Monthly Archives: May 2023

 Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting. 

Please read over the required reading and the attachment before starting on the home assignment. 

REQUIRED READING 

Centers for Disease Control and Prevention (CDC). (2018). Introduction to program evaluation for public health programs: A self-study guide–Engaging stakeholders. Retrieved from Link: https://www.cdc.gov/eval/guide/step1/index.htm

Community Anti-Drug Coalitions of America (CADCA). (2010). Link: Assessment primer: Analyzing the community, identifying problems and setting goals. Retrieved from https://www.cadca.org/sites/default/files/resource/files/assessmentprimer2010.pdf. Read pages 10–32.

Let’s Learn Public Health. (2017, March 4). An introduction to health promotion and the Ottawa charter [Video file]. Retrieved from Link: https://youtu.be/G2quVLcJVBk

HOMEWORK ASSIGNMENT

STRATEGIC PLANNING: BUILDING A SUCCESSFUL PUBLIC HEALTH PROGRAMS

Case Assignment

1. After reviewing the required readings, select a public health model or framework that you think will be most appropriate for planning a program to address the issue of obesity.
2. Provide the rationale for selecting the model of choice and support your statements.
3. Explain the components of the selected model. Also include the benefits and limitations of the model.
4. Select and explain the core competencies demonstrated by a public health professional in this phase of program planning.

Be sure to use credible, professional, and scholarly sources such as peer-reviewed journal articles from the Trident Online Library, and government, university, or nonprofit organizations’ websites.

Length: 3–4 pages double-spaced, excluding the cover page and the reference list.

Need Help. Please Follow Rubric 

The Institute of Medicine’s report, The Future of Nursing: Leading Change, Advancing Health, addresses the need for nursing leadership; it discusses the potential for nursing to lead improvement and redesign the healthcare delivery system. Take a look at the video Transforming Care at the Bedside: Empowering Better Nursing Care to see what some nurses have done to improve healthcare in their facilities. Based on your nursing experience, what change would you like to implement to improve care? What are the first steps you would take to implement the change?

Video Link

Psychotherapy Evidence-Based Practice Movie Paper

Pick a movie that portrays a character or characters who is/are experiencing a psychological disorder/mental illness, such as one from the following list. Alternatively, pick a movie that portrays an example of a certain type of therapy, any therapy for example (Narrative Therapy, Feminist Therapy, Person-Centered Therapy, Solution Focused Therapy, GroupTherapy). 

Note: Please, DO NOT CHOOSE “Addiction Therapy”

Movies list:

1. Leaving Las Vegas
2. A Clockwork Orange
3. What’s Eating Gilbert Grape
4. Boys Don’t Cry
5. Benny and Joon
6. Girl Interrupted
7. Seven
8. Mad Love
9. Rain Man
10. Shine
11. A Beautiful Mind
12. Madness of King George
13. Fight Club
14. The Fisher King
15. One Flew over the Cuckoo’s Nest
16. Twelve Monkeys
17. Sybil
18. The Three Faces of Eve
19. Eating
20. The Silence of the Lambs
21. Pollock
22. Ordinary People
23. Analyze This/Analyze That
24. Final Analysis
25. Identity
26. The Great Gatsby

Watch the movie and then please do the following:

1. Write a very brief summary of the movie. Give me some clear evidence that you watched it.
2. Write a description of how the psychological disorder and/or the therapy that was portrayed.
3. Research and include evidence based practice related to the disorder/therapy portrayed.
4. Write a critical analysis of how accurate or inaccurate you found the portrayal of the disorder/therapy. Show evidence of your knowledge of the psychological disorder/mental illness or the type of therapy (i.e. include information from class or the text).

Guidelines:

Your total paper should be 6 pages in length, typed, and double-spaced. Use APA format.

Free of plagiarism (TURNITIN assignment)

Background: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse, and I work in a Psychiatric Hospital.

LITTLE SUMMARY

Write an answer based on this essay. Not respond one by one, just in general. Use at least 2 references but not the same that appears here.

1. Factors Influencing the Realization of Quality Improvement in Healthcare.

Historical, social, political, and economic trends and issues that have influenced health care today.

The rapidly changing health care provision system has many forces driving it. Historical, social, political, and economic trends and issues in the last century have influenced today’s healthcare system (“Chapter 10, issues of quality and safety”, n.d). Need to reduce the cost and increase quality health care influences the movement toward improved quality and safety. Economics, societal demographics, legislation, regulation, and technology are some of the influencers.

Economic trends are a significant influencer of the process of moving towards improved quality. For instance, in the USA, the business community, medical supply chain stakeholders alongside the media are constant critiques of that country’s health care system (“Chapter 10, issues of quality and safety”, n.d). The demographic situation of society is another trend that influences quality improvement in healthcare. The increased racial, age and ethnic diversity in the Us, for instance, has influenced healthcare delivery in a significant way (“Chapter 10, issues of quality and safety”, n.d). 

Many stakeholders are interested in a revolution of the health care system, and hence they always push for legislations that will translate to a change. To avert some of the challenges affecting the health care system, legislation, and regulations by the prevailing regime are imminent.

Technological advancement is another factor influencing quality improvement in health care. Technology implementation in health care helps to reduced costs and, at the same time, improve the quality of services. Medical practitioners, such as nurses, are compelled continuously to adjust to the new technologies by seeking additional knowledge and skills necessary to handle these technologies.

Historical occasions in government and bodies managing health care have taken a significant role in enhancing quality in health care provision (“Chapter 10, issues of quality and safety”, n.d). The systematic revolution of the health care system and even the government have seen the utilization of measures unique to the prevailing situation and scenarios that have been witnessed in the past.

2.Purpose and process of evaluating the three aspects of health care

Evaluation in health care is divided into three main categories; structural, process, and outcome (Wensing, Grol, & Grimshaw, 2020). Structural evaluation involves the assessment of structures and methods used in the provision of healthcare. According to Wensing, Grol, & Grimshaw (2020), structural assessment’s primary purpose is to demystify the consumers of health acre the capacity, effectiveness, and nature of the health care system. The process involves identifying what is to be evaluated and identifying relevant stakeholders. Assessing the required resources and determining the methods of measurement follow suit. Development of an action plan, data collection, data analysis, data interpretation, and evaluation of finding follow in their respective order.

On the other hand, process evaluation is assessing the effectiveness of the actions taken by health care providers to ensure quality services. The evaluation’s primary purpose is to inform consumers on medical care they should expect to receive when faced with particular health issues (Wensing, Grol, & Grimshaw, 2020). The assessment follows a similar process as used in the structural evaluation. 

Outcome evaluation is the assessment of the implications of services offered to patients. The assessment seeks to identify issues that may call for drastic changes in a bid to improve health care services. The process is also crucial in the identification of the level of quality of health care. The steps followed in structural evaluation also apply in this case.

3.How technology have improved patient outcomes and the healthcare system

Intensive application of technology has infested literary all the sector today, including the health care sector. Technology is being used in facilitating communication among health care practitioners alongside the management of medical data. Often a single patient is handled by more than one health care practitioner hence an increased risk of miscommunication (Chi et al., 2019). However, technology plays a massive role in preventing such occurrences through the use of the Electronic Health Records system, thus improving patient outcomes.

The occurrence of prescription error is a serious threat to quality health care provision. Technology is appliable to avert possible instances of erroneous prescription whereby prescriptions can be sent directly to pharmacies electronically (Siebert et al., 2019). Reminders and medical alerts are other ways technology can be applied to prevent the potential error in prescription. Thanks to technology, the null or minimum occurrence of error will play a significant role in ensuring improvement in patient outcomes.

Patient-centred care is essential in ensuring positive patient outcomes. Technology is vital in achieving patient-centred care through the implementation of online portals, messaging, and other forms of modern communication. Medical practitioners can keep in touch with their patients through such platforms.

Nurses’ alertness at the bedside is crucial in ensuring their ability to ensure the safety of patients and improved patient outcomes. Considering attention being a primary factor influencing patient safety and patient outcomes, assigning nurses, many patients will impede patients’ safety and outcomes (Spazzapan, Vijayakumar & Stewart, 2019). Therefore, health care administrators must ensure adequate staffing in the nursing fraternity to ensure that the nurses are not overstretched.  

The nature of nursing partition increases the likely hood of mistakes. Such mistakes are more likely to occur when the working conditions for the nurse are unfavorable (Spazzapan, Vijayakumar & Stewart, 2019. The easiness of errors occurring puts the patient improvement and safety of patients. Therefore, the nurses’ working conditions should be as conducive as possible. Authorities in health care should take measures to improve the nurses’ working conditions to ensure an improvement in patients’ outcomes. 

4.WHO’s influence on quality improvement in Health Care.

The World Health Organization (WHO) is the United Nations (UN) body involved in health matters. Apart from providing monetary aid in a bid to improve health care, the WHO also makes policies and recommendations aimed at ensuring the improvement of health care (Subramaniyaswamy et al., 2019). For instance, the body requires nations to have national health care standards policies and strategies, establish and maintain an adequate medical workforce and ensure that the health care sector is endowed adequately with relevant infrastructure.  The UN body also recommends that all citizens be informed about their right to access quality health care services alongside them playing a role in designing health care systems. 

2) Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions:

WHO began when our Constitution came into force on 7 April 1948 – a date we now celebrate every year as World Health Day.

The World Health Assembly is attended by delegations from all Member States, and determines the policies of the Organization.

The Executive Board is composed of members technically qualified in health, and gives effect to the decisions and policies of the Health Assembly.

The primary role is to direct and coordinate international health within the United Nations system.

The main areas of work are health systems; health through the life-course; noncommunicable and communicable diseases; preparedness, surveillance and response; and corporate services.

The recommendations, funding, and policies made by WHO have seen radical changes in the system. For instance, the UN body’s recommendation on increasing the workforce has seen an increase in efforts by the government to recruit more practitioners. WHO also recommends governments to ensure the health care system is adequately equipped with physical infrastructure. 

In the health facility, I work in understaffing had been prevalent in the past few years. However, additional nurses have recently joined us. This is an implication of the WHO policies that require adequate staffing in health care facilities.

References 

References 

Chapter 10, issues of quality and safety (n.d).

Chi, J., Bentley, J., Kugler, J., & Chen, J. H. (2019). How are medical students using the Electronic Health Record (EHR): An analysis of EHR use on an inpatient medicine rotation. PLoS One, 14(8), e0221300

Spazzapan, M., Vijayakumar, B., & Stewart, C. E. (2020). A bit about me: Bedside boards to create a culture of patient‐centered care in pediatric intensive care units (PICUs). Journal of Healthcare Risk Management, 39(3), 11-19.

Siebert, J. N., Ehrler, F., Combescure, C., Lovis, C., Haddad, K., Hugon, F., … & Gehri, M. (2019). A mobile device application to reduce medication errors and time to drug delivery during simulated paediatric cardiopulmonary resuscitation: a multicentre, randomized, controlled, crossover trial. The Lancet Child & Adolescent Health, 3(5), 303-311.

Subramaniyaswamy, V., Manogaran, G., Logesh, R., Vijayakumar, V., Chilamkurti, N., Malathi, D., & Senthilselvan, N. (2019). An ontology-driven personalized food recommendation in IoT-based healthcare system. The Journal of Supercomputing, 75(6), 3184-3216.

Wensing, M., Grol, R., & Grimshaw, J. (Eds.). (2020). Improving patient care: the implementation of change in health care. Wiley-Blackwell.

Below is the grading rubric and an old powerpoint that has some information that you may be able to use.  The topic is “Lack of lactation education/resources for women in underserved Los Angeles areas.  Utilize Nola Pender for section #3- conceptual framework.  Let me know if you have any questions.  

Group Community Health Promotions Paper

Guidelines and Grading Criteria

Select a community health problem and design a health promotions project

1. Introduce the topic for analysis and the potential impact for public health nursing, include 

background for the issue and the purpose of the paper  10%

****TOPIC: Lack of lactation education/resources in underserved areas of Los Angeles

2. Identify current publications concerning the issue being analyzed – literature review  30%

In this section the team must demonstrate analysis and synthesis of the extant literature. 

The review should include information published in refereed journals, authoritative websites, government and other publications. References should be current and reflective of 

contemporary thought with regard to the selected issue

****Current references 2015 and after

3. Conceptual Framework  10%

Identify the theoretical model the team will use to support the conceptual framework

that guides the constructs of your paper ( Milio’s Framework for Prevention, Health 

Belief Model, Pender Health Promotion Model, Critical Social Theory, Orem Self 

Care Deficit Theory, Leventhal’s Self-Regulation Model, Precede-Proceed Model, etc)

****Nola Pender Health Promotion Model (in slides)

4. Project Plan  30%

This section should include an identification and review of the health information

needed, description of the manner by which the data will be collected and analyzed,

presentation of possible solutions to the problem, identification of key community

partnerships, and the plan for monitoring, assessing and evaluating.

5. Conclusion  15%

This section should include how the team perceives a potential resolution for the

problem addressed and how that resolution might contribute to the advancement of

primary care nursing practice

6. Scholarly writing style  5%

The writing style for the paper should adhere to APA guidelines with regard to

format, citations, spelling, and correct use of grammar and punctuation. Length of the

paper should not exceed 20 double-spaced pages, including reference list.

Minimum of 250 words with at least one peer review reference in 7th edition apa style

 Often times we can find credible sources of information that are not found in a formal literature search through a library database. These sources are considered grey literature. You may see this type literature in your systematic reviews. When conducting research, you should consider the following sources as a way to supplement your more formal reviews. More than likely, they are more up-to-date than a traditional article, which takes longer to get published. You can find grey literature by conducting a Google Scholar search. It is important to vet the information once you locate it. You can read more about grey literature by clicking the link in the reference.  

What is grey literature review pros and con

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

There is a planned community health project to decrease the incidence of human papilloma virus (HPV).

1.  Who is/are the target population? Why?

2. What are some key factors to consider when planning an HPV prevention program?

Part 2:

 1. What is meditation? 

      a. Discuss the benefits of meditation? (mention at least 3).

2. Indicate any research study that support the benefits  of meditation 

3. Have you ever practiced meditation? (Yes)

      a . Discuss your experience? 

Part 3:

Families may encounter different types of crisis. 

1. Choose one of the family crisis discussed in your textbook and discuss it.

Part 4:

A nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors.

1 Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation?

2.Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals.

3.Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes? 

Part 5:

Often in practice, we connect the concept of spirituality with religion, but according to the readings in the text, (chap 15) there are differences.

1. How can nurses incorporate these two concepts (spirituality with religion) into your practice? 

         a. Give at least two examples.

2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to Sexuality and Intimacy 

       b. Develop two patient-specific interventions for the client.

Part 6:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 7:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.

Part 8:

As an advanced practice nurse, one can engage in activism in order to achieve desired policy changes at various levels including their own organization.

Answer the following questions;

1. Should nurses be unionized  ( yes or not) and why?

2. How does being unionized impact a workforce culture of safety?

3. Include one MSN Essential in your discussion that relates to this topic.