issues facing rural health

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issues facing rural health

Assume you work in a rural health care center. The facility just received a generous grant from a health care foundation. The funds from this grant must be used to acquire new technologies to foster better health outcomes for residents who live in remote areas. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.Write a3- 4 page report for the committee that provides your findings:Summarize the issues facing rural health care providers’ efforts to deliver quality care.Explain the use of information management tools and technologies to monitor and improve outcomes.Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.Support your recommendations for new technologies with evidence-based research.Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.Additional RequirementsYour report should meet the following criteria:Contain between (3-4 pages).Include a minimum of 3 references. (These must be recent, from within the past five years.)Be double-spaced in Times New Roman font, 12 point. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.Write a3- 4 page report for the committee that provides your findings:Summarize the issues facing rural health care providers’ efforts to deliver quality care.Explain the use of information management tools and technologies to monitor and improve outcomes.Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.Support your recommendations for new technologies with evidence-based research.Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.Additional RequirementsYour report should meet the following criteria:Contain between (3-4 pages).Include a minimum of 3 references. (These must be recent, from within the past five years.)Be double-spaced in Times New Roman font, 12 point.

Explain a strategy to collect information about the safety concern.

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Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based pract

Write a 3–5 page safety score improvement plan for mitigating concerns, addressing a specific patient-safety goal that is relevant to quality patient care. Determine what a best evidence-based practice is and design a plan for resolving issues resulting from not maintaining patient safety.

Quality improvement and patient safety are health care industry imperatives (Institute of Medicine’s Committee on Quality of Health Care in America, 2001). Effective quality improvement results in system and organizational change. This ultimately contributes to the creation of a patient safety culture.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.Read the scenario below:ScenarioAs the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.Deliverable: Safety Score Improvement PlanDevelop a 3–5 page safety score improvement plan.

  • Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”
  • You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.
    • Demonstrate systems theory and systems thinking as you develop your recommendations.
  • Organize your report with these headings:Study of Factors
  • Identify a patient safety issue.
  • Describe the influence of nursing leadership in driving the needed changes.
  • Apply systems thinking to explain how current policies and procedures may affect a safety issue.
  • Recommendations
  • Recommend an evidence-based strategy to improve the safety issue.
  • Explain a strategy to collect information about the safety concern.
    • How would you determine the sources of the problem?
  • Explain a plan to implement a recommendation and monitor outcomes.
    • What quality indicators will you use?
    • How will you monitor outcomes?
    • Will policies or procedures need to be changed?
    • Will nursing staff need training?
    • What tools will you need to do this?
  • 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: The plan should be 3–5 pages.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Number of resources: Use a minimum of three peer-reviewed resources.

 Example of well graded paper attached to use as a reference.

Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.

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Write a 3–5 page executive summary that examines an organization’s diversity policies and practices. To prepare for this assessment, use the Internet to study the impact of health system’s power

 Write a 3–5 page executive summary that examines an organization’s diversity policies and practices. 

To prepare for this assessment, use the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.

  • Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.
    • You may use the health care setting in which you currently work or have worked in the past.
    • Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast. **Central Florida Region**
      • Do not report the name of the facility.

Deliverable: Executive Summary of Organizational Diversity

Read the following scenario:Scenario:The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversitywithin your health care organization.To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.

In the executive summary:

  • Analyze the impact of a diverse workforce on patient outcomes.
    • In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?
    • How is diversity defined in the organization?
  • Analyze how the health care system integrates diversity and multiculturalism into its practices.
    • Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?
    • Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
  • Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
  • Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
    • Are all types of diversity recognized and included?
    • Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.
  • Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
    • What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?

Make your document easy to scan for readers by:

  • Using subheadings to organize content.
  • Using bullet points and phrases for main points, in addition to short, succinct paragraphs.
  • Including a visual, such as a graph, table, or chart.

Additional Requirements

  • Written communication: Written communication should be free of errors that distract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Length: Summary report should be 3–5 pages.
  • Number of resources: Use a minimum of three peer-reviewed resources.
  • Attached is an example of a high graded paper to use as a reference. 

Respond to this post with a positive response :Ask a probing question, substantiated with additional background information, evidence or research.Share a

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Respond to this post with a positive response :Ask a probing question, substantiated with additional background information, evidence or research.Share a

                        Respond to this post with a positive response :

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.

Use  references

                                                  Main Post 

Throughout my years as an ICU nurse, critical thinking has become a skill that I utilize on a daily basis in my clinical practice. Not only are critical thinking skills a part of my daily practice, but I also observe my colleagues putting their critical thinking skills to use in their every day clinical practice. One example of critical thinking skills being used in ICU clinical practice is when multiple drips are being titrated on a patient that is extremely ill. As an ICU nurse, it is essential and vital that you utilize critical thinking skills when choosing which drip to titrate up or down or which drip to start or stop. Another instance where I have observed critical thinking skills being used in the ICU is when I would attend a rapid response on one of the medical floors. As the critical care nurse, I must use my critical thinking skills to choose the right lab tests to run, determine what might be going on with the patient that is in distress, and choose the right treatment pathway.

I try to improve my clinical competence in every way I can, especially by employing my critical thinking strategies. Some of the strategies I use most often include listening, continuing to learn every chance I get, and explaining to my colleagues why I came to a specific conclusion. I use the strategy of listening to improve my clinical competence because it helps me find new solutions to everyday problems that I might face in the ICU. Learning helps improve my clinical competence because it makes me a better ICU nurse. The more I learn, the more proficient I can become. I like to explain my rationale for the conclusion I came to because another colleague might have something important to add that would aid in solving the problem at hand. 

Clinical scholarship is defined as an approach that enables evidence-based nursing and the development of best practices to meet the needs of clients efficiently and effectively (Stanley et al., 1999). 

Critical thinking is defined as the objective analysis and evaluation of an issue in order to form a judgment (Benner, Hughes, & Stuphen, 2008, p. [Page 120]). 

Clinical practice is defined as either the field of principal professional clinical activity (Wilkes, Mannix, & Jackson, 2013).

After reviewing the definitions of clinical scholarship, critical thinking, and clinical practice I was able to see how each term is interconnected. In order to have a clinical scholarship like approach in clinical practice, it is essential that critical thinking tools be utilized. The development of the best practices in clinical nursing practice will not occur if there is no critical thinking involved in the process (Wilkes, Mannix, & Jackson, 2013).

These three terms should be looked at as a single unit; one cannot exist without the other. 

Benner, P., Hughes, R. G., & Stuphen, M. (2008). Patient Safety and Quality: An 

               Evidence-Based Handbook for Nurses.Rockville, MD. 

Stanley, J., PhD, Keating, S. B., EdD, Edwardson, S., PhD, Easley, C. E., PhD, Alichnie, 

               C., PhD, & Edwards, J., PhD. (1999, March 15). Defining Scholarship for the 

               Discipline of Nursing. Retrieved December 31, 2018, from

https://www.aacnnursing.org/News-Information/Position-Statements-White-

               Papers/Defining-Scholarship 

Wilkes, L., Mannix, J., & Jackson, D. (2013). Practicing nurses perspectives of clinical 

scholarship: a qualitative study. BMC nursing, 12(1), 21. doi:10.1186/1472-6955-

Evaluate industry dynamics that would influence your organization's decision to participate in an ACO.

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Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Ce

Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare and Medicaid Services to help facilitate this cooperation.

Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent care, or nursing home).

Write a 700- to 1,050-word executive summary that discusses the purpose of joining an ACO and the funding available through one. Include the following:

  • Describe the organization you selected and the general services that would be offered to Medicare patients.
  • Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.
  • Evaluate industry dynamics that would influence your organization’s decision to participate in an ACO.
  • Identify the steps needed to participate in an ACO.
  • Justify participation in an ACO for your organization.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Format your assignment according to APA guidelines.

Compare the culture of your current employer to Deming's Quality Principles: · Help people do a better job. · Drive out fear. · Break down barriers. · Restore pride of workmanship. · Make qu

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Compare the culture of your current employer to Deming’s Quality Principles: · Help people do a better job. · Drive out fear. · Break down barriers. · Restore pride of workmanship. · Make qu

Compare the culture of your current employer to Deming’s Quality Principles: · Help people do a better job. · Drive out fear. · Break down barriers. · Restore pride of workmanship. · Make quality everyone’s job. Does this employer lead by example? Encourage open dialogue? Does management seek views and ideas? Does everyone have clear expectations for their expected level of performance? Do leaders provide reward and recognition for a job well done? With that in mind, answer these questions:

  1. If there was no bonus at stake, or if everyone got the same bonus for achieving collective goals, would your work deteriorate? Why or why not?
  2. If other people on your team were to get 100 percent of the bonus but you didn’t, would you feel motivated or demotivated? Inspired to excel or depressed? Rewarded or punished? Be specific. Explain thoroughly.
  • I work as a cna in a nursing home
  • Criteria for paper.
  • 1. Paper contains a clear description of the organizational culture   
  • 2. Responses clearly address the questions.   
  • 3. Response is thoughtful and based on learning

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information, and references to support your work.

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Health Maintenance and Screening PlansClinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s

Health Maintenance and Screening Plans

Clinical preventive services, such as routine disease screening and scheduled immunizations, are key to reducing death and disability and improving the Nation’s health. Yet, despite the fact that these services are covered by Medicare, Medicaid, and many private insurance plans under the Affordable Care Act, millions of children, adolescents, and adults go without clinical preventive services that could protect them from developing a number of serious diseases or help them treat certain health conditions before they worsen.

Discuss preventative services and ways to promote and overcome the barriers in your clinical practice to deliver holistic care including the recommended services for all patients across a lifespan. Please include examples, evidence-based information, and references to support your work.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression Ladder.
  • 3-4 pages excluding the title and reference page, include at least 5 references 

discuss risk factors (local and systemic) and who is most at risk.

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This assignment is designed to have you think like a nurse. This paper will enhance your knowledge and understanding of pressure ulcer prevention and what you as a nurse can do to help decrease the oc

This assignment is designed to have you think like a nurse. This paper will enhance your knowledge and understanding of pressure ulcer prevention and what you as a nurse can do to help decrease the occurrence of pressure injury. Format: This is an essay to be written in APA style based on course APA Minimum Expectations. Essays must be structurally intact with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length 2-3 pages (MAX… POINTS WILL BE DEDUCTED IF OVER 3 PAGES), excluding cover and reference page. Must have a minimum of three references. Content: Address the following topics listed: 1. Discuss the etiology of pressure injury. 2. Discuss risk factors (local and systemic) and who is most at risk. 3. Discuss the tool (Braden Scale) to predict pressure injury risk factors, nursing interventions and up-to-date. This paper will be checked through a plagiarism checker, so please do not submit anyone elses work. Thanks Essays must be structurally intact with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length 2-3 pages (MAX… POINTS WILL BE DEDUCTED IF OVER 3 PAGES), excluding cover and reference page. Must have a minimum of three references. Content: Address the following topics listed: 1. Discuss the etiology of pressure injury. 2. Discuss risk factors (local and systemic) and who is most at risk. 3. Discuss the tool (Braden Scale) to predict pressure injury risk factors, nursing interventions and up-to-date. This paper will be checked through a plagiarism checker, so please do not submit anyone elses work. Thanks

b. Discuss the socioeconomic status and determinants of health.

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Read chapter 6 of the class textbook and review the attached PowerPoint presentation.  Once done, answer the following questions;1.  Write a two to three -pages summary of the demographics of childr

Read chapter 6 of the class textbook and review the attached PowerPoint presentation.  Once done, answer the following questions;

1.  Write a two to three -pages summary of the demographics of children in the United States and the priority health issues that nurses should be aware for policy and health promotion teaching.

              a.  Include ethnic and cultural trends and health-related challenges.

              b.  Discuss the socioeconomic status and determinants of health.

              c.  Imagine the future decades and discuss how transcultural nursing can influence policy and children’s health.

As stated in the syllabus present your assignment in a word document, Arial 12 font APA format attached to the forum in the discussion tab of the blackboard titled “Week 4 discussion questions” and in Turnitin to verify originality.  You must cite at least two evidence-based references (excluding the class textbook) and post two replies to any of your peer’s assignments sustained with the proper references. A minimum of 900 words is required. 

TOPIC: ROY'S ADAPTION MODEL

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TOPIC: ROY’S ADAPTION MODELThe paper should be between 3-5 pages (but no more than 5 pages), not including the title page and references. Strict APA formatting and spelling are expected. Use resourc

 TOPIC: ROY’S ADAPTION MODEL

The paper should be between 3-5 pages (but no more than 5 pages), not including the title page and references. Strict APA formatting and spelling are expected. Use resources provided to correctly format your paper. Read your paper out loud before you submit!

The paper should include:

  • Introduction
  • Summary of the selected theory. Focus on the main concepts of the theory in this summary. (Look at several journal articles for succinct descriptions of your selected theory – also look at the diagram of the theory to make sure that you have included the main concepts.)
  • Example of use of selected theory in a nursing research journal article. (In the journal article the theory was used as a framework to conduct the study.) (Describe only the  concepts of the theory that were used, what did the concepts of the theory relate to, and how were they measured? You may need to look at a few journal articles for one where this is well described.)
  • Example of how the selected theory can be used in your practice.
  • References – minimum of three.