Just as global positioning systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, clinical decision support (CDS) systems provide health care professionals with guidance for important decisions related to patient care. CDS systems have many capabilities, such as synthesizing patient information, recommending diagnostic tests, presenting alerts for life-threatening conditions, suggesting options for treatment, and offering relevant evidence and best practices. However, like GPSs, CDS systems are not always perfect, and many of their design specifications and functionalities are still evolving. In particular, issues such as alert fatigue and the integration of evidence-based practice (EBP) resources and clinical guidelines are still developing for CDS systems.

In this Assignment (due this Thursday), you identify the established EBP databases and clinical guidelines for your specialization area. You also consider how to integrate these elements into a CDS system specific to your specialization area. In addition, you analyze the benefits and drawbacks of integrating EBP and clinical guidelines within specialized CDS systems.

To prepare:

• Review this week’s Learning Resources on CDS systems, EBP, and clinical guidelines. Focus on the Hammond, Jaffe, and Kush article, “Healthcare Standards Development: The Value of Nurturing Collaboration”(http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_043995.hcsp?dDocName=bok1_043995) and consider how CDS systems could be used to achieve integration of standards, guidelines, and EBP within your specialization area.
• Identify at least two databases that can be considered “gold standards” for current research and EBP recommendations within your specialization area (Cardiology, I’m a cardiac nurse).
• Identify at least two condition-specific clinical guidelines that are applicable to your specialization area. One possible resource for locating clinical guidelines is http://www.guidelines.gov
• Consider how the databases and guidelines you identified could be integrated into a CDS system. For example, would you recommend an alert system, a side panel within an electronic health record (EHR) system, a separate computer or device for health care professionals to consult at their discretion, or an alternative system?
• Reflect on the benefits and disadvantages of the type of CDS system you selected to integrate your EBP databases and clinical guidelines.

To complete:

Write a 3-page paper in APA format, due on Thursday 9/15/16, that addresses the following:

1. Identify the two databases you selected as “gold standards” for EBP within your specialization area ( My specialization is Cardiac nursing ). Justify your selections.
2. Identify the two condition-specific clinical guidelines you selected, and explain their significance within your specialization area. (http://www.guidelines.gov)
3. Explain how the databases and guidelines you identified could be integrated into a CDS system. Describe the type of system you would recommend, and justify your recommendation.
4. Identify at least two benefits and at least two challenges of the CDS system you recommended.Cite at least 4 references using APA style.This Assignment is due by Thursday 9/15/2016 by 12 noon Required ReadingsBredemeyer, J., & Androwich, I. (2012). Transitional research: Generating evidence for practice. In D. McGonigle & K. G. Mastrian (Eds.), Nursing informatics and the foundation of knowledge (pp. 471–485). Burlington, MA: Jones and Bartlett.  This chapter describes information gathering and application processes of translational research. The authors also identify the importance of self-critique and persistent answer-seeking in evidence-based practice. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

• Chapter 25, “Translational Research: Generating Evidence for Practice”
• Chapter 16, “Informatics Tools to Promote Patient Safety and Clinical Outcomes”

 Ensuring the safety of patients is the responsibility of everyone within a health care organization. This chapter analyzes the role that technological advancements in information storage and delivery plays in supporting safety practices.

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

· Examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015). Can locate at this link: https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

· Review your Work Environment Assessment Template.

——Copy of my Template attached under files

· Reflect on your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

—–Main Discussion posting is attached as files

· Select and review one of the following articles found in the Resources: 

o  Clark, Olender, Cardoni, and Kenski (2011)

o  Clark (2018)

o Clark (2015)- Will use this article, same as above, here is link: : https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

o  Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

· Review the Work Environment Assessment Template you completed for this Module’s Discussion.

· Describe the results of the Work Environment Assessment you completed on your workplace.

· Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed. 

· Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

· Briefly describe the theory or concept presented in the article you selected. 

· Explain how the theory or concept presented in the article relates to the results of your Work Environment Assessment.

· Explain how your organization could apply the theory highlighted in your selected article to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

· Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment. 

· Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. 

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

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.

Application of Statistics in Health Care

No of Criteria: 7 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentage1: Unsatisfactory0.00 %2: Less Than Satisfactory65.00 %3: Satisfactory75.00 %4: Good85.00 %5: Excellent100.00 %Content70.0     Application of Statistics in Health Care (quality, safety, health promotion, leadership)40.0Application of statistics in health care is omitted or incomplete. The significance to quality safety, health promotion, and leadership is omitted.Application of statistics in health care is summarized. The significance to quality, safety, health promotion, and leadership is partially presented. One or more criteria are missing. There are inaccuracies. Significant information or rationale is needed.Application of statistics in health care is generally described. The significance to quality, safety, health promotion, and leadership is generally described for all criteria. There are minor inaccuracies. More information or rationale is needed to fully illustrate the application of statistics overall.Application of statistics in health care is described. The significance to quality, safety, health promotion, and leadership is described for all criteria. Some minor information or rationale is needed to fully illustrate the application of statistics to health care and the specific areas.Application of statistics in health care is described in detail. The significance to quality, safety, health promotion, and leadership is described thoroughly for all criteria. Strong information and rationale is provided to fully illustrate the application of statistics, and its significance, to health care and the specific areas.Application of Statistical Knowledge to Organization or Specialty Area30.0Application of statistical knowledge to organization or specialty area is omitted. More than one criterion regarding how statistical data are obtained, used in day-to-day operations, or applied in decision making are omitted.Application of statistical knowledge to organization or specialty area is summarized. How statistical data are obtained, used in day-to-day operations, and applied in decision is unclear; one criterion is missing. More information is needed.Application of statistical knowledge to organization or specialty area is generally discussed. How statistical data are obtained, used in day-to-day operations, or applied in decision making is summarized. .Application of statistical knowledge to organization or specialty area is discussed. How statistical data are obtained, used in day-to-day operations, or applied in decision making is described. Some information or detail is needed for clarity.Application of statistical knowledge to organization or specialty area is thoroughly discussed. How statistical data are obtained, used in day-to-day operations, or applied in decision making is described in detail. The ability to understand and apply statistical data is clearly demonstrated.Organization and Effectiveness20.0     Thesis Development and Purpose7.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction8.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.Writer is clearly in command of standard, written, academic English.Format10.0     Paper Format (use of appropriate style for the major and assignment)5.0Template is not used appropriately, or documentation format is rarely followed correctly.Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.Appropriate template is used. Formatting is correct, although some minor errors may be present.Appropriate template is fully used. There are virtually no errors in formatting style.All format elements are correct.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

For this milestone, you will start working on the case for Final Project I: Malpractice. Below is is a link to the case you will investigate. This link is also provided in the Final Project I Guidelines and Rubric document. 

Surgery: Iturralde v. Hilo Medical Center USA
Prompt: In this milestone, you will complete part of your analysis of the malpractice case. Using this analysis of the case, you will address the facts pertaining to 

the medical standard of care, breach of care, and causation. Specifically, the following critical elements must be addressed: 

I. Introduction:
A. Summarize the case, including information on the stakeholders involved, the problem, and the time period the incident occurred. 

II. Medical Malpractice Component: In this section, you will evaluate the case to address the legal components, the malpractice policies similar to this case, and the standard of care given to the patient and how it was breached. Then, you will draw connections to how this malpractice case impacted stakeholders and healthcare consumers outside of the case. 

1. Explain the key legal components of the case, including the nature of the issue and the rules that applied.
    
2. Determine relevant malpractice policies in place for addressing the issues within the case.
    
3. Analyze the malpractice case for the standard of care provided to the victim. Be sure to apply what the law states about standard of care to
   support whether or not it was breached in the case.
    
4. Analyze how the malpractice case would impact healthcare consumers from different cultural backgrounds. For example, would this case have a
   similar impact on a person from a culture different from the one in the case? How could this incident change the views of these healthcare
   consumers toward the healthcare system?
    
5. Assess the malpractice case for accountability based on its severity. To what extent was the healthcare provider held accountable?
    

Case below is what the paper needs to be answered.

LINK TO CASE –>  https://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.html

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse.

Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work.

To Prepare:

• Reflect on the strategies presented in the Resources for this week in support of academic style, integrity, and scholarly ethics.
• Also reflect on the connection between academic and professional integrity.

The Assignment:

1: Writing Sample: The Connection Between Academic and Professional Integrity

 write a 2- 3-paragraph analysis that includes the following:

• 1. Clearly and accurately explains in detail the relationship between academic integrity and writing.
• 2. Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.
• 3. Accurately cite at least 3 resources that fully support your arguments, being sure to use proper APA formatting.

1. Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses. 

Strategies for Maintaining Integrity of WorkClearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.

• Include a clearly developed review of resources and approaches you propose to use as a student and a professional. 

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph.