Tag: Clinical-Nursing

Post an assessment of the consequences (on payers, providers, and the general population) of continuing current levels of health care spending in the United States as well as the potential consequences of reducing the level of spending. Explain which stakeholders should make health care spending decisions and why.

Complete a modified Gemba Walk

Prepare for your preliminary walk by completing the following:

Refer back to this week’s Gemba walk presentation.

Survey your department or another area of your choosing. Decide upon where you will focus your walk.

Research both the setting where you will be doing your walk and explore external resources that will inform your setting.

Complete the walk by asking and answering the four W’s outlined in the Gemba Walk Presentation

Utilizing systems thinking concepts produce a 525- to 1,050-word executive summary.

Discuss the four Ws and your findings. Complete a modified Gemba Walk.

Where do you see opportunities to decrease 
muda
 (waste) and increase creativity and flow within processes or departments within your organization?

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Answer the following two questions on separate sheets of paper it’s important that you DO NOT include these answers in your Gemba walk Credit WILL NOT be given if you do so. Title page is not necessary for your answers but can be used

1,) Review and consider the content you covered during Week Two.

Post a 260- to 350-word response to the following questions

Using Trbovich’s article, identify one area in your organization where you think you might be able to incorporate systems thinking.

Provide examples from this week’s readings and external research.

Cite at least 2 peer-reviewed, scholarly, or similar references.

Format your citations according to APA guidelines

.

)Read the Gemba Walk Presentation

Post a response to the following question Complete a modified Gemba Walk.

How will you prepare to begin your Gemba Walk?

Grading Criteria

 

Modified Gemba Walk-Executive Summary

 

This assignment is due in Week Two.

 

Content

70 Percent

Points Available

7

Points Earned

X/7

Additional Comments:

The student chose their department or other area and wrote an Executive Summary of their Modified Gemba Walk, in which he or she addressed the following:

Discuss the four Ws and your findings.

Where do you see opportunities to decrease 
muda
 (waste) and increase creativity and flow within processes or departments within your organization?

 

 

 

Organization/Development

15 Percent

Points Available

1.5

Points Earned

X/1.5

Additional Comments:

·         The summary is 525 to 1,050 words in length.

·         The introduction provides sufficient background on the topic and previews major points.

·         The conclusion is logical, flows, and reviews the major points.

 

 

 

Mechanics

15 Percent

Points Available

1.5

Points Earned

X/1.5

Additional Comments:

·         The paper is consistent with APA guidelines as directed by the facilitator. The paper is laid out with effective use of headings, font styles, and white space. Complete a modified Gemba Walk.

·         Rules of grammar, usage, and punctuation are followed; spelling is correct.

 

 

 

 

Total Available

Total Earned

 

 

10

 

 

 

Gemba Walk

To set the stage for the Gemba Walk, a survey was conducted within the healthcare billing department to determine the areas that would use some realistic improvements. At the conceptualization stage, the need for the Gemba Walk had been slightly overlooked. But compared to the time wasted in redundant tasks within the department and general unproductivity, it was evident that Gemba Walk was necessary. Complete a modified Gemba Walk. The bi-weekly staff meeting in the billing department acted as an opportunity for the survey to be conducted. This is considering that the facility has a policy for each department to hold regular staff meetings in the departments where a peer review process ensues. Complete a modified Gemba Walk.

The review process acts a learning opportunity that supports quality improvement among personnel as well as their development. The process evaluates staff practices to identify successful trends and areas that require improvement. In essence, it ensures staff performance consistency by allowing for consistent application of the best approaches, improving service quality using training and correction plans (Mann, 2014). As such, the bi-weekly review process can be considered as constructive collaborative erudition experiences for the healthcare billing department staff.

Completing the Gemba Walk entailed observing the staff, asking them questions, taking an interest in their tasks completion and completing team audit charts. The purpose of the audit charts was explained to the staff under observation as a tool that would identify their learning opportunities. The presence of an observer (the researcher applying Gemba Walk and using the audit charts) empowered the staff to identify their department’s problems and their possible solutions. As staff engaged within the department at the most intimate level, the department personnel are expected to identify the systematic and broader problems plaguing their department as well as likely solution (Hafey, 2015).

Four key responsibilities were identified for the Gemba Walk. Firstly, a quality assurance manager was identified to review and sign off on the presented correction plans, as well as linking with the other personnel to communicate areas that require improvement and may have been overlooked, prevailing health industry trends, and outcomes as the correction program proceeds. Secondly, a correction program manager who ensured that approval is received from the facility administrators to include their signatures, the proposed corrections are formalized and completed, and a timeframe is identified for each step with defined due dates Complete a modified Gemba Walk. Thirdly, the department staff who act as the correction program personnel whose responsibility is to contribute to the review process based on experience and education levels, and implementing the correction program guided by the existing timetable and timeframe. Finally, the research (compliance manager) who is responsible for ordering the whole process, as well as collecting and reporting the data (Mann, 2015).

All through staff observation and data collection process, it was noted that a lot of staff members were not confident in the audit process. The audit chart left these staff members with a lot of questions with a lot of interpretations offered for each question. Some of the staff were unfamiliar with the audit terminology. In fact, there were a group of staff members who expressed discontent with the review process and considered it a waste of their time since they could be engaging in other more productive activities. Complete a modified Gemba Walk. Still, it is undeniable that the Gemba Walk offered some insight into the nature of water within the department and how improvements could be carried out to eliminate the wastes. The bi-weekly staff meetings acknowledges areas requiring improvement even as they identify documentation trends, issues with resources, systematic issues, and barriers against improvement. Overall, Gemba Walk makes it easier to identify strategic issues for improvement.

References

Hafey, R. (2015).
Lean Safety Gemba Walks: A methodology for workforce engagement and culture change
. Boca Raton, FL: CRC Press/Taylor & Francis Group.

Mann, D. (2015).
Creating a Lean Culture: Tools to sustain lean conversions
(3
rd
ed.). Boca Raton, FL: CRC Press/Taylor & Francis Group Complete a modified Gemba Walk.

Explain why caregivers are considered patient advocates.  When and how does one become a patient advocate?  Discuss the legal implications of being a patient advocate. What resources can patient advocates access to help them perform their roles/responsibilities?  Identify a minimum of three resources

WHAT IS A GEMBA WALK

From the Japanese term
gembutsu 
which means “real thing” or “real place”

A personal observation of work

Observation occurs where the work is happening

Interaction with the people doing the work where the work is happening

It’s often an actual walk

Comes from Lean Six Sigma

WHEN IS IT NOT?

Not an opportunity for finding fault with others

Not a time to solve problems or make changes

Not an opportunity to enforce policy requirements

Note complaints but do not act… yet

STEPS TO TAKE

Consider the Four Ws Where?

Where shall I walk?

Who?

To whom shall I talk?

When?

When will I go?

What?

What do I want to know?

EVALUATION SHEET: TAKING NOTES

Possible prompts for you

Process being examined

Description of process

Team and individuals responsible

Average time to completion (if applicable

Average time to whatever comes next

Quality of process or product that comes out of process

Value added by process

Individual feedback and frustrations

LOOK FOR MUDA

Japanese term for
”waste”

Extra steps

Duplicative work

Obstacles to producing product

Think broadly about “product”

Obstacles to an uncomplicated work environment

Operationally

Socially

CONCLUSION

Talk with your mentors

Go with the flow

Use this outside the course

Looking forward to your findings

Evidence-Based Practice Project—Paper on Diabetes

 Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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 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 assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Genitourinary System Nursing Essay

Describe a patient with a genitourinary symptom or group of symptoms; such as incontinence, burning on urination, irregular menses, pain in the scrotum, erectile dysfunction, and so on. Do not limit yourself to these; for example, there are different types of incontinence. What questions would you ask as part of your focused assessment? What history might be associated with the symptom, if any? What are the known risk factors for this condition? What physical examination techniques would you use? What patient education would you give to the patient? Find a nursing journal article about these symptoms.

Evidence-Based Practice Project – Intervention Presentation on Diabetes Essay

Details:

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.

A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

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, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin

Nervous System Nursing Essay

Choose one common complaint (symptom or group of symptoms) related to the neurological system. For example, you may select syncope, hand tremors, seizures, right/left-sided weakness or paralysis, abnormalities of gait or posture, changes in mental status, and so on. Do not limit yourself to these examples. What questions would you ask as part of your focused assessment? What history would be associated with the symptom? What are the risk factors for this condition? What physical examination techniques would you use? What patient education would you give to the patient? Find a nursing journal article about this symptom or condition.

The focus of this discussion is adolescent healthcare. Please address the following points in your initial response:

In your opinion, what are the two most important factors that influence adolescent development? Give rationales for your choices.

In the Western culture, there are a variety of health services available for adolescents, but what is missing in Western society that would benefit health promotion for adolescents?

How do the health problems that adolescents face impact their health and wellness in their lifetime?

“A vital part of the reflective process is to plan for changes in your behavior.”

— Somerville & Keeling, 2004.

Being a reflective practitioner enables NPs to identify weaknesses and target professional development in order to address these weaknesses. In turn, this increases the NPs’ ability to provide the best care to patients and their families. Reflection also affords the NP time to consider communication and their efforts toward creating a culture of mutual support with colleagues, a characteristic that is essential to successful NP practice (Somerville & Keeling, 2004).

Each week you will complete a Journal Entry and Time Log that prompts you to reflect on your Practicum Experiences and how they relate to your Professional Goals and Self-Assessment of Clinical Skills. This week you will begin documenting your Practicum Experiences in your Practicum Journal.

Somerville, D., Keeling, J. (2004). A practical approach to promote reflective practice within nursing. Nursing Times, 100(12), 42–45. Retrieved from http://www.nursingtimes.net/Journals/2012/11/30/v/l/x/040323A-practical-approach-to-promote-reflective-practice-within-nursing.pdf

To prepare

For this course’s Practicum Experience, address the following in your Practicum Journal:

From your perspective, explain the role of nurse practitioners in clinical settings

Develop goals and objectives for the Practicum Experience in this course

Create a proposed timeline of practicum activities based on your practicum requirements.