“Never before in history has innovation offered promise of so much to so many in so short a time.” – Bill Gates (as cited in Frazer, 2007)

Technological innovations are dramatically changing how the health care industry operates. One example of this change is the transformation of gaming systems and virtual worlds into effective health care devices. Today’s gaming systems are capable of strengthening motor skills during rehabilitation, while virtual worlds promote a form of nonjudgmental communication and self-confidence for those patients who suffer from physical and mental limitations. Innovations such as these have been well received as they promote health in a positive and entertaining way.

In this week’s Discussion, you appraise how these innovations can enhance health care practices. Focus on analyzing innovations with which you may be unfamiliar. For example, you may choose to look at the fields of decision support, robotics, telehealth, and nanotechnologies.

 References:

Olsen, S. (2008, May 29). Wii-habilitation, health games get $2 million study grant. CNET News.
Retrieved from http://news.cnet.com/8301-10784_3-9955083-7.html

Tanner, L. (2008, February 9). Hospital using Wii in combat injury rehab. Navy Times.
Retrieved from http://www.navytimes.com/news/2008/02/ap_wiihabilitation_080209/
 

Mollman, S. (2007, July 27). Wii + Second Life = New training simulator. Wired.
Retrieved from http://www.wired.com/gadgets/miscellaneous/news/2007/07/wiimote

Frazer, G. (2007, December 6). How to nurture innovation in your business. Computer Weekly.
Retrieved from http://www.computerweekly.com/Articles/2007/12/06/228478/How-to-nurture-innovation-in-your-business.htm
 

To prepare:

• Review      the information and websites listed in the Learning Resources focusing on      decision support and technological innovations in the health care field.
• Using      credible resources, investigate decisions support systems or other      innovations that are in them, in-today’s health care market.
• Select      a specific technological innovation to share with your classmates.
• Develop      a description of your selected decision support system or technology      innovation as if you were making a presentation to an interdisciplinary team      at your practice.
• Include      the potential benefits and challenges that this new system could bring to      health care practices and the effect it could have on outcomes.

By tomorrow Wednesday 10/11/17, 12 pm, write a minimum of 350 – 550 words essay in APA format. Use at least 3 references from the list of required reading below.  Include the level one headings as numbered below

post a cohesive response that addresses the following:

1) Describe your selected technology, including when it was first introduced into the health care industry.

2) Assess the applications of the technology, noting the benefits and potential challenges of the innovation.

3) Appraise the potential of the innovation to improve health care practice and related outcomes.

 

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 18, “Extending Care: Voice Technology”

Chapter 21, “Local Global Access: Virtual Learning Environments”

Chapter 18 provides an overview of the capability of voice assistive technologies to address the demands of health care environments. Chapter 21 features classroom technology trends that are equipping future nurses for practice.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

“The Future of Nursing Informatics” (pp. 52-62)

“Integrated Functional Areas: Telehealth and Informatics” (pp. 36-37)

The excerpts found here provide an overview of future advancements of informational technology systems’ hardware and design models.

Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. Studies in Health Technology and Informatics, 152, 353–366.

In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists.

Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. The American Journal of Cardiology, 107(5), 690–696.

The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. Health Services Research, 45(4), 985–1004.

This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. Rehabilitation Nursing, 35(6), 254-259.

Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.

Cisco. (n.d.). Industry solutions: Healthcare.

Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html 

Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments.

Intuitive Surgical. (2010). da Vinci surgery.

Retrieved from http://www.intuitivesurgical.com/products/davinci_surgery.html

See this website to view video commentaries on the da Vinci Surgical System’s ability to revolutionize surgery experiences.

Massachusetts Institute of Technology. (n.d.). MIT media lab.

Retrieved October 14, 2011, from http://www.media.mit.edu/ 

View various technology integration stories in the field of health care at this website

McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html 

The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Clinical decision support. Baltimore, MD: Author.

Note: The approximate length of this media piece is 12 minutes.

In “Clinical Decision Support” the presenters discuss how data management systems combine with practitioner knowledge to create the best medical and economical solutions for patient care.

No unread replies. No replies.

The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.

As you contemplate your role in the research process, read the following article.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.

Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.

Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.

Remember to integrate references.

• Type1diabetesmellituscommoncases.docx

Consider the following case study:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· Atenolol 12.5 mg daily

· Doxazosin 8 mg daily

· Hydralazine 10 mg qid

· Sertraline 25 mg daily

· Simvastatin 80 mg daily

To prepare:

Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.

Select one one the following factors: genetics, gender, ethnicity, age, or behavior factors.

Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

With these thoughts in mind:

Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

• This work should have Introduction and conclusion
• This work should have at 3 to 5current references (Year 2012 and up)
• Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia
2. Cdc.gov- nonhealthcare professionals section
3. Webmd.com
4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Chapter 19, “Hypertension” (pp. 257-272)

  This chapter examines the relationships between the cardiovascular,      nervous, and renal systems. It then describes diagnostic criteria for      hypertension patients, drugs used to treat hypertension and possible      adverse reactions, monitoring patient response, and patient education.

Chapter 20, “Hyperlipidemia” (pp. 275-286)

  This chapter explores causes of hyperlipidemia, treatments for      hyperlipidemia patients, and methods for monitoring patient response. It      also reviews strategies for risk assessment and patient education.

Chapter 21, “Chronic Stable Angina” (pp. 289-303)

  This chapter begins by exploring factors that contribute to chronic stable      angina, types of drugs used in treatment, and diagnostic criteria for      initiating drug therapy. It also examines methods for monitoring patient      response to treatment and educating patients on self-care.

Chapter 22, “Heart Failure” (pp. 305-322)

  This chapter examines the process of prescribing drugs to treat heart      failure and explores effects of prescribed drugs, proper dosages, and      possible adverse reactions.

Chapter 50, “Pharmacotherapy for Venous Thromboembolism Prevention and Treatment, Stroke Prevention in Atrial Fibrillation, and Thromboembolism Prevention with Mechanical Heart Valves” (pp. 863-886)

This chapter covers drug therapy options for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic stroke. It also explains the process of initiating and managing drug therapy for patients with these disorders.

The Interrelationship Between Theory, Knowledge, and Research and Evidence-Based Practice

Fawcett and Garity (2009) present an overview of the relationship between theory, knowledge, research, nursing research, and evidence-based practice (see attached file). As you prepare for this Discussion, reflect on your own specialty area and consider how the authors’ definitions of evidence-based practice and of research align with your understanding of these concepts based on your professional experiences and your experiences as a doctoral student embarking on your EBP Project.

To prepare:

Reflect on Fawcett and Garity’s definitions of knowledge, theory, research and evidence-based practice presented in the Learning Resources. How do these definitions align with your understanding of the concepts?

How does this interrelationship support or guide your EBP Project?

By Wednesday 9/19/18 by 1:00 am please write a minimum of 550 words essay in APA format with at least 3 scholarly references from the list of required resources below. Include the level 1 headings as numbered below:

Post a cohesive scholarly response that addresses the following:

1) How do Fawcett and Garity’s (see attached file)definitions align with your understanding of knowledge, theory, research and evidence-based practice? Support your response with evidence from the literature (quote the literature below in the required readings).

2) Discuss the interrelationship between theory, knowledge, research and evidence-based practice.

3) How does this interrelationship support or guide your EBP Project?

Required Readings

Terry, A. J. (2018). Clinical research for the Doctor of Nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

With your EBP project in mind, select and read the chapter that best fits your proposed methodologies: (I can attach the following chapters, let me know if you don’t have them and need me to attach them)

Chapter 6, “Designing a Clinically-Based Quantitative Capstone Research Project”

Chapter 7, “Designing a Clinically-Based Qualitative Capstone Research Project”

Chapter 8, “Designing a Clinically-Based Mixed Method Capstone Research Project”

Fawcett, J., & Garity, J. (2009). Chapter 1: Research and evidence-based nursing practice. In Evaluating Research for Evidence-Based Nursing, (pp. 3-20). Philadelphia, PA: F. A. Davis.

Adams, J.M., & Natarajan, S. (2016). Understanding influence within the context of nursing: Development of the Adams influence model using practice, research, and theory. Advances in Nursing Science, 39(3), E40-E56.

Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.

Hutchinson, A.M., Bioeth, M., Wilkinson, J.E., Kent, B., & Harrison, M.B. (2012). Using the promoting action on research implementation in health services framework to guide research use in the practice setting. Worldviews on Evidence-Based Nursing, First Quarter, 59-61.

Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing 70(10), 2181–2195.

Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today, 39, 189-196.

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa.

Nursing leaders must incorporate approaches that are inclusive and respectful of all stakeholders in the health care workforce, patient population, and the larger community that is served by the organization. Communication among members of teams, between departments and service lines, within large networks, with strategic business partners, and with patients, families, or support persons requires awareness of various facets of effective communication and cultural competence.

A mobilization plan for an international medical mission requires careful planning of organizational structure roles, power distribution, and team member empowerment.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

(IMPORTANT) Competency 1: Identify nursing leadership priorities, using a systems perspective.

-Apply systems thinking to determine a) the impact of the mobilization effort on hospital staffing and b) the actions needed to assure safe, quality care for the mission patients and personnel.

(IMPORTANT) Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes.

-Identify the major stakeholders within the health care system that would be affected by the mobilization plan.

(IMPORTANT) Competency 3: Analyze the role of multiculturalism and diversity in organizational and systems structure and leadership.

-Examine potential multicultural and diversity issues that mission personnel may encounter.

(IMPORTANT) Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.

-Describe the medical mission team’s organizational structure and assess how this structure empowers team members.

(IMPORTANT) Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional.

Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Assessment Instructions

Preparation

Use the Capella library and the Internet to help you complete this assessment. For help using PowerPoint, refer to the Microsoft Tutorials and other resources located in the Suggested Resources and left navigation menu of the courseroom.

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario

Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

Use bullet points and phrases on the slides.

The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

Identify the major stakeholders within the health care system that would be affected by the mobilization plan.

Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.

Describe the medical mission team’s organizational structure of the mission team and how power is distributed.

Include one slide of an organizational diagram for the mission.

Describe the roles (in the speaker’s notes).

Assess how the organizational structure empowers team members.

Provide 1–2 examples of how team members will have power.

Identify key actions needed to assure quality of care and safety for mission patients and personnel.

Evaluate potential power issues that may arise when dealing with a multinational contingent.

(Be generic; that is, do not address individual nationalities, races, et cetera.)

Consider interactions with health care personnel from other countries.

Examine potential multicultural and diversity issues that mission personnel may encounter.

Consider that the indigenous population may be hostile to treatment.

Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

Written communication: Written communication should be free of errors that detract from the overall message.

APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.

References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).

General formatting: Choose an appropriate theme if using a template.