Nursing homework help

Overview

Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.
Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Assessment Instructions

Scenario

Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.
For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)
After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.
Potential topics for this assessment could be:

  • Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
  • Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

  • What data will you use to justify the change?
  • How can the team achieve this change with a reasonable cost?
  • What are the effects on the workplace?
  • What other implementation considerations do you need to consider to ensure that the change strategy is successful?
  • How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
  • Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.

  • Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
  • Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
  • Justify the specific change strategies used to achieve desired outcomes.
  • Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
  • Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
  • Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

  • Assessment 2 Example [PDF].

Additional Requirements

  • Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
  • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
  • APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.
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Poor Patient Outcome  Relying solely on the classic features of a disease may be misleading

Assignment
Poor Patient Outcome  Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.  Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.     This case portrays a poor patient outcome after a misdiagnosis.  Case scenario  A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.  On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.  The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.  Written Assignment:  Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning. 1.As an NP in primary care what would you have done differently? 2.Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?  If a serious diagnosis comes to mind based on a patient’s symptoms: •Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral? •Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario? •Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis? •What other diagnosis could it be? How might the treatment to date have altered the patient outcome? •What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list? •Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?     To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.  Assignment Requirements:  Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and • Utilize spelling and grammar check to minimize errors.  Your writing Assignment should: •follow the conventions of Standard English (correct grammar, punctuation, etc.); • be well ordered, logical, and unified, as well as original and insightful; • display superior content, organization, style, and mechanics; and • use APA 6th Edition format as outlined in the APA Progression Ladder.  How to Submit:

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Current and Future Economic Issues Impacting Healthcare Sector

Write on Current and Future Issues Impacting Healthcare Sector

Current and Future Economic Issues Impacting Healthcare Sector

Use the Internet or academic online databases to research five (5) of what you believe to be the most important and pressing economic issues that confront the United States healthcare industry today and will continue to do so into the next decade.

Provide a review of these issues in a ten to twelve (10-12) page paper in which you:

  1. Provide a detailed description of the issues that you have researched.
  2. Analyze the most significant economic effects of the researched issues on healthcare industry. Provide at least two (2) examples of these issues to support your response.
  3. Suggest specific strategies that relevant entities / stakeholders may use to address the selected issues from an economic perspective. Justify your response.
  4. Determine the strategic manner in which the United States can apply best economic best practices from other countries in addressing these issues.
  5. Assess the likelihood of government and or private sector effectively addressing the issues.
  6. Use at least ten (10) current references. Five (5) of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the factors that are influencing the demand and supply of health care services in the U.S.
  • Compare and contrast the U.S. health care system with the health care system of other countries.
  • Use technology and information resources to research issues in health economics.
  • Write clearly and concisely about health economics using proper writing mechanics.
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    Application: Leadership Concept Analysis Group Paper

    Assignment: Application: Leadership Concept Analysis Group Paper
    This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)
    Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.
    To prepare:
    · Review the Peer Evaluation Form for important information on how this assignment is graded.
    · Identify a group facilitator.
    · Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider:
    o Matrix organizations
    o Accountable care organizations
    o Horizontal and vertical organizations
    o Role conflict and ambiguity
    o Employee recruitment and selection
    o Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)
    o Resistance to change
    o Succession planning
    o Whistle blowing
    o “Just” culture
    o Team Stepps
    · When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum.
    · Conduct research on your topic using the Walden Library and other credible sources.
    To complete:
    As a group, write a 3- to 5 (page count does not include title and reference page) page paper that includes the following:
    · Section 1: Introduction
    · Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)
    · Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)
    · Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)
    · Section 5: Conclusion
    All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature.

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    Unit V1

    Unit VI Assignment This assignment measures your mastery of ULOs 2.5, 4.1, 5.2, and 6.1. You have been hired at ABC Manufacturing, and you have been asked to work on the budget for the upcoming year regarding labor costs and the number of employees needed. Complete the Unit VI Assignment Template for this assignment and submit it for grading in Blackboard. APA Style is not required for this assignment

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    Reflect: How does the source assist or fit into your practice? Was this source helpful to you? How might this source help you shape an argument (in favor of or against) the topic presented?

    Baccalaureate nursing – healthcare writers onlyAPA format- if you’re able to write this paper well, and get me an A grade, I will use you for all future papers…and trust me, there will be a lot. price is negotiable.For this week’s assignment, you will prepare an annotated bibliography on a topic related to health care that is currently impacted by a policy change or potential policy change. The policy that is or will impact change should be related to the health care system or nursing specifically. Look for information that shows that the policy, in your opinion, improved or did not improve the health care system or nursing practice.Choose a Policy IssueReview the Unit 3 study activities to read a list of potential policy issues that will give you a foundation to help you determine which policy change you are interested in. Choose one issue to focus on. The area that you choose to focus on could include particular interests that would lead you to explore articles that look at legal, ethical, and regulatory process in health care or nursing practice.What Is an Annotated Bibliography?Use the four articles that you chose, keeping the following information in mind:A bibliography is a list of sources (books, journals, Web sites, periodicals, et cetera) one has used for researching a topic. A bibliography usually just includes the bibliographic information (that is, the author, title, publisher, et cetera).An annotation is a summary or evaluation.Therefore, an annotated bibliography includes a summary or evaluation of each of the sources in the bibliography. For this assignment, you are expected to include both a summary andan evaluation.Your annotations should address the following three areas for EACH of the four articles you select:Summarize: What are the main arguments? What is the point of this article or chapter? What topics are covered? If someone asked what this source is about, what would you say?Evaluate: Is it a useful source? How does it compare with other sources in your bibliography? Is the information reliable? Is this source biased or objective? What is the goal of this source? (Or the goal of the writer?)Reflect: How does the source assist or fit into your practice? Was this source helpful to you? How might this source help you shape an argument (in favor of or against) the topic presented? Has the source changed how you think about this topic?Assignment GradingBe sure to consult the scoring guide for this assignment to see how your work will be graded. Notice that you will be expected to apply APA writing style to write clearly and logically, with correct use of grammar, punctuation, and mechanics. You may wish to consult Chapter 3 and Chapter 4 in the APA manual and the information listed in this unit’s Writing Resources study.Review your annotated bibliography and make sure it is complete, using the checklist below.Components of the annotated bibliography:Begins with a title page that includes your name.Lists citation information for the articles or chapters, formatted in APA style.Each citation is followed by an annotation, approximately one page in length.The bibliography comprises a variety of credible perspectives.The final page consists of a reference list that includes all of your APA-formatted citations, in alphabetical order.The assignment is 6-8 pages long, including the title page and references.Each annotation should contain some or most of the following:Provides the reader with more information about the content of the sources.Consists of a paragraph that is both descriptive and evaluative (about 150 words).Offers both a description and a critical assessment of the articles or chapters being annotated.Gives the reader a sense of the quality of the source.Gives a sense of the argumentative position of the author relative to others in the field.Informs the reader of the relevance, accuracy, and quality of the sources cited.Concisely exposes the author’s point of view and the clarity of the work.Evaluates the appropriateness of expression, and authority.Summarizes the central theme and scope of the article or chapter.Evaluates the authority or background of the author.Comments on the intended audience.Compares or contrasts this work with another you have cited.Explains how this work illuminates your bibliography topic.If you would like to practice formatting APA citations before you submit this first assignment, click on the links, in Resources, to access interactive media that will help you practice.

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    Healthcare Organization

    Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

    In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

    To Prepare:

    • Reflect on the Resources related to digital information tools and technologies.
    • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
    • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. 

    Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

    References:

    McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

    • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
    • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
    • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
    • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
    • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

    Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002

    Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032

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    The purpose of this project is to analyze a loss you have experienced by using concepts you have learned in this course.

    Background: We are all survivors of some type of loss.  Everyone in this class has experienced some type of loss and accompanying grief.  Besides death of a significant other, there are many other types of losses that produce grief.  The purpose of this project is to analyze a loss you have experienced by using concepts you have learned in this course.       Listed below are examples of losses that you may write about:      
    1. The death of someone important to you: –   A parent, child, sibling, spouse, or other relative –   A close friend or someone you were romantically involved with. –   Someone famous that meant a lot to you.  
    2. The loss of a relationship through: –   betrayal, divorce, separation, or desertion –   kidnapping, murder, or disappearance –   mental illness –   substance abuse  
    3. The loss of a job (yours or someone you depended on for support)
    4. Moving away from home, becoming homeless, becoming a refugee.
    5. Loss of physical capacity or ability through illness, accident, the aging process.
    6. The loss of a pet (through death, ran away, was stolen, etc.)
    7. Loss of something valuable to you (home/property destroyed by fire, flood, natural disaster)
    8. Loss of or denial of membership in a group that was important to you.
    9. Loss of respect for, or sense of betrayal by a person, organization, or group that you had previously held in high esteem.  Loss of your reputation.
    10. Loss of trust in others, or loss of self-esteem due to physical, emotional, or sexual abuse.   Directions: Please Use These Sub-Headers   Part 1: Description of the loss event.  2-3 pages in length.  Write this from the 3rd person point of view to describe the events.   Part 2: The Reactions to the Loss:Again, write this from the 3rd person point of view.  Use concepts from the text and your class notes to describe the reaction to the loss.  Do this in 2-3 pages, double-spaced.  Use the APA format to cite specific concepts from the text.   Questions to consider when writing Part 2:
     
    1. When he/she experienced this loss, what emotions, feelings, thought, and physical symptoms did the person experience?
    2. How did this loss affect the person mentally, emotionally, physically, spiritually, socially?  
    3. Did the person’s reactions to this loss mirror any of the theories of grief in the text?
      If yes, describe the similarities.  If not, describe the differences.       Part 3: The Current Status. 2-3 pages.  Switch to 1st person for this section.  Describe how you feel now.  How have your feelings, thoughts, reactions changed over time? How has your life changed due to the loss?  What did you learn from this?   Be sure to use concepts from chapters 9, 10, and 11 of the text, a website, class notes, magazine article, other book.  Use APA format.       Formatting Instructions:  
    1. Title page with your name, class name, class number, assignment name, and date.
    2. Double-spaced. 1” margins on all sides.  12-point font size.  Number pages in top right hand corner.
    3. Make sure you have three separate sections: Part 1; Part 2; Part 3.
    4. Sections 2 & 3 must include connections to concepts found in chapters 9, 10, and 11, a web site that talks about grief/bereavement, or magazine articles, or other book. You should have a minimum of four references, or two for each of sections 2 and 3.
    5. Use APA style to cite the text or other sources that you use.
    6. Include a reference page that lists the sources that you have cited in the text.
     
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