Health -Care System

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Health -Care System

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

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: •

What does the organization/agency do that supports the hallmarks of quality? •

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7
 
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Searching for data, health and medicine homework help

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Searching for data, health and medicine homework help

Question descriptionThe PICOT question: Does repositioning of bed bound patients every two hours decrease the risk of pressure ulcer versus repositioning every 5 hours?

Topic 1: Searching for Data

  1. Describe three unique features of PubMed database that sets this database apart from other evidence-based search engines.
  2. Compare and contrast two additional databases and reference your selected topic, by using the Cochrane Collaboration and Medline as your search engines.
  3. Determine how you applied the three key questions when deciding which database to use

1.Need to be one page

2.Use peer reviewed nursing articles that are less than 5 yea old

3. give 4 references, please.

No plagiarism

Additional information

Boolean Operators and Systematic Reviews

In this unit you will tackle the methods of locating evidence, learning to develop systematic reviews of the literature that will help build your evidence for your particular PICOT question. You will be able to determine what the top three questions are that you must ask to develop your systematic review of the literature and database for a robust report on the evidence you seek.

PubMed Database Overview

PubMed is a broad database that is used by clinicians internationally. This resource is invaluable to nurses since there are more than 19 million citations to articles that cover many areas of practice. You will learn to use this reliable free source of evidence.

Determining Key Questions for Systematic Reviews

In this unit you will have the opportunity to use key questions to search the literature database. For example, once you have decided on your PICOT question (i.e., is acetaminophen better for reducing children’s fevers than acetaminophen?), then you will learn how to plug that question into a database to deliver a systematic review of reliable evidence for your research.

Plan a Systematic Review

As you determine your key questions for the systematic review you will then have the opportunity to plan a systematic review, determining which database and search method you will use. This step is the step that helps you strategize where and how you will enter your clinical questions to have reliable research results. For example, you may decide that you will use PubMed and the Boolean term of AND for your search terms.

 
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Discuss why it is important for nurses to understand the basics of these statistical methods.

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GENERATING AND ASSESSING EVIDENCE FOR NURSING PRACTICE

Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

For this week’s Discussion, you are assigned to a group. Each group is assigned one of the following chapters. You are only be responsible for reading your assigned chapter. The Instructor will notify you of your group and assigned chapter by Day 1 of this week.

Chapter 18, “Multivariate Statistics” In this chapter, the focus shifts to multivariate statistics. These are often used when the data analysis involves three or more variables. The multivariate tests described include simple linear regression, multiple linear regression, analysis of covariance (ANCOVA), causal modeling, and event history analysis.

Discussion: Data Analysis—Small Group Discussion As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined. In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups. Review the information in your assigned chapter. As a group, develop a 1-page study sheet that includes the following: The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies. A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies. An explanation of the key statistical tests and how they measure significance (if applicable). Note: This should be a collaborative effort, with each member of the group making contributions to the design and content of the study sheet. Use the Groups link on the left navigation bar to collaborate with your group. When you have developed your 1-page study sheet, select one member to post it to the Week 9 Discussion Forum so that the rest of your colleagues can access it. To prepare: By Day 5 Post your group’s study sheet. Discuss why it is important for nurses to understand the basics of these statistical methods.

 
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Describe any new insights you gained through this experience about your interactions with others on a daily basis, including any behaviors you wish to change or to continue. 

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Much of what we tend to focus on when we study social psychology are topics that often have a negative connotation such as conformity, prejudice, aggression or obedience. A huge component of the study of social psychology; however, focuses on prosocial behavior – behaviors that focus on compassion and helping others. For this activity, you will focus on this more uplifting aspect of social psychology. Topics that fall under the area of prosocial behavior include altruism, helping, bystander intervention, empathy, and compassion, among others.
For this exercise, pick one day and seek to structure your thoughts and behaviors entirely around helping others. With each interaction or action you take, pause to think and ask yourself “is there a way I might help another here?” Hold a door for someone, offer your seat, share a smile, give a sincere compliment, show empathy to another, attempt to be more patient or understanding, etc. Your efforts should be in social settings that involve interactions with others (rather than something such as donating to a charity for instance). The goal is to be as thoughtfully prosocial in your interactions throughout the day as possible.

  • At the beginning of the day, jot down your general mood, feelings, attitude, etc.
  • Then throughout the day, whenever possible, carry a small notebook with you or make notes in an app on your phone to jot down meaningful encounters or experiences as you attempt to engage in prosocial behaviors.
  • At the end of the day, again reflect and take notes on how you feel, your general mood, feelings and attitudes, etc.

In a 5-7 slide PowerPoint presentation, not counting title or reference slides:

  • Summarize your experience. Describe the prosocial behaviors you engaged in, others’ reactions to these behaviors, and your assessment of any changes in mood, attitude, good fortune, or anything else of note you experienced.
  • Review what you have learned about human behavior in social settings this week in your readings and CogBooks activities. Connect what you learned or experienced through your day of conscious, prosocial behavior with the terms, concepts, and theories from your research. Integrate at least two academic sources (your assigned readings/resources can comprise one of these sources), citing any references used in APA format.
  • Describe any new insights you gained through this experience about your interactions with others on a daily basis, including any behaviors you wish to change or to continue.
  • Use the features of PowerPoint to your advantage to communicate your ideas – include pictures, audio recorded narration, speaker’s notes, video, links, etc. as appropriate to enhance your ideas.
  • Include an APA formatted title slide and reference slide. APA components such as an abstract, headings, etc. are not required since this is a PowerPoint presentation.

Submit your presentation as an attachment in the Week 7 Assignment Prosocial Behavior link in the Assignments area of the classroom no later than 11:55 pm EST Sunday of Week 7.

 
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Explains the theories of three key individuals who contributed seminal knowledge to the field of psychology; explanation includes details on the time, location, and field in which the individuals did their work

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EXPLAINS THE THEORIES OF THREE KEY INDIVIDUALS WHO CONTRIBUTED SEMINAL KNOWLEDGE TO THE FIELD OF PSYCHOLOGY

  1. • Explain the theories of three individuals who contributed to the field of psychology as we know it. Be sure to paraphrase (put into your own words) each theory or idea and cite your sources.
  • Then, explain how each of the theories and ideas you noted contributed to and shaped the field of modern psychology.
    • Finally, choose one of your individuals to identify a fundamental problem with his or her particular theory. Employ critical thinking to evaluate how this theory or idea created an unresolved issue that needed to be addressed by modern psychology. 

      ADDITIONAL REQUIREMENTSExplains the theories of three key individuals who contributed seminal knowledge to the field of psychology; explanation includes details on the time, location, and field in which the individuals did their work

     

           Explains the theories of three key individuals who contributed seminal knowledge to the field of psychology; explanation includes details on the time, location, and field in which the individuals did their work

    Analyzes the contributions of three theorists to the field of psychology; analysis includes explicit connections to modern topics, theories, and issues in psychology.

     Evaluates how three theories each created unresolved issues to be addressed by modern psychology; evaluation includes citations of current research on those topics

           Communicates in a manner that is scholarly, professional, and consistent with expectations for members of professional communities, with written communication that is free of errors that detract from the overall message.

 
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Anticoagulation Pharmacological Interventions

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Anticoagulation Pharmacological Interventions

Explain why anticoagulant medications would be prescribed for AH.

Compare anticoagulation medication classes. Your comparison should include:

  • Mechanism of action
  • Indications or contraindications
  • Why one might be prescribed over another for AH
  • Cost of the medications in each class
  • Interaction with other medications, vitamins and herbal supplements, and food

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Format your assignment as one of the following:

  • 7- to 10-slide presentation (Not Counting Title Slide, Introduction, Reference Slides)
  • 1- to 2-minute podcast (Submit APA-Formatted Reference Page)
  • 7- to 10-minute oral presentation (Submit APA-Formated Reference Page)
  • 430-word paper (APA Formatting Required)
  • Another format approved by your instructor (Send Request via Private Message)

Click the Assignment Files tab to submit your assignment. Anticoagulation Pharmacological Interventions

 
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Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an Centers for Medicare and Medicaid endorsed EHR.

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Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an Centers for Medicare and Medicaid endorsed EHR.

Discussion Questions: (due date Friday 01/20)

Review the Centers for Medicare and Medicaid Innovation. Identfiy the massive innovation funded by the Affordable Care Act and discuss a model that relies on technology to promote optimal patient centered outcomes.
Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an Centers for Medicare and Medicaid endorsed EHR.

 

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Analyze how the triangulation of subject, setting, and student characteristics serve to frame curriculum planning and development.

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Analyze how the triangulation of subject, setting, and student characteristics serve to frame curriculum planning and development.

Nursing education evaluation of history and its future evolution.

1.With the exception of a few years in the early 1990s, the shortage of nurses to provide care in hospitals has been a chronic problem with intermittent acute exacerbation since the 1930s. What effects at both macro level (e.g. public opinion, social policy) and micro level (e.g. individual schools, courses) has this had on nursing education? Has the net balance of positive and negative effects been beneficial for nursing education? Why?
·2. Debate the wisdom and feasibility of setting the master’s degree as the minimum marker for the professional segment of the nursing continuum. Given the 20/20 hindsight gained from the debacle of the 1965 Position Paper, how would you advise national nursing organizations to go about changing this definition, if it were to be changed?
·3. Analyze how the triangulation of subject, setting, and student characteristics serve to frame curriculum planning and development.
·4. Conduct a literature search on the history and evolution of nursing curricula. Summarize the key aspects of the scholarly article, and speculate on how past and present events will frame the future.

 

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WHAT INFORMATION, IF ANY, MUST YOU LIST ON AN AFFIDAVIT TO SECURE A SEARCH WARRANT FOR ABBY AND BOBBY’S HOUSE?

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WHAT INFORMATION, IF ANY, MUST YOU LIST ON AN AFFIDAVIT TO SECURE A SEARCH WARRANT FOR ABBY AND BOBBY’S HOUSE?

You have been working as a police officer for the Centervale Police Department for two years. You are on your nightly patrol in your marked police vehicle with your partner, Edward, who has been on the force for seven years. You receive a call on the radio to respond to a domestic abuse situation requiring backup. Your partner and you are second to respond to the call. You arrive at the scene, which is in a neighborhood with a bad reputation. Upon arrival, you witness a couple, Abby and Bobby, standing outside their house, yelling obscenities at each other.

The couple refuses to calm down and speak with the officers, Christina and David, who are already on the scene. The girlfriend, Abby, is slurring her speech and seems unaware of the trickle of blood running down the side of her head. The boyfriend, Bobby, has extremely bloodshot eyes and does not appear to have slept in days. Moreover, Bobby’s speech is accelerated, and he’s breathing rapidly as if he has just sprinted from the drugstore down the block. You notice that Bobby’s hands and face have scratches all over them.

Also, the front door is open.

Your partner, Edward, has known this couple as they have been in trouble with the law before. He steps in between Abby and Bobby and begins to gather information from Abby, while you call for an ambulance.

As Edward speaks with the couple, you begin to walk around the yard, observing what you can. You look in through the front door, and while there is only one light on in the house, you observe what appears to be a bong and a baggie of marijuana on the coffee table in the front room of the house. Because Edward is standing with Abby and there are two other officers outside with Bobby, you decide to enter the house to take a closer look.

You discover that there is indeed a bong and a baggie of marijuana on the table. Looking under the couch next to the coffee table, you discover a shotgun as well. You begin to wonder what other illegal items might be in the house, when you hear a yell from outside and run out to discover that Bobby is being handcuffed and put in a police car. Apparently, Bobby tried to use a weapon on Abby in front of Edward and the other officers.

He is quoted as saying, “Just because the cops are here doesn’t mean I won’t finish what I started!” as he reached for his waistband.

As Bobby is being driven away, Abby breaks down into tears and cries out after her boyfriend, “Don’t worry, baby! I’ll come bail you out as soon as I can turn a little profit with the goods!”

You tell your partner what you observed in the house. After the paramedics declare that Abby’s head injury is nothing more than a bad scratch, your partner and you drive Abby down to the police precinct for further questioning, leaving Christina and David at the scene to secure it until more investigation can be done.

What You Need to Do . . .

Utilizing APA guidelines and citing relevant case law and specific details from external sources, present a 4- to 6-page research paper that explains what you need to do next with respect to the evidence left behind at the scene. In addition, consider what you need to do with any other evidence you may discover at the precinct from Abby and Bobby or on their persons. As you consider your next steps, address the following issues:

Do you have probable cause to arrest Abby for any crime? Explain.
What information, if any, must you list on an affidavit to secure a search warrant for Abby and Bobby’s house?
What actions (or inaction’s) taken by officers Christina and David were relevant with respect to the evidence you discovered on the scene?
What is the scope of your warrant?
Should you search Abby and Bobby upon their arriv

 

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Discuss the relationship between nursing home safety culture and joint commission accreditation.

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Write  4-5 paragraph on EACH of the following discussion questions and include citations using APA.(In-text and Reference Page)
1  Give a detailed explanation of Medicare (benefits, qualifying, costs, coverages, exclusions, time limits, etc). What do you see as the pros and cons of the program? Be thorough!
2  Discuss the relationship between nursing home safety culture and joint commission accreditation. What were the results of this study? What are the implications? Do you buy into these results? Why or why not?
3  What do you think is the most important ethical consideration in long term health care? Why?
Thinking and other cognitive processes such as analysis and synthesis depend upon many variables, both internal and external. Each person has learned patterns of thinking that are a result of culture, ethnicity, education and genetics.
Choose ONE of the following to answer in this discussion forum:

  1. Discuss a previous experience when you had a disruption in your own critical thought processes because of a particular situation, anxiety, or lack of confidence. Explain how you could overcome the disruption of thinking if you experienced the same situation today. Specifically, how might you alter your way of thinking when internal forces or variables confront you?

OR

  1. Discuss a previous experience when you had a disruption in your own critical thought processes because of external environmental issues such as societal rules, work environment or a cultural or generational “disconnect” caused disruption in your critical thinking. How might you handle this situation differently knowing what you know now?

Please support your initial discussion and opinions with at least two citations from the assigned readings, or peer-reviewed professional nursing literature.

 
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