Tag: Health Medical

Studies have now shown that 30% to 40% of patients who are cared for do not get care based on evidence based practice (EBP). As nurses or healthcare providers, it is required to use information on executive skills and offer the best practice to obtain high-quality patient care (Mahmoud & Abdelrasol, 2019). In order to fill the gap between nursing research and practice, it is necessary to enhance nursing knowledge and be devoted to EBPs. One of the reasons why EBPs are not quickly implemented and followed in a healthcare setting is due to the lack of understanding on evaluating a research study among nurses (Mahmoud et al., 2019). Research should be evaluated by understanding its quality and value. Nurses should advance their education and explore the world of research. When nurses are not trained or are not participating in research, it becomes a difficult task to utilize research findings (Mahmoud et al., 2019). For many of the nurses that this learner works with, they are happy to come to work, finish the job on time, and go back home. There are many nurses who are not interested in researching EBPs and give the excuse that s/he does not have time. 

Please respond to this 4 peers’ Discussion Prompts

ALL citations and references needs to be APA 7th edition format. (200-250 words each

• Respond to at your classmates’ or your instructor’s posts. Your responses should include elements such as follow-up questions, a further exploration of topics from the initial post, or requests for further clarification or explanation on some points made.

Peers # 1

Both a strategic plan and strategic implementation are necessary to succeed. In my option, strategic implementation is more important than strategic planning. For example, what if you wanted to drive across the country? The strategic plan would involve picking a destination, planning a route, and calculating necessary funds. The strategic implementation would begin when you pull out of the driveway and end when you reach the destination. Though it is important to have a strategic plan, the plan does not come to fruition without implementation (Mack, 2017). A plan without action is simply daydreaming.

           A study done by Harvard Business School, 90% of organizations fail to effectively execute their strategic plans (Dalum, 2019). The reasons for failed strategies are varied, but most hinge on the fact that strategy implementation is resource intensive and challenging. One potential barrier to successful strategy implementation is a weak strategy. If the strategic plan does not have distinct milestones, clear timelines, and precise roles for employees, then there is no clear focus. A weak strategy will not provide a clear path to the end goal or lay out challenges that may be faced, all of which could pose a potential barrier to successful implementation. Another potential barrier that may cause implementation to fail is the lack of communication. The lack of communication can lead to disjointed teams and widespread uncertainty, which can results in a lack of cooperation among teams (Dalum, 2019). Transparent, honest communication is a necessary step for any new plan, and without effective communication, it is difficult, if not impossible, to implement a strategy successfully. Even the greatest strategic plans will fail if there is not proper communication between team members.

Peers # 2

There are several potential barriers to strategic implementation. It is important to include potential barriers in the strategic planning process to better prepare for the impact of those barriers when they do actually arise. If not equipped to adapt given certain barriers the strategic implementation process could fail completely. Some identifiable barriers could include missing links between organizational purpose, vision, and values, unrealistic planning, defects in leadership, resistance to change, and lack of communication, accountability, capability, or resource.

I have witness strategic implementation fail. I noticed two primary reasons why the organization I worked for failed to implement new plans effectively. The planning process was well structured and included plans to improve efficiency through departmental flow. During the strategic planning process other organizations were observed and data was collected on similar department efficiency strategies. The implementation was thoughtful and initially implemented well. The problem was that the organization under estimated how resistance to change and accountability would effect there implementation at a later date.

Humans are generally routine oriented, and although we may feel we can embrace innovations, we frequently fall back to what is comfortable. In my experience, the implementation process lasts for about a month, and then as support subsides many employees fall back to their routine. Employee resistance to change is one of the most challenging barriers to predict. When support is available, many employees generally comply to the new concept, and it is not until support leaves that implementation fails. The moments that precede this are critical. If the implementation process doesn’t hold these employees accountable, then they fall right back into their routine habits.  This is how these two barriers can be detrimental to the strategic implementation process.

Strategic planning and strategic implementation are equally important. They share a very close relationship. Without planning, implementation can not occur effectively. Without implementation, great ideas and concepts will end there and never be incorporated into practice.

Peers # 3

Quantitative data is information about numbers while qualitative data is descriptive, and regards phenomenon which can be observed but not measured (McLeod, 2019). Therefore, qualitative data yields the most information. Though quantitative data provides measurable data, qualitative data offers a deeper understanding into the data (McLeod, 2019). Qualitative data provides the “how” and “why” explanation to a particular phenomenon.

           When it comes to forecasting future trends in healthcare, forecasting should be primarily based on quantitative methods (Langabeer & Helton, 2016). Qualitative methods include mainly market research, executive opinion, or Delphi methods to make subjective or judgmental decisions about the future without relating demand to historical performance quantitatively (Langabeer & Helton, 2016). There are two types of quantitative forecasts, univariate and multivariate. Univariate methods attempt to forecast demand by exploring historical data relative to a single variable, such as number of patients, procedures, or items (Langabeer & Helton, 2016).

           According to Langabeer & Helton (2016), forecasts are always inaccurate, but there are a few practices that a healthcare manager can use to ensure that the data used is accurate. Whenever possible, a healthcare manager should use downstream transactional data for forecasting because the best source of demand is actual customer requisitions, not warehouse orders or inventory movements (Langabeer & Helton, 2016). Another practice to deciding on a realistic forecasting horizon, as shorter time horizons provide more reliable results (Langabeer & Helton, 2016). Using a mathematical or statistical forecasting application that is integrated with the hospital’s existing information systems is another way to ensure accuracy of data (Langabeer & Helton, 2016). A healthcare manager should avoid making predictions on predictions and should avoid using unreliable data sources.

           Forecasting and benchmarking are ways in which data can be evaluated. A hospital may evaluate data to determine readmission rates, while a clinic may evaluate data to determine wait times. Data evaluation may be used to predict the daily patients in a hospital department to determine staffing accordingly. A family practice clinic may evaluate data to determine patient satisfaction and improve quality of care.

           One example of data evaluation for loss of revenue is revenue cycle management. Revenue cycle management is the process of managing claims processing, setting payment practices, and generating revenue (Langabeer & Helton, 2016). This is an analytical method for determining prices to achieve specific objectives (Langabeer & Helton, 2016).  A hospital may also evaluate financial indicators as a way to manage loss of revenue. Evaluating specific metrics on the balance sheet and external benchmarks can provide necessary insight into issues like loss of revenue (Dyrda, 2016).

Peers # 4

When it comes to information and how it relates to care give to patients, I think both qualitative and quantitative data are important, but for the healthcare administrator, I feel quantitative can yield the most information. Having the numbers at your fingertips, put into charts or graphs, can assist with quick views to see the trending data as well, which can help with forecasting future events, and what might need to be monitored more closely. To accurately monitor forecasting data, it would be most beneficial to use multivariate methods, which means they use multiple variables, like time of year, average usage, projected usage, and/or system implementations that can give a more precise forecast (Langabeer et al, 2016).

One example of data evaluation could be a radiology department that sees larger numbers of patients in the winter versus the summer but has had a new influx of young families to the area. Using the multivariable forecasting, we can estimate that this summer might have a larger patient load than previous years. At the same time, another department, like cardiology, might see the trend as increasing younger families and decreasing older generational numbers, and are expecting lower patient number this year versus previous years (Harrington, 2016).

Data evaluation is also important to reimbursement purposes. To use the previous example, the reimbursement department may see an increase in private insurance numbers and decrease in Medicare insurance usage. This can change the reimbursement the organization is receiving from the federal government. This can flow further downstream, and some services that are only available to Medicare beneficiaries may need to be cut or changed. Being able to forecast in any department in any type of organization is important to the ebb and flow of the business model. In healthcare especially, being able to understand both qualitative and quantitative data is beneficial to the healthcare administrator in forecasting what to expect, and how to avoid pitfalls that could be detrimental, not only to the organization, but to the patient’s as well (Harrington, 2016).

Assignment 1: Lab Assignment: Ethical Concerns

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

Based on the scenarios provided:

Select one scenario and reflect on the material presented throughout this course.

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Consider the following scenarios:

• 1.Adhya is a 17-year-old Indian American female with a history of leukemia. The parents discussed a bone marrow transplant with the oncologist. The treatment could result on Adhya ‘s infertility. The treatment has not been discussed with her neither the risk. She has not been given the option to look for methods to preserve fertility. What would you do as her Nurse practitioner in the Oncology practice?

2. A 10-year-old is admitted to the hospital after a high fall in the State Fair. He has multiple internal injuries requiring surgery and possible blood transfusions. The parents who are Jehovah Witness are refusing the transfusion an prefer to continue resuscitation with fluid. The parents offer you to sign a waiver of liability to t] the hospital in case of the child death.

I’m working on a fitness project and need an explanation and answer to help me learn.

the table should include the 7 days and the 3 main meals and snacks and the food should be more than 1 choice for example eating _____ or ______ or _______.

and the table should include a physical exercise.

also after finishing the table, write tips about a healthy program diet.

create a healthy program diet table

Instrucciones: Busque la siguiente información de la Teorizante asignado (Madeline Leininger)

1. Busque la información del teorizante asignado el Libro sugerido: Modelos y Teorías en
Enfermería si no tienen la facilidad del libro busque información por la red confiable.

2. El trabajo escrito incluye Portada, Introducción y Conclusión (mínimo 2 párrafos de 5
oraciones cada uno)

3. Haga un resumen considerando los siguientes aspectos:
a. Nombre de la teorizante
b. Datos biográficos (que hizo, contribuciones…)
c. Nombre de la Teoria
d. En que se basa su teoría
e. Describa sus principales supuestos o metaparadigmas
f. Analiza cómo se utiliza o porque es importante la teoría en nuestra profesión

4. El trabajo debe ser en Power Point, verificar ortografía y síntesis.

5. Entregado en la fecha asignada. Fuera de fecha perderá 5 puntos diarios.

6. En la presentación oral se evaluará lo siguiente:
a. Dominio del tema.
b. Tono de voz (claridad y dicción)
c. Vestimenta

7. Trabajo listo para: fecha de entrega

8. Referencia en formato APA (no menos de 2 referencias

HOLA, YA COMENZAMOS DE NUEVO, SIEMPRE ES UN PLACER. EN ESTE CASO SE TRATA DE LA ENFERMERA (Madeline Leininger), NOS TANTE LE ADJUNTO LAS ORIENTACIONES CON SUS DOCUMENTOS, EN ESTE CASO ESTAREMOS HACIENDO UN POWER POINT. MIL GRACIAS

Reflective journals is to give the student the opportunity to develop reflection of self, therapeutic use of self, and reflection of relationship, assessment skills and therapeutic communication with another person. The student may use the following formats for reflection (paper is to be written in one of these formats only):

Johns’ Model of Reflection

Carper’s Ways of Knowing

Sister Roach’s Six C’s of Caring

Boud’s Model of Reflection

Reflective Journal Prompt for the week:

Discuss a legal or ethical issue you have discovered during a mental health nursing simulation experience this semester.  Identify and consider the ethical principles that were evident in the situation and how these principles were adhered to or violated. What did you learn from this experience & how will it impact your practice?  Utilize one of the models of reflection (above) to frame your response. 

I’m stuck on a Nursing question and need an explanation.

Review: AANP NP Contract Sample:

http://www.aanp.org/imag es/documents/publication s/ContractNegotiations.pd f

State of Florida Example ARNP protocol

http://floridasnursing.gov/f orms/arnp-protocolformat.pdf

https://www.aanp.org/practice/practice-management/…

1-What are the main questions, you need to ask your employer during negotiation meeting? 

2-What could be some problems you might encounter during contract negotiation? How would you approach those problems?

IMPORTANT NOTE REGARDING WORD LIMIT REQUIREMENTS:

Please note that each and every assignment has its own word limit.

How do you identify a community leader?

Community leaders are responsible for the welfare, and development of their communities. Many community leaders take it upon themselves to take charge within a community because changes need to be made. Others such as councilmen of a specific ward within a community may be voted in by the community because they feel this individual can make contributions that will improve the well-being of the community. In addition, working with local organizations can provide resources that lead individuals to community leaders or help determine who they are within the community (Mishra et al., 2017). Moreover, additional approaches that can identify a community leader is through a position which one upholds, reputation, event analysis, and social participation (Mishra et al., 2017).

Examples of types of community leaders in public health and characteristics of effective leadership used at my practicum site.

There are several community leaders and organizations who help shape public health and tackle challenges that may arise. First and foremost, we have our state and local officials who provide reliable information to the public as necessary. Next, there are the many public health practitioners and organizations such as the Association of state and Territorial Health Official, the National Association and County, and City Health Officials, and Big Cities and Health Coalitions to name a few (Hwang, 2021). In addition, every health commissioner, health officer, and political commentator who helps inform and address public health challenges play a key role in the public health system. Moreover, characteristics of effective community leadership for my practicum must include strong communication and listening skills, empathy and understanding, the ability to motivate, inspire and provide innovation to think outside box to provide solutions to old and new developing problems.

References

Hwang, W. (2021). Community leader. ScienceDirect.com | Science, health and medical journals, full text articles and books. https://www.sciencedirect.com/topics/psychology/community-leader

Mishra, C., Young, J. C., Fiechter, M., Rutherford, B., & Redpath, S. M. (2017). Building partnerships with communities for biodiversity conservation: lessons from Asian mountains. Journal of Applied Ecology, 54(6), 1583-1591.

Respond to the bold paragraph ABOVE by using one of the option below… in APA format with At least two references and a minimum of 200 words….. .(The List of References should not be older than 2016 and should not be included in the word count.) Include at least one scholarly reference and appropriate in-text citations and Address all points on the DQ. One point will be deducted for not addressing each item mentioned above. Remember that presenting someone else’s work as your own is plagiarism.

• Ask a probing question.
• Share an insight from having read your colleague’s posting.
• Offer and support an opinion.

• Validate an idea with your own experience.
• Make a suggestion.
• Expand on your colleague’s posting.

Be sure to support your postings and responses with specific references to the Learning Resources.

It is important that you cover all the topics identified in the assignment. Covering the topic does not mean mentioning the topic BUT presenting an explanation from the context of ethics and the readings for this class

To get maximum points you need to follow the requirements listed for this assignments 1) look at the word/page limits 2) review and follow APA rules 3) create subheadings to identify the key sections you are presenting and 4) Free from typographical and sentence construction errors.

REMEMBER IN APA FORMAT JOURNAL TITLES AND VOLUME NUMBERS ARE ITALICIZED.

References

American Psychological Association. Publication Manual of the American Psychological Association (7th Ed.). Washington, DC: Author.

IMPORTANT NOTE REGARDING WORD LIMIT REQUIREMENTS:

Please note that each and every assignment has its own word limit.

To be a community leader is someone who is very involved in the community and has a following of people who want to be involved as well but also want to help the community. I think a community leader is someone who can also manage difficult situations with those around them and the people in the community. This is a good tool for managers and community leaders to have because it helps with difficult conversations and helps focus on the interest and understanding of everyone (Fernandez, 2008). These leaders are the ones having difficult conversations. Examples of leaders in public health are faith-based organizations, schools, health agencies and centers, businesses, and more (Centers for Disease Control and Prevention, n.d.). Examples I see in the community of community leaders are people in the Lions Club, for example. The president is the one in charge of the club and the ultimate decision-maker when it comes to all of the projects that are done within the community and the club.

I think my practicum right now hits a lot of the core functions in leadership. It has taught me how to become a community leader as my mentor has me being the direct contact when it comes to everything. I also watch and observe how she, as well as her team, are in the community to learn from them as well. Right now, my practicum is trying to figure out what project to put me on, but one program specifically talks about developing and creating the vision for the community. One of the projects has to do with people in the community filling out a questionnaire and seeing what the communities’ feedback is, not only on what questions were asked but how they were asked. The team has also indicated that these questionnaires will change based on what culture or community we are trying to focus on. I definitely have been overcoming many setbacks in my practicum as it has not been the most organized, and my mentor did not explain very well to her team what I would be doing. I have slowly been able to overcome this and am finally getting a little bit more clarity on what she wants me to do. I think I speak for everyone when I say that we all are learning one way or another in our practicums which is one of the core functions when it comes to leadership. As I indicated, I have hot section1, section 2, section 3, section 4, and section 10, to name a few. These sections have to do with learning how to be a community leader, developing/communicating a vision, discovering/creating possibilities, overcoming setbacks/adversity, and understanding people’s needs (Community ToolBox, 2021). Overall, my practicum has been showing more and more of the core functions when it comes to leadership. I hope I am able to hit all sections of the core functions of leadership when it is time for my practicum to end.

 Reference

Centers for Disease Control and Prevention. (n.d.). PDF. Washington D.C.; Centers for Disease Control and Prevention. https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/communities/pdf/hcp_brochure.pdf

Community ToolBox. (2021). Chapter 14. Core Functions in Leadership. Chapter 14. Core Functions in Leadership | Community Tool Box. https://ctb.ku.edu/en/table-of-contents/leadership/leadership-functions.

Fernandez, C. P. (2008). Managing the Difficult Conversation. Journal of Public Health Management and Practice, 14(3), 317–319. https://doi.org/10.1097/01.phh.0000316492.88006.ca