research about a hospital using the Hospital Compare data source for any large U.S. city

research about a hospital using the Hospital Compare data source for any large U.S. city

Throughout this course, you have examined and applied a wide variety of tools that may be used to enhance performance objectives for health care quality, efficiency, and cost in health services organizations. From day-to-day operations to strategic decision making and initiative planning, these tools serve various purposes in affording health care administration leaders with a variety of perspectives and mitigation strategies to enhance performance in health care delivery. Health services organizations must aim to not only deliver cost-effective and high-quality health care services but they also must operate efficiently to maximize the bottom line for business operations. research about a hospital using the Hospital Compare data source for any large U.S. city

For this Assignment, you will conduct research about a hospital using the Hospital Compare data source for any large U.S. city. Find a hospital that you are interested in or familiar with for this Assignment. Then, select two similar hospitals for comparative analysis. Then, analyze the organization’s position within the local and regional health care system. Analyze the cost, quality, and access metrics of the organization. Reflect on the metrics that might be monitored by the different types of control charts on the Hospital Compare data source. Think about how you would proceed with conducting a complete quality assessment of the hospitals you selected.

The Assignment: (8–10 pages)
Provide a description of the hospital you selected, its geographic area, the population it serves, and the reason you selected it. research about a hospital using the Hospital Compare data source for any large U.S. city

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Provide a detailed comparison of this hospital with two other similar hospitals in the community as well as state / national rates. Be sure to address all of the following components:
Similarities / differences in hospitals
Surveys of Patients Experiences
Timely and Effective Care
Complications
Readmissions and Deaths
Use of Medical Imaging
Payment and Value of Care
Categorize each of the subcomponents as whether they are structure, process, or outcome oriented, and identify how / if they link to cost, quality, and access. Be specific in your categorization.
Explain whether there are there significant differences in the proportion of patients who gave the three hospitals a rating of 9 or 10. NOTE: You can find the number of respondents by clicking on the “View More Details” link on the Hospital Compare site. Conduct appropriate hypothesis testing for your comparison. How did your selected hospital perform in comparison to the others from a statistical point of view?
Identify three separate measures that should be monitored using variable control charts, attributes or failures control charts, and nonconformity control charts.
Provide your overall assessment of this hospital’s performance on cost, quality, and access measures. Be sure to reference your statistical results and analyses that assisted you in the development of your overall assessment. research about a hospital using the Hospital Compare data source for any large U.S. city

b. Who in the family system makes decisions regarding the woman’s health such as an emergency cesarean section?

Assigned Culture: ______________________________________________________________________Purpose: To recognize that individual culture does impact womans health care, communication, nutrition, and fami

Assigned Culture: ______________________________________________________________________

Purpose: To recognize that individual culture does impact womans health care, communication, nutrition, and family influences that shape the families you are caring for. 

Concept: Cultural Diversity  

Objective:  Write a paper regarding a culture and its impact on families, contraception, conception and birth.

Instructions:  Create a cultural diversity paper.

1. This project is to a be written paper 5 pages in length APA format. These 5 pages include a cover page and a reference page. 

2.  Refer to Purnells’ Cultural Competency as a guide to assessing the patient in the identified culture from your Health Assessment course.

3.  Is education valued, are boy children preferred over gril children? How do they view families? Is contraception allowed and who is involved in the decision making regarding birth control choices? 

4. In an unintended pregnancy is adoption allowed? Is assisted reproductive technology accepted? What about donor sperm or surrogacy?

5. Who attends childbirth? Where do women have babies? What are the special practices employed to support the new mom and baby? Who in the family system makes decisions regarding the woman’s health?

6. What implications does culture present to the issues of womens’ health care?

See below ( 10 points)

Refer to Purnells’ Cultural Assesment Tool to address additional questions to enhance each section  (See attached)

Points:

Description of requirement:

Total points  with comments

1 point

Overview of culture that is not   familiar to you.

a.  Study and investigate the role of women in   the culture you have chosen

b. Is education   valued?

c. Is one gender   preferred over another?

d. How does this   culture view families?

2.5 points 

What health care practices does this   culture embrace that may be different than Western medicine?

a. What practices   may interfere with health care?

b. What are the   major illness common to the culture you are studying and what are its   implications on pregnancy and birth?

2.5 points

What spiritual or religious practices does   this culture follow? 

a. Is contraception   allowed and which forms are acceptable?

b. Who makes the   decision regarding contraception choices?

c. Is assisted   reproductive technology acceptable, donor sperm, surrogacy?Is adoption   allowed?

d. What gives   strengths and meaning to life?

2.5points

Birth practices specific to your assigned   culture:

a. Where do the   women have babies, ( home birth, hospital, birth home) and who attends the   birth? What are the special practices employed   to support the mom or new baby?

b. Who in the   family system makes decisions regarding the woman’s health such as an   emergency cesarean section?

c. Include an   explanation regarding how the content provides a focus for nursing assessment   and or nursing interventions and nursing advocacy.

1.5points

References: APA Format 

a. References: Utilize   in text citations within the power point slides and provide a reference at   the bottom of the slide. Include a reference page slide.

10 Total

* Please choose any culture other than African, Because we are not to talk on culture we’re part of.

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

FOR SURAYA ONLY

APA format 3-4 pages with 4 references 3 from walden universtiy library. I will pay 15 dollars and will include the article needed and the mission and vision statement of the facility.   The issue will be the floating of staff to other units adn the need for additional staff to cover patients in need of 1:1 observation.

Here is the article:

Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.

Retrieved from the Walden Library database

Assignment: Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)

To prepare:

  • Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
  • Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
  • Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
  • Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
  • Research professional standards that are pertinent to your identified problem.
  • Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

By Day 7

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

  • Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
  • Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
  • Based on this information, explain how you would address the problem as follows:
    • Formulate a desired outcome.
    • Identify goals and objectives that would facilitate that outcome.
    • Translate those goals and objectives into policies and procedures for the department or unit.
    • Describe relevant professional standards.
  • Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Assignment 2: Introduction and Revised PICOT QuestionRevise your PICOT question on the basis of the feedback you received on Week 3 Assignment 2. Submit your introduction and revised PICOT question as

Assignment 2: Introduction and Revised PICOT QuestionRevise your PICOT question on the basis of the feedback you received on Week 3 Assignment 2. Submit your introduction and revised PICOT question as

Assignment 2: Introduction and Revised PICOT Question

Revise your PICOT question on the basis of the feedback you received on Week 3 Assignment 2. Submit your introduction and revised PICOT question as a 5- to 6-page Microsoft Word document. The assignment 2 paper in this week will be a draft for your week 5 paper.

Recall that your introduction will include:

  • Purpose of or rationale for the scholarly project: Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).
  • Background on the problem or population of interest: Using primary sources, provide data on your topic. Providing the background will demonstrate the focused need for your project.
  • Significance of the problem to nursing and health care: State how your problem or population of interest aligns with the larger interest of health care in the community. Create a context to why your topic is important.

·         Benefit of the project to nursing practice: State what will be gained from your project. Describe the expected outcomes of your project to practice within your population and setting. Relate the outcomes to evidence-based guidelines and outcomes. Describe how your project may influence other populations or settings. Submission Details:

Submission Details:

  • Name your document SU_NSG8100_W4_A2_LastName_FirstInitial.doc.

Assignment 2 Grading Criteria

Maximum Points

The introduction is comprehensive, is evidence based, captures the reader’s interest, and provides an overall framework for the scholarly project.

30

The purpose and rationale for the scholarly project are evidence based and clearly described.

20

The background of the problem or population of interest is sufficient enough to create a compelling need for the project and is obtained from primary sources.

15

The significance of the project to nursing and healthcare is clearly described. The benefit of the project to practice at the local, regional, national, or global level is explored.

15

Included a PICOT question in the appropriate format and applicable to the problem or population of interest.

10

Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.

10

Total:

100

Assignment 3: Literature Review: Five Articles Abstracted onto the Evaluation Table

This week, you will submit another evaluation table document with five research articles abstracted for your literature review. Although it is expected that a majority of the articles will be part of your final literature review, some may not necessarily be included depending on your evaluation. For example, out of the thirty articles you evaluate during this course, you may only end up including twenty in your final review. The total number of articles you include may also depend on the amount of existing research. Try to shoot for twenty to twenty-five articles as a target for your final review. You will organize the information obtained from the review by paraphrasing and organizing concepts, variables, themes, and data from each article according to the nine headings in the evaluation table.

. Submission Details: Submission Details:

  • Name your document SU_NSG8100_W4_A3_LastName_FirstInitial.doc.

Epidemiological Principles in Health Promotion

Epidemiological Principles in Health Promotion

EDHS 4111/5111 – Epidemiological Principles in Health Promotion

Graduate Student Annotated Bibliography Instructions

  • For your term paper you will develop an evaluative annotated bibliography using 10 peer‐reviewed original research articlesfocusing on your epidemiological topic of interest.
  • Your bibliography should have an introductory section outlining the problem, followed by a series of annotated journal references listed alphabetically and in APA format, concluding with a summary section.
  • Please make use of the scoring template. I will use this template to score your bibliography. I have placed a copy of the template below for your convenience.
  • I have posted two sample bibliographies from another graduate course to give you an idea of how others created their annotated bibliographies.
  • Some pitfalls from past semesters:
    • Failing to include the introduction and summary sections. Each of these sections is worth 20 points and so failing to include one or both results in a serious reduction in the total score. Epidemiological Principles in Health Promotion
    • Failing to include all 10 articlesin the bibliography. Yes…this has happened. If you write your annotations separately as you read and critique your articles it is possible to forget to copy and paste all 10 into the final document. Check the number twice before submission.

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    • Please write in complete sentences.Sounds funny to say this but I believe this pitfall is also related to writing annotations separately as you read and critique your articles. Often, we make quick notes on the points we want to present in the final paper and forget to edit the notes when we copy and paste.
      • Example: “No explain sampling procedure”… should have been “The authors did not provide any information on their sampling procedures.” Things get hectic at the end of the term. Running a grammar check on your word processor should catch these things for you.
    • Forgetting to sort the article annotations in alphabetical order.If we were writing a formal literature review for an article, we would present our cited articles grouped by focus/time. However, please note, for this bibliography, we will present the articles in alphabetical order as we do for a reference list.
    • A silent voice.After presenting the article topic, importance, methods, etc., you can give your informed opinion on the relevance of the article to your topic.
      •  Your opinion is important.
        • Does the article focus on a component of or around your topic? Please say so. Epidemiological Principles in Health Promotion
        • Does this author disagree with or support a conclusion found in other articles in your bibliography? This is important information, and you can feel free to note these points.
        • Was the article not the best you have ever read? Did the author fail to provide important information? Then please state your reason for including the piece in your bibliography. For example, “The author did not give enough information on how the sample was chosen or (other important points that you wanted to know about). However, the author had a unique perspective on my topic. I had not considered this perspective or read about it in the other articles, therefore I decided to include the piece on that basis.”
          • Or something like that: whatever makes the most sense to you. Your reason(s) for including a less than stellar article is important. Many articles have excellent ideas and analyses even when the study itself was not the most rigorous.
        • remember APA format, please.MLA writers may find this a challenge at times.
      • Any questions you may have are welcome. Please text (504-415-8405) or email (tmmendez@uno.edu).  Epidemiological Principles in Health Promotion

Developing a Culture of Evidence-Based Practice

Developing a Culture of Evidence-Based Practice

APA format with intext citation

3 scholarly references with in the last 5 years

Plagiarism free with Turnitin report

250-300 minimum word count

Discussion: Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP. Developing a Culture of Evidence-Based Practice

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

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To Prepare:

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 9

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. Developing a Culture of Evidence-Based Practice

 

Discuss assumptions of the Transpersonal Caring relationship. What is the nurses role?

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.Case study #1 Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive C

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

  • Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
  • Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
  • Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
  • Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

  • Discuss assumptions of the Transpersonal Caring relationship. What is the nurses role?
  • How is love, as defined by Watson, evident in this caring moment?
  • How can the nurse creatively use self to create a healing environment?
  • Discuss the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

Nursing homework help

Red Yoder is an 80-year-old farmer who lives alone in the farmhouse where he grew up. It is located 20 miles outside of town. Red has been a widower for 10 years. His son Jon manages the farm now, but Red is still involved in the decision making. Red’s current medical problems include insulin dependent diabetes complicated by an open foot wound. He also has some incontinence and difficulty sleeping.  Nursing homework help

Red is awaiting a visit from the home health nurses. He relates that he has an open wound on his big toe that developed after walking in a new pair of shoes. When his daughter-in-law Judy saw the wound, she called the family doctor, who suggested a visit by the wound care nurse who works with the home health agency. Red agreed as long as his VA benefits cover the costs. Red is aware that his son and daughter-in-law have concerns about him living alone, but Red insists that while he needs a little help from Jon and Judy at times, he is still capable of caring for himself.

I understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years. From the top. My name is Sherman Yoder, but I answer to “Red.” No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered six kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story. Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on.Nursing homework help.  I was glad to get back to this place after that stint and here I’ve been ever since. Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together. That was 10 years ago. I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast. I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world. Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixins’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled. After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one place I like to look around in. Too bad we parked clear on the other end of the mall so the kids could go by their favorite stores for Grandpa to buy them a little something. Jon got real mad at me when I asked if I could sit and rest for a while, so I just kept walking. I guess my new shoes were a little tight; I didn’t feel anything but when I got home there was some blood on my sock, and then I saw a sore on my big toe. It must not be too bad since it’s not hurting except when I try to put my shoes on. I showed the sore to Jon and Judy the other day and Judy said she would call the doctor to see what she should put on it. Jon gets so irritated when I need extra help; I hope I can just continue to soak my foot in hot water to clean it out. Judy was a nursing assistant out at the old folk’s home for many years; I’m hoping she will be able to help me with this. Nursing homework help. I like the idea of the home nurses coming out here as long as my VA benefits pay for it. That way they can see that I’m doing just fine living here on my own. I was searching on the Internet for the best way to treat this sore; there are so many sites that talk about foot sores if you’re a diabetic. Some of those pictures are pretty scary; I can’t sleep at night thinking about what could happen if this doesn’t heal. Of course I haven’t slept through the night for years. Even the couple of beers I have at night when I’m on the computer don’t seem to be helping anymore. Judy sometimes gives the kids Benadryl to help them sleep so I’ve been taking a couple when I go to bed; they seem to help me sleep a little better. As a matter of fact, I need to wrap this up now. I promised Jack, my grandson in college, that I’d Skype him in a few minutes. He just started the agronomy program at the university. I love to hear about what he’s learning and give him encouragement to come back to the farm.

1. What are Red’s strengths?

2. What are your concerns for this patient?

3. What is the cause of your concern?

4. What information do you need?

5. What are you going to do about it?

6. What is Red experiencing?

 

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Second monologue: Occurs two weeks later. “As much as I hate to miss it, I don’t think I’ll go into town today. I never miss Monday morning coffee at the VFW with my buddies. Sometimes my friends worry about me; they will probably wonder where I am. I know it’s only 20 miles, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around. I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can that be when I’m not eating? Wow! I just took of my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. The nurse wanted to make sure I didn’t get an infection in that toe. She comes tomorrow to change the bandage; I’d better make sure to take the antibiotic today.” Nursing homework help

1. What are Red’s strengths?

2. What are your concerns for this patient?

3. What is the cause of your concern?

4. What information do you need?

5. What are you going to do about it?

6. What is “Red” experiencing?

Second monologue: Occurs two weeks later. “As much as I hate to miss it, I don’t think I’ll go into town today. I never miss Monday morning coffee at the VFW with my buddies. Sometimes my friends worry about me; they will probably wonder where I am. I know it’s only 20 miles, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around. I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can that be when I’m not eating? Wow! I just took of my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. The nurse wanted to make sure I didn’t get an infection in that toe. She comes tomorrow to change the bandage; I’d better make sure to take the antibiotic today.”

  1. What are Red’s strengths?
  2. What are your concerns for this patient?
  3. What is the cause of your concern?
  4. What information do you need?
  5. What are you going to do about it?
  6. What is “Red” experiencing? Nursing homework help

 

in the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may

 the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may

n the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources. 
  • Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
  • Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

References:

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
  • Chapter 12, “Electronic Security” (pp. 229–242)
  • Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)
  • https://www.youtube.com/watch?v=xtpyjPrpyX8https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Rurbic:

     Excellent   Good   Fair   Poor       Main Posting          Points Range:     45 (45%) – 50 (50%)   Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.  

Supported by at least three current, credible sources. 

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style

Patient Interview Assignment

Patient Interview Assignment

PATIENT NAME- J M

 

INTERVIWEW

  1. What medications are you taking?

 

I am taking about 10 medications, but right now the medications im taking is 8 medications

 

  1. Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions. Patient Interview Assignment

MEDICATIONS-

Medications

 

Drug class Drug

Route

Drug

Dose

Side effects/ Adverse effect
Cefadroxil

 

Cephalosporins PO 500mg

 

Diarrhea, Stomach upset or pain.
 Amoldipine Calcium channel blocker PO 5mg Hypotension, bradycardia, weakness.
Apixalan

 

Anticoagulant/cardiovascular

Factor/ Xa inhibitors

 

PO 5mg

 

Fainting, swelling or joint paining
Finasteride

 

5-al-pha reductase inhibitors PO 5mg

 

Dry mouth, constipation, constipation.
Losartan

 

Angiotensin II receptors Antagonists. PO 100mg

 

Blurred vision, difficulty breathing.
Metformin

 

Biguanides PO 5mg

 

Heartburn, weight loss, flatulence.
Tamsulosin

 

Alpha-1 Blocker PO 0.4m

 

Headaches, runny nose, infection
Cialis

 

Phosphodiesterase-5 Enzyme Inhibitors PO 5mg

 

Muscles pain, indigestion.
Metoprolol

 

 

Beta block PO 50mg

 

Dizziness or lightheadedness, depression
Potassium chloride ER

 

Electrolytes PO 20 MEQ Tablets appears in stool, gas.

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For the following questions, paraphrase the client’s answers for your written paper.

 

  1. How long have you taken each these medications?

 

According to Jerry, he said he has been taking the above medications for over twenty years (20years.)

 

  1. Do you know why you are taking these medications?

 

His been taking the medication for his high blood pressure, and for prostate due to enlargement and frequent urge to urinate, and lastly for diabetes. Patient Interview Assignment

 

  1. Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?

 

His doctor prescribed those medications. And after talking to him about the medications, he was able to tell me about all his medications, the reason for taken them and had no questions regarding them because of it was as a result of what was going on with him medically.

 

  1. How do you feel about taking these medications?

 

He said he felt good about it, because the medicines are treating the medical issues good.

 

  1. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it.

 

He said he wasn’t taken any other medication over the counter.

 

  1. How and when do you take your medications?

 

He explained to me vastly that some of his medication was given to him by his home health nurse after he came back from the hospital. But before, he took them himself.

 

  1. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties.

 

He said no that he didn’t have any difficulty taking his medications.

 

  1. Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled? Patient Interview Assignment

 

He explained to me that he had was feeling lightheaded when he started his blood pressure medication amlodipine. But It was handled by his primary care physician.

 

  1. If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened?

 

No he said, but he told his primary care physician who had his medication frequency reduced. And the, lightheadedness stopped. The physician explained to him that it was because of the long-term use and also, blood pressure medication has a side effect of dizziness/ lightheadedness.

 

 

  1. Do you have any reason not to take the medications?

 

He said calmly, that he has no reason not to take it.

 

  1. Have you ever not taken the medication? If so, what was the reason?

 

He said No, because psychological he feels like if he doesn’t take it so bad might happened to him. Patient Interview Assignment

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5-page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3-page teaching plan to include the following:

 

  1. List one goal for this teaching plan
  2. Describe two to three teaching resources that might be used
  3. Identify two teaching strategies that can be used based on the client interviewed
  4. List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do
  5. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
  6. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime. Patient Interview Assignment