The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate a multidisciplinary conference for the client who is
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My QI for this assignment is pressure ulcer Describe how this QI has the potential to improve the quality safety and outcomes of your patient and their families Describe the current data available and leadership goal for improvement Draft a solution using 2 sources from professio…
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The order was placed through short procedure (customer skipped some order details). Please clarify some paper details before tarting to work on the order.
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Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?
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In class you will be conducting a geriatric functional assessment. Specifically you need to be prepared to conduct a brief health history and use the following two tools (found in your textbook) on “clients” your instructor provides.
At the end of the geriatric functional assessment you will be asked to document your findings.
Your instructor may ask you to submit your documentation. If so,
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#1:
The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the topic material “Nursing and Health Reform.” Discuss how these two provisions have impacted, or will impact, your current practice of nursing.
#2:
Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?
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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).
Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.
Review “Singapore Airlines Case Study.”
Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.
Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.
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 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.
Rubric
1. Case study assesses the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. 30%
2. Case study including a strategic plan that addresses issues pertaining to network growth; is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. 10%
3. Case study including a strategic plan that addresses issues pertaining to nurse staffing is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. 10%
4. Case study including a strategic plan that addresses issues pertaining to resource management is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. 10%
5. Case study including a strategic plan that addresses issues pertaining to patient satisfaction is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. 10%
6. A detailed and clear discussion is presented comparing a health care organization or network and Singapore Airlines. 5%
7. Cultural issues influencing proposed practices are thoroughly discussed. Detailed information and support is provided to establish how these influence the proposed practices. 5%
8. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear. 5%
9. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless. 5%
10. Writer is clearly in command of standard, written, academic English. 5%
11. All format elements are correct. 2%
12. In-text citations and a reference page are complete. The documentation of cited sources is free of error. 3%
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Respond by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.
Main Post
Big data provides knowledge, insight, ideas and the potential to expand opportunities within an organization (McGonigle & Mastrian, 2018, p. 478). Considerable amounts of data have been collected through the EMR over the past decade creating a challenge for nurse scientist to find nuggets of information in tsunami of data (Gephart, Davis, & Shea, 2017). The amount if big data can be difficult for those required to examine and retrieve information. Despite the overwhelming amounts of big data, it does come with benefits, challenges and risk associated with its use.
A benefit to using big data is the ability to communicate with a large group of patients at one time. For instance, a physician can send a message out to a large group of patients in a short period of time with the use of big data (Laurete Education, 2018). A physician’s office can remind large group of patients of appointment reminders, lab appointments or alert them to call the md office with abnormal lab results. This cost effective and convenient as it allows consistent measures to monitor the practice.
A potential challenge of using big data is the fine line of deciding who owns and who can use the data (Shanthagiri, 2014). For example, the data sources include the patient’s private health information which could now be potentially shared with labs, pharmacies, social media in addition to their physician (Shanthagiri, 2014). The enforcement of privacy of PHI and HIPPA is strict. The potential for error with big data is a high risk.
Working with the VA medical center, I observe strict monitoring and firewalls ensuring safety of patient’s PHI. The vulnerability of exposure of personal health information to social media or social networks is a constant threat. The EMR not only stores health data but also houses the patient’s personal information such as social security numbers, addresses, and birthdays. A strategy to combat this potential problem is a strong malware and security system monitored 24 hours a day 7 days a week. The VA medical center monitors all information going in and going out of the EMR with it’s own security department specific for data protection. Each user is tagged to this information and can be traced. The VA will immediately terminate privileges should a user of the EMR violate any firewall in the system. They monitor everything as they should.
As a bedside nurse I am aware of my contribution to this data however, I am not exposed to the cumbersome job of disentangling this information or protecting it. I know the potential benefit of collecting this information is to provide information as it relates to quantifying and qualifying illness, providing evidence for practice. That being said, big data will continue to grow as we knowledge workers continue to contribute and technology advances.
References
Gephart, S., Davis, M., & Shea, K. (2017, December 13, 2017). Perspectives on Policy and the Value of Nursing Science in a Big Data Era. SAGE Journals. https://doi.org/https://doi-org.ezp.waldenulibrary.org/10.1177/0894318417741122
Laurete Education. (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Retrieved from https://class.waldenu.edu/bbcswebdav/institution/USW1/201950_27/MS_NURS/NURS_5051_WC/USW1_NURS_5051_module03.html?course_uid=USW1.1425.201950&service_url=https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/wslinks&b2Uri=https%3A%2F%2Fclass.waldenu.edu%2Fwebapps%2Fbbgs-deep-links-BBLEARN#resources
McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones & Bartlett Learning.
Shanthagiri, V. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw
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Root cause analysis paper and graph: Chapter 9 also talks about it besides the resources below and please follow the grading rubric. On the last assignment, i sent you the rubric that was followed to score the first assignment but still missed in the 2nd assignment as well. It’s due by next Thursday noon. Please confirm.
Root cause analysis (RCA) is a structured method used to analyze serious adverse events. Initially developed to analyze industrial accidents, RCA is now widely deployed as an error analysis tool in healthcare. A central tenet of RCA is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals. RCA thus uses the systems approach to identify both active errors (errors occurring at the point of interface between humans and a complex system) and latent errors (the hidden problems within healthcare systems that contribute to adverse events). It is one of the most widely used retrospective methods for detecting safety hazards (Retrieved April 17, 2015 from Root Cause Analysis | AHRQ Patient Safety Network ) .
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https://psnet.ahrq.gov/resources/resource/25496
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https://www.psnet.ahrq.gov/primers/primer/10
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https://psnet.ahrq.gov/glossary/activeerror
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https://psnet.ahrq.gov/primers/primer/24
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https://psnet.ahrq.gov/primers/primer/21
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https://psnet.ahrq.gov/glossary/latenterror
Directions:
1. Students will identify a current problem or issue occurring on a nursing unit or within a healthcare organization.
2. Students will identify at least five (5) stakeholders and interview them to determine the root causes of the problem.
3. The student will write a three to four page paper describing the issue and the results of the interviews. Paper will be in APA 6th ed. Format.
4. The student will provide a complete Root Cause Analysis graph.
Resources:
· Root Cause Analysis for Healthcare – https://www.jcrinc.com/assets/1/14/EBRCA15Sample.pdf
· Root Cause Analysis Sample Video– Medication Errors – https://www.youtube.com/watch?v=ESrTr08fLB4
· Root Cause Analysis Samples and Templates – EXAMPLE PROBLEMS & RCA TEMPLATES
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https://www.sologic.com/en-us/resources/example-problems
Grading Rubric:
| Criteria | Superior | Above Average | Competent
|
Below Standard | Far Below Standard |
| 95-100 | 87-94 | 84-86 | 73-83 | <72 | |
| Introduction/ Objective
|
Objective is precise, knowledgeable, significant, and distinguished from alternate or opposing options. | Objective is precise and knowledgeable. | Objective is acceptable. | Objective may be unclear or irrelevant. | Objective is missing. |
| Scope/ Evidence
|
Skillfully arranges evidence to set up premise of the issue.
Persuasively builds the case with supportive evidence. Elaborates on all key points of the issue. |
Clearly sets up premise of the issue.
Persuasively builds the case. Covers key points of the issue. |
Sets up premise of issue.
Sufficiently persuasive to the case. Adequate development of key issues.
|
Poorly sets up the premise of the issue
Minimally persuasive to the case. Poor development of key issues. |
No premise set up.
Not persuasive to the case. Absence of key issues. |
| Analysis
|
Skillful recommendations and/or specific action. Suggested action is reasonable. | Clear recommendations and/or specific action. Suggested action is reasonable. | Sufficient recommendations and/or specific action. Suggested action is reasonable. | Vague about specific action.
Action minimally reasonable.
|
Absence of specific action.
Action completely unreasonable. |
| Conclusion
|
Conclusion is precise, knowledgeable, significant, and distinguished from alternate or opposing options. Skillfully implicates impact on nursing practice, patient safety and healthcare quality. | Conclusion is precise knowledgeable and significant.
Clearly states impact on nursing practice, patient safety and healthcare quality. |
Conclusion is appropriate.
Provides a basic explanation of the impact on nursing practice, patient safety and healthcare quality. |
Conclusion may be unclear or irrelevant.
Vague references regarding impact.. |
Conclusion and/or
impact is missing |
| Integration Of Knowledge
|
Demonstrates understanding and applies concepts learned in the course at a superior level. Concepts are integrated into insights. Provides concluding remarks that show analysis and synthesis of ideas. | Demonstrates understanding and applies concepts learned in the course. Conclusions are supported in reflection. | Demonstrates, for the most part, understanding and applies concepts learned in the course. Some of the conclusions, however, are not supported. | Demonstrates, to a certain extent, understanding and applies some concepts learned in the course. | Does not demonstrate s full understanding of concepts learned in the course. |
| Writing Style, Formatting and Conventions
|
Appropriate references that support opinions and recommendations. Exceptional writing with no grammar, APA or spelling errors | Appropriate references that support opinions and recommendations. Excellent writing with 1-3 grammar, APA or spelling errors | Appropriate references that support opinions and recommendations. Sufficient writing with 4-6, APA or spelling errors | Minimal references and support for opinion on policy and recommendations for changes. 7-10 APA/Grammar and/or spelling errors. | Opinions and recommendations not well supported, >10 APA/Grammar and /or spelling errors |
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One Page
Provide two differential diagnosis of Von Willebrand disease along with brief definitions/presentation.
Provide symptoms and detailed treatment plan for a child with Von Willebrand disease
Refrences:
One from an EBP Clinical Guidelines and three from Peer Reviewed Journal Articles from Chamberlain Online Library published within the last 5 years.
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For this assignment, you will write an informed essay. In your essay, complete the tasks outlined below.
Your response should be at least two pages in length, not counting the title and reference pages. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
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