Use of Resources to Promote Translation of Evidence into Practice

For this Discussion, you are asked to evaluate the use of a health information system and other resources in your practicum setting. What are the implications of resource use in terms of planning for and implementing your proposed evidence-based change?

To prepare:

• Consider the benefits and limitations of the use of a      health information system within your practicum setting. What impact do      you think this might have for your proposed evidence-based change? Draw      upon at least one relevant example of a current or previous change      initiative at your setting as you assess this. (If your setting does not      have a health information system, you can still discuss the benefits and      limitations of not having a health information system as it relates to      this change.)
• What other resources (e.g., financial, staffing,      materials) are important to consider as well? Why?
• Be prepared to support your Discussion postings with      evidence from the literature and specific examples related to your      practicum setting.

By tomorrow Wednesday 4/3/19  2pm write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Within your practicum setting, what are the benefits and limitations of using a health information system? How might this impact planning for and implementing your proposed change?

2) Describe three potential resource considerations that could facilitate or inhibit your proposed change and explain your rationale.

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

• Review Chapter 9, “Project Planning      and the Work of Translation”

Coleman, C. (2015). Stimulating a Culture of Improvement: Introducing an Integrated Quality Tool for Organizational Self-Assessment. Clinical Journal of Oncology Nursing, 19(3), 261-264. doi:10.1188/15.CJON.261-264.

Holup, A. A., Gassoumis, Z. D., Wilber, K. H., & Hyer, K. (2016). Community Discharge of Nursing Home Residents: The Role of Facility Characteristics. Health Services Research, 51(2), 645-666. doi:10.1111/1475-6773.12340.

Kondo, K., Damberg, C., Mendelson, A., Motu’apuaka, M., Freeman, M., O’Neil, M., & … Damberg, C. L. (2016). Implementation Processes and Pay for Performance in Healthcare: A Systematic Review. JGIM: Journal Of General Internal Medicine, 3161-69. doi:10.1007/s11606-015-3567-0

  

1-Many statisticians base ANOVA on the design of the experiment, especially on the protocol that specifies the random assignments of treatment to subjects; the protocol’s description of the assignment mechanism should include a specification of the structure of the treatments and of any blocking. It is also common to apply ANOVA to observational data using an appropriate statistical model.

Some popular designs use following types of ANOVA:

· One-way ANOVA is used to test for differences among two or more independent groups. e.g., different levels of urea application in a crop or different levels of effect of some medicine on groups of patients.  However, the one-way ANOVA is used to test for differences among at least three groups, since the two-group case can be covered by t-test when there are only two means to compare.

· Factorial ANOVA is used when the experimenter wants to study the interaction effects among treatments.

  

2-When dealing with an uninformed person, it is good to make sure the explanations and the follow-up given is as simple as possible and accurate. Variance testing should first be explained as a way to get results from conducting a study or an experiment. There are one-way, two-way, three-way tests where the difference as indicated by their number is according to the variances analyzed in each of the study. One way will have one variable, while three way will have three variables. It is also necessary to make sure there is a connection between the different variables, as they need to come from the same population, and samples selected randomly

  

3-The analysis or ANOVA is a test that is conducted to find out if the survcey or experiments results are significant. There are different ways that this test might be done, depending on the study at hand. Statisticshowto described them as follows: 

• One-way      ANOVA between groups: used when you want to test two groups to      see if there’s a difference between them.
• Two      way ANOVA without replication: used when you have one group and      you’re double-testing that same group. For example, you’re      testing one set of individuals before and after they take a medication to      see if it works or not.
• Two      way ANOVA with replication: Two groups, and the members of those      groups are doing more than one thing. For example, two groups of      patients from different hospitals trying two different therapies.

In order for the results to be accurate, ANOVA has the following assumptions in regards to the study:

• there      needs to be similar variances
• the      population where the samples are obtained should have normal      distribution 
• samples      should be randomly selected
• samples      should be independent 

Statisticshowto (n.d) ANOVA test: Definition, types, examples. Retrieved from http://www.statisticshowto.com/probability-and-statistics/hypothesis-testing/anova/

 

Evaluate the current state of the health care system in the city of Memphis. Read local newspaper articles, watch videos, and explore government and health care sites for information about challenges to the city’s health care needs (shortages, financial difficulties, privacy issues, etc.).

Propose a new or improved health care service that you would introduce into the community. Explain why the service is needed and how it would improve the community.

Design a new health care facility that would offer a new or an improved service to the community. Present a floor plan of the facility that includes the surface area, purpose for, and description of each space.

Write a 700 word report about the state of health care in your selected city, your proposal for a new or improved service, and the floor plan of a facility to implement that service.

Cite three reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

                               Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve. The attending physician suggested immediate dialysis. After some time of discussion with 

Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain

mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike

and Joanne agreed to return to the hospital after the faith healing services later in the week,and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. 

Had he not enough faith? Was God punishing him or James? To make matters

worse, James’s kidneys had deteriorated such that his dialysis was now not a

temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors.

Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James.

However, none of them were tissue matches. 

James’s nephrologist called to schedule a private appointment with Mike

and Joanne.

James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel. Mike vacillates and

struggles to decide whether he should have his other son Samuel lose a

kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. 

What could require greater faith than that?” 

            

Case Study on Biomedical Ethics in the Christian Narrative

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

                          Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications

Beneficence and Nonmaleficence Patient Preferences

Autonomy

Quality of Life

Beneficence, Nonmaleficence, Autonomy Contextual Features

Justice and Fairness

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

References:

WK3/kmc 

To be a change agent means to transform the environment that needs to be worked upon. “Being a change agent is a major function for nurses. Nurses are on the floor seeing the effects medicine and the health care system is having on the patient” (Keyes, 2017). I personally have yet to act as a change agent, but I have witnessed it in my own facility. Just recently we switched how we handle wound care. The hospital went years without a hospital-acquired wound, and sadly they had 14. Due to the reoccurring issues, a team of nurses, physicians, CNAs, CNO, etc. all gather together to come up with a plan and implement it. Included in this plan was: a turn schedule, inquiring more/better air mattresses, and wound care education for everyone. With the new plan in place, the wounds have decreased and the existing wounds have healed better as well.

In just the last month, our charting system has been updated. Our old system had many complaints, issues, too many steps and overall just wasn’t the best. The new charting is more efficient for the medical staff in that it takes less amount of time to chart. Also, steps and certain things like IVs, wounds don’t have to be re-charted unless there was a change. In addition, with the old charting, the same questions and answers would have to be re-charted when the ER admitted a patient. With the new charting in place, admissions to the floor take half the time than before. Nurses were definitely on the list when implementing this change. It took some years to come up with a plan and put it into place, but it happened and it works. We use the system probably more than anyone else and voiced our concerns for a change. Nurses “play a critical role in shaping the health care system of the future” (Keyes, 2017) someday I too hope to become a change agent.