Tag: Health Medical

This is the final part of this question. Now we are putting everything we did on the first and second questions in one poster and also write an abstract page. i have uploaded all instructions including an example paper on how this poster should look like. Please let me know if you have any other question.

Can you help me understand this Nursing question?

Identify the unique purpose of nursing that is NOT performed by any other profession.  What do nurses do that no other profession or discipline is dedicated to perform? Identify this concept and link it to a concept in any theoretical framework.  

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below. This week’s topic is Ensuring the integrity of human dignity in the care of all patients.

PART I

Discussion Question:

In general, what findings in the physical assessment of a healthy older adult do you expect to be different than that of a healthy 35-year-old?

Learning Materials

• Binkley, L. (2017). Bates’ guide to physical examination and history-taking (12^th ed.). Wolters Kluwer. ISBN: 978-1469893419. Review Unit 2 as needed.

• Create a 3-5-page submission in which you develop a PICO(T) question for a specific care issue and evaluate the evidence you locate, which could help to answer the question.Introduction
  PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation. It stands for:
  • P – Patient/population/problem.
  • I – Intervention.
  • C – Comparison (of potential interventions, typically).
  • O – Outcome(s).
  • T – Time frame (if time frame is relevant).
  • The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are starting to apply an evidence-based model or EBPs. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover relevant and useful evidence during their search.You are encouraged to complete the Vila Health PCI(T) Process activity before you develop the plan proposal. This activity offers an opportunity to practice working through creating a PICO(T) question within the context of an issue at a Vila Health facility. These skills will be necessary to complete Assessment 3 successfully. This is for your own practice and self-assessment and demonstrates your engagement in the course.Reference
    Boswell, C., & Cannon, S. (2015). Introduction to nursing research. Jones & Bartlett Learning.Professional Context
    As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question.Scenario
    For this assessment, please use an issue of interest from your current or past nursing practice.If you do not have an issue of interest from your personal nursing practice, then review the optional Case Studies presented in the resources and select one of those as the basis for your assessment.Instructions
    For this assessment, select an issue of interest an apply the PICO(T) process to define the question and research it.Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your issues, as well explain how the evidence would help you plan and make decisions related to your question.If you need some structure to organize your initial thoughts and research, the PICOT Question and Research Template document (accessible from the “Create PICO(T) Questions” page in the Capella library’s Evidence Based Practice guide) might be helpful.In your submission, make sure you address the following grading criteria:
  • Define a practice issue to be explored via a PICO(T) approach.
  • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
  • Explain the findings from articles or other sources of evidence.
  • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using the current APA style.
  • Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
  • Assessment 3 Example [PDF].
  • Additional Requirements
    Your assessment should meet the following requirements:
  • Length of submission: Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it.
  • Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
  • APA formatting: Format references and citations according to the current APA style.
  • Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies. 
    • Explain the findings from articles or other sources of evidence.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. 
    • Identify sources of evidence that could be potentially effective in answering a PICO(T) question.
    • Explain the relevance of the findings from chosen sources of evidence to making decision related to a PICO(T) question.
  • Competency 3: Apply an evidence-based practice model to address a practice issue. 
    • Define a practice issue to be explored via a PICO(T) approach.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. 
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

PART I

Discussion Question:

It is critical to synthesize all of the knowledge, skills, and abilities of nursing into an integrated whole that moves nurses from task completers to an overall demonstration of compassion and caring.

Thinking of nursing first as a job of caring and making a difference, as well as the work of giving medications on time, checking an X-ray to see if the doctor needs to be called, or taking an admission at 2:00 a.m. with a smile on our faces, reminds us of the synthesized whole of nursing work.

Write a reflection about this thought. Incorporate elements from this module’s objectives, as well as what you have learned in this course about leadership. You may include personal experiences and professional opinions if you wish.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

PART II

Signature Assignment Title: What Makes a Good Leader?

Signature Assignment Description/Directions:

Choose one or more leadership topic(s) from your textbook or from a scholarly source from a previous discussion or assignment from this course and write about its application to nursing practice. Provide definitions, history/background, and major concepts of chosen topic.  Describe the topic’s function in nursing practice by examining at least three different nursing roles (for example, bedside nurse, public health nurse, CNO, unit manager, etc.). Discuss how the leadership topic can be used in your own practice. Discuss your personal growth in regard to your chosen leadership topic. Evaluate personal strengths, weaknesses, opportunities, and threats to your career advancement.

Then, discuss the top three traits you feel makes a good nurse leader. Support your statements with examples from your practice experience and scholarly sources.

I’m studying for my Health & Medical class and need an explanation.

Apple is returning money to ebook buyers after losing the price-fixing lawsuit

Kastenakes, J. (2016). Apple is returning money to ebook buyers after losing price-fixing lawsuit. The Verge. Retrieved http://www.theverge.com/2016/6/21/11991526/apple-ebook-price-fixing-refunds-begin-for-consumers

• What specific price-fixing act was Apple being accused of?
• What was the verdict and consequences?

respond to the following as a peer. According to Brock (2003), a group purchasing organization (GPO) is a business purchases supplies in volume from manufacturers to pass along cost savings to member hospitals that each pay an up-front membership fee. The GPO achieves volume purchasing from each seller/manufacturer to achieve a quantity discount per unit along with a single administrative purchasing fee, allowing member hospitals to achieve savings they could not achieve alone (Brock, 2003). Some GPOs were able to gain proprietary information that individual purchasers could not obtain and perform product testing and comparison that individual healthcare facilities could not achieve, thus contracting with a “best” manufacturer for their members. This and other behaviors brought GPOs under the scrutiny of the Federal Trade Commission (FTC) (Brock, 2003).

Despite violation of Section 1 of the Sherman Act, which makes it unlawful for buyers and sellers of goods and services from entering into contracts or collusions to jointly set prices at which they will jointly buy or sell goods, the Supreme Court has recognized that GPOs provide value to its member healthcare organizations that outweigh the anticompetitive effects of its purchasing model (Brock, 2003). In 1996, the U.S. Department of Justice and the FTC issued the Statement of Antitrust Enforcement Policy in Health Care, noting that most GPOs did not raise antitrust concerns, but addressed specific issues to develop policies or safety zones with goals to prevent market disruption through monopoly purchasing or price fixing (Brock, 2003). Brock notes that the Statement requires that 1) GPO membership services must total 35% or less of total sales of a product or service, and 2) the total costs of the products purchased by the hospital must be less than 20% of its total revenues.

Brock’s article was written in 2003. A Bing search using the terms “group purchasing organization and FTC” yielded an article referenced below by O-Brien et al., (n.d.); though undated the reference section lists publications as recent as 2016. The article delineates multiple additional requirements applicable to GPO’s and members for legal compliance. A search at FTC.gov using terms “group purchasing organization and healthcare” resulted in several articles recovered discussing group purchasing of pharmaceutics but nothing regarding purchase of general medical supplies.

Certainly, with the coming changes in healthcare focused on creating high value healthcare through emphasis on reduced costs and high quality through MACRA legislation, group purchasing organizations make sense in helping hospitals to reduce costs. These groups must be monitored to ensure their market footprint does not result in market dominance, cost control, limitations on research and development, and supplier harm.

References

Brock, T. H. (2003). Hospitals, group purchasing organizations, and the antitrust laws. Healthcare Financial Management, 57(3). Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsbig&AN=edsbig.A98953926&site=eds-live&scope=site

O’Brien, D., Liebowitz, J., and Anello, R. (n.d.). Group purchasing organizations: How GPOs reduce healthcare costs and why changing their funding mechanism would raise costs. Retrieved from https://www.bing.com/search?q=ftc+group+purchasing…

Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
   • Summarize the health care problem or issue.
   • Describe your interest in the topic.
   • Describe any professional experience you have with this topic.
2. Identify peer-reviewed articles relevant to health care issue or problem.
   • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
     • Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
   • Use keywords related to the health care problem or issue you are researching to select relevant articles.
3. Assess the credibility and explain relevance of the information sources you find.
   • Determine if the source is from an academic peer-reviewed journal.
   • Determine if the publication is current.
   • Determine if information in the academic peer-reviewed journal article is still relevant.
4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
   • Identify the purpose of the article.
   • Summarize the information.
   • Provide rationale for inclusion of each article.
   • Include the conclusions and findings of the article.
   • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
   • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
   • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
5. Summarize what you have learned from developing an annotated bibliography.
   • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
   • List the main points you learned from your research.
   • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Content: Provide a title page and reference page following APA style.
• References: Use at least four scholarly or academic peer-reviewed journal articles.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
  • Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
  • Assess the credibility and relevance of information sources.
  • Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
  • Summarize what was learned from developing an annotated bibliography.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
  • Summarize a health care problem or issue and describe a personal interest in it and experience with it.