THIS IS SECOND PART OF FIRST ASSIGNMENT . ITS A SEPARATE ASSIGNMENT BY MUST BE A CONTINUATION OF FIRST ASSIGNMENTProject 2: Promoting Health Care QualitySection 2: Quality Improvement IssueTo help you

THIS IS SECOND PART OF FIRST ASSIGNMENT . ITS A SEPARATE ASSIGNMENT BY MUST BE A CONTINUATION OF FIRST ASSIGNMENT

Project 2: Promoting Health Care Quality

Section 2: Quality Improvement Issue

To help you move forward with your Course Project, this week you identify a quality issue that you would like to address and submit a description of this issue for Instructor feedback.

Your proposed issue should reflect a genuine need for improvement within your selected health care organization. Through your Course Project, you will analyze this issue and propose strategies to improve outcome(s), including the redesign of a related process.

To prepare:

• Review the six quality improvement aims from the Institute of Medicine (IOM) presented in Chapter 3 of the Sadeghi, Barzi, Mikhail, and Shabot text…… (SIX ITEMS ARE : SAFETY, PATIENT CENTERED CARE, EFFICIENCY, EFFECTIVENESS, EQUALITY AND TIMELINESS)
• Conduct a search of the literature to help you identify a specific issue that warrants attention and action to promote quality improvement.
• Consider what you have surmised thus far through your analysis of the organization that you selected. What have you noticed that could help you identify a quality-related need for improvement? For instance:
  • What has captured your attention in meetings, reports, and/or daily activities?
  • Have you noticed discrepancies between activities in the organization and recommendations in the research literature, quality standards, and/or the organization’s stated policies and procedures?
  • If so, what do you think could be the reason(s) for variations or gaps between what you have observed and what is recommended?
• Identify a quality improvement issue that you would like to investigate for this project.

Note: Review the Course Project Overview/full instructions, located in the Week 3 Learning Resources, as needed to identify a quality improvement issue that is viable for completing the full scope of this project. Once you receive a response from your Instructor on the quality improvement issue that you submit, be sure to integrate his or her feedback before moving forward with Section 3 of your Course Project. ( I WAS APPROVED FOR PATIENT CENTERED CARE FOR NEXT SECTION)

To complete:

Write a brief description of the quality improvement issue that you would like to address for your Course Project.

By Day 7

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. To initiate this project, this week you examine the systems and structures of an organization with which you

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. To initiate this project, this week you examine the systems and structures of an organization with which you are familiar. This analysis will serve as a foundation for developing a plan to address a quality improvement issue.

Section 1: Organizational Systems and Structures Evaluation

When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes.

In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.

To prepare:

• Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project. (Refer to the Course Project Overview as needed.) This may be the same organization that you addressed in this week’s Discussion.
• Select two or more of the following frameworks:
  • Learning organizations
  • Complex adaptive systems (CAS)
  • Clinical microsystems
  • Good to great
  • The 5 Ps

You may use the same frameworks that you addressed in this week’s Discussion.

• With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider:
  • Mission, vision, and values
  • Strategic plan, goals, and objectives, if possible
  • Key operational processes and patterns
  • Information technology use
  • Organizational priorities and investments, as indicated by financial data

In Week 4, you will receive instructions for integrating an analysis of organizational culture into development of Section 1 of your Course Project. Once you have completed your evaluation, you will write a 3- to 5-page paper, which is due by Day 7 of Week 4.

PART 1

Project 1: Promoting Health Care Quality

Section 1: Organizational Systems and Structures Evaluation

As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.

To prepare:

• Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project).
• In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization. 

To complete:

Write a 3- to 5-page paper in which you:

• Provide a description of the organization you selected
• Present your analysis of the organization with attention to:
  • Its mission, vision, values
  • Strategic plan, goals, and objectives
  • Key operational processes and patterns
  • Information technology use
  • Organizational priorities and investments, as indicated by financial data
  • The essential elements of the organization’s culture
  • The influence of culture on meeting organizational goals

Topic: Educational BrochureDesign a trifold educational brochure, that will be used to educate the community, about one of the following topic:heart failureBrochure ContentsTwo evidenced-based web sit

Topic: Educational Brochure

Design a trifold educational brochure, that will be used to educate the community, about one of the following topic:

• heart failure

Brochure Contents

1. Two evidenced-based web sites or journal articles as a reference
2. Risk factors
3. Possible consequences
4. Prevention strategies
5. Treatment modalities

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary
• utilize spelling and grammar check to minimize errors.
• follow the conventions of Standard American English (correct grammar, punctuation, etc.)
• be well ordered, logical, and unified, as well as original and insightful
• display superior content, organization, style, and mechanics
• use APA 6th Edition format.

Nurses as Change Agents in the CommunityAs in all assignments, cite your sources in your work and provide references for the citations in APA format..In the chapter, “How Community-Based Organizatio

Nurses as Change Agents in the Community

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

.

In the chapter, “How Community-Based Organizations Are Addressing Nursing’s Role in Transforming Health Care,”(SEE ATTACHED DOCUMENT HAVE THE CHAPTER TO READ))))) the authors describe the community as the focus of advocacy action for change. They list a series of questions that help community teams develop organizing principles to guide their interventions, and the aim is to attack social determinants of health to make community change.

Suppose a community team identifies lack of access to exercise modalities as a public health issue. If the team were to determine that pedestrian walkways need to be constructed, discuss at least two factors that would facilitate the development of the walkways and two that would hinder the development. For the hindrances, discuss ways that the team might work to overcome those hindrances.

Continue to read daily from one of the policy briefs that are included in your weekly readings list. POLITICO Pulse is a daily briefing from POLITICO, and the Kaiser Health News Morning Briefing is a daily briefing from the Kaiser Family Foundation. Both focus on health care. Either one will keep you abreast of what is happening in health care policies and politics.

In addition, subscribe to the “HealthCetera” podcast and listen to the podcast weekly. This is a production of WBAI, free speech radio of Pacifica Foundation Radio in New York City. Diana Mason and Barbara Glickstein are founders and codirectors of the Center for Health Media Policy (CHMP). Both are recognized as experts in media, nursing, health, and health policy. They have a longstanding relationship as producers and moderators of HealthCetera, a live, award-winning radio program on public radio and iTunes. They are bloggers for Disruptive Women in Health Care and for the American Journal of Nursing (AJN). The CHMP is an interdisciplinary initiative for advancing the health of the public and healthy public policies through media, research, education, and public forums. Listen to the podcast throughout the course and think on the topics that are discussed, especially as they relate to how we advocate for issues of importance in this contemporary political environment.

APA format 1 and half page 3 peer review references MSN degreeDue 9/8/18 4pm ESTHealth History of a Native American Male            Native American history is deeply imbedded in American hi

APA format 1 and half page 3 peer review references MSN degree

Due 9/8/18 4pm EST

Health History of a Native American Male

            Native American history is deeply imbedded in American history as they are the first known settlers to the America’s before the British came. However, faced with many challenges throughout history, these settlers, and their families have a unique history worth sharing. According to the website http://indianyouth.org/, the way of life of American Indians differs on each reservation which is many and varied around the United States of America. While there are differences, there are similarities among the American Indian community; Notably, the high poverty rate as there have been reports of up to 85% among tribes, stagnation educational growth, and communities reporting gainfully full-time males at about 33% (http://indianyouth.org/).

            As a 23-year old Native American male with a family history of diabetes, hypertension, and alcoholism which are modifiable at an early age with a change in lifestyle behaviors and diet. He is currently complaining of anxiety; while the reason for anxiety was not listed as one of the behaviors that he is concerning is his lifestyle which is smoking “pot” (marijuana) and drinking alcohol. According to the Center for Disease Control and Prevention (CDC) smoking marijuana and drinking alcohol can cause an altered thought process as the brain functionalities become impaired thus affecting mood hence the feeling of anxiety.

            With concerned presentation and lifestyle, spiritually has now become a displeasing factor for this patient as he believes illicit smoking drugs and drinking alcohol will bar him from heaven.  It may be safe to assume that the use of these drugs is not for medicinal purpose. According to Ball, Dains, Flynn, Solomon & Stewart (2015) Native American has a more holistic approach to life; Therefore, with this possible feeling of imbalance (anxiety) this male client may think he is being punished.

            It is important to understand that the world is a “melting pot” in that there are many different people from different ethnic and cultural background. Healthcare providers have to operate with the understanding that opinions, lifestyle, circumstances of others encountered are different. Therefore, non-judgmental and unbiased practices should be the goal (Bell et al. 2015 p.22).  Debiasi & Selleck (2017) reminds practicing nurse the importance of proving competent care to the patient through training and assessment as this is a strong self-analysis and the ability to make self-improvement.

Pertinent Questions to Ask in Building a Health History

How long have you been you “pot”?

How of often do you consume alcohol and home may drinks per day/weeks/month?

What is your employment status?

What age did you start drinking alcohol and smoking “pot’?

How can we help you?

            While there are many questions worth exploring, these are crucial questions that will give a greater understanding and knowledge of the patient health history and ways in which the provider can fully understand how to treat the patient. The final question allows the provider to determine if the patient would like to manage his anxiety; to stop smoking marijuana and drinking alcohol; or, both. Sometimes patient wants help with the symptoms and not cure. As the ball., et al. explained while we are there for the patient the goal is to work with the patient on their terms and not by force as forcing treatments can cause noncompliance and missed follow-up appointments.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to              physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Debiasi, L. B., & Selleck, C. S. (2017). CULTURAL COMPETENCE TRAINING FOR                         PRIMARY CARE NURSE PRACTITIONERS: AN INTERVENTION TO INCREASE CULTURALLY COMPETENT CARE. Journal 0f Cultural Diversity, 24(2), 39-45.

Marijuana and Public Health. Retrieved from https://www.cdc.gov/marijuana/health-effects.html

Running Strong for American Indian Youth http://indianyouth.org/