Respond to your colleagues using one or more of the following approaches:
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.
Successful Implementation of Electronic Health Information Technology
Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?
This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process.
To prepare:
Review the steps of the systems development life cycle.Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system?
Successful Implementation of Electronic Health Information Technology
Organizations are constantly updating their systems and resources. It is imperative that nurses are incorporated with the decision in making the healthy information technology decisions. According to Nurse leaders discussion the nurse’s role in driving technology decisions (2010), nurses’ decisions about clinical technologies should be guided by two overarching goals, establishing safe and efficient care, and measuring nurses’ impact in keep patients safe (p. 8). Having the nurses review and support and idea of a new technology helps the organization make the right investment for its patients.
The dynamic system development method has three phases, the pre-project, the pro-life life cycle, and post project (McGonigle & Mastrian, 2015, p. 179). According to McGonigle & Mastrian (2015), the systems development life cycle has five steps feasibility, business studies, functional model iteration, design and build iteration, and implementation (p. 180).
In the first step, the feasibility is brought together with the potential risks. “In step one, the deliverables are a feasibilities report, project plan, and a risk log” (McGonigle & Mastrian, 2015, p. 179). Nurses should be involved with this step of the process because they will know if this project, or technology, is even worth the effort. According to Nurse leaders discussion the nurse’s role in driving technology decisions (2010), “clinicians must help drive the selection of clinical technologies (p. 8). Nurses will be able to know if something will be useful in everyday use or if it will cause more of a hassle. Not involving nurses can cause the waste of resources and money spent on the organization.
In step two, the business side begins. The business side of this process brings together the stakeholders and the processes that are needed for this new HIT system. Having the nurses involved in this to use the MoSCoW approach. According to McGonigle & Mastrian (2015), MoSCoW stands for “Must have, Should Have, Could Have, and Would Have” (p. 180). Nurses should be able to answer each of the MoSCoW approach sections and prioritize between the “must have” and the “should have” requirements. Nurse leaders discussion the nurse’s role in driving technology decisions (2010) stated, that nurses should take part in site visits to hospitals using the proposed technology and should be prepared to critique a system. The nurses should be able to recognize and appreciate the money being spent for the organization to help the workflow for nurses. Acknowledging the cost of the new program with help nurses be more appreciative. Not having nurses involved in this stage could waste time and money on issues and priorities that are not important to the organization.
The third step is the most important step for nurses to be involved in. The third step is known as functional model iteration (McGonigle & Mastrian, 2015, p. 181). This step involves translating the requirements into a functional model with a functioning prototype that can be evaluated by its users (McGonigle & Mastrian, 2015, p. 181). It is important for the nurses to be able to use and test out the new technology to see if it meets the requirements for the organization. “Some of the greatest success stories occur when staff nurses are given great latitude in driving technology decisions” (Nurse leaders discussion the nurse’s role in driving technology decisions, 2010, p. 9). Not having nurses included in this stage could potentially have requirements that are not necessary tested. Thus, continuing to waste time and money to bring a new technology to an organization that will not help the nursing staff.
The final step is also known as the implementation, deliverables are the system, documentation, and trained users (McGonigle & Mastrian, 2015, p. 181). This step includes training the users of the newly approved system and all of its satisfied requirements. This step stresses the importance of its impact on the business and organization. Having nursing involved in all of the systems development life cycles promotes nurses awareness to its implementation. If nurses help design and enhance the technology being purchased they will be less reluctant to the change. “Nurse leaders are clear about selecting technologies based on their ability to enable practice, not help clinicians accomplish tasks” (Nurse leaders discussion the nurse’s role in driving technology decisions, 2010, p. 9). Not having the nurses involved in this step will lead to a miss communication and reluctant learners. The “post project” phase is when the team verifies that the system is working properly (McGonigle & Mastrian, 2015, p. 182). Having nurses involved in this phase will help recognize any glitches or system errors that need to be fixed. Not performing audits or survey by the nurses will only have nurse become more reluctant and defiant to the new system. The goal of the system is to help promote an easier workflow.
In conlcusion, having nurses included in the implementation of any new system within the organizaiton will help the organization as whole. Nurses will be using the system the most to help with patient care and documenting appropriately. Continuing to help support the nurses and having their best interest within the organization will develop and implement the best system.

ultimedia-Innovative Business Solutions
Review various product and service options from various companies listed in the Table 7.1 Entrepreneur Magazine’s 2012 Innovative Health Care Business Solutions Awards in Chapter 7 of your course text. Select one option, and create a multimedia presentation that addresses the following:
Describe the product or service and its use.Determine its threats to existing health care organizations.Forecast the partnership between your selected product/company and existing health care organizations to provide better care to the patients.To create your multimedia presentation, first create a five-slide PowerPoint (excluding the title slide and references slide) that presents the information
Utilize a minimum of three scholarly and/or peer-reviewed sources, including the textbook, that were published within the last five years, and all sources must be documented in APA style.
Your PowerPoint presentation must include:
A Title Slide with the following:
Title of your presentation.Student’s name.Course title/number.Instructor’s name.Date.Introduction.Product or Service OverviewThreats to Existing Healthcare Organization.Partnership with Existing Healthcare Organizations.Conclusion.Reference slide.Clear organization/sequence.A clear and logical progression of ideas.Three to five bullet points (approximately five words per bulleted item).Relevant visuals, such as graphs and/or tables, which enhance understanding of concepts, ideas, and relationships. You may use Creative Commons for images and visuals.A consistent theme, format, and font that augment the readability.To submit this assignment, upload a Word document that contains the link to your multimedia presentation and your scripts, so your instructor can provide you with feedback on your presentation.

Interview a professional nurse with a BSN who could be a mentor to you and who exemplifies the type of nurse you want to become.
Write a 1- to 2-page interview report. In your report, include the following:
Identify and describe the attributes that make this nurse a role model for you.Explain the beliefs, values, attitudes, and philosophies this nurse demonstrates and relate it to your long-term goals.Describe the role of the nurse based on beliefs, values, attitudes, and philosophies.
This week you were introduced to the Student Portal and some of its capabilities. What are some of the tools/features that you plan to use that are available via the Student Portal to help you succeed in your online classes? If you were tasked to promote that other students take advantage of the Student Portal, what would be your recommendation? If you are an experienced user of the student portal, what do you see as some of the shortcomings?
Prompt 2
Portal/Intranet in the Workplace
Do you have experience working with a portal or intranet system in the workplace? How was it used? What were some pros and cons?
Prompt 3
Portal/Intranet in the Workplace
Could your workplace benefit from the capabilities of a portal or intranet system? If so, how? If you were designing your ideal portal/intranet system, what types of things would it do?

Response should be a thick one paragraph
The Two-Minus One PregnancyCollapse
Ruth Padawer’s article, The Two-Minus One Pregnancy, discusses the ever growing “reduction” procedure, or, in more crude terms, the abortion of one fetus and not of another also present at the time in the same womb. The procedure became more popular with the rise of artificial insemination; reproductive technology often lead to women conceiving multiple fetuses, not just the one sought out. The first woman Padawer interviews, Jenny, had been trying to get pregnant for a while, only to end up aborting one of her twin’s because of financial constraints. The article points out that many pro-choicers found that the idea of reduction unethical. Dr.Mark Evans, the creator of the procedure, issued out a guideline that a reduction below twins was unethical, and urged fellow physician’s not to become “technicians to our patients desires”. Many women that get a reduction are coddled by physicians telling them that carrying two babies instead of one may have health risks to both infant and mother, though Columbia’s Dr. Richard Berkowitz points out that “overwhelming majority of women carrying twins are going to be able to deliver two healthy babies”. Berkowitz goes on to argue however, that if aborting a single fetus is morally acceptable, why is aborting a paired fetus because financial, social, or economic reasons not? A study was also cited which states that there is more disruption in families with multiple infants, than families with just one. Shelby Van Voris had a difficult time finding a doctor who would ‘reduce’ two of her triplets. Voris said that her husband was deployed, and she couldn’t raise three infants on her own. It is a recurring theme between all the interviewed women that they were afraid of being unable to care for twins (or more) for whatever reason, be it because of finances, another child, or they just didn’t want twins. The doctors mentioned within the text overall seemed to acquiesce that they are the one’s with the skill to perform this act, so they do it, and that it is ultimately the mother’s choice to reduce or not.
The author brings up her own twin pregnancy, and how she too was deathly afraid of what was to come. She wrote on that she now cannot imagine life without all of her children because they are no longer “shadowy fetuses”. This dissonance between a “person”, as Kant may have prescribed, and a fetus, seems to stake the author’s claim that the fear of the future should perhaps not reason for a need of a reduction. Despite this brief personal interlude, the author does not let in much bias when interviewing women who had undergone reductions.The author also brings up the dilemma doctor’s face when choosing which fetus to abort: does gender play a role in that decision? If they’re both equally healthy, is it up completely to chance? The main question the article props up is, is single abortion as ethical as reduction ones? The author leaves the answer up for the reader to answer for themselves.
Personally, I could not understand at all why these women would undergo reductions. Jenny surely should have been informed of the chance of a “mega” pregnancy. Responsibility is a fundamental to parenthood, and it does not seem as if Jenny had completely accepted this when she underwent IVF. Shelby Van Voris too seemed irresponsible to me, was she prepared to raise a single child on her own as well? Or did the idea of three simply just scare her? Can fear justify an abortion? ‘A’ is perhaps the only woman who’s reason I may be able to swallow easily, as she reduced because it was negatively affecting her health, and she had a baby to take care of, along with her also pregnant partner. This is the classic dilemma of ‘giving up a life to save a life’ where there really isn’t a right or wrong choice.
Speciests would be completely against reduction, as they find it immoral to kill any innocent human. Marquis may perhaps agree with reduction in a case where the mother is saving the fetus from a bleak future, such as what a euthanasia patient does, despite his strict ideal of the “essence of the wrongness of killing”. Dr.Gregory’s theory would not out-rule reduction, as long as it was done before the fetus was physically sentient. Thomson would most probably be against reduction, especially if it was conceived after a contraceptive failure, although, she would be against reduction if it was for convenience, as some may argue many of these mother’s did. Brody would be for a reduction as long as it was before the fetus’s neural system was formed.
Works Cited
Munson, Ronald, et al.” Bio-Medical Ethics: PHI 227, Northern Virginia Community College”, ELI Distance Learning. Cengage Learning, 2013. P.63-98. Print.
Padawer, Ruth. “The Two-Minus-One Pregnancy.” The New York Times Magazine, august 10. 2011, web. October 2, 2016
Here are some theories to examine
Quizlet note cards, https://quizlet.com/125478977/phi-227-exam-2-flash-cards/
I am anti-abortion on he subject.

A summary of the eight steps in the ethical decision-making model proposed by Bush et al. (2006).
A critical analysis of the ethical decision-making model (i.e., analyze the strengths and weaknesses of the model in ethical decision making). I’m 
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