Category: Nursing

  • Health Care Organizations in U.S.

    Health Care Organizations in U.S.

    Conduct a research on one of the top fifteen health care organizations in the U.S.

    Your research should include the following questions:

    How will you find listings of the top fifteen health care systems?

    What are the various  components of the selected health care system? How does it rank in terms  of reduced mortality and infection rates?

    What are the services provided by the healthcare delivery system?

    What are the current trends contributing to the high ranking and the future path of this health care organization?

    How does the organization manage and distribute resources for improved patient care?

    In a Microsoft Word document, create a 2- to  3-page report, on the basis of your research. Provide at least two  resources or journal articles referring to the selected organization.

    Support your responses with examples.

    Cite any sources in APA format.

  • Strategic management of health care organizations

    Overview

    Create a 3–5-page directional strategy report, as if you were preparing to present your assessment to a representative panel of employee stakeholders of a health care organization.

    Note: The assessments in this course are presented in sequence and must be completed in order.

    Directional strategies allow organizational leaders to define what the organization should be doing and how the organization plans to achieve results. As industry dynamics shift, strategies need to be adjusted. Directional strategies are all about sustainability. For example a directional strategy of growth needs to be carefully evaluated with respect to internal capacity, external community fit, and financial feasibility.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces. ◦Analyze an organization’s mission, vision, and values statements in terms of directional strategies.

    ◦Analyze the gap between the desired outcome and the actual state of the current environment.

    Competency 3: Recommend an organizational structure and design to optimize a strategic plan. ◦Examine organizational ethics as expressed in mission, vision, and value statements, and its relationship to health care strategy.

    ◦Propose changes to vision, mission, and values statements that align organizational structure and strategies.

    Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. ◦Write in a clear, concise, and well-organized manner, supporting conclusions with relevant evidence.

    ◦Follow current APA guidelines for format and style.

     

    Context

    The primary directional strategies discussed in strategic management literature are mission, vision, and values. It is important to note that strategic goals also provide direction to the organization and are an important part of the strategic planning process.

    The process of creating authentic and congruent vision and mission statements hinges on filtering the creation process through an organization so that ownership of the strategic plan is shared by everyone. All employees should have a say in their specific goals within the structure of an organizational strategy.

    Read the Assessment 3 Context document for additional information about the following topics:

    Strategy Formulation Process.

    Directional Strategies.

    Creating Momentum.

     

    Questions to Consider

    To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

    In a health care organization or your choosing, what are the major categories of employee stakeholders (such as, executives, senior management, middle management, caregivers, maintenance, administrative support personnel, volunteers, et cetera)?

    What role does the board of directors play in your health care organization?

    What are the important elements of an effective board of directors?

    What is the process your organization uses to select members? ◦How effective is that process?

    What are industry best practices for selecting board members for a health care organization?

    How well does your organization’s strategies align with its published vision, mission, and values?

    How does this organization’s environment support or hinder its alignment with its vision, mission, and values?

     

    Suggested Resources

    The following optional resources are provided to support you in completing the assessment or to provide a helpful context.

     

    Library Resources

    Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass. ◦Chapter 5: Directional Strategies.

    Kotalik, J., et al. (2014). Framework for ethical decision-making based on mission, vision and values of the institution. HEC Forum, 26(2), 125–133.

    Kronenburg, M. A. (2014). Evaluating important healthcare management competency areas and preparation for healthcare reforms. International Journal of Business and Public Administration, 11(1), 31–40.

    McSherry, R., &Warr, J. (2010). Implementing excellence in your health care organization: Managing, leading and collaborating. Berkshire, GBR: Open University Press.

    Newhouse, J. J., &Balotsky, E. R. (2013). Factors motivating hospital CEOs to commit to ethical integration in their institutions: A quantitative analysis. Journal of Leadership, Accountability and Ethics, 10(2), 46–54.

    Scott, B. C. (2015). Hospital boards—Why quality and safety matter. Physician Leadership Journal, 2(1), 62–64.

     

    Internet Resources

    Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

    Kukreja, D. (2013). Strategic planning: A roadmap to success. Ivey Business Journal. Retrieved from http://iveybusinessjournal.com/publication/strategic-planning-a-roadmap-to-success/

    Parsons-Miller, S. (2016). Directional strategies in the development of strategy for a healthcare organization. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/directional-strategies-development-strategy-healthcare-organization-81073.html

    Bradley, J. (2016). Operational versus functional level strategy. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/operational-versus-functional-level-strategy-61306.html

    Johnson, S. (2015). The triangle of corporate strategy. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/triangle-corporate-strategy-68313.html

     

    Assessment Instructions

    Note: Assessments 1 and 2 must be completed before beginning this assessment.

    Analyze the relevance of the organization’s directional strategy, including its vision, mission, values, and organizational culture. The goal is to focus upon application of the concepts and new insight. Keep it brief and substantive. Note: Feel free to construct images/diagrams to summarize information where appropriate (for example, TOWS matrix…).

     

    Complete the following:

    Review the mission, vision, and values statements of your health care organization.

    Examine how well each statement addresses the components of a directional strategy.

    Analyze the gap between the desired outcome and the actual state of the current environment.

    Analyze the organization’s directional strategy, including its vision, mission, and values.

    Examine the strategic “fit.” ◦Does the directional strategy fit the environment?

    ◦Is the organization headed in the right direction given the environmental assessment?

    ◦Does growth make sense right now or does maintaining the status quo or even contraction make better sense?

    Recommend changes you would make to ensure a foundation necessary for the current structure and strategies of the organization. Note: Support your recommendations with relevant resources from the literature.

     

    Additional Requirements

    Length: 3–5 double-spaced, typed pages.

    APA formatting: Resources and citations are formatted according to current APA style and formatting.

    Resources: Use evidence from the literature to support your recommendations.

  • Applying epidemiology and nursing research to communicable diseases

    In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

    Communicable Disease Selection

    Choose one communicable disease from the following list:

    Chickenpox Tuberculosis Influenza Mononucleosis Hepatitis B HIV Epidemiology Paper Requirements

    Include the following in your assignment:

    Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Describe the determinants of health and explain how those factors contribute to the development of this disease. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

    A minimum of three references is required. Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment. Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center. NRS427V-RS-CommunicableDiseaseChain.doc

  • diagnoses for clients receiving psychotherapy

    Learning Objectives

    Students will:

    · Develop diagnoses for clients receiving psychotherapy*

    · Evaluate the efficacy of cognitive behavioral therapy for clients*

    · Analyze legal and ethical implications of counseling clients with psychiatric disorders*

    Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:

    · Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.

    · Using the 
    Diagnostic and Statistical Manual of Mental Health Disorders
    , 5th edition (DSM-5), explain and justify your diagnosis for this client.

    · Explain whether cognitive behavioral therapy would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.

    · Explain any legal and/or ethical implications related to counseling this client.

  • health indicator rates of countries

    This week we will examine important health indicator rates of countries.  You will use the World Bank Data found here:  
    http://data.worldbank.org/indicator#topic-8
    .

    Scroll down to the topic “Health” and choose one (1) of the following indicators:

    Adolescent fertility rate (births per 1,000 women ages 15-19)
     https://data.worldbank.org/indicator/SP.ADO.TFRT

    Maternal mortality ratio (modeled estimate, per 100,000 live births)
     https://data.worldbank.org/indicator/SH.STA.MMRT

    Mortality rate, infant (per 1,000 live births)
     https://data.worldbank.org/indicator/SP.DYN.IMRT.IN

    Mortality rate, under-5 (per 1,000 live births)
     https://data.worldbank.org/indicator/SH.DYN.MORT

    Immunization, measles (% of children ages 12-23 months)
     https://data.worldbank.org/indicator/SH.IMM.MEAS

    When you click on the health indicator of your choice, you will see a table with a list of 247 countries in the first column and dates in the top row.  Look at the most recent year data and choose one (1) country to compare to the U.S.

    State the year, rates of the indicator you chose for both the U.S. and the country you chose, as well as the name of the country.  Include the units for the rates (ex. 6 deaths per 100,000 women) and discuss what it means and how they were calculated. Discuss the similarity/difference in these rates and why you believe the similarity/difference occurs?

    Your post title should include the health indicator you chose and the country you chose to compare to the U.S. Do not repeat indicator/country combinations as there are plenty to choose from.

    *************************************************************

    ALL FORUMS

    Initial Response
    : Initial responses should be no less than 
    200 words
     in length 
    not 
    including your reference(s) and 
    supported by at least two references (aside from the textbook)
    .

  • Virchow’s Triad Theory

    Virchow’s Triad Theory

    Answer both of the following discussion questions for your discussion response.

    Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?

    Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

    at least 250 words total. reference with no older than 5 years and intext citation

  • Effective Teamwork

    To Comment

     

    Effective Teamwork

     

    As nurses we are called upon daily to work as members of a team. At the least we need to be able to work with our patients as a team ensure the best outcomes. It is when I care for oncology patients that I work with the largest and most diverse team. There is a meeting with the nurses caring for the patients, the physician, case management, social work, and pharmacists.

    Since the implementation of the Affordable Care Act there has been more dialogue about cost, quality and the value of healthcare (Fulmer, 2016). There has been a call from Medicare, the Joint Commission, and American Geriatrics Society, to name a few, that mandate interdisciplinary teams to improve quality of care (Fulmer, 2016). Collaboration is defined by Kohn and O’Connell (2007) as “a small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually responsible” (p. 43). For collaboration to be effective there must be respect, trust, and value of each other’s skills and knowledge (Hamric, Hanson, Tracy, & O’Grady, 2014).

    For nurse satisfaction and retention, it has been shown collaboration is important, however not as much so for physicians (Fulmer, 2016).  In Fulmer’s (2016) research she found it not surprising that physicians were reluctant for this collaboration since they were traditionally educated to be “captain of the ship”. Other barriers to effective collaboration is differing agendas, varying philosophies, and long-held beliefs on how things should be done (Hamric et al., 2014). According to Hamric et al. (2014), “Despite these exiting challenges to collaboration, there is evidence of progress” (p. 315).

    Reference

    Fulmer, T. (2016). Effective Interdisciplinary Teams: Do We Really Know How to Build

    Them?. 
    Generations
    , 
    40
    (1), 64-70.

    Hamric, A.B., Hanson, C.M., Tracy, M.F., O’Grady, E.T. (2014).
    Advance practice nursing an

    integrative approach
    (5
    th
    ed.). St. Louis, MO: Elsevier.

    Kohn, S. E., & O’Connell, V. D. (2007). 
    6 Habits of Highly Effective Teams
    . Franklin Lakes, NJ:

    Career Press.

  • pathophysiological mechanism behind Anemia

    Answer both of the following discussion questions for your discussion response.

    Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?

    Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

    at least 250 words total. reference with no older than 5 years and intext citation

  • Teamwork

    Being part of a team is so important in the trauma setting.  One of our hospital standards is one team one purpose.  I remember in times of intense traumas at the point the trauma surgeon has explored all options and it is moments before he or she is going to call time of death and hearing the words “Can you think of anything else we should try” asked to all members in the room. The first time I experienced it I was in shock, thinking did they really just ask me what to do.  Then I thought what a better way to incorporate all of us into the decisions and maybe something someday by asking that simple question could save a patient’s life.  “Team learning. This is the ability to suspend one’s own assumptions, listen to other viewpoints, and genuinely think together.” (Hamric, Hanson, Tracy & O’Grady, 2014).

    ER and trauma nurses as well as providers have high burnout rates as well as suicide rates.  We as team members who experience the same bad situations should randomly say to one another, how they are doing. Hopefully noticing when something is wrong, we are not super heroes and can cry too.  “Physicians and providers are less apt to share their problems with their peers.” (Godfrey, 2015).

    “Teamwork and team training is now seen as an essential part of preservice education.” There are some instances where it is not easy to work with someone. It is essential to have communication.  When you have a problem address it, be an adult.  Same goes for if a person addresses a situation with you be an adult and learn from it.

    References:

    Godfrey, L. (2015). How To Maintain Healthy Relationships In Your High Demand Medical Profession. Retrieved from
    http://vitalworklife.com/blog/2015/09/14/how-to-maintain-healthy-relationships-in-your-high-demand-medical-profession/

    Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. (2014). 
    Advanced practice nursing: An integrative approach
     
    (5th Ed.). St. Louis, MO: Elsevier/Saunders

    Thomas, E. (2016). Why Is Teamwork in Health Care Important? Retrieved from
    https://www.hrhresourcecenter.org/HRH_Info_Teamwork

  • Public Healthcare Services Essay

    Public Healthcare Services Essay

    Create a presentation of 10- to 12-slides in Microsoft PowerPoint that addresses any one of the following topics of 
    Healthy People 2020
    . Explain how it benefits the individual and the community.

    Please select any one topic from the given list:

    Access to health services

    Educational and community based programs

    Environmental health

    Maternal, infant and child health

    Mental health and mental disorders

    Older adults

    Note
    : The title slide and reference slide will be in addition to the twelve slides required.

    You are asked to deliver a twenty minute  keynote address to an audience consisting of health care, managed care,  and government health professionals. You will focus on one topic of the 
    Healthy People 2020
      and address the interests of each audience members. Include the actual  speech in the speaker notes below the actual slides of the above  presentation.

    Also, address the following in your Public Healthcare Services Essay presentation:

    Provide the outlook of the chosen subject and how the health will be affected if requirements are not met by 2020.

    What current public and  private agencies provide assistance to the consumer to help them make  health changes to meet the requirements of the chosen subject’s  objectives?

    What current issues are perceived or real barriers to attain the objectives of 2020?

    What roles do health  care professionals from all areas (healthcare, managed care, and  government) need to provide to the consumer to help reach specific  objectives in 2020?

    What role does public health contribute to meeting one or two objectives?

    What specific health  promotion or wellness program will you suggest to help reach the 2020  objectives? If no programs are available, what type of program will you  develop?

    How can communities help reduce issues and risks so objectives can be achieved?

    What types of financial  support is needed by organizations to make the objectives attainable?  Who should support the program financially and if the government is  involved, what other program should be cut to be able to meet the needs  of this program?

    What health risks will continue to develop if the objectives are not achieved by 2020?

    How will technology  advancement help track data, provide resources for individuals, or  monitor progress to stay on task for successful implementation?

    What disparities for  minorities are apparent to impede progress and not achieve the  objectives? Does socioeconomic status factor in to a successful result?

    Conclusion slide: Summarize findings and prediction if the objective(s) are on track to meet the 2020 timeline.

    Note
    : Please add additional  content in the Notes section. Provide title slide and reference slide  (reference slide should include three scholarly references) in the  presentation.

    Support your responses with examples.

    Cite any sources in APA format.