Computer Literacy in the 21st Century

Many nurses, particularly younger nurses have often commented that they are uniquely capable with respect to computer technology. There is some evidence that despite this self confidence, most people have only few common skills, often emailing, texting, and other tools associated with their phone or mobile device. Campbell & McDowell (2011) surveyed 112 nurses at a community hospital and discovered that most of the nurses had surprisingly low levels of more generalized computer literacy. These levels only moderately correlated with age where younger nurses had a slight advantage. A higher level of education showed a more significant advantage than did age.

This raises several questions for me -
(a) Do nurses really need significant knowledge related to computer skills, for example, keyboarding  skills for simple basic data entry or more complex skills related to finding quality evidence-based practice resources?
(b) Should workplaces provide computer skills short classes for personal and professional enrichment?
(c) Given the use of technology in higher education, should LVNs & ADNs be required to demonstrate adequate computer skills as a condition of enrollment for additional academic courses?
(d) What would happen if the NCLEX required knowledge of this kind of technology as support clinical competency?

-- Do you have any support for a stance on one of these question? --

References.
Campbell, C. J., & McDowell, D. E. (2011). Computer literacy of nurses in a community hospital: Where are we today?  Journal of Continuing Education In Nursing, 42(8), 365-370. doi:10.3928/00220124-20110215-01 .

UT Arlington link: http://preview.tinyurl.com/CampbellMcDowell2011

Using STD electronic medical record data to drive public health program decisions in New York City

We need to keep in mind possibilities related to implementation of technology for use in patient medical records. Electronic medical records makes information much more readily available. This information can then be used to facilitate improvements or decision-making. For instance, in New York there is a network of public health clinics that uses electronic patient records to aggregate specific data that assist in determining public policy (Paneth-Pollak, et al., 2010).

Reference:
Paneth-Pollak, R. Schillinger, J., Borrelli, J., Handel, S., Pathela, P., & Blank, S. (2010). Using STD electronic medical record data to drive public health program decisions in New York City. American Journal of Public Health, 100 (4).


Pamela

New Semester

I love each new semester. There is so much I can learn, so much that can be shared.

There are new trends in electronic information as precipitated by the U.S. federal government. If we are to keep positively forewarned of changes in our environment we need to pay attention to what is developing, both technologically and regulatory.

Goodman, K. W. (2010), Ethics, information technology, and public health: New challenges for the clinician-patient relationship. The Journal of Law, Medicine & Ethics, 38: 58–63. doi: 10.1111/j.1748-720X.2010.00466.x

What do you think about this and how it is affecting the American public?

Dinh, M. & Chu, M. (2006). Evolution of health information management and information technology in emergency medicine.

In response, Adel lets us know about

Your article mentioned how the recent technologies such as health informatics presents new ethical challenges. This relates to an article that I read that discussed how the ED physicians play an important role in information technology and their roles in developing and implementing a national health information technology strategy (Dinh & Chu, 2006). The authors further stated that inspite of the barriers to implementation such as cost, disruption in workplace practices, data security, and lack of evidence, there are also potential benefits. These are process optimization, quality control, and interconnectivity (Dinh & Chu, 2006).

Dinh, M. & Chu, M. (2006). Evolution of health information management and information technology in emergency medicine. Emergency Medicine Australasia, 18, 289-294.

Forsyth, L. (2009). What you need to know about social networking.

Tiffanie shares


In an article written by Forsyth (2009) the author identifies the continuing struggle for areas overseeing law making to develop what is and is not appropriate behavior between employers and employees in social networking. We all know that employees being fired from the place of employment over what they said, did, or posted on a social networking site is becoming a "norm" now. It happens everyday and is on the news every evening. One item that Forsyth (2009) pointed out is that 45% of employers were screening social networking sites of potential employees. That is crazy! Next thing you know you have to do a background check for criminal offenses and social networking sites. There is a part of the article that listed "rules" for nurses using social networking sites. This was the best part because most of these seem common knowlege... guess not! Some examples: don't fake a sick day and then post it on your site and don't post photos or comments engaging in ocnduct in the workplace which you know would be inappropriate (Forsyth, 2009). One that I would add - do not update your status from work! The date and time is noted when you update and it can be traced back to see if you were at work!

Tiff

Forsyth, L. (2009). What you need to knw about social networking. Queensland Nurse, 28(5), 22-23.

Dienemann,J. & Van de Castle, B. (2003). The impact of healthcare informatics on an organization.

Nicole's insights...

Dienneman & Van de Castle (2003) discuss how informatics effects not just nursing but the healthcare field as a whole. There are nurses as well as physicians who are resistant to the implementation of any type of computer charting. What I found interesting is as nurses, we were not given a choice. We were required to learn the computer system. As for physicians, many have adapted to the system. Others continue to spat verbal orders or pull a busy nurse aside to put their orders in. In addition, hospitals hire scribes to do work for them. We have been told to write physicians up who are noncompliant with the putting their own orders in. I have started to do so.

Informatics is a great subject that is still controversial. Patient information, blogs, webpages should be used with caution. I just read this morning that a woman is being taken to court over what is displayed on her blog site. I take these matters very seriously. While doing my webpage, I typed out a consent for one of my co workers who is on my subject to sign, she laughed.I told her, 'Please read and sign.' She signed but thought I was crazy. Anyway, I enjoy discussing issues such as this.
...

Dienemann,J. & Van de Castle, B. (2003). The impact of healthcare informatics on an organization. Journal of Nursing Informatics, 33(11),557-562.

McBride, D. & Cohen, E. (2009). Misuse of social networking may have ethical implications for nurses.

Healthy lets us know...

McBride & Cohen (2009) briefly wrote about potential violations of professional nursing conduct through the use of social networking sites. Many challenges mentioned in the article have been previously discussed, such as HIPAA violations. One slippery slope mentioned that I had not considered is the "friending" of patient & nurse relationships on these social sites. Participants may not be aware that employer boundaries extend to these sites, or these sites may blur these boundaries that were established to protect the privacy of both the patients as well as staff.

McBride, D. & Cohen, E. (2009). Misuse of social networking may have ethical implications for nurses. ONS Connect, July 2009, 17.

Black, L., & Anderson, E. E. (2007). Physicians, patients and confidentiality: The role of physicians in electronic health records.

On the other hand, James shares...

I agree with what you are saying that "ethics in technology and informatics is not different than ethics in health care and life" but one thing we must admit as Black and Anderson, (2007) states that electronic medical records presents new challenges to the continuing quest to maintain patient-physician confidentiality.

Tonya, I beg to disagree with your statement that "today’s technology and access to computers puts sensitive information in the hands of unprepared individuals." The reason why I disagree with this statement is because confidentiality is covered in the nurses Code of Ethics Provision 3.2 states "the nurses promotes, advocates for and strives to protect the health, safety and rights of patients."The physicians also have Code of Medical Ethics which address confidentiality Opinion E-5.07 which states"the utmost effort and care must be taken to protect the confidentiality of all medical records, including computerized medical records (Council on Ethical and Judicial Affairs 2006,155)."(Black and Anderson, 2007).

Black and Anderson, (2007) recommend patient education about electronic health records and disclosure of information because of the fear employment or insurance discrimination.

References
Black, L., & Anderson, E. E. (2007). Physicians, patients and confidentiality: The role of physicians in electronic health records. American Journal of Bioethics, 7(3), 50-51.

Jiang, W. W., Chen, W., & Chen, Y. C. (2004). Important computer competencies for the nursing profession. Journal of Nursing Research, 12(3), 213-225.

Adel shares...

I agree with what James shared about nurses needing some nursing informatics knowledge prior to entering the workforce. I would even suggest before going farther in one's degree plan. Jiang, Chen, and Chen (2004) conducted a research that discussed the use of competencies that will help nursing professionals to work efficiently and serve as the basis of life-long learning, enabling them to maintain up to date computer knowledge and skills. According to the research results, among the seven competency items,the domain "attitude" toward the computer, was chosen as the most important. These results can serve as a comprehensive list for nurses to check their computer competence and try to make up any shortcomings (Jiang et al., 2004).These can be used by schools in designing computer curricula and with the limited class hours, need to include the items that will be most beneficial to the students.

Relating this to our class, the competency checklist that we completed prior to starting the class determined what aspects in informatics needed improvement. Knowing what aspects needed work, with the help of the learning contract, I was able to work on such deficiencies. This will help me in keeping abreast with the ever changing technology. I also need to make sure that I keep up with further technological changes in the future.

Jiang, W. W., Chen, W., & Chen, Y. C. (2004). Important computer competencies for the nursing profession. Journal of Nursing Research, 12(3), 213-225.

Curtin, L.L., (2005) Ethics in informatics, the intersection of nursing, ethics, and information technology.

Insights through Tonya

Ethics in technology and informatics is not different than ethics in healthcare and life. This article explores how to bring healthcare, ethics and computing to intertwine with each other. Ethics is discussed as a choice between right and wrong. Humans since the 1940’s have be learning and changing computer ethics. Computer ethics is defined as a field that studies computers and the code of conduct for computer professional. In healthcare you can not be part of the computer profession due to easy access or sharing of patient information via computers with or without an electronic medical record. Today’s technology and access to computers puts sensitive information in the hands of unprepared individuals. Healthcare, ethics, and informatics and its users must be good ethically, legally, and morally for the greater good of human kind.
Curtin, L.L., (2005) Ethics in informatics, the intersection of nursing, ethics, and information technology. Nursing Administration Quarterly. 29 (4). 349-352.

Milton, C. (2007). Information and human freedom: Nursing implications and ethical decision-making in the 21st century.

Thanks Adel...

Milton (2007) discussed the ethical exploration and possible challenges associated with the information age in nursing research, practice, and education. He also focused on the disciplinary responsibilities for information giving and receiving. Since manual filing and storing of documents are no longer manageable in healthcare organizations, managing such information electronically brings about ethical considerations in the healthcare settings. Nurses and other members of the healthcare team have the special obligation to be ethical in handling patients' confidential information being guided by the premise that patients have the freedom to choose and access desired healthcare services (Milton, 2007). I believe that patient information though electronically accessible is manageable with the right processes in place. Educating staff of the serious implications in the misuse of such information plays an important part.In our facility, we have been trained not to look into any patient's electronic record, even your co-worker's or family's patient record, unless you are a direct caregiver or your primary role in the hospital supports it.

Milton, C. (2007). Information and human freedom: Nursing implications and ethical decision-making in the 21st century. Nursing Science Quarterly, 20(1), 33-36.

Layman, E. (2003). Health informatics: Ethical issues

Martha provides

Layman (2003) discussed how the recent technologies such as health informatics presents a new ethical challenges. These technologies are designed to increase access, improve quality, and decrease the cost of care. The author pointed out the positive aspects of health informatics such as can bridge distances, improve the quality of care, allow healthcare providers to explore new ways to increase efficacy of diagnosis and therapy. On the other hand, it creates conflicts with ethicals principles of autonomy, fidelity, and justice. The author proposed solutions including regulations, standard and guidelines, honor codes, and code of ethics. I believe that healthcare providers need to be accountable on ethical, moral, and legal responsibilities in order to mantain this technology productive and useful in the patient care.

Layman, E. (2003). Health informatics: Ethical issues. Health Care Manager. 22(1), 2-15.

Bolin, J. N.,Mechler, K.,Holcomb, J.,Williams, J.,(2008). An Alternative Strategy for Resolving Ethical Dilemmas in Rural Healthcare

James shares...

This particular article was very interesting because it talks about some of the ethical challenges in small rural healthcares. The authors acknowledge that some of the ethical dilemmas in small rural hospitals are hard to address mainly because some of the physicians in the rural areas play a double role for example, the same physician might be the private physician for hospital board members, administrators, and managers, this leads to a conflict of interest between organization loyalty and patient rights. Also because in small towns there is a tendency that majority of people knows each other therefore it is easy to excuse a conduct because of respect and relationship. This particular problem has lead to the creation of virtual peer review model and a virtual hospital ethics committee offered through the Texas A & M Health Science Center Rural Community Health Institute (R-CHI, College Station, Tx).
The virtual technology has allowed physicians from different locations to convene a meeting and discuss ethical issues. Therefore this new technology has allowed rural physicians to practice medicine without the fear of judging their peers. It has also allowed the hospital administrators in small rural towns to practice or conduct their duties without being infected by small town politics.

Reference

Bolin, J. N.,Mechler, K.,Holcomb, J.,Williams, J.,(2008). An Alternative Strategy for Resolving Ethical Dilemmas in Rural Healthcare, Ethics and Rural Healthcare, 8(4),63-65.

Cosco, T., Knopp, A., & Milke, D. (2007). Investigative first steps: appropriate identification and ethical review of research and quality improvement

From Toni


Cosco, T., Knopp, A., & Milke, D. (2007). Investigative first steps: appropriate identification and ethical review of research and quality improvement. Online Journal of Nursing Informatics, 11(3), .

Cosco, Knopp, and Milke (2007) discusses the research and quality improvement process used in research while making an attempt to combine nursing practice, information, and technology with evidence-based knowledge and improvements in patient care. The article is mainly differentiating research and quality improvement outcomes in a study based on care. There are concerns that ethical review of a study can be inaccurately identified as research or quality improvement methods. Generating information for nursing practice is the goal of nursing informatics in research. The article is mainly focused on the research methodology and how nursing informatics is used in this process.

I believe the authors give foundational information for those desiring to perform research while using healthcare informatics for data collection. This article is very good food for thought prior to research in nursing.

Ellaway, R. & Martin, R. D. (2008). What's mine is yours - open source as a new paradigm for sustainable healthcare education.

Melinda provides

Article:
Ellaway, R. & Martin, R. D. (2008). What's mine is yours - open source as a new paradigm for sustainable healthcare education. Medical Teacher 30, 175-179. DOI: 10.1080/01421590701874058.

Use of the internet as a resource sharing medium is invaluable. However allowing individuals to use your information or to use the information produced by others creates liability issues.

In this article, the authors discuss the creation of an open source website where educators can share the tools they have produced. Additionally, all sharing is free and revisions, adaptations, and reworking of the original programs are encouraged.
Sharing back and forth is a great way for educators to not only develop curriculum but also adapt lessons already produced, reducing prep-time and increasing educator to student time.

In an open-share environment the liability issue of copyright infringement is removed, as all submitters to the open share site agree to share openly their content.

HealthDay (2008. Medical Blogs may threaten patient privacy.

From hjmlpn

HealthDay (2008. Medical Blogs may threaten patient privacy. Retrieved on October 1, 2009 from http://health.usnews.com/articles/health/healthday/2008/08/07/medical-blogs-may-threaten-patient-privacy.html

The title of the article I chose is Medical Blogs may Threaten Patient Privacy. This article from the U.S. News & World Report examined 271 medical blogs and determined that they could identify the author's of these blogs 56.8% of the time. The blogs had not only medical information about patients but personal photos and details of patients. Sponsors and advertisements for medical equipment were displayed on the website. The author explains the importance of providing information to the public, but eithics should be part of this process. Blogging is new and guidelines and standards have not been set by professional organizations and until this happens patient identifiable information will remain on the net.

Simpson, R.L.(2005). Ethics: New delimmas emerge alongside new technologies.

And from Grammie

Simpson, R.L.(2005). Ethics: New delimmas emerge alongside new technologies. Nursing Administration Quarterly, 29(2). 179-182.

Reference found at Cinahl
This author clarifies the difference between regulations and ethics using simple terms. For instance, a regulation is a rule that an organization has adopted and must be followed. Ethics is more of a choice rather than a requirement. Ethics in informatics is challenging. Protecting one's priviacy is a rule or requirement in healthcare, however documenting electronically opens the door for potential threats to violating privacy of others. The author shared his concern of easy false or wrong documentation about a person could cause the person to loose their insurance or could cause them to be denied their insurance. Reading this article really made me think about what I read on internet and to not take what I read as the truth and to always keep an open mind.

Dainton, C. (2009, September). Physician-writers in the age of blogging.

Vickey shared...
Dainton, C. (2009, September). Physician-writers in the age of blogging. CMAJ: Canadian Medical Association Journal, 181(5), 348-348.

The article above was concise and interesting. It wrote about the slippery slope that healthcare providers (physicans in this case) have to worry about when blogging. It stated that professionals do have the right of freedom of speech but also have an obligation of the right of pts confidentiality. It concluded that one should err on the side of caution and be prudent until our professions evolved enough to include such technological matters (Dainton,
2009).

Curtin, L.L. (2005). Ethics in informatics: The intersection of nursing, ethics, and information technology

Amy said...
Curtin (2005) gave a very detailed explanation of the ways nursing, ethics, and information technology intersect. She cautioned that the revolution of informatics in healthcare gives tremedous power to anyone with access to a computer. There is ample opportunity for one to be careless, reckless, foolish, and even the gives one the ability to do harm such as the stealing of healthcare information or identities. The author stressed it was of the utmost importance that we as healthcare professionals be held accountable by strict, moral, legal, and ethical values.

Curtin, L.L. (2005). Ethics in informatics: The intersection of nursing, ethics, and information technology. Nursing Administration Quarterly, 29, 349-352.

Anderson, J.G. (2004). The role of ethics in information technology decisions: A case-based approach to biomedical informatics education.

Adrian said...
Anderson (2004) described the need for ethical and social course content in Informatics and Medical technology courses offered by medical schools and graduate nursing programs alike. He describes how a large majority of programs do not offer social and ethical coursework alongside the Informatics education. He feels that each program must offer these topics in their coursework so that future Informatics leaders will be prepared to face dilemmas in the future practice, regardless of the work setting. After reading this article, I firmly believe that ethical and liability issues are faced by informatics leaders and professionals every single day in their work setting.

Anderson, J.G. (2004). The role of ethics in information technology decisions: A case-based approach to biomedical informatics education. International Journal of Medical Informatics, 73, 145-150.

Social Networking (Fall 2009)

There have been some intersting proposals on how social networking possiblities how we do our jobs and interact with colleagues and patients.

Are expectations different from different population groups? Are there work ethics issues? Are there liability issues?

Using the guidelines as indicated from the Fall 2009 Nursing Informatics course activity use this site to explore an opportunity to experience a social networking medium, blogging...

HH

Ethics of nursing informatics

The artricle is about the ethical issues of nursing informations. I was intersted in the ethical issues of the EMR. The EMR is a very useful tool for the medical community. However, there area ethical problems with who can access the patients chart. Anyone with a password can retrieve a particular chart. This means an employee can look up a friends or family members record without their consent. There needs to be safeguards in protecting patient information.
lsm

Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum-integrated approach.

Kaplan-Jacobs, S. (2003). Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum-integrated approach. Journal of Professional Nursing 19(5)320-328.

This articles discusses some social implications and initiatives for integrating components of informatics into all core courses of a master's program at New York University Division of Nursing. The goal is to prepare the master's students seeking either a clinical, academic, or administrative role, the ability to be competent users of electronic information.

CRD

E-ethics. New dilemmas Emerge alongside New Technologies

Simpson, R. L. (2005). Nursing Administration Quarterly 29(2), 179-182.

This article starts with a nice distinction bvetween ethics and regulations (which is sometimes an issue). It is organized in 3 main sections: 1) use of the internet, 2) privacy and accuracy issues, and 3) ethics and decision support. It is a broad overview of these issues, but provides a good starting point. The issues are put into the context of the ANA code of ethics which gives most nurses a common starting point and shows how IT issues contribute to the healthcare ethical quagmire.

Tina

Privacy Concerns on the Information Highway

Daniel J. Solve wrote Information-Age Privacy Concerns Are More Kafkaesque Than Orwellian. There are many software applications on the internet that "gather information" on the internet, but as many applications gathering the information there is as many or more protecting the information. It is a form of checks and balances. The right to have your information protected is an issue of concern for many, but the right of our indivdual freedoms is also an issue. The government can limit and provide laws to protect our privacy on the internet, but these laws can also restrict our freedoms. This is an issue to consider.
M. H.

Informatics and Ethics Article Summary

The article I selected was e-Ethics by Roy L. Simpson from Nursing Administration Quarterly Apr-Jun 2005 Vol. 29 Issue 2, p. 179-182.

The highlights related to ethic issues include:

Potential risk to consumers being exposed to a huge volume of information some of which will be inaccurate.

One particular example in the article close to my heart was the situation where a potential kidney recipient looking for a donor. This individual went through MatchingDonors.com to find the kidney donor. The hospital involved with this case had several ethical issues to consider. One main issue discussed was whether or not the potential donors were receiving accurate information and adequate and accurate informed counseling about the surgical risks involved.

Cybermedicine and telemedicine could potential deteriorate the clinician-patient relationship and also make it ambigious.

As it relates to computerized charting - who checks the accuracy of the data entry?

Also, when should a nurse rely on computers versus making clinical assessments.

Also, it would be a huge problem to decrease staff because you have enhanced technology - the artcle states software, etc., should supplement versus replace practice.

Very interesting considerations.

TSP

Hard Wired to Heal

This article discusses the social issue of saving patient health information in the wake of a disaster. Two hospitals in New Orleans, during hurricaine Katrina, had patient records distroyed; however, one hospital could retrieve the information from electronical storage. In 2004, President Bush issued an executive order to have most of patients health records coverted to electronic format in 10 years. The nursing school at John Hopkins University has identified the importance of informatics and integrated it into their program.The use of the schools simulation incorporates technology into the nursing practicumm. Patricia Abbott stated “To send a nurse into practice without any information technology skills is a failure to comprehensively educate that nurse.” I agree, as technology advances so should nursing practice.

Ethics of nursing informatics

The artricle is about the ethical issues of nursing informations. I was intersted in the ethical issues of the EMR. The EMR is a very useful tool for the medical community. However, there area ethical problems with who can access the patients chart. Anyone with a password can retrieve a particular chart. This means an employee can look up a friends or family members record without their consent. There needs to be safeguards in protecting patient information.
lsm

Privacy and Security for Electronic Health Records Article

Sharpe, V. A. (2005). Privacy and security for electronic health records. Hastings Center Report, 35 (6), 49.

In 2005, the senate proposed legislation to develop a nation-wide health information technology system. The goal is to share health information across organizational boundaries to more efficiently care for individuals. This will be accomplished with the electronic transfer of health information.

There are many benefits to using this type of system. However, hackers can access unsecured medical records and steal identities. Also, electronic records can be used by third parties to market health products or even screen for employment or insurance risks.

This article was brief, but demonstrated the risks of using electronic health information delivery systems clearly.

G.W.

Ethics in Informatics article by Tara

Curtain, L. (2005). Ethics in Informatics: The intersection of nursing, ethics, and information technology. Nursing Administration Quarterly, 29(4), 349-352.

This article explores how ethics, computers, and healthcare are all separate entities, but have integrated to become medical informatics. According to the Curtain (2005), placing the power of technology in healthcare employees hands, increases the occurence of ethical encounters. On the other hand, medical informatics decreases the vulnerability of the patient by allowing them to access a vast amount of information about his/her condition. This article discusses the importance of healthcare practitioners when using medical informatics to understand the added ethical, moral, and legal responsibilities.

Tara

JC article

Simpson, R.L. (2006). Nursing informatics. Ethics and information technology: how nurses balance when integrity and trust are at stake. Nursing Administration Quarterly, 30(1), 82-87.

JC

Summary: The article starts with a very interesting statment- Patient care dilemma is "to do, not to do" while information technology poses a similar but different dilemma "to know or not to know." The author talks about how ethics is not a black or white deal but is rather up for discussion and interpretation. It discusses HIPAA and ANA Code of Ethics and how they play a role in ethics and informatics. Although electronic health record helps eliminate paper trails, electronic information has the potential to be widely dispersed. Simpson provides a list of ways ethics should shape information technology.

Nursing Informatics and "Big Brother"

In Daniel Solove's book Information-Age Privacy Concerns...(2004) he discusses Big Brother's infiltration into our society via the internet. Nothing is sacred anymore and everything is subject to public access. How is this going to effect patient privacy in a healthcare setting? Everyone that works within the healthcare arena makes special, explicit effort to guard patient privacy. If spyware can infiltrate home computers, business computer systems, and even government systems, at what point will our patient's and even our own private information become public knowledge.

Businesses use these techniques for marketing strategies. Even Wal-Mart now has tracking devices on their packaging which can determine where a particular item is being taken (i.e. TVs, CDs, etc.) Traffic lights have cameras so an eye is always watching to ticket those speeders who think they are getting away with something. Would it not be feasible that drug companies, medical supplies manufacturers, etc. would not want to know medical information about the patients that are utilizing their products? But what about when the time comes that insurance companies are wanting this information? The public's secrets will be a thing of the past. That could prove to be both good and bad. These are really scary thoughts. Who is going to spy on the spys? If we all have secrets that we would prefer to be kept that way, I'm sure they do to.

dd

SB Reference

Here is my reference and I'll post the summary in a few minutes.

Layman, E. (2003). Health informatics: Ethical issues. Health Care Manager 22(1), 2-15.

SB

e-Ethics. New Dilemmas Emerge Alongside New Technology

Here is my article

Simpson, R.L. (2005). Nursing Admin Quarterly 29(2), 179-182

This article reinforces that nurses are stil ethically bound to protect patient's confidential information. It furthe emphasizes that software programs should supplment a practitioner's knowledge, rather than replace it.

Hollie

Ethics in Informatics: The intersection of nursing, ethics, and information technology

Curtain, L. (2005). Ethics in Informatics: The intersection of nursing, ethics, and information technology. Nursing Administration Quarterly, 29(4), 349-352.

Student Perspectives of web based vs on-site graduate nursing infrormatics programs

New blog: I found an article that addresses the advantages and disadvantages of online vs on-site graduate nursing informatics programs. I found the article interesting. I personally find that in-person dialog is better for me but can see how some may find the on-line experience better for them. What are your thoughts from this article. The article information is:

Computers in Nursing 17(5): 212-214, September/October 1999
Student perspectives on creating completely Web-based graduate programs in Nursing Informatics by: Womack, D. et at

Ethics/Social Nursing Informatics

I am going to go search CINAL for an article and get back to you.
JD

julie's article citation

Rock, B. & Congress, E. (1999). The new confidentiality for the 21st century in a managed care

environment. Social Work, 44(3), 253-262.

I apologize for the inability to form a hanging indent! Will get back to you on content.
julie

Today

Hello,

M y hands are cold!!!

SB

mel's test

this is a test to see if i get it.
melissa

mel's test

this is a test to see if i get it.
melissa

Hello Helen

journal club

This blog is a journal club sharing environment. Member of the class are identifying articles and posting a brief commentary