Quality and Safety improvement

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Quality and Safety improvement

Question descriptionIt is a discussion board activity. Must be APA format, maximum of three pages, use Evidence Based Practice (EBP). Please read and review the Cronenwett article. Attached document is the rubrics for grading, a copy of cronenwett article, as well as the link. Quality and Safety Education for Nurses (QSEN) addresses
the challenge of preparing nurses with the
competencies necessary to continuously improve
the quality and safety of the health care systems in
which they work. The QSEN faculty members
adapted the Institute of Medicine1 competencies for
nursing (patient-centered care, teamwork and collaboration,
evidence-based practice, quality improvement,
safety, and informatics), proposing definitions
that could describe essential features of what it
means to be a competent and respected nurse. Using
the competency definitions, the authors propose
statements of the knowledge, skills, and attitudes
(KSAs) for each competency that should be developed
during pre-licensure nursing education. Quality
and Safety Education for Nurses (QSEN) faculty and
advisory board members invite the profession to comment
on the competencies and their definitions and

 
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Discuss how you might collaborate with an LRC person to facilitate student performance with the skills you selected.

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Mini-PresentationYou will develop a 5- to 8-minute mini-presentation of your teaching plan that you developed during week 7. Your presentation must include both audio and visual components. The presentation is a summary of your teaching plan. Guidelines for your presentation are listed below. Assignment GuidelinesYour mini-presentation should include the following information from your teaching plan:The subject or topic that you will be teachingThe level of instructionThe learning objectivesA summary of the contentYour teaching strategies and learning activitiesYour evaluation process and the rubric for your chosen assignment

Select two essential psychomotor skills for a clinical course or courses in nursing. Discuss how you might collaborate with an LRC person to facilitate student performance with the skills you selected.
consider some of the challenges that clinical instructors can face. What strategies can clinical instructors use to overcome the following challenges:
1) Time pressures
2) Fewer patients
3) Shorter hospital stays
4) Limited availability and variety of learning opportunities
5) The varied needs and abilities of students

 

 
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Identify one relatable issue presented in this course, and discuss how it influences your ideal nursing practice.

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Identify one relatable issue presented in this course, and discuss how it influences your ideal nursing practice.

Identify one relatable issue presented in this course, and discuss how it influences your ideal nursing practice.
use communication as the presented issue.

 

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conduct a search for articles related to innovation in healthcare. Specifically, locate an article that compares healthcare innovation to financial performance.

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1. conduct a search for articles related to innovation in healthcare. Specifically, locate an article that compares healthcare innovation to financial performance.
2. For the first part of this discussion, summarize the salient points of the article.
3. In the second part of this discussion, determine what impact, if any, innovation had on the healthcare organization.
4. Lastly, in your opinion do the current healthcare organizations that you are familiar with in Saudi Arabia encourage innovation? Why or why not?Hypertension Case StudyC.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.PMHAllergic RhinitisDepressionHypothyroidismFamily HistoryFather died at age 49 from AMI: had HTNMother has DM and HTNBrother died at age 20 from complications of CFTwo younger sisters are A&WSocial HistoryThe patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.MedicationsZyrtec 10 mg dailyAllergiesPenicillinROSStates that his overall health has been fair to good during the past year.Weight has increased by approximately 30 pounds in the last 12 months.States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.Denies any nausea, vomiting, diarrhea, or blood in stool.Self treats for occasional right knee pain with OTC Ibuprofen.Denies any genitourinary symptoms.Vital SignsB/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.HEENTTMs intact and clear throughoutNo nasal drainageNo exudates or erythema in oropharynxPERRLAFunduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledemaNeckSupple without masses or bruitsThyroid normalNo lymphadenopathyLungsMild basilar crackles bilaterallyNo wheezesHeartRRRNo murmurs or rubsAbdomenSoft and non-distendedNo masses, bruits, or organomegalyNormal bowel soundsExtMoves all extremities wellNeuroNo sensory or motor abnormalitiesCN’s II-XII intactDTR’s = 2+Muscle tone=5/5 throughoutWhat you should do:Develop an evidence-based management plan.Include any pertinent diagnostics.Describe the patient education plan.Include cultural and lifespan considerations.Provide information on health promotion or health care maintenance needs.Describe the follow-up and referral for this patient.Prepare a 3–5-page paper (not including the title page or reference page).Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format as outlined in the APA Progression Ladder.
APA format
1-2 pages

 
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Discuss the differences between planned change and change by drift

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From your reading for this week, consider the process of change. Since nurses often play a key role in recognizing the need for change in the workplace, identify and describe briefly the roles and responsibility of the change agent. Discuss the differences between planned change and change by drift. In your opinion, what skills and abilities are needed to be an effective change agent? Give an example of how you have functioned as a change agent within your workplace and discuss the outcome.
Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 6th edition formatting for all discussion posts and reference citations.
See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.
From your reading for this week, consider the process of change. Since nurses often play a key role in recognizing the need for change in the workplace, identify and describe briefly the roles and responsibility of the change agent. Discuss the differences between planned change and change by drift. In your opinion, what skills and abilities are needed to be an effective change agent? Give an example of how you have functioned as a change agent within your workplace and discuss the outcome.
Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 6th edition formatting for all discussion posts and reference citations.
See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.

 
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Discuss the importance of research as it informs the future of nursing practice. Analysis of Research & Technology in Nursing Practice

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Discuss the importance of research as it informs the future of nursing practice.
Analysis of Research & Technology in Nursing Practice

This assignment is designed to integrate the course concepts for the learner in their selected area of professional nursing practice. –
MY PROFESSIONAL NURSING PRACTICE IS PEDIATRIC HOME HEALTH NURSING
For this assignment, you will:

Write a 4–6 page paper and discuss each of the following questions in relation to your nursing practice using APA style and formatting.
Use APA level headings to develop each of the required elements of the assignment.
Discuss the importance of research as it informs the future of nursing practice.
Discuss two specific contributions you make to develop your colleagues in becoming a consumer of nursing research.
Describe at least two strategies you will use to maintain competency in using nursing research. Examples might include:
Perform a literature search on a particular practice issue and share with colleagues.
Join a nursing research discussion group.
Champion a nursing clinical issue to become a research study in your organization.
Describe three ways that your understanding of technologies and telecommunication in nursing and health care can have a positive impact on your practice.
Propose one strategy to increase the participation of the nursing profession in research and lifelong learning.
What role might technology and telecommunications play in promoting research participation?
Conclusion:
Prepare the assignment.
Follow APA style guidelines.
Use 12-point Times New Roman font.
Include a title and reference page.
Use the following subheadings:
Advocating for Research in Nursing.
Maintaining Competency in Research Practices.
The Future of Technologies in Nursing and Research.
Conclusion.
Cite all references using APA style and formatting guidelines. – within the paper and as works cited

 

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hich leadership styles and skills might you encounter as you work with various individuals?

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Question description
In the Week 8 Discussion, you discussed the implementation of a new product or service, aligned with organizational goals and professional standards, and described the management and leadership competencies that would facilitate successful implementation of this project.
For this Discussion, think again about the new product or service discussed in week 8, now consider a new product or service that you would initiate adoption. Consider the importance of building a team of leaders from across the organization to implement the new product or service you are recommending.
To Prepare

  • Think of a new product or service such as the one in the Week 8 Discussion.
  • Consider the leaders across the organization you would work with to roll out the product or service. Which leadership styles and skills might you encounter as you work with various individuals?
  • What opportunities and challenges may arise as a result of individuals with differing leadership styles and skills working together? How would you work on a team or in a group with those whose style differs from your own?

BY DAY 3

Post a description of how the leadership styles and skills of others you would work with to roll out the product or service would support, complement, or contrast your own. Describe challenges and opportunities that may arise as a result of working with individuals with differing leadership styles and skills in a team or group setting.
Read a selection of your colleagues’ responses.

 
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Identify who or what contributed to the development of the theory. Were there key researchers or seminal research that led to the theory?

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Assignment: Journaling
A familiarity with seminal developmental theories is important in your role as a developmental psychology professional. As you have learned this week, evolutionary theory explains the adaptive nature of behavior to ensure human survival and development. By understanding the key concepts of this theory, you can more easily recognize when this theory can be applied to understand certain behaviors and processes of development and the kinds of research that would be conducted to support that application.
Suppose, for example, you wanted to explore a contemporary research theme such as the relationship between empathy and adolescent civic engagement. Can evolutionary theory help explain how empathy contributes to civic engagement as an adaptive behavior? You have likely surmised that evolutionary theory cannot be used to adequately explain all elements and processes of human behavior and development.
When you have a strong grasp of the basic tenets, strengths, and weaknesses of key developmental theories, you can make an informed decision as to which theory or theories best apply in understanding a particular set of behaviors. By keeping a journal of sorts, you can document the characteristics of each theory as you learn about it. Your journaling will be a useful reference for you long after you complete this course. The Developmental Theory Template provides a matrix where you can record what you have learned about each theory.
For this Assignment, you will explore key concepts found in evolutionary theory and begin your journaling of this week’s theory.
To prepare
· Review Chapter 2 of the Newman and Newman course text and consider evolutionary theory and its key concepts.
· Review the Developmental Theory Template and consider what you might include related to evolutionary theory.
To complete
Begin populating the Developmental Theory Template related to this week’s theory—evolutionary theory. As you begin populating your template, consider the following:
1. Identify who or what contributed to the development of the theory. Were there key researchers or seminal research that led to the theory?
2. Record whether the theory emphasizes nature (biology), nurture (environment), or both.
3. Identify whether the theory emphasizes cognitive, physical, or social-emotional development (or a combination of constructs).
4. List specific ages or stages of development identified in the theory, or note that the theory marks development as continuous.
5. List the primary characteristics or features of the theory (its key tenets and concepts). Be sure to include if a particular period of life is emphasized.
6. List the noteworthy strengths and weaknesses of the theory.
7. (Optional) Include any notes that you find helpful in understanding and applying the theory, such as potential contemporary themes or fields of research in which the theory could be applied.
Learning Resource
Theories of Human Development – 2ND 16 by: Laureate Education

Author: Newman, Barbara M.
ISBN-13: 978-1-84872-667-3
ISBN-10: 1-84872-667-8
Edition/Copyright: 2ND 16
Publisher: Lawrence Erlbaum Associates, Inc
 
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Health statistics

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Health statistics

Question description
CHF Study

The CHF dataset comes from the MedPAR dataset. MedPAR is a file that is distributed by CMS (the entity that administers the Medicare program). The file contains data for all inpatient Medicare admissions. The documentation for the full file is available here.

(Reminder: There are several resources listed in this week’s Required Resources that use the pivot table.) For this assignment, you will use excel to create a data dictionary, combine data records and create tables and charts.

  • Create a Data Dictionary
    Find definitions for coded variables:

    • Age
    • Gender
    • Admission Source
    • Discharge Destination
  • Review: Vlookup
    Vlookup is a function in Excel that allows the user to combine records from two worksheets.

    • Add a column for gender description
    • Populate that column using vlookup
    • Add a column for discharge destination description
    • Populate that column using vlookup
  • Using Excel for Charts/Tables
    • Create a table of gender (with %)
    • Create a two-way table of gender and age group
    • Create a pie chart of gender percentages (from #1)
    • Create a grouped bar chart of agegroup grouped by gender
    • Use PivotChart to create a stacked bar of Discharge status by DRG
    • Use PivotChart to create a pie chart of age category
    • Create a scatter plot of LOS by accommodation charges
    • Create a charge per diem chart
  • Prepare a one page summary of your findings.
    • Summarize the history and purpose of the MedPAR database.
    • Describe the findings from the two-way table of gender and age group
    • Describe the findings from the pie chart of gender percentages
    • Describe the findings from the grouped bar chart of agegroup grouped by gender
    • Describe the findings from the scatter plot of LOS by accommodation charges
    • Describe the findings from the charge per diem chart
    • Include a minimum of two scholarly references

The formative paper 

  1. Must be one to two double-spaced pages in length (excluding title and reference pages), and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must use at least two scholarly sources, excluding the textbooks and course articles.
  5. Must document all sources in APA style, as outlined in the Ashford Writing Center.
  6. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.
 
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Elimination Disorders Substance Use Disorders Feeding and Eating Disorders

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Integrated Treatment for Substance Use Disorders  Research studies indicate that most adolescents with substance abuse (SA) disorders also qualify for diagnosis of one or more mental illnesses, including mood disorders, behavioral disorders, eating disorders, and psychosis (Shrier, Harris, Kurland, & Knight, 2003). Professionals refer to the co-occurrence of SA disorders and mental illness as comorbidity (i.e., dual diagnosis).  Prior to the 1970s, SA treatment was provided in mental health institutions. Since that time, treatment for SA has become increasingly separate from the mental health system. The treatment is usually provided at SA treatment centers or through the alcoholics anonymous (AA) twelve-step programs.  This separation has been a problem for people with dual diagnosis. When an individual presents with both SA disorder and mental illness, SA treatment facilities tend to refer the individual to mental health providers. Likewise, psychological services are not well equipped to handle substance-related issues and tend to refer those individuals back to SA treatment facilities. In other words, treatment providers do not address both issues at the same time. Most psychological service providers require individuals to resolve their addictions before beginning mental health treatment, and most SA treatment providers require the individuals to be psychiatrically stable before beginning SA recovery treatment.  In recent years, however, there has been a movement toward integrated treatment of SA disorders and mental illnesses or the treatment of both at the same time by the same service provider (Riggs, 2003; Sterling, Chi, & Hinman, 2011).  For this assignment, drawing upon the week’s information and ancillary research, address the following:  Discuss the integrated treatment for adolescents who have both SA disorder and mental illness. Do you support the existing model of treating one disorder first, then treating the other, or do you support the newer model of treating both at the same time? Provide at least three reasons for your position and support your argument using information from at least two academic sources and cite those sources using APA format. Create a description of a fictional adolescent struggling with both types of disorders (SA and a mental illness). Be specific in your identification of which substance-related disorder and which mental illness diagnosis the adolescent has been given; provide details about the adolescent’s symptoms; and make a recommendation for the adolescent’s treatment. Describe your recommendation, specifically mentioning whether it should be integrated or not. Provide a fictional description of the progress the adolescent makes in that treatment as a way to illustrate how and why the chosen method of treatment is effective. References:  Riggs, P. D. (2003). Treating adolescents for substance abuse and comorbid psychiatric disorders. Science and Practice Perspectives, 2(1), 18–29. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851046/ pdf/spp-02-1-18.pdf Shrier, L. A., Harris, S. K., Kurland, M., & Knight, J. R. (2003). Substance use problems and associated psychiatric symptoms among adolescents in primary care. Pediatrics, 111(6), e699–e705. Retrieved from http:// www.pediatricsdigest.mobi/content/111/6/e699.full.pdf+html Sterling, S., Chi, F., & Hinman, A. (2011). Integrating care for people with co-occurring alcohol and other drug, medical, and mental health conditions. Alcohol Research and Health, 33(4), 338–349.
 
chapter covered:

  • Elimination Disorders Substance Use Disorders Feeding and Eating Disorders
    10:55
  • Fanti, K. A. (2007). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the NICHD study of early child care. Available from ProQuest Dissertations and Theses database. (Order No. 3260558) Jensen, C. D., Cushing, C. C., Aylward, B. S., Craig, J. T., Sorell, D. M., & Steele, R. G. (2011). Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: A meta-analytic review. Journal of Consulting and Clinical Psychology, 79(4), 433–440. Younis, M. S., & Ali, L. D. (2012). Adolescent male with anorexia nervosa: A case report from Iraq. Child & Adolescent Psychiatry & Mental Health, 6(5) 1–5.
    10:55
  • this is the text book I’m using, please add the reference also. Mash, E. & Wolfe, D. (2015). Abnormal Child Psychology (6th Ed.). Cengage Learning. (IBSN: 9781305105423)
 
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