Case Study: Informatics In Healthcare

Read the following case study:

Best Hospital is a 325-bed suburban community hospital that has just merged with a local major academic medical center, the University of Excellence Medical Center (UEMC). There are 15 hospitals in the UEMC system, ranging from small rural hospitals with 50 or fewer beds to large multiple-specialty tertiary referral hospitals. Two hospitals in the system have achieved magnet status and several hospitals are working to achieve this status. Within the UEMC system, a high value is placed on collaboration with the schools of the health professions at the University of Excellence (UE).

Best Hospital has a long history of association with local universities, functioning mainly as a site for student clinical experiences. For example, undergraduate students enrolled at the UE College of Health Professions often complete a portion of their clinical work at the hospital. Each year the hospital hires a number of graduates from this program. Several nurses in first-level management positions at the hospital are enrolled in the master’s program.

The vice-president for clinical practice at Best Hospital is a PhD-prepared nurse who has been appointed to the faculty at the UE School of Nursing. Your current position is director of staff development at Best Hospital. You are responsible for the educational programming of all clinical staff. Over the past 2 years, Best Hospital has been fully involved in meeting Meaningful Use criteria. As director of staff development, you have played the major leadership role in developing and implementing all related educational programs.

The health professional schools at UE are working together to revise their curricula to integrate informatics throughout. The goal is to develop an interprofessional approach that incorporates informatics across and throughout the different educational programs within these schools. The schools have requested a meeting with clinical leaders from the hospital to gain a practical perspective on what information should be included in the curricula. The vice-president for clinical practice has included you on the list of leaders to attend the meeting. She asked that each person attending the meeting prepare a short presentation on how they engage their staff in the continuous education process with respect to ever-changing healthcare technology.

PowerPoint Presentation

Directions:

1.  Review the case study.

2.  Download the provided PowerPoint template to create a presentation that includes:

·  An overview process map on how staff training is linked to any update in healthcare technology for Best Hospital staff

·  Examples of computerized teaching tools used within staff training, including:

o List of learning tools typically used within staff training

o How you determine which tools to use (rationale)

o How such tools are used within the training process

·  Support of continuous learning by staff (3 slides)

o Existing support mechanisms and processes

o How continuous learning is linked to professional development

o Examples of how learning is offered for diverse learning styles of staff

·  Ensure that your presentation is free of spelling and grammar errors.

Paper Help

Religion and Americans : Moral Implications.

One of the more common arguments I hear when discussing ethics, morals, and values is that in the United States we were founded on religious, primarily Christian, teachings. If this is true are we discounting the teachings of Buddhism, Islam, Judaism, Confucianism, Hinduism, and the Baha’i faith? If we profess to be a moral civilization and derive our ethics from the teachings of the Christian faith are these teachings valid and reliable concepts from which ethics are derived, or are ethics relative to the religious teachings of a that religion?

Building on the previous assignment related to religion and morality, in a 2-3 page paper compare and contrast the two articles for this assignment. Specifically, identify where you stand in regard to these two competing points of view. In addition, include an opinion of how these competing points of view might impact the haves” and the “have nots” and their access to health care.

New Models For Evidence-Based Practice

New Models for Evidence-Based Practice

A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Project, keep this aim in mind. What could help to facilitate the acceptance of new practices?

As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.

To prepare:

  • Reflect on your hospital setting and the use of      evidence-based practice models. How are these models used? If they are not      used, how might the integration of an evidence-based practice model change      practice?
  • Review the Rosswurm and Larrabee article      presented in the Learning Resources focusing on the model they present for      integrating new evidence-based practices (See  attached file).
  • Research and locate an evidence-based practice      model from nursing or another discipline that could be used in your      specialty area to lead a systematic change to evidence-based practice      approaches. You may also use a model or framework discussed in your course      text, Translation of Evidence into Nursing and Health Care      Practice.
  • Consider how using a model for evidence-based      practice can facilitate adoption of new approaches to practice.

By tomorrow Tuesday 9/25/18 10 pm, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Discuss the use of evidence-based models in your hospital setting.

2) Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.

Required Readings

Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).

Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

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    RosswurmLarrabee.A_model_for_change_to_evidence.pdf

Major Assignment.Please Do Your Best, Follow Instruction And Use RUBRIC.

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

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 required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

RUBRIC:

Identification of strengths and weaknesses related to the four content areas listed.

Lists and analyzes strengths and weaknesses based on each of the listed content areas, and draws on evidence from the given Web site.

Discussion of use of current leadership skills to advocate change in the workplace.

Discusses specific changes that can be made in the workplace are discussed, while giving clear and relevant examples for why changes are necessary. Evaluates how personal skill set can be used to effect change in workplace.

Reflection on personal goal for leadership growth and development of implementation plan to reach goal.

Provides a thoughtful reflection on areas for growth. Pinpoints at least one specific goal for leadership growth, and outlines a well-organized and realistic implementation plan to meet the goal.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

Paragraph Development and Transitions

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)

All format elements are correct.

Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

Please Answer According The Comments. Thanks. Remember 100 Words For Each

Comment 1

The projected nursing shortage can incur significant impact to the nursing profession and to the public.  For one, the anticipated increase of the U.S aging population, this will put more strain on the nursing profession to find nursing to care for this population. At the same token, there is a great proportion of the nursing workforce that will reach retirement age. This will create an imbalance situation in terms of nurse-to-patient ratios. Such event will indubitably trigger anxiety, job burnout, turnover, absenteeism, and low morality within the nursing profession.

The nursing shortage can have adverse impacts to patients’ health-care outcomes. The public might suffer considerably from medical errors; nurses may have less time to spend and care with patients. As a result, the proportions of hospital readmission and patient death can increase exponentially.

The nursing profession will face with the urgency to provide answers to the nursing workforce disparity in relation to the growing aging population. Such ageing population are suffering from chronic diseases that require long-term care. That is, the nursing profession must increase the nursing workforce pool to compensate for the projected shortage.

One way that the nursing profession is dealing with resolving this issue is through public-private partnerships. Such a strategy can put emphasis on encouraging nurses to access to higher education so that they become nurse educator. This will require providing incentives to nurse. In the same perspective, efforts should be done to launch advertising programs that show positive aspects of the nursing profession.  Coupled with these, community leaders, healthcare associations, and Nursing Association should advocate elected officials to provide more funds to help the nursing profession.

Comment 2

The nursing shortage is not only related to the “baby boomers” retiring. It is also the qualified nurse not willing to work in the present conditions. These conditions are inadequate workforce planning, understaffed, poor recruitment, retention, return policies, and the ineffective availability of nursing resources. High patient to nurse ratios is causing the nurses today to have “burn out” and they eventually leave their nursing career. The failure to deal with the nursing shortage will lead to the failure to maintain and improve health care and it will have a huge impact on the nursing profession and the public. Addressing the nurse shortage and providing a more positive staffing environment in which the clinical practice can actually be delivered is a resolution to the nursing shortage. Providing a more positive staffing environment includes motivating the nurses, providing support, really looking at patient acuity and nurse to patient ratios, providing incentives on nurse retention and nurse recruitment. Nurses should be able to have the opportunities to develop professionally, have opportunities for growth, gain autonomy, and have a say in the decision making and truly be listened to by their managers and administration team. (Buchan & Aiken, 2014). Most individuals become nurses because they truly care and have compassion. They want to help people get better, this includes on their job along outside their jobs. Nurses take their profession very serious but there is only so much one person can do. Nurses have families also and should be able to come into work and take care of their patients in a safe environment and go home to spend time with their families at the end of the day.

Comment 3

The nursing profession is at risk of an increased shortage of nurses. The increased shortage of nurses can strongly impact health care corporations. In my current position in both the Nursing home/Rehab and the hospital setting,   I have noticed that when we have shortages nurses are placed at risk for harm. Nurses become responsible for increased workload, which can lead to physical and emotional stress. This places both you and your patients at danger.

Another  issue that arise within my hospital when short staffed is the ability to admit patients. If we have reached a full census we are unable to admit patients from the emergency room. This will place the emergency room on full capacity, meaning patients will need to go to the nearest hospital. This potentially can delay care for patients that urgently need it. Management also prefers that we keep all of our beds full to ensure maximum revenue and with out the appropriate staff we are unable to do so. The nursing shortage is quickly approaching. According to The Health Resources and Services Administration “more than 1 million registered nurses will reach retirement age within the next 10 to 15 years” (AACN, 2014). This will create a major set back reinforcing the issue stated above. Many organizations are working on hiring young graduate students in order to replace the baby boomers class. This provides a company and the nursing community with longevity in an attempt to replace the baby boomer class. Many states are working to expand the nursing programs as well as create more in order to keep up with the current and up and coming shortage.

Health Insurance & Policy Project 2018

health care analysis & POL

look to files

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    ExecutiveBriefTemplate_fall2018finaldraft.docx
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    Guidlines_fall2018_finaldraft.docx
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    MedicareSpendingandFinancing_2012_samplebrief.pdf
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    SurveyofHealthInsAgents_trendsinindividualandsmallgroupmarket_samplebrief.pdf
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    McKinseyReformCenter-ExchangesYear2December2014.pdf

Follow Instructions. Remember At Least 250 Words. Thanks

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

Discussion Post 300 word or more APA (HYPERLIPIDEMIA)

Post a discussion related to your research on client education related to hyperlipidemia treatment and life-style behaviors.  Provide references in APA format and include in-text citations for quoted or paraphrased content in you post.  Points to consider are the methodology used for teaching the client, how to assess a client’s readiness to learn and the subjects needed to be taught and why.

Your post should be 300 words or more .

Please use citations from attachment provide please focus on client teaching and education on treating, preventing and promoting health base on the topic of Hyperlipidemia from a nursing point of view.

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    Dyslipidemia.pdf

Informatics Interactive Case Study Journal

see attached

total 14 small slides

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Discussion Post reply topic (Hyperlipidemia)

 Please respond to one classmate with a substantive comment on the topic of Hyperlipidemia. I have attach a copy of the discussion article and you may use reference if they apply.

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    ThearticleIreadabouttalksabouttheessentialsofcholesterol.docx