NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation

NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation Name Capella university NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Health Promotion Plan Presentation: Introduction Good morning, and welcome to today’s session on Human Papillomavirus (HPV) prevention. We are pleased to see our partners gathered here to address a crucial public health concern impacting adolescents and young adults between the ages of 11 and 26 in Schwenksville, Pennsylvania. This presentation is designed to increase awareness of HPV, emphasize its connection to various cancers, highlight the benefits of timely vaccination, and provide practical strategies for communicating with healthcare professionals and families about the HPV vaccine. This session is structured around pre-developed SMART goals and aligns with the objectives of Healthy People 2030. Presentation Roadmap The flow of this session is intended to offer participants vital insights and actionable knowledge. The agenda includes the following: Sharing key facts about HPV, including its transmission and carcinogenic potential. Describing the safety, effectiveness, and significance of timely HPV vaccination. Encouraging participants to schedule the HPV vaccine within 30 days. Enhancing communication confidence with healthcare providers and family members. Engaging attendees in interactive learning and discussion activities. Evaluating knowledge and confidence levels through a post-session quiz and survey. Key Concepts and Supporting Evidence Topic Summary Supporting Sources HPV and Cancer HPV is a prevalent virus spread through skin-to-skin and sexual contact, contributing to cancers such as cervical, throat, and genital cancers. In Pennsylvania, rural areas like Schwenksville have significantly lower HPV vaccination rates and higher cancer incidences (PA.gov, 2025). Huber et al., 2021; PA.gov, 2025 Benefits of Vaccination Administering the vaccine before HPV exposure—preferably around ages 11–12—provides strong immune protection and helps prevent several cancers and genital warts. Immunizing adolescents decreases individual risk and contributes to community-wide herd immunity. Hoes et al., 2021; Cheng et al., 2020; Xu et al., 2024 Communication Strategies To promote HPV vaccination, individuals should use evidence-based information, ask informed questions, and debunk myths. Addressing misconceptions, such as linking the vaccine to sexual behavior, is key to informed decision-making. Kassymbekova et al., 2023; CDC, WHO SMART Goals and Evaluation SMART Goals The following SMART goals were established to evaluate the effectiveness of this health promotion session: Knowledge Acquisition: At least 90% of participants will identify three key facts about HPV and its association with cancer by the end of the session. Vaccine Commitment: At least 80% of participants will commit to scheduling the HPV vaccine within 30 days. Communication Confidence: At least 85% of participants will report improved confidence in discussing HPV vaccination with others. These goals were intended to promote learning and empowerment, enabling participants to advocate for their health and their community’s well-being. SMART Goal Evaluation The session demonstrated mixed results in goal achievement: Goal 1 was met, with 92.5% of participants accurately identifying HPV-related cancer facts. Goal 2 was slightly unmet, as only 75% of participants committed to initiating vaccination within 30 days. Goal 3 was met, with 85% expressing greater confidence in discussing HPV vaccination. Some challenges emerged during evaluation. Teen participants often hesitated to commit without family consultation. Additionally, a few attendees reported feeling unprepared to counter common myths effectively. To address these issues, future sessions should incorporate earlier opportunities for family engagement, enhanced role-playing exercises, and possible follow-up meetings to support decision-making and reinforce accurate information. Alignment with Healthy People 2030 Objectives This session supports Healthy People 2030’s objectives, particularly in increasing adolescent HPV vaccination rates and reducing HPV-related cancer incidence. By boosting participants’ knowledge and communication readiness, the program made meaningful strides toward national health targets. However, the goal of immediate vaccine initiation fell short. This gap reveals the need for deeper engagement strategies, including more robust myth-busting components and enhanced family-oriented discussions. These improvements can foster stronger trust and increase vaccination uptake. Conclusion In summary, the health education session successfully increased awareness and understanding of HPV and its risks among adolescents and young adults in Schwenksville, PA. While most participants demonstrated enhanced knowledge and confidence, further efforts are needed to raise commitment levels for immediate vaccination. The use of SMART goals and alignment with Healthy People 2030 provided a structured, evidence-based framework to guide the intervention. Moving forward, incorporating more interactive elements, extended family engagement, and follow-up sessions will bolster future success in HPV prevention and public health outcomes. References Cheng, L., Wang, Y., & Du, J. (2020). Human papillomavirus vaccines: An updated review. Vaccines, 8(3), 391. https://doi.org/10.3390/vaccines8030391 Hoes, J., Pasmans, H., Schurink-van ’t Klooster, T. M., van der Klis, F. R. M., Donken, R., Berkhof, J., & de Melker, H. E. (2021). Review of long-term immunogenicity following HPV vaccination: Gaps in current knowledge. Human Vaccines & Immunotherapeutics, 18(1). https://doi.org/10.1080/21645515.2021.1908059 Huber, J., Mueller, A., Sailer, M., & Regidor, P.-A. (2021). Human papillomavirus persistence or clearance after infection in reproductive age. What is the status? Review of the literature and new data of a vaginal gel containing silicate dioxide, citric acid, and selenite. Women’s Health, 17, 174550652110207. https://doi.org/10.1177/17455065211020702 Kassymbekova, F., Zhetpisbayeva, I., Tcoy, E., Dyussenov, R., Davletov, K., Rommel, A., & Glushkova, N. (2023). Exploring HPV vaccine knowledge, attitudes, barriers and information sources among parents, health professionals and teachers in Kazakhstan: A mixed-methods study protocol. BMJ Open, 13(9), e074097. https://doi.org/10.1136/bmjopen-2023-074097 NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation PA.gov. (2025). Dear VFC provider. https://www.pa.gov/content/dam/copapwp-pagov/en/health/documents/topics/documents/programs/immunizations/3.3.25%20-%202025%20HPV%20Call-to-Action%20Letter%20and%20Resources.pdf U.S. Department of Health and Human Services. (n.d.). Vaccination – Healthy People 2030. Health.gov. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/vaccination Xu, M., Choi, J., Capasso, A., & DiClemente, R. (2024). Improving HPV vaccination uptake among adolescents in low-resource settings: Sociocultural and socioeconomic barriers and facilitators. Adolescent Health Medicine and Therapeutics, 15, 73–82. https://doi.org/10.2147/ahmt.s394119 NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation

NURS FPX 4055 Assessment 3 Disaster Recovery Plan

NURS FPX 4055 Assessment 3 Disaster Recovery Plan Name Capella university NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Disaster Recovery Plan Communities like Tall Oaks often face challenges in rebuilding effectively after disasters due to deep‐seated socio‐economic disparities, varied communication styles, and cultural diversity. A robust recovery strategy must integrate governmental policies with healthcare initiatives, and employ proven techniques to enhance collaboration and information exchange among professionals. This assessment utilizes the Crisis and Emergency Risk Communication (CERC) framework to illustrate how these factors shape recovery outcomes, reduce health inequities, and promote equitable service delivery during emergencies. Determinants of Health and Barriers in Tall Oaks Tall Oaks, home to about 50,000 people, grapples with a mismatch between average incomes and living costs, with a median household income of \$44,444. Poverty prevalence restricts access to disaster response services, and only 22.5% of residents possess adequate health literacy, reflecting low college‐degree attainment. Uninsured individuals and Americans under 65 with disabilities face heightened vulnerability in crises. The county’s demographic mix—49% White, 36% Black, and 25% Hispanic/Latino—offers cultural richness but also creates obstacles in timely access to services (Capella University, n.d.). Flood‐prone neighborhoods like Willow Creek and Pine Ridge house many cost‐sensitive seniors, while language barriers and mistrust in healthcare further impede service uptake among Hispanic/Latino residents. Older adults and people with disabilities often feel cut off due to weak social networks and forced relocations after flooding (Bailie et al., 2022). Financial hardship compounds these issues, limiting transportation to medical facilities such as Red Oaks Medical Center when schools and markets shut down. These intertwined social customs and economic pressures slow both immediate aid and long‐term rebuilding, underscoring the need for inclusive recovery approaches. Interrelationships Among Determinants and Barriers Health determinants and barriers in Tall Oaks operate within a web of interdependencies, complicating disaster readiness, recovery, and health outcomes. Economic inequality drives low‐income families and seniors into substandard, flood‐prone housing, increasing exposure to hazards. Educational gaps hinder comprehension of preparedness guidance, while cultural and language differences restrict health communication with Hispanic/Latino groups (Capella University, n.d.). Infrastructure breakdowns isolate impoverished residents without reliable transportation, delaying both evacuation and access to medical care. Financial strain prolongs recovery for those with health challenges or disabilities, exacerbating isolation (Blackman et al., 2023). Addressing these issues demands community‐wide planning, infrastructure investment, and culturally tailored communication strategies. Promoting Health Equity Through a Culturally Sensitive Disaster Recovery Plan The recommended plan for Tall Oaks centers on social justice and cultural sensitivity to narrow health disparities and boost service accessibility. It prioritizes marginalized groups—who bear the greatest disaster impact—by ensuring everyone, regardless of income, race, language, or ability, can reach their health potential (Bhugra et al., 2022). First, the plan implements multilingual communication and culturally adapted outreach to inform Hispanic/Latino and other minority communities. Second, mobile clinics and temporary recovery centers will serve flood‐affected areas, targeting uninsured individuals, people with disabilities, seniors, and low‐income families (Sheerazi et al., 2025). Third, economic barriers will be addressed via crisis transportation, nearby shelters, and financial aid programs for medical and housing expenses. Finally, partnerships with community organizations will expand social service networks, foster trust, and distribute resources equitably (Kristian & Fajar, 2024). Role of Health and Governmental Policy: A CERC Framework Approach Tall Oaks’ recovery hinges on health and government policies aligned with the CDC’s CERC framework. Across disaster phases, CERC emphasizes timely, accurate, and accessible communication. The CDC offers no‐cost training—ranging from 60‐minute webinars to multi‐hour workshops—in plain‐language emergency messaging, which over 5,000 professionals completed in 2024 (CDC, 2025). Policies like the Americans with Disabilities Act mandate accessible shelters, information, and healthcare for all. Tall Oaks ensures compliance by providing ramps, interpreters, and flexible resources at recovery sites. Under the Stafford Act, the city can secure federal funds for infrastructure repair and support services, while the Disaster Recovery Reform Act of 2018 broadens eligibility for housing and medical assistance in vulnerable areas (Horn et al., 2021). Data‐driven trace‐mapping will pinpoint service gaps, guiding resource allocation to underserved neighborhoods. Strategies to Overcome Communication Barriers and Foster Interprofessional Collaboration Effective disaster response in Tall Oaks requires evidence‐based measures to bridge communication divides and strengthen teamwork. Multilingual alerts, interpretation services, and community radio can reach all language groups. Facilities like Red Oaks Medical Center should adopt multilingual signage and culturally sensitive triage protocols. Cultural competency training for relief teams builds trust and improves adherence to guidance (Bonfanti et al., 2023). Platforms that integrate healthcare, social work, and emergency response enhance coordination and resource distribution (Yazdani & Haghani, 2024). Engaging local leaders, faith groups, and schools via surveys and town halls ensures feedback-driven planning and greater community satisfaction (Vandrevala et al., 2024). Conclusion Tall Oaks’ disaster recovery success depends on aligning social determinants, policy frameworks, and communication networks. By embedding cultural sensitivity, interprofessional collaboration, and evidence‐based strategies within the CERC model, the city can deliver equitable services, empower vulnerable populations, and strengthen resilience for future emergencies. Section Key Elements Disaster Recovery Plan Integration of government and healthcare strategies; use of CERC framework for communication and teamwork. Determinants of Health and Barriers Socio‐economic disparities; low health literacy (22.5%); poverty (\$44,444 median income); uninsured and disabled at risk; cultural and language obstacles (49% White, 36% Black, 25% Hispanic/Latino). Interrelationships Among Determinants and Barriers Economic inequality → flood‐prone housing; educational gaps; infrastructure failures; isolation of vulnerable groups; prolonged recovery times. Promoting Health Equity Social justice and cultural sensitivity; multilingual outreach; mobile clinics; crisis transportation; financial aid; community partnerships. Role of Policy: CERC Framework CDC CERC training; ADA accessibility; Stafford Act and DRRA funding; trace‐mapping for targeted aid. Overcoming Communication Barriers & Collaboration Multilingual alerts; interpretation services; cultural competence training; interprofessional platforms; community engagement through surveys and town halls. Conclusion Emphasis on integrated, culturally informed, policy‐aligned strategies to ensure equitable, resilient disaster recovery. References ADA. (2025). Health Care and the Americans With Disabilities Act | ADA National Network. Adata.org. https://adata.org/factsheet/health-care-and-ada Bailie, J., Matthews, V., Bailie, R., Villeneuve, M., & Longman, J. (2022). Exposure to risk and experiences of river flooding for

NURS FPX 4055 Assessment 2 Community Resources

NURS FPX 4055 Assessment 2 Community Resources Name Capella university NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Community Resources PACER’s National Bullying Prevention Center (NBPC) is a nationally recognized nonprofit organization dedicated to ending bullying through education, advocacy, and community engagement. With a mission grounded in promoting kindness, acceptance, and inclusion, NBPC has transformed how bullying is viewed and addressed, recognizing it as a critical public health issue. The organization aims to create environments where all youth feel safe and supported, ultimately improving mental and emotional well-being. This assessment examines how NBPC’s mission, vision, and strategic initiatives drive community safety and health. It also explores NBPC’s programmatic effectiveness, funding sources, policy relationships, and the pivotal role of nurses in enhancing its reach and impact. Advancing Public Health, Equal Opportunity, and Quality of Life NBPC’s mission centers on reshaping societal norms by declaring that bullying is not an acceptable part of childhood (PACER’s National Bullying Prevention Center, n.d.-a). The vision focuses on creating safe spaces for all children, especially those from vulnerable communities. Bullying’s links to mental health issues like anxiety, depression, and suicide make NBPC’s work vital to public health. Its initiatives are designed with long-term impact in mind, using educational tools to create cultural shifts in attitudes and behaviors. One major initiative is National Bullying Prevention Month, held every October. This campaign includes events like Unity Day, where participants wear orange to show solidarity against bullying. Such visibility raises public awareness while encouraging collective responsibility (PACER’s National Bullying Prevention Center, n.d.-b). These programs align closely with the mission, mobilizing stakeholders and communities in support of safer schools and healthier youth outcomes. NBPC emphasizes serving marginalized groups, including students with disabilities, racial minorities, and LGBTQ+ youth (Wu & Jia, 2023). The center provides culturally competent resources and offers materials in multiple languages to address communication barriers. These efforts reduce educational inequities and make support services accessible across socioeconomic backgrounds. Many resources are free or low-cost, benefiting underfunded schools and families (PACER’s National Bullying Prevention Center, n.d.-c). While digital access gaps persist, the widespread availability of NBPC’s materials increases outreach potential and improves youth mental health, academic participation, and emotional resilience. Funding, Legislation, and Nursing Collaboration in Service Delivery NBPC’s programming is funded by private donations, grants, and corporate partnerships. Organizations such as Cartoon Network, Facebook, and Instagram offer financial and promotional support to amplify the center’s message and outreach efforts (PACER’s National Bullying Prevention Center, n.d.-d). These contributions are crucial to sustaining free educational tools and organizing large-scale events. However, as with many nonprofits, NBPC’s funding is vulnerable to changing donor priorities, which could affect the consistency of service delivery. In terms of policy, NBPC’s work is bolstered by school-level anti-bullying mandates and national legislation such as the Individuals with Disabilities Education Act (IDEA), which protects students in special education (Yell & Bradley, 2024). These laws empower NBPC to advocate for inclusive learning environments. Nevertheless, disparities in how policies are enforced across school districts can limit NBPC’s influence, especially in areas with fewer resources or weaker legal frameworks. Nurses are key allies in supporting NBPC’s community health objectives. School, pediatric, and community health nurses often witness the physical and emotional impact of bullying firsthand. Their role includes early identification of victims, referral to services, and implementation of educational workshops using NBPC resources (Yosep et al., 2023). Nurses can also lead support groups or engage in research to enhance intervention strategies. While NBPC does not formally employ nurses, the opportunity for interdisciplinary collaboration offers mutual benefits in advocating for youth safety and well-being. Summary Table: Key Elements of PACER’s NBPC Programs Category Details Mission and Vision To eliminate bullying by promoting respect, safety, and inclusion for all youth. Public Health Impact Targets mental health issues tied to bullying; promotes awareness and systemic change. Major Campaign National Bullying Prevention Month and Unity Day drive national engagement and education. Target Populations Youth with disabilities, BIPOC students, LGBTQ+ individuals, and low-income communities. Accessibility of Resources Free/low-cost materials; multi-language support; online availability increases access. Funding Sources Donations, grants, and corporate sponsorships (e.g., Facebook, Cartoon Network). Policy Alignment Supported by federal laws like IDEA; reliant on local enforcement for consistency. Role of Nurses Identify bullying, lead interventions, conduct workshops, and bridge healthcare and education. References PACER’s National Bullying Prevention Center. (n.d.-a). About Us. https://www.pacer.org/bullying/about/ PACER’s National Bullying Prevention Center. (n.d.-b). Unity Day – WED., OCT. 20, 2021. https://www.pacer.org/bullying/nbpm/unity-day.asp PACER’s National Bullying Prevention Center. (n.d.-c). Order products. https://www.pacer.org/bullying/shop/ PACER’s National Bullying Prevention Center. (n.d.-d). Corporate & celebrity partners. https://www.pacer.org/bullying/take-action/partners/corporate-and-celebrity.asp NURS FPX 4055 Assessment 2 Community Resources Wu, Q., & Jia, F. (2023). Empowering students against ethnic bullying: Review and recommendations of innovative school programs. Children (Basel), 10(10), 1632. https://doi.org/10.3390/children10101632 Ye, Z., Wu, D., He, X., Ma, Q., Peng, J., Mao, G., Feng, L., & Tong, Y. (2023). Meta-analysis of the relationship between bullying and depressive symptoms in children and adolescents. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-04681-4 Yell, M. L., & Bradley, M. R. (2024). Why we have special education law: Legal challenges to the IDEA. Exceptionality, 32(2), 1–14. https://doi.org/10.1080/09362835.2024.2301820 Yosep, I., Hikmat, R., & Mardhiyah, A. (2023). School-Based nursing interventions for preventing bullying and reducing its incidence on students: A scoping review. International Journal of Environmental Research and Public Health, 20(2), 1577. https://doi.org/10.3390/ijerph20021577 NURS FPX 4055 Assessment 2 Community Resources

NURS FPX 4055 Assessment 1 Health Promotion Research

NURS FPX 4055 Assessment 1 Health Promotion Research Name Capella university NURS-FPX4055 Optimizing Population Health through Community Practice Prof. Name Date Health Promotion Research The prevention of Human papillomavirus (HPV) continues to be a critical issue in public health, especially for adolescents and young adults, who are within the recommended age for vaccination. Misinformation and lack of awareness contribute to lower vaccination rates, leaving many young individuals vulnerable to HPV-associated diseases and cancers. This concern is particularly relevant in semi-rural areas like Schwenksville, Pennsylvania, where coverage is lower than the state average. A robust health promotion strategy is needed to educate adolescents, their parents, and educators about the importance of HPV vaccination. This approach should include accurate information, accessible resources, and easy-to-navigate vaccination services (Schlecht et al., 2021). This research investigates HPV’s impact on youth health, highlights the challenges in vaccination uptake, and presents targeted solutions to improve immunization rates in Schwenksville, thereby protecting the broader community. Population Analysis The focus of this study is on individuals aged 11 to 26 in Schwenksville, PA. Though the state average for full HPV vaccination in adolescents aged 13 to 17 is around 68.7%, the local rate in Schwenksville lags at just 48.7% (PA.gov, 2025). Several barriers hinder vaccine uptake in the community. These include restricted access to adolescent healthcare, lack of strong provider recommendations, and hesitancy or embarrassment among parents due to cultural or informational gaps (Lipsky et al., 2025). As a semi-rural area, Schwenksville faces infrastructure and transportation limitations, which may prevent regular healthcare visits. Adolescents in particular may be under-informed about the long-term risks of HPV. Since parents largely drive healthcare decisions for minors, tailored education addressing both youth and guardians is critical to improving vaccination coverage. Points of Uncertainty and Community Context Due to limited specific data for Schwenksville, assumptions were made based on trends in similar rural areas in Pennsylvania. This includes assuming comparable cultural beliefs, healthcare access challenges, and vaccine hesitancy. However, variations may exist in community education levels, religious attitudes, and prior exposure to health campaigns. Gathering localized data would help customize effective interventions. Schwenksville is a small, semi-rural borough in Montgomery County, with roughly 1,500 residents (Datausa, 2023). The population is primarily white and middle-income, with health education often delivered through schools or community centers. Parents may hold conservative views, making open discussions about HPV sensitive. Therefore, successful strategies must be culturally appropriate and focus on family-centered messaging (Kim et al., 2023). Educational institutions and community partnerships play a vital role in reaching this population. This health promotion model can also be adapted to other similar rural populations facing comparable vaccination barriers. Relevance of HPV Prevention HPV-related cancers, such as cervical, anal, and oropharyngeal cancers, present long-term health risks. Given Schwenksville’s lower-than-average vaccine uptake, there is a heightened need for proactive health promotion. Interventions that combine education, access, and cultural sensitivity are key to improving these outcomes and reducing healthcare disparities. Contributing Factors and Health Disparities Several structural and social factors contribute to lower HPV vaccination in Schwenksville. These include limited access to healthcare facilities, infrequent public health campaigns, and a shortage of pediatric or adolescent-focused services. Moreover, conservative cultural values can amplify vaccine hesitancy, particularly when the vaccine is associated with sexually transmitted infections (Magana et al., 2023; Zhang et al., 2023). A lack of health literacy among parents and teens further exacerbates this gap. Addressing these issues through targeted, community-based strategies that promote understanding and accessibility is crucial for equitable health outcomes. SMART Health Goals To improve vaccination outcomes, three SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals are proposed: Goal 1: 90% of participants will identify three HPV facts after the educational session. This will combat misinformation and raise awareness (Bowden et al., 2023). Goal 2: 80% of eligible participants or guardians will commit to scheduling the first HPV dose within 30 days. This measurable pledge indicates intent to vaccinate (Zhang et al., 2023). Goal 3: 85% of attendees will express increased confidence in discussing HPV vaccination, measured through a pre-and post-session scale. This fosters advocacy and improved communication (Bowden et al., 2023). Conclusion HPV vaccination is crucial in protecting adolescents and young adults in Schwenksville from preventable cancers. The community’s rural context, healthcare limitations, and cultural factors contribute to its health disparities. However, targeted and culturally appropriate promotion strategies, guided by SMART goals, can increase awareness, empower families, and ultimately raise vaccination rates in this vulnerable population. Summary Table Heading Key Details Community Application Population and Health Analysis Focus on individuals aged 11–26; vaccination coverage in Schwenksville is 48.7% compared to state average of 68.7%; barriers include healthcare access and parental hesitancy (PA.gov, 2025; Lipsky et al., 2025). Need for family-centered, school-based outreach programs with better transportation and provider engagement. Health Disparities and Challenges Rural context limits public health infrastructure and health literacy; conservative values contribute to hesitancy; parents often uninformed about HPV’s link to cancer (Magana et al., 2023; Zhang et al., 2023). Implement culturally-sensitive education through schools, local health centers, and parent engagement sessions. SMART Goals for HPV Promotion Goal 1: Raise HPV knowledge (90% success); Goal 2: Encourage vaccine scheduling (80% pledge); Goal 3: Improve communication confidence (85%) (Bowden et al., 2023; Zhang et al., 2023). Evaluate through post-session surveys, schedule support, and confidence scale; replicate in similar communities. References Bowden, S., Doulgeraki, T., Bouras, E., Markozannes, G., Athanasiou, A., Grout-Smith, H., Kechagias, K. S., Zuber, V., Chadeau-Hyam, M., Flanagan, J. M., Tsilidis, K. K., & Kyrgiou, M. (2023). Risk factors for human papillomavirus infection, cervical intraepithelial neoplasia and cervical cancer: An umbrella review and follow-up Mendelian randomisation studies. BMC Medicine, 21(1). https://doi.org/10.1186/s12916-023-02965-w Datausa. (2023). Schwenksville, PA | Data USA. https://datausa.io/profile/geo/schwenksville-pa Kim, S., Ou, L., Larkey, L., Todd, M., & Han, Y. (2023). Developing a culturally and linguistically congruent digital storytelling intervention in Vietnamese and Korean American mothers of human papillomavirus–vaccinated children: Feasibility and acceptability study. JMIR Formative Research, 7, e45696. https://doi.org/10.2196/45696 NURS FPX 4055 Assessment 1 Health Promotion Research Lipsky, M. S., Wolfe, G., Radilla, B. A., & Hung, M. (2025). Human

NURS FPX 4045 Assessment 5

NURS FPX 4045 Assessment 5 Name Capella university NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology Prof. Name Date

NURS FPX 4045 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

NURS FPX 4045 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators Name Capella university NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology Prof. Name Date Informatics and Nursing-Sensitive Quality Indicators The National Database of Nursing-Sensitive Quality Indicators (NDNQI), initiated by the American Nurses Association (ANA) in 1998, serves as a vital framework for measuring nursing contributions to patient care quality and safety. These indicators include structural, process, and outcome categories. Structural indicators refer to aspects like staffing ratios and nurse education levels. Process indicators track the implementation of interventions, such as fall prevention protocols. Outcome indicators evaluate the impact of nursing care, for example, the frequency of patient falls or pressure ulcers. Patient falls with injury represent a crucial metric in acute care settings, reflecting the quality of safety practices. Acute hospitals cater to diverse patient needs, making fall prevention critical. Falls act as both process and outcome indicators; even minor falls expose system vulnerabilities and improvement areas. By investigating these incidents, nurses and teams can address root causes and strengthen prevention programs to reduce high-risk occurrences. The consequences of falls go beyond physical harm, leading to increased healthcare costs and workflow disruptions. Studies reveal that hospital-based falls are among the most common preventable incidents, costing from \$352 to \$13,617 per patient (Dykes et al., 2023). Effective fall prevention, through interventions such as assistive devices and staff education, not only enhances patient safety but also reduces length of stay and resource utilization. Consequently, addressing patient falls is both a quality and financial imperative. Data Collection, Reporting, and Interdisciplinary Collaboration Falls with injury impact regulatory compliance and institutional reputation. Organizations like The Joint Commission and CMS factor fall rates into accreditation and reimbursement processes. Therefore, facilities must constantly improve fall prevention strategies. Nurses are on the frontline of these efforts. Their responsibilities include assessing patient risk, applying preventive protocols, and documenting incidents comprehensively. Evidence-based practices, supported by accurate reporting, help teams develop and refine strategies. New nurses must understand Nursing-Sensitive Quality Indicators (NSQIs) and their importance in maintaining safety standards. Knowledge of fall prevention empowers them to apply best practices and collaborate effectively. Tools like the Morse Fall Scale help in evaluating risk, while electronic health records (EHRs) ensure complete documentation. Bedside reports, safety briefings, and incident tracking systems allow staff to respond promptly and monitor trends over time. Interdisciplinary teamwork enhances these efforts. Nurses, risk managers, physical therapists, and administrators work together using EHRs, direct assessments, and incident reviews. This approach enables better policy development and resource allocation. It creates a safety culture where fall prevention becomes integral to daily practice. Sharing findings with governing bodies and using digital dashboards for benchmarking further supports institutional performance and accountability. Technology, Evidence-Based Practice, and Administration’s Role Administrative support is essential for optimizing fall prevention initiatives. Hospital leadership can drive performance improvements by using data from NSQIs to shape policy and training. This includes employing safety technologies such as bed alarms, lighting adjustments, and fall alert systems. Data from incident reports and digital dashboards inform leadership of progress, enabling comparison with national benchmarks. NSQIs also facilitate Evidence-Based Practice (EBP), ensuring consistency and quality. Innovations like wearable monitors and sensor-based detection systems allow for real-time responses to potential falls. EHR integration offers clinical decision support alerts, while environmental adjustments such as impact-absorbing flooring reduce injury severity. Early risk identification through stratification tools ensures targeted care within the first 24 hours of admission (Satoh et al., 2022). When nurses use NSQIs and data-driven insights, they can proactively tailor interventions, increasing patient satisfaction and outcomes. Predictive analytics and early alerts enhance fall prevention strategies. This structured, technology-supported approach strengthens safety and aligns with regulatory expectations. Ultimately, the integration of NSQIs with EBP and administrative leadership establishes a framework for continuous quality improvement. Table: Overview of NSQI Concepts and Practices Aspect Details Significance Indicator Types Structural (staffing), Process (protocols), Outcome (fall rates) Helps standardize nursing assessment and evaluate care effectiveness Fall Prevention Interventions Bed alarms, assistive devices, environmental changes, patient education Reduce injury risks, improve patient outcomes, and lower costs Reporting Tools & Methods EHRs, Morse Fall Scale, STRATIFY, incident tracking, safety briefings Enable consistent and detailed data capture for accurate trend analysis Multidisciplinary Involvement Nurses, QI experts, risk managers, therapists, administrators Ensures thorough data review, resource allocation, and evidence-based response Technological Integration Sensor-based systems, clinical alerts, real-time dashboards, predictive analytics Facilitates timely response and improves fall prevention strategies Organizational Impact Improved safety metrics, compliance with CMS/Joint Commission, reduced liability Strengthens institutional reputation, lowers costs, and sustains regulatory accreditation References Alanazi, F. K., Sim, J., & Lapkin, S. (2021). Systematic review: Nurses’ safety attitudes and their impact on patient outcomes in acute‐care hospitals. Nursing Open, 9(1), 30–43. https://doi.org/10.1002/nop2.1063 Alshammari, S. M. K., Aldabbagh, H. A., Anazi, G. H. A., Bukhari, A. M., Mahmoud, M. A. S., & Mostafa, W. S. E. M. (2023). Establishing standardized Nursing Quality Sensitive Indicators. Open Journal of Nursing, 13(8), 551–582. https://doi.org/10.4236/ojn.2023.138037 Informatics and Nursing-Sensitive Quality Indicators Basic, D., Huynh, E. T., Gonzales, R., & Shanley, C. G. (2021). Twice‐weekly structured interdisciplinary bedside rounds and falls among older adult inpatients. Journal of the American Geriatrics Society, 69(3), 779–784. https://doi.org/10.1111/jgs.17007 Dykes, P. C., Bowen, M. C., Lipsitz, S., Franz, C., Adelman, J., Adkison, L., … & Bates, D. W. (2023). Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum, 4(1), e225125. https://doi.org/10.1001/jamahealthforum.2022.5125 Ghosh, M., O’Connell, B., Yamoah, E., Kitchen, S., & Coventry, L. (2022). A retrospective cohort study of factors associated with severity of falls in hospital patients. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-16403-z Gormley, E., Connolly, M., & Ryder, M. (2024). The development of nursing-sensitive indicators: A critical discussion. International Journal of Nursing Studies Advances, 7(7), 100227–100227. https://doi.org/10.1016/j.ijnsa.2024.100227 Hassan, Ch. A. U., Karim, F. K., Abbas, A., Iqbal, J., Elmannai, H., Hussain, S., Ullah, S. S., & Khan, M. S. (2023). A cost-effective fall-detection framework for the elderly using sensor-based technologies. Sustainability, 15(5). https://doi.org/10.3390/su15054489 O’Connor, M., Norman, K., Jones, T., & Johnston, K. (2022). Smart flooring and wearable sensors for fall prevention in hospitals. Journal of Biomedical Informatics, 130, 104082. https://doi.org/10.1016/j.jbi.2022.104082 Informatics

NURS FPX 4045 Assessment 3 Technology in Nursing

NURS FPX 4045 Assessment 3 Technology in Nursing Name Capella university NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology Prof. Name Date Technology in Nursing Introduction to the Selected Technology Topic Telehealth videoconferencing systems were chosen for this analysis due to their ability to expand patient access to healthcare, improve clinical outcomes, and ensure patient safety. This technology has gained prominence in response to the growing need for remote healthcare, especially in rural and underserved areas. By reducing barriers such as geographical distance, videoconferencing supports timely medical interventions and reinforces patient-centered care delivery models. What makes this technology particularly compelling is its facilitation of real-time interactions between patients and healthcare providers, thereby enhancing continuity of care and reducing preventable hospital readmissions. In researching this topic, databases including PubMed, CINAHL, and ScienceDirect were utilized. Keywords such as “telehealth videoconferencing in nursing,” “videoconferencing system and patient safety,” and “telehealth technology in quality care” were used to locate peer-reviewed articles emphasizing its significance in nursing practice and interdisciplinary settings. Summary of Annotated Literature The table below summarizes the main findings from five peer-reviewed studies related to telehealth videoconferencing and its impact on nursing practice. Study Key Findings Implications for Nursing Practice Ådnanes et al. (2024) Videoconferencing improved access to mental health services for children in welfare systems; boosted functioning but raised concerns over rapport-building. Nurses working with vulnerable populations can use VC to promote timely care and communication, but must address the limitations in therapeutic relationships. Cubo et al. (2021) Reviewed 26 videoconferencing tools; emphasized benefits for neurological care but flagged cybersecurity risks. Nurses must select secure platforms that comply with regulations to ensure data protection and support remote patient management. Newbould et al. (2021) Explored sustainability of VC in care homes; success tied to leadership, training, and organizational culture. Nurses benefit from enhanced care coordination and specialist input, especially in long-term care settings, when implementation is backed by leadership. Payne & Clarke (2023) Video consultations are effective for urgent primary care triage and foster patient trust. Supports remote triage, timely referrals, and visual assessments; nurses can use it to improve care delivery and patient engagement. Tenfelde et al. (2023) Patient satisfaction with VC linked to communication quality and minimal technical issues. Nurses should focus on building strong communication skills and ensure reliable technology use to improve satisfaction and health outcomes. Integration with Artificial Intelligence (AI) and Summary Recommendations Artificial Intelligence (AI) serves as a powerful complement to videoconferencing in healthcare. AI-driven tools enhance nursing workflows by improving triage, supporting personalized care plans, and enabling predictive analytics to detect early health deterioration. Features like AI-generated real-time captions increase accessibility for patients with hearing impairments, while chatbots offer support for medication guidance and general health inquiries, thereby reducing the routine workload of nurses (Burrell, 2023). According to Tenfelde et al. (2023), successful implementation of video consultations hinges on minimizing technical disruptions and maximizing effective communication between patients and providers. AI technologies can enhance these dimensions by optimizing video quality, automating technical troubleshooting, and facilitating patient engagement. These advancements not only improve patient outcomes but also increase provider satisfaction and system efficiency. The collected literature underscores videoconferencing’s potential to transform healthcare delivery through better access, safety, and interdisciplinary collaboration. However, challenges such as cybersecurity risks (Cubo et al., 2021) and the potential loss of in-person rapport must be addressed through thoughtful implementation. Key enablers for success include leadership support, ongoing staff training, and robust technical infrastructure (Payne & Clarke, 2023). When combined with AI innovations, videoconferencing becomes a critical tool in delivering effective, efficient, and equitable healthcare. References Ådnanes, M., Kaasbøll, J., Kaspersen, S. L., & Krane, V. (2024). Videoconferencing in mental health services for children and adolescents receiving child welfare services: A scoping review. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-11157-y Burrell, D. N. (2023). Dynamic evaluation approaches to telehealth technologies and artificial intelligence (AI) telemedicine applications in healthcare and biotechnology organizations. Merits, 3(4), 700–721. https://doi.org/10.3390/merits3040042 NURS FPX 4045 Assessment 3 Technology in Nursing Cubo, E., Arnaiz-Rodriguez, A., Arnaiz-González, Á., Díez-Pastor, J.-F., Spindler, M., Cardozo, A., Garcia-Bustillo, A., Mari, Z., & Bloem, B. R. (2021). Videoconferencing software options for telemedicine: A review for movement disorder neurologists. Frontiers in Neurology, 12. https://doi.org/10.3389/fneur.2021.745917 Newbould, L., Ariss, S., Mountain, G., & Hawley, M. S. (2021). Exploring factors that affect the uptake and sustainability of videoconferencing for healthcare provision for older adults in care homes: A realist evaluation. BMC Medical Informatics and Decision Making, 21(1). https://doi.org/10.1186/s12911-020-01372-y Payne, R., & Clarke, A. (2023). How and why are video consultations used in urgent primary care settings in the UK? A focus group study. BJGP Open, 7(3). https://doi.org/10.3399/bjgpo.2023.0025 Tenfelde, K., Bol, N., Schoonman, G., Erik, J., & Antheunis, M. L. (2023). Exploring the impact of patient, physician and technology factors on patient video consultation satisfaction. Digital Health, 9. https://doi.org/10.1177/20552076231203887 NURS FPX 4045 Assessment 3 Technology in Nursing

NURS FPX 4045 Assessment 2 Protected Health Information

NURS FPX 4045 Assessment 2 Protected Health Information Name Capella university NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology Prof. Name Date Protected Health Information Understanding Protected Health Information (PHI) and HIPAA Guidelines Protected Health Information (PHI) refers to any patient-specific data that can identify an individual and relates to their healthcare services, treatments, or payment records. This includes details such as names, contact information, birth dates, diagnostic assessments, prescribed medications, treatment plans, insurance, and billing information (Pool et al., 2024). Managing PHI responsibly, especially during telehealth services, is fundamental to maintaining patient trust and adhering to HIPAA standards. The Health Insurance Portability and Accountability Act (HIPAA) plays a critical role in ensuring the confidentiality, security, and accessibility of PHI in the United States (Lindsey et al., 2025). It prohibits the disclosure of PHI without patient consent, granting individuals the right to access and control their medical information. HIPAA is especially important in the digital age, as telehealth introduces new vulnerabilities. Key components include: Security Rule: Mandates protection against unauthorized access to electronic health information (EHI). Privacy Rule: Restricts sharing of PHI without appropriate consent. Confidentiality Rule: Ensures that data exchange during care processes remains secure. For example, using unencrypted platforms for telehealth can lead to hacking risks. Likewise, discussing patient data in public spaces may result in unauthorized exposure (Alder, 2025). Role of Interdisciplinary Collaboration and Social Media Misuse Interdisciplinary collaboration is vital for safeguarding EHI, especially in telehealth. Professionals from various sectors—clinical, administrative, security, and IT—must work together to ensure robust data protection. Clinical staff engage in cybersecurity training to apply secure practices like encryption and password management. Administrators develop safety policies and allocate resources, while IT experts implement advanced tools such as firewalls and encryption systems. Institutions like the Cleveland Clinic have implemented such holistic strategies to uphold patient confidentiality (Cleveland Clinic, 2023). Unfortunately, social media misuse continues to be a serious breach point. Healthcare professionals, especially nurses, must refrain from posting patient-related content online. Violations can lead to severe consequences including job termination, license revocation, financial penalties, and legal action. Notable incidents include: A nursing assistant terminated for sharing a Snapchat video of an Alzheimer’s patient (Moore & Frye, 2020). An oral surgeon fined \$10,000 for sharing PHI on a public review platform. Organizations fined for broad PHI exposure—such as Green Ridge Behavioral Healthcare being penalized for disclosing data of over 14,000 patients (Alder, 2025). These incidents highlight the importance of maintaining professional boundaries and respecting patient privacy in all communications, including on social platforms. Practices and Strategies for Securing PHI To protect PHI, especially during telehealth interactions, organizations should implement a range of security-focused strategies: Use Robust Security Systems: Employing secure platforms with SSL encryption safeguards patient information. The Mayo Clinic utilizes such systems to maintain secure data transmission (Mayo Clinic, 2024). Conduct Safety Audits: Regular evaluations and feedback from stakeholders help ensure continuous HIPAA compliance. MGH, for instance, performs internal audits to ensure patient privacy (MGH, n.d.). Cybersecurity Training: Educating healthcare staff on data safety principles helps reduce breaches during digital communication. Additional social media-specific strategies include: Instituting strict policies prohibiting PHI sharing or discussing work online. Using encrypted communication channels for all patient-related dialogue. Establishing a clear reporting protocol for suspected breaches to minimize exposure and facilitate rapid responses. Together, these measures help create a culture of privacy and accountability in healthcare settings. Summary Table Category Key Details Examples/Implications Protected Health Information (PHI) Patient-identifiable data including treatments, diagnostics, and insurance Requires secure handling during telehealth sessions (Pool et al., 2024) HIPAA Components Security Rule, Privacy Rule, Confidentiality Rule Prevents unauthorized access or sharing of PHI (Lindsey et al., 2025; Alder, 2025) Interdisciplinary Collaboration Involves clinicians, administrators, security, and IT Cleveland Clinic uses team-based privacy approaches (Cleveland Clinic, 2023) Social Media Violations PHI posted online can lead to penalties, termination, jail Nurses, surgeons, and institutions have faced legal actions (Moore & Frye, 2020) Prevention Practices Encryption, audits, cybersecurity workshops Mayo Clinic uses SSL; MGH performs privacy audits (Mayo Clinic, 2024; MGH, n.d.) Social Media Guidelines Avoid posting or discussing patient info online; report breaches Strict internal policies reduce exposure and disciplinary risks (Alder, 2025) References Alder, S. (2023). HIPAA and social media rules – Updated for 2023. The HIPAA Journal. https://www.hipaajournal.com/hipaa-social-media/ Alder, S. (2023). HIPAA privacy rule – updated for 2023. The HIPAA Journal. https://www.hipaajournal.com/hipaa-privacy-rule/ Cleveland Clinic. (2023). Holistic, multidisciplinary approach protects patient data and privacy. ClevelandClinic.org. https://consultqd.clevelandclinic.org/holistic-multidisciplinary-approach-protects-patient-data-and-privacy/ NURS FPX 4045 Assessment 2 Protected Health Information Lindsey, D., Sniker, R., Travers, C., Budhwani, H., Richardson, M., Quisney, R., & Shukla, V. V. (2023). When HIPAA hurts: Legal barriers to texting may reinforce healthcare disparities and disenfranchise vulnerable patients. Journal of Perinatology, 45(2), 278–281. https://doi.org/10.1038/s41372-024-00805-5 Mayo Clinic. (2024). Privacy policy. MayoClinic.org. https://www.mayoclinic.org/about-this-site/privacy-policy MGH. (n.d.). Protect our patients’ privacy. Massachusetts General Hospital. https://www.massgeneral.org/assets/MGH/pdf/research/mgh-privacy-presentation.pdf Moore, W., & Frye, S. (2020). Review of HIPAA, part 2: Infractions, rights, violations, and role for the imaging technologist. Journal of Nuclear Medicine Technology, 48(1), 7–13. https://doi.org/10.2967/jnmt.119.227827 NURS FPX 4045 Assessment 2 Protected Health Information Pool, J., Akhlaghpour, S., Fatehi, F., & Burton-Jones, A. (2023). A systematic analysis of failures in protecting personal health data: A scoping review. International Journal of Information Management, 74, 102719–102719. https://doi.org/10.1016/j.ijinfomgt.2023.102719

NURS FPX 4045 Assessment 1 Nursing Informatics in Health Care

NURS FPX 4045 Assessment 1 Nursing Informatics in Health Care Name Capella university NURS-FPX4045 Nursing Informatics: Managing Health Information and Technology Prof. Name Date Nursing Informatics in Health Care Integrating a Clinical Decision Support System (CDSS) into healthcare organizations is essential for enhancing patient outcomes and safety. CDSS technology significantly contributes to improving diagnostic accuracy, refining treatment protocols, and supporting clinical decisions (Laraichi et al., 2024). The implementation of this system requires skilled Nurse Informaticists (NI), who play a vital role in minimizing clinical errors, delivering real-time medication alerts, and ensuring overall patient safety. In nursing practice, informatics merges nursing science with information technology to improve the delivery of healthcare. Nurse Informaticists are equipped with both clinical and technological expertise and serve as intermediaries between IT systems and clinical practice (Nashwan et al., 2025). They oversee the implementation of tools like CDSS, train healthcare personnel, and develop strategies for data-informed decision-making. Notably, Dr. Virginia Saba contributed to this field by developing the Clinical Care Classification (CCC) system to enhance documentation precision (Lopez et al., 2023). NIs ensure that CDSS platforms are designed for user-friendliness and meet clinical needs, boosting decision accuracy and reducing errors. Leading health organizations such as the Cleveland Clinic and Mayo Clinic have adopted nursing informatics to enhance clinical performance. Cleveland Clinic uses nursing informatics to streamline Electronic Health Records (EHRs), while Mayo Clinic uses CDSS to tailor care for patients with Acute Kidney Injury (Mayo Clinic, 2024). These systems assist in predicting risk factors and offering timely, evidence-based recommendations. The presence of Nurse Informaticists in these settings ensures that CDSS is integrated smoothly, aligning patient care strategies with technology and enhancing clinical outcomes. Nurse Informaticists and Healthcare Collaboration Nurse Informaticists act as liaisons between technology developers and healthcare professionals. They collaborate across disciplines—nurses, physicians, and IT experts—to develop systems that are clinically relevant and functionally efficient (Laraichi et al., 2024). By applying their dual expertise, they ensure that CDSS tools are effectively integrated into EHRs and that systems meet the dynamic demands of patient care. Their work not only reduces clinical errors but also fosters team collaboration and boosts clinical efficiency. Training is a crucial responsibility of Nurse Informaticists. They educate nurses and other clinical staff on how to use CDSS effectively, ensuring that everyone understands how to access real-time data and apply it to clinical decision-making. According to the American Nurses Association (2024), training initiatives support the adoption of technology and increase staff competency, which translates to safer and more efficient patient care. NI-led implementation also supports change management and increases the acceptance of new tools within clinical environments. The value of full nurse participation in CDSS planning cannot be overstated. When nurses are involved in the creation and execution of clinical systems, workflows improve, and patient outcomes are optimized. Nurses’ insights help ensure that the CDSS supports practical clinical operations while reducing overhead costs. According to Zhai et al. (2022), nurse engagement is vital in every stage of implementation to ensure clinical relevance and acceptance of the tools. Moreover, such integration enhances efficiency and leads to significant cost savings. Opportunities, Challenges, and Recommendations Nurse Informaticists bring transformative opportunities to health organizations through the implementation of CDSS, including the standardization of care and the enhancement of patient safety. These professionals help streamline care workflows and ensure real-time, data-driven decisions (Laraichi et al., 2024). For instance, CDSS use has reduced unnecessary testing costs, such as an annual \$300,000 saving on vitamin D testing (Lewkowicz et al., 2020). Moreover, NIs are key in maintaining data integrity, ensuring HIPAA compliance, and executing data encryption and multifactor authentication to protect sensitive patient information (Shojaei et al., 2024). Despite these advantages, challenges persist, including resistance to new technologies and data privacy concerns. These can be addressed through robust staff training and strict data security protocols. NIs conduct system audits and enforce access controls to safeguard patient records. Their collaboration with technologists ensures that tools meet clinical needs and are user-friendly, thereby improving acceptance rates. To conclude, the inclusion of Nurse Informaticists is justified based on their unique ability to integrate CDSS into healthcare systems effectively. Their involvement enhances diagnostic accuracy, patient safety, and data security. Nurse Informaticists serve as catalysts for technological adoption, enabling better outcomes through streamlined clinical workflows, data-driven decision-making, and interdisciplinary collaboration. Table: Summary of Key Concepts Heading Key Focus Areas Examples and Outcomes Nursing Informatics and CDSS – Improve diagnostics – Reduce errors – Real-time alerts CDSS tools used by Cleveland Clinic and Mayo Clinic to enhance patient-specific care and diagnostics NI Roles and Collaboration – Train staff – Optimize EHR – Design user-friendly CDSS NI ensures smooth CDSS-EHR integration, educates teams, ensures clinical relevance Opportunities and Justifications – Cost savings – Privacy and data security – Improved patient care Savings of \$300,000 annually (Lewkowicz et al., 2020); Enhanced HIPAA compliance and care quality References American Nurses Association. (2024). What is nursing informatics and why is it so important. https://www.nursingworld.org/content-hub/resources/nursing-resources/nursing-informatics/ Cleveland Clinic. (2024). Nursing informatics. https://consultqd.clevelandclinic.org/nursing/nursing-informatics Laraichi, O., Daim, T., Alzahrani, S., Hogaboam, L., Bolatan, G. I., & Moughari, M. M. (2024). Technology readiness assessment: Case of clinical decision support systems in healthcare. Technology in Society, 79, 102736. https://doi.org/10.1016/j.techsoc.2024.102736 Lewkowicz, D., Wohlbrandt, A., & Boettinger, E. (2020). Economic impact of clinical decision support interventions based on electronic health records. BMC Health Services Research, 20(1), 871. https://doi.org/10.1186/s12913-020-05688-3 NURS FPX 4045 Assessment 1 Nursing Informatics in Health Care Lopez, K. D., Langford, L. H., Kennedy, R., McCormick, K., Delaney, C. W., Alexander, G., Englebright, J., Carroll, W. M., & Monsen, K. A. (2023). Future advancement of health care through standardized nursing terminologies: Reflections from a Friends of the National Library of Medicine workshop honoring Virginia K. Saba. Journal of the American Medical Informatics Association, 30(11), 1878–1884. https://doi.org/10.1093/jamia/ocad156 Mayo Clinic. (2024). Clinical decision support systems for personalized management of patients with acute kidney injury. https://www.mayoclinic.org/medical-professionals/pulmonary-medicine/news/clinical-decision-support-systems-for-personalized-management-of-patients-with-acute-kidney-injury/mac-20524049 Nashwan, A. J., Cabrega, J. A., Othman, M. I., Khedr, M. A., Osman, Y. M., Ashry, A. M. E., Naif, R., & Mousa, A. A. (2025). The evolving role of nursing informatics in the era