Category: Nursing

How Can A Nurse Become Negligent With Medication Administration?

What Are The Medication Rights? In What Circumstances, Can A Nurse NOT Follow The Physicians Written Order? How Can A Nurse Become Negligent With Medication Administration?

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.

To prepare:

In this Application Meaningful Use Paper Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

Reflect on the information presented      in the Learning Resources, focusing on meaningful use legislation and the      “Ethics in Nursing Informatics” section of your course text.

Investigate the legal, financial, and      ethical issues surrounding meaningful use.

Ask yourself: What are the goals of      meaningful use?

Write a 4- to 5-page Meaningful Use Paper essay in APA format with at least 5 references from my list of required readings provided below, in which you include the level one as per APA format guidelines:

1) A cover page.

2) An introduction ending with a purpose statement (e.g. “The purpose of this paper is…)

3) Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.

4) Explain how these issues might present barriers to successful implementation within an organization.

5) Discuss ways that health care organizations can make the most of their electronic health record (EHR) investments in light of meaningful use.

6) Explain how EHR-related meaningful use legislation is being implemented in your organization.

7) A conclusion

8) A references pages in APA format.

Required Readings

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview
.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). 
Nursing informatics: Where technology and caring meet
 (4th ed.). London, England: Springer-Verlag.

Chapter 14, “Usability and      Clinical Application Design”

This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems.

Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. 
CIN: Computers, Informatics, Nursing, 27
(3), 151–163.

The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. 
Nursing Research, 55
(2, Suppl. 1), S37–S42.

This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. 
Studies in Health Technology and Informatics, 151,
 156–166.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

SELF-DIRECTED LEARNING PLAN

 

The Self-Directed Learning Plan (SDLP) is a process and document to chronicle your accomplishments and learning steps through the MSN program and beyond as they relate to your professional goals.

 

The SDLP will help you to identify and target the array of competencies you need to reach your professional objectives and to help you organize your MSN learning experience to suit your career objectives.

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The SDLP will be a section of your Program Portfolio, so take some quality introspective time to consider strengths and areas of development relevant to your career objectives.Knowing your strengths and areas to develop, you can begin a plan to find out what you need to do to achieve your career goals.We encourage you to continue to reflect on the identified areas throughout the MSN program. If you feel a strength or development area is no longer relevant, you may add another to take its place. At any time, you may also add additional areas.

 

Your Name
:                 
Date:

 

Anticipated Nursing Role:

 

Professional Goal (3-5 years) from now:

 

 

 

Knowledge that prepares a graduate student for an advanced nursing role:

 

 

 

Skills that prepare a graduate student for an advanced nursing role:

 

 

 

Accomplishments that prepare a graduate student for an advanced nursing role:

 

 

 

 

 

Strengths to Leverage

 

Step 1:
The most effective and satisfied people align their work with their natural strong points.Identify 3-5 of your key strengths (see Column 1 below); these could be a competency, skill, ability, knowledge area or personal characteristic.Think about how you can leverage those strengths to be effective in your work, achieve your professional goals, and become a leader in your profession.

 

Step 2
:At the beginning of each course in your MSN program, answer the following question either using this template or a narrative format. What do you expect to learn in this course that will help you leverage your strengths? (See Column 2 below) Be as specific as you can, e.g., assume that a strength is your analytical ability.

 

Step 3
: Answer the following questions either using this template or a narrative format.Did you learn what you expected to learn? (See Column 3 below) Was there information or insights that helped you that you didn’t expect to learn at the outset of the course?What changes or additions, if any, will you make to your SDLP based on learning in this course?

 

 

Step 1: Strengths to Leverage

Step 2: Course Learning Goals

Step 3: Course Outcomes & Assessment

Strength 1 –

Strength 2 –

Strength 3 –

Strength 4 –

Strength 5 –

 

 

Areas to Develop

 

Step 1:
We all have strengths, but we also have areas on which we need to improve.As related to your career goal, identify 3-5 areas to develop (see Column 1 below); these could be a competency, skill, ability, knowledge area or personal characteristic.Think about how you can improve in these areas so that you can achieve your professional goals and become a leader in your profession.

 

Step 2
:What do you expect to learn in this course that will help you to develop in the identified area? (See Column 2 below)

 

Step 3
:Answer the following questions either using this template.Did you learn what you expected to learn? (See Column 3 below) Was there information or insights that helped you that you didn’t expect to learn at the outset of the course?What changes or additions, if any, will you make to your SDLP based on learning in this course?

 

Step 1: Areas to Develop

Step 2: Course Learning Goals

Step 3: Course Outcomes & Assessment

Area 1 –

Area 2 –

Area 3 –

 

Reflection

What do you expect to learn in this course that will help you achieve your academic and professional goals?

Qualitative Annotated Bibliography

For this assignment you will continue to review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online Writing Lab

 

A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a qualitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

 

Each annotation must address the following critical elements:

 

Explanation of the main purpose and scope of the cited work

Brief description of the research conducted

Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration

Possible shortcomings or bias in the work

Conclusions or observations reached by the author

Summary as to why this research lends evidence to support the potential problem identified specific to your role specialization.

Submissions Area:

Please submit to the Submissions Area by the due date assigned.

Submit Files

Make clinical nurse leader comment;

The clinical nurse leader is a master level educated nurse that works to improve     quality care, by collecting and evaluating treatment results, and     work to improve out comes by advocating for evidence-based changes     (Register Nursing, n.d.). The clinical nurse leader requires a high     level of clinical competency and knowledge, and during the master     level classes requires advanced courses in pathophysiology, clinical     assessment, and pharmacology with a focus on general medicine,     opposed to just one primary discipline (Register Nurse, n.d.). The     clinical nurse leader works closely with patients and will provide     direct clinical leadership to ensure safe care delivery (Reid, &     Dennison, 2011).

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  The role of a     clinical nurse leader is to find ways to improve quality patient     care, by examining outcomes, risk, along with changing care plans if     needed, and advocating for fellow nurses (Register Nursing, n.d.).     The clinical nurse leader influences direct patient care by serves     that promote shorter hospital stays, lower readmission rates, lower     infection rates, fewer falls, less injuries, and even lower nurse     turn-over (Register Nurse, n.d.). The clinical nurse leader also     achieves lower healthcare cost to the institution with these     changes, and ensures cost effective care while addressing barriers     to efficiency (Register Nursing, n.d.).

The clinical     nurse leader can influence patient care both in the hospital and the     community, by a subculture of care with leadership, team-work,     evidence-based care, communication, justice, and     patient-centeredness (Reid & Dennison, 2011). One example of a     clinical nurse leader might be ensuring clients, families and     communities are informed about their health while advocating for     nursing staff. The clinical nurse leader routinely monitor and     intervene based on the units vital signs, or information about the     units aggregate safety and quality functioning, are also examples of     what role a clinical nurse leader might perform daily (Reid &     Dennison, 2011).

Comment on the following Clinical Nurse leader role;

The development of the Clinical Nurse leader role   began in 2003-2004 as response to quality and safety reports made by   the IOM. A Advanced master’s level educated, specialized nurse   with competencies in health system clinical leadership. Provides   direct clinical leadership at the point of care to insure safe,   evidenced-based care targeted towards high quality patient   outcomes.  The educational requirements of a CNL is a existing   Master of Science.  Those who are RN nurses can find pathways in   forms of ADN to MSN and BSN to MSN.  Non-nurses who have a   masters can enter nursing at a advanced level after completing a   transition-to-professional-practice period (Reid & Dennison 2011)

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A master’s prepared nurse may sit for an   exam to obtain the Clinical Nurse Leader designation the graduate   level nurse must graduate from a accredited CNL education program,   pass the CNL examination, possess a current, active, and have a   unrestricted RN license (Commission on Nurse Certification 2017).

This prepares the CNL to practice across a   continuum of care in any healthcare settings.  The CNL serves as   a resource for nursing teams with a high level of clinical competence   and knowledge of point of care, evidence-based practice, latest   innovations in care delivery how to implement all in a cost effective   highly productive environment.  The CNL also evaluates patient   outcomes, risks and builds report with inter-professional healthcare   teams to improve patient outcomes and the nursing process (Commission   on Nurse Certification 2017).

In acute care or community healthcare the CNL   works as a bond between direct care teams, the patient, and other   healthcare professionals.  The CNL is necessary to increase   nursing knowledge base and education, provide cost effective quality   care and move the nursing profession to a place of equality with other   providers.

Write An Executive Report Of 4–5 Pages That Analyzes The Role Of Diversity In An Underperforming Community Program, Unit, Or Department, And Outline A Plan For Providing Ongoing Training On Cultural Awareness, Inclusion, And Sensitivity To Current Employee

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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.). You may also find pertinent information on your organization’s webpage.

Prepare a 1,250-1,500 word Health Organization Case Study paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

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 Health Organization Case Study assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this Health Organization Case Study assignment to Turnitin.

Nurses’ Attitudes Toward EBP Essay

You are interested in nurses’ attitudes toward EBP. Which method do you think would work best to obtain this information: a questionnaire, a face-to-face interview, or a group interview? Defend your answer.

Improve the safety of using medications  PowerPoint

NPSG Presentation
 (15 pts)

Requirements:
 Student will need to seek out a National Patient Safety Goal (NPSG) or Core Measure

Investigate current NPSGs and Core Measures put forth by The Joint      Commission.

-Do research as to what prompted the Joint Commission to institute the particular NPSGs or Core Measures.

-Then perform a literature review on the topic and collect relevant information. —-Give specific  examples in your presentations.

-Critically appraise your evidence and information.

-Integrate knowledge and experience that you personally have had whether positively or negatively with the particular NPSG or core measure.

-An example would be prevention of pressure ulcers where the patients were turned every two hours or were not turned at all during your shift at the hospital.

Group Presentation
 – Present and offer for discussion regarding the NPSG or Core Measure.

-This should be done as if sharing at a staff meeting, taking about 
15 minutes
.     —-Use appropriate materials (handouts, samples, simple Power Point)- this needs to be kept pertinent.

-Address key points and keep to allotted time.