Author Question: Integrating conceptual and theoretical frameworks when working with families is: 1. Confusing, ... (Read 124 times)

newyorker26 · **on:** Jul 7, 2018

Integrating conceptual and theoretical frameworks when working with families is:

1. Confusing, because integration makes it difficult to create evidence-based approaches.
2. Important, because no one conceptual or theoretical framework is sufficient.
3. Not necessary if a middle-range nursing theory is used.
4. Helpful, because the nurse can see the uniqueness of the individual through this lens.

Question 2

Telehealth has caused officials concern about the privacy of information as it crosses state lines. Which of the following statements can be considered a resolution by health care professionals?

1. Experts have called for the discontinuation of telehealth.
2. Experts have called for the creation of standards for e-health, particularly for security and identity management.
3. Experts have enacted a number of bills stopping the growth of telehealth.
4. Experts have called for a limit in the number of telehealth patient encounters.

komodo7 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

2

Feedback
1 Integration of frameworks assists the nurse in creating evidence-based approaches.
2 Integrating conceptual and theoretical frameworks gives the nurse broader choices from which to create evidence-based approaches.
3 One middle-range theory may not be appropriate for specific families.
4 Seeing the uniqueness of the individual is not necessarily supported by use of any one conceptual or theoretical framework; the process of assessment is still needed.

Answer to Question 2

2
Rationale: Although telehealth should not create any greater concerns or risks to medical record privacy than any other form of consultation, records that cross state lines are subject to HIPAA regulations and state privacy laws. Security and confidentiality of telehealth services are crucial to acceptance by consumers and professionals (Hildebrand, Pharow, Engelbrecht, Blobel, Savastano, & Hovsto, 2006). For this reason experts have called for the creation of standards for e-health, particularly for security and identity management. Nurses need to be mindful of these issues when technicians, not bound by professional codes of ethics, are present at telehealth sessions.