2023 Interview a leader who is responsible for performance management and improvement in your organization

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Nursing 2023 Discussion 250-300 words APA style with in-text citations & references

Interview a leader who is responsible for performance management and improvement in your organization 2023 Assignment

 

Interview a leader who is responsible for performance management and improvement in your organization. What does he/she see as his/her role in leading performance improvement?

Based on your readings and research, do you agree with him/her? Why or why not? What do you think could be done better?

Response suggestions: How does the person in this posting compare to the person that you interviewed? Compare and contrast the two leaders.

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2023 Adhering to ethical principles and protection of human subjects are important considerations in all

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Nursing 2023 Discussion 250-300 words APA style with in-text citations & references

Adhering to ethical principles and protection of human subjects are important considerations in all 2023 Assignment

 

 Adhering to ethical principles and protection of human subjects are  important considerations in all forms of research. How stringent or similar  should these ethical principles be to the standards placed on the conduction of clinical and/or educational research? Offer examples where controversy exists regarding application of ethical principles in evidence-based practice projects, best practices in education versus clinical research? Be sure to address HIPAA and FERPA depending on your focus – clinical practice vs academic education.  

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2023 PLEASE RESPOND TO THIS PEER DISCUSSION For this assignment I interviewed an

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Nursing 2023 DISCUSSION RESPONSE 150-200 WORDS APA

PLEASE RESPOND TO THIS PEER DISCUSSION For this assignment I interviewed an 2023 Assignment

 PLEASE RESPOND TO THIS PEER DISCUSSION

For this assignment, I interviewed an NP in charge of the clinical division of the local hospital. Based on my observations and research, the hospital allocates different roles to healthcare professionals engaged in various capacities to oversee the assigned activities and performance within their specific department or division. According to the interviewee, the primary focus in performance management is to align the generated employee outputs with the organizational goals which are developed at the beginning of every strategic period. The interviewed noted that she is continuously focused on ensuring that she creates a workforce which is compliant, dependent, and technically equipped to ensure that they meet the goals set by the hospital towards improving the quality of care and also the overall outcomes for the hospital and the patients. Correctly, the interview explained that her department has come up with sector-specific ways of evaluating and managing performance to ensure that that they meet the anticipated goals and objectives. It requires the employees to come together in developing performance management practices within the organization to maximize individual performance and enhance the quality of care delivery (Hewko and Cummings, 2016). In my view, I think that the interviewee is correct to focus on improving individual employee performance and also involving them in the course of performance management and improvement in the organization. It is because healthcare professionals as care providers represent an integral part of the healthcare process and they have to involve directly and continuously to ensure that the quality of care delivery is improved significantly (van der Geer et al., 2009). The overall outcomes will be likely to be advanced if all levels of the workforce are engaged actively to provide high quality and effective care delivery. 

References

Hewko, S. J., & Cummings, G. G. (2016). Performance management in healthcare: a critical analysis. Leadership in Health Services, 29(1), 52-68.

Van der Geer, E., van Tuijl, H. F., & Rutte, C. G. (2009). Performance management in healthcare: performance indicator development, task uncertainty, and types of performance indicators. Social science & medicine, 69(10), 1523-1530.

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2023 hi dear can help me to finish this assignment with good quality and be on time

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Nursing 2023 PH physical activity

hi dear can help me to finish this assignment with good quality and be on time 2023 Assignment

   

hi dear,

 can help me to finish this assignment with good quality and be on time please?

A Personal Physical Activity Plan Paper (CLO #2 and CLO #7)

This assignment has THREE steps. Each step builds on the next. You will need to complete and submit all four parts for full credit.

STEP 1 

For the next seven days, record:

· The number of minutes of moderate-intensity physical activity (3-5.9 METS) you accumulate daily.

· Vigorous-intensity physical activity (>6 METS) you accumulate daily.

· You will note the amount of time you spend in sedentary activity (sitting) other than sleeping.

· The normal week would be reflective of your regular lifestyle.

For the week that you choose to record, be honest. Do not do extra (beyond normal) physical activity or exercise than usual.

The information will be submitted in a chart format. It can be a word document chart. The chart is attached.

Once you have determined the total minutes of moderate and vigorous physical activity and exercise along with total minutes accumulated per week, go to the 2018 Physical Activity Guidelines and answer the following questions:

1. What are the minimum physical activity recommendations for adults ages 18-65? Include citations/references.

2. Did you achieve or exceed the minimum recommendations for adults ages 18 to 65 during the week?

3. Why were you able to achieve or not achieve the guidelines?

4. Was this a typical week for you? Why or why not?

STEP 2 

Now that you have assessed your current physical activity levels, develop and describe a personalized plan to meet the minimal levels of the guidelines to become or remain physically active in the future.

Complete the following information requested and use the 2018 guidelines (see pages 23-36 in the text for more) to help you develop a personal physical activity and exercise plan if you do not have experience doing so.

1. Describe and list your personal health goals (Improve cardiorespiratory health, maintain weight, reduce risk of or control diabetes, etc..)

2. Aerobic activity goals (Frequency, intensity, duration per day, total minutes per week, etc…)

3. Muscle-strengthening activity goals (Frequency, muscle groups used, number of sets and repetitions, type (amount) of resistance used)

STEP THREE

Write up a 3-4 page APA report which describes your plan to continue to be physically active to meet the 2018 physical activity guidelines and also evaluate your success/failure to achieve/maintain the physical activity plan you set for yourself. Answer the following questions:

1. What was your personal activity and exercise plan? Provide a detailed explanation. Include health, aerobic, and muscle-strengthening activity goals.

2. Was each of your goals easy, moderate or difficult to achieve? Can you continue these goals long-term?

1. How did you try to achieve your goals? Explain in detail.

2. If you were unable to achieve your goals, explain why you think this happened. 

3. What are your personal recommendations for achieving/maintaining these goals in the future?

1. Provide evidence-based advice for achieving the goal if the goal was not attained.

2. Provide evidence-based advice/support for continuing the goals or increasing the goals.

View a student example paper , is attached.

here

  Points for spelling, grammar, APA

Submit each step together as one single document. Each step is needed to complete the assignment. 

RESOURCES:

MET Calculator: http://lamb.cc/calories-burned-calculator/ PA Intensity Table: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf Measure PA Overview: https://www.cdc.gov/physicalactivity/basics/measuring/index.html Measuring – Heart Rate: https://www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm Measuring – Perceived Exertion: https://www.cdc.gov/physicalactivity/basics/measuring/exertion.htm PA Guideline Videos: https://www.cdc.gov/physicalactivity/basics/videos/index.htm PA Glossary: https://www.cdc.gov/physicalactivity/basics/glossary/index.htm

Struggling to find evidence to support your population choice for your presentation? Remember to check out the 2018 Physical Activity Guidelines Part F. The Science Base.

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2023 There is no easy answer as to whether medical negligence cases should be handled in civil court or

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Nursing 2023 Module 3 Discussion Post 2

There is no easy answer as to whether medical negligence cases should be handled in civil court or 2023 Assignment

There is no easy answer as to whether medical negligence cases should be handled in civil court or criminal court. It is my belief that medical negligence cases should start out in civil court, and if gross deviation from standard of care is found, it should move to criminal court. The first thing to consider is how to prove medical negligence in court. Medical negligence is proved in court after showing proof of four elements: 1. A professional duty owed to the patient, 2. Breach of such duty, 3. Injury caused by the breach, and 4. Resulting damages (Bal, 2008). This alone is difficult to do.

To take a case from civil to criminal court, proof must be found of “gross or flagrant deviation from the standard of care” (Barcus, n.d.). This is also difficult to do. Many issues arise while trying to prove this, such as jurors who are confused by medical jargon and jurors who overlook the standard of care while paying more attention to the physician’s state of mind (Barcus, n.d.). It is also difficult to figure out and prove whether the physician had prior knowledge of an important aspect that could cause harm unintentionally (Barcus, n.d.). 

So, although this is a difficult process that has a few flaws, it is important to hold physicians responsible for their actions, whether they were intentional or not. This can be done by utilizing both criminal and civil court.

References

Bal, S. (2008). An introduction to medical malpractice in the United States. Clinical orthopaedics and related research, 467(2), 339-47. https://dx.doi.org/10.1007%2Fs11999-008-0636-2

Barcus, H. A. (n.d.) When does medical negligence become criminal? Retrieved from: http://www.latlaw.com/index.php/firm-news-articles/articles-2010/88-when-does-medical-negligence-become-criminal

_____________

Medical negligence cases I believe should be handled in criminal court. The reason being so is because like stated in the article that is provided to us, “The prosecution of criminal medical negligence was once a relatively uncommon occurrence.” ( Barcus, H. A. (n.d.), 2010). Meaning that it used to be uncommon that criminal negligence went to court and was prosecuted. It has grown since the years of 1809-1981. Medical negligence is not a civil matter, it’s criminal. Yes there are some thing within criminal negligence that is civil, but the overall picture shows that it is criminal. Therefore, Criminal medical negligence should be handled within the criminal courts rather than the civil courts.

References:

Barcus, H. A. (n.d.) (2010):  http://www.latlaw.com/index.php/firm-news-articles/articles-2010/88-when-does-medical-negligence-become-criminal

______

To begin with, medical negligence is defined as an act or omission (failure to act) by a medical professional that deviates from the accepted medical standard of care (David Goguen, n.d.).  According to LawHelp.org (2018), in criminal court the government files a case against someone for committing a crime.  The person accused of committing the crime is called the defendant and if found guilty may receive jail time.  In civil court, a person or business files a case against another person or business because of a problem between them.  The judge can order the person who loses in civil court to pay money or a fine towards the other party.  People do not go to jail based off of civil court decisions (LawHelp.org, 2018).

I believe that in order for a medical negligence case to be handled in criminal court there must be a “gross or flagrant deviation from the standard of care”.  Another necessary reason is “practicing outside of one’s area of expertise” or “attempting to cover up a clinical mistake” (James A. Filkins, 2007).  These are all selfish acts that deliberately violate the principles of beneficence and non-maleficence.  Knowingly acts as such by medical “professionals” should be handled in criminal court and result in jail time.

According to Barcus, H. A. (n.d.), health care professionals should not be given a free pass from criminal liability for mistakes made in their treatment of patients (Barcus, H.A., n.d.).  I believe if a medical professional makes a genuine mistake, that the issue should be handled in civil court.  People are not perfect and no one deserves to be dragged away from their family because of a mistake.  If enough evidence is found in order to sincerely convey an action as a mistake, criminal court is not necessary.

LawHelp.org. (2018). The Differences between Criminal Court and Civil Court. Retrieved from https://www.lawhelp.org/resource/the-differences-between-criminal-court-and-ci

David Goguen, J.D. (n.d.). Medical Negligence. Retrieved from https://www.alllaw.com/articles/nolo/medical-malpractice/negligence.html

Barcus, H. A. (n.d.). When does medical negligence become criminal? Retrieved from: http://www.latlaw.com/index.php/firm-news-articles/articles-2010/88-when-does-medical-negligence-become-criminal

at least 250 words, must synthesis the 3 different posts.

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2023 This week s graded discussion topic relates to the following Course Outcomes COs CO2 Demonstrate leadership strategies that

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Nursing 2023 Collaborative Strategies With Other Professions

This week s graded discussion topic relates to the following Course Outcomes COs CO2 Demonstrate leadership strategies that 2023 Assignment

This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

CO4: Integrate critical thinking and judgment in professional decision-making in collaboration with faculty and peers. (PO4)

It is essential for professional nurses to be skilled in collaborating with professionals from other healthcare disciplines to plan the best patient care. What collaboration strategies can professional nurses use to specifically promote collaboration with other healthcare disciplines and professionals?

use references, scholarly 

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2023 Comment1 While nurses have high turn over it is higher with home health aides During the research for this assignment the

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Nursing 2023 Comment

Comment1 While nurses have high turn over it is higher with home health aides During the research for this assignment the 2023 Assignment

Comment1

While nurses have high turn-over, it is higher with home health aides. During the research for this assignment, the information I was able to find in regards to HHA and home care setting turnover, information is few and far between. The possible impact that this shortage can have on nursing from my perspective: high turnover is more likely to breed less experienced staff with many fleeing the profession. Shortage of home health aide can affect nursing through home health care agencies lacking the ability to provide services for elderly at home “a lack of skilled aides forces individuals to rely more on family, neighbors and friends, and increases the chance that they will end up in the Emergency Room” (Wexler, 2017).

It also increases the likelihood of frequent hospital admission. Having more admissions adds pressure to the ever mounting healthcare cost for the country, and impacts jobs. Services provided by nurse practitioners in the home care setting would be affected with less people at home living in the community. Homecare is still plagued with the same clinical or staff issues that an acute care setting might come across. and when those type of issues take place, then patients’ care suffer, for inpatient and outpatient activities alike.

comment2

The issue that the organization is currently facing is an increase in hospital acquired pressure injuries (HAPI’s). The hospital started noticing an increase trend in HAPIs in patients, which is a big matter of concern. Currently there is a wound care team that does monthly surveys on wounds and prevalence trends. The organization started several initiatives and investigations to see what is going on and possible solutions. During the investigation’s, management found gaps in turning for high risk patients, gaps in documenting on Braden risk assessment, and gaps in care documentation. In this some causes may be that nurses and nurse aides feel overwhelmed with the amount and high acuity of patients they have to care for. I personally saw where the nurses and nurses’ aides looked very busy and overwhelmed with all the tasks they needed to complete.

One implication of nursing is for them to involve clinical leadership in a way that leadership can see what the staff goes through and why there are gaps in turning and documentation. One journal article stated that by using positive clinical leadership to support a culture of pressure injury prevention. In the article it states that pressure injury prevention. In the article it states that pressure injury rounds were done by leadership and they looked at trends on equipment being used, how the ward feels about their trend, what the ward would like more help with, and look around the ward including review of the equipment and clinical assessments. The results were that the rounds led to safety huddles focused on skin topics (Sage & Tudor, 2017)>

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2023 comment1 Home Care is found to be more desirable than assisted living for many who can afford it and

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Nursing 2023 Comment

comment1 Home Care is found to be more desirable than assisted living for many who can afford it and 2023 Assignment

comment1

Home Care is found to be more desirable than assisted living for many who can afford it, and “according to AARP, more than 95 percent of seniors want to stay in their home as long as possible, even if they need help with day-to-day activities” (First Light Home Care, 2014). If we are paving the way through home care for elderly, and other vulnerable individuals to stay in the community, where they can be safe at home and be around things which they love and are familiar to them, then we have to get behind the science of how to keep them safe through the same EBP we take pride into when it comes to research topics (North Dakota Center for Nursing, n.d.), such as “spinal immobilization and pressure ulcers”, or EBP for complementary and alternative medicine “cinnamon and Diabetes Mellitus” are example of different areas EBP research is conducted. However, very little about homecare can be found from that same website.

  

comment2

One of the main issues for my organization in addressing a solution in evidence-based nursing practice is due to the fact that we do not have a designated educator that has the time or the job in educating and introducing how evidence-based practice (EBP). The organization has educators but they focus on orienting the new hires and asking about online education modules that need to be completed. I believe that if the organization would set aside time for an educator to provide the nurses and staff with education on EBP to incorporate into our practice it would be a good and effective way to learn.

The first step in addressing and resolving this issue is by having one of the four educators we assigned to teach and implement new EBP as approved by nursing leadership and the medical board.

According to a journal article, it states that a way to overcome the barrier of time constraints is by providing an EBP facilitator. This might be a staff educator, manager, or an interdisciplinary team member. The facilitator can present evidence review for the busy provider. 

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2023 Create a Power Point Presentation to discuss the following You have been asked to implement a new

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Nursing 2023 computer charting system

Create a Power Point Presentation to discuss the following You have been asked to implement a new 2023 Assignment

 

Create a Power Point Presentation to discuss the following:

You have been asked to implement a new computer charting system within your hospital. The staff at the hospital has been using paper charting and the staff’s age range is from 20 to 72. You will need to address the following:

  1. Who would you want on your team to help you as you implement this change and why? (interdisciplinary team)
  2. What should you consider when communicating this change to staff? How should the change be communicated to staff? (in-service, shift meeting)
  3. How are you going to implement the change, handle resistance, and be the change agent?
  4. What issues do you need to address about the use of technology within the hospital? (security, website surfing, documentation)
  5. What type of technology would you like to see (tablets, laptops, PC’s) why?
  6. How do you address the concerns of your staff who do not have a computer and are scared of them?

Power Point should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides.  

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2023 1 There are many areas in nursing where evidence based practice has improved care processes and patient outcomes including the bundles

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Nursing 2023 2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 There are many areas in nursing where evidence based practice has improved care processes and patient outcomes including the bundles 2023 Assignment

  

1-There are many areas in nursing where evidence-based practice has improved care processes and patient outcomes including the bundles of checklist to prevent pneumonia related to mechanical ventilation and central line-associated blood stream infection or CLABSI.

To prevent healthcare-associated infection such as the ventilator-associated pneumonia (VAP) for patient who had been intubated for more than 48 hours, the VAP bundles of care are often used. Recommended bundle of interventions for the prevention of VAP includes elevation of the head of the bed at a 30° to 45° angle to prevent aspiration of gastric content, reducing the duration of mechanical ventilation by daily sedation interruption (DSI) and daily spontaneous breathing trials (SBT), peptic ulcer disease (PUD) prophylaxis, and deep-vein thrombosis (DVT) prophylaxis. Moreover, performing oral care every two hours and as needed, maintaining ET tube cuff pressure above 20 cm H20, and managing ventilator circuits and changing only when visibly soiled showed improvements in VAP in critically ill patients.

Another area where evidence-based practice has improved patient outcome is through the use of bundles or interventions to prevent or decreased central line-associated blood stream infections. Those recommended bundle of interventions for the prevention of CLABSI includes proper hand hygiene, skin preparation using chlorhexidine solution greater than 0.5%, adhering to aseptic technique and use of sterile gloves, regular assessment and inspection of site, and daily evaluation whether the use of central line is still necessary.

According to the ANA (2018), when patient received the optimal intervention bundle, the expected time for any ventilator-associated pneumonia to occur takes almost 3.5 times longer that those who did not. At the hospital I work for, when we chart our lines/drains/airways one of the question we are asked is if the patient still meets the criteria for continuing the line. When no longer necessary, it prompts immediate consideration for removal. The bundles/checklist does not only act as a learning tool but also serves as a guideline. By knowing the bundles of interventions we can better care for our patients and avoid unnecessary and preventable infections.

References:

Stevens, K.  (2013, May 31). “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas”  OJIN: The Online Journal of Issues in Nursing  Vol. 18, No. 2, Manuscript 4. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

American Nurse Today. (2018). Preventing ventilator-associated pneumonia: A nursing-intervention bundle. Retrieved from https://www.americannursetoday.com/preventing-ventilator-associated-pneumonia-a-nursing-intervention-bundle/

Perin, D. C., Erdmann, A. L., Higashi, G. D., & Sasso, G. T. (2016). Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Revista latino-americana de enfermagem, 24, e2787. doi:10.1590/1518-8345.1233.2787

 

 
 

2-In wound care it seems like new products are becoming available everyday and current products are continually evolving to improve patient outcomes. Thankfully, the clinic that I work in is smaller and there are only three nurses on staff, so our continuous education is typically done as a group. We usually meet with the product representative face to face and receive instant feedback regarding any questions and concerns we may have about the product. When information needs to be disseminated throughout the facility and to all nursing staff, the education happens is various forms. Least common is face to face in servicing as it is often difficult to get multiple staff members in the same location at the same time (due to staffing shortages). The most utilized form of education is online via an electronic learning forum (E-Learning) staff members can access the “assignments” 24 hours a day 7 days a week from most computers within the facility. Assignments are assigned with a due date and typically have a test following the educational portion in which the staff members must pass to receive credit and meet the educational requirement.

 

3-The implementation phase of any change can be difficult. In the nursing profession, evidence-based practices have been observed as the best and safest practices as there is proof in the research. However, there will always be those who question, or doubt said proof because some people are afraid of change, even if the change benefits them or others. To implement change, I would begin by addressing the following key factors: why, what, and how. First, the why- what is the issue that lead to the change. Next, the what- the research, the facts, the failures and successes that became the change. Lastly, the how- the demonstration or explanation of the change. Depending on the change and the aspects of our practice that would be affected determines the length of time the implementation phase would take. In my experience (when allowable) taking time to incorporate change over a period has proven least likely to create resistance from others.

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