Monthly Archives: May 2023

Assignment Content

1. Create a 12- to 15-slide Microsoft® PowerPoint® presentation. Complete the following in your presentation:

   Explain how Electronic Health Records (EHR) are used.

   • Identify types of information found in an EHR.
   • Describe 1 technology that has an impact on health care delivery.
   • Include possible concerns or considerations regarding this technology and patient health data.
   • Describe 1 regulation that has an impact on health care delivery.
   • Include how this regulation affects the use of patient health data and technology.
   • Include consequences of noncompliance with this regulation.
   • Describe 1 government agency with oversight of healthcare delivery.
   • Identify whether this agency is available at the federal, state, or local level.
   • Identify a healthcare structure that must comply with this agency
   • Describe the effect this agency has on health care delivery.
   • Summarize the importance of compliance for patient health data and technology.

     Note: Provide speaker notes for each slide. Refer to the tutorial “Adding Speaker Notes to Your PowerPoint® Slides” from Microsoft® for more information on how to add speaker notes to your presentation.

     Cite any references to support your assignment.

     Format your assignment according to APA guidelines.

Have you ever been involved in a lease-or-buy decision at work? In your personal life?

Please describe this situation and be sure to include the following information:

• How did you approach making this decision? 
• What factors went into making the decision to lease or to buy?
• In hindsight, do you think that you made the right decision? 
• Do you think that you made the cost effective decision?

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan.

Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal.

Discuss the concept of personhood as used in the nursing as caring theory.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

In this Assessment, you will use information from the case scenario below, along with the supporting documents provided, to demonstrate your ability to apply economic concepts to make recommendations for organizational decisions.

Case Scenario: Launching a Cancer Drug: Comanapracil

You are a pharmaceutical executive. You believe that your firm, Ropache, may have developed a promising new drug, Comanapracil, which seems to arrest the progress of breast cancer for 2 years with no significant side effects. Clinical trials suggest that the drug is 100% effective for 2 years. After 2 years, tumor growth resumes at the same rate. Therefore, Comanapracil can only be used for a 2-year course, after which it loses its effectiveness.

Professional Skills: Written Communication, Technology, and Critical Thinking and Problem Solving are assessed in this Competency

Your response to this Assessment should:

• Use the Assessment documents and video as required.
• Reflect the criteria provided in the Rubric.
• Adhere to the required assignment length.
• Use the APA course template.
• Download the Writing Checklist to review prior to submitting your Assessment.

This Assessment requires submission of two (2) files. Save your files as follows:

• Save Part I as FM005_PartI_firstinitial_lastname (for example, FM005_PartI_J_Smith).
• Save Part II as FM005_PartII_firstinitial_lastname (for example, FM005_PartII_J_Smith).

When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Instructions

Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

Access the following to complete this Assessment:

• U.S. Breast Cancer Statistics
• Annual Costs of Cancer Care—Cancer Prevalence and Cost of Care Projections:
• Chemo Costs in U.S. Driven Higher by Shift to Hospital Outpatient Facilities
• GDP Per Capita
• Health Expenditure Per Capita
• Life Expectancy at Birth, Total (Years)
• Breast Cancer Drug – Comparison Chart

This assessment has two-parts.  Click each of the items below to complete this assessment.

Part I: Determine Pricing and Marketing Strategy for a New Drug

You have been tasked with developing a pricing and marketing strategy for Comanapracil. As you undertake this task, refer to the following resources mentioned above:

• U.S. Breast Cancer Statistics
• Annual Costs of Cancer Care—Cancer Prevalence and Cost of Care Projections
• Chemo Costs in U.S. Driven Higher by Shift to Hospital Outpatient Facilities
• Breast Cancer Drug—Comparison Chart

Create a 10- to 15-slide presentation, for the board of directors, to convince them that Comanapracil is a good investment. The presentation should address the following economic issues related to the marketing of Comanapracil:

• Develop and present estimates for the demand for Comanapracil and the price of the drug you think the market will bear. Be sure to include the number of customers for this drug.
• Describe where and to whom you will focus your marketing efforts. For each, detail why they are important.
• Explain how you will ensure that insurance companies pay for your drug.
• Explain the elasticity of demand for a drug like Comanapracil. What factors could potentially change the elasticity of demand?
• Assume you are able to obtain a patent, and are ready to go to market immediately. Explain the length of time for which your drug will receive patent protection, so that you are protected from competition prior to generics entering the market. Also, explain why patent protection exists in healthcare.

Part II: Compare International Healthcare Systems to Develop an International Market Entry Strategy

It is your job to develop a market analysis for four different healthcare markets with unique insurance systems. These four analyses will be contained within one 10- to 11-slide presentation to the board of directors. Your analysis will serve as a basis for deciding which country to market Comanapracil:

• Germany
• United States
• Ghana
• Brazil

Create your presentation as follows:

• The first slide will be an analysis of the relationship between spending on healthcare per capita and life expectancy in each country. Begin by referring to the World Bank charts “GDP Per Capita,” “Health Expenditures Per Capita,” and “Life Expectancy at Birth, Total (Years).” Using these, create a chart comparing the spending on healthcare per capita with the life expectancy in each country. Underneath the chart, on the same slide, address the question: Is there a relationship between life expectancy and healthcare spending?
• Next, based on what you have learned about the healthcare systems of Germany, the United States, Ghana, and Brazil, create four slides (one for each country) that summarize how each healthcare system is structured.
• Next, create another four slides (again one for each country). Each of these slides should summarize your findings from conducting a SWOT analysis for each country (that is, identify the economic strengths, weaknesses, opportunities and threats) associated with marketing Comanapracil in each country.
• Create one to two slides recommending which two countries are most attractive for marketing Comanapracil and why.
• Your board has shown a particular interest in the German market. In order to market your drug in Germany successfully, you must be approved by the German Institute for Quality and Efficiency in Health Care (IQWIG). Create two to three slides, addressed to the IQWIG, which argue for the importance of why your drug should be covered. Address the following issues:
  • How much of a gain in health outcomes will this drug provide?
  • Do other drugs provide similar effectiveness in treating this disease?
  • How many people will benefit from this drug? Explain why some people will benefit from the drug more than others.

Assignment: Practicum: Decision Tree 

Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.

Learning Objectives

Students will:

• Evaluate clients      for treatment of mental health disorders
• Analyze      decisions made throughout diagnosis and treatment of clients with mental      health disorders

The Assignment:

Examine Case 3: ( Case study in required media below) You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1: Differential      Diagnosis
  • Which Decision       did you select?
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #1 and the       results of the Decision. Why were they different?
• Decision #2: Treatment Plan      for Psychotherapy
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #2 and the       results of the Decision. Why were they different?
• Decision #3: Treatment Plan      for Psychopharmacology
  • Why did you       select this Decision? Support your response with evidence and references       to the Learning Resources.
  • What were you       hoping to achieve by making this Decision? Support your response with       evidence and references to the Learning Resources.
  • Explain any       difference between what you expected to achieve with Decision #3 and the       results of the decision. Why were they different?
• Also include how      ethical considerations might impact your treatment plan and communication      with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

 Required Readings

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

· “Schizophrenia Spectrum and Other Psychotic Disorders”

McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf

Required Media

Laureate Education (Producer). (2017b). A young girl with strange behaviors [Multimedia file]. Baltimore, MD: Author.

You mention the ways of searching and importance of finding peer reviewed, scholarly articles.  How do you best determine what search engines to use to find these articles?  Is google.com a good way to search?  Why or why not?

Searching for evidence that can improve nursing outcomes

Improving nursing outcomes is essential in nursing practice. Setting up the levels of care provision helps in improving the quality of nursing care delivered and patient’s outcomes. Nursing outcomes, however, can be enhanced through theoretical viewpoints. The theoretical approach can offer adequate information that nurses require to enhance their practice skills and knowledge. Searching for evidence is often not easy; it is quite a challenging task that requires good skill sets. I will search for articles that are up to date and peer-reviewed. However, the most critical aspect is to ensure that the article has adequate information that can be used to enhance nursing practice decisions and skill set. The chosen article explains how nurses can incorporate evidence into a newly designed unit to improve patient’s outcomes. 

Concerning evidence integration, the article elaborates the need to incorporate well-understood ideas form research into practice. In aspects of nursing, education and science, the impact of evidence-based practices (EBP) resonated. The call for improved care and clinical improvement based on evidence underscores the need for safe, healthy and productive care redesign. In line with the numerous guidelines of national experts, initiatives have been implemented which maximize significant contributions which the caregiver should, should and will make in order to fulfil the EBP commitments fully. These initiatives include the introduction of realistic programs and curricula for training and reform, the theoretical models and innovations and the creation of a national research improvement network for research in new areas of technology and science. 

The chosen article was prepared by Tafelmeyer, Wicks, Brant, & Smith (2017). It is a recent article that approves the integration of evidence into clinical nursing practice. The article targets nurses who are situated in newly built nursing departments. However, it can be generalized under nursing practice as its information addresses all aspects of nursing practice. It expresses its point clearly and concisely through which all nurses can well understand and object to implement into their actual nursing practice. Sources used to cite the article appear very credible and citable. When sharing evidence, I can think of creating posters, presentations and paper distributions. I can put up stickers like reminders that I can put on the work fridge, on walls containing information and reminders as to what nurses are supposed to implement but in a concise manner.

Moreover, I can prepare presentations and give them in the form of fliers and magazines that individuals can read in their own free time. Besides, I can choose to share the information on social media where most of my colleagues are found. I can also create a website where all required information on improving nursing outcomes can be found and also where my colleagues can also post as well as retrieve necessary documents. Finally, I can seize an opportunity during nurse team meetings to present my ideas on how to enhance nursing practice for better and improved patient outcomes.

NU310-6: Synthesize research evidence for best practice to improve patient outcomes.

Read this Article

The purpose of this assignment is for you to incorporate research evidence into a clinical model for a practice change. Using the Iowa Model for Evidence Based Practice as a guide, develop a concept map/schematic that shows the pathways necessary for a clinical change that you would like to see implemented in your current practice setting.

The concept map should include the 7 steps below in schematic format:

1. Formulate a clinical problem that is nursing sensitive and patient focused. Develop a PICO statement to articulate a research question>

P=Population (Who is your population of interest to be affected?)

I= Intervention (What intervention will you implement to address the clinical problem?)

C= Comparison (Will you be comparing one intervention with another or an intervention with existing protocols?)

O= Outcome (What is the desired outcome from the intervention?)

T= Time (How long will the change take to implement?)

2. Determine organizational commitment

3. Develop a team to gather and appraise evidence

4. Determine if reasonable evidence exists to implement the clinical change

5. Implement a pilot change to test the feasibility

6. Evaluate the change/plan

7. Disseminate the results.

The schematic/concept map should fit on one page. On a separate page, explain the rationale and process of each step of your model (briefly), incorporating references as cite sources in correct 6th edition APA style and format. You do not need to include a title page for this assignment. Provide your reference list on a separate page, with between 4-5 current scholarly references. The total submission should be no more than 3 pages.

.doc file

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

HCA320 Discussion Mod 2:

Overview

This module examines the history of healthcare reform including the Patient Protection Affordable Care Act (PPACA or ACA). Changes in healthcare policies can impact healthcare consumers both positively and negatively. For example, under the ACA children can obtain coverage through their parents’ employer-sponsored or privately purchased insurance plan through the age of 26 (Henry J. Kaiser Family Foundation [KFF], 2018). According to KFF, since this provision of the bill came into effect in 2013, the rate of uninsured nonelderly adults dropped from 20.5% to 12.2% in 2016 and even with all the progress, young people remain the least insured age group in the United States. Healthcare reform affects the consumer as well as the provider and healthcare worker. In this module, you will examine populations affected by the ACA, and the transition from traditional healthcare to one with a strong governmental influence. You will have the opportunity to compare and contrast traditional healthcare in the United States with the ACA, as well as explore changes in the current policies that impact health care in the United States. 

Henry J. Kaiser Family Foundation (2018). Retrieved from http://files.kff.org/attachment//fact-sheet-key-facts-about-the-uninsured-population

Discussion Question:

Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.

400 words required