Assessment 4 Instructions: Lobbying for Change – ... 31/03/2023, 21:54 Course Navigation  Tutorials Support Log Out Colleen Clark 1133 Kysha Cerisier Shawnika Simmons   FACULTY 4 NEW COACH Assessment 4 Instructions: Lobbying for Change Write a letter to an official in your state or local...

Minimum of 2 sources cited (assigned readings/o...

Assessment 1 Instructions: Adverse Event or Near-Miss Analysis Prepare an analysis (5-7 pages) of an adverse event or a near miss from your professional nursing experience and outline a QI initiative that would address it. Introduction Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication. Overview The goal of this assessment is to allow you to focus on a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities and to propose a QI initiative to prevent future incidents. It will give you the chance to develop your analytical skills in the problem-solving contexts you likely find yourself in as a health care professional. Health care organizations strive for a culture of safety. Yet, despite technological advances, quality care initiatives, oversight, ongoing education and training, laws, legislation, and regulations, medical errors continue to occur. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Historically, medical errors were reported and analyzed in hindsight. Today, QI initiatives attempt to be proactive, which contributes to the amount of attention paid to adverse events and near misses. Backed up by new technologies and reporting metrics, adverse events and near misses can provide insight into potential ways to improve care delivery and ensure patient safety. For clarification, the National Quality Forum (n.d.) defines the following:

For this Discussion, you will examine your curr...

Assessment 1 Instructions: Preliminary Care Coordination Plan Develop a 3page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care. Introduction NOTE: You are required to complete this assessment before Assessment 4. The first step in any effective project is planning. This assignment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care. As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement. Preparation Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

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PROBLEM STATEMENT 1 It is known that a certain laboratory task takes the average person 2.5 seconds. A developmental psychologist was interested in whether older people take longer to perform this task. The psychologist tested 30 randomly selected 80-year-olds. Their mean time was 2.7 seconds, with an estimated population standard deviation of 1.4 seconds. What should the psychologist conclude (use the .05 level)? 1. Restate the question as a research hypothesis and a null hypothesis about the populations. (2 points) 2. Determine the characteristics of the comparison distribution: Population mean = (1 point) Population variance = (1 point) Standard deviation of the distribution of sample means = (1 point) Degrees of Freedom = (1 point) 3. Determine the significance cutoff. Use the t table. (1 points) 4. Determine your sample’s score on the comparison distribution. (2 points) 5. Decide whether to reject the null hypothesis. (2 points) Set Up Hypothesis Null Hypothesis H0: U = 2.5 Alternate, mean response time of older people slower than the response time of people in general H1: U>2.5 Test Statistic Population Mean(U)=2.5 Given That X(Mean)=2.7 Standard Deviation(S.D)=1.4 Number (n)=30 we use Test Statistic (Z) = x-U/(s.d/Sqrt(n)) Zo=2.7-2.5/(1.4/Sqrt(30) Zo =0.7825 | Zo | =0.7825 Critical Value The Value of |Z ?| at LOS 0.05% is 1.64 We got |Zo| =0.7825 & | Z ? | =1.64 Make Decision Hence Value of |Zo | < | Z ? | and Here we Do not Reject Ho P-Value : Right Tail - Ha : ( P > 0.7825 ) = 0.217 Hence Value of P0.05 < 0.217, Here We Do not Reject Ho accept hypothesis, we don't have evidence that mean response time of older people slower than the response time of people in general

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Note: Use this template to outline your implementation plan. Delete all instructions from the document before submitting your assessment. Implementation Steps Outline the steps for implementing changes in existing educational technologies or aspects of their current use. Consider contingent steps for areas of uncertainty. Resource Requirements Determine the resource requirements for a successful implementation. Required human and capital resources. Budget projections. Technical support requirements. End-User Training Requirements Determine the end-user training requirements for successful implementation. What is the current level of end-user knowledge and expertise with regard to the proposed changes? What are the end-user performance expectations? What type of initial and ongoing training and support will end users need? Evaluation Outline your plan to evaluate the effectiveness of the change. What performance measurement data do you need for a valid assessment? How will the data be collected? What reasonable conclusions can be drawn from the data?

Assessment 2 Instructions: Changes in Medical Education &ndash... 10/03/2023, 18:23 Course Navigation  Tutorials Support Log Out Elisha Cochran Assessment 2 Instructions: Changes in Medical Education Write a 3-4 page paper to analyze the scope of change in medical education from the 1800s to...

Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Psychiatric SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SI/HI: _______________________________________________________________________________ Sleep:  _________________________________________         Appetite:  ________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Psychiatric History: Inpatient hospitalizations: Outpatient psychiatric treatment: Detox/Inpatient substance treatment: History of suicide attempts and/or self injurious behaviors: ____________________________________ Past Medical History Major/Chronic Illnesses____________________________________________________ Trauma/Injury ___________________________________________________________ Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Current psychotropic medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ Current prescription medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ OTC/Nutritionals/Herbal/Complementary therapy: _________________________________________ ________________________________ _________________________________________ ________________________________ Substance use: (alcohol, marijuana, cocaine, caffeine, cigarettes) Family Psychiatric History: _____________________________________________________ Social History Lives: Single family House/Condo/ with stairs: ___________ Marital Status:________ Education:____________________________ Employment Status: ______ Current/Previous occupation type: _________________ Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________ Sexual Orientation: _______ Sexual Activity: ____ Contraception Use: ____________ Family Composition: Family/Mother/Father/Alone: _____________________________ Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________ ________________________________________________________________________ Health Maintenance Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____ Exposures: Immunization HX: Review of Systems: General: HEENT: Neck: Lungs: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Activity & Exercise: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx: Physical Exam BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (percentile) _____ General: HEENT: Neck: Pulmonary: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Derm: Psychosocial: Misc. Mental Status Exam Appearance: Behavior: Speech: Mood: Affect: Thought Content: Thought Process: Cognition/Intelligence: Clinical Insight: Clinical Judgment: Plan: Differential Diagnoses 1. 2. Principal Diagnoses 1. 2. Plan Diagnosis #1 Diagnostic Testing/Screening: Pharmacological Treatment: Non-Pharmacological Treatment: Education: Referrals:

Module 1 Discussion Name Affiliation Course Instructor Due date Module 1 Discussion Relationship between Mental Illness and Religion There are many facets and complex interactions between mental illness and religion. Understanding that there is no inherent conflict between mental illness and religious beliefs is crucial. How they interact varies widely based on personal experiences and cultural settings. The 44-year-old white Australian man's mental health problems and religious views are related to his belief that he was possessed by a spirit following his use of an Ouija board. His early use of the Ouija board, a device frequently connected to spiritual or paranormal activities, perhaps contributed to the onset of his delusions. His conviction that a spirit had taken over and was living inside him is in line with the signs of a mental illness, especially a delusional disease. This situation is not unusual since people struggling with mental health disorders often view what they are going through via the prism of their spiritual or religious beliefs. In this instance, the man's ability to understand his experiences from a religious perspective, despite his nonreligious upbringing, illustrates how flexible the relationship between mental illness and religion can be. Another facet of the relationship between mental illness and religion is illustrated by the man's decision to endure two exorcisms and seek assistance from a local church. Rituals and practices for dealing with alleged spiritual or demonic forces are included in many religious and spiritual traditions, and they can provide consolation to people going through upsetting symptoms (Cook, 2021). It is important to understand that although some might find that religious or spiritual support helps, it cannot replace evidence-based mental health care. The fact that the exorcisms, in this instance, were unable to relieve the man's symptoms emphasizes how crucial it is to receive the proper psychiatric evaluation and treatment.

DO CASE STUDY 3 THROUGHOUT ADVANCED HEALTH ASSESSMENT Module 1 Discussion No unread replies.No replies.     Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Answer the following questions. Please be specific and relate your questions to your specific case (s). Assignments per case study are below. What are the barriers to interpersonal communication? What are the procedures and examination techniques that you will use during the physical exam of your patient? Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are. Submission Instructions: You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned. You will reply to your peers who have posted on the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).  All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Assessment 2 Instructions: Applying Research Skills – ... 07/03/2023, 21:34 Course Navigation  Tutorials Support Log Out Elisha Cochran Trilla Mays Stephanie Guernsey   FACULTY COACH Assessment 2 Instructions: Applying Research Skills Create a 2-4 page annotated bibliography and summary based on...

Assessment 1 Instructions: Nursing Informatics in Health Care ... 09/04/2023, 18:12 Course Navigation  Tutorials Support Log Out Shawn Dwight 1155 Assessment 1 Instructions: Nursing Informatics in Health Care Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in...

You should respond to at least two of your peer...