Week 5: Informatics in Public Health
The data input in your ER, in your exam room, or in your mobile clinic can positively affect other patients in the community or region. Why might the administration of one type of influenza vaccine in one area contribute to fewer outbreaks, while a large number of cases may appear in a neighboring area where the same vaccine was administered?
When applying nursing informatics to public health, the ability to predict and recognize trends adds another layer of complexity. The exchange of data can present issues related to the nature of sharing and exchange itself—that is, infrastructure requirements, security, and privacy. While these issues present challenges, the wider implications of meeting those challenges include contributions to disaster response, infectious disease outbreaks, or improving the healthcare outcomes of a particular population. This week, you first analyze issues related to data sharing in specific settings and specialties. Then, you engage with your community of practitioners by interviewing a public health nurse informaticist to learn about the real-world applications of informatics and how they may influence your own professional goals and practice.
McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Note: Chapters 11 and 13, which were assigned in the previous week, are also applicable this week and are listed here for review purposes.
Some more PDF attached files.
The exchange of data has many implications, some beneficial, but some risky. Consider the exchange of sensitive information, a dilemma that has a seemingly simple solution: That information should be protected. Yet, in a public health context, how does privacy complicate the possibility of improving outcomes across a population? For example, how can data drawn from genomic sequencing be protected and contribute to the body of knowledge? In this Discussion, you explore a similar question.
For this Discussion, consider the following scenario:
You are a nurse geneticist who is working for a teaching and research hospital. Your position is to promote the provider use of genetic testing for a specific drug trial. While most physicians are eager to participate in the research, a provider who primarily treats patients with HIV is reluctant to use the trial on their patients and feels utilizing the database system is a violation of HIPAA.
As a nurse leader, describe the recommendation you might make to this provider and explain why.
Navigate to the Nursing research databases in the Library.
Post a response that addresses how precision medicine might affect genetic testing in general and the research trial described in the scenario specifically. Be specific. Your post should include your approach for facilitating the reluctant physician’s use of the trial drug and reporting the needed data. Justify your role as the nurse informaticist as it pertains to the genetics trial drug use and reporting described in the scenario.
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