January 29, 2020

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Discuss how the technology contributes to safety and quality in the care of patients. •Discuss how specific data is tracked, monitored, stored, or trended. PLACE THIS […]
January 29, 2020

How do the professional ethics of social scientists compare to those of the military?

How do the professional ethics of social scientists compare to those of the military? There are special considerations when dealing with peoples from different cultures, especially […]
January 29, 2020

Select one specific quality or safety issue that is presenting a challenge in the organization.

Improving Quality Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week’s Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry. To prepare: Review this week’s Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report “Crossing the Quality Chasm: The IOM Health Care Quality Initiative.” Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization’s achievement of these aims? Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed. Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization’s efforts to realize the IOM’s six aims for improving health care? Where has inter-professional collaboration been lacking? Post by Day 3a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six “aims for improvement” are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area. Required Resources Note:To access this week’s required library resources, please click on the link to the Course Readings List, found in theCourse Materialssection of your Syllabus. Readings Knickman, J. R., & Kovner, A. R. (Eds.). (2015).Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing. Chapter 13, “High Quality Health Care” (pp. 273-295) Chapter 2, “A Visual Overview of Health Care Delivery in the United States” (pp. 13-27) These chapters discuss the current state of health care quality, as well as efforts to measure and improve quality. Chapter 14, “Managing and Governing Health Care Organizations” (pp. 297-309) This chapter details the vital importance of developing a better understanding of why and how heath care organizations are governed and managed in order to improve accountability. Berwick, D. (2005). My right knee.Annals of Internal Medicine,142(2), 121–125. Retrieved from the Walden Library databases. In this article, Donald Berwick describes five specific dimensions of “total quality” care he will need when his right knee is replaced; however, he feels no one health care institution can deliver all five dimensions. Gardner, D. (2010). Health policy and politics. Expanding scope of practice: Inter-professional collaboration or conflict?Nursing Economic$, 28(4), 264–266. Retrieved from the Walden Library databases. This article summarizes the interdisciplinary conflict and collaboration likely to be promoted by the Patient Protection and Affordable Care Act. The text emphasizes the value of mediators in facilitating discussions between thought leaders from different disciplines.
January 29, 2020

Are there any service organizations, crisis pregnancy centers, or churches providing help for pregnant women or those experiencing mental health concerns?

Review the Week 3 Case Study that may be found in Doc Sharing. Assurance is one of the three core functions of public health. Find a resource in your community (other than WIC) that could assist Mary during her pregnancy. Start by searching the Internet for your local health department?s website. What services do they provide for pregnant women or those with mental health concerns? What about your local welfare office? Do they provide prenatal or mental health services? Are there any service organizations, crisis pregnancy centers, or churches providing help for pregnant women or those experiencing mental health concerns? Briefly describe the types of services that you found. Choose one agency and assess this agency in terms of the 4 As. Is it accessible, acceptable, affordable, or available for Mary or other pregnant women that you case-manage? Chamberlain College of Nursing NR443: Week 3 Case Study Week 3 Case Study for Discussion This case study provides you with an opportunity to immerse yourself in the role of a community health nurse and explore the resources in your community. As you work through the case, reflect on what you have learned about community health nursing in this course, and how you can apply it to this case. Your role: You are working as a community health nurse in your local health department. One of your roles with the health department is to case manage pregnant women who receive Medicaid. You work with an interdisciplinary team both within and outside the agency. Team members: Anne is a fellow nurse with the health department. She is going on medical leave, so has asked you to assume this case. Christina is a social worker with the health department. Tracey is a case worker from Child Protection Services. Mark is a dietician with the local Women, Infants, and Children (WIC) office. Your client: Mary is a 23-year-old Caucasian female. She is in her first trimester of pregnancy and is developmentally delayed. She also has been diagnosed with bipolar disorder. She is currently unemployed but receives Social Security Disability checks monthly. She lives with a roommate in a project apartment complex in a run-down part of town. Anne has visited Mary once and provided the following information as she hands the case to you. Mary had a baby removed from her care when she was 19 years old. Mary cannot explain why this baby was removed other than her house was dirty. She met the father of her current baby on the Internet and states that she has not heard from him recently. During Anne?s visit, Mary stated that she wanted to keep the baby. She asked many questions about healthy eating and having a healthy pregnancy. Mary stated that she has visited the WIC office, received WIC vouchers, and met with Mark who talked to her about what to eat. She asked for help to find a nice apartment and to make other improvements so that she can keep this baby. When Anne started to explore options and difficulties she might encounter in raising this child, she stated that Mary became agitated and did not comprehend why her baby might be removed from her other than ?They are against me!? Christina, Mary?s social worker, was able to find the past court records indicating that her first baby was removed due to neglect and living in an unsuitable environment. At that time, Mary was living with her parents in another county. The records indicated that Mary did not show up to her court appointment to appeal the decision, so the baby was permanently removed and has since been adopted. NR443 Week 3 Case Study 11/10/15 LS 1 Chamberlain College of Nursing
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