Analyze challenges and assumptions about midlife, gender roles, and child-care. 4. Is face- to face interaction, or copresence, an important aspect of human action? Why or why not?

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1. What is social reproduction? What are some specific ways the four main agents of socialization contribute to social reproduction?

2. Describe how the life course stage of childhood has changed since medieval times.

3. Analyze challenges and assumptions about midlife, gender roles, and child-care. 4. Is face- to face interaction, or copresence, an important aspect of human action? Why or why not?

this book should be included as Reference: Introduction to Sociology 9th Edition Author: Anthony Giddens, Mitchell Duneier, Richard P. Appelbaum, & Deborah Carr

Discuss the epidemiology of thalassemia and share evidence-based practice guidelines necessary for chronic management.

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Answer both of the following discussion questions for your discussion response.

  1. Discuss the epidemiology of thalassemia and share evidence-based practice guidelines necessary for chronic management.
  2. Sickle-cell anemia has treatment parameters in the chronic state and acute exacerbation. The acute phase requires aggressive hydration and pain medication. What is the physiologic pattern for this problem?

at least 250 words. with reference no older than 5 years and intext citation.

1. What problem will you be addressing in your integrated review? 

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1. What problem will you be addressing in your integrated review?

Stress has a significant toll on the body, mind, and social well-being, which can lead to medical conditions that become costly to treat and manage.

2. What is the scope and significance of the problem?

Define that stress can affect any social class and it currently is a major problem with many healthcare cost implications, find scholarly articles on this topic as the references

3. Identify the guiding research question. What is the most effective way to treat stress?

4. What are the variables being studied, and how are you defining them?

Independent variable- treatments (which treatments have been demonstrated to be more effective)

Dependent variable- mental and physical effects of stress (outline major symtoms of stress)

Guidelines for Submission: Your paper must be submitted as:

1. a two- to three-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins,

2. and at least three sources cited in APA format.

Explain how the circadian rhythm is related to cortisol secretion from the adrenal cortex. What factors cause disturbances in this system?

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Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

  1. As with all disorders, it is essential to determine the root cause of endocrine disorders. What are primary, secondary, and tertiary disorders? Compare the differences among primary, secondary, and tertiary forms of hyposecretion and hypersecretion.
  2. The hypothalamic-pituitary system is the main controlling factor for normal endocrine function. What are some of the common ways for this finely balanced system to become unstable?
  3. Explain how the circadian rhythm is related to cortisol secretion from the adrenal cortex. What factors cause disturbances in this system?

at least 250 words. with reference no older than 5 years and intext citation

2.Discuss what Medicaid is, what it covers, and how physicians are reimbursed. 3.Briefly describe how ACOs will be reimbursed under the proposed Medicare ACO rule. 

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Prepare a 4- to 6-page paper  in APA format, Times New Roman, double-spaced 12 font to address the following questions:

1.Briefly describe how hospitals and physicians are reimbursed under the current Medicare payment mechanism.

2.Discuss what Medicaid is, what it covers, and how physicians are reimbursed. 3.Briefly describe how ACOs will be reimbursed under the proposed Medicare ACO rule.

4.In your opinion, what would be the key to the success of the proposed ACOs, possibly leading to a fundamental overhaul of the delivery system? List three factors you believe to be crucial and justify your answer.

Identify and describe at least 10 factors that could inhibit implementation of a quality assurance (QA) program at the hospital.

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Assignment 2: Quality Assurance Implementation Concerns

Your management staff needs a better understanding of factors that would inhibit implementation of a Quality Assurance program at their hospital.

Identify and describe at least 10 factors that could inhibit implementation of a quality assurance (QA) program at the hospital.

Identify the characteristics, defense mechanisms, and behaviors that the hospital may observe when implementing a new QA process.

Provide at least three suggestions of how the hospital can minimize the resistance to change in their organization.

Write a two- to three-page executive summary of your findings to the management staff using APA formatting styles. Submit the summary to the

When Analyzing qualitative data, what are the ways in which trustworthiness can be established What ethical considerations are unique to qualitative methods?

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When Analyzing qualitative data, what are the ways in which trustworthiness can be established What ethical considerations are unique to qualitative methods?

Determine      the potential liabilities that this ethical issue presents by reviewing      the AMIA Code of Ethics.

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“Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret.”
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)

 

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167–175.
To prepare:

  • Reflect      on this week’s Learning Resources, focusing on the ethical and legal      issues associated with usage of data and health information.
  • For      this Discussion, identify an ethical issue related to data collection or      information management at your organization or one with which you are      familiar.
  • Determine      the potential liabilities that this ethical issue presents by reviewing      the AMIA Code of Ethics.
  • Consider      the legal aspects of your ethical issue and the steps that could be taken      to avoid or minimize risk.

By tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are: Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing). Choose one!

2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.

3) Formulate strategies that the organization could implement to address the ethical issue.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

“Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47-68.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology and Informatics, 151, 176-182.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.

Retrieved from http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/EthicsandHumanRights.aspx

See this website to view position statement documents developed by the ANA to promote adherence to ethics and human rights.

Healthcare Information and Management Systems. (2011). Privacy & security toolkit.

Retrieved from http://www.himss.org/ASP/topics_pstoolkit.asp

At this website, you will find a categorized tool kit that consists of implementation plans, legislation, and case studies to help health care professionals better understand matters of privacy and security.

The American Medical Informatics Association. (2014). Retrieved from http://www.amia.org/about-amia/ethics

At this website, you will find an American Medical Informatics Code of Ethics for Healthcare Professionals.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Healthcare informatics: Ethics and law. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this week’s media presentation, Dr. Don Detmer gives his insights on the government’s initiatives to create secure and meaningful electronic health records.

Compare the findings of the Regulatory Decision Pathway  to what actually happened at the unit in your organization. Was the event deemed: bad intent, reckless, at risk, or human error? According to the pathway, do you now think it was the correct action?

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The concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.
—Pepe & Caltado, 2011

This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.

To Prepare

  • Review the information on just culture presented in the Learning Resources.
  • For this discussion, you will use the Regulatory Decision Pathway found in Russell, K. A. & Radtke, B. K. (2014).
  • Examine an adverse event at the unit level in your organization or one with which you are familiar and apply the Regulatory Decision Pathway.
  • Compare the findings of the Regulatory Decision Pathway  to what actually happened at the unit in your organization. Was the event deemed: bad intent, reckless, at risk, or human error? According to the pathway, do you now think it was the correct action?
  • Think about how a nurse leader–manager may use just culture as a framework to create or maintain a focus on accountability and outcomes throughout a group. What actions could be taken if a systems–related error was made or if an error resulted from risky behavior?
  • How might role conflict and/or ambiguity have contributed to the situation?

Post a description of an adverse event in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.

http://sidneydekker.com/wp-content/uploads/2013/01/JustCultureCritique.pdf

http://www.outcome-eng.com/wp-content/uploads/2012/01/manage-risk.pdf

**************Below is a paper to use as reference!!!!!!!!!

PLEASE USE THIS AS A REFERENCE ONLY.

 

Adverse Event

Adverse events are a part of the healthcare environment and how an event is dealt with can affect patient safety.  The regulatory pathway and just culture are a means of improving the quality of care and safety culture (Russell & Radtke, 2014).  Health care employees need to trust in their organization that an adverse event can be reported so that the organization and employee can learn from the event, and that it is not just a means to place blame.

An adverse event that took place in the cardiac catheterization lab was a procedure was done on the wrong patient.  A patient that was to have a pacemaker instead ended up having a diagnostic catheterization.  This event involved a patient identification issue by the nurse.  The hospital’s patient identification policy and time out policy were not adhered to by the nurse and then the catheterization team.   The incident was reported to the state, and there were several event meetings with the nurse and physician.  As a result of the investigation, all staff in the catheterization lab were re-educated to the patient identification and time out policy.  All staff had to sign an individual affidavit that they understood the policy.  The nurse was given a written warning.  This event would not have happened if the nurse and catheterization team had adhered to policy.

Regulatory Decision Pathway

Using the regulatory decision pathway, the nurse did not intend to harm the patient deliberately.  The nurse asked the patient if she was Ms. X and the patient said yes.  The identification policy is to check the patient’s identification band for name and medical record number against a second identifier.  This was not done.  There were no significant circumstances involving the system that led to the error.  The nurse did not conceal the error or falsify the record.  The nurse did not disregard or consciously take a substantial risk.  She thought she had the correct patient.  There were no similar or serious errors by this nurse.  A reasonably prudent nurse would not have done the same in similar circumstances as the patient identification policy would have been adhered to.  According to the regulatory decision pathway, this was at-risk behavior by the nurse (Russell & Radtke, 2014).

The catheterization team which included the physician, nurse, physician assistant, and technician contributed to this adverse event.  The team did not follow the time out process policy where everything stops, and patient identification is reconfirmed with other parameters.  Again, following the regulatory decision pathway, the catheterization team demonstrated at-risk behavior.  At-risk behavior involves unsafe practice and carelessness which is shown by the nurse and catheterization team not adhering to policy (Russell & Radtke, 2014).

Role Conflict

The cardiac catheterization lab is very fast-paced, and the nurses can feel the stress of the workload.  The procedure area and recovery room was very busy and crowded that day.  Role conflict could have contributed to the situation as there is constant pressure to keep moving.  Role conflict could have contributed in the time-out process not taking place in the procedure room.  Nurses have to initiate the time out process when the physician arrives, and some physicians are not very cooperative in the process.  Since the adverse event, patient identification and the time out policy are strictly adhered to.

Just Culture

Quality improvement and work environment improvement are a part of just culture (Lockhart, 2015).  Just culture is safety issues, improving processes, and not about punishing individuals (Pepe & Cataldo, 2011).  As the group’s manager using the principles of culture, I would have done firm counseling stressing the significance of the incident, but as this was the nurse’s  first risky behavior, I would not have done a formal written warning with the threat of being fired if it happens again.   Doing a staff meeting and re-educating the policies was appropriate.  Patient identification and the time out process are now part of the cardiac catheterization lab’s monthly quality assurance surveys.  All new employees are well educated in the two policies and must sign an attestation that they understand by the end of orientation.  This adverse event led to improved processes in the cardiac catheterization lab which is the goal of just culture (Pepe & Cataldo, 2011).

References

Lockhart, L. (2015).  Does your organization have a just culture?  Retrieved from http://www.NursingMadeIncrediblyEasy.com doi-10.1097/01.NME.0000457286.16594.92

Pepe, J., & Cataldo, P. J. (2011).  Manage risk, build a just culture.  Health Progress.  Retrieved from http://www.outcome-eng.com/wp-content/uploads/2012/01/manage-risk.pdf

Russell, K. A. & Radtke, B. K. (2014).  An evidence-based tool for regulatory decision-making: regulatory decision pathway.  Journal of Nursing Regulation, 5(2), 5-9. https://class.waldenu.edu/bbcswebdav/institution/USW1/201810_27/MS_NURS/NURS_6201/readings/USW1_NURS_6201_Russell.pdf