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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles

Task 1.

1. 200 words – Provide a brief overview of the concept of food desert as it relates to urban community. What impact does food desert and access to healthy foods have on population health, within urban communities?  

2. 200 words – Consider the character Nurse Lisa in the book “The Hate You Give”. Consider how the concept of food desert affect her and her family? For example, as a nurse within an underserved urban community her role is to advocate for the health and wellbeing of her clients and community members. What methods/ education can she provide to her clients to increase their access to health good choice when there is limited supplies? 

3. 200 words – Consider the novel “The Hate You Give” relate the novel and it setting to the concept of food desert. 

4. 100 words – How would a community health nurse or public health official address the issue of food desert? 

5. 100 words – What key stakeholders within the community would the official speak to and coordinate with to resolve this problem?

6. 100 words – Provide at least 3 community programs (interventions) that could be established to resolve the problem of food desert? 

7. 200 words – How would you coordinate these interventions? What is the most important aspect of the program intervention? Consider (funding, needs assessment, policy developments etc.)?

Task 2. 

1. 200 words- What are the determinants of health? How does the determinants of health impact health outcome within underserved urban communities?

2. 200 words- Of the many detriments of health which do you think is the most impactful and why? how does the determinants of health relate to the book “The Hate You Give”? provide example? 

Respond to the questions above in APA 7th format.

Each question MUST have subheadings.

Provide at least 7 scholarly resources including the book “The Hate You Give” and the attached textbook. 

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES NOT MORE THAN 5 YEARS

ZERO PLAGIARISM

In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.

Learning Objectives

Students will:

• Analyze salient ethical issues in psychiatric mental health practice
• Compare ethical dilemmas with state health laws and regulations
• Analyze ethical decision-making processes

To prepare:

• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.

Write a 3-page paper in which you do the following:

• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.

1. Read the information about the case study with the chart materials provided or gather the necessary information from one of your patients.

2.Review the patient assessment information. What other assessments might you do in addition to those provided? What findings would you anticipate with this patient? Develop a care plan (use the template provided) based on the highest priority problem (1 nursing diagnosis, 2 goals, 3 interventions for each goal, 2 rationales for each intervention and evaluation for each goal). Complete an in-depth analysis reflecting your ability to prepare a case study based on principles derived from pharmacology, pathophysiology, psychology, nutrition, and evidence-based nursing practice guidelines. Remember to include an introduction to the patient, pathophysiology, history, nursing assessment (given and any additional), and related treatments.

3.Include selected references for your case study paper/care plan and use APA format.

4. A specific grading rubric and template are attached. The care plan should also be completed.

Benchmark – Direct Practice Improvement (DPI) Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A)

At this point in the course, learners have completed and submitted Chapters 1-3 and the 10 Strategic Points as individual components of the Direct Practice Improvement (DPI) Project Proposal. This assignment requires learners to incorporate feedback from their DPI Project Committee on these assignments, combine them into the DPI Project Proposal: Draft Proposal (Chapters 1-3 and Appendix A), and submit it as one unit.

Upon submission, the DPI Project Proposal: Draft Proposal will be sent for an Academic Quality Review (AQR). The AQR is performed by a qualified external reviewer that provides a formal scientific merit review and quality assurance check on the DPI Project Proposal.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Locate the “DPI Proposal Template” document in the PI Workspace of the DC Network.

· Locate your DPI Project Proposal – Strategic Points Final Draft assignment with DPI Committee feedback.

· Locate all previous feedback from Chapters 1-3, the 10 Strategic Points, and the soft submission submitted in Topic 7.

· You must submit this assignment in the form of a Word document. If this manuscript proposal is not submitted prior to due date in the designated format, you will receive 0 points for the assignment and will not undergo AQR. Remove the scoring grids/rubric and previous embedded feedback from your proposal for AQR submission.

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

· You are required to submit this assignment to LopesWrite. 

Directions:

1. Integrate the four individual DPI Project Proposal assignments into one document using the “DPI Proposal Template.”

2. Be sure to review the “DPI Project Guide,” before submitting your assignment.

Submit the completed document to your DPI chairperson.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

Doctor of Nursing Practice

1.1:  Integrate nursing science with knowledge from ethics, the biophysical, psychosocial, analytical, and organizational sciences as the basis for the highest level of nursing practice. 

1.4:  Develop and evaluate new practice approaches based on nursing theories and theories from other disciplines.   

4.2:  Synthesize concepts to develop, implement, and evaluate interventions to improve individual, aggregate, and population health management. 

PROFESSOR’S PRIOR INSTRUCTIONS:-

The professor has made new comments on the project and it requires for the comments to be incorporated into the project. You can also see the professor’s comments in the attached 10 Strategic Points.

Areas Needing corrections are as follows: It must be updated in the 10 Strategic Points and in the main project ATTACHED.

1. Interventions

a. This has to be for Diabetes. Currently, it is not the right methodology

b. The intervention is what will be done for each patient which should be based on educating the patients on lifestyle changes. It should be like this: –

i. Diet Teaching Education- what type of education will be used for teaching the patients. Where are you going to get the materials from? You must explain the Therapy in full. This must be rearranged in the project.

2. Lifestyle Changes Education must be addressed as follows: –

a. Discuss Medication Nutrition Education Therapy in full

b. Discuss Medication Adherence Education in full

c. It must specify Disease Education on Diabetes

d. It must indicate who is doing it e.g. RN, Nurse Practitioner etc.? How are they doing it? How long is it going to take or for long?

3. You must indicate what the expected result is going to be. 

4. How do you plan to measure Medication Adherence and the tools that will be used to measure it.

5. The Problem Statement must now change based on these new listed additions. It must start with “It is not known the extent to which………………

6. SAMPLE:

a. Explain why you are picking the specific number of patient population

b. Use population of adults 18 and above. Don’t limit to 45 and older.

7. Inclusion Criteria

a. Adult 18 – above with Type 2 Diabetes

b. It should state who identified it in the home health setting such Physicians since they are the ones that refer patients to the home health care for non-compliant or non-adherent to medication

8. Exclusion Criteria

a. It should state that you will exclude patients with cognitive impairment

9. Data Collection and Data Analysis

a. You must adjust both of them by using an existing method of Data Collection-please, do not make up your own

Please make corrections in all the chapters including 1, 2 and 3.

APPENDIX A is the 10 Strategic Points

Need someone to add to my already completed project. I need information on why The Russian Federation changed their healthcare policy for mental health and what was going on politically at the time of that change. I need more information on Medicaid and the mental health coverage. I need graphs comparing Medicaid to the Russian Federation mental health coverage. Lastly focus on the APA just fixing it. I will attach the rubric it’s in two parts and power point

Exercise 2.5  

Diabetes affects a growing number of Americans. You have been invited to join a collaborative of community agencies interested in tackling diabetes from a community perspective.  I reside in Maryland, in Howard county.

1) What resources will you use to identify different outcomes related to diabetes? 

2) What outcomes related to diabetes are of most interest to community members? 

3) How will you compare the outcomes you select to monitor at the local level with state and national outcomes?

The objectives for Week 1 are:

Integrate key terms of epidemiology and population health to the Advanced Practice Nurse role.

Recommend primary, secondary, and tertiary prevention strategies as related to the objectives of HP2020.

Plan for inter-professional collaborations aimed at achieving HP2020 goals and objectives.

Compare and contrast sources of epidemiological data that are used to inform levels of prevention.

The last weekly objective, #4, uses the word “sources”. This correlates to Exercise 2.5’s use of the word “resources”. By this it means, where can a provider find data that inform them regarding outcomes? What is this data, what are the outcomes? Consider morbidity, mortality, incidence, prevalence, cases, various cultural populations such as racial or socioeconomic information. 

Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

What resources will you use to identify different outcomes related to diabetes? 

I think it is helpful, to begin with defining population health outcomes. The next piece is to clearly understand how these outcomes are different than individual outcomes. What terms are used to describe population health-based outcomes?

After clearly identifying those pieces, the next step is to know where a provider can find that information. Please respond to these questions in your reply post using the course textbook and Canvas readings to support the content.

Find an article in the library that is about population health outcomes. This can be outcomes for any health issue, diabetes, obesity, kidney disease, etc. It should be for the US. Please provide a link to the article in your reply along with a brief summary.

respond with a minimum of three (3) paragraphs each. 

You should address each bullet point in the exercise. 

Your work should have in-text citations integrating at a minimum one scholarly article from this week’s readings and course textbook. (  Curley, L. A., & Vitale, A. P. (2016). Population-based nursing: Concepts and competencies for advanced practice (2 nd Ed.). New York; NY, Springer Publishing Company).

APA format should be utilized to include a reference list. 

Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first-person use. 

 in addition to your textbook, Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

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.

Assignment 1)

Grading Rubric and Sample Table for this Discussion Question

Class after completing the assigned readings answer the following question

“In 300 words, Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.” Use our text, other assigned readings and scholarly source to support your answer

Grading Rubric / Point Value for Each Part of Question

Discuss how elimination complexities impact patient/ family lives +2.5

Discuss the nurses role in supporting psychological/ emotional needs related to elimination problems +2.5

Provide an example of the complexity, the impact and the nurses role in providing support +2.5

Writing and APA +0.5

You may post your reply in narrative format or use the table below. Regardless of format, the post should be in written in your own words, and include citations and references of sources.

Elimination   complexities impact on patient and Family

Nurses supporting role related to   elimination complexities

Example   of a complexity, impact on patient family and nurse’s role in support

References

Whitney, S. GCU. (2020). Elimination Complexities. https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3

Whitey, S. (2018). Elimination Complexities. In Pathophysiology: Clinical Applications for Client Health. Grand Canyon University (Ed.). https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/

Assignment 2)

After completing the assigned reading and reviewing the functional health pattern assessment form I posted answer the following question:

In 300 words, Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example.

*** Grading Rubric and Point Value for Each Part of the Question***

Discuss how functional health patterns are used by the nurse to understand patient’s history and current health +2.5

Choose a condition associated with elimination complexity +2

Provide examples of data you might enter on the functional health patterns assessment +3

Writing organization and APA +0.5

You can complete the question in narrative format or use the table below.

Describe   how nurses use functional health patterns to understand patient’s history and   current health

Choose an elimination complexity

Provide   examples of data you might enter on the functional health patterns assessment   for the patient with the chosen elimination complexity

References

Read “Estimated Glomerular Filtration Rate Decline and Risk of End-Stage Renal Disease in Type 2 Diabetes,” by Megumi et al., from PLOS ONE (2018).

URL:

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=131037700&site=eds-live&scope=site

 Read “Acute Kidney Failure,” located on the Mayo Clinic website.

URL:

https://www.mayoclinic.org/diseases-conditions/kidney-failure/symptoms-causes/syc-20369048

 Read “Kidney Failure (Symptoms, Signs, Stages, Causes, Treatment, and Life Expectancy),” by Wedro, located on the MedicineNet website.

URL:

https://www.medicinenet.com/kidney_failure/article.htm

Assignment 3

CAT Question #1 Critical Thinking Functional Health Patterns

Class in 250 words reflect on the nursing process – Assessment, Diagnosis, Planning, Implementation and Evaluation (ADPIE) Discuss how assessment leads to formulating nursing diagnosis and plans of care. How might the functional health patterns assessment be used in assessment, planning and formulating diagnosis? Do you see it as an assessment tool/ gathering data or clustering it for use?

he discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

The Aquifer virtual case study assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, and mid-term and final exams. You must have all Aquifer assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate Aquifer.

Assignment

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 07: 53-year-old male with leg swelling.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.