Structural Versus Strategic Family Therapies
In a 2- to 3-page paper, address the following:
Summarize the key points of both structural family therapy and strategic family therapy.
Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each.
Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations.
Recommend a specific therapy for the family, and justify your choice using the Learning Resources.
Determining Workflow Issues
In this Discussion, you examine scenarios that feature workflow issues related to the HITECH Act and its meaningful use objectives. You identify specific workflow gaps and consider how you would conduct a gap analysis to gather more information about the gaps. This Discussion allows you to explore workflow gaps and meaningful use objectives to prepare you for completing the Course Project, which is also centered on workflow gaps and their relevance to meaningful use objectives.
Scenario 1:
Stephanie is a nurse practitioner at Central Care Hospital who is often involved in administering prescribed medications for patients in the general care ward. When a physician sees a patient, he or she uses the hospital’s EHR system to document findings and recommendations for treatment, but submits medication and drug orders by faxing prescriptions to the hospital’s pharmacy. Before Stephanie administers the medications from the pharmacy, she must cross-check the medication and dosage with the physician’s notes and patient information in the EHR system. In doing so, Stephanie often identifies problems with the medication the physician prescribed; patients are sometimes prescribed a medication to which they have a known allergy or one that conflicts with another medication they are currently taking. In addition, the pharmacy sometimes sends the wrong medication or the wrong dosage. Furthermore, for patients who have been transferred from other parts of the hospital such as the intensive care unit or the maternity ward, Stephanie often encounters duplicate drug orders or incorrect medications sent from the pharmacy.
Scenario 2:
General Health Hospital is implementing new outreach programs and preventive care support groups for patients with certain conditions or health risks such as diabetes, smoking, and obesity. Philip, a nurse leader, is the manager of a team of nurses who have been asked to organize these programs and groups and to identify patients who would be eligible for and interested in being involved in these opportunities. However, Philip and his team have run into a variety of challenges and problems as they attempt to complete these tasks. In identifying patients to contact about the outreach programs and support groups, Philip’s team has had to browse the hospital’s EHR system. The team has also run across significant holes in the EHR system as they try to contact patients; many patients’ contact information is inaccurate or out of date. Furthermore, Philip’s team has partnered with the hospital’s appointments desk personnel in sending reminders about meeting dates and times to patients who express interest. However, the appointments desk often either neglects to send out these reminders or sends duplicate reminders to only a few patients because the personnel do not have a way of tracking who should be contacted and when.
Scenario 3:
Robert works in the medical records office at Garden View Hospital. Because the hospital does not have a policy of providing clinical summaries to patients after each visit, Robert frequently receives calls from patients requesting copies of their health information (such as test results, vital statistics, diagnostic information, and medication lists and dosages). For every request, Robert must retrieve the patient information from the hospital’s EHR system, print out hard copies of the records, and then either mail the records or wait for the patient to retrieve them in person. Additionally, Robert’s hospital often receives lab test results for patients from certified third-party providers. These results are not automatically transferred from the provider’s EHR system to the hospital’s EHR system, so Robert often must contact the providers before responding to a patient’s request. Robert also finds that he and his colleagues in the office spend a considerable amount of time printing, mailing, and faxing immunization records to patients’ workplaces, schools, and volunteer organizations, which can be disruptive to the office’s other responsibilities.
To prepare:
Select one of the three scenarios provided to use for this Discussion.
Review this week’s Learning Resources on workflow, gap analysis, and meaningful use, and consider how they connect to the scenario you selected.
Determine the most prominent workflow gap you see in the scenario. Where does the gap lie, what factors contribute to the gap, and what are the consequences of the gap?
Explore how this gap relates to one meaningful use objective. Refer to this week’s Learning Resources for more information on meaningful use.
If you were involved in the scenario, consider how you would go about conducting a gap analysis to gather more information about the gap you identified, and determine possible strategies for addressing the gap. How would you gather data? Who would you contact, interview, and/or observe? How would you determine strategies for addressing the gap?
Discussion: Post an explanation of the most prominent workflow gap in the scenario you selected, including who is responsible for the gap and the outcomes or consequences. Explain how you would conduct a gap analysis to gather further information, and determine strategies for addressing the gap and provide the steps in the selection of the best strategy
Anatomy
Compose 400 words or more discussion to respond the following:
Name the four layers of the digestive tract wall.
Name of the three types of salivary glands.
What is the primary digestive function of the pharynx?
Describe the location of the esophagus.
What are the three main divisions of the stomach?
What are the three main divisions of the small intestine?
What are intestinal villi? What is their function?
What are the four main division of the colon?
What are haustra?
Where is the vermiform appendix located?
Where is the liver located?
Name three of the many functions of the liver?
Describe the route of bile from the gallbladder to the duodenum
Discussion
Discuss the concept of ""waste"" from the Deming perspective. How do you think it could apply to hospitals and other health care entities?
Discussion
Below are some common delegation issues with examples. Give your own examples of over-delegation, under-delegation, and refusal to accept a legitimate delegation, and explain what you would do in each case.
Over-delegation. (Would you pass my medications for me and sign off my orders? I’m really busy).
Under-delegation. (I’ll do it myself. The nursing assistant argues with me when I ask her to do something/I always have to do it over).
Refusal to accept assignment of legitimate delegation. (I don’t know how to do that very well/I have too much work already/It’s always me that gets the work; ask someone else/I’m too busy/I won’t be able to do a very good job, but if that’s what you want…)
Discussion
As nurses, we need to find effective ways to handle our stress. Explain how stress has affected you personally. How do you manage stress in your life? Are there other activities you could incorporate into daily routine to reduce stress?
Legal Nurse Consultant
An RN wanted to obtain employment and work successfully in a new environment.
What should the Registered nurse know about their new career requirement.
Describe what educational, certifications and license are required for this position.
Describe the RNs duties and responsibilities for the special position.
What challenges should that RN expect in this new career?
What salary range is expected in this position?
What makes this position different from another position RN work? 5 pages
Case Study on Death and Dying
The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on ""Case Study: End of Life Decisions,"" the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George's situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Given the above, what options would be morally justified in the Christian worldview for George and why?
Based on your worldview, what decision would you make if you were in George's situation?
CHILD ABUSE/NEGLECT
Research question in your title: Incudes specific population and disparity within chosen public health issue
Has correct grammar and syntax
Abstract (1 page)
Intro
Materials and methods
Results
Conclusion
Introduction (1 Page)
Definition of your topic (police brutality, climate change, mental health, systemic poverty etc.)
State the problem related to the medical condition
Define public health
Explain the benefits of a public health approach
End with purpose of paper
Scientific and economic perspectives of inquiry (6 page)
Establish your topic is a problem (establish link between health issue and medical condition in your population)
Medical diagnoses one
Define the medical condition
How it effects the body
How does the injustice contribute to the medical diagnosis for your population
Medical diagnoses two
Define the medical condition
How it effects the body
How does the injustice contribute to the medical diagnosis for your population
Medical diagnoses three
Define the medical condition
How it effects the body
How does the injustice contribute to the medical diagnosis for your population
What are the economic issues involved?
Health
Other (will be specific to your topic)
Cultural and ethical perspectives of inquiry (6 page)
Origin of environmental/social injustice
Brief history
Cause(s) of injustice – may have more than one
Money, power, and control
Legislation
Cultural values and/or norms influence the issue
Ethical obligations of the health care profession
Conclusion (1 page)
Paragraph one
State the problem (1 sentence)
State the consequences (1 sentence)
State what it will take to fix (1 sentence)
Middle paragraphs
Offer solutions (legal and other interventions)
Last paragraph
Concludes that the evidence supports that your topic is a public health issue
https://salud-america.org/does-racism-qualify-as-a-public-health-crisis/
Reference page (with correct formatting)
Reference title
Centered
Not in bold
12 font
Not underlined
No :
Hanging indent
Nurse informatics
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?
Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.
To Prepare:
Review the concepts of technology application as presented in the Resources.
Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:
Describe the project you propose.
Identify the stakeholders impacted by this project.
Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
Identify the technologies required to implement this project and explain why.
Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
Use APA format and include a title page and reference page.
Resources provided
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.
Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.
Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.
Correction Rubric
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:
Describe the project you propose.
· Identify the stakeholders
impacted by this project.
· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.
· Identify the technologies required to implement this project and explain why.
· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
Written Expression and Formatting - Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused--neither long and rambling nor short and lacking substance.
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation
Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
