Tag Archive for: nursing

analytical techniques

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When patient safety is compromised, it is critical to get to the root of the issue in order to determine how to ensure patient safety and avoid risks in the future. Nurses can use analytical techniques to determine root causes related to various types of errors. Medication error is a typical error that can be subject to process improvement in general, and root cause analysis in particular. This process came out of NASA after the Space Shuttle Columbia disaster and has been adopted by the health care industry. This week, you analyze a case related to medication error, and you examine how root cause analysis is applied to prevent future error and formulate process improvement plans.

Learning Objectives

Students will:

Analyze the composition of a root cause analysis team in relation to effective practice
Critique the effectiveness of the performance improvement charts in identifying contributing factors
Apply findings from a root cause analysis to prevent future errors
Apply a quality improvement process to an improvement plan

Learning Resources

Required Readings

Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press.

· Chapter 4, “Evaluating Performance” (pp. 73–110)

· Chapter 5, “Continuous Improvement” (pp. 111–130)

· Chapter 6, “Performance Improvement Tools” (pp. 131–162)

Note: Although these chapters are previously assigned readings, please review them in preparation for this week’s material.

Yoder-Wise, P. S. (2015). Leading and managing in nursing (6th ed.). St. Louis, MO: Mosby.

· Chapter 17, “Leading Change” (pp. 305–320)

· Chapter 23, “Conflict: The Cutting Edge of Change” (pp. 431–447)

Required Media

Laureate Education (Producer). (2016a). Root cause analysis at Downtown Medical [Interactive file]. Baltimore, MD: Author.

Laureate Education (Producer). (2016b). RCA dramatization 1 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 4 minutes.

Case scenario involving medication error including pharmacy, physician, and nurse—interdepartmental collaboration.
Interactive media—students select options that generate chart based on choices
(Voiceover reads the document aloud—include a downloadable pdf).

Discussion: Root Cause Analysis

Review the case scenario included in this week’s media resources, and examine the process flow chart, cause/effect diagram, and Pareto chart related to the case scenario.

In the scenario, the nurse manager and the director of pharmacy blame each other for the error. The facilitator (quality assurance person) asks everyone to avoid blaming and focus on applying the tools to analyze the data and get to the root cause of the error. While all of these tools contribute, for this Discussion, select one tool to analyze.

By Day 3

Post each of the following:

Analyze the composition of the RCA team. Explain what knowledge they can contribute to the RCA.
Describe the collaboration in the case study that led to effective problem solving. Identify the evidence you observe in the scenario that demonstrates effective collaboration and the avoidance of blaming.
Explain the team’s process in testing for and eliminating root causes that were not contributing.
Select one of the performance improvement charts presented in the scenario and critique its effectiveness by explaining how it contributes to identifying the root cause and determining a solution to prevent repeat medication errors.
Identify the contributing factors, and discuss how to prevent this kind of error from occurring in the future.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.

Practice Experience: Stakeholder Analysis

The next step in the process is to begin identifying the challenges and impediments to implementing a quality improvement plan. In the analysis consider the individuals affected by the change as well as the cost of implementing the quality improvement plan.

By Day 4

Post a description of some of the proposed action steps for implementing improved practice, and explain where potential challenges might compromise your proposed improvement project. Describe what resources are needed for your solution, and explain whether or not those resources are cost-effective. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Advocate for Health Care Policy

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Instructions

First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following: 
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

  • Submit your response in a 4-page Microsoft Word document.
  • Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page.

Hypertension

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Powerpoint assignment

Topic/Article:

Hypertension

James, P.A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfard, C., Handler, J., … Ortiz, E. (2014). Evidence-based guideline for the management of high blood pressure in adults: (JNC8). Journal of the American Medical Association, 311(5), 507-20. Retrieved from https://jamanetwork.com/journals/jama/fullarticle/1791497

Clinical Practice Guideline  (CPG) Instructions:

Disease & Background Student:

1) Identifies the disease condition

2) Gives a brief statement of incidence and prevalence in the US

3) The student briefly summarizes the disease pathophysiology and

4) Identifies the typical clinical presentation seen in a patient with the disease (4 critical elements).

· Exceptional- Student identifies the disease topic AND Student states the incidence and prevalence in the US AND Student provides a pathophysiology statement AND Student states the typical clinical presentation seen in a patient with the disease.

Publication & Applicability in Primary Care The student:

1) Identifies the author, organization or group that developed the CPG,

2) Student denotes the year of the original guideline publication,

3) Student identifies any subsequent revisions (student’s reference should be the most recent version), and

4) Student discusses the applicability for use of this CPG in the primary care setting (4 critical elements).

· Exceptional- Student presents a maximum of 5 relevant recommendations AND Student denotes the evidence strength for EACH recommendation AND Student discusses ONLY the ones applicable to primary care

Application in Clinical

1) Using an example of a patient from their clinical rotation with the same condition,

2) Student discusses how the diagnosis and treatment of their patient compared to the recommendations given in the guidelines, and

3). Specific examples of what was done well or what could have been done better is noted (3 critical elements).

· Exceptional- The student uses a patient example from their clinical setting with the same condition AND The student discusses how the diagnosis & treatment of their patient compared to those recommended in the guideline AND Specific examples are given on what was done well or what could have been done better (Make a patient up for this part)

Please use scholarly sources only** years 2014-2019**. NO SOURCES before 2014!!

Please use proper grammar, punctuation, citation. Also Provide a PowerPoint Transcript.

Thank you in advance.

Commission on Collegiate Nursing Education

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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.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic
  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA 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. Refer to the LopesWrite Technical Support articles for assistance.

Child and Adolescent Psychiatry

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Assessment in Child and Adolescent Psychiatry

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP. Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Assignment

Post your answers to the following:

· Explain why a developmental assessment of children and adolescents is

important.

· Describe two assessment instruments and explain why they are used for

children and adolescents but not adults.

· Describe two treatment options for children and adolescents that may not be

used when treating adults.

· Explain the role parents play in assessment and treatment.

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED.

ALSO SEE THE ATTACHMENT ON DIRECTION OF HOW TO WRITE THE PAPER.

Review the Learning Resources concerning psychiatric assessments and assessment tools below.

Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)

Chapter 6, “Classification in Psychiatry” (pp. 290–299)

Chapter 31, “Child Psychiatry” (pp. 1107–1152)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Neurodevelopmental Disorders”

“Intellectual Disabilities”

“Communication Disorders”

CoverLetter.us. (2017). Nurse practitioner cover letter sample 1. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/

Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx

NP Career Coach. (n.d.). NP career coach resume tip sheet. Retrieved from http://nursepractitionerjobsearch.com/product/career-coach-resume-tip-sheet/

Advance Healthcare Network for NPs & PAs” href=”http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx” target=”_blank” rel=”noopener noreferrer”

Advance Healthcare Network for NPs & PAs” href=”http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx” target=”_blank” rel=”noopener noreferrer”Porche, D. J., & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

Chapter 2, “Diagnosis, Diagnostic Formulations, and Classification” (pp. 17–30)

scholarly resources

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This assignment is worth 200 points.

Directions

1.Read your text, Finkelman (2016), pp- 111-116.

2.Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

3.Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

4.Write a 5-7 page paper.

5.You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

scholarly resources

7.Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

8.Discuss your observations about how the current nursing care model is being implemented. Be specific.

9.Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

10.Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

11.Write your paper using APA format using Microsoft Office 2010 or later.

12.Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.

potential subjects

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In 750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Identifying a Researchable Problem

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For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

  • Review the article, “Formulating the Evidence Based      Practice Question: A Review of the Frameworks,” found in the Learning      Resources for this week. Focus on the PICOT model for guiding the      development of research questions.
  • Review the section beginning on page 71 of the course      text, titled, “Developing and Refining Research Problems” in the course      text, which focuses on analyzing the feasibility of a research problem.
  • Reflect on an issue or problem that you have noticed in      your nursing practice. Consider the significance of this issue or problem.
  • Generate at least five questions that relate to the      issue which you have identified. Use the criteria in your course text to      select one question that would be most appropriate in terms of      significance, feasibility, and interest. Be prepared to explain your      rationale.
  • Formulate a preliminary PICO question—one that is answerable—based      on your analysis. What are the PICO variables (patient/population,      intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

  • Using the PICOT variables that you determined for your      question, develop a list of at least 10 keywords that could be used when      conducting a literature search to investigate current research pertaining      to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

  • A summary of your area of interest, an identification      of the problem that you have selected, and an explanation of the      significance of this problem for nursing practice
  • The 5 questions you have generated and a description of      how you analyzed them for feasibility
  • Your preliminary PICOT question and a description of      each PICOT variable relevant to your question
  • At least 10 possible keywords that could be used when      conducting a literature search for your PICOT question and a rationale for      your selections

Affordable Care Act

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Read Chapter 14

1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general.

3. What is your vision of nursing’s future? How will you contribute to shaping it?

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today?

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice.

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic?

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing?

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not?

risk management programs

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The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.

2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.

3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).

4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).

5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐900 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.

2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the guidelines found in the APA Style Guide