Explain how you would educate the entire nursing staff on EBP without “offending” the “seasoned” nurses.

Evidence-based Practice… What Does It Mean? (graded)

The concept of Evidence-Based Practice (EBP) may not be one with which “seasoned nurses” are familiar. Assume you are the newly appointed Nursing Leader in a busy Orthopedic Clinic. Explain how you would educate the entire nursing staff on EBP without “offending” the “seasoned” nurses. What interpersonal and communication skills would be important to utilize?

-If you found volunteers to either help in your treatment or to be treated by you, how did you find them?

(the 2 PDF files are attached)

 

After reading the article on Touch and NeuroFasia Processing (NFP) and viewing the PowerPoint Presentation on how to do NFP, try out NFP. Here are the guidelines:

 

Treat yourself with NFP in one of 2 ways:

 

Method 1: (appox. 10 hours) Choose an organ to treat. If for example you have a cough you could choose your anterior lungs. Liver is always a good choice; we could all use detoxification of our liver. Put one hand on that organ and your second hand on the first process center and hold it for at least 20-30 minutes. Then keep you first hand on the chosen organ and put second hand on the next process center and hold, continue though all process centers. You may do this over a period of days or weeks. A chart can be printed to help you keep track.

 

Method 2: This more efficient and only takes one hour, but requires you have 6-10 volunteers. You lie on a table and allow your volunteers to put their hands on each process center. Therefore, all process centers are connected to all process centers at the same time. Hold for one hour. Your volunteers can reposition during the hour. This way allows you to treat all organs and process centers at the same time.

 

Treat someone else using NFP.

 

After you have experienced NFP either as the person being treated or as the person giving treatment, report on the following:  *Must be at least 250 – 300 words; include 1-2 in-text citations and references.

-How did you feel about this assignment?

-If you found volunteers to either help in your treatment or to be treated by you, how did you find them?

-Why did you chose to do this assignment the way you did it?

-Please respond to at least 2 peers. I will be doing this after the submission of the discussion that you have done.

Peer responses must be 150-200 words each.

 

Manual therapies include, but are not limited to, chiropractic therapy, massage therapies, osteopathy, Cranial Sacral therapy, and techniques done by physical therapists and other practitioners; for example, Strain Counter Strain, Myofasia Release, Applied Kinesiology, Feldenkrais, Alexander Technique, Reflexology, and Neuro Fasia Processing.

 

Manual therapies manipulate bone and soft tissue to promote healing. Manipulation as a form of treatment is an ancient healing art that has been shared across time by various cultures.

 

Manipulation decreases pressure in the blood vessels and nerves and improves function of the manipulated area. Each type of manipulation emphasis a part of the body.

 

Manipulation is currently categorized into mechanical, neurological, and physiological. For example chiropractic care is mechanical and manipulates the spine to produce effects on the nervous system. Massage therapy is also mechanical and emphasizes muscle. Cranial Sacral is neurological and manipulates the head and spinal cord. Myofacial release, Neuro Fasia Processing (NFP), and other advanced manual therapies work on soft tissue and physiological function.

 

Osteopathic Doctors (DOs) are license doctors and can prescribe medication. DOs take a holistic and manipulation approach to treatment. They, like all manual therapists, support the fact that if the body is structurally sound it can and will accomplish healing.

 

, choose 3 to 4 resources from the Health Science Guides or from an appropriate website related to the disease you are interested in learning more about to help you write the paper.

Part of developing expertise in reading medical charts is having a solid understanding of disease processes based on the disease – and in some cases multiple diseases – that is/are being documented.

 

This short research paper will give you an opportunity to take a deeper dive into a disease that interests you over the next 3 weeks .For the assignment, choose 3 to 4 resources from the Health Science Guides or from an appropriate website related to the disease you are interested in learning more about to help you write the paper.

 

 

 

Please write about Diabetes. Make sure type 1, type2 and gestational diabetes are covered.

 

For the Week 5 submission:

 

Write 3-page essay in APA format that addresses the following:

 

  1. What are the signs and symptoms of the disease?
  2. What are some of the potential causes (i.e. etiology) of the disease?  
  3. Describe the pathophysiology of the disease: what is the body doing on the cellular or tissue level that is creating the signs/symptoms of the disease?
  4. What are some of the lab or imaging tests that are used to diagnose this disease?
  5. Once a definite diagnosis is made, what kinds of procedures might be used to treat it? What kinds of drug(s) might be used?
  6. Are the risk factors associated with this disease controllable (i.e. diet, lifestyle) or uncontrollable (gender or age factors?)

Explain the degree to which the hospital’s current information management practices support its mission statement and provide suggestions for strengthening these practices.

Information Management in Practice

 

The applications of an information management system are only as functional as the humans and computing processes working with the system. In her study in the Journal of Nursing Management, Phillips (2005) refers to good information management as “the use of all information, through organized systems of all forms, whether based on human endeavors, paper methods or information technology” (p. 525). Ultimately, all of an organization’s information use should be in support of its mission. In order for information to be as usable as Phillips suggests, it must progress through the data-information-knowledge continuum. Analyzing an organization’s information management practices helps streamline the conversion of raw data into information that can be used to create knowledge.

 

In this Discussion, you focus on the information management practices within a health care organization and consider how these practices help support the mission statement of the Hospital.

 

To prepare:

 

  • Referring to the Phillips statement above and this week’s Learning Resources, consider how your current or previous work setting (hospital) could benefit from an information management analysis.
  • Locate the mission statement for your health care organization or an organization with which you are familiar. Consider how current information management practices support the organization’s mission statement. If there is a lack of evidence of support, what changes could be made to strengthen these practices?
  • Reflect on how data is organized into information, and the information is then used to create knowledge. How is this data-information-knowledge model used in your hospital? Consider how using this model could improve practice within your organization.

    Post on Tuesday 06/06/2016 a minimum of 550 words in APA format with a minimum of 4 references

    1) A brief description of your selected hospital’s information management practices and an explanation of how the organization could benefit from an information management analysis.

    2) Explain the degree to which the hospital’s current information management practices support its mission statement and provide suggestions for strengthening these practices.

    3) Evaluate the use of the data-information-knowledge model within your selected hospital and provide suggestions for how it could be used to improve practice within the organization

     

 

Required Resources

 

Readings

 

  • Eessaar, E., & Soobik, M. (2012). A decision support method for evaluating database designs. Computer Science & Information Systems, 9(1), 81–106.
    Retrieved from the Walden Library databases.

    There are several motivations and criterion guiding database development. The authors of this article evaluate a newer data modeling method and how it facilitates the relationship between the development process and the intended use of data.

 

  • Corrao, S., Arcoraci, V., Anorne, S., Calvo, L., Scaglione, R., Di Bernardo, C. , …Licata, R. (2009). Evidence-based knowledge management: An approach to effectively promote good health-care decision-making in the Information Era. Internal and Emergency Medicine, 4(2), 99–106.
    Retrieved from the Walden Library databases.

    This article discusses the relationship between knowledge management and evidence-based medicine. The authors propose a new paradigm called Evidence-Based Knowledge Management. In addition, the article details the role of Evidence-Based Knowledge Management within clinical governance.

 

  • Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. Advances in Nursing Science, 34(1), 6–18.
    Retrieved from the Walden Library databases.

    This article explores the linkage of theory and practice in nursing science and evidence-based patient care. It does so by examining the data-information-knowledge-wisdom framework through the lenses of different philosophical perspectives.

 

  • Thompson, T. L., & Warren, J. J. (2009). Are they all data? Understanding the work of organizational knowledge. Clinical Nurse Specialist, 23(4), 185–186.
    Retrieved from the Walden Library databases.

    This article describes data in terms of its relevance to information, knowledge and wisdom development. It also explores the role that clinical nurse specialists play in applying that knowledge to patient care.

 

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012). A day in the life. Baltimore, MD: Author.

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

    In this program, Linda McCauley talks about and guides you through various activities and responsibilities in her role as a Senior Nursing Applications Specialist at Washington Hospital Center in Washington, DC.

How might the information derived from these questions help you provide high-quality care to Mrs. Jones?

The Dual Nature of Informatics

 

Informatics can be used for improving health outcomes not only for individual patients, but also for whole groups of patients with similar conditions. This is often referred to as the dual nature of informatics. Technologies, such as electronic health records (EHRs) and clinical decision support (CDS) systems, can provide insights and guidance for health care professionals at the point of care. In addition, data warehousing and mining allow health care organizations to use the vast amount of information stored in EHRs to make predictions and diagnoses for other patients with similar conditions.

 

In this Discussion, you examine the dual nature of informatics. First, you review a scenario and consider the patient information to be collected and recorded at the point of care. Then, you decide how this information could be aggregated for population health and future use.

 

Consider the following scenario:

 

Mrs. Jones has come into your office stating that she has been experiencing frequent dizzy spells. She also reports that she has been unable to eat anything substantial over the last few days due to extreme nausea. The last time Mrs. Jones was in your office, the physician had suggested she start walking around the block or bicycling around the neighborhood to get her activity level up. Mrs. Jones admits that she did very little of that after a “ flip-flop” feeling of her heart scared her. You know that her symptoms could be a result of many conditions. Following the prompts on your informatics system, you begin to gather more specific information about Mrs. Jones’ symptoms and health history.

 

To prepare:

 

  • Based on the scenario, what information would you want to immediately gather about Mrs. Jones?
  • With that in mind, compile a list of patient questions you would like an EHR documentation screen to have.
  • How might the information derived from these questions help you provide high-quality care to Mrs. Jones?
  • Once this information is collected, what alerts might be critical to the evaluation of Mrs. Jones?
  • Review this week’s media presentation, Dual Nature of Informatics Systems, and reflect on the movement towards more transparent data and meaningful use. How might the data entered about an individual patient help to build preventative care and treatment for whole populations?
  • Refer back to your list of patient questions. Of these questions, which would generate data that could be aggregated for use with a larger group of patients? (Note: When developing your questions, consider the whole patient.)

 

Post on Tuesday 06/06/2016 a minimum of 550 words in APA format with 4 references

 

1) A description of the ideal EHR documentation screen that you would like to have at the point of care for all patients and why.

 

2) Explain how information gathered at the point of care with an individual patient can be aggregated to help provide high quality care to a larger population of patients.

 

Required Resources

 

Readings

 

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
    • Chapter 1, “Historical Perspectives of Nursing Informatics”

      In this chapter, the authors explain the transition from paper-based records to electronic records. The chapter provides an overview of the historical events that contributed to the rise of electronic health records.

  • Liaw, S.-T., & Boyle, D. I. R. (2010). Primary care informatics and integrated care. Studies in Health Technology and Informatics, 151, 255–268.
    Retrieved from the Walden University databases.

    This article discusses how the health care field can be reformed by increasing access to information across organizations and professionals. The authors of the article justify the need for this reform and provide guidance on how it can be achieved.

  • Mitchell, J. K. (2011). Nursing informatics 101: Using technology to improve patient care. ONS Connect, 26(4), 8–12.
    Retrieved from the Walden Library databases.

    The emergence of nursing informatics in health care is the main topic of this article. New trends in informatics are discussed, as well as the certification process, nurse education, and the implementation of new systems to support patient care.

  • Morath, J. (2011). Nurses create a culture of patient safety: It takes more than projects. Online Journal of Issues in Nursing, 16(3).
    Retrieved from the Walden Library databases.

    The author of this article emphasizes the need for nurses to develop skills for improving care and embracing new health care innovations. The author also describes the connection between individual nursing practice and the system-wide success of informatics.

  • Reiner, B. I. (2011). Improving healthcare delivery through patient informatics and quality centric data. Journal of Digital Imaging, 24(2), 177–178.
    Retrieved from the Walden Library databases.

    In this article, the author analyzes the impact of the movement towards digitized medical data on patient care. The author discusses how this movement places more responsibility and empowerment on the patient.

    Media

  • Laureate Education, Inc. (Executive Producer). (2012b). Dual nature of informatics systems. Baltimore: Author.

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

    In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson discuss one of the most important aspects of informatics: the collection and aggregation of health information. The electronic health record (EHR) is discussed, as well as the nurse’s roles in working with EHR systems.

     

how are they able to partake in the VBP (value-based incentive payment percentage)program by the CMS? 

If an organization is able to set their own charges, how are they able to partake in the VBP (value-based incentive payment percentage)program by the CMS?

 

Need answer in 3 hours or less, Word count at least 75 words.

What are the factors that have led our legislators to not identify mental health as an issue for improved health care for our nation?

What are the factors that have led our legislators to not identify mental health as an issue for improved health care for our nation?

 

 

Need in 6 hours or less. Word count no less than 75 words.

 

 

Need in 6 hours or less. Word count no less than 75 words.

Based on the readings, what is the most likely cause of cough for this patient? Apa format

Nelson Carson is a 62-year-old man who presents to his private practitioner’s office with a hacking, raspy cough.

Subjective Data

  • PMH: HTN, CAD
  • Cough is productive, bringing up green, thick phlegm
  • Runny nose, sore throat
  • No history of smoking or seasonal allergies
  • Complains of fatigue

Objective Data

  • Vital signs: T 37 P 72 R 14 BP 134/64
  • Lungs: + Rhonchi bilateral upper lobes, wheezes
  • O2 Sat = 98%

Medications: Metoprolol 25 mg per day, ASA 325 mg/daily

  1. What other questions should the nurse ask about the cough?
  2. What nursing diagnoses can be derived from the data?
  3. What should be included in the plan of care?
  4. What risk factors are associated with this age group?
  5. Based on the readings, what is the most likely cause of cough for this patient?
  6. Apa format
  7. ReferenceJarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders. 
    • Chapter 18: Thorax and Lungs
      • pp. 413–441 (Structure, Function, The Thoracic Cavity, Developmental Competence, Subjective Data, Objective Data)
    • Chapter 19: Heart and Neck Vessels
      • pp. 459–492 (Structure and Function, Heart Wall, Chambers, and Valves, Heart Sounds, Developmental Competence, Subjective Data, Objective Data )
    • Chapter 20: Peripheral Vascular System and Lymphatic System
      • pp. 509–529 (Structure and Function, Lymphatics, Developmental Competence, Subjective Data, Objective Data)

Emerging trends that are encouraging healthcare executives to become interested in developing innovative, integrative, and cost-beneficial HMIS solutions include:  • wireless, user-friendly portables.

1) An information-inquiring culture has transparent:
• information discovery.
• Core values.
• direct reports.
• accounting and finances.
2) Emerging trends that are encouraging healthcare executives to become interested in developing innovative, integrative, and cost-beneficial HMIS solutions include:
• wireless, user-friendly portables.
• tape recordings.
• X-ray films.
• accessible records
3) An information-discovery culture ensures:
• critical information about due processes.
• sharing of insights freely and encourages employees to collaborate.
• sensitivity for privacy.
• giving up the power of controlling others.
4) The genesis of Health Management Information Systems (HMIS) goes back to the roots of numerous areas, including:
• computing privacy.
• information economics
• multidimensional data sets.
• medical policies.
5) The executive who oversees the financing function, budgeting, and funding of the health services organization’s operating programs is the:
• CEO
• COO
• CFO
• CPO
6) Question 6
Effective communication is essential for forming all kinds of work relationships, especially for:
• delivering one-sided, manager to subordinate, communication.
• telling board members what is going to happen.
• providing clear, firm autocratic orders.
• building strong social networks among key stakeholders.
Question 7
As a trustworthy leader, the senior executive must have the ability to:
• exude trust from their direct reports and corresponding followers.
• develop a “top-down” working relationship with followers.
• articulate how or why certain things are or are not being executed without explanations.
• dictate to others on how to manage their time.
Question 8
In a healthcare services organizational context, the mission, goals, and objectives of the health organization determine how:
• to evaluate verified data.
• to verify the veracity of amassed healthcare information.
• HMIS should be incorporated throughout an organization.
• to network computer systems and functional tasks.
Question 9
The role of the CEO or CIO to oversee the use of HMIS in any healthcare services organization requires that the individual has been trained and has experience and mastered a certain set of:
• rules and laws.
• strategic, tactical, and operational IT competencies.
• department goals and strategies.
• efficient business processes.
Question 10
Within the context of healthcare services organizations, there are many published examples of Internet use, including:
• PowerPoint presentations.
• access to online insurance service data.
• access to personal credit scores.
• final reports developed in ACCESS.
Question 11
The 2006 Pew Internet and American Life Project survey found that the following users seek health information online in the United States:
• 1 of 10
• 5 of 10
• 8 of 10
• 10 of 10
Question 12
The digital divide stands to affect:
• telecommunications.
• health quality.
• myriad online activities.
• information associations.
Question 13
URL stands for:
• uniform relocation lab.
• universal resource locators.
• uniform restructuring link
• usability relocation link
Question 14
Customer relationship management (CRM) software must be designed with the following in mind.
• An in-depth recognition of its customers’ specific needs.
• Strategic communication is for different types of software.
• Enhancement of existing programs and services.
• Creative services that would progress and fulfil the organizational long-term goals.
Question 15
SCM ensures readily available access to:
• order tracking.
• return on investment (ROI).
• health maintenance organizations (HMOs).
• demand printing.
Question 16
The primary goals of supply chain management (SCM) are:
• to achieve increased efficiencies with regard to information flows and exchanges between the organization and its external parties.
• to satisfy the need for economies of scale.
• to increase the volume of daily purchasing.
• to decrease efficiencies with regard to information flows and exchanges.
Question 17
Existing ERP packages include:
• HMOs.
• Oracle.
• SCM.
• HMIS.
Question 18
For practice management systems delivered from private healthcare organizations and hospitals, electronic billing and patient scheduling are being developed for numerous benefits, including:
• keeping manual follow-up procedures.
• reducing, or possibly eliminating, all paper-based forms for which healthcare services organizations are especially vulnerable.
• increase the accuracy of billing/coding.
• eliminating electronic order processing
Question 19
Issues that may arise with a RHINO setup like the Mayo Clinic’s include problems with:
• maintaining separate processes as previously developed.
• using insurance companies to iron out problems.
• difficulties with patients.
• data shadowing and the need for creating interfaces to communicate among disparate platforms and software.
Question 20
One of the stated goals of HL7 collaboration is to:
• develop coherent, extendable standards that permit structured, encoded healthcare information of the type required to support patient care.
• sustain interoperability
• enhance existing programs and services.
• create services that would progress and fulfill the organizational long-term goals.
Question 21
Consolidation, sometimes purported as a “market-sheltering activity” occurs when:
• the central processing unit (CPU) of a computer is shared.
• the program instructions and data provides the CPU with a working storage area.
• two or more comparable healthcare services organizations combine to augment or preserve market power.
• read-only memory (ROM) is shared.
Question 22
EHR will be one of the most costly project expenditures that a healthcare services organization will undertake, with regard to the investments of time and money and the resultant challenge of returns on investments (ROI). This is due to:
• the significance of the returns to be realized from an EHR implementation remains a concern for many healthcare executives.
• the program instructions provide the CPU with a working storage area.
• two or more comparable healthcare services organizations combine to augment or preserve market power.
• read-only memory (ROM) is shared.
Question 23
When combined with various other workflow tools, computerized physician order entry (CPOE) can also be useful in providing information about:
• manual follow-up procedures.
• reducing paper-based forms.
• patient scheduling.
• eliminating electronic orders.
Question 24
Three categories of healthcare data are required, almost universally, by healthcare services organizations for supporting their planning and decision-making activities, and one of these is:
• vital statistics.
• environmental statistics.
• census statistics.
• consensus statistics.
Question 25
Substantial administrative and clinical benefits can be achieved, should a universal EHR system be finally realized and these include:
• increased paperwork.
• greater documentation errors.
• easy dissemination of critical patient information to other care providers for follow-up assessments.
• extremely slow accessibility of patient records universally.
Question 26
Language interoperability challenges include:
• operating system interoperability.
• semantic differences.
• data stored in different database platforms such as Microsoft SQL server.
• different HMIS have been designed and developed by different IT providers.
Question 27
WSIHIS provides user interfaces that provide:
• encapsulated business logic in a shared middle tier.
• data related to patients’ medical profiles and information about the progress and status of treatment.
• medical content generated dynamically based on a specific patient’s medical profile.
• client applications that will access the same middle tier.
Question 28
Technically, most legacy systems were developed using different languages such as:
• Java or Visual Basic.
• Linux operating systems (OS).
• Microsoft SQL server.
• Macintosh operating systems (OS).
Question 29
In the United States, Europe, and elsewhere, growing demands for health care due to an aging population and the slowing down in mortality rate among older adults over the last few decades have led to:
• an increase in non-profit organizations.
• less need for sensor-based monitoring.
• further growth and development of mobile health care.
• less demand for medical devices.
Question 30
Core functions of WSIHIS are based on different Web services, including:
• standardization service.
• the appointment service.
• census statistics service.
• implementation service.