Health Information Systems
Task: Submit to complete this assignment
One way of addressing Big Data and its challenges is to store data in “the cloud.” Using “the cloud” means storing and accessing data over the internet instead of on a local computer. Most people assume that this method reduces costs, increases accessibility, and provide better protection for information sharing. However, healthcare professionals have conflicting perspectives on how this type of storage can be used in healthcare.
Imagine that you are a healthcare manager for a hospital that is considering the use of cloud-based storage for patient data. You are responsible for making a recommendation for cloud-based storage. Evaluate the case studies and articles that explore the use of Big Data and Cloud-based storage:
""Big Data Ethics"" (Richards & King, Wake Forest Law Review)
""Ethical Issues in the Big Data Industry"" (Kirsten E. Martin, MIS Quarterly Executive)
""The Cloud Evolution"" (Stephen Katona, PM Network)
""To Cloud or Not to Cloud"" (Kumar Malavalli, SiliconIndia)
Then, in a 2-page summary:
.Discuss the concept of big data and managing information from health information systems.
.Discuss potential advantages and disadvantages of using cloud-based storage for big data.
.Describe the security and ethical standards of using internet-based storage and retrieval systems.
.Make a recommendation that your hospital use or not use cloud-based storage; explain your reasoning with supportive references.
Rating Scale10-9Work meets or exceeds criterion at a high level of competence.8Work reflects an understanding of criterion with minor misunderstandings/misconceptions.7Criterion partially met, but one or more important concepts/skills are missing or flawed.6Work reflects an attempt to meet criterion, but significant misunderstandings/misconceptions are apparent.5-0Criterion not met or work is absent.
Criteria1.Student describes the security and ethical standards of using internet-based storage and retrieval systems.2.Student discusses the concept of big data and managing information from health information systems.3. Student discusses potential advantages and disadvantages of using cloud-based storage for big data.4. Student makes a recommendation to use or not use cloud-based storage; and explains reasoning with supportive references.5.Summary and recommendations are 2 pages double-spaced in APA style
Nursing Business
Reading
Read the following chapters in Financial Management for Nurse Managers and Executives, 5 ed., Jones (2019):
Chapter 5 – Quality, Costs & financing
Write 200-300 words post about how quality can influence cost.
APA format
Must have plagiarism receipt
Discussion
Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.
Lab 1
OSCE Clinical Skills
Back pain 23:59
Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?
Lab 2
OSCE Clinical Skills
Shoulder pain 24:30
Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?
How to Submit
Submit your SOAP notes to the unit Dropbox before midnight on the last day of the unit.
Please submit your Lab directly into the text submission tool located in the Unit Lab Dropbox
The Profession of Nursing
Building the Profession of Nursing
Write a 1000-1500 word APA paper addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Explore the history of nursing and choose two events/topics from history related to nursing (ie education, practices, important people, etc.) and explain each one in detail and why they are important to the nursing profession.
Research two professional nursing organizations and discuss the following for each organization chosen:
The name of the organization and why this organization is important to nursing
What resources they provide to members
Cost of membership and how many members are part of the organization
Current issues the organization is working on
Finally, after researching this question answer in detail: Why are Professional Organizations in general important to nursing as a profession?
Assignment Expectations:
Length: 1000-1500 words; answers must thoroughly address the bullets above in a clear, concise manner.
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use 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
Discussion
Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. Describe the importance of increased nursing collaboration with other disciplines.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
Subjective Data to Obtain from Patient
Inquiry of information medications, including current or previous use of over the counter products, vitamins and other herbal supplements. I can inquire about the history of pregnancies, miscarriages, abortions and deliveries, and lactation history in gynecologic and obstetric history. Early menarche, nulliparity or childbirth after 30 years are essential facts to collect from the patient as they prolong exposure to estrogen, which can predispose a person to malignant breast cancer. I can further assess any irradiation history involving the breast region or surrounding tissues (Hsu et al., 2020). Inquiry can be made on any changes in the patient's skin and hair noted.
Further systemic information can be obtained in different areas with symptoms such as mood changes and temperature intolerance. Hematologic/ lymphatic system problems such as anemia, easy bruising, fatigue, history of blood transfusion, and family history of anemia are also vital to obtain. I can also inquire on malignancy in other body systems, especially colon cancer, ovarian or endometrial cancer, which predispose the patient to breast cancer. Lifestyle factors like dietary factors and alcohol consumption may alter estrogen metabolism and are crucial data to inquire (Hsu et al., 2020).
Other Objective Findings to Assess
Objective data to obtain include assessing for swollen legs and hands, which may be due to the tumor in the breast's dermal lymphatics. Check the thyroid for enlargement or, if fair, assess the throat for any mass or any prominent lymphadenopathy, the mouth mucous membranes, and any lesions (Hsu et al., 2020).
Diagnostic Exams to Order
Mammography can be conducted to reveal the lump's size and exact location and for early detection and diagnosis. Another test is a biopsy, either a fine needle biopsy or a tissue specimen taken from the lump to confirm whether the tumor is benign or malignant. Ultrasound may also be conducted to measure the lump's size and check if it has affected the axillary region; it may also be used in guiding biopsy to obtain a section of the lump (Ultrasound-guided procedure). Breast Magnetic Resonance Imaging may also use magnetic and radio waves to create pictures of the breast's interior (Abu-Naser & Bastami, 2016).
Three Differential Diagnoses
Fibroadenoma
Breast cysts
Breast cancer
The rationale for Differential Diagnosis
The patient presents with a non-tender, unilateral, firm, painless, located in the upper outer quadrant; however, the lump is non-mobile and 5mm in size, different from the very mobile lump fibroadenoma, which usually is 1-3cm. Breast cysts present with a lump in the breast; however, the lump is very mobile, and the breast is painful or tender. Breast cancer presents with a non-mobile, non-tender, firm lump in the upper outer quadrant of the breast; however, the lump is problematic irregular and poorly delineated, there is also nipple discharge, nipple retraction, dimpling of the skin over the lump, skin ulceration, enlarged nipples and breast pains which are not apparent in the last stages (Aksanh et al., 2020).
Health Education
Reassuring the patient on their image mainly because of the difference in size between their breasts; encourages them to express fears, feelings and concerns. Advice the patient to report any complications such as fever. Prepare the patient psychologically to accept the diagnosis they will be given and to be ready to follow the measures for treatment and prevention as will be appropriate.
References
Abu-Naser, S. S., & Bastami, B. G. (2016). A proposed rule based system for breasts cancer diagnosis. http://dstore.alazhar.edu.ps/xmlui/handle/123456789/297
Aksan, H., Kundaktepe, B. P., Sayili, U., Velidedeoglu, M., Simsek, G., Koksal, S., ... & Uzun, H. (2020). Circulating miR‐155, let‐7c, miR‐21, and PTEN levels in differential diagnosis and prognosis of idiopathic granulomatous mastitis and breast cancer. BioFactors. https://iubmb.onlinelibrary.wiley.com/doi/abs/10.1002/biof.1676
Hsu, Y. H., Chen, V. C. H., Hsieh, C. C., Weng, Y. P., Hsu, Y. T., Hsiao, H. P., ... & Gossop, M. (2020). Subjective and objective cognitive functioning among patients with breast cancer: effects of chemotherapy and mood symptoms. Breast Cancer, 1-10. https://link.springer.com/article/10.1007/s12282-020-01168-y
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.
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.
Report
Prepare a 4–5-page summary report of a rural health care problem and potential solutions.
Note: Complete the assessments in this course in the order in which they are presented.
Turning barriers into bridges is a skill you will want to develop as a care coordination expert. Today, care coordination is required often in rural areas where there are limited resources and the need to work creatively with interprofessional team members who may reside outside of the local area. The use of telehealth becomes a bridge to care coordination as a collaborative tool for health care providers as a team of specialist.
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Toggle DrawerQuestions to Consider
Toggle DrawerResources
Assessment InstructionsNote: Complete the assessments in this course in the order in which they are presented.
Preparation
For this assessment, you will develop prepare summary report for improved rural health in the form of a scholarly document.
Review the Resources for this assessment and conduct your own library research to develop and support your ideas.
Note: Remember that you can submit all, or a portion of, your draft care plan to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.
Requirements
Prepare a 4–5-page summary report of a rural health care problem and potential solutions.
Summary Report Format
Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.
Supporting Evidence
Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.
Directions
There are many opportunities to turn barriers into bridges when working with limited resources. Imagine you are working as a care coordination consultant in a rural area and you need to find affordable solutions to many complex patient issues. You have decided to start with one type of patient population to design a path for care coordination using the resources in the community in conjunction with telehealth with regional outreach partners.
Following these instructions will help ensure you meet the scoring guide criteria:
Identify and describe a rural community, the patient issues they face, and one specific population you can assist with this plan. Address any cultural or diversity-aware responsibilities the care coordinator should consider.
Identify the interprofessional team providers currently available in the rural community. Analyze how they can be assisted by telehealth partners in the region, and any other stakeholders that may be involved.
Describe the nuances for this population related to cultural competence for the interprofessional team, and how this affects care coordination and collaboration.
Recommend technology-based outreach strategies supported by evidence-based research. Incorporate proven educational and evidence-based strategies, and how they might be modified using the outreach partners to enhance care in this rural community. Also, do consider the legal issues with telehealth and how this new strategy provides a clear path to ethical practice into the future.
Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
Scoring Guide Criteria
Your assessment should meet the following scoring guide criteria:
Describe a specific population need and the community.
Analyze current available interprofessional team providers and resources.
Identify areas of cultural competency the team must address.
Recommend technology-based outreach strategies supported by evidence-based research.
Identify possible legal issues.
Explain the continuation of ethical care in the updated system.
Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.
Additional Requirements
Your assessment should also meet the following requirements:
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Your paper should demonstrate current APA style and formatting.
Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.
Length: 4–5 pages, typed and double-spaced, not including the title page and reference list.
Font and font size: Times New Roman, 12 point
Essay
Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
Base the above assignment based off of this information I posted below. The Rubric is attached
For this paper, the selected survey tool for assessing organizational culture and readiness for implementation of evidence-based practice (EBP) is the Organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSYWI). The role of this tool is to aid in the investigation, evaluation, and to determine if the organization is ready for the implementation of evidence-based practice.
Organization's Readiness Level
The process of investigation revealed several issues about the readiness of the organization for the implementation of evidence-based practice. One is that nurses are demonstrated and promised to fully participate in the process of implementation of this practice. Also, the physicians and other allied healthcare providers promised to support the nursing staff in the process of implementing evidence-based practice. The availability of the research department is another evidence of the readiness of the organization to implement the evidence-based practice. In this department are nurses working in partnership with regional and national research institutes. The research personnel, therefore, aid the nursing staff in the translation of research findings to practice. Finally, the organization has an EBP mentoring program that is tasked to train and motivate nurses to take the responsibility of implementing the evidence-based practice.
Barriers.
Several barriers have been identified to hinder the process of implementing evidence-based practice. They are both human and institutional factors. One of the barriers is the lack of adequate time to go through the available literature from research. This is attributed to nursing shortages which leads to too much workload on available nursing staff. Another barrier is the inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018). Lastly, the lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.
Facilitators.
Among the facilitators of implementation of evidence-based practice includes the readiness of the nursing staff and other healthcare providers to receive training on the process of implementing EBP. Also, the willingness of the healthcare organization to support the whole process of implementing evidence-based practice in the management of diabetes type 2 among people with lower socioeconomic status is a facilitating factor. This is important as it ensures that the implementers have all the necessary resources to achieve the desired outcomes (Duncombe, 2018).
Problem Statement.
Diabetes mellitus type 2 is one of the common chronic diseases in the current society. The majority of the people affected by this disease are those from the lower socioeconomic status. Diabetes mellitus type 2 is considered a lifestyle condition. As a result, its prevalence is high among people of lower socioeconomic status due to barriers that hinder them from accessing quality health care services (Xu et al., 2018). These barriers are both social and physical determinants of health. These are the factors that affect where how people live, grow, interact, and even die. They include housing, availability of food, access to healthcare, level of education, and nutritional practices (Walker, Williams & Egede, 2016). These factors are experienced differently by people. As a result, there are disparities in health and its outcomes among the people. These disparities are high among the people of low socioeconomic status and suffering from diabetes mellitus type 2. Therefore, providing quality and equal healthcare service to the people is essential in reducing the disparities observed among these people as far as diabetes mellitus type 2 is concerned. This is essential in the achievement of the goals of healthy people 2020.
Research Summary and Literature Review.
According to research, there are significant health disparities related to diabetes in America. The disparities are associated with different social and physical disparities of health. These are the factors that affect the health and the outcomes of health among the people. The factors that determine health are systemic, societal, and individual in nature. Systemic factors are those that are related to the healthcare system. These include a lack of adequate resources, or policies and a shortage of healthcare providers. The healthcare system is not adequately funded to provide adequate preventive care to the people of America (Ong et al., 2018). As a result, individuals are being diagnosed with diabetes which could have been prevented. Availability of adequate resources ensures that community healthcare workers are able to provide preventive and health promotional services to the people regarding diabetes. This is likely to impact people with low socioeconomic status at risk of developing diabetes. For those who already have the disease, the provision of health promotional services help to prevent complications from arising.
Lack of adequate healthcare providers such as nurses and physician is another important factor that contributes to poor health outcomes among people of low socioeconomic status with diabetes (Ong et al., 2018). This is because the majority of the case is diagnosed late when the disease has already advanced to critical stages. Without adequate nurses and doctors, such patients are likely to receive low-quality care. Poor healthcare policies are associated with disorganized healthcare delivery. As a result individuals of the low socioeconomic class are likely to be discriminated against by the healthcare system hence resulting in poor delivery and access to healthcare.
Societal factors include those that affect the structure and nature of healthcare delivery. They include the geographical location of individuals and the healthcare facilities. The majority of the people of low socioeconomic class live in remote or slum areas. Healthcare facilities are not usually present in these areas. As a result, people have to move a long distance in search of healthcare services (Hill-Briggs et al., 2020). For conditions such as diabetes mellitus, any delay in intervention could result in devastating health outcomes for the people.
Individual factors that influence the incidence and prevalence of diabetes among the individual with low socioeconomic status are dietary practices and sedentary lifestyle. Due to lack of adequate finance, these individuals usually feed on unhealthy food that increases the likelihood of developing or complicating diabetes (Butler, 2017). A sedentary lifestyle such as lack of physical activity is another factor that contributes to the high prevalence of diabetes among the identified group. Therefore, evidence-based practice plays an essential role in the prevention and appropriate management of diabetes among such people in America today.
References
Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.
Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., ... & Haire-Joshu, D. (2020). Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care.
Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., ... & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.
Walker, R. J., Williams, J. S., & Egede, L. E. (2016). Influence of race, ethnicity and social determinants of health on diabetes outcomes. The American journal of the medical sciences, 351(4), 366-373.
Xu, G., Liu, B., Sun, Y., Du, Y., Snetselaar, L. G., Hu, F. B., & Bao, W. (2018). Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. Bmj, 362, k1497
Kinds of Pop Culture
First, you will create a timeline or infographic to address the following questions:
Research and provide examples or comparisons that demonstrate these changes over time from each of the categories: Print, Radio/Music, Cinema, Television, and the Internet. Include images of each artifact.
How have these various forms of communication have evolved since they were first introduced? (Give a “before” and “after”)
Second, you will write a mini-statement answering the following question.
In 300-500 words, give your opinion: Will pop culture ever stop using a form of media? Why or why not?
Specifications:
You will submit an Infographic or timeline in response to part 1 with an accompanying mini-statement to address part 2. Your infographic can be submitted as MS Word document or if you use an online infographic creator like the ones listed below you can submit your infographic as a URL. Your accompanying mini-statement can be included on your infographic or submitted separately as an MS Word document.
