Respond 

One variance within the EMR project that could occur would be if more training hours are needed for employees than originally identified. Perhaps a few employees are slow learners or need some extra attention. The original allotted hours may not be sufficient. As the human aspect of any project is sometimes difficult to predict. Another aspect that can affect the project is cost risk, which is a reason that many projects to not finish (Górecki and Díaz-Madroñero, 2020). In most of my projects I try to account for cost risk in any department. If I had a $1,000 budget, I would try to hit somewhere near $900 conservatively if possible if there are variables which could affect the budget. Effectively this is what I have accounted for in my budget already and feel as though the buffer I have provided would cover extra training.

Another example of possible cost variance is potential change in staffing (Robbins, 2019). For example, if there is a transition in the department or we are unable to provide adequate staffing for training, the project may be prolonged, and costs will incur for IT support and departmental coverage. In order to determine if I need to adjust my budget for hours, I would see how much we have used in training to date, and look at the estimate towards completion. If the allocated amount would not be enough, I would revise and factor in the costs with an updated budget using the buffer amount.

My current budget is as follows:

• $30,000 – implementation of module with current system for assignment and prioritization into current EMR system. A module already exists but should be fine-tuned to the practice.
• $2,800 – Approximately 50 hours of training for the project implementation team
• $6,500 – Approximately 25 hours for each end user in ED
• $50,000 – New equipment to provide access to every provider
• $4,000 – Approximately 100 salaried hours for Manager for hours worked on project
• $1,200 – Potential informatics specialist to assist with EMR system report monitoring to identify issues during implementation
• $4,000 – On-call EMR help for tools for four weeks
• $50,000 – New equipment for laboratory services to provide access for all laboratory staff
• $5000 – Approximately 20 hours for each end user in laboratory
• $50,000 – New equipment for radiology services to provide access for all laboratory staff
• $5000 – Approximately 20 hours for each end user in
• $360,000 – Additional staff (RN, laboratory technician, radiology technician)
• $250,000 – Physical plant construction (new nurses stations with view of patients for charting from computer, removal of a wall, compliance/planning with architect)

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussions and any insights gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Signature Assignment

Practice Change Simulation

Assignment Description:

Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations?

The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)

If PowerPoint is used for the presentation, include the reference slide; if PowerPoint is not used in the presentation, please submit a list of the references in a Word document utilized to develop the presentation in APA format to the dropbox in a separate submission (be sure to orally cite your sources if no PowerPoint is used to identify the sources)

Assignment Expectations:

Length: 7-9 minute presentation (with or without PowerPoint slides); if no PowerPoint used submit APA Reference list separately
Structure: If PowerPoint is used: Include a title slide, objective slide, content slides, reference slide in APA format. There is no specific slide number required. 
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of six (6) scholarly journal articles are required for this assignment. 
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. 
Format: Save your assignment as a mp4 format or as an attached link to the recording.
File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

You have to write an answer based on this writing, a minimum of 200 words. You need to add references and quotes, do not use the same references that appear in the writing.

Health care beliefs of the German and French-Canadian heritage and the influence in the delivery of evidence-based health care.

The health care sector is an inclusive sector that is comprehensive and broad. It has a very long relationship with other sectors and aspects of life, such as culture and beliefs. The people’s culture has an immense influence on the health care services provision. In that view, the delivery of evidence-based health care in one culture might be very different in another culture. However, the international health care bodies are working round the clock to ensure that the health care services are received amicably and professionally across all cultures and heritages. The heritages of both the German and French Canadian have different beliefs that profoundly impact the delivery of evidence-based health care.

In the German heritage, the people who are mandated to administer health care services and treatments are women. Although the males (fathers) might provide financial support for the children’s health care, women have the mandate to ensure that children receive all essential health care services such as vitamins, immunizations as well as constant health checkups. Traditionally, German women would practice traditional medicine that included providing health care guidance to the sick as well as laying hands for the sick to heal. This experience and knowledge were passed from mothers to daughters, and the process continued. Natural traditional medicines were made from roots, herbs, peppermint, soups as well as spirits of ammonia. As modernization came in, the Germans started embracing modern medication, whereby they purchase over-the-counter medicine in the pharmacy. The traditional health care services provision hardly promoted the delivery of evidence-based health care since health care providers hardly relied on evidence to offer health care. Instead, they relied on assumptions that were very risky to the patients.

The French-Canadian heritage had a unique aspect since it promoted the provision of modern health care services. It is healthy, according to the French-Canadian means having attained a balance in life (Assari, Khoshpouri & Chalian, 2019). This means that all one’s states, which include the physical, spiritual, and social, are working effectively and relating accordingly. For one to attain a healthy life, one is executed to eat a balanced diet, sleep adequately, exercise, belief in the Supernatural Spiritual Being, have home health care remedies as well as consult with health care providers. The French-Canadian Heritage has a positive influence on the provision of evidence-based health care since it promotes consultation of the health care providers who are in access to modern technology that can help in the delivery of evidence-based care.

2.   Similarities in the health care beliefs and practices of the German and French-Canadian heritage with the health care beliefs of your heritage.

There are some similarities in the health care beliefs and practices of the German and French-Canadian heritage and my health care beliefs heritage. These all heritages believe that everyone has the responsibility of taking care and promoting his/ her health (Shaw, 2017). In that view, it is highly discouraged to undertake some harmful activities such as drug abuse since that can ruin one’s health. Besides, all of the heritages have a common notion that there are people in the community who are well-versed in the delivery of health care services such as herbalists and doctors, and it is recommendable for everyone to seek health care services from these specialists.

3.  If you must change your health care beliefs for any of one study this week, which one will you choose, and why?

I prefer the German health care beliefs, which promote and support natural medicine over modern medications, which includes over the counter drugs as well as the prescribed drugs. The Germans practiced herbal medicine that was made from herbs, roots as well as peppermint (Brousseau, Cara & Blais, 2019). In addition to that, the German heritage has excellent support for the people taking care of their health.  One is expected to take care of his/her health by eating healthy food, exercising, having enough sleep, and avoiding harmful activities such as drug abuse. I am of great support for the German beliefs of health care services since they are instrumental in addressing the modern lifestyle diseases such as obesity. Most of the most dangerous diseases nowadays are lifestyle diseases which are caused by poor lifestyle. However, if the German health care notion would be employed in the modern world, lifestyle diseases would be addressed adequately. The other reason I would prefer the German health care beliefs is that its health care is affordable and readily available. Getting the herbs and roots to make traditional medicine is straightforward, and at times, it is free, unlike purchasing over the counter medicines.

PLEASE PAY ATTENTION TO THE SCENARIO

zERO PLAGIRISM

5 REFERENCES 

Note: Patient is 65years old African American female, alert and oriented x2 with confusion. Resident has a  diagnoses of paranoid Schizophrenia and dementia. Patient is on Risperdal 4mg 1 tab PO at bedtime and Haldol 10mg Q6hour PRN for agitation. Patient was seen by psychiatrist on 01/25/2020 and no medication reduction was recommended.  Patient remains stable at this time. Patient will be seen again in three months.

• Develop diagnoses for clients receiving psychotherapy*
• Analyze legal and ethical implications of counseling clients with psychiatric disorders*

* The Assignment related to this Learning Objective is introduced this week 

Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

• Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
• Using the Diagnostic and Statistical Manual of Mental Health Disorders, 5th edition (DSM-5), explain and justify your diagnosis for this client.
• Explain any legal and/or ethical implications related to counseling this client.
• Support your approach with evidence-based literature.

The next step in developing an evidence-based practice change proposal for the capstone project is to conduct a thorough review of the literature pertaining to the chosen topic. In this topic, students will examine the research literature and utilize library resources to locate quality, peer-reviewed sources to support their chosen topic and solution. Students will use the PICOT question process to create a PICOT question for their topic.

Objectives:

1. Critique evidence-based research to support the development of the capstone project change proposal.

2. Create a PICOT question incorporating an evidence-based nursing practice intervention.

3. Create objectives for an evidence-based nursing practice change proposal.

4. Integrate reflective practice into the practicum reflective journal.

5. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal.

In this assignment, I expect answers to question 1 and 2 be written and referenced separately and each minimum of 500 words. Question 1 is related to the picot and literature review question (yet to be posted) while question 2 is a different question. In question 2 evaluation of evidence is not quantitative and qualitative research as those are collection of evidence. The practice change topic is: Effects of lack of personal protective equipment on nurses during coronavirus pandemic and it’s effect on patient care

QUESTION 1: Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change

Question 2: Name two different methods for evaluating evidence. Compare and contrast these two methods.