Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization]]>
Application: Evaluation Project Part 1: Evaluation Plan Focus Technology increases human effectiveness. Using a lever, you can move an object several times your size. In an airplane, you can move exponentially faster than on foot. Using the Internet, you can access information much more quickly than at a library. What possibilities like this exist in the nursing field? What health information technologies can amplify your impact as a nurse far more than ever before? In this Evaluation Project, you will have the opportunity to answer these questions. Because of the great differences between HIT systems and different goals of an evaluation, there is no one-size-fits-all evaluation plan. Different technologies require different evaluation methods. Consequently, in this part of your Evaluation Project, you will conduct research on how system implementations similar to the one you select have been previously evaluated. After exploring similar system implementations, you will select one research goal and viewpoint to use in the evaluation. Read the following three scenarios, and select the one that is of most interest to you: Scenario 1: Your hospital is implementing a new unified acute and ambulatory Electronic Health Record (EHR) system through which patient care documentation will occur. Interdisciplinary assessment forms (including nursing), clinical decision support, and medical notes will be documented in this system. The implementation of the system is anticipated to improve the hospital’s performance in a multitude of areas. In particular, it is hoped that the use of the EHR system will reduce the rate of patient safety events, improve the quality of care, deter sentinel events, reduce patient readmissions, and impact spending. The implementation of the EHR system is also intended to fulfill the “Meaningful Use” requirements stipulated in the Health Information Technology for Economic and Clinical Health (HITECH) Act. As the hospital’s lead nurse informaticist, you have been tasked with planning the evaluation of the EHR implementation. Scenario 2: As the lead nurse informaticist in your hospital, you have been given the task of planning an evaluation for a soon-to-be launched computerized provider order entry (CPOE) system. The CPOE system is designed to replace conventional methods of placing medication, laboratory, admission, referral, and radiology orders. CPOE systems enable health care providers to electronically specify orders, rather than rely on paper prescriptions, telephone calls, and faxes. The intended goal of a CPOE system is to improve safety by ensuring that orders are easily comprehensible through the use of evidence-based order sets. In addition, the CPOE system has the potential for improving workflow by avoiding duplicate orders and reducing the steps between those who place medical orders and their recipients. Scenario 3: You are the lead nurse informaticist in a large urban hospital that has recently implemented a new Electronic Medication Administration Record (eMAR) and Bar Code Medication Administration (BCMA) system. The BCMA system uses bar coding technology to facilitate the correct identification of patients at the point of administration of medications. BCMA will be used for all medications—tables, injections, and intravenous treatment. You have been selected to conduct an evaluation of the new system. The eMAR is designed to utilize the medication order entry process in order to expedite the creation of the 24-hour medication administration record, whereas the BCMA will automate administration documentation. In addition, the system is intended to reduce medication administration errors by tracking and alerting health care providers about dosages, proper administration times, medication allergies, or medication incompatibilities. To prepare:
- Select one scenario to use for the Evaluation Project.
- Consider what viewpoint and research goal you would use to guide your evaluation plan. Although many potential research goals or viewpoints could be selected for each scenario, you are only required to choose one goal and one viewpoint. The scenario you select will be used for the Evaluation Project throughout this course. To maximize your benefit from this project, consider selecting a scenario that is relevant to a health care organization with which you are involved.
- Research published evaluations that have been conducted on HIT system implementations similar to the one in the scenario you selected.
Assignment: Sexual Harassment in the Workplace Julie has been a nurse at Memorial Hospital for three years. During that time, she has developed productive relationships with her colleagues and has earned a reputation for providing exceptional care to patients. One day she approaches you, her manager, and asks to speak in private. Once you are alone, Julie explains that over the past couple of months she has heard a physician and two nurses repeatedly make disparaging remarks about people who are homosexual. She appears visibly upset as she tells you this. Julie says that the situation has become so uncomfortable that she no longer feels safe in this environment. Does this scenario reflect a possible case of sexual harassment? How would you respond to Julie, and what steps might you take next? Sexual harassment is an important topic in today’s organizations–one that is often addressed through HR presentations and trainings. However, even for experienced nurse managers and HR professionals, it can be challenging to recognize some of the behaviors and actions that may indicate sexual harassment. Nurses in leadership and management positions have a critical responsibility to become attuned to the various interactions that can be problematic, including inappropriate remarks and jokes, improper fraternization, quid pro quo situations, and potentially offensive images. To prepare · Review the articles, “Sexual Harassment – A Touchy Subject for Nurses,” “Why Are Nurses Leaving? Findings from an Initial Qualitative Study on Nursing,” and “Bullying, Harassment, and Horizontal Violence in the Nursing Workforce.” Consider sexual harassment situations most commonly experienced by nurses. · Think about a work environment with which you are familiar. Have you witnessed or experienced any behaviors that–perhaps with the benefit of hindsight and increasing awareness–may be construed as sexual harassment, even if you did not think of them that way at the time? Do you recall any instances in which you might have intentionally or unintentionally contributed to or participated in an environment that tolerated harassment against one or more individuals? If so, what were your thoughts and feelings at the time? How, perhaps, has your perspective since shifted? · Select one of the following options: 1. Option 1: Conduct research via the Walden Library, or other scholarly sites, to select an article that presents an authentic example of workplace sexual harassment. 2. Option 2: Identify an authentic example of suspected or proven sexual harassment from your professional experience. · Conduct research related to your selected example to assess the ramifications that may result from instances of sexual harassment. · Consider how you could partner with HR to mitigate situations of sexual harassment in your workplace. In addition, think about specific steps you could take to diminish inappropriate behaviors in the workplace. To complete Submit a 3- to 5-page paper in which you do the following: Describe an authentic example of suspected or proven sexual harassment. · Explain how this specific instance of sexual harassment impacted the workplace. · Identify at least two legal ramifications that could have (or did) result from this situation and how they could (or did) negatively impact the workplace. · Briefly explain other ramifications (e.g., organizational culture, staff relationships, individual and team performances, patient safety, quality of care) that could have (or did) result because of this specific instance. · Describe the actions that were taken to resolve the situation, if applicable. Formulate an action plan that can be used to mitigate and/or ameliorate behaviors that constitute sexual harassment. · Based on your example, explain how you would educate staff on the identification and prevention of inappropriate behaviors. Describe at least two specific steps you would take to diminish similar sexual harassment situations. · Describe at least two ways you could partner with HR to effectively accomplish your action plan. NOTE: For the purposes of this assignment, please do not reveal the name of your workplace or the individuals involved. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. ]]>
Ethical Decision Making in Health Care – Ethical Decision Making…5 How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making? How do a nurse’s fundamental duties, as described by the Hippocratic Oath and Nightingale Pledge, influence a nurse’s practice and decision making? ]]>
- Describe how the Quality Chasm Report has and is used to direct US health care
- Review the Agency for Health Research and Quality and Review the 2015 Health Disparities Report and describe how this information provides you with important information to advocate for a disadvantaged patient population
- Describe how the Institutes of Medicine 2010 and 2016 Report on Nursing will influence your role as an APN
Consider how the paradigm of a healing hospital might influence your philosophy of caregiving and write an essay of 500-750 words that addresses the following: 1. Describe the components of a healing hospital and their relationship to spirituality. 2. What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?
- Include biblical aspects that support the concept of a healing hospital.