Module 6 July 27, 2010

 

Module 6 information reminded me that I had forgotten the extent of plagiarism. I always remember to cite another’s work. However, I had forgotten paraphrasing is taking advantage of another’s hard work. Included in the plagiaristic faux pas I didn’t realize omitting a citation from your personal work is also considered plagiarism. To pursue strong code of conduct in writing is to follow citation etiquette.

Journalistic etiquette is to always give credit where and to whom it is due. Copyright is also considered an infringement if one uses another’s work for their own benefit. A great example of infringement was the commercial using “Mickey Mouse” (copyright of Walt Disney) as described in the NPR podcast copyright infringement is using a person, place, or thing without asking permission. It is unacceptable to plagiarize or infringe on something another person has toiled over without giving them notoriety or asking permission (module 5 policy and ethical issues ppt. slide 13).

In saying that I did find it a bit confusing while listening to the NPR podcast on plagiarism. The gentleman in my opinion offered number of loopholes to plagiarism in comparison to the literature readings regarding plagiarism, including the power point. I for one wholeheartedly disagree that plagiarism being the best form of flattery. As an artist, I was not cajoled when others copied my work. When my customers found it difficult to know whose work was the original and money went into the other’s pocket on my hard work I did not find it flattering. The bottom line as so eloquently stated by the  gentleman on the podcast when money is involved it is a sour “source" particularly cases when not giving credit where credit is due. Personally albeit acceptable for those using artistic license and freedom of creating new art from old style leaves me to shudder and unlike Van Gogh I could not lend an ear to this plagiaristic debauchery.

Finally another source of interest were "10 tips to secure your laptop" (Strom, 2007). I’ve heard about people getting into your computer say at a coffee shop or even the university. Caught unaware of the “evil twin” to access your personal information was quite the eye opener. I do not have a criminal mind so I had no idea what can be "hacked or jacked" from my computer. I've been curious if my neighbor could get into my computer through WiFi, perhaps he might want to revamp my blog site or with any luck do my homework, but it is good to know how to safeguard by using WPA2. 

This is my last post for this season and with having been enlightened to the world wide web, and all that informatics has given us I say "hang ten, and keep on surfin."

N6004-Module 5 July 18, 2011-Hawkins, Marie

N6004 Module 5 Blog July 19, 2011-Hawkins_Marie

As a psychiatric mental health nurse practitioner clinical decision making particularly decision trees are utilized for determining psychiatric disorders and differential diagnosis as well as pharmacology decisions. The DSM IV is a clinical diagnostic guideline that is good, yet it is very painstaking and heavy to cart around. Nursing does have computer preceptors but they are not all encompassing. Having a computer-generated system would be very beneficial because thanks to the rapid changes in health care due to research nursing needs to keep up on the latest care particularly in specialty areas.

To obtain the latest information rapidly is essential. As  Brokel, (2009), aptly states if nurses do not have the resources available then the inability to make a decision and provide care in a timely manner is difficult.

A good example of using a computer diagnostic system (CDS) would be a pharmacotherapy system. This type CDS known as drug databases decreases the chances of medication error. Further it explains drug-to drug-interaction, appropriate dosing, and recommendation for laboratory or diagnostic testing. Testing is important for maintaining a therapeutic level and to prevent systems damage

Even though nursing diagnostic systems are behind the medical counterparts I believe this will change rapidly in the upcoming years. With each generation comes growth and the next generation is very computer savvy. Nursing should expect great additions to providing best evidence based care at a rapid pace (Anderson., 2008.

With CDSS technology health care practice diminishes costly errors. Heuristics and bias are necessary to keep in mind. It is easy to follow the crowd because “we’ve always done it that way” but given new knowledge as explained by Tversky & Kahneman (1974), I will be looking at my decision making through different lenses. One area of clinical decision making that is biased and unchangeable is the human touch as best practice care because it never fails.

References

Anderson., J., Willson, P. (2008). Clinical decision support systems in nursing: synthesis of science for evidence-based practice. Computers, Informatics, Nursing, 26(3), 151-158.

Brokel, J. (2009). Infusing clinical decision support interventions into electronic health records. [Journal]. Urological nuring, 29(5), 345-353.

Tversky, A., & Kahneman, D. (1974). Judgement and uncertainty heuristics and biases. [Journal]. Science, 185(4157), 1124-1131.

Blog July 3, 2011 Module 4

1. What sort of teaching is done in your professional role?

The question would be what sort of teaching isn’t done in my professional role. Nurses and people who are drawn into nursing are automatic teachers. During school we teach each other, we’ve probably taught our families, or children. In our profession we educate patients on a continuum. We teach them how to dress, eat, or walk and transfer from place to place if necessary. Particularly for those who have suffered a physical event that prevents them from meeting their activities of daily living. We teach diet, exercise, medications, and how to be healthy. As a nurse practitioner we teach people how to live, cope and make decisions to change their lives for the better. Hopefully we guide people toward self-discovery.

I can’t think of any health care provider that does not teach someone something during their professional career. Some of us become educators at universities, or hospitals, and even public health clinics or fairs. In return many of us are taught something by our patients. We learn and share daily in all walks of our lives. On many occasion we even teach doctors. 
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