NURS322- UNIT 5

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School

Athabasca University, Edmonton *

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Course

322

Subject

Health Science

Date

Apr 3, 2024

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docx

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4

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NURS322: UNIT 5 Learning Activity 1: The Electronic Record Reading 1. After reviewing the information and watching the video, complete the following exercises: 1. Name three benefits of an electronic health record for healthcare providers and their clients. 2. Describe four areas where electronic health records can improve client care. Reading 1: Dr. Brian's Blog (2019). A national electronic health record for all   Canadians.   https://www.cbc.ca/radio/whitecoat/a-national-electronic-health-record-for-all-canadians- 1.4976932 Question to ponder: Do you think it is o.k. in Canada today (2021), that doctors don't have access to the information they need to treat their patients properly? Post your thoughts in the   forum . As Dr. Brian Goldman concludes his article by stating that electronic healthcare records (EHR’s) will “remain difficult to get a complete and clear picture on the health of our patients especially if and when they receive care elsewhere” (Goldman, 2019). After reading his article, it feels absolutely frustrating that a sensible concept of physicians having universal access to patient’s health records across the country is unavailable. The issue of it speaks for itself, it is a real problem. If physicians are unable to treat a patient accordingly without an accurate health history, the patient will always be at risk. Canada has free health care, and with that comes lengthier wait times for diagnostic testing, emergency room visits and referrals to specialists. If an individual has a life- threatening condition and happened to travel to another province where that physician is unable to retrieve their medical records, how can that physician know what medications that patient is on? What if that patient is unable to translate due to a language barrier, or if that patient is elderly and suffers from memory loss, or if that patient simply does not know the details of their health condition because of lack of access to their records? The YouTube video of Regina Holliday’s story really puts these questions into perspective, through her experience it is evident that access to health- care records is essential for the continuity of care, as well as the quality of care anywhere (Office of the National Coordinator for Health IT, 2011). The fact that physicians do not have access to the information needed to treat their patients is a treat to their accountability and responsibility in their role. Do you agree that the use of an electronic health record will improve nursing satisfaction and quality of care? What has been your experience with electronic charting? Do the benefits outweigh the challenges? If so, how? Please post your comments in the   forum .
Skepticism exists regarding the security of electronic health records. In some cases, it is justified; in others, it is the result of a lack of understanding. What assumptions are evident in the two scenarios below? 1. A number of staff members on your unit are vehemently opposed to the introduction of electronic health records. Some believe that moving to electronic charting will result in the depersonalization of client care. Others believe that paper-based records are safer because access to them can be strictly controlled. Based on your readings in this unit and the previous one, how would you reply to these concerns? 2. A client declines to respond to a number of questions when interviewed for the nursing history stating that the information has been collected previously. Based on your knowledge of the state of implementation of the electronic health record in your practice setting, how would you address his concerns? What health information is available? How could your nursing assessment build on his health information that is currently available? Scenario 1 In regards to the staff members reluctantcy to electronic health records (EHR) and electronic health charting, I would begin responding to their concerns by providing the positive aspects around it. Although depersonalization of care is a valid concern in this scenario, the efficacy, accuracy and accessibility of patient’s health records in a timely manner through electronic access positively improves the quality of patient care. In support from the readings, I would notify them that patients have the right to access their medical records and to take responsibility for their own health care and that patient care can be enhanced by the exchange of information (Ben-Assuli, 2015). There are risks paper health documents by either being faxed to the incorrect facility, not disposed of appropriately, or being misplaced. In my professional practice, I have had situations were documents have gone missing and doctors writing have been difficult to transcribe orders, orders have been incomplete or unclear; making room for errors. Either way these records are produced, the benefits of EHR greatly outweighs the risks. The patient’s medical information can be easily accessible to them, promoting greater autonomy over their own health care decisions and most importantly being informed. In addition, EHR can be
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