply with the HIPAA Privacy Rule.

Policies such as HIPAA and the NPA determine my scope of practice and how I can use technology in care delivery. As a BSN-prepared nurse, I have an extended scope of practice to directly manage patients through diagnosis, prescription and administration of medications, and developing care plans and interventions. I have also been adequately trained and possess the skills to utilize mobile apps and telemedicine technologies to deliver care in compliance with the HIPAA Privacy Rule. Finally, as I deliver care to Black American heart disease patients, I will observe the ethical principles that guide nursing actions to ensure that I maintain patient autonomy, privacy and confidentiality and provide the most beneficial care that reduces the wastage of resources.

Part 2

Experiences during the Second Two Hours of My Practicum

In the second two hours of my practicum, I continued working with selected heart disease patients from the Black American population. Of surprise was that most patients were aware of the various mobile applications to manage their cardiac disease problem, as it was not that much expected. However, only seven in the group of ten were using such applications. All patients also had smartwatches to monitor their heart rates and blood pressure. Some patients are shifting from in-patient settings to outpatient and home care. Telehealth as an evidence-based approach is appropriate in this case as some live far from the facility. More information on telehealth use in managing distant heart disease patients was obtained from the American Heart Association website. The website supports evidence-based practice (EBP) for care coordination and telehealth use by publishing research and providing provider- and patient-accessible resources.

Conclusion and Recommendations

In conclusion, the use of healthcare technology, community resources, and effective care coordination can help address heart disease among Black Americans and the majority of systematic disparities in the U.S. healthcare systems. Community resources and healthcare technologies support effective communication. However, an extensive patient education drive is needed to create awareness of such technologies and community resources among Black Americans. As the digital divide based on sociodemographic and health information exists, targeted interventions such as patient education can improve the use of technology to search for health information (Din et al., 2019).

References

American Heart Association. (n.d.). Resources for Caregivers. Heart.Org. Retrieved January 20, 2023, from https://www.heart.org/en/health-topics/caregiver-support/resources-for-caregivers

CDC. (2022). Health Insurance Portability and Accountability Act of 1996 (HIPAA). Centres for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html