The Assignment (1–2 pages)

• Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.
• Explain the risk assessment you would use to inform your treatment  decision making. What are the risks and benefits of the FDA-approved  medicine? What are the risks and benefits of the off-label drug?
• Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain  what information you would need to take into consideration.
• Support your reasoning with at least three scholarly resources, one  each on the FDA-approved drug, the off-label, and a non-medication  intervention for the disorder. Attach the PDFs of your sources.

** Important:

Please attach the PDF of each source/reference used

Four references/sources required

No plagiarism please

Week 6: Performance Measurement PowerPoint Slide Show (graded)

 Submit Assignment

Due Oct 8 by 11:59pm  Points 200  Submitting a file upload

Performance Measurement PowerPoint Slideshow Guidelines

Update 4/27/2017

Purpose

The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate hospital compare data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.

Points

This assignment is worth 200 points.

Directions

Review information found on the following website related to hospital compare http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html (Links to an external site.)Links to an external site.

Read the information carefully and then locate the following website. http://www.medicare.gov/hospitalcompare (Links to an external site.)Links to an external site.

Search for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital and two others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50-mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.

Click on the following topics to learn more.

Survey of patient’s experiences

Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals)

Readmissions, complications, and deaths

Carefully read the information provided.

Develop a PowerPoint slideshow consisting of 8-10 slides. Include the following, keeping in mind what all this data means.

Title slide with information pertinent to the course.

List reasons to recommend hospital compare to consumers (patients).

List reasons to recommend hospital compare to staff who may seek employment.

For the slides below, clearly label them as Hospital A, B, or C:

Summarize patient experiences data for each hospital.

Summarize timely and effective care data for two conditions.

Summarize data for readmissions and complications and deaths.

List recommendations for improving data for one selected facility.

Summarize what you learned from this experience.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found in the course list in the student portal.

Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

Be creative.

Incorporate graphics, clip art, or photographs to increase interest.

Make easy to read with short bullet points and large font.

Review directions thoroughly.

Proofread prior to final submission.

Spell check for spelling and grammar errors prior to final submission.

Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR447_Performance_Measurement

NR447_Performance_Measurement

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeTitle slide

view longer description

Slide contains all pertinent information related to assignment, course, student, date, and faculty member

10.0 pts

Slide contains most information; however, one component is missing.

9.0 pts

Slide contains most information; however, two to three components are missing.

8.0 pts

Slide contains some information; and more than three components are missing or slide is missing.

4.0 pts

Title slide is missing.

0.0 pts

10.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to patients

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the patient’s perspective.

20.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the patient’s perspective.

18.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to patient’s perspective.

16.0 pts

One reason is included but is not logical or easy to read and is not from the patient’s perspective.

8.0 pts

No reasons given are given to recommend hospital compare to patients.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to staff

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the potential staff member’s perspective.

30.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the potential staff member’s perspective.

26.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to the potential staff member’s perspective.

24.0 pts

One reason is included but is not logical or easy to read and is not from the potential staff member’s perspective.

11.0 pts

No reasons are given to recommend hospital care to potential staff members.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to patient experiences

view longer description

Three hospitals are labeled A, B, and C and data related to patient experiences are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B, and C and data related to patient experiences are clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C, and data related to patient experiences are briefly displayed.

24.0 pts

Three hospitals are included but are not labeled appropriately, and data related to patient experiences are difficult to ascertain.

11.0 pts

Fewer than three hospitals are summarized and no data related to patient experiences are included.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to timely and effective care

view longer description

Three hospitals are labeled A, B, and C. Two different conditions are named and concisely applied to hospitals A, B, and C.

30.0 pts

Three hospitals are labeled A, B, and C. Two different conditions are named and somewhat applied to hospitals A, B, and C.

26.0 pts

Three hospitals are labeled A, B, and C. One condition is named and somewhat applied to hospitals A, B, and C.

24.0 pts

Only one or two hospitals are listed and labeled appropriately. Only one condition is named and applied.

11.0 pts

No hospitals are listed or labeled, and no conditions are named or applied.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to readmissions, complications, and deaths

view longer description

Three hospitals are labeled A, B, and C and data related to readmissions, complications, and deaths are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B and C and data related to readmissions, complications and deaths is clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C and data related to readmissions or complications or deaths (but not all three) is briefly displayed.

24.0 pts

Only one or two hospitals are selected but are not labeled appropriately and data related to readmissions, complications, and deaths are difficult to ascertain.

11.0 pts

No hospitals are summarized and no data are provided.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeRecommendations for improving data for one facility

view longer description

One of three hospitals is selected. Five or more recommendations for improving data are listed and thoroughly described.

20.0 pts

One of three hospitals is selected. Three to four recommendations for improving data are listed and clearly described.

18.0 pts

One of three hospitals is selected. Two recommendations for improving data are listed and briefly described.

16.0 pts

One of three hospitals is listed. One recommendation for improving data is listed.

8.0 pts

No hospitals are listed and no recommendations for improving data are listed.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeSummary of learning related to this assignment

view longer description

Thoroughly summarizes learning related to performance measurement assignment, including value of data.

20.0 pts

Generally summarizes learning related to performance measurement assignment, including value of data.

18.0 pts

Briefly summarizes learning related to performance measurement assignment; including value of data.

16.0 pts

Minimally summarizes learning related to performance measurement assignment; does NOT include value of data.

8.0 pts

Summary of learning related to performance measurement assignment, including value of data, is missing or so brief that understanding of concepts is difficult to ascertain.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeScholarly writing and formatting

view longer description

All slides are provided and grammar, punctuation, and sentence structure are correct. There is evidence of spell and grammar check.

10.0 pts

Minimal errors in grammar, punctuation, or sentence structure noted. Minimal indicators of spelling or grammar errors.

9.0 pts

Several errors in grammar, punctuation, or sentence structure noted. There are several indicators of spelling or grammar errors.

8.0 pts

Numerous errors in punctuation, or sentence structure noted. There are many indicators of spelling or grammar errors.

5.0 pts

Many errors in writing to the extent that it is difficult to understand the meaning of the information presented on the slides.

0.0 pts

10.0 pts

Total Points: 200.0

Previous Next

 The first step of the EBP process is to develop a question from the nursing practice problem of interest.
Select a practice problem of interest to use as the focus of your research.
Start with the patient and identify the clinical problems or issues that arise from clinical care.
Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.
The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.
Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.
Suggestions for locating qualitative and quantitative research articles from credible sources:
Use a library database such as CINAHL Complete for your search.
Using the advanced search page check the box beside “Research Article”” in the “”Limit Your Results”” section.
When setting up the search you can type your topic in the top box

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4-Proposed solutions to my project will be to revise post fall debriefing- such as doing a fall huddle to analyzed the fall and educate staff on what to do. Post fall huddle should be conducted after a fall as soon as possible involving all staffs and even the patient to debrief on the what, how and why and see how similar incident can be avoided (SE Alert, 2015) Next will be to increase number of staff at certain time of the day such as the noon to bedtime time because that is when patient get agitated more. Increasing staff will reduce the nurse to patient ratio and will enable staff to take care of patient properly and will reduce falls. Incorporate physical therapy or restorative therapy on the patient daily schedule to build their strength. Staffs need to do hourly rounding at night to take care of toileting and hydration needs.

After talking to some of the nurses, so far we have implement a 4 to 6hrs shift in the late afternoon to have an extra help for the patients and that is helping. Staff is able to walk with patient in and around the unit when they want to and they don’t feel like they are secluded in a particular spot. We have also educated CNA’s to do hourly rounding especially at night. This facility is alarm free which I get the reason why. Alarms can wake up others who might be sleeping and will increase agitation and confusion at night. For this reason, hourly rounding is necessary to make sure patients are in bed and safe. Families are appreciating the new process and I think it is going to help a long ways if it is fully implemented.

Reference

SE Alert (2015) Preventing falls and fall-related injuries in health care facilities: A complimentary publication of The Joint Commission Issue 55. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_55.pdf

 

 

 
 

5-The current perspective and direction from the context of the nursing environment are to improve cleanliness from a medical perspective. Patients need to have the safest environment in which they can recuperate. It is imperative to ensure that nurses maintain hand cleanliness to avoid the spread of diseases from one patient to the next (Papanicolas et al., 2017). It is also critical to provide their sanitation because this pans out well for them from the context of the medical care environments. Nurses who ensure cleanliness have the propensity of increasing the overall outlook from the context of patients because they get to understand the medical care environment as a place they should visit whenever they have problems. They can also recommend a solution to their friends and family for similar results.

References

Papanicolas, I., Figueroa, J. F., Orav, E. J., & Jha, A. K. (2017). Patient hospital experience improved modestly, but no evidence Medicare incentives promoted meaningful gains. Health Affairs, 36(1), 133-140.

 
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6-My proposed solution involves extensive education that is personalized and individualized to each family or parent/child unit. This can vary depending on many different things such as perception of childhood obesity and the diseases that go with it, economic status, and other unforeseen circumstances that are as unique as the individuals themselves. When I started this project my plan was to make a pamphlet that was very brief and uniform. I am finding out that this method, albeit easier, would not address the needs of obese chidlren and their families and not accomplish what I am trying to get done. Personalized learning presents the opportunity to shift education by tailoring the learning experience to an individual’s needs and interests while helping them gain the knowledge, skills and experiences they need to succeed in college and career (Willingham, D. T., Hughes, E. M., & Dobolyi, D. G., 2015).

References

Willingham, D. T., Hughes, E. M., & Dobolyi, D. G. (2015). The Scientific Status of Learning Styles Theories. Teaching of Psychology, 42(3), 266–271. https://doi.org/10.1177/009862831558950

Tasks:

1. Professional socialization relates to the manner in which we learn the roles and functions of being a nurse once we enter the healthcare system. What are some of the ways this socialization occurs in your place of employment, and do you believe it leads to effective assumption of the nursing role? This socialization occurs in a patriarchal healthcare system that still remains predominantly male physician-based. Discuss the impact, you believe, this has on socialization to the nursing role.
2. Identify an area of practice where change theory may find applicability. Provide examples to support your answer. Comment on the inherent weaknesses in change theory that may impact real life situations or give rise to difficulties in the process of applying this theory.