APA format, No Plaigarism, Discussion Board and Response, follow directions closely

APA format, No Plaigarism, Discussion Board and Response, follow directions closely

MODULE D INSTRUCTIONS Voice Thread: Participate in the Module D audio discussion. Assigned learning Activities: Readings 1. Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc. [Read pp. 240-260, 275-292, 315-329.] 2. Lachman, V. D. (2008). Whistleblowers: Troublemakers or virtuous nurses? MEDSURG, 17(2), 126-128, 134. Retrieved from https://www.medscape.com/viewarticle/582797 3. Texas Board of Nursing. (2013). Practice – peer review: incident-based or safe harbor. Retrieved from https://www.bon.texas.gov/practice_peer_review.asp Audio/Visual 1. Beil, L. (2018). Three days in Dallas [Episode 1]. Dr. Death. Podcast retrieved from https://podtail.com/en/podcast/dr-death/three-days-in-dallas-1/ or https://wondery.com/shows/dr-death/ [Warning: includes adult language] 2. Karimi, F. (2017). Utah officer fired for forcibly handcuffing nurse who defied him. Retrieved from https://www.cnn.com/2017/10/11/health/utah-officer-fired-afternursearrest/index.html 3. National Public Radio. (2010). Texas nurse on trial after reporting doctor. Retrieved from http://www.npr.org/templates/story/story.php?storyId=123502251 4. National Public Radio. (2014). Was CDC too quick to blame Dallas nurses in care of Ebola patient? Retrieved from http://www.npr.org/2014/10/24/358574357/was-cdctooquick-to-blame-dallas-nurses-in-care-of-ebola-patient Part I – Complete all of the assigned learning activities and then select one nurse’s employment related case to study further: pick one person Anne Mitchell, Nina Pham or Alex Wubbels. Part II – Conduct a literature search for at least three peer-reviewed articles related to the nurse/case you selected, AND three or more from the Assigned Learning Activities (these were given on the first page) 6 references total Part III – Prepare and post one 3- to 5-minute long audio comment in Voice Thread with your responses to all of the following questions: I will need a script here please to answering the following questions Do you agree with the nurse’s actions? Why or why not? Would you have done anything differently? Was the nurse acting as a patient advocate? Why or why not? Did the nurse promote patient safety? Could the nurse have initiated any type of peer review? If so, which type? What implications does the case have on the nursing profession or practice of nursing? Part IV- post one written comment to each of 75 to 150 words (post a total of 3 written comments). Your written comments to other students should be thoughtful and based upon your review of literature, personal experience, or further insight. I need 3 generic responses answering one of the questions above for all three Individual above within Part I in order to complete Part IV MODULE D INSTRUCTIONS Voice Thread: Participate in the Module D audio discussion. Assigned learning Activities: Readings 1. Guido, G. W. (2014). Legal and ethical issues in nursing (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc. [Read pp. 240-260, 275-292, 315-329.] 2. Lachman, V. D. (2008). Whistleblowers: Troublemakers or virtuous nurses? MEDSURG, 17(2), 126-128, 134. Retrieved from https://www.medscape.com/viewarticle/582797 3. Texas Board of Nursing. (2013). Practice – peer review: incident-based or safe harbor. Retrieved from https://www.bon.texas.gov/practice_peer_review.asp Audio/Visual 1. Beil, L. (2018). Three days in Dallas [Episode 1]. Dr. Death. Podcast retrieved from https://podtail.com/en/podcast/dr-death/three-days-in-dallas-1/ or https://wondery.com/shows/dr-death/ [Warning: includes adult language] 2. Karimi, F. (2017). Utah officer fired for forcibly handcuffing nurse who defied him. Retrieved from https://www.cnn.com/2017/10/11/health/utah-officer-fired-afternursearrest/index.html 3. National Public Radio. (2010). Texas nurse on trial after reporting doctor. Retrieved from http://www.npr.org/templates/story/story.php?storyId=123502251 4. National Public Radio. (2014). Was CDC too quick to blame Dallas nurses in care of Ebola patient? Retrieved from

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http://www.npr.org/2014/10/24/358574357/was-cdctooquick-to-blame-dallas-nurses-in-care-of-ebola-patient Part I – Complete all of the assigned learning activities and then select one nurse’s employment related case to study further: pick one person Anne Mitchell, Nina Pham or Alex Wubbels. Part II – Conduct a literature search for at least three peer-reviewed articles related to the nurse/case you selected, AND three or more from the Assigned Learning Activities (these were given on the first page) 6 references total Part III – Prepare and post one 3- to 5-minute long audio comment in Voice Thread with your responses to all of the following questions: I will need a script here please to answering the following questions Do you agree with the nurse’s actions? Why or why not? Would you have done anything differently? Was the nurse acting as a patient advocate? Why or why not? Did the nurse promote patient safety? Could the nurse have initiated any type of peer review? If so, which type? What implications does the case have on the nursing profession or practice of nursing? Part IV- post one written comment to each of 75 to 150 words (post a total of 3 written comments). Your written comments to other students should be thoughtful and based upon your review of literature, personal experience, or further insight. I need 3 generic responses answering one of the questions above for all three Individual above within Part I in order to complete Part IV
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Tags: nursing healthcare management RN-BSN Ethics

Healthcare information system

Healthcare information system

Read the Executive Summary of the institute of Medicine’s (2011) report entitled Health IT and Patient Privacy: Building Safer Systems for Better Care and answer the following:

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  • How can patient safety concerns arise from Health IT designed to enhance or improve patient quality?
  • Do you agree that, when implementing a health care information system, patient safety is a partnership between the health care organization and health IT vendor? Why or Why not?
  • Explain the role of both the health care organization and the health IT vendor and explain your rationale.

Be sure to read Chapter 9 before you begin.

Instructions and Due Dates

Present your findings in a short, well-organized, and edited essay (800- 1000 words). Please adhere to APA documentation guidelines.

 

Tags: healthcare management healthcare information systems

Hardware and Software

Hardware and Software

Health Care Information Systems are important in dispensing of information throughout the organization. You will develop a research paper on a health care technology that has become essential to the sharing of information via electronic communication mediums (i.e., EMR, Telehealth, HMR, etc.).

  • Explain each part of the key components.
  • Explain each part of contributing factors.
  • Provide examples of ways to measure each part.

Present your findings as a 4-5 page Word document formatted in APA style.

Your assignment will be graded in accordance with the following criteria. Click here to view the grading rubric.

Submit your assignment.

Submitting your assignment in APA format means, at a minimum, you will need the following:

  1. TITLE PAGE. Remember the Running head: AND TITLE IN ALL CAPITALS

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  2. ABSTRACT. A summary of your paper – not an introduction. Begin writing in third person voice.
  3. BODY. The body of your paper begins on the page following the title page and abstract page and must be double-spaced (be careful not to triple- or quadruple-space between paragraphs). The type face should be 12-pt. Times Roman or 12-pt. Courier in regular black type. Do not use color, bold type, or italics except as required for APA level headings and references. The deliverable length of the body of your paper for this assignment is 4-5 pages. In-body academic citations to support your decisions and analysis are required. A variety of academic sources is encouraged.
  4. REFERENCE PAGE. References that align with your in-body academic sources are listed on the final page of your paper. The references must be in APA format using appropriate spacing, hang indention, italics, and upper and lower case usage as appropriate for the type of resource used. Remember, the Reference Page is not a bibliography but a further listing of the abbreviated in-body citations used in the paper. Every referenced item must have a corresponding in-body citation.

What are three factors that are realonsible for hospital downsizing?

What are three factors that are realonsible for hospital downsizing?

Submit a paper that explains the three factors that have been responsible for hospital downsizing. Discuss how each factor has contributed to the decline in inpatient hospital utilization..

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Florida National University Legal Aspect & Legislation in Healthcare Worksheet

Florida National University Legal Aspect & Legislation in Healthcare Worksheet

Test Content

  1. Question 1

    A contract that is inferred by law is a/an ___________.

  2. Question 2

    A contract with a firm of anesthesiologists that requires that all anesthesia services for a hospital’s patients be performed by that firm is a/an ___________.

  3. Question 3

    A contractor who agrees to undertake work without being under the direct control or direction of another and is personally responsible for his or her negligent acts is a/an ___________.

  4. Question 4

    A pharmacist who submits Medicaid claims for reimbursement on brand name medications rather than on the less expensive generic drugs dispensed is committing ___________.

  5. Question 5

    A religion and philosophy encompassing a variety of traditions, beliefs, and practices, largely based on teachings attributed to the Indian prince named Siddhartha Gautama (563–483 BC), is __________. Florida National University Legal Aspect & Legislation in Healthcare Worksheet

  6. Question 6

    A serious crime generally punishable by one or more years of imprisonment in a state or federal penitentiary is a ___________.

  7. Question 7

    An informal discussion during which the judge and opposing attorneys eliminate matters not in dispute, agree on the issues, and settle procedural matters relating to the trial is a(n) ___________.

  8. Question 8

    Elements of negligence that must be present in order to establish negligence are ___________.

  9. Question 9

    Evidence furnished by physical things themselves is ___________ evidence.

  10. Question 10

    Failure to conform to or departure from a required duty of care owed to a patient is considered as a ___________.

  11. Question 11

    If a health care provider shows reckless disregard for the safety of his patients and intentional indifference to any injury that could follow his act(s), he could be charged with or sued for ___________.

  12. Question 12

    If an X-ray machine is entered as evidence, it is a form of ___________.

  13. Question 13

    The ___________ committee is generally responsible for the development of policies and procedures for the investigation and control of infections.

  14. Question 14

    The ___________ committee is responsible for reviewing medical records for timeliness, accuracy, legibility, and completeness

  15. Question 15

    The ___________ committee of the governing body is responsible for reviewing and overseeing the financial affairs of the organization.

  16. Question 16

    The ___________, passed by Congress and signed by President Barack Obama on March 23, 2010, is designed to ensure that more Americans receive healthcare benefits.

  17. Question 17

    The common law doctrine by which the state and federal governments have been immune from liability for harm suffered by the tortious conduct of its employees is ___________.

  18. Question 18

    The premature dismissal of a case without notifying the patient can be construed as ___________. Florida National University Legal Aspect & Legislation in Healthcare Worksheet

  19. Question 19

    When a doctor fails to inform his patient in a timely manner of a serious condition that turns deadly, fails to refer him to a specialist, and does no further tests, he can be found negligent by reason of ___________.

  20. Question 20

    When caring for the dying, relatives may wish to perform rituals at this time. In death, jewelry, sacred threads, or other religious objects should not be removed from the body. Washing the body is part of the funeral rites and should be carried out by the relatives. Such acts are practiced in ___________.

  21. Question 21

    A ___________ is the allied health professional responsible for the treatment, management, diagnostic testing, and control of patients with cardiopulmonary deficits


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  22. Question 22

    A nurse with an advanced academic degree and a major in a specific clinical specialty such as pediatrics or psychiatry is a ___________.

  23. Question 23

    A nurse trained in the delivery of primary health care and the assessment of psychosocial and physical health problems such as the performance of routine examinations and the ordering of routine diagnostic tests is a ___________.

  24. Question 24

    Each state has its own nurse practice act that defines the practice of ___________ within the state.

  25. Question 25

    Failure to identify the correct patient can result in ___________.

  26. Question 26

    Discrimination in the treatment of patients on the basis of race ___________.

  27. Question 27

    In governmental hospitals, statutes often limit facility use to ___________.

  28. Question 28

    A hospital’s bill of patient rights and responsibilities should be provided to the patient at the time of admission.

  29. Question 29

    Patients have the right to know the names and positions of any individual involved in their care.

  30. Question 30

    Verbal Consent is a written form that should be executed when a proposed treatment may be involve some unusual risks to the patient?

    Question 1
    1. Voluntary agreement by a person who possesses sufficient mental capacity to make an intelligent choice to allow something proposed by another to be performed on himself or herself. Florida National University Legal Aspect & Legislation in Healthcare Worksheet
      1. F
  31. Question 2

    Forms of Consent include Express consent and Implied consent?

    1. F
  32. Question 3

    Verbal Consent is a written form that should be executed when a proposed treatment may be involve some unusual risks to the patient?

    1. F
  33. Question 4 In relation to Informed Consent: mark the correct answer
  34. Question 5

    In relation to Physicians Informed Consent select the write answer

      1. a)None is correct
  • Question 6

    In relation to Nurses Informed Consent select the correct answer

  • Question 7

    Hospitals Informed Consent: answer the correct question.

  • Question 8

    In relation to Objective Test is: SELECT THE RIGHT ANSWER

  • Question 9

    In relation to Subjective test, select the right answer

  • Question 10

    Who May Consent? Select the correct answer

 

Hofstra University Brachytherapy Discussion

Hofstra University Brachytherapy Discussion

Description

 

 

1. Brachytherapy has not been in the front page news in recent years in the area of radiation oncology. What are the reasons for this in your opinion? Or if you think otherwise, please provide examples to explain your argument in either scenario.

2. Electronic source designed brachytherapy provides many advantages compared to the conventional isotope based method. Please provide a brief comparison of the two approaches (electronic and isotope based method) for brachytherapy in clinic.

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3. What is the controversy about low dose rate (LDR) and high dose rate (HDR) approach in the treatment of gyn cancers? What is your opinion on the topics? (Hint: Radiobiology on dose rate)

4. What is the latest development on brachytherapy for benign tumors? Provide at least one example to support your argument. Hofstra University Brachytherapy Discussion

Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper

Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper

Assessing the Problem: Quality, Safety, and Cost Considerations

Learning Goal: I’m working on a literature question and need an explanation and answer to help me learn.

In a 7 page written assessment, assess the effect of the patient, family, or population problem you’ve previously defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form. Report on your experiences during your first two practicum hours. INTRODUCTION
Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satisfaction, serious safety events, and patient experience can be used to prioritize time, resources, and finances. Health care organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses are key to comprehensive data collection, reporting, and monitoring of metrics to improve quality and patient safety.PREPARATION
In this assessment, you’ll assess the effect of the health problem you’ve defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.To prepare for the assessment:
Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed. Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper
Conduct research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 2 [PDF], which provides guidance for conducting this portion of your practicum.
Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking for feedback, before you submit the final version. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.INSTRUCTIONS
Complete this assessment in two parts.Part 1

Assess the effect of the patient, family, or population problem you defined in the previous assessment on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 2 [PDF] provided for this assessment to guide your work and interpersonal interactions.

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Part 2

Report on your experiences during your first 2 practicum hours, including how you presented your ideas about the health problem to the patient, family, or group.
Whom did you meet with?
What did you learn from them?
Comment on the evidence-based practice (EBP) documents or websites you reviewed.
What did you learn from that review?
Share the process and experience of exploring the influence of leadership, collaboration, communication, change management, and policy on the problem.
What barriers, if any, did you encounter when presenting the problem to the patient, family, or group?
Did the patient, family, or group agree with you about the presence of the problem and its significance and relevance?
What leadership, communication, collaboration, or change management skills did you employ during your interactions to overcome these barriers or change the patient’s, family’s, or group’s thinking about the problem (for example, creating a sense of urgency based on data or policy requirements)?
What changes, if any, did you make to your definition of the problem, based on your discussions?
What might you have done differently?
CORE ELMS
Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in CORE ELMS.REQUIREMENTS
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Explain how the patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual. Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper
Cite evidence that supports the stated impact.
Note whether the supporting evidence is consistent with what you see in your nursing practice.
Explain how state board nursing practice standards and/or organizational or governmental policies can affect the problem’s impact on the quality of care, patient safety, and costs to the system and individual.
Describe research that has tested the effectiveness of these standards and/or policies in addressing care quality, patient safety, and costs to the system and individual.
Explain how these standards and/or policies will guide your actions in addressing care quality, patient safety, and costs to the system and individual.
Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of care quality, patient safety, and cost to the system and individual.
Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Discuss research on the effectiveness of these strategies in addressing care quality, patient safety, and costs to the system and individual.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form. 

Assessing the Problem

 

Assessing the Problem

Introduction

While ventilation provides oxygenation and better outcomes in patients with breathing difficulties, it can also escalate the risks of pneumonia. Ventilator-associated pneumonia (VAP) adds a burden to the care of critically ill patients. The problem is among the leading causes of morbidities and mortalities in ICU. Nurses play a crucial role in patients care. Their role resonates with the institutional, state, and federal policies to provide patient-centered quality outcomes. For instance, evidence implies that head elevation is a feasible procedure to minimize VAP risks. However, nurses’ actions depend on the leadership from the institutional to the state and federal levels. The administration manages the resources available to support patients’ clinical outcomes. The leadership can seek ways to increase the supply of medically-necessary equipment and beds that facilitate recovery. The state also defines the nursing scope of practice. Although nurses can have sufficient skills to enable the outcomes, the scope of practice definition can limit the exercise of their full potential. However, nurses need to liaison with the other staff and management to improve communication and collaboration to promote safety and quality outcomes. The leadership skills allow the nurses to be dynamic in ever-changing patients’ needs. Besides, change management is a complex approach that requires strategies such as training to reduce resistance and compliance with the best practices. This paper will explore the VAP from the context of the nurses, equipment, leadership, state and federal guidelines that promote safety.

Patient Health Problem Relevant to My Practice

Ventilation is among the leading ICU interventions to manage critically ill patients who require oxygenation. This procedure is medically necessary for patients experiencing breathing difficulties, chest pain, and lung dysfunction that compromise breathing patterns. This intervention’s conditions necessitate asthma, pneumonia, chronic obstructive pulmonary disease, pulmonary hypertension, and Covid 19. While ventilation is a necessary procedure, it increases the patients’ susceptibility to VAP. According to Seth (2020), VAP develops within two days, 48 hours among patients with endotracheal intubation. In this problem, the patients experience aspiration. The aspiration of gram-negative bacteria and bacilli can increase the vulnerability to the risks of pneumonia. The problem mainly manifests with fever. It can compromise the general patients’ outcomes, such as worsening oxygenation. Accordingly, VAP can increase the mortality and morbidity of ICU patients. The problem adds a burden to healthcare spending. For instance, the pandemic has increased healthcare demands. While many patients require ventilation, VAP can double the risks of hospital stays, denying others patients from accessing the resources needed. It also adds the total reimbursement for the treatment. Besides the condition during admission, VAP adds another state that requires more attention and resources.

Population for the Practicum

This practicum will focus on ICU patients who require intubation within 48 hours in a local hospital in New York City. The population for this study is the patients manifesting with labored breathing on admission and diagnosed with conditions such as COPD, pneumonia, pulmonary hypertension. These patients have impaired lung functions, making ventilation medically necessary to improve outcomes. Seth (2020) affirms that critically-ill patients are more susceptible to aspiration. These patients are likely to be colonized with gram-negative bacteria in their oropharynx. When endotracheal intubation is indicated among these patients, the procedure needs to follow the guidelines that help prevent aspiration. Endotracheal intubation weakens airway defense which increases the risks of micro-aspiration. This problem can affect intubated patients for up to ten days. VAP is a concern in healthcare since Seth’s (2020) report affects approximately 27% of the patients on mechanical ventilation. Approaches that solve this issue can potentially reduce the healthcare burden and spending among critically ill patients. Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper

Relevance of the Problem in My Practice

As a baccalaureate-prepared nurse, my main objective is to offer patient-centered nursing care to facilitate quality outcomes. The ANA has defined the code of ethics for practice. For instance, I need to promote safe care promoting patients’ holistic recovery. This strategy is in line with the providence of nonmaleficence practice. Still, the care needs to benefit the patients. While ventilation remains the primary intervention in the ICU, it is inherent with challenges such as VAP. Nothing is more frustrating in practice that implementing an intervention that worsens the patient’s condition. Poor outcomes affect the patients and healthcare at large, and it also lowers the nurses’ motivation for quality outcomes. Nurses have a huge workload from the pressure related to the pandemic and the burden of other diseases. VAP adds a burden, especially on the resources. Ventilators are among the limited resources in healthcare. When a patient takes a long time on this resource, it compromises care delivery to other patients who require the same resource. The limitation can compromise justice as the ethical requirement since the resource is unavailable for all people. Extended hospital stays also increase the workload. Nursing care can cause burnout amid the increased needs. So, this problem has an economic, labor force, and quality burden.

Nursing Actions to Address VAP from the Literature

Evidence has supported that nurses can implement upright positioning as a feasible intervention to prevent VAP. Farsi, Butler & Zareiyan (2020) performed a Retrospective Clinical Trial (RCT) to compare the effectiveness of upright positioning versus recumbent positioning in minimizing the risks of aspiration among critically ill patients. The results indicated that upright positioning, which involves the head elevation of between 30 to 45 degrees, can significantly lower the risks of VAP to up to 50%. This evidence suggests that nurses need to implement appropriate head elevation of the intubated patients to limit the chances of aspiration. However, this study has some limitations. For instance, head elevation alone cannot effectively resolve the issue. Other factors such as patients’ disease severity, clinical status, and colonization by bacteria and bacilli influence the outcomes. The study fails to acknowledge another confounding variable that influences the results. While exploring other alternatives using the double-blind clinical trial, Barani et al. (2018) assessed the VAP among inpatient patients. The study investigated the effectiveness of the selective oropharynx decontamination approach in eliminating bacteria colonies. This study seemed to provide quality evidence in addressing the VAP since the process helped nurses eliminate bacteria using topical gentamicin. However, this study is still controversial in its application in nursing practice. For instance, the increased prevalence of antimicrobial-resistant bacteria can be limited. These resistant strains of bacteria do not decrease exposure to antibiotics. So, the procedure has evidence of reducing VAP with little support on mortality. From these two pieces of evidence, nurses can mix both methods to improve outcomes. Besides head elevation, the care needs to decontaminate the oropharynx and entire digestive system to promote safety.

Reputability of Data

I will know reputable data from unreputable data by evaluating the evidence. I utilize peer-reviewed research work from reputable databases such as PubMed. This database stocks articles approved to form the evidence in practice. I also critically appraised the sources by evaluating the authorship, currency, methodology, ethics, statistical, and clinically significant. For instance, systematic reviews and randomized control trials provide primary information with the highest level of evidence. The two studies used in this work, systematic review and randomized control trial, make them reputable for this study.

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Nurses in Policymaking and Nursing Theory

The dynamic healthcare needs require nurses to participate in policymaking actively. This role requires nurses to transform their actions from the bedside to the boardroom. Often, nurses are the implementors of the policies. Since they understand the patients from the grassroots, nurses can formulate effective patient-centered policies. Ha, et al. (2019) provided evidence on the effectiveness of nurses in policymaking. The results indicated that policies championed by nurses are most effective in promoting patients’ safety. Primarily, this perception happens because the nurses understand the patients’ conditions holistically. Other studies indicate that facilities with more nurses in the administration have lower hospital readmission rates.

Watson’s theory of human caring will shape my entire practicum experience. This theory suggests that patients have diverse needs. Accordingly, nurses play integral roles in meeting the physical, emotional, and spiritual needs to enhance recovery. The problem of VAP can potentially lower the quality of care. As a nurse practicing in ICU, I need to abide by interdisciplinary care to offer patient-centered care which meets the patients’ needs. I also need to rely on evidence and clinical guidelines to improve collaboration and provide safe ventilation to prevent readmission.

State Board Nursing Practice Standard

New York State has implemented the hospital bed guidelines. The guideline drafted in 2009 and updated in 2019 provides the institutions’ approach to abide by best bed practices for safety. The guidelines define different bed categories which are medically necessary. The fixed height bed is height nonadjustable with manual leg and head adjustments. The variable height manually adjusts the height, led, and head. Besides, the electronic ones have automatic height, leg, and head elevation adjustments. This policy will penalize the facilities which use ordinary beds, that is, solid furniture, among the patients who require head, leg, or height adjustments. Overwhelming literature supports this policy. Farsi, Butler & Zareiyan (2020) affirmed that head elevation of between 30 to 45 degrees lowers the aspiration rates to up to 60% among patients on ventilators. Hence, this guideline reduces the risks of VAP and improves the quality of care. This policy informs my decisions and nursing scope of practice. I need to adhere to the stipulated procedures, such as head elevation among ventilated patients, to reduce the risks of aspiration. The guidelines allow collaboration with the interdisciplinary team and leadership for safety outcomes. In providing holistic care, I need to supplement my bedside practice stipulated in the scope of nursing with critical thinking and collaboration to promote patients’ safety outcomes.

Leadership Strategy

Inclusivity of the nurses in decision making is among the effective leadership strategies that help in the early detection of the problem, allocation of resources, and facilitating collaboration in patients’ care. Nurses possess vital experience on patients’ issues that affect outcomes. They also understand the resources and burden of matching healthcare resources with the demands. The leadership can integrate approaches that collect the nurses’ views, feedback, feelings, and responses about different procedures and resources in healthcare. This collaborative decision-making approach improves the facility’s ability to meet the holistic needs of patients. Nebbelink and Brewer (2018) researched this leadership strategy and concluded that facilities that actively include nurses in decision-making have lower hospital readmission rates. This strategy can also facilitate best bed practices in healthcare. In response, leadership needs to respond to the State board bed safety requirements by providing resources that meet the required standards. For instance, the facility needs to provide beds that facilitate head adjustments in ICU to prevent VAP. Besides, leadership also needs to listen to the nurses’ concerns on equitable resource allocation. Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper

Collaboration, Communication, and Change Management

The facility needs to engage all the nurses in decision-making. This approach fosters effective communication between the patients, providers, and management. One of the best strategies to facilitate this collaboration is an organization of open discussions through face-to-face and virtual meetings. These meetings need to allow the nurses to express their feelings and views on improving patients’ care environment. The coloration will also enhance the s4eamless information flow and relationship between the employees and management. Suppose the facility needs to implement change that facilitates patients’ safety. In that case, the administration needs to implement training such as simulation that equips the staff with skills to manage the patients’ demands. Evidence suggests that limited knowledge of the change process is the leading cause of resistance.

 

References

Barani, M., Tabatabaei, S. M., Sarani, H., Dahmardeh, A. R., & Keykhah, A. (2018). Investigating the Effect of Selective Oropharyngeal Decontamination Using Topical Antibiotics on Oropharyngeal and Tracheal Colonization in Trauma Patients Admitted to the Intensive Care Units of Zahedan, Iran: A Clinical Trial Study. Medical-Surgical Nursing Journal7(3), e86895. https://doi.org/10.5812/msnj.86895

Farsi, Z., Butler, S., & Zareiyan, A. (2020). The Effect of Semirecumbent and Right Lateral Positions on the Gastric Residual Volume of Mechanically Ventilated, Critically Ill Patients. Journal of Nursing Research28(4), e108. https://doi.org/10.1097/jnr.0000000000000377

Ha, D. R., Forte, M. B., Olans, R. D., OYong, K., Olans, R. N., Gluckstein, D. P., … & McKinnell, J. A. (2019). A multidisciplinary approach to incorporate bedside nurses into antimicrobial stewardship and infection prevention. The Joint Commission Journal on Quality and Patient Safety45(9), 600-605. https://doi.org/10.1016/j.jcjq.2019.03.003

Nibbelink, C. W., & Brewer, B. B. (2018). Decision-making in nursing practice: An integrative literature review. Journal of clinical nursing27(5-6), 917–928. https://doi.org/10.1111/jocn.14151

Seth, S., (December 2020). Ventilator-Associated Pneumonia. MSD and the MSD Manuals. University at Buffalo, Jacobs School of Medicine and Biomedical Sciences. Retrieved March 28, 2022, from https://www.msdmanuals.com/professional/pulmonary-disorders/pneumonia/ventilator-associated-pneumonia. Cornell University Assessing the Problem Quality Safety and Cost Considerations Paper

 

 

ESMT 317 GCU Turn the Ship Around Flexibility and Adaptability Essay

ESMT 317 GCU Turn the Ship Around Flexibility and Adaptability Essay

Description

 

Assessment Trait Requires Lopeswrite

Assessment Description

The purpose of this assignment is to evaluate the application of various leadership models and approaches, specifically the path-goal theory and the situational approach to leadership, in extreme circumstances.

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Review the Turn the Ship Around! (A) case. As a leader, you will be faced with responding immediately to solve issues. The Turn the Ship Around! (A) case is an example of leadership under extreme circumstances. Reflect on this example to shape how you might apply the goal-path theory and the situational leadership approach in an everyday, real-world situation.  ESMT 317 GCU Turn the Ship Around Flexibility and Adaptability Essay

Discuss how the leaders demonstrate flexibility and adaptability.

Describe how the leaders apply aspects of the path-goal theory to this situation.

Discuss the leader’s ability to communicate effectively with all of the stakeholders involved and how communication could have been improved.

Explain how well the leaders follow the situational approach to leadership.

Describe how this case might shape how you apply the goal-path theory and the situational approach in a real-world situation. ESMT 317 GCU Turn the Ship Around Flexibility and Adaptability Essay

UOC health Management Affordable Care Act Case Study

UOC health Management Affordable Care Act Case Study

Description

You are the new administrator of the Miami Medical Group, a 50 physician multi-specialty group practice. You have 10 years of industry experience and an MHA from University of the Cumberland’s. The physicians in the group have always been very conservative in dealing with the group’s finances. In the past, the group has never kept extra money in the bank but has distributed it to the doctors. As the group has grown over the past few years, younger physicians have decided to make changes and update their business practices. The younger physicians now control the Board of Directors. You have asked by the board chairman to design a cash management program that will benefit the practice but keep the older doctors pacified.

The Miami Medical Group occupies a 15,000 square foot building, which houses the majority of the physicians and all of the ancillary services. The group also operates 3 5,000 square foot practices geographically dispersed throughout the city’s various ethnic communities. The group generates $20,000,000 per year in revenue with 70% operating expenses. UOC health Management Affordable Care Act Case Study

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Issues

As you begin to design the cash management system, you realize the scope of the assignment is much greater. Cash management only looks at immediate needs, while looming changes on the forefront will dictate the need for a more sophisticated planning process that accounts for the sustainability and viability of the organization for the future.

Many factors complicate the financial planning process, including:

The Affordable Care Act will be fully implemented in 2014.

The reimbursement model is changing from fee for service.

Federal, state, and local regulation and scrutiny of healthcare organizations is increasing.

  • Regulators are looking at income distribution within medical groups.
  • Assignment
  • This assignment includes these components: outline, presentation, and a memo:
  • Prepare an outline of your cash management plan for presentation to the board.

Prepare a 4-5 PowerPoint slides summarizing your plan to use at the board meeting.

Prepare a 2-page memo explaining all of the critical issues facing the group on the financial landscape, and explain how the doctors will ultimately benefit from the plan. You must read 4 – 6 peer-reviewed journal articles, and use the information from them to support your outline, presentation, and memo. Your goal is to demonstrate to the doctors your plan is sound and meets the anticipated changes facing them. UOC health Management Affordable Care Act Case Study

The memo format requirements are as follows:

  • Do not exceed 2 pages
  • Use a 12-point font
  • Use full-block format—single space within paragraphs, and double space between them

Use standard memo format (To, From, Date, Subject [no “Dear . . . .” salutation or “Sincerely” close—those conventions are for letters, not memo) UOC health Management Affordable Care Act Case Study

Use APA format to credit your sources—parenthetical references within the memo and the corresponding reference list at the end of the memo

  • Credit your sources for the presentation as well
  • Assignment is due Day 7 of Week 4

 

NSU Nova Southeastern University Question

NSU Nova Southeastern University Question

Description

 

Educational Program to Reduce Health Risks:

Where Telemedicine Falls Short

Information Technology has driven advances and changes in health care for several years currently. Telemedicine has increasingly grown in the US, and the move towards remote care aligned with the recent COVID-19 physical guidelines driving the growth further (Jumreornvong et al., 2020). Providers’ fears on telemedicine include reduced quality of care in comparison with physical visits, reduced security and privacy of patients’ health information, and the likely absence of personal connection between patients and providers in telemedicine visits. Telehealth is a viable solution for offering healthcare to individuals unable to physically receives the care and is crucial in reducing health disparities. Several critics of telemedicine are worried about the adverse it could bring in the continuity of care, suggesting that impersonal and online interactions are the avenue for adverse patient outcomes (Smith et al.,2020). This article provides useful information on barriers to effective telehealth which is important in developing an educational program to minimizes telehealth risks (Blumenthal, 2021). Developing educational programs that advance community health is a crucial function of an advanced nurse practitioner. In developing a short-term educational program for nurses to receive telehealth skills that intend to reduce health risks telemedicine, it is important to have data that offers both barriers and advantages of a healthcare issue. As an advanced practice nurse, I would utilize the literacy concern issues from the article to create an educational program with clear objectives. To understand the efficiency and module of a particular educational program nurses should have background information on a particular health issue. For instance, this article elaborates on the importance of telemedicine literacy to minimize health risks. Besides it also suggests the nurses’ perceptions of telehealth which is vital in creating tangible objections. Additionally, the clear explanations of telehealth challenges will be vital in developing the major theme and goals of every module in the educational program. NSU Nova Southeastern University Question

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References

Blumenthal, D. (2021). Where Telemedicine Falls Short. Commonwealthfund.org. Retrieved 25 May 2021, from https://www.commonwealthfund.org/blog/2020/where-telemedicine-falls-short.

Jumreornvong, O., Yang, E., Race, J., & Appel, J. (2020). Telemedicine and Medical Education in the Age of COVID-19. Academic Medicine.

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of telemedicine and telecare, 26(5), 309-313.

SECOND POST

The Commonwealth Fund states that health disparities are based on the legacy of racism that is engraved in the health care system. However, they can be reduced through education along with coordination of community services. Through data provided by the Commonwealth Fund (2019) it was identified that thirteen percent of adults age eighteen and older went without care due to cost of coverage alone. The underlying health care disparities are linked to educational inequalities and programs that support resources for high-risk communities are important to plan recourse centers that can provide for communities that aim in education enhancement and health care access. Advance practice nurses play a pivotal role in education within communities to reduce health care risk such as diabetes reviewing primary care providers and knowledge of guidelines. One example is that of Marcial and Graves (2019) and the review of the importance of evidence-based clinical practice guidelines to improve diabetes outcome within the Hispanic community (p.142).NSU Nova Southeastern University Question.  The study identified that importance of treatment solutions and management technique provided by primary care providers. The success of this study supports the importance of evidence-based clinical practice guideline use to achieve better diabetes outcomes. Therefore, it is strongly recommended that advance practice nurses implement the American Diabetes Association (ADA) Standards of Medical Care in Diabetes to improve patient (Marica and Graves, 2019, p.149). Furthermore, the cost of care is associated with higher risks as people with diabetes who are uninsured and have lower income are much more likely to encounter problems paying for their medications. Thus, the importance and success of educational programs to reduce health risk is important to advance practice nurses as they provide direct care with lower income communities and can identify socioeconomic factors and can provide patient education material that address low health literacy and improve patient comprehension. Advance practice nurses can utilize information provided by the Commonwealth Fund to strengthen the academic practice and the identification of knowledge and skills need for current and future rural providers (Gibson et. al, 2021, p.97).

References

Baumgarter, J., Aboulafia, G., Geachew, Y., Radley, D., Collins, S., and Zephryin, L. (2021). Inequities in health and health care in black and latinx/hispanic communities: 23 charts. Retreived from: https://www.commonwealthfund.org/publications/2021/jun/inequities-health-care-black-latinx-hispanic-communities-23-charts (Links to an external site.)

Gibson, N. A., Pravecek, B., Burdette, L., & Lamb, L. (2021). ANEW Project to Develop and Support Rural Primary Practice. Online Journal of Rural Nursing & Health Care21(1), 85–99. doi:10.14574/ojrnhc.v21i1.649

Marcial, E., & Graves, B. A. (2019). Implementation and Evaluation of Diabetes Clinical Practice Guidelines in a Primary Care Clinic Serving a Hispanic Community. Worldviews on Evidence-Based Nursing16(2), 142–150. doi:10.1111/wvn.12345

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The Commonwealth Fund. (2019). Adults who went without care because of cost. Retrieved from: https://datacenter.commonwealthfund.org/topics/adults-who-went-without-care-because-cost

THIRD POST

The Benefits of Telehealth During a Pandemic – and beyond

COVID – 19

The recent and on-going COVID – 19 pandemic has thrust the entire world into an entirely new revolution of healthcare. The United States along with countries such as Italy, France and now currently India suffered tremendous loss. This loss came in the form of casualties from the illness itself, financial ruin from the impact on markets and businesses and moral disaster. But what the pandemic did reveal is the need for Telehealth and the ability to assess, diagnose and treat patients remotely (Seervai & Shah, 2021). The debate of increasing public health awareness measures has largely been scrutinized. Many countries including the United States lack in making their populations aware of all available options when it comes to maintaining their health and preventing illness and disease. India experienced a similar series of events regarding the multiple waves of COVID -19 as the United States did. After the initial wave of COVID – 19 had seemingly passed us by, federal officials were quick to lift quarantine orders and get back to life as usual (Chowdhury et al., 2019). With elections underway in India like they were in the United States, these events drew large crowds of un-masked individuals eventually leading to mutations in the virus and a terrible resurgence in positive cases (Seervai & Shah, 2021). The populations of large countries around the world are paying the price for irresponsible governments mainly attributing the problem to lack equipment and preparedness. Upon further investigation, it was a lack of knowledge and healthcare delivery that increases deaths exponentially (Seervai & Shah, 2021). Now there are numerous methods that can be employed to increase awareness for future generations, telehealth being one of them. An advanced practice nurse, utilizing telehealth in rural, under-privileged populations can prove essential in the betterment of health disparities. The COVID – 19 virus is an extremely infectious agent as we’ve experienced and some of the major guidelines to controlling the spread was keeping your distance from individuals and wearing a mask (Agarwal et al., 2020). The former, can easily be practiced by an APRN through Telehealth. As an APRN, advocating for the setup of Telehealth in all communities for patients to be able to be seen by licensed practitioners in regardless of their location. At the same time, social distancing can be practiced thereby preventing the transmission of any airborne or droplet illness. NSU Nova Southeastern University Question

References

Seervai & Shah, 2021. The Benefits of Telehealth During a Pandemic – -and beyond. https://www.commonwealthfund.org/blog/2021/indias-failure-leadership-collapses-health-system-covid-19-surge (Links to an external site.)

Chowdhury, A., Hafeez-Baig, A., Gururajan, R., & Chakraborty, S. (2019). Conceptual framework for telehealth adoption in Indian healthcare. In 24th Annual Conference of the Asia Pacific Decision Sciences Institute: Full papers. Asia-Pacific Decision Sciences Institute (APDSI).

Agarwal, N., Jain, P., Pathak, R., & Gupta, R. (2020). Telemedicine in India: A tool for transforming health care in the era of COVID-19 pandemic. Journal of education and health promotion9, 190. https://doi.org/10.4103/jehp.jehp_472_20 NSU Nova Southeastern University Question