Ethical Issues With an Aging Population

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  • Ethical Issues With an Aging Population
  •  
  • According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128).In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.To prepare: Ethical Issues With an Aging Population

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    • Consider the ethical aspects of health care and health policy for an aging population.
    • Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds.
    • Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population.
    • Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care. Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. Ethical Issues With an Aging Population
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Aging Ethical Aspect of Health Care

Ethics always plays a significant role in caring for our clients, but with the increasingly aging population, our focus on ethics and nursing must adapt to take this into consideration

As health promotion, education and technology advances, the life expectancy for Americans have also risen.  According to the Stanford Center on Longevity, over the next 30 years the population of Americans over the age of 65, will at least double to 80 million (Hayutin, Dietz & Mitchell, 2010). However, with this aging population, it increases the individual’s risk to chronic diseases like obesity, arthritis, diabetes, dementia and hypertension.  Therefore, as a nation now face new challenges such as increasing healthcare costs, more retired citizens than those currently working within the workforce and greater financial burden on the individual for their retirement (Farrelly, 2010). Ethical Issues With an Aging Population

Code of Ethics

Looking at the Code of Ethics for Nurses by the America Nurses Association (ANA), nothing changes just because the person is elderly.  Provision one, two and three of the Code of Ethics for Nurses, looks at the nurse promoting good, being an advocate, and fighting for patients’ rights, healthcare and self-worth (Fowler & ANA, 2008).  Everyone is a unique, and we must treat them as such.  However, provision four, five and six, looks at promoting health, making decisions and ensuring the safety of our clients (Fowler & ANA, 2008).  While, provision seven, eight and nine, look at maintaining integrity, working with other health care professionals and promoting a scholarly mind, so advancing knowledge and skills through evidence-based research (Fowler & ANA, 2008).  At no point, does age play a part of the Code of Ethics. Throughout my nursing career, I have met senior citizens who are independent, have better health than people a lot younger than themselves and can make their own decisions about their healthcare.

Ethical Dilemma

With the changing and increasing aging population, nurses need to continue to advocate for our clients’ needs.  Under provision two of the Code of Ethics, the nurse’s primary commitment is to the patient.  However, older people often need more medical care, due to chronic illness and the taking of multiple medications.  Also with the elderly nearing the end of their lifespan, it can be thought that investing time and money may be of little benefit in comparison to the younger generation, who have a longer to live (Bognar, 2015).  Thankfully, the federal government prohibits consideration of this factor or the use of age as a factor in cost-benefit analysis (Bognar, 2015). Under provision eight of the Code of Ethics, “Health is a Universal Right” (pg. 31), so available to everyone indiscriminate of their age (Fowler & ANA, 2010) Ethical Issues With an Aging Population

Next, should we be increasing the age of retirement?  It would certainly provide more finances for health care due to the decreasing workforce, but perhaps the aging population has already paid enough into our society. Maybe we can reduce government spending, encouraging individuals to rely on their personal assets and savings for retirement care. Maybe our focus should only be on palliative care for the over 65-year-old, so maintaining their present quality of life, rather than any life-extending care. By focusing healthcare policy and research on healthcare needs of the younger generation, this will prolong the lifespan of those who have lives still to live, so a chance to make it to aged 65 (Bognar, 2015). However, will this limit the healthcare of the younger generation as they progress throughout their lifespan and become part of the aging population?  Under provision two of the Code of Ethics, we look at the interests of the individual or community (pg. 21), so looking at the client as a person, not their age (Fowler & ANA, 2008).

Also with policy and research, consent plays an important part. Informed consent may not be a problem initially, but as time progresses, it may be a concern due to the possible changing mental status of the client during and throughout the research and policy process (Ries, 2010). Older people can be more of a challenge or a vulnerable group to study. Maybe they do not have the resources to participate in the studies or with both chronic illnesses and multiple medications, it is potentially too complicated to address just one disease by itself (Ries, 2010). However, looking at provision seven of the Code of Ethics, it promotes advances in nursing practice and scholarly research, but it does not stipulate an age limit (Fowler & ANA, 2008). Nurses, therefore, need to work closely with their patients, gaining knowledge, advocating for their individual clients’ specific rights; by doing so, the nurse can carry out their clients’ personal beliefs and wishes without question (Zomorodi & Foley, 2009).

Conclusion

Health care policies favor the younger population, however, in our changing environment and aging population, we need to consider the fuller picture of healthcare.  Protecting people’s health at any age is important, and everyone deserves an equal share of opportunities throughout the span of life (Bognar, 2015).  However, it is our responsibility as nurses to ensure our clients have all the information about their health so that they can make their own informed decisions. We should not be rationing health care on age, disability or any other factors. Only an individual can decide the cost of their own life, and in cannot be assumed that an older person still does not have their own life goals to accomplish still (Gruenewald, 2012). Ethical Issues With an Aging Population

References

Bognar, G. (2015). Fair Innings. Bioethics. Retrieved from http://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=1&sid=a218ce66-aed5-4f27-b9dd-3d24ce53acf3%40sessionmgr103&hid=126

Farrelly, C. (2010). Equality and the duty to retard human ageing. Bioethics. Retrieved from http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?sid=e4700d76-f00a-4aea-a15e-a7f4a910f765%40sessionmgr4007&vid=2&hid=4210

Fowler, M. D., & American Nurses Association. (2008). Guide to the code of ethics for nurses: Interpretation and application. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html

Gruenewald, D. A. (2012). Can Health Care Rationing Ever Be Rational? Journal of Law, Medicine & Ethics. Retrieved from http://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?sid=780c3109-5597-4727-b4cd-3b29aa55cadc%40sessionmgr104&vid=13&hid=104 

Hayutin, A. M., Dietz, M. & Mitchell, L. (2010). New Realities of an Older America. Stanford Center of Longevity. Retrieved from http://longevity3.stanford.edu/wp-content/uploads/2013/01/New-Realities-of-an-Older-America.pdf

Ries, N. (2010). Ethics, Health Research, and Canada’s Aging Population. Canadian Journal on Aging. Retrieved fromhttp://eds.b.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=8&sid=a218ce66-aed5-4f27-b9dd-3d24ce53acf3%40sessionmgr103&hid=126

Zomorodi, M., & Foley, B. (2009). The nature of advocacy vs. paternalism in nursing: Clarifying the ‘thin line.’ Journal of Advanced Nursing, 65(8), 1746–1752. Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?sid=ab4fe41a-1124-4cf9-9ccb-46c029d0e241%40sessionmgr4007&vid=1&hid=4201 Ethical Issues With an Aging Population

SEXUAL ASSAULT ALLEGEDLY

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SEXUAL ASSAULT ALLEGEDLY

Assume you are a suspect and are made to appear in a police lineup.  You are suspected of a sexual assault allegedly committed by “a Hispanic who was about 5 feet 8, wore jeans, and spoke with an accent.”  You are Hispanic, about 5 feet 10, and one of three Hispanics of similar height in the lineup.  All three of you speak with an accent; all three of you are wearing jeans.  You are identified by the victim after you were made to repeat the statement “I will kill you if you shout.” SEXUAL ASSAULT ALLEGEDLY

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 Were your constitutional rights violated, and if so, what specific right(s)?  Support your answer.

Go to the JCAHO internet page and find the standards for documenting in the medical record.  Discuss two of the standards and why they are important in written communication. 

Question 1

In The Odyssey, we noted plenty of cases of the gods directly influencing human affairs.  In Antigone, however, those influences are merely guessed at.  How does the role of the gods in this play differ from The Odyssey?

Question 2

Antigone is both admirable and troubling as a heroine, and despite characters’ statements to the contrary, she reveals the power and influence that women in the Greek culture held. Ismene attempts to caution her sister’s brash plan by advising, “Remember, we’re women. How can we fight men. They’re stronger. We must accept these things–and worse to come.” Despite this, however, Antigone defies Kreon, and through her actions she gains the sympathy of the populace, her sisters, and many others. Yet, as a direct result of her actions, other characters also kill themselves.  So is her determination and independence admirable, or is her action ultimately one of self-destruction? 

Question 3

What should we make of Ismene’s change-of-mind in the play?  Is it similar to or different from Kreon’s change of mind? SEXUAL ASSAULT ALLEGEDLY

Question 4

You must watch the posted video to answer this question.  Please bring in direct points from the professor in your answer.

Dr. Honig argues that for this to be a true tragedy, we have to see equal weight to his side of the story.  In what ways is Kreon a tyrant, and in what ways is he simply attempting to follow what is best for his state?  Does he have a right to be hard-headed on the point of burial? 

Question 5

This question also requires details from the posted lecture…

Late 20th century political movements–from Civil Rights to the feminist movement to gay rights–has centered on the political idea that the personal is political.  Antigone, as Dr. Honig suggests, works the same way.  In what ways does the personal become political for Antigone?  Do you think she wants her family situation to become political? Is there any way someone can separate the two out?

Question 6

What is the role of the Chorus in the play? What attitude do they seem to have toward Antigone?  Does that attitude change? SEXUAL ASSAULT ALLEGEDLY

CHALLANGES FACED BY HEALTH CARE LEADERS

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CHALLANGES FACED BY HEALTH CARE LEADERS

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover CHALLANGES FACED BY HEALTH CARE LEADERS

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You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.
  6. In a 1-2 page paper, analyze two examples of how lobbyists affect health care legislation. Conclude your paper with your opinion about whether the actions of lobbyists have a positive or negative effect on health care legislation. CHALLANGES FACED BY HEALTH CARE LEADERS

EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

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EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ): EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.

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A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information. EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

To prepare:

  • Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
  • Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
  • Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
  • Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
  • Ask a probing question, substantiated with additional background information, evidence or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Nursing Responsibility to Protect Patient Information

Office of the National Coordinator for Health Information Technology (ONC) developed a framework to address privacy and security challenges online related to health information (Brown, 2009).  The eight principles are (1) individual access; (2) correction; (3) openness and transparency; (4) individual choice; (5) collection, use, and disclosure limitation; (6) data quality and integrity; (7) safeguards; and (8) accountability (Brown, 2009). EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

The first four principles describe an individual’s rights regarding the accessibility, disclosure about how their information is collected and treatment of their personal health information.

The last four principles suggest measures ensure an individual’s health information is protected.  Data should be accurate and not changed without authorization, information that is transmitted electronically should implement reasonable administrative, technical, and physical safeguards to ensure confidentiality, integrity, and availability and to prevent unauthorized or inappropriate access, use or disclosure (Brown, 2009).  There should also be auditing policies in place to ensure the principles are being followed to prevent any breaches. 

HIT has made it more difficult to protect patient privacy

Protecting patient’s privacy is more difficult with HIT, particularly with the utilization of the internet to ensure real-time information is available to all departments, for example, in emergency medicine, orders need to be completed on an emergent basis.  The radiology department needs to be able to access orders and records in real-time to know which procedure to perform.  Through communication tools, electronic ordering, decision support features, and data management, EHR systems will guide many aspects of patient care.  Treatment success will often depend on their proper functioning (Hoffman & Podgurski, 2011). 

Security and ethical issues related to the use of smartphone and tablets are related to the type of information that is shared in some instances by healthcare workers.  In my organization, we are cautioned in orientation to be careful what we post about patients at our facilities.   McGonigle, & Mastrian, (2015, p. 70) as cited in Englund, Chappy, Jambunathan, & Gohdes, (2012, p. 244), comment above all, nurses must be mindful that once communication is written and posted on the internet, there is no way to retract what was written; it is a permanent record that can be tracked, even if the post id deleted.  In my organization strategies to safeguard patient information that promotes a culture of safety is by not only monitoring our computer workstations but holding educational workshops on ways to protect patient privacy.  In my facility since everything we do is virtual, anyone who enters our building needs to sign a privacy and confidentially statement.  The strategies in place instill confidence by our patients that we take their privacy seriously. EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

An area of improvement in my facility is with the way our workstations are configured.  As I work for our Virtual Care Center, our workstations are just computers and six screens, with what is called a “privacy sail” that we can move.  This sail is okay for some of the work that is done at our facility where nurses are monitoring ventilators or monitors, however for my department which is Case Management; we are talking to patients all day long, and conversations carry.  Those conversations are heard by everyone in the department.  One strategy to address this issue would be to move our department to the third floor, which has not yet been completed, with more of a cubical arrangement instead of open workstations.

Reference

Brown, B. (2009). Improving the Privacy and Security of Personal Health Records. Journal Of Health Care Compliance, 11(2), 39-68.

Brown, S. M., Aboumatar, H. J., Francis, L., Halamka, J., Rozenblum, R., Rubin, E., & … Sarnoff Lee, B. (2016). Balancing digital information-sharing and patient privacy when engaging families in the intensive care unit. Journal Of The American Medical Informatics Association, 23(5), 995-1000. doi:10.1093/jamia/ocv182

Hoffman, S., & Podgurski, A. (2011). Meaningful Use and Certification of Health Information Technology: What about Safety?. Journal Of Law, Medicine & Ethics, 3977-80. doi:10.1111/j.1748-720X.2011.00572.x

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. EFFECTS OF TECHNOLOGY IN KEEPING HALTH RECORDS

HEALTH DISORDERS

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HEALTH DISORDERS

To Prepare

  • From the list below, select a disorder of interest to you:
    • Alzheimer’s disease
    • Asthma in children
    • Chronic obstructive pulmonary disease (COPD)
    • Congestive heart failure
    • Hepatic disease (liver disease)
    • Hypertension
    • Hyperthyroidism and hypothyroidism
    • Seizures
    • Sepsis

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  • Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.

  • Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
  • Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder. HEALTH DISORDERS

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

  • Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
  • Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
  • Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder. HEALTH DISORDERS

State Practice Agreements

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During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this paper, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

Consider the health care issues and deficits you have recognized in your professional practice.

Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP. State Practice Agreements

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Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

To Complete:

Write 1 to 2 pages paper on a change needed in your community and an explanation for how you will begin to implementimpart change during your career as an NP. Then, consider your future as a NP and what your nursing legacy will be,  share with your colleagues a brief explanation of what your nursing legacy will be and how will you impart Social Change.

Reference

Buppert, C. (2015). Buppert, C. (2015). Lawmaking and Health Policy. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (423-436). Burlington, MA: Jones & Bartlett.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx State Practice Agreements

HOW IDEAS BECOME A HEALTH POLICY

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Depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industry. HOW IDEAS BECOME A HEALTH POLICY

 Writer visually depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industr

  •  2 pages of graphs, charts, figures or pictures 

Requirements • Writer visually depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industry. HOW IDEAS BECOME A HEALTH POLICY

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2 pages on adverse reactions to drugs taken in combination.

Provide several specific, personal and societal steps you would recommend in an effort to reduce the likelihood of adverse reactions to drugs taken in combination. Back up your information with scholarly resources.

Addresses assigned topic. Reflects a full understanding of all key concepts and questions. Reflects thorough familiarity with the assigned readings. Connections to the course material are evident and fully developed. Specific and appropriate examples are used. Cited correctly where appropriate. Avoids spelling errors, awkward language, improper grammar, flawed punctuation, and other technical mistakes. HOW IDEAS BECOME A HEALTH POLICY

HEALTH EMERGING ISSUE

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Federal, state, and local health care policies are continually instituted or amended to address emerging issues and trends and to rectify problems in health care delivery. For instance, reform may be required to address cost containment challenges or disparities in access to health care services.

Identify an issue currently in the news that relates to federal, state, or local reform.

Research the issue in a variety of news sources, such as government sites (e.g., the National Institutes of Health and the National Institute of Mental Health) and online newspapers. Do not use blogs or other informal sources.

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Select one article or news item on which to focus for this Discussion.

Reflect on the information in the article/news item and consider how it relates to your understanding of the U.S. health care delivery system. Review the information in the Learning Resources and conduct additional research using the Walden Library and credible websites to assess this issue and associated reform efforts. HEALTH EMERGING ISSUE

Analyze the social, economic, and political circumstances surrounding this instance of health care reform, and evaluate what this development might mean for your work in health care administration.

  • Summarize the article/news item you selected, noting key areas for discussion.
  • Analyze how the issue and associated reform addressed in the article/news item you selected relates to at least one trend presented in the Learning Resources and/or other credible sources.
  • Evaluate what this development may mean for your work in health care administration.

Reminder: Use and cite sources to support your posting and responses. Ensure that you include the reference for the article/news item you have selected and provide a link to it if possible HEALTH EMERGING ISSUE

Only 250-350 words.

NURSING ASSIGNMENT

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Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your flyer, include:

  1. The function of the organization, as well as its mission and vision.
  2. Potential advantages of membership in the organization.
  3. Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization). NURSING ASSIGNMENT
  4. Create a topic for an upcoming meeting that would appeal to your target audience.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

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                                               PLEASE USE THE RUBRICS

1
Unsatisfactory
0.00%		 2
Less than Satisfactory
75.00%		 3
Satisfactory
79.00%		 4
Good
89.00%		 5
Excellent
100.00%
80.0 %Content  
20.0 % Organization Function, Mission and Vision. The function of the organization, as well as its mission and vision is not offered. The function of the organization, as well as its mission and vision is missing vital information. The function of the organization, as well as its mission and vision is offered and meets the basic assignment criteria. The function of the organization, as well as its mission and vision is complete and offered in detail The function of the organization, as well as its mission and vision is complete, offered in detail, presented in a inspiring or persuasive manner.
20.0 % Potential Advantages of Membership Potential advantages of membership in the organization are not offered. NURSING ASSIGNMENT Potential advantages of membership in the organization are incomplete, missing vital information. Potential advantages of membership in the organization are offered and meet the basic assignment criteria. Potential advantages of membership in the organization are offered in detail. Potential advantages of membership in the organization are complete, offered in detail, presented in a persuasive manner.
20.0 % Resource Information for New Members. Resource information for new members, including contact information, membership requirements, and organizational endorsements, is not offered. Resource information for new members, including contact information, membership requirements, and organizational endorsements, is missing vital information. Resource information for new members, including contact information, membership requirements, and organizational endorsements, is offered and meets the basic assignment criteria. Resource information for new members, including contact information, membership requirements, and organizational endorsements, is relevant and offered in detail. Resource information for new members, including contact information, membership requirements, and organizational endorsements, is diverse, relevant, offered in detail.
20.0 % Topic for an Upcoming Meeting Topic for an upcoming meeting that would appeal to your target audience is not offered. Topic for an upcoming meeting that would appeal to your target audience is missing vital information. Topic for an upcoming meeting that would appeal to your target audience is offered and meets the basic assignment criteria. Topic for an upcoming meeting that would appeal to your target audience is offered and includes key areas of discussion. Topic for an upcoming meeting that would appeal to your target audience is offered and includes key areas of discussion and presented in an inspiring or persuasive manner.
15.0 %Orgnaization and Effectiveness  
5.0 % Presentation The piece is not neat or organized, and it does not include all required elements. The work is not neat and includes minor flaws or omissions of required elements. The overall appearance is general, and major elements are missing. The presentation is good. The overall appearance is generally neat, with a few minor flaws or missing elements. The work is well presented and includes all required elements. The overall appearance is neat and professional.
5.0 % Appropriateness There is no evidence that the student has selected an effective tool, technique, or paradigm to achieve the goal as defined in the project or course guideline. Materials (photos, illustrations, etc.) are missing. Student selection of a tool, technique, or paradigm does not relate to the project or course goal. Student selects materials (photos, illustrations, etc.) that are not appropriate for the audience and the situation and are developed inadequately. Student selects a tool, technique, or paradigm that achieves a basic representation as defined in the project or course guideline. Student selects materials (photos, illustrations, etc.) that are appropriate for the audience and the situation, but some of the development of the material is inadequate. Student selects an effective tool, technique, or paradigm to achieve the desired goal as defined in the project or course guideline. Student selects materials (photos, illustrations, etc.) that are appropriate for the audience and the situation. Student shows a deep understanding of the audience and the situation by selecting material that enhances understanding. Student creates tools, techniques, or paradigms that effectively achieve the desired goal.
3.0 % Originality The work is an extensive collection and rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought or inventiveness. The work is a minimal collection or rehash of other people’s ideas, products, images, or inventions. There is no evidence of new thought. The product shows evidence of originality. While based on other people’s ideas, products, images, or inventions, the work does offer some new insights. The product shows evidence of originality and inventiveness. While based on an extensive collection of other people’s ideas, products, images, or inventions, the work extends beyond that collection to offer new insights. The product shows significant evidence of originality and inventiveness. The majority of the content and many of the ideas are fresh, original, inventive, and based upon logical conclusions and sound research.
2.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and/or word choice are present. Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
5.0 %Format  
5.0 % Research No outside sources are used to support the assignment. Few outside sources are used to support the assignment. Limited research is apparent. Research is adequate. Sources are standard in relevance, quality of outside sources, and/or currentness. Research is current and relevant, and addresses all of the issues stated in the assignment criteria. Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.
100 % Total Weightage  

Course Project Presentation

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Course Project Presentation

To inform colleagues or clients and gain support for your project, you may find it useful to have a succinct summary of your workflow redesign plan. For this Assignment, you develop such a summary by creating a PowerPoint presentation of your redesigned workflow.

To complete the Course Project Presentation:

Create a PowerPoint presentation to communicate the details of your redesigned workflow. Your intended audience could include end users, stakeholders, organizational leaders, and any other individuals who would be involved in the workflow redesign. Course Project Presentation

Address each of the following bullet points with at least one slide. Do not exceed three slides for any given bullet point.

  • Introduce the workflow issue you selected and its relevance to meaningful use.
  • Describe your Gap Analysis Plan.
  • Overview your gap analysis results.
  • Illustrate the current-state workflow model and identify the gap(s).
  • Explain the solution you formulated and how it relates to meaningful use.
  • Illustrate the future-state workflow model and explain how it addresses the gap(s) in the current-state workflow.
  • Summarize the major steps necessary to transition from the current- to the future-state workflow.

Include a title slide as the first slide of your presentation. At the end of your presentation, include one slide for audience questions and comments and one reference slide with APA citations of the sources you used to complete your project.

Important note: Include speaker notes (using the notes feature in PowerPoint) with the content you would use to explain the key points on each slide. The speaker notes should have enough detail for someone who is unfamiliar with your project to be able to conduct your presentation.

This presentation is due by Day 3 of Week 11.

Reminder: You will submit Parts 1, 2, and 3 of your Course Project along with your completed PowerPoint presentation in the Week 11 Assignment area as your Portfolio Assignment in this course. Be sure to save this Assignment on both your hard drive and on an external drive. Course Project Presentation

Required Readings

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

  • Review Chapter 13, “Transition to the New System” (pp. 400–424)

Kulhanek, B. J. (2011). Creating effective electronic medical record change management processes. Computers, Informatics, Nursing, 29(8), 431–435.

Retrieved from the Walden Library databases.

 Efficient implementation and use of electronic medical/health records requires organization wide restructuring. This article addresses how management procedures, organizational initiatives, and communication needs require adjustment in order to suit the changing health care environment.

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Lee, V., Ridzi, F., Lo, A. W., & Coskun, E. (2011). A healthcare case study of team learner style and change management. Journal of Organizational Change Management, 24(6), 830–852.

Retrieved from the Walden Library databases.

 This article discusses the importance of considering the end users’ learning styles when an implementation is planned. The authors conclude that a mix of a variety of learning styles appears to be the strongest approach.

Leyland, M., Hunter, D., & Dietrich, J. (2009). Integrating change management into clinical health information technology project practice. Privacy, Security, Trust and the Management of e-Business, 89–99.

Retrieved from the Walden Library databases.

 The authors of this article contrast “hard changes”—those focusing on cost, schedule, and scope of a process—with “soft changes”—the human side of change. The authors conclude that failure to address the human side of change increases the likelihood of the failure of a project. Course Project Presentation

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

•Review Chapter 3, “Requirements Determination” (pp. 81–116) 

•Chapter 4, “Use Case Analysis” (pp. 120–149) 

This chapter explains the purpose of a use case and describes its various parts. The chapter also reviews the process used to create a use case.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

•Chapter 14, “Nursing Informatics: Improving Workflow and Meaningful Use” 

Review this chapter.

Choi, J., & Kim, H. (2012). A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: A case study of nursing documentation system implementation at a tertiary rehabilitation hospital. Computers, Informatics, Nursing, 30(8), 409–414.

Retrieved from the Walden Library databases.

This article focuses on designing nursing documentation systems that provide the optimal amount of information to nurses as they work with patients. Workflow optimization involves tailoring the system to meet the unique needs of each user and organization.

Unertl, K. M., Johnson, K. B., & Lorenzi, N. M. (2012). Health information exchange technology on the front lines of healthcare: Workflow factors and patterns of use. Journal of the American Medical Informatics Association, 19(3), 392–400.

Retrieved from the Walden Library databases.

In this article, the authors identified the most common reasons cited by medical care personal for utilizing a health information exchange (HIE) system. Reasons included gathering information on recent hospital visits, verifying patient’s description of health concerns, and seeking online referrals and consultations from other professionals.

California HealthCare Foundation. (2010). Workflow redesign: A model for California clinics. Retrieved from http://www.chcf.org/~/media/MEDIA LIBRARY Files/PDF/PDF W/PDF WorkflowRedesignOPCCModelCalifClinics.pdf

This report provides an example of how to approach the process of redesigning workflow within a health care organization to maximize efficiency in patient care. Working with a number of clinics, the researchers gathered data on office efficiency and access to care.

Required Media

Laureate Education, Inc. (Executive Producer). (2012c). A redesigned workflow diagram. Baltimore, MD: Author.

This multimedia piece continues to build on the scenario introduced in Week 1. In this segment, the health care facility creates a workflow diagram with assessment that maps the current workflow. Course Project Presentation