All posts by : chebby

1. Case Study – Missed Opportunities
   Read the case study: Missed Opportunities.
   Assignment Instructions
   Write a 4–6 page paper in which you:
   1. Examine the pros and cons from the perspective of Crestview Hospital of the placement of its new billboard directly adjacent to Briarwood Medical Center. Interpret the reaction of customers and other community stakeholders to the billboard postings.
   2. Use competitive marketing entry strategies to suggest the action that Briarwood Hospital should undertake to counter the messages in the new Crestview Hospital Billboard postings.
   3. Recommend the marketing communication strategy or strategies that both Crestview and Briarwood Hospitals should employ. Justify why the Governing Board of both hospitals should take a proactive role in promoting and implementing effective marketing strategies.
   4. Assess the value of the various marketing research tools that Briarwood and Crestview hospital could use to promote effective marketing communication strategies. Justify your response.
   5. Use at least five quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.
   6. This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.
      The specific course learning outcome associated with this assignment:
   • Propose competitive marketing entry strategies, communication strategies and marketing research tools for health care organizations.
2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.
3. Institution Release Statement

Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.

For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:

Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:

• CINAHL
• Discovery
• Business Source Complete via EBSCO
• Business via ProQuest
• What is the current economic situation for UCCO? What suggestions can Barbara make to help mitigate financial issues? Use the financial review provided in the UCCO case.
• What type of electronic record system should Barbara recommend for the company? What is her best option? What are the financial implications? Explain the choice based on what the system can provide in comparison to the organizational challenges?

Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.

To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:

• External influences – opportunities and threats.
• Internal influences – strengths and weaknesses.
• Trends that can impact clinic performance, market and financial position
• EHR System fun 
• ctions and capabilities
• EHR End-user requirements and ease of use

Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.

reply1

When researching information, many, as have I, use Google scholar and the Internet for obtaining articles and information relevant to the topic of choice. After looking over many databases, there is a noticeable difference in information and resources that are available depending on what is used. The two database engines that seem relevant in providing support towards my capstone project proposal are PubMed and Cochrane library. PubMed is one source that is free and gives users access to millions of published articles related to health and biomedicine (GCU, n.d.). Biomedicine is useful in nursing and will be for the capstone project because it applies principles of biology and biochemistry to health research and practice. This is important as it gives health professionals supportive and evidence-based data to guide them during care. PubMed provides citations for articles, and additional database such as MEDLINE, PMC, NIH, and NCBI. In addition, Grand Canyon University shares the Cochrane library, which has high quality information that can help health professionals make relevant and sound decisions, using one of the six databases or groups it comprises (GCU, n.d.). For the use of the proposal, Cochran library will provide me with controlled trials, economy, technology, and reviews of relevant health sources. Together they make up strong collab for executing an assignment or goal. Although using common Internet search engines can be useful, they may provide articles that are or may not be scholarly, are opinion based, commercial, conflicted funded, or not supported by evident sources. 

Reference

Grand Canyon University. (n.d.). Searching in Library Databases. https://libguides.gcu.edu/Nursing/journals

reply2

When doing research to develop an evidence-based practice project proposal, it is imperative that your data comes from reputable databases that give dependable research for your proposal. Peer reviewed and critically appraised articles from an creditable database ensures that your research is valid. Using Google Scholar or another website source does not provide the same credibility. According to Rada, (2020) Google Scholar is not a valid source because it is not a reliable way to filter current best evidence from unsubstantiated or non-scientifically supervised sources (Rada, 2020.)

The Grand Canyon library has a wide range of databases to use for my Capstone project. I like the CINAHL and Cochrane Library databases for my project. I choose CINAHL because it is a research tool for health professionals containing access to nursing and other health journals and articles. This database covers information to help numerous health specialties in their research (CINAHL, 2020). I feel it will offer different perspectives and multi-disciplinary views of the problem that I am proposing to change.

The other database that I will use is the Cochrane Library. It provides a collection of databases containing different types of high-quality, independent evidence to inform healthcare decision-making (Cochrane Library, 2020). Both library databases make valuable information more accessible, to be used in decision making (GCU, 2019).

CINHAL Database. (2020). The Cumulative Index to Nursing and Allied Health Literature. Retrieved from https://health.ebsco.com/products/the-cinahl-database

Cochrane Library. (2020). Retrieved from https://www.cochrane library.com

Grand Canyon University Library. (2019). Evidence based practice research guides. Retrieved from https://libguides.gcu.edu/Nursing

Rada, G. (2020). EBM. Retrieved from https://bestpractice.bmj.com/info/toolkit/discuss-ebm/what-is-the-best-evidence-and-how-to-find-it/

Evidence-based nursing is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research. It is not about developing new knowledge or validating existing knowledge, but rather translating existing evidence so that it can be applied to clinical decision making. This process starts with formulating a sound PICO question. PICO is a format for developing a good clinical research question prior to starting a review or research. It is a mnemonic used to describe the four elements of a sound clinical foreground question. 

Scenario:

A 17-year-old African American woman, just diagnosed with hepatitis B, has been taking acetaminophen for headaches. Her mother has heard that acetaminophen can cause liver problems, and she asks you if her daughter should continue taking the drug for her headaches, considering her hep-b diagnosis.

Answer the following questions in essay format about the scenario above:

1. What is evidence-based nursing practice and why is it important?
   1. What is the PICO process?
   2. Formulate a well defined clinical question that will yield the most relevant and best evidence.
   3. Describe the background of the question
   4. Present the question using PICOT format
   5. Indicate what will be the best study to answer the clinical question.

Power point with 15 slices, 

Choose a nursing theory(Florence nightingale) 

Explain the nursing theory including the 4 paradigms of major assumptions

·         Explain the role the selected nursing theory has/had in the evolution of healthcare

·         Explain if the selected nursing theory relates to transcultural and holistic care

·         Explain how the selected nursing theory is utilized in nursing education, practice, or nursing research.

·         Connect the theory to the provision of safe and effective patient care, provide examples

·         Minimum /maximum 3 slides per student including speaker notes, excluding the title and reference slides

1. Group 2 : 40-year-old black recent immigrant from Africa without health insurance

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.

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.

PLEASE ANSWER ALL QUESTIONS AND PROVIDE REFERENCES. LATE ASSIGNMENTS WILL NOT BE ACEPTED. UPLOAD  ASSIGNMENT TO CANVAS. 

1.The nurse working in the cardiac procedures area receives a patient who has undergone a cardiac catheterization via the right femoral artery for evaluation of unstable angina. Prior to the procedure, the patient was NPO for 12 hours, and received a sedative. An IV catheter was placed for administration of the contrast agents and for access in case of an emergency situation. (Learning Objective 6)

1. What is the rationale for assessing distal pulses immediately after the catheterization?

2.What other assessments should the nurse perform to check for arterial insufficiency?

3.The patient asks why he needs to stay in bed with the leg extended for 2 to 6 hours. How should the nurse respond?

4 After the procedure, why is it important to assess the patient’s BUN, creatinine, and fluid volume status?

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Peers’ Post:

Specific Purpose:    I will persuade my audience to stop smoking in public places.

Central Idea: Stopping public smoking will not only contribute positively to those suffering from secondhand smoke, but it will benefit the environment and community as well.

INTRODUCTION

1. (Attention Getter) William Faulkner once said, “We must be free not because we claim freedom, but because we practice it.” While I agree we all have the right to make our own decisions, it shouldn’t come at the expense of others and their health. From smoking on a crowded sidewalk to smoking in the car with your loved ones in the back seat, these decisions are putting everyone’s health at risk.
2. (Reveal Topic) I’m here to persuade you to think about a simple change that will have a massive impact on the health of our community and our loved ones, to stop smoking in public.

• (Credibility Statement) When I was young, my family traveled all over for my brother’s hockey tournaments. We were very close to another family on the team in which I would often travel with. They were heavy smokers and I would constantly be exposed to secondhand smoke on long road trips. I later learned that those road trips would change the way I live, forever. As a result of that constant exposure, I was diagnosed with chronic asthma. As a result, I cannot even walk up a flight of stairs without becoming winded and having to take a break or using one of my multiple inhalers or nebulizers. In addition, I have done a vast amount of research on the effects public smoking has on our environment and our health.

1. (Preview) People who engage in smoking are well-aware of the risk they are taking by exposing themselves to the chemicals found in tobacco products, but do they know how these chemicals affect others surrounding them? If more people were educated on the harmful effects secondhand smoke causes to innocent bystanders, we may be able to prevent the serious long-lasting conditions related to the chemicals in cigarettes and the environmental effects as well.

(TRANSITION:  The Centers of Disease Control and Prevention (CDC) defines secondhand smoke as smoke from tobacco products, such as cigarettes or cigars, which is exhaled by the person smoking and inhaled by another person (CDC, 2018).

BODY

1. (MAIN POINT 1) Secondhand smoke alone kills an estimated 41,000 adults and children each year related to lung cancer, heart disease and other serious health conditions (CDC, 2018).
   1. (SUBPOINT) According to the CDC, secondhand smoke contains over 7,000 chemicals, in which at least 70 are cancer-causing chemicals (CDC, 2018).
      1. (SUB-SUBPOINT) That is 70 chemicals in each puff that are putting bystanders at risk for serious health conditions they otherwise wouldn’t be at risk for.
      2. (SSP) By making smokers aware of the consequences smoking in public has on the community, we can, hopefully, cut the number of fatalities and health conditions related to secondhand smoke exposure.
      3. (SP) Secondhand smoke affects all ages. The preventable conditions and effects of secondhand smoke differ between children and adults, but both have long lasting consequences. The CDC states:
      4. (SSP) Adults can develop heart disease, lung cancer, and can even be at a higher risk of a stroke or heart attack when exposed to secondhand smoke.
      5. (SSP) . Children are at higher risk of severe and frequent asthma attacks, ear infections, respiratory infections and sudden infant death syndrome (SIDS) (CDC, 2018).

TRANSITION: By eliminating the exposure to these chemicals, we will also limit the number of health conditions that need to be treated.

1. (MP 2) Think of it this way, if you are trying to diet and you throw away all of the junk food in your house, you eliminate the chance of gaining weight from fatty foods, correct? Well, if we eliminate the smoke exposure, we eliminate the chance of those chemicals causing conditions that need to be medically treated and therefore, decrease hospital admissions.
2. (SUBPOINT) A study in Germany in 2004 found that after the public smoking ban in New York in 2003, there was a dramatic decrease in hospital admissions related to myocardial infarctions, or heart attacks, totaling 3813 fewer than the year prior.
3. (SUB-SUBPOINT) That is an 8% decrease that is directly related to positive effects of the smoking ban.

TRANSITION: In addition to the positive health effects on the community, there are environmental positives as well.

III.       (MP 3) Stopping public smoking will contribute to the cleanliness and pollution of our environment and public places.

1. (SUBPOINT) According to the World Health Organization (WHO), there is an estimated 766,571 metric tons of cigarette butts per year littered in parks, beaches, streets, and communities (Paula, S.G. et al., 2019, p. 2,7).
2. (SUB-SUBPOINT) Besides the 7,000 toxic chemicals I mentioned before, cigarette butts are made up of almost all non-biodegradable plastics that take years to degrade.
3. (Sub-sub-subpoint) This negatively affects the environment by the toxic chemicals in the plastic sticking around and polluting the air, soils and waste streams
4. (SSSP) If we control tobacco product waste (TPW) by limiting chances of exposure, the environment will benefit greatly.

CONCLUSION

1. All in all, putting a stop to public smoking has many benefits on the health of the public and the well being of the environment.
2. (Summary Statement) By doing this, it will limit the number of people exposed to secondhand smoke and, therefore, positively enhance the health of the public and the community. Secondhand smoke is known to cause serious health conditions such as lung cancer and heart disease in adults and can be fatal to children and the environment.

• (Memorable Closing Statement) I urge you to care about the wellbeing of those surrounding you, and together we can eliminate the ability to smoke in public places. Inform your local city council, write a letter to your state governor, inform those you know who smoke of the effects public smoking has on your community. Taking these steps can limit the number of health conditions and fatalities related to secondhand smoke and promote a healthier environment for everyone in the community.       

In the response post, critique the outline by providing strengths and areas of improvement based on the quality of the following:

• Introduction
• Body w/ transitions
• Conclusion
• Supporting materials – in-text references and APA citations
• Were you persuaded? How was it or was it not effective?
• Other suggestions for improvement
• Any suggestions you have for smoothing out the content.

This week’s textbook reading presented ethics and legal issues in nursing. What ethical dilemma, encountered in your nursing experience, has affected you most? What have you learned from the situation?