Case scenario to be completed:
–APA Format.
-Introduction or abstract page
-Summary or Conclusion page
-Five Pages Minimum, not included Introduction or abstract, Conclusion or Summary , and Bibliographic pages.
–Completely unacceptable Copy and Paste from Internet, or other resources.
– Bibliographic have to be in APA Format, minimum 3 references citations with 3 years old or less.
-Use the case study attached and answer the questions
I NEED A RESPONSE TO THIS ASSIGNMENT
ZERO PLAGIARISM
2 REFERENCES
Your discussion video post about the patient you think was not adequately progressing according to expected outcomes was well stated, and the treatment approach is also one of the recommended therapies for drug and alcohol use disorder. Addiction is a complex disease that can affect many areas of a person’s life. According to Thomas (2019), addiction requires treatments that address the symptoms and the underlying causes of the disorder as well as the consequences that substance use has on different areas of the person. Your patient with addiction to alcohol and drug use who is also living with a boyfriend that is also an addict may cause multiple relapses. This patient needs highly motivational reasons that can make her look forward to abstaining from the use of addictive substances.
Cognitive Behavioral Therapy Contingency Management (CM) may be a good choice for this patient. Contingency management is a type of CBT that is effective in the treatment of substance use disorder for alcohol, Opioid, marijuana and stimulants and it reinforces sobriety by providing material rewards as the motivation for desirable behaviors to help maintain sobriety. The major benefit for contingency management is that it can result in a reduction in the two of the biggest treatment-related issues reduce drop out from treatment and relapse (Thomas, 2019). As also pointed out by Alessi (2013), recent meta-analysis suggest that CM is among the most efficacious behavioral therapies for the treatment of substance use disorder, and it is used to target abstinence directly by reinforcing attendance to therapy, medication adherence and completion of activities related to treatment goals.
References
Alessi, S. M. (2013). Contingency management. Retrieved from https://www.sciencedirect.com/topics/psychology/contingency-management.
Thomas, S. (2019). Different types of therapy. Retrieved from https://www.americanaddictioncenters.org/therapy-treatment.
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.
Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.
Write a 500-750 word description of your proposed capstone project topic. Include the following:
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Discussion 2: The Role of the RN/APRN in Policy-Making
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.
What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?
Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.
To Prepare:
ONE PAGE ,THREE REFERENCES PLEASE
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and etcetera, have all played an intricate role in reassuring that healthcare teams are on one accord with providing safe and effective treatment to patients. Each electronic system mentioned have parameters put in place to promote safety and warrant issues that need to be addressed during patient treatment. It is crucial for the multidisciplinary team to communicate with each other to come up with solutions on how to provide the best care. It is also imperative to communicate information and treatment with the patients. As a staff nurse, I have witnessed ineffective communication between the healthcare team and patients far too often. Patient care should be patient centered therefore, it is the nurse’s to duty to ensure that patients are actively involved and well informed on their medical issues and care. Besides verbalizing care with patients, it is a great idea for nurses to promote the use of patient health portals as a resource for patients to be informed on their care.
“A patient portal is a secure online website that gives patients convenient, 24-hour access to personal health information (PHI) from anywhere with an internet connection” (Oliveira, 2019). Patient portals provide data of all of the care rendered, lab values, testing, discharge information, appointments, billing, and so on, entered by healthcare staff during the patient’s stay. The data collected comes from the various electronic tools that the healthcare team used to record data. The portal also has a patient satisfactory survey and comment section for patients to evaluate the care rendered and offer suggestions on ways that the hospital and staff can improve with providing care.
The patient portal is a valuable tool for both the patient and the healthcare team. For the patients, it is a great resource for patients to educate themselves on their conditions and they do not have to rely heavily on verbal communication from staff. It is helpful and supports understanding; therefore patients may have fewer questions due to them being well informed. For the healthcare team, input from the patient gathered from the online surveys and comments sections provide feedback on ways the staff and hospital can improve care from all aspects. Nurse leaders serve as informatians which “enable communication between people and systems to more effectively protect the population’s well-being” (Public Health Informatics Institute, 2017). Nurse leaders can use the information gathered from the surveys and comments sections of the patient portal to identify issues that may need to be addressed to improve quality of care and/or the hospital environment. Data gathered from the patient portal provides a constant evaluation of healthcare rendered by staff and provides a baseline to evaluate whether care is improving or not. Nurse leaders can take the information gathered to identify problems and come up with problem solving strategies to present to staff and hospital administration during meetings.
References:
Laureate Education (Producer). (2018). What is informatics? [Video file]. Baltimore, MD: Author.
Oliveira, K. (2019, November 5). Best practices for effective patient portals. Amazing Charts. https://amazingcharts.com/best-practices-for-effective-patient-portals/
Public Health Informatics Institute. (2017). Public Health Informatics: “translating” knowledge for health [Video file].Retrieved from https:// www.youtube.com/watch?v=fLUygA8Hpfo
Micheals discussion
The concept of informatics centers on the careful gathering, sequencing and the obtaining of information from various sources with the intent of making it readily accessible for use in a more cohesive format across various platforms for use either by healthcare teams, law enforcement, researchers and or students in and out of the classroom setting. “Healthcare and nursing informatics are both vastly growing fields within the medical field and are continuously incorporating new and evolving technology. Both have been around for the past three decades, at least. The technology boom at the turn of the century has helped informatics and information systems further evolve. Enhanced delivery of care, improved health outcomes, and advanced patient education are just a few aspects that have improved.” (Sweeney, 2017)
My scenario follows from the background of my work in a surgical oncology hospital where I work as a registered nurse in the care of post operative surgical patients who are battling cancer, often at times some of the cancer patients that arrive my unit have undergone some form of plastic surgery where a piece of tissue has been derived either form the back or the leg muscles for the reconstruction of the jaw or the mandible which translate to a flap with the need for hourly monitoring within the first seventy two hours, and picture uploading of the flap, this parameters are put in place for careful monitoring of the flap site to rule out hematoma, seroma or failure of the flap due to non viability or tissue rejection.
Following from careful monitoring and reporting of patient flap and its viability to the treatment team, any adverse outcome like flap failure, hematoma, or undesired coloration of the flap indicating poor perfusion can be readily addressed which could mean the difference between redoing the surgery or salvaging the surgery before it further deteriorates. Data for the flap can be collected via computer interface and also via the work phone picture platform where hourly flap check reports are documented and every shift flap pictures are uploaded to the patient chart electronically, with this system in place and the synch ability across different computer models on real time makes it easy for all providers associated with the surgery to gain access to patient data, pictures, documentation on post surgical state of the patient in real time, this in turn gives the team peace of mind knowing they are able to monitor and manage a post surgical patient’s care even when they are away from the unit. According to McGonigle (2017, p30), “An IS acquires data or inputs; processes data through the retrieval, analysis, or synthesis of those data; disseminates or outputs information in the form of reports, documents, summaries, alerts, prompts, or outcomes”.
Based upon the lay out of the hospital, and the sync ability of the pyxis with the computer modules, every medication pulled from the pyxis shows pending administration, and when the medication is scanned and given to the patient the medication reconciles with the pyxis as given and no longer pending, this safety parameter provides administrators with first hand information and knowledge about all medications that have been pulled from the pyxis, those that were scanned, those that were returned due to patient refusal and those that were not administered, it also gives the administrators a real time data on the monitoring of controlled substances and mismanagement of access to narcotics by the nurses if such occasion arises.
Stemming from the technological advancement in computer informatics and parameters that have been made possible due to the ability of these systems to communicate coherently across various platforms in real time, information derived from these systems present as ready resource for nurses, nurse leaders, administrators and other related healthcare providers to use for their discernment in making clinical judgment and best case scenarios in their plan of care to bring about a better prognosis for the patient in their care. “Nursing informatics roles have taken many forms in focus and function over the last decades; suffice it to say that they have not been consistently described or defined in terms of scope of practice. At the time of this writing it is clear that role of nursing informatics specialists will continue to evolve at an increasingly rapid rate in the coming years. The unfolding of new health care paradigms will bring greater connectivity between care providers and patients, include a wide array of emerging technologies and an increasing emphasis on data analytics will make the integration of informatics competencies into every area of nursing an imperative.” (Nagle et al., 2017, p212)
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Nagle, L., Sermeus, W., & Junger, A. (2017). Evolving Role of the Nursing Infomatics Specialist. In J. Murphy, W. Goosen, & P. Weber (Eds.), Forecasting Competencies for Nurses in the Future of Connected Health (212-221). Clifton, VA: IMIA and IOS Press. Retrieved from https://serval.unil.ch/resource/serval:BIB_4A0FEA56B8CB.P001/REF
Sweeney, J. (2017). Healthcare Informatics. Online Journal of Nursing Informatics, 21(1), 4–1.
Assessment 1
• Proposing a New Initiative
Research an economic opportunity that might be available within your health care setting that will provide ethical and culturally equitable improvements to the quality of care. Then, write a 2–4-page proposal for an initiative to take advantage of that opportunity, supported with economic data and an analysis of the prospective benefits.
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
Master’s-level health care practitioners are charged with the responsibility of constantly scanning the external environment for shifts in the supply of, and demand for, services. Concurrently, leaders must examine their organization’s strategic direction and determine whether adjustments must be made to current service offerings, whether equipment updates are needed, whether staffing models should be changed, and whether other decisions must be made. Each decision that is proposed must be evaluated in terms of the organization as a system, alignment with the organization’s mission and strategy, available internal resources, potential contract and payer source implications, and the short- and long-term economic effects at both the micro and macro levels.
Health Care Supply and Demand
The following multimedia animation illustrates elastic and inelastic demand curves, with changes in price.
Medical Care Demand Elasticities.
The following multimedia simulation presents the many concerns of stakeholders about the potential effects on an existing hospital system of a proposed mobile clinic for veterans with PTSD.
Vila Health: A New Mobile Clinic.
The following multimedia self-check activities will aid you in defining terms commonly used in discussions of health care economics.
The Demand for Health.
U.S. Health Care System Issues.
Understanding supply and demand in health care can be crucial to effective cost management and fiscal responsibility. This author explains the concept well by the use of examples and strategies for success.
Indresano, R. (2016). How to rebalance the supply-demand scales in healthcare. Retrieved from https://www.beckershospitalreview.com/patient-engagement/how-to-rebalance-the-supply-demand-scales-in-healthcare.html
The following article addresses the how and why behind the concept of spending efficiently in health care organizations. Examining the costs and benefits of economic opportunities is the key to success for leaders that know how to do more with less.
Doi, S., Ide, H., & Takeuchi, K., Fujita, S., & Takabayashi, K. (2017). Estimation and evaluation of future demand and supply of healthcare services based on a patient access area model. International Journal of Environmental Research and Public Health, 14(11), 1367–1381.
Health Care Costs
The following article provides a good example of the impact that the current health care environment has had on the practice of nurse practitioners. Many of these restrictions are similar toother disciplines, while others are unique to health care providers. This is important from the perspective of both the care giver and patients.
Chattopadhyay, S., & Zangaro, G. (2019). The economic cost and impacts of scope of practice restrictions on nurse practitioners. Nursing Economics, 37(6), 273–283.
The following article addresses the financial impact of health care and why health care executives and leaders play such a fiduciary role between the organization and environment. What is revealed is why the application of research and best practices becomes paramount for successful fiscal management for health care organization’s viability and sustainability.
Lyford, S., & Lash, T. A. (2019). America’s healthcare cost crisis: As the costs of U.S. healthcare continue to escalate, three commonsense reforms could reverse this unsustainable trend. Generations, 7–12.
Economic Initiatives
The following articles address the critical importance of aligning the quality of patient care initiatives with cost-effectiveness. The creation of service lines and the improvement of current practices must be sustainable and realistic to meet the challenges of ongoing performance improvement from the perspective of productivity standards.
Bennett, L. E., Jewell, V. D., Scheirton, L., McCarthy, M., & Muir, B. C. (2019). Productivity standards and the impact on quality of care: A national survey of inpatient rehabilitation professionals. Open Journal of Occupational Therapy, 7(4), 1–11.
Lin, C., Romley, J. A., & Carlin, C. (2018). The relationship between the patient-centered medical homes, healthcare expenditures, and quality of care among children with special health care needs. Maternal & Child Health Journal, 22(12), 1751–1760.
The following article addresses the provision of free health care services and the evaluation of the program’s impacts.
Edoka, I., Ensor, T., McPake, B., Amara, R., Tseng, F.-M., & Edem-Hotah, J. (2016). Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative. Health Economics Review, 6(19), 1–15. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877339/
The following interesting article provides the perspective of the cost evaluation process with use of a trial for a new initiative. It can be identified why a trial run can be benefit when exploring the opportunities for management of the costs from before and after the plan is implemented.
Panagioti, M., Reeves, D., Meacock, R., Parkinson, B., Lovell, K., Hann, M., . . . Bower, P. (2018). Is telephone health coaching a useful population health strategy for supporting older people with multimorbidity? An evaluation of reach, effectiveness and cost-effectiveness using a ‘trial within a cohort’. BMC Medicine, 16(1), 1–15.
The following article addresses the impact of an economic initiative on cost, utilization, and outcomes.
Rhodes, K. V., Basseyn, S., Gallop, R., Noll, E., Rothbard, A., & Crits-Christoph, P. (2016). Pennsylvania’s medical home initiative: Reductions in healthcare utilization and cost among Medicaid patients with medical and psychiatric comorbidities. Journal of General Internal Medicine, 31(11), 1373–1381. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071276/
Ethical and Cultural Issues
The systemic review findings in the following article include evidence that interventions to improve cultural competency can improve patient or client health outcomes.
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14, 99. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946184/
Library Research Guides
You may choose other resources to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The following library guides can help direct your research.
MHA Program Library Guide.
MSN Program Library Research Guide.
Public Health Masters Program Library Guide.
Additional Resources for Further Exploration
Review the following:
Centers for Disease Control and Prevention. (n.d.). National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/
Centers for Medicare & Medicaid Services. (n.d.). Retrieved from http://cms.gov/
National Institutes of Health. (n.d.). Retrieved from http://www.nih.gov/
Assessment Instructions
Research an economic opportunity that might be available within your health care setting—at both micro (departmental, neighborhood) and macro (organizational, community) levels—that you believe will provide ethical and culturally equitable improvements to the quality of care. Then, propose an initiative to take advantage of that opportunity. Support your proposal with economic data (sector growth, supply versus demand, cost versus reimbursement, et cetera) and an analysis of the prospective benefits for your department and for the organization overall.
Such economic opportunities might include offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other initiative you believe will be of benefit to your organization in the short and long term. One example is a recently launched partnership with a local bicycle sharing company. Your organization partners with them to host healthy community events that offer free screenings for early detection of various health issues. Free screenings help fulfill some of your organization’s preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your organization.
Note: Your proposal will serve as the basis for subsequent assessments in this course.
Note: Remember that you can submit all, or a portion of, your draft proposal to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
Requirements
The requirements for your proposal, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format, length, and supporting evidence.
Explain why your proposed initiative presents a viable and beneficial economic opportunity for your organization.
Describe your proposed service line or economic initiative.
Explain why your proposal presents an economic opportunity at the micro level and macro level.
Explain how your proposed initiative will provide ethical and culturally equitable improvements to the quality of care.
Analyze the economic factors of supply and demand associated with your proposed initiative, within a context relevant to your organization or care setting.
What do economic and demographic data suggest is the supply and demand?
What additional information would improve your analysis?
Explain how relevant economic and environmental data support your proposed initiative.
How does the data illustrate a potential opportunity and the economic viability of your proposal?
Write concisely and directly, using active voice.
Proofread your proposal before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 1 Example [PDF].
Additional Requirements
Your assessment should also meet the following requirements:
Format: Format your proposal using current APA style. Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your proposal. Be sure to include:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Length: Your proposal should be 2–4 pages in length, not including the title page and references page.
Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your proposal. Be sure that your sources include specific economic data.
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, after your work has been evaluated.
Portfolio Prompt: You may choose to save your proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Analyze the economic factors of supply and demand associated with a proposed initiative, within a context relevant to a particular organization or care setting.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Explain why a proposed initiative presents a viable and beneficial economic opportunity for an organization.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain how relevant economic and environmental data support a proposed initiative.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Write concisely and directly using active voice.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Question 1:
Read the following article:
Hoelscher, D. M., Sharma, S. V., & Byrd-Williams, C. E. (2018, December). Prevention of obesity in early childhood: What are the next steps? American Journal of Public Health, 108(12), 1585-1587. doi: 10.2105/AJPH.2018.304779
Respond to the following questions:
Question 2:
Given the readings and assignments in the course:
Read Chapter 14: Ethics in Professional Nursing Practice
Answer: Think about the ethical theories and approaches in this section and the moral conflicts you have experienced in the past. Have you used one of these approaches to resolve a conflict? Which theory or approach have you used?
Follow the 3 x 3 rule: minimum three paragraphs
Minimum of two references, not older than 2015.
APA style (intext citations and references)
Plagiarism FREE
