Analyze the use of technology in the reduction of medical errors

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Analyze the use of technology in the reduction of medical errors

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

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Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

Pharmacology Brochure Essay

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Pharmacology Brochure

 

Pharmacology Brochure Discussion

This brochure introduces a recent medication that was approved by the FDA but has not been in the market for long. It is a source of quick information but covers most of the essential areas of information that a nurse would need to have on their fingertips concerning the drug. Dayvigo is a sleeping pill that was approved in 2019, and whose effectiveness is quite high (FDA 2020).The drug is a lemborexant of the sedative-hypnotics class. It is an oral tablet whose dosage should not exceed 10mg. When co-administered with a CYP3A inhibitor, the dosage should be kept at only 5mg (Drugs.com, 2021). It is an effective medication for treating insomnia but can have serious side effects so it is essential for nurses to be well aware of its use, contraindications, side effects and other potential issues that could arise from its use. Pharmacology Brochure Essay

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The role of this brochure was to educate nurses on the existence and use of Dayvigo, an insomnia treatment medication that was recently introduced into the market. The brochure ought to offer all the critical information that nurses and pharmacists need to grasp promptly to effectively use the drug and achieve its full potential as an anti-insomnia medication. It is designed to offer detailed, verifiable and essential information on the drug to nurses and other users quickly and efficiently. It is not meant to be the definite primary education material on the drug, but a quick source of refreshing information on the drug. The brochure will be printed in an easily legible font and has a lot of information on most of the topics which a nurse would typically need to gather before issuing or when matching a patient to a prescription. Pharmacology Brochure Essay

 

 

References

Drugs.com. (2021). Lemborexant. Day ago. Full Drug Information. https://www.drugs.com/mtm/lemborexant.html

Food and Drgug Administration (2020). Drug Approval Package- Dayvigo. https://www.google.com/search?q=DAyvigo+FDa&oq=DAyvigo+FDa&aqs=chrome..69i57j35i39l2j0i512l4j69i60.3636j1j7&sourceid=chrome&ie=UTF-8

 

midepigastric abdominal pain

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midepigastric abdominal pain

A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan.  midepigastric abdominal pain

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Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. midepigastric abdominal pain

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

  • With regard to the Episodic note case study provided:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or why not?
  4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. midepigastric abdominal pain

Welcome to Week 6. This week, students will complete an analysis of the SOAP note provided. I advise you to write this up as a narrative so that they are able to correctly explain their analysis. REMEMBER THIS IS AN ANALYSIS FROM EACH PART OF THE SOAP POINTING TO WHAT’S MISSING AND WHY DO YOU NEED THAT SECTION WITH SPECIFICS  JUSTIFYING AND EXPLAINING  EVERYTHING INCLUDIDNG THE DIAGNOSIS

This week, the midterm examination is due by Day 7. Students can find an exam review guide for the midterm in the “Resources” section for this week. The exam will not be available until the date of availability and will end promptly on the end date and time. Please make sure you understand this.  No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. Students are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. This exam is timed with a limit of two hours for completion. The exam will not open until the day it is scheduled to open.  If the students try to access the exam after the due date, it will be available and will show up late so your grade will reflect points deduction for lateness accordingly. IT or faculty are no longer allowed to reset exams.

In another note, I keep receiving emails about resetting your mistakes when posting. This is a clinical class, when you do not pay attention to the place to post or post a wrong paper it’s considered a patient mistake or a medical error. I would NOT reset another paper so do not bother emailing me if that’s the problem. I will grade what you post right or wrong, it is the student responsibility to post the right work same as it’s your responsibility to give the right medication.

This week a will be out of town in a conference until Friday so there are no office hours for the week and my email access will be limited. Everything needed it’s on this announcement and on the class website.

Assignment:

ABDOMINAL ASSESSMENT

Subjective:

CC: “My stomach has been hurting for the past two days.”

HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain.

PMH: HTN

Medications: Metoprolol 50mg

Allergies: NKDA

FH: HTN, Gerd,  Hyperlipidemia

Social Hx: ETOH, smoking for 20 years but quit both 2 years ago, divorced for 5 years, 3 children, 2 males, 1 female

Objective:

  • VS: Temp 98.2; BP 91/60; RR 16; P 76; HT 6’10”; WT 262lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: abdomen is tender in the epigastric area with guarding but without mass or rebound.
  • Diagnostics: US and CTA

Assessment:

  • Abdominal Aortic Aneurysm (AAA)
  • Perforated Ulcer
  •  Pancreatitis

 

 

Research Review Essay

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Research Review Essay

N320 Research Review Part 1

This is the first assignment to introduce your PICO(T) , scope and nature of the problem, background information of the problem, details regarding your research review, and the EBP approach you have taken for your research. This is a “building assignment” as part 1 and part 2 will build to complete the Final Assignment in which you will have a comprehensive Research Review.You do not need to worry about self-plagiarism when continuing to part 2 and so on. You will have a minimum of seven articles or more for the final Research Review. Research Review Essay

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Assignment Part 1-75 possible points. – should include significant detail and synthesis of your research as it relates to your PICO.  See Assignment Part 1 Rubric and Example papers.

Instructions:Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1)

  1. Use APA 7th ed. Manual or recommend APA templatesites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)
  2. Write in 12 font Times New Roman
  3. DO NOT write in first person. No I statements. This is a research reviewnot a study so refer to it as such in your work.
  4. Write about your topic in paragraph format
  5. Include a Tittle page (see APA 7th ed power point) (Do not use Assignment 1… as your title) The title should not be your entire PICO but should allow the reader to understand what your Research is about * see example papers in the course

You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3 2.4.  Figure 2.2).

Example title: Comparison of pressure reduction boots versus repositioning to reduce pressure ulcers in the elderly

  1. Follow instructions for headings. Use the rubric headings for the headings in each section of your assignmentexcept “Introduction” the heading for the introduction.  In 7th ed. APA this is the restatement of your paper title( see APA 7th ed. Section 2.7)
  2. 8. Include data search table as a table labeled and referenced appropriately in your paper. (APA 7th Chapter 7, see example table 7.1)
  3. Include research model worksheet in paragraph format to describe your EBP model in your paper and include your simple diagram as a figure referenced appropriately in APA 7th ed. format in your paper.
  4. Include completed and corrected literature review tables as an Appendix labeled Appendix A and follow APA 7th ed. Instructions for correct placement of an appendix in your work ( after Reference section)
  5. References on a separate page following APA 7th ed format, Chapter 9-10.

 

Comparison of Silicone Foam Dressings Versus Pressure Reduction Techniques

Pressure injuries can have significant negative consequences for patients including infection, reduced quality of life, disability and even death (Campbell, et al., 2020). Pressure injuries are also very costly for patients and healthcare systems, estimated to average between $37,000-$70,000 per patient (Walker, et al. 2015). In patients who were both immobile and incontinent, Gray &Guiliano found the “prevalence of facility-acquired pressure injury in the sacral area remained statistically significant” compared to patients who were continent (2018, p. 65). Placing a silicone foam dressing over the sacrum is a commonpreventative practice in patients with stage 1 pressure injuries, but does research support this intervention when incontinence is involved? It is important to utilize evidence-based research to determine if this is the best practice to prevent skin breakdown in this population, as they have increased vulnerability to pressure injuries. Research Review Essay

Background

The first step toward preventing pressure injuries is thorough assessment. The Agency for Healthcare Research and Quality (AHRQ) recommends inspecting skin for the following: temperature, color, moisture, turgor and integrity. They advise utilization of assessment tools such as the Braden Scale to standardize skin assessments and determine patient risk for skin breakdown (Berlowitz, et al., 2014). There are two main types of skin breakdown in the pelvic area, pressure injuries and incontinence-associated dermatitis. Pressure injury is defined by Campbell et al., as “localized damage to the skin and/or underlying tissue, usually over a bony prominence” (2020, p. 30). When a patient is determined to be at risk for developing pressure injury through a Braden score or other scale, pressure reduction techniques are utilized to prevent breakdown. Pressure reduction techniques vary by hospital but typically include turning and repositioning, placing pillows to cushion bony prominences, and utilizing pressure-reducing mattresses. In contrast, incontinence-associated dermatitis (IAD) is defined by Gray &Guiliano as “erythema and edema of the surface of the skin, sometimes accompanied by serous exudate, erosion or secondary cutaneous infection” specifically found in patients who are incontinent of bowel and/or bladder (2018, p. 63). Though these two conditions are separate, incontinence is found to worsen the risk of developing pressure injuries. In their multivariate analysis on immobility, incontinence and pressure injury, Gray &Guiliano found that the presence of IAD significantly increased the likelihood of developing a pressure injury (2018.) Some of the prevention strategies overlap between these conditions, such as preventing moisture and pressure reduction techniques. Research Review Essay

Research Problem Statement

            With this known link between IAD and pressure injury, it is important for clinicians to determine the best interventions to prevent skin breakdown in populations where both are present. This paper is comparing the use of silicone foam dressings in this population, versus pressure reduction techniques alone.

Research Purpose

The purpose of this paper is to determine whether silicone foam dressings prevent skin breakdown more effectively than pressure reduction techniques alone, in hospitalized patients who have stage 1 pressure injuries and incontinence.

Research Question

            In individuals with both incontinence and stage 1 pressure injuries, how does a silicone foam dressing compared to pressure reduction techniques affect skin integrity within a hospital stay?

Research Utilization Model

The Johns Hopkins Nursing Evidenced-Based Practice Model (JHNEBP) is an appropriate research model to use for this research focus as it was developed to make incorporating evidence more manageable for nurses during clinical practice. This makes it well suited to research and implementation within a hospital system. Melnyk and Fineout-Overholt (2019) describe the three main steps: Practice Question, Evidence, and Translation. First, the question is developed and refined, a leader is determined, and an interdisciplinary team is formed. Then, evidence is screened, rated, and summarized. This phase ends with specific recommendations determined by the strength of the research. Recommendations can be one of four options such as changing the practice immediately because the evidence is strong, considering a pilot or research study, or if there is little evidence, continuing research or ending the project. Finally, the results of the study are integrated into practice (Melnyk & Fineout-Overholt, 2019, pp. 413-414). Research Review Essay

While utilizing this model, the interdisciplinary team should be composed of bedside nurses, managers, WOC nurses and hospitalists. The research obtained will guide the interdisciplinary team in answering the research question and determining the best way to disseminate this research into clinical practice in the hospital setting. Figure 1 visually depicts the JHNEBP model utilized in this research project.

 

 

 

 

 

 

Figure 1

The Johns Hopkins Nursing Evidence-Based Practice Model

 

Search Criteria and Results

The research for this study was completed utilizing CINAHL, PubMed, Medline, and Cochrane, including 313 articles from 2015 to present. Table one notes the keywords used in these searches.

Table 1

Data Research Table

Keyword CINAHL PubMed Medline PsychInfo Cochrane
Pressure injury AND prevention AND incontinence

Full Text

2015-2020

 15 35     0
Pressure injury AND prevention AND silicone foam dressing

Full Text

2015-2020

 16 16      
Pressure injury AND silicone foam dressing

Full Text

2015-2020

 19 17 28   2
Incontinence AND silicone foam dressing

Full Text

2015-2020

 5 1      
Pressure injury AND prevention AND case study

Full Text

2015-2020

   159      

 

11 research articles were included in this research project: two systematic reviews, two randomized-controlled trials, one non-randomized controlled trial, one case study, one case study analysis, one follow-up analysis, one non-experimental analysis, and two clinical guides. Figure 2 illustrates the strength of evidence of this research visually with the Strength-of-evidencerating pyramid which was found in Melnyk & Fineout-Overholt (2019, p. 116, Figure 4.2).

Figure 2

Strength-of evidence rating pyramid.

 

 

 

 

 

 

Nurse Informatics Specialist Role in the Project Implementation Phase Presentation

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Nurse Informatics Specialist Role in the Project Implementation Phase Presentation

Week 6 Assignment 1: Go—Live Readiness Assessment

Value: 100 points

Due: Day 7

Gradebook Category: Assignments

Instructions

Nurse Informatics Specialist Role in the Project Implementation Phase

Guidance: Your healthcare system has added an update to the electronic medical record for nursing assessment. At the latest project meeting status updates were reviewed and it is time to start planning for the project implementation phase and go-live.

You are the nurse informatics specialist project manager.

  1. Identify the steps needed for the project implementation phase.
  2. Complete a draft of the project activation checklist with essential components of the project activation checklist.
  3. Describe your plan to facilitate the education and training to be ready for the go-live date. (This may be a Gantt chart or other graphic.)

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  4. Describe the process and key elements you must have for the go-live support preparation and resources essential to this project to have a successful implementation phase/go-live.
  5. Describe your plan for the technical go-live and when you would start the technical go-live in relation to the actual go-live. Provide rationale to support these start dates.
  6. Describe what a command center is and how you will develop the command center communications at the go-live activation Nurse Informatics Specialist Role in the Project Implementation Phase Presentation.
  7. Describe how you as the project manager will handle/manage issues during the go-live.
  8. Identify the role and purpose of the nurse informatics specialist leading and handling daily debriefing calls during the go-live. Identify your plan to handle daily debriefing calls during the go-live.
  9. Identify your area of greatest learning from completing this assignment.
  10. You may use your course text as well as other external peer-reviewed, scholarly references to support this assignment. The assignment will be a PPT presentation consisting of 12–15 slides in proper APA format.

Use the Regis PowerPoint Template to complete this assignment.

Please refer to the Grading Rubric for details on how this activity will be graded Nurse Informatics Specialist Role in the Project Implementation Phase Presentation.

Competing interests in relation to health care

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Competing interests in relation to health care

Health policy stakeholders
Executive summary In this report, the six different topics on the health policy stakeholders will be discussed. The topics include the mental health policy stakeholders, aboriginal health policy stakeholders, hospital policy stakeholders, nursing education policy stakeholder, pediatric health policy stakeholder and women and child policy stakeholder. An introduction on all these topics has been provided along with its importance and influence on the various policies.  Competing interests in relation to health care 
Topic 1: Mental health policy stakeholders Holden, C.A. and Lin, V., 2012. Network structures and their relevance to the policy cycle: A case study of The National Male Health Policy of Australia.Social Science & Medicine,74(2), pp.228-235.

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The main theme of this paper is the understanding of a network formation obtained from the network analysis method that is broadly described in the paper providing the stake holders and policy makers the means to analyse the other stakeholders position in context to consideration of the policy process.
Competing interests in relation to health care is a conflict of value, which has a direct effect on the care the physicians provide and even evaluates the factor that whether the competing interests has any negative impact on the divergent interests. There is an involvement of the government in the policy making process and the health care organisations are often asked to have some policies that will guard the negative impacts of the competing interests.
The approach used in this paper is important for understanding the influence of stakeholders in public health policy because this paper focuses on the performers of a policy, which is helpful in providing the insight about how to feature a policy. To provide a broader view of the stakeholders in the mental health policy this paper provides a case study on the competing interest. This study provides with a network analysis style as an instrument, which will help the policy makers to identify the stakeholders and their considerations regarding the policy process. this study focuses on the structural functional framework and this helps in evaluating on role of the network analysis in providing of alternative methods to the stakeholders for participating in the policy cycle process. This paper highlights the point about how the network based on the relationship of the policy makers and stakeholders’ impacts on the policy process and hence has relevance to the topic and can be used as assistance to the topic. Competing interests in relation to health care 
Topic 2: Aboriginal health policy stakeholder Flicker, S. and Worthington, C.A., 2012. Public health research involving aboriginal peoples: research ethics board stakeholders’ reflections on ethics principles and research processes.Canadian Journal of Public Health/Revue Canadienne de Sante’e Publique, pp.19-22.
The main theme of this study is to identify the role of the stakeholders about the health policy of the aboriginals. This study highlights the fact of having a presence of considerable discussions about the principles that are best for researching the health process of the aboriginals in context to the stakeholders’ perspective.
This study deals with the term community health or the health issues of any community. The study of community health focuses on mainly kinds of groups and deals with aspects of health of that certain group. Community health mainly focuses on health issues of the whole group rather than pointing on any individual. This is why this study relates to the topic and this study deals with the system in which the health characteristics of a given community can be sorted and mentions that health of any group or community is dependent on the social and demographic position of that particular group. Health dimension encompasses the complete physical and mental situation of an individual. The stakeholders are not always involved in the health policy of the stakeholders and they do not particularly have the decision making right if not they are given the objective of the meaningful engagement that allows them to be a part of the decision making process.
This study is relevant to the topic because it highlights that the stakeholders do not have the right to get involved in the health and health policy matters of the aboriginals. They are not always allowed to take part in every decision making process and as the topic of the study is the aboriginal health policy stakeholders, the overall topic is discussed in the chosen paper providing a clear view. Thus, this paper can be accessed as an assistance to the topic to define the stakeholders position in aboriginal health policy.
Topic 3: Hospital policy stakeholders Gagnon, M.P., Desmartis, M., Poder, T. and Witteman, W., 2014. Effects and repercussions of local/hospital-based health technology assessment (HTA): a systematic review.Systematic reviews,3(1), p.129.
This chosen article is about the health technology assessment of hospitals and this paper highlights the perceptions of the stakeholders in the process of HTA in the hospitals. There is also mentioning of the implementation of the stakeholders recommendations for improving outcomes.
This research paper has an analysis of a conducted research to find the answer to the relevant questions and to find the answer to the perceptions of the stakeholders in the hospital policy. The method chosen by this paper was PRISMA and it was conducted in two methods; firstly the screening and selection method and the extraction of the data. The study was conducted using around 700 articles and the research was done in the hospitals of a country.
As the study was only about the effects of HTA and finding the perceptions of the stakeholders along with implementation of the recommendations, this study had limited access to research. The overall research provides an understanding of the impact of decision with introducing modern technologies in the hospitals. The study does not broadly emphasize on the stakeholder term in the whole paper but it is well known that the stakeholders of a hospital are the providers, payers, patients and the employers. Hence, through this paper one can critically evaluate the stakeholders’ perception about the hospital policy.
This article discusses the perception of stakeholders in the hospital policy; though not by mentioning the term stakeholders in every term still this article is relevant to the topic and can be used to discuss the topic in a broader way. This article focuses on the given topic, though it discusses the context of the topic in a different way it still highlights the importance of the decision-making by the stakeholders of a hospital and can be used as a help to describe the topic clearly. Competing interests in relation to health care 
Topic 4: Nursing educational policy stakeholders Tobiano, G., Marshall, A., Bucknall, T. and Chaboyer, W., 2015. Patient participation in nursing care on medical wards: an integrative review.International journal of nursing studies,52(6), pp.1107-1120. This article is about the participation of the patients in the way of their own nursing care. This study highlights the role of the patients in the nursing process. The objective of the study is to provide the perceptions of the patients towards the patient involvement in nursing process. This research paper has implied some methods to integrate the reviews of the patients as well as the nurses in the nursing process or policy. The methods with the help of which the study was conducted are data sources and the review methods, which provided a clear idea about the topic of the paper. The limitations of the paper are that the paper had some discrepancies. The results of the conducted research helped the research with some themes, which were the enacted participation, challenges in the participation process and the promotion of participation and lastly the participation types. There is a large number of enacted participation of the patients in the medical wards. The known challenges are will ingness of the patients and the approach of the nurses. Sharing of the information can be a way of promoting the participation. The question may arise how the above discussion is relevant to the topic. The above discussion is about the participation of the patients in nursing policy. This is the answer of the question. Broadly describing, this paper discusses about one of the stakeholders’ participation in the health care system and that is the patient. The patients are a type of stakeholders in any health care system. Hence, this paper is relevant to the topic and has the information, which can be used for defining the topic. The topic is about the nursing policy stakeholders and the paper is about the patient participation in the nursing policy, therefore, this paper can actually be a guide to discuss the topic. Topic 5: Paediatric health policy stakeholder Young, I., Gropp, K., Pintar, K., Waddell, L., Marshall, B., Thomas, K., McEwen, S.A. and Rajic, A., 2014. Experiences and Attitudes Towards Evidence-Informed Policy-Making Among Research and Policy Stakeholders in the Canadian Agri-Food Public Health Sector.Zoonoses and public health,61(8), pp.581-589.
This paper discusses the principle for developing the policy making process more evidence informed for the paediatric or food sector. This paper focuses on the interface of the food sector and policy making with highlighting its impact.
This paper covers a research of food and public health policy makers of Canada, to understand the perspectives of the policy makers. This paper focused on few groups on which the study was conducted and the participants were from paediatric and food departments. The participants introduced the research to all the principles required in this sector. The first one was clarifying the objectives of the policy. Second was the supporting the policy making with evidence third was evidence of the stakeholders interest in the policy inputs. Fourth, the ensuring of the evidence is delivered to the stakeholders in an informative way. Fifth was creating interdisciplinary perspective among the communities and the stakeholders. Sixth aspect was enhancing of individual skills for the policy makers. The results found after consideration of above facts are that the planned effort can lead to proper policy making along with evidence. Understanding of the policy realms can be effective in the policy making of the food industry. The limitation of this study is that it is conducted on few groups and hence there is a problem of implementing the results on wider perspective.
This paper is relevant to the topic as this paper highlights the integration of evidence based policy makers with the stakeholders interest and even the importance of the information sharing about the policy making of food industry to the stakeholders. Thus this paper can be used to discuss the topic broadly. This paper provides the proper importance of the policy makers in the paediatric policymaking system. Thus, this paper can be used as an assistance to look up to the topic of paediatric policy making.
Topic 6: Women and Child health policy stakeholder Nyondo, A.L., Chimwaza, A.F. and Muula, A.S., 2014. Stakeholders’ perceptions on factors influencing male involvement in prevention of mother to child transmission of HIV services in Blantyre, Malawi.BMC Public Health,14(1), p.691.
This paper is mainly about the factors that plays an influential role in determining the involvement of a man in preventing the transmission of HIV from mother to child. This paper is based on the stakeholders’ perspective on the given topic.
The paper discusses the prevention of HIV transmission as a topic from the stakeholders end and adapts many strategies and methods that are required to prevent and evaluate the overall transmission factor. This study highlights the role of the men in the prevention of HIV transmission as society is mainly patriarchal as mentioned by the stakeholders. There are many methods used in the study for conducting a research on the topic. The stakeholders perspective is clearly provided in the overall study and the limitations are that this study is about the role of male to prevent HIV transmission from mother to child but this study does not mention any other point about the other measures.
Though this paper is based on the stakeholders perspective in role of men in prevention of HIV transmission from mother to child this study highlights the certain factors of the topic. This paper highlights the women and child health factor along with highlighting the role of the stakeholders in the women and child health care policy. This paper discusses the stakeholders’ perspective in defining the importance of the male role in the prevention of the transmission of HIV from mother to child and the topic is also based on women and child care. Hence, both the paper and the topic is relevant to each other though not fully but to a great extent and hence this can be used in defining the topic broadly and giving a clear view of the topic of women and child health care and its importance from stakeholders perspective. Competing interests in relation to health care 

MOTIVATION AND BEHAVIOUR

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MOTIVATION AND BEHAVIOUR

We learned effective communication is essential in overcoming conflict, embracing our similarities and differences, and streamlining our work. On the basis of your learning, review the scenario given below and develop the ways to address any misunderstandings based on ineffective communication.

You have been invited to be in charge of developing a team-building activity to improve collaboration, morale, and increased communication for your team members. Your department is closing for the day so you all can spend about four hours together in a team environment. The staff members will be placed into groups of three to run a maze, and the winning team will receive an extra four hours paid time off (PTO) time to use for a half vacation day. All members are excited about getting extra time off and, even though they have not participated in a maze-running event, they are happy to be out of the office. After the race is over, the group will be treated for lunch at a very nice restaurant MOTIVATION AND BEHAVIOUR. Review the following details of team members:

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  • Rosamma and Mary are the two administrative staff members who do not get along. Rosamma keeps to herself, is quiet, wears traditional long dresses and cooks ethnic foods for lunch every day. Mary is outspoken, loud, hurries through assignments, and seems to be on her cell phone often talking about her personal life to friends. Mary is twenty and Rosamma is forty-six.
  • Cindy, thirty-five, and Lolita, forty, are the part-time staff members. They often bring their problems to work and are stressed due to the economy. They interact at work with the full time staff, but the full time staff think they complain too much and “what for, they only work part-time.”
  • Chip is a twenty-three-year-old maintenance worker who has two children and works a part-time job at night in addition to his full-time role. He is tired as he has been continuously working for many days.
  • Samir is fifty-five and works full-time, and cannot wait until he retires.
  • Sarah is the fifty-two-year-old negative department manager who complains about everyone else. However, she is a strong informal leader and has influence over the group.
  • Jerry is twenty-four and in graduate school. In fact, he is the president of his class and majors in business. He will likely leave in about one year when he graduates. He has a positive attitude and is currently a bit demotivated because no one likes to work together and there seems to be no direction at this point. He has made fun of Sarah just because she makes negative comments to him.
  • You are the manager (use your current age) and you are just promoted into this position as the leader of the group MOTIVATION AND BEHAVIOUR.

Your presentation should consist of 12–15 professional color Microsoft PowerPoint slides (not including the title and reference slide) along with detailed speaker notes to include examples to support each slide.

You need to divide the teams into three groups. Remember this is a team-building activity.

  • Can you put Rosamma and Mary together on a team when they clearly have communication issues and Mary feels Rosamma is “slow and too quiet . . . besides, she prays all the time.” Should the two younger males in the department be put on the same team or divided up to run with the women, even though they make comments about how old Sarah is and how she wears old-fashioned clothes? Give reasons.
  • How will you make the determination which members to put together?
  • Should members, who have a negative attitude, be placed with team members who are excited about this event? Why or why not?
  • How will a negative manager affect the overall group dynamic as opposed to a positive leader who wants to see his or her team develop?
  • How influential can an informal leader be among the team members? Can an informal leader carry more power than the formal manager?
  • What barriers to effective teamwork can you anticipate and how will it be addressed?
  • What specific traits will make this team-building activity a success?
  • How can effective leaders demonstrate care and value the workgroup to improve collaboration, motivation, and low turnover in the workplace?
  • How do you think results can improve when effective communication is practiced in the healthcare field with peers, colleagues, and leadership teams?

Support your responses with examples.

Cite any sources in APA format.

Submission Details

Present the additional information in the Notes section MOTIVATION AND BEHAVIOUR.

REVIEW OF FRAMEWORKS

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REVIEW OF FRAMEWORKS

To prepare:

  • Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
  • Review the section beginning on page 75 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
  • Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem REVIEW OF FRAMEWORKS.
  • Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

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  • Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO vWrite a 3- to 4-page paper that includes the following:
    • A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
    • The 5 questions you have generated and a description of how you analyzed them for feasibility
    • Your preliminary PICOT question and a description of each PICOT variable relevant to your question
    • At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selectionsariables (patient/population, intervention/issue, comparison, and outcome) for this question? REVIEW OF FRAMEWORKS

Leadership in Program Planning Scoring Guide Grading Rubric

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Criteria Non-performance Basic Proficient Distinguished
Describe a wellness and prevention program that involves patients in the management of their individual health care needs.
15% 		Does not describe a wellness and prevention program that involves patients in the management of their individual health care needs. Gives basic information on the program description and minimally describes how it will involve patients in the management of their individual health care needs. Describes a wellness and prevention program that involves patients in the management of their individual health care needs. Describes a high quality wellness and prevention program that involves patients in the management of their individual health care needs and integrates additional information and material.
Provide evidence to support the need for adoption of a wellness and prevention program.
15% 		Does not provide evidence to support the need for adoption of a wellness and prevention program. Provides minimal evidence to support the need for adoption of a wellness and prevention program. Provides evidence to support the need for adoption of a wellness and prevention program. Provides evidence that strongly supports the need for adoption of a wellness and prevention program and covers all major points using credible sources other than the course readings.
Define the target population for a wellness and prevention program.
10% 		Does not define the target population for a wellness and prevention program. Partially defines the target population for a wellness and prevention program. Defines the target population for a wellness and prevention program. Completely defines the target population for a wellness and prevention program, including relevant examples.
Plan a wellness and prevention program that incorporates current research and evidence-based practices.
15% 		Does not plan a wellness and prevention program that incorporates current research and evidence-based practices. Partially incorporates current research and evidence-based practices in the program plan. Plans a wellness and prevention program that incorporates current research and evidence-based practices. Plans a wellness and prevention program that incorporates current research and evidence-based practices and includes research and evidence for all aspects of key points.
Describe the overall collaboration, organization, and management structure that would be needed to implement a wellness and prevention program.
15% 		Does not describe the overall collaboration, organization, and management structure that would be needed to implement a wellness and prevention program. Partially describes the overall collaboration, organization, and management structure that would be needed to implement a wellness and prevention program. Describes the overall collaboration, organization, and management structure that would be needed to implement a wellness and prevention program. Describes the overall collaboration, organization, and management structure that would be needed to implement a wellness and prevention program, identifying multiple opportunities for collaboration.
Identify strategies to use information management tools to monitor the outcomes of a health program.
15% 		Does not identify strategies to use information management tools to monitor the outcomes of a health program. Identifies strategies that are insufficient or not appropriate for the proposed program. Identifies strategies to use information management tools to monitor the outcomes of a health program. Identifies strategies to use information management tools to monitor the outcomes of a health program, citing literature to support the use of the tools or strategies.
Apply APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics.
10% 		Does not apply APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. Partially applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. Applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. Applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics, with no errors.
Correctly format citations using APA style.
5% 		Does not format citations using APA style. Partially formats citations using APA style. Correctly formats citations using APA style. Correctly formats citations using APA style, with no errors.

Leadership in Program Planning

As a nurse who is involved as a leader, you may be in a position to develop and implement wellness and prevention programs, disease management programs, or quality management programs. Such program development can enable the nurse leader to foster a proactive approach that involves the patient in the management of her individual health care needs. By utilizing a self-health-care approach, the goal is for the patient to have a better understanding of matters relating to his health, to maintain a more active lifestyle, and to have mental well-being Leadership in Program Planning Scoring Guide Grading Rubric.

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Your assignment this week is to demonstrate your leadership ability by planning one of the following programs, to be implemented in either your workplace or somewhere within your community:

  • Prevention program.
  • Disease management program.
  • Quality management program.

Write up your chosen program idea in a formal APA paper with a title page (see page 23 in your APA Manual) and references (no abstract required). The paper should include:

  1. Introduction of program idea.
  2. Narrative description: The narrative provides the overall description for each of the major components of your chosen program idea.
  3. Statement of problem or needs and resources assessment: This should represent a brief synopsis of the key findings identified for why you want to implement this program (this must be supported with a minimum of two references). Define the priority target populations or community sectors (for example, high school students, college students, alcohol outlets, neighborhood zone, nursing or medical staff, certain patient demographic, et cetera) Leadership in Program Planning Scoring Guide Grading Rubric.
  4. Planning process and identification of priorities: This section should include the overall planning process of how you would put the program together. What are current nursing evidence-based practices and research components that would support your program idea? (You should have a minimum of three.)
  5. Project management and collaboration: Describe the overall collaboration, organization, and management structure that would be needed to implement your program idea.
  6. Strategies and tools to manage information: Identify strategies to use information management tools to monitor the outcomes of your suggested program.
  7. Conclusion of your program idea.
  • I work in Labor and Delivery, so I need it to be focused on a prevention program, Disease management program. Or Quality management program Leadership in Program Planning Scoring Guide Grading Rubric.

TRAINING AND SYSTEM MAINTENANCE

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TRAINING AND SYSTEM MAINTENANCE

In this course, you will progressively work on a system implementation process in six stages:

  • Week 1: System planning
  • Week 2: System analysis
  • Week 3: System selection
  • Week 4: System implementation
  • Week 5: User training and system maintenance

You can use Internet resources, peer-reviewed journals, and reputable, published articles, and you may interview an executive of a healthcare facility that has implemented an electronic medical record system/electronic health record system or similar system to describe the six implementation steps TRAINING AND SYSTEM MAINTENANCE.

This week there are three tasks to do. First, you will work on the user training phase of the system implementation, considering the following:

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  • Planning for training
  • Contents of training
  • Methods of training
  • Location of training
  • Schedule of training
  • Resources needed
  • Training the trainer
  • Conducting the training
  • Additional periodic ongoing trainings
  • Computer-assisted training

Complete the section in a 3–5-page.

Second, this week is final phase of the system implementation that results in the acceptance, rejection, or modification of the project, and release, suspension, or deduction of the contracted amount to the vendor(s)—system maintenance. Compose a brief (2-page) summary of how you will:

  • Ensure that all hardware work together.
  • Ensure that every function of every application of the computer system works and the system meets the functional requirements and the RFP specifications.
  • Ensure that data between different systems interfaces and is transferred smoothly and in correct format.
  • Ensure correct transference of data from old to new system (conversion testing).
  • Ensure that the system can work under maximum load (volume/stress testing).
  • Verify that the system works as expected in a live environment TRAINING AND SYSTEM MAINTENANCE.