Reply to this discussion (site sources if applicable)

In healthcare, the advances in technology are vast and provide the foundation for the future of healthcare information delivery systems. The modernization of healthcare has changed the evolution of documentation and education to be available whenever it is needed. Technology improves access to evidence-based practice; it also supports access to the information within the clinical setting, which improves care and the planning of care. Technology helps facilitate communication within the healthcare team; it also helps maintain standardization of practice pattern. It accelerates surveillance for error detection and may also assist in preventing errors.   

The electronic medical record (EMR) can be a beneficial tool in implementing new processes like adopting formal wound care documentation. In this capacity quality, process improvement tools can also be implemented to track pressure injuries in real-time and identify factors that contributed to it more efficiently. When a wound is documented, it can alert the wound care team, and then they can assess it and assist with documentation while developing a course of care action. This can also be helpful when patients are admitted to alerting the RN to chart skin assessments within 24 hours using the four eyes wound care documentation tool. The Braden scale is also a tool that nurses chart daily, and if their Braden score increases, it notifies the wound care team to assist in a plan to prevent pressure injuries before they happen. I plan to use this tool after implementation to track injuries and evaluate areas we need improvement on when it comes to preventing pressure injuries. The most significant barrier I foresee is the lack of documentation by staff or missing opportunities for improvement while the change is in process. Another barrier is that it can take time to build these processes into our charting system; we use Cerner, which has pre-set charting for wounds, which would have to be altered by our IT staff.

I have been working in the medical field for almost 20 years. Since then I have been trying my best to work upon and improve one of my weakness, and that is my shy nature. I understood that my weakness can be an obstacle in making relationships among my colleagues and clients. I find it very hard to initiate talks with colleagues, patients or relatives other than communication pertaining to work or patient information. I have sought help and have definitely improved than before, but I think I still have a long way to go.

Workplace conflict is inevitable when employees of various backgrounds and different work styles are brought together for a shared business purpose. I once had a conflict with a patient when I tried to comfort him by expressing my views of faith healing, which clearly contrasted with his. The situation had escalated for a while, but me and manager intervened by explaining and understanding his point of view and perspective towards the situation.

I am a foreign medical graduate. I practiced critical care medicine in India for five years before migrating to the USA. As I was unable to obtain residency in spite of all efforts, I chose to do nursing and continue to pursue my passion of serving and healing the needy people. I also love learning and gaining deeper education and knowledge pertaining to medicine, hence I decided to advanced nurse practice studies. I am surely looking forward to do my doctorate in nursing in the future.

References:

Epstein, N., & Stecker, M. M. (2015). Analysis of inter-provider conflicts among healthcare providers. Surgical neurology international, 4(Suppl 5), S375–S382. https://doi.org/10.4103/2152-7806.120781

Use this LINK!! 

https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=34518&ver=16&DocID=L34518&bc=AAAAAAIAAAAA&

(1)Describe the medical service covered.(2)Identify the CPT® code(s) needed to report the service.(3)Describe any limitations discussed.(4)Your report must be 500 words, 12 pt. Times Roman, double-spaced.(6)Remember to cite the article chosen. 

• What are common book-tax differences relating to accounting for capital gains and losses? Do these differences create favorable or unfavorable book-to-tax adjustments
• Describe the annualized income method for determining a corporation’s required estimated tax payments. What advantages does this method have over other methods?  

Note: Please post what you view as the appropriate responses to the above prompts. Your initial post should be 250-300 words. Please provide response with a clear, well-formulated thesis; sentence structure, grammar, punctuation, and spelling count. Support ALL posts with appropriate rationale and citations from readings; document sources using APA format.

Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

• Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
• Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

• Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

For decades now, evidence based practice is believed to improve quality patient care in health care where there are practiced. Maximum efforts has been put to eliminate traditional way of doing things and embrace new methodologies (Saunders, Vehviläinen-Julkunen & Stevens, 2016). Concerns have been raised towards improving knowledge and skills in respect to evidence for efficient clinical outcome. Lack of EBP knowledge has bring a lot of challenges in our organization thus hindering its implemented. This has influenced integration of sources of evidence in clinical decision making where clinical expertise, clinical context, patients outcomes and values as well as best research are included in the process of decision-making.

There is increased demand to create culture that promotes exploration of critical inquiry and availability of evidence as an important aspect to be incorporated in our daily nursing practice in the organization. Clinical inquiry in nursing follows five EBP processes including ask, gather, appraise, act, evaluate and disseminate. Learning these steps helps to support the capacity of nurses. According to Mick (2017), the first process to clinical inquiry is developing a clinical question, followed by gathering and evaluating evidence obtained. After finding a satisfactory evidence, actions should be taken for its implementation and dissemination and examining outcome.

Reference.

Saunders, H., Vehviläinen-Julkunen, K., & Stevens, K. R. (2016). Effectiveness of an education

intervention to strengthen nurses’ readiness for evidence-based practice: a single-blind

randomized controlled study. Applied Nursing Research, 31, 175-185.

Mick, J. (2017). Call to action: How to implement evidence-based Nursing

practice. Nursing2019, 47(4), 36-43.

REPLY2

As discussed in week one, the significance of evidence-based practice (EBP) in providing safe and quality health care cannot be relegated. In fact, EBP has been endorsed in research and practice as a method that obtains the highest level of care for patients, reduces the cost of health care, reduces medical errors and injuries, and encourages individual and professional advancement for nurses and other health professionals because it encourages research and educational progression. Accordingly, Black et al (2015) concluded that providing research training opportunities to nurses is a worthwhile strategy for health care facilities seeking to promote EBP for the purpose of empowering nurses and consistently ensuring safe and quality health care.

Studies have shown that several issues or factors are implicated in achieving evidence-based nursing practice (e. g. Mahmoud and Abdelrasol, 2019; Solomons and Spross, 2011). Some of these factors include inadequate time to read literature, intense workload, shortage of staff qualified in EBP, and shortage of nursing faculties to inculcate the knowledge of EBP in nurses. Despite the presence of a couple of qualified RNs, the issue of intense workload and inadequate time to read literature is the main issue for my organization in addressing the issue of evidence-based nursing practice. To address this issue however, management must increase the number of nursing staff so that nurses will have more time for investigative inquiries to improve practice. Furthermore, encouraging a culture of research amongst nurses, by keeping nursing journals, articles, and periodicals can be promising for resolving EBP issues in nursing practice.

                                                                References

Black, A., Balneaves, L., Garo, C., Puyat, J., Qian, H. (2015). Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians. The Journal of Nursing Administration, 45(10); pp. 14-20. doi: 10.1097/NNA.0000000000000151

Matmoud, M. H., & Abdelrasol, M. (2019). Obstacles in Employing Evidence-Based Practice by Nurses in their Clinical Settings: A Descriptive Study. Frontiers of Nursing, 6(2); pp. 123-133.

Solomons, N. M., & Spross, J. A. (2011). Evidence-Based Practice Barriers and Facilitators from a Continuous Quality Improvement Perspective: An Integrative Review. Journal of Nursing Management, 19: 109-120

Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale.

After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations.

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 not required to submit this assignment to LopesWrite.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.5:  Advocate for autonomy and social justice for individuals and diverse populations.

To Prepare:

• In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
• Review the Resources and reflect on the role of professional nurses in policy evaluation.

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples. 

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the 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. Refer to the LopesWrite Technical Support articles for assistance.

HA3220D – Health Information Systems

Develop a training plan and evaluation of training for a hospital that is implementing a new health care information system. 

1. Training Plan In a roughly 1 page double-spaced training plan, include:

Introduction What will this training cover? In what mode/format will occur?  

Training Strategies What training strategies will you use, and why do you feel they will be effective for a system implementation training program?

Probable Issues / Roadblocks to System Implementation and how you will use the training process to reduce their likelihood.

Key Elements that must be included in training for users of a health care information system.

This training plan should be a minimum of 1 page double-spaced in Times New Roman or similar 12-point font.

2. Create an evaluation tool to measure user satisfaction with the training process. You may model it on common questions asked on a customer satisfaction survey, but you should also create questions that can be used to improve the training process and learn more about users’ needs, knowledge, and skills.