Data Analysis And Quality Improvement Initiative Proposal

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Data Analysis And Quality Improvement Initiative Proposal

In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have two options: Data Analysis And Quality Improvement Initiative Proposal

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Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you:

  • Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
    • You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal,

  • You may use the hospital data set provided in the Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
  • You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Complete the following steps for your proposal:

  • Analyze the data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
    • Evaluate the quality of the data.
  • Outline a QI initiative proposal based on the selected health issue or area of concern and support data analysis to improve the identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of the QI process and your assessment. Data Analysis And Quality Improvement Initiative Proposal
    • Identify the target areas of improvement and outcome measures.
    • Include the QI model that will be utilized.
    • Specify evidence-based strategies that will be utilized.
  • Integrate interprofessional perspectives and actions to lead to quality improvements in patient safety, cost-effectiveness, and work-life quality.
    • Specify roles and responsibilities.
  • Apply effective collaboration strategies to promote the quality of interprofessional care.
    • Include specific communication tools.
  • Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Be sure that your proposal, at minimum, addresses each of the bullet points. You may also want to read the Data Analysis and Quality Improvement Initiative Proposal Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX] Download Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX]document for additional clarification about things to consider when creating your assessment.

Data Analysis And Quality Improvement Initiative Proposal

 

Immune System And Cancer

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Immune System And Cancer

The immune system is exceedingly complex in terms of its constituent cells, molecules, and signaling pathways. Each major component of the immune system is critical for survival; immune activity protects against infections that would quickly be lethal without immune defenses and eliminates cells in the stages of cancerous transformation.  Immune System And Cancer

The most common and major immune system disorders are related to immune activity that exceeds physiological needs. Hypersensitivity in the form of allergies occurs in 10%–20% of the population. The prevalence of allergies increased in the developed world from the 1960s through the early 2000s, after which it began to plateau. Although less common than immune hyperactivity, disorders in which immune activity is below normal leave an individual susceptible to dangerous infections. In some individuals, immune activity is compromised to the extent that those affected are at risk for a major illness or even death.

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1. What is the “big picture” of the immune system’s role in maintaining homeostasis?

2. What general principles are involved in the protection provided by the innate and adaptive immune systems? Immune System And Cancer

The annual incidence of cancer in the United States is estimated at 439.2 per 100,000 persons, with an annual rate of deaths due to cancer of 163.5 per 100,000 persons. Cancer ranks second, just behind heart disease, as a cause of death in the United States.

Over the past 25 years, death rates have dropped in the United States for cancers of the lung and bronchus, prostate, colon and rectum, and stomach, while liver cancer death rates have increased. At least 42% of cancer cases in the United States may be preventable with lifestyle changes such as smoking cessation, weight loss, physical activity, alcohol use reduction or avoidance, improved nutrition, use of sunblock, and avoidance of tanning devices. Vaccination or antibiotic use can reduce the incidence of cancer-causing infections such as those due to hepatitis B and C viruses, human papillomavirus, and Helicobacter pylori.

1. What features help to differentiate a benign tumor from a malignant tumor?

2. What tissues give rise to a carcinoma, a sarcoma, and a lymphoma?

Immune System And Cancer

Healthcare Informatics Assignment

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Healthcare Informatics Assignment

User-Friendly Healthcare Informatics Systems

In this writing assignment, you will write a one- to two-page paper in which you analyze the importance of user-friendly informatics systems.

Step 1: Reflect on your encounters with healthcare informatics systems that you have used in the clinical setting (either as a practicing nurse or as a student in the clinical setting).

Step 2: Answer the following questions as you write your paper:

  • Why is it important that informatics systems be user-friendly? In your encounters with informatics systems, have the systems been user-friendly? Explain.
  • What does learnability refer to, and what was your experience with learning this healthcare informatics system?

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  • What does efficiency refer to, and, in your experience, how did the healthcare informatics systems affect your efficiency?
  • What does memorability refer to, and, in your experience, how easy was it to use the healthcare informatics system after being away from it?
  • Did you encounter any errors while using the healthcare informatics system? How can errors affect the usability of a healthcare informatics system?
  • What was your overall satisfaction with the healthcare informatics system?

Cite any sources in APA format, 7th edition,, with website links

Healthcare Informatics Assignment

Pulmonary Function

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Pulmonary Function

D.R. is a 27-year-old man who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights in the last week and have often been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

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Case Study Questions

  1. According to the case study information, how would you classify the severity of a D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patient and specify in your answer which ones you consider applied to D.R. in the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Pulmonary Function

Theories Of Aging

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Theories Of Aging

Identify the different theories and their implications for the aging process.

Define aging from biologic, sociologic, and psychological theories.
Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.

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Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
Based on your experience, what health promotion strategies would you recommend to facilitate successful aging?

Theories Of Aging

 

Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

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Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

For this Assignment, explore the use of focus groups or interviews in qualitative research. Consider the effectiveness of the method and examine how this approach might lend itself to a mixed method of study.

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  • Select a topic or issue in nursing practice to focus on for this discussion.
  • Consider which type of qualitative research design—focus groups or interviews—might be most appropriate for the topic or issue in nursing practice and why. How will this type of qualitative research design support the aim of addressing the topic or issue in nursing practice?

The assignment (1 to 2 pages):

  • Describe the topic or issue in nursing practice that you selected and explain why.
  • Explain which qualitative research design approach you selected to address this topic or issue and describe the method you chose. Be specific.
  • Justify why this qualitative research design approach would be best suited for this topic or issue, and explain how this approach will better inform improvements in nursing practice for the topic or issue that you selected. Be specific, and provide examples.
  • Explain why it is important for the DNP-prepared nurse to understand qualitative research approaches for nursing practice.

Utilize APA FORMAT & 3 REFERENCES

Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

V-Population Health

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V-Population Health

CASE STUDY 17.1: CHALLENGES WITH ACCESS TO HEALTH SERVICES IN RURAL AMERICA

Ray is a 28-year-old married man. He and his wife, Tonya, moved from an urban center to a rural town in southern Georgia because the corporate staff of the restaurant that Ray manages promoted him. He was asked to open a new restaurant in a smaller community, about 100 miles east of the city, without access to comprehensive healthcare facilities. Tonya is pregnant and now travels 50 miles to the nearest obstetrician for prenatal care visits. Her pregnancy is considered high-risk due to a history of high blood pressure controlled by a special diet, exercise, medications, and a sleep plan. Ray is very supportive of her prescribed routine, and Tonya is following the health plan. Unfortunately, just 3 months after their move, the COVID-19 pandemic forced all restaurants in the area to close, leaving Ray unemployed. With tight finances and numerous obligations, the couple worries about keeping their health insurance, purchasing medications and food items needed for Tonya’s diet, and paying for gas and car repairs required for travel to healthcare facilities for prenatal care. They must also pay for the new home that they purchased in their recently acquired community. Ray is overwhelmed with worry and has begun to complain about feelings of anxiety, difficulty sleeping, and brief bouts of depression. He says that his highest priority is the overall health of his wife and unborn child. In just a few days, their lives, once stable and relatively well planned, became a “nightmare” for both of them. Ray goes on to say that because they’re a new family in the community, finding assistance will be complex, and they will have to “start from scratch” when it comes to seeking aid for healthcare, housing, and social support. Ray has begun to search for employment, which has not yet produced any positive outcomes. He admits that frightening thoughts enter his head but will not comment further. V-Population Health

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Case Study Questions

1. When you’ve constructed a plan of care for this family and identified priorities based on a family-centered approach, what steps would you take to ensure that Ray and Tanya agree with the program and work with a social worker and other health professionals to address their needs?

2. Are there immediate issues that need attention? What are the long-term problems that should be discussed at this time? V-Population Health

3. Is there a need to discuss with them the COVID-19 virus and its implications for Tonya’s and Ray’s safety as determined by the CDC guidelines?

4. Identify Ray’s and Tonya’s physical, mental, emotional, and social/interpersonal needs and delineate their priorities with documented, evidence-based practices.

5. Would the needs of Tonya’s and Ray’s unborn infant be a component of the comprehensive plan (including its birth delivery at a nearby health facility)? If yes, describe that component. If not, provide a rationale for not including the infant’s health concerns in the plan.

6. Could telehealth be used to support this couple? Could you determine whether there are barriers to the use of telehealth for them? What concerns might emerge?

7. How will the family pay for health services? What about services for the unborn infant?

8. What are your next steps? What community resources and support would you suggest for this couple? How long do you think they will need assistance before their level of overall stability is restored to its original, pre-crisis state?

V-Population Health

 

Advanced Pathophysiology

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Advanced Pathophysiology

Cardiovascular disease is the most common cause of adult morbidity and mortality, accounting for 31% of deaths worldwide. The most common vascular system disorder is hypertension, defined by the American College of Cardiology and the American Heart Association (AHA) as blood pressure >130/80 mm Hg.

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How do antihypertensive medications interact with determinants of cardiac output and peripheral resistance to reduce blood pressure?

What are the most common complications of untreated or undertreated hypertension?

The lungs interface with the environment, bringing in atmospheric air during inspiration and expelling mixed airway and alveolar air during expiration. Gas exchange occurs in the alveoli and depends on lung mechanics as well as blood flow to take up oxygen and release carbon dioxide. The lungs receive all of the blood flow from the right heart, a low-pressure system that perfuses the millions of alveolar capillaries for gas exchange.

How does smoking-induced damage to lung tissue lead to emphysema?

What is the rationale for using β-agonist drugs in diseases of increased airway resistance?

Advanced Pathophysiology

Cardiovascular/Pulmonary PowerPoint

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Cardiovascular/Pulmonary PowerPoint

Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text. (I WILL LIKE TO DO IT IN DEEP VEIN THROMBOSIS {DVT})

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly. Cardiovascular/Pulmonary PowerPoint

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Format Requirements:

  • Presentation is original work and logically organized.
  • Followed APA format including citation of references.
  • Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Content Requirements:

  • Select a cardiovascular or pulmonary disorder.
  • Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.
  • Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.
  • Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.
  • Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Submission Requirements

  • Complete and submit the assignment
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Cardiovascular/Pulmonary PowerPoint

Urinary Function

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Urinary Function

Mr. J.R. is a 73-year-old man who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted, and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. °F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Urinary Function

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Case Study 1 Questions:

  1. The attending physician thinks that Mr. J.R. has developed an acute kidney injury (AKI). Analyzing the case presented, name the possible types of acute kidney injury.
  2. Link the clinical manifestations described to the different types of acute kidney injury.
  3. Create a list of risk factors the patient might have and explain why.
  4. Unfortunately, the damage to J.R.’s kidney became irreversible, and he is now diagnosed with chronic kidney disease (CKD). Please describe the complications that the patient might have in his hematologic system (coagulopathy and anemia) and the pathophysiologic mechanisms involved.

needs to be 500 words in APA with at least 2 citations

Urinary Function