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Healthcare Effectiveness Data and Information Set (HEDIS)

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One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the eight components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

By Day 3

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.

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The Evidence-Nursing Practice Connection

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Week 8: The Evidence-Nursing Practice Connection

Textbook:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4 th ed.). Sudbury, MA: Jones and Bartlett.

Reading:

Chapter 1: The Importance of Research as Evidence in Nursing

Chapter 16: Translating Research into Practice

Assignment:

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude our learning journey through our world of research and evidence-based practice, it is important to reflect upon your time spent in the course:

1)Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

2)Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

Please use APA format, citations and references. Cite 1 scholarly resource and cite textbook to earn full credit.

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organization and the values

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Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving.

Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

While GCU style format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using GCU documentation guidelines, which can be found in the GCU Style Guide, located in the Student Success Center.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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various change models

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Report Issue

Research the various change models used by organizations today. After assessing these models, create a change model conducive to your field, and that will work within your organization’s culture. This model should serve to implement a strategic process that can help your organization integrate a change and respond to the internal or external driving forces that affect organizational success. ( I will choose thee change model and the area in my field that needs to be addressed

Create a visual representation of your model using a graphic organizer of your choice (flow chart, concept map, etc.). The design of your model will be unique and relevant to your organization, based on a critical analysis of its culture and behavior. However, your model must demonstrate the necessary steps for realistic implementation. Your model will be assessed on the quality of strategic implementation you design, the support you present for your model, and inclusion of the following concepts:

1.Methods to evaluate the need for change

Methods used to evaluate the need for change are extremely thorough and include extensive explanation and numerous supporting details.

2.Approach and criteria for choosing individuals or teams necessary for a change initiative

Approach and criteria for choosing individuals or teams necessary for a change initiative are expertly crafted.

3.Communication strategies

Communication strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.

4.Strategies to gather stakeholder support and overcome resistance

Strategies to gather stakeholder support and overcome resistance are expertly crafted.

5.Implementation strategies

Implementation strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.

6.Sustainability strategies

Sustainability strategies are extremely detailed and well explained and align seamlessly with the organizational culture and behavior.

 

Once you have created your model, prepare a 10-12 slide PowerPoint presentation to present your model and demonstrate how this model is relevant to your organization and why it will work well within your organization’s culture. In conclusion, discuss why this model will lead to sustainable change when most change initiatives fail. You will utilize this change model for your final paper.

 

Model is Lewin’s Model

Slides to wrap around Lewin’s Model and address problem identified:

Problem:

•Lack of on time start of procedure (Impact on day, discharge, and patient perception of physician)

•Hours lapse between end of case and when physician provide patient and loved ones with results of procedure

•Poor HCAHPS (Patient Satisfaction)results

•What do I do with the time between case completed and physician deliver results? (Explanation to patient)

•How to communicate patients dissatisfaction with physician

 

Provide graph etc to show number of late starts, hours between case and discussion of results with patient’s and family. Also graph to trend number of cases booked in a day etc

 

Thinking of signs like, “I’m scared, please don’t forget to come and tell me my results when you are finish.”

“Thank you for performing my procedure, the suspense is killing me, can you please tell me what you found?

“I’m petrified, how much longer before it’s my turn to have my catheterization?”

“Waiting for the results is worse than the procedure”.

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Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

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one answer to each discussion.

 

discussion 1

Review the following research questions.

Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

Identify an appropriate research design.

An appropriate research design for this research question is quantitative research with an experimental design.

Discuss the strengths and weaknesses of the design.

According to Roger Watson (2015), quantitative studies produce numbers that should be interpreted before conclusions may be drawn. This can be considered a strength for this design as numbers allows the researcher to draw conclusion easily. An area of weakness is the idea that the opportunity for error cannot be eliminated entirely. According to Watson (2015) “it is essential to store data carefully, once it has been entered into any package, since loss can jeopardize the study”.

Provide a rationale for the design you selected

This design allows the research to manipulate the independent variable in order to study the effect it has on the dependent variable. In this case, the researcher is able to identify the effect of soap and water on the prevention of nosocomial infections and the effect is alcohol-based rubs on the prevention if nosocomial infections. The number of occurrences will be compared to draw a conclusion

How effective are anti-depressive medications on anxiety and depression?

Identify an appropriate research design.

An appropriate research design for this research question is qualitative design.

Discuss the strengths and weaknesses of the design.

According to Leslie Gelling (2014), while utilizing qualitative research, nurses to understand health and illness experiences and offer ‘compassionate, person-centered care. This is considered to be a strength for this design. Gelling also stated that “a poorly worded question might lead the research in the wrong direction, wasting the researcher’s time and, more importantly, wasting the research participants’ time if the chosen methodology is unable to answer the question (Gelling, 2014). This is the weakness of this design.

Provide a rationale for the design you selected

Qualitative research is an approach to scientific inquiry that allows researchers to explore human experiences in personal and social contexts, and gain greater understanding of the factors influencing these experiences.

What is the difference in attitudes of male and female college students toward condoms?

Identify an appropriate research design.

An appropriate research design for this research question is a qualitative descriptive design. In a descriptive study without manipulating any variables.

Discuss the strengths and weaknesses of the design.

According to Pathak, Jena, and Kalra (2013), qualitative research is now recognized for its ability to add a new dimension to interventional studies that cannot be obtained through measurement of variables alone. This can be considered to be a strength of this design. Qualitative studies should be well-designed and the aims of the study should be meticulously adjudicated (Pathak, Jena, & Kalra, 2013). On the other hand, descriptive research also presents the possibility for error and subjectivity. Confidentiality is the primary weakness of descriptive research (Murphy, n.d.). Often subjects are not truthful as they feel the need to tell the researcher what they think the researcher wants to hear (Murphy, n.d.).

Provide a rationale for the design you selected

Qualitative method is used to understand people’s beliefs, experiences, attitudes, behavior, and interactions.

References

Gelling, L. (2015). Qualitative research. Nursing Standard, 29(30), 43. Retrieved from http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.30.43.e9749

Murphy, J. (n.d.). Strengths and weaknesses of descriptive research. Retrieved from, http://classroom.synonym.com/strengths-weaknesses-descriptive-research-2596.html

Pathak, V., Jena, B., & Kalra, S. (2013). Qualitative research. Perspectives in Clinical Research, 4(3), 192. Retrieved from http://doi.org/10.4103/2229-3485.115389

Watson, R. (2015). Quantitative research. Nursing Standard, 29(31), 44. Retrieved from http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.7748/ns.29.31.44.e8681

 

discussion 2

Use of Soap and Water Versus Alcohol-Based Rubs to Prevent Nosocomial Infections

The study chosen for this topic researched the effects of waterless hand rubs versus the traditional hand scrubbing method to prevent infections in surgical rooms.  One hundred operating room staff members from different medical centers were divided into two groups of fifty participants (Chen, Han, Kan, Chen & Hung, 2012).  One group used waterless hand rubs and the other group of workers used traditional hand washing techniques as part of the scrubbing process for surgeries.  The hands of the participants were scrubbed and a bacterial culture was done on the two groups of participants (Chen et al., 2012).  After a forty-eight hour period of bacterial growth of both samples, the results demonstrated bacteria growth was equal among the two groups (Chen et al., 2012).  There were no statistical significance found.  The study concluded that alcohol-based rubs and water provide the same level of protection among operating room staff (Chen et al., 2012).

Strengths and Weaknesses

One of the strengths of the study was the method of conducting the study was the same among the two participant groups (Chen et al., 2012).  The time the participants took in applying the alcohol-based rub and washing hands were the same.  The weakness of the study was the participant sample was rather small (Chen et al., 2012).  A larger study conducted at different facilities provides better evidence of the findings.  Also, a study with a larger sample population may have also resulted in different findings (Chen et al., 2012).

Rationale for the Design

The study selected is a quantitative research that attempted to estimate the required scrubbing times using alcohol-based scrubs and traditional handwashing technique for operating room staff (Chen et al., 2012).  Also the study focused on comparing the use of alcohol-based hand rubs versus the traditional handwashing techniques in prevention of nosocomial infections in the operating room (Chen et al., 2012).

Relationship Between Alcohol and Breast Cancer

The article reviewed focused on possible pathways of alcohol into the breast tissue and possible consequences.  The study also reviewed the women’s age in relations to drinking habits, in an attempt to identify a possible connection between early alcohol consumption among women and breast cancer (Liu, Nguyen, & Colditz, 2015).  The study concluded that moderate alcohol consumption is associated with higher risk of breast cancer (Liu, Nguyen, & Colditz, 2015).

Strengths and Weaknesses

A strength of the study is there was significant evidence to suggest that the risk of cancer increases by thirty-four percent for those women who had an alcohol intake greater than fifteen drinks per day (Liu, Nguyen, & Colditz, 2015).  A weakness identified in the study was that other lifestyle components that may increase the risk of breast cancer were not taken into consideration when conducting the study (Liu, Nguyen, & Colditz, 2015).

Rationale for the Design

This research was focused on the possible influence of timing and patterns of alcohol consumption and the possible mechanisms underlying alcohol and breast cancer association.  The possible pathways of alcohol into the breast tissue were studied (Liu, Nguyen, & Colditz, 2015).  The women’s age in relation to drinking habits for possible connection between early alcohol consumption in women and breast cancer were also studied (Liu, Nguyen, & Colditz, 2015).

Difference in Attitudes Between Male and Female Students Towards Condoms

Female and male participants from a treatment-seeking substance abuse treatment program were studied in relations to their attitudes and skills towards the use of condoms.  The study found that men found more barriers to using condoms than women (Calsyn, Peavy, Wells, Campbell, Hatch-Maillette, Greenfield & Tross, 2013).  The study used electronic interviews for assessment of skills and attitude towards the use of condom (Calsyn et al., 2013).

Strengths and Weaknesses

A strength of the study was the participants researched were at high risk for unprotected sex practice (Calsyn et al., 2013).  A limitation found in the study was that the information was taken from two different studies that were not designed to compare men and women (Calsyn et al., 2013).  Another limitation of the study was the participants studied were a selected population from a drug abuse treatment program, which may or may have not influenced the findings (Calsyn et al., 2013).

Rationale for the Design

The reason for the study was to examine the differences between males and females in relationship to condom use; the attitude towards the practice of wearing condom and the skills among both groups (Calsyn et al., 2013).

 

References

Calsyn, D. A., Peavy, K. M., Wells, E. A., Campbell, A. N. C., Hatch-Maillette, M. A., Greenfield, S. F., & Tross, S. (2013). Differences between men and women in condom use, attitudes, and skills in substance abuse treatment seekers. The American Journal on Addictions / American Academy of Psychiatrists in Alcoholism and Addictions, 22(2), 150–157. http://doi.org/10.1111/j.1521-0391.2013.00312.x

Chen, C., Han, C., Kan, C., Chen, S., & Hung, P. W. (2012). Effect of surgical site infections with waterless and traditional hand scrubbing protocols on bacterial growth. American Journal of Infection Control, 40(4), e15. doi:10.1016/j.ajic.2011.09.008

Liu, Y., Nguyen, N., & Colditz, G. A. (2015). Links between alcohol consumption and breast cancer: A look at the evidence. Women’s Health (London, England), 11(1), 65­77. doi:10.2217/whe.14.62

discussion question

Review the following research questions.

  1. Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
  2. How effective are anti-depressive medications on anxiety and depression?
  3. For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?
  4. What is the relationship between alcohol and breast cancer?
  5. What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?
  6. What is the difference in attitudes of male and female college students toward condoms?

Next, select 3 of the above questions and address the following:

  • Identify an appropriate research design.
  • Discuss the strengths and weaknesses of the design.
  • Provide a rationale for the design you selected

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résumés

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Read Chapter 12

APA FORMAT AND REFERENCES

1. What are three questions you should ask yourself when you begin your job search?

2. What are the most common mistakes people make in preparing their résumés?

3. What should you know about your prospective employer before the job interview?

4. What should the interviewee try to achieve during a job interview? What should you look for? What red flags should you watch for?

5. What can you do in advance to prepare for the changes during the first year of employment?

6. Create your own SWOT analysis. How would you respond to your personal strengths and weaknesses if you were a prospective employer? How can you enhance your strengths and improve in areas of weakness?

7. Draw a career path for yourself, beginning with the present year and extending to the age of retirement. Be sure to include any “twists and turns” of the path you expect to experience along the way and any barriers you expect to encounter. How will you handle these experiences?

Do an online nationwide search for information about current job prospects in nursing.Compare opportunities in various regions of the country. Why do you think these opportunities are the same or different?

8. Develop a list of questions that you should ask a potential employer. What “homework” will you need to do to prepare for an interview?

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chain of infection, and prevention techniques.

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Health care professionals play a crucial role in helping to prevent and control infectious disease. Nurses are an important factor in helping to prevent the spread of infection. As a nurse it is extremely important to understand the infection process, the chain of infection, and prevention techniques.

In the TWO scenarios below, describe in paragraph form what you as a health care provider would do in these situations. Describe what was done right, what was done incorrectly, and what measures could be taken to improve infection control in each scenario.

Scenario 1

A man is recovering from a minor surgical procedure. His son, daughter-in-law, and grandson come to visit him. His daughter-in-law is suffering from what appears to be a bad cold and, although hospital policies prohibit children under the age of 10 from visiting patients in this ward, the 3-year-old grandson still came up.

You notice that the woman is sneezing and coughing into her hands. You also notice that the child keeps moving from his mother’s lap to the patient’s lap in the hospital bed. In addition, you observe that the woman is changing the television stations on the remote control to find something the child can watch.

Scenario 2

A charge nurse on a medical/surgical unit approaches a computer and notices that the keyboard is visibly soiled. She goes to a supply closet to get some disinfectant wipes to clean the keys. When she returns, she notes that a nurse is sitting at the computer using the soiled keyboard. As she watches, the nurse picks up a patient chart, makes a note, and then returns to the keyboard. When she is finished typing, the nurse walks away from the computer and heads for one of the patient rooms. chain of infection, and prevention techniques.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

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health care

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Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:

  1. What is your role as a health care team member?
  2. How do you define professionalism and how does professional responsibility influence your work?
  3. Do you consider yourself a steward of health care? Why or Why not?
  4. Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

In 500-750 words, summarize your interview and share your impressions of the leader’s responses.

Compare and contrast responses provided by your peer (in Professional Identity and Stewardship – Part I: Peer Interview assignment) with those provided by the leader. Share your impressions of their differences and similarities.

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.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

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Transitioning From Closed to Open Systems

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Transitioning From Closed to Open Systems

 

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

 

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

 

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

 

To prepare:

 

  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

 

Post (1) a description of the problem that you identified in your selected organization. (2) Explain the problem from a closed-system perspective. Then, (3) describe how the problem could be addressed by viewing it from an open-system perspective, and (4) explain how this modification would help you and others improve health care outcomes.

 

 

 

Required Resources

 

.

 

Readings

 

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Review Chapter 7, “Strategic and Operational Planning”

      See especially Figure 7.1 on page 147.

    • Chapter 8, “Planned Change”
      • Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)

        Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.

    • Chapter 12, “Organizational Structure”
      • “Organizational Culture” (pp. 274–276)

        There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

  • Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

    This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.

  • Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].

    Except from Abstract: A shared purpose is an essential part of developing effective workplace cultures and one of the founding principles of practice development in establishing person-centred, safe and effective practices that enables everyone to flourish. When units within health care organizations recognize their interdependence, they can create an interdisciplinary practice through systems integration.

  • Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.
    Retrieved from the Walden Library databases.

    In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.

 

Optional Resources

 

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Health Care Reform/ Integration and Reflection

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Module 4 – Case

Health Care Reform/ Integration and Reflection

Case Assignment

The health care reform debate is not a new one. The plan for a  national system was a Hillary Clinton platform when she was First Lady.  In 2010, President Barrack Obama signed into law the Patient Protection  and Affordable Care Act (PPACA). President Donald Trump is now looking  to “repeal and replace” the PPACA.

It is incumbent on us all to become as informed about health care  reform as possible because it affects us, our family, and loved ones.  Use the module readings and your own research to respond to the  following questions:

  1. List and briefly describe 3 of the recommendations for health care reform from experts, interest groups, etc.
  2. Discuss how the Patient Protection and Affordable Care Act (PPACA) fits (or does not fit) with the recommendations.

Length: Submit a 3-page paper, not including the cover page and the reference list.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations.

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