Instructions 
In APA format, the paper should be written following instructions provided.
The evaluator grades directly from the rubric and every part must be included.
Attached is a template for the paper as well as the rubric used for grading.
Please attach all articles referenced upon completion.
(7-8 pages)

Instructions
Research and explore Centricity EHR, iKnowMed (mckesson), and Navigating care systems.
Develop a design or implement suggestions to improve the electronic health record.
YOUR PROJECT MUST ADDRESS THE FOLLOWING:
1. How does it support patient safety?
2. Incorporation of Evidence-Based Practice (EBP)
3.How does it support safe medication administration
4.How does it address Patient and Data security, privacy, and confidentiality?

Nursing Communication
Effective communication is vital to constructing an accurate and detailed patient history. A
patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and
environmental setting. As an advanced practice nurse, you must be aware of these factors and
tailor your communication techniques accordingly. Doing so will not only help you establish
rapport with your patients, but it will also enable you to more effectively gather the information
needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for a
particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this
Discussion. Note: Please see the “Course Announcements” section of the classroom for your
new patient profile assignment.
How would your communication and interview techniques for building a health history differ with
each patient?
How might you target your questions for building a health history based on the patient’s social
determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what
questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or
environmental setting that should be taken into consideration.
Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the
Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to
your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her
health risks and begin building a health history.
By Day 3 of Week 1
Post a summary of the interview and a description of the communication techniques you would
use with your assigned patient. Explain why you would use these techniques. Identify the risk
assessment instrument you selected, and justify why it would be applicable to the selected
patient. Provide at least five targeted questions you would ask the patient.

Aim: This aim of this paper is to explore one ethical issue that you identified during your current
clinical placement and to develop strategies that would restore or enhance the ethics in the
situation and promote either autonomy or justice. You will use one of the seven value statements
from the CNA Code of Ethicsto help you identify and analyze the ethical issue. You will use the
peer reviewed scholarly literature to support your strategies. A secondary aim is to evaluate your
ethical reasoning so that you can describe how you would know that your plan has enhanced the
integration of the value statement and created a positive impact on patients or the ethical
community.
Paper Details:
This paper must use APA 6th edition formatting. The maximum length does not include the
references or title page. Please see the grading scheme for grades distribution. Should your paper be longer than six APA formatted pages, the additional pages will not be graded as part of
this assignment.
You are required to use three peer reviewed journal articles from the ethics literature. You cannot
use articles that were part of the syllabus. Additional (and necessary) sources such as the CNO
standards and references to support your theory do not count towards the required three peer
reviewed journal articles.