Description
Directions
Construct a curriculum for a community public health education program. (Elderly population and nutrition)
You will demonstrate the application and appropriateness of curriculum design and learning theories through the creation of a five-course curriculum for an appropriate population.
The curriculum should have a minimum of five courses. It should include:
- Course naming nomenclature (numbering)
- Course contact hours, credit hours, meeting hours
- Course description
- Logical sequencing based upon appropriate learning theories (e.g., why was this course placed in the order you have chosen)
- Description of teaching methodologies (e.g., online course with Microsoft® PowerPoint® presentation)
Any citations used will need to be in proper APA format.
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Maryville University Advanced Pharmacology and Pharmacotherapeutics Discussion
(I have pretty much answered the questions. Pls elaborate and make it all come together and find sources. I will attach so ...
Maryville University Advanced Pharmacology and Pharmacotherapeutics Discussion
(I have pretty much answered the questions. Pls elaborate and make it all come together and find sources. I will attach some other peer’s post for examples/guide.)A 56 yr. old woman signs up with you as his new primary care physician. Her previous diagnosis included hyperlipidemia, hyperglycemia, moderate obesity and hypertension. His medications include: Paroxetine 20 mg for 10 years; Quetiapine 150 mg daily for 2 yrs.; Irbesartan 300 mg daily for 1 yr.; and Atorvastatin 10 mg daily for 1 yr. Labs: FBS = 126, HgbA1C = 6.2, total cholesterol = 200, LDL = 105, HDL = 35, Tg =286. His present height equal 5’9” and weight = 210 lbs. His BP is 140/84. She tells you that about 10 yrs. ago she became depressed and was started on Paroxetine and gained 30lbs after 1 yr. Her mood at that time was much improved and remained that way for about 2 yrs. At that time, Quetiapine was added, and she achieved remission of her depression. Six months after this she gained another 20lbs, developed mild hypertension, hyperglycemia and hyperlipidemia. All other lab including thyroid testing was normal. She tells you that she has a craving for carbohydrates and does little exercise since developing depression about 15 yrs. ago. Questions:1. What advice or modifications to his treatment regimen would you recommend for your new patient? (Discuss a minimum of two). Please support your answer with research-based evidence. = Discontinue Quetiapine and Paxil - taper off for over 1-2 months to decrease withdrawal symptoms - since they are associated with weight gain, diabetes and hyperlipidemia which increases her risk for developing heart disease - currently, considered as prediabetic, mildly increased total cholesterol/LDL/ TG, mildly elevated BP. Weight gain from antipsychotics/antidepressants is believed to be cause by increase appetite. By discontinuing these medications, patient may lose weight which will help reduce blood pressure (which is another risk factor for heart disease), decrease blood sugar and cholesterol. - Continue other medications for now. Will consider adding another blood pressure medication if no improvement after discontinuation of Quetiapine and Paxil, and after weight loss. Consider Metformin if no improvement to blood sugar despite lifestyle change in 3-6 months. - Recommend nonpharmacological intervention strategies first - Encourage healthy diet and exercise to help reduce weight - Recommend referral to nutritionist - Recommend psychotherapy or counseling while adjusting medications to prevent relapse of depression - Assess depression with PHQ-9 routinely= Add Wellbutrin - not associated with weight gain and diabetes - Follow up in 2 weeks on response to medication. Will increase dose as need.2. If you suggested additional medication, look up your state’s prescribing laws. Are PMHNP’s able to prescribe the medication you recommended? In California, PMHNP’s are able to prescribe psychiatric medications.
NRS 493 GCU The Pandemic Has Led to A Complex Situation in Nursing Response
During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for n ...
NRS 493 GCU The Pandemic Has Led to A Complex Situation in Nursing Response
During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.1 – Jocelyn PerezI am doing my practicum in a community health clinic. The current clinical issue that the clinic is facing is providing services that are safe for both the workers and patients. Finding alternative ways to help people gain access to care has become a priority during this pandemic. People are still suffering from health conditions that need monitoring to prevent further deterioration. The restricted access to care makes it difficult for people to schedule an appointment and receive care. This is due to the unwanted high volume of traffic in the waiting room to prevent the virus's spread. The first implications for nursing include nurses directly exposed to the virus, which results in being at high risk of developing the disease. This scares nurses for transmitting it to their loved ones causing them to leave their job. This has significant implications for the workforce and the ability of health systems to deliver care at a time of heightened need. The second one is the psychological implication of the stress associated with separation from family, sleep deprivation, and heavy workloads created by health system demand and staff shortages. These psychological impacts are likely to have both short- and long-term consequences for nurses (Fernandez et al., 2020).ReferenceFernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.1036372 – tamara GuiterrezMental Health care and resources for treatment continues to be problematic in our organization and community. Our rural area is limited to mental health care and close to obsolete for mental health care and resources available to our youth. Although resources are available in surrounding nearby cities, transportation and acceptance remains a concern. Mental health is a crucial part of one’s life and well-being. Individuals need mental health resources to continue to be productive in their lives, personal and professional. Nurses play an imperative role in caring for mental health patients and providing the services needed for successful compliance. They are the largest group of individuals providing this care. Nursing professionals need the equal amount of training and education in psychological studies as received in primary health problems. More organizations that are educational are ensuring these trainings implemented and provided to prepare nurses for the care of mental health treatment as well as preventative practice. Nurses implement the mental health care included in the patient’s primary health care. History of the patient helps the nurse learn more about the patient’s mental well-being and needs expected to arise from their evaluations to provide proper intervention for positive patient outcomes.WHO | Developing Nursing Resources for Mental Health.https://www.who.int/mental_health/policy/mnh_nursing/en3 – Nathanaelle JosephI am doing my practicum in a clinic during the pandemic and many people are afraid of catching the virus, running out of PPEs, and closing down the clinic due to the pandemic. we have adopted new protocols such as social distancing, temperature screening, Covid screening questions, wearing shield and mask, and washing hands. We encourage staff to spend less than 15 minutes with the patients and for patients to spend less than 30 minutes in the clinic. we also encourage them to get tested as often as they can, stay home if they have any symptomsThe major problems are lack of staff and fear of catching COVID-19 for both the patient and the staff.1- Many staff has tested positive for COVID-19. once staff has tested positive for COVID, they must be quarantined for 14 days and re-tested on day 15. We have lost a lot of staff who are on sick leave. On average the clinic would have 50-60 staff, today we have 22 staffs that have tested negative for COVID. We have encouraged all of our staff to get vaccinated with either Pfizer or Moderna and continue to practice social distancing in the cafeteria. We encourage them to know the signs and symptoms of COVID-19 and if they feel any abnormality, get treatment right away.2- Many of the patients that come to our clinic have preexisting health conditions such as HIV, diabetes, asthma, and many others. We encourage them to sign up for mychart where they can video chat with their providers to request a medication refill, and share other concerns. We give hand sanitizers, face mask, gloves, and antibacterial wipes. we encourage the patient to stay home if they don't feel well, come 30 minutes before their appointments, social distancing, come alone, they can only bring one person with them, if necessary. We want the clinic to be open and continue to cater to the needs of the community. We can achieve this by following the CDC guidelines.ReferencesCOVID-19 symptoms. Center for Disease Control and Prevention4 – Sonia MendezI am doing my practicum in a inpatient setting and the main problem that this hospital is having is retention. Their are many nurses that are leaving because they are being pay more for traveling assignment, even when they are just going 30 to 40 miles away when it was known to be 50 miles or more to be consider a travel assignment. The hospital have been losing very good nurses because they can't compete with their wages. The hospital is trying to retain the nurses by giving them different bonuses, but it hasn't really been completely successful at the moment. One of the implications that the nurses are facing is that they are working short staff, they feel more tired and the chance of them making mistakes are higher. They are constantly floating to other units and working in different environments and with different population of patients then what they are used to. The second implication that the nurses face with this situation is stress, they feel stress just to think that they have to come to work and that they know that they are going to be short staff. They are worry that they are going to have a bad day or that they are going to finish late and they have to be back the next day and do it again. They worry because they are exposed to the virus and they don't know when they can take it home. ReferencesOverwhelmed hospitals rush to hire travel nurses: "We're getting hit pretty hard". (2020, December 29). Retrieved from https://www.cbsnews.com/news/overwhelmed-hospitals...What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.5 – cara harrisThe main issue for my organization in addressing a solution to evidence-based nursing is the fact that the organization is driven on policy and procedures that have been in place to focus on episodic care versus the ability to take advantage of evidence-based nursing practices. This is due in part to the lack of education and knowledge of the medical practitioner and the focus on common procedural episodic care management. In spite of its benefits adoption of evidence-based practice in healthcare system remains low. (The Nursing Ace, 2019) This attributed to various factors, which include cost implications, ethical issues, shortage of relevant professionals and lack of a harmonized curriculum in nurse education to promote adoption of evidence-based practice in the workplace. (The Nursing Ace, 2019) Because of these issues, evidence-based nursing is a real challenge to adopt and implement as a best practice to the health and care needs for the patient. Education and training is the first step in empowering nurses to begin to utilize and practice evidence-based nursing for patient care. It is also important for the advanced nurse through additional education and achieving BSN and MSN credentials to assist with the evidence-based practice. And in most cases the organization will need to revisit and update their issues with practice policies. To address the issue, it is important for the organization to modify its policy to ensure that nurses feel empowered to apply evidence-based practice in their clinical duties. (The Nursing Ace, 2019) Allowing the educated and trained nurse to utilize and manage care with evidence-based nursing will assist with patient care and create a holistic approach to the care and needs of the patient. This will set the pace for better overall education and prevention to adequately educate patients for the ability to manage their health needs.ReferencesGoodman, K. W. (2013). Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science. New York: Cambridge University Press.Nursing Ace. (2019). Organizational issues and solutions to evidence based nursing practice. Retrieved from https://thenursingace.com/organizational-issues-and-solutions-to-evidence-based-nursing-practice/6 - Shannon bolinFor a healthcare system to be beneficial to the community they serve, they must always continue to evaluate their current policies and procedures and make efforts to implement new interventions that are supported by evidence-based practices (EBP). As discussed in the Alatawi et al. paper about barriers in implementing EBP, limited resources are an issue that this as well as many healthcare systems fail to correct promptly (Alatawi et al., 2020). As hospital systems continue to improve their standards and expect better outcomes, they do not always provide the means for the nurses to implement EBP. One issue that the hospital system has made a top priority is the reduction and prevention of falls and falls with injury. While some falls may not be avoidable, the hospital system has dedicated itself to identifying issues and implementing steps to reduce the yearly average of falls. Through conferences, post-fall huddles, and scenario simulations, there are several suggestions the leadership level has identified that will help nursing staff. The early implementation of a companion care partner or “sitter” for those who have a high fall risk, however, there is often not enough nursing or CAN staff to cover these needs. They implemented a hourly rounding and bathroom checks for each patient as a way of reducing risks of a patient attempting to get up on their own but have increased the number of patient to nurse/cna staffing, leaving the floors without the proper staffing levels to offer quality rounding. One last intervention they have recently suggested is the immediate discontinuing of all chair alarms, which had been a standard tool used on the floors and offered the chair alarm as a better alternative, but have not provided an adequate amount to the floors for use. As with many hospital systems, good intentions often come ahead of adequate funding, equipment or implementation. The hospital system where my practicum is taking place has a lot of great ideas of how to reduce and prevent falls, however, I would suggest if they are willing to take the time and manpower to identifying the problems associated with the fall they must also at the same time be willing to offer the departments support in implementing these intervention and not leave it to the budgeting job of the unit manager to find ways to acquire the necessary tools to implement these suggested changes.Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S. & Banakhar, M., (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science. Retrieved from http://www.nursingscience.net/article/152/10.11648.j.ajns.20200901.16
MHA 505 UOP Systems Thinking In Health Care Environments Root Cause Analysis
Content
Root Cause Analysis
Now that you have completed a Gemba Walk and have gathered information about the orga ...
MHA 505 UOP Systems Thinking In Health Care Environments Root Cause Analysis
Content
Root Cause Analysis
Now that you have completed a Gemba Walk and have gathered information about the organization and identified opportunities to eliminate inefficiencies, reduce waste, improve a product, or streamline a process, it is time to take a closer look at these problems and get to the root cause of why they are happening.
Additional Resources
For more information about how to use 5 Whys or a Fishbone diagram to conduct a root cause analysis, check out the following links:
5 Whys: Getting to the Root of a Problem Quickly
Cause and Effect Analysis: Identifying the Likely Causes of Problems
Assignment Instructions
Create either a 5 Whys or a Fishbone diagram for each of the two short-term opportunities and the one long-term opportunity you identified during your Gemba Walk. Work through each step of the 5 Whys or Fishbone processes to find the root cause(s) of each problem.
NUR 4922 Rasmussen College Catheter Associated Urinary Infection SWOT Analysis
Integrate leadership and management principles with knowledge of healthcare policy, finance, and regulatory guidelines to ...
NUR 4922 Rasmussen College Catheter Associated Urinary Infection SWOT Analysis
Integrate leadership and management principles with knowledge of healthcare policy, finance, and regulatory guidelines to enhance quality care and patient safety while functioning within legal and ethical parameters of professional nursing.ScenarioYou were recently promoted to the position of Director of the Medical Surgical unit at your local hospital. You just finished meeting with a group of Directors who were discussing the Catheter Associated Urinary Tract Infection (CAUTI) rates. Your unit’s CAUTI rate has not decreased since the implementation of a new policy over a year ago. Financial repercussions of the high CAUTI rate cannot continue. You have been given the task of reviewing the policy and creating a SWOT Analysis, offering recommendations for change.InstructionsIntegrating principles of leadership and management, create a SWOT analysis of the policy attached . In the SWOT Analysis, include the following:S: Strengths of policyChoose strengths/positive aspects of the policy, including regulatory guidelines.Support choice of strengths with current literature.W: Weaknesses of policyChoose weaknesses/concerns of the policy related to regulatory guidelines.Include weaknesses/concerns of the policy related to financial guidelines.Support choice of weaknesses with current literature.O: OpportunitiesInclude opportunities for growth or improvement of the policy.Include perceived opportunities for financial, legal, ethical, quality and safety.Support choice of opportunities with current literature.T: ThreatsInclude perceived threats to financial, legal, ethical, quality and safety.Support choice of threats with current literature.Propose clearly stated and concise recommendations for change.Include descriptions of necessary actions.Use evidence to support your recommendations.Be sure to use professional language and attribution for credible sources with correct APA citation, spelling, and grammar.
Grand Canyon University Baylor College of Medicine Risk management Plan Paper
The purpose of this assignment is to analyze a health care risk management program.Conduct research on approaches to risk ...
Grand Canyon University Baylor College of Medicine Risk management Plan Paper
The purpose of this assignment is to analyze a health care risk management program.Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 1,000‐1,250-word paper, provide an analysis of the risk management plan that includes the following:Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.Description of the standard administrative steps and processes in a typical health care organization's risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.Evaluation of your selected risk management plan's compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.
Womens Gynecologic Health
Can youI answer these questions for me please? I need the references page to be no older than 5 years old. Question 1 ...
Womens Gynecologic Health
Can youI answer these questions for me please? I need the references page to be no older than 5 years old. Question 1 Lichen sclerosis is a benign, chronic, progressive disease of the skin in which the most common symptom reported by the patient is: vulvar pruritis vaginal discharge postcoital bleeding dyspareunia Question 2 The nurse practitioner educates a patient recently diagnosed with a functional ovarian cyst that it will resolve within: Answers to choose from six months three months six weeks one year Question 3 A patient presents with intense pelvic pain that is less than three months’ duration. The correct term for this type of pain is: Answers to choose from Terminal pelvic pain Cyclic pelvic pain Chronic pelvic pain Acute pelvic pain Question 4 The nurse practitioner student was taught to use the mnemonic “OLD CAARTS” when performing a pain history on a patient. What does the “S” stand for? Answers to choose from Severity Scale Somatic Superficial Question 5 Janice is being evaluated due to her complaint of chronic pelvic pain. The nurse practitioner informs her that one of the most common gynecological-related causes of chronic pelvic pain is: Answers to choose from Cervical cancer Amenorrhea Dysmenorrhea Endometriosis
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Maryville University Advanced Pharmacology and Pharmacotherapeutics Discussion
(I have pretty much answered the questions. Pls elaborate and make it all come together and find sources. I will attach so ...
Maryville University Advanced Pharmacology and Pharmacotherapeutics Discussion
(I have pretty much answered the questions. Pls elaborate and make it all come together and find sources. I will attach some other peer’s post for examples/guide.)A 56 yr. old woman signs up with you as his new primary care physician. Her previous diagnosis included hyperlipidemia, hyperglycemia, moderate obesity and hypertension. His medications include: Paroxetine 20 mg for 10 years; Quetiapine 150 mg daily for 2 yrs.; Irbesartan 300 mg daily for 1 yr.; and Atorvastatin 10 mg daily for 1 yr. Labs: FBS = 126, HgbA1C = 6.2, total cholesterol = 200, LDL = 105, HDL = 35, Tg =286. His present height equal 5’9” and weight = 210 lbs. His BP is 140/84. She tells you that about 10 yrs. ago she became depressed and was started on Paroxetine and gained 30lbs after 1 yr. Her mood at that time was much improved and remained that way for about 2 yrs. At that time, Quetiapine was added, and she achieved remission of her depression. Six months after this she gained another 20lbs, developed mild hypertension, hyperglycemia and hyperlipidemia. All other lab including thyroid testing was normal. She tells you that she has a craving for carbohydrates and does little exercise since developing depression about 15 yrs. ago. Questions:1. What advice or modifications to his treatment regimen would you recommend for your new patient? (Discuss a minimum of two). Please support your answer with research-based evidence. = Discontinue Quetiapine and Paxil - taper off for over 1-2 months to decrease withdrawal symptoms - since they are associated with weight gain, diabetes and hyperlipidemia which increases her risk for developing heart disease - currently, considered as prediabetic, mildly increased total cholesterol/LDL/ TG, mildly elevated BP. Weight gain from antipsychotics/antidepressants is believed to be cause by increase appetite. By discontinuing these medications, patient may lose weight which will help reduce blood pressure (which is another risk factor for heart disease), decrease blood sugar and cholesterol. - Continue other medications for now. Will consider adding another blood pressure medication if no improvement after discontinuation of Quetiapine and Paxil, and after weight loss. Consider Metformin if no improvement to blood sugar despite lifestyle change in 3-6 months. - Recommend nonpharmacological intervention strategies first - Encourage healthy diet and exercise to help reduce weight - Recommend referral to nutritionist - Recommend psychotherapy or counseling while adjusting medications to prevent relapse of depression - Assess depression with PHQ-9 routinely= Add Wellbutrin - not associated with weight gain and diabetes - Follow up in 2 weeks on response to medication. Will increase dose as need.2. If you suggested additional medication, look up your state’s prescribing laws. Are PMHNP’s able to prescribe the medication you recommended? In California, PMHNP’s are able to prescribe psychiatric medications.
NRS 493 GCU The Pandemic Has Led to A Complex Situation in Nursing Response
During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for n ...
NRS 493 GCU The Pandemic Has Led to A Complex Situation in Nursing Response
During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.1 – Jocelyn PerezI am doing my practicum in a community health clinic. The current clinical issue that the clinic is facing is providing services that are safe for both the workers and patients. Finding alternative ways to help people gain access to care has become a priority during this pandemic. People are still suffering from health conditions that need monitoring to prevent further deterioration. The restricted access to care makes it difficult for people to schedule an appointment and receive care. This is due to the unwanted high volume of traffic in the waiting room to prevent the virus's spread. The first implications for nursing include nurses directly exposed to the virus, which results in being at high risk of developing the disease. This scares nurses for transmitting it to their loved ones causing them to leave their job. This has significant implications for the workforce and the ability of health systems to deliver care at a time of heightened need. The second one is the psychological implication of the stress associated with separation from family, sleep deprivation, and heavy workloads created by health system demand and staff shortages. These psychological impacts are likely to have both short- and long-term consequences for nurses (Fernandez et al., 2020).ReferenceFernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., & Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 103637. https://doi.org/10.1016/j.ijnurstu.2020.1036372 – tamara GuiterrezMental Health care and resources for treatment continues to be problematic in our organization and community. Our rural area is limited to mental health care and close to obsolete for mental health care and resources available to our youth. Although resources are available in surrounding nearby cities, transportation and acceptance remains a concern. Mental health is a crucial part of one’s life and well-being. Individuals need mental health resources to continue to be productive in their lives, personal and professional. Nurses play an imperative role in caring for mental health patients and providing the services needed for successful compliance. They are the largest group of individuals providing this care. Nursing professionals need the equal amount of training and education in psychological studies as received in primary health problems. More organizations that are educational are ensuring these trainings implemented and provided to prepare nurses for the care of mental health treatment as well as preventative practice. Nurses implement the mental health care included in the patient’s primary health care. History of the patient helps the nurse learn more about the patient’s mental well-being and needs expected to arise from their evaluations to provide proper intervention for positive patient outcomes.WHO | Developing Nursing Resources for Mental Health.https://www.who.int/mental_health/policy/mnh_nursing/en3 – Nathanaelle JosephI am doing my practicum in a clinic during the pandemic and many people are afraid of catching the virus, running out of PPEs, and closing down the clinic due to the pandemic. we have adopted new protocols such as social distancing, temperature screening, Covid screening questions, wearing shield and mask, and washing hands. We encourage staff to spend less than 15 minutes with the patients and for patients to spend less than 30 minutes in the clinic. we also encourage them to get tested as often as they can, stay home if they have any symptomsThe major problems are lack of staff and fear of catching COVID-19 for both the patient and the staff.1- Many staff has tested positive for COVID-19. once staff has tested positive for COVID, they must be quarantined for 14 days and re-tested on day 15. We have lost a lot of staff who are on sick leave. On average the clinic would have 50-60 staff, today we have 22 staffs that have tested negative for COVID. We have encouraged all of our staff to get vaccinated with either Pfizer or Moderna and continue to practice social distancing in the cafeteria. We encourage them to know the signs and symptoms of COVID-19 and if they feel any abnormality, get treatment right away.2- Many of the patients that come to our clinic have preexisting health conditions such as HIV, diabetes, asthma, and many others. We encourage them to sign up for mychart where they can video chat with their providers to request a medication refill, and share other concerns. We give hand sanitizers, face mask, gloves, and antibacterial wipes. we encourage the patient to stay home if they don't feel well, come 30 minutes before their appointments, social distancing, come alone, they can only bring one person with them, if necessary. We want the clinic to be open and continue to cater to the needs of the community. We can achieve this by following the CDC guidelines.ReferencesCOVID-19 symptoms. Center for Disease Control and Prevention4 – Sonia MendezI am doing my practicum in a inpatient setting and the main problem that this hospital is having is retention. Their are many nurses that are leaving because they are being pay more for traveling assignment, even when they are just going 30 to 40 miles away when it was known to be 50 miles or more to be consider a travel assignment. The hospital have been losing very good nurses because they can't compete with their wages. The hospital is trying to retain the nurses by giving them different bonuses, but it hasn't really been completely successful at the moment. One of the implications that the nurses are facing is that they are working short staff, they feel more tired and the chance of them making mistakes are higher. They are constantly floating to other units and working in different environments and with different population of patients then what they are used to. The second implication that the nurses face with this situation is stress, they feel stress just to think that they have to come to work and that they know that they are going to be short staff. They are worry that they are going to have a bad day or that they are going to finish late and they have to be back the next day and do it again. They worry because they are exposed to the virus and they don't know when they can take it home. ReferencesOverwhelmed hospitals rush to hire travel nurses: "We're getting hit pretty hard". (2020, December 29). Retrieved from https://www.cbsnews.com/news/overwhelmed-hospitals...What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.5 – cara harrisThe main issue for my organization in addressing a solution to evidence-based nursing is the fact that the organization is driven on policy and procedures that have been in place to focus on episodic care versus the ability to take advantage of evidence-based nursing practices. This is due in part to the lack of education and knowledge of the medical practitioner and the focus on common procedural episodic care management. In spite of its benefits adoption of evidence-based practice in healthcare system remains low. (The Nursing Ace, 2019) This attributed to various factors, which include cost implications, ethical issues, shortage of relevant professionals and lack of a harmonized curriculum in nurse education to promote adoption of evidence-based practice in the workplace. (The Nursing Ace, 2019) Because of these issues, evidence-based nursing is a real challenge to adopt and implement as a best practice to the health and care needs for the patient. Education and training is the first step in empowering nurses to begin to utilize and practice evidence-based nursing for patient care. It is also important for the advanced nurse through additional education and achieving BSN and MSN credentials to assist with the evidence-based practice. And in most cases the organization will need to revisit and update their issues with practice policies. To address the issue, it is important for the organization to modify its policy to ensure that nurses feel empowered to apply evidence-based practice in their clinical duties. (The Nursing Ace, 2019) Allowing the educated and trained nurse to utilize and manage care with evidence-based nursing will assist with patient care and create a holistic approach to the care and needs of the patient. This will set the pace for better overall education and prevention to adequately educate patients for the ability to manage their health needs.ReferencesGoodman, K. W. (2013). Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science. New York: Cambridge University Press.Nursing Ace. (2019). Organizational issues and solutions to evidence based nursing practice. Retrieved from https://thenursingace.com/organizational-issues-and-solutions-to-evidence-based-nursing-practice/6 - Shannon bolinFor a healthcare system to be beneficial to the community they serve, they must always continue to evaluate their current policies and procedures and make efforts to implement new interventions that are supported by evidence-based practices (EBP). As discussed in the Alatawi et al. paper about barriers in implementing EBP, limited resources are an issue that this as well as many healthcare systems fail to correct promptly (Alatawi et al., 2020). As hospital systems continue to improve their standards and expect better outcomes, they do not always provide the means for the nurses to implement EBP. One issue that the hospital system has made a top priority is the reduction and prevention of falls and falls with injury. While some falls may not be avoidable, the hospital system has dedicated itself to identifying issues and implementing steps to reduce the yearly average of falls. Through conferences, post-fall huddles, and scenario simulations, there are several suggestions the leadership level has identified that will help nursing staff. The early implementation of a companion care partner or “sitter” for those who have a high fall risk, however, there is often not enough nursing or CAN staff to cover these needs. They implemented a hourly rounding and bathroom checks for each patient as a way of reducing risks of a patient attempting to get up on their own but have increased the number of patient to nurse/cna staffing, leaving the floors without the proper staffing levels to offer quality rounding. One last intervention they have recently suggested is the immediate discontinuing of all chair alarms, which had been a standard tool used on the floors and offered the chair alarm as a better alternative, but have not provided an adequate amount to the floors for use. As with many hospital systems, good intentions often come ahead of adequate funding, equipment or implementation. The hospital system where my practicum is taking place has a lot of great ideas of how to reduce and prevent falls, however, I would suggest if they are willing to take the time and manpower to identifying the problems associated with the fall they must also at the same time be willing to offer the departments support in implementing these intervention and not leave it to the budgeting job of the unit manager to find ways to acquire the necessary tools to implement these suggested changes.Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S. & Banakhar, M., (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science. Retrieved from http://www.nursingscience.net/article/152/10.11648.j.ajns.20200901.16
MHA 505 UOP Systems Thinking In Health Care Environments Root Cause Analysis
Content
Root Cause Analysis
Now that you have completed a Gemba Walk and have gathered information about the orga ...
MHA 505 UOP Systems Thinking In Health Care Environments Root Cause Analysis
Content
Root Cause Analysis
Now that you have completed a Gemba Walk and have gathered information about the organization and identified opportunities to eliminate inefficiencies, reduce waste, improve a product, or streamline a process, it is time to take a closer look at these problems and get to the root cause of why they are happening.
Additional Resources
For more information about how to use 5 Whys or a Fishbone diagram to conduct a root cause analysis, check out the following links:
5 Whys: Getting to the Root of a Problem Quickly
Cause and Effect Analysis: Identifying the Likely Causes of Problems
Assignment Instructions
Create either a 5 Whys or a Fishbone diagram for each of the two short-term opportunities and the one long-term opportunity you identified during your Gemba Walk. Work through each step of the 5 Whys or Fishbone processes to find the root cause(s) of each problem.
NUR 4922 Rasmussen College Catheter Associated Urinary Infection SWOT Analysis
Integrate leadership and management principles with knowledge of healthcare policy, finance, and regulatory guidelines to ...
NUR 4922 Rasmussen College Catheter Associated Urinary Infection SWOT Analysis
Integrate leadership and management principles with knowledge of healthcare policy, finance, and regulatory guidelines to enhance quality care and patient safety while functioning within legal and ethical parameters of professional nursing.ScenarioYou were recently promoted to the position of Director of the Medical Surgical unit at your local hospital. You just finished meeting with a group of Directors who were discussing the Catheter Associated Urinary Tract Infection (CAUTI) rates. Your unit’s CAUTI rate has not decreased since the implementation of a new policy over a year ago. Financial repercussions of the high CAUTI rate cannot continue. You have been given the task of reviewing the policy and creating a SWOT Analysis, offering recommendations for change.InstructionsIntegrating principles of leadership and management, create a SWOT analysis of the policy attached . In the SWOT Analysis, include the following:S: Strengths of policyChoose strengths/positive aspects of the policy, including regulatory guidelines.Support choice of strengths with current literature.W: Weaknesses of policyChoose weaknesses/concerns of the policy related to regulatory guidelines.Include weaknesses/concerns of the policy related to financial guidelines.Support choice of weaknesses with current literature.O: OpportunitiesInclude opportunities for growth or improvement of the policy.Include perceived opportunities for financial, legal, ethical, quality and safety.Support choice of opportunities with current literature.T: ThreatsInclude perceived threats to financial, legal, ethical, quality and safety.Support choice of threats with current literature.Propose clearly stated and concise recommendations for change.Include descriptions of necessary actions.Use evidence to support your recommendations.Be sure to use professional language and attribution for credible sources with correct APA citation, spelling, and grammar.
Grand Canyon University Baylor College of Medicine Risk management Plan Paper
The purpose of this assignment is to analyze a health care risk management program.Conduct research on approaches to risk ...
Grand Canyon University Baylor College of Medicine Risk management Plan Paper
The purpose of this assignment is to analyze a health care risk management program.Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 1,000‐1,250-word paper, provide an analysis of the risk management plan that includes the following:Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.Description of the standard administrative steps and processes in a typical health care organization's risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.Evaluation of your selected risk management plan's compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.
Womens Gynecologic Health
Can youI answer these questions for me please? I need the references page to be no older than 5 years old. Question 1 ...
Womens Gynecologic Health
Can youI answer these questions for me please? I need the references page to be no older than 5 years old. Question 1 Lichen sclerosis is a benign, chronic, progressive disease of the skin in which the most common symptom reported by the patient is: vulvar pruritis vaginal discharge postcoital bleeding dyspareunia Question 2 The nurse practitioner educates a patient recently diagnosed with a functional ovarian cyst that it will resolve within: Answers to choose from six months three months six weeks one year Question 3 A patient presents with intense pelvic pain that is less than three months’ duration. The correct term for this type of pain is: Answers to choose from Terminal pelvic pain Cyclic pelvic pain Chronic pelvic pain Acute pelvic pain Question 4 The nurse practitioner student was taught to use the mnemonic “OLD CAARTS” when performing a pain history on a patient. What does the “S” stand for? Answers to choose from Severity Scale Somatic Superficial Question 5 Janice is being evaluated due to her complaint of chronic pelvic pain. The nurse practitioner informs her that one of the most common gynecological-related causes of chronic pelvic pain is: Answers to choose from Cervical cancer Amenorrhea Dysmenorrhea Endometriosis
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