Tag Archive for: nursing

Nursing Informatics Competencies

Purpose

The self-assessment is completed using the TIGER-based  Assessment of Nursing Informatics Competencies  (TANIC) tool. TIGER refers to the Technology Informatics Guiding Education Reform Initiative which identified a list of the minimum informatics competencies for all nurses and students graduating from pre- and post-licensure programs.  The graded self-evaluation of your informatics competencies is required in order to increase one’s own understanding  of competencies in nursing informatics which will enable  the planning of strategies to  enhance knowledge and skills.

Reflect upon your current or most recent clinical practice as an ICU bedside nurse and answer the following:

  1. How is informatics used?
  2. Regarding the Pre-TANIC Self-Assessment for this week, how did your perceived competency level prior to the self-assessment compare to after the self-assessment? Explain in detail.
  3. What TWO competencies do you use in your current clinical role? Provide examples.
  4. Identify TWO resources to develop a strategic plan to enhance your competency skills.
  5. Which resources are suited to your needs and why?
  6. How do you intend to enact this improvement plan?

Please follow the rubric when answering each question, APA format, references within the last 5 years

clinical manifestations

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Nursing Ethics committee

scenario

As a member of the Nursing Ethics committee in your organization you have been asked to create a poster presentation for the nursing staff breakroom for display during the upcoming Nurses’ Week. You look forward to this opportunity to share your passion for ethics in a creative way. The poster presentation should feature ethical principles, theories, and standards that guide ethical nursing practice pertaining to a current real world controversial healthcare situation in your workplace or current news.

Instructions

Include the following detail in your poster presentation:

  • Summarize the controversial healthcare situation chosen from your workplace or current news.
  • Explain five ethical principles associated with the controversial healthcare situation.
  • Compare and contrast two theoretical frameworks as they relate to the controversial healthcare situation.
  • Explain how five of the nine provisions of the ANA Code of Ethics for Nurses relate to and could impact the healthcare decisions made by nurses or clients in healthcare decisions that pertain to the controversial healthcare situation.

Community Teaching Plan

Benchmark – Community Teaching Plan: Community Presentation

The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Benchmark – Community Teaching Plan: Community Presentation – Rubric

No of Criteria: 7 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content100.0     Presentation Based on Teaching Work Plan and Provider Feedback20.0Presentation is not based on a Teaching Work Plan. Presentation partially based on a Teaching Work Plan. Documented provider feedback is not integrated. Major aspects are incomplete. More information is needed.Presentation is generally based on Teaching Work Plan and any documented provider feedback. Some aspects are unclear. There are minor inconsistencies with Teaching Work Plan.Presentation is based on Teaching Work Plan and any documented provider feedback. All aspects are generally consistent with Teaching Work Plan.Presentation is based on Teaching Work Plan and any documented provider feedback. All aspects are generally consistent with Teaching Work Plan.Presentation Provides Individualized Education to Diverse Patient Population in Appropriate Community Setting (C 3.3 Provide individualized education to diverse patient populations in a variety of health care settings.) 20.0Presentation does not include individualized education to a diverse patient population in an appropriate community setting. Presentation is incomplete. Significant information for the identified population is omitted or unclear. Some diverse attributes for that population are presented; not all attributes are relevant to the population. The presentation does not seem appropriate for the health care setting. There are major inaccuracies. More information is needed.Presentation provides general information for the identified population. Some diverse attributes for that population are presented. Presentation is appropriate to the community setting chosen. At least one health care setting where this individual education plan could be used has been proposed. There are some inaccuracies. Minor detail or rationale is needed for support.Presentation provides information for the identified population and includes many diverse attributes for that population. Presentation is pertinent to the community setting chosen. Some additional health care settings where this individual education plan could be used are proposed. Some detail is needed for clarity.Presentation provides specific information that focuses on the identified population and includes all diverse attributes for that population. Presentation is highly relevant to the community setting chosen. Additional health care settings where this individual education plan could be used are identified and highly relevant. The presentation demonstrates insight into providing individual education to diverse patient populations.Presentation of Content40.0The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.Layout5.0The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.Language Use and Audience Awareness (includes sentence construction, word choice, etc.)5.0Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part.The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Slide errors are pervasive enough that they impede communication of meaning.Frequent and repetitive mechanical errors distract the reader.Some mechanical errors or typos are present, but they are not overly distracting to the reader.Slides are largely free of mechanical errors, although a few may be present.Writer is clearly in control of standard, written, academic English.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)5.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

Building a Health History

 Discussion: Building a Health History

 

Effective communication is vital to constructing  an accurate and detailed patient history. A patient’s health or illness  is influenced by many factors, including age, gender, ethnicity, and  environmental setting. As an advanced practice nurse, you must be aware  of these factors and tailor your communication techniques accordingly.  Doing so will not only help you establish rapport with your patients,  but it will also enable you to more effectively gather the information  needed to assess your patients’ health risks.

For this Discussion, you will take on the role  of a clinician who is building a health history for a particular new  patient assigned by your Instructor.

 

                                               To prepare:

By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. (new patient profile):  14-year-old biracial male living with his grandmother in a high-density public housing complex 

 

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What  risk assessment instruments would be appropriate to use with each  patient, or what questions would you ask each patient to assess his or  her health risks?

Identify  any potential health-related risks based upon the patient’s age,  gender, ethnicity, or environmental setting that should be taken into  consideration.

Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a  description of the communication techniques you would use with your  assigned patient. Explain why you would use these techniques. Identify  the risk assessment instrument you selected, and justify why it would be  applicable to the selected patient. Provide at least five targeted  questions you would ask the patient.

NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK YOU NEED TO COMPLETE THE DISCUSSION QUESTION

 

https://yadi.sk/i/ 8cLDZzWn8FsUbg

Acid-Base Case Study

In this assignment, you will create a PowerPoint to address the “Acid-Base Case Study.  The PowerPoint should be 10-15 slides and contain speaker notes.  Each of the following should be addressed:

  1. Research and fill in the normal values for the table in the “Acid-Base Case Study” resource. Include the table in your PowerPoint.
  2. What type of acid-base disturbance is Mr. Davis suffering from? Why?
  3. What role does excessive alcohol consumption play in the acid-base disturbance seen?
  4. What type of fluid or electrolyte imbalances does Mr. Davis have and why?
  5. Calculate the anion gap. Is it high or normal? Why is it high or normal? What information does the anion gap give the provider?
  6. Are Mr. Davis’ respiratory and renal systems attempting to compensate for his acid-base disturbance? If so, how are they compensating and what evidence do you have that they are compensating?
  7. Explain the rationale for the low glucose level and high urine ketones.
  8. Is the protein level seen in the UA abnormal? Provide a rationale. How do the findings relate to Mr. Davis?

Please see attachment

Case study

Answers to exercise questions

Step 1  Read and analyze the case study below.

  • Case study: You are preparing a persuasive speech. The goal of your speech is to convince an audience of the value of allowing employees to work from home at least one day per week.
  • Audience analysis before the speech: As you are starting to prepare your speech, you decide to send a survey to the audience members to determine some information about them. Eighty percent of the audience members respond to your survey. Your compilation of the responses to the survey questions are indicated in the following table:

Question% of Respondents Who Answered Yes% of Respondents Who Answered No  Do you live more than 10 miles from your workplace? 70% 30%   Does the majority of the type of work that you do involve working on tasks that could be done from virtually any location? 50% 50%   Is your work performance judged primarily on tasks you perform versus managing others? 80% 20%   Do you believe conserving energy is an initiative that you should try to support? 70% 30%   Does your work environment contain more potential distractions than your home environment? 40% 60%

  • Audience analysis during the speech: While you are delivering your speech, you pay attention to the nonverbal signals the audience members provide. The following table summarizes the audience member behaviors that you notice:

Your StatementAudience Behavior  Allowing workers to telecommute at least one day a week can lead to increased employee productivity. One audience member crossed their arms and looked at the clock on the wall.   Telecommuting saves gasoline and helps reduce traffic and air pollution. A few audience members maintain eye contact with you and nod.   Allowing employees to telecommute potentially allows employers to reduce their real estate footprint. About half the audience members look confused.   Setting up a home office and adhering to a normal work schedule is one way to be productive when working from home. Most audience members look interested, and a few sit up straight and have questioning expressions.

  • Audience analysis after the speech: After you finish your speech, you go into the lobby where refreshments are being served. As you wait in line, one of the audience members approaches you and says:

“I enjoyed your speech. There are a few points that you made that I am not sure I agree with, but overall I can see some potential value in allowing employees to telecommute one day per week. Can you recommend any sources where I might be able to find data to show to some other managers at my company that support your claim that allowing workers to telecommute can lead to increased productivity?”

Step 2  Answer the questions. SEE THESE QUESTIONS. COPY AND PASTE THEM ONTO YOUR PAGE AND THEN RESPOND TO THEM. Make sure you label them sufficiently. This is college, so please make it very clear to the instructor what you are responding to and how. Label, use spacing, capitalization, and bolding to help distinguish the parts of your response. Make sure you place your name on your paper.

Copy and paste the following three sets of questions about the case study and paste them into a document, then address them directly underneath each one. Please make sure you are copying and pasting the questions and then responding directly underneath each one with a complete and clear response. Justify each one with an example or reason.

Before

Which survey question and corresponding results provide the most evidence of audience support for your goal prior to the audience members hearing your speech? Justify your answer.
Which question and corresponding results provide the most evidence that it might be difficult to achieve the goal for your speech? Justify your answer.
What would you do during the speech preparation phase to maximize the likelihood of convincing this audience that your position is valid? Provide some specific steps you would take to prepare your speech to meet the needs of the audience based on the survey results.

During

Which audience behaviors during the speech seem to indicate support for the statements you made? What could you do during your speech delivery to capitalize on the apparent support?
Which audience behaviors during the speech seem to indicate opposition to the statements that you made? Describe what you would do during your speech delivery to try to overcome the apparent opposition.
Do any of the listed audience behaviors imply anything other than support or opposition? If so, which behaviors? What would you do during your speech delivery to respond to this behavior or these behaviors?

After

Assume you are going to deliver the same speech to a different audience the following week. Based on the verbal feedback you receive after the speech from the audience member, what steps would you take to improve the speech for your next delivery?
If none of the audience members approa

popular culture

Pretend you are going to meet an expert on methods in teaching freshman composition.  Her name is Sandie Friedman, and she has a lot to say about the use of popular culture (among other subjects) in the freshman composition classroom.  Friedman has invited you to her house because she wants to share her ideas with you and hear your thoughts about this subject.  The first thing you should do before you sit down with an expert on any subject is to be clear where you stand on the matter!

How do you do that?  How does that translate into preparing for a research paper?

You gather your thoughts about a subject by writing about it before you dig too far into the research; thus, before you go to meet Friedman (in other words, before you read what she has written), you need to write down your own opinions so that you’ll have a point of reference.  This will also give you material to draw on as you talk to (interact with) Friedman.  For instance, when she raises a point that you disagree with, you might draw on your notes to explain why you disagree.

Let’s practice this important first step.  Please type the following in a document and save it, along with the other parts of Assignment #2.

Step One:  Your Initial Thoughts

For five minutes, write your responses to the following questions.  What do you think of teachers using popular culture in freshman writing classes?  For instance, do you think it’s all right for students to write papers about television shows like True Blood?  Do you support teachers incorporating current events into the writing classroom?  Should teachers allow students to write about Donald Trump or Lady Gaga?  Why?  Why not?  Do you agree with the view that the only thing students should be studying and writing about in freshman composition is writing itself? In other words, do you agree that the only legitimate topic for writing classes is language and grammar?

Step Two:  Listening To Your Source

Friedman welcomes you to her home, invites you to sit down, and then tells you that she’d like to explain her ideas to you.  She says the following:

In first-year writing programs such as ours at George Washington University, instructors from a variety of disciplinary backgrounds teach seminars with topics of interest to first-year students. The course themes range from: a seminar on the Holocaust, in which students do research at the national Holocaust Memorial Museum; to service learning courses, in which students volunteer for local nonprofits and write for these organizations; to a course on video games; to my own on classic Hollywood films. In their syllabi, instructors must justify their choice of topic as appropriate for a writing course, and they must follow the guidelines in a course template.

Aside from these guidelines, instructors have considerable freedom to choose topics, as one goal of the program administrators is to appeal to a broad spectrum of student tastes. Like many faculty members in our program, I share Harris’s (2006) conception of the work of FYC as introducing students to intellectual writing: the kind of writing about texts and ideas that might appear in The New Yorker, Harper’s, or The Atlantic (p. 10). We don’t have a course specifically on vampires right now, but we have had courses on horror movies. An outstanding student in one of my courses wrote a paper on the history of zombie films—it’s probably only a matter of time before vampires make an appearance.

Should we banish vampires from FYC classes? What should be our response, as writing teachers and program administrators, to “challenging times?” (Friedman 79)

Friedman finishes talking, and you take a moment to digest what she has said.  Before responding with any critique (agreement or disagreement), you should briefly summarize what she has said so that you can be sure you understood her correctly as she spoke; thus, step two is to write a brief summary of Friedman’s statement above (include it as Step Two of Assignment #2).

You gathered your own thoughts.  You listened carefully to Friedman’s.  You summarized her ideas.  Now, you are ready for the next step in effectively interacting with a source:  responding.

responding.png

Step Three:  Responding to a Source

The next thing to do is to respond to your source.  In this stage of your notetaking, you should express your opinion of the ideas covered in the source.  What do you think of Friedman’s thoughts on writing classes?  Point out any connections between what she said and what you wrote in your preliminary notes (these might be disagreements or agreements).  Answer the questions she poses at the end:  “Should we banish vampires from FYC classes? What should be our response, as writing teachers and program administrators, to “challenging times?” (Friedman 79)

Challenge yourself to write for five minutes.

Include this as Step Three of Assignment #2.

Friedman took in every word you said.  She made a few notes as you were talking; now, she replies, and it’s time for the next step in effectively interacting with a source:  listening again!

listening.jpg

Step Four:  Listening Some More!

Do you see a pattern developing?  I like the conversation metaphor as a guide for interacting with a source because it models the give-and-take that should happen when you read.  Figuratively, we are listening and responding, listening some more and responding some more; LITERALLY, we are reading, taking notes, expressing our reactions in writing, reading some more, taking more notes, expressing more reactions in writing.  Rinse, lather, and repeat!

Bruce Ballenger, who wrote a remarkable book called The Curious Researcher, calls this process “writing in the middle” (101).  In other words, if you follow this process, you are already writing your paper as you do the research for it.  So many writers procrastinate and miss the opportunity to dig into their sources.  That missed opportunity leads to shallow interactions with sources, but seizing that opportunity leads to a deeper conversation with sources.

Back to our metaphorical conversation.  Friedman listened to you, and now she responds:

As a choice of course theme, pop culture is double-edged. On one hand, students are drawn to courses that feature vampires, Harry Potter, Mad Men, and video games. On the other hand, such courses may seem less than serious, to both colleagues and students. Our program directors have occasionally wondered whether pop culture themes lead students to give courses low ratings for “intellectual challenge” on course evaluations. But I believe that teaching writing through pop culture can have the same intellectual rigor as courses that “sound serious,” courses with themes grounded in philosophy, science, or for that matter, writing studies. It depends on the pedagogical goals and how we approach those goals. I would argue that vampires can offer just as much material for intellectual inquiry as, for instance, Beaufort’s (2012) proposed course, “Locating Self in Landscape” (p. 5). (Friedman 81)

Briefly summarize Friedman’s ideas expressed above.  Include the summary as Step Four in Assignment #2.

Step Five:  Informed Response

You are deep into the process now, and that means your responses should become more pointed.  Take five minutes to respond to Friedman’s remarks from Step Four (I’ll include them here for easier access):

As a choice of course theme, pop culture is double-edged. On one hand, students are drawn to courses that feature vampires, Harry Potter, Mad Men, and video games. On the other hand, such courses may seem less than serious, to both colleagues and students. Our program directors have occasionally wondered whether pop culture themes lead students to give courses low ratings for “intellectual challenge” on course evaluations. But I believe that teaching writing through pop culture can have the same intellectual rigor as courses that “sound serious,” courses with themes grounded in philosophy, science, or for that matter, writing studies. It depends on the pedagogical goals and how we approach those goals. I would argue that vampires can offer just as much material for intellectual inquiry as, for instance, Beaufort’s (2012) proposed course, “Locating Self in Landscape” (p. 5). (Friedman 81)

As you respond, try to incorporate the summaries and responses you’ve already written in previous steps.

Ladies and gentleman, this is how you deal with sources for a research paper!  We will stop after five steps, but obviously you would repeat this with an actual source as many times as it might take to fully understand the source and its relation to your paper.

Again, compile all five steps into one document and label it Assignment #2.

You’ve talked to Sandi Friedman; you’ve listened and summarized; you’ve responded to and questioned her.  It’s important that you now clearly differentiate your opinion of her article from the article itself.  In other words, you should–after reading and interacting with any source–take the time to objectively summarize it.  This will help you when you write about the source in your paper.  Your readers might not have read Friedman, for instance, so they deserve an objective account of Friedman’s ideas BEFORE you analyze her ideas.  It also clarifies you own thinking.  You want to be certain you correctly understand Friedman’s ideas (or any source) before you begin analyzing them.  What if you misunderstood and ended up agreeing with a view you actually disagree with?  What if you criticized someone for an idea that is nowhere in his or her writing?

divider.png

Thus, the next step in Assignment #2, which is all about effective interaction with a source, is to summarize Sandi Friedman’s “This Way for Vampires:  Teaching First-Year Composition in ‘Challenging Times.'” Please include this summary in the same document as Steps One – Five.  The following information and video will help you write your summary.

The best (and ONLY, in my opinion) way to summarize an article is to outline it.  You must identify the author’s thesis, and then you must trace the author’s steps in defending that thesis.  Once you have carefully outlined the article, you must turn the outline into a narrative, which means you must write a paragraph (or two or three or …).  The summary must be accurate and objective.  You save your reaction to it for another time.  I am going to include the outline and summary I wrote for Friedman’s article later, but please watch this video first.  In it, Nicole Wesley, a teacher from Asheboro, North Carolina, provides practical advice for writing a summary.

data analysis

  •   Prepare an 8–10-page data analysis and quality improvement  initiative proposal based on a health issue of professional interest to  you. The audience for your analysis and proposal is the nursing staff  and the interprofessional team who will implement the initiative.
    “A basic principle of quality measurement is: If you can’t measure  it, you can’t improve it” (Agency for Healthcare Research and Quality,  2013).
    Health care providers are on an endless quest to improve both care  quality and patient safety. This unwavering commitment requires  hospitals and care givers to increase their attention and adherence to  treatment protocols to improve patient outcomes. Health informatics,  along with new and improved technologies and procedures, are at the core  of virtually all quality improvement initiatives. The data gathered by  providers, along with process improvement models and recognized quality  benchmarks, are all part of a collaborative, continuing effort. As such,  it is essential that professional nurses are able to correctly  interpret, and effectively communicate information revealed on  dashboards that display critical care metrics.
    Show More
  • Toggle Drawer  Questions to Consider
    As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
    Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.
  • How important is the role of nurses in QI initiatives?
  • What quality improvement initiatives have made the biggest difference? Why?
  • When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort?
  • Toggle Drawer  Resources
    Required Resources
    MSN Program Journey
    Please review this guide for your degree program. It can help you  stay on track for your practicum experience, so you may wish to bookmark  it for later reference.
  • MSN Program Journey | Transcript.
  • Show More
  •  Assessment Instructions
    Preparation
    In this assessment, you will propose a quality improvement (QI)  initiative proposal based on a health issue of professional interest to  you. The QI initiative proposal will be based on an analysis of  dashboard metrics from a health care facility. You have one of two  options:
    Option 1
    If you have access to dashboard metrics related to a QI initiative proposal of interest to you:
  • Analyze data from the health care facility to identify a health  care issue or area of concern. You will need access to reports and data  related to care quality and patient safety. If you work in hospital  setting, contact the quality management department to obtain the data  you need.
  • You will need to identify basic information about the health care  setting, size, and specific type of care delivery related to the topic  that you identify. You are expected to abide by HIPAA compliance  standards.
  • Option 2
    If you do not have access to a dashboard or metrics related to a QI initiative proposal:
  • You may use the hospital data set provided in the media piece  titled Vila Health: Data Analysis. You will analyze the data to identify  a health care issue or area of concern.
  • You will follow the same instructions and provide the same deliverables as your peers who select Option 1.
  • Instructions
    Analyze dashboard metrics related to the selected issue.
  • Provide the selected data set in the proposal.
    • Assess the stability of processes or outcomes.
    • Delineate any problematic variations or performance failures.
  • Evaluate QI initiatives on the selected health issue with  existing quality indicators from other facilities, government agencies,  and non-governmental bodies on quality improvement.
    • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  • Outline a QI initiative proposal based on the selected health issue and data analysis.
    • Identify target areas for improvement.
    • Define what processes can be modified to improve outcomes.
    • Propose strategies to improve quality.
    • Define interprofessional roles and responsibilities as they relate to the QI initiative.
    • Provide recommendations for effective communication strategies  for the interprofessional team to ensure the success of the QI  initiative. Briefly reflect on the impact of the proposed initiative on  work-life quality of the nursing staff and interprofessional team.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  • Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
  1. Analyze data to identify a health care issue or area of concern.
    • Identify the type of data you are analyzing (from your institution or from the media piece).
    • Discuss why the data matters, what it is telling you, and what is missing.
    • Analyze dashboard metrics and provide the data set in the proposal.
    • Present dashboard metrics related to the selected issue.
    • Delineate any problematic variations or performance failures.
    • Assess the stability of processes or outcomes.
    • Evaluate the quality of the data and what can be learned from it.
    • Identify trends, outcome measures and information needed to calculate specific rates.
    • Analyze what metrics indicate opportunities for quality improvement.
  2. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
    • Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
    • Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.
    • Identify target areas for improvement, and define what processes can be modified to improve outcomes.
    • Propose evidence-based strategies to improve quality.
    • Evaluate QI initiatives on the selected health issue with  existing quality indicators from other facilities, government agencies,  and non-governmental bodies on quality improvement.
    • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  3. Integrate interprofessional perspectives to lead quality  improvements in patient safety, cost effectiveness, and work-life  quality.
    • Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.
    • Explain how you would you make sure that all relevant roles are fully engaged in this effort.
    • Explain what non-nursing concepts would you incorporate into the initiative?
    • Identify how outcomes to measure the effect of the intervention affect the interprofessional team.
    • Briefly reflect on the impact of the proposed initiative on  work-life quality of the nursing staff and interprofessional team.  Describe how work-life quality is improved or enriched by the  initiative.
  4. Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Identify the kind of interprofessional communication strategies  that will be effective to promote and ensure the success of this  performance improvement plan or quality improvement initiative.
    • In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
  • Length of submission: 8–10 double-spaced, typed pages, not including title and reference page.
  • Number of references: Cite a minimum of five sources (no older  than seven years, unless seminal work) of scholarly, peer-reviewed, or  professional evidence that support your evaluation, recommendations, and  plans.

ANXIETY DISORDER

Please Read Instructions carefully. The memo is about your clients ANXIETY DISORDER

 

Imagine the subject of the selected case study is a client of yours.

Draft a short, one-page (350 to 700 words) memo describing the situation and requesting specific services for your afflicted client.

Include the following in your memo:

  • Describe the disease of focus and its progression of mental illness. Based on the disease and stage it presents, what level (primary, secondary, or tertiary) of care does the patient require?
  • Where can more information regarding the identified disease be found?
  • What cultural issues can be identified as pertaining to this disease that might affect the individual and family in this case? How does this influence society and resources as a whole?