Community health nursing
Briefly summarize your project: How was the assessment completed? Who was your target audience and how many were in the audience? What was your topic? How did you determine what your topic should be (justification)? When and where did you present the community education project? Who gave you permission to present at the location, was the permission form completed? How did you advertise your presentation? What educational materials did you use or provide to the audience?
Evaluation
Explain how you would evaluate whether the efforts to improve the health concern were effective. Include in your explanation the tools you might use to do this evaluation. Also, critically appraise your performance of the activity/project for this population. How did the population respond? What aspects were you most satisfied/least satisfied with? What went well (at least 3 things)? What changes would you make in the future (at least 2 things)?
Conclusion
For nurses, reflection is integral to higher-level thinking. You should be able to critically analyze scenarios and possible outcomes as opposed to simply asking the right questions. Acute perception of the entire situation will be obtained because you are open to dealing with the contradictions that may challenge your initial bias. Reflect on how your perspective of the community’s health and the national, state, and local efforts toward a healthier population has changed as a result of your fieldwork. Discuss the health of the target community population compared to national, state, local health findings. Discuss how the interventions used would impact at the local, state, and national level (include information on your chosen Healthy People 2020 goals). Finally, what impact did your project have on your target population?
Please submit a recorded presentation of between 7 and 9 minutes that is a reflection of the project based on a full representation of all three parts above. You may video yourself discussing the project or you may create a PowerPoint presentation and record your voice to the presentation. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a powerpoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.The presentation should include at least two scholarly sources other than provided materials. Please be sure to provide a photo of you at the location where you completed your education project and your ID again. You may submit your Reference page and photos in a separate file in the dropbox or insert them into the PowerPoint
Health Policy and Ethics
Go to your state government web page. Find one health policy enacted within the last two (2) years at the state level. Write down the bill number and the sponsors of the bill and include this information in your initial post.
Write a minimum of a one-page critical analysis summary of the policy. (250 words double spaced, APA). Your summary should integrate the concepts of advocacy, population health, and the ANA ethical statements (""The Code""), and course readings, to include a minimum of one course scholarly article (provided within the course). Be sure to speak to the role of advocacy and population health.
Respond to a minimum of two (2) peers/faculty posts with one (1) paragraph of 4-5 sentences integrating one scholarly source utilized in an in-text citation/APA.
Kaiser: Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity.
Discussion
Discuss the most personally meaningful key points you have learned over the past eight weeks about the impact of grassroots policy initiatives and the role of nurse leaders in improving health outcomes and/or impacting barriers to practice by their engagement in policy processes
Discussion
The Affordable Care Act (ACA) identifies requirements related to provider compliance with fraud, waste, and abuse laws that have been enacted to protect consumers. Research three of these requirements and describe the corresponding measures that your health care organization has initiated, or could initiate, to comply with the ACA. Support your analysis with a minimum of two peer-reviewed articles
Role of Affordable Care Act
The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:
Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
Define what the coverage gap is (problem/issue)
Discuss how the coverage gap impact low income healthcare consumers population.
What role does the ACA have in widening or closing the coverage gap?
Why is it important to close the gap (implications for positive social change)?
What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.
Your PowerPoint presentation should include/address:
Title Slide (1 slide)
Objectives Slide (1 slide)
Medicaid expansion (1-2 slides)
Coverage gap - define/problem/issue (1-2 slides)
Coverage gap impact on low income healthcare consumers (2-3 slides)
Role ACA has in widening or closing the coverage gap (1-2 slides)
Close the gap (1-2 slides)
Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
Reference slide (1-2 slides).
Assignment Expectations
Length: 9-14 slides (in addition to the title slide and reference slides)
Structure: Include a title slide and reference slide in APA format. These do not count towards the minimum slide count for this assignment. Your presentation must include an objectives slide. Be sure to fully explain all slides in the Speaker Notes (this is a significant portion of your grade also) to explain the information presented in the slides. I expect all slides to have speaker notes and more than 1 line. You should have more content in the speaker notes than on the slide. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Make sure to include pictures, graphs, or media throughout the PPT as this is part of the rubric and worth 30 points.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.
Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf).
File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)
Submission: Submit to the D2L dropbox for grading
Discussion
How do you think your experience as a graduate student will be different from your undergraduate experience? How would you describe a graduate learning community? What would be the key components of a learning community, and how might they be different from key components of an undergraduate learning community? Are communication and collaboration expectations the same in a graduate learning community? Explain your response and provide examples
Developing Organizational Policies and Practices
Interprofessional Organizational and Systems Leadership","Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
Interaction Between Nurse Informaticists and Other Specialists
Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
To Prepare:
Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
By Day 3 of Week 3
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days, offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
The mail discussion will need at least 3 references and also in APA 7 format
The discussion below will a reply with at least two references in APA 7 format. I will be attaching another discussion that will need a reply with the same requirement as the first.
Mikol's discussion
Before the emergence of the computer system or the electronic health records, data entry and retrieval were manually done with paper and pen notations, a system that seemed efficient years back now becomes antiquated following the emergence of computers and upgrade in technological advancements to enhance safety and efficiency in the delivery of care to our respective clients. The paper and pen era of data entry and records management provided the necessary access needed to care for clients, but presented with numerous disadvantages. Some of the draw back to the manual way of data entry aforementioned above were; the lack of access to multiple providers across network, information on a chart can only be assessed in person since the chart can not leave the hospital or the nursing station, medical collaboration was not feasible since information dissemination was rather slow or not forthcoming.
In this new age of computers and technological advancements in health care informatics, access to health care records, data, imaging and all other related patient information is easily accessible by the click of a computer mouse or simple operation of scanning and faxing of needed medical information across multiple discipline who are directly involved with the care of the client. An example is the laboratory inputting lab results that can be accessed by multiple auxiliary teams who are directly taking care of a particular patient, the information once entered is widely accessible by all teams who have legitimate access to the patients medical record. “Of these competencies, project management is one of the most important essentials identified since it impacts all areas of NI skills and provides an organizing framework for processes and projects including skills such as design, planning, implementation, follow-up and evaluation. Examples of job roles that specifically require project management skills as an essential part of the NI functions include management, administration, leadership, faculty, graduate level master's and doctorate practicum courses.” (Sipes, 2016)
Given the functionality of the electronic health records and the ease at which information is disseminated seamlessly across multiple disciplines and data bases, due to technological advancement in informatics and the need to incorporate more efficient cutting edge technology, some of the strategies that can be implemented to better serve our patient population is the implementation of a back up system that operates seamlessly in the event of a computer down time or when the maintenance team are doing certain upgrades, they should be some kind of allowance to the operability of the system instead of resorting to the antiquated way of managing operations using the pen and paper format. A perfect example is the experience I had on the unit of recent, where the informatics team set out to do an update but then the down time and shut down of the computer systems weren't communicated to staff nurses on the night shift, so mid shift we were surprised when our systems powered down and we scrambled to look for answers only to be told the informatics team are doing updates, now we still have medications to give and orders to access alongside other disciplines have other numerous task to perform, the only resolve was going back to the paper and pen era which most of us were not familiar with to begin with, hence jeopardizing the efficiency and safety of patient care for the upgrade of systems. “Explicit knowledge is the knowledge that one can convey in letter, words, and number. It can be exchange or shared in the form of data, manuals, product specifications, principles, policies, theories, and the like. Nurses can disseminate and share this knowledge publicly or on the record and scientifically or methodically.” (McGonigle, 2017, p539)
Following from technological advancements in the sector of health care and informatics, I believe continued evolution of the computer era in delivery of medical aid and interventions will only get better as the years go by. In this day and age, we do experience the ease and efficiency accorded by the advent of the electronic health records. Other benefits are its time saving and safety mechanisms across the board and the ease at which information is shared seamlessly across different disciplines in furtherance of patient care. In the near future technological advancement will make for even more safe and efficient ways of health care delivery in a timely fashion since innovations in the computer and informatics era presents with such hope given the level and the rate at which informatics and the health care system have merged inseparably. “The guiding principles of EBCD design were established to ensure that the final product enhanced and supported the process of patient care documentation, such as strict adherence to the style guide for consistency and alignment with the previously defined ideal workflows … In summary, we have developed a systems-level method that allows nursing executive leadership to organize, set up, and own processes related to the development nursing informatics solutions. Our organization has used this structure for several projects with positive results. Use and adaptation of the strategies of this method may offer a way for nursing leadership to guide and influence future solutions.” (Mosier, 2019)
References
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Mosier, Sammie, DHA, MA, BSN, NE-BC, CMSRN, BC, Roberts, Wm., Dan PhD, RN, et al. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. Journal of Nursing Administration, 49, 543-548. https://doi.org/10.1097/NNA.0000000000000815
Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.
Discussion for Gualn
RE: Discussion - Week 3COLLAPSE
I remember in 2009 when Electronic Health Record (HER) system was installed at a one of the organizations that I worked for. I was very happy, enthusiast and positive about the new changes in the facility. I made sure that I learnt the system very well, because I wanted to be comfortable with it. I was selected as one of the mentors for whoever needed assistance in the facility. I became a knowledge management tool! It was the beginning of EHR and it was a chocked for many nurses who had the attitude “this is the way it’s always been done here” (Melnyk & Fine-Overholt, 2019). From that day on nurse informatic and technology do not stop evolving around.
In the beginning of my nursing career, it was veery difficult to almost impossible for multiple care providers to access a patient’s chart all at once. I remember that everyone had to wait and passed the chart from one person to another. Today with HER we can have multiple providers accessing a chart and caring for a patient on site or at distance all at once. Nurse informatic era has changed health care delivery tremendously. Professional across the healthcare organizations had shown to have a better sharing of information. Knowledge management is better accessible through information technology (IT) as in intranet, extranet, blog, knowledge directories withing the organization (McGonigle, 2018). Technology specialists within my organization interact with each other within a wide range of platforms for patient best quality of care delivery and planning, like Vital Connect monitoring devices, electrocardiogram EKG monitoring, laboratories test results, pharmacy department, radiology department just to name few. All specialists from theses specialties interact with each other by reviewing results, giving orders, sharing information while they don’t even meet most of the time.
On the other hand, these interactions are not the best from my point of view and can be enhanced. It is wonderful that, every piece of information is accessible at the tip of a finger for everyone, but it does not take away the patient face to face interaction. It is not to forget that the reason of nursing is the patient. Patient centered care and be present for the patients are important part of their care. I have seen providers relying on the data a lot for patients’ treatment when patients have not presented any clinical signs to correlate the information displayed by the electronic gadget. It is always important to look at the patient first, then the data.
In consequence, I believe that the continue evolution of nursing informatic, and new technologies will impact professionals’ interaction. The emergence of new technology will definitely provide a better system of delivery of care and increase nursing knowledge as the knowledge worker then able to share that knowledge and become part of the knowledge repository system of the organization as professionals acquired skills and build experiences and wisdom for tacit knowledge. I had mentioned about the vital connect that my organization is using for our cardiac patients. The vital connect provides a wireless cardiac monitoring at the bedside. It is a new technology that I have not had in the past. The nurses are aware that the cardiac rhythm is monitored, and any abnormal rhythm will be alerted to them. The devices definitely assist in monitoring and of course aid the physician in diagnosing patients. That is efficient time management that gives the nurses more time to be fully present with patients for nursing care and create a “tapestry” (McGonigle, 2018, p.538). The emergence of new technology will continue to improve communication accuracy and efficiency “Gone are the days of paper charts that had to be meticulously updated with handwritten notes” (healthinformatics.uic.edu). Although managing the knowledge across all the discipline with the emergence of technology in nursing can be challenging if there is no interprofessional collaboration within the organization.
Reference
https://healthinformatics.uic.edu/blog/the-impact-of-health-informatics-on-nursing-practice/
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Journal Entry
RETT Syndrome
power point
Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:
Signs and symptoms
Pathophysiology
How the disorder is diagnosed
Treatment options
Provide a minimum of three academic references.
Clinical Supervision
provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this clinical supervision Discussion, consider a client family whom you do not think is adequately progressing according to expected clinical outcomes.
Learning Objectives
Students will:
Assess client families presenting for psychotherapy
Evaluate the effectiveness of therapeutic approaches for client families receiving psychotherapy
Apply narrative family therapy concepts to client families with impaired family functioning
To prepare:
Review this week’s media and consider the insights provided on family therapy.
Reflect on the client families you are currently counseling at your practicum site.
post
Describe a client family you are counseling that you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client family members’ actual names.
Explain your therapeutic approach with the client family, including the perceived effectiveness of your approach.
Identify any additional information about this client family that may potentially impact expected outcomes.
