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UK Health System.

Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?

Please refer to the resources identified below for details regarding UK Health System.

1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo

2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries 

3. Summary of the American Health Care Act.pdf

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interpretation of data

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

  1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
  2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

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

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Introduction to the Planning Process

Discussion: Introduction to the Planning Process

 

The nursing process provides a cornerstone for care. Engaging in assessment, diagnosis, planning, implementation, and evaluation helps to move the patient from his or her current state toward a desired outcome.

 

How does this correlate with the strategic planning process?

 

In this Discussion, you examine similarities and differences between the nursing process and strategic planning. You also consider why it is important for a nurse leader-manager to be familiar with the planning hierarchy and to apply business principles to promote strategic change at the organizational or systems level.

 

To prepare:

 

Review the information related to the nursing process and the strategic planning process addressed in Chapter 4 of the Sare and Ogilvie text and the other Learning Resources. Think about how the nursing process is similar to and different from the strategic planning process.

Reflect on the value of nurse leader-managers’ contributions to strategic planning, as discussed by Dr. Huston in this week’s media.

Using the Walden library, identify an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be familiar with the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

 

Post an explanation of how you view the similarities and differences between the nursing process and the strategic planning process. Share an example from the literature that demonstrates why it is beneficial for nurse leader-managers to be aware of the planning hierarchy and why they should be engaged in strategic planning in addition to and in contrast with operational planning.

 

Read a selection of your colleagues’ responses.

 

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

 

Required Readings

 

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 7, “Strategic and Operational Planning” (pp. 138–161)

 

(Note: You may have read this in a previous course.)

 

This chapter describes the planning hierarchy and provides foundational information on strategic planning. As you read, think about distinctions between strategic and operational planning, as well as why a nurse leader-manager needs to be aware of and engaged in both.

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.

“Introduction” (pp. xiii–xiv)

Chapter 1, “Why Nursing Needs Strategic Planning: Professional Empowerment in the New Millennium” (pp. 3–16)

 

Chapter 2, “The Healthcare Habitat: The Evolving Professional Home of Nursing” (pp. 17–40)

 

Chapter 3, “The Business That We Find Ourselves In” (pp. 41–53)

 

Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)

 

Chapter 1 sets the context for why strategic planning is important for nurses and introduces key terms, while Chapter 2 addresses the evolving landscape of healthcare. Chapter 3 explores the merging of nursing care and business, as well as developments leading up to the current business model of care. Chapter 4 examines the nursing process and strategic planning.

Carney, M. (2009). Enhancing the nurses’ role in healthcare delivery through strategic management: Recognizing its importance or not? Journal of Nursing Management, 17(6), 707–717.

Retrieved from the Walden Library databases.

 

The author examines the importance of strategic planning for nurse leader-managers and the extent to which nurses have adopted strategic planning into language and self-perception.

Fairholm, M. R., & Card, M. (2009). Perspectives of strategic thinking: From controlling chaos to embracing it. Journal of Management and Organization, 15(1), 17–30.

Retrieved from the Walden Library databases.

 

This article addresses strategic planning and strategic thinking,which can be used to fill the gaps of strategic planning.

Lafley, A. G., Martin, R. L., Rivkin, J. W., & Siggelkow, N. (2012). Bringing science to the art of strategy: Leaders rarely succeed in marrying empirical vigor and creative thinking. Here’s how they could do better. Harvard Business Review, 90(9), 56–66.

Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/57319184/57319186/32e10ac6b49a087fb3f3b290416c5148

 

This article outlines how to blend creativity with a scientific method to succeed in strategic planning.

Paul, J., Charles, T., & Davis, S. (2011). Plan for success. An effective planning cycle can reap big rewards. Marketing Health Services, 31(4), 13–15.

Retrieved from the Walden Library databases.

 

This article describes the planning process used by Geisinger Health System.

Peled, R., & Schenirer, J. (2009). Healthcare strategic planning as part of national and regional development in the Israeli Galilee: A case study of the planning process. Health Information Management Journal, 38(3), 43–50.

Retrieved from the Walden Library databases.

 

This case study demonstrates the application of three phases of strategic planning to optimally allocate scarce resources.

American Nurses Association. (2012b). The nursing process. Retrieved from http://nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html

 

This item outlines the nursing process, which is a foundation for nurses in varying roles and different settings. The nursing process involves assessment, diagnosis, outcomes/planning, implementation, and evaluation.

Authenticity Consulting. (n.d.a). All about strategic planning. Retrieved March 8, 2013, from http://managementhelp.org/strategicplanning/index.htm

 

View the description of strategic planning.

Harvard Business Review. (2013). HBR blog network. Retrieved from http://blogs.hbr.org

 

Search for and read blog posts related to strategic planning.

Healthy People 2020. (n.d.). Retrieved January 28, 2012, from http://healthypeople.gov/2020/default.aspx

 

View the information related to health care-related issues in the United States and consider their significance for strategic planning.

Institute of Medicine of the National Academies. (n.d.).Retrieved January 28, 2012, fromhttp://www.iom.edu

 

Search this site for information related to the current health care environment and strategic planning.

National Institute of Nursing Research. (2011). Bringing science to life: NINR strategic plan. Retrieved from http://www.ninr.nih.gov/AboutNINR/NINRMissionandStrategicPlan

 

Read the information related to strategic planning for the National Institute of Nursing Research.

Society for Healthcare Strategy & Market Development. (n.d.). Retrieved January 28, 2012, from http:/www.shsmd.org/

 

Review the information on this website for information related to strategic planning.

Required Media

Laureate Education (Producer). (2013g). Skills of a nurse leader [Video file]. Retrieved from https://class.waldenu.edu

 

Note:  The approximate length of this media piece is 7 minutes.

 

Dr. Carol Huston discusses why it is important for nurse leader-managers to become strategic planners regardless of their role within an organization and how they can develop the skills and disposition for proactive approaches to change rather than being reactive to change.

 

 

Accessible player

Optional Resources

Lewis, B. E. (2011). Narrative medicine and healthcare reform. The Journal of Medical Humanities, 32(1), 9–20.

Retrieved from the Walden Library databases

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clean water in India

My topic is requesting the Coca-Cola brand to donate 1% of their sales towards providing clean water in India

  1. Create a 5 to 10 slide PowerPoint presentation to deliver your message to the agency/ entity of your choice about the health related issue you want help with.
  2. Your slides should:
    • first slide (after title slide) should explain at least three (3) objectives of your request.
    • clearly state purpose of request to agency/ entity.
    • show relevant and up to date statistic on the problem you are trying to advocate for. (include references)
    • use references according to the APA Style Guide.
    • be original work, and will be checked for plagiarism.

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Discussion Prompt

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Select ONE of the questions listed below and create a substantive initial post. Please post the question number you chose in the title of your post. (i.e. Question 2 Health Policy)

  1. In the AANP (2012) Health policy brief: Nurse practitioners and primary care: “advocates say changes in federal and state laws are needed to remove barriers to the provision of primary care by nurse practitioners. By contrast, some physician groups are opposed” (p. 3). What are the professional implications of this statement? What are the practice requirements in your state? Why is it important for advanced practice nurses to remain aware of and engage in health policy?
  2.  How does health promotion integrate within the Affordable Care Act? What opportunities and challenges do you anticipate related to this integration?

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Interdisciplinary Theory Evaluation

Assignment 2: Middle Range or Interdisciplinary Theory Evaluation

 

As addressed this week, middle range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks you will explore the use of interdisciplinary theories in nursing.

This Assignment asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.

Note: This Assignment will serve as your Major Assessment for this course.

 

To prepare:

 

  • Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources (see under list of Required Readings and attached pdf file)
  • Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1.
  • Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
  • Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.

Write a 10- to 12-page paper (including references) in APA format and a minimum of 8 references or more, using material presented in the list of required readings to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question (refer to the sample paper attached as “Assignment example”). Include the level one headings as numbered below:

1)       Introduction with a purpose statement (e.g. The purpose of this paper is…)

2)       Briefly describe your selected clinical practice problem.

3)       Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category.

4)       Evaluate both theories using the evaluation criteria provided in the Learning Resources.

5)       Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question.

6)       conclusion

MY PRACTICE PROBLEM IS AS FOLLOWED:

 

P: Patients suffering from Type 2 Diabetes Mellitus

 

I:  Who are involved in diabetic self-care programs

 

C: Compared to those who do not participate in self-care programs

 

O: Are more likely to achieve improved glycemic control

 

THE THEORIES USED FOR THIS MODEL ARE:

Dorothea Orem Self-Care Theory and The Self-Efficacity in nursing Theory by Lenz & Shortridge-Baggett, or the Health Promotion Model by Pender, Murdaugh & Parson (Pick 2)

 

Required Readings

 

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

  • Chapter 10, “Introduction to Middle Range Nursing Theories”

Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research.

  • Chapter 11, “Overview of Selected Middle Range Nursing Theories”

Chapter 11 continues the examination of middle range theories and provides an in-depth examination of a select set of theories

·         Chapter 15, “Theories from the Biomedical Sciences”

Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice.

·         Chapter 16, “Theories, Models, and Frameworks from Administration and Management”

Chapter 16 presents leadership and management theories utilized in advanced nursing practice.

·         Chapter 18, “Application of Theory in Nursing Practice”

Chapter 18 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes, health care, and nursing practice.

 

 

 

 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

  • Chapter 6, “Objectives, Questions, Variables, and Hypotheses”

Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

·         Review Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

·         Chapter 19, “Evidence Synthesis and Strategies for Evidence-Based Practice”

This section of Chapter 19 examines the implementation of the best research evidence to practice.

 

 

 

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.

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

This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice.

 

DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.

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

This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries.

Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: Adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37(3), 53–60.

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

This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems.

 

Murrock, C. J., & Higgins, P. A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65 (10), 2249–2257. doi:10.1111/j.1365-2648.2009.05108.x

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

This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes.

 

 

Amella, E. J., & Aselage, M. B. (2010). An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing, 19(1/2), 33–41. doi:10.1111/j.1365-2702.2009.02969.x

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

This article presents findings from a meta-analysis of 48 research studies that examined mealtime difficulties in older adults with dementia.

 

Frazier, L., Wung, S., Sparks, E., & Eastwood, C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing, 24(3), 80–85.

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

This article discusses current genetics research on the main causes of heart failure.

 

Mahon, S. M. (2009). Cancer Genomics: Cancer genomics: Advocating for competent care for families. Clinical Journal of Oncology Nursing, 13(4), 373–3 76.

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

This article advocates for nurses to stay abreast of the rapid changes in cancer prevention research and its application to clinical practice.

 

Mayer, K. H., Venkatesh, K. K. (2010). Antiretroviral therapy as HIV prevention: Status and prospects. American Journal of Public Health, 100(10), 1867–1 876. doi: 10.2105/AJPH.2009.184796

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

This article provides an in-depth examination of potential HIV transmission prevention.

 

Pestka, E. L., Burbank, K. F., & Junglen, L. M. (2010). Improving nursing practice with genomics. Nursing Management, 41(3), 40–44. doi: 10.1097/01.NUMA.0000369499.99852.c3

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

This article provides an overview of genomics and how nurses can apply it in practice.

 

Yao, L., & Algase, D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal of Neuroscience Nursing, 40(2), 106–115.

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

This article discusses a new model that was developed from empirical and theoretical evidence to examine intervention strategies for patients with dementia.

 

Fineout-Overholt, E., Williamson, K., Gallagher-Ford, L., Melnyk, B., & Stillwell, S. (2011). Following the evidence: Planning for sustainable change. The American Journal Of Nursing, 111(1), 54–60.

This article outlines the efforts made as a result of evidence-based practice to develop rapid response teams and reduce unplanned ICU admissions.

 

Kleinpell, R. (2010). Evidence-based review and discussion points. American Journal of Critical Care, 19(6), 530–531.

This report provides a review of an evidence-based study conducted on patients with aneurismal subarachnoid hemorrhage and analyzes the validity and quality of the research.

 

Koh, H. (2010). A 2020 vision for healthy people. The New England Journal Of Medicine, 362(18), 1653–1656.

This article identifies emerging public health priorities and helps to align health-promotion resources, strategies, and research.

 

Moore, Z. (2010). Bridging the theory-practice gap in pressure ulcer prevention. British Journal of Nursing, 19(15), S15–S18.

This article discusses the largely preventable problem of pressure ulcers and the importance of nurses being well-informed of current prevention strategies.

 

Musker, K. (2011). Nursing theory-based independent nursing practice: A personal experience of closing the theory-practice gap. Advances In Nursing Science, 34(1), 67–77.

This article discusses how personal and professional knowledge can be used in concert with health theories to positively influence nursing practice.

 

Roby, D., Kominski, G., & Pourat, N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: The Medicaid experience. Disease Management & Health Outcomes, 16(6), 421–428.

This article explores the barriers associated with chronic illness care and other factors faced by disease management programs for Medicaid populations.

 

Sobczak, J. (2009). Managing high-acuity-depressed adults in primary care. Journal of the American Academy of Nurse Practitioners, 21(7), 362–370. doi: 10.1111/j.1745-7599.2009.00422.x

This article discusses a method found which positively impacts patient outcomes used with highly-acuity-depressed patients.

 

Thorne, S. (2009). The role of qualitative research within an evidence-based context: Can metasynthesis be the answer? International Journal of Nursing Studies, 46(4), 569–575. doi: 10.1016/j.ijnurstu.2008.05.001

The article explores the use of qualitative research methodology with the current evidence-based practice movement.

 

 

 

Optional Resources

 

McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

 

Calzone, K. A., Cashion, A., Feetham, S., Jenkins, J., Prows, C. A., Williams, J. K., & Wung, S. (2010). Nurses transforming health care using genetics and genomics. Nursing Outlook, 58(1), 26–35. doi: 10.1016/j.outlook.2009.05.001

 

McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

 

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qualitative and quantitative methods

The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

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Performance Measurement PowerPoint Slide Show

Week 6: Performance Measurement PowerPoint Slide Show (graded)

Submit Assignment

Due Oct 8 by 11:59pm  Points 200  Submitting a file upload

Performance Measurement PowerPoint Slideshow Guidelines

Update 4/27/2017

Purpose

The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate hospital compare data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.

Points

This assignment is worth 200 points.

Directions

Review information found on the following website related to hospital compare http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html (Links to an external site.)Links to an external site.

Read the information carefully and then locate the following website. http://www.medicare.gov/hospitalcompare (Links to an external site.)Links to an external site.

Search for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital and two others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50-mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.

Click on the following topics to learn more.

Survey of patient’s experiences

Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals)

Readmissions, complications, and deaths

Carefully read the information provided.

Develop a PowerPoint slideshow consisting of 8-10 slides. Include the following, keeping in mind what all this data means.

Title slide with information pertinent to the course.

List reasons to recommend hospital compare to consumers (patients).

List reasons to recommend hospital compare to staff who may seek employment.

For the slides below, clearly label them as Hospital A, B, or C:

Summarize patient experiences data for each hospital.

Summarize timely and effective care data for two conditions.

Summarize data for readmissions and complications and deaths.

List recommendations for improving data for one selected facility.

Summarize what you learned from this experience.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found in the course list in the student portal.

Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

Be creative.

Incorporate graphics, clip art, or photographs to increase interest.

Make easy to read with short bullet points and large font.

Review directions thoroughly.

Proofread prior to final submission.

Spell check for spelling and grammar errors prior to final submission.

Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR447_Performance_Measurement

NR447_Performance_Measurement

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeTitle slide

view longer description

Slide contains all pertinent information related to assignment, course, student, date, and faculty member

10.0 pts

Slide contains most information; however, one component is missing.

9.0 pts

Slide contains most information; however, two to three components are missing.

8.0 pts

Slide contains some information; and more than three components are missing or slide is missing.

4.0 pts

Title slide is missing.

0.0 pts

10.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to patients

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the patient’s perspective.

20.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the patient’s perspective.

18.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to patient’s perspective.

16.0 pts

One reason is included but is not logical or easy to read and is not from the patient’s perspective.

8.0 pts

No reasons given are given to recommend hospital compare to patients.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to staff

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the potential staff member’s perspective.

30.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the potential staff member’s perspective.

26.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to the potential staff member’s perspective.

24.0 pts

One reason is included but is not logical or easy to read and is not from the potential staff member’s perspective.

11.0 pts

No reasons are given to recommend hospital care to potential staff members.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to patient experiences

view longer description

Three hospitals are labeled A, B, and C and data related to patient experiences are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B, and C and data related to patient experiences are clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C, and data related to patient experiences are briefly displayed.

24.0 pts

Three hospitals are included but are not labeled appropriately, and data related to patient experiences are difficult to ascertain.

11.0 pts

Fewer than three hospitals are summarized and no data related to patient experiences are included.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to timely and effective care

view longer description

Three hospitals are labeled A, B, and C. Two different conditions are named and concisely applied to hospitals A, B, and C.

30.0 pts

Three hospitals are labeled A, B, and C. Two different conditions are named and somewhat applied to hospitals A, B, and C.

26.0 pts

Three hospitals are labeled A, B, and C. One condition is named and somewhat applied to hospitals A, B, and C.

24.0 pts

Only one or two hospitals are listed and labeled appropriately. Only one condition is named and applied.

11.0 pts

No hospitals are listed or labeled, and no conditions are named or applied.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to readmissions, complications, and deaths

view longer description

Three hospitals are labeled A, B, and C and data related to readmissions, complications, and deaths are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B and C and data related to readmissions, complications and deaths is clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C and data related to readmissions or complications or deaths (but not all three) is briefly displayed.

24.0 pts

Only one or two hospitals are selected but are not labeled appropriately and data related to readmissions, complications, and deaths are difficult to ascertain.

11.0 pts

No hospitals are summarized and no data are provided.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeRecommendations for improving data for one facility

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One of three hospitals is selected. Five or more recommendations for improving data are listed and thoroughly described.

20.0 pts

One of three hospitals is selected. Three to four recommendations for improving data are listed and clearly described.

18.0 pts

One of three hospitals is selected. Two recommendations for improving data are listed and briefly described.

16.0 pts

One of three hospitals is listed. One recommendation for improving data is listed.

8.0 pts

No hospitals are listed and no recommendations for improving data are listed.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeSummary of learning related to this assignment

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Thoroughly summarizes learning related to performance measurement assignment, including value of data.

20.0 pts

Generally summarizes learning related to performance measurement assignment, including value of data.

18.0 pts

Briefly summarizes learning related to performance measurement assignment; including value of data.

16.0 pts

Minimally summarizes learning related to performance measurement assignment; does NOT include value of data.

8.0 pts

Summary of learning related to performance measurement assignment, including value of data, is missing or so brief that understanding of concepts is difficult to ascertain.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeScholarly writing and formatting

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All slides are provided and grammar, punctuation, and sentence structure are correct. There is evidence of spell and grammar check.

10.0 pts

Minimal errors in grammar, punctuation, or sentence structure noted. Minimal indicators of spelling or grammar errors.

9.0 pts

Several errors in grammar, punctuation, or sentence structure noted. There are several indicators of spelling or grammar errors.

8.0 pts

Numerous errors in punctuation, or sentence structure noted. There are many indicators of spelling or grammar errors.

5.0 pts

Many errors in writing to the extent that it is difficult to understand the meaning of the information presented on the slides.

0.0 pts

10.0 pts

Total Points: 200.0

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                        iPhone technology, secure texting, and telehealth

Respond to the post bellow offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

 Main Post

iPhone technology, secure texting, and telehealth

The hospital that I currently work for piloted the use  of iPhones in addition to our work station on wheels (WoW). We can use  this iPhone technology for charting simple nursing interventions,  receive STAT orders and discharge orders, and communicate with our  colleagues through texting. Our WoWs enable us to do “secure texting” to  a physician, some physicians prefer the secure texting technology some  don’t, but surely there are times that the answering service may fail to  page them in a timely manner and the secure texting technology becomes  very useful. As nurses, we can see through our WoWs as soon as the  physician reads the text message, that way we know they are aware. This  technology saves us some precious time we spend on the phone waiting on  hold just to page a physician for orders, condition and/or results. Our  hospital also offers telehealth services especially for those who are  likely to be readmitted due to chronic diseases. We mostly see a  telehealth order for a patient with cardiac issues.

Risks and benefits

The biggest threat that I believe healthcare  technology is at risk for is privacy. According to Chaet, Clearfield,  Sabin and Skimming (2017), privacy and confidentiality are just “as  important in the context of telehealth and telemedicine as in hospital  and office settings” (p. 1138). I surmise, organizations providing this  type of technology in healthcare have an incredible security system in  place. The secure texting technology, we are instructed not to use full  names, instead, we use room numbers of the patients.

The biggest benefit of the use of telehealth and  mobile devices for healthcare is accessibility. Use of the iPhone  technology in our hospital is quick and easy to navigate, we can get in  touch with virtually anybody logged in for that shift in the whole  hospital. From a distance, telehealth helps those patients who are  unable to manage their chronic illnesses very well.

Trends in healthcare technology

The most promising healthcare technology to me is  virtual visits, mobile health, telehealth, and telemedicine technology.  One can get in touch with a healthcare provider as long as one has a  smartphone and internet access. It could provide access to so many more  patients in need of healthcare that resides in rural areas or have no  means to transport themselves to the physician’s office. It could save  time and money for patients as we all know healthcare can get expensive  very easily and very fast. According to Abuhaimidd, Meetoo and Rylance  (2018), technology in healthcare with the use of mobile devices can  “truly offer the potential to promote healthcare management and health  behaviour change outside formal clinical settings” (p. 1176). This does  not take away the significance of having a physical visit with a  physician, those visits are intended for more complicated health issues,  but I believe this technology has potential to truly help those with  chronic illnesses to be able to manage their health on their own, make  them accountable for their own wellbeing, patients can share data,  interact with clinicians over a mobile device instead of having to go to  the doctor’s office.

Telehealth rules

According to Mastrian and McGonigle (2017), nurses who  participate in telehealth must be “licensed to practice in all of the  states in which they provide telehealth services by directly interacting  with patients” (p. 381). This can be challenging as states have  different rules and regulations regarding licensure, continuing  education requirements are different as well as fees and renewal  process.

References

Abuhaimid, H. A., Meetoo, D., & Rylance, R. (2018). Health  care in a technological world. British Journal of Nursing, 27(20).  1172-1177.

Barreto, E. A., Cohen, A. B., Donelan, K., Estrada, J. J.,  Michael, C., Schwamm, L. H., … Wozniak, J. (2019). Patient and clinician  experiences with telehealth for patient follow-up care. American  Journal of Managed Care, 25(1), 40-44.

Chaet, D., Clearfield, R., Sabin, J. E., & Skimming, K.  (2017). Ethical practice in telehealth and telemedicine. Journal of  General Internal Medicine, 32(10), 1136-1140.

Mastrian, K. G., & McGonigle, D. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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health care policy development

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
Create a problem statement.
Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
Discuss the impact on the health care delivery system.
Include three peer-reviewed sources and two other sources to support the policy brief.

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

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

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