Consider the clinical/nursing environment in which you are currently working or have recently wor… 

Consider the clinical/nursing environment in which you are currently working or have recently worked. In the clinical environment identify a problem, issue, or educational deficit upon which to build a proposal for change

Examples of Problems.

In adult cardiac surgery patients experiencing post-operative pain immediately following surgery is morphine or fentanyl administered intravenously, more effective in reducing postoperative pain?

For immune-compromised patients, 50 years and older, does the use of pneumonia vaccine reduce the future risk of pneumonia compared with patients who have not received the vaccine?.

In a paper of at least 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:

(The setting and/or context in which the problem, issue, or educational deficit can be observed.

Detailed description of the problem, issue, or educational deficit.

Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.

Gravity of the problem, issue, or educational deficit and its significance to nursing.

Proposed solution to address the problem, issue, or educational deficit).

Nursing Theory, minimun of 250 worlds each in apa style

WEEK 11

You as the advanced practice nurse are working in a community mental health center. Your next patient is Mrs. Richards,  a 39 year-old Caucasian female, presenting to the clinic with depression and complaints of anxiety and fatigue. During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago. Based on your knowledge of the self-transcendence theory, discusstwo specific measures and/or  interventions that you can implement for this patient to help facilitate self-transcendence. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the use of  this theory in clinical practice.

*As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title bar of the discussion. Also, make sure to use scholarly sources to support your discussion.**

POWERPOINT PRESENTATION – MASTERS NURSING CLASS – SEE ATTACHED FILE*****

REQUIREMENTS: must follow requirements!!!  

Description of the Identified Healthcare Concern

You are the Vice-President of Nursing Services at a 500 bed facility that provides healthcare to a 6 county region that occurs in two different but adjoining states.  Recently you attended a national conference regarding infectious diseases and the potential for their spread with our current global environment.  Upon return from the conference, you have a conversation with a local public health official who identifies that there is no regional plan to combat an infectious disease outbreak.  In addition, the official noted the presence of several barriers which will make the development of a plan more of a challenge.  These include, but are not limited to: 

·         Identification of a plan that would cover a large region and a diverse population of approximately one million people

·         Identification of a plan that could be coordinated from one facility, but interact successfully with 6 different counties and two different state governments

·         The presence of a regional airport which increases the opportunity for introducing an infectious disease to the region

From the conversation, you realize that a coalition will be needed and that macro leadership skills are required for the coalition to be successful.  You now accept the challenge to build a coalition within the region to develop a plan that would resist a sudden outbreak of an infectious illness.

Description of the Assignment

The purpose of this project will be to address a healthcare concern occurring within a community by providing macro level leadership needed to build a coalition.  The identified coalition will seek to resolve the healthcare concern.

·         This assignment will be presented via PowerPoint and will include 15 – 20 slides (excluding 

 title and references slides).

·         Introduction provides information regarding: 

o   Introductory slide(s) provided ALL of the following:

o   Definition of macro-leadership

o   Definition of coalitions

o   Explanation why a coalition would be helpful in resolving this identified healthcare concern.

·         Section One identifies macro-leadership skills and requires information related to each of the

following areas:

o   Explain the difference between micro and macro leadership.

o   Explain how a macro leader demonstrates:

§  Mastery of self

§  Mastery of communication

§  Mastery of relationships

o   Explain how a macro-leader can overcome one disadvantage to using coalitions

·         Section Two discusses the coalitions in general by including the following information:

o   How will you pool available local and state resources?

o   How will you foster communication with individuals living in the region as well as local and state governments?

o   How will you maintain the energy of the coalition members?

o   How will you convince members to work together and avoid turf issues?

·         Section Three presents the specific coalition that you will suggest in order to resolve the identified healthcare concern.  The following information is required:

o   What will be your vision statement for the coalition?

o   How many individuals will you have on the steering committee for the coalition?

o   What type of individuals would you recruit for steering committee membership?

o   How will the coalition interact with local and state governments to develop an acceptable plan?

o   How will you evaluate the effectiveness of the coalition?

·         Conclusion provides a summary of the key points from the presentation as well as of

       insights gained (what was learned) regarding macro leadership.    

Criteria for Format and Special Instructions

1.    The PowerPoint Presentation (excluding the Title slide and References slide) should equal

15–20 PowerPoint slides. Points will be lost for not meeting these length requirements. 

2.    Speaker notes are required.  These notes should expand the information found on the slide. 

3.    References are to be cited in the Speaker notes

4.   This assignment must be submitted to TurnItIn™, as required by the TurnItIn™ policy.  A  

      Similarity Index of “blue” or “green” must be obtained.  A score in the blue or green range

      indicates a similarity of less than 24% which is the benchmark for CCN graduate nursing

     students.  Any other level of similarity index level requires the student to revise the  

     assignment before the due date and time.  To allow sufficient time for revision, early

     submission of the assignment to TurnItIn™ is highly encouraged.  The final submission will

     be graded by faculty.  If a Turnitin™ report indicates that plagiarism has occurred, the

     Academic Integrity policy will be followed.

5.  The textbooks required and lesson information for this course may not be used as a reference for   

      this assignment.

4.    A minimum of 5 (five) scholarly references must be used. Scholarly references need to be current, 5years or less (anonymous authors or web pages are not acceptable).

5.    Must follow APA guidelines as found in the 6th edition of the manual. Ideas and information that come from readings must be cited and referenced correctly.

6.    Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.

HITECH Legislation (Transforming Nursing and Healthcare Through Information Technology)

In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

• Improve quality, safety, and efficiency, and reduce health disparities
• Engage patients and families
• Improve care coordination
• Improve population and public health
• Ensure adequate privacy and security protections for personal health information

For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

• Review the Learning Resources on the HITECH legislation and its primary goals.
• Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
• Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
• Reflect on how the incentives and meaningful use impact the quality of patient care.
• Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

1 &1/2 pages with 3 references from the below resources, APA.

Required Readings

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

• Chapter 9, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.

Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management), 64(11), 90–96.

Retrieved from the Walden Library databases.

This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.

Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19eSP12–8.

This article presents a study of clinician’s attitudes toward the use of financial incentives for the implementation of electronic health records in small practices.

Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance, 12(5), 49–50.

Retrieved from the Walden Library databases.

In this article, the author poses four questions pertaining to the EHR system in the United States. In particular, the article examines Medicare and Medicaid incentive payments and the ways the meaningful use of certified EHRs will be verified.

Classen, D. C., & Bates, D. W. (2011). Finding the meaning in meaningful use. New England Journal of Medicine, 365(9), 855–858.

Retrieved from the Walden Library databases.

This article details the challenges of meeting the meaningful use standards in order to receive the benefits legislated under the HITECH Act. The authors specify the requisites for achieving benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the tools needed to evaluate EHRs after implementation.

Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues. FDCC Quarterly, 61(3), 240–273.

Retrieved from the Walden Library databases.

The authors of this article examine HITECH, in addition to the impact of the privacy rules under the Health Insurance Portability and Accountability Act (HIPAA). The article details the potential negative repercussions of failing to comply with HIPAA and HITECH.

Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records. Nursing Economic$, 28(4), 283–286.

Retrieved from the Walden Library databases.

This article reviews HITECH and the background leading up to its passage. The author also details the financial incentives intended to assist health care providers in purchasing and implementing HIT and EHR systems.

Optional Resources

U.S. Department of Health & Human Services. (2011). Health IT home. Retrieved from http://www.healthit.gov/

U.S. Department of Health & Human Services. (2012). Regulations and guidance. Retrieved from http://www.healthit.gov/policy-researchers-implementers/health-it-rules-regulations