Category: Nursing

  • Evidence Based Practice Argument Response

    Evidence Based Practice Argument Response

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    I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

    One of the main issues noted at the Ben Archer Health Clinic in Las Cruces in addressing evidence based practice is meetings only happen once a month (Chaires, 2017). That is the only time they are able to get everyone together at one time and dissiminate important information.  While it sounds like the best opportunity for addressing a solution, there is so much information that needs to be given, it tends to be overwhelming.  “The top three barriers to adopting evidence based practice were lack of time, inability to understand statistical terms, and inadequate understanding of the jargon used in research articles” (Majid et. al., 2011). Enough time is needed to give the information, and to process it.  The first step to resolving this would be set a time specifically to address one issue and solution at a time.  It cannot be a time when other information is being given.  Whether they add an inservice once a month, or do it every other month during their monthly meetings, a time needs to be set aside just for this one thing.  Every other month would be a good way to start.  Have one month where information is given out, and the next for an evidence based practice inservice.  It would be helpful to give everyone information prior to the meeting (an email, or flyer, with the general overview).  This will allow everyone to be familiar with the information prior to the meeting so that not too much new information is thrown at them at once.

    References:

    Chaires, K. (2017). [Personal interview].

    Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y., Chang, Y., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: nurses perceptions, knowledge, and barriers. Journal of the Medical Library Association : JMLA, 99(3), 229-236. doi:10.3163/1536-5050.99.3.010

  • The Scalpel And Silver Bear

    The Scalpel And Silver Bear

    1. What barriers, challenges and opportunities (within the educational and medical system) impacted Alvord’s training as a medical doctor?   How did her personal journey impact the doctor she has become?  How has your journey impacted your career as a nurse/health care provider?

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    2. What specific environmental, political, economic and social realities impact Navajo health, susceptibilities to disease as described by Alvord?  What role do you think your client’s environmental, economic and social reality play in your patient’s/client’s health? Use examples as given in the book.

    3. Given her unique perspective, what do you think Dr. Alvord contributes to the practice of biomedicine-Western Medicine? What does “
    hozho
    ” mean and how does it impact Dr. Alvord’s practice of medicine? How does she uniquely combine her medical practice with the Navajo medical traditions and philosophies about health and patient care?  What philosophy about health drives your patient care?

  • Advantage and disadvantage of hospital payment systems

    Advantage and disadvantage of hospital payment systems

    Part I – Paying for Hospital Services

    Discuss (in about 2-3 pages) the advantage and disadvantage of the following hospital payment systems on cost containment and provider behavior:

    Fee-for-service

    Per diem

    The DRG-based payment system (i.e., Medicare’s Inpatient Prospective Payment System)

    Capitation

    Part II – Paying for Physician Services

    Using the background materials and the information you find from the literature and on the Internet, respond (in about 2-3 pages) to the following questions:

    1.  Discuss the difference in Medicare payment methods for outpatient services and physician services.

    2.  Discuss the difference between bundled payments and global payments.

  • Ambulatory Healthcare Essay Paper

    Ambulatory Healthcare Essay Paper

    Watch the following video in preparation for this assignment:

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    Accreditation Association for Ambulatory Health Care (AAAHC). (2010).

    Introduction. Retrieved from

    Use what you learned from the video, the module’s required readings, and your own research to answer the following questions in your paper.

    Discuss the purpose of accreditation. Has the process of accreditation really improved the quality of care being provided to patients?

    Identify and discuss the process of accreditation for the chosen agency.

    Discuss some of the standards they look for when they go on-site. Are the standards rigorous or vague?

    Do these agencies make the results of their surveys public? How could knowing this information be beneficial to patients?

    Length: Submit a 2-page Ambulatory Healthcare Essay Paper

  • Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

    Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:

    http://www.ahrq.gov/health-care-information/priority-populations/index.html 

    Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate.

     

    APA format, at least 300 words, references

  • Social factors associated with the situation of the “under-insured”

    Debate the various social factors associated with the situation of the “under-insured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.

  • INFLUENZA Essay – Collaborative Learning Community (CLC) assignment

    INFLUENZA Essay – Collaborative Learning Community (CLC) assignment

    APA format,  at least 500 words, 3 references

    This essay is about INFLUENZA. Please please have the essay about influenza

    This is a Collaborative Learning Community (CLC) assignment.

    In your Collaborative Learning Community, write a paper of 500-1,000 words that describes the history of the identified health issue. Include the following:

    Influences such as determinants of health and socioeconomic status.

    Past and present initiatives to address the issue.

    Outcome indicators that have been developed and utilized to measure progress on the issue.

    The current status of the issue based on measured outcomes.

    Refer to “CLC Health Issue Analysis Overview.”

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract and conclusion are not required.

    This is a CLC project, I have two other students I am doing this project with. Here is topic 1 of the CLC agreement attached below.

    Resource 1: CLC Health Issue Analysis Overview 

    Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.

    Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum.

    CLC Project Overview

    The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each.

    Topic 1 (10 points)

    Check into the CLC group and provide contact information and describe prior experience, if any, with health policy. Locate and read the 
    CLC Agreement
     provided by the instructor, located within the Additional Resources Folder in Canyon Connect. Choose one member to transfer the document to the CLC forum. Decide upon the process needed to fill out the contract. Everyone should participate. Before filling out the agreement, it may be helpful for each student to describe the most difficult, frustrating, helpful, or beneficial apects of working on a collaborative project. Getting this type of information out in the open ahead of time may help to prevent conflict later on. Since no one is angry yet, you can comfortably list what is likely to make you angry and also what would make you satisfied.

    Complete the 
    CLC Agreement
     (except for the final block, which is used at the end). Select someone to submit the 
    CLC Agreement
     by the end of Topic 1. INFLUENZA Essay – Collaborative Learning Community (CLC) assignment.

  • MN551 Trifold Educational Brochure – Hypertension

    MN551 Trifold Educational Brochure – Hypertension

    Please read instructions carefully, This is not a paper, is a Trifold brochure based on patient teaching related to Hypertension.

    Topic: Educational Brochure

    Design a Trifold educational brochure, that will be used to educate the community, about Hypertension.

    Do not submit a 4 page paper or a document  that’s just a table with 3 columns.

    When I grade your work I imagine that I would print this out, fold it and hand it to your patient.

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    Brochure Content Requirement

    Two evidenced-based web sites or journal articles as a reference

    Risk factors

    Possible consequences

    Prevention strategies

    Treatment modalities

    Is it professional?

    All 6 sides fully developed (DO NOT waste space! You do not need an address page)

    The references tucked away neatly in a small area (suggest using 8 pt font for 2-3 references at the bottom of one of your pages- it should not detract from the content) (REFERENCES 2012-2017)

    Will the patient learn what they need based on the assignment instructions

    Visuals (pictures) that supplement the content but do not detract. In other words, don’t put a huge picture on each side of the brochure with minimal content and expect to get full credit. It should be balanced and professional looking. MN551 Trifold Educational Brochure – Hypertension

    No plagiarism Please, it will be checked.

  • CAHIIM Essay

    CAHIIM Essay

    Assignment Objectives:

    Meet CAHIIM Curriculum requirement for Associate Degree

    Domain VI. Leadership

    Subdomain VI.K. Enterprise Information Management

    Section 1. Apply knowledge of database architecture and design

    Competencies: Data dictionary, interoperability

    Meet CAHIIM Curriculum requirement for Associate Degree

    Domain I.  Data Content Structure and Standards

    Subdomain I.C. Data Governance

    Section 1. Apply policies and procedures to ensure the accuracy and integrity of health data

    Competencies: Data Integrity concepts and standards

    Meet CAHIIM Curriculum requirement for Bachelor Degree

    Domain III. Informatics, Analytics and Data Use

    Subdomain III.H. Information Integrity and Data Quality

    Section: 5. Model policy initiatives that influence data integrity

    Competencies: Characteristics of data integrity

    Meet CAHIIMA Curriculum requirement for Bachelor Degree

    Domain I.  Data Content Structure and Standards

    Subdomain I.C. Data Governance

    Section 2. Construct and maintain the standardization of data dictionaries to meet the needs of the enterprise

    Competencies: Data sources

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    Assignment Purpose:

    HIM Professionals will frequently work with data dictionaries. This assignment will build an understanding of data dictionary development and maintenance and the importance of data integrity.

    Assignment Description:

    Step One:
     Review the sample data dictionary below. There are a number of blank fields in the table. Your first task is to fill in all of the blank fields,

    Field Name

    Field Type

    Field Size

    Definition

    Acceptable Values

    Patient_ID (primary key)

    Number

    8

    Unique patient number   automatically generated

    0-9

    Gender

    Character

    1

    Gender of the patient

    M = Male

    F = Female

    U = Unknown

    PT_LN

    Alphanumeric

    50

    Patient’s legal surname

    A-Z

    PT_FN

    Alphanumeric

    50

    Patient’s legal first   name

    A-Z

    PT_DOB

    0-9

    8

    Patient’s date of birth

    MM-DD-YYYY

    PT_Race

    Alphanumeric

    25

    Patient’s declared race

    American Indian

    Alaskan Native

    Asian

    African American

    White

    PayerType

    Alphanumeric

    25

    Patient’s primary source   of payment

    BC/BS

    CHAMPUS

    Medicaid

    Medicare

    Self-Pay

    Other

    InsuranceID

    City

    State

    Zip

    Country

    VisitDate

    Step Two:
     Write a justification discussing why each field was necessary and why the value you used was appropriate. (NOTE: Address every blank that you filled in)

    Step Three:
     Next discuss the characteristics of data integrity. CAHIIM Essay.

  • Strengths-Based Leadership paper

    Strengths-Based Leadership paper

    Post
     a brief description of your identified strengths and explain how and why they are beneficial in your role as a nurse leader-manager. Explain at least two strategies for applying your leadership strengths in a health care organization to improve quality and safety.