o   What special considerations do you need to take into account when going to your Practicum site?

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Describe the organizational complexity of your Practicum setting

·         Critique the organizational information technology infrastructure

·         Identify roles within the interdisciplinary informatics team

·        Analyze the role of the nurse informaticist

 Practicum Experience Journal

 

You must submit a journal entry in the assigned week, even if you are not on site that week. If you are not on site for a week in which a journal entry is due, reflect on experiences from any of the previous weeks of this course. Place the references for each week’s entry immediately after that week’s content. Remember to use APA style when writing your journal entry and references.

 

Begin each journal entry on a new page. The template has a ‘new page’ command inserted before each weekly label. Be sure to delete any blank pages that appear between each week’s entry.

 

Practicum Experience Journal Entries  (Weeks 2–3)

 

Journal Entries Due Week 3 (References immediately follow the content)

 

From Week 2:

 

Journal Assignment—Part 1

After reviewing the Practicum Weekly Resources and speaking with your Preceptor, record responses to the following in your Journal:

·         A clearly articulated statement of your area of interest and career goals(Nurse Informatics Specialist)

·         A description of what it means to be a nursing professional

o   How would this influence how you dress, speak, and act?

o   What special considerations do you need to take into account when going to your Practicum site?

·         A description of three things you could do to increase your personal professionalism

Journal Assignment—Part 2

Note: Each week, you are responsible for locating a scholarly Journal article in the Walden Library related to your area(s) of interest. Include in your Journal the reference in proper APA format, and provide a brief summary of the article. The article from each week will serve as the genesis of the bibliography in your final Practicum course (NURS 6600), so time spent locating pertinent articles now will be beneficial. See Attached PDF Week 2 article in file area

Beckham, R., & Riedford, K. (2014). Evolution of a Graduate-Level Informatics Course for the Noninformatics Specialist Nurse. Journal For Nurse Practitioners, 10(6), 387-392. doi:10.1016/j.nurpra.2014.03.012

Journal Assignment—Part 3

Practicum Onsite Visits

Summarize the key activities of your visits to your Practicum site (as appropriate), including with whom you met (I met with Jeanette Jefferies and Mary Ann Dinietro who are both Nursing Informatics Specialist, April Saathoff who is the Nursing Informatics Manager and my preceptor,Nycki Bezold who is the manager of special projects, Stacy Brull who is Sr. Director Education & Research and Magnet) what you did (Attended a meeting about implementing a patient and nurse call system, assisted in staff training on how to document in their Meditech system, Assisted in a meeting on the hospital project for switching system from their current Meditech system to Epic EHR system), and what you gained from the experience ( The experience I gained …).

 

 

Journal Entries Due Week 3 (References immediately follow the content)

 

From Week 3:

 

Journal Assignment—Part 1

After examining the Practicum Weekly Resources, record responses to the following in your Journal:

·         Describe systems thinking as it applies to your Practicum site.

·         In what ways is the system effective? What potential issues or problems do you notice?

·         Why is it important to consider systems thinking in any IT project?

Journal Assignment—Part 2

Note: Each week, you are responsible for locating a scholarly journal article in the Walden Library related to your area(s) of interest. Include in your Journal the reference in proper APA format, and provide a brief summary of the article. The article from each week will serve as the genesis of the bibliography in your final Practicum course (NURS 6600), so time spent locating pertinent articles now will be beneficial. See attached PDF on Week 3 Article in file area

Trbovich, P. (2014). Five ways to incorporate systems thinking into healthcare organizations. Biomedical Instrumentation & Technology, 4831-36. doi:10.2345/0899-8205-48.s2.31

 

Journal Assignment—Part 3

Practicum Onsite Visits

Summarize the key activities of your visits to your Practicum site (as appropriate), including with whom you met, what you did, and what you gained from the experience.(Just make anything up related to the topic please).

 

 

 

Practicum Week 2 Resources

Readings

 

   Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.

 

Retrieved from the Walden Library databases.

This article examines the various constituents that make up the nursing informatics workforce. In particular, the article highlights key positions and provides details on their duties.

 

Staples, S. (n.d.). Are you a nursing professional? [Blog post]. Nurse Together. Retrieved from http://www.nursetogether.com/are-you-a-nursing-professional–

The author of this article highlights the attributes of a professional nurse. The article emphasizes appearance, mutual respect, and a commitment to learning and excellence.

 

Media

 

Hamer, S. (n.d.). Nurses and the importance of informatics. London, GB: Department of Health Informatics Directorate. Retrieved from http://www.connectingforhealth.nhs.uk/engagement/clinical/ncls/nurses/shamer

Note: The approximate length of this media piece is 7 minutes.

In this video, Dr. Susan Hamer explains the importance of informatics in the health care field. The video also examines in detail many of the challenges of nursing informatics.

 

 

Practicum Week 3 Resources

Readings

 

Swanson, R. C., Cattaneo, A., Bradley, E., Chunharas, S., Atun, R., Abbas, K. M., et al. (2012). Rethinking health systems strengthening: Key systems thinking tools and strategies for transformational change. Health Policy and Planning, 27(Supplement 4), iv54–iv61. Retrieved from http://heapol.oxfordJournals.org/content/27/suppl_4/iv54.full

 

 

 

This article explores how systems thinking can facilitate transformational change in health care. The article describes tools and strategies that are influenced by systems thinking, and how they may be used across different contexts.

 

Media

 

    Farmer, P. (2009). On systems thinking in the delivery of health care. Reflections on Leadership for Social Change. Dartmouth University. Retrieved from http://www.youtube.com/watch?v=ukRjaQwGM3E

This video presents a perspective on the necessity of systems thinking in the health care field. The video provides information on how systems thinking can improve delivery in health care around the world.

 

Describe and briefly evaluate the role and process of self-help groups in the treatment of substance abuse. 

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Describe and briefly evaluate the role and process of self-help groups in the treatment of substance abuse.

– At least 2 full pages

– APA references

How does an organizations strategic plan relate to a decision to purchase information technology such as an electronic health record system?

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Write a small discussion in only 2 pages of the following questions:

  1. How does an organizations strategic plan relate to a decision to purchase information technology such as an electronic health record system?
  2. What are the known incentives for implementation of an electronic health record?
  3. What is the role of nursing in the development of these records?
  4. What is the role of a nurse who specializes in nursing informatics?

o    Explain how as you would perform both the anterior and posterior methods of the assessment of the thyroid gland.

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Tympanic Membrane and Thyroid Gland
Using the South University Online Library or the Internet, research the tympanic membrane and the thyroid gland. Based on your findings, create a 5- page Microsoft Word document that includes:
  • Information about a minimum of two health assessment histories.
  • The possible findings for the tympanic membrane.
  • Information on how to examine the thyroid gland using both the anterior and posterior methods.
  • A concise note in the subjective, objective, assessment, and plan (SOAP) format with each patient’s encountered findings.
  • Information about laboratory tests that may be used for screening clients and the expected normal levels for each test.
Support your responses with examples.
On a separate references page, cite all sources using APA format.

 

 

Grading Requirements:
o    Provided information about a minimum of two health assessment histories =  
o    Create two health assessment histories, one for a patient with tympanic membrane issues and one for a patient with thyroid gland issues, Be Creative!!
o    Explain the possible findings for the tympanic membrane =
o    Provide in detail an explanation for the normal and abnormal findings found during the assessment of the tympanic membrane.  
o    Provide information on how to examine the thyroid gland using both the anterior and posterior methods =
o    Explain how as you would perform both the anterior and posterior methods of the assessment of the thyroid gland.
o    Create a concise note in the SOAP format for both patient’s encountered findings =  
o    Create two SOAP (Subjective data (Verbal Findings), Objective data (Physical assessment findings), Assessment (this is the possible diagnosis and lab date for your patient), and Plan (Patient plan of care) notes documenting the detailed physical assessment findings from both your created patients.
o    Provided information about review laboratory tests that may be used for screening clients and the expected normal levels for each test =  
o    Explain the appropriate labs you would order for you created patients and provide the normal levels for each lab.
o    Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format =
o    Ensure proper APA format. If you need assistance with APA format, please visit the “Academic Resources” section within the classroom, here you will find numerous sources to ensure academic success, including an APA guide.

Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.

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Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows:

  1. Explore the historical evolution of the advance practice nurse.
  2. Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas.
  3. Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.
  5. Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards.
  6. Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions.
  7. Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse.

This is another discussion/forum participation question. One and a half pages or maybe 2 pages only. I am specializing in Family Nurse Practitioner.

Describe which organizational structure a major, nationwide insurance company would likely use and why

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Describe which organizational structure a major, nationwide insurance company would likely use and why

What problems does the organization foresee as blocks to addressing this issue?

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interview co-workers or those responsible for finance in your organization on the financial management issue that you identified in Week 1. Your interview should capture salient information about the issue including information which you derived from the literature. Potential questions you might want to use include: How long has the organization tried to address this issue? What measures have been taken to address this issue in the past? What future steps have been planned to address this issue? What problems does the organization foresee as blocks to addressing this issue? How did your perception of the financial issue differ from the perception of those who are actually working on finances in the organization? Take the information you have learned from the interviews and create a 2-3 page paper with your findings.  Be sure to explain the roles of the individuals you interviewed.  As you reflect on the results of the interview, use current literature to further explain the important points.

Explain in detail the issues presented in the articles and their impact on the providers to Medicare recipients.

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choose two articles related to Medicare from the list below utilizing the resources from the South University Online Library journal databases (for example, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and the Internet).

  • Kaiser Family Foundation. (2011). Restructuring Medicare’s beneficiary
    design: Implications for beneficiaries and spending    . Retrieved from
    http://www.kff.org/medicare/upload/8256.pdf
  • Kaiser Family Foundation. (2012). Medicare’s role for dual-eligible
    beneficiaries    . Retrieved from http://www.kff.org/medicare/
    upload/8138-02.pdf
  • Guterman, S., Davis, K., Schoenbaum, S., & Shih, A. (2009). Using
    Medicare payment policy to transform the health system: A
    framework for improving performance. Health Affairs, 28, 238–250.
  • Marmor, T. (2007). Medicare’s politics. Journal of Health Politics, Policy
    and Law    , 32(2), 307–315.
  • Oberlander, J. (2007). Through the looking glass: The politics of The Medicare
    Prescription Drug, Improvement, and Modernization Act. Journal of
    Health Politics    , Policy and Law, 32(2), 187–219.
  • Zarabozo, C., & Harrison, S. (2009). Payment policy and the growth of
    Medicare advantage. Health Affairs, 28(1), 55–67.

In a Microsoft Word document, create a 2- to 3-page report on the analysis of the selected topics.

Your report should also include answers to the following:

  • Identify one or two main points from each selected article.
  • Explain in detail the issues presented in the articles and their impact on the recipients of Medicare.
  • Explain in detail the issues presented in the articles and their impact on the providers to Medicare recipients.

Support your responses with examples.

Cite any sources in APA format.

: Identify the community that you are assessing by name and state and provide a general description of the community.

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The purpose of this paper is to provide an opportunity to utilize community assessment strategies, uncover a community health problem, and identify the components of one community health nursing problem related to the community dynamics.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)

CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Due Date

Submit to the appropriate basket in the Dropboxby 11:59 p.m. MT Sunday of Week 4.

Points: 225 points

Directions

Watch the Milestone 2 tutorial by clicking this link. This tutorial is also available on Course Project page under Course Home as well as Week 4 Assignments page.

 

This paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper.Please use the following categories as the first level headings on your paper. See the documents in the APA category in Course Resources for assistance with APA formatting.

·         [Introduction:]This beginning of your paper should catch the reader’s attention with interesting facts about your community and should include the purpose statement of the paper. This should be one paragraph.APA states that you should not title this as introduction; however, you are still expected to write a separate introduction. The title of the paper should be repeated at the top of page two and centered.

·         Community Overview: Identify the community that you are assessing by name and state and provide a general description of the community. ( I LIVE IN SOUTH MIAMI FLORIDA, USA)  What is the general character of the community? Statistics should not be included here. Your community should be the area you live or workin and should include a residential area. It should be a large enough area to answer the questions in the text. This should be one paragraph.

·         Demographic Data: Compile a range of demographic (population description) data for your community by examining U.S. Census Bureau reports. Using this data, describe your community. Compare your community data to state or national data. A summary of this data should be no more than two paragraphs. http://quickfacts.census.gov/qfd/index.html

 

·         Epidemiological Data: Compile and summarize a range of epidemiological (illness, morbidity, and mortality) data for your community by examining data from sources such as city or county health department reports, County Health Rankings (countyhealthrankings.org), or the Centers for Disease Control to describe priority health problems in your area. See the Webliography for applicable sites to search. Compare your community to state or national data. This comparison will help to identify a priority community health problem specific to your community. A summary of this data should be no more than two paragraphs.

 

 

·         Windshield Survey: Provide a summary of your observations from your first milestone. Make sure to discuss observations related to your identified problem. This should be one to two paragraphs.

·                           WINDSHIELD SURVEY  PROJECT I already did ( Milestone 1)

Criteria Your response
1. Introduction of Community (20 points)

Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed.

 I currently reside in the city of Miami in Florida.  Miami has a population of 417,650, and Florida 19,600,311 based on the 2013 census. The average age is 36.2 years.  72.6% of the population is white.  70.0% of the population is Hispanic. (I’m not sure how the total percentage comes out to greater than 100%, unless some of the Hispanics counted themselves as white, or vice versa….) 19.2% of the population is African American. 1.0% of the population is Asian. In addition, 70.9% of people over the age of 25 have a high school diploma and 23.1% of people have a bachelors degree or higher.  32.8% of the population owns their homes; the median house income is $30,375. Retrieve from http://quickfacts.census.gov/qfd/states/12/1245000.html
2. Windshield Survey (100 points)

a. Vitality:Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality.

 The majority of the people who lives in my neighborhood are Hispanic. The most common ethnicity or race in Miami, Florida is white and Hispanic. The general appearance of the resident’s downtown is healthy and very fit bodies. I also notice residents that are appropriate dress and clean outfits. Here in Miami, Florida people take care very well of their appearance and look. Miami is a city of the entertainment, many places to visits and beautiful beaches, because of that many visitors and tourists come to visit our community.  People of various ages are visible in the mid town, during the day, there are many people of both genders and ages walking while carrying laundry bags or pushing carts with groceries. There is a home for the mental disable and some of the residents can be seen walking outside. I also noticed elderly using walker and wheelchair, others getting out of their private bus for elderly people. During the night, especially during weekends and near the beach, I notice many people under the influence of alcohol or drugs.

 
b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions. In Miami, Florida there are many single and multifamily residences. The condition of these homes and apartments varies with the neighborhood. We also have public houses, especially for single mothers, and homeless people that don’t have where to go or live.   The most common method of transportation is by car, buses, and train. You can also notice young adults riding motorcycles at high speed in highways. In the city of Miami we provide programs for elderly, like free transportation, food stamps, and activities reunions. Miami afford job opportunities; we have factories, small businesses, but no military installations. There are unemployed people such as homeless, especially in Downtown, living in the street under bridges. Even though we offer then public houses, most of them prefer to live in the street.

 
c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources. In Miami, Florida we have many local hospitals, which the majorities are very big that provides diverse services. We also have Dialysis centers, pharmacies, and surgical supply stores. There are Nursing/Rehab Centers as well as adult day care services. There are Urgent Care, and several medical, dental, and chiropractic offices. We have a Miami-Dade County Health Department, which offer diverse services like STD treatments, homeless or abused shelters, family planning services and more. There are mobile health vehicles and blood donation centers.

 
d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions. The condition of the roads and streets of the city of Miami are very good. With all the drainage systems in place and working well. There are adequate traffic lights, signs and handicapped accessible sidewalks throughout the town. Even thought Miami is a heavily trafficked city, all streets are very well organized with the proper signs. There are many restaurants. Usually, we don’t see people selling food in the streets, neither people eating in public areas. We have public restroom available in everywhere.
e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning. The generation within the neighborhood ranges from elderly to infants. There are families observed, and families are seen with either a mom or dad being present with their children. Families are caring for the children. Many of the families in the neighborhood remain to their selves and their family, the people working within their yard is not bothering their neighbors. I did not observe anything that would make me suspicious of social problems, neither gang activity, juvenile delinquency or drug or alcohol abuse.
f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare. The public health and Planned Parenthood clinics provide preventive and wellness care to the uninsured people. Frequently, volunteers from local hospitals offer a free annual Community Health Fair which provides education, cholesterol testing, blood pressure, diabetic testing, stroke risk and HIV screening services for Miami residents. There are many botanical and herbal medicine stores. I see advertising promoting a healthy lifestyle, exercise, how to quit smoking, not text and drive, neither drink nor drive.

 
3. Conclusion: (20 pts)

Provide a summary of your findings and your conclusion. What problems did you identify?

 In conclusion, the city of Miami provides numerous services and educational resources for its residents regarding ways to stay healthy. Also the town aims to maintain cohesiveness thought organized community service. Overall, the community has well-kept houses and living conditions. Many of the people are found walking the streets during the day and enjoying what the community has to offer. The community has many of options within the health system. Many hospitals that provides great care to the patients. For homeless or people who have a drug or alcohol problem, we have locations that provide help for them.

 

·         Problem Diagnosis:

o    Using the assessment data, identify one community health nursing problem that you consider to be a priority concern.

o    Relate your choice to one of the Healthy People 2020specific numbered objectives (not just a goal). Healthy People objectives are located within a topic area under the Objectives tab.

o    Your rationale should also include why this is a problem in your community and factors that contribute to the problem. Avoid discussion of interventions in this milestone.

o    Include a discussion of your problem within formation from at least two scholarly sources (such as professional journal articles).(Review the documents in the APA category in Doc Sharing for help in determining sources that are considered scholarly—hint, .com websites are not considered scholarly sources).This should be no more than three paragraphs.

·         Summary:Summarize your community assessment and diagnosis findings and include a brief statement about the problema nd the major factors that contribute to this problem. This information should be no more than two paragraphs.

·         Reference Page: All references should be cited within the paper and should be included on the reference page.

Guidelines

·         Application: Use Microsoft Word 2010 (or later)to create this assignment.

·         Use the categories above as APA headings for the sections of your paper.

·         Length: This paper is expected to be no more than four pages in length (not including the title page and reference list).

·         Submission: Submit your file via the basket in the Dropbox: Milestone 2 Assessment and Diagnosis, by 11:59 p.m.MT Sunday of Week 4.

·         Scholarly Writing: APA format is required. Review APA documents in the APA categoryin Course Resourcesand use the free resources of SmartThinking for writing tutors.

·         Save your paper with your last name in the document title (e.g., Smith Assessment and Diagnosis).

·         Late Submission: See the course policy on late submissions.

Best Practicesin Preparing the Paper

The following are best practices in preparing this project.

·         Complete the demographic, epidemiologic, and windshield survey prior to choosing a problem to focus on.

·         Choose onenursing problem specific to your community.

·         Make sure all elements of the paper are addressed and headings for each category are included.

·         Review directions thoroughly.

·         Cite all sources within the paper as well as on the reference page.

·         Proofread prior to final submission.

·         Check for spelling and grammar errors prior to final submission.

·         Use the A column of the rubric below to ensure that you have included all the needed elements.

·         Abide by the CCN academic integrity policy. The paper must be your original work. Once submitted to the Dropbox, check back to ensure that your Turnitin similarity index is less than 24%, if not revise and resubmit prior to the deadline.