Demonstrate the ability to critically review a prepared position statement analyzing its content from both a theoretical and clinical perspective.
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Advances in Health informatics and telemedicine are providing greater access to healthcare resources
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Demonstrate the ability to critically review a prepared position statement analyzing its content from both a theoretical and clinical perspective.Using the following framework will help in providing a structured critique of the position statementFramework (guide only)
1. Is the position statement structured Does it have an introduction and a conclusion
that clearly states the position
2. Does the position statement relate to the topic
3. Does the position statement demonstrate adequately the links to the National Competency Standards for Registered Nurse
4. Are the references used to support the position statement current and credible (i.e. evidence) why or why not
5. Do you think the author eliminated any important information (i.e. evidence) in
stating their position If so please refer to these evidence sources in your critique.
6. Remember when giving feedback it must be constructive regardless of whether it is
positive or negative feedback.Remember that the critique will be assessed against the criterion referenced rubric:
Interpretation: Extensively critiques the content and Insightfully analyses the position taken. Identifies inconsistences (if any) in the position statement
Analysis & Evaluation: Thoroughly analyses assumptions in relation to NMBA competencies for clinical practice discriminates rationally using reasonable judgment provides extensive information in support of position or offers alternative view
Evidence: Provides extensive evidence in support of the position statement or provides clarifying evidence if required in support of alternative views. All evidence is from credible sources
Referencing: Accurate use of APA referencing style in all instances. A range of in-text citations has been used
Position Statement: Advances in Health informatics and telemedicine are providing greater access to healthcare resources.The Australian Institute of Health and Welfare [AIHW] (2013) stated that residents in rural areas have shorter lives and higher levels of illness and disease risk factors than those in major cities. Some areas in Australia are disadvantaged in accessing goods and services educational and employment opportunities and have lower incomes (AIHW 2013). The number of medical practitioners in remote/rural regions is less than the number of employed medical practitioners in the major cities. In rural areas there is around 148 fulltime equivalent medical practitioners per 100000 in population compared to 335 full time equivalent medical practitioners per 100000 in population in major cities (AIHW 2008). The major cities have a better ratio of medical practitioner available to them than fellow rural residents. The New South Wales rural doctors network [RDN] (2012) outlined that the Australian government was introducing an approach in improving health services to rural area which involved a trial of advances in health informatics and telemedicine funded by The Australian Department of Health and Ageing from 1rst July 2010 to 30th June 2011. It can be argued that advances in Health informatics and telemedicine are providing greater access to healthcare resources. This will be shown by defining Health informatics and telemedicine the benefit for the stakeholders particularly those who live in rural areas as well as looking at the possible disadvantages.Health Informatics also can be defined as multi-disciplinary teams that manage the information including collection storage retrieval communication and optimal use of health related data (Graham as cited in Hovenga Kidd Garde & Cossio 2010). Further more health informatics involves Information Technology 2 [IT] in problem solving and decision-making assuring the highest quality health care in all basic and applied areas of biomedical sciences (Graham as cited in Hovenga Kidd Garde & Cossio 2010). The Australasian College of Health Informatics [ACHI] (2014) an Australasian health informatics professional body defines it as the use of health information tools and techniques not only computer skills but to support clinical care health service administration education and research. It can be said that health informatics process allows information to be collected and entered to the system and stored in a place where it is accessible to the users. The information management in health informatics allows the users to have access to download or retrieve the information from the system (Department of Health 2012).An electronic record of the patients information is kept allowing nurses and other health care team members to follow the care of the patients regardless where they are (Olesen 2012). Sustainable health information helps the patients get continuity and best possible quality of care (Olesen 2012). The electronic record allows other health care team members to access current records and promotes collaborative support for therapeutic intervention. This activity NMBA (2013) domain 3 provision and coordination of care of national competency standards for the registered nurse point 6.4 states collaborative supports the therapeutic interventions of other health team members. The use of advanced health informatics supports the collaborative therapeutic interventions.However According to the Australian Law Reform commission (n.d.) there is privacy regulation in handling health information in Australia the Privacy Act 1988. The Australian College of Rural and Remote Medicine (2012) outlined that written or verbal consent must be obtained prior to use of the telehealth system for patients. It can be an issue when outsiders have access to the health informatics system without 3 authorization or hackers can breach privacy laws. As health information is entered into the system the users such as nurses medical practitioners allied health and other professional members with access authority are able to use the data to support clinical care. Therefore the design of the health informatics model has to consider and maintain the patients privacy. The nurses using health informatics should maintain patients privacy and confidentiality as mentioned in the Nursing and Midwifery Board Australia [NMBA] competency standard in collaborative and therapeutic care point 10.2 which is maintaining confidentiality in discussion about an individual/groups need and progress and point 10.4 demonstrate awareness of changes to policy and guidelines (NMBA 2013). Maintaining patients privacy is part of the legal obligation for the nurses and other health care team members to comply with the policy and guidelines.World Health Organization [WHO] (2010) described telemedicine as a method of providing health care services for people who live away from the centre of health care support providers by using information and communication technology for clinical care practice. Telemedicine is greatly beneficial when the patients and the care providers are separated by distance (WHO 2010).
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