HOW CAN EVIDENCE-BASED PRACTICE APPROACHES BE USED TO IMPROVE HEALTH CARE OUTCOMES?

HOW CAN EVIDENCE-BASED PRACTICE APPROACHES BE USED TO IMPROVE HEALTH CARE OUTCOMES?

Based on your review of the data, you have identified 3 key areas of concern that you would like to address as part of the quality improvement initiative. If not addressed, these areas of concern may affect the organizations accreditation and/or profitability:

  • Patients are having to wait for extended periods of time in the emergency room (ER).
  • AKT is not implementing effective capacity management strategies for the resources that are currently available.
  • There are a high number of readmissions due to patients being discharged too early.

You decide to work with staff and management to develop and implement new policies that are grounded in evidence-based practice (EBP). To communicate the new policies with the staff, you will write a 2-page memo addressing the areas of concern and the new EBP policies that now be in place. In the memo, address the following:

  • Discuss the 3 areas of concern and how these can affect accreditation and/or financial status of the organization.
  • What is evidence-based practice?
  • How can evidence-based practice approaches be used to improve health care outcomes?
  • A set of new policies and procedures that includes 2-3 strategies based on EBP approaches for each area of concern that will be effective immediately
  • The memo should cite specific examples from the research reviewed regarding EBP approaches to resolving the issues.
 
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Typical Reasoning

 
Assignment 2: Discussion—Typical Reasoning
People often take shortcuts in problem solving and quickly arrive at answers. Known as heuristics, these shortcuts may increase the speed of decisions but may also decrease the accuracy of those decisions. The experiment used in this assignment deals with inaccurate decisions based on the conjunction fallacy, where people think the chance of two events happening at the same time is greater than just one event occurring. However, the chance of one event occurring is greater than two events occurring; hence, the fallacy.
Access the CogLab demonstration Typical Reasoning. Follow the instructions to complete the demonstration. Next, answer the following questions:
· For this demonstration, on average, do participants give higher ratings for single events or conjunctions of events? Based on the demonstration results, did you make your judgments by using objective probabilities? Why or why not?
· What is a stereotype? How do stereotypes relate to the findings of this demonstration?
· Respond to the following two situations:
· You and two of your coworkers have just interviewed a candidate for a job opening at your law firm. Your boss asks you what inferences you made about the candidate during the interview. What can you do to maximize your likelihood of making a correct inference?· John is a young, energetic, muscular, and outgoing individual. Estimate the following for him:He is tall and likes sports He is tall, likes sports, and has lots of friendWrite your initial response in 4–5 paragraphs. Apply APA standards to citation of sources.
 
 
 

 
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by "rule of thumb," or simple habit and common sense, and instead use the scientific method to study work and determine the most efficient way to perform specific tasks

 
Effective responses might share personal experience, ask for clarification, or add additional information, so feel free to analyze, interpret, critique, and suggest.
1-
I agree with the scientific management theory which relays that people are motivated by money. This is also reflected in my hospital with our yearly evaluations. Staff performance evaluations are done, and employees are given three percent max of their yearly salary as an reward. We also have a yearly bonus that is given to all staff members, which includes all full time, part-time and perdiiem’s. This monetary factor does motivate all staff with performance and hospital improvements. Our moral is great at the end of every year! I also concur that it is perceived that night shift is the less busy shift, therefore requires less staffing. That seems to be a ongoing belief in nursing. Your trauma orthopedic unit sounds like a PCA is greatly needed to care for the patients. Staffing remains to be an ongoing problems with nursing.
2-
The Scientific Management Theory was created by Fredrick Taylor. He studied how work was performed, and then looked at how this affected worker productivity. Taylor’s philosophy focused on the belief that making people work as hard as they could was not as efficient as optimizing the way the work was done.
Taylor’s four principles are explained as:

  • Replace working by “rule of thumb,” or simple habit and common sense, and instead use the scientific method to study work and determine the most efficient way to perform specific tasks.
  • Rather than simply assign workers to just any job, match workers to their jobs based on capability and motivation, and train them to work at maximum efficiency.
  • Monitor worker performance, and provide instructions and supervision to ensure that they’re using the most efficient ways of working.
  • Allocate the work between managers and workers so that the managers spend their time planning and training, allowing the workers to perform their tasks efficiently.
 
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Multi Phase Assignment

Multi Phase Assignment

Question descriptionAbsolutely no plagiarism, must be original and very thorough. Please make sure everything is followed in every section and follow the grading rubric. Must include at least five other academic relevant resources, total of at least 5 references. Must include in-text citations. Please include the free link to the relevant academic resources/references. Once you choose a topic I will give you the assigned reading for that week but must include outside academic resources as well.

Research Paper – Phase 1

Overview

In this term long assignment, you will write a 1200-1500-word research paper exploring one of the topics covered in class in additional depth. This is a cumulative project that will be completed over four phases and due on Sunday (11:59 PM, EST) of Weeks 2 – 4, with the fourth and final phase turned in by Wednesday (11:59 PM, EST) in Week 5.

Topic Choices

Below you will see a list of the primary subjects that we cover in this course. Choose one of these topics to explore further for a research paper:

Here are several examples of research paper approaches to these topics:

  • Explore how different businesses in the particular field or industry in which you work (for example, banking, accounting or IT) handle internal investigations in general.
  • Explore a particular case study of corporate fraud.
  • Discuss best practices at various companies in a particular field or industry in handling cases of sexual harassment.

These are just a few examples, and there are many other different possibilities out there! If you are choosing a subject that we have not yet covered in this course, you may want to go ahead and review the lectures and readings in the course on that particular subject by the end of Week 2.

Complete in Phases

You will be submitting your work in phases as follows:

Week 2: Phase 1: Choose Your Topic
Explore and determine your topic. You must choose your topic and write a 100 to 150 word paragraph detailing why you chose the topic.

Week 3: Phase 2: Outline and List of Resources

Conduct preliminary research on your topic using the NECB eLibrary. Write and submit a detailed outline of the framework of your paper and a rough draft of your references list. This includes (1) a detailed outline of at least 250 to 300 words, which should include all of the topic sentences that you are planning to use in your paper and (2) a rough draft of a references list, which must include at least five resources. You may edit and add to this list of resources in subsequent weeks.

Week 4: Phase 3: Rough Draft of Your Paper
Complete and submit a rough draft of your paper, writing at least one paragraph for each of your outlined items. This rough draft
does not have to include your concluding paragraph, but you may include this paragraph at this point in time if you would like. You should also include the most updated version of your references list

 
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Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.

 

Discussion: Legal and Ethical Conduct

As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice, specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma.
To prepare:

  • Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics.
  • Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.
  • Read the following scenario:
    Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status.
  • Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act, the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care.
  • Consider what action you would take if you were Lena and why.
  • Determine whether the law and the ANA’s standards support or conflict with that action.

BY DAY 3

Post a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines.
Read a selection of your colleagues’ responses

MAIN POSTING:
RESPONSE TO THE DISCUSSION QUESTION IS REFLECTIVE WITH CRITICAL ANALYSIS AND SYNTHESIS REPRESENTATIVE OF KNOWLEDGE GAINED FROM THE COURSE READINGS FOR THE MODULE AND CURRENT CREDIBLE SOURCES.

 
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Concept Synthesis Paper on Personal Nursing Philosophy Concept Synthesis Paper on Personal Nursing Philosophy

Concept Synthesis Paper on Personal Nursing Philosophy Concept Synthesis Paper on Personal Nursing Philosophy

Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
•List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Importante
The essay enlisted two practice-specific concepts.
The essay included clinical examples for each of the chosen concepts.
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material.
The essay demonstrated consistency between concepts, assumptions, and clinical application.
The essay identified and discussed students’ perspective on two other concepts specific to their practice.
The essay included a numbered list of at least 5 propositions or assumptions.
The concepts were connected and integrated to reveal a meaningful sequence.
The essay demonstrated clarification and organization of the students’ professional foundation.
The essay demonstrated evidence of critical thinking in analysis and response.
The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted.
Essay was well written, well organized, and articulate.
Presentation Criteria
The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.)
The paper revealed clarity, organization, and articulation of ideas.
The paper showed that ideas were well-documented.
The paper revealed the breadth of research effort.
The paper demonstrated appropriate use of APA format in references and citations.


 

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What relationship(s) do you find between grand nursing theories and application to clinical practice?

What relationship(s) do you find between grand nursing theories and application to clinical practice?

What relationship(s) do you find between grand nursing theories and application to clinical practice? Provide one example that uses a specific grand range theory to support your views.

As you begin, please reflect on the following relevant course/program outcomes:

Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO #1)

Examine instances where theory is used to guide the development of new knowledge and implementation of evidence-based practice. (PO #6)

As you prepare your response, there are some items for you to consider. You will select a grand nursing theory. When you do so, you need to be prepared not only to identify a grand theory, but use Wills (2011, chapter 6) to guide you in sharing what characteristics your selected theory has that substantiate the fact that it is a grand theory. Do provide specific examples. Once you have accomplished this, you will then share a specific example that includes your chosen grand theory and how it can or cannot be readily applied in clinical practice. I look forward to your posts.


 

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Identify and analyze the various elements that comprise your health care industry’s trends and policies

IDENTIFY AND ANALYZE THE VARIOUS ELEMENTS THAT COMPRISE YOUR HEALTH CARE INDUSTRY’S TRENDS AND POLICIES.

Examine how strategic thinking and planning affect the internal and external environments specific to your health care services by completing the following:

  • Identify and analyze the various elements that comprise your health care industry’s trends and policies
  • Define and explain the economic and business conditions, premises, policies, and other related forces that form the basis for generating change in your health care organization.
  • Identify and analyze specific issues revolving around health care management and policy analysis specific to your selected organization.
  • Examine the different types of markets in the health care system and the determinants of supply and demand in each market specific to your selected organization.

Your two-page report should contain an introduction and a conclusion. Resources and citations should be formatted according to APA (6th edition) style and formatting.

Grading:

Identify health care industry trends and policies.

12%

Analyze identified health care industry trends and policies in relation to a selected health care organization.

13%

Explain economic forces that drive change in a selected health care organization.

13%

Describe business forces that drive change in a selected health care organization.

13%

Describe forces other than business forces that drive change in a selected health care organization.

13%

Analyze health care management and policy analysis specific to a selected health care organization.

13%

Examine supply and demand in each market specific to a selected health care organization.

13%

Communicate in a manner that is professional and consistent with expectations for members of the business professions, and create a document that is clearly written, generally free of grammatical errors, and follows APA (6th edition) style and formatting guidelines for references and citations.

10%

 
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Therapy Skills Practice Transcript

 
Unit 06A Discussion 1 – $15.00 Due (SAT) 8/11/2018.
Unit 06A Discussion 1
Play Therapy Skills Practice Transcript
Note: This will be an extended discussion, 400–500 words, designed to help you think through how to conduct play therapy.
For this discussion, you will focus on The Case of Luis that was presented in Unit 2. First, watch the short Video Role-Play media depicting five key play therapy skills in the Unit 6 Studies. Then, review The Case of Luis and the discussion instructions that follow:
The Case of Luis
Luis is in the fourth grade. His mother is concerned that he may need counseling because he has not grown out of a fear he has had since he was young that is now interfering with developing peer friendships. Luis is afraid of vomiting in a public place. As you speak with him, you learn that when he was in kindergarten, he once got upset and cried so much that he vomited. His teacher was not particularly sympathetic and his parents could not be reached for a while, so he spent several hours with soiled clothes, feeling very ashamed and embarrassed. Subsequently, he became fearful that he might vomit again, with no reason or warning. His behaviors have become more restricted over the years, and now he will not eat if his family goes out to dinner because he fears the food might make him sick. He eats very little at school—just a few foods that he has decided are safe—and his peers have begun to tease him. If he eats something and starts worrying about vomiting, he soon begins to feel sick and often does vomit. So he has begun avoiding more and more social occasions; he declines invitations to birthday parties and sleepovers because he does not want to refuse to eat (and risk being teased) but he is afraid that he will vomit if he does eat. His mother says she has always had trouble with a sensitive stomach so she is very sympathetic toward Luis’s fears. However, Luis’s pediatrician says he can find no medical problem with Luis.
To complete this discussion:
· Assume that you are the counselor for Luis and that you are going to engage in individual play therapy with him.
· Consider the four moments, listed below, in therapy and create a hypothetical transcript of your interaction with Luis for each of the four moments in therapy demonstrating the key play therapy skills in the Video Role Plays in this unit. Use the Counseling Transcript Template, linked in Resources (which you also used in the Unit 2 discussion: Practice Child Counseling Skills) to present your transcript. Be sure to label and provide a rationale for the play therapy skills you use. As the counselor, your transcript should demonstrate these foundational play therapy skills:
o Structuring the beginning of the session.
o Tracking.
o Reflecting and empathic listening.
o Therapeutic limit setting.
Moment 1: Luis and his mother show up for his first session and you have just completed the informed consent process.
Moment 2: Luis begins to draw a picture.
Moment 3: Luis picks up a stuffed animal and begins to rock it in his arms.
Moment 4: Luis picks up a crayon or toy, and breaks it while watching to see what you would do.
Follow these instructions to create your hypothetical transcript with your responses to these four moments:
1. Counseling Transcripts should have three columns .
1. The left-most column designates who was speaking –the client or the counselor.
2. The center column depicts what was said.
3. The third column labels the skill that the counselor used and the counselor’s intentions [in brackets].
4. The skill should come from the list of Universal Counseling Skills in Counseling Children, pages 84–85.
5. The intention should apply one of the Purposes listed in the text’s table to the interaction with the client.
2. Each talk turn should be on its own row.
3. You may use the template, linked in Resources, after deleting the instructions, or create your own form that meets Specifications 1 and 2. Add more rows if necessary.
4. Your transcript should be no more than two pages.
In addition to the transcript, provide an initial response to briefly address the following:
· Which skills were easiest for you to use? Which were the hardest?
· What challenges would you anticipate in using play therapy in your future work as a counselor?
· How might culture and personal beliefs come into play when working with a child client in play therapy?
In addition to the above, please describe two play therapy techniques that you did NOT use and how you could implement them in play therapy. Use the first person voice when describing your skills and reactions. Use the third person to support your analyses with references from course readings. Cite at least two sources to support your thoughts in this post.
Resources

 
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What are some skills you want to develop in your doctoral program at Walden?

Prompt: Walden University’s doctoral programs are designed to help students develop the skills needed to grow as professionals. What are some skills you want to develop in your doctoral program at Walden? What will these skills allow you to do, and how will they help you grow as a professional?
By Day 7 of Week 2
Write a 1-page (approximately 350 words), double-spaced personal essay in response to the prompt above.  To present your strongest writing skills, submit an essay which:
· Provides a focused and clear central idea which responds to the assignment prompt with developed ideas;
· Organizes ideas with paragraphing and transitions;
· Uses grammar and mechanics to effectively communicate meaning to readers;
· Maintains academic integrity by demonstrating your original work. Using outside sources is not required for this essay; if you use them, however, then you must cite any information you paraphrase or quote.
For additional tips as you draft and revise your essay, visit the Tips for Writing the Doctoral Writing Assessment Essay webpage and the Writing Center website. Note, however, that this assignment is not eligible for the Writing Center’s paper review service.
he excitement of being a new manager has started to wear off.  Your boss is pressuring you because you need your team to work faster.  You need to find a way to motivate them!  Based on your psychology class, you realize that you have two choices.
CHOICE 1 – Praise.  You could focus on those who do really well and praise them for their success. There will be a bulletin board that highlights those employees with the best performance.
CHOICE 2 – Pay.  For those employees who produce more ,they get paid more.  The top 5% get a big raise.
Which choice do you make?  This is really important because your end of year bonus depends on your team’s productivity.  In your discussion post, share which choice you make and how that connects to what you have learned about motivation.
 
 
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