Q1: Information Technology. Healthcare Case Study, Stage 1: Process AnalysisINTRODUCTION In healthcare systems, there are several areas that need improvements. This depends on the various hospitals, people or culture in a given area, beliefs and various reasons too. There are various models for improvement, in which, they have two basic components, for instance, it begins by addressing various fundamental questions, like, how can we know if a given change is an improvement?The second part is a vigorous cycle improvement cycle. In this second part of the QI plan we will be dealing with a specific healthcare performance area, discussing the various models of improvement, current technology and various benchmarks and milestone that can be taken for improvement in our plan(Strome, 2013). Sol:1 Improving quality Health literacy can be viewed as a degree to which individuals have a capacity to obtain, understand common information that deals with the health care facilities, this is also related to the basic information that is needed in making good and appropriate health care decisions. Quality improvement models are hence needed to attain a suitable health literacy in all of the health care facilities(Carnevale, 2012). We will concentrate on the three common models, which include the Plan-Do-Study-Act model, the lean model commonly referred to the Toyota model in the business world and lastly the six sigma quality improvement model. Quality improvement models Plan-Do-Study-Act (PDSA) This method has been widely used by the institute of the healthcare Improvement for a wide range of improvement, this is done so that to make a positive change in the healthcare systems and affecting its outcomes for positive results and hence the use of the Plan-Do-Study-Act model(Carnevale, 2012). This model is capable of impacting and assessing various changes due to its cyclical nature. The primary objective of this model is to come up with a functional relationship between the outcomes and the changes in the process to be specific it concentrates on the behaviors and capabilities of the processes. There are three main questions used before the PDSA cycle, these are: 1. What is the aim of the project? 2. How can it be known that the aim of the project has been reached? 3. What should be done to reach that objective of the project? The three questions shows the whole process of the Plan-Do-Study-Act from the beginning to the end. Six sigma This model was originally designed as a business model or strategy. Six sigma involves designing, improving and monitoring processes, this is to eliminate or minimize waste at the same time maximizing satisfaction and also increasing the financial stability. This process is used to find out the size of improvement by comparing the process ability after looking at the potential solutions for improvements and the baseline process ability that is before the actual improvement. For six sigma to be effective enough there are two main processes used together with it, the first method inspects the process final outcome while the second process uses the estimates to predict the performance of the process, this is attained by calculating the sigma metric from the tolerance that has been defined and also the observed variations. Lean method This method concentrates on the identification of the customers’ needs. Its primary objective is to improve the processes in the healthcare and removing various activities that does not add value to the customer service improvement process also known as non-value-added. The lean method involve maximizing the value added activities in the best process that can be attained, this process is somehow related to the six sigma process and sometimes overlaps with it but differs from each other in the methodology used in each one of the them, sometime it depends on the root-cause analysis to find out the various errors and in improving the quality of the processes(Carnevale, 2012). Framework model From the three models, the best model is the Plan-Do-Study-Act (PDSA) this is because, it gives an individual a framework or a good process of reaching the objective. In this method, we see that there are three main questions to be answered, when answering them on comes up with the solution at the end of the process, the other process are good also but does not give the exact way of improving the health literacy in the healthcare facilities. Information technology applications Electronic medical records. Electronic Health Record is also referred to as electronic medical record (EMR). Although there are some notable difference between them, in which Electronic Medical Record can be defined as the records of a patient created in the hospital, and serve as a data source from the EHR. Electronic Health Records are generated and stored as well as being maintained within an institution like hospital, clinics, integrated delivery network, and physician office (Devkota, 2012). This is to allow patients, physicians, health care providers, employers, and insurers to access the medical records of a patient across the facilities. EHR can be defined as a systematic collection of health records of an individual electronically (Hamilton, 2009). It is saved in digital format and theoretically it is believed that it can be shared across different health care places or setting. This sharing is done by using network-connection, also enterprise-wide information systems or any other information exchanges or networks. The electronic medical records may include a specific range of data, which include demographics, medications, medical history, allergies, laboratory test results, immunization status, radiology images, important signs, billing information and personal information like weight and age. This shows that the patient’s records should be safe and secured at all times so that everyone will support the improvements and chance in the health care services. Clinical decision support systems This is a system that is designed to help the physicians, clinicians, staff, patients and other health professionals to make rational clinical decisions(Hristidis, 2010). This is an adaptation of a decision support system that is used in business management systems. Sometime this system is behind the advanced electronic health record and hence related in one way or the other. Form the two information technology systems, the better of the two is the Electronic Health records, this is because it is widely used and has looked on the security of the patient records effectively, apart from the security it has assisted in attaining a good health care literacy and hence coming up with important health decisions on the patients and how to handle their records well. (Miller, 2007). Benchmarks For a goodhealth literacy systems we need to have good benchmarks that improves the quality of measuring the system. The importance for measuring of quality improvement is using the belief that a good performance shows a good practice and also comparing the performance between various providers and organizations hence resulting to a better performance. We can use the public reporting of a good performance to find out the areas that need improvement of the information that deals with the health of individuals. The healthcare systems are complex and hence making the delivery of health services acquire unpredictable nature. There are agencies that advocate and endorse the measure and use of basic healthcare information that is crucial to attain good health care services, example is the Agency for Health Research and Quality, they advocate the determination of how best or how the risk adjustment is required and testing the measure itself. We can use the external benchmarks, where this is the continual disciple of comparing and measuring the work processes that allows a good spread of the information and hence good health literacy. Performance and quality measures. Every organization has it goals and strategies of attaining the goal. Health care systems are complex and may be hard to be understood by the parties involved, this include both the patients and the doctors or physicians, hence there is a need of a good health information and how to convey it (Grover, 2010). Heath care literacy thus allows the organization to stay focused on their goals and strategies, this allows them to have a smooth services and communication among the parties involved(Carnevale, 2012). This is to pull more “customers” to utilize their healthcare facilities. Measures are aligned to the goals of the organizations since their main aim is to attain those specific goals. Reference Carnevale, A. P., & Georgetown University. (2012). Healthcare. Washington, D.C: Georgetown University, Georgetown Public Policy Institute, Center on Education and the Workforce. Devkota, B., &Buerck, J. (2012). Electronic health records and products recall management for patient safety in health care. Health Renaissance. Grover, J. (2010). Healthcare. Detroit: Greenhaven Press. Hamilton, B. (2009). Electronic health records. Boston: McGraw Hill Higher Education. Hristidis, V. (2010). Information discovery on electronic health records. Boca Raton: Taylor & Francis. Miller, R., & West, C. (2007). The Value of Electronic Health Records in Community Health Centers: Policy Implications. Health Affairs, 206-214. Rovner, J. (2003). Health care policy and politics A to Z (2nd ed.). Washington, D.C.: CQ Press. Strome, T. (2013). Healthcare Analytics for Quality and Performance Improvement. Hoboken: Wiley. D:6Feb24.docx
https://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.png00developerhttps://superbnursingessays.com/wp-content/uploads/2022/01/LOGO-300x75.pngdeveloper2022-04-01 05:41:222022-04-01 05:41:22The primary objective of this model is to come up with a functional relationship between the outcomes and the changes in the process to be specific it concentrates on the behaviors and capabilities of the processes
This paragraph(s) is to introduce the paper. Explain the type of work setting you are discussing and whether interprofessional teams are present. If present, indicate a team function that could be improved. If not present, indicate what type of team you think might work well in this setting and how it might function. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper. NR451_iCARE_paper_outline_template Paper
NR451_iCARE_paper_outline_template__Wk_5
Compassion
In this paragraph, describe a nursing action that could contribute to compassion through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
In this paragraph, describe a nursing action that could contribute to advocacy through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Resilience
In this paragraph, describe a nursing action that could contribute to resilience through interprofessional team support; describe how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Evidence-Based Practice
In this paragraph, describe a nursing action that could contribute to evidence-based practice through interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
Summary
Provide a clear and concise summary. Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes through nursing actions. Address how you may be able to influence this process of support for interprofessional teams on your unit or in your organization.
References
Select at least one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional. NR451_iCARE_paper_outline_template Paper
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Reflect upon the survey you took. In your initial response, address some of the following questions. Explain your answers.
Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses?
Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective?
Were any of the decisions especially difficult to make?
Did you employ any critical thinking or resolution strategies to determine a response?
Did you rely on policy or legal parameters to make your decisions?
Would you be comfortable making your answers to the survey public, or do you prefer anonymity?
Have you dealt with similar situations and could you perceive similar situations occurring in your clinical practice?
How might a moral inventory such as this survey impact your clinical practice? nurs521 Week 1 Discussion Forum
Please share additional thoughts as well.
Discussion Prompt #2
Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?
nurs521 Week 2 discussion
Discussion Prompt #1
Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)
Apply the framework of The Five R’s approach to ethical nursing practice from this week’s reading to answer the questions about values and choices.
What are values?
Q. What are your personal values?
Q. Why do you value them?
Q. What are the values in your society?
Q. How do you make choices?
Q. Are your choices based on your values?
Q. What values are useful in society?
What are the limits to personal choice?
Q. Who limits your choices?
Q. Are limits to choices good?
Q. Do you limit other people’s choices?
Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances?
In your responses to peers, feel free to agree, disagree, question, compare, and discuss each other’s responses in a way that fosters thoughtful and respectful dialog. You may also address the following: Did any responses surprise you? If so, how? Did reading your peers’ responses to the questions expand your own view of ways to answer questions?
Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?
nurs521 Week 3 discussion
Discussion Prompt #1
Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues. nurs521 Week 1 Discussion Forum
Discussion Prompt #2
The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:
Did you find any of the scenarios more difficult to deal with than others?
Did you feel any internal conflict with any of the scenarios?
How did your personal and professional background impact how you decided to interact with the patient?
Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?
Were you taken aback by any of the patient reactions?
How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?
Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.
nurs521 Week 4 discussion
Discussion Prompt #1
Apply the differences between negligence and malpractice to the practice of nursing. Provide examples to illustrate your points.
Discussion Prompt #2
Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.
Patient Safety Advocate Carole Hemmelgarn
nurs521 Week 5 discussion
Discussion Prompt #1
Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.
Discussion Prompt #2
The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.
nurs521 Week 6 discussion
Discussion Prompt #1
Identify two issues that a nurse might bring to an institutional ethics committee. Describe why the nurse should bring these issues to the ethics committee. Elaborate on how a nurse should prepare to present one of the issues to the ethics committee.
Discussion Prompt #2
Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?” nurs521 Week 1 Discussion Forum
If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.
nurs521 Week 7 discussion
Discussion Prompt #1
Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to.
Discussion Prompt #2
Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patient rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.
nurs521 Week 8 discussion
Discussion Prompt #1
Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich text to further explain the situation, and the possible mitigation strategies.
Discussion Prompt #2
Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?
Week 1 Virtue Ethics Essay
Respond to one of the following three “news clippings” related to virtue ethics from your Pozgar text. Write a 1- 2 page essay addressing the discussion questions posed for the one you selected. Be sure to clearly identify the news clipping you selected.
Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 40
Watch the following 3 videos and choose one to address for your assignment.
#1. Wrong-Operation Doctor
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The Pain of Wrong Site Surgery
Judgment Upheld in Arkansas Brain Surgery Lawsuit
National Quality Forum
Assignment Discussion Questions
1. Discuss the issues of integrity in this case.
2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.
3. Why did you choose to respond to this story?
4. How is integrity displayed in your clinical setting?
#2. Cheney’s Staff Cuts Testimony on Warming
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story Cheney’s Staff Cut Testimony On Warming
CDC on Air Quality
Assignment Discussion Questions
1. Discuss how headlines such as this affect your opinion of politicians.
2. At the end of our days, the most basic principles of life–trust and survival–are on trial. What is your verdict, if you believe there was a cover-up?.
3. Why did you choose to respond to this story?
4. How are government and political trust displayed in your clinical setting?
#3. Surgeon Uses Ministry in Medical Practice
Download Script
Find Out More: You may use these and other outside sources to frame your discussion.
The full story: Praying with patients: A Dallas surgeon finds a way to put ministry into practice
Should Your Doctor Pray With You?
South Korean Hospitals Shut Over MERS Fears; 11th Person Dies
Note the picture in this article
Assignment Discussion Questions
1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.
2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening. nurs521 Week 1 Discussion Forum
3. Why did you choose to respond to this story?
4. How is religion or faith displayed in your clinical setting?
Week 2 Ethical Frameworks Essay
Consider the “Four Topics Approach” (or Four Box method) to ethical decision making on page 61, Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.
In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded.
Optional: You may download this pdf, complete it using correct grammar and APA, and submit it as your assignment in lieu of writing a paper. *You will need Adobe Acrobat in order to utilize this fillable .pdf form.
Due: Sunday, 11:59 p.m. (Pacific time)
Points: 60
TABLE 2-1 Four Topics Method for Analysis of Clinical Ethics Cases
Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?
Week 3 Contemporary Issue Position Essay
Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.
In your 2-3 page paper:
Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.
Review the rubric for further information on how your assignment will be graded.
Week 4 Article Summary and Review Essay
Choose one of the articles below, and address the essay prompt associated with it. You will need to log in to the WCU library to access the full article.
Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68
Link: Ethical issues in nursing practice
Essay Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues. nurs521 Week 1 Discussion Forum
Or,
Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.
Link: Nursing malpractice: determining liability elements for negligent acts
Essay Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.
Your 1-2 page paper should include adhere to APA formatting and references/ citations for the article. Additional sources are optional.
Review the rubric for further information on how your assignment will be graded.
Week 5 Field Activity Paper
This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.
Part I
The Advance Health Care Directive
Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.
Complete the advance directive for yourself. Do not turn in your AD with your paper. The AD is for your personal use.
In your paper, Part I:
Identify where you obtained the AD and explain its compliance with state law.
Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.
(Cite/ reference any sources you use to explore these questions, including your texts.)
Part II
Physician Orders for Life-Sustaining Treatment (POLST) Form
What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
When should this form be completed?
Who can complete the form?
Who needs to sign the form to make it a legal document?
(Cite/reference any sources you use to explore these questions, including your texts.)
Part III
Tie the two first sections together by writing a summary and conclusion.
This section should address:
1. the differences between an Advance Health Care Directive and the POLST,
2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.
Use current APA format.
The paper should be between 3-5 pages in length excluding the title and reference page(s).
Cite and reference the course text and at least two (2) additional appropriate professional sources.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 6 Organizational Ethics Presentation
This week, you will submit your presentation using the Kaltura recording tool within Blackboard. See the Getting Started with Kaltura link listed under the Resources area in your course menu to learn how to use this tool. Your presentation must include both audio and visual components and be professional in nature.
You will submit your final presentation here for grading, and you will submit it to the discussion board this week as a draft for your peers to review and as a final product to share. See the discussion board for details.
1. Choose a topic below.
Taken from the assigned reading in Butts chapter 12, page 401, “Ethical Reflection: Typical Unethical or Illegal Behaviors in Organizations”
2. Create a presentation of 10-15 slides or screens excluding the title and references.
Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.
3. In your presentation:
Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely. nurs521 Week 1 Discussion Forum
Identify how this situation relates to one provision within the Code of Ethics for Nurses.
Identify two ethical principles that may arise when facing this situation.
Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
Close with a summary of your topic, and APA formatted reference slide(s).
Audio is optional.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 7 Advocacy Paper
Choose a patient-care situation in which the RN should intervene and advocate for the patient. An example of such a situation might be when a patient has not been given complete informed consent.
Include the following in your paper:
Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.
Your paper should be 4-5 pages.
You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.
Review the rubric for further information on how your assignment will be graded.
nurs521 Week 8 Nine Tenets Essay
Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.
Your paper should be 1-2 pages.
Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.
Review the rubric for further information on how your assignment will be graded. nurs521 Week 1 Discussion Forum
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When companies buy computers for their employees, they also provide training to make sure the investment pays off. So why do those same companies invest millions of dollars in health care without making any particular effort to ensure that their employees stay healthy?
As major purchasers of health care, corporations have almost as much of a stake in preserving or improving employees’ health as the employees themselves do. My company invests hundreds of millions of dollars in health care; a company like General Motors–which in June placed much of the blame for its massive layoffs on health care costs–invests considerably more. We need to protect these investments and capitalize on them as we would on any other.
Companies can do that by recognizing that they achieve larger gains when they address the causes, rather than the treatments, of ill health. Focusing on health care is inherently reactive; focusing on health is proactive and, potentially, a game changer. The chief reason companies fail to invest in health, I think, is that it is often difficult to quantify the return. Executives know how to measure savings from disease-management techniques that reduce the cost of care for an employee with a chronic condition. It is much trickier to accurately determine how much they could save by keeping that employee from getting sick in the first place. For that reason, significant investments in prevention require some faith.
Given that employees spend about a quarter of their time at the office, companies can do quite a bit to help them stay healthy and to cut their own costs in the process. For example, companies can:
Provide plenty of nutritious options in cafeterias and vending machines. And because healthy foods often cost more, employers can subsidize the purchase of them.
Make workplaces smoke free and help employees kick the habit outside of work.
Encourage exercise by offering employees flee use of a fitness center or subsidizing employees’ memberships to local gyms. When possible, leaders should set the example themselves, even if that just means taking a brisk ten-minute walk at lunch.
Offer on-site health education and screening for conditions like high blood pressure and high cholesterol.
Share with employees who do take care of themselves some of the savings they generate.
Design health care programs with a component that reaches out to employees’ immediate families. At Abbott, we cover an average of 1.6 dependents for every employee. Keeping those families healthy produces even greater savings for the company.
Very few companies do all of these things (that includes ours–we do four out of six). And admittedly there are barriers to thoroughly embedding health consciousness in the corporate culture. Such actions can raise charges of paternalism, manipulation, or senior executives inserting their noses where they don’t belong. Creating incentives for healthy behavior may elicit cries of unfairness, particularly from superior performers with poor health habits.
Companies must also be vigilant that their preferences for healthy living don’t influence hiring and promotion decisions.
Despite those concerns, investing in employee health is as unassailable a proposal as you are likely to find in business. Employees live healthier lives; companies do the right thing and decrease their health care costs. In the process, organizations also reduce costsresulting from lost productivity and absenteeism and become more attractive to manyemployees and job seekers. Nothing could be more straightforward.
Yes, health care does impose a heavy burden on employers. But while government, industries, and interest groups concentrate on the long-haul task of reforming this monster, individual employers should meaningfully influence their own small piece of it.
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Significant Contributions to Public Health – Part I
For your final project, you will be researching an individual and their contribution to community and public health. Because of the size of this project, you will be doing the first part of this projectnow andthen adding the final portion in two weeks. Details are below the outline. Overall, you will be researching an historical figure in the public health world, their contribution to public health, and how their work helped shape the public health system. Furthermore, you will be analyzing how their contribution from the past continues to contribute to today’s public health system and how it might guide future work within the industry.
Follow this outline to help formulate your paper or presentation:
ACTION: Select one of the historical figures and their associated public health topic
Margaret Higgins Sanger/Reproductive health
Rachel Carson/Environmental health
Franklin D. Roosevelt/Health care administration
John Snow/Communicable and infectious disease
Luther T. Terry/Smoking
W. E. B. DuBois/Social determinants of health
Larry Kramer/Health activism
ACTION: Research the individual’s background
GRADED ELEMENT: Describe your selected person’s biographical background (i.e. experience).
HELP: This can include resume elements such as birthdate, location, education, and brief statement of their contribution to public health. (Reminder: biographical information can be easily plagiarized. Please do not copy from your biographical websites. Paraphrase and/or quote and cite everything according to APA.)
ACTION: Research the barriers and issue of the time
GRADED ELEMENT:Analyze the climate of the time period in terms of political, socioeconomic, environmental and technological context in which this person worked
HELP: Think about whether this person was up against resistance or was their work welcomed. [For example, if you were writing on Abraham Lincoln and the abolition of slavery, you would note that slavery was prevalent and accepted at the time and the change was welcomed by some and rejected by others]
GRADED ELEMENT: Examine the personal beliefs of your person that prompted this work.
HELP: You are basically addressing the question: “Why did this person get involved with the issue at the time?” [In continuing the Lincoln example above, you would note that black people were considered property, not people; yet Lincoln believed everyone had equal rights regardless of skin color].
ACTION: Think about how this person overcame the barriers and issues
GRADED ELEMENT: Examine how this individual overcame and/or confronted any adversities to succeed in his/her task
HELP: Questions to consider: What did the person specifically do? Did they have any allies? How did their actions succeed/fail?
ACTION: Think about the importance of the contribution to community/public health at the time
GRADED ELEMENT: Describe the final outcome of this individual’s contribution to community and/or public health
HELP: Think about this question: What occurred as a result of this person’s action?
GRADED ELEMENT:Explain what his/her contribution did for overall community and/or public health at the time
HELP: Think about this question: What was the purpose for the community and/or nation? [In the Lincoln example, the explanation would involve a national recognition of human rights of all people, regardless of skin color]
GRADED ELEMENT: Explain why this contribution was so important at that particular point in history
HELP: Think about this question: What made this important for our nation? [In the Lincoln example, you would answer the question: Why was it so important that Lincoln freed the slaves?]
Written Paper
Must be at least 4 pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a separate title page with the following:
Title of paper
Students name
Course name and number
Instructor’s name
Date submitted
Must use at least four scholarly sources.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
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HNN 301 – Mental Health promotion Assessment Task 2?2,500 words Purpose of Assessment Task 2 This assessment task is an assignment that requires you to demonstrate understanding of the misuse and abuse of alcohol in Australia. Assignment question: Alcohol consumption and the misuse of alcohol continue to cause a high level of harm in Australian communities. The Australian Institute of Health and Welfare (AIHW 2014) reported that the rate of alcohol related hospitalizations has risen annually over the last decade, from around 200 to 270 hospitalizations per 100,000. An increase in people reporting being a victim of physical abuse (4.5% to 8.1%) and being put in fear (13.1% to 14.3%) by those under the influence of alcohol was also highlighted by the AIHW (2014). Evaluate the following health promotion campaign for the characteristics that should ensure its effectiveness in increasing community awareness: https://www.vichealth.vic.gov.au/programs-and-projects/no-excuse-needed-campaign Your evaluation must include evidence of the harm associated with misuse of alcohol in adults and children in Australia and should include an explanation of the rationale for the campaign. Drawing on your evaluation of the program, what mental health promotion interventions could you implement to promote the wellbeing and the resilience of patients and families affected by alcohol misuse? Unit Learning Outcomes • ULO1: Demonstrate knowledge and understanding of a range of contemporary mental health issues • ULO2: Evaluate social, political, environmental, and economic factors in relation to mental health • ULO3: Relate primary health care philosophy, principles, and strategies to promote mental health in nursing practice • ULO4: Predict and interpret early warning signs and risks associated with mental health problems • ULO5: Select and evaluate interventions that promote mental health and wellbeing and build emotional resilience for self and others • ULO6: Evaluate a population-focused mental health and wellbeing and build emotional resilience for self and other Learning Outcomes • GLO1: Discipline-specific knowledge and capabilities: appropriate to the level of study related to a discipline or profession • GLO2: Communication: using oral, written and interpersonal communication to inform, motivate and effect change • GLO3: Digital literacy: using technologies to find, use and disseminate information • GLO4: Critical thinking: evaluating information using critical and analytical thinking ?and judgment • GLO5: Problem solving: creating solutions to authentic (real world and ill-defined) ?problems • GLO6: Self-management: working and learning independently, and taking ?responsibility for personal actions • GLO8: Global citizenship: engaging ethically and productively in the professional ?context and with diverse communities and culture in a global context. • Access relevant contemporary health promotion literature for evidence pertaining to the use of alcohol in the Australian community and to inform your selection of health promotion interventions you recommend. References should mainly ?include refereed journal articles; • The suggested readings in the unit are a good place to start. References to google, ?websites and/or Wikipedia are not appropriate for this assessment task; • ?Structure: ?Must contain a purposeful introduction that outlines some general background to the topic, an aim and purpose and themes for discussion. The body of the assignment will constitute about 80% of the word limit and provide key arguments supported by literature. The body of the assignment is normally organized in paragraphs of approximately 100-150 words with each paragraph focused on explanation of one idea. There should be a logical progression of ideas as demonstrated by logically linked arguments/points made in each paragraph. Each paragraph should commence with a topic sentence and end with a link to the next paragraph. The conclusion paragraph should provide a summation of ideas, draw together the discussion, present no new material (references are not expected in the conclusion paragraph) and offer the student’s position drawn from the discussion direct quotations: Unless really necessary. • ?References?Australian Institute of Health and Welfare 2014, Australia's health, Australian Institute of ?Health and Welfare, Canberra.
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You will briefly justify that a community and health behaviour are in need of a health promotion intervention. Over the first half of the semester, you will apply knowledge of behaviour change theories and source evidence from the literature to explain a health behaviour in the community of your choosing. You will do this using this workbook, which is to be uploaded via Turn It In on the Blackboard page for grading. Assume that: 1. You are part of a group of health professionals called to address the health needs of a local community in Australia or in your home country. You have convinced the group that primary or secondary prevention is important and that as part of primary/secondary prevention, the group should address problem behaviours in the community. The group has agreed, and has decided to focus on one behaviour as a start. 2. As the health promotion officer on the project and the only one who knows about behaviour change theories, you are charged with leading the group in understanding the determinants of the selected behaviour (most importantly theoretical constructs) that should be considered. 3. Begin your work by selecting a behaviour important enough to address in the community, even before you learn about the theoretical and non-theoretical determinants of the behaviour. PLEASE NOTE: You are expected to confirm with the unit coordinator, within the first 3 weeks of the semester, the community you have chosen and the behaviour you are addressing. To effectively respond to the needs of this community, you will need to rely on theories within an ecological framework for your work in explaining why individuals do the problem behaviour/do not do the health-enhancing behaviour. You also know that your work will need to be tailored to the needs of the community. Document Preview:
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Students will write a brief response (approximately 300 words) in response to five (5) of the eight (8) choices provided.
1. Why is a policy cycle an appropriate tool for developing a new policy? (your response must include referenced materials and do not use dot points).
2. How is a health policy different to a government policy document? (your response must include referenced materials and do not use dot points).
3. How does the 'new public health' differ from the old public health approach? (your response must include referenced materials and do not use dot points).
4. What are key sociological issues and how do they determine a person's state of health? (your response must include referenced materials and do not use dot points).
5. What is meant by the term 'power' in policy development and change? (your response must include referenced materials and do not use dot points).
6. What policy considerations should be included in a national obesity health campaign? (your response must include referenced materials and do not use dot points).
7. If you were to create a new policy to develop a smoke free environment for the university what are at least 4 factors you would include and why? (your response must include referenced materials and do not use dot points).
8. In what ways are interconnected systems problematic for health care policy development? (your response must include referenced materials and do not use dot points).
IN THE FIVE SELECTED QUESTIONS;
Your discussion clearly orientates the reader to the relevance of health care policy. Your superior response includes concise well developed discussion of relevant factors in addressing the question with superior construction of debate and insight into chosen issues. Your well-constructed discussion accurately addresses the question through the use of literature support that is relevant, current and highly appropriate.
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Utilize the Internet readings, and references to search, evaluate, and retrieve relevant evidence-based public health literature.
Then, use the evidence-based techniques learned so far and design a model, plan, or approach to tackle the public health problem, issue, situation, or concern you identified (Tobacco (Smoking) Use in adults 18 years and older
While developing the plan, do the following:
Use scientific evidence to assess or review the public health problem selected. Which information from research studies will be utilized in your assessment? Will you use:
1. Etiologic studies
2. Studies used to develop methods for measuring or modifying behavior
3. Studies used to identify the factors that influence the behavior
4. Studies used to determine whether public health interventions are successful in meeting their stated objectives for risk reduction
Evaluate and identify which analytical tool(s) is most appropriate to apply or assess your public health problem. Of the different types of analytical tools, which will you use to assess your public health problem:
1. Analytic tools for measuring intervention impact and effectiveness. For example, systematic reviews, meta-analysis, etc.
2. Economic evaluation, a set of methods for comparing benefits and costs by using the cost-benefit analysis, cost-effective analysis, cost-utility analysis.
Analyze and list the necessary steps and procedures that would be appropriate to apply as you conduct a community assessment of your public health problem.
1. Justify why a community assessment is necessary.
2. Discuss the range of partnership or stakeholders that might be useful in conducting community assessments.
3. Outline who in the community will be assessed, what to assess, and how to conduct assessments.
4. Describe how to disseminate the community assessment findings.
Write a 1–2-page, double-spaced paper in Word format. Apply AP
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The document must be in complete APA Format complete with in-text citations and complete APA Format references. All the information below is needed for the paper nothing less. The paper is needed by Monday evening. Please reply ASAP if you are willing to take on this task, Thank you! Select an organization type in the health care industry as the basis for this assignment. The organization may be your employer or a health care organization of particular interest to you. Types of health care organizations include, but are not limited to, the following: o Hospital, nursing facility, physician office, emergency medical services, managed care organization, home health care, community health department or provider, pharmacy, laboratory, drug manufacturer, medical device manufacturer, durable medical equipment supplier, and electronic medical records software suppliers • Research the key concepts of risk management in health care and the factors that influence risk management for your chosen type of organization. • Write a 1,050- to 1,400-word executive summary in which you complete the following: o Describe the purpose of risk management in health care organizations in general and in your chosen organization in particular. o Explain key steps this organization may take to identify and manage their risks. o Identify three typical or actual risks in your chosen organization. Describe how each risk might negatively affect your organization and its stakeholders. o Summarize the types of education, training, or policies that would help this type of organization mitigate these risks. • Include at least four sources, two from the University Library and two from either the course textbooks or this week- Electronic Reserve Readings. Prepare a reference list of all resources and websites used in your research. Format the executive summary and reference list consistent with APA guidelines
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