All posts by : chebby

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice? 

I’m looking for someone that knows a nurse informaticists that can answer these questions and I need to email the person and they need to email me back the responses as proof. 

Proof of Interview

If you conducted an e-mail interview, submit a copy of that e-mail with your assessment submission.

1) What types of data are transferred from your workplace to the public health department? How does it relate to electronic clinical quality measures (eCQM)?

2) How are data shared in syndromic surveillance, disasters, and epidemics?

3) What is the current state of health information exchanges (HIE)? What are the strengths and weaknesses of these organizations?

4) What are some of the issues in sharing information regarding the monitoring of infectious diseases with other agencies? 

5) What are some of the current issues in public health, bioinformatics, and biomedical research, and what is the role of the nurse informaticist in relation to these issues?

6) What advances in technology have helped you achieve or improve healthcare services and patient care outcomes? 

7) What challenges do nurse informatics face in integrating technology and nursing knowledge and information during COVID-19?

8) How do datasets and databases differ in nursing informatics? 

Workplace Environment Assessment

The health of a workplace environment may affect the patient outcome or health of the team members. This discussion aims to assess the result of my work environment assessment. My analysis will include the civility of my work environment and how civil issues have been addressed.

Work Environment Assessment Result

Improved patient care and effective teamwork hinges on polite communication (Clark, 2015). The result of the Clark Healthy Workplace Inventory for my work environment assessment is 50. According to Clark (2015), a 50 to 59 score indicates that the workplace is unhealthy. This result is accurate per my personal assessment of my facility.

Work Environment Assessment Result Analysis

A score of 50 with the Clark Healthy Workplace Inventory indicates an unhealthy workplace. There have been instances where civil communication was not utilized at my place of work, and the effects have been adverse. For example, a few months ago, there was a conflict between one of our nurses, Nurse A, and a nurse leader from another unit. On hearing about the conflict, our unit manager ordered Nurse A to apologize to the nurse manager without listening to Nurse A’s side of the story. Nurse A did not feel that the nurse manager cared for her feelings and well-being. Nurse A proceeded to put in her two-week resignation. Important aspects to achieve better patient outcome includes excellent interpersonal relationships and communication (Laureate Education, 2018). Nurse A was a valuable nurse to the unit, and the unit ended up losing her because of a lack of proper conflict resolution through excellent communication. To create a culture of excellence, nurse leaders should advocate for their team (Marshall & Broome, 2017). Nurse A did not feel the advocated for by our manager. Team members need to trust that their leaders have their best interests and advocate for the team members and their patients.

Conclusion

            Workplace civility is needed to ensure a professional space where effective teamwork can be accomplished. My workplace needs improvement from its present state of civility. The civility rate of 50 per the Clark Healthy Workplace Inventory shows that my workplace is an unhealthy environment with poor cohesive teamwork, which equals poor patient outcomes.

References

Clack, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. https://www.myamericannurse.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Laureate Education (Producer). (2018). Diagnosis: Communication Breakdown [Video file]. Baltimore, MD: Author.

Marshall, E., & Broome, M. E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

Discussion Question:

How do hospitals ensure they are meeting the needs of vulnerable populations within the communities that they serve? What factors should be considered to ensure that nurses working in acute care settings meet the six Institute of Medicine’s (IOM) Aims for Improving Healthcare Quality?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 Below is the question: 

Medicare or Medicaid – which has greater impact in your state? (USE THE STATE OF FLORIDA)

REFERENCE NO MORE THAN 5 YEARS, APA 6HT

See attached. Thanks

1. Search to find five scholarly qualitative primary research articles that pertain to the PICOT question that you developed in the assignment for Module 1.  Each article must be a primary, qualitative research study.  The articles should all have been written within the last five years.  HINT: When you are searching the database, you can narrow your search by using the search term “qualitative research” in the Subject Terms field. 

     2. Using the Qualitative Research Summary enter the information from each article. 

• Do not leave blanks in the cells. For example, if there is not a theoretical framework used in the study, state that there wasn’t one used. 
• If you use abbreviations, please provide the definition/explanation of what the abbreviation means.
• For each article, you will respond to the guided questions, as delineated below:
  • Are the results of the study valid? Support your answer.
  • How were the participants chosen?  What was the sampling strategy?
  • How believable are the results?
  • What were the results and what are the implications of the results?
  • What was the research methodology used?
  • How was the data collected? Were the data collection procedures clear?
  • How will the results help in improving patient outcomes?
  • Can the findings be implemented in other health care institutions?

      3. At the conclusion of the document, add a Reference page.  Include each of the references from the 5 articles. Use APA format. 

I want to start by saying I love the word cadre in this week’s discussion post! If we consider its definition as a group of people specially trained for a particular purpose or profession it works, OR if we assume it to be a group of activists or other revolutionary organization it works!  Both fit in the role of the DNP as we consider their role in health care.

Melnyk et. al (2012), states that EBP gives nurses a voice, supports nurses as individuals and as a collective, and encourages patient advocacy with the intent to assure quality care.  The research, EBP, and QI processes that give nurses this voice is driven by terminal degree Registered nurses such as the DNP.  The DNP can lead not only by example but by shared advocacy. Whether it be a grassroots campaign to speak with local and state representatives to advocate for nursing or patient initiatives, or by being involved in a task force, activity, or key committees in health systems, our collective accomplishments speak much louder than individual ones.

The DNP cohort can lead the charge to translate evidence into practice by applying quality improvement strategies, heading interprofessional teams, mastering health information technologies, and championing patient-centered care through existing EBP principles (Melnyk, et.al, 2012)

The DNP cohort can lead clinical innovation by using the theories we reviewed in Scientific Underpinnings to inform and change EBP assuring quality patient-centered care. The DNP cadre can also advocate for legislative changes, curriculum changes, and lead research teams looking to address a knowledge gap.  It will be important for the DNP army to be mindful of the interworking of the microsystems, mesosystems, and macrosystems in the organization they are trying to innovate.

Successful change is difficult, and many change initiatives ultimately fail.  Patient care is too important to not overcome those barriers to effective change. As a DNP, my first step prior to implementing the change would be to review my organization’s structure and culture to identify challenges I will be facing regarding staff motivation for change.  It will important that I recognize my own hesitations or transferences, and deal with those prior to addressing the team.  I believe educated employees are empowered employees, so assuring they understand the evidence behind the change movement, and how it will impact the team’s daily tasks will be crucial.  Elisabeth Kubler-Ross taught us many years ago that change is not a linear process, but a curved one where the team goes through shock, fear, acceptance, and commitment. Throughout the informed process, I will need to be consistent and transparent as I lead and coach the change to completion. I will need to ensure adequate communication that is clear, concise, and not overwhelming to staff.  Once the change is implemented, it will be important I give and take feedback on the process and debrief the team.  If the team can witness my dedication and passion to EBP and patient-centered care, they will be more trusting with future initiatives I bring forth.

REFERENCE

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410–417. https://doi.org/10.1097/NNA.0b013e3182664e0

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

 Madeleine Leininger Transcultural Nursing TheoryAssignment 

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

1. What competitor information categories are useful in competitor analysis? Are these categories appropriate for health care organizations? How can these information categories provide focus for information gathering and strategic decision making?
2. Why is it important to clearly define the service area? How does managed care penetration affect service area definition?

Professional Development: 

Conduct a service area competitor analysis within your community. Keep it fairly small in scope (i.e. laser hair removal business, extended care facility for ventilator-dependant patients, etc.) so that it is manageable. Begin by introducing the macro issues (general and health care) and then use this outline as an initial guide:

1. Specify the Service Category
2. Delineate the Service Area.
   1. General
   2. Economic
   3. Demographic
   4. Psychographic
   5. Health Status
3. Perform a Service Area Structure Analysis
   1. Threat of New Entrants
   2. Intensity of Rivalry
   3. Threat of Substitutes
   4. Power of Customers
   5. Power of Suppliers
4. Do a Competitor Analysis/Identify Service Category Critical Success Factors
   1. Competitor Strengths and Weaknesses
   2. Critical Success Factors
   3. Strategic Groups
   4. Map Competitors
   5. Likely Responses of Competitors
5. Identify and Map Strategic Groups
6. Provide a Synthesis.