Quality Measurement And Assessment In Healthcare

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Project: Promoting Health Care Quality  Section 3:

Quality Measurement and Assessment  Measuring and assessing quality provides a foundation for identifying needs for improvement, developing effective interventions, and then monitoring progress toward desired results.   In the Sadeghi, Barzi, Mikhail, and Shabot text, the authors assert that an effort to improve quality “calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind, and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance” (p. 182).   Having this “end in mind” can provide justification for dedicating valuable resources toward the effort, and help to lay a clear, concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.  In this section of the Course Project, you focus on what you would measure—and how you would measure it—relative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.       Course Project: Section 3: Quality Measurement and Assessment: write a 3-5 page paper to introduce your quality improvement plan. For more details on this project, see the Week 7 Project area for specifics to include for this paper.     I have attached my paper from week 4 for the continuation of the project.     To prepare: •Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this week’s Learning Resources).   •Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations, including the IOM’s six aims for quality improvement.   •Based on this review and your knowledge of the organization that you have selected, determine appropriate measures and indicators of performance related to your identified quality improvement issue.   •Consider how you could gather and use historical evidence of the organization’s performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data, including those currently in use by the organization (e.g., chart audit data, staff surveys, quality indicators that are monitored, observations). If possible, examine actual data to assess your selected organization’s performance related to the issue.   •Think about what, specifically, you would like to achieve related to this issue. Establish realistic, evidence-based quality performance targets.   •Analyze gap(s) between the organization’s current performance and the performance targets.   •As you do this, you may wish to create a graphic organizer/alignment chart for your own use that illustrates:   •The measures and indicators that you would evaluate   •Current and historical data related to this quality issue—either actual data or methods for how you would collect and analyze the data   •Methods for collecting and analyzing data in the future (including when you would do this)   •Realistic, evidence-based targets

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Functional Health Pattern Analysis Worksheet

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In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

  1. Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.
  2. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx

Literature Evaluation

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*****PLEASE INSTRUCTIONS ARE VERY CLEAR FOLLOW THEM THIS IS MY SECOND TIME REQUEST****

*****PLEASE COMPLETE THIS INFORMATION ON ALL OF THE  8 REFERENCES ATTACHED *****

· Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of 

· Design (Type of Quantitative, or Type of Qualitative)

· Setting/Sample

· Methods: Intervention/Instruments

· Analysis

· Key Findings

· Recommendations

· Explanation of How the Article Supports EBP/Capstone Project

 

References

1- Butcher, L. (2016). Stepping up against SEPSIS. H&HN: Hospitals & Health Networks, 90(1), 38-42.

2- Clarke, R., Bird, S., Kakuchi, I., Littlewood, T., & Hamel Parsons, V. (2015). The signs, symptoms and help-seeking experiences of neutropenic sepsis patients before they reach hospital: a qualitative study. Supportive Care in Cancer, 23(9), 2687-2694. doi:10.1007/s00520-015-2631-y

3- Ford, A., & Marshall, E. (2014). Neutropenic sepsis: a potentially life-threatening complication of chemotherapy. Clinical Medicine (London, England), 14(5), 538-542. doi:10.7861/clinmedicine.14-5-538

4- Knight, T., Ahn, S., Rice, T. W., & Cooksley, T. (2017). Acute Oncology Care: A narrative review of the acute management of neutropenic sepsis and immune-related toxicities of checkpoint inhibitors. European Journal of Internal Medicine, 4559-65. doi: 10.1016/j.ejim.2017.09.025

5- Raz, B. (2017). Neutropenic sepsis. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 31(48), 64-65. doi:10.7748/ns.31.48.64. s47

6- Vossen, M. G., Milacek, C., & Thalhammer, F. (2018). Empirical antimicrobial treatment in haemato-/oncological patients with neutropenic sepsis. ESMO Open, 3(3), e000348. doi:10.1136/esmoopen-2018-000348

7- Wells, T., Thomas, C., Watt, D., Fountain, V., Tomlinson, M., & Hilman, S. (2015). Improvements in the management of neutropenic sepsis: lessons learned from a district general hospital. Clinical Medicine (London, England), 15(6), 526-530. doi:10.7861/clinmedicine.15-6-526

8- Wild, T. (2017). Improving door-to-needle times for patients with suspected neutropenic sepsis. Emergency Nurse: The Journal of The RCN Accident and Emergency Nursing Association, 25(7), 24-30. doi:10.7748/en. 2017.e1755

CT 6 Healthcare Information

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Describe the distinct components of stand-alone decision support systems (DSS) and provide some specific examples of these systems and how they may be used in the healthcare environment.

Your paper should meet the following requirements:

  • Be 4-6 pages in length, not including the title and reference pages.
  • Include 3-5 references, in addition to the textbook. Remember, you must support your thinking/opinions and prior knowledge with references; all facts must be supported; in-text references used throughout the assignment must be included in an APA-formatted reference list.

For Essays Guru – Discussion Question -Evidence-Based Practice

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 Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?  200 words APA

Community Nursing – Questions

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Review the attached PowerPoint presentation.  Once done answer the following questions;

1.Do you think that the societal norms for men regarding expressing emotion and social support have changed in recent years? Why or why not? If so, how can community health/public health nurses take an advantage of this to help men improve their health?

2.Are there differences in the ways that homosexuality in men and women are viewed by general society in the US? If so, why do you feel that these differences exist? From where or whom do people get their messages about homosexuality or other non-heterosexual lifestyles?

 

-The assignment must be presented in an APA format word document, Arial 12 font.

-A minimum of 3 evidenced-based references must be used (References must be no older than 5 years).

-A minimum of 700 words is required.

– No plagiarism.

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Stakeholder Support Is Necessary For A Successful Change Proposal Project Implementation.

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Stakeholder support is necessary for a successful change proposal project implementation. Consider your internal stakeholders, such as the facility, unit or health care setting where the change process is situated, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your project, and how you will go about securing that support?

***Topic is Neutropenic Sepsis***

Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

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Comment 1

Spiritual needs are one of the essential needs among individuals. Throughout the life, the spiritual needs are an intrinsic need and remain as a primary element of holistic nursing care. Nurses face a great challenge of satisfying the spiritual needs of the patient. The holistic care addresses the spiritual needs, social, physical, economic and emotional needs of the patient (Nolan, 2015). The religious intervention involves treating the religious beliefs of the patients without prejudice, helping them practice their religion, giving them an opportunity to connect with God as well as expressing their beliefs and values and referring them to religious leaders and clerical.

According to me, the spiritual care is supporting and acknowledging a person religious beliefs. Respecting them and ensuring that their wishes are followed. It involves bringing glory to God. A practitioner may give spiritual care through praying with the patient, providing a word of encouragement, being present and listen to the patient, sharing from the scriptures, participating in the healing service and referring them to the religious leaders. I believe that the Holy Spirit guides the practitioners when making the challenging decisions. Reading the scriptures and praying makes the healthcare provider stronger as well as close to God and are able to make a decision based on God’s plan. The religious leaders are supposed to teach their followers concerning the spiritual care.

Comment 2

Spiritual worldview concept incorporates spirituality, religion and other philosophical and reference points, which make assumptions concerning the bigger context of human existence (Josephson, 2015). As a professional nurse, I try to keep aside my personal views as well as not compare them with that of the patient. This helps me to concentrate on the assignment and patient needs. I may not agree with the patient spiritual belief, but I show interest in their perspective. Dealing with a patient whose worldview differs from mine, my strengths would include: facilitating expressions as well as the articulation of patient’s desires, values, beliefs and needs that shape choices and interactions of the patient. Encourage the patient to share their hopes, fears, and creative expressions. Engage with the patient experience and encourage him/her to express the full range of the feelings and emotions.

There is also weakness that I may face as the healthcare provider. Being unfamiliar with some culture is a barrier since some ideas of the patient I might see them as taboo. Uncertainty, as well as the fear of the general medical practitioners, may be a barrier since some may want to listen to what the patient may want to share. Lack of privacy is another barrier since some patient could wish to express their perspective in private but when there are other patients, he/she holds back. As a patient, I have the final say during the difficult situation. Once I understand the risks, and the benefits of a particular treatment will enable decide what I want. The practitioner is supposed to support me during the decision-making process. In case am in a situation that I cannot be able to make the decision, I may want my doctor to do it for me.

MN577 Discussion Board: Common Diagnosis Seen In OB/GYN Clinic

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Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within years 2015-2018) with intext citations.

(This discussion board is to explain my experience in the OB/GYN clinical rotations)

 

Describe the 10 most common diagnoses seen in an OB/GYN Clinic

My dx (Yeast infections, fibroids, abnormal uterine bleeding, endometriosis, vaginitis, ovarian cysts, UTI, Dysmenorrhea, HPV breast mass or lump, PCOS).

 

How are you feeling about caring for women’s health patient populations?

MN576 Written Assignment: Vulnerable Female Populations Impacting Culturally Competent Delivery Of Women’s Health Care.

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No Plegarism please, assignment will be checked with Turnitin. 

Will need minimum of 5 full pages, plus title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations).

 

The purpose of this Assignment is for you to gain an understanding of the psychosocial needs of vulnerable female populations and issues impacting culturally competent delivery of women’s health care. This is a 5–6 page paper, excluding title page and references, written in 6th edition APA format. Please review the grading rubric in course resources.

 

Directions

1. Select a vulnerable female population ( I chose homeless women).

2. Introduce the group and why you selected it.

3. Outline the relevant group statistics related to the population as well as the impact of the group on women’s health.

4. Analyze the psychosocial needs of the selected group.

5. Discuss the issues impacting culturally competent care delivery for the group.

6. Describe the associated culturally and ethically competent care methods the Nurse Practitioner will employ in caring for the population.

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