January 20, 2020

What are some of the causes of incivility in nursing education?

Background Information Clark and Springer (2007) conducted a qualitative study to examine the perceptions of faculty and students in a nursing progWram on incivility. Their key […]
January 20, 2020

Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy?

DEvry NR451 Week 1 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Assessing Need for Change (graded) Think about a problem in your clinical practice. Are the satisfaction scores in your unit low? Does your unit have a higher than average infection rate? What is a problem you see in your clinical practice? What are some of the possible solutions? Why is it important to evaluate the need for change and not just stick with the “it’s the way we always have done it” mentality? DQ 2 Nurse’s Role in EBP (graded) Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to conduct nursing research. Why is it important for nurses to have their own body of knowledge? Give a specific example of how bedside nurses contribute to nursing research? DEvry NR451 Week 2 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Forming the PICO Question (graded) Form a PICO question that you will use for your change project. Include each element of the PICO question. How did you develop this question? Why is it important to your clinical practice? DQ 2 Appraisal of Evidence (graded) When reviewing a journal article, how do you best determine its credibility and reliability? Why is it important to determine the strength of evidence and how does that affect your implementation of the results into clinical practice? DEvry NR451 Week 3 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Feasibility of your Capstone Project (graded) Now that you have identified your capstone project. What is the cost involved to implement your project? Remember that cost isn’t always just money but also time and resources (both tangible and intangible). Will the initial cost pay off in the long run with improved outcomes? DQ 2 Communication Errors (graded) Have you ever played the telephone game when you were younger? Communication can take on a life of its own and the content can often be distorted over time. Give an example in your clinical practice where miscommunication was the root cause of an error. How could this communication error have been prevented? DEvry NR451 Week 4 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Patterns of Nursing Care (graded) Your lesson this week discussed patterns of nursing care delivery. In your opinion, what is the most effective nursing care delivery model and why? What are the advantages and disadvantages of your chosen nursing care delivery model? Give specific clinical examples. DQ 2 Discussion of Articles (graded) Discuss the two articles that you read from the Patient Safety and Quality: An Evidence-based Handbook for Nurses website. Give the title and the URL address for each article. How is the information in each article applicable to your practice? DEvry NR451 Week 5 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 An Ethical Dilemma (graded) Nurses face many ethical issues on a daily basis. Consider the following scenario: Your unit has team nursing. As luck would have it, you and your best friend, Jill, are paired as a team this shift. Jill is a new nurse so you feel this is a great opportunity to take her under your wing a bit and show her the ropes. It is a busy shift and you administered Mr. Smith his insulin dose based on the sliding scale before lunch. You chart your medication administration and continuing caring for your patients. An hour later, Jill comes to you terrified because she forgot to chart the insulin she gave Mr. Smith and realized that you also gave the medication. She rushed to take his blood sugar and it was 115. Mr. Smith felt fine and was eating a candy bar his family had snuck in for him. No harm done, in fact he probably needed the extra insulin to compensate for the candy bar he wasn’t supposed to have, Jill explained. Jill begs you not to report this since she is still on probation. She says that she has learned her lesson and since nothing bad happened, why does anyone need to know? What would you do in this situation? Apply ethical principles to explain the rationale for your decision making process. DQ 2 Core Competencies for Nurses (graded) Explore the website for the Quality and Safety Education for Nurses (QSEN) initiative at.qsen.org/”>http://www.qsen.org. How can these competencies for nurses be implemented into the workplace or professional nursing setting if you are not currently working? DEvry NR451 Week 6 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Implementing Change Despite Resistance (graded) Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project. DQ 2 Workplace Safety (graded) Select an American Nurses Association (ANA) publication on workplace safety from the ANA. Search the American Nurses Association (ANA) website for workplace safety (.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environment”>http://www.nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Work-Environmentand select a publication on workplace safety. Review the document (publication), include the URL, and discuss implications for you and your work setting. DEvry NR451 Week 7 Discussion DQ 1 & DQ 2 Latest 2016 jan. DQ 1 Healthcare Policy (graded) Describe a recent health care policy and discuss it’s implication to your personal clinical practice or health care as a whole. Why is it important for nurses to be aware of health care policy? DQ 2 Healthcare Economics (graded) Health care costs are on the rise. What is an example of wasted health care dollars in your clinical practice and how do you propose improving the utilization of these dollars? DEvry NR451 Week 8 Discussion DQ 1 & DQ 2 Latest 2016 jan. Educational Preparation as a BSN Graduate (graded) How has this educational program prepared you for the future of nursing as a BSN graduate?
January 20, 2020

provide a critical analysis of clinical leadership within a specified healthcare context.

Written assignment. Leadership scenario analysis Goal: To provide a critical analysis of clinical leadership within a specified healthcare context. Product: A written report containing a description […]
January 20, 2020

Discuss the relationship between health data stewardship and information governance. How does this impact health data policy development?

Week 2 Case Study: HIMSS Davies Award of Excellence Week 2 “Since 1994, the HIMSS Nicholas E. Davies Award of Excellence has recognized outstanding achievement of organizations who have utilized health information technology to substantially improve patient outcomes while achieving return on investment. The Davies Awards program promotes EHR-enabled improvement in patient outcomes through sharing case studies and lessons learned on implementation strategies, workflow design, best practice adherence, and patient engagement.” (HIMSS Website:.himss.org/resourcelibrary/TopicLanding.aspx?MetaDataID=2798&ItemNumber=26687&navItemNumber=26817″>http://www.himss.org/resourcelibrary/TopicLanding.aspx?MetaDataID=2798&ItemNumber=26687&navItemNumber=26817 ) Your assignment this week is to review one of the case studies assigned to you (attached). Read through it and reflect on how the organization has met the intent of the award. You are to write a 3-5 page that includes your reflection and a summary of the case study, highlighting the main outcomes of the implementation. Include in your report the answer the following questions: A. Give specific examples of some of the learning outcomes of the course that were reflected in this case study. For example, did the organization improve patient safety or provide criteria for evaluating information technology applications? B. If you were the administrator for this organization, how would you build upon what you have done with this project and move your organization to the next level? Process Map Content Top of Form Bottom of Form .blackboard.com/webapps/blackboard/execute/displayLearningUnit?course_id=_186907_1&content_id=_7158068_1″ title=”” week=”” 4=”” discussion=”” -=”” question=”” 2″=”” “=””>Page 5 of 6.blackboard.com/webapps/blackboard/execute/displayLearningUnit?course_id=_186907_1&content_id=_7158070_1″ title=”” weekly=”” reflection”=”” “=””> Directions for Process Map · Write an essay (3-5 pages) reflecting on how Information Systems can positively impact a change work processes in healthcare, and review some of the obstacles to implementation. · Research the topic of process mapping on the web and develop a process map that describes a clinical or administrative process that could be found in a healthcare organization. Map the process as it could occur before and after automation. You have considerable latitude in this assignment, so be creative. · APA format including title page, introduction, body, conclusion, reference page. Week 6 After reading the below Case Study, write a 3-5 page essay that answers the following two questions: 1. What steps are involved in evaluating which vendor to choose for this EMR upgrade? 2. Since your predicted total margin for next year shows a decrease of .5 %, would you still go ahead with the EMR upgrade? Be sure to support your answers with appropriate citations and explanations. Use APA formatting for your essay. Your essay should contain at a minimum, a title page with running header, body, conclusion, and references. No abstract required for this assignment. CASE STUDY: ABC Health Systems EMR ABC Health Systems provides emergency and level I trauma services in a large metropolitan area with a population of 200,000. There are also two other level I trauma centers within 45 miles. The payer mix at ABC Health Systems is 60% government and 40% private payers. The total margin profitability for ABC Health Systems in fiscal year 2013 was 2.5%. In fiscal year 2014, total market is projected to be only 2% due to projected changes in payment from their major payer.As part of it’s enterprise strategic plan, ABC Health Systems is in the process of expanding its Emergency Department by adding an additional 20,000 square feet of space. This additional space will allow the Emergency Department to provide expanded emergency services. The current process for documenting the patient visit is a combination of electronic and paper records. This hybrid method is less than efficient and sometimes causes records to be unavailable which increases the chance of medical errors. The information systems strategic plan calls for the purchase of a new electronic medical record for the Emergency Department. The choice of vendors for this new electronic medical record system has been narrowed to two. One vendor is T-Systems and the other vendor is PICIS. Your current hospital health information system is McKesson. Both T-Systems and PICIS offer open technology, device connectivity, system interoperability, clinical expertise and data analysis tools. T-Systems is able to install, test, train, and go-live within 4-6 months of contract signing. PICIS is projecting a go-live date of 6-9 months. Week 7 Write a 5 – 7 page summary paper for your learning outcomes in this course. Include in this paper at least the following items: · Summary of Information Systems in healthcare, applying learning to real world examples · Effect of Information Systems on healthcare future overall · The value of the new knowledge that you have gained and how you will incorporate this new knowledge in your career NOTE: This is due Day 5 of this weekWK 1 DQ 1 Every department has information technology requests either in the form of new hardware or software, upgrades, or training. Each requests is important to that department and most will say they cannot be effective in meeting customer/patient needs with out the resources. Assume that the reason to fund the request is not due to regulatory requirements. How might a healthcare organization approach prioritizing its IS projects or needs? Some area to think about are funding, demand, SDLC, patient quality and safety, and emerging technologies. How would you justify your decision to the requesting department? Answer the discussion question by day 3, and provide two substantial posts in response to your peers by the end of day 7. WK 1 DQ 2 Chapter 5 discusses the various components of the EHR and some of the clinical decision support that the EHR can provide. Discuss with your peers the ways in which these components would be utilized differently in a hospital setting versus a physician’s office setting. Answer the discussion question by day 3, and provide two substantial posts in response to your peers no later than day 7. Information governance has become a focus of health informatics. Discuss the relationship between health data stewardship and information governance. How does this impact health data policy development? WK 2 DQ 2 Think about an office or hospital you have worked in or think about the last time you or a family member had an encounter with a health care provider. How would you grade your provider on the AHIMA 10 data characteristics? What recommendations would you make to the provider for improving their performance? Week 2 Reflection Share with the class the implications and conclusions (for you) for the week. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less that 300 words. Submission is due by the end of day 7. week 3 You are the Director of HIM for an Integrated Healthcare Delivery System. Your chief medical informatics officer, Mary Watson, is creating a strategic plan for the new home care and skilled care services available in the system including the skilled care unit affiliated with the Flagship hospital, swing bed services offered by the three rural hospitals and the five nursing homes with skilled care beds that are part of your system. The system expects that there will be frequent transfers of patients and residents from one level of care to another within the system. What health information standards will you want to become familiar with in order to understand information management needs for the future for these facilities? Assume that the rural hospitals do not have a sophisticated EHR. How will that affect the ability to exchange information? dq 2 The reading “HIE and Meaningful Use Stage 2 Matrix” from HIMSS focuses on HIE activity and the meaningful use objectives and requirements. For purposes of this discussion, we will focus on the overview and the following priorities and objectives: Engage patients and families in their health care (page 11-13) Improve population and public health (page 16-18) Ensure adequate privacy and security protection (pg 19) After reading your chapter and this document, discuss how well you think we are meeting these requirements, and what some of the barriers are to achieving MU with regard to Health Information Exchanges. ref Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words. week 4 dq 1 Discuss the advantages and disadvantages of a patient portal from both the patient and practitioner point of view. Include in your discussion whether or not you think the entire patient record should be put on the portal for the patient to see. dq 2 Your text talks about many different registries and databases that hold health information. How aware were you that health information is shared with all these registries? What safeguards do you feel should be in place to ensure the accuracy and privacy of this information? ref Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words. week 5 dq1 Your readings identify forces that can impact a healthcare organization’s financial position. Critically discuss with your classmates how payer mix, uninsured patients, and the economy can impact a healthcare entity’s financial position. What role can informatics play in providing information to decision makers? dq 2 What are the potential negative ramifications of decreases in Medicare’s payments to physicians? Since providers are not able to negotiate with government payers, how can they afford to treat patients covered by those plans when the payment does not cover the cost of care? ref Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words. 6 dq 1 Describe how organizations determine the need for external financing? As an administrator what would be your strategy in obtaining that funding? Would it be better to use internal sources of funding? dq2 r Chapter 25 gives a very general overview of financial accounting. Why is it important for non-financial managers (and physicians) to have a working knowledge of accounting. After reading the chapter discuss what areas you feel are most important for a non-financial manager to have a good grasp of and why. ref Weekly, students are asked to reflect on their learning outcomes and course experience and then post their thoughts in the Reflection forum. Include at least one reference from current articles that relate to the learning outcomes. The weekly reflection should be no less than 300 words. week 7 d1 Explain the concept of e-Discovery and discuss the role of health information management in the e-Discovery process. Why would having a clear definition of the provider/institution’s designated record set be important in e-discovery? dq2 Find an example of an unethical practice in healthcare either by a vendor, an employee, or a practitioner. Discuss how you would respond if you had to determine a course of action.
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