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The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Aug 16, 2025

Author Spotlight: Automated Deep Brain Stimulation for Parkinson's Disease - Exploring the Possibilities and Challenges of Home Monitoring
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Perceptions of a Secure Cloud-Based Solution for Data Sharing During Acute Stroke Care: Qualitative Interview Study.

Marcela Tuler de Oliveira1, Lúcio Henrik Amorim Reis1, Henk Marquering1

  • 1Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands.

JMIR Formative Research
|December 23, 2022
PubMed
Summary
This summary is machine-generated.

This study developed a secure electronic medical record (EMR) cloud application for acute stroke care, finding it efficient but highlighting barriers to adoption. Future systems should integrate existing infrastructure for better digital transformation in healthcare.

Keywords:
acute stroke carecloud-based applicationscross-organization data sharingdata access controldata privacyelectronic health recordsencryptionmobile phonequalitative interview study

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Area of Science:

  • Health Informatics
  • Cloud Computing in Healthcare
  • Emergency Medicine Systems

Background:

  • Acute stroke care requires rapid, multi-professional collaboration across organizations.
  • Electronic Medical Records (EMRs) and cloud computing enhance data sharing but pose security challenges.
  • Dynamic access control is crucial for secure, privacy-preserving EMR cloud applications.

Purpose of the Study:

  • To develop and evaluate a prototype secure EMR cloud application for acute stroke care.
  • To assess the feasibility of the Advanced Secure Cloud Encrypted Platform for Internationally Orchestrated Solutions in Health Care (ASCENSO) framework.
  • To gather user feedback on challenges and improvements for secure data sharing in emergency treatment.

Main Methods:

  • Conducted 14 semistructured interviews with professionals from emergency call centers, ambulance services, hospitals, and general practitioner clinics.
  • Utilized thematic analysis of interview transcripts to identify key themes from user perspectives.
  • Recruited participants until thematic saturation was reached to ensure comprehensive data collection.

Main Results:

  • Identified 5 key themes: current challenges, EMR data quality, integrity/auditability, application usefulness, and technology trust/acceptance.
  • Confirmed existing challenges in patient data sharing during acute stroke care.
  • Highlighted user-identified barriers to adopting the ASCENSO application and suggested improvements.

Conclusions:

  • The developed system supports efficient, secure, and private data sharing among acute care professionals.
  • Significant barriers and opportunities for future system adoption were identified.
  • Digital transformation in healthcare should prioritize integration with existing systems over new centralized platforms.