Monthly Archives: May 2023

Overview

Write a 5–7-page a comprehensive analysis on an adverse event or near miss from your professional nursing experience. Integrate research and data on the event and use as a basis to propose a quality improvement (QI) initiative in your current organization.

Health care organizations strive for a culture of safety. Yet despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation.

The goal of this assessment is to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a quality improvement initiative to prevent future incidents.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
  • Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
  • Analyze the missed steps or protocol deviations related to an adverse event or near miss.
  • Analyze the implications of the adverse event or near miss for all stakeholders.
  • Outline a quality improvement initiative to prevent a future adverse event or near miss.
• Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
  • Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
• Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
  • Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Competency Map

Check Your ProgressUse this online tool to track your performance and progress through your course.

Assessment Instructions

Preparation

Prepare a comprehensive analysis on an adverse event or near-miss from your professional nursing experience that you or a peer experienced. Integrate research and data on the event and use as a basis to propose a Quality Improvement (QI) initiative in your current organization.

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Adverse Event or Near-miss Analysis addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
   • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
   • Identify and evaluate the missed steps or protocol deviations that led to the event.
   • Discuss the extent to which the incident was preventable.
   • Research the impact of the same type of adverse event or near miss in other facilities.
2. Analyze the implications of the adverse event or near miss for all stakeholders.
   • Evaluate both short-term and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze how it was managed and who was involved.
   • Analyze the responsibilities and actions of the interprofessional team. Explain what measures should have been taken and identify the responsible parties or roles.
   • Describe any change to process or protocol implemented after the incident.
3. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
   • Analyze the quality improvement technologies that were put in place to increase patient safety and prevent a repeat of similar events.
   • Determine whether the technologies are being utilized appropriately.
   • Explore how other institutions integrated solutions to prevent these types of events.
4. Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
   • Identify the salient data that is associated with the adverse event or near miss that is generated from the facility’s dashboard. (By dashboard, we mean the data that is generated from the information technology platform that provides integrated operational, financial, clinical, and patient safety data for health care management.)
   • Analyze what the relevant metrics show.
   • Explain research or data related to the adverse event or near miss that is available outside of your institution. Compare internal data to external data.
5. Outline a quality improvement initiative to prevent a future adverse event or near miss.
   • Explain how the process or protocol is now managed and monitored in your facility.
   • Evaluate how other institutions addressed similar incidents or events.
   • Analyze QI initiatives developed to prevent similar incidents, and explain why they are successful. Provide evidence of their success.
   • Propose solutions for your selected institution that can be implemented to prevent future adverse events or near-miss incidents.
6. Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
7. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

• Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
• Number of references: Cite a minimum of three sources (no older than seven years, unless seminal work) of scholarly or professional evidence that support your evaluation, recommendations, and plans.
• APA formatting: Resources and citations are formatted according to current APA style and formatting.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Adverse Event or Near Miss Analysis Scoring Guide

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In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest.
• Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
• Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Journal

Review the CDC website link on IPV https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html and analyze both ends of the spectrum – from disparity to privilege—and at triggers, which are not bound by any social class, leading to intimate partner violence. Then answer the following questions:

1. Does trauma-informed care apply to IPV? Why or why not?

2. Review the maternal and infant mortality statistics within our country and your state. Do you note any disparity?

3. How can “privilege” become a beacon for change?

4. Intimate partner violence expresses a need for power and control by many methods. Would you recognize them all?

5. Is there a path that most violent individuals follow?

Provide an example of how you have been witness to IPV, disparity, and or privilege and outline how you, as an APRN, can recognize and reduce violence and health disparity in women.

I’m looking for someone that knows a nurse informaticists that can answer these questions and I need to email the person and they need to email me back the responses as proof. 

Proof of Interview

If you conducted an e-mail interview, submit a copy of that e-mail with your assessment submission.

1) What types of data are transferred from your workplace to the public health department? How does it relate to electronic clinical quality measures (eCQM)?

2) How are data shared in syndromic surveillance, disasters, and epidemics?

3) What is the current state of health information exchanges (HIE)? What are the strengths and weaknesses of these organizations?

4) What are some of the issues in sharing information regarding the monitoring of infectious diseases with other agencies? 

5) What are some of the current issues in public health, bioinformatics, and biomedical research, and what is the role of the nurse informaticist in relation to these issues?

6) What advances in technology have helped you achieve or improve healthcare services and patient care outcomes? 

7) What challenges do nurse informatics face in integrating technology and nursing knowledge and information during COVID-19?

8) How do datasets and databases differ in nursing informatics? 

This is a Collaborative Learning Community (CLC) assignment. 

The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.

Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.

Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.

As a group, review the study materials related to servant leadership. Using what you have learned about the tenets of servant leadership and traits and practices of successful leaders, create a 10-12 slide PowerPoint presentation with speaker notes. Add an additional slide for references at the end of your presentation.  

Include the following in your presentation:

·  Create a slide that summarizes your leadership style, traits, and practices and submit to student one (DEMOCRATIC OR PARTICIPATIVE LEADERSHIP STYLE)

·  Discuss what leadership traits and styles are necessary to be an effective communicator. Explain the importance of leaders adapting communication approaches when working interprofessionally (across ancillary departments, vendors, community members).

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

Wednesday 4

Case Study 1 – Prenatal and Infant Population 

In this case study G.K is a nurse practitioner working in the health department of a large city caring for children and infants referred there after discharge from the local hospital. These children are considered high risk because they may be going home to a high-risk environment. G.K follows up with these children to ensure that they are in a safe environment, and that they are growing and developing adequately. Additionally, she provides support and education to their parents so they may be able to respond adequately to the challenges of raising children.  

Children’s health is often determined by a myriad of complex factors that impacts their growth and development. Biological factors include prenatal influences, genetic expressions, prior states of health, biological constraints, and possibilities created by their prenatal and post-natal influences (“Children’s health,” 2004). Behavioral factors include behaviors, attitudes, child’s emotional state, and cognitive abilities that influence the child’s health (“Children’s health,” 2004). Environmental factors include toxins such as air pollution and lead, socioeconomic resources within the family and their community, loving interactions with family members and their caregivers, culture, racism, segregation, the availability of quality services, and policies that directly or indirectly affect these and other interactive factors (“Children’s health,” 2004). 

The role of biological, environmental, and behavioral factors tends to change as the child grows and learns to adapt. An example of this is the attachment a child has to an adult during infancy, this changes as they grow into a toddler or adolescent when peer influence becomes more critical (“Children’s health,” 2004). Health influences can affect different children in various ways dependent upon their families and their cultural views (“Children’s health,” 2004). Therefore, developmental milestones should be applied to children based on their specific cultural background. As healthcare providers it is important that we understand a child’s health development is not based on a single influence or even a specific set of influences. Additional research is important to increasing our understanding of relative contribution of influences across a variety of social and cultural groups (“Children’s health,” 2004). 

A study done by WHO in 2016 revealed that over 644,855 children under the age of 15 were killed by an injury and between10 million and 30 million children suffered non-fatal injuries (Sleet, 2018). Childhood injuries can be categorized into two different subgroups of intentional and unintentional injury. Injuries such as traffic accidents, sports injuries, burns, poisonings, drowning, and suffocation are all examples of unintentional injuries (Sleet, 2018). Injuries resulting from assault, suicide, and self-inflicted injuries are classified as intentional injuries (Sleet, 2018).  

Since most injuries can be predicted, prevented, and even controlled as healthcare providers we must educate parents on various methods to prevent injury to their children. Parents must be taught that risk taking is an important part of children’s lives, therefore they should closely monitor their children to avoid both unintentional and intentional risks. Parents must also be taught how to child proof their homes. The use of safety gates and locks that prevent children from potentially interacting with hazardous chemicals is one way to prevent unintentional injury. Another example is the utilization of outlet covers to help prevent children from electric shock. The goal is not to eliminate all risk but to better control and manage them (Sleet, 2018). 

References 

Children’s health, the nation’s wealth: Assessing and improving child health. (2004). National Academies Press. 

Sleet D. A. (2018). The Global Challenge of Child Injury Prevention. International journal of environmental research and public health, 15(9), 1921. https://doi.org/10.3390/ijerph15091921 (Links to an external site.) 

ASSIGNMENT ATTACHED. PLEASE READ CAREFULLY.

Assignment:

Social Psychology

For this assignment you will create a two-sided tri-fold brochure using the Word brochure template or Canva. You will create 6 panels. This brochure will be for used in a psychologist’s office to share information about social psychology, personality study and the sense of self.

Back left panel (cover for trifold):

• Title for Brochure & Image

Inside 3 panels:

• Explain the main applications of social psychology
• 2 & 3 The theories of personality study (Include image and color where appropriate-Images should add value to the brochure).

Back Center Panel:

• Personality & the Sense of Self

Back Right Panel:

• Types of Psychologists that would provide
• Therapy/services for social & personality psychology  
• APA references

Assignment Expectations:

Length: Trifold brochure front & back, 6 panels

Structure:

          Back left panel-   Title for brochure & image

          Inside 3 panels-   Explain the main applications of social psychology

                                       Explain the theories of personality study

                     Include image and color where appropriate- Images

  should add value to the brochure

          Back center panel- Personality & Sense of self

          Back right panel- Types of psychologists that would provide

  therapy/services for social and personality

  psychology and APA References

References: Use the appropriate APA style, in-text citations, and references, for all resources utilized to answer the questions. Include at least (3) scholarly citations to support your information.