For your Final Paper, choose one of the following health care organizations:

• Hospital Corporation of America (HCA)
• Tenet Health System
• Mayo Clinic
• Henry Ford Health System
• Centers for Disease Control (CDC)
• Children’s Miracle Network
• Deborah Heart and Lung Center
• Medtronic
• Veterans Health Administration (VHA)
• National Institutes of Health (NIH)
• Planned Parenthood
• Indian Health Service (IHS)
• Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

• Internal and external assessments
• Competitive marketing analysis
• Identification of stakeholders
• Overview and assessments of services provided
• Competencies and resource
• Public entities and regulatory requirements
• Demographics served
• Strategic financial planning
• Financial and operational outcomes
• Current and future direction of the organization of choice

 Writing the Final Paper
 

The Final Paper:

1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
2. Must include a title page with the following: 
   • Title of paper
   • Student’s name
   • Course name and number
   • Instructor’s name
   • Date submitted
3. Must begin with an introductory paragraph that has a succinct thesis statement.
4. Must address the topic of the paper with critical thought.
5. Must end with a conclusion that reaffirms your thesis.
6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
7. Must document all sources in APA style as outlined in the Ashford Writing Center.
8. Must include a separate reference page that is formatted according to APA style 

 

Describe your chosen topic for the patient safety presentation you submitted in the last module, detailing how the strategy or technology you chose impacts professional nursing and patient outcomes.

What were the challenges and benefits of this project? Please provide an example of your project in clinical practice.

In responding to your peers, please discuss how advancements in health information technology are making our healthcare system a system focused on safety. Identify one future trend in HIT.

Chosen Topic: Pyxis Machine

 

Respond to the Post that is bellow using one or more of the following approaches: 

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional sources.

Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings.

NOTE: THE ANSWER THAT YOU ARE GOING TO DO IN REFERENCE OF THIS POST, HAS TO BE IN A POSITIVE WAY, REFLECTING THE POSITIVE OF THE POST THAT THE STUDENT MADE. 

                                           Initial Discussion Post

                                             Literature Searches

          Nursing is a field filled with numerous  policies and procedures.  To understand these policies and procedures,  the practice of research and knowledge acquisition is essential.  The  method of incorporating proper research into daily practice is called  evidence-based practice (Polit & Beck, 2017).  The goal of using  evidence-based practice is to move away from traditions and ritual by  incorporating tested research evidence that supports clinical practices  (Polit & Beck, 2017).

Summary of Article Search

            Based on the  evidence hierarchy by Polit & Beck (2017), and the levels of  evidence presented in class I was able to evaluate research articles  (Walden University, 2018).  When looking for specific research for my  topic, I searched for the highest level of evidence.  There are three  types of research which are: primary, synthesized or secondary, and  others such as expert opinions or practice questions (Polit & Beck,  2017). 

            My PICOT  question is: In patients with acute pain in the emergency department,  what is the effect of Ketamine use for the reduction of pain compared to  opioid medications during their ED visit? To begin the search, I used  the keywords Ketamine, analgesia, sedation and emergency medicine.   Using these words, I was able to find 408 results.  I further limited my  search to ten years which yielded 297 results.  Finally, I used  systematic reviews, meta-analysis and randomized control trials (RCTs)  for my final search narrowing the articles to 111.  Upon examination of  the articles, I found the articles based on systematic reviews,  meta-analysis and RCTs provided detailed research including abstracts,  methods of trials, results, discussion, limitations, and conclusion.   Each of these sections specifies the purpose of the study in detail. 

          Using this framework for literature review  ensures relevant research is used to answer evidence seeking questions.   Davies (2011) comments, “detailed knowledge of the frameworks enables  the searcher to refine strategies to suit each particular situation  rather than trying to fit a search situation to a framework” (p. 79).   By using a timeframe such as the past ten years, it is easier to see the  relevance of the information to clinical practice today.  An active  literature search will yield the most appropriate information for the  question being posed.

References

Davies, K. S. (2011). Formulating the evidence-based practice question: a review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75-80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/97418144

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University Library. (2018). Levels of evidence. Retrieved from http://academicguides.waldenu.edu/c.php?g=80240&p=52322

 

Download the Week 2 Self-Assessment of the AACN Essentials  (Links to an external site.) Follow the directions on the form. Note your total score. Next, review this article:

Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site   (Links to an external site.)

After you have completed your self-assessment, answer the following questions:

1. Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
2. Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.
3. Discuss implications of professional nursing integrity and academic integrity.

At least 2 references with in text citation.

 
I need 1 page research paper and 1 page opinion paper. i also need 2-3 references in MLA you can use any website they have to be up to date.

here is 1 reference

http://pix11.com/2016/04/10/suffolk-county-has-most-heroin-related-deaths-in-new-york-state-report-finds/

-Heroin epidemic and the United States. Changes in the way we treat chronic pain with medication in the early 1990’s. 1995 FDA approved OxyCotin (1.2 billion in sales in 2002) More than 10,500 heroin deaths reported in 2014, that is triple in four years. 2014 -75% started using heroin from prescription drugs. 2014, 21.5 million American had substance abuse problem. Is the fault with pharmaceutical companies and making billions of dollars? Pain management doctors and prescription drugs. Do hospitals and clinics that push for patient satisfaction cause addiction to prescription drugs? Did recent restrictions from the States (ex. Florida) on physician painkillers act as a cause of heroin addiction?
Many now mixing heroin with fentanyl (25 -40% more powerful than heroin) and oxycodone. Are drugs like OxyCotin and Vicodin “bridge/gateway drugs”? Heroin is readily available, very pure and cheaper than prescription pills. Heroin is more pure than in the past, meaning it can be snorted instead of only injected, opens up to a wider range of people willing to try the drug.
Is the problem than more young, white, middle class kids are heroin addicts? Pain management doctors in the 1990’s, title didn’t exist before the 90’s.
Generation “H”, is this entitled generation at fault or their parents? Has the thought of their parents protecting them form everything caused them to lose the fear of Heroin?
New York City began enforcing a state statute that requires a minor’s family to qualify for public assistance to be treated for addiction, many can not afford the treatment. Is the answer more money for more treatment.
Silver lining to a tragedy. Estimates are 1 out of 11 organ donors died because of a drug overdose. One concern is the danger of HIV, Hep. B & C etc. Testing shows most are young and disease free. Organ recipients are required to give consent when offered a high-risk organ.
Police and firemen being trained to administer (naloxone) Narcan to overdose patients.
New drugs developed to treat constipation by chronic narcotic users. Have younger Americans lost the fear of Heroin? Demographic shift of users, middle class Americans majority of cases. In upstate New York Ithaca proposed the nations first drug injection center to help prevent overdose deaths (2016), Sweden model. Computer program called iStop, it helps prevent doctor shopping for pain killers. Shows opioid prescriptions written for a patient.