How to reduce hospital readmission

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How to reduce hospital readmission

Question descriptionClear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Practice Issue Worksheet

TOPIC: Hospital Readmissions

Leppin, A. L., Gionfriddo, M. R., Kessler, M., Brito, J. P., Mair, F. S., Gallacher, K., & … Montori, V. M. (2014). Preventing 30-day hospital readmissions: a systematic review and meta-analysis of randomized trials. JAMA Internal Medicine, 174(7), 1095-1107. doi:10.1001/jamainternmed.2014.1608

  1. Follow the grading criteria below to formulate your practice issue (for example how to reduce hospital readmissions), which must be based on the topic of the systematic review you have selected. I chose Hospital readmissions as my topic using that specific reference listed above.

Evidence Summary Worksheet Directions

  1. Develop an evidence summary by following the grading criteria below.
  2. Document this on the evidence summary portion of the worksheet.
  3. You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
  4. Please type your answers directly into the worksheet.
 
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Who are Oncology nurses and what are their duties

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Who are Oncology nurses and what are their duties

Who are Oncology nurses and what are their duties;Oncology Nurses are qualified registered nurses who provide healthcare for patients with cancer. Oncology Nurses assist the oncologist/radiologist with the administration of radiation and chemotherapy. The Oncology Nurse will also provide follow up monitoring and support for patients after treatment.

The main duties of an Oncology Nurse include:
 Providing healthcare to patients with cancer.
 Assisting with the administration of radiation and chemotherapy.
 Monitoring patients before, during and after the treatment is administered.
 Updating patients medical records.
 Educating the public on the risks of developing cancer.
 Providing assistance to those surviving cancer.

Where they work: Oncology Nurses work in many health care settings where patients receive counseling, education, screening, detection and healthcare in relation to cancer. This includes hospitals, hospices, clinics and community care settings.
Qualifications: Certification provides validation of your skills and displays dedication and commitment to your career as an Oncology Nurse. The Oncology Nursing Society (ONS) offers four certification examinations for registered nurses, all are accredited by the American Nurses Credentialing Center’s Commission on Accreditation

 

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Describe Carpers (1978) ethical knowledge development pattern of knowing. Briefly define the pattern and discuss its application to the development of advanced practice nursing roles (e.g family nurse practitioner, psychiatric mental health nurse practitioner, nurse administrator role).

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Describe Carpers (1978) ethical knowledge development pattern of knowing. Briefly define the pattern and discuss its application to the development of advanced practice nursing roles (e.g family nurse practitioner, psychiatric mental health nurse practitioner, nurse administrator role).

 

carpers pattern of knowing

Describe Carpers (1978) ethical knowledge development pattern of knowing. Briefly define the pattern and discuss its application to the development of advanced practice nursing roles (e.g family nurse practitioner, psychiatric mental health nurse practitioner, nurse administrator role).
Rules of the paper are as follow: only PRIMARY REFERENCES may be used. Use at least 2 professional references related to the focus of the paper, at least one of which must be a professional nursing journal reference.
Use APA format 6th ed. must be typed in a current version of microsoft word, typed in times new roman typeface with 12 point font size, have double spacing between all lines, including the title page and reference list, have 1 to 1.5 inch margins(top, bottom, right and left), include a title page and reference page, have headings between sections, have a running head and page numbers. essay should have introduction, discussion and summary. can I please also get the link to the sources.

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Finance Case Study; Identify within your operating budget what key positions that you would need to hire for this new venture.

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Finance Case Study; Identify within your operating budget what key positions that you would need to hire for this new venture.
A new continuing care retirement community (CCRC) is currently under construction in the City of Hope located in a growing area of southern Florida. This is a growing area of the state with a population within 30 miles of the new community of 1.25 million people. Because of the low taxes and mild climate, it has become a very popular retirement destination. Currently, about 32 % of the population is over age 60 and the number of retirees seems to be increasing monthly. The average household income in this area is $102,000 which is much higher than the national average. This community was started by a very generous donation of $ 5 million from the estate of Mrs. Logan who had retired to this area of Florida and spent her last year of life in a nursing home. Because her mother had a bad experience, her son wanted to use some of the proceeds from her estate to open a CCRC where residents could stay in familiar surroundings and age in place.
With the donation, an operator was found with experience in the development and operation of long term care facilities within the continuum. The developer has just hired you as the new Executive Director of this community. You were selected because of your 15 years of experience in this industry and your master’s degree in health care administration from UMUC. You also met the requirements because you are a licensed nursing home administrator in the state of Florida.
This new community is going to be operated as a for-profit corporation under the guidance of a 10 member board of trustees. The project is scheduled to have a luxury apartment complex with 150 one bedroom apartments for seniors who are able to live independently. These apartments will cost about $ 1000 a month in rent and provide excellent security with a concierge around the clock and will also have a van with a driver to transport the residents for shopping and entertainment. Because of the growth of the senior population, it is anticipated that these units will be fully occupied within six months of opening. Residents will use their personal income to pay for these apartments and they can leave without penalty after their lease of one year is complete.

There will be a second building on this campus which will house 50 Assisted Living Apartments for residents who require significant assistance with their Activities of Daily Living. The Assisted Living Area will have apartments without kitchens that open to a central living area and community dining room. Nursing staff will be onsite 24 hours a day and licensed nurses will monitor and oversee the administration of medications for these patients. Residents will pay $2000 a month each to utilize these services. On the other side of the building connected by a central atrium, a 50 bed nursing home will be located. This nursing home is projected to charge $9,000 per month. The owner has projected that 50 % of these costs will be covered by Medicare Reimbursement and 50% will be covered by private pay. Based on your experience, you are certain that the facility should plan for a payer mix as follows: 50% Medicare or other insurance, 20% private pay and 30% Medicaid. Because of the demographic in the area, you are comfortable with market projections that indicate that both the Assisted Living Facility and the Nursing Home should be at 90 % capacity at the end of the first year of operation. Based on market projections, the other nursing facilities are at capacity and the largest provider just had some very negative press due to significant life safety violations cited when residents had to be evacuated because their air conditioning system failed and could not be repaired timely.
As the new Executive Director, the Board Chairman asks that you prepare a budget for the first year of operation and provide a projection on when the CCRC will achieve profitability.

Case Study Questions:
1. Prepare a budget for the first year of operation assuming that the CCRC will be fully open as of January 1st. Please make assumptions where you do not specific facts as you will be evaluated based on the logic and realism of your assumptions. Please make sure to consider staffing costs, revenue and overhead expenses.
2. Identify within your operating budget what key positions that you would need to hire for this new venture.
3. A part of your presentation to the Board, provide feedback to them regarding whether you believe that profitability can be achieved within one year and your rationale.

 

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Different roles that a forensic psychologist can take

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k 54 diss By Sunday, November 22, 2015, respond to the discussion question. Submit your responses to the appropriate Discussion Area. Start reviewing and responding to your classmates as early in the week as possible. Given the concerns raised about juveniles being tried in criminal court, should this practice continue? Why or why not?

 

As appropriate, cite the online course, the textbook, and other credible, scholarly sources to substantiate the points you are making.  Apply APA standards to for writing and citations to your work

 

Wk 5 assi

Assignment 1: LASA 2: The Forensic Psychology Booklet

 

Potential students often look for guidance regarding the programs that they are considering. You are a program assistant at a local university. You have been asked by your department chair (psychology) to create a booklet about the field of forensic psychology for potential students. This booklet will be given out at information sessions and will be sent to students requesting more information. The department chair asks you to create this booklet with the undecided student in mind, remembering that while you don’t want to scare students away, you also want to be truthful about the field. She asks for the following information to be included:

 

A description of the educational levels required and recommended (i.e. what can a MA level forensic psychologist do, versus a Doctorate level professional). Different roles that a forensic psychologist can take. This can include roles in the court and out as well as research possibilities. (2 pages)

A discussion of each of the following and discuss why is it important that all forensic psychologists need to be well-versed in them (3 pages):

 

Case Law

Specific Amendments to the U.S. Constitution and why they are important

Important past research in the field

Diversity issues

Ethical considerations

 

An analysis of at least three aspects of the American judicial system (such as eyewitness testimony, transfer of juveniles to criminal court, etc.), which are impacted most heavily by psychology and psychological research (3 pages). Be sure to discuss:

 

Three aspects of the American judicial system

How psychology has impacted these aspects

 

One research study for each aspect that is considered pivotal, classic or ground breaking in the field.

 
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HAND HYGIENE more specifically in labor and delivery

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Discussion

Impact on Nursing Research and Technology

Many times it is not enough to simply produce a good idea that you think may work to help patients. In order for an initiative to truly have a positive impact on the patient, you must explore the “why” behind it. This is where nursing research and evidence-based practice become essential to improving patient outcomes. In addition, recent developments in technology can help us reach our goals faster and more efficiently.

For this discussion, reflect on the safety initiative identified in the Unit 6 discussion Patient Safety Initiatives and consider the following:

THE TOPIC IS HAND HYGIENE more specifically in labor and delivery

What evidence in the literature supports your identified safety initiative?

How can the data from the initiative’s success measures be used to improve your processes or potentially help another organization dealing with the same issue?What role can nurses play in the data collection and analysis process?

What technology modalities are, or may be, beneficial to your selected safety initiative, and why?

must be at least 150 words with at least one APA formatted reference thoughout the text and as a reference at the end.

 
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.Identify the education required, potential outlook of the career, theoretical salary, and other information connected to the career 

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Details:  Navigate to the “My Next Move” website and take the O*NET Interest Profiler quiz.  https://www.mynextmove.org/explore/ip
Write a paper (750-1,000 words) about your quiz results. Include the following in your paper:
1.Document the names and scores of your Holland Code (Referred online as the Interest Profiler Results)
2.Based on the results, list three different careers offered as potential matches for you (each should be at a different job zone/educational level)
3.Identify the education required, potential outlook of the career, theoretical salary, and other information connected to the career
4.Provide your opinion of how useful the website was, how easy it was to use, how well the site connected you to careers you would actually be interested in 5.Discuss how you may use this site when providing career counseling with clients
6.At least three references from the O*NET site.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.  This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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Describe one mentoring activity you might complete with a mentor that would help you to acclimate to your new advance practice role

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100-150 words, this is the instructor response to the original discussion post.
apa format, etc.
Thank you for beginning this discussion.  Good discussion on the measuring the health status of individuals aged 15 – 64.  However, I am always concerned with the 65+ population.  With the baby boomer generation reaching 65 beginning in 2011, we are experiencing an epidemiological shift in demographics.  According to data from the Administration on Aging, older adults 65+, represented 12.9% of the U.S. population (36 million).  By 2030, this population will increase to 19% (72 million – double).
What do you think are the benefits of this knowledge  and the benefits of monitoring the health status this population?Answer the following:
Coaching and mentoring should be a core competency of nurses prepared at the graduate level. Do you agree or disagree with this statement? Defend your response.
Based on your graduate specialization, identify one coaching activity that you can do in this advanced practice role. What strategies would you employ for this activity?
Describe one mentoring activity you might complete with a mentor that would help you to acclimate to your new advance practice role. Should this activity be structured or unstructured?
 
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Special Issues With The Elderly

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 Psychology homework help

Special Issues With The Elderly

Develop a PowerPoint presentation of 15-18 slides,   addressing clinical issues in the elderly and neglect and abuse of   dependent adults and the elderly. Create speaker notes for each of the   slides. Include the following in your presentation:

Part 1: Clinical Issues (cognitive decline, depression,     anxiety, substance use, etc.)

  1. Physical consequence of the clinical issue
  2. Emotional     consequences of the clinical issue
  3. Cognitive consequence of     the clinical issue.
  4. Spiritual consequences of the clinical   issue

Part 2: Abuse and Neglect

  1. Common forms of vulnerable adult and elderly neglect.
  2. Warning signs of vulnerable adult and elderly abuse.
  3. Legal and ethical considerations for reporting abuse and/or     neglect of vulnerable adults and the elderly.

In addition, include slides for a title, introduction,   conclusion, and references (four slides minimum).

Include a minimum of four scholarly references in your presentation.

Include speaker notes below each content-related slide that   represent what would be said if giving the presentation in person.   Expand upon the information included in the slide and do not simply   restate it.

Please ensure the speaker notes include a minimum of 50 words.

While APA style is not required for the body of this   assignment, solid academic writing is expected, and in-text citations   and references should be presented using APA documentation guidelines,   which can be found in the APA Style Guide, located in the Student   Success Center.

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 not required to submit this assignment to Turnitin.

 
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What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing?

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What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing?

1. What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? 2. Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma. 3. Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?

Do not be concerned with the use of ethical terminology for this paper.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center. NRS437V.v10R.My Nursing Ethic_Student.docx

 

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