Tag: Clinical-Nursing

Holistic Care in Nursing

This week’s topic is centered on the concept of caring in contemporary nursing practice. In your initial response, provide a definition of caring that aligns with your perspective on the concept of caring. Identify your selected program of study specialty track (Executive). Describe how you will apply the principles of caring and holistic nursing in your future professional practice. Use at least one outside scholarly article to support your position. Provide an example to illustrate an application to professional practice.

Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words. Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources: Use a library database such as CINAHL Complete for your search. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used; review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The term paper applies the Morrison and Furlong (2014) Health Care Ethics, Critical Issues for the 21st Century (3rd ed.) textbook to lead HCM 540 students through a process of health leadership competency, affective domain of learning, self-reflection, personal assessment, and professional development planning. The term paper is designed to facilitate the student to; comprehend, apply, analyze, evaluate, and create a better understanding of how to apply ethics when emerging ethical dilemmas arise and to articulate professional interests, strengths, and areas for further learning and development in preparation for managing and leading health care organizations in the future.  The term paper project milestone deadlines, by module, are as follows: 1. Read and familiarize yourself with the term paper assignment guidelines by the conclusion of Module 1 2. Submit the term paper via the Dropbox (linked to Turnitin) no later than Sunday 11:59 PM EST/EDT of Module 7.  In preparation for your term paper, research and compare the cases of Quinlan, Cruzan, and Schiavo. During your research, you should read about patient self-determination, right to die, advance care planning, ethical issues in right to die cases, the moral significance of family decision making, and ethical issues concerning physician-assisted suicide.  After you have completed these tasks, write a paper on: Death, Dying, and the Law in America. What are the ethical dilemmas and legal considerations families and providers will be faced with? Do you think that these ethical dilemmas and legal considerations are more important than they were in the past? What ethics issues related to death, medicine, and the family decision-making do you think will apply and be present as the patients experience the dying process today?  Your paper must:  ? be 8–10 pages in length  ? be double-spaced  ? use 1 inch margins left, right, top, and bottom  ? use 12-point Times New Roman font  The cover sheet, table of contents, index, pictures, long quotations, or multiple quotations will not count toward the 8–10 page requirement.  APA format is required.  Summarization and/or Conclusions Write a thoughtful and detailed summarization and/or conclusion of your term paper showing how you compared and integrated the Saint Leo core values of community, integrity, and excellence into the selected topic.

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Laboratory values are as follows: .5in;=”” 0px=”” 0in;=””>Hemoglobin = 8 g/dl .5in;=”” 0px=”” 0in;=””>Hematocrit = 32% .5in;=”” 0px=”” 0in;=””>Erythrocyte count = 3.1 x 10/mm .5in;=”” 0px=”” 0in;=””>RBC smear showed microcytic and hypochromic cells .5in;=”” 0px=”” 0in;=””>Reticulocyte count = 1.5% .5in;=”” 0px=”” 0in;=””>Other laboratory values were within normal limits. .5in;=”” 0px=”” 0in;=””> Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In anessay of 500-750 words, explain your answer and include rationale.

Health economist for the World Health Organization and Global Health Data Exchange (GHDx

History and Development Of The Global Health Data Exchange (GHDx) Essay

Imagine you are a health economist, specifically a health financing advisor working for the World Health Organization (WHO). You have been asked to put together a presentation about what you learned at the recent World Health Summit. Be sure to include the following information in your presentation: Explain your job duties. Describe the history and development of the Global Health Data Exchange (GHDx), and explain why it was formed. Include the types of services it provides around the world. Explain how the WHO, GHDx, and the World Health Summit are involved in world health, including information about how new technology is provided for foreign countries. Provide and describe the types of health care technology available in foreign countries. This can include low-income, middle-income, and high-income economies. Select 5 of the best health care organizations in the world, and summarize the services they provide. Explain why these are considered the best health care organizations in the world. In a table, outline significant differences among 4 nations offering the best health care as compared to those that provide low-quality health care.

You learned about quality management systems and what it takes to put a quality system into place within the workplace. This week we continue to put systems into place. Thinking about your work place and the tasks that you are required to complete on a daily basis, consider the procedure that is in place. You might find that though there is nothing truly written, your job tasks follow a procedure to ensure that the work is doing correctly. These guidelines are called work instructions and they are important because they ensure that those completing the tasks are doing them correctly. Work instructions are an important part of the quality control process because they provide detailed instructions to the employees stating what is to be done and what the expectations are in regards to the task. It is important to note that work instructions are an important factor of quality management systems such as ISO9000 and Six Sigma.

Materials Selection

As a part of the process, it is important to determine what works and what does not. When you consider products and parts that build the products, it is important to identify the materials and how they are used in the production of the product. This is where lot traceability comes in. Lot traceability aims to match material to the product. For example, you have a toaster that states lot number three on the bar code. You replace this toaster with what looks to be the exact same toaster, but the lot number on the bar code is number six. What you can see from this is that it is the same toaster, however, a different part may have been used somewhere in the production line or it was built at a different time than the first toaster you bought. This is very important in helping to determine defects of a product and which products were affected.

Suppliers

Another big part of the quality process system is the need for third-party suppliers. Suppliers provide the materials needed for building products and providing services. Let’s think about the computer that you are using right now to review this lecture. You may have purchased the computer as a “Dell” or an “Apple” product, however, the parts included in the computer may not have been manufactured by the company from which you made your purchase. There are many components within the unit that were made by third-party suppliers.

Understanding that there must be others involved in the manufacturing end of the process, it is important to know and trust your suppliers. Purchasing a product from a supplier who fails to take pride in their quality process means that the quality of your product will likely decrease. This is something you certainly want to avoid at all costs. Therefore, be sure that you have an established relationship and continue to research the organization to ensure that the supplier has the same ethics and standards that your workplace has. This often will help to ensure that your quality standards are met.

Supplier evaluations can also be helpful in order to ensure quality standards are being met. Be sure that these evaluations are conducted on a regular basis. This will show the supplier that you are serious about your quality standards and will also prevent the use of a product that fails to meet your standards. This is one of the most crucial parts of the process, yet it is also one of the most underused techniques due to lack of time or energy to complete the process.

Chapter 6 will provide you with the information necessary to plan for quality success within the workplace with the use of work instructions and supplier evaluations. Your main objective in finishing the weekly learning is to justify the importance of lot traceability. Upon completing your chapter reading, be sure to review the presentation and video that are found in your learning material.

Resources:

Sower, V.E. (2011). Essentials of Quality. Hoboken, NJ: John Wiley & Sons, Inc. Work Instructions

Review the article “8 ways electronic work instructions are transforming the shop floor” from this week’s reading assignment. This article discusses the importance of work instructions and how these instructions have improved a company that runs a shop floor environment. Assume that you are a manager for the company in this article. Considering the methods that have been used in the past and that are currently being used as mentioned in the article, explain what you feel the pros and cons are to electronic work instructions. Using outside research, what other work instructions might you introduce to the work place? You should include a minimum of two additional techniques not mentioned in this article. Use your course materials and outside research to generate a solid analysis on why these methods would be helpful. Your analysis should be supported by research.

Directions for obtaining the file: Login to the Grantham University library by clicking on the Resources tab from the main page. You will then log into EBSCOHost. Once you have accessed the database, simply copy and paste the title of the article and press enter to search and you should now have the file accessible to review.

The requirements below must be met for your paper to be accepted and graded:

Write between 750 – 1,250 words (approximately 3 – 5 pages) using Microsoft Word in APA style, see example below. Use font size 12 and 1” margins. Include cover page and reference page. At least 80% of your paper must be original content/writing. No more than 20% of your content/information may come from references. Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement. Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style. References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.

Experimental Design Quality Management Research Paper

This week you have learned about experimental design and the important role it plays in quality management. Thinking about your current workplace, how could experimental design be used to improve the product or service provided to your customers? If you are not currently employed, you may use a previous employer or a fictional company.

Your initial response should be a minimum of 150 words. Your work should be in your own words and should include research to support your response. Be sure to avoid Wikipedia as a resource as this is not a reliable source. Include your resources at the end of your response. Once you have completed your response, you will want to respond to at least two (2) of your classmates responses. Please remember that your responses to your classmates should be substantive and should promote additional discussion within the classroom. Simple “I agree” responses will not be counted towards your participation grade.

Reasons for conducting clinical exercise testing essays

Clinical exercise testing is conducted for numerous reasons. The purpose for exercise testing, the client’s history and characteristics, as well as the desired outcomes, should be considered before choosing a test modality and protocol.  After studying Chapter 5 and reviewing the Cardiopulmonary Exercise Testing (Links to an external site.)Links to an external site. video, address the following elements:

•Select two specific purposes for conducting clinical exercise testing and explain each briefly.

•For each chosen purpose, summarize the type of clients and their characteristics (i.e., gender, age, history, diagnoses, symptoms), warranting the administration of clinical exercise testing.

•Assess one exercise test modality and its common uses.

•Appraise the need for an exercise protocol and the rationale for individualizing it.

Support your work with your course text and at least one additional scholarly source. Your initial post should be at least 250 to 300 words in length.  Guided Response: Respond to a minimum of two peers by Day 7. Each reply should be a minimum of 100 words in length and supported by one scholarly source. Assume you are currently training your peers in the administration of exercise testing. In your first peer reply, explain one absolute indication to terminate testing. In your second peer reply, focus on a relative indication to abort testing

Control and Quality Improvement paper

In previous week’s, you have learned about the importance of quality and the tools necessary to meet quality standards. This week you will learn about control and quality improvement. In other words, you will gather the information needed in order to utilize the tools that improve quality within the workplace.

Let’s begin with what is necessary in order to determine a quality product. For starters, it is important to consider the design of the product. What is needed to make the product? Who is involved in building the product? What variables are to be considered throughout the process? These are all questions that are important when evaluating the design to ensure there is a quality product being built. This is called experimental design and it a crucial factor to the success of a product.

Once the design of the product has been established, it is important to determine how to analyze the experiments to ensure that what has been tested will indeed work moving forward. There are many tools that can be used, however, it is important to determine the method that truly will work for the product. Do not just assume that one method will work because it has worked with other products in the past. Doing this could lead to failure and the need to analyze the work over again. That, as we well know, will absorb time and take away from product development. Surely you understand the vicious circle that occurs when quality is less than, well…quality!

One might think that only products are to be evaluated, however, processes and services should also be looked at to ensure that quality is occurring on every level. Consider your workplace for a moment. Have you had any issues lately? Chances are you can remember a time where you felt a process was not working and you felt frustrated. This could be over something like an employee taking too much time off and you having to cover to meet deadlines. When a process fails, quality also struggles, therefore it is important to consider all aspects of a product starting with the design and ending with the customer’s thoughts on the product or service overall.

Now that you understand that evaluations and analysis are important, this leads us to problem solving. It is important to know that there are three types of errors that can occur in problem solving…Type I, II, and III. A Type I error involves solving a problem that does not exist. A Type II error involves failing to recognize a problem that exists. A Type III error occurs when the wrong problem is solved. Again, going back to the workplace, can you determine the type of error that occurred leading to failure? Chances are you already know which type it would be. Solving the problem is a big part to improving quality. As a manager, you are going to face many issues. You will find that employees come and go, technology changes, customers’ needs migrate in a different direction, etc. However, having the knowledge about quality and what makes a quality system work will help you to stay ahead of the curve. Remember that just because a process works well today does not mean that it will tomorrow.

The Seven Tools of Quality

There are seven tools to know and understand as one who is looking to achieve quality within the workplace. You want to know and understand how to use a flow chart, run chart, process-control chart, check sheet, pareto diagram, cause-and effect diagram, and a scatter diagram. Let me expand on these just a bit so that you understand what they are and why these tools are used. A flow chart is one that you might be familiar with. A flow chart is used to define and to understand a process. Many find that creating these charts by hand work well enough, however, there are templates and software available to assist you in creating a flow chart. A run chart is a graphical representation of measured variables over time. This is a great tool for determining a process and the length in which it might take to complete the process. A process-control chart can be a little more challenging as it is statistics based. The process-control chart determines if a process is working based on statistical data obtained from research.

A check sheet is otherwise known as a tally sheet. This tool can be used to evaluate both qualitative and quantitative data to ensure that the process is running smoothly. A pareto diagram analyzes the frequency of problems or causes in a process. This is reflected in a diagram that consists of columns and lines to show where problems may be occurring. The cause-and effect diagram is a chart that will show the potential results of a process. This is a fantastic tool for determining worst-case scenarios before they occur and revising the process to ensure these issues do not occur. And finally, a scatter diagram is a tool that will compare variables. This is a great tool to determine relationships based on plots placed on a number line. So, you can see that there are many tools to choose from, it’s just a matter of choosing the method or methods that are going to work best for your workplace.

Chapters 7, 8, and 9 will provide you with the information necessary to understand tools that are available to ensure quality standards. Your main objective in finishing the weekly learning is to assess the basic concepts and definitions of experimental design. Upon completing your chapter reading, be sure to review the presentation and video that are found in your learning material.

Resources

Sower, V.E. (2011). Essentials of Quality. Hoboken, NJ: John Wiley & Sons, Inc.

Seven Tools for Quality This week you have learned about the seven tools of quality. These tools are essential within the workplace and will improve your work environment if used properly. Using your current workplace as an example (if you are not employed, you may use a previous employer or fictional company) determine how the seven tools of quality can be used to improve your company. You will expand on your thoughts pertaining to the use of all seven tools. If there are tools that you feel would not be beneficial, expand upon why you feel this way. Use your course materials and outside research to generate a solid analysis on why these methods would be helpful. Your analysis should be supported by research.

The requirements below must be met for your paper to be accepted and graded:

Write between 750 – 1,250 words (approximately 3 – 5 pages) using Microsoft Word in APA style, see example below. Use font size 12 and 1” margins. Include cover page and reference page. At least 80% of your paper must be original content/writing. No more than 20% of your content/information may come from references. Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement. Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style. References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.