Tag: Clinical-Nursing

Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

Values, Health Perception

Nutrition

Sleep/Rest

Elimination

Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses.

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two wellness problems based on your family assessment.

Prepare this assignment according to the 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.

Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)? Support your answers in an APA formatted summary!

Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?

Patient Information:

Patient: Sue Li

Age: 20

Ethnicity: Asian American

DNP graduates are expected to apply research findings and integrate nursing science into evidence-based practice. To develop your ability to engage in this high level of nursing practice, you will analyze the strengths and weaknesses of a research study over the next several weeks using the concepts presented throughout Weeks 1 through 9 of the course. Your final analysis will be a 5- to 7-page paper in APA format, that includes the following:

1) Write an introduction ending with a purpose statement (e.g. “the purpose of this study is…).

2) Provide a two paragraph overviews of the study.

3)  Identify three strengths of the study and support your selection (i.e. why is this a

strength)

4)  Identify three weaknesses of the study and support your selection (i.e. why is this a

weakness)

Note:
 The strengths and weaknesses should be in relation to:

· Design

· Sampling

· Data collection

· Statistical analysis

· Results and discussion.

5)  Propose changes to improve the quality of the study capitalizing on the strengths and

6) improving on the weaknesses you identified in the study.

7)  Summarize the implications for nursing practice.

8) Write a conclusion for your paper

The purpose of the analysis is to help you develop a deeper understanding of the research process, to inspire you to think critically and deeply about research on a specific topic, and to strengthen your ability to integrate research findings into evidence-based nursing practice. This assignment also gives you practice in analyzing the research literature, which will support you when you begin your DNP project.

Due Wednesday October 25, 2017 before midnight!

Writing (5 points):
 Up to 5 points (20%) may be deducted for grammar and APA style errors.

To prepare for this week’s assignment complete the following:

Select      one of the four research articles cited in this week’s required readings (
SEE ATTACHED PDF FILE)
.

Review      the various quantitative research designs presented in the textbook      readings and research articles and discussed in the “Musings: Aligning      Research Question and Methodology” media.

Consider      the research design used in your selected article. Ask yourself the      following questions. Is the design appropriate for the study? Would a      different design provide better results?

Required Media

Laureate Education, Inc. (Executive Producer). (2011). 
Research methods for evidence-based practice: Selecting a research topic and developing a hypothesis.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 13 minutes.

In this week’s video, Dr. Leiyu Shi discusses the characteristics of a good research hypothesis and details the steps in developing a hypothesis that can be tested through research.

Laureate Education, Inc. (Executive Producer). (2011). 
Research methods for evidence-based practice: Musings: Aligning research question and methodology.
 Baltimore, MD: Author.

Note: 
The approximate length of this media piece is 6 minutes.

This video discusses the importance of having a well-defined research question, which informs the methodology that you use in creating a hypothesis for a research study

Laureate Education. (2011). Important events in clinical research history. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/CLRA/6100/01/mm/timeline/index.html

This timeline identifies and describes key historical events related to the development of clinical research throughout the ages.

Required Readings

Gray, J.R., Grove,
 
S.K., & Sutherland, S. (2017). Burns
 
and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St.
 
Louis, MO: Saunders Elsevier.

Chapter 5, “Research Problem and Purpose”

Chapter 5 outlines how to identify and develop a research problem statement, purpose, and research questions. The chapter also provides examples of both quantitative and qualitative research topics, problems, and purpose.

Chapter 6, “Objectives, Questions, Variables, and Hypothesis
”

This chapter explains the different types of hypotheses and assesses how research variables can be used to formulate research objectives in both quantitative and qualitative studies.

Chapter 10, “Quantitative Methodology: Noninterventional Designs and Methods
”

Chapter 10 describes the principles of research design and those foundational concepts that influence the selection of an appropriate quantitative design: causality, bias, manipulation, control, and validity.

Chapter 11, “Quantitative Methodology: Interventional Designs and Methods”

This chapter builds on the material presented in Chapter 10 and discusses how to select the most appropriate quantitative research design for addressing a particular research problem.

Select one of the following articles to use for this week’s Assignment:

· 
Fouquier, K.F. (2011). The concept of motherhood among three generations of African American women. Journal of Nursing Scholarship, 43(2), 145–153. 

· 
Grey, M., Whittemore, R., Jaser, S., Ambrosino, J., Lindemann, E., Liberti, L., Northrup, V., & Dziura, J. (2009). Effects of coping skills training in school-age children with Type 1 diabetes
. 
Research in Nursing & Health, 32, 405–418. 
(USE THIS ARTICLE FOR THIS ASSIGNMENT)

· 
Methey, N.A., Davis-Jackson, J., & Stewart, B.J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59, 18–25.

· 
Newhouse, R.P., Morlock. L., Pronovost, P., & Breckenridge-Sproat, S. (2011). Rural hospital nursing: Results of a national survey of nurse executives. Journal of Nursing Administration, 41(3), 129–137.

Handouts

Laureate Education. (2011). Litmus test for a doctoral-level research problem. Baltimore, MD: Author.

Optional Resources

Caress, A., Luker, K., & Chalmers, K. (2010). Promoting the health of people with chronic obstructive pulmonary disease: Patients’ and carers’ views. Journal of Clinical Nursing, 19(3–4), 564–573.

Mbeba, M. M., N., Jere, D. L., Kachingwe, S. I., Crittenden, K. S., McCreary, L. L., … Norr, K. F. (2011). Peer group intervention reduces personal HIV risk for Malawian health workers. Journal of Nursing Scholarship, 43(1), 72–81.

Miller, J., Gaboda, D., Nugent, C., Simpson, T., & Cantor, J. (2011). Parental eligibility and enrollment in state children’s health insurance program: The roles of parental health, employment, and family structure. American Journal of Public Health, 101(2), 274–277.

Su, C., Lu, X., Chen, W., & Wang, T. (2009). Promoting self-management improves the health status of patients having peritoneal dialysis. Journal of Advanced Nursing, 65(7), 1381–1389.

Statement of Issue: Present issue you have chosen in the context of a realistic, hypothetical patient scenario.

3.0 pts

This criterion is linked to a Learning OutcomeEthical Analysis: Discuss the ethical issues created by the chosen topic as described in your case scenario. A. Include in your analysis: relevant provisions and interpretative statements from the ANA Code of Ethics for Nurses; B. examine ethical principles, citing your assigned readings; and C. apply one of the ethical theories, citing your assigned readings

10.0 pts

This criterion is linked to a Learning OutcomeLegal Analysis: Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation

9.0 pts

This criterion is linked to a Learning OutcomeEthical/Legal Decision: Reach a conclusion for the issue you presented which is supported by the ethical and legal analysis above.

3.0 pts

This criterion is linked to a Learning OutcomeScholarly Writing : Correct grammar, sentence structure, APA style, spelling, etc. A minimum of 5 current (published within the last 5 years), scholarly references. Case references are acceptable beyond 5 years if no cases more recent.

5.0 pts

Total Points: 30.0

I would like to choose my topic on administering blood products to a Jehovah witness

My hypothetical patient scenario is a woman in her late 30’s with a husband and two children. She is being seen in the hospital for a gastrointestinal bleed. She is a Jehovah’s witness and the doctor is ordering 2 units of packed red blood cells. Her current hemoglobin level is 7.6 and she is refusing the 2 units of packed red blood cells. The MD is notified by the patient’s nurse.

I am looking forward to this assignment and doing research regarding administering blood products to Jehovah’s witness.

Evolving Practice Of Nursing And Patient Care Delivery Models Essay

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.

Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines. You are required to submit to turnitin

Change Management Processes in health care organizations

Summarize a journal article from the past two years that discusses a health care organization that is undergoing a significant change and then use the article to illustrate one of the change management processes you studied in this unit.

Supporting Health Behavior Change

Assignment Instructions and Grading Rubric

Short Paper: Supporting Health Behavior Change

Many factors combine to influence individual and population health. Individual health behaviors significantly impact overall health. Health behaviors contribute significantly to population health (Booske, Athens, Kindig, Park, & Remington, 2010). Despite knowledge of the compelling evidence of the benefits, actually changing one’s health behaviors can be a more complex and challenging process than imagined.

Poly Ryan proposed the Integrated Theory of Health Behavior Change (ITHBC) that purports “health behavior change can be enhanced by fostering knowledge and beliefs, increasing self-regulation skills and abilities, and enhancing social facilitation” (Ryan, 2009, p. 165). Read this article to gain a better understanding of the factors that facilitate health behavior change.

For this assignment, you will select ONE health behavior change that can positively impact population health in general. The health behavior does not necessarily relate to your CHA or CHIP health concern or population. You may want to select a health behavior change that you have considered making yourself.

Submit a brief paper (2 pages, in APA format) that addresses the following:

· Describe the targeted health behavior, and summarize the impact of that health behavior on chronic conditions.

· Summarize the ITHBC and describe how it can be used to facilitate health behavior change.

· Design at least two specific interventions to support health behavior change that reflect the ITHBC (or critique two existing programs or interventions using the standards of the ITHBC).

See Grading Rubric on next page

References

Booske, B. C., Athen, J. K., Kindig, D. A., Park, H., & Remington, P. L. (2010). Different perspectives for assigning weights to determinants of health. [white paper]. Retrieved from 
https://uwphi.pophealth.wisc.edu/index.htm

Ryan, P. (2009). Integrated theory of health behavior change: Background and intervention development. 
Clinical Nurse Specialist, 
23(3), 161-172. doi: 10.1097/NUR.0b013e3181a42373

Grading Rubric: Short Paper

Criteria

Ratings

Understanding of health behavior, impact on health, and theory of health behavior change

Narrative demonstrates understanding of concepts of determinants of health and theory of health behavior change; information cited from reliable sources =40

Description of concepts lacks accuracy or clarity or extensive use of quotations = 25

Minimal description of concepts; sources are not adequately cited and/or are not reliable =10

Application of Integrated Theory of Health Behavior Change to facilitate health behavior changes.

Examples of health behavior change interventions clearly reflect the concepts introduced in the ITHBC = 50

Health behavior change interventions described, but with little explanation of how interventions reflect the ITHBC = 30

Minimal or missing description or application = 10

Application of APA and Scholarly Writing

Follows APA style and format with rare and minor exceptions; scholarly and objective writing = 10

APA and writing have a few mistakes OR body of paper exceeds 3 pages = 5

More than a few APA errors; OR body of paper exceeds 4 pages =0

Possible Points = 100

Health Information Technology Project Paper

In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a Doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.

Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.

ORDER A PLAGIARISM-FREE PAPER NOW

To prepare:

Investigate      a health information technology (HIT) system or health information      technology application in your area of interest. The health information      technology system/application may be in any setting where health care      information is developed or managed. You may choose your system or      application from any organization or virtual environment.

Examples       of health information technology systems or health information technology       applications that are acceptable include but are not limited to:

Consumer        health applications

Clinical        information systems

Electronic        medical record (EMR) systems in hospitals or provider offices (SELECT THIS or)

Home        health care applications

School        health applications

Patient        portal/personal health record (or SELECT THIS)

Public        health information systems

Telehealth        (i.e., from facility to home)

Simulation        laboratories

Health        care informatics research and development centers

Discuss      your proposed health information technology system/application with your      Instructor before proceeding with your final selection. You may visit a      health care organization in person or virtually in order to make your      final choice about the health information technology system or health      information technology application of interest.

Choose      the best strategy to gain information about your selected information      technology system/application. Some ways to gather information include      virtual visits; vendor demonstrations; on-site visits; interviews via      face-to-face, phone, or teleconference. You must conduct at least one      interview for this project.

Complete      a literature search to gather information about your selected information      technology system. You may also need to review related scholarly articles      to help answer the questions presented below.

NOTE:
 In your submitted report, do not share proprietary information, personal names, or organization names without permission.

To complete:

Your deliverable is a 
12- to 15-page scholarly report
, not counting the title page or references. Include an introduction ending with a purpose statement and a conclusion. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.

Organization Information

1) Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.).

2) Is the health information technology system/application clinical, administrative, educational, or research related?

3) What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows?

4) How did the organization determine that this specific system/application could fulfill its predetermined needs?

5) Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application Design and Development

1) Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?

2) How are individuals trained to use the health information technology system/application?

3) How are security issues addressed? How does this health information technology system/application support a legally sound health care record?

4) Where did initial funds for this health information technology system/application come from?

5) Who manages the budget for this health information technology system/application?

6) Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

7) What are the arrangements for planned or unplanned downtime?

8) How are health information technology system/application upgrades scheduled or planned?

9) How has the health information technology system/application changed in response to health care reform and related legislation?

10) What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System

1) How does the health information technology system/application utilize technology innovations?

2) What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?

3) What innovations could further promote evidence-based practice and efficiency within this organization?

End Product

Your report is a scholarly paper and needs to include 
a minimum of 10 citations from peer-reviewed journals
. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that 
primary
 sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a 
secondary
 source. More on this topic is available in the 
APA Publication Manual
 and in the 
 Writing Center
. See also “Policies on Academic Honesty” listed at the website.

A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document 
by Day 5
 
Friday
 of 
Week 9
. By 9:00 AM

 

REQUIRED READINGS

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.

Review      Chapter 16, “Personal Health Record: Managing Personal Health”

This chapter focuses on the future of personal health records and consumerism, as well as the initiatives being developed to strengthen health literacy in the patient population. The nurse’s role in the development of personal health records is also discussed.

Reti, S. R., Feldman, H. J., Ross, S. E., & Safran, C. (2010). Improving personal health records for patient-centered care. 
Journal of the American Medical Informatics Association, 17
(2), 192–195.

Several key elements that designers and practitioners need to be aware of when developing patient-centered electronic health records are outlined in this article.

Schneider, J. M. (2010). Electronic and personal health records: VA’s key to patient safety. 
Journal of Consumer Health on the Internet, 14
(1), 12–22.

This article begins with a brief overview of the benefits and challenges of EHRs and moves into an exemplary example of the record systems currently being used at the VA.

Wagner, P. J., Howard, S. M., Bentley, D. R., Seol, Y., & Sodomka, P. (2010). Incorporating patient perspectives into the personal health record: Implications for care and caring. 
Perspectives in Health Information Management, 7
(Fall), 1–12.

Within this study, the authors integrate patients into a preexisting personal health record system to analyze the overall feelings that patients have about its design and usability options.

Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989.

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

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.

Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. Studies in Health Technology and Informatics, 152, 353–366
.

In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists.

Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. The American Journal of Cardiology, 107(5), 690–696
.

The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. Health Services Research, 45(4), 985–1004.

This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. Rehabilitation Nursing, 35(6), 254-259.

Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.

Cisco. (n.d.). Industry solutions: Healthcare.

Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html

Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments.

Massachusetts Institute of Technology. (n.d.). MIT media lab.

Retrieved October 14, 2011, from http://www.media.mit.edu/

View various technology integration stories in the field of health care at this website

McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html 

The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.

Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research, 13(1), e20.

View excerpts from the online questionnaires and follow-up interviews used in this study to identify common themes around motivation, challenges, strategies, and benefits regarding individuals’ use of the Internet to gather health information.

Health on the Net Foundation. (2011).

Retrieved from http://www.hon.ch/

Health on the Net Foundation provides consumers with navigation safety tips and the ability to search only those websites that adhere to the credibility standards of the HONcode.

The PEW Charitable Trusts. (2011). Health
.

Retrieved from http://www.pewtrusts.org/our_work_category.aspx?id=184

At this website you can find information about the consumer-centered health initiatives that the PEW group is working to challenge and improve.

Robert Wood Johnson Foundation. (2011). Publications and research. Retrieved from http://www.rwjf.org/en/research-publications.html 

Use this website to view a wide variety of research-driven publications with topics ranging from obesity to medical malpractice.

Middle Eastern Respiratory Syndrome (MERS)  Outbreak Investigation 

As an epidemiologist investigating a Middle Eastern Respiratory Syndrome (MERS) outbreak, you have been tasked with developing a 12 items questionnaire to investigate the situation. You will also write a brief report that explains the questionnaire.

Your report should address the following:

An explanation of your questionnaire

Why you selected the questions you used on your questionnaire – in other words, why the questions are important to your investigation, and what information you hope to uncover

The target audience of the questionnaire (i.e., the respondents), and why you chose them

The location of the target audience.

How you will distribute the questionnaire.

Be sure to include general and specific information you would need to know from those you are interviewing.

Your questionnaire and paper should meet the following structural requirements:

The questionnaire should consist 12 questions.

The paper should be two pages in length, not including the cover sheet, reference page, and questionnaire pages.

Conclusion to be written at the end of the report.

Formatted according to APA.

Provide support for your statements with in-text citations from 6 scholarly articles in which some articles are about MERS CoV in Saudi Arabia.

Your scholarly articles should be within 5 years.