Consumer Health Information

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NURS 8210 Week 8: Consumer Health Informatics

NURS 8210 Week 8 Discussion

Health Literacy Experience SAMPLE INTRO

As an educator I find it interesting dealing with patients as a third party.  I recently had a student write in a journal about her home health experience with a smart phone application that takes your blood sugar.  Evidently the application uses the camera like a bar code scanner and reads blood sugar through the finger without puncturing the skin.  I tried to get the name of the application, but the student couldn’t remember it.  I was not able to find it on the iphone applications.  The application had really done some unfortunate things to this patient.  The application was more that 200 points off what the blood sugar was and the patient was actually critically high.  The student and nurse did some education regarding the use of new devices and how to know what is reputable and what is not.  I’ve looked for more information about this and haven’t been able to find it.

As a home care nurse most of the individuals that I worked with were elderly and did not spend a lot of time on the internet.  The few patients that I worked with that were Internet savvy often shied away from using the Internet because they felt as though the information was too complex.  I always directed patients to the major foundations for their particular disease process i.e American Heart Association  etc.

When I speak to students about ensuring they have found an appropriate website I apply the usually academic advice.  Look for .org or .edu stick to government websites and when possible just use the library.  None of them ever seem to want to use the library!

From a teachign perspective I tend to use you tube videos a lot.  I want to draw in that visual learner and I feel like seeing things always brings an extra layer of learning to the subject matter.  I make it a habit to preview a video before I show it because I don’t want to show something that doesn’t convey the information I want it to convey.  I’ve always felt a bit like I’m sharing bad sources though.  Stellefson et al (2014) did a comprehensive review of you tube videos and fund that they came from reliable sources and were largely in compliance with the HONcode principles.  Health on the Net (1995) is a non profit organization dedicated to ensuring that the net has reliable health information for consumers.  Organizations can gain HONcode certification through this organization which is another layer of proof to the general public the organization has worked to be trustworthy (Health on the net, 2018)…

NURS 8210 Week 8 Discussion Paper Details

Week 8 Discussion: Consumer Health Information

“Better Information. Better Health.” —WebMD

“Trusted Health Information for You.” —MedlinePlus

Popular health information websites (such as the ones noted above) have consumers logging on to acquire health information. Yet, research shows that many of today’s consumers need assistance searching for information as well as understanding and applying it. Lack of technological expertise, low levels of health literacy, and an inability to distinguish relevant facts are just some of the documented challenges.

As you work through this Discussion, keep in mind that health literacy does not merely imply access to information, but also the capacity to process that information to make informed decisions. In this Discussion, be sure to conceptualize nursing’s roles and responsibilities in assisting patients with web-based information.

References:

WebMD. (2011). Retrieved from 

MedlinePlus. (2011). Retrieved from 

To prepare:

  • With the information from the Learning Resources in mind, consider the amount and types of health information available to consumers online.
  • Reflect on the patients you have encountered in your practice, and consider their health literacy and use of online information.
  • Evaluate strategies you could use to educate and assist your patients to appropriately use health information found on the web.

By Day 3 post a cohesive response that addresses the following:

  • Synthesize your previous experiences with consumer health literacy in your practice setting.
  • Formulate strategies that you could use to assist patients in interpreting and applying online health information going forward. Include strategies for those patients that overuse medical websites or regularly misinterpret medical information found online.

Read a selection of your colleagues’ postings.

By Day 6 respond to at least two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.

Click on the Reply button below to post your response.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

Chapter 16, “Personal Health Record: Managing Personal Health”

This chapter provides an in-depth look at consumer expectations, as well as barriers and innovations that are driving the policies of electronic personal health records.

Adams, S. A. (2010). Blog-based applications and health information: Two case studies that illustrate important questions for Consumer Health Informatics (CHI) research. International Journal of Medical Informatics, 79(6), e89–e96./p>

The author examines existing literature to evaluate the impact that Web 2.0 technologies have on health management.

Keselman, A., Logan, R., Arnott Smith, C., Leroy, G., & Zeng-Treitler, Q. (2008). Developing informatics tools and strategies for consumer-centered health communication. Journal of the American Medical Informatics Association, 15(4), 473–483.

A detailed analysis of present and future barriers found in managing e-health informational resources and consumer communications is given in this article.

Lewis, D. (2007). Evolution of consumer health informatics [Editorial]. CIN: Computers, Informatics, Nursing, 25(6), 316.

This article gives a brief overview of the Internet’s role in expanding health care’s consumer network.

Misra, R., Mark, J. H., Khan, S., & Kukafka, R. (2010). Using design principles to foster understanding of complex health concepts in consumer informatics tools. AMIA 2010 Symposium Proceedings, 492-496./p>

The researchers in this qualitative study examine the effectiveness that a decision support tool, Tailored Lifestyle Conversations (TLC), has on patients’ ability to comprehend presented information.

Pak, R., Price, M. M., & Thatcher, J. (2009). Age-sensitive design of online health information: Comparative usability study. Journal of Medical Internet Research, 11(4), e45.

The authors of this study analyze the usability results of tag-based systems vs. hierarchal informational systems on two different age groups to determine which design allows for more efficient means of information assembly.

Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research, 13(1), e20.

View excerpts from the online questionnaires and follow-up interviews used in this study to identify common themes around motivation, challenges, strategies, and benefits regarding individuals’ use of the Internet to gather health information.

Health on the Net Foundation. (2011).

Retrieved from http://www.hon.ch/

Health on the Net Foundation provides consumers with navigation safety tips and the ability to search only those websites that adhere to the credibility standards of the HONcode.

The PEW Charitable Trusts. (2011). Health.

Retrieved from http://www.pewtrusts.org/our_work_category.aspx?id=184

At this website you can find information about the consumer-centered health initiatives that the PEW group is working to challenge and improve.

Robert Wood Johnson Foundation. (2011). Publications and research. Retrieved from http://www.rwjf.org/en/research-publications.html 

Use this website to view a wide variety of research-driven publications with topics ranging from obesity to medical malpractice.

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

Submission and Grading Information

Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: NURS_8210_ Week8_Discussion_Rubric

Exemplary Proficient Sufficient Developing
Discussion Postings and Responses
4 (100%) – 4 (100%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course (e.g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions) and are well supported, when appropriate, by pertinent research. • Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues’ postings and synthesized key comments and ideas, as applicable.
3 (75%) – 3 (75%)
• Discussion postings and responses are responsive to the requirements of the Discussion instructions and are posted by the due date. • Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. • Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. • Discussion postings and responses provide evidence that the student has considered at least some colleagues’ postings and synthesized some key comments and ideas, as applicable.
2 (50%) – 2 (50%)
• Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the Discussion instructions. • Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. • Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, although generally accurate, display some omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has considered at least some colleagues’ postings or synthesized at least some key comments and ideas, as applicable.
0 (0%) – 1 (25%)
• Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, and/or do not address the requirements of the Discussion instructions. • Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. • Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. • Discussion postings and responses do not provide evidence that the student has read or considered colleagues’ postings, as applicable.
Total Points: 4

Name: NURS_8210_ Week8_Discussion_Rubric

Assignment: Application 3: Health Information Technology Project [Major Assessment 5]

Continue working on Application 3: Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7 of Week 9

Submit your Assignment.

Grading Criteria

Health Information Technology Project Evaluation

Program LO: 3

3: Educator / Consultant

DNP Essential: 4

4: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

(Scroll down for table)

ASSIGNMENT PROMPT Target

5 points

 Acceptable

3 points

 Unacceptable

1 point

 Score/Level
 

Abbreviated Research Proposal Paper

 

Part 1: Information on Organization

 

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

 

 

DNP Essential: 4

 Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment  description of health information technology system/application and the organization type; key reasons for development of this health information technology system/application; management and administrative structure of health information technology system/application using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

 Well-developed, good quality work. Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO3

 

Meets expectations for Essential 4

 

 Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4
Part 2:   Information System Application: Design

 

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

 

 

DNP Essential: 4

 Exemplary quality.

 

Content is of a professional portfolio quality; addresses every major subsection in the assignment clearly and succinctly addresses how stakeholders worked together to design and fund the system application including a detailed description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system/application and how these challenges were addressed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature that supports this section, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO3

 

Fully meets expectations for Essential 4

 Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; addresses how stakeholders worked together to design and fund the system application including a description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system application and how these challenges were addressed; includes some summarizing or paraphrasing of literature that supports this section; demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 

 Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature that supports this section; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4
Part 3:  Information System Application: Implementation

 

 

 

 

 

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program LOs: 3

 

DNP Essential: 4

 Exemplary quality.

 

Content is of a professional portfolio quality; addresses every major subsection in the assignment; identifies key security issues and provides a detailed description on how the issues have been addressed; provides an in-depth portrayal of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; includes a thoughtful analysis of system changes in response to health care reform/legislation and well-reasoned recommendation of additional changes needed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

 Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; identified security issues and described how they have been addressed; provides an overview of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; describes system changes in response to health care reform/legislation and recommendation of additional changes needed; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

 

 

 

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50%  of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4
Part 4:  Innovative Aspects of the System

(5 points)

 

 

 

 

 

 

 

 

 

 

 

 

Program LO: 3

DNP Essential: 4

 Exemplary quality.

 

Content is of a professional portfolio quality; addresses every major subsection in the assignment; provides a succinct description of the role of innovation in the health information technology system/application and thoughtful recommendations for additional use of innovations using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

 

Fully meets expectations for LO 3

 

Fully meets expectations for Essential 4

 Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment; provides a description of the role of innovation in the health information technology system/application and recommendations for additional use of innovations using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

 

Meets expectations for LO 3

 

Meets expectations for Essential 4

 

 Superficially developed, unacceptable quality.

Needs substantial revision to be worthy of a professional portfolio; addresses less than half the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

 

 

 

 

 

 

 

 

Insufficient to meet expectations for LO 3

 

Insufficient to meet expectations for Essential 4
Part 5: End Product

(5 points)

 The majority of references are from scholarly journals, support the topic well, and are current. All sources are peer reviewed. Minimum of 7 citations used. Paper stays within page requirements. APA format is used correctly throughout.

 

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Excels in meeting expectations for graduate level work.

 

  

Most references are from scholarly journals and support the topic. Most references are fairly current. All sources are peer reviewed. Minimum of 7 citations used. The paper stays within page requirements. APA format is used with minimal errors.

 

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

 

Meets expectations for graduate level work.

 

  

References are not sufficient or are mostly from the lay literature or out of date. Sources identified are a combination of peer reviewed and nonpeer reviewed. Fewer than 7 citations used. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.

Report does not leave the reader with confidence in understanding the informatics system; graphics are minimally used or not used to illustrate key points.

 

Work lags behind expectations for graduate level work.

 

 

Health Information Technology Project Assignment:

Write a 12- to 15-page (plus references) paper that includes the following:

Organization Information (5 points)

  • Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, software company, government health information website, private virtual health information site, etc.).
  • Is the health information technology system/application clinical, administrative, educational, or research related?
  • What were the key reasons for development of this health information technology system/application?
  • Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application: Design (5 points)

  • Many health systems have multiple independent entities that work together toward a common goal of providing health care. How did the various stakeholders work together to make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application
  • How was this health information system/application initially funded?
  • Have organizational or political issues impacted the ongoing funding for this health information technology system/application?
  • Who manages the budget for this health information technology system/application?

Information System Application: Implementation (5 points)

  • How are security issues addressed; how does this health information technology system/application support a legally sound health care record?
  • How are individuals trained to use the health information technology system/application?
  • What are the plans for planned or unplanned downtime?
  • How are health information technology system/application upgrades scheduled or planned?
  • How has the health information technology system/application changed in response to health care reform and related legislation?
  • What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System (5 points)

  • How are technology innovations being used in the health information technology system/application?
  • What technology innovations could you recommend for this organization?

End Product (5 points)

  • The paper is 12- to 15-page report.
  • The report leaves the reader with confidence in understanding the informatics system.
  • Graphics are used to illustrate key points.
  • The report is a scholarly paper and includes a minimum of 7 citations from peer-reviewed journals.
  • Appropriate APA format is used.

*Note: Up to 5 points (20%) may be deducted for grammar and APA style errors.

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