Discussion Questions

By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Discussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

1. Critically analyze current practice to formulate researchable problems.
2. Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice. 
3. Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.
4. Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.
5. Explore national and international initiatives and research priorities.

I feel that I have gained a core of formulating research questions to problems. I feel that I have gained a broad perspective improving outcomes with evidence based practice. The proposal development was a challenge initially, but everything seemed to fall into place until the statistical portion of the class. At that point, that is where I struggled and I feel that it is because I am not mathematically inclined.
Even though I knew about the Tuskegee incident, I learned more about the incident. This new gained information was an eye-opener for me, and I was more horrified at the events. I learned some new ethical issue related information regarding the informed consents and how difficult it was to write in “layman’s” terms as well as more information on the protection of human subjects. Most of the ethical information to me was understood or common knowledge and made sense.
Research is a process of discovering new knowledge. The charter rules (45 CFR 46.102 (d)) have been defined as “related to the survey results.” The purpose of the National Academy of Sciences is to “broaden the knowledge of the people in the physical, biological and social world” as well as the study of the knowledge of other types of knowledge reading, etc.), using a systematic process called a different scientific approach.
As far as the exploration of national and international initiatives and research priorities, this information is minimal. I feel that I have a lot to learn and that this class was only an exposure. Also, I feel that I need to explore these topics beyond this class to further myself and the core knowledge that was gained from this course.
Although I have learned to research, I feel that I am no expert but have gained good base knowledge. I am supposed to be able to form my own research. However, I feel that again with a good basic familiarity; I will probably never do my own research. Instead, I would be involved with research done by others or create performance improvements. I do not feel that I can create my own research trial all by myself and therefore would learn by others. This was an opportunity to “get my feet wet.” Additionally, since I am somewhat statistically challenged, I would need help with creating my own research. Therefore, I feel that I would never be alone and would bring in the people who would help me create a well-designed and well written study. In the end, it is all about teamwork.
When researches are done in the real world and money is spent and political people or doctors or scientists do the research. The research’s unique features are one of the common criteria published in academic journals. (Callaham, Michael et al., 2002) Diploma students usually need to conduct their first research as part of a dissertation.

References
Callaham, Michael; Wears, Robert; Weber, Ellen L. (2002). “Journal Prestige, Publication Bias,
and Other Characteristics Associated With Citation of Published
Studies in Peer-Reviewed Journals”. JAMA. doi:10.1001/jama.287.21.2847.

This is a follow-up to this question that was previously done. Please use the attached “Rubric” to answer it again.

As a healthcare leader, you will be accountable to many people, including employees, patients and their families, the executive board, and the agencies that monitor the organization’s behavior. Oftentimes, you are required to help support your colleagues in instances where they are not feeling as motivated or as confident in their role as a healthcare practitioner. What is the best way to approach these situations? How can you help provide support to your colleagues to help them increase their motivation or feeling of self-actualization, so that the patients and the organizations for which you work are treated appropriately?

For this Assignment, you will reflect on your responsibilities as a healthcare leader and examine the importance of providing the appropriate tools and strategies to support their humanistic needs.

To prepare for this Competency Assessment, take the following self-actualization tests from the following websites: https://www.explorepsychology.com/wp_quiz/self-actualization-test/ and https://www.allthetests.com/quiz01/dasquiztd.php3?testid=1022641069.

Review your scores. Consider what these results tell you about your ability to feel self-actualized and how you feel impacts you as a healthcare leader. Think about what these results say about your ability to exhibit the skills to support your colleagues. 

The Assignment

Part 1: 

Write a 1-page op-ed piece, to be published in a newspaper, about what you think the feelings of motivation and self-actualization play in your role as a healthcare leader. For more information about writing an op-ed review, go to:

Seglin, J. (2012). How to write an op-ed or column. Retrieved from http://shorensteincenter.org/wp-content/uploads/2012/07/HO_NEW_HOW-TO-WRITE-AN-OPED-OR-COLUMN.pdf 

In your op-ed:

Explain the potential conflicts that can arise in the organization and how that impacts the organization as a whole.

Describe the effects on others in an organization, if a leader models positive and supportive behavior to help motivate other employees

Synthesize the importance of a leader to exhibit humanistic qualities from Maslow’s hierarchy of needs.

4-The Collaborative Patient Care Management Model, which is a multi-disciplinary and a population-based case management model, was first introduced in the year 2006. The prime objective of the model was to target such patients, which could be classified as high-cost and high-risk. The nurses not only manage these patients but also play a vital in the development of inter-disciplinary care plan (Kimball, Joynt, Cherner, & O’Neil, 2007). The model allows to develop a highly potent care plan, which has 1) greater potential to produce the desired results, and 2) the ability to reduce the overall cost of the care to be provided without compromising on its quality.

Reference

Kimball, B., Joynt, J., Cherner, D., & O’Neil, E. (2007). The Quest for New Innovative. Journal of Nursing Administration, 37(9), 392-398.

5-Thank you for sharing your post.  I agree that the ACO’s are beneficial in helping to streamline healthcare.  I have enjoyed the creation of the EMR as it allows other doctors within the same health organization access to my record so they know what it going on with me and I do not have to remember all the details.  This can be important especially in the older population as many forget to write things down.  Providing coordinated care helps to ensure that patients are receiving the right care.  Continuity of care is important to patients as well because they do not want to repeat everything that is going on with them when it has already been asked.  I find that many patients want the same nurse back if they are going to be there for several shifts in a row as they can build a short term relationship with them.

6-Accountable Care Organizations (ACO) is a network of doctors, hospitals, care providers home care and long-term care agencies, physician group practices, and other health care entities, such as medical homes, that come together to form a network to coordinate Medicare patient care. They share financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending. ACO are beneficial to both providers and patients. Providers become eligible for bonuses if they keep their patient’s healthy, while also meeting quality targets keep a portion of the savings. Patient’s benefit from having their care coordinated instead of getting each part of their health care separately. This reduces hospital stays, emergency room visits and expensive specialist and testing services that may be repeated by multiple healthcare providers. To protect patients ACOs must meet a long list of quality measures to ensure they are not saving money by stinting on necessary care. And if a patient is unsatisfied with there ACO they can see doctors of their choice outside the network without paying more and decline to have their information shared with the ACO (KaiserHealthnews.2015).

Reference

Kaiser Health News.(2015). Accountable Care Organizations, Explained. Retrieved from https://khn.org/news/aco-accountable-care-organization-faq/

In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcome’s management. “The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders” (LoBiondo-Wood, Haber, 2014, pg. 225)

Expected Change Outcomes

Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years’ time. Our goal would to be better control our patient’s COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased

Implementation Process Outcomes

           The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients. 

Reference

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for   evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323-      10086-1

1. Your chosen disease/condition
2. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)
3. Age related milestone for your chosen population
4. Socio-Demographic/Risk factors for getting the disease/condition
5. Impact on QOL
6. Current/new/recent research/EBP that will benefit/support this patient with the specific disease (If there are none please state so)
7. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)
8. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.
9. Red flags for this condition (what specific S/S require urgent/ER care) or when should you refer patient to specialist.

Again, please follow the directions of what I am looking for and keep it to the point, as simple/concise as possible.

Points will be taken of for incorrect grammar and incorrect APA format/citations.