2023 Comment 1 Continuous quality improvement CQI is taken very serious at my organization as I am sure it is taken

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 Continuous quality improvement CQI is taken very serious at my organization as I am sure it is taken 2023 Assignment

Comment 1

Continuous quality improvement (CQI) is taken very serious at my organization, as I am sure it is taken serious at my fellow classmates facilities. CQI is a quality management process that encourages the health care team members to continuous ask “how are we doing” and “can we get better” (Moran, 2012). CQI is for the safety and education of the patients and staff members. We report out each morning about 30-day readmissions in house or patients at high risk for a 30-day readmit. We have a team that identifies the trends of the readmission predictors in order to identified patients currently in house at high risk for 30-day readmission. After the identification of the high risk patients, a structured discharge plan is put in place. Education on the disease process and discharge instructions is immediately started with the patient and care givers. Outside resources are immediately identified, such as home health and hospice, and the patient is given the patient choice form to pick the company that they would like to use on discharge. On discharge, the patient will know their disease process and how to manage at home. The patient will state what medications they are taking and what they are taking them for.
The patient will also state what time of day the medication is due. The patient will receive a phone call within forty eight hours after discharge from the hospital to make sure the patient continues to understand all discharge instructions and medications.

Comment 2

Continuous quality improvement, CQI, is a viewpoint or attitude for evaluating processes and improving them to attain customer satisfaction (Huber, 2014). CQI focus in healthcare is usually related to improving patient outcomes (Conner, 2014).

There is no delaying that hospitals need to deal a brand in today’s medical world. I can speak for the organization where our brand is high-quality care at low cost. A part of growing a brand that delivers high-quality care consistently it is vital to continue to maintain an emphasis/focus on identified quality improvement initiatives. To create a hospital culture supportive of quality improvement, respondents stressed the importance of hospital leadership being in the vanguard to engage nurses and other staff. As a representative of an accrediting organization said, “For any quality improvement project to be successful, the literature shows that support has to trickle down from the top (Draper, Felland, Liebhaber, & Melichar, 2008).

The chief nursing officer, CNO, is passionate about the delivery of high-quality care, she talks about it each month at nursing leadership, and it is a constant in my staff meeting minutes. It is vital that we empower the nurses who are delivering the care at the front line to buy into initiatives. We have encouraged staff to participate in hospital-wide performance improvement and report out our progress as a healthcare system in unit councils.

One example of how we are applying CQI in our current practice is through our CAUTI initiative. We have developed an education package for the staff which was accompanied by a nurse-driven protocol for patients that have a foley. If we have a patient who comes through the emergency department, they need to meet specific criteria before a foley can be inserted. We have seen great successes in this project, and the results have been extremely positive.

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2023 Describe components of a clinical based decision making model impacted by clinical expertise and explain how clinical

Nursing 2023 Decision

Describe components of a clinical based decision making model impacted by clinical expertise and explain how clinical 2023 Assignment

Describe components of a clinical based decision-making model impacted by clinical expertise and explain how clinical expertise informs evidence-based practice.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Learning Materials

  • Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 13 and 14.

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2023 Assignment 2 meets the following course objectives Apply a sociological perspective to the social

Nursing 2023 2nd question: 4-6 sociology page essay on a current event from the last 3 months

Assignment 2 meets the following course objectives Apply a sociological perspective to the social 2023 Assignment

Assignment 2 meets the following course objectives:

  • Apply a sociological perspective to the social world.
  • Analyze contemporary social issues using the sociological imagination and use sociological theories and concepts to analyze everyday life.
  • Demonstrate the ability to identify, locate, and retrieve information related to the topics in the course.

Purpose

The primary goal of this exercise is to apply your developing sociological knowledge and skills to the analysis of a current event.

Writing Expectations

This should be 4-6 pages long, double-spaced, 12pt font (arial or times new roman), with 1″ margins. You must include a cover page, running header, major heading and subheadings to identify each section; all according to APA requirements.  

Instructions:

Choosing a Current Event. A current event refers to something that is happening in the world at present and they are usually described on the news and in mass media. You must choose a report (written, from the radio, or televised) of an event that has been reported on within 3 months of the assignment deadline. Remember, the event you choose must have some relevance to the study of society, and you must properly cite the source from which you got your report. DO NOT include more than two articles or reports. 

Describe the Current Event. Second, you will need to provide a brief summary of the current event. This should include details such as location, timing (i.e is this an ongoing event, does it appear to be a one time event, is this an example of an event that happens frequently), people involved, and any analysis offered by the report(er).

Analyzing the Current Event. The final step in the process is conducting an analysis of the current event using knowledge you have gained from the course to-date. The most important thing here is that the analysis should not just be your opinion about the current event, but grounded in sociological theory and prior research. You will need to use at least 4 sociological concepts covered in this course to analyze the current event (i.e. social construction, stratification, social control, crime, deviance). (hint: sociological concepts should be clearly identified, defined and then applied; any paraphrasing or direct quotes used from another source should include APA formatted in-text citations and a full citation at the end of the essay).  

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2023 wk project While treating the chronically ill a major challenge is developing a plan of care that addresses the specific needs

Nursing 2023 nursing ilness disease wk1/project 1

wk project While treating the chronically ill a major challenge is developing a plan of care that addresses the specific needs 2023 Assignment

  wk/project

While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 Topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team.

Each week, you will complete a part of this project. You will submit a final completed project in Week 5. Be sure to take the time to carefully complete each of the weekly assignments and then put it all together in Week 5.

Ensure that you save a copy of this course project after you have submitted it at the end of this course. You are expected to resubmit this project along with the other course projects at the end of the Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) program. File Transfer Protocol (FTP) details will be provided in the Capstone course.

Identifying a Group

Identify an area of chronic illness of specific interest to you and that is represented as a Healthy People 2020 topic (healthypeople.gov). Explain your choice and your interest in it. Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Submit your information in a 4- to 5-page Microsoft Word document. In addition to your questionnaire, be sure to include the following details in your paper.

· Chronic Illness of interest

· Morbidity and comorbidity of the disease

· Impact of the chronic illness and patient morbidity and the affect to overall health of nation

· Healthy People 2020 goals and objectives for specific illness group

Support your responses with examples.

On a separate references page, cite all sources using APA format.

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2023 1 minimum 5 full pages not words cover or reference page not included 2 APA norms

Nursing 2023 SCHOLARLY PAPER Due 24 hours-Theory of Comfort by Katharine Kolcaba

1 minimum 5 full pages not words cover or reference page not included 2 APA norms 2023 Assignment

 

1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

 Mandatory

5) Each answer must be identified according to the question number. Check the list of questions. Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

______________________________________________________

You will hand in one formal paper about a nursing theory

 Theory of Comfort by Katharine Kolcaba 

Questions:

1) Introduction

    a) Identification of theorist including a brief background of the theorist (accomplishments, career, accolades, research efforts)

2) Analysis of basic components/concepts and major relationships in the theory

      a) Briefly discuss the theory’s core concepts

      b) Use a secondary source that covers the selected nursing theory, you must have a minimum of 3 references from nursing literature (only one from a non-article source like a secondary source/text) to support your discussion in this section.

3)  Relevance

        a)  Personal relevance if any of the authors described (connect the theorist to the theory) 

       b) Relevance to healthcare and the client discussed (connect the theory to healthcare today) 

       c) Application to research and/or practice provided (connect the theory to current research/practice) 

       d) Use at least two peer-reviewed/research articles that detail the nursing theory being applied in clinical

      e) Practice/research, and summarize key findings of both articles including results and implications for future practice

4)  Summary: Include theory strengths and limitation in the summar

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2023 PLEASE RESPOND TO THIS DISCUSSION APPROPRIATELY The average length of stay ALOS in hospitals Long Term Acute Care Hospitals LTACHs

Nursing 2023 Discussion Response APA with references

PLEASE RESPOND TO THIS DISCUSSION APPROPRIATELY The average length of stay ALOS in hospitals Long Term Acute Care Hospitals LTACHs 2023 Assignment

PLEASE RESPOND TO THIS DISCUSSION APPROPRIATELY  

The average length of stay (ALOS) in hospitals, Long Term Acute Care Hospitals (LTACHs), and rehab hospitals is trending shorter and shorter.  Medicare (MCR) along with insurance companies (managed care) that contract with MCR has set their sites on shorter stays to decrease spending.  They have, in essence, created a grading rubric that ALOS is 85% of the grade. This leaves all providers and clinicians with little say as to whether the patient discharges at the appropriate time. The days of sending a patient to a rehabilitation hospital where they can receive aggressive therapy while also being medically taken care of are going away (“Length-of-Hospital”, 2017).

            In mandating short stays in hospitals and not approving LTACHs and rehabilitation hospitals, one might presume that this is good for skilled nursing facilities (SNF), but that would be wrong because they have now demanded short stays in SNFs as well.  One insurance company has now mandated that a SNF has to have a patient on their service out in 17 days. In dealing with these issues daily this seems to be a trend that will be long-standing as more and more insurance companies are making these demands.

            LTACHs are great places for patients to go that are in need of acute care, but for a longer length of time. Originally, LTACHs were seen as the better choice than keeping a patient in an acute hospital due to lower reimbursement. However, MCR has now changed their reimbursement for LTACHs in that the shorter the stay the more reimbursement they can receive (Kim, et al., 2015).

            In shortening the length of stay for patients in almost every venue, this process can save a substantial amount of money for the government, but at what cost for many patients? Due to the rules on short stays, nurses and doctors witness patients being discharged sooner than their conditions warrants. The positive side is that SNFs have to increase their skill-set because many patients who would have went to an LTACH or rehabilitation hospital are now being denied by companies, but approved for SNF stays. This puts SNFs in a position because scope of practice laws in each state can limit what can be done in a SNF due to the fact that most nurses in SNFs are Licensed Practical Nurses and very few Registered Nurses. Even though a SNF may see a small increase in census, they are not seeing a raise in reimbursement which makes it difficult to have Registered Nurses in the facility.

            There are so many aspects to these changes that many people do not know or understand, but the bottom line is the outcome of patients while trying to keep costs manageable.

“Length-of-Hospital”. (2017, November 5). Length of hospital stay. Retrieved from OECD Data: https://data.oecd.org/healthcare/length-of-hospital-stay.htm

Kim, Y. S., Kleerup, E. C., Ganz, P. A., Ponce, N. A., Lorenz, K. A., & al., e. (2015). Medicare Payment Policy Creates Incentives For Long-Term Care Hospitals To Time Discharges For Maximum Reimbursement. Health Affairs; Chevy Chase Vol. 34, Iss. 6, (Jun 2015): 907-915,1-26. DOI:0002035579; 10.1377/hlthaff.2014.0778, 5.

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2023 REQUIREMENTS 1 Select a Speak Up brochure developed by The Joint Commission Follow this link

Nursing 2023 Nursing

REQUIREMENTS 1 Select a Speak Up brochure developed by The Joint Commission Follow this link 2023 Assignment

REQUIREMENTS  

1. Select a Speak Up brochure developed by The Joint Commission. Follow this link to the proper website: https://www.jointcommission.org/topics/speak_up_campaigns.aspx 

The Topic I selected is REDUCING FALL RISK, pLEASE WRITE MY PAPER using the review on the topic i selected from the above link.

2. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique, and include current nursing or healthcare research to support your critique.  a. The length of the paper is to be no greater than three pages, double spaced, excluding title page and reference page. Extra pages will not be read and will not count toward your grade.  

3. This assignment will be graded on quality of information presented, use of citations, and use of Standard English grammar, sentence structure, and organization based on the required components. 

 4. Create the review using Microsoft Word 2007 (a part of Microsoft Office 2007), the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word 2007 document because it will end in “.docx.”   

 5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper- and lowercase, bold, centered).  

a. Introduction 

 b. Summary of Brochure  

c. Evaluation of Brochure  

d. Conclusion

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2023 Advanced Pharmacology Choose two diagnoses from the following list Migraine

Nursing 2023 Advanced Pharmacology

Advanced Pharmacology Choose two diagnoses from the following list Migraine 2023 Assignment

  

Advanced Pharmacology 

Choose two diagnoses from the following list:

· Migraine

· Seizure Disorder

· Alzheimer’s Disease

· Bell’s Palsy

· Insomnia

For each of the two diagnoses you choose, select two drug categories used for treatment.

For each of the two drug categories, choose two specific pharmacological agents.

Include the following in your initial post:

· Your individual post should be in five well-developed paragraphs (500-700) words total).

· Explanation of the pathophysiology of the diagnosis.

· Description of the drug category: Overview of use/action.

· Analysis of the specific agents:

· Pharmacokinetics/pharmacotherapeutics, adverse drug reactions, interactions, monitoring, patient education

Integrate sources: Use a minimum three additional evidence-based articles within the last 5yrs only or sources (do not use lay press Internet sites).

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2023 Discussion Question Review the most current Patient Safety Goals http www jointcommission org standards information npsgs aspx

Nursing 2023 Patient Safety Goals

Discussion Question Review the most current Patient Safety Goals http www jointcommission org standards information npsgs aspx 2023 Assignment

 

Discussion Question:

Review the most current Patient Safety Goals (http://www.jointcommission.org/standards_information/npsgs.aspx). Find a research article that discusses one of the goals. Summarize the article and explain how your day to day practice has changed since the implementation of this goal. Has the change had an effect? Explain.

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook

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2023 Write a paper that lists the top five elements of the health care system that most need reform in

Nursing 2023 APA paper

Write a paper that lists the top five elements of the health care system that most need reform in 2023 Assignment

Write a paper  that lists the top five elements of the health care system that most need reform, in your opinion. Justify your choices through a logical analysis of the elements’ impact on the current system. 1000-1200words

Refer to the assigned readings to incorporate specific examples and details into your paper.An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions,” by Clarke, Bourne, Skoufalos, Beck, and Castillo, from Population Health Management(2017).  “Successful Strategic Planning for a Reformed Delivery System,” by Zuckerman, from Journal of Healthcare Management (2014). “Telemedicine and its Transformation of Emergency Care: A Case Study of One of the Largest US Integrated Healthcare Delivery Systems,” by Sharma, Fleischut, and Barchi, from International Journal of Emergency Medicine (2017). Reforming America’s Health Care Delivery System,” by Hackbarth, presented before the State Finance Committee Roundtable on Reforming America’s Health Care Delivery System (2009).

Prepare this assignment according to the APA guidelines

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