This is a discussion post, about 250 words, tittle page not require In- text citation is required original work please, reference source.
QUESTION
The ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. ethos of scientism.(Read the Introduction and Chapter 1 from Bioethics: A Primer for Christians)
Workflow Assessment for Health IT Toolkit Workflow can be defined as a term used to describe the action or execution of a series of tasks in a prescribed sequence (McGonigle, & Mastrian, 2015).
Workflow tools can help make it easier to redesign workflow and aid in the application of health information technology (U.S Department of Health and Human Services, n.d).
For the purpose of this discussion three workflow tools were selected which include benchmarking interviews and usability evaluation. Benchmarking Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization (U.S Department of Health and Human Services, n.d).
Benchmarking is an important tool that facilitators can use to motivate a practice to engage in improvement work and to help members of a practice understand where their performance falls in comparison to others. Benchmarking can stimulate healthy competition, as well as help members of a practice reflect more effectively on their own performance. Benchmarking can be done by reaching out to peers at other facilities and finding out what they do and if it works well. My facility has many other sister and we are the bigger where we encounter most of the problem. The common system that all we use is the point click care. What I going to do is to contact all the leader of the entire facility sister, so we can have a meeting to debate about each system in place in each facility. I would want to physically see how the design of their system works and if the charting works well. Because nurse has to be involve in and informatics technology process, I would bring with me 2 to 3 clinical managers nurses to see the charting, so they could also see the new idea and give feedback on their feelings about it. Based on the information gathered I would plan a process to implement the new ideas into the charting system at our facility.
Interviews provide a means of eliciting information from a group of individuals regarding their opinions, behavior, or knowledge (U.S Department of Health and Human Services, n.d). Here the interview involves 2 to more people and during the interview, data are collected and most of the time, it is the interviewee who provide data Here, I will set up an interview with 2 to 3 leaders form the sister facility where I will ask questions about sensitive issues, to determine users’ needs on the systems and to clarify some of my questions question.
Usability evaluation A usability evaluation is conducted to determine the extent to which a system is easy to use or “user friendly.” (U.S Department of Health and Human Services, n.d). Here I will determine if the new system is useful to user and if it is easy for to use it before implementation. Here I will determine the goal of my evaluation, what will be evaluated and how? For that I will choose some main staff from each sister facility who will conduct the survey to the rest of the staff to see how easy it is for them to use the informatics system. Based on the result, I will see what the areas of improvement before the implementation. The article I will be use the information to improve workflow within your organization is: Improvement of workflow and processes to ease and enrich meaningful use of health information technology (Singh & al., 2014). In this article the author develop a self-contained workflow toolkit that uses ‘universal visual language’ and recognizes that most practices lack the required expertise and often need external assistance because the current methods (using esoteric charts or various software packages11 that require long and steep learning curves) are alien to health care workers and are, therefore, perceived to be barriers (Singh & al., 2014). It is a well established fact that, in any setting or industry, better management of work processes leads to improved value. Education and training of stakeholders in this management skill needs appropriate tools. The toolkit particularly addresses the ‘system-based practice’ and ‘practice-based learning and continuing improvement’ (Singh & al., 2014). Base on that, I will educate staff by using that pictorial tool for assessing the current and continuing redesigns of future workflows for achieving staff comfort, efficiency, communication, organization, productivity, effectiveness, safety, and satisfaction of patients and staff, all without having to seek outside help. According to Caspi (2015), it is clear that informatics nurses will continue to be instrumental players in the analysis, implementation, and optimization of advanced information systems and emerging technologies that aim to improve the quality of patient care, while reducing costs.
Caspi, H. (2015). The significant impact of nursing informatics on workflow, productivity. Healthcare Dive. Retrieved from https://www.healthcaredive.com/news/the-significant-impact…workflow…/387301 McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning. Chapter 13, “Workflow and Beyond Meaningful Use” Singh, R. Singh, A., Singh, R., Singh, R. (2014). Improvement of workflow and processes to ease and enrich meaningful use of health information technology. DOI: 10.2147/AMEP.S53307. Retrieved form Walden library. U.S department of health and human services (n.d.b). Workflow Assessment for Health IT Toolkit.http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:
Three peer-reviewed, scholarly or professional references are required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:
Three peer-reviewed, scholarly or professional references are required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
As written in our textbook, “Social exchange theoryessentially entails a weighing of the costs and rewards in a given relationship. Rewards are outcomes that we get from a relationship that benefit us in some way, while costs range from granting favors to providing emotional support.”
1. Identify two (2) personal relationships (remember these relationships meet emotional, relational, and instrumental needs, as they are intimate, close, and interdependent relationships such as those we have with best friends, partners, or immediate family)
2. Write a few sentences describing the first relationship (without using names).
3. Write three (3) paragraphs about this relationship explaining the costs, rewards, interdependence, and commitment. Be sure to include:
Material Rewards
Time Rewards
Health Rewards
Emotional Rewards
Material Costs
Time Costs
Health Costs
Emotional Costs
4. Write a few sentences describing the second relationship (without using names).
5. Write three (3) paragraphs about this relationship explaining the costs and rewards (listed above), interdependence, and commitment.
In Week 4, you will continue to assume the role of the public health informatician and use your pre-intervention asthma surveillance data set from the CDC to calculate risk/odds ratios and prevalence/incidence rates. Review the data set from a population perspective and calculate various population ratios and rates for the asthma data in your Excel spreadsheet. You will then answer the following questions in a short application paper of 3–4-pages, explaining your results. You may refer to the suggested readings for this week.
Ratios and Rate Questions
[Note: School populations: Asthma elementary student count in this study is 800 for this school year. School’s population (A + B + C + D) = 7,200 students for this school year.]
Does one school have a higher number of students with asthma?
Which school has the highest number of students with wheezing?
How many students had both asthma and wheezing?
If you have asthma, what are the odds that you also have wheezing?
Is the odds ratio for bronchitis and RAD lower or higher than asthma and wheezing?
How many children with wheezing were prescribed medication? From those results, what is the risk ratio?
Is the risk ratio for being prescribed medication for asthma higher or lower than being prescribed medication for wheezing?
Are the risk ratios for asthma and wheezing higher for children under the age of 10 than they are for the survey population as a whole?
What is the student asthma prevalence for the school district, i.e., A, B, C, D based on total student population as shown above?
What is the student asthma incident rate for the school district, i.e., A, B, C, D based on total student population as shown above?
In a summary, provide your interpretation of what your statistical ratio and rate calculations results demonstrate about this grade school population of students’ asthma risk and odds ratios, prevalence, and incidence rates. Explain how you may use this data in supporting the need and development of a public health asthma prevention program. You may use the prevalence resources in the links provided for your summary response.
Submission Details:
Give reasons and examples in support of your responses. Cite all sources using APA format.
Submit a 3–4-page paper in a Microsoft Word document to the Submissions Area by the due date assigned.
Quality Indicators
How do you define quality as it pertains to health care and the practice of nursing? Some nurses may define quality as effective interdisciplinary teamwork that results in better patient-health outcomes, while hospital administrators may define quality as appropriately delegated responsibilities, completion of tasks, and effective patient flow. Due to the subjective nature of the term, quality is a topic of great debate.
In an effort to define quality in health care, standards have been developed to establish consistency and provide guidance. The National Database of Nursing Quality Indicators (NDNQI) outlines nursing-sensitive indicators that encompass measurement scales for quality of nurse professionals as well as quality of the services provided by nurses to patients. In this week’s Discussion, you evaluate the determinants of quality.m based on the NDNQI indicators and the theoretical underpinnings of these quality indicators. You apply nursing-sensitive indicators to your current setting and assess how each definition of quality contributes to the idea of quality overall.
To prepare:
By tomorrow 12-06-2017 by 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include the level one headings as numbered below:
post a cohesive scholarly response that addresses the following:
1) Identify two nurse-sensitive indicators of quality that relate to patient care and analyze the influence of early quality improvement theories and philosophies on the development of those indicators. For this exercise, do not choose nurse sensitive indicators that relate to staffing levels.
2) Find and cite at least 2 nursing research articles you located and evaluate how these indicators influence a practice setting (See attached PDF for the 2 Articles).
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.
Chapter 3: “Variation in Medical Practice and Implications for Quality”
Chapter 4: “QI Foundation, Processes, Tools and Knowledge Transfer Techniques”
Chaboyer, W., Johnson, J., Hardy, L., Gehrke, T., & Panuwatwanich, K. (2010). Transforming care strategies and nursing-sensitive patient outcomes. Journal of Advanced Nursing, 66(5), 1111–1119. doi: 10.1111/j.1365-2648.2010.05272.x
The authors of this article attempt to reduce medication errors, patient falls, and ulcers by using Transforming Care at the Bedside, which is a framework that values safety and reliability, creates a good work environment, is centered on the patient, and increases value. They conclude that these principles are able to positively affect their patients, but some aspects of the study may be inconclusive.
Gerritsen, D.L., & van Beek, A. P. A. (2010). The relationship between organizational culture of nursing staff and quality of care for residents with dementia: Questionnaire surveys and systematic observations in nursing homes. International Journal of Nursing Studies, 47(10), 1272–1282.
After briefly discussing the background of organizational culture, the study in this article focuses on how organizational culture affects quality of care in long-term care. It uses two independent measurements and determines that different styles of organizational culture affect the quality of care.
The American Nurses Association, Inc. (2011). Nursing-sensitive indicators. Retrieved from http://web.archive.org/web/20120921021800/http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1.aspx
From the American Nurses Association, this article discusses nursing-sensitive indicators. It provides a definition of the term and then describes the development process and indicator list.
American Nurses Association. (2011). National Database of Nursing Quality Indicators. Retrieved from http://www.nursingworld.org/
This website acts as a database for unit-specific nurse-sensitive information that comes from multiple health care organizations.
Agency for Healthcare Research and Quality. (n.d.) Retrieved from http://www.ahrq.gov/
The provided link takes you to the homepage of the Agency for Healthcare Research and Quality (AHRQ), where you can find information about improving safety and quality in the health care industry.
National Quality Forum. (2011). Retrieved from http://www.qualityforum.org/Home.aspx
Various members of the health care community can become members of the National Quality Forum (NQF) through this site. The nonprofit organization NQF aims to increase quality improvement for its members.
The 2 Articles Selected
1. Storer Brown, D. (2016). Perspectives in Ambulatory Care. Ambulatory Care Nurse-Sensitive Indicators Series: Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments. Nursing Economic$, 34(3), 147-151.
2. Wilson, M. (2011). Addressing the problems of long-term urethral catheterization: Part 1. British Journal Of Nursing (Mark Allen Publishing), 20(22), 1418.
Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain. Onset of the pain was 2 days ago. Mr. Y denies any known trauma to his right foot or his great toe on that foot. His right great toe is red and became so swollen in the last day that he cannot put on his shoe.
Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily. He denies any other medical problems.
Results of the lab tests that were ordered:
Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl
Assignment Details
Research an existing health care organization and pinpoint a strategy used for recruiting, training, motivating, and empowering health care staff and professionals. Use this organization’s strategy as a reference point when creating your own 3-5 page strategic recruitment plan. At least 2 scholarly articles in addition to your textbook should be used for citations in the assignment, and all sources should be peer-reviewed.
You are to complete the following portions of your health care organization strategic recruitment plan:
SUGGESTED:
Deliverable Length: 1050 words minimum (3-5 pages)
In Part A, (attached) you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.
Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.
In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following:
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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