Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice

CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1)

CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

Think of the best leader or manager you have ever known (or your ideal leader or manager) in nursing or another field. How did this person lead others? How did you feel working with this leader? What impact did this person’s leadership style have on your future leadership?

references: Chamberlain College of Nursing. (2018). NR351 Transitions in Professional Nursing: Week 6 lesson. Downers Grove, IL: Online Publication.

Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety?

#35772 Topic: FED LAW TO PATIENT SAFETY Number of Pages: 1 (Double Spaced) Number of sources: 3 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing Language Style: English (U.S.) Order Instructions: ATTACHED Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation. Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved. REFERENCES: • Agency for Healthcare Research and Quality https://www.ahrq.gov/ • Becker’s Hospital Review article on healthcare innovation https://www.beckershospitalreview.com/healthcare-information-technology/10-biggest-technological-advancements-for-healthcare-in-the-last-decade.html • Health IT legislation https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation • Institute for Healthcare Improvement http://www.ihi.org/

What is your responsibility if you see a fellow nurse being bullied?

APA paper. This assignment should be between 750 and 1250 words in length and contain all four scholarly sources provided plus the textbook and one more scholarly source of your choice. Read the following 4 articles:

(from the ProQuest Library already in APA format for the Reference section)

  • Security InfoWatch. (2013). Responding to active shooters in hospitals. SecurityInfoWatch.Com. Retrieved from http://search.proquest.com/docview/1434488744?accountid=34574
  • Balingit, M. (2012, March 9). Hospital shootings shock Oakland 2 dead, 7 injured at Western Psych; Police kill gunman in exchange of fire. Pittsburgh Post – Gazette. Retrieved from http://search.proquest.com/docview/926869011?accountid=34574
  • Hospital Employee Health. (2013). Most hospital shootings are not preventable. Retrieved from http://search.proquest.com/docview/1282083457?accountid=34574

(from the World wide web already in APA format for the Reference section)

  • The Joint Commission. (2014, July). Preparing for active shooter situations. Quick Safety. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=h1wY0qOAjXjKMD9Np15aXCoh6JDFt4iaFxb%2f%2fTKfNWE%3d

Part 1: Active Shooters

First: Compare and discuss the information in the 4 articles above (any similarities, differences, surprises).

Next: Answer these questions on your personal experience, you can use 1st person on this part:

  • Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
  • What is your responsibility as a nurse caring for patients?
  • Do you feel a live active shooter drill should take place, with live gunfire? Why or why not?

Part 2. Bullying in the nursing workforce has become an increasing topic of concern. Research this topic.

  • Describe reasons why bullying is a problem in nursing.
  • Provide suggestions for a new nurse who is being bullied by coworkers.
  • What is your responsibility if you see a fellow nurse being bullied?APA paper. This assignment should be between 750 and 1250 words in length and contain all four scholarly sources provided plus the textbook and one more scholarly source of your choice. Read the following 4 articles:

    (from the ProQuest Library already in APA format for the Reference section)

    • Security InfoWatch. (2013). Responding to active shooters in hospitals. SecurityInfoWatch.Com. Retrieved from http://search.proquest.com/docview/1434488744?accountid=34574
    • Balingit, M. (2012, March 9). Hospital shootings shock Oakland 2 dead, 7 injured at Western Psych; Police kill gunman in exchange of fire. Pittsburgh Post – Gazette. Retrieved from http://search.proquest.com/docview/926869011?accountid=34574
    • Hospital Employee Health. (2013). Most hospital shootings are not preventable. Retrieved from http://search.proquest.com/docview/1282083457?accountid=34574

    (from the World wide web already in APA format for the Reference section)

    • The Joint Commission. (2014, July). Preparing for active shooter situations. Quick Safety. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=h1wY0qOAjXjKMD9Np15aXCoh6JDFt4iaFxb%2f%2fTKfNWE%3d

    Part 1: Active Shooters

    First: Compare and discuss the information in the 4 articles above (any similarities, differences, surprises).

    Next: Answer these questions on your personal experience, you can use 1st person on this part:

    • Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
    • What is your responsibility as a nurse caring for patients?
    • Do you feel a live active shooter drill should take place, with live gunfire? Why or why not?

    Part 2. Bullying in the nursing workforce has become an increasing topic of concern. Research this topic.

    • Describe reasons why bullying is a problem in nursing.
    • Provide suggestions for a new nurse who is being bullied by coworkers.
    • What is your responsibility if you see a fellow nurse being bullied?

What are the learning advantages of a literature review?

What is a Literature Review?

 

A literature review is a critical consideration of the current information available about a subject matter. The author of a literature review does not create a new primary source, but, instead, the author summarizes and analyzes existing primary sources to create a valuable secondary source that evaluates current, published theoretical, methodological, and experimental work in the field of the subject matter. Unlike a research paper, free- standing (not part of a larger paper) literature reviews do not seek to make a new argument; instead, a literature review synthesizes the arguments of other authors and collects a broad base of knowledge about a subject matter.

Often a literature review is the initial step of the research process of a thesis or other weighty research project, used to create the proposal, guide the writing, and provide evidence-based support for the findings of the writing. Also, the literature review provides the writing with a context within the subject matter for readers, equipping readers with the necessary knowledge regarding the subject matter so that they may correctly interpret the writing.

What are the learning advantages of a literature review?

From an instructional perspective, the learning advantages of assigning a literature review are numerous. Literature reviews encourage students to compare and contrast different authors’ arguments, methodology, writing styles, and conclusions about a particular subject matter. Furthermore, students are encouraged to evaluate sources, granting them insight into what characteristics make up a quality resource. By amassing a large number of resources about a single topic, literature reviews promote in-depth learning about that topic through a student-guided process. Though literature reviews often function as an early step in the process of writing research papers, literature reviews are also great for building academic writing skills in students.

From a student perspective, the writing tools developed by creating a literature review are also manifold. The critical skills built by comparing and contrasting how different authors research and present information reinforce students’ own abilities to research and present information. The process of determining which sources to use guides students to

Identify and use high-quality resources. Literature reviews allow students to select their own sources, building their decision-making process as well as their interest in the subject matter as they are the materials selectors. Considering that literature reviews are excellent starting points for all research assignments, even if only being conducted as informal notes for the writer, learning how to create a formal literature review will only improve future writings.

What are the basic components of a literature review?

Researching a literature review

Literature reviews have several steps involved in the composition process. First, writers must select a topic and the scope of that topic: how many sources should be included in the literature review? How much information must be included from each source? What aspects of the topic will be discussed? Will any aspects of the topic be ignored or only discussed to a lesser extent, and why? These questions and others that help writers discover limiters that clarify and focus their subject matter guide the further steps.

Depending on the scope of the literature review, the largest section of researching the literature review is often locating the sources necessary to write the review. Authors should always use resources that meet the quality standards of their given fields; usually, these standards include only using scholarly, peer-reviewed primary sources. Several strategies exist for finding these resources including: searching databases for relevant scholarly publications, browsing subject-specific databases for the most field-specific resources, using references pages or indexing resources to find further information, and searching library catalogs for print and digital holdings among many other search strategies. Use the limiters determined during the initial scope-determining process to enhance the search, reducing the time and effort necessary to complete this process.

In addition to merely gathering and organizing the writings to discuss in the literature review, authors must summarize the information contained in the resources within the context of the scope of the literature review. Authors also must critically consider the resources and provide scholarly feedback of the value of the resources within the subject matter of the literature review.

Writing a literature review

Often, much of the language of the introduction of the literature review can be gathered during the initial step of the process. The written introduction will include an overview of the topic, its relevance in the given field, and the purpose for composing the literature review. This section may also define key terms that appear within the body of the paper, especially if the paper includes technical language that may obfuscate the author’s ability to communicate effectively with the given audience.

Writing the body of the literature review requires thought into what organizational structure will best support the topic’s focus, such as in chronological order of publication, more broad subject matter to more specifically focused writings, different schools of thought about the same subject, or different theories addressing the given topic, among others. A large degree of comparing and contrasting the resources occurs at this level of the writing; the differences observed when contrasting the resources can sometimes suggest an organizational strategy. Beyond organization, authors must also decide the level of analysis to use in their literature reviews. Bloom’s Taxonomy helps guide writers about how to consider and express information to communicate different levels of thinking about a topic. Yet another important consideration at this step of the writing process is to consider how to provide in-text citations, a references page, and format the paper—the key tool for this consideration is the style guide that is prescribed for the assignment.

The literature review is not complete without a conclusion, results, or findings section that ties together the considerations of the author about the resources within the scope of the study. The research should be presented in such a way that the literature advances the knowledge of readers and the concluding section should summarize what information readers will have attained from reading the paper. This section serves as a final evaluation of the resources in a clear and concise manner for readers.

Key Terms of Literature Review

Discussion of literature reviews and the writing process can lead to confusion if students are unfamiliar with the key terms of researching. The following are some of the key terms that may require clear definition to ensure that students can successfully interpret assignment guidelines.

Evidence-based support: Defense of an argument with a foundation in other scholarly sources that reinforce the argument; outside sources valued in the relevant subject field that confirm the statement

Critical consideration:  Writers of literature reviews only use scholarly (peer-reviewed) sources to analyze a subject matter and evaluate

Limiters: Specific search criteria, such as a date range, full-text only, or publication titles, that limit the search to exclude data that does not fit within the criteria

Primary source: Original research about a subject matter composed by the scholar(s) participating in the process; historical artifacts or documents, scholarly research, and recordings of events are all examples of primary sources

Secondary source: Any composition for which the basis of the creation is a primary source and does not involve new information beyond analysis, synthesis, and/or evaluation of existing sources

NOTE: The Literature Review information was provided by WCU Anaheim librarian, Bethany Firch.

Discuss implications of the study for nursing practice.

MSN5250: Statistics for Advanced Nursing Practice Team:____________ Critique Worksheet for Group Project Part A

Elements of Critique Discussion State the practice problem/issue that is the focus of the study. How does this practice problem/issue affect your nursing practice?

In your own words, state the purpose of the study.

Is the research question clearly stated? What is the research question? Does it match the purpose of the study?

Is the research hypothesis clearly stated? What is the research hypothesis? Does the hypothesis reflect the purpose of the study? Formulate a null hypothesis for this study.

Who is identified as the target population? How were the subjects chosen (e.g., randomly, conveniently)?

Who is included (e.g., males, females, children, adults)? Who is excluded (e.g., elderly, pregnant women, minorities)? How large is the sample? How was sample size determined?

List the research variables. How are the variables described? What instruments or tools were used to collect data? Are the instruments sufficient for measuring the study variables? How is this assessed? Are the instruments valid and reliable? Are the instruments adequately described for you to understand what the score means?

State the data collection procedures. How often was data collected and for how long?

Were data analysis procedures clearly described? Were data logically organized/presented in tables, graphs and/or charts? Describe. What statistical tests were used to analyze data? What assumptions in the data must be met for the type of statistical tests used? Were these assumptions met?

What were the levels of measurement for each variable in the study? Were statistical tests suitable to the types of data collected/levels of measurement? What was the alpha for each variable? Describe how statistical significance was demonstrated (or not) for each variable.

Discuss study results. What were the findings? Is the research question/hypothesis answered? Were study limitations described? Can generalizations be made? Were there any unexpected findings?

Discuss study recommendations. Is there an identified need for further research?

Do study findings have clinical significance? Who will benefit from results of the study? Discuss implications of the study for nursing practice. What changes could you make in your practice based on the results of this study?

How will technology advancement help track data, provide resources for individuals, or monitor progress to stay on task for successful implementation?

Public Healthcare Services

Create a presentation of 10- to 12-slides in Microsoft PowerPoint that addresses any one of the following topics of Healthy People 2020. Explain how it benefits the individual and the community.

Please select any one topic from the given list:

· Access to health services

· Educational and community based programs

· Environmental health

· Maternal, infant and child health

· Mental health and mental disorders

· Older adults

Note: The title slide and reference slide will be in addition to the twelve slides required.

You are asked to deliver a twenty-minute keynote address to an audience consisting of health care, managed care, and government health professionals. You will focus on one topic of the Healthy People 2020 and address the interests of each audience members. Include the actual speech in the speaker notes below the actual slides of the above presentation.

Also, address the following in your presentation:

· Provide the outlook of the chosen subject and how the health will be affected if requirements are not met by 2020.

· What current public and private agencies provide assistance to the consumer to help them make health changes to meet the requirements of the chosen subject’s objectives?

· What current issues are perceived or real barriers to attain the objectives of 2020?

· What roles do health care professionals from all areas (healthcare, managed care, and government) need to provide to the consumer to help reach specific objectives in 2020?

· What role does public health contribute to meeting one or two objectives?

· What specific health promotion or wellness program will you suggest to help reach the 2020 objectives? If no programs are available, what type of program will you develop?

· How can communities help reduce issues and risks so objectives can be achieved?

· What types of financial support is needed by organizations to make the objectives attainable? Who should support the program financially and if the government is involved, what other program should be cut to be able to meet the needs of this program?

· What health risks will continue to develop if the objectives are not achieved by 2020?

· How will technology advancement help track data, provide resources for individuals, or monitor progress to stay on task for successful implementation?

· What disparities for minorities are apparent to impede progress and not achieve the objectives? Does socioeconomic status factor in to a successful result?

· Conclusion slide: Summarize findings and prediction if the objective(s) are on track to meet the 2020 timeline.

Note: Please add additional content in the Notes section. Provide title slide and reference slide (reference slide should include three scholarly references) in the presentation.

Support your responses with examples.

Cite any sources in APA format.

Compare and contrast your thoughts and understanding of therapies

CAM Therapies

Now that you have completed your course, share your opinion on CAM therapies. Compare and contrast your thoughts and understanding of these therapies before taking this course and after its completion.

Use your analysis on the basis of research and readings you have done during the course and write 2–3 paragraphs on each of the following topics that clearly depicts your understanding:

· Conventional (allopathic) or mainstream medical practice

· CAM therapies and practices

· The benefits of acupuncture

· Traditional Chinese medicine (TCM)

· Aromatherapy

· Naturopathy

· Chiropractic

· Massage therapy

· Yoga

· Meditation

Write your answer in the form of a research paper in a Microsoft Word document. The paper should adhere to the following guidelines:

· It should have 7- to 8-pages not including cover page, abstract, and reference list.

· There should be a title or cover page.

· The title or cover page must be followed by an abstract of 100–200 words.

· The paper must use the APA style for citing sources and references.

· The paper must have a minimum of ten current references. Note that primary, peer-reviewed references are preferred.

· On a separate page, cite any sources you used in the APA format. Click here to learn how to cite sources using APA guidelines.

Note: Peer-reviewed refers to the articles reviewed and approved by author’s professional peers who are experts on that topic.

Support your responses with reasoning and examples.

How has change impacted the quality of care?

Evolution of Health Care Paper and Timeline

There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.

How has this change impacted the quality of care?

The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.

Percentage of physicians whose electronic health records provided selected benefits

image1.png

(HealthIT.gov)

Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.

Did Societal beliefs and values influence this change? Why or why not?

The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.

The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many providers and institutions did not adopt them due to the cost involved in implementing them. Since a vast majority of the society expects the government to take care of their health, the government agencies play a significant role in passing laws and guidelines in the best interest of public health. To motivate physicians to use EHRs, the Centers for Medicare and Medicaid Services (CMS) offered incentives to physicians investing in the EHR systems (Tripathi, 2012). The adoption of EHR would mean the improved health of the individual and the population. The use of EHR has improved the relationship between the patient and the provider as information is readily available to both the provider and physician, which increases patient involvement in the prevention and coordination of care. Americans have become involved with their health care and has taken a shift to preventive solutions from being treated for illness.

Change affecting team views.

While the change from manual to electronic health records instigated substantial progress in the way health information technology was implemented and sourced, it still has yet to launch advanced use of health information technology in a highly operational healthcare system. In order for success to be achieved, systematic changes need to take place with medical payments. Making and receiving payments has been quicker with the use of EMR and the medical coding process. With everything being done electronically, medical payments are distributed quickly and efficiently. In addition to the requirement imposed by the Affordable Care Act (ACA) to use EHRs in health care settings, positive outcomes of using the EHR like improved patient relationship, quality of care, patient centered care are a testimony to the fact that the use of EHRs will continue to trend upward.

Time line of health records.

In the 1920s, healthcare professionals recognized they were more effective at treating patients with comprehensive and correct medical history thus paper medical records were kept. Technology continued to advance and the beginning of a new system was introduced from 1960 to 1970. During this time, patient data was generated electronically and stored at a specific facility, typically university healthcare facilities, but the patient data was only retrievable at the specific healthcare location. From 1980 to 1990, a major success was the roll out of the first database of patient information, called master patient index (MPI) managed by all divisions of healthcare organizations. Later in the 1990s, computer healthcare applications were introduced to the market but they lacked the capability of communicating with each other or being viewed by other divisions. In 1996, medical record standards were established and distributed to provider offices with regular compliance assessments. By 2000, electronic medical records were responsible for reducing medical errors and increasing quality care but a surge in accidental patient injuries and deaths prompted President Bush to appeal for computerized health records in the State of the Union Address in 2004. A major reform in the medical software and databases was underway. In 2009, President Obama passed the American Recovery and Reinvestment Act (ARRA) which requires seventy percent of all primary care providers to implement Electronic Medical Records by 2014 (Brooks, n.d.). According to Healthcare IT News, “The most recently available survey data finds approximately three-quarters of U.S. nonfederal acute care hospitals have at least a basic electronic health record system which represents a significant increase from the prior year.” (Miliard, 2016).

Conclusion

Conclusion – Summarize the main points of the paper.

References

Benefits of Electronic Health Records (EHRs). HealthIT.gov. Retrieved from: https://www.healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs

Brooks, A. (n.d.). Rasmussen College. Retrieved from http://www.rasmussen.edu/degrees/health-sciences/blog/health-information-management-history/

Loker, T. W. (2012). History and evolution of healthcare in America: The untold

backstory of where weve been, where we are and why healthcare needs more reform. Bloomington, iN: iUniverse Inc.

Miliard, M. (2016). Healthcare IT News. Retrieved from http://www.healthcareitnews.com/news/where-are-we-headed-post-hitech

Shi, L. & Singh, D. A. (2012). Delivering Health Care in America: A Systems Approach (5th ed.). Burlington, MA: Jones & Bartlett Learning

Tripathi, M. (2012). EHR evolution. Journal of AHIMA, 83(10), 24-30. Retrieved from http://search.proquest.com/docview/1040421420?accountid=458

how will you collaborate with other healthcare providers to promote the health of your community?

Please address the following in your discussions:

  • Share feedback you received as a result of presentation to another profession in the community.
  • Discuss your role as an advocate and healthcare leader in promoting positive social change as a scholar-practitioner to improve the health of vulnerable populations in your community.
  • In your current practice and as a health leader in your community how will you collaborate with other healthcare providers to promote the health of your community?
  • What feedback did you receive about your project?
  • How will you advocate for social change in your community?
  • How will you collaborate with other professionals to promote the health of your community as a result of what you have learned in this course?

Describe you role as a health care leader in your community

NUR 4010: WEEK SIX VIRTUAL PRACTICUM POPULATION PROJECT POWERPOINT GRADING RUBRIC

Grading Criteria

Create a PowerPoint presentation that summarizes your Population-Based Nursing Care Plan Project. Include a minimum of 7 slides (15 maximum) and the following information provided below. The PowerPoint Presentation is worth a maximum of 200 points in addition to Week 6 Discussion.

Breast Cancer is the topic you are using for this work.

Points will be awarded as follows:

Requirement Criteria
25 Points:

Describe your population group (Breast Cancer)

Describe your population’s health problem Provide health data relevant to your population and health problem

Identify a Population Group at risk, population of interest, and/or vulnerable population in your community.

Use health data to refine and limit population of interest/at risk for your community.

Find and compare epidemiological data (national, state and local) to refine population of interest/at risk through continued collaboration with professionals and consideration of health data

50 Points:

Describe the results of comprehensive community assessment showing collaboration with health care team members (system) and/or individuals/families/groups that represent the population.

Collaborate with professionals across the health care system in order to find the gap in care or other social determinant. Begin to take the lead to advocate and collaborate for population.

Informally interview at least one professional who works on primary and secondary prevention at the community and system level of care. Include professionals from disciplines outside of nursing.

Informally interview family members of population of interest/at risk to identify culturally appropriate interventions. Volunteer at appropriate

50 Points:

Develop possible evidence-based, culturally competent interventions/programs aimed at primary prevention at the community and system level of care specific to your community.

Consider primary prevention for key health concerns for population of interest/at risk in your community. (Do not include tertiary preventative measures.)

Consider nursing interventions at the community and system level of care aimed at primary prevention for population of interest/at risk.

Include culturally competent assessments and interventions by Interviewing family members of population of interest/at risk. Support your ideas with the scholarly literature. (Do not include care at the individual level.) Continued….

25 Points:

Chose a possible way to evaluate outcomes of your project

Use initial health data and intervention goals to choose one short term and one long term goal to evaluate outcomes of the intervention(s).
25 Points:

Presentation to Community Professional

Present your project ideas to at least one professional in the community. Include feedback received and important lessons learned.
25 Points:

Describe you role as a health care leader in your community

Describe your role regardless of personal work setting. How will you promote positive social change as a health care leader in your community?
Total 200 Points
Deductions – 25 Points may be deducted for:

· No Title page or reference page

· Inadequate number of references to support your project.

· Errors such as typos, grammar , spelling , punctuation, syntax, or lack of APA style or incorrect APA formatted references.