In several cities across the U.S., villages of “tiny houses” are being  erected to serve the homeless. These villages vary in the number of  homeless they serve, housing between approximately ten to fifty homeless  people each.

Response should be at least 200 words long, APA, Address all parts of the prompt question.

Religion, Culture and Nursing

Read chapter 13 of the class textbook and review the attached PowerPoint presentation, once done please write an essay comparing and contrasting two spiritual or religious beliefs about sickness causation and health.  Make sure that you include the following;

1.  Include the potential benefits of understanding spirituality too both health care providers and patients.
2. What health issues may be better addressed by a nursing care staff with knowledge about religious diversity?

INSTRUCTIONS:

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 13 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard(which is mandatory).  A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines and must be from a gerontology journal.  700 or 800 words except first page or references

Review Healthy People 2020. Choose an topic of interest to you that deals with women or children. Research your area of interest specifically for Miami Dade County. Your assignment must be 500 words, complete with proper spelling and grammar. Be sure to answer the following issues in you writing

* identify the topic you chose

* relate this area to women or children

* give a summary of Healthy People 2020 goals for this area

* give a detailed summary of the topic in Miami Dade County

* give a summary of how the area is being addressed in Miami Dade County

 Discussion: Unit 4, Due Wednesday by 11:59 pm CT Patient Privacy Violation Instructions:  Please complete the following steps for your discussion post and response.  You are the Cardiac unit manager within a hospital. As you walked to your car after work, you saw a piece of paper lying on the ground. When you picked it up, you were able to read several patient names, room numbers, and notes about their medical condition.      Briefly summarize the issue and violation of this situation presents.     What is your reporting obligation, and who should you contact regarding what you found?     What repercussions could the person responsible for dropping this paper face?  Please be sure to validate your opinions and ideas with citations and references in APA format.  The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.  Estimated time to complete: 2 hours Peer Responses: Unit 4, Due Sunday by 11:59 pm CT Patient Privacy Violation Instructions:      Please post 2 peer responses.     In the response post, include the following:     Assume the role of a professional colleague to your classmate. It has been discovered that the person responsible for dropping the paper containing PHI was a physician within the Cardiac unit. Your colleague (the Cardiac manager) has asked you for advice on how to handle the situation.         Assess the information contained in your classmate’s primary post regarding reporting actions. Offer feedback as needed.         Propose a plan for handling the situation within the department. This may include how to approach the physician, compliance training, notations in a personnel file, etc. Your plan must be supported by at least one scholarly source.  Please be sure to validate your opinions and ideas with citations and references in APA format. 

respond 

Roussel, Thomas, and Harris (2017) report that a microsystem analysis includes five P’s of purpose, populations, processes, patterns, and providers. A comprehensive analysis using a standardized approach to high light opportunities for improvement. Our purpose is to find the cause of the increase in malpractice claims and improve patient outcomes. The population is patients with operative procedures using Davinci robotics. The process is the Davinci robotic procedure. Next, patterns to narrow the search to understand cause and the providers are the nursing staff working in the OR. Jones, Polancich, Steaban, Feistritzer, and Poe believe quality and patient safety requires efforts from all nursing leadership. The nurse executive (CNO) is paramount to the team and drives the vision of nursing to deliver safe, quality, efficient, patient-centered care (2017, p.186). The leadership skills of CNO are necessary to achieve high-quality patient care and excellent clinical outcomes (Jones, Polancich, Steaban, Feistritzer, & Poe). The CNO establishes the direction and identifies goals to provide the foundation for strategic planning.

The first action as a leadership team is to determine if all the claims revolve around the same type of issues by gathering data on the claims. I will meet with the quality team and nursing leaders to identify the issues. Once we study the data then we will determine how to proceed. Does it appear to be a process issue or a person issue? Is there a lack of knowledge? From the data, we find a trend with procedures done by Davinci robotic surgeries. The clinical nurse leader will observe a Davinci surgery to examine the workflow process to determine areas of opportunity. The process is mapped out in detail to determine areas of concern. It was found that Davinci procedures are now being performed with new equipment. The data is further examined to determine a pattern. Is the data related to a process, structural, or outcomes-based to decide what needs to be improved? We must decide if there is a flaw in the procedure or equipment. Finally, we look at the staff and their experience, education, and familiarity with the procedure and equipment. Is there a knowledge-based error? We know from our previous reports that staffing has been a concern and there are many new RNs working in the OR. We look at the roles of all staff associated with the procedure including the providers. The data shows that many newer nurses may be unfamiliar with the use of the new equipment, so we have an area of opportunity to educate and train the staff. The education plan, communication plan, and timeline will be developed and shared. This communication will explain the plans for the change and allow for additional input if necessary. Physicians and key stakeholders will also need to be informed about the change in advance of implementation. This gives time for additional training of physicians and ancillary staff. Listening to the feedback from teams is important. As the changes are implemented, staff will have feedback on what is working and what is not so daily huddles will be needed with staff. Feedback will be monitored, and changes made as needed to improve patient outcomes. Effective communication and enhancing team culture are especially important in strategic planning. As part of our commitment to our community, we want to provide safe high-quality patient-centered care so we will strive to decrease malpractice claims.

Debbie

References

Jones, P., Polancich, S., Steaban, R., Feistritzer, N., & Poe, T. (2017). Transformational leadership: The chief nursing officer role in leading quality and patient safety. Journal for Healthcare Quality: Official Publication of The National Association for Healthcare Quality, 39(3), 186–190. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1097/JHQ.0000000000000090 (Links to an external site.)

Roussel, L., Thomas, P. L., & Harris, J. L. (2016). Management and leadership for nurse administrators (7th ed.). Burlington, MA: Jones & Bartlett Learning.