Second-Generation HIT Informaticists Great discoveries can transform the world. In 400 BC, Hippocrates theorized that the body was composed of four “humors”—blood, phlegm, black bile, and yellow bile. Now think of the impact of the seminal work of William Harvey, who, in the 1600s, accurately described the circulation system and the role of the heart for the first time. It was not until the early 1900s that the Austrian biologist Karl Landsteiner identified four distinct blood groups. Today, knowledge about the nature and properties of blood is so complicated that the entire field of blood chemistry is devoted to its study. This same type of expansion of knowledge within a scientific field is mirrored within the field of informatics. As new technologies develop, subsequent changes occur in the fiel that are, built upon the earlier work of others. In this Discussion, you examine the continuing evolution of the field of health informatics and assess how researchers built on the work of preceding scientists. You will focus on the following individuals:
- Joan Ash
- Nancy Lorenzi
- Ben Shneiderman
- Diane Forsythe
- Chuck Friedman
- Sue Bakken
- Patty Brennan
- Diane Skiba
- Danny Sands
- Lucian Leape
- Select and read at least one article from this week’s Learning Resources for at least five individuals listed above.
- Consider how the work of each individual has built upon the work of earlier pioneers in the informatics field.
- Assess the areas of growth in informatics research from the informatics pioneers you researched last week to the individuals you read about this week, and the ways in which health informatics has continued to evolve.
- Select one individual from this week you found to be of particular interest, and read at least one additional article written by him or her from the list provided in the Learning Resources.
- Conduct further research to determine recent contributions or additions to the individual’s research.
Culturally Competent Planning For this assignment, select a vulnerable population in your community and explain how health care can be affected by cultural, ethnic, and social backgrounds. Building on the skills that you practiced in your Unit 6 assignment, create a plan to promote health and wellness within your chosen population, using (and correctly citing) information from this week’s study activities and any additional resources that you find on your own as you research your chosen population. Paper length: 6-7 pages. For the population, you can use Denver, and what risks, at-risk population we have. Inflation of the housing market, and not being compensated for the cost of living is just an example…but you’ll have to do a little research for our at-risk populations. For your assignment:
- Identify your population, and explain why this specific population within your community qualifies as at-risk.
- Identify health concerns for this at-risk population.
- Identify existing resources in your community that serve and promote health for this specific underserved, at-risk population.
- Identify high-quality electronic sources of health care information to address the needs of your chosen population.
- Create an evidence-based plan to promote health and wellness in this at-risk population.
- Explain how culture, ethnicity, and social background may affect your health care plan and what strategies you would put in place to address these concerns.
- Follow the guidelines of APA writing style, using correct grammar, punctuation, and mechanics. Evaluate your work by reviewing it for clarity and logic.
- Correctly format citations (in-text and in your Reference list) using APA style.
9.Culturally Competent Planning Scoring Guide
Culturally Competent Planning Scoring Guide Grading Rubric | ||||
Criteria | Non-performance | Basic | Proficient | Distinguished |
Explain why a specific population in your community qualifies as at-risk. 13% | Does not explain why a specific population in your community qualifies as at-risk. | Partially explains why a specific population in your community qualifies as at-risk. | Explains why a specific population in your community qualifies as at-risk population. | Explains why a specific population in your community qualifies as at-risk, including insightful rationale. |
Identify health concerns for an at-risk population. 13% | Does not identify health concerns for an at-risk population. | Identifies health concerns for an at-risk population, but explores or supports at a minimal level. | Identifies health concerns for an at-risk population. | Identifies health concerns for an at-risk population and supports the existence of the risk with data from multiple sources. |
Identify existing resources in your community that serve an at-risk population. 13% | Does not identify existing resources in your community that serve an at-risk population. | Identifies existing resources in your community that serve an at-risk population, but explores or supports at a minimal level. | Identifies existing resources in your community that serve an at-risk population. | Identifies existing resources in your community that serve an at-risk population, and explores the contribution made to the community by those resources. |
Identify high-quality electronic sources of health care information to address the needs of a diverse population. 12% | Does not identify high-quality electronic sources of health care information to address the needs of a specific population. | Identifies electronic sources of health care information, but sources are only marginally appropriate for the needs of the specific population. | Identifies high-quality electronic sources of health care information to address the needs of the specific population. | Identifies high-quality electronic sources of health care information to address the needs of the specific population, and explains the strengths and weaknesses of each source. |
Create an evidence-based plan to promote health and wellness in an at-risk population. 17% | Does not create an evidence-based plan to promote health and wellness in an at-risk population. | Creates a plan to promote health and wellness in an at-risk population, but plan is supported by minimal evidence. | Creates an evidence-based plan to promote health and wellness in an at-risk population. | Creates an evidence-based plan to promote health and wellness in an at-risk population, using multiple sources of evidence that reflect a high level of support for the plan. |
Create strategies to support plan implementation, addressing characteristics of culture, ethnicity, and social background that could affect the plan. 17% | Does not create strategies to support plan implementation. | Creates some strategies to support plan implementation, but does not sufficiently address characteristics of culture, ethnicity, and social background that could affect the plan. | Creates strategies to support plan implementation, addressing characteristics of culture, ethnicity, and social background that could affect the plan. | Creates strategies to support plan implementation, addressing characteristics of culture, ethnicity, and social background that could affect the plan, and expanding on and exploring the strategies and characteristics with details and examples. |
Apply APA writing style to write clearly and logically, with correct use of grammar, punctuation, and mechanics. 10% | Does not apply APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. | Partially applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. | Applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics. | Applies APA writing style to write clearly and logically, with correct use of formatting, grammar, punctuation, and mechanics, with no errors. |
Correctly format citations using APA style. 5% | Does not correctly format citations using APA style. | Partially formats citations using APA style. | Correctly formats citations using APA style. | Correctly formats citations using APA style, with no errors. |
- Name and explain the 4 elements.
- List the 7 arithmetic operations.
- What are your plans for learning more about Minitab and how will the information you learned about this software be of benefit in your future analysis of research data?
Age | Cringe | Uneasy | Afraid | Worried | Understand |
28 | 5 | 3 | 4 | 4 | 3 |
34 | 2 | 5 | 3 | 2 | 1 |
25 | 4 | 4 | 4 | 2 | 5 |
56 | 3 | 4 | 3 | 1 | 2 |
23 | 5 | 4 | 3 | 3 | 4 |
29 | 1 | 5 | 3 | 2 | 3 |
30 | 3 | 3 | 5 | 2 | 5 |
59 | 2 | 5 | 5 | 1 | 2 |
45 | 4 | 2 | 5 | 3 | 3 |
38 | 1 | 2 | 4 | 1 | 1 |
33 | 3 | 2 | 4 | 3 | 2 |
47 | 4 | 2 | 3 | 4 | 5 |
24 | 1 | 5 | 3 | 4 | 4 |
29 | 5 | 4 | 2 | 1 | 3 |
53 | 3 | 1 | 5 | 2 | 1 |
48 | 4 | 4 | 1 | 5 | 3 |
27 | 2 | 5 | 4 | 3 | 4 |
34 | 4 | 4 | 3 | 2 | 5 |
26 | 4 | 5 | 2 | 3 | 2 |
36 | 5 | 5 | 5 | 4 | 3 |
Due date 11/23/2016? Please see instructions below: Assignment 3: Concept Synthesis Paper on Personal Nursing Philosophy Overview You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice. This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory. Your paper should follow a format that includes: Nursing Autobiography: A brief (1 page) discussion of your background in nursing. my background : In regards to the professional field, I received my BSN degree in Habana Cuba in 1996 and received my RN license in the State of Florida on October 13, 2014. My nursing practice was as emergency care nursing and internal medicine unit at “Calixto Garcia Hospital”, Cuba for three years, where provide care for patients with life-threatening medical conditions and look after patients who have experienced invasive surgery, accidents and/or trauma. Careful assessment and monitoring of patient progress in order to watch for sudden or subtle changes in a patient’s medical condition that might require emergency intervention and heart monitoring as well as treatment adjustments. Moreover, I have been in the medical field in United State for more than 13 years working in Home Health Service and Rehabilitation Center in Miami. In my work experience I have been required to demonstrate many of the skills for the Family Nurse Practitioner. I have also undertaken leadership role during my career monitoring nursing students. I have done so successfully and have enjoyed this experience.
- The Four Metaparadigms:Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
- Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
- List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.
1. | How do I define and employ the four basic metaparadigms of nursing theory in my professional practice? |
2. | What are the major concepts I employ that are unique to my professional practice? |
3. | What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts? |
4. | How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice? |
5. | What research supports these theories and concepts? |
6. | How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice? |
Grading Criteria: | Maximum Points |
Nursing Autobiography | |
The nursing autobiography included personal experiences in the field of nursing. | 8 |
Provided an account of the current professional role of the student. | 8 |
Included factors that guided decision making. | 8 |
Quality of Essay | |
Enlisted the four metaparadigms. | 8 |
The essay included a definition of the four metaparadigms of nursing with reference to professional practice. | 8 |
The essay mentioned how the metapardigms were employed in nursing practice. | 8 |
The essay enlisted two practice-specific concepts. | 8 |
The essay included clinical examples for each of the chosen concepts. | 8 |
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material. | 8 |
The essay demonstrated consistency between concepts, assumptions, and clinical application. | 8 |
The essay identified and discussed students’ perspective on two other concepts specific to their practice. | 8 |
The essay included a numbered list of at least 5 propositions or assumptions. | 8 |
The concepts were connected and integrated to reveal a meaningful sequence. | 8 |
The essay demonstrated clarification and organization of the students’ professional foundation. | 8 |
The essay demonstrated evidence of critical thinking in analysis and response. | 8 |
The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted. | 8 |
Essay was well written, well organized, and articulate. | 8 |
Presentation Criteria | |
The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.) | 3 |
The paper revealed clarity, organization, and articulation of ideas. | 3 |
The paper showed that ideas were well-documented. | 3 |
The paper revealed the breadth of research effort. | 2 |
The paper demonstrated appropriate use of APA format in references and citations. | 3 |
Total | 150 |
Nursing Management Reference textbook: Sullivan, E.J. (2012). Effective leadership and management in nursing. (8th Ed.). Upper Saddle River, NJ: Prentice-Hall. ISBN-10: 0132814544 | ISBN-13: 978-0132814546 Chapters: 14, 15,16
6.1 Module VI Overview
MODULE VI Budget, Finance, Staffing, Scheduling, FTEs Learning ObjectivesModule VI concentrates on the following course outcomes— · Identify the human, fiscal and material resources necessary to efficiently achieve quality health care outcomes. · Definitions of financial terms often used in healthcare will be identified. Different types of budgets and budget preparation will be reviewed. The role of the nurse manager in the budget process will be discussed in detail, as well as ethical issues associated with budgets in healthcare.Reading Assignment
Sullivan: Chapters 14, 15, 16 American Nurses Association Policy Statement on Workplace Advocacy:http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/workplace.aspx (Links to an external site.)Overview
Budget and Finance
Financial issues in healthcare often seem remote to the nurse and the nurse must have an understanding of financial matters of the health care delivery system, including the viability of the workplace, and the opportunities to optimize healthcare for the welfare of their patient. Key behaviors needed by nurse managers and those who care for groups of patients is ability to: understand the budgeting process; recognize general types of budgets; distinguish between direct and indirect costs; be familiar with the steps of a typical budgetary process and cost out nursing services. Different types of budgets include: operating budget, performance budget, capital budget, expense budget, zero-based budget, product line budget, cash budget. Operational plans, cost center, expense, revenue and profit are other key concept that will be addressed in the readings.
A budget is a formal plan for managing financial resources. The budget document indicates the expected income and expected expenses of an organization, department, or individual. It provides a method of tracking cost and, therefore, a way to examine where saving s could be made. The total organizational budget is usually separated into two distinct sections: the operating budget and the capital budget.
Budget planning procedures vary from organization to organization. However, some parts of the process are common to all organizations. These include steps to gather information before budget preparation such as making an environmental assessment, stating mission and goals, making assumptions about the future setting operational objectives, obtaining the budget guidelines, preparing budget manuals and budget projections packages (last year’s budgets, sets of forms all used in estimating future expenses).
Environmental assessment for budget purposes includes the environments that are both internal and external to the organization. As part of the internal assessment, the budget planners will identify the strengths and weaknesses of the organization. The external environment takes into account the changing needs of the population, shifts in third-party payment patterns, reimbursement, service contracts and loss or gain of physicians/programs and mergers.
With the economic climate of health care in turmoil, greater attention is being given to reduce cost while maintaining or improving the quality of care. The nursing budget can account for as much as half an organization’s total expenses nurse managers at all levels are facing significant pressure to become proficient in the budgeting process, to allocate resources, and control and monitor expenses.
Staffing, Scheduling
When asked “what professional issues keep you up at night?” nurse managers will often report staffing issues as the cause. The science of allocating the right human resources for the right work at the right time, taking care of the right population of patients is combined with the art of effective communication to create a healthy and healing environment for both patients and their caregivers. Staffing plans are based on a projected year and need to be closely aligned with the budgeting process. Staffing of personnel in healthcare facilities is regulated and directed by federal and state laws, professional accrediting organizations and professional standards. Forecasting and calculating full time equivalent (FTE). Forecasting takes into account both productive and non-productive time. A number of variables are involved in calculating FTEs. Some of these include shift rotation, weekend needs, length of shifts. The Power Point slides for this unit will outline calculation of FTEs. Also, state laws such as the Nurse Practice Act guide the responsibility of the nurse in regards to floating to another unit or not. These laws may vary from state to state. The nurse needs to know the organization’s policy and its congruency with state and federal laws. Scheduling process in an organization may be centralized or staff may do self-scheduling. This may vary from unit to unit based on philosophy and organizational guidelines. There is also computer software for scheduling. Managers in healthcare as in other organizations need to evaluate productivity. Each unit has different numbers for calculating productivity. How is nurse productivity evaluated on your S482 clinical unit? Leadership has a great deal of influence on productivity. Environments that have a culture of civility, team work and respect for the worker are a few examples of factors that contribute to productivity.Assignment questions: Post answers in Forums Module VI. See calendar for due date. 1. Discuss steps in developing the unit or department budget. Who all is involved? 2. How is the cost of nursing care incorporated into a budget? 3. How does a nursing unit determine how many nurses are needed for a 12 month period? 4. Differentiate among various types of budgets: fixed, variable, capital budgets. 5. Describe how to calculate hours necessary to equate to one FTE. ]]>