Infographic about Various Agencies on Policy Formation

You are the risk manager for a local community hospital. You have just attended a Joint Commission Resources conference. Part of your role is to educate employees of the organization on practical solutions and implementation tips to maintain accreditation.

The Joint Commission requires that organizations seeking accreditation provide education and training to staff on areas such as populations served, team communications, coordination of care, reporting unanticipated adverse events, fall reduction programs, and early warning signs of change in patients’ conditions.

As an independent, not-for-profit organization, the Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

Instructions

You must create an infographic that addresses at least one key initiative involving patient safety. Your infographic may highlight practices that serve to mitigate risks specific to patient falls, infection control to reduce the occurrence of hospital-acquired infections, or medication safety procedures. Your infographic should address the following:


 Design a plan to mitigate the risk associated with your chosen topic.

 Include examples of potential risks, explain the possible root cause, and propose a preventive strategy.

 Your infographic should incorporate figures, graphs, and/or charts.

Discussion

Dissemination of evidence in nursing is the sharing of evidence-based knowledge, research, and findings by nurses to others including health care providers and the general public. This educates others in the nursing field, ensures that practice stays up to date, and improves the cost and quality of care. Some of the more common methods of dissemination include policy briefs, publishing findings in national journals or in statewide publications, presenting at conferences, and speaking publicly at professional association meetings, or creating EBP posters (Carpenter, Nieva, & Albaghai, 2020).

    Two methods that I would never use include the two forms of public speaking. I would love to attend those events, but I am not an effective public speaker because I am so uncomfortable with it. Two forms that I would consider using would be the smaller scale ones to start, such as state-wide publications and possibly EBP posters. In regards to the EBP posters, some barriers may be due to the use and delay of a printing service, or a private designer. Another consideration would be mistakes in the printing, having to reprint, or having to find another company to print (Melnyk and Fineout-Overholt, 2018). I believe a barrier to both methods would include not being able to read your audience. Consideration in advance of audience likely to be interested can provide cues for suitable packaging and targeted communication of results. Another barrier resulting from not being able to read your audience may be miscommunication. It is impossible to fit every bit of information on a poster, but I love the abbreviated important facts. If the dissemination is considered lacking, the attempt may be looked at as waste of resources that is unable to influence positive health outcomes (Carpenter, Nieva, & Albaghai, 2020).

References                                                                   

        Carpenter, D., Nieva, V., & Albaghal, T. (2020, March 04). Rural Health Information Hub (RHIhub). Retrieved November 04, 2020, from https://www.hrsa.gov/library/rural-health-information-hub-rhi-hub

 Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.



Juliet Anyanwu RE: Discussion - Week 10COLLAPSE

Dissemination Strategy

Dissemination strategy is an intentionally-developed approach to disseminating a particular project that comprises identifying targeted potential adopters, evaluating the climate of readiness for change, planning engagement building throughout the project, and allowing project results transfer. Dissemination is the process of distributing or circulating information, generally (Melnyk & Fineout-Overholt, 2018). There are numerous ways of spreading the evidence. When delivered in a context of caring and a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved (Gallagher-Ford et al., 2011).

Two dissemination strategies that I would be most inclined to use and why

Unit-level presentation and local dissemination are the two dissemination strategies I would want to use. A unit-level presentation and local dissemination are the best dissemination strategies (Harvey & Kitson, 2015). Unit-level dissemination is merely successful, mostly guaranteeing where the issue considered improves the unit's underlying problem. Different departments with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Thus, guaranteeing that the engagement is strategic helps ensure that, based on the results, the intervention in place is unit-based (Brownson et al., 2018). Organizations try hard to apply crucial aspects of improving their performance. Nevertheless, evidence-based practice eliminated the uncertainty risk, which is essential in attaining better results.

Local dissemination involves essential players at the local level, which is a better aspect that emphasizes institutional development (Hall & Roussel, 2016). Nevertheless, it is crucial to ensure that the dissemination of outcomes is done in an environment with resources and technical aptitude to achieve better results. Knowledge and Skills among the population are likely to be a challenge in efficiently implementing the developed practice. There is a need to manage existing stakeholders' needs, which is crucial and helps organizational planning and service delivery. Implementing evidence-based practice should create an intensely transformed environment where it is easier to apply the positive change. Thus, training is essential in sanctioning stakeholders to implement evidence-based practice (Brownson et al., 2018). 

Least Inclined Dissemination Strategies to be used

Posters presentation and Podium presentation are the least inclined dissemination strategies I would use in communicating EBP. The poster presentations may not give out enough information, and the presentation may not look exciting and engaging, thereby losing the presentation's aim. The podium presentation, on the other hand, may experience a low turnout of participants. There could be meager publicity for the presentation leading to low attendance.

Barriers to be Encountered and Overcoming These Barriers

Different obstacles and facilitators in implementing evidence‐based practice interventions have been recognized (Sidani et al., 2016). Unit level Presentation: Lack of interest from staff interest is the obstacle that can experience from the unit level presentation. An example is staff resistance when a change needs to be applied that the team does not like or want. One of the ways to overcome this obstacle is by involving the staff in the presentation. For example, they are making a member of employees one of the speakers at the presentation. In that manner, they will be very interested in their presentation.

 Local Dissemination: The barrier that could be facing in using peer-reviewed journals is the lack of access to the journals. An example is journals that consent to a subscription fee, which often puts off many readers. One way to defeat this barrier is by giving the readers of such journals free online access.

References

Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing, 111(3), 54-60.

Hall, H. R., & Roussel, L. A. (Eds.). (2016). Evidence-based practice. Jones & Bartlett Publishers.

Harvey, G., & Kitson, A. (2015). Implementing evidence-based practice in healthcare: a facilitation guide. Routledge.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Sidani, S., Manojlovich, M., Doran, D., Fox, M., Covell, C. L., Kelly, H., ... & McAllister, M. (2016). Nurses' Perceptions of Interventions for the Management of Patient‐Oriented Outcomes: A Key Factor for Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(1), 66-74

Societal Trends in Nursing and Patient Education Paper

Select a societal trend that is affecting curriculum in nursing or patient education.

In a paper of 1,250 words, describe how the selected societal trend affects nursing or patient education.

                                                                                                                                            

 Relate the issue to appropriate professional standards and competencies.

 Explore strategies to enhance the positive affect or minimize the negative affect of the selected issue.

 Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to the course materials.


Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Local Practice Problem Exploration: Cancer.

As we have chosen the same practice problem, to explore, I am curious how your facility (north shore medical center, Miami, Florida) has planned to (or currently has implemented) becoming an Age-Friendly institution? Many of the interventions you described echo the ""4 M"" is of the Age-Friendly Institution: Mentation, Mobility, Medications, and What Matters Most. How have you seen institutions adapting to this framework in anticipation of the needs of cancer patients and survivors? 

- How cancer impacts nurses, healthcare organizations, nursing care, and general health care quality?

- what is the real impact on your community? What is the cost to your local community (Miami, Florida)? 

Just as you sought out stakeholders when considering practice problems at the national level, an ongoing dialogue with stakeholders at your local level is equally important. Get to know your formal and informal leaders. Networking with stakeholders sets into motion a collaborative relationship that is needed to focus on a practice problem with the intention of translating the best available evidence. 

 - Key stakeholders affected by the problem and ones involved in the resolution. In your current practice, what contributes to the alarming rates across the known practice problems? During your journey this week, you'll also examine the role of stakeholders in change and the role of translation science in influencing patient outcomes across known practice problems. During your readings, you probably noted that there are challenges and barriers to changing practice.   

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used. 

*Recommended resources:

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158


White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

https://www.medicare.gov/hospitalcompare/cancer-measures.html

Respiratory Case Study

For this question, please read the following case study and then respond to the questions noted below

Johnathan, age 7, presents to the office with symptoms of worsening cough and wheezing for the past 24 hours. He is accompanied by his mother, who is a good historian. She reports that her son started having symptoms of a viral upper respiratory infection 2 to 3 days ago, beginning with a runny nose, low-grade fever of 101.0 degrees F orally, and loose cough. Wheezing started on the day before the visit, so Johnathan 's mother started administering albuterol metered-dose inhaler (MDI) two puffs before bed and then two puffs at around 2 AM. The cough and wheezing appear worse today, according to the mother. He had difficulty taking deep-enough breaths to inhale this morning's dose of albuterol, even using the spacer.

Johnathan has been a patient at the clinic since birth and is up to date on his immunizations. His growth and development have been normal, and he is generally healthy except for mild intermittent asthma. This is his first asthma exacerbation of the school year, and his mother expresses a concern about sending him to school with an inhaler.

Johnathan is afebrile with a respiratory rate of 36 and a tight cough every 1 or 2 minutes. He weighs 45 pounds (20.5 kgs.). The examination is all within normal limits except for his breath sounds. He has diffused expiratory wheezes and mild retractions. Pulse oximetry readings have been 93% of oxygen saturation.


 What are the appropriate pharmacological therapies to be prescribed for Johnathan?

 What information is necessary to provide to Johnathan and his mother regarding asthma exacerbation?

 What is an appropriate clinical assessment tool to be use with Johnathan?

 What are the classification of asthma?

 How would you as the NP address his mother's concern regarding providing an inhaler at school?

 What is an appropriate plan of care for Johnathan?

Veterans mental healthcare services

As you are working to identify you topic, please consider possible barriers. For example, how do you as a leader leverage technology in a pandemic or other situation where direct contact is hindered or restricted access becomes unrealistic? Consider all gaps and ways in which you could address those gaps?

Nursing Theory PowerPoint Presentation

Nursing Theory - Sister Callista Roy, Adaption Model 

Provide a description of the theorist's background and the factors relating to the factors relating to the development of the theory or model.

Describe the major focus, key concepts, and relationships addressed in the theory or model - including the metaparadigm concepts to person, health, environment, and nursing. 

Explain how the theory or model could be used to guide nurse's thinking and decisions in practice. 

If available, include a schematic of the theory/model.              

clear and comprehensive notes with each slide.

minimum of three citable sources including one peer-reviewed journal article.

Manage care

Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers typically make up the plan's network. Your text lays out six models of managed care. We will further study four of the plans. Below, you will find several links you will need in order to complete this assignment:

· A chart that you will submit as your homework assignment.

· HMO plan

· PPO plan

· POS plan

· EPO plan

Correlate four of the six managed care models with their characteristics.

Include the following in your assignment:

Ø Describe the financial differences between the models.

Ø Which model provides the most flexibility for patients to select their providers? 

Ø Which model would you select and why?

Special topics in nursing practice

Read one of the journal articles below and answer the all the questions in your initial response post.  

Responses to classmates must be to an article other than the one you discussed in your initial response post.

Your initial response post must be supported with the article you chose and one other scholarly source or credible website to support your discussion.  Credible websites include .org and .gov in the URL. Articles that include .com or .edu in the URL are not credible sources. Do not use Wikipedia, Wiki websites, or blogs as they are not credible sources. Provide proper APA format citations and references.


 Name of the article

 Authors (are they nurses?)

 A summary of the patient population (in your own words)

 A synopsis of the study results (in your own words)

 Why is this study important to nursing practice (in general)?

 Why is this study important to YOUR nursing practice or personal life?

 Provide any examples of your experiences with genomics in your nursing practice.

 Why is this study important to patients, families, and the community?


Articles: Please write the Article # you chose in the subject bar.

#1 Holistic Nursing in the Genetic/Genomic Era

Sharoff, L. (2016). Holistic nursing in the genetic/genomic era. Journal of Holistic Nursing, 34(2), 146-153. doi:10.1177/0898010115587401

#2 Genetics and Genomics of Pathogens: Fighting Infections with Genome-Sequencing Technology

Plavskin, A. (2016). Genetics and genomics of pathogens: Fighting Infections with genome-sequencing technology. MEDSURG Nursing, 25(2), 91-96. Retrieved from https://www.amsn.org/professional-development/periodicals/medsurg-nursing-journal

#3 Genetics in the Clinical Setting: What Nurses Need to Know to Provide the Best Patient Care.

Montgomery, S., Brouwer, W. A., Everett, P. C., Hassen, E., Lowe, T., McGreal, S. B., …Eggert, J. (2017). Genetics in the clinical setting: What nurses need to know to provide best patient care, American Nurse Today, 12(10), 10-16.


#4 Pharmacogenetics and Implications for Nursing Practice

Cheek, D. J., Bashore, L., & Brazeau, D. A. (2015). Pharmacogenetics and implications for nursing practice, Journal of Nursing Scholarship, 47(6), 496-504. doi:10.111/jnu.12168

#5 An Overview of the Genomics of Metabolic Syndrome

Taylor, J. Y., Kraja, A. T., de las Fuentes, L., Stanfill, A. G., Clark, A., & Cashion, A. (2013). An overview of the genomics of metabolic syndrome. Journal of Nursing Scholarship, 45(1), 52-59. doi:10.111/j.1547-5069.2012.01484

#6 Ethical, Legal, and Social Issues in the Translation of Genomics into Health Care

Badzek, L., Henaghan, M., Turner, M., & Monsen, R. (2013). Ethical, legal, and social issues in the translation of genomics into health care. Journal of Nursing Scholarship, 45(1), 15-24. doi:10.111/jnu.12000

Concepts of teaching and learning in Nursing

In a Microsoft Word document of 5-6 pages formatted in APA style, develop the introduction for your project. Please note that the title and reference pages should not be included in the total page count of your paper. 

Be sure to focus on one (1) disease but three (3) audiences (patient, family and staff development). The introduction should:

· Contain the title of the lesson.                                       

· Identify and describe the learners.

· Describe the educational setting:

· Staff development

· Patient education

· Family education

Include learner assessments:

· Educational level

· Developmental level

· Readiness to learn, and so forth.

o Provide a purpose and rationale for selecting the topic/disease.

o Describe the philosophical or theoretical basis for teaching approaches used in the lesson.

Support criteria with relevant examples and up to date journal articles.

On a separate references page, cite all sources using APA 7 format