Tag Archive for: nursing

The Disaster, Man-Made or Natural

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Select a potential natural or man-made disaster  that could happen in your community. Then, write a 3- to 4-page paper  about the disaster from the community nurse’s perspective.

Section 1: The Disaster, Man-Made or Natural

  • What disasters may strike your community and why? For example, do  you live in “Tornado Alley,” or has climate change resulted in unusual  cold weather snaps or blizzards in your community? Are you located in a  flood plain? Include possible diseases that may result from a natural  disaster, such as tetanus or cholera.

Section 2: The Nursing Response

  • Formulate responses to the disaster, considering systems and community levels of intervention.
  • Review websites where a disaster plan may be available for the  public, or if one is not currently available, call public health  department to see if a disaster plan exists for your community and what  the plan contains.
    • In addition to reviewing websites for information about your local  disaster plan, you will need to locate best practice/evidence-based  practice guidelines in professional literature to determine whether your  community’s disaster plan is as sound as it might be or if there is  room for improvement.

Section 3: Is My Community Prepared for a Disaster?

  • What conclusions can you draw about your community’s preparedness plan from having completed this evaluation?

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Maxwell (n,d),  qualitative data

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I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT.BETWEEN 150-200 WORDS

 

According to Maxwell (n,d),  qualitative data tends to be a lot more time consuming because so much information needs to be gathered from the individual person.  Quantitative data involves the gathering of numbers and statistics rather than information (Johnson, Dunlap, and Benoit, 2010).

One way a researcher could organize data is to prepare specific questions that only require yes and no answers.  Having a plan beforehand is very important because I think with qualitative data there can be so many different pathways to take.  Different kinds of situations come up.  You should decide what topic you want to cover and stick with that topic.  The study should have well organized simple understandable questions.

Before starting a research, it is important to have a good outline and know what your goals, methods, framework, and research questions (Maxwell, n.d.).

References

Johnson, B. D., Dunlap, E., & Benoit, E. (2010). Structured Qualitative Research: Organizing “Mountains of Words” for Data Analysis, both Qualitative and Quantitative. Substance Use & Misuse, 45 (5), 648–670. Retrieved from http://doi.org/10.3109/10826081003594757

 

Maxwell, Joseph (n.d) Applied Research Design. Chapter 7 Designing a Qualitative Study. Retrieved From http://www.sagepub.com/sites/default/files/upm-binaries/23772_Ch7.pd

 

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Future of Nursing

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In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

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.

MY STATE IS PENNSYLVANIA

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Ethical Standards of Practice

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Assignment Instructions

Ethical Standards of Practice

This assignment will assess knowing of the following CAHIIM Competencies:

Domain VI. Leadership

VI.H. Ethics

  1. Comply with ethical standards of practice.   3. Assess how cultural issues affect health, healthcare quality, cost and HIM

Assignment Instructions

Part 1:

Review the case study at the end of chapter 5.  Which ethical standards in this chapter apply to this case and how?  What impact would the implementation of the system have on the facility if it is implemented without proper privacy and security controls?  Can policies and procedures be established to help ensure compliance?

Part 2:

Locate the website of two medical billing and coding companies that use staff based in other countries. Describe their training practices on topics such as ICD-10-CM coding, and English language and culture, comparing similarities and differences. What impact could using these companies have on ethical standards of practice? The following are suggested sites to begin with; you may find others as well:

Supporting Materials

You are a health information manager in a hospital setting. Your facility has purchased an electronic health record (EHR) system. During the testing period, you and your staff discover that the EHR system does not comply with applicable federal privacy and security standards. Pressure is mounting to deploy the system in the near future. What ethical issues should you consider? How should you proceed?

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abnormal lab values

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 Ja

A 58-year-old female is admitted for a work up for a complaint of neck and low back pain. During admission, you discover that she underwent a renal transplant six years ago. The patient also had blood work collected. When you review the findings, you notice that her serum calcium is elevated at 13.9 (Normal values range from 8.5 to 10.2 mg/dl), her CBC shows a hematocrit of 33%, and hemoglobin of 11.1 g/dl (normal adult female hematocrit Range: 37-47%, normal adult female hemoglobin range: 12-16 g/dl). What does this mean and what could be the underlying cause of her pain and her abnormal lab values? What other assessments would be helpful?

The first thing that I would address is how she is doing with her anti-rejection medications and when the last time she followed up with her transplant team. Although the rate of rejection decreases every year after a transplant, the long term success of a kidney transplant significantly depends on regular follow up care with the transplant team, taking anti-rejection medications, and following the advice/care plan that is set in place for you (Kimberley, 2017). The fact that she is having that lower back pain concerns me of some type of kidney issue that can be as minor as a kidney stone or as severe as possible rejection. The elevated calcium can be attributed to many different things. It can be from overactive parathyroid glands, cancer, and a whole list of other things. I am suspecting that this patient could possibly be dehydrated because hypercalcemia can also be attributed to severe dehydration, which is also why my main concern is what is going on with her kidneys (Lumachi, 2010). Having a low hematocrit means that the percentage of red blood cells is lower what is expected. The patient can have some kind of internal bleeding, or possibly even cancer. She has been on the anti-rejection medications for 6 years. A side effect of those anti-rejection medications is a secondary cancer. It wouldn’t hurt to have that evaluated. A lower hemoglobin can also be indicative of chronic kidney disease, and/or cancer (Kimberley, 2017).

I would recommend that an entire kidney workup be completed for this patient. That would incredude a complete metabolic panel, a UA, Renal US. It is possible that this is just a kidney stone, but that is where I would start. If all those prove to be normal then I would do a cancer workup to see if it is possible the patient has developed a secondary cancer from the anti-rejection medications. If that proves not to be the problem then I would consider maybe with the patients age that this could be indicative to osteoporosis.

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  anterior definition

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PART 1

Directions: First, define each of the following directional terms. Then give its opposite direction.

1.   anterior definition:    opposite is:

2.   caudal definition:    opposite is:

3.   cephalic definition:    opposite is:

4.   deep definition:    opposite is:

5.   distal definition:    opposite is:

6.   dorsal definition:    opposite is:

7.   inferior definition:    opposite is:

8.   lateral definition:    opposite is:

9. Medial definition:    opposite is:

10. posterior definition:    opposite is:

Abbreviations (Part 2):  Directions: Write the full term that each abbreviation stands for. 1.BCC

2. BX, bx

3. C&S

4.decub

5.Derm

6. HSV

7. I&D

8.ID

9. MM

10. SG

11. SCC

12. STSG

13. Subc, Subq

14. ung

PART 3

Read the case study and provide complete and detailed responses for the questions below. Some questions will ask for information not included within this chapter. Use your textbook, a medical dictionary, or any other reference material you choose to answer these questions.  A 40-year-old female is seen in the dermatologist’s office, on the recommendation of her internist, for a workup for suspected MM on her left forearm. The suspicious lesion was a blackish skin growth approximately 1 cm in diameter. The dermatologist examined the patient and a tissue biopsy was performed. The biopsy confirmed that the growth was MM. Surgery was performed to remove the tumor. In addition, a 5 cm by 5 cm square of skin immediately surrounding the tumor was also moved. Because the removed skin included all three layers of skin, a skin graft was necessary to cover the open area. The donor site was the patient’s thigh. Following recovery from surgery, the patient was referred to an oncologist for follow-up care.  Critical Thinking Questions  Answer the questions below regarding this case study. Do not just copy words out of the case study; translate all medical terms. To answer some of these questions, you may need to look up information from another chapter of this textbook.

1.   What pathological condition does the internist think this patient may have? Look this condition up in a reference source, and include a short description of it in your answer.

2.   What diagnostic test did the dermatologist perform? Describe it in your own words.

3.   Explain why a skin graft was necessary.        4.   Explain why it was necessary to remove so much additional skin tissue along with the tumor.

5.   What is the specialty of an oncologist?        6.   What do you think the possible follow-up care might include?

 

PART4

Directions: Write the meaning of each combining form word part in the first column. Then locate a new term from the chapter that uses the word part, and list it in the second column. In the third column, write the meaning of the chapter terms.  Combining Forms Meaning Chapter Term Meaning

1. abdomin/o

2. anter/o

3. brachi/o

4. caud/o

5. cephal/o

6. cervic/o

7. chondr/o

8. crani/o

9. cubit/o

10. dist/o

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The Connection Between Academic and Professional Integrity

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Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Using the Academic and Professional Success Development Template  you began in Week 1 and continued working on in Week 2, write a 2-  3-paragraph analysis that includes the following:

  • Explanation for the relationship between academic integrity and writing
  • Explanation for the relationship between professional practices and scholarly ethics
  • Cite at least 2 resources that support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.
  • Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity

 

Part 3, Section 2: Strategies for Maintaining Integrity of Work
Expand on your thoughts from Section 1 by:

  • Identifying and describing strategies you intend to pursue  to maintain integrity and ethics of your 1) academic work while a  student of the MSN program, and 2) professional work as a nurse  throughout your career. Include a review of resources and approaches you  propose to use as a student and a professional.

Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan Template.

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Employment Opportunity Commission (EEOC

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Write a 700- to 1,050-word paper that examines the effect of legal, safety, and regulatory requirements on the human resources process. Your paper should focus on employee-related regulations established by the United States, such as the Department of Labor, the U.S. Equal Employment Opportunity Commission (EEOC), the Americans with Disabilities Act of 1990, and the Department of Homeland Security.

Include your thoughts on the following statement:

  • “Common sense and compassion in the workplace have been replaced by litigation.”

Include at least 3 references.

Format your assignment according to APA guidelines.

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Continuum and Coordination of Health Care Presentation

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Continuum and Coordination of Health Care Presentation

As a graduate student and health care administrator, you must be able to research a critical issue or situation and present your findings in a compelling manner. For this Assignment, as well as this module’s Discussion, you will examine the continuum of care a patient may need and research the services available in your area to support the patient.

Note: During the Module 3 Discussion, you will share some of the information for this Assignment with your colleagues.

To develop the content for your presentation, record detailed notes as you complete the following steps.

  • Review the information about the continuum and coordination of health services presented in the Learning Resources, including the HIMSS resource, Continuum of Care, and the tables in Chapter 1 of the course text.
  • Develop a brief description of a hypothetical adult patient who has a serious health problem or injury. Imagine this patient lives in your local area. If you are an international student, you may choose a geographic area in the United States or use your own location.
  • Use the pertinent information in Chapters 7, 8, 9, and/or 10 of the Shi & Singh textbook and conduct additional research of your own to analyze specific services your hypothetical patient might need, beginning with the onset or diagnosis of an illness or injury and concluding with an end-point of your choosing (i.e., recovery, symptom management, end of life). Also research the types of organizations that provide those services.
  • Investigate the health care organizations in your local area. Based on the services your hypothetical patient needs, select four or five actual settings in which he/she would receive care.
  • Next, gather information related to the types of insurance from which each organization accepts payment. Typically, this would include Medicare, Medicaid, and various types of insurance programs. What challenges do you anticipate your patient may have related to payment for services?
  • Review the Institute for Healthcare Improvement (2014) resource and consider what it means for health care to be safe, effective, patient-centered, timely, efficient, and equitable. Analyze how the scenario you have created—with your hypothetical patient receiving services from actual settings in your geographic area—illustrates positive or negative attributes related to two or more of the six Institute of Medicine aims.
  • Next, prepare to create your presentation using PowerPoint. Examine the Presentation Guidelines and Tips and the Module 3 Assignment Template, both found in this module’s Learning Resources.

The Assignment

Download and save the Module 3 Assignment Template, found in this module’s Learning Resources. Use the template to create a succinct and engaging PowerPoint presentation. Include the following:

  • Title slide
  • Introduction slide
  • 7–9 slides* in which you:
    • Introduce the patient, health problem/injury, and geographic area.
    • Describe the continuum of care, including specific services from four or five actual settings in your local area.
    • Describe a potential challenge related to payment for services this patient may encounter.
    • Explain how this example illustrates positive or negative attributes related to two or more of the six Institute of Medicine (IOM) aims.
  • Sources slide*
    • List all resources (a minimum of 4) used to develop your presentation.

*Apply the design principles included in Presentation Guidelines and Tips to develop a professional presentation.

  • On your content slides, use a combination of text, photos, graphs, maps, links to websites, color contrasts, and/or other visual elements to convey the information.
  • Create presenter notes of a few sentences to accompany each slide in a way that supports (rather than duplicates) the information presented visually.

Your presentation must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric in the Course Information area for additional requirements related to research and scholarly writing/presentation.

Due by 1 pm cst

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Doctor of Nursing Practice’s role in health care.

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For Catherine Owens

I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work

Module 1

DQ 1  Outcome measures are significant in showing the worth of the Doctor of Nursing Practice’s role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.

DQ 2  In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project’s intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.

Resources

Read Chapter 1 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes. American Journal of Critical Care, 26(4), 272–277. doi:10.4037/ajcc2017812

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123660853&site=ehost-live&scope=site

Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research, 17,1-9. doi:10.1186/s12913-017-2078-6

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=121336458&site=ehost-live&scope=site

Module 2

DQ 1  Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.

DQ 2   Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.

Resources

Read Chapters 2 and 12 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations. International Journal of Lean Six Sigma, 9(3), 351-373. doi:10.1108/IJLSS-05-2017-0049

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/2084217648?accountid=7374

Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive? HERD: Health Environments Research & Design Journal, 9(1), 10-33. doi:10.1177/1937586715593552

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1752366238?accountid=7374

Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard, 31(3), 58. doi:10.7748/ns.2016.e10375

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Module 3

DQ 1   New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings.

1. Describe a new health care delivery model and discuss whether or not it is sustainable.

2. How will you use a health care delivery model in the design of your project to support the sustainability of your practice improvement intervention?

Provide examples and literature support.

DQ 2   Two major models of care exist: for-profit and not-for-profit. Does one or the other provide more ethical care? Why or why not? Provide examples and literature support.

Resources

Read Chapter 3 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Largent, E. A. (2016). Health care organizations and the power of procedure. American Journal of Bioethics, 16(1), 51–53. doi:10.1080/15265161.2015.1115155

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Graber, A., Carter, S., Bhandary, A., & Rizzo, M. (2017). The case for enrolling high-cost patients in an ACO. HEC Forum, 29(4), 359-365. doi:10.1007/s10730-017-9333-4

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1964458917?accountid=7374

Kirby, J. (2016). Balancing legitimate critical-care interests: Setting defensible care limits through policy development. American Journal of Bioethics, 16(1), 38-47. doi:10.1080/15265161.2015.1115141

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112131650&site=ehost-live&scope=site

Explore the National Healthcare Quality and Disparities Reports page on the Agency for Healthcare Research and Quality website. URL: http://www.ahrq.gov/research/findings/nhqrdr/index.html

Centers for Medicare & Medicaid Services. (n.d.). Accountable care organizations (ACOs).

URL: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/

 

Module 4

DQ 1   Explore a country that provides universal health care. What are its health outcomes? How do these outcomes compare to those in the United States? Should universal health care be a concept that the Doctor of Nursing Practice should support? Why or why not? As a nurse leader, how would you integrate your faith and work into any health care delivery concept? Provide examples and literature support.

DQ 2   The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2017. Discuss what knowledge you gained from reading the report and describe any changes you would apply to the U.S. health care system. What is the DNP’s role in the policy needed to enact the changes you identified? Provide examples and literature support.

Resources

Read Chapters 4 and 11 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Ruggles, B. M., Xiong, A., & Kyle, B. (2019). Healthcare coverage in the US and Japan: A comparison. Nursing, 49(4), 56-60. doi:10.1097/01.NURSE.0000553277.03472.d8

URL:https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201904000-00016&D=ovft&PDF=y

Cheng, S., Jin, H., Yang, B., & Blank, R. H. (2018). Health expenditure growth under single-payer systems: Comparing South Korea and Taiwan. Value in Health Regional Issues, 15, 149-154. doi:10.1016/j.vhri.2018.03.002

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S221210991830030X?via%3Dihub

Rajfur, P., & Hys, K. (2018). Management of the healthcare system in Germany and France. Medical Science Pulse, 12(4), 55-60. doi:10.5604/01.3001.0012.7213

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Explore “Guidance: Delivering Better Integrated Care” located on the GOV.UK website.

URL: https://www.gov.uk/enabling-integrated-care-in-the-nhs#tools-resources-and-publications

Explore the healthcare search page located on the Government website.

URL: http://www.gouvernement.fr/en/search/site/healthcare

Explore the Country Comparison: Health Expenditures page of the Central Intelligence Agency website.

URL: https://www.cia.gov/library/publications/the-world-factbook/rankorder/2225rank.html

Mossialos, E., Djordjevic, A., Osborn, R., & Sarnak, D. (Eds.). (2017). International profiles of health care systems, 2017: Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States. New York, NY: Commonwealth Fund.

URL: https://www.commonwealthfund.org/publications/fund-reports/2017/may/international-profiles-health-care-systems

Module 5

DQ 1   Review one of the tutorials on quality measures from the AHRQ: National Quality Measures Clearinghouse website. Provide an overview of what you reviewed and its application in your practice. Provide examples and literature support.

DQ 2   Review “How Can Healthcare Organizations Implement Patient-Centered Care,” and discuss evaluation models that can drive large-scale cultural transformation in health care or in your current practice. What are the strengths and weaknesses of these models? Provide examples and literature support.

Resources

Re-read Chapter 4 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N.,…VanDeusen Lukas, C. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(168). doi:10.1186/s12913-018-2949-5

URL: https://doi.org/10.1186/s12913-018-2949-5

Nel, H. (2018). A comparison between the asset-oriented and needs-based community development approaches in terms of systems changes. Practice: Social Work in Action, 30(1), 33-52. doi:10.1080/09503153.2017.1360474

URL: https://www-tandfonline-com.lopes.idm.oclc.org/doi/full/10.1080/09503153.2017.1360474

Lindau, S. T., Vickery, K. D., Choi, H., Makelarski, J., Matthews, A., & Davis, M. (2016). A community-powered, asset-based approach to intersectoral urban health system planning in Chicago. American Journal of Public Health, 106(10), 1872-1878. doi:10.2105/AJPH.2016.303302

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Explore the Guidelines and Measures page on the Agency for Healthcare Research and Quality website.

URL: http://www.qualitymeasures.ahrq.govAligned To: 0 [competencies]

Module 6

DQ 1  The Doctor of Nursing Practice/Advanced Practice Nurse role empowers nurses to create programs for improving quality outcomes. What barriers need to be alleviated to increase the DNP/APN role in health care change? Provide examples and literature support.

DQ 2   Patient-centered care has been shown to increase positive patient outcomes. Provide an example of how collaboration within the health care team (interprofessional collaboration) has enhanced patient outcomes in your practice. Provide literature support.

Resources

Read Chapters 8-10 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews, 6(2), 158-171. doi:10.17294/2330-0698.1695

URL: http://dx.doi.org/10.17294/2330-0698.1695

Brown, L., & Overly, F. (2016). Simulation-based interprofessional team training. Clinical Pediatric Emergency Medicine, 17(3), 179-184. doi:10.1016/j.cpem.2016.06.001

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1522840116300283?via%3Dihub

Van der Biezen, M., Wensing, M., Poghosyan, L., Van der Burgt, R., & Laurant, M. (2017). Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research, 17, 1-9. doi:10.1186/s12913-017-2548-x

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=124800601&site=ehost-live&scope=site

Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: A case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Primary Health Care Research & Development, 20, 1-8. doi:10.1017/S1463423618000415

URL: https://doi.org/10.1017/S1463423618000415

Module 7

DQ 1   Utilize the National Committee for Quality Assurance (NCQA) website to examine the criteria that a Patient Centered Medical Home (PCMH) must meet to be credentialed. What is the value of the PCMH to patient outcomes? How does the NCQA website help you define and measure the results of your DPI Project intervention on patient outcomes? Provide examples and literature support.

DQ 2   What are some of the current assessment tools to improve patient understanding and adherence to prescribed treatment? What assessment tools are available to determine a level of health literacy and how can these tools help improve patient outcomes? Provide examples and literature support.

Resources

Read Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Tucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine, 9(1), 63-77. doi:10.1177/1559827613498065

URL: https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/1559827613498065

Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research, 53, 2932-2951. doi:10.1111/1475-6773.12801

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130899122&site=ehost-live&scope=site

Barsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education, 49(5), 305-311.

URL: https://doi-org.lopes.idm.oclc.org/10.1080/19325037.2018.1486758

Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling, 98(12), 1492-1512. doi:10.1016/j.pec.2015.07.013

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0738399115300215?via%3DihubAligned To: 0 [competencies]

Pronovost, P. J., Cleeman, J. I., Wright, D., & Srinivasan, A. (2016). Fifteen years after To Err is Human: A success story to learn from. BMJ Quality & Safety, 25(6), 396. doi:10.1136/bmjqs-2015-004720

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1793871405?accountid=7374

Mitchell, I., Schuster, A., Smith, K., Pronovost, P., & Wu, A. (2016). Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after “To Err is Human.” BMJ Quality & Safety, 25(2), 92. doi:10.1136/bmjqs-2015-004405

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1778837381?accountid=7374

Califf, R. M., Robb, M. A., Bindman, A. B., Briggs, J. P., Collins, F. S., Conway, P. H., & Sherman, R. E. (2016). Transforming evidence generation to support health and health care decisions. The New England Journal of Medicine, 375(24), 2395-2400. doi:10.1056/NEJMsb1610128

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1849409554?accountid=7374Aligned To: 0 [competencies]

AHRQ: Agency for Healthcare Research and Quality. (n.d.). Health literacy measurement tools (revised).

URL: http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.html

Explore the National Committee for Quality Assurance website.

URL: http://www.ncqa.org/

Institute of Medicine. (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.

URL: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

URL: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf

Explore the Patient Centered Medical Home: Resource Center page on the Agency for Healthcare Research and Quality website.

URL: http://www.pcmh.ahrq.gov/Aligned To: 0 [competencies]

Explore the Primary Care Collaborative website.

URL: http://www.pcpcc.org/

Explore the Health Literacy page on the National Network of Libraries of Medicine website.

URL: http://nnlm.gov/outreach/consumer/hlthlit.html

Explore the Health Literacy Online page on the Office of Disease Prevention and Health Promotion website.

URL: http://www.health.gov/healthliteracyonline/

Module 8

DQ 1   Discuss effective means for translating and disseminating research by discussing the role of the DPI Project (Quality Improvement) and the opportunities for its dissemination. Include a discussion of the role of inter-professional collaboration. Provide examples and literature support.

DQ 2   Discuss recent health care innovations in your practice and your role in implementation. Provide examples and literature support.

Resources

Re-read Chapter 12 in Outcome Assessment in Advanced Practice Nursing 4e.

URL: https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Hassan, A., Scherer, E. A., Pikcilingis, A., Krull, E., McNickles, L., Marmon, G.,…Fleegler, E. (2015). Improving social determinants of health: Effectiveness of a web-based intervention. American Journal of Preventive Medicine, 49(6), 822-831. doi:10.1016/j.amepre.2015.04.023

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S074937971500207X?via%3Dihub

Curtis, K., Fry, M., Shaban, R., & Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872. doi:10.1111/jocn.13586

URL: https://doi.org/10.1111/jocn.13586

Tabak, R. G., Padek, M. M., Kerner, J. F., Stange, K. C., Proctor, E. K.,…Brownson, R. C. (2016). Dissemination and implementation science training needs: Insights from practitioners and researchers. American Journal of Preventative Medicine, 52(3), S322-S329. doi:10.1016/j.amepre.2016.10.005

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0749379716305116?via%3DihubAligned To: 0 [competencies]Aligned To: 0 [competencies]

Bender, M., Williams, M., Su, W. & Hites, L. (2016). Clinical nurse leader integrated care delivery to improve care quality: Factors influencing perceived success. Journal of Nursing Scholarship, 48(4), 414-422. doi:10.1111/jnu.12217

URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1807680167?accountid=7374

Neta, G., Glasgow, R. E., Carpenter, C. R., Grimshaw, J. M., Rabin, B. A., Fernandez, M. E., & Brownson, R. C. (2015). A framework for enhancing the value of research for dissemination and implementation. American Journal of Public Health, 105(1), 49-57.

URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=s3h&AN=99983414&site=ehost-live&scope=siteAligned To: 0 [competencies]

Explore “AHRQ Health Care Innovations Exchange” located on the Agency for Healthcare Research and Quality website.

URL: https://innovations.ahrq.gov/

Brownson, R. C., Proctor, E. K., Luke, D. A., Baumann, A. A., Staub, M., Brown, M. T., & Johnson, M. (2017). Building capacity for dissemination and implementation research: One university’s experience. Implementation Science, 12(1), 1-12. doi:10.1186/s13012-017-0634-4

URL: https://link.springer.com/article/10.1186/s13012-017-0634-4

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