Instructions – 

• Please be prepared to present a 10-minute pitch 

· You are free to choose your own PowerPoint template, develop an A3, and/or include any other Lean tools in your pitch, but ensure the panel can visualize everything 

• The presentation has a time limit of 10 minutes (the panel will cut you off at 12 minutes) – Straight to the point please …. Cannot exceed 10 minutes

• A brief question & answer session will follow the presentation

• The content and delivery of the presentation will be scored

SCENARIO- Hypothetical 

· The facility had three safety events involving a patient receiving blood transfusions of the wrong blood type. All three patients died. Two (2) patients received their transfusions on a medicine unit and the other patient received his transfusion on a surgical unit. After a root cause analysis, it was found that transfusion orders for each patient were meant for other patients. Additionally, it was found that in two of the cases there were blood specimen labeling errors. 

• In the six (6) months before the deaths of these three patients, the facility had received ten (10) patient safety event reports (JPSR) related to blood labeling errors, but all were caught before a patient was harmed. When staff were interviewed about the event, many reported that communication between clinical staff has always been an issue. Several of the physicians interviewed stated that it is not uncommon for the Laboratory to make errors because nothing is ever done to correct them. The Medical Center Director has met with the staff members. They all report feeling really bad that this happened. They believe in the care they provide and only want to do a good job.

MUST INCLUDE – NEED Graphs and visual aid 

1. Identify an interdisciplinary team-based improvement project based on the root cause analyses of the safety events. During the pitch, identify why you selected the project and which safety issues are addressed. 

2. Include a draft of the problem statement you plan to share with the Medical Center Director, which also discusses two (2) associated high reliability principles. 

3. Discuss how will you manage and lead these projects through to completion. 

4. Identify the improvement methodology you plan to use to address and track the safety failures. 

5. Is there any data that you need? Discuss which databases you plan to pull it from. 

6. Identify any tools and/or resources you will you need to implement your plans and manage the activities of your team. Include how you plan to train the teams to carry out the improvements. 

7. Discuss how will you ensure sustainability once the project deliverable are deployed and implemented. 

8. Explain how you would use change management to prepare the Care or Service Line to accept, implement, and sustain the improved processes.

9. Discuss how you plan to incorporate dashboards and graphical reports into your tracking and sustainability plan. 

10. Finally, discuss how you plan to close out the project. Include how you will confirm that all project requirements have been met and how your project benefits the experience of the veterans at MEDVAMC.

Time-Sensitive – Will pay top dollar… 

DUE BY: Tuesday, AUGUST 11, 2020 by NOON –  CST – (NO EXECPTIONS)

 3 paragraph and less than 10 % similarity 

 You have been asked to be a peer reviewer for a team of nurse researchers who are conducting a phenomenological study of the experiences of physical abuse during pregnancy. What specific questions would you ask the team during debriefing and what documents would you want the researchers to share? 

 This week you will be writing an APA paper to include a title page, level headings, and a reference page

Discuss and explain King’s Conceptual System Theory. 

First explain the 3 systems and provide examples of each system

Explain how the systems influence goal attainment

How could King’s theory help define a clinical quality problem? 

Apply this theory to a potential practice quality improvement initiative within your clinical practice.

How could a quality committee align outcomes with King’s Conceptual System Theory? 

What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F.A. Davis. Chapters 9 & 14

Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Consider the community risk factors your peers listed. Are they similar to your community? Did any of their risks surprise you? Why or why not? (if not community risk factors were listed, then just add informative content regarding to their topic that is validated via citations)

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 250 words per peer reply.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

  

The Assignments

Respond to at least two of your colleagues by recommending strategies for improving the effectiveness of their group therapy sessions. Support your recommendations with evidence-based literature and your own experiences with clients. Support your responses with evidence-based literature with at least two references in each colleague’s response with proper citation.

Colleagues Response # 1 

Older adults have experienced a lot of challenges in life that should  be talked about which focuses on using psychotherapy therapeutic approach to resolve. Their developmental stage is different and unique from other stages such as children, adolescents, and young adults. For a facilitator to understand the adult’s challenges is very important and reduce their challenges because sometimes they are afraid to share them with others who are not within their age. When the younger clients start coming to therapy sessions, the older clients think that their issues are part of young adulthood which will lead to successful therapy. Group psychotherapy benefit the older adults because they are set up in small groups to focus on interpersonal therapy and cognitive behavioral therapy. The therapist will help the elderly clients to develop healthy social behavior and ways in interacting with others using interactive skills. The group interact well with the therapist by using psychotherapy that focus on psychodynamic approach. Using this approach helps the elderly clients to reduce the fear of shame. Listening and addressing issues that comes up during the group session help reduce any biasness. Another sensitive approach during the therapy session is reminiscence group therapy where the therapist will provide structured settings where the elderly clients can share their previous experiences among their peers, and it involves direct interpersonal interaction as a way of creating universality of their issues. In this therapy session, a standard socialization platform for the elderly clients is provided.

           In this group therapy session, it is done in a controlled setting where clients that are involved are between 60-65 years of age. The main important focus during the therapy is to promote social behavior and interpersonal interaction within their age group and also to improve their social and quality of life at their last stage of life. During the session, some issues came up and some degree of resistance were also involved during the therapeutic process. For example, some of the elder clients were not opening up to express themselves. The group session provided sometimes for the clients to share any age-related issues and social contact at the same time receiving any informed feedback from the therapist. “As a clinical psychologist, identifying such resistance in the interactive process ensures the success of the therapy” (Cheston & Jones, 2009).

           Some challenges came up during the therapy session while working with this age group such as cognitive challenges which may hinder the process of education. During a normal process of aging, there are different changes that will affect the client’s level of cognition which will affect their learning process at their age. To get some information from an adult sometimes is difficult because some of the clients are ashamed and bothered by the therapist thereby them showing low cooperation. Another challenge that they encounter is therapy planning which involves the adults to be involved and cooperative during the sessions. Some of the clients may feel threatened due to the clam environment while others might not, and this will warrant their setting to be tricky to accommodate everyone. These counteracting preferences are normal parts of aging (Cheston & Jones, 2009).

           The best method for the therapist to use during adult sessions is group therapy because it will handle the psychosocial and cognitive concerns that may arise with the adults. Also, the therapist will provide a focused method to care to the adult in addressing their challenges that affect them during this stage of life. This is will help the therapist and the adults to improve the effectiveness of the therapy.

Colleagues Response # 2

The group I observed last week was a group of couples in group couples counseling. They were in week 5 out of 12 weeks of group therapy. There were 6 total couples in the group, mostly in their 40s and 50s. This group, nearing the midway point of group therapy, was in Tuckman’s norming phase. In the norming phase, group members are beginning to settle in and their roles within the group are becoming defined. They are resolving differences, appreciating each other, and respecting their leader. They are able to ask for feedback from each other and are able to make strong commitments to the group (Tuckman, 1965).

 
 

I also witnessed Tuckman’s performing stage, where goals are achieved (1965).  In this phase, the leader does a lot of delegating and developing of team members. It is evident that the leader (my preceptor) is working towards this goal as she frequently asks members to provide their own feedback when other members speak. 

 
 

Some issues that were present during this group include the common issues in group settings, such as some members not feeling comfortable enough to participate and others monopolizing the group. Some of the techniques my preceptor used were behavioral modifications such as behavior exchange procedures and alternating of “caring days” as couples cognitive behavioral therapy techniques (Nichols & Davis, 2020).