Tag Archive for: nursing

Work Environment Assessment

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

Complete the Work Environment Assessment Template.
Part 2: Reviewing the Literature (1–2 pages)

Select at least one additional peer-reviewed article, not in the Competency Resources, that addresses a theory or concept for promoting healthy workplace environments.

Briefly describe the theory or concept presented in the article you selected.
Explain how the theory or concept presented in the article relates to the results of your Work Environment Assessment.
Explain how your organization could apply the theory highlighted in your selected article to improve organizational health and/or 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 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.

Treating Childhood Abuse

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Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

Students will:

· Recommend strategies for assessing for abuse

· Analyze influences of media and social media on mental health

· Evaluate the need for mandatory reporting of abuse

To Prepare for this Discussion:

· Read the Learning Resources concerning treating childhood abuse.

Read the Child Abuse Case Study in the Learning Resources. Visit ( https://class.content.laureate.net/c2d25a50e4f76a67640daef9661a07f1.pdf

· Use subheadings please when writing please.

Post:

· What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

proposal project components

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In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a coursework portfolio inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

 

Students will develop a 1,250-1,500-word paper which includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the Change Proposal:

 

  1. Background
  2. Problem statement
  3. Purpose of the Change Proposal
  4. PICO(T)
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
  10. Appendix section, inclusive of all required documentation regarding the practice immersion clinical component to the course.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

 

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.

 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 

middle-range theory

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Choose a middle-range theory or grand theory that, in your opinion, can be applied to practice. What are the assumptions underpinning this theory? Discuss how this theory finds application in your area of practice.

medication history

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Interview a patient with a chronic pulmonary health condition who is on at least two medications.

In a 1,350-1,600-word paper, discuss the following:

  1. Obtain a complete health history.
  2. Obtain a complete medication history, including prescription and over-the-counter drugs or supplements.
  3. Analyze the client’s current knowledge level of medications and compliance with the prescribed dosing and administration.
  4. For each medication, identify the pharmacokinetics, pharmacodynamics, dose, route of administration, side effects, adverse reactions, any drug interactions, potential safety issues, and the impact on the client’s health status.
  5. Formulate possible interventions related to lack of drug efficacy, lack of client knowledge, or client compliance issues as identified during the interview.

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.  # references

Case study:

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Discussion Assignment:

Respond to the following Case study:

Explain how you might apply knowledge gained from the Response case studies to your own practice in clinical settings.

· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.

·

· Suggest additional health-related risks that might be considered.

·

· Validate an idea with your own experience and additional research.

·

· Explain your reasoning using at least TWO different references from current evidence-based literature in APA Format.

Case Study: Knee Pain

Patients Initial: JD Age: 15 Genders: Male

S.
CC: “Knee pain”.
HPI: A 15 year old male who presents with dull pain started about 2 months in his both knees. Sometimes one or both knees click, and he also describes a catching sensation under the patella. He is young soccer player.

· Location: One or both knees bilaterally

· Onset: Pain and other symptoms goes and comes back for about 2 months

· Character: Dull pain

· Associated signs and symptoms: Click and catching sensation under patella

· Timings: comes and goes

· Relieving factors: Rest

· Severity: 8/10 pain scale

Current Medications: One Tylenol over the counter, 325 mg 6 hours for pain control

Allergies: No known allergies of medications, food or latex materials.

PMHx: JP has received all of the vaccines recommended to protect him from life-threatening diseases, meningococcal and papillomavirus vaccines per pediatrician’s recommendation. No major illnesses and surgeries in the past. His major issue is knee pain which bother him during soccer ball practice.

KNEE PAIN 3

Soc Hx: JP is 9th grade first year of high school. He plays soccer when knee pain permits; does not smoke, no alcohol, lives with parents no siblings. He uses school bus to and from school. He uses seat belt while rides motor vehicles, does not use cell phone while driving. They have working smoke detectors in the house, help parent with house chores.

Fam Hx. JP’s mother (40 years old), father (46 years old), paternal grandfather (70 years old), PGM (66 yrs old), MGM (64 yrs old) MGF (71 yrs old). They all are healthy but little overweight. MGF has minor joints pain; he takes extra strength 1 Tylenol at night so he can sleep well. JP is the only child (Ball et al., 2019).

ROS:

GENERAL: No fever, chills, weakness or fatigue

Musculoskeletal: Bilateral knee pain, click, and catching sensation under the patella.

Skin: Intact around the knees bilaterally

Objective

Physical exam:

Vital signs: BP 140/80, P 72, RR 16, temp 36.9C, O2 sat 100, Wt 134.5 lbs, Ht 70” BMI: 24.4
General: Patient is AA&Ox4, moderately appears ill because of knee pain otherwise appears strong and healthy, genital are at adult size with pubic hair and spread to the inner thigh’s, has deeper voice, weighs 170 lbs, ht. 70”, no fever, no chills, no weakness, was happy to give information (Coguen, 2019).
HEENT: Normocephalic, no visual loss, pupils are normal in size and reactive to light, no ocular discharge noted. No hearing loss. N o sneezing, congestion, no runny nose. No sore throat (Ball et al., 2019).
KNEE PAIN 4

Mouth: He has all teeth without evidence of carries. There are no lesions present in the oral cavity (Hui, 2015).
Neck: On auscultation no carotid bruits. No tracheal deviation noted. No masses palpated. His neck is supple and able to move all directions without resistant. There is no erythema or tenderness of the nodes (Ball et al., 2019).
Skin: JP’s skin is clear of rash and lesions, it is warm to touch. There is no cyanosis of his skin, lips, blond thin hair combed; he has good skin turgor on examination (Ball et al., 2019).
Nails: Pink, smooth, flat with smooth edges and rounded (Ball et al., 2019).
Cardiovascular: Regular heart rate and rhythm, no murmur, gallops or rubs (Balls et al., 2019).
Respiration: Breath sounds clear to auscultation in all lung fields. Diaphragmatic excursion is symmetrical. No increased AP diameter (Ball et al., 2019).
Abdomen: Soft, nontender. No masses or organomegaly. Bowel sounds physiological in all four quadrants. No guarding or rebound noted (Ball et al., 2019).
Rectal/GU: Normal male genitalia with full puberty. No burning on urination (Ball et al., 2019).
Neurological: CN 11-X11 grossly intact. No focal neurological deficit noted (Ball et al., 2019).
Musculoskeletal: No clubbing, cyanosis, or edema, muscles are too tight below knees bilaterally; upper extremities have good muscle bilaterally tone in all extremities. Has full range of motion of all extremities without pain except knees (Ball et al., 2019).
Hematologic: No complaint of bleeding, no bruises noted on the body (Ball et al., 2019).
Lymphatic: There is no erythema or tenderness of the nodes (Ball et al., 2019).
Psychiatric: Appears happy, no sign of depression, anxiety, nor autism (Ball et al., 2019).
KNEE PAIN 5

Endocrinologic: HE denies of sweating, cold or heat intolerance, polyuria or polydipsia (Ball et al., 2019).
Allergies: Not known of any medication, food, and environmental allergies at this time (Ball et al., 2019).
Assessment:

JP’s complaint pain in front of knee pain bilaterally with squat, kneel, going down stairs. He feels of popping, grinding, slipping, or catching in knee cap when he bends or straighten his legs. His thigh muscles bilaterally are slightly weak. His muscles are too tight, have a trace of edema bilaterally and he is overweight. JP’s knee cap are slightly misaligned; with palpitation femoral pulses are 2+ regular normal bilaterally with knee flexion, at the middle of posterior knee at popliteal fossa with tight hand (Sullivan, 2019).

Diagnostic Results: MRI, Labs, x-rays might not show soft tissues of the knees, CT scan (black, 2016).

Treatment: Often begins with simple measures. Rest the knees as much as possible. Avoid or modify activities that increase the pain, such as climbing stairs, kneeling or squatting. Physical therapies will be ordered by physician upon diagnostic findings (Black, 2016).

Differential diagnoses
1. Patellar tracking disorder (PTD): PTD means that the knee cap (patella) shifts out of the leg bends of straightens. The knee cap sits in a groove at the end of the thigh bone. The thigh weak muscle, tendons, ligaments, or muscles in the legs that are too tight. The activities that stress the knee again and again, especially those with twisting motions (Black, 2015)

KNEE PAIN 6

2. Patellar tendonitis (PT): PT is a common overuse injury, caused by repeated stress on your patellar leading to injury to the tendon connecting your knee cap to your shinbone and pain is found in between that area. It is most common in athletes whose sports involve frequently jumping such as basketball and volleyball. At first be present only as you begin physical activity or just after an intense workout (Black, 2015).
3. Patellofemoral joint syndrome: It is one of the most common knee complaints of both the young active sports athlete and the elderly. It can be caused by overuse of the knee joints, physically trauma, or misalignment of the knee cap. Patients may report a painful catching sensation and a painful giving way of the knee and is mainly due to overuse or a change in exercise intensity (Black, 2015).
4. Osteoarthritis: Obesity in children and adolescents has been linked to musculoskeletal disorders, loss of flexibility, bone spurs, swelling, grating sensation. High-impact, high-intensity, and repetitive athletics have a strong association with the occurrence of osteoarthritis in teenagers (Black, 2015).
5. Bursitis: Sudden inability to move a joint, excessive swelling, redness, bruising or rash in the affected area, sharp or shooting pain, especially on exert. Bursa reduces friction and cushion pressure between your bones, tendons, muscles, and skin near your joints and inflamed pain is felt with activity or rest (Black, 2016).

different types of pharmacies.

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 Choose a prescription drug that has a generic available. Choose three different types of pharmacies. Examples:

  1. Large chain pharmacy such as Walgreens, CVS, Eckards, etc.
  2. Grocery store associate pharmacy such as Publix, Krogers, etc.
  3. Privately owned local pharmacy
  4. Pharmacy associated with a “big box” store such as Target, Walmart, etc.
  5. Online pharmacy (must be in the United States)

Do not use any drugs on the pharmacy’s four dollar or other special price list. If the pharmacy has a “club card” or other special way of getting lower cost, do not use this cost.

Compare the cash cost of the brand and the generic making sure that the dose (milligrams, micrograms, etc.) and number of pills are the same.

Example: Synthroid .05 milligrams and levothyroxine .05 milligrams, prescription for 30 pills.

For over-the-counter products, use identical products including formulation (liquid, capsules, etc.), dose (mgs per tablet, mgs per cc, etc.) and size of packaging (20 tablets in the box, 90cc fluid in the bottle, etc.). Try to avoid products that contain multiple ingredients like cold preparations as these are hard to compare due to differing quantities of ingredients within each product.

Example: Benadryl (brand) 25 mg per capsule, 25 capsules per bottle and diphenhydramine (generic) 25 mg per capsule, 25 capsules bottle.

(Make a chart using the below)

Cash Price at Pharmacy A

Cash Price at Pharmacy B

Cash Price at Pharmacy C

Brand name prescription drug

Generic of above prescription drug

Over-the-counter drug

Generic or store brand of the over-the-counter drug used above

3 pages

Transcultural Perspective in the Nursing Care for Children

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Transcultural Perspective in the Nursing Care for Children

Read chapter 6 of the class textbook and review the attached PowerPoint presentation, once done answer the following questions;

  1.  Mention and discuss the cultural influences of child growth, development, health, and illness.
  2. Mention and discuss how poverty influences the children’s health status in your in the community.
  3. Conduct a Nursing Assessment of any Family in your community.  The assessment must include the following;

Cultural background

Family belief systems

Mother maybe most influential

Family structures

Nuclear, single-parent, blended, extended

Please explain the five factors included above.

Second-Generation HIT Informaticists

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Second-Generation HIT Informaticists

Great discoveries can transform the world. In 400 BC, Hippocrates theorized that the body was composed of four “humors”—blood, phlegm, black bile, and yellow bile. Now think of the impact of the seminal work of William Harvey, who, in the 1600s, accurately described the circulation system and the role of the heart for the first time. It was not until the early 1900s that the Austrian biologist Karl Landsteiner identified four distinct blood groups. Today, knowledge about the nature and properties of blood is so complicated that the entire field of blood chemistry is devoted to its study.

This same type of expansion of knowledge within a scientific field is mirrored within the field of informatics. As new technologies develop, subsequent changes occur in the fiel that are, built upon the earlier work of others. In this Discussion, you examine the continuing evolution of the field of health informatics and assess how researchers built on the work of preceding scientists.

You will focus on the following individuals:

  • Joan Ash
  • Nancy Lorenzi
  • Ben Shneiderman
  • Diane Forsythe
  • Chuck Friedman
  • Sue Bakken
  • Patty Brennan
  • Diane Skiba
  • Danny Sands
  • Lucian Leape

To prepare:

  • Select and read at least one article from this week’s Learning Resources for at least five individuals listed above.
  • Consider how the work of each individual has built upon the work of earlier pioneers in the informatics field.
  • Assess the areas of growth in informatics research from the informatics pioneers you researched last week to the individuals you read about this week, and the ways in which health informatics has continued to evolve.
  • Select one individual from this week you found to be of particular interest, and read at least one additional article written by him or her from the list provided in the Learning Resources.
  • Conduct further research to determine recent contributions or additions to the individual’s research.

By Tomorrow 12/06/16, post a minimum of 550 words in APA format with a minimum of three references from the list provided below. Include the level one headings as numbered below:

1)      A brief summary of key contributions of the individual you selected.

2)      Explain which ideas/accomplishments you found to be most compelling, and why.

3)      Assess the evolution of the field of nursing informatics from the first group of pioneers (Week 1 Discussion) to the second generation of HIT nurse informaticists.

4)      Provide specific examples of how this evolution is evident in the field.

 

 

 

Required Readings

 

Joan Ash

Ash, J. S., Berg, M., & Coiera, E. (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. Journal of the American Medical Informatics Association, 11(2), 104–112.

Retrieved from the Walden Library databases.

In this article, the authors highlight key areas where unintended consequences and errors are occurring as the result of health information technology use. These errors fall into two distinct categories: input and retrieval errors, and errors caused by poor communication of information.

Ash, J. S., Sittig, D. F., Poon, E. G., Guappone, K., Campbell, E., & Dykstra, R. H. (2007). The extent and importance of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association, 14(4), 415–423. 

Retrieved from the Walden Library databases.

In this article, the authors discuss the unintended consequences of using computerized provider order entry systems. The article focuses in particular on the effects of human error.

 

Ash, J. (1997). Organizational factors that influence information technology diffusion in academic health sciences centers. Journal of the American Medical Informatics Association, 4(2), 102–111.

Retrieved from the Walden Library databases.

This article explores the discrepancies in the level of technology implementation and use that may exist between different clinics and hospitals. The author examines the organizational factors that may influence information technology diffusion in academic health sciences centers.

 

 

Nancy Lorenzi

Lorenzi, N. M., & Riley, R. T. (2000). Managing change: An overview. Journal of the American Medical Informatics Association, 7(2), 116–124. 

Retrieved from the Walden Library databases.

The authors of this article explain various responses to change, especially with respect to medical technologies. In particular, the authors discuss how the medical field has dealt with the extreme changes in medical informatics.

 

Lorenzi, N. M., Riley, R. T., Blyth, A. J., Southon, G., & Dixon, B. J. (1997). Antecedents of the people and organizational aspects of medical informatics: Review of the literature. Journal of the American Medical Informatics Association, 4(2), 79–93.

Retrieved from the Walden Library databases.

In this article, the authors discuss the importance of the organizational and personal factors behind the implementation of medical informatics. They give an overview of research on complex health systems and how implementation occurs.

 

Stead, W. W., & Lorenzi, N. M. (1999). Health informatics: Linking investment to value. Journal of the American Medical Informatics Association, 6(5), 341–348.

Retrieved from the Walden Library databases.

 

The authors of this article discuss the need for increased emphasis on the value of health informatics. They highlight strategies for demonstrating this value and provide examples that help justify the need for health informatics to have an increased role in health field.

 

Ben Shneiderman

 

Shneiderman, B. (1982). The future of interactive systems and the emergence of direct manipulation. Behaviour & Information Technology, 1(3), 237–256.

Copyright 1982 by Taylor and Francis Informa UK Ltd.  Reprinted by permission of Taylor and Francis Informa UK Ltd. via the Copyright Clearance Center.

Interactive systems are a crucial part of medical informatics. In this piece, Schneiderman explores the future possibilities for increasing the capabilities of interactive systems and the emergence of direct manipulation.

 

Shneiderman, B. (1996). The eyes have it: A task by data type taxonomy for information visualizations. Visual Languages, Proceedings on Digital Object Identifier, 336–343. 

Retrieved from the Walden Library databases.

The author of this article provides his perspective on the role visual languages play in medical informatics. The article explores how a task may be visualized according to its data type taxonomy.

 

Plaisant, C., Mushlin, R., Snyder, A., Li, J., Heller, D., & Shneiderman, B. (1998). LifeLines: Using visualization to enhance navigation and analysis of patient records. In Proceedings of the AMIA Symposium (p. 76). American Medical Informatics Association.

In this article, the authors explain how visualization may enhance the navigation and analysis of patient records. The authors elaborate on how visualization offers capabilities beyond those of simple text and tables.

 

Diane Forsythe

 

Forsythe, D. E., & Buchanan, B. G. (1991). Broadening our approach to evaluating medical information systems. In Proceedings of the Annual Symposium on Computer Application in Medical Care (pp. 8–12). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247485/

The authors of this article provide a perspective on the conventional wisdom of using controlled clinical trials to conduct evaluations in medical informatics. The authors critique many of the underlying assumptions of this evaluation method and suggest a more expansive approach to evaluation.

 

 

Forsythe, D. E. (1992). Using ethnography to build a working system: Rethinking basic design assumptions. In Proceedings of the Annual Symposium on Computer Application in Medical Care (pp. 505–509). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247982/

This article examines a 3-year interdisciplinary project that focused on building a patient education system on migraine headaches. The author discusses the use of ethnography in the design of the system.

 

Rosenal, T. W., Forsythe, D. E., Musen, M. A., & Seiver, A. (1995). Support for information management in critical care: A new approach to identify needs. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 2). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2578881/

This article focuses on managing information in critical care. The authors explore a unique approach to identifying useful findings about clinical information management.

 

Chuck Friedman

 

Cork, R. D., Detmer, W. M., & Friedman, C. P. (1998). Development and initial validation of an instrument to measure physicians’ use of, knowledge about, and attitudes toward computers. Journal of the American Medical Informatics Association, 5(2), 164–176.

Retrieved from the Walden Library databases.

In this article, the authors discuss the results of a questionnaire given to physicians to measure their knowledge about and attitudes toward computer use in health care. The article describes how this information can be used to improve the relationship between health care providers and those in the field of medical informatics.

Friedman, C. P. (1995). Where’s the science in medical informatics? Journal of the American Medical Informatics Association, 2(1), 65–67.

Retrieved from the Walden Library databases.

The author of this article discusses the developing field of medical informatics and the need for science to be an integral part of the discipline. The author provides an example of a PhD student who faced issues in pursuing further education in medical informatics.

 

Friedman, C. P., Elstein, A. S., Wolf, F. M., Murphy, G. C., Franz, T. M., Heckerling, P. S., et al. (1999). Enhancement of clinicians’ diagnostic reasoning by computer-based consultation: A multisite study of two systems. JAMA: Journal of the American Medical Association, 282(19), 1851–1856.

Retrieved from the Walden Library databases.

The authors of this article examine how the diagnostic reasoning of clinicians may be enhanced by computer-based consultations. The article focuses on decision support systems

Kaplan, B., Brennan, P. F., Dowling, A. F., Friedman, C. P., & Peel, V. (2001). Toward an informatics research agenda: Key people and organizational issues. Journal of the American Medical Informatics Association, 8(3), 235–241.

Retrieved from the Walden Library databases.

This article proposes methods for improving how information technology is developed and executed. The authors focus on how demographics and social and organizational issues can influence information technology.

 

Sue Bakken

Hyun, S., Johnson, S. B., Stetson, P. D., & Bakken, S. (2009). Development and evaluation of nursing user interface screens using multiple methods. Journal of Biomedical Informatics, 42(6), 1004–1012.

Retrieved from the Walden Library databases.

This article describes a study of nurses’ perceptions of a variety of Electronic Health Record (EHR) elements. These elements included the functional requirements for an electronic nursing documentation system, design user interface screens, and the usability of prototype user interface screens.

 

Newbold, S. K., Kuperman, G. J., Bakken, S., Brennan, P. F., Mendonca, E. A., Park, H. A., & Radenovic, A. (2004). Information technology as an infrastructure for patient safety: Nursing research needs. International Journal of Medical Informatics, 73(7), 657–662. 

Retrieved from the Walden Library databases.

In this article, the authors describe the process of creating research questions to determine effective ways of promoting technology as an infrastructure for increasing patient safety in the nursing field. The article identifies information technology that can assist in improving safety.

 

Matney, S., Bakken, S., & Huff, S. M. (2003). Representing nursing assessments in clinical information systems using the logical observation identifiers, names, and codes database. Journal of Biomedical Informatics, 36(4–5), 287–293.

Retrieved from the Walden Library databases.

In this article, the authors explain the significance of the Logical Observation Identifiers, Names, and Code (LOINC) Database. The article describes how the LOINC database enables greater accuracy in determining how the nursing process contributes to diagnoses and interventions.

 

Patty Brennan

Brennan, P. F., Moore, S. M., Bjornsdottir, G., Jones, J., Visovsky, C., & Rogers, M. (2001). HeartCare: An Internet‐based information and support system for patient home recovery after coronary artery bypass graft (CABG) surgery. Journal of Advanced Nursing, 35(5), 699–708.

Retrieved from the Walden Library databases.

The authors of this article discuss the use of a tool called “HeartCare,” an Internet-based support and information system for patients recovering from coronary artery bypass graft surgery. The article describes a randomized controlled study to evaluate the outcomes of patients who used the HeartCare system.

 

Brennan, P., Ripich, S., & Moore, S. (1991). The use of home-based computers to support persons living with AIDS/ARC. Journal of Community Health Nursing, 8(1), 3–14.

Retrieved from the Walden Library databases.

The authors of this article elaborate on their development of a computer network (ComputerLink) that provides home-care support to AIDS and AIDS-related complex patients. The article describes a study that examines the feasibility of using such home-based computer networks to inform patients.

 

Diane Skiba

 

Hardin, R. C., & Skiba, D. J. (1982). A comparative analysis of computer literacy education for nurses. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 525). American Medical Informatics Association. Copyright 1982 by IEEE. Reprinted by permission of IEEE via the Copyright Clearance Center.

This article provides insight on the learning curve for nurses in becoming computer literate. The article analyzes how different approaches can affect the development of computer literacy in nurses.

 

Billings, D., Connors, H., & Skiba, D. (2001). Benchmarking best practices in Web-based nursing courses. Advances In Nursing Science, 23(3), 41–52.

Retrieved from the Walden Library databases.

The authors of this article explore a framework and processes used to decipher the best practices in online learning communities for nursing courses. The article explains how benchmarks were developed and the results of a survey using the benchmarks.

Skiba, D. J., & Cohen, E. (2000). Case management and technology: A necessary fit for the future. Nursing Administration Quarterly, 25(1), 132–141.

Retrieved from the Walden Library databases.

This article examines how case management is more difficult without the support of technology. The authors stress the need for case management to be digitized to promote a more efficient means of tracking patients.

 

Danny Sands

 

Rodriguez, N. J., Borges, J. A., Soler, Y., Murillo, V., & Sands, D. Z. (2004, June). A usability study of physicians’ interaction with PDA and laptop applications to access an electronic patient record system. In Computer-Based Medical Systems, 2004. CBMS 2004. Proceedings. 17th IEEE Symposium on Computer-Based Medical Systems (pp. 153–160). IEEE. 

Retrieved from the Walden Library databases.

This article highlights a study of physicians’ use of PDAs and laptop applications to access an electronic patient record system. The article compares the benefits of PDAs and laptops.

 

Sands, D. Z. (1999). Electronic patient-centered communication: Managing risks, managing opportunities, managing care. American Journal of Managed Care, 5(12), 1569–1571.

Copyright 1999 by Intellisphere, LLC. Reprinted by permission of Intellisphere, LLC via the Copyright Clearance Center.

This article provides a perspective on the risks, opportunities, and changes in care management associated with electronic patient-centered communication. The article supplies an extensive literature review of this area.

 

McCrossan, B. A., Grant, B., Morgan, G. J., Sands, A. J., Craig, B., & Casey, F. A. (2008). Diagnosis of congenital heart disease in neonates by videoconferencing: An eight-year experience.Journal of Telemedicine and Telecare, 14(3), 137–140.

Retrieved from the Walden Library databases.

 

This article describes an 8-year study performed to test the viability of performing diagnoses of congenital heart disease using videoconferencing. The authors debate the effectiveness of echocardiograms, hands-on tests, telemedicine, and telecare.

 

Safran, C., Rind, D. M., Davis, R. B., Ives, D., Sands, D. Z., Currier, J., et al. (1995). Guidelines for management of HIV infection with computer-based patient’s record. The Lancet, 346(8971), 341–346. 

Retrieved from the Walden Library databases.

This article describes an early trial of the use of electronic messages to promote adherence to clinical practice guidelines related to HIV infections. The authors discuss the structure and guidelines behind the computer-based patient records and their role in managing HIV infection.

 

Lucian Leape

 

Bates, D. W., Cohen, M., Leape, L. L., Overhage, J. M., Shabot, M. M., & Sheridan, T. (2001). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), 299–308. 

Retrieved from the Walden Library databases.

This white paper describes how using information technology in the provision of care can help reduce the frequency and consequences of errors in medical care. The authors provide specific recommendations for reducing medical errors through the use of information technology.

 

Hunt, D. L., Haynes, R. B., Hanna, S. E., & Smith, K. (1998). Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. JAMA: Journal of the American Medical Association, 280(15), 1339–1346.

Retrieved from the Walden Library databases.

 

In this article, the authors describe a systematic review of all the literature on the effects of computer-based clinical decision support systems (CDSSs). The authors explain their findings and how CDSSs can improve clinical performance in determining drug dosing, preventive care, and other areas of medical care.

 

Jha, A. K., Kuperman, G. J., Teich, J. M., Leape, L., Shea, B., Rittenberg, E., et al. (1998). Identifying adverse drug events: Development of a computer-based monitor and comparison with chart review and stimulated voluntary report. Journal of the American Medical Informatics Association, 5(3), 305–314.

Retrieved from the Walden Library databases.

This article describes the findings of a study that tested the effectiveness of a computer-based adverse drug event (ADE) monitor. The authors analyze how well the computer-based monitor identified ADEs when compared to traditional chart reviews and voluntary reports.

 

Leape, L. L., Berwick, D. M., & Bates, D. W. (2002). What practices will most improve safety? JAMA: Journal of the American Medical Association, 288(4), 501–507.

Retrieved from the Walden Library databases.

This article features three patient safety leaders discussing implementing evidence-based safety practices versus implementing those that are effective but that possess little published support. The authors point out the limitations of waiting for randomized controlled trials to implement obvious strategies for improving patient safety

Family Health Assessment assignment.

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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA