All posts by : chebby

 Consider the question: “Why do physicians and nurses kill more people than airline pilots?” Apply your critical thinking skills to this argument and critique the statement. First, do you think it’s true? If it is, what do you think about their rationale? How would you address it if the question were posed to you in a forum?  PLEASE INCLUDED IN-TEXT CITATION AND REFERENCE

Implementation systems are used to allow the necessary changes in an organization to take place. Kurt Lewin described change into three phases: unfreezing, moving and refreezing (Nelson, 2014, p. 29). Determining which parts of an organization need change falls under the first phase of change called unfreezing. According to Lewin’s theory, limiting the amount of resistance would result in the most successful implementation. During phase one, allowing employees to have an input on what they wish could be improved would create a more harmonious decision-making process and therefore result in the least resistance. My work environment does not include the working nurses in this portion of change. In my opinion, this is the reason that most of the nurses are not happy with all the adjustments brought about in the workplace. The second phase “is the most unstable period for the system. Anxiety levels can be expected to increase, and this is when resistance can be felt” (Nelson, 2014, p. 29). Management can use this time to sway the system users with incentives, words of encouragement and requests for feedback. For me, I do not see this occurring when a new system is added. We receive emails explaining the new protocol, how to use the system and disciplinary actions if not used properly. Ideally, I believe that a test 

run of new systems would be an effective way to prepare nurses for what to expect and fine tune hiccups before threatening repercussions. The last phase occurs after implementation and involves maintaining the change. This refreezing process encourages resistance to change (Nelson, 2014, p. 29). There have been occasions when I noticed faults in the system and places where improvement can happen. At that point I usually call the office and explain what is going on. My concerns are met with understanding and they work with me when they can afford to do so, however it does not usually go beyond verbal support over the phone. Over time, small changes have been made to the system and emails sent out to review expectations with nurses. Reading about effective change in the textbook explains that this way of doing things will most likely bring about the most resistance. “An information technology in and of itself cannot do anything, and when the patterns of its use are not tailored to the workers and their environment to yield high quality care, the technological interventions will not be productive” (AHRQ, 2019). In the healthcare setting, nurses should be voices in the change that occurs and management should be supportive and open to an interdisciplinary way of establishing information systems. Until this occurs, negative reactions to change will continue to make the process difficult and challenging for all employees.  

References 

AHRQ. (2019). Barriers to HIT Implementation | AHRQ National Resource Center; Health Information Technology: Best Practices Transforming Quality, Safety, and Efficiency. Retrieved from https://healthit.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/barriers-hit-implementation (Links to an external site.) 

REPLY 2

Training, New Information System, & Evaluation

Modern healthcare systems are characterized by the utilization of sophisticated information systems to facilitate critical care provision. Healthcare organizations that focus on improving the quality and cost of care through information systems realize their relevance after implementation. The inadequacy of effective and reliable infrastructures is among the factors that facilitate poor performance in healthcare. The integration of different information systems enables excellent management of patient data, funds, and healthcare-related projects. The complexity of an information system affects its implementation process, hence attaining anticipated results (Gomes & Romao, 2018). It is essential to engage healthcare nurses in implementing and evaluating different information systems; however, such activities require adequate training.  

Most nurses are unfamiliar with the newly implemented information systems that aim to improve the quality of care. Notably, the unfamiliarity is commonplace in healthcare facilities in the country and abroad. In my current organization, nurses are acquainted with new skills to utilize the existing information systems through training.  Most of the activity occurs through attending workshops where nurses interact with experts or through simulated programs. The nursing workshops acquaints the nurses with the basics, outlook, and functionality of the newly implemented infrastructure. The simulation models involve interacting with the new technologies artificially. The simulation approach is highly effective in information systems such as the EHR, one of the technologies that continue to change patient data management in healthcare.

After the training, it is essential to engage the nurses in implementing and evaluating the information system. Davidson et al. (2020) note that the implementation of new information systems is characterized by ultimate complexity; however, they are essential when improving the quality of services rendered to patients. Although the designs are highly effective, it is necessary to ensure that there are constant evaluations. Several evaluation criteria can be used in healthcare facilities that require the engagement of nurses. For instance, the current organization utilizes an evaluation model that assesses the impacts of the information system. Nurses are engaged in data collection and analysis. The evaluation model is among the reputable tools used in the assessment stage.

Secondly, a visualization tool is also essential in evaluating an information system; however, its effectiveness associates with the evaluation model—the tool helps map the progression of an information system. Additionally, the performance of the device depends on the contribution of healthcare nurses. The commonly used visualization tools include Google Analytics and R language that also require a resourceful foundation for evaluating an information system’s performance. Several aspects affect the performance and effectiveness of visualization tools in healthcare facilities. One is that the device requires individuals who are conversant with different computer software. Therefore, nurses who help evaluate information systems must undergo thorough training to increase their competence in the evaluation procedure.

 Summing up, current information systems in healthcare systems are among the promising initiatives for improving the quality of care and increasing affordability. Information systems provide a reputable framework for effective data management and execution of multiple activities within the healthcare facility. However, it is essential to engage the healthcare nurses as they play various significant responsibilities when handling patient’s data and other critical information. These professionals should also be involved in evaluating the effectiveness of the newly implemented systems. Such engagements serve as a motivating factor improving the quality of services rendered to patients.

References

Davidson, B., Dewan, M. A., Kumar, V. S., Chang, M., & Liggett, B. (2020). Visualizing benefits: Evaluating the healthcare information system using the IS-impact model. IEEE Access, 8, 148052-148065. doi:10.1109/access.2020.3015467

Gomes, J., & Romão, M. (2018). Information system maturity models in healthcare. Journal of Medical Systems, 42(12). doi:10.1007/s10916-018-1097-0

 All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

200 words each reply

Clinical case presentation should be in a SOAP format. Same SOAP format you use to submit your notes on Typhon. But you must make sure the information provided bellow is included or added for the purpose of this paper.

It should be written in correct gramma, no APA but the references.

References must be on APA format at the end of your papers corresponding to the citations throughout your paper.

An unusual case means a challenging case to you.

From the soap you will use:

• Chief complain and history of present disease 
• Exam and diagnostic tests ( labs , images)
• Dx impression supported by signs and symptoms 
• Management as on soap I sent : meds, tests if any ordered, education, follow up
• Evidence based rationale for treatment. Like aspirin is an antiplatelet use to … and it’s reference 
• Epidemiological data with reference. For example angina. Go to the CDC website and look for percent of populations affected, distribution with USA population. 
• Analysis of self care and family issues r/t diagnosis and tx plan related to your Dx. Ex. Patient is poor compliant with medication and no family support. First choice of antianginal tx not use because lack of insurance coverage and use —-instead 
• Evaluate parameters to determine outcome. Use same as the shorts and long term goals on our RN care plans but more treatment and prevention related. 
• Major lesson learned from the case and how may affect your future practice. This analysis is your experience. 

Attached it is the Soap Note template

and information that can be use to do the soap note

Write a  2- 3 page paper with double spaced text about OB delivery with shoulder dystocia. Write about the experience of this delivery. Doctors nurses, how were they acting and doing their stuff. Find One “Aha” moment in the experience.

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers.

Cannabis is one of the most frequently used illicit substance in the U.S; with a mixed effect on the health of the population. Despite potential benefits, the use of cannabis has been linked with various adverse effects, especially among adolescents (Hall & Lynskey 2016). Classic negative effects include increased risk of using other drugs, diminished life satisfaction, cognitive impairment, and impaired short-term memory. Although the laws and regulations that have been enacted both at the state and federal levels have been to regulate cannabis use, there are waves or movements that seek to decriminalize and legalize the use of cannabis.

Cannabis legalization affects public safety issues. About 79% of U.S residents believe that the legalization of cannabis in the country would increase the number of car accidents caused by cannabis-user drivers (Young, Padwa & Bonar 2019). Public health will also be affected when cannabis is legalized. Various studies have shown that the legalization of cannabis is associated with lower rates of opioid-related overdose, harm, and death. This could significantly improve health for the general population in the present environment of the opioid epidemic. While most Americans opposing the legalization of cannabis maintain that it would lead to individuals using more addictive and stronger drugs, there has not been enough support for this belief.

In several states with legalized cannabis, it has been reported that the use of cannabis among the youth has not changed with respect to the states where the substance is not legalized. Research has not indicated any effect of cannabis legalization on the graduation or dropout rates. In conclusion, so far, research findings have shown that the legalization of cannabis can have several positive social effects, and more would definitely come with additional states considering legalizing cannabis.

References

Hall, W., & Lynskey, M. (2016). Evaluating the public health impacts of legalizing recreational cannabis use in the United States. Addiction, 111(10), 1764-1773. https://doi.org/10.1111/add.13428

Young, S., Padwa, H., & Bonar, E. (2019). Social Big Data as a Tool for Understanding and Predicting the Impact of Cannabis Legalization. Frontiers in public health, 7, 274. https://doi.org/10.3389/fpubh.2019.00274

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

1. Click “OK” to receive your questionnaire scores.
2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

1. Provide a summary of your learning style according the VARK questionnaire.
2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. 

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

TASK

Post your initial response to one of the two topics below.

Topic 1: Community-Based Nursing

Nursing services play an important role in caring for patients and families in the community and providing them the support they need. For patients with problems ranging from chronic health conditions to need of elder care, nursing has proved itself an important part of the healthcare team. In fact, many people now prefer sending their elderly parents to a daycare for nursing, rather than to a long-term care facility.

For this topic, interview a community-based nurse or nurse practitioner who sees individuals in the home setting. Describe the nurse’s responses to the following questions:

• What are your job responsibilities?
• Does a correlation exist between your job description and your practice?
• Are you involved in policy formulation that affects client services?
• Do you belong to a professional organization related to your current job position?

Topic 2: Economics of Health Care

The cost of healthcare in the U.S. is often discussed by the press. Trends in healthcare spending are determined by public and private decisions about health care delivery and reflect the values and beliefs of society and policy makers.

Compare the distribution of healthcare expenses for 2017.
https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/nationalhealthexpenddata/nationalhealthaccountshistorical(Nation’s health dollar: where it came from and where it went with those of 2011 [see textbook]).

Write a summary of your findings and their meaning in terms of health care spending.

Benefits of self evaluation for students

4 paragraphs

references not older than 2015

Need a 100-300 words post Identifying healthcare FINANCIAL MANAGEMENT ISSUES for nurse managers. It can be about staff shortage to save the facility money or to stay within the budget.

You may use Google scholars or any other nursing journal. 

Make sure all reference sources are within 5 years. 

APA format and not Turnitin but plagiarism-free.

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https://www.youtube.com/watch?v=iZHJjf9oYZk&feature=youtu.be