2023 Discussions are not just opinion to obtain full points postings must be

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Nursing 2023 disc 1

Discussions are not just opinion to obtain full points postings must be 2023 Assignment

 Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected. Application of Health Literacy & Motivational Interviewing Concepts to Promote WellnessHealth literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdfDiscuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans) 

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2023 1 One of the issues that is facing the small community hospital where I live is nursing

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Nursing 2023 1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 One of the issues that is facing the small community hospital where I live is nursing 2023 Assignment

 

1-One of the issues that is facing the small community hospital where I live is nursing shortage. Around the world, it seems that larger hospitals are more immune to this problem versus small community hospitals (Cha B. & Choi J., 2015). One way that this affects nurses is in the ED setting. The ED was just added onto to make 23 beds. This is up from 8 beds. Travellers were used for a short time but staff was told that this was not sustainable and the decision was made to only use the correct amount of beds for the amount of nurses that were on shift. The MD’s and other providers insist on filling every room. Two implications for nurses are safety and staff retainability. It is hard for the nurses to feel safe when patient ratios are far above recommended national guidelines. This in turn puts patient’s wellbeing at risk. Secondly, the hospital is having a hard time hiring new staff and retaining current staff. Staff satisfaction has dramatically declined and the word is travelling through the nursing community that it is not a good place to work. 

References

Cha B. & Choi J. (2015).  A Comparative Study on Perception of Patient Safety Culture and Safety Care Activities: Comparing University Hospital Nurses and Small Hospital Nurses. Journal of Korean Academy of Nursing Administration21(4), 405-416. https://doi.org/10.11111/jkana.2015.21.4.405

2-Developing Pediatric Transfer Guidelines based on our available resources and Evidence based practice.

“Additionally, inappropriate transfers to trauma centers may be impacting this finding as well. In a study of patients with orthopedic injuries transferred to Level I trauma centers, Thakur, et al. reported that 52% were inappropriate transfers, and that the majority of inappropriate transfers were uninsured. This transfer effect was not found in Level III or IV trauma centers. Hospitals receiving a larger percentage of transferred patients also have higher proportions of patients requiring critical trauma resources. This is not surprising, as severely injured patients are typically transferred to higher levels of care for specialty expertise and for the management of complex injuries” (Faul, 2015). Nursing staff should be able to ensure the accepting facility has the right resources for the patient.

Developing a Simple SBAR type tool with Standards of Practice for use in outlying facilities and our ED during Transfer Calls. The concept is to improve communication and continuation of care for transferring patients. (ie: if they have give 3 units of RBC, we need to start with plasma.)

“The Joint Commission (2008) has identified effective communication as one of its National Patient Safety Goals. Communication tools like SBAR (Situation, Background, Assessment and Recommendation) can help nurses focus communication to improve the effectiveness of information transfer. SBAR is especially important in urgent or high-acuity situations where clear and effective interpersonal communication is critical to patient outcome” In high acuity, fast paced scenarios a lot of information can be lost or forgotten leading to patient harm (Dunsford, 2009).

Implementing PECARN Imaging guidelines for trauma in the ED & inpatient settings. Leadership from Radiology has asked to be a part of this project.

These are the 3 clinical problems our organization would like us to research and gain positive outcomes from. Clear communication plays a big part in all of these.

Dunsford, J. ( 2015). PubMed. Structured communication: improving patient safety with SBAR. retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/19821914

Faul, Mark (2015). PMS. Trauma Center Staffing, Infrastructure, and Patient Characteristics that Influence Trauma Center Need. retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307735/#b34-wjem-16-98

3-During this practicum, the clinical problem identified within the organization is a lack of musical intervention to reduce agitation, anxiety, and aggression associated with dementia. The first nursing implication for this topic is non-pharmacological musical intervention to reduce behaviors in dementia patients to improve their quality of life (Millan-Calenti, Lorenzo-Lopez, Alonso-Búa, de Labra, González-Abraldes, & Maseda., 2016) The second nursing implication is a reduction of negative side effects associated with the use of pharmacological interventions to treat agitation, anxiety, and aggression in dementia patients (Ridder, Stige, Gunnhild, & Gold, 2013). Current research supports positive outcomes when musical intervention is utilized as a non-pharmacological intervention in the reduction of negative behaviors seen in dementia patients and this organization and its residents could benefit from the implementation of this evidence-based practice.

References

Millán-Calenti, J. C., Lorenzo-López, L., Alonso-Búa, B., de Labra, C., González-Abraldes, I., & Maseda, A. (2016). Optimal nonpharmacological management of agitation in Alzheimer’s disease: challenges and solutions. Clinical interventions in aging, 11, 175–184. doi:10.2147/CIA.S69484

Ridder, H. O., Stige, B., Gunnhild, L., & Gold, C. (2013). Individual music therapy for agitation in dementia: an exploratory randomized controlled trial. Aging & Mental Health, 17(6), 667–678. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4685573/

 

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2023 Performance management is ideally an ongoing quality assurance based process to provide an organization its employees regulatory agencies accreditors and other

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Nursing 2023 I Need Help 5

Performance management is ideally an ongoing quality assurance based process to provide an organization its employees regulatory agencies accreditors and other 2023 Assignment

Performance management is, ideally, an ongoing quality-assurance-based process to provide an organization, its employees, regulatory agencies, accreditors, and other stakeholders with a structured means to support and accomplish mutually identified strategic goals and objectives.

Assume the role of a newly-hired risk management officer for a hypothetical new allied health organization in your chosen career field. You and your team will need to develop the organization’s policies.

The first item you will create will be a performance management plan. Using the Health Resources and Services Administration (HRSA) 

(https://hrsa.gov/quality/toolbox/methodology/performancemanagement/index.html)or other qualified framework, craft a proposal (1,250-1,500 words) for a performance management plan for your new organization that includes the following:

  1. Organizational Goals. Provide a statement of your organization’s goals in terms of workplace safety, risk management, or quality improvement. Pick one area, and develop five goals for that one area.
  2. Outline of Organizational Objectives. Outline and provide a brief evaluation of specific objectives that support the organizational goals you previously identified.
  3. Summary of Relevant Performance Measures. Summarize the steps and measures your new organization will adopt to measure performance. Consider: (a) How well measures will align with your stated goals? (b) How do these measures demonstrate a relationship to positive health outcomes? (c) Are the measures you select able to be controlled by your organization (i.e., can your organization effect change in this area?)? (d) Which measures meet criteria related to reliability and validity, and which are standardized?
  4. Performance Baseline. Determine a performance baseline for the measures you have selected. This will enable your organization to conduct comparisons of desired goals versus actual results as time moves on.
  5. Performance Evaluation. Select one of three commonly accepted methods to measure provider quality and summarize the features and why it applies best to your organization. Refer to the assigned reading, “The Measurement of Health Care Performance: A Primer From the Council of Medical Specialty Societies,” by the Council of Medical Specialty Societies (CPSS) (http://www.cmss.org/uploadedFiles/CMSS_Quality_Primer.pdf).
  6. Definition of Success. Define what success means to the organization. Now that you have chosen measures to assess organizational performance, you need to identify what success means to your organization; otherwise, you are chasing a moving target. Be explicit in the level of performance you see as acceptable. This will change as an organization grows, but you need to start somewhere in order to get anywhere.

You are required to use and cite a minimum of three qualified resources from the readings, qualified website

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2023 Module 6 Assignment Description Data Collection and Education Develop a 15 slide PowerPoint

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Nursing 2023 Nursing Leader

Module 6 Assignment Description Data Collection and Education Develop a 15 slide PowerPoint 2023 Assignment

 

Module 6 Assignment Description:

Data Collection and Education – Develop a 15 slide PowerPoint presentation. Be thorough and include your rationale and three (3) references for your recommendations.

As a nursing leader, you have been asked to assess and educate staff on:

· Data points necessary for developing an accurate financial statement.

· Educate the staff on accuracy and what data points are necessary when developing a financial plan.

· Define terms for the staff.

Assignment Expectations

Length: 15 slides; answers must thoroughly address the subject matter in a clear, concise manner 

Structure: Title slide and reference slides in APA style. (at least 2 slides)

Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) resources to support your claims.

Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.

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2023 Review both resources provided below in addition to the assigned readings for this week 1 Reflect on

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Nursing 2023 Health Care Policy discussion board

Review both resources provided below in addition to the assigned readings for this week 1 Reflect on 2023 Assignment

 

Review both resources provided below in addition to the assigned readings for this week.

1- Reflect on 2 key differences between the UK and US Health systems. 

2-What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo 

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries  

3. Summary of the American Health Care Act.pdf 

Note:

This is a discussion board, it must be in APA format, 300 words, references must be in APA format as well and including 2 scholarly  resources within the past 5-7 years

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2023 Genetic engineering has become a part of our culture and it is difficult to tell the difference between unmodified and

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Nursing 2023 future medicine

Genetic engineering has become a part of our culture and it is difficult to tell the difference between unmodified and 2023 Assignment

 

Genetic engineering has become a part of our culture and it is difficult to tell the difference between unmodified and genetically modified food sources such as plants and animals. After reading this module’s material regarding vectors in biotechnology, consider the potential for nanotechnology and gene therapy.

For your initial discussion post, research nanotechnology and its potential use in biotechnology. Explain the potential advantages and disadvantages of nanotechnology in health care and discuss whether you would or would not support further research.

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2023 As technology in healthcare continues a shift to homecare is inevitable safety is of utmost

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Nursing 2023 As Technology In Healthcare Continues A Shift To Homecare Is Inevitable, Safety Is Of Utmost Importance. Review The Most Current Patient Safety Goals For Homecare Found Under The NPSG Program Links. R

As technology in healthcare continues a shift to homecare is inevitable safety is of utmost 2023 Assignment

 

As technology in healthcare continues a shift to homecare is inevitable, safety is of utmost importance. Review the most current Patient Safety Goals for homecare found under the NPSG Program Links. Review the 5 NPGS listed for the Home Care option and discuss each one related to how the nurse can ensure they are met. Finally, locate an article that discusses technology and home care and summarize the findings. How will this shift to home care impact your day-to-day nursing practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length.

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2023 Please respond to the following Generic Strategies and Balanced scored Card Determine

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Nursing 2023 2 dis 9wk

Please respond to the following Generic Strategies and Balanced scored Card Determine 2023 Assignment

Please respond to the following: “Generic Strategies and Balanced scored Card”

  • Determine whether or not you believe the process of formulating strategy in the health care industry is complex. Justify your response with at least one (1) example of a situation or scenario that supports your position.
  • Assess the degree of guidance provided by Kaplan and Norton’s Balanced Scorecard as a management tool for guiding health care marketers in performing strategic management duties and responsibilities. Provide at least two (2) specific examples of the Balanced Scorecard Model that apply within a health care organization with which you are familiar.

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2023 Go to the following website by clicking on the provided link http www countyhealthrankings org and select a county and a state

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Nursing 2023 Discussion 4

Go to the following website by clicking on the provided link http www countyhealthrankings org and select a county and a state 2023 Assignment

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (USA, Miami Florida). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

  1. Select one area in need of improvement and list the general statistics pertaining to the specific problem.
  2. How does the creation of the community health center program help to address this public health problem and what can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

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2023 Assessment 4 Instructions Informatics and Nursing Sensitive Quality Indicators Prepare an 8 10 minute audio training

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Nursing 2023 Informatics And Nursing Sensitive Quality Indicators

Assessment 4 Instructions Informatics and Nursing Sensitive Quality Indicators Prepare an 8 10 minute audio training 2023 Assignment

 

Assessment 4 Instructions: Informatics and Nursing Sensitive Quality Indicators

Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.
As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality healthcare delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.
The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.
NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.
The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove, Gray, Jay, Jay, & Burns, 2015).
Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.
The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.
Reference
Grove, S. K., Gray, J. R., Jay, G.W., Jay, H. M., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). St. Louis, MO: Elsevier.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
    • Follow APA style and formatting guidelines for citations and references.
  • Preparation
    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:
  • Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.
  • Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
  • Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
    • What is your experience with collecting data and entering it into a database?
    • What challenges have you experienced?
    • How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
    • What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?
  • Watch the Informatics and Nursing-Sensitive Quality Indicators Video Examplar.
  • Recording Your Presentation
    To prepare to record the audio for your presentation, complete the following:
  • Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
  • Practice using the equipment to ensure the audio quality is sufficient.
  • Review the for Kaltura to record your presentation.
  • View Creating a Presentation: A Guide to Writing and Speaking. This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.
  • Notes:
  • You may use other tools to record your tutorial. You will, however, need to consult Using Kaltura for instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.
  • You may also choose to create a video of your tutorial, but this is not required.
  • If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.
  • Instructions
    For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.
    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.
    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.
    You determine that you will cover the following topics in your audio tutorial script:
    Introduction: Nursing-Sensitive Quality Indicator
  • What is the NDNQI®?
  • What are nursing-sensitive quality indicators?
  • Which particular quality indicator did you select to address in your tutorial?
  • Why is this quality indicator important to monitor?
    • Be sure to address the impact of this indicator on quality of care and patient safety.
  • Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
  • Collection and Distribution of Quality Indicator Data
  • According to your interview and other resources, how does your organization collect data on this quality indicator?
  • How does the organization disseminate aggregate data?
  • What role do nurses play in supporting accurate reporting and high-quality results?
    • As an example, consider the importance of accurately entering data regarding nursing interventions.
  • After completing your script, practice delivering your tutorial several times before recording it.
    Additional Requirements
  • Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
  • Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
  • References: Cite a minimum of three scholarly and/or authoritative sources.
  • APA: Submit along with the recording a separate Reference page that follows APA style and formatting guidelines. For an APA refresher, consult the APA Style and Format page on Campus.
  • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.
  • SCORING GUIDE
    Use the scoring guide to understand how your assessment will be evaluated.

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