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Use the resources linked below to help complete this assessment.

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Bioinformatics

· McGonigle, D., & Mastrian, K. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett. 

Available in the courseroom via the VitalSource Bookshelf link.

· Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology.”

· Kodra, Y., Weinbach, J., Posada-de-la-Paz, M., Coi, A., Lemonnier, S. L., van Enckevort, D., Roos, M., Jacobsen, A., Cornet, R., Ahmed, S. F., Bros-Facer, V., Popa, V., Van Meel M., Renault, D., von Gizycki, R, Santoro, M., Landais, P., Torreri, P., Carta, C., Mascalzoni, D., Gainotti, S., Lopez, E., Ambrosini, A., Müller, H., Reis, R., Bianchi, F., Rubinstein, Y., Lochmüller, H., & Taruscio, D. (2018). 

Recommendations for improving the quality of rare disease registries.
 
International Journal of Environmental Research and Public Health, 
15(8), 1644–1666.

· Krempel, R., Kulkarni, P., Yim, A., Lang, U., Habermann, B., & Frommolt, P. (2018). 

Integrative analysis and machine learning on cancer genomics data using the Cancer Systems Biology Database (CancerSysDB)
. 
BMC Bioinformatics, 
19(1), 1–10.

· Regan, M., Engler, M. B., Coleman, B., Daack‐Hirsch, S., & Calzone, K. A. (2019). 

Establishing the genomic knowledge matrix for nursing science
. 
Journal of Nursing Scholarship, 
51(1), 50–57.

· Yang, J., Zhang, S., Zhang, J., Dong, J., Wu, J., Zhang, L., Guo, P., Tang, S., Zhao, Z., Wang, H., Zhao, Y., Zhang, W., and Wu, F. (2018). 

Identification of key genes and pathways using bioinformatics analysis in septic shock children
. 
Infection and Drug Resistance, 
11, 1163–1174.

· Zhang, K., Kong, X., Feng, G., Xiang, W., Chen, L., Yang, F., Cao, C., Ding, Y., Chen, H., Chu, M., Wang, P., & Zhang, B. (2018). 

Investigation of hypoxia networks in ovarian cancer via bioinformatics analysis
. 
Journal of Ovarian Research, 
11(16), 1–11.

Understanding Implications in Practice

· McGonigle, D., & Mastrian, K. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett. 

Available in the courseroom via the VitalSource Bookshelf link.

· Chapter 25, “The Art of Caring in Technology-Laden Environments.”

· David, H. B. F., & Belcy, S. A. (2018). 

Heart disease prediction using data mining techniques
. 
ICTACT Journal on Soft Computing, 
9(1), 1817–1823.

· El aboudi, N., & Benhlima, L. (2018). 

Big data management for healthcare systems: Architecture, requirements, and implementation
. 
Advances in Bioinformatics, 
2018, 1–10.

· Hoyle, P. (2019). 

Health information is central to changes in healthcare: A clinician’s view
. 
Health Information Management Journal, 48(1), 48–51.

Responsibility and Accountability in Practice

· Favaretto, M., de Clercq, E., & Elger, B. S. (2019). 

Big data and discrimination: Perils, promises and solutions. A systematic review
. 
Journal of Big Data, 
6(1), 1-27.

· Gurgen Erdogan, T., & Tarhan, A. (2018). 

A goal-driven evaluation method based on process mining for healthcare processes
. 
Applied Sciences, 
8(6), 1-22.

· Ienca, M., Ferretti, A., Hurst, S., Puhan, M., Lovis, C., & Vayena, E. (2018). 

Considerations for ethics review of big data health research: A scoping review
. 
PloS One, 
13(10), 1-15.

· Seyhan, A. A., & Carini, C. (2019). 

Are innovation and new technologies in precision medicine paving a new era in patients centric care?
 
Journal of Translational Medicine, 
17(114), 1-28.

· Shepheard, J. (2019). 

Ethical leadership and why health information management professionals need to be involved. Commentary on 
Health Information Is Central to Changes in Healthcare: 
A Clinician’s View (Hoyle, 2019)

. 
Health Information Management Journal, 
48(1), 52-55.

Scope and Standards of Practice

· American Nurses Association. (2015). 


Nursing informatics:
 
Scope and standards of practice

 (2nd ed.)
. Silver Spring, MD: Author.

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July 1, 2023
    

This the Museum that I choose.

 The Modern Museum of Art
https://youtu.be/0oly6d0zlZM 

 

Note: This assignment has been adapted to adhere to the current guidance from the CDC for social distancing because of the COVID-19 pandemic.  

For this assignment, you will choose a virtual cultural venue from the instructions below to visit online and write a short 500-800 word report about your visit.  

Purpose
The purpose of this assignment is to introduce you to the process of engaging with the cultural venues and communities. This will inform you personally of the Humanities and groups that support it. 

Skills
This assignment will help you practice the following skills that will be useful to you in your professional and personal life beyond school. 

  • Identify cultural venues and inform you with deeper knowledge about the art form chosen. 
  • Organize reflections about engaging with a cultural experience and community 
  • Use concepts and skills learned in class to describe and interpret cultural experiences and communities 
  • Use appropriate and proper grammar, organization, and academic-style formatting in order to communicate 

Knowledge
This assignment will help you become familiar with the following important content knowledge in the Humanities. 

  • Available virtual cultural venues and communities 
  • Methods of interpretation within the Humanities 

Instructions
For your report, choose one virtual venue from this pre-approved list that most interests you, or contact your professor for approval of your own online choice. If your choice below has both a website and a video, make sure you examine both. If you need special accommodations to complete this assignment, please inform your instructor and contact the Accessibility Accommodations office for guidance.  

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July 1, 2023
    

My Unit 2 discussion...... Please use the attachment to follow to fully answer. 

 

 

Moral distress.

Moral distress occurs in a situation where one knows what the ethically correct thing to do but feels powerless to make a decision (Epstein, 2008). Ethical dilemma on the other hand occur when which one recognizes that a problem exists, and that two or more ethically justifiable but mutually opposing actions can be taken (Jamleton, 1984). Whatever choice made has significant unpleasant effects. An example of a legal ethical dilemma that a nurse can face in their practice is when they have to violate their own/hospitals rules against abortion to care for a woman who has had one. This situation does not offer any desirable resolution, because if the nurse takes care of the woman, she violates certain principles, and if she does not, the woman might die.

Ethical dilemma.

A physician can violate the ethic that stipulates that they shall respect the patient’s right, and also violate the same law of respecting the patient’s right and freedom of movement, if they consider such movement a threat to the patient’s life or the life of others. Contravening this law would not constitute a criminal offense because it is in the patient’s best interest and the welfare of those the patient may interact with.

Instances of ethical and law violation.

A decision that would prevent violation of the ethical principle and prevent the law from being violated may constitute a decision by the patient or his family specifically instructing through an attorney what should be done, either because it was the patient’s will or the will of those responsible for them. For example, a family insisting on tube feeding their old father, in spite of the costs and the discomfort that that causes him, instead of letting him die naturally.

Ethical principles and laws.

Legal principles and laws that apply to the ethical dilemma include beneficence, nonmaleficence, respect for autonomy, and justice. Beneficence is where people are required to do or promote good for others, Nonmaleficence involves people avoiding risk or causing harm to others, Autonomy involves people having the right to self-determination and includes the right to respect, privacy, and information necessary to make decisions to others, and finally, Justice entails people treating others equally and fairly regardless of disease or social or economic status.

Case study.

Ethics and law have been known to be inseparable as laws and both have some level of dependence. Laws are based on morals and ethics, whereas ethics, rely on stipulated laws for them to be followed and applied in the society. An illustration of this fact is The Affordable Care Act which addresses this inequity by requiring most U.S. citizens and permanent residents to purchase health insurance The law also addresses insurances choices and costs, and puts into place certain rights and protections for consumers. This act was developed on the basis of ethics such as, beneficence, and justice, in the sense of equal opportunities for all. An example of a case study in the USA was back in January 1983 in Missouri when Nancy Cruzan lost control of her car and sustained serious injuries that resulted in her being in a vegetative state for several years, prompting the Missouri state government to ‘arrogate to itself’ the power to define life. The state was in an ethical dilemma and had to decide what legal action to take on the basis of ethics that is beneficence and  non- maleficence

Differences between legal and moral reasoning

Various differences exist in legal and moral reasoning. One of these is that legal reasoning comes from laws, made of legislations and court orders whereas ethical reasoning consists of reasoning based on morals and what is right and humane. The second difference is the context of exchanges of legal and ethical reasoning. Legal processes occur in courts whereas ethical reasoning occur in social contexts, for example, they can be inclusive or exclusive depending on the participants’beliefs and practices. In Nancy Cruzan’s case, the court would have applied a legal-ethical model to solve the case by first consulting her family or next of kin, to find out what her preference would have been if she had a chance to choose, or what would be the least painful and costly experience for them. Alternatively, the court can infer the advice of the health practitioners, for example the involved nurses and thereby get the best and most ethical course of action for her.

Recommendations.

Some of the recommendations to resolve advanced practice nurses moral distress in the dilemma above include, the state liaising with health practitioners to ensure that these dilemmas are resolved in the best way possible. Furthermore, courts can use statutes by other courts that have had to make and take similar action if the results were fair and just. The third recommendation, involves hospitals setting up their own ethical and lawful responses for potential dilemmas such that when they occur, the nurses can refer to them to make the right decisions.

Conclusion

In conclusion, the law and ethics are inseparable in the medical practice and have to be referred to when making decisions on the best medical practices to avoid being unethical and breaking the law.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Brent, N. (2001). Reproductive and family concerns. In N.J.

Brent (Ed.), Nurses and the law: A guide to principles and applications

Philadelphia: Saunders.

Cary, R. (2006). Informed consent for adult patients,. The American Journal of Maternal/Child Nursing, 106.

Cohen, A., & Ni, H. (2004). National health insurance coverage estimates from the National       Health Institute Survey, January-June 2003. Retrieved from www.cdc.gov/nchs/nhis.html

Docker, C. (2000) Cases in History. Retrieved from http://www.euthanasia.cc/cases.html.

Elpern, E.  Covert, B., &Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care. 523-530.

Epstein, E. (2008). End-of-life experiences of nurses and physicians in the newborn intensive care unit. Journal of Perinatology.771-778

Jameton, A. (1984). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONNS Clinical Issues in Perinatal & Women’s Health Nursing. 542-551.

Rentmeester, C. (2006). What's legal? What's moral? What's the difference? A Guide for Teaching Residents. Ethics and Professionalism, 32.

Schermerhon, J. (2009). Management. Colorado: John Wiley and Sons.

Simpson, K., & Chez, B. (2001). Professional and legal issues. In K.R. Simpson & P.A. Creehan (Eds.), AWHONN’s perinatal nursing. Philadelphia: Lippincott

default image
July 1, 2023
    

My Unit 2 discussion...... Please use the attachment to follow to fully answer. 

 

 

Moral distress.

Moral distress occurs in a situation where one knows what the ethically correct thing to do but feels powerless to make a decision (Epstein, 2008). Ethical dilemma on the other hand occur when which one recognizes that a problem exists, and that two or more ethically justifiable but mutually opposing actions can be taken (Jamleton, 1984). Whatever choice made has significant unpleasant effects. An example of a legal ethical dilemma that a nurse can face in their practice is when they have to violate their own/hospitals rules against abortion to care for a woman who has had one. This situation does not offer any desirable resolution, because if the nurse takes care of the woman, she violates certain principles, and if she does not, the woman might die.

Ethical dilemma.

A physician can violate the ethic that stipulates that they shall respect the patient’s right, and also violate the same law of respecting the patient’s right and freedom of movement, if they consider such movement a threat to the patient’s life or the life of others. Contravening this law would not constitute a criminal offense because it is in the patient’s best interest and the welfare of those the patient may interact with.

Instances of ethical and law violation.

A decision that would prevent violation of the ethical principle and prevent the law from being violated may constitute a decision by the patient or his family specifically instructing through an attorney what should be done, either because it was the patient’s will or the will of those responsible for them. For example, a family insisting on tube feeding their old father, in spite of the costs and the discomfort that that causes him, instead of letting him die naturally.

Ethical principles and laws.

Legal principles and laws that apply to the ethical dilemma include beneficence, nonmaleficence, respect for autonomy, and justice. Beneficence is where people are required to do or promote good for others, Nonmaleficence involves people avoiding risk or causing harm to others, Autonomy involves people having the right to self-determination and includes the right to respect, privacy, and information necessary to make decisions to others, and finally, Justice entails people treating others equally and fairly regardless of disease or social or economic status.

Case study.

Ethics and law have been known to be inseparable as laws and both have some level of dependence. Laws are based on morals and ethics, whereas ethics, rely on stipulated laws for them to be followed and applied in the society. An illustration of this fact is The Affordable Care Act which addresses this inequity by requiring most U.S. citizens and permanent residents to purchase health insurance The law also addresses insurances choices and costs, and puts into place certain rights and protections for consumers. This act was developed on the basis of ethics such as, beneficence, and justice, in the sense of equal opportunities for all. An example of a case study in the USA was back in January 1983 in Missouri when Nancy Cruzan lost control of her car and sustained serious injuries that resulted in her being in a vegetative state for several years, prompting the Missouri state government to ‘arrogate to itself’ the power to define life. The state was in an ethical dilemma and had to decide what legal action to take on the basis of ethics that is beneficence and  non- maleficence

Differences between legal and moral reasoning

Various differences exist in legal and moral reasoning. One of these is that legal reasoning comes from laws, made of legislations and court orders whereas ethical reasoning consists of reasoning based on morals and what is right and humane. The second difference is the context of exchanges of legal and ethical reasoning. Legal processes occur in courts whereas ethical reasoning occur in social contexts, for example, they can be inclusive or exclusive depending on the participants’beliefs and practices. In Nancy Cruzan’s case, the court would have applied a legal-ethical model to solve the case by first consulting her family or next of kin, to find out what her preference would have been if she had a chance to choose, or what would be the least painful and costly experience for them. Alternatively, the court can infer the advice of the health practitioners, for example the involved nurses and thereby get the best and most ethical course of action for her.

Recommendations.

Some of the recommendations to resolve advanced practice nurses moral distress in the dilemma above include, the state liaising with health practitioners to ensure that these dilemmas are resolved in the best way possible. Furthermore, courts can use statutes by other courts that have had to make and take similar action if the results were fair and just. The third recommendation, involves hospitals setting up their own ethical and lawful responses for potential dilemmas such that when they occur, the nurses can refer to them to make the right decisions.

Conclusion

In conclusion, the law and ethics are inseparable in the medical practice and have to be referred to when making decisions on the best medical practices to avoid being unethical and breaking the law.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Brent, N. (2001). Reproductive and family concerns. In N.J.

Brent (Ed.), Nurses and the law: A guide to principles and applications

Philadelphia: Saunders.

Cary, R. (2006). Informed consent for adult patients,. The American Journal of Maternal/Child Nursing, 106.

Cohen, A., & Ni, H. (2004). National health insurance coverage estimates from the National       Health Institute Survey, January-June 2003. Retrieved from www.cdc.gov/nchs/nhis.html

Docker, C. (2000) Cases in History. Retrieved from http://www.euthanasia.cc/cases.html.

Elpern, E.  Covert, B., &Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care. 523-530.

Epstein, E. (2008). End-of-life experiences of nurses and physicians in the newborn intensive care unit. Journal of Perinatology.771-778

Jameton, A. (1984). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONNS Clinical Issues in Perinatal & Women’s Health Nursing. 542-551.

Rentmeester, C. (2006). What's legal? What's moral? What's the difference? A Guide for Teaching Residents. Ethics and Professionalism, 32.

Schermerhon, J. (2009). Management. Colorado: John Wiley and Sons.

Simpson, K., & Chez, B. (2001). Professional and legal issues. In K.R. Simpson & P.A. Creehan (Eds.), AWHONN’s perinatal nursing. Philadelphia: Lippincott

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