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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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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    State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.

    QUESTION

    Nursing

    Scenario:

    Mark, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision.

    Initial Discussion Post:

    Address the following:

    1. State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.
    2. How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.
    3. Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

    Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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    Diabetes

    Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

    Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

    1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
    2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

    While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    You are not required to submit this assignment to LopesWrite, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to LopesWrite.

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    EXAMINE THE BURDEN OF DISEASE IN THE UNITED STATES TO PROVIDE IMPORTANT INFORMATION ON WHICH PARAMETER IS TO BASE DECISIONS ON PUBLIC HEALTH PRIORITIES.

    Examine the burden of disease in the United States to provide important information on which parameter is to base decisions on public health priorities.

    To do this, we will utilize mortality data for the United States. In the first part of this assignment, you will download and examine mortality data for your home state.

    Go to USA Causes of Death by Age and Gender

    • Choose your home state under the Choose State option (panel on left hand side)
    • Select BOTH under the Choose gender option in the middle panel.
    • Scroll down to the bottom of the page, and read the fine print to learn for which year the mortality data have been tabulated.
    • Copy and paste the relevant mortality data into Excel.
      • Drag your mouse over all of the Cause of Death rows, (50 rows), right click, and select Copy,
      • Open Excel and paste your selection into Excel. You should have a spreadsheet with 50 row and 19 columns (Columns A-S).

    For the first part of the assignment, you will prepare a histogram of the leading causes of death (regardless of age) in your state. Follow the steps below in order to prepare your histogram:

    • Sort the Data
      • The numbers of deaths, all ages, are given in Column C.
      • Select all the columns.
      • Then, select Data>Sort>Sort by Column C, Values, largest to smallest. (Make sure that my data has headers is not selected.
      • You now have the leading causes of death in your state in Column A (cause) and Column C (frequency).
    • If you already know how to draw a histogram in Excel, proceed to do so with Columns A and C, making sure to truncate the data to the 30 leading causes.
    • If you do not know how to draw a histogram in Excel, here’s one method:
      • Choose the Chart Wizard, chart type column, chart sub-type clustered column (Step 1).
      • Click Next for Step 2.
      • At Step 2, Click the Series button, which will open a new box.
      • Click Add under Series,
        • Enter Causes of Death in the Name box;
        • Clear the Values box, then
        • Drag your mouse over the 30 largest frequencies for the Values; and,
        • Drag your mouse over the first 30 causes of death (Column A) for the Category (X) axis labels box.
    • Click Next, and you’ll be brought to the Chart Options box.
    • Add a suitable title (e.g., Leading Causes of Death, 2010, your state)
    • Label the Y axis Frequency.
    • Click Next, and place the histogram in a new worksheet.

    You now have a histogram with the leading causes of death for your state. This presents one picture of the burden of disease in your state, but it isn’t the only picture. We shall now look at a different metric: years of life lost due to each cause.

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    Trial order

     

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