• Discussion Prompt 1:

How do you feel about the Sustainable Development Goals (SDG) initiatives? Discuss ways a community nurse can help with the goals.

• Discussion Prompt 2:

Many resources are spent on recruiting foreign nurses. It is a fast-growing private sector business. If the United States and other industrial nations put their resources into fixing the problems that lead to this shortage of nurses, would the need to recruit foreign nurses decrease? Why or why not?

•

  

Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less than five years old.

The facility recently transitioned to a new and better electronic health record system and also purchased standardized care plans which are supposed to be more efficient, unfortunately, the compliance with using the standardized care plans by the inpatient nurses is only 40%. Also, the facility recently had a visit of the Joint Commission and received a negative mark for the nurses not adding care plans based on the patients’ primary problem (s) or diagnosis in the patients’ charts upon admission. 

Title: Educating Inpatient Nurses to use Standardized Care Plans (Based on this title, please formulate a PICO question which gear on educating the nurses to use the hospital standardized care plans)

Main Problem with the nurses in the Hospital.

(1)   There’s poor compliance with the nurses not adding the standardized care plans to the patient’s chart based on the patients’ diagnosis or primary problem(s) upon admission to the facility.

(2)    Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.

(3)   The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.

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What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart? 

               ___ Set of care plans are available and nurses do not have to develop a care plan

               ___ If nurse selects and adds care plan, it will automatically populate into patient’s chart

               ___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the

patient’s chart.

               ___ Decreases nurses’ workflow time because preset care plan

               ___Nurses do not have to do any follow up teaching on care plan 

Revised PICO Question: Will an educational tool increase the inpatient nurses’ knowledge about the use of the hospital newly built-in standardized care plans system as compared to not using the standardized care plans?   (based on all the above, I came up with this question, but you can correct it or formulate a better one which gears towards educating the inpatient nurses to use the standardized care plans)

Problem: 

1) Poor compliance, just 40% of the hospital inpatient nurses are using the hospital newly built-in standardized care plans.

2) The Joint Commission (JHACO) penalized the hospital during a recent visit to the hospital because only a small percentage of the admitted patient had a care plan upon admission based on their diagnosis or primary problem(s).

3) The hospital recently transitioned to a new and better electronic health record system (EHRs) and some nurses are stating that they haven’t received enough education on how to use the standardized care plans on the hospital new EHRs.

 

Below is the Joint Commission Standard for Care Plans

Joint Commission Standard

• The      medical record contains the following clinical information:

– The reason(s) for admission for care, treatment, and services

– The patient’s initial diagnosis, diagnostic impression(s), or condition(s)

– Any findings of assessments and reassessments 

– Any allergies to food

– Any allergies to medications

– Any conclusions or impressions drawn from the patient’s medical history

and physical examination

– Any diagnoses or conditions established during the patient’s course of

care, treatment, and services (including complications and hospital acquired

infections). 

– Any consultation reports

– Any observations relevant to care, treatment, and services

– The patient’s response to care, treatment, and services

– Any emergency care, treatment, and services provided to the patient

before his or her arrival

– Any progress notes

– All orders

– Any medications ordered or prescribed

– Any medications administered, including the strength, dose, route, date

and time of administration

– Any access site for medication, administration devices used, and rate of

administration

– Any adverse drug reactions

– Treatment goals, plan of care, and revisions to the plan of care 

– Results of diagnostic and therapeutic tests and procedures

– Any medications dispensed or prescribed on discharge

– Discharge diagnosis

– Discharge plan and discharge planning

• The hospital plans the patient’s care      based on needs identified by the patient assessment, reassessment, and      results. The written plan of care is based on patient goals and time      frames required to meet goals. Patient care plan is based on established goals where      staff evaluate the patient progress Patient’s care plan is revised with      goals based on patient’s needs

POPULATION: Inpatient Nurses

INTERVENTION: (Will an educational tool?) Best method on educating inpatient nurses on identifying appropriate patient’s diagnosis or primary problem upon admission to select individualized care plan and document on the interventions / progress toward patient goals each shift in Epic EHRs. 

COMPARISON: Regular Care plan

OUTCOMEs: 

• Patient      Outcome: 
  • Reduced       variability in patient care delivery. Accurate monitoring of progression       toward evidence-based care plan interventions and goals. 
  • Accurate       monitoring of patient education progression driven from correct diagnosis-based       care plan added on admission to       the patient’s chart.
    • Metrics: nursing documentation on education,        interventions, and care plan goals
• Process      Outcome: 
  • Nurse       will increase correct application of evidence-based care plan based on       identification of correct diagnosis or primary problem upon admission       Increase documentation of evidence-based interventions and patient       progress toward care plan goals in EPIC each shift. . 
  • Increase       completion of education/learning assessment upon admission and each shift. 
    • Metrics’        compliance: correct application of care plan based on admitting        diagnosis, shift documentation of evidence-based interventions and care        plan goals, patient education/learning assessment documentation

 

Develop a 6-slide Microsoft® PowerPoint® presentation on the organizational structure of the rehabilitation center described in the scenario. Create the presentation for the audience of a REHABILITATION DIRECTOR.

Address the following in your presentation:

• The steps involved in organizational planning and functions of management
• Explain the administrative process needed to track outcomes and improve quality and safety

List the major points on the slides. The slide count excludes the title and reference slides.

Include detailed explanations that correlate to each point in the speaker notes.

Include videos, photos, diagrams, graphs, or audio as appropriate.

Include at least a minimum of 2 references to support your presentation.

Format your presentation according to APA guidelines.

Reflective Journal

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

Your journal will reflect on the personal knowledge and skills gained in this course and should address a variable combination of the following:

New practice approaches

Intraprofessional collaboration

Health care delivery and clinical systems

Ethical considerations in health care

Population health concerns

The role of technology in improving health care      outcomes

 

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

1. Click “OK” to receive your questionnaire scores.
2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750‐1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

1. Provide a summary of your learning style according the VARK questionnaire.
2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer‐reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.