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cultures

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The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by students from their local communities.

Click on http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”

Interview three families from different cultures. One family should be from your own culture. Compare the differences in health traditions between these cultures.

Assess the three families using the “Heritage Assessment Tool.” In 1,000-1,500 words, discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:

  1. Perform a heritage assessment on three families. One of these families should be from your own culture.
  2. Complete the “Heritage Assessment Tool” for each of the three families interviewed and submit the three assessments to: [email protected]. You are not required to include the tool in your LoudCloud submission.
  3. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.

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.

“Age of Materialism

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Need 2 paragraphs for each questions with at least 3 to 4 sentences

  1. Which two landmarks would you consider most representative of late nineteenth-century Western culture, the so-called, “Age of Materialism”? Explain why.
  2. How did advancing technology affect the arts of the late nineteenth century? Provide specific examples.

Nursing and Health Care Informatics Ethics and the Law

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Nursing and Health Care Informatics Ethics and the Law

“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)

 

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167–175.
To prepare:

  • Reflect      on this week’s Learning Resources, focusing on the ethical and legal      issues associated with usage of data and health information.
  • For      this Discussion, identify an ethical issue related to data collection or      information management at your organization or one with which you are      familiar.
  • Determine      the potential liabilities that this ethical issue presents by reviewing      the AMIA Code of Ethics.
  • Consider      the legal aspects of your ethical issue and the steps that could be taken      to avoid or minimize risk.

By tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are: Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing). Choose one!

2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.

3) Formulate strategies that the organization could implement to address the ethical issue.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

“Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47-68.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology and Informatics, 151, 176-182.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.

Retrieved from http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/EthicsandHumanRights.aspx

See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.

Healthcare Information and Management Systems. (2011). Privacy & security toolkit.

Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp

At this website, you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.

The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics

At this website, you will find an American Medical Informatics Code of Ethics for Healthcare Professionals.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records.

culturally congruent nursing

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An Iraqi American male, age 59, is admitted to the intensive care unit of a large urban hospital during Ramadan. Hassan, who identifies as a Shiite Muslim, has multiple traumatic injuries, including fractured leg, following a motor vehicle accident while driving his taxi. Although the hospital staff is aware that male Muslim patients generally request to be cared for by male nurses, only female RNs are on duty in the ICU when Hassan is admitted. Hassan requires assistance with personal hygiene, dressing, shaving, bathing, wound care, physical therapy, and medication administration. He refuses to be cared for by females, due to cultural beliefs; insists on fasting during daylight hours during Ramadan; and wants privacy so he can pray five times daily, do ritual washing before eating, and adhere to other religious practices. Hassan’s wife is present, but she speaks very little English.

  1. What other questions would you like to ask the patient to ensure that you provide culturally congruent nursing and health care for him in the ICU?

5 points

An Iraqi American male, age 59, is admitted to the intensive care unit of a large urban hospital during Ramadan. Hassan, who identifies as a Shiite Muslim, has multiple traumatic injuries, including fractured leg, following a motor vehicle accident while driving his taxi. Although the hospital staff is aware that male Muslim patients generally request to be cared for by male nurses, only female RNs are on duty in the ICU when Hassan is admitted. Hassan requires assistance with personal hygiene, dressing, shaving, bathing, wound care, physical therapy, and medication administration. He refuses to be cared for by females, due to cultural beliefs; insists on fasting during daylight hours during Ramadan; and wants privacy so he can pray five times daily, do ritual washing before eating, and adhere to other religious practices. Hassan’s wife is present, but she speaks very little English.

  1. Given that the patient’s wife understands and speaks only a little English, what characteristics are important in locating an interpreter for her?

An Iraqi American male, age 59, is admitted to the intensive care unit of a large urban hospital during Ramadan. Hassan, who identifies as a Shiite Muslim, has multiple traumatic injuries, including fractured leg, following a motor vehicle accident while driving his taxi. Although the hospital staff is aware that male Muslim patients generally request to be cared for by male nurses, only female RNs are on duty in the ICU when Hassan is admitted. Hassan requires assistance with personal hygiene, dressing, shaving, bathing, wound care, physical therapy, and medication administration. He refuses to be cared for by females, due to cultural beliefs; insists on fasting during daylight hours during Ramadan; and wants privacy so he can pray five times daily, do ritual washing before eating, and adhere to other religious practices. Hassan’s wife is present, but she speaks very little English.

  1. How might interprofessional collaboration among nurses, physicians, physical therapists, dieticians, social workers, and other health professionals foster culturally competent and congruent care for the patient?

r

 

An Iraqi American male, age 59, is admitted to the intensive care unit of a large urban hospital during Ramadan. Hassan, who identifies as a Shiite Muslim, has multiple traumatic injuries, including fractured leg, following a motor vehicle accident while driving his taxi. Although the hospital staff is aware that male Muslim patients generally request to be cared for by male nurses, only female RNs are on duty in the ICU when Hassan is admitted. Hassan requires assistance with personal hygiene, dressing, shaving, bathing, wound care, physical therapy, and medication administration. He refuses to be cared for by females, due to cultural beliefs; insists on fasting during daylight hours during Ramadan; and wants privacy so he can pray five times daily, do ritual washing before eating, and adhere to other religious practices. Hassan’s wife is present, but she speaks very little English.

  1. The patient has indicated Shiite Muslims as his religion on the admission form. How do you determine if it’s appropriate to contact the hospital chaplaincy office to locate an imam (Muslim religious leader) to visit the patient?

An Iraqi American male, age 59, is admitted to the intensive care unit of a large urban hospital during Ramadan. Hassan, who identifies as a Shiite Muslim, has multiple traumatic injuries, including fractured leg, following a motor vehicle accident while driving his taxi. Although the hospital staff is aware that male Muslim patients generally request to be cared for by male nurses, only female RNs are on duty in the ICU when Hassan is admitted. Hassan requires assistance with personal hygiene, dressing, shaving, bathing, wound care, physical therapy, and medication administration. He refuses to be cared for by females, due to cultural beliefs; insists on fasting during daylight hours during Ramadan; and wants privacy so he can pray five times daily, do ritual washing before eating, and adhere to other religious practices. Hassan’s wife is present, but she speaks very little English.

  1. How will the female nurses in the ICU manage the gender-specific needs of the patient without violating his ethnoreligious beliefs and practices?

diagnosis

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Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template.
  • Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed on your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

4 references no more than 5 years

zero plagiarism

Strategic Planning

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Week 5: Strategic Planning

“For tomorrow belongs to the people who prepare for it today.” –African proverb

As this course has emphasized, healthcare leaders and managers typically have oversight of a vast array of responsibilities and outcomes. Like a general of an army or a physician helping a patient through a long-term disease, they must demonstrate that they can make critical day-to-day decisions, but they must also have a vision for a better future for those they serve. In healthcare management, that vision can best be achieved through planning involving a strategic process and group of stakeholders.

Healthcare leaders need to know how to ensure that their organizations succeed for the long term, and to anticipate market forces and policy and funding changes, among other challenges. In strategic planning, the process is as important as the plan itself.

This week, you will explore various aspects of strategic planning. You will examine challenges related to strategic planning in healthcare settings, the roles of stakeholders and healthcare leaders in the process, and components and goals of successful strategic plans.

Learning Objectives

Students will:
  • Analyze stakeholder roles in meeting strategic planning challenges
  • Analyze the role of healthcare leaders and managers in meeting the needs of stakeholders and the goals of the organization through strategic planning
  • Identify the components and goals of a successful strategic plan
  • Compare goals and strategies of strategic plans
  • Analyze barriers to successful strategic planning implementation

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Course Text: Buchbinder, S. B., & Shanks, N. H. (2017). Introduction to health care management (3rd ed.). Sudbury, MA: Jones & Bartlett.
Chapter 5, “Strategic Planning” (pp. 107–123)
In this chapter, you will be introduced to the strategic planning process within healthcare settings. The author provides insight into the process of identifying a desired future state for a healthcare organization and planning as a means to achieve it.
Last Chance Hospital—Case or Chapters 5 and 6 (pp. 536–537)

Article: Javanparast, S., Freeman, T., Baum, F., Ziersch, A., Mackean, T., Labonte, R., & Sanders, D. (n.d). How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations. BMC Public Health, 18. doi:10.1186/s12889-018-5273-4

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

This article features a look at collaborative healthcare planning for population health programs in Australia.

Required Media

Laureate Education (Producer) (2014c). Strategic planning [Video file]. Baltimore, MD: Author.
The approximate length of this media piece is 4 minutes.
This media features public health leaders discussing various roles, informal and formal, in strategic planning.
Note: You may view this Course Video in the streaming Media Player below or attached and/or linked above with each resource listed. As a reminder, additional Learning Resources for the week are listed below the Media Player. Be sure to scroll to the bottom of the page to view the complete list of Required and/or Optional Resources.
If you experience technical difficulties viewing the Course Media through the Media Player, please contact your Student Support Team at 1-800-WALDENU or [email protected]

Discussion: Prior Proper Planning Prevents Poor Performance

The six Ps in the title of this Discussion, “Prior Proper Planning Prevents Poor Performance,” indicate the value of planning. When healthcare leaders and managers carefully plan their goals and strategies for the long-term as well as the short-term and involve the right stakeholders and fully understand their perspectives, this helps the organization be more strategic in attaining its current and future goals.

To prepare for this Discussion:

  • Consider the role of the healthcare manager or leader in strategic planning in healthcare settings.
  • Review the case study provided in your course text: Last Chance Hospital.
By Day 4

Post a comprehensive response to the following:

  • Using specific examples and support from the case study provided in your Learning Resources, describe the main challenges related to strategic planning in Last Chance Hospital and explain why they are challenges.
  • Identify the key stakeholders in the case study. Then, explain the role, if any, each might take in strategic planning and why.
  • Explain the role of a healthcare leader or manager in meeting the needs of the various stakeholders, as well as meeting the goals of the strategic plan and organization.

Academic Integrity in Nursing Education

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Please answer the following Discussion Question.  Please be certain to answer the two questions on this week DQ and to provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week.

Case Study, Chapter 18, Academic Integrity in Nursing Education: Is it Declining?

A group of nursing students are in the middle of an exam when two students witness another student pull out his phone and look up answers. Neither student informs the faculty member but after the exam they discuss what they witnessed.

1. Describe the most common forms of cheating in the classroom and in the clinical area.

2. What should the nursing students do in regard to what they witnessed during the exam? Why is it important for them to do anything?

exams and diagnostic tests

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Case 2: Volume 2, Case #11: The figment of a man who looked upon the lady

 

Write a response to the following:

  • Provide the case number in the subject line of the Discussion.
  • List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s sleep/wake therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
  • Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

dissemination strategies

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Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

managed care plan

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  • Using the Managed Care Answer Guide, http://www.patientadvocate.org/requests/publicatio…pgs. 17-23, Analyze and Evaluate your managed care plan* either through your private/government insurance or from the health care exchange (Obamacare) using the nine criteria (pg.17). Based upon your evaluation, does your health plan meets your needs? Why or why not?*You do not have to give the actual name of your health plan.Requirements:Submit your essay in a Word document. This assignment must be at least 500 words, with at least four references cited properly in APA format, and a title page (APA format). This assignment must be well- written with proper grammar, spelling, and punctuation. Follow the rubric.
  • By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.