Discussion Response With 2 References And No More Than 200 Words

Workflow Assessment for Health IT Toolkit   Workflow can be defined as a term used to describe the action or execution of a series of tasks in a prescribed sequence (McGonigle, & Mastrian, 2015).

Workflow tools can help make it easier to redesign workflow and aid in the application of health information technology (U.S Department of Health and Human Services, n.d).

For the purpose of this discussion three workflow tools were selected which include benchmarking interviews and usability evaluation.  Benchmarking  Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization (U.S Department of Health and Human Services, n.d).

Benchmarking is an important tool that facilitators can use to motivate a practice to engage in improvement work and to help members of a practice understand where their performance falls in comparison to others. Benchmarking can stimulate healthy competition, as well as help members of a practice reflect more effectively on their own performance. Benchmarking can be done by reaching out to peers at other facilities and finding out what they do and if it works well. My facility has many other sister and we are the bigger where we encounter most of the problem. The common system that all we use is the point click care.  What I going to do is to contact all the leader of the entire facility sister, so we can have a meeting to debate about each system in place in each facility. I would want to physically see how the design of their system works and if the charting works well. Because nurse has to be involve in and informatics technology process, I would bring with me 2 to 3 clinical managers nurses to see the charting, so they could also see the new idea and give feedback on their feelings about it. Based on the information gathered I would plan a process to implement the new ideas into the charting system at our facility.

Interviews provide a means of eliciting information from a group of individuals regarding their opinions, behavior, or knowledge (U.S Department of Health and Human Services, n.d). Here the interview involves 2 to more people and during the interview, data are collected and most of the time, it is the interviewee who provide data Here, I will set up an interview with 2 to 3 leaders form the sister facility where I will ask questions about sensitive issues, to determine users’ needs on the systems and to clarify some of my questions question.

Usability evaluation  A usability evaluation is conducted to determine the extent to which a system is easy to use or “user friendly.” (U.S Department of Health and Human Services, n.d). Here I will determine if the new system is useful to user and if it is easy for to use it before implementation. Here I will determine the goal of my evaluation, what will be evaluated and how? For that I will choose some main staff from each sister facility who will conduct the survey to the rest of the staff to see how easy it is for them to use the informatics system. Based on the result, I will see what the areas of improvement before the implementation.  The article I will be use the information to improve workflow within your organization is:  Improvement of workflow and processes to ease and enrich meaningful use of health information technology (Singh & al., 2014).  In this article the author develop a self-contained workflow toolkit that uses ‘universal visual language’ and recognizes that most practices lack the required expertise and often need external assistance because the current methods (using esoteric charts or various software packages11 that require long and steep learning curves) are alien to health care workers and are, therefore, perceived to be barriers (Singh & al., 2014). It is a well established fact that, in any setting or industry, better management of work processes leads to improved value. Education and training of stakeholders in this management skill needs appropriate tools. The toolkit particularly addresses the ‘system-based practice’ and ‘practice-based learning and continuing improvement’ (Singh & al., 2014). Base on that, I will educate staff by using that pictorial tool for assessing the current and continuing redesigns of future workflows for achieving staff comfort, efficiency, communication, organization, productivity, effectiveness, safety, and satisfaction of patients and staff, all without having to seek outside help.  According to Caspi (2015), it is clear that informatics nurses will continue to be instrumental players in the analysis, implementation, and optimization of advanced information systems and emerging technologies that aim to improve the quality of patient care, while reducing costs.

Caspi, H. (2015). The significant impact of nursing informatics on workflow, productivity. Healthcare Dive. Retrieved from https://www.healthcaredive.com/news/the-significant-impact…workflow…/387301  McGonigle,  D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of  knowledge (4th ed.). Burlington, MA: Jones and Bartlett  Learning. Chapter 13, “Workflow and Beyond Meaningful Use”     Singh, R. Singh, A., Singh, R., Singh, R. (2014). Improvement of workflow and processes to ease and enrich meaningful use of health information technology. DOI: 10.2147/AMEP.S53307. Retrieved form Walden library.   U.S department of health and human services (n.d.b). Workflow Assessment for Health IT Toolkit.http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

Healthy People 2020 Is A Framework To Assist Communities In Preventing Disease And Promoting Health. Search The Scientific Literature And Find A Research Study Related To One Of The Focus Areas Identified By Healthy People 2020.

Healthy People 2020 is a framework to assist communities in preventing disease and promoting health. Search the scientific literature and find a research study related to one of the focus areas identified by Healthy People 2020.

In a 750-1000-word essay, critically appraise the study by answering each of the following questions:

  1. What is the study question and is it relevant?
  2. Does the study add anything new?
  3. What type of research question is being asked?
  4. Was the study design appropriate for the research question?
  5. Did the study methods address the most important potential sources of bias?
  6. Was the study performed according to the original protocol?
  7. Does the study test a stated hypothesis? If so, what is it?
  8. Does the data justify the conclusions?
  9. Are there any conflicts of interest?
  10. There are methodological points to consider in appraising literature that are specific to cross-sectional, cohort, case-control, clinical trials, and case studies. Based on the design of this study, what are the key methodical points to consider?

You are required to use a minimum of three scholarly resources.

Prepare this assignment according to the APA guidelines found in the APA Style Guide,

Drug Treatments For HIV/AIDS

While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in 1992 and was told she would survive, at most, 10 more years. Despite unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis, she has witnessed tremendous improvements in HIV/AIDS treatments which have helped patients live longer with fewer side effects. While she acknowledges that these drug treatments have kept her alive, she fears that improvements in drug therapy have led to more people becoming complacent about the disease (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in the United States is higher than it has ever been (CDC, 2012). This poses the question: Is there a relationship between drug advancements, societal complacency, and infection?

To prepare:

  • Review Chapter 49 of the Arcangelo      and Peterson text, as well as the Krummenacher et al. and Scourfield      articles in the Learning Resources.
  • Reflect on whether or not the      prevalence of HIV cases might be attributed to increased complacency due      to more advanced drug treatment options for HIV/AIDS.
  • Consider how health care      professionals can help to change perceptions and make people more aware of      the realities of the disease.
  • Think about strategies to educate HIV      positive patients on medication adherence, as well as safe practices to      reduce the risk of infecting others.

With these thoughts in mind:

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options. Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 8, “Principles of      Antimicrobial Therapy” (pp. 111-134)
    This chapter covers factors that impact the selection of an antimicrobial      treatment regimen. It also examines the clinical uses, adverse events, and      drug interactions of various antimicrobial agents such as penicillin.
  • Chapter 12, “Fungal Infections      of the Skin” (pp. 163-196)
    This chapter explores the pathophysiology of several fungal infections of      the skin as well as related drug treatments and examines the importance of      patient education when managing these infections.
  • Chapter 14, “Bacterial      Infections of the Skin” (pp. 181-196)
    This chapter begins by examining causes of bacterial infections. It then      explores the importance of selecting an appropriate agent for treating      bacterial infections.
  • Chapter 32, “Urinary Tract      Infection” (pp. 519-526)
    This chapter covers drugs used to treat urinary tract infections and      identifies special considerations when treating geriatric patients,      pediatric patients, and women.
  • Chapter 35, “Sexually      Transmitted Infections” (pp. 512-535)
    This chapter outlines the causes, pathophysiology, and drug treatment of      six sexually transmitted infections, including gonorrhea, syphilis, and      human papilloma virus infection (HPV). It also examines the importance of      selecting the proper agent and monitoring patient response to treatment.
  • Chapter 49, “Human Immunodeficiency Virus” (pp.      843-860)
    This chapter presents the causes, pathophysiology, diagnostic criteria,      and prevention methods for HIV. It also covers various methods of drug      treatment and patient factors to consider when selecting, administering,      and managing drug treatments.

Krummenacher, I., Cavassini, M., Bugnon, O., & Schneider, M. (2011). An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring. AIDS Care, 23(5), 550–561.

This article analyzes medication adherence in HIV patients and examines factors that increase adherence as well as factors that contribute to termination or discontinuation of treatment.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What’s new? Expert Review of Anti-Infective Therapy, 9(11), 1001–1011.

Note: Retrieved from the Walden Library databases.

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Antimicrobials. Baltimore, MD: Author.

This media presentation outlines principles of antimicrobial therapy 

Note: The approximate length of this media piece is 7 minutes.

Mayer, K. H., & Krakower, D. (2012). Antiretroviral medication and HIV prevention: New steps forward and New Questions. Annals of Internal Medicine, 156(4), 312–314.

Discussion 2 For $4

Factors Affecting Vulnerability and Assessment of Needs

 

This week’s second discussion forum will focus on two selected groups:

  • Vulnerable mothers and children
  • People affected by alcohol and substance abuse

Review the video segments titled “Premature Babies: Risks and Costs” (Vulnerable Mothers and Children group) and “Social Cost of Alcohol Abuse” (People Affected by Alcohol and Substance Abuse group) through the Films On Demand database or in the textbook.

  • For each segment, select three specific factors from Chapter 2 (e.g., age, gender, culture, ethnicity, education, and income) that are present.
  • Reflecting on your experiences and knowledge gained in previous courses, discuss how these factors relate to the group’s vulnerability.
  • Based on the selected factors, assess the health care needs that can be inferred for each group. Discuss which approach(es) to care from Chapter 4, Section 4.1 (i.e., preventive, treatment, or long term), might help address them.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

Now That You Have Completed ….

 Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it (NEUTROPENOC SEPSIS). What led to your current perspective and direction?

After Discussion With Your Mentor,

 After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project( NEUTROPENIC SEPSIS). Explain how your proposal will directly and indirectly impact each of the aspects

Technology Is Integral To Successful Implementation In Many Projects, Through Either Support Or Integration Or Both

 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 NEUTROPENIC SEPSIS). Do you plan to use this technology? If not, what are the barriers that prevent its use?

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

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

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.