All posts by : chebby

 TOPIC OF ASSIGNMENT: CHILD ABUSE/NEGLECT

We are at the halfway point if you can believe it! This week you are going to compose the second half of your paper. This part of the paper explores the cultural and ethical perspectives of your topic. Below is a video of what to cover in this part. This paper has all of the same expectations as the previous paper. It must be written formally, have correct citations and in APA format. I have included a word document below that reviews formal writing again. You are also going to want to use tutor.com, the writing studio or PAL tutors for this assignment as well. You will use the articles from assignment 4 to help you but you still have a significant amount of research to do.

• Origin of environmental/social injustice
  • Brief history
  • Cause(s) – may have more than one
• Money, power, and control
• Legislation
• Cultural values and/or norms influence the issue
• Ethical obligations of the health care profession

  Nursing Philosophy/QEP Writing Assignment The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of at least one hospital. A limit of 1 to 2 pages is acceptable in APA format. The guidance of the assignment rubric should be utilized to achieve maximum points.   

Write an answer based on this essay, do not answer one by one, just in general. use at least 2 references but not the same that appear here.

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

The rapidly changing health care delivery system is driven by many forces that are influencing the current movement toward improved quality and safety. Some of these forces include economics, societal demographics and diversity regulation, technology, healthcare delivery and practice, and environment and globalization.

Economics: US health care delivery has been affected by many economic trends and issues. Businesses, government, and the media decry the cost of health care within the United States when compared with that of other developed nations (Whitehead, D., & Weiss, S. 2010). The cost of research and the cost to develop new treatments and technology are rising. Educated consumers will expect safe, quality care with associated satisfaction and health outcomes.

Societal demographics and diversity, increased numbers of racial and ethnic groups will influence health care delivery. Increased numbers of elderly people increase lifespan and improvements in technology mean an emphasis on specialized geriatric care. Both the elderly and ethnic minority are at risk population who suffer disadvantage in access payment and quality of care.

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

A Continuous Quality Improvement evaluates three aspect of health care: the structure within which the care is given, the process of given care, and the outcome of that care. 

Structure: refer to the setting in which the care is given and to resources that are available. There are aspects of the health care organization that can be evaluated: facility, equipment, staff, and finances. Although none of these structural factors alone can guaranty quality care, they make good care more likely.

Process: Process refers to the activity carried out by the healthcare providers and all the decision made while a patient is interesting with the organization. For example: setting of appointments, conducting a physical assessment, ordering a radiograph (Taylor, M. 2013). Each of these processes can be evaluated in terms of timeliness. When process data are collected a set of objectives, procedures, or guidelines id needed to serve as a stand or gauge against which to compare the activity.

Outcomes: An outcome is the result of all the healthcare providers’ activities. Outcomes measures evaluate the effectiveness of nursing activities by answering such questions as: Did the patient recover? Outcomes standard address indicators such as physical and mental health, social and physical function, health attitudes, knowledge, and behavior.

It is necessary to evaluate the process as well as the outcome to determine why an intervention such as patient teaching succeeds or fails. A comprehensive evaluation includes all three aspects: structure, process and outcome.

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

Nurses must embrace technology and integrate it into their nursing practice. Technology will not go away. It will continue to transform health care delivery systems. Because of technology, individual and groups communicate in new ways; the way health care is delivery and acquired has changed. Nursing must continue to take a leadership role in the incorporation of technology in health care. Nursing informatics will provide the tools and skills to assist health care to move ahead in the ever changing world. Advances in technology may make vaccines for cancer and medications to prevent vascular disease available someday(Taylor, M. 2013). New organs and body parts that correct or improve function may be commonly accessible. It is conceivable that bloodless surgery will be performed and drugs without side effects will be developed. Computer programs and clinical simulator will be universally used for practice in health education. This all advanced technology will contribute to improve patient outcomes and health care system.

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

To achieve safe patient care a culture of safety must exist. Organizations and senior leadership must drive change to develop culture safety blame free environment in which reporting of error is promoted and rewarded. A culture of safety promotes trust, honesty, openness, and transparency. Teamwork and involvement of the patient contributes to promoting a culture of safety. When a culture of safety exists individual providers do not fear reprisal and are not blamed for identifying or reporting error. Reported errors provide data and information necessary to understand why or how the error occurred, thus improving care and preventing harm.

5. Select one of the nonprofit organization or one government agency 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: 

The National Patient Safety Foundation’s vision is to create a world where patients and those who care for them are free from harm. A central voice for patient safety since 1997, NPSF partners with patients and families, the health care community, and key stakeholders to advance patient safety and health care workforce safety and disseminate strategies to prevent harm. NPSF is an independent, not-for-profit organization.

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

The Agency for Healthcare Research and Quality (AHRQ) is a U.S. government agency that functions as a part of the Department of Health & Human Services (HHS) to support research to help improve the quality of health care. It uses a system of quality indicators to determine the standards of quality health care and if a provider is meeting those standards(Tappen, R. M., Weiss, S. A., & Whitehead, D. K. 2004). These indicators are divided into four subcategories that each monitor a different aspect of health care quality. Hospital performance results based on these quality indicators are reported on an HHS site called Hospital Compare and are published in an annual AHRQ survey. However, as a research organization, the AHRQ lacks the authority to penalize organizations who receive low marks for the quality indicators. In addition to its quality indicators, the AHRQ publishes the results of its research as reports, toolkits or other resources for health care providers. One AHRQ project, for example, is a toolkit that helps standardize health information exchange and the storage of personal health information The AHRQ’s document helps provide a more streamlined approach to health information technology data storage and exchange.

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

The health care sector in the United States consists of an array of clinicians, hospitals and other health care facilities, insurance plans, and purchasers of health care services, all operating in various configurations of groups, networks, and independent practices. Some are based in the public sector; others operate in the private sector as either for-profit or not-for-profit entities. The health care sector also includes regulators, some voluntary and others governmental. Although these various individuals and organizations are generally referred to collectively as “the health care delivery system,” the phrase suggests an order, integration, and accountability that do not exist. Communication, collaboration, or systems planning among these various entities is limited and is almost incidental to their operations. For convenience, however, the committee uses the common terminology of health care delivery system

c)• How has the organization/agency affected facilities where you are practicing and  your own professional practice. 

The health care sector in the United States consists of an array of clinicians, hospitals and other health care facilities, insurance plans, and purchasers of health care services, all operating in various configurations of groups, networks, and independent practices. Some are based in the public sector; others operate in the private sector as either for-profit or not-for-profit entities. The health care sector also includes regulators, some voluntary and others governmental. Although these various individuals and organizations are generally referred to collectively as “the health care delivery system,” the phrase suggests an order, integration, and accountability that do not exist. Communication, collaboration, or systems planning among these various entities is limited and is almost incidental to their operations. For convenience, however, the committee uses the common terminology of health care delivery system

Reference

Whitehead, D., & Weiss, S. (2010). In Essentials of nursing leadership and management (5th ed.). Philadelphia: F.A. Davis.

            Tappen, R. M., Weiss, S. A., & Whitehead, D. K. (2004). Essentials of nursing leadership and 

     management. Philadelphia: F.A. Davis.

Taylor, M. (2013). Shared governance in the modern university. Higher Education Quarterly, 

     67(1), 80-94.

Share your perspective on best practices on implementing the project presentation.

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

use attached sheet in addition 

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.

• Evaluate the ways quality assurance/improvement and clinical outcome measurements are supported by clinical information systems.

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

M3: Lesson 12 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence.

Data Collection, Measurement and Analysis

Scenarios:

A researcher wants to know why individuals in Community A have a higher rate of a rare form of cancer when compared to those living in Community B. To find out the reasons for the differences in cancer rates in these two communities, the investigator surveyed residents about their lifestyle, noted the types of businesses that were present in the community and searched medical records. The researcher found that the headquarters for the Toxico Chemical Plant is located in Community A, there is a higher rate of cigarette smoking in this community and residents tended to delay or skip going to the doctor for an annual checkup. In Community B, the largest employer was a department store and on average, residents did not smoke as much as residents from Community A. However, like individuals from Community A, Community B residents tended to delay or skip their annual checkups with their doctor.   

Retrieved from http://ori.hhs.gov/education/products/sdsu/eg_desc.htm

Instructions:

1. Read the scenario above and answer the following questions:
   1. What makes this a descriptive study?
   2. What type of data collection method was used in this scenario?  What type of collection methods are usually used in descriptive studies?
   3. Why did the researcher collect information about the lifestyle of community residents? What about the type of businesses present in each community? Medical records?
   4. Can the investigator establish that the chemical plant and cigarette smoking are the cause for the higher rate of cancer among those in Community A?
   5. Can the investigator establish that lower smoking rates and the absence of a chemical factory explain the lower rate of cancer among those in Community B?

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1.      What other assessment data would be helpful for the nurse practitioner to have?

2.      What are the organisms most likely to cause an UTI?

3.      What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4.      What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

Please keep it concise. 1 initial post and 2 replies using peer-reviewed references published within 5 years.

HA3220D – Health Information Systems

Assignment 07: Training Plan

Develop a training plan and evaluation of training for a hospital that is implementing a new health care information system. 

1. Training Plan In a roughly 1 page double-spaced training plan, include:

Introduction What will this training cover? In what mode/format will occur?  

Training Strategies What training strategies will you use, and why do you feel they will be effective for a system implementation training program?

Probable Issues / Roadblocks to System Implementation and how you will use the training process to reduce their likelihood.

Key Elements that must be included in training for users of a health care information system.

This training plan should be a minimum of 1 page double-spaced in Times New Roman or similar 12-point font.

2. Create an evaluation tool to measure user satisfaction with the training process. You may model it on common questions asked on a customer satisfaction survey, but you should also create questions that can be used to improve the training process and learn more about users’ needs, knowledge, and skills.