how long does it take to develop a standard?

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Grading Rubric Sample Table Hints and A Help for this Discusson Question

Class, this question is asking how do organizations develop nursing standards of practice.  Standards of practice are documents that outline minimum levels of performance for nurses in general and for nurses in specialties. The ANA’s Scope and Standards of Nursing Practice is an example of a standard of practice for nurses in general. Standards of nursing practice are accepted nationally and do not differ across states like scope of practice may. The DQ asks you to discuss your states development of standards, but since standards are developed nationally so simply discuss how standards are developed using our resources and readings.   The course design just updated the course, questions, readings and I will report this error/ confusing question to them.

Here is a link to the page that lists organizations  standards of practice to help you grasp the  idea of standards. It lists many  organizations/specialties, each with their own standards.   Recall that other nursing organizations and  accrediting agencies also make standards, but  professional organizations like the ANA’s are more well known, in fact many nurses incorrectly believe that only the ANA makes standards of nursing practice.  This unit is a great opportunity to learn more about standards and explore other professional organizations and learn about their standards

 

This ANA article on best practices for adopting standards is a great source for learning about the steps in developing standards of nursing practice (please summarize the information in your own words).  Some areas of focus for this question might be how is the need for a standard recognized?  how long does it take to develop a standard? Is there research involved? What must be included/considered?  The source is a cached web site.  If you have difficulty let me know.

be sure to complete all assigned readings prior to posting your answer to the question. Lisa

 

Grading Rubric

Outline the process for the development of nursing standards of practice for your state,+3

Discussion of the entities involved in developing the standards of practice and +3

Discuss how the standards of practice influence the nursing process for your areas or specialty. +3

Writing and APA

 

You may post the answers in narrative or use the table I provided below.  Rememer our assigned readings are your best sources for references.

 

Process for Developing Standards of Practice  

 
Entities that may be involved  

 
Influence of Standards of Practice on nursing in your work/ specialty  

 

Reference

What sections of the Nursing Practice Act and the Board rules address documentation?

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Texas Board of Nursing –

First Question – What sections of the Nursing Practice Act and the Board rules address documentation?

Second Question – The nurse can not make more staff magically appear. What could the nurse have done, under this circumstance, to improve documentation and perhaps avoid being reported to the Board? (note: In the real case upon which this scenario is built, the nurse did testify that she felt that she had allowed herself to get lulled onto the “that’s the way we do it” mentality for that unit)

Third Question – What did you feel is the best way to handle narcotic wastage if another nurse is not readily available?

Must use the Background Information Letter and Sample Notice Letter attached to respond – and the Texas Board of Nursing’s Rules – Nurse Practice Act etc.

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    N3645BBackgroundInfoandSampleLetter.pdf

Discuss how the real-time data encourages outcome-focused planning

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Prepare a brief 10 slides PowerPoint presentation in which you do the following:

  1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
  2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
  3. Discuss how the real-time data encourages outcome-focused planning.
  4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Presentations must include speakers’ notes on each slide, as well as references for the presentation. A minimum of three academic references from credible sources are required for this assignment. The slide count (10 slides) does not include the introduction and References slide(s).

Prepare this assignment according to the APA guidelines found in the APA Style.

CHECK PLAGIARISM

Healthcare is a right and as such access to care is also right, so why are more people dying sooner? 

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I need a positive argument  based in this discussion question. Respond to this argument in one or more of the following ways:

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use references 

Main Post

While the US spends more money per capita on health care than other country with little to no change in life expectancy, the rising cost continues to be directly related to the medical treatment of disease rather than prevention.  For many chronic disease processes, acute care is synonymous to a band aid on a decubitus ulcer.  This analogy can also be applied to the governments’ current approach to the delivery of healthcare.

An enormous opportunity for economic reform exists in healthcare from the Federal, State, and Local levels of government to the individual healthcare provider.  We can effect change not just by prevention, but also by considering new and dynamic methods to improve what is clearly a privileged system that caters mostly to the “haves” not the “have not’s”.  The poorer, less educated, and disabled (usually pre-existing) without resources are likely to be repeatedly hospitalized, without insurance and with costs defrayed to the private insurance sector causing private pay to be more expensive and limited in scope.  In the United States, insurance is a privilege, but access to healthcare is a right.

Logic indicates follow-up care and access to long-term treatment will lessen the need for hospitalization and improve patient health and quality of life.  It stands to reason the primary care takers of the chronically and terminally ill also experience a negative impact on their physical well-being and are silently hidden cost secondary to lack of appropriate resources and a disease centered model of healthcare.

The Population Health Model (Organization for Economic Co-operation and Development (OECD), (2013) suggests one might be able to extrapolate a similar model when considering how our government and the resulting bipartisanship limits, if not completely paralyses, the effective provision and advancement of health care to our Nation’s citizens.

In summary, it isn’t only the health-related behaviors of individuals; it is the inaccessibility to resources that limits effective change because of the political agendas and the subsequent inertia.  The resulting bureaucracy continues to facilitate the rising cost of healthcare while simultaneously precipitating the decrease in the American life-expectancy.  As practitioners, are we simply willing to accept the fact that our government is spending more money to live less years? Healthcare is a right and as such access to care is also right, so why are more people dying sooner?  The current provision of healthcare is seriously flawed. If our Nation continues to remain stagnant (bipartisan) rather than humanitarian on these issues we will continue to experience a rise in health care that is directly proportional to an unhealthier population and decreased life expectancy.  The ineffective and unequal provision of health care in this country remains a conundrum for which we seem incapable of finding a solution.

 

References:

World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. Retrieved from http://www.who.int/about/definition/en/print.html

Knickman, J.R, & Kovner, A.R. (Eds). (2015). Health care delivery in the United States (4th ed.). New York, NY: Springer Publishing.

Healthcare.gov Plans – 2018 Trump Care Health Plans. Quote. First Quote Health. Com/? Campain_source.

American Nurses Association.  Health System Reform.  Retrieved March 22, 2012, from NURS://www.nursingworld.org/Main/Menu?Catagories/Policy-Advocacy/Health System Reform.

Discuss the role of evidence-based practice in the provision of professional nursing care

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CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1)

CO8: Discuss the role of evidence-based practice in the provision of professional nursing care. (PO8)

Select a challenging nursing care issue (examples include falls, medication errors, pressure ulcers, and other clinical issues that can be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue.

State the issue.

Explain the process you would use to search CINAHL for evidence. Include your search terms.

References

Chamberlain College of Nursing. (2018). NR351 Transitions in Professional Nursing: Week 5 lesson. Downers Grove, IL: Online Publication.

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th edition). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

What is the future of healthcare in the Kingdom of Saudi Arabia?

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Critical Thinking assignment 14 – 550

Review the Vision 2030 website and create a presentation that summarizes the vision, governance, themes, programs, and how these changes will support the improved healthcare of Saudi Arabian citizens.

Then answer these questions in the concluding slides of the presentation:

· What is the future of healthcare in the Kingdom of Saudi Arabia?

· What are the non-pharmaceutical methods that the Ministry of Health could use to prevent the spread of disease?

· What steps has the Ministry of Health taken to prepare for pandemic events?

· How is information accessed and exchanged regarding disease outbreaks in the Kingdom of Saudi Arabia?

· How does the Kingdom of Saudi Arabia suffer from non-communicable diseases that is the highest cause of mortality?

· What is the risk of a re-emergence of infectious disease outbreaks in the Kingdom of Saudi Arabia?

, research a minimum of six articles that help support your statements in the presentation. Please use the following headings:

· Introduction

· Vision 2030

. Governance

· Themes

. Programs

· The Future of Healthcare in KSA

. Disease Prevention

· Pandemic Preparation

. Disease Outbreaks

· Non-Communicable Diseases

. Re-emergence of Infectious Disease

· Conclusions

· References

Your presentation should meet the following structural requirements:

· Be 7 slides in length, not including the cover or reference pages.

Each slide must provide detailed speakers notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.

· Be formatted according to and APA writing guidelines.

· Provide support for your statements with in-text citations from a minimum of six scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.

· Remember to utilize headings to organize the content in your work.

Reflect on how to approach relocating licensure from one state to another

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To prepare: 2 pages: Certification Plan

 

 

 

Begin to develop a plan to pass the Certification Exam. Compare your home state’s laws (Georgia) in regards to Advanced Practice Nursing Practice to an alternate state with a less or more restrictive practice environment.

 

For this Assignment, you will create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.

 

To prepare:

 

Consider the differences in certification exams options for your specialty (ANCC -vs-AANP)

 

Reflect on how to approach relocating licensure from one state to another

 

Write a 2-3 page paper which summarizes the following:

 

Identify the certification exam you selected and explain why (My Choice is AANP EXAM)

 

Outline your plan for passing the appropriate National Certification Exam

 

Describe the NP Practice environment for your home state ( Georgia)  highlighting restrictions or limitations for practice

 

 

 

 

 

 

 

Reference

 

Certification Sites

 

The purpose of the credentialing body is to provide a valid and reliable program for entry-level nurse practitioners to recognize and validate their education, knowledge, and professional expertise as a nurse practitioner. Both credentialing bodies will be reviewed including application process.

 

American Academy of Nurse Practitioners (n.d.). American Academy of Nurse Practitioners National Certification Program. Retrieved from http://www.aanpcert.org/index

 

American Nurses Association (n.d.). American Nurses Credentialing Center. Retrieved from http://www.nursecredentialing.org/

 

National Council of State Boards of Nursing (n.d.). Boards and Regulations. Retrieved from https://www.ncsbn.org/boards.htm

 

National Organization of Nurse Practitioner Faculties (2011). Statement on Acute Care and Primary Care Nurse Practitioner Practice. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/NPPrimaryCareAcuteCarePracticeFINAL.pdf

 

 

 

Required Media

 

The American Association of Nurse Practitioners (2011, April 19). A Brief History of the AANP [Video file]. Retrieved from https://www.youtube.com/watch?v=9M9gyjvpetw

 

 

What meaningful use objective or objectives are related to the identified gap?

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Peer Review of Workflow Models

 

In the Week 4 Discussion, you explored the benefits of gaining an outsider’s perspective on a workflow issue or gap you are investigating. It can be equally beneficial to request feedback from others on the accuracy and clarity of a workflow model.

 

In this Discussion, you and your colleagues critique one another’s Visio drafts of your workflow models that you created for Part 1 of the Course Project and provide feedback on how to make the workflow model more complete. You also receive feedback on your own workflow model and consider additional information that you may need to collect as you conduct your gap analysis.

 

To prepare

 

  • By Day 1 of this week, your Instructor will have assigned you to review two colleague’s Visio drafts. Locate these drafts in Doc Sharing. (Please see the attached files for assigned colleague Visio drafts)
  • Examine each workflow model using the basic requirements outlined in the Course Project. Consider the following:
    • Does each draft use standard Visio workflow shapes for start and end points, basic steps, and decision points?
    • Are all points connected with arrows flowing in the correct direction?
    • Are swimlanes present to identify who completes each task?
  • Carefully read through each workflow model.
    • Does it make sense?
    • What areas are unclear or confusing?
    • Are all decision points adequately explained?
    • What parts need additional detail?
  • Identify at least one additional gap in each workflow. For example, this may be a redundant task, an unnecessary task, an ineffective system or process, or an area where staff need support. What meaningful use objective or objectives are related to the identified gap?

    With these thoughts in mind:

    minimum of 550 words in APA with 2 references, addressing the level one headings below:

    1) Your reviews of your colleagues’ Visio drafts. Identify any basic requirements (standard workflow shapes, arrow directions, decision points, swimlanes, etc.) that are unmet or need revision. Also identify areas that lack information and what additional detail is necessary to clarify those areas. PLEASE SEE THE ATTACHED FILES FOR THE VISIO DRAFT TO REVIEW

    2) Describe the gap you identified in the workflow and explain how it is related to at least one meaningful use objective.

     

     

    Required Readings

     

    Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

  • Review Chapter 5, “Process Modeling” (pp. 153–186)

     

    Helmers, S. (2011). Microsoft Visio 2010 step by step. Sebastopol, CA: O’Reilly.

 

  • Chapter 7, “Adding and Using Hyperlinks” (pp. 215–238)

    This chapter includes instructions for adding hyperlinks to a Visio drawing. These can be links to a website, another document, or another Visio page.

     

  • Chapter 8, “Sharing and Publishing Diagrams: Part 1” (pp. 239–270)

    This chapter introduces how to preview and print a Visio diagram, how to create Visio templates, and how to post a diagram to the Web.

     

  • Chapter 10, “Visualizing Your Data” (pp. 299–320)

    This chapter describes how a variety of graphics may be used when creating a Visio diagram. It demonstrates how to use existing graphics or how to create customized graphics for a specialized project.

     

    Fickenscher, K., & Bakerman, M. (2011). Process redesign is key to successful IT deployment. Physician Executive, 37(3), 76–79.

    Retrieved from the Walden Library databases.

     

    The authors of this article evaluate how engaging health IT in patient care is a multidisciplinary, multileveled endeavor. Given the collaborative nature of health care organizations, redesigning health delivery processes requires the cooperation of a variety of health care personnel if it is to be successful.

    McAlearney, A. S., Song, P. H., Robbins, J., Hirsch, A., Jorina, M., Kowalczyk, N., & Chisolm, D. (2010). Moving from good to great in ambulatory electronic health record implementation. Journal for Healthcare Quality, 32(5), 41–50.

    Retrieved from the Walden Library databases.

     

    In this article, the authors describe research into the implementation of EHR systems for use in ambulatory care. They concluded that the difference between good systems and great systems is that great systems have a built-in process that allows for continual optimization over time.

     

     

    Smaltz, D. H., Callander, R., Turner, M., Kennamer, G., Wurtz, H., Bowen, A., & Waldrum, M. R. (2005). Making sausage—Effective management of enterprise-wide clinical IT projects. Journal of Healthcare Information Management, 19(2), 48–55. Retrieved from http://www.himss.org/files/HIMSSorg/content/files/jhim/19-2/focus_making.pdf

     

    Incentives for adopting health IT alterations differ between employees and independent entrepreneurs. The authors propose an influence-based methodology for creating the appropriate health care environment for clinical IT use.

     

     

    Optional Resources

     

    There are a wide variety of online tutorials available to assist you with using Visio. Below are two you might consider, as needed:

     

    Microsoft. (2011). The Visio 2010 MVP sessions. Retrieved from http://office.microsoft.com/en-us/visio/

     

    This free resource, developed by Microsoft, provides video tutorials in the use of all aspects of Visio 2010.

     

     

    Edson, D. (2011). Visio 2010 essential training. Retrieved from http://www.lynda.com/Visio-2010-tutorials/Essential-Training/75921-2.html

     

    This series of videos provides detailed instruction on all aspects of Visio use. This resource requires a paid subscription.

     

     

     

 

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What is the difference in a mutual and a stock insurance company?

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1. Define infant mortality. Suggest possible reasons why many countries have a lower infant mortality than the United States.

2. Currently the government pays for approximately 45% of health care in the US. List the major government funded health care programs. How does the percentage of government spending in the US compare with government spending in most countries in Europe?

3. Briefly comment on the increase since 1999 in health insurance premiums, workers’ earnings, and inflation. Exact numbers are not necessary.

4. The textbook states, “The United States is the only major industrialized country in which voluntary, employment-based health plans are the primary source of health insurance for its citizens.” Comment on how employee-based insurance affects our health care system.

5. Define the following three terms: cancer incidence rate, cancer 5-year survival rate, and cancer death rate and then discuss how the trends in each are related each other.

6. A graph showing population distribution by age is often called the “population pyramid”. Explain how studying this distribution for a country can be useful in determining current and particularly future health care needs. Draw the general shape of the population pyramid for the United States in 2014.

7. Outline what services are covered by Medicare Part A, Part B and Part D.

8. Comment on how Medicaid is administered and the source of funds.

9. Briefly describe the major concepts behind the Resource-Based Relative Values (RBRV) system that Medicare uses to determine physician reimbursement..

10. How is Medicare Part A and Part B funded?

11. Describe the DRG system for payment and describe how its implementation changed health care delivery in America.

12. What is the difference in a mutual and a stock insurance company?

13. List factors that influence the diffusion, adoption and utilization of new technology in the American health care system.

14. Describe workers’ compensation coverage and what benefits are provided.

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