Posts in category: Uncategorized

1- Discussion question: An individual is being seen in the emergency room. She is complaining of right lower quadrant pain. Discuss various techniques used in assessing possible appendicitis.

2- 3 paragraphs of 3 sentences each.

3- 2 references not older than 2015

4- APA style

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
2. What role does informatics play in the ability to capture this data?
3. Which systems and staff members would need to be involved in the design and implementation process and team?
4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
5. How would the EHR team ensure that all order sets are part of the new record?
6. How would you communicate the changes, including any kind of transition plan?
7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing 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.

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

Consider the study on Ethnography you described last week, Remind us of your study.                      1.What population will be your sample? 

2. What specific qualitative data will you collect?

3. How will you know when to stop collecting data?

 A 37-year-old woman G2P2 presents with a lump in her left breast. Her husband noticed it recently and she is concerned, especially as she had an aunt that had breast cancer and thinks that a great-grandmother or some other ancestor may have died of breast cancer as well. Both of her children (9 and 7) were delivered without complication and she breastfed “for well over a year” with each. She has no other significant PMH or allergies. She is 5’ 6” tall, weighs 144 pounds and has a BMI of 22 and works as an office manager. She is a non-smoker, considers herself to be an “almost” vegetarian and has a glass of wine many evenings with dinner. She has regular physicals and is up to date on pap smears which have always been normal. Meds include a daily multi-vitamin and occasional acetaminophen for tension headache or ibuprofen during her period. Upon examination, the lump is discovered. It is firm and near the surface and no other masses are discovered. The lump is aspirated, and an opaque liquid is removed. Following this procedure, the lump has vanished. What is the differential diagnosis? What would be any further screening or treatment options? What is her risk of developing breast cancer? 

Write a 1500-2000 word APA formatted essay of the following topics:

• Discuss the pathophysiologic connection between asthma and allergies
• Discuss pathophysiology of lung cancer, clinical manifestations, and diagnostic tests
• What are the pathophysiologic changes in COPD and how does it differ from asthma?
• Discuss the use of oxygen therapy in patients with a diagnosis of COPD. What are the benefits and the potential pitfalls?
• Complete Case Study #13 (bacterial pneumonia) in the Bruyere textbook

  To Prepare

• Review the resources related to Medicare Access and      CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
• Review the Criteria for Attestation.
• Consider your current workplace or a former workplace      and reflect on how EHR implementation slows your work, including staffing      issues, medication barcoding, or any other issues that you might      encounter.
• Identify policy mandates and requirements and reflect      on how informatics and EHR implementation affect your ability to meet      those policy mandates and requirements. 
• Identify other mandates (e.g., quality, safety,      requirement of reporting) and reflect on how they may affect issues you      identified.

By Day 3 of Week 10

Post a response that analyzes how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Chapter 1, “Introduction to Health Information Technology in a Policy and Regulatory Environment” (pp. 2–17)
Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)

Centers for Disease Control. (2017, January 18). Meaningful use. Retrieved from https://www.cdc.gov/ehrmeaningfuluse/introduction.html 

Lye, C. T., Forman, H. P., Daniel, J. G., & Krumholz, H. M. (2018). The 21st Century Cures Act and electronic health records one year later: Will patients see the benefits? Journal of the American Medical Informatics Association, 25(9), 1218–1220. 

Office of the National Coordinator for Health Information Technology. (2017, May 15). Standard nursing terminologies: A landscape analysis. Washington, DC: Author. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Office of the National Coordinator for Health Information Technology. (2019, February 20). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

Federal Register: The Daily Journal of the United States Government. (2016, May 5). Medicaid and Children’s Health Insurance Program (CHIP) programs; Medicaid managed care, CHIP delivered in managed care, and revisions related to third party liability. Retrieved from https://www.federalregister.gov/documents/2016/05/06/2016-09581/medicaid-and-childrens-health-insurance-program-chip-programs-medicaid-managed-care-chip-delivered

eCQI Resource Center. (2019a, May 10). eCQMs. Retrieved from https://ecqi.healthit.gov/ecqms

eCQI Resource Center. (2019b, May 10). Eligible hospital/critical access hospital eCQMs. Retrieved from  https://ecqi.healthit.gov/eligible-hospital/critical-access-hospital-ecqms

Leapfrog Hospital Safety Grade. (2019, April 25). Leapfrog hospital safety grade: Scoring methodology. Retrieved from https://www.hospitalsafetygrade.org/media/file/HospitalSafetyGrade_ScoringMethodology_Spring2019_FINAL.pdf
 

 Research Article 

1. Research an article defending the position on the advancement of healthcare informatics and technology in healthcare. 

Instructions

1. Research Article: 

a. You will use the research-based paper grading rubric as a guide to complete the transcript and the group presentation rubric for delivering the presentation. (Both rubrics attached below)

b. Prepare an 8-10 page paper (including title and reference page) written in APA 6th edition style. References no later than 4 years old. 

Research Paper Rubric   (APA Format)

Title Page: Student has an appropriate title page, completed in an APA format with the title of the paper, the student’s name, a running head and date on the cover page.

Introduction: Contains a clear purpose of writing to inform the reader relating to the selected topic.

Body: The paper will have three main points with supporting evidence to back up the points.

Conclusion: The student will a clear conclusion with future directions.

Reference Page: Student has a minimum of 3 different references and all references are in APA format, no later than 4 years old.

Background info-historic perspective: Present with depth and clarity. APA format.

Citations and references: Both present written properly and has excellent depth of research information

 This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.
2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.   
3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
2. When should this form be completed?
3. Who can complete the form?
4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.   

Review the rubric for further information on how your assignment will be graded.

Description:

You will be building your Philosophy of Nursing paper that will be submitted at the end of the unit. Take time now to review the details and write the paper according to the attached rubric.

Purpose: 

The purpose of this assignment is to enable the student to discover his or her personal philosophy of nursing as it exists at the beginning of the academic journey toward the BSN.

Guidelines: 

Download the guidelines and grading criteria for the Philosophy of Nursing paper from the module resources before you start the paper and refer to them as you work.

Note: the guidelines and grading criteria rubric is attached. APA format 7TH edition and Zero Plagiarism.  5 pages excluding cover and reference page.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice