1. Reply to the following two posts. In your replies, discuss what
surprised you about the theory your peers wrote about, and how
it’s integrated into the study? What other type of research might
this theory be useful in?
There is not an amount of words required. Just reply to post 1,
and post 2.
FREE OF PLAGIARISM.
Post # 1: Michelle
The article I chose to analyze was “Making a connection:
Family experiences with bedside rounds in the intensive care
unit. The article examined the experience of families with a
loved one in the intensive care unit and whether or not the
families' participation in daily rounds decreased their anxiety
and increased their overall positive perspective. The theoretical
framework utilized by the authors Cody, Sullivan-Bolyai, and
Reid-Ponte was the Family Management Style Framework.
The Family Management Style Framework was developed
by Knafl and Deatrick in 1990 in order to better understand the
coping style of families with children who had chronic health
conditions (Knafl & Deatrick, 2003). The FMSF looked at the
management behaviors and patterns of response to childhood
chronic illness (Knafl & Deatrick, 2003). There are three major
components in the FMSF, Definition of the situation,
Management behaviors, and Sociocultural context (Knafl &
Deatrick, 2003). The framework also describes five family
management styles, thriving, accommodating, enduring,
struggling and floundering (Knafl & Deatrick, 2003). The
relationship between the family members, healthcare
professionals, and their coping strategies is the basis for the
framework.
The research study used the FMSF to look at which families

2. participated in bedside rounds and which opted not to and the
overall result. The framework looks specifically at the
intersection of the management of chronic illness and the
impact on family life (Knafl, et al., 2012). The finding was that
the inclusion and willingness of families to participate in
bedside rounds ultimately reduced their fear of the unknown and
distrust in the healthcare providers. In the end, the families that
attended the bedside rounds were better prepared for their loved
one's discharge. The concept of the FMSF was woven
throughout the study. The targeted areas of familial response to
chronic illness were based on the three identified components of
the definition of the situation or illness, management and
coping behaviors of the individuals, and the perceived
outcomes. The overarching finding of the study was that clear,
consistent communication by the healthcare team to the families
significantly decreased anxiety, and fear and increased trust in
the healthcare professionals. The end result was an improved
experience for the family.
King’s theory of Goal Attainment cis another framework
that would be effective in this study. King’s theory examines
individuals as they relate to personal, interpersonal and social
systems (Petiprin, 2016). King noted that human beings function
as dynamic systems interacting with other environments
(Petiprin, 2016). Goals are attained when each system is in
congruence with one another (Petiprin, 2016) . The focus of
nursing is the care of the individual and the ultimate goal is to
provide care for both the patient and his or her family (Petiprin,
2016). The inclusion of the patient’s families in daily bedside
rounds is a holistic approach to providing complete nursing
care. This practice ensures that the goals of the healthcare team
are in harmony with those goals of the patient and the patient’s
family. These tools foster trust and interdependence of the
systems and lead to a more thorough understanding of the
illness and effective coping strategies.
Knafl, K. A., & Deatrick, J. A. (2003). Further refinement of

3. the family management style framework. Journal of Family
Nursing, 9(3), 232–
256. https://doi.org/10.1177/1074840703255435
Knafl, K. A., Deatrick, J. A., & Havill, N. L. (2012). Continued
Development of the Family Management Style Framework.
Journal of Family Nursing, 18(1), 11–34.
Petiprin, A. (2016). King’s theory of goal attainment. Nursing
Theory. Retrieved from https://nursing-theory.org/theories-and-
models/king-theory-of-goal-attainment.ph
-----------------------------------------
POST #2: Charmaine
In the article “Hardwiring Bedside Shift Report” by Sandra
Scheidenhelm, the author utilized a theoretical framework
integrating numerous logical components to enhance the
effective construction of the research project. The article made
use of two theories; Lewin’s theory of planned change and
Peplau’s theory of interpersonal relations. The two theories
which are both from the nursing discipline are used as the
framework to reveal the importance of the bedside shift report
as the driver of improving patient outcome and enhancing high-
quality delivery of care services (Scheidenhelm & Reitz,
2017).
The framework that was used to inform the research study as the
bedside report utilized components from both theories to drive
change. For instance, Peplau’s theory emphasized the purpose
of the nurses establishing a therapeutic relationship based on
trust while interacting with the patients. In this case, the
bedside report instructed the nurses to not only identify the
patient's needs but also review the patient's progress and
incorporate the gathered information into the patient plan of
care to improve trust in the relationship between the nurses and

4. the patients (Scheidenhelm & Reitz, 2017). On the other hand,
Lewin’s theory, which comprises three phases that are
unfreezing, moving and refreezing, was found to be of great
importance in informing the bedside report process. For
instance, the investigators addressed existing barriers of the
report and informed nurses the impact that the bedside report
holds on the allocation of financial resources in the hospital as
well as the level of patient satisfaction categorized as the
unfreezing stage. The concept of the theories was weaved all
through the article revealing its importance in informing the
research (Curtis, 2017). Henderson's nursing need theory could
be used for the research study as it emphasizes the importance
of meeting patients' needs as a key component of health.
References
Cope, D. G. (2015, November). Case study research
methodology in nursing research.
In Oncology Nursing Forum (Vol. 42, No. 6, pp. 681-682).
Oncology Nursing Society.
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017).
Translating research findings to
clinical nursing practice. Journal of clinical nursing, 26(5-6),
862-872.
Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside
shift report. Journal of Nursing
Administration, 47(3), 147-153.
Attachments (1)
· Submission_Text.html 42%
Word Count: 627
Attachment ID: 2476
Submission_Text.html
1 HIPAA SAFE HARBOR PROVISIONS
“Every time patients visit medical facilities, they are always
expecting quality care and confidentiality” (Murray, 2017).

5. Many people are however capable of accessing the information
of the patients as the technology is advancing at a very high
speed. This makes it more challenging for medical providers to
secure fully the confidentiality of the patients. This has
therefore made HIPAA come in and address the concerns about
the privacy of the patients. Organizations are therefore required
taking reasonable precautions for securing PHI from
unauthorized access, use or disclosure.
In the United States, HIPAA cares for the privacy of the data of
the patients requiring the patient’s informed consent as well as
the consent of the internal review board for using data for
research functions. However, the requirement may be waived
through the de-identification of data. The HIPAA Privacy Rule
gives a mechanism to use and disclose health data responsibly
without requiring patient consent. 2 THIS IS PART OF THE
HIPAA PRIVACY RULE. The privacy rule is used in limiting
the possible uses as well as the disclosures of the protected
health information (PHI). The safe harbor provision guides the
providers on how to apply privacy rules.
3 THE PRIVACY RULE NECESSITATES THAT ANY
IDENTIFIABLE HEALTH INFORMATION IS SECURED. THE
INFORMATION TO BE SECURED INCLUDES
DEMOGRAPHIC DATA LIKE PHYSICAL, OR PAST
MENTAL HEALTH, CURRENT AND UPCOMING, THE
HEALTHCARE PROVIDED TO THE PATIENT, THE
PAYMENTS MADE BY THE PATIENT AS WELL AS THE
CURRENT OR FUTURE PROVISION OF THE
HEALTHCARE. 4 SAFE HARBOR METHOD, THEREFORE,
REMOVES PERSONALLY IDENTIFIABLE INFORMATION
AND THEY LEAVE BEHIND A SET OF HEALTH STARTS
WHICH CAN BE USED IN THE PUBLIC HEALTH WORKERS
AND OTHER SITUATIONS REQUIRING STATISTICS. 3 THE
PRIMARY GOAL IS MAKING IT EASIER KEEPING HEALTH
INSURANCE, PROTECTING THE CONFIDENTIALITY AND
THE INFORMATION ABOUT HEALTHCARE AND HELPING
IN CONTROLLING ADMINISTRATIVE COSTS

6. EFFECTIVELY. 5 “FOR INFORMATION TO BE
CONSIDERED DE-IDENTIFIED IT HAS TO MEET THE
REQUIREMENTS OF EITHER THE SAFE HARBOR OR EX-
PERT DETERMINATION” (SOKOL, 2017). 3 THE MOST
IMPORTANT CATEGORIES THAT SHOULD BE REMOVED
INCLUDE NAMES, UNIQUE NUMBERS, NUMBERS OF
VEHICLES, AND FAX NUMBERS AMONG
OTHERS. 6 DATES DIRECTLY RELATED TO THE PATIENT
SHOULD BE REMOVED. This includes; 7 BIRTH DATES,
DEATH DATES, DATES OF ADMISSION AND DISCHARGE
DATES. Geographic identifiers like cities and patients' unique
records like fingerprints should also be removed.
Encryption is one of the methods that are used to achieve this
goal. “Data encryption and secure key management provide data
confidentiality and integrity”. (Li, & Qin, 2018). Any other
measure which is capable of reasonably and appropriately
implementing the required safeguards is allowed. Under the
HIPAA security rule, Breach notification rule neither modifies
responsibilities nor imposes new necessities of encrypting PHI.
This, therefore, means that compliance officers are required to
look beyond encryption and can use any other effective safe
harbor strategy.
According to this rule, once the data has been de-identified,
health information can be disclosed. This does not consider the
de-identification method that has been used. 3 WHAT
MATTERS IS THAT THE INFORMATION CAN NO LONGER
BE CONSIDERED AS PROTECTED INFORMATION. After the
data de-identification, re-identification needs the allocation of a
distinctive code for the setting of de-identified health
information. Violation of this rule by organizations leads to dire
consequences such as fines as well as the heavy cost of the data
breach.
Bibliography:
Li, X., & Qin, J. (2018, January). 8 PROTECTING PRIVACY
WHEN RELEASING SEARCH RESULTS FROM MEDICAL
DOCUMENT DATA. 9 IN PROCEEDINGS OF THE 51ST

7. HAWAII INTERNATIONAL CONFERENCE ON SYSTEM
SCIENCES.
Murray, E. (2017). Nursing leadership and management: for
patient safety and quality care. FA Davis.
Sokol, A. J. (2017). 3 CLINICAL RESEARCH AND
DATA: HIPAA, THE COMMON RULE, THE GENERAL DATA
PROTECTION REGULATION, AND DATA
REPOSITORIES. MERRILL SERIES ON THE RESEARCH
MISSION OF PUBLIC UNIVERSITIES.
Citations (9/9)
1. 1Another student's paper
2. 2https://en.wikipedia.org/wiki?curid=384064
3. 3Another student's paper
4. 4Another student's paper
5. 5Another student's paper
6. 6Another student's paper
7. 7Another student's paper
8. 8Another student's paper
9. 9ProQuest Document
Matched Text
Suspected Entry: 90% match
Uploaded - Submission_Text.html
HIPAA SAFE HARBOR PROVISIONS
Source - Another student's paper
Safe Harbor provisions under HIPAA
Suspected Entry: 72% match
Uploaded - Submission_Text.html
THIS IS PART OF THE HIPAA PRIVACY RULE
Source - https://en.wikipedia.org/wiki?curid=384064
of HIPAA Privacy Rule"
Suspected Entry: 100% match
Uploaded - Submission_Text.html
THE PRIVACY RULE NECESSITATES THAT ANY
IDENTIFIABLE HEALTH INFORMATION IS SECURED
Source - Another student's paper
The privacy rule necessitates that any identifiable health

8. information is secured
Suspected Entry: 79% match
Uploaded - Submission_Text.html
THE INFORMATION TO BE SECURED INCLUDES
DEMOGRAPHIC DATA LIKE PHYSICAL, OR PAST
MENTAL HEALTH, CURRENT AND UPCOMING, THE
HEALTHCARE PROVIDED TO THE PATIENT, THE
PAYMENTS MADE BY THE PATIENT AS WELL AS THE
CURRENT OR FUTURE PROVISION OF THE HEALTHCARE
Source - Another student's paper
This is the information including demographic data such as
physical or mental health in the past, current, and upcoming,
healthcare provision to the person as well as the payments made
by the patient in the previous, current or future for the provision
of healthcare
Suspected Entry: 64% match
Uploaded - Submission_Text.html
THE PRIMARY GOAL IS MAKING IT EASIER KEEPING
HEALTH INSURANCE, PROTECTING THE
CONFIDENTIALITY AND THE INFORMATION ABOUT
HEALTHCARE AND HELPING IN CONTROLLING
ADMINISTRATIVE COSTS EFFECTIVELY
Source - Another student's paper
The primary goal of HIPAA is making it easier for people being
able to keep health insurance, protect the confidentiality as well
as the security of healthcare information and at the same time
helping the healthcare industry to effectively control
administrative costs
Suspected Entry: 75% match
Uploaded - Submission_Text.html
THE MOST IMPORTANT CATEGORIES THAT SHOULD BE
REMOVED INCLUDE NAMES, UNIQUE NUMBERS,
NUMBERS OF VEHICLES, AND FAX NUMBERS AMONG
OTHERS
Source - Another student's paper
According to safe harbor guidelines, the most important

9. categories that should be removed include names and unique
numbers like phone numbers, vehicle numbers, and fax numbers
among others
Suspected Entry: 67% match
Uploaded - Submission_Text.html
WHAT MATTERS IS THAT THE INFORMATION CAN NO
LONGER BE CONSIDERED AS PROTECTED INFORMATION
Source - Another student's paper
This is because the information is no longer considered
protected information
Suspected Entry: 100% match
Uploaded - Submission_Text.html
CLINICAL RESEARCH AND DATA
Source - Another student's paper
Clinical Research and Data
Suspected Entry: 100% match
Uploaded - Submission_Text.html
HIPAA, THE COMMON RULE, THE GENERAL DATA
PROTECTION REGULATION, AND DATA REPOSITORIES
Source - Another student's paper
HIPAA, the Common Rule, the General Data Protection
Regulation, and Data Repositories
Suspected Entry: 84% match
Uploaded - Submission_Text.html
MERRILL SERIES ON THE RESEARCH MISSION OF
PUBLIC UNIVERSITIES
Source - Another student's paper
Merrill Series on The Research Mission of Public Universities,
47-62
Suspected Entry: 65% match
Uploaded - Submission_Text.html
SAFE HARBOR METHOD, THEREFORE, REMOVES
PERSONALLY IDENTIFIABLE INFORMATION AND THEY
LEAVE BEHIND A SET OF HEALTH STARTS WHICH CAN
BE USED IN THE PUBLIC HEALTH WORKERS AND OTHER
SITUATIONS REQUIRING STATISTICS

10. Source - Another student's paper
When Applying Safe Harbor methods to removes personally
identifying information or Documentation and leaves behind a
set of health stats that can be used in public health work and
other situations where patient statistics are useful
Suspected Entry: 83% match
Uploaded - Submission_Text.html
“FOR INFORMATION TO BE CONSIDERED DE-IDENTIFIED
IT HAS TO MEET THE REQUIREMENTS OF EITHER THE
SAFE HARBOR OR EX-PERT DETERMINATION” (SOKOL,
2017)
Source - Another student's paper
“For information to be considered de-identified it has to meet
the requirements of either the safe harbour or expert
determination” (Sokol, 2017)
Suspected Entry: 72% match
Uploaded - Submission_Text.html
DATES DIRECTLY RELATED TO THE PATIENT SHOULD
BE REMOVED
Source - Another student's paper
Dates also can be directly related to a patient
Suspected Entry: 73% match
Uploaded - Submission_Text.html
BIRTH DATES, DEATH DATES, DATES OF ADMISSION
AND DISCHARGE DATES
Source - Another student's paper
Dates, which has the patients date of birth, death dates,
discharge dates, admission dates, appointment dates etc
Suspected Entry: 77% match
Uploaded - Submission_Text.html
PROTECTING PRIVACY WHEN RELEASING SEARCH
RESULTS FROM MEDICAL DOCUMENT DATA
Source - Another student's paper
Jialun, Q., Xiaobai, L., (2018), PROTECTING PRIVACY
WHEN RELEASING SEARCH RESULTS FROM MEDICAL
DOCUMENT DATA

11. Suspected Entry: 100% match
Uploaded - Submission_Text.html
IN PROCEEDINGS OF THE 51ST HAWAII INTERNATIONAL
CONFERENCE ON SYSTEM SCIENCES
Source - ProQuest Document
In Proceedings of the 51st Hawaii International Conference on
System Sciences