All posts by : chebby

• Differentiate the process of evaluating health information technology systems from other types of evaluation in health care. What specific strategies might you employ for an information system evaluation? What factors might you examine to judge the system’s effectiveness?
• Assess the main challenges of designing a successful information system evaluation.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
“Standard 6. Evaluation” (p. 78)
This standard outlines nursing competencies for evaluating informatics systems.

Nahm, E., Vaydia, V., Ho, D., Scharf, B., & Seagull, J. (2007). Outcomes assessment of clinical information system implementation: A practical guide. Nursing Outlook, 55(6), 282-288. e2.

The authors of this article use their background in informatics and scholarly research to provide an overview of system evaluations for frontline clinicians.

Rahimi, B., & Vimarlund, V. (2007). Methods to evaluate health information systems in healthcare settings: A literature review. Journal of Medical Systems, 31(5), 397- 432.

A detailed analysis of recent HIT literature reviews is presented in this article. Common facets of the evaluation process and end benefits of the overall HIT system are also synthesized.

Wyatt, J. (2010). Assessing and improving evidence based health informatics research. Studies in Health Technology and Informatics, 151, 435-445

The findings in this article provide HIT researchers with impacting factors and suggested criteria to help with the development of research questions, methods, and study designs.

Healthcare Information and Management Systems Society. (2019). Retrieved from https://www.himss.org

The Healthcare Information and Management Systems Society (HIMSS) organization is dedicated to providing global leadership in the use of information technology. Use their website to explore how HIMSS is transforming health care through research, collaboration, and professional developments.

Required Media

This week there is only one GHA exercise to complete.  This is because this one exercise may take you a substantial amount of time.  It is important that you start early in the week so that you can email me with any questions. While this exercise can take some time, if you complete it one step at a time you will get to the end!

Start by reading the chapter carefully and then working your way through the course materials that I have provided to you in this week’s Module. If you need help with how to allocate costs using excel, please click here.

This exercise represents a somewhat simplistic example of what health care finance people really do!  It is very similar to many projects that I did when I consulted to hospital Finance departments.

GHA 4

This week’s GHA is not in the eText.

You can access the template for GHA 4 by clicking here.

You can also access an example and explanation of how to complete GHA 4 here.

Please be sure that you upload the correct file when you submit your work!

Warning:  Pay close attention to where the assignment requires INDIRECT vs. DIRECT costs. Using the wrong costs is the most frequent error that students make in completing this assignment.

 Assignment Objectives:Print Assignment InfoAssessment and Care Plan with clinical focus on:
• Managing Patient Care
• Infection Prevention and Control
Care Plan on- Methicillin- Resistant Staphylococcus Aureus Patient
Document Medical TerminologyCompetencies You are Expected to Address in this Assignment:

• Quality and Safety Education for Nurses (QSEN):  Patient-Centered Care
• Quality and Safety Education for Nurses (QSEN):  Teamwork & Collaboration
• Quality and Safety Education for Nurses (QSEN):  Evidence-Based Practice
• Quality and Safety Education for Nurses (QSEN):  Quality Improvement
• Quality and Safety Education for Nurses (QSEN):  Safety
• Quality and Safety Education for Nurses (QSEN):  Informatics
• The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Management of Care
• The NCLEX-RN® Client Needs:  Safe and Effective Care Environment: Safety and Infection Control
• The NCLEX-RN® Client Needs:  Health Promotion and Maintenance
• The NCLEX-RN® Client Needs:  Psychosocial Integrity
• The NCLEX-RN® Client Needs:  Physiological Integrity: Basic Care and Comfort
• The NCLEX-RN® Client Needs:  Physiological Integrity: Pharmacological and Parenteral Therapies
• The NCLEX-RN® Client Needs:  Physiological Integrity: Reduction of Risk Potential
• The NCLEX-RN® Client Needs:  Physiological Integrity: Physiological Adaptation
• National Patient Safety Goals:  Identify Patients Correctly
• National Patient Safety Goals:  Improve Staff Communication
• National Patient Safety Goals:  Use Medicines Safely
• National Patient Safety Goals:  Use Alarms Safely
• National Patient Safety Goals:  Prevent Infection
• National Patient Safety Goals:  Identify Patient Safety Risks
• National Patient Safety Goals:  Prevent Mistakes in Surgery

Agenda comparation

Work #1:

Actual work where 2 students given their post on this:

Describe in 500 words discuss the scope of a cloud computing audit for your business.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Please find the attachment. 

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.
2. Answer the following (listing is acceptable for these questions):
   • What are the major components that make up the subcortical structures?
   • Which component plays a role in learning, memory, and addiction?
   • What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?
3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.
4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.
5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

    Generally speaking, Nursing has the largest representation within an acute hospital setting. Nursing is involved in the care of every patient that comes into the hospital. That being said, how nursing document their interactions with patients is a large part of their day. Integrating a new health information technology system should require the input of nursing. Nursing’s input is essential in understanding how the system could require additional workflow changes or updates. Poorly implemented systems can lead to unintended consequences that may have a negative impact on clinical processes and patient outcomes. (Piscotty, 2011)

            When integrating a new system, the System Development Life Cycle (SDLC) model is used. This cycle has five different stages: Planning, Analysis, Design, Implementation, and Maintenance. Each of these stages is essential as you integrate new systems. During the analysis phase, the requirements for the system are teased out from a detailed study of the business needs of the organization. As part of this analysis, workflows and business practices are examined. It may be necessary to consider options for changing the business process. (McGonigle, 2017)

            Nursing is especially crucial when you enter into the implementation stage. The system also was tested by three nurses before implementation. To ensure that the nurses could operate the CDSS correctly, a training manual was developed and provided to the nurses 3 weeks before the implementation date. (Lyerla, 2008) Once you have planned, analyzed, and implemented any new system, occasionally maintenance is required. We need to constantly be evaluating our systems to make sure that we are using it effectively and to its max potential.

            During my time at Homestead Hospital, the operating systems were changed. Nursing was not consulted at the hospital level. The decision to change these systems was made at the corporate level and rolled out to the different facilities in stages. Our hospital was the first and the rollout was rough. We had representatives from the OS company to help facilitate the roll-out 24/7 for 1 week. We needed to constantly refer to them whenever we needed to address a concern or be reminded of how to mitigate certain situations. I think that transition would have been a bit smoother if there were training sessions with the staff prior to roll out. Physicians and nursing could have been trained with time before “go live” and a few issues could have been avoided. Any time that changes are made within an existing system or a new one is implemented, there will be hang-ups. Involving those that would be the most significant users helps in finding any conflicts or adjusting workflows prior to them impacting patient care.

Lyerla F. (2008). Design and implementation of a nursing clinical decision support system to

promote guideline adherence. CIN: Computers, Informatics, Nursing, 26(4), 227–233.

 Identify a theory within Watson’s Caring Theory framework. Discuss why her work is considered a grand theory.   

Module 09 Discussion – Mental Healthcare for Adolescence & Children

Scenario

Ryan is a 12 year old diagnosed with Oppositional Defiant Disorder (ODD). As a small child, Ryan was first diagnosed with Attention Deficit, Hyperactivity Disorder. He had just started preschool and was unable to remain in one place for more than a minute or two. His parents had already had a very difficult time in disciplining him, because he would become very upset and throw temper tantrums when he could not do as he wished. He just seemed to be an unhappy, irritable child. This behavior continued in school. As time progressed, Ryan was diagnosed with Oppositional Defiant Disorder, because he continued to refuse to listen to adults and comply with the rules.

By the age of 12, he has begun to bully and annoy others. His parents have decided that the approaches they have used in the past are not working, and they are more afraid his behavior will only get worse.

Initial Post

Provide explanations for these questions and statements:

• Describe the behaviors apparent for each disorder in this scenario (Attention Deficit Hyperactivity Disorder and Oppositional Defiant Disorder).
• If this behavior becomes worse and Ryan starts to violate the rights of others, what medical diagnosis will be given and why?
• Discuss at least two types of medication appropriate to treat Ryan and support your choices with rationale and credible resources
• Describe why therapy for the parent is important in this scenario including at least two supporting rationales.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

PLEASE FOLLOW RUBRICS

 Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident. 

 Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident. 

 Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are eviden 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident. 

 Change or nursing theory is logically presented. Relevant support and rationale are evident. 

Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident.  

 Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident. 

 Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident. 

 Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident. 

 Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

 Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

 Writer is clearly in command of standard, written, academic English.