Tag: Clinical-Nursing

A nurse in the PACU is interested in ways to decrease the use of pain medication in post-op patients. She’s wondering if classical music or guided imagery might be efficacious. A 17-year-old African American woman, just diagnosed with hepatitis B, has been taking acetaminophen for headaches. Her mother has heard that acetaminophen can cause liver problems, and she asks you if her daughter should continue taking the drug for her headaches, considering her hep-b diagnosis. You are on a hospital committee exploring best practices in inpatient oncology nursing. The first question to come before the committee is, “how can we improve patients’ sleep quality and quantity without resorting to sleep medication?” The committee decides to explore relaxation techniques (e.g., massage; music), noise reduction, bed/pillow comfort, and ambient temperature changes. Your assignment is to find the best practices to reduce noise levels on the unit. A 53-year-old woman with rheumatoid arthritis wants to possibly change her medication to short-term low-dose corticosteroids instead of NSAIDS, which are upsetting her stomach. Will the corticosteroids be as effective? Jeff, a smoker of more than 30 years, has tried to quit unsuccessfully in the past. A friend of his recently quit with acupuncture. He wonders if he should try it.

Instructions: Choose one (1) clinical scenario above. Formulate a well defined clinical question that will yield the most relevant and best evidence. Describe the background of the question Present the question using PICOT format Indicate what will be the best study to answer the clinical question Make sure that you read other students postings to identify similar areas of interest for future group work.

Leadership
: is a procedure that is carried out through several people to gain authority over others in order to execute the goals.

Laissez-faire:
 is a lider o manager as passive, nondirective, and inactive approach and relinquishes part or all the responsibilities to the members of the group.

Autocratic Leader:
 the person is focused and maintains strong control, make decisions, and address all problem.

Democratic-leader:
 this also called participative management. It based on the belief that every group member should have input into problem solving and the development of goals.

Bureaucratic- leader: 
the leader believes that individuals are motivated by external forces. Relies on organizational polices and procedure for decision making.

Delegation:
 is a process of transferring performance of a selected nursing task in a situation to an individual who is competent to perform that specific task.

Illness:
 Abnormal process in which any aspect of a person’s functioning is diminished or impaired compared with his or her previous condition.

Wellness: 
Dynamic state of health in which and individual progresses toward a higher level of functioning, achieving an optimum balance between internal and external environments.

Leader: 
A person or thing that holds a dominant or superior position within its field, and is able to exercise a high degree of control or influence over others.

Health Belief Model:
 helps you understand factors influencing patient’s perceptions, belief, and behavior to plan care that will most effectively assist patient in maintaining or restoring health and preventing illness.

Maslow’s hierarchy of needs:
 is a model that the nurse use to understand the interrelationships of basic human needs.

Primary prevention:
 is true prevention; it precedes disease or dysfunction and is applied to patient considered physically and emotional healthy.

Secondary prevention:
 is focuses on individual who are experiencing health problem or illnesses and are at risk for developing complications or worsening conditions.

Tertiary prevention: 
occur when a defect or disability is permanent and irreversible. It involves minimizing the effects of long-term disease or disability by intervention directed at preventing complications and deterioration.

Risk factor reduction:
 is any situation, habit, social or environmental condition, physiological or psychological condition, developmental or intellectual condition, spiritual condition, or other variable that increases the vulnerability of an individual or group to an illness or accident.

Acute illness
: is usually reversible, has a short duration, and is often severe.

Chronic illness: persists, usually longer than 6 months, is irreversible, and affects functioning in one or more systems.

Health promotion:
 help patient maintain or enhance their present levels of health.

Integrity:
 is being honest even when no one else is looking, is doing the right thing even when no one is around to see you do it, and doing things the way they should be done, when no one is looking, instead of doing shortcuts. Integrity is being upright, and true to ones beliefs.

Preventive action:
 nursing actions directed toward preventing illness and promoting health to avoid the need for primary, secondary. Or tertiary health care.

Self-concept:
 depends in part on body imagen and roles but also includes other aspects of psychology and spirituality. Is important in relationship with other family members.

Self-efficacy:
 a concept include in social learning theory, refers to a person’s perceived ability to cessfully complete a task and many health promotions theories because it often is a strong predictor of healthy behaviors.

Self-actualization:
 is a process of emotional and moral development that contributes to the more-being and well-being of each individual. The self-actualizing nurse is one who is engaged in the process of becoming true to herself and those with whom she goes through life’s experiences.

Formal leadership:
 is a person exercising authority conferred upon him by the organization pursuant to the individual’s position in the organization. An example of formal leadership is the ability of a company president to exert control over employees, which is based upon his status as president of the company.

Informal leadership:
 are individuals without formal title or authority who serve as advocates for the group, and heighten the contributions of others as well as their own, primarily through influence, relationship-building, knowledge and expertise.

Supervision:
 is an activity that brings skilled supervisors and practitioners together in order to reflect upon their practice. It is a time for you, as a nurse or midwife, to think about your knowledge and skills and how they may be developed to improve care.

Transactional leader:
 focuses on results, conforms to the existing structure of an organization and measures success according to that organization’s system of rewards and penalties. Transactional leaders have formal authority and positions of responsibility in an organization. This type of leader is responsible for maintaining routine by managing individual performance and facilitating group performance.

Transformational leader:
 are sometimes call quiet leaders. They are the ones that lead by example. Their style tends to use rapport, inspiration, or empathy to engage followers. They are known to possess courage, confidence, and the willingness to make sacrifices for the greater good.

Management: 
is a person responsible for supervising and motivating employees and for directing the progress of an organization.

Openness:
 the ability to listen to other points of view without prejudging or discouraging them.

Read an article published recently(less than 5 years) on a topic of your interest. Provide the citation and a written summary of your answers to the following questions: What is the research problem? What is the purpose statement? What were the initial hypotheses for this study? What was the study design? Where the hypotheses rejected or accepted? What was the overall conclusion of this paper?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703118/
 My chosen topic is CLABSI Central Line Associated Blood stream infection

A 50 year female who’s family history unknown has a history of smoking 1ppd for 15 years quit 3 years ago. Consumes 3-4 alcohol drinks a week performs moderate excercise 3-4 times a week and has a past medical history of hypertenson controlled on Lisinopril.

Discussion Question

For this discussion, you are asked to review the student learning outcomes for this course and discuss how you met these outcomes. The intention here is to provide you an opportunity to “reflect” on the learning achieved during this term and how you successfully met these learning outcomes. If you do not feel you successfully met the objective, discuss your plans to successfully complete the objective in the future.

Upon completion of this course, the student should be able to:

Critically analyze current practice to formulate researchable problems.

Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.

Synthesize an understanding of the research process through development of a proposal to address a nursing problem or focus area identified in nursing practice.

Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

Explore national and international initiatives and research priorities.

Assignment 2: Research Proposal

Overview/Description: 

The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the 
required template
 and not to exceed 15 pages (excluding title page/references/appendices).

Criteria:

Introduction

Background and Significance of Problem

Statement of the Problem and Purpose of the Study

Literature Review

Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

Overview and Guiding Propositions(s) Described in Theory

Application of Theory to Your Study’s/Project’s Focus

Methodology

Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.

Sampling Strategy

Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.

Extraneous Variables (and plan for how controlled).

Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).

Description of the Intervention

Data Collection Procedures

Data Analysis Plans

Describe plan for data analysis for demographic variables (descriptive statistical tests).

Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study

Implications for Practice

References

Appendices

Informed Consent Letter

Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

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.

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.

Please read chapter 8 and 9 of the class textbook and review the attached Power Point presentations. Once done answer the following questions;

1.  Please discuss health heritage of the Appalachian and Arab people and how their cultural beliefs influence the delivery of health care (focus on community care).

2.  Mention at least 2 health practices of the Appalachian and Arab people and if there is any pros and cons in the delivery of health care.

As stated in the syllabus present your assignment in a word 
document
 Arial 12 font APA format attached under the week 4 threat in the discussion tab of the blackboard.  A minimum of 2 evidence based references no older than 5 years are required as well as two replies to any of your peers posting sustained with the proper references.

Please follow the instructions given and stated in the syllabus.  A minimum of 500 words are required.

1. Please discuss health heritage of the Appalachian and Arab people and how their cultural beliefs influence the delivery of health care (focus on community care).

2.  Mention at least 2 health practices of the Appalachian and Arab people and if there is any pros and cons in the delivery of health care.

APA format

A minimum of 500 words are required.

A minimum of 2 evidence based references no older than 5 years.