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Health Statistics and Populations

Health Statistics and Populations

Professional Competency addressed in this Assignment:

PC-4.3: Apply concepts of multiculturalism and diversity to become an agent of change.

Directions

Select a health topic of interest such as breastfeeding, coronary heart disease, or juvenile diabetes that affects a specific population such as older adults or women of reproductive age or race. Locate health statistics for your selections. You must include national and state data. Your work may also include local county or city data if available.

Additionally, research content regarding concepts of multiculturalism and diversity, and include interventions that address health disparities.

Input your responses using a table similar to the one below. You may recreate the table in Word©. Excel© files are not accepted. Include a title page and reference page. Length of Assignment should be 2- 3 pages. Content section will expand as you describe your findings in a comprehensive manner.

Data Search Directions

Summarize Your Findings

Identify the population of interest and health condition/event to your practice. Specify how you define the population (e.g. age, gender, health status, etc.).

Summarize your search process. Specify what sources, organizations and agencies for health statistics were searched to find relevant health statistics. Be specific and thorough in your search.

Provide the health information obtained in the search. Include any significant statistics and information on risk factors and trends in epidemiology data on your topic.

Interpret your findings and determine if there is any evidence of health disparities based on the population examined. Be sure you understand what health disparities are and address if your topic is or is not impacted. Provide several examples and include interventions that would improve this disparity.

DUE: to Dropbox on end of Day 7 of Unit 6.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

How to Submit:

When you are ready to submit your Assignment, select the unit  Dropbox and then attach your file. Make sure to save a copy of the Assignment you submit.

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patient case study

Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

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health care beliefs of the Russian,

1. Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.

2. Is there any similarity between these 3 cultures. If yes or no, please explain.

3. Give your opinion on how the beliefs of these 3 cultures influence the delivery of health care.

Cover Page+Header

APA format word document on an Arial 12 font attached to the threat in the tab of the discussion question call “week 11 discussion questions”.

A minimum of 2 evidence based references no older than years 5 years are required and two replies to any of your peers sustained with the proper references are required.

A maximum of 500 words are required without counting the first and last page.

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Leading Change, Advancing Health

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

  1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
  2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
  3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
  4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
  5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

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

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

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Electronic Health Records

Discussions

1. Electronic Health Records

Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.

In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.

To prepare

Review the implementation of EHRs in an organization. Reflect on the various approaches used.

If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?

Reflect on the reactions of others during the implementation process. Were concerns handled effectively?

If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.

Search and indicate examples of effective and poor implementation of EHRs.

RESOURCES

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 15, “The Electronic Health Record and Clinical Informatics”

This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.

Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.

The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.

Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.

This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.

Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.

This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provides insights on change management, the reasons people resist change, and the ways to establish a culture that is more open to change initiatives.

Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., & Bruce, S. (2010). Embracing change to improve performance. Long-Term Living: For the Continuing Care Professional, 59(1), 28–31.

This text describes the implementation of a new electronic health record system at a 105-bed hospital related-facility. The authors highlight five key elements that were deemed necessary for a successful EHR implementation.

Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3.

According to the authors, the health care field is in need of more effective leaders who understand innovation, who appreciate diversity and change, and who can foster and implement innovation and creativity. The authors describe how nurse leaders can be instrumental in embracing and disseminating innovation throughout the health care system and provide scaffolding for subsequent articles in this issue of the journal.

Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11.

The authors of this article describe the incentives and requirements for electronic health records (EHRs) outlined in the Health Information Technology for Economic and Clinical Health (HITECH) Act. The authors then provide 10 steps for health care leaders and organizations to follow when implementing EHRs.

Murphy, J. (2011). Leading from the future: Leadership makes a difference during electronic health record implementation. Frontiers of Health Services Management, 28(1), 25–30.

In this article, the author examines the causes behind the increasing complication of EHR implementations. In addition, the author explores the role of leadership in guiding successful EHR implementations.

Required Media

Laureate Education (Producer). (2012b). Electronic health records. Baltimore, MD: Author.

In this video, Katie Skelton, Richard Rodriguez, Carina Perez, Shannon Mori, and Carmen Ferrell describe how their hospital implemented an electronic health record. They also outline the general considerations, benefits, and support measures related to electronic health records.

2. Successful Implementation of Electronic Health Information Technology

Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?

This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system.

In this Discussion, you are asked to consider the role of nurses in the SDLC process.

To prepare:

Review the steps of the systems development life cycle.

Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.

Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?

Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system?

RESOURCES

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”

This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.

Chapter 11, “Administrative Information Systems”

This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.

Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change. Consulting Psychology Journal: Practice and Research, 63(2), 138–148.

The authors of this article present a case study on an EHR implementation in a multispecialty physician group. The case study attempts to determine actions that promote successful EHR implementation and the pros and cons of implementation.

Hsiao, J., Chang, H., & Chen, R. (2011). A study of factors affecting acceptance of hospital information systems: A nursing perspective. Journal of Nursing Research, 19(2), 150–160.

The focus of this article is to determine what factors are most important in predicting the acceptance of new health information technology. The results of the study indicated that self-efficacy, top management support, and the quality of information retrieved are the most important determinants of the willingness of nurses to adopt and use a new technology.

Kelley, T. F., Brandon, D. H., & Docherty, S. L. (2011). Electronic nursing documentation as a strategy to improve quality of patient care. Journal of Nursing Scholarship, 43(2), 154–162.

This article summarizes a literature review of the relationship between electronic health records (EHRs) and quality of patient care. The article identifies deficiencies in existing research regarding the daily interactions of nurses, patients, and electronic documentation, and it provides a comparison between electronic and paper-based documentation and its effect on quality of care.

Nurse leaders discuss the nurse’s role in driving technology decisions. (2010). Virginia Nurses Today, 18(1), 8–9.

This article summarizes a roundtable held with a number of nursing executives to discuss the role nurses should take in the selection and adoption of new technologies for health care. The executives concluded that the nurses’ goals should be to select technology that will further their ability to provide safe, quality care to their patients.

Page, D. (2011). Turning nurses into health IT superusers. Hospitals & Health Networks, 85(4), 27–28.

This article highlights the importance of involving nurses with all phases of the decision and implementation process surrounding new health information technology. The author stresses the importance of communication in the process as well as defining success.

Swab, J., & Ciotti, V. (2010). What to consider when purchasing an EHR system. hfm(Healthcare Financial Management), 64(5), 38–41.

In this article, recommendations are given for purchasing health information technology. These include selecting the appropriate vendor, carefully considering the cost of both new equipment and personnel, and involving clinicians in decisions.

Required Media

Laureate Education (Producer). (2012g). Systems development life cycle. Baltimore, MD: Author.

The systems development life cycle (SLDC) provides a framework for all of the steps necessary to implementing a new technology or process within an organization. This video explains the SDLC and how it is used in the health care field.

Optional Resources

Agency for Healthcare Research and Quality. (2005). A toolkit for redesign in health care. Retrieved from http://www.ahrq.gov/legacy/qual/toolkit/index.html

This website supplies strategies for reconfiguring and transforming a hospital’s care processes. The text breaks down the redesign process into a series of steps.

3. Understanding Workflow Design

As you explored last week, the implementation of a new technology can dramatically affect the workflow of an organization. Newly implemented technologies can initially limit the productivity of users as they adjust to their new tools. Such implementations tend to be so significant that they often require workflows to be redesigned in order to achieve improvements in safety and patient outcomes. However, before workflows can be redesigned, they must first be analyzed. This analysis includes each step in completing a certain process. Some systems duplicate efforts or contain unnecessary steps that waste time and money and could even jeopardize patient health care. By reviewing and modifying the workflow, you enable greater productivity. This drive to implement new technologies has elevated the demand for nurses who can perform workflow analysis.

In this Discussion, you explore resources that have been designed to help guide you through the process of workflow assessment.

To prepare:

· Take a few minutes and peruse the information found in the article “Workflow Assessment for Health IT Toolkit”.

o As you check out the information located on the different tabs, identify key concepts that you could use to improve a workflow in your own organization and consider how you could use them.

o Go the Research tab and identify and read one article that is of interest to you and relates to your specialty area.

RESOURCES

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 14, “Nursing Informatics: Improving      Workflow and Meaningful Use”

    This chapter reviews the reasons for conducting workflow analysis and      design. The author explains specific workflow analysis and redesign      techniques.

Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B. (2011). Implementation of workflow engine technology to deliver basic clinical decision support functionality. BMC Medical Research Methodology, 11(1), 43–61.

In this article, the authors describe an implementation of workflow engine technology to support clinical decision making. The article describes some of the pitfalls of implementation, along with successful and future elements.

Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: Challenges of design, workflow, and contractual relations. Studies in Health Technology and Informatics, 157, 7–14.

This article points to many health information technology designs and workflow decisions that limit their value and usage. The authors also examine the structure of the conceptual relationships between HIT vendors and the clinical facilities that purchase HIT.

U.S. Department of Health & Human Services. (n.d.b). Workflow assessment for health IT toolkit. Retrieved, June 18, 2012, from http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

This article supplies a toolkit on the planning, design, implementation, and use of health information technology. The sections of the website provide a definition of workflow, examples of workflow tools, related anecdotes, and research.

Document: Sample Workflow of Answering a Telephone in an Office (Word document)

Required Media

Laureate Education (Producer). (2012f). System design and workflow. Baltimore, MD: Author.

This video provides an overview of how workflow modeling can be used in a health care setting to target areas for revising current practices and procedures. The video also shows how technology and informatics can be used to improve workflow efficiency and increase the quality of care.

4. Using Health Information Technology as a Source of Evidence-Based Practice

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

· Read the following scenario from the text (McGonigle & Mastrian, 2015, p. 445):

Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.

· Consider how the resources identified in the scenario above could influence an organization’s practice.

· Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

RESOURCES

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 23, “Research: Data      Collection, Processing, and Analytics”

The authors of this chapter relate nursing research to the foundation of knowledge model. The chapter assesses informatics tools for collecting data, storing information, and processing and analyzing data.

 

  • Chapter 25, “Translational      Research: Generating Evidence for Practice”

In this chapter, the authors differentiate evidence-based practice and translation research. They also describe models used to introduce research findings intro practice.

Hynes, D. M., Weddle, T., Smith, N., Whittier, E., Atkins, D., & Francis, J. (2010). Use of health information technology to advance evidence-based care: Lessons from the VA QUERI program. Journal of General Internal Medicine, 25(Suppl. 1), S44–S49.

This article presents a study that evaluated the role of health information technology (HIT) in the Department of Veteran Affairs’ Quality Enhancement Research Initiative. The authors convey their findings on how HIT provided data and information to aid implementation research, and how implementation research helped further HIT development. Additionally, the text details methods of overcoming common HIT barriers to implementation research.

Jamal, A., McKenzie, K., & Clark, M. (2009). The impact of health information technology on the quality of medical and health care: A systematic review. Health Information Management Journal, 38(3), 26–37.

This text details a study that reviews the published evidence concerning the impact of health information technology (HIT) on the quality of health care. The study investigated the use of HIT in medical care and allied health and preventive services. The authors primarily focus on the impact of electronic health records, computerized provider order-entry, and decision support systems.

Umscheid, C. A., Williams, K., & Brennan, P. (2010). Hospital-based comparative effectiveness centers: Translating research into practice to improve the quality, safety and value of patient care. JGIM: Journal of General Internal Medicine, 25(12), 1,352–1,355.

This article revolves around the usage of the hospital-based comparative effectiveness (CE) center model. The authors highlight the model’s benefits and the increasing usage of CE evidence. The article also reviews solutions to overcoming many of the challenges to operating hospital-based CE centers.

Optional Resources

Chlan, L., Tracy, M. F., & Grossbach, I. (2011). Pulmonary care. Achieving quality patient-ventilator management: Advancing evidence-based nursing care. Critical Care Nurse, 31(6), 46–50.

5. HITECH Legislation

In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

· Improve quality, safety, and efficiency, and reduce health disparities

· Engage patients and families

· Improve care coordination

· Improve population and public health

· Ensure adequate privacy and security protections for personal health information

For this Discussion, you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

· Review the Learning Resources on the HITECH legislation and its primary goals.

· Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.

· Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.

· Reflect on how the incentives and meaningful use impact the quality of patient care.

· Find an article dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

RESOURCES

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

  • Chapter 9, “Legislative Aspects of Nursing      Informatics: HITECH and HIPAA”

    This chapter explores two pieces of legislation that dramatically impact      nursing informatics: the Health Information Technology for Economic and      Clinical Health Act of 2009 and the Health Insurance Portability and      Accountability Act of 1996.

Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management)64(11), 90–96.

This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.

Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19eSP12–8.

This article presents a study of clinician’s attitudes toward the use of financial incentives for the implementation of electronic health records in small practices.

Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance, 12(5), 49–50.

In this article, the author poses four questions pertaining to the EHR system in the United States. In particular, the article examines Medicare and Medicaid incentive payments and the ways the meaningful use of certified EHRs will be verified.

Classen, D. C., & Bates, D. W. (2011). Finding the meaning in meaningful use. New England Journal of Medicine, 365(9), 855–858.

This article details the challenges of meeting the meaningful use standards in order to receive the benefits legislated under the HITECH Act. The authors specify the requisites for achieving benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the tools needed to evaluate EHRs after implementation.

Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues. FDCC Quarterly, 61(3), 240–273.

The authors of this article examine HITECH, in addition to the impact of the privacy rules under the Health Insurance Portability and Accountability Act (HIPAA). The article details the potential negative repercussions of failing to comply with HIPAA and HITECH.

Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records. Nursing Economic$, 28(4), 283–286.

This article reviews HITECH and the background leading up to its passage. The author also details the financial incentives intended to assist health care providers in purchasing and implementing HIT and EHR systems.

Optional Resources

U.S. Department of Health & Human Services. (2011). Health IT home. Retrieved from http://www.healthit.gov/ 

U.S. Department of Health & Human Services. (2012). Regulations and guidance. Retrieved from http://www.healthit.gov/policy-researchers-implementers/health-it-rules-regulations 

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Skin Conditions

  • Review the Skin Conditions document provided in this week’s Learning  Resources, and select one condition to closely examine for this Lab  Assignment.
  • Consider the abnormal physical characteristics you observe in the  graphic you selected. How would you describe the characteristics using  clinical terminologies?
  • Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
  • Consider which of the conditions is most likely to be the correct diagnosis, and why.
  • Search the Walden library for one evidence-based practice,  peer-reviewed article based on the skin condition you chose for this Lab  Assignment.
  • Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
  • Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

  • Choose one skin condition graphic (identify by number in your Chief  Complaint) to document your assignment in the SOAP (Subjective,  Objective, Assessment, and Plan) note format rather than the traditional  narrative style. Refer to Chapter 2 of the Sullivan text and the  Comprehensive SOAP Template in this week’s Learning Resources for  guidance. Remember that not all comprehensive SOAP data are included in  every patient case.
  • Use clinical terminologies to explain the physical characteristics  featured in the graphic. Formulate a differential diagnosis of three to five possible  conditions for the skin graphic that you chose. Determine which is most  likely to be the correct diagnosis and explain your reasoning using at  least three different references, one reference from current  evidence-based literature from your search and two different references  from this week’s Learning Resources.

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Senior Leadership.

Impact Report to Senior Leadership.

Write a 4–6 page impact report to senior leadership that identifies a nursing-related challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

Each organization has a unique structure that impacts the behavior of the organization. In health care organizations, this impact is on the ability of the organization to deliver quality patient care. Nursing is an essential component of any health care organization, and nursing leaders must understand the role of nursing and nursing leadership within the total organization. Understanding basic organizational structure, mission, vision, philosophy, and values will better prepare nurse leaders to improve quality and patient outcomes.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Identify nursing leadership priorities, using a systems perspective.
    • (IMPORTANT) -Identify a nursing challenge and its impact from a nursing perspective.
  • Competency 2: Apply systems theory and systems thinking to facilitate health care delivery and patient outcomes.
    • (IMPORTANT) -Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.
    • (IMPORTANT) -Identify organizational factors that impact the situation using a SWOT analysis.
  • Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.
    • (IMPORTANT) -Assess how the new nurse leader position should apply leadership skills, knowledge, or abilities to exert power and influence and impact patient outcomes.
  • Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional.
    • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

This is basically the same but resumed:

  1. Criterion    Identify a nursing challenge and its impact from a nursing perspective.
  2. Criterion    Explain how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice.
  3. Criterion    Identify organizational factors that impact the situation using a SWOT analysis.
  4. Assess how the new nurse leader position should apply leadership skills, knowledge, or abilities to exert power and influence and impact patient outcomes.
  5. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Assessment Instructions

 

Preparation

Use the Suggested Resources for this assessment to study systems theory, SWOT analysis, and shared governance teams, as background for an Impact Report to Senior Leadership. The report includes a SWOT analysis. The SWOT Analysis Template is linked in Required Resources.

  • Study a facility in your area and examine its Web site and any available public documents to aid you in completing this assessment. You may wish to examine an organization where you work, where you have worked in the past, or where you did your clinical work.
  • Do not name the organization in your report; instead, identify the type of facility and location. Example: A rehabilitation center in a midsize Midwestern city.

Use the following scenario as the basis for your report:

Scenario
The unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.
In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council’s subcommittee, you have been asked to write the committee’s final report.

Deliverable: Impact Report to Senior Leadership

Write a 4–6 page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

  • Use systems thinking and leadership theory as tools to approach this problem.

Construct the report with the following headings:

The Nursing Challenge:
  • Identify the nursing challenge and its impact from a nursing perspective. Choose from:
    • Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.
The System/Organization:
  • Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.
    • Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.
    • Use systems theory and systems thinking to explain the gap or conflict.
SWOT Analysis:

Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper.

  • Identify organizational factors that impact the situation using a SWOT analysis.
    • For example, a budget cut may cause short staffing, which relates directly to the problem.
  • What factors within the system may facilitate a solution for this problem?
The Position:
  • Assess how the new nurse leader position will have power and influence and impact patient outcomes.
  • How will this position affect change within the organization?
  • Identify key leadership skills, knowledge, or abilities required for the position.
Additional Requirements
  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The report should be 4–6 pages in content length. Include a separate title page and a separate reference page.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Number of resources: Use a minimum of three peer-reviewed resources.

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Organization of the Body

Students will choose a topic to present in front of the class by the last week of class. Please prepare a 5 to 10 minute PowerPoint presentation for your classmates on your one chosen chapters to be presented at the beginning of class as a Key Points Final Review on January 6th. Submit your presentation no later than 24 hours before you will be presenting the material.

Ch 1- Organization of the Body

Ch 2- Homeostasis

Ch 3- Chemistry of Life

Ch 4- Biomolecules

Ch 5- Cell Structure

Ch 6- Cell Function

Ch 7- Cell Growth and Development

Ch 8- Introduction to Tissues

Ch 9- Tissue Types

Ch 10- Skin

Ch 11- Skeletal Tissues

Ch 12- Axial Skeleton

Ch 13- Appendicular Skeleton

Ch 14- Articulation

Ch 15- Axial Muscles

Ch 16- Appendicular Muscles

Ch 17- Muscle Contraction

Ch 18- Nervous System Cell

Ch 19- Nervous Signaling

Ch 20- Central Nervous System

Ch 21- Peripheral Nervous System

Ch 22- Autonomic Nervous System

Ch 23- General Senses

Ch 24- Special Senses

Rubric

Teaching Plan AssignmentTeaching Plan AssignmentCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeGaining Attention of the Class10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeThree teaching objectives10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeTeaching Strategies10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomePresenting for 10-15 minutes10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeProvides Examples with Questions10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeSummary Slide at End10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeTextbook Reference10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeReferences in APA format10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeSubmitted to Assignments 24 hours prior10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
This criterion is linked to a Learning OutcomeQuiz Questions for Students10.0 ptsFull Marks0.0 ptsNo Marks10.0 pts
Total Points: 100.0

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ealth Assessment of Children’s Weight

Discussion: Health Assessment of Children’s Weight

Body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this Discussion, you will consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To prepare:

• Consider the following examples of pediatric patients and their families:

o Overweight 5-year-old boy with overweight parents

o Slightly overweight 10-year-old girl with parents of normal weight

o 5-year-old girl of normal weight with obese parents

o Slightly underweight 8-year-old boy with parents of normal weight

o Severely underweight 12-year-old girl with underweight parents

• Select one of the examples on which to focus for this Discussion. What health issues and risks may be relevant to the child you selected?

• Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

• Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

By Day 3

Post an explanation of the health issues and risks that are relevant to the child you selected. Describe additional information you would need in order to further assess his or her weight-related health. Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information. Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Read a selection of your colleagues’ responses.

Week 3: Growth, Measurement, and Nutrition

According to the Centers for Disease Control and Prevention (CDC), the rate of childhood obesity has tripled in the past 30 years, with an estimated 12.5 million children considered obese (CDC, 2012). When seeking insights about a patient’s overall health and nutritional state, body measurements can provide a valuable perspective. This is particularly important with pediatric patients. Measurements such as height and weight can provide clues to potential health problems and help predict how children will respond to illness. Nurses need to be proficient at using assessment tools such as the Body Mass Index (BMI) and growth charts in order to assess nutrition-related health risks and pediatric development while being sensitive to other factors that may affect these measures.

This week, you will examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.

Learning Objectives

Students will:

• Assess weight-related health risks for pediatric patients

• Design effective strategies for communicating with parents or caregivers about children’s weight-related health

• Apply concepts, theories, and principles relating to health assessment techniques and considerations related to growth, measurement, and nutrition

• Apply assessment skills to collect patient health histories*

*The Assignment related to this Learning Objective is introduced this week and submitted in Week 4.

Learning Resources

Required Readings

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.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

• Chapter 6, “Growth and Measurement” (pp. 79-94)

In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth amongst the organ systems.

• Chapter 7, “Nutrition” (pp. 95-113)

This chapter focuses on how nutrition affects growth, development, and health maintenance. The authors also provide guidelines for assessing nutrient intake.

• Review of Chapter 26, “Recording Information” (pp. 616-631)

This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.

• Chapter 3, “Adult Preventative Care Visits” (pp. 37–64)

• Chapter 4, “Pediatric Preventative Care Visits” (pp. 65–90)

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).History subjective data checklist. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby. (PDF)

This History Subjective Data Checklist was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Gibbs, H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need. Health, 4(3), 120–124.

Retrieved from the Walden Library databases.

This study explores nutrition literacy. The authors examine the level of attention paid to health literacy among nutrition professionals, and the skills and knowledge needed to understand nutrition education.

Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R. (2014). Weight status misperception as related to selected health risk behaviors among middle school students. Journal of School Health, 84(2), 116–123. doi:10.1111/josh.12128

Centers for Disease Control and Prevention. (2012). Childhood overweight and obesity.

Retrieved from http://www.cdc.gov/obesity/childhood/

This website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.

Centers for Disease Control and Prevention. (2009). Clinical growth charts.

Retrieved from http://www.cdc.gov/growthcharts/clinical_charts.htm

This website provides basic information on clinical growth charts. The website also supplies clinical growth charts for up to age 20.

Optional Resources

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination(10th ed.). New York, NY: McGraw Hill Medical.

• Chapter 4, “Vital Signs, Anthropometric Data, and Pain” (pp. 51–87)

This chapter explores vital signs, temperature, pulse, respirations, and blood pressure. In addition, the authors discuss body size measurements and pain assessment.

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developmental, age, socioeconomic, and cultural considerations

S. T., a 24-year-old graduate student, visits the clinic to report “bad headaches.” She says that her headaches occur two to three times a month and last at least an entire day. The headache centers above and behind her eyes, throbs, and is not relieved by any over-the-counter medications. She says that they get worse when exams are near and she spends time in the library to study. She is worried that the headaches will cause her to fail graduate school.

Discuss the:

developmental,

age,

socioeconomic,

and cultural considerations

that should be considered during the gathering of subjective and objective data.

(Please be sure to cite in APA format and use the weekly readings and other sources to support your post)

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