Re: Topic 5 DQ 2  Technology is integral to successful implementation in many projects,   through either support or integration or both. Name at least one   technology that could improve the implementation process and the   outcomes of your EBP project. Do you plan to use this technology? If   not, what are the barriers that prevent its use?

ANSWER BY ANNE
 

Technology Support/Integration That Can Improve EBP Project

In the Nelson presentation (2015), one of the research questions put forth was, “Can a centralized, telephone-based model of early childhood developmental screening and care coordination improve quality of care for young children and their families” (Nelson, 2015). There are 211 Call centers that cover over 90% of the US population. In a LA based 211 developmental screening, over 11,000 early childhood screenings and coordinated care have been coordinated with appropriate services. The 211 potential advantages include time availability, standardized and validated online screening tools, extensive resource directory that includes care coordination, data collection and dissemination, continuity of care, and coordination with clinical settings. Of the children screened over 90% received some kind of referral. As the presenter reported, the American Academy of Pediatrics recommends universal screening and surveillance at every well visit, screening at 9, 18, and 24-30 months, autism-specific screening tool at 18 and 24-30 months, and prompt referral to evaluation and intervention services. The impact of early screening and intervention has evidence pointing to the improvement in developmental, social, educational, and health outcomes. Society benefits with a pronounced ROI in every dollar invested (Nelson, 2015).

Plans for Use and Barriers to Implement

The idea of starting a similar resource would be fantastic. It is an idea that could potentially be integrated into the school district and county for which I work. The same barriers I see from making it happen are the same barriers that the article mentioned, and that is the 211 has limited documentation. The same concerns that plague us now are the same for 211 regarding lag time between referral and service implantation. Eligibility and participation in services are always the big hinderances to making this work, and of course the age-old question of who will pay for this service (Nelson, 2015).

Nelson, B. (2015). Clinical-community partnerships and 2-1-1 technology to improve early childhood

developmental screening and care. [PowerPoint slides]. Retrieved from 

http://www.publichealthsystems.org/sites/default/files/PHS4/PresBioProjInfo_Nov%2019_Nelson%20UC

LA.pdf

How does a healthcare administrator determine which social media tool is most appropriate for an intended audience or health message? Using social media tools to communicate health messages offers many benefits including instantaneous feedback, establishing a networked community, and enhanced information dissemination. With these thoughts in mind, how might these benefits transcend into the marketing of a new health care service?

For this Assignment, reflect on a health service and target population that you would like to use as part of a marketing plan. The health service and target population you select will become the focus of your Final Project. Consider contemporary social media tools and other communication technology tools you might use for your marketing plan. Think about which tools might provide your marketing plan the greatest scope and which social media tools might be most appropriate for the health care service you chose. Then select two social media tools for your marketing plan.

The Assignment (1–2 pages)

1. Describe the health service (providing healthcare services to transgender/transsexual patients) for which you intend to develop a marketing plan, including an explanation of why this service is needed and the potential target audience for this service.
2. Describe the two social media tools you selected for your marketing plan.
3. Explain how the social media tools you selected are most appropriate for your intended audience and health service in your marketing plan.

Multigenerational nursing

Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

Some of the challenges of having different generations in the workplace include a difference in education, particularly vocational training, and a difference in communication style. As current practices are studied and re-evaluated, traditional practices may be replaced by those that are more recently researched and are evidence-based. Veteran nurses may believe it is a waste of resources to change a practice that has been in place for so long and, in their view, has yielded adequate results.  Similarly, younger generations may readily dismiss suggestions and viewpoints from veteran nurses in favor of the new practices learned in school without considering that years of clinical experience can be just as valuable. This disconnect between nurses of differing generations may be rooted in a difference of communication style. For example, Baby Boomer nurses were trained to only voice their opinions when asked, whereas Millennial nurses’ were taught to speak up any time they have a problem with, or idea for, new practices; this difference in communication may lead the Baby Boomer nurse to regard the Millennial nurse as impertinent and disrespectful of authority instead of realizing that new nurse is actually trying to improve the patient experience (Phillips, 2016, p.198).

In my experience, some veteran workers can be set in their ways to a fault, even if there is clear evidence that practices they are accustomed to are simply not the best practices anymore. This is not to say that middle-aged or younger workers cannot share this attribute, however the veteran workers sometimes use their field experience as a rationale to ignore current research findings and continue using practices they deem appropriate. Also, as an employee that is frequently on the team that rolls out new technology and equipment, I feel that veteran workers take more time to warm up to change and can be somewhat hostile to a younger person, such as myself, training them.

As far as accommodations, we have certain older employees that will not perform job-necessary duties because of back issues, knee issues, or other medical issues in the same vein. As a result, these employees rarely get assigned total care patients, making the younger staff resentful because they feel they, literally, do all the heavy lifting while these older employees are routinely assigned the less acute patients. To a certain extent, allowances should be made for older workers, including nurses. After a lifetime of caring for patients, it is reasonable to deduce that the joints, particularly knees and back, can be irreparably damaged from repeated use. However, in my opinion if an employee is unable to perform the duties required of their job title, they should be doing a different job. It is not fair that one group of nurses consistently gets less acute patients, thereby doing half the work, but still receiving the same benefits as those nurses that pick up the slack. A potential solution would be for the nurses with physical limitations to shift to a position that utilizes their experience but is less physically demanding; such positions include resource nurse, case manager, or patient care coordinator. If this were fiscally feasible, the unit would be able to retain the wealth of knowledge provided by these seasoned nurses and still have room to hire new nurses that can help distribute the patient loads more equitably.

            Life expectancy in the United States has increased over the past few decades and older people are generally healthier than their predecessors, however the incidence of chronic conditions has also increased in this time frame (Tabloski, 2014, p.8). This indicates that there are more people to care for and these patients are more likely to have multiple comorbidities. This trend has the potential to put an enormous strain, economically and physically, on an already overburdened health care system and nurses, particularly bedside nurses, will bear the brunt of this (Tabloski, 2014, p.13). It is important that nurses engage in primary and secondary prevention with this population, including education related to diet, exercise, and proper medication utilization (Tabloski, 2014, p.13). By encouraging older patients to take an active role in preservation of function and overall health, nurses empower these patients to help decrease their risk for chronic conditions, like hypertension, and injury (Tabloski, 2014, p.13). Also, nurses must be educated on specific attributes of the older population, such as increased sensitivity to certain medications, decreased sensory perception, and increased susceptibility to mental health issues, such as depression, that may affect their physical health or motivation to maintain a healthy lifestyle.le

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Please provide proper citation with page numbers of the material you are referencing in your Main Post.

1. Give a brief description how you would assess the reproductive system of a male or female patient, young adult, middle age, or older patient (choose).You may only cover one aspect of the assessment.
2. Discuss, in brief, one psychosocial or psychological impact of the effect of breast disorder of a patient. Choose which disorder you want to talk about.
3. Discuss, in brief, one gynecologic problem of a patient. Choose which disorder you want to talk about.