Response to nursing discussion board-peer repsonses 2025

Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY. There is a large push for evidence-based practice to become the main foundation of all clinical practices and clinical decision making. In order to provide the best up to date quality care evidence-based practice must be used. “By the year 2020, 90% of clinical decisions will be supported by accurate, timely, and up-to-date clinical information and will reflect the best available evidence” (Boswell& Cannon, 2017). Though it is ideal to have evidence-base practice driving health care practices there are many obstacles in the way of changing the culture of health care practices. There are many obstacles to change such as resistance to change from staff, available resources to support changes, lack of support and training from mentors, and “research findings incompatible with the realities of their practice” (Johnston, Coole, Feakes, Whitworth, Tyrell, & Hardy, 2016, p. 392). Working at Shands Hospital in Gainesville Florida there is most definitely a strong push for the best quality of care through evidence-based practice. Each unit throughout the hospital has a clinical leader. The unit’s clinical leader’s main job description is to assure the unit is clinically using practices that are evidence-based. The main obstacle that I have found on my unit has been “research findings incompatible with the realities of their practice” (Johnston et al. 2016, p. 392 ). Working on such a high acuity unit in the cardiovascular intensive care unit a lot of evidence-based hospital driven policies and practices have had to be adjusted specially to fit our unit. Hospital wide practices have had to be adapted because certain practices do not apply to the realities and acuity of our unit. One main example is the MEWS assessment. “The modified early warning score (MEWS) is an example of a physiological ‘track and trigger’ system designed to identify patients at risk of clinical deterioration in order to provide a timely response to request appropriately-trained nursing or medical staff to assess the patient and provide any interventions required” (Harris, 2013, p.432). MEWS is an extremely useful tool on floor units, but on my particular unit a majority of our patient population have such a high baseline MEW Score. If following our hospital protocol for our patients’ MEWS we would be constantly calling physicians and bringing them to the bedside. Our patients have extremely high acuity which is one of the reasons they are in the intensive care unit. Our physicians are aware of the acuity of our patients and therefore the hospital wide MEW score does not really apply to our unit. We had to adjust the triggers of the MEW Scores of when to notify a physician. On the floor a MEWS of 4 a physician is notified and needs to come assess the patient, but in the CICU the score for when a physician has to come to bedside was adjusted to a 6. MEWS is just one of the many obstacles present in implementing evidence-based practices on our unit. There are many obstacles to implementing evidence-based practices in our clinical practices, but it is imperative that we adjust or policies and practices to reflect the research found in order to provide the best quality care.

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NUR-508 Topic 5 DQ 2 2025

Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.

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H07 Medical Coding I- ASSIGNMENT 04 2025

ASSIGNMENT 04 H07 Medical Coding I Directions: Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be two (2) to four (4) pages in length; refer to the "Assignment Format" page for specific format requirements. Lesson 1, 2, 3, and 4 of this course has covered a wide variety of topics. Thus far, you have learned a great deal of information on health insurance, medical contracts, HIPAA, physician and hospital medical billing, and Medicare and Medicaid. For this writing assignment, please explain why the following course objectives are important for medical billers and coder to understand: 1. Understand the history and impact of health insurance on health care reimbursement process and recognize various types of health insurance coverage. 2. Identify the key elements of a managed care contract and identify the role HIPAA plays in the health care industry. 3. Recognize and explain the different components of physician and hospital billing and differentiate between the two types of services. 4. Explain the difference between Medicare and Medicaid billing. Please include at least 3 scholarly articles within your response. Overall response will be formatted according to APA style and the total assignment should be between 2-4 pages not including title page and reference page.

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class 1 unit 2 comment 1 2025

There are vast differences between practicing as a staff nurse, whether specialized or not, vs. practicing as an APN. The question of how to communicate differences in nursing roles and educational preparation reminds me of similar questions within nursing in the 1980’s. At that time there was controversy between 2 and 4 year programs about what level of educational preparation was necessary for professional nursing. There were many who argued that the practical, skills based education was adequate, yet others insisted the BSN program be the basic preparation for professional nursing. The conversation about practical, skills based knowledge of the 2 year RN program vs. the broader vision and theoretical training of the 4 year BSN program is somewhat analogous to the knowledge base of specialty nursing vs. APN. The specialty trained nurse gains knowledge through experience and with specific individual patients in a clinical setting. This nurse works in an acute care setting with implementing and evaluating specific interventions within a medical model of care. There is no requirement for further formal education and, like APN; the credentialing is done by a national organization, such as the Medical Surgical Nursing Certification Board (MSNCB). There is no additional regulation apart from the usual Registered Nurse Licensure and renewal. In contrast, the APN has greater educational requirements, a vastly broader scope of practice, and greater ongoing regulation by the state and certifying bodies. While this scope of practice varies from state to state, in MN, “State practice and licensure law provides for all nurse practitioners to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments—including prescribe medications—under the exclusive licensure authority of the state board of nursing. This is the model recommended by the Institute of Medicine and National Council of State Boards of Nursing” (American Association of Nurse Practitioners). In MN, to become an APN, the applicant must first be a Registered Nurse, have completed an accredited graduate level APRN program, be credentialed by a national certifying body in one of four APRN roles: Clinical Nurse Specialist, Nurse Practitioner, Nurse Midwife, or Registered Nurse Anesthetist with one of 6 population foci: Family and Individual Across the Lifespan, Adult Gerontology, Neonatal, Pediatrics, Women’s and Gender-Related Health, Psychiatric and Mental Health (MN Board of Nursing). The applicant must also prove a year’s full time equivalent post graduate practice as an APRN. When renewing, the APRN must also renew as an RN. Medical Surgical Nursing Certification Board (MSNCB), https://www.msncb.org/ American Association of Nurse Practitioners (AANP), https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment Minnesota Board of Nursing, https://mn.gov/boards/nursing/advanced-practice/advanced-practice-licensure/obtain-aprn-license.jsp.

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NUR-508 Week 2 Assignment Benchmark Assignment – Nursing Leadership Health Policy Paper 2025

Details: The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance the leader takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals. This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government. Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc . In 750-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why. The policy must not be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan. Include a specific section for the exact wording for the bill or change in wording of the law. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? Resources: Review different pieces of legislation for ideas on wording. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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