Topic 5 DQ 1

/in /by

Topic 5 DQ 1

Please respond with a paragraph to the following post, add citations and references:

ORDER A PLAGIARISM FREE PAPER NOW

Nurse managers are the agents of change for health care going into the future. Nurse managers are responsible for creating safe, working environments and advocating for patients, staff and the organization alike (Duquene University 2109). Nurse managers must have strong leadership and communication skills and have a responsibility for leading their staff in the rapidly changing environment of health care. Nurse leaders or managers have multiple responsibilities. The nurse leader is responsible to the staff to introduce legal and ethical change to staff when change is necessary (GCU 2013). They are responsible to the organization for budgeting, recruitment, supplies and to the patient for advocacy and education of health decisions.

As health care changes and reforms the nurse leaders must recognize the need for change in the way we provide care. Often time upper administration is either disconnected from the need for change or distracted by other priorities, at least until monthly financial come out. The nurse leader must bring to light concerns from the front line staff regarding failing processes and the need for change of those processes. The nurse manager must not only identify problems but must have suggestions for change of processes and ideas for implementing that change, along with a way to evaluate the effectiveness of the change. The nurse manager will have to balance administrative duties with patient care responsibilities. Nurse leaders will have to mentors for new nurses as the current work force ages and experienced nurses leave the field. Nurse leaders will need to mold new nurses to fit the mission and values of the organization in order to maintain engaged staff. With younger less experienced staff the nurse leader must understand the needs of this staff and not set expectations of them to point they can’t achieve, while at the same time challenging them, coaching them and mentoring them. The nurse leader is essentially the eyes and ears of upper administration and the liaison if you will to the front line staff who are doing all of the work. Health care will continue to change and re engineering of the change will be a challenge. As my facility adopted Total Patient Revenue (TPR) several years ago we have had to change the way we deliver our care to be more cost efficient.In just three short years we are once again adapting to a Total Cost of Quality (TCOC) model. Medicaid waivers may change or go away and reimbursement will become the topic for survival. The nurse leader is always on the front line of change and must be an excellent communicator to both staff and upper administration. Its my opinion that health care will continue to change as fast as technology that we use to deliver it and as fast as the political atmosphere changes as well.

Reference

Duquene University School Of Nursing. 2019. The Roles fo a Nurse Manager: Leading the nursing profession into the future. Retrieved from: https://onlinenursing.duq.edu/blog/roles-nurse-man…

 

Topic 1 DQ 1.1

/in /by

Topic 1 DQ 1.1

Please respond with a paragraph to the following post, add citations and references

ORDER A PLAGIARISM FREE PAPER NOW

Health care reengineering is a powerful methodology that helps organizations reorder priorities, provide more cost-effective care and increase the value to customers. It should be driven by what the patient /customer wants and what the market needs. Nurse managers/leaders need strong communication and leadership skills. They should have appropriate coordinating skills, resources to achieve healthcare goals and objectives. They must be effective leaders who can strike a balance between working with nursing staff and the healthcare organization. Its imperative to have ethical decision making, both ethical and professional codes are needed to make sound decisions. Managers should also stay up to date with the legal aspects in the health care. Having legal knowledge will protect patients, staff members and the organization. They must stay engaged, support the work and provided resources to achieve the desired results of reengineering healthcare. A manager must be capable of rethinking how they view performance improvement. For example, it’s not a separate unit or department, it must become a way you work to survive in this complex healthcare environment. When dealing with patient lives we can’t continue to waste money and make simple mistakes. The role of a manager is a tough position because they play a vital part in advancing and keeping the healthcare system in motion. They stand for the bridge between the organization and the needs of the patients (Wood, 2012). Management will need to change the process to become more efficient, Lean Six Sigma is a program that incorporates the end user to help make the process of improvements (Wood, 2012). As the healthcare practices change, managers and leaders will face many new challenges. Leaders are responsible for maintaining a positive work environment that enables staff to provide quality care. Managers and leaders must also empower patients to speak up and take part in their care. When patients are allowed to manage their own care, they feel some autonomy and will in return have a sense of satisfaction. This satisfaction goes for nurses as well, when a transformational leader gives staff empowerment over their environment, the staff will experience more satisfaction in their careers (Kangasniemi, Vaismoradi, Jasper and Turunen, 2013). Major barriers to reengineering healthcare are the fear of change and the lack of confidence that the existing resources can meet the demand for care. Managers must create solutions that will embrace patients, staff and key stakeholders.

Resources:

Kangasniemi, M., Vaismoradi, M., Jasper, M. & Turunen, H. (2013). Ethical issues in patient safety: Implications for nursing management. Nursing Ethics, 20(8), 904916. Doi:10.117710969733013484488

Wood, D. (2012). Providers re-engineering healthcare for greater efficiency. AMN Healthcare. Retrieved from https://www.amnhealthcare.com

Kidney GFR Decrease & Angiotensin II Case Study Questions

/in /by

Kidney GFR Decrease & Angiotensin II Case Study Questions

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the

ORDER A PLAGIARISM FREE PAPER NOW

sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink. (Learning Objectives: 2, 4, and 5)

In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?
Need at lease 3 sources in APA format. You can write answer/response under each question.

Topic 5 DQ 2.1 Continuous Quality Improvement CQI In Healthcare

/in /by

Topic 5 DQ 2.1 Continuous Quality Improvement CQI In Healthcare

Please respond with a paragraph to the following post, add citations and references

ORDER A PLAGIARISM FREE PAPER NOW

Continuous quality improvement (CQI) in healthcare is important to help identify problems and to develop new processes. Part of a CQI is to implement. Monitor and study nursing processes to ensure safe, efficient, and effective patient care. According to the center for disease control and prevention (CDC), catheter-associated urinary tract infections (CAUTI) account for more than 30% of healthcare associated infections (CDC, 2010). CAUTI’s are responsible for an increase in mortality rates, morbidity, high hospital costs and longer hospital stays. CAUTI’s can be easily prevented when nurses follow improved guidelines established by CQI (CDC, 2010).

In my current position, our CQI team implemented the reliable care blueprint requiring all Foley catheter insertions to be monitored by two nurses. Two nurses are required to review the patient’s chart and provide a reason why the patient needs a catheter insertion. If alternative measures are appropriate and available, they must provide a reason why or why not. All catheters must have a physician’s orders and reviewed every 24 hours for necessity. Two nurses are required to be present during the insertion. Latex allergies are assessed, all supplies are gathered and inspected, one nurse inserted the Foley while the second nurse observes for a break in sterility. Once the Foley is inserted, the observing nurse chart the insertion. This method has saved the organization thousand of dollars and it has ensured that charting is completed and correct.

My facility has also opened an OB-Emergency department, which was apart of the go live team. In the last 18 months I have seen and witnessed procedures, monitored those procedures and presented how those daily operating procedures are done for CQI’s. I have kept a record of all the new nurses who have worked in this area. During this time, we have met and discussed needs for improvements and errors. This gives nurses a chance to discuss safety hazards so that we can implement changes. CQI teams are a reliable method when used in any organization and it improves the care of patients.

Reference:

CDC, 2010. Healthcare infection control practices advisory committee. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/hicpac/CAUTI_fastFacts.html

Tags: healthcare nursing topic Continuous Quality Improvement APA Formatting Style CQI Discusssion

Respond with a paragraph, citations and references

/in /by

Respond with a paragraph, citations and references

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.( minimum 200 words)

ORDER A PLAGIARISM FREE PAPER NOW

GCU Community Teaching Plan: Community Presentation

/in /by

GCU Community Teaching Plan: Community Presentation

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

ORDER A PLAGIARISM FREE PAPER NOW

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

PowerPoint presentation – no more than 30 minutes
Pamphlet presentation – 1 to 2 pages
Poster presentation
Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

Public health clinic
Community health center
Long-term care facility
Transitional care facility
Home health center
University/School health center
Church community
Adult/Child care center
Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

PowerPoint Presentation

/in /by

PowerPoint Presentation

The impact of Hurricane Irma on healthcare care organizations in Florida was devastating when it was discovered that 8 elderly patients died in a nursing home just north of Miami, in Hollywood, Florida. Create a PowerPoint presentation no longer than 30 minutes to be presented to a nursing home about disaster planning. Make sure to talk about Healthy People 2020 goal Preparedness objective #2 which is to reduce the average time necessary to activate designated personnel in response to a public health emergency. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

ORDER A PLAGIARISM FREE PAPER NOW

Respond with a paragraph, citations and references.

/in /by

Respond with a paragraph, citations and references.

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format. ( minimum 200 words)

ORDER A PLAGIARISM FREE PAPER NOW

GCU Multidisciplinary Healthcare Team Manager Leadership Interview

/in /by

GCU Multidisciplinary Healthcare Team Manager Leadership Interview

Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:

What is your role as a health care team member?
How do you define professionalism and how does professional responsibility influence your work?
Do you consider yourself a steward of health care? Why or Why not?
Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?
In 500-750 words, summarize your interview and share your impressions of the leader’s responses.

Compare and contrast responses provided by your peer (in Professional Identity and Stewardship – Part I: Peer Interview assignment) with those provided by the leader. Share your impressions of their differences and similarities.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

ORDER A PLAGIARISM FREE PAPER NOW

Topic 5 DQ 2

/in /by

Topic 5 DQ 2

Please respond with a paragraph to the following post, add citations and references

ORDER A PLAGIARISM FREE PAPER NOW

Continuous Quality Improvement (CQI) is a program where by we continually ask ourselves, “How are we doing and what could we be doing better? (NCCHC 2019) CQI was implemented at my institution about 20 years ago and has been continued in multiple different programs, however the general principle remains the same. Health care is changing so rapidly that we must always be monitoring how we are providing our care as related to similar organizations in similar situations across the country. Health care institutions must balance the delivery of health care while promoting advocacy for both patients and staff, all the while following the rules and guidelines of CMS and JCAHO. This requires institutions to be more resourceful and efficient with delivery models for health care and CQI is one way to assess our processes for that delivery.

My organization is currently using the Malcolm Baldridge program for quality improvement. Administration has developed a strategic plan for the institution with five pillars (areas) of need for improvement. These pillars have key success factors under them that cascade down to the front line staff and can be affected by change at the front line level. Each pillar has under it goals for improvement and each manager has to develop a process change that can more the bar if you will in a positive direction. Each nurse manager is responsible for forming committees from front line staff and themselves in order to brainstorm ideas for change that will effect a positive result in how e deliver care to our patients. An example that has been implemented relates to the HCAHPS score related to quietness at night. We have developed a plan that requires turn down service, back rubs, sleeping medication administration, dimming lights in rooms and hallways, silencing IV pump and telemetry alarms as these go automatically to individual phone for nurses and turning phone ringers to vibrate where appropriate. As a result we have seen an improvement in our overall quietness at night HCAHPS scores throughout the organization. The Baldridge program requires continuous monitoring of these types of programs until the need for them is eliminated.

Reference:

National Commission on Correctional Health Care. Continuous Quality Improvement. Retrieved from: https;//www.ncchc.org/spotlight-on-the-standards-24-1