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Joint Commission National Patient Safety Goals (NPSGs)

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This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1 : The Joint Commission National Patient Safety Goals (NPSGs) address patient safety issues

The Joint Commission National Patient Safety Goals (NPSGs) address patient safety issues within health care organizations. First, review the current NSPGs at http://www.jointcommission.org/standards_information/npsgs.aspx. Next, determine three patient safety issues that are being addressed by your health care organization (or health care organizations in general). Lastly, identify the actions the organization is taking, or identify three action-item issues to be addressed by health care organizations in general. What actions should the health care organization take regarding each of these NPSGs, and why? What goals do they need to achieve? Support your analysis with a minimum of 3 peer-reviewed article.

improve patient safety

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This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

To prepare:

Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)

Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)

We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice.

The discussion assignment:

ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.

Discussion questions:

1) What was the purpose of the research?

2) Identify the independent and dependent variables in the study.

3) Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.

4) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?

5) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?

Post by tomorrow Wednesday January 31, 2018 by 10 pm America New/York time

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter 14: “Leadership      for Quality”
  • Chapter 16: “Implementing Quality as the Core      Organizational Strategy”

Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69.

Note: You will access this article from the Walden Library databases.

This article describes the aspects of the National Action Plan to Improve Health Literacy. It starts by covering the background and objectives of the plan and then moves to its vision and goals.

Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216.

Note: You will access this article from the Walden Library databases.

The author of this article discusses using constructivist theory to teach nurse practitioner students to use evidenced-based practice. She focuses on introducing the student’s theoretical knowledge into real-life practice.

Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x

Note: You will access this article from the Walden Library databases.

Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process.

Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G. L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95

Note: You will access this article from the Walden Library databases.

The study within this article analyzes two cases related to the implementation of diagnosis-related mental health programs.

Mark, D. D., Latimer, R. W., & Hardy, M. D. (2010). “Stars” aligned for evidence-based practice: a TriService initiative in the Pacific. Nursing Research, 59(1), S48–S57. doi:10.1097/01.NNR.0000313506.22722.53

Note: You will access this article from the Walden Library databases.

Nurses from a military health care system in Hawaii established ways to use and evaluate evidence-based practices. This article details the process and results of this collaborative effort between the Army, Air Force, and Navy.

Scobbie, L., Dixon, D., & Wyke, S. (2011). Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), 468–482. doi:10.1177/0269215510389198

Note: You will access this article from the Walden Library databases.

In order to develop a theory-based framework for setting goals, the authors of this article use casual modeling to determine effective patient outcomes. They identify four major components of the framework that can be used to set effective goals.

Optional Resources

Schifalacqua, M. M., Mamula, J., & Mason, A. R. (2011). Return on investment imperative: the cost of care calculator for an evidence-based practice program. Nursing Administration Quarterly, 35(1), 15–20.

Required Resources

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Required Resources
Read/review the following resources for this activity:

  • Minimum of 5 scholarly sources (This includes the sources from the annotated bibliography. Additional sources may be included as appropriate.)

Instructions
This week you will submit your final paper.

The paper should include the following:

  • Create your own 4-6 paragraph “dilemma” based on the controversial topic you chose in Week 3.
    • Summarize the dilemma.
    • Identify the key points of the dilemma.
    • Define the key terms associated with the dilemma.
    • Analyze the conflicts or controversies involved in the dilemma.
    • Provide an original point of view relative to the dilemma and the issue it signals.
  • Apply Kant’s Categorical Imperative to the dilemma.
  • Apply one other method you have encountered in lecture material and the readings.
  • State which of the two methods you selected you prefer and why.
  • Use the 5 articles from your annotated bibliography. (Additional academic scholarly research from the past 5 years can be included as well.)

Include a reference page at the end of your paper in APA format that includes your bibliography with the annotations removed and any other sources used in your final paper.

Paragraphs

  • Paragraphs are composed around topics, which naturally and organically emerge from a complex, focused, and sophisticated thesis.
  • Each paragraph explores one topic and one topic only.
  • Topics directly relate to the thesis and are not theses in and of themselves.
  • The paragraph completely and fully develops and explains the topic and provides details, examples, illustrations, and quotations from research as well as from the primary texts.
  • Topics and paragraphs rise above commonplace thinking and summary.
  • Quoted material is used powerfully to support analytical points (and not as padding).
  • There is a graceful transition to the next paragraph.
  • The ideas explored are significant, substantive, and instructive.
  • Ideas/topics support the overarching thesis so that the paper is a unified whole, and not a concatenation of appended mini-essays.

Grammar/Mechanics/Style

  • Grammar refers to the correct usage of Standard American English.
  • Mechanics refers to idiomatic conventions (capitalization of proper nouns, spelling, and punctuation).
  • Style refers to persuasiveness, sophistication, wit, and transcendent quality.
  • Sentences should be varied in length and complexity without loss of clarity or precision of meaning.
  • Style makes a paper a pleasure to read.

Writing Requirements (APA format)

  • Length: 8-10 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 5 scholarly resources – remove annotations; format hanging indents)
  • Pagination (upper right of the page)
  • In-text citations correspond to full reference on a reference page

professional nurse

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 Write a 5–6 page, APA-formatted report that explains the responses to a global event, how issues of race, class, and gender may have affected the response, and the role of international and altruistic organizations in providing health care services related to the event. Describe barriers to receiving health care services related to the event, and explain the role of the professional nurse in providing health care services related to the global event.

 

Preparation

Suppose that within your health care organization there is no formal process or structure for health care professionals to volunteer time and services in times of global need. You would like to develop a proposal for establishing a process that would allow nurses and other health care professionals to secure time off to work with a specific worldwide organization, to provide health care services during global events. As part of the proposal, you would need to provide background research to support your request.

Conduct background research on either one of the following to support the proposal you would develop:

  • Choose one worldwide epidemic, such as the 2009 flu pandemic, 2009 mumps outbreak, 2012 Middle East respiratory syndrome coronavirus outbreak, the recent Ebola virus epidemic, or another epidemic. Research articles that focus on how the initial outbreak was handled; the role of social attitudes and issues of race, class, and gender in responding to the outbreak; barriers to people receiving proper health care; and the role of nursing in providing health care services related to the epidemic.
  • Choose one natural disaster, such as the earthquakes in Haiti, Pakistan, or Nepal; Cyclone Nargis in Myanmar; the Indian Ocean earthquake and tsunami, or any other natural disaster that brought a worldwide response. Research articles that focus on the initial response to the disaster; the role of social attitudes and issues of race, class, and gender in responding to the disaster; barriers to survivors receiving health care; and the role of nursing in providing health care services related to the disaster.

Requirements

For this assessment, develop background research that would support a proposal for an organizational process allowing health care professionals to volunteer time and services when global events happen. First, identify the global event you will be using in your research, and then:

  • Explain how the local and national (meaning the nation in which the event took place) communities responded to the event. Who responded? How long did the first response take? How did health care providers respond?
  • Explain how social attitudes, as well as issues of race, class, gender, or other factors may have influenced the response to the event. Be sure you consider not only the response of the home country, but the global response as well.
  • Describe barriers to health care services for the people impacted by the event. Some barriers may be obvious, and other barriers less obvious; try to consider multiple aspects.
  • Explain the role of international health organizations and altruistic organizations in providing health care services related to the global event.
  • Explain the role of the professional nurse in providing health care services related to the global event. Consider scope of practice when working professionally out of one’s area of license—either nationally or globally.

Additional Requirements

Complete your assessment using the following specifications:

  • Title page and reference page.
  • Number of pages: 5–6 (not  including the title and reference pages).
  • At least 4 current scholarly or professional resources.
  • APA format for the entire document, including citations and references.
  • Times New Roman font, 12-point, double-spaced.

Assessing Client Family Progress

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                                   Practicum – Assessing Client Family Progress

Learning Objectives

Students will:

· Create progress notes

· Create privileged notes

· Justify the inclusion or exclusion of information in progress and privileged notes (SEE ATTACHED SAMPLE OF PROGRESS AND PRIVILIGED NOTE)

· Evaluate preceptor notes

To prepare:

· Reflect on the client family you selected for the Week 3 Practicum Assignment (SEE ATTACHED WEEK 3 NOTE),

                                                             The Assignment

                 Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment address in a progress note (without violating HIPAA regulations) the following:

· Treatment modality used and efficacy of approach

· Progress and/or lack of progress toward the mutually agreed-upon client goals

(reference the treatment plan for progress toward goals)

· Modification(s) of the treatment plan that were made based on progress/lack of

progress

· Clinical impressions regarding diagnosis and or symptoms

· Relevant psychosocial information or changes from original assessment (e.g.,

marriage, separation/divorce, new relationships, move to a new

house/apartment, change of job)

· Safety issues

· Clinical emergencies/actions taken

· Medications used by the patient, even if the nurse psychotherapist was not the

one prescribing them

· Treatment compliance/lack of compliance

· Clinical consultations

· Collaboration with other professionals (e.g., phone consultations with physicians,

psychiatrists, marriage/family therapists)

· The therapist’s recommendations, including whether the client agreed to the

recommendations

· Referrals made/reasons for making referrals

· Termination/issues that are relevant to the termination process (e.g., client

informed of loss of insurance or refusal of insurance company to pay for

continued sessions)

· Issues related to consent and/or informed consent for treatment

· Information concerning child abuse and/or elder or dependent adult abuse,

including documentation as to where the abuse was reported

· Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

                       Part 2: Privileged Note

· Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client family from the Week 3 Practicum Assignment. (SEE ATTACHED WEEK 3 NOTE),

In your progress note, address the following:

· Include items that you would not typically include in a note as part of the clinical record.

· Explain why the items you included in the privileged note would not be included in the client family’s progress note.

· Explain whether your preceptor uses privileged notes. If so, describe the type of information he or she might include. If not, explain why.

Medical Surgical unit

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Hi, this is the instruction for my 2-3 paragraph discussion board:

Marilyn is the manager of a Medical Surgical unit in a busy city hospital. Budget time is approaching, and administration has become increasingly intolerant of overtime. Marilyn has been studying the payroll sheets for her unit, and she now recognizes that 4 nurses have been responsible for over half the end of shift overtime hours. These nurses have all been working on this unit for over 8 years, and provide exemplary patient care. The following are Marilyn’s observations concerning these nurses:

-Care provided is safe and thorough.

-Report is given promptly and thoroughly.

-Seldom are tasks carried over for the next shift.

-Nurses following these nurses are confident that the care and the report were complete.

-Almost all documentation by these nurses is done after their shift.

In view of these observations, Marilyn feels she needs to address the overtime issue with these nurses. She wants to be sure they know she appreciates their quality contributions to the unit.Discuss the following points:

1-How should Marilyn address this time management problem?

2-Where should documentation fall as a priority?

3-How might appropriate delegation help?

4-What action plan would you suggest?Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length

 CANCER AND WOMEN’S AND MEN’S HEALTH:

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CANCER AND WOMEN’S AND MEN’S HEALTH:

The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.

To prepare:
  • Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men.
  • Locate and review articles examining the type of cancer you selected.
  • Review the U.S. Preventive Services Task Force article in the Learning Resources. Think about available preventive services that providers might recommend for patients at risk of this type of cancer.
  • Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.
  • Consider drug treatment options for patients diagnosed with the type of cancer you selected including short-term and long-term implications of the treatments.

Write a 2- to 3- page paper that addresses the following:

  • Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.
  • Explain how the factors you selected might impact decisions related to preventive services.
  • Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the short-term and long-term implications of these treatments.

Communicable Disease and Infectious Disease.

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Communicable Disease and Infectious Disease.

Read chapter 25 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

  1.  Discuss the principles related to the occurrence and transmission of communicable and infectious diseases.
  2.  Describe the three focus areas in Healthy People 2020 and the objectives that apply to communicable and infectious diseases.
  3. Identify and discuss nursing activities for the control of infectious diseases at primary, secondary and tertiary levels of prevention.

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 5 discussion questions”.  A minimum of 2 evidence-based references besides the class textbook must be used.  Two replies to any of your peers sustained with the proper references are required.

A minimum of 700 words is required.

myocardial infarction

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The focus for this live classroom is a discussion about diet therapy for a 58 year old woman who experienced her first MI ( myocardial infarction)  and is being discharged home. She currently works full time and is divorced. She lives in an apartment and has no family in the surrounding community.

To prepare for the live classroom session and your written submission, use your chapter readings, review of videos, course materials, research, and written assignments.

Be prepared to discuss the following:

  1. What should be the focus for her nutritional history and assessment?
  2. What dietary recommendations should be made?
  3. What obstacles to staying on the diet recommended might this woman encounter?
  4. What special considerations should you, as a nurse, be aware of?

Assignment Questions

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A 50 year old woman has had rheumatoid arthritis for 3 years and has been taking multiple NSAID’s. She has taken corticosteroids a few times during flare ups.

The disease seems to be progressing with stiffness and swelling in her hands and wrists. Examination reveals rheumatoid nodules, synovitis of both wrists and metacarpo-phalangeal joints. This is an indication of an acute exacerbation of rheumatoid arthritis. She is prescribed methotrexate with sulfasalazine and a short course of prednisone.

Assignment Questions

  1. What is the mechanism of action of prednisone?
  2. What is the concern with chronic treatment with glucocorticoids?
  3. What is the mechanism of action of methotrexate and sulfasalazine.
  4. What are the side effects of methotrexate and sulfasalazine

Instructions

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Rheumatoid Arthritis

Unit 9 Quiz