Part 1: Discuss Morphology of cells and the factor it plays in general function and structure. 

TOPIC: An 18 year old male presents with ADHD, small testes and learning disabilities. After a workup it is determined that he has a kerotype 47 XXY.

1. Discuss meiosis and mitosis.
2. Are the concepts of diffusion, active transport or osmosis implicated in various genetic conditions?  If so, how? If not, explain.
3. Can genetics conditions be reversed, why ore why not?

Expectations

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

As the nursing profession continually evolves, practice knowledge is increasing and closing the theory-practice gap. The purpose of this discussion is to explore how nursing theory is used as a framework in nursing research, building the body of professional nursing knowledge.

Instructions

1. Using one of the articles provided in this week’s course announcement, identify the nursing theory used to frame the nursing research.
2. Analyze the selected nursing theory and describe how the theory applies to nursing’s metaparadigm, including each of the following:
   • Person
   • Health
   • Environment
   • Nursing

Required article 

Rosa, W. E., Dossey, B. M., Koithan, M., Kreitzer, M. J., Manjrekar, P., Meleis, A. I., Mukamana, D., Ray, M. A., & Watson, J. (2020). Nursing theory in the quest for sustainable development goals. (Links to an external site.) Nursing Science Quarterly, 33(2), 178-182. https//:10.1177/0894318420903495 

 

Select only one of the four nursing theories and then using the selected theory analyze the nursing paradigm (person, health, environment, and nursing).

Comfort and fluid retention in adult patients receiving hemodialysis. (Links to an external site.)

Estridge, K.M., Morris, D.L., Kolcaba, K., & Winkelman, C. (2018). Comfort and fluid retention in adult patients receiving hemodialysis. Nephrology Nursing Journal, 45(1), 25-33, 60.

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https://doi.org/10.1097/HNP.0000000000000164 (Links to an external site.) 

Barutcu, C.D. & Mert, H. (2016). Effect of support group intervention applied to the caregivers of individuals with heart failure on caregiver outcomes. Holistic Nursing Practice, 30, 272-282. https://doi.org/10.1097/HNP.0000000000000164

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https://doi.org/10.1097/NMC.0000000000000570 (Links to an external site.) 

Miller Westmoreland C., & Wojnar, D. (2019). Breastfeeding support guided by Swanson’s theory of caring. MCN, American Journal of Maternal Child Nursing, 44, 351-356. https://doi.org/10.1097/NMC.0000000000000570

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The effect of education and telephone follow-up intervention based on the Roy Adaptation Model after myocardial infarction (Links to an external site.)

Turan Kavradim, S., & Canli Ozer, Z.  (2020). The effect of education and telephone follow-up intervention based on the Roy Adaptation Model after myocardial infarction: Randomised controlled trial. Scandinavian Journal of Caring Science, 34, 247–260.  https://doi.org/10.1111/scs.12793

Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. Consider all or some of these questions as you share your reflections on the importance of ethical considerations in nursing research. In the research simulation activity, which character(s) did you play? How did you feel during the simulation experience? What did your character do well? What did your character not do well and what sense can you make of the researcher’s behavior? What else could your character have done? If this situation would occur again how might you handle it? What resources would you use for guidance and support? What did you learn about ethical principles in research?

APA format

Scholarly sources only 

1 paragraphs 

 

Identify two selected EHR software solutions and describe three features of each software solution.

     The use of electronic health records (EHR) has been in utilization in the United States starting in 1972 through the works of the Regenstreif Institute; however, it was not until 2009 through the Obama administration with the passing of the American Recovery and Reinvestment Act that incentives were created for those who used electronic health records (Honavar, 2020, p. 17). The use of the EHR has been identified as a means to help bridge the gap for quality healthcare by allowing the patient easier accessibility to healthcare services and decreasing errors by improving the accuracy of transmitted information (Honavar, 2020). RXNT and NextGen are electronic health record software programs utilized in healthcare organizations with the surge of telemedicine due to the recent pandemic. RXNT pioneered e-prescribing in 1999 and has grown to the capacity of sending approximately 52 million prescriptions (RXNT, 2021). Secondly, RXNT has a full suite option to encompass e-prescriptions, electronic medical records, billing, a patient portal with practice management capabilities (RXNT, 2021). Finally, RXNT can be utilized in a multitude of clinical specialties based on the software system selection (RXNT, 2021). NextGen, a company of over 47 years, is geared to assist in ambulatory care service providers and their specified populations (NextGen Healthcare, 2022). Three important software features include; revenue cycle management, electronic data interchange, and analytics for network management, care management, and revenue (NextGen Healthcare, 2022). Utilizing electronic health records helps with improving the protected safety of the clients served (Aguirre et al., 2019). In addition, as part of the requirements for The Centers for Medicare and Medicaid Services (CMS), those who do not comply with the transition to electronic health records may have an imposed fine (Aguirre et al., 2019). The key to determining which electronic health record software is best lies within the organization’s goal, ensuring the most cost-effective software for better patient outcomes.

 Compare and contrast the benefits of the two selected EHR software solutions.

           RXNT and NextGen offer the cloud-based protective approach, which means that the software can be accessed from apple and android devices for easier usage for both the clinician and patient while protecting HPI. RXNT allows staff members to preset options for prescription refills, and the supervising provider can then release and sign medications in a convenient manner. NextGen offers e-prescribing; however, for scheduled 3-5, the medicines are faxed with the provider’s signature; RXNT will have a demo copy of the prescription with an electronic signature. RXNT and NextGen take the administration components from the provider’s plate so that the overall goal of patient-centered and focused care is present, meaning the provider can see the patient and spend time developing treatment plans instead of clerical and administration work. In addition, NextGen can be programmed for smaller practice settings and provide analytics for quality improvement. In contrast, RXNT can be used as well across any practice size with no partiality but not as quality improved with data and trend captures. In a 2021 survey comparison of RXNT to NextGen, RXNT ranked as 4.46 vs. 4.0 with details in the monetary value of the software system. Both are deemed easy to navigate with prompt response time for IT support with the purchase of each program.

Select an EHR software solution that is best suited for your workplace environment and provide the rationale for your selection.

           In my current workplace environment, RXNT would be the better option due to the e-prescribing protocols that give direct access to the state’s PMP database. As a mental health practitioner, it is not uncommon to have patients who have high stimulant and benzodiazepine usage; being able to check while seeing the patient is of great benefit to the clinician. Secondly, RXNT can be used in small practices, outpatient, and hospital organizations. For example, my current employer operates as an outpatient branch and multispecialty clinic of one of the largest mental health institutions in the country. Third, the practice management component of scheduling and billing software and protocols in the solution hard drive makes for more straightforward billing, and charge captures even if there is no designated billing department. Fortunately, there is one in my current company. Lastly, the mobile application and telehealth component makes it possible to take the job on the go and not compromise the quality of care for the patient.

The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

This assignment builds on the Risk Management Program Analysis – Part One assignment you completed in Topic 1 of this course.

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. In this summary brief, address the following points regarding your health care organization and its risk management program:

1. Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.
2. Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.
3. Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.
4. Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.
5. Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.

In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.

Prepare this assignment according to the 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.