Tag Archive for: nursing

organizational complexity

/0 Comments/in /by

Practicum Journal Template

 

 

Student Name:

E-mail Address:

Practicum Placement Agency’s Name:

 

 

 

Practicum Learning Objectives

 

·         Describe the organizational complexity of your Practicum setting

·         Critique the organizational information technology infrastructure

·         Identify roles within the interdisciplinary informatics team

·        Analyze the role of the nurse informaticist

 Practicum Experience Journal

 

You must submit a journal entry in the assigned week, even if you are not on site that week. If you are not on site for a week in which a journal entry is due, reflect on experiences from any of the previous weeks of this course. Place the references for each week’s entry immediately after that week’s content. Remember to use APA style when writing your journal entry and references.

 

Begin each journal entry on a new page. The template has a ‘new page’ command inserted before each weekly label. Be sure to delete any blank pages that appear between each week’s entry.

 

Practicum Experience Journal Entries  (Weeks 2–3)

 

Journal Entries Due Week 3 (References immediately follow the content)

 

From Week 2:

 

Journal Assignment—Part 1

After reviewing the Practicum Weekly Resources and speaking with your Preceptor, record responses to the following in your Journal:

·         A clearly articulated statement of your area of interest and career goals(Nurse Informatics Specialist)

·         A description of what it means to be a nursing professional

o   How would this influence how you dress, speak, and act?

o   What special considerations do you need to take into account when going to your Practicum site?

·         A description of three things you could do to increase your personal professionalism

Journal Assignment—Part 2

Note: Each week, you are responsible for locating a scholarly Journal article in the Walden Library related to your area(s) of interest. Include in your Journal the reference in proper APA format, and provide a brief summary of the article. The article from each week will serve as the genesis of the bibliography in your final Practicum course (NURS 6600), so time spent locating pertinent articles now will be beneficial. See Attached PDF Week 2 article in file area

Beckham, R., & Riedford, K. (2014). Evolution of a Graduate-Level Informatics Course for the Noninformatics Specialist Nurse. Journal For Nurse Practitioners, 10(6), 387-392. doi:10.1016/j.nurpra.2014.03.012

Journal Assignment—Part 3

Practicum Onsite Visits

Summarize the key activities of your visits to your Practicum site (as appropriate), including with whom you met (I met with Jeanette Jefferies and Mary Ann Dinietro who are both Nursing Informatics Specialist, April Saathoff who is the Nursing Informatics Manager and my preceptor,Nycki Bezold who is the manager of special projects, Stacy Brull who is Sr. Director Education & Research and Magnet) what you did (Attended a meeting about implementing a patient and nurse call system, assisted in staff training on how to document in their Meditech system, Assisted in a meeting on the hospital project for switching system from their current Meditech system to Epic EHR system), and what you gained from the experience ( The experience I gained …).

 

 

Journal Entries Due Week 3 (References immediately follow the content)

 

From Week 3:

 

Journal Assignment—Part 1

After examining the Practicum Weekly Resources, record responses to the following in your Journal:

·         Describe systems thinking as it applies to your Practicum site.

·         In what ways is the system effective? What potential issues or problems do you notice?

·         Why is it important to consider systems thinking in any IT project?

Journal Assignment—Part 2

Note: Each week, you are responsible for locating a scholarly journal article in the Walden Library related to your area(s) of interest. Include in your Journal the reference in proper APA format, and provide a brief summary of the article. The article from each week will serve as the genesis of the bibliography in your final Practicum course (NURS 6600), so time spent locating pertinent articles now will be beneficial. See attached PDF on Week 3 Article in file area

Trbovich, P. (2014). Five ways to incorporate systems thinking into healthcare organizations. Biomedical Instrumentation & Technology, 4831-36. doi:10.2345/0899-8205-48.s2.31

 

Journal Assignment—Part 3

Practicum Onsite Visits

Summarize the key activities of your visits to your Practicum site (as appropriate), including with whom you met, what you did, and what you gained from the experience.(Just make anything up related to the topic please).

 

 

 

Practicum Week 2 Resources

Readings

 

   Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.

 

Retrieved from the Walden Library databases.

This article examines the various constituents that make up the nursing informatics workforce. In particular, the article highlights key positions and provides details on their duties.

 

Staples, S. (n.d.). Are you a nursing professional? [Blog post]. Nurse Together. Retrieved from http://www.nursetogether.com/are-you-a-nursing-professional–

The author of this article highlights the attributes of a professional nurse. The article emphasizes appearance, mutual respect, and a commitment to learning and excellence.

 

Media

 

Hamer, S. (n.d.). Nurses and the importance of informatics. London, GB: Department of Health Informatics Directorate. Retrieved from http://www.connectingforhealth.nhs.uk/engagement/clinical/ncls/nurses/shamer

Note: The approximate length of this media piece is 7 minutes.

In this video, Dr. Susan Hamer explains the importance of informatics in the health care field. The video also examines in detail many of the challenges of nursing informatics.

 

 

Practicum Week 3 Resources

Readings

 

Swanson, R. C., Cattaneo, A., Bradley, E., Chunharas, S., Atun, R., Abbas, K. M., et al. (2012). Rethinking health systems strengthening: Key systems thinking tools and strategies for transformational change. Health Policy and Planning, 27(Supplement 4), iv54–iv61. Retrieved from http://heapol.oxfordJournals.org/content/27/suppl_4/iv54.full

 

 

 

This article explores how systems thinking can facilitate transformational change in health care. The article describes tools and strategies that are influenced by systems thinking, and how they may be used across different contexts.

 

Media

 

    Farmer, P. (2009). On systems thinking in the delivery of health care. Reflections on Leadership for Social Change. Dartmouth University. Retrieved from http://www.youtube.com/watch?v=ukRjaQwGM3E

This video presents a perspective on the necessity of systems thinking in the health care field. The video provides information on how systems thinking can improve delivery in health care around the world.

Basic Windshield Survey – Urban

/0 Comments/in /by

Basic Windshield Survey – Urban
You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®. Since this is your first tour, please select the slowest speed and stay on the bus the entire time at least once before getting off the bus.

As you take the tour, write down your observations, specifically those that align with the demographics and/or subsystems listed in the left-hand column of the rubric.

Describe the characteristics of the people you see in Sentinel City®.
What are the race/ethnicity distribution, age ranges, and gender mix?
Are there signs of poverty or wealth? What are they?
Who do you see on the streets?
Parent with child, teens, couples, disabled persons?
Are there homeless persons, beggars, etc.?
Is there anyone in the city you would not expect to see?
Are there dogs on or off the leash? Are there other animals?
Are there churches and what are their denominations?
Compile your observations addressing each item listed in the first column of the rubric. You are encouraged to add other relevant characteristics you observe that may not be listed in the first column.

Select a target population of interest and discuss relevant demographic data and health status indicators for this population group. Identify major health concerns for this target population. Include discussion of major health concerns in relation to a global health issue.

Reading and Resources

Harkness & DeMarco (2016) Read Chapters 1 & 2
Read all Sentinel City information available at the top of the course homepage.
Visit QSEN: Quality and Safety Education for Nurses
Read the Report: The Future of Nursing: Leading Change, Advancing Health
Read the Report: The Future of Public Health
Review Final Project Requirements
Watch the Henry Street Settlement: 120 Years in 4 Minutes Video
View this 9 minute video entitled Community Assessment Windshield Survey, to help you see what types of things to look for when you conduct a windshield survey in the Sentinel City simulation
Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Option

Instruction

Paper

4 to 6-page paper. Include title and reference pages.

Note: Title and reference pages/slides do not count towards the count requirements.

Attachments areaPreview YouTube video Henry Street Settlement: 120 Years in 4 MinutesHenry Street Settlement: 120 Years in 4 MinutesPreview YouTube video Community Assessment Windshield Survey

organizational mission

/0 Comments/in /by

Reflect upon a current or previous organization, and consider the organizational mission, vision, and values, as well as the organizational culture and leadership practices.

1. Provide a concise introduction for your posting.

2. In what ways did the organizational mission, vision, and values reflect a culture of excellence?

a. How were the mission, vision, and values similar to and different from your personal philosophy of nursing and core values?

b. How were the mission and values reflected in the organizational culture and leadership?

3. Identify one recommendation for improvement or further enhancement of congruence between organizational mission/values and the day-to-day organizational culture and leadership practices that you observed. organizational mission Include your rationale. How might the LEAN Six Sigma approach be applied to address this gap?

4. Recommend one leadership approach or strategy that can be applied to support a culture of excellence within your future MSN role. Include your rationale and the intended impact.

5. Conclude with a succinct synopsis of key points and concise self-reflection of how this topic contributes to your growth as a future leader in the chosen specialty track.

Please note that the requirements for the Peer Engagement Forum are different from what you are accustomed to in the traditional discussion boards in your previous classes. Refer to the assignment guideline and rubric listed below for specific requirements regarding expectations for postings within the peer engagement forum.

Implementation Strategies

/0 Comments/in /by

Implementation Strategies

Throughout this course, you have been developing a workflow redesign that could be applied in a health care practice setting. However, determining an appropriate workflow redesign is only part of the process. It is much easier to design something on paper than it is to actually make it work effectively within an organization. Nurse informaticists must consider how the workflow redesign can be implemented in a real-world organization. Attention needs to be focused on understanding organizational risks, organizational culture, and the needs of the end user. Implementing a new project may be disruptive. The key is to plan in such a way as to minimize this disruption as much as possible.

In this Discussion, you consider possible implementation strategies for the workflow redesign measure that you selected for your Course Project. (Incomplete Medication Reconciliation)

To prepare:

Review the articles in this week’s Learning Resources and reflect on the insights they provide on implementing a workflow redesign project within a health care setting. Also reflect on your past experience with workflow redesign and technology integration. What implementation strategies were applied?
Review pages 377–397 (SEE ATTACHED PDF FILE) in the Dennis & Wixom textbook. Identify a specific implementation or conversion strategy that would be appropriate for the workflow redesign you selected for your Course Project. For example, will it be a phased implementation? If so, which applications will be launched first, and why?
Consider why the strategy you selected would be appropriate for the scope of your workflow redesign project and your practice setting. Reflect on how it will support the needs of end users.
Consider the benefits and drawbacks of applying the implementation strategy you selected. What would the positive outcomes be? What potential challenges or barriers might you encounter?

With these thoughts in mind:

Post by tomorrow 10/18/2016 a minimum of 550 words essay in APA format with 3 references from the required readings below. Apply the level one headings as numbered below:

1) A summary of the workflow redesign measure you plan to use for Part 3 of your Course Project. (Incomplete medication reconciliation)

2) Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign.

3) Explain the potential outcomes of this strategy, including benefits and potential obstacles.

Required Readings

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

Chapter 12, “Moving Into Implementation” (pp. 377–397)

In this chapter, the authors explore the process of assigning, initializing, and completing tasks during the information system development phases. They also clarify what occurs in this phase of the process and how to insure the best results.

Chapter 13, “Transition to the New System” (pp. 400–424)

The focus of this chapter is on the process of transitioning from one method of collecting and storing information to a new information system. It explores the immediate effect of those changes and how to prepare your organization to profit from the improvements.

Gagnon, M.-P., Ouiment, M., Godin, G., Rousseau, M., Labrecque, M., Leduc, Y., & Abdeljelil, A. B. (2010). Multi-level analysis of electronic health record adoption by health care professionals: A study protocol. Implementation Science, 5, 30–39.

Retrieved from the Walden Library databases.

In this article, the authors seek to determine the best method for ensuring the adoption of electronic health records (EHR). They review a number of different theoretical frameworks for facilitating the adoption process and then outline a research study to determine which model is most relevant.

Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1), 22–31.

Retrieved from the Walden Library databases.

The authors of this study conducted a systematic literature review to examine current research on the implementation and use of electronic health records. Their review indicated that some of the key factors in determining the success of an implementation were the design of the interface, project management, and functionality. Data security was also a concern.

van Achterberg, T., Schoonhoven, L., & Grol, R. (2008). Nursing implementation science: How evidence-based nursing requires evidence-based implementation. Journal of Nursing Scholarship, 40(4), 302–310.

Retrieved from the Walden Library databases.

This article examines the reasons behind persisting ineffective practices in nursing. The authors review relevant strategies for successfully changing behavior and implementing new products.

Optional Resources

Leonard, J. (2011). Implementation. Retrieved from http://igcseict.net/systems_analysis_and_design/implementation_overview.php

healthcare program,

/0 Comments/in /by

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Medicare Reimbursement

/0 Comments/in /by

Medicare Reimbursement

This assignment will test your knowledge of reimbursement methods of the Medicare program. Below, there are five scenarios that deal with the reimbursement of services provided to a patient enrolled in the Medicare program. Pay close attention to the details in each scenario such as whether the provider accepts Medicare or not. Use Chapter 9 (starting on page 322 of the textbook) to help you with calculating reimbursement. Show your work.

  1. Mr. Allgood was just discharged from Meadowview Medical Center after receiving a procedure on his left leg. Mr. Allgood has Medicare coverage, which Meadowview accepts as a participating provider. Meadowview charges $215 for the procedure and the Medicare Physician Fee Schedule (MPFS) for the procedure is $150. What amount would Medicare be responsible for paying?
  2. Mrs. Holloway has just received a bill from Oceanside Surgery Center regarding her recent outpatient surgery. Oceanside accepts Medicare assignment and charges $1,000 for her surgery. The MPFS for this surgery is $917. Mrs. Holloway was billed $200 from Oceanside Surgery Center. Considering that Mrs. Holloway is enrolled in the Medicare program, was she billed the correct amount? Explain why or why not.
  3. Mr. Tee underwent a medical procedure on his lower back and is a Medicare patient. Mr. Tee has a good rapport with a local medical provider and wants them to do the procedure on him. This local provider is a non-participating provider and does not accept assignment from Medicare. The MPFS for the lower back procedure was $849. What amount is Medicare responsible for paying? How much is the patient responsible for paying?
  4. Ms. Poppins has just received treatment for an ailing hip from New Scenery Medical Group which accepts Medicare. New Scenery Medical Group charges $73 for the treatment provided to Ms. Poppins, and the MPFS for the treatment is $70. If Ms. Poppins is responsible for $14, how much can New Scenery Medical Group write-off as uncollectible?
  5. Mr. Rogers was seen by Uptownship Healthcare where he was provided medical services to address pain in his abdomen. This provider does not accept Medicare assignment and charges $750 for this type of service. The MPFS for the service is $615. Provide the amounts for the items listed below:
    1. limiting charge,
    2. Medicare’s portion,
    3. the patient’s portion, and
    4. the amount the provider can write off.

role of government

/0 Comments/in /by

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 1, 2
  • Lesson
  • Minimum of 1 scholarly source

Instructions
One role of government is to ensure that policies benefit the people within their jurisdiction.

  • For local governments, it would be the townspeople or city dwellers.
  • For the state governments, it would be the people living within the state.
  • For the federal government, it would be everyone within the borders of the country.

Using an ideology discussed in the textbook, construct an argument explaining how this ideology upholds the public good by examining power, order, and justice.

Select an ideology discussed in the textbook. In an essay, examine how power, order, and justice as it relates to the ideology you choose promotes the public good.

Writing Requirements (APA format)

  • Length: 1.5-2 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 1 scholarly source and textbook/lesson)

Building an Evidence-Based Practice

/0 Comments/in /by

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

Textbook1. Understanding Nursing Research: Building an Evidence-Based Practice

Read Chapters 13 and 14 in Understanding Nursing Research: Building an Evidence-Based Practice.

http://evolve.elsevier.com.

http://gcumedia.com/digital-resources/elsevier/2014/understanding-nursing-research_building-an-evidence-based-practice_ebook_6e.php

formatting errors 

/0 Comments/in /by

Evaluation Title: APA Formatting: You’re the Instructor Evaluation Title: APA Formatting: You’re the Instructor

Let’s imagine you are a college instructor! Congratulations! Now it’s time to get to work.
Your students have submitted research papers in APA style. Using the Purdue OWL website (Links to an external site.)Links to an external site., the APA Style website (Links to an external site.)Links to an external site., and/or the Herzing library APA resources, identify at least 8 APA formatting errors in the student paper below.

Explain each error in a numbered list, using full sentences for each.

After you complete your assignment in a Word document, save your work, and then you will need to attach the completed document to your submission. The process will be similar to making an attachment to an e-mail:

  • Click Submit Assignment (upper right corner)
  • Under Attach File, click on “Browse My Computer.”
  • Look up your saved document, and click “Open.”
  • Click “Submit.”

Your assignment submission should be a Word document that fully adheres to the instructions listed above.  Be sure to proofread your assignment.

Assignment File(s)Evaluation Title: APA Formatting: You’re the Instructor

Let’s imagine you are a college instructor! Congratulations! Now it’s time to get to work.
Your students have submitted research papers in APA style. Using the Purdue OWL website (Links to an external site.)Links to an external site., the APA Style website (Links to an external site.)Links to an external site., and/or the Herzing library APA resources, identify at least 8 APA formatting errors in the student paper below.

Explain each error in a numbered list, using full sentences for each.

After you complete your assignment in a Word document, save your work, and then you will need to attach the completed document to your submission. The process will be similar to making an attachment to an e-mail:

  • Click Submit Assignment (upper right corner)
  • Under Attach File, click on “Browse My Computer.”
  • Look up your saved document, and click “Open.”
  • Click “Submit.”

Your assignment submission should be a Word document that fully adheres to the instructions listed above.  Be sure to proofread your assignment.

Assignment File(s)Evaluation Title: APA Formatting: You’re the Instructor

Let’s imagine you are a college instructor! Congratulations! Now it’s time to get to work.
Your students have submitted research papers in APA style. Using the Purdue OWL website (Links to an external site.)Links to an external site., the APA Style website (Links to an external site.)Links to an external site., and/or the Herzing library APA resources, identify at least 8 APA formatting errors in the student paper below.

Explain each error in a numbered list, using full sentences for each.

After you complete your assignment in a Word document, save your work, and then you will need to attach the completed document to your submission. The process will be similar to making an attachment to an e-mail:

  • Click Submit Assignment (upper right corner)
  • Under Attach File, click on “Browse My Computer.”
  • Look up your saved document, and click “Open.”
  • Click “Submit.”

Your assignment submission should be a Word document that fully adheres to the instructions listed above.  Be sure to proofread your assignment.

Assignment File(s)vEvaluation Title: APA Formatting: You’re the Instructor

Let’s imagine you are a college instructor! Congratulations! Now it’s time to get to work.
Your students have submitted research papers in APA style. Using the Purdue OWL website (Links to an external site.)Links to an external site., the APA Style website (Links to an external site.)Links to an external site., and/or the Herzing library APA resources, identify at least 8 APA formatting errors in the student paper below.

formatting errors Explain each error in a numbered list, using full sentences for each.

After you complete your assignment in a Word document, save your work, and then you will need to attach the completed document to your submission. The process will be similar to making an attachment to an e-mail:

  • Click Submit Assignment (upper right corner)
  • Under Attach File, click on “Browse My Computer.”
  • Look up your saved document, and click “Open.”
  • Click “Submit.”

Your assignment submission should be a Word document that fully adheres to the instructions listed above.  Be sure to proofread your assignment.

Assignment File(s)

Cannabis 101 for Nurses

/0 Comments/in /by

Assignment:

Cannabis 101 for Nurses

Write a 1000-1500 word essay addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • Explain how cannabis works in the body by including information regarding the endocannabinoid system (ECS) and endocannabinoid deficiency syndrome.
  • Describe four different delivery routes patients may use cannabis, the onset of action for each, and one pro and one con of each route.

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the prompts in a clear, concise manner.

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions.  A minimum of three (3) scholarly sources and the textbook are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)