The work of the government is to keep in place a strategy which serves humanity by working collaboratively with people requiring medical attention as well as the healthcare workers who are involved in the process of delivering care to them. The Australian Human Rights Commission will have an important role in ensuring that the policy or the healthcare law upholds the human rights of various stakeholder who are involved in the healthcare system. The aim of this position advocacy statement is to show provide insight of the problems in healthcare system and its impact.
As emergency room nurse, I see myself as a vital part of the healthcare system and with the current policies in play I have realized that it is important that the government takes steps to maximize the potential of the nurses by reducing their burden, especially while dealing enumerable patients who come into the trauma and emergency department.
My Health Record has enabled the nurses to work more effectively by saving time looking at the records instead of marinating records of the hard copy (Mendelson, 2020; Pandhi et al, 2018). As per the NMBA standards of nursing practice the role of nurse is to, “Involve in collaborative, therapeutic as well as in professional relationship with the patients; A nurse must maintain competency at work; and performs effectively on the job by carrying out all the assessments; A nurse plans for the practice in nursing; A nurse should provide a culturally safe, environment to the patients; and performs evaluation of her practice in nursing (NMBA, 2016).
” Healthcare delivery system is constantly evolving depending upon availability of the technology available. It has helped the nurses to be more competent, effectively manage the patients and organized the nursing practice by revamped in the way of delivering care to the patients. My health records is helpful in maintaining the privacy of the patient and gives ability to access the records In order to achieve this, a nurse must exhibit self-awareness and have belief in her own value system so that she can effectively communicate with the patient and establish a unique understanding of their situation, each according to their own needs as the needs of the patient presenting themselves in the emergency department may vary (Saleem & Herout 2018; ).
In rural communities, “My Health Records” have helped to break the linguistic and socio-cultural barriers by helping the healthcare professionals to easily understand their medical history and condition with the health of “My health records”. It is a very convenient method for the patient to check and download their records when they visit summary gets medically transcribed and instantly uploaded on the “My Health Portal”. Patients with their medical record number or their email ID can register on the portal and check /download all the visits they have had with multiple providers in the hospital. This helps in a great way to patients because he/she can access their lab reports through “My health record” As already the nursing profession has a profound impact on the mental status and emotional well-being of the nurses, their health is affected by the overburdening number of patients.
The “My Health records” helps to establish workplace resilience which ensures protection to the mental and emotional state of the nurses and helps them to positively adapt to the adverse events which may occur while treating the mentally and critically-ill patients. The practice requires deeply enhancing ones learning about core value system on which they operate in the day to day lives (Cynthia, H. S. A., & Stoots, 2013). A guide to EHR adoption: implementation through organizational transformation. HIMSS. 2018; NMBA, 2016), while providing care to the patients, their medical information is safe and the standard of The Privacy Act (1998) is maintained. The medical records are only released by patient’s consent and the autonomy of the patient is also safe guarded.
The work of an emergency room nurse encompasses frequent interactions with patients who have intense emotional needs and varied demands as per their individualistic, condition, behaviour, including abuse, self-harm, aggression as well as apprehension to harm the care taker as well. This becomes a cause for emotional disturbance, self-remorse, job dissatisfaction, stress and ill health of the nurse involved in the care of the patient. “My Health Record” helps in allowing the nurses to have resilience at work (Gui et al, 2020; Stevens et al, 2019). The nurse has to practice calm and display a therapeutic behaviour despite of her own mental turmoil. This may lead to emotions such as anger, frustration and nervous breakdown as it is known that they are trying the treat the untreatable disease with no surety of patient’s well-being. This scenario has serious implications on the nurses and may impact their productivity, resulting in poor outcomes. The “My health record” has helped in reduce the healthcare burden.
When a patient comes into the emergency room, he or she is not always in a position to explain his past medical history which can easily be traced through the “My Health Records” or “EHR (Electronic Health Records) and helps to quickly aid the patient with necessary information available on it, such as allergies, past medical and surgical history which helps in the process of decision making. It has enabled to share the medical records of the patients with other providers as well as the insurance companies (Penrod, 2017; Adams et al, 2015) through which the patient has claimed insurance. The insurance companies rely on the claimant/patient’s medical records to process their claim simultaneously while the patient is taking treatment in the hospital. Therefore, Electronic Health Records have made it possible to effectively bridge the gap between the requirements of the insurance companies for processing and releasing the finances for the ill patient.
Thus, it can be concluded that in view of all this change in the policy and has helped the healthcare professionals to work effectively and overcome the shortage of staff and helps the healthcare providers to track and to analyse healthcare data for better treatment outcome. This has helped me as well as the other nurses to be able to rely for technology and provide improved care and maintaining sustainability at workplace. This has greatly helped the nurses to update the prescriptions of the patients without physical visit to the patient. Use of telemedicine has also been possible because of the “My Health Records” especially treating patients who are severely sick and in need for intensive care therapy. It enabled to have a scope to improvise the professional capacity as a nurse (NMBA, 2016).
Mendelson, D. (2020). National Electronic Health Record Systems and Consent to Processing of Health Data in the European Union and Australia. In Legal Tech and the New Sharing Economy (pp. 83-99). Springer, Singapore.Dowding, L & Barr, J., (2018). Managing in healthcare: A guide for nurses, midwives and Health visitors. London: Routledge
Gui, X., Chen, Y., Zhou, X., Reynolds, T. L., Zheng, K., & Hanauer, D. A. (2020). Physician champions’ perspectives and practices on electronic health records implementation: challenges and strategies. JAMIA Open.
Penrod, L. E. (2017). Electronic health record transition considerations. PM&R, 9(5), S13-S18.
Cynthia Davis, M. H. S. A., & Stoots, M. (2013). A guide to EHR adoption: implementation through organizational transformation. HIMSS.
Saleem, J. J., & Herout, J. (2018). Transitioning from one Electronic Health Record (EHR) to another: a narrative literature review. In Proceedings of the Human Factors and Ergonomics Society Annual Meeting (Vol. 62, No. 1, pp. 489-493). Sage CA: Los Angeles, CA: SAGE Publications.
Adams, M. B., Kaplan, B., Sobko, H. J., Kuziemsky, C., Ravvaz, K., & Koppel, R. (2015). Learning from colleagues about healthcare IT implementation and optimization: lessons from a medical informatics listserv. Journal of medical systems, 39(1), 157.
Pandhi, N., Yang, W. L., Karp, Z., Young, A., Beasley, J. W., Kraft, S., & Carayon, P. (2014). Approaches and challenges to optimizing primary care teams’ electronic health record usage. Informatics in primary care, 21(3), 142.
Stevens, L. A., Pantaleoni, J. L., & Longhurst, C. A. (2015). The value of clinical teachers for EMR implementations and conversions. Applied clinical informatics, 6(01), 75-79.
Nursing and Midwifery Board of Australia. (2016). Standards for Practice: Enrolled Nurses.
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