Discussion: Quality and Safety

 

As early as 400 BC, the Hippocratic Oath admonished physicians to keep patients from harm or injustice. Current codes of ethics remind health care practitioners that safety and quality are imperative in health care. Yet quality and safety remain a critical issue for health care managers and patients today.

To prepare for this Discussion, carefully review your Learning Resources. Seek additional resources to support your Discussion from one of the known web resources of health care quality:

Websites: The Joint Commission http://www.jointcommission.org/ Institute for Healthcare Improvement http://www.ihi.org/ihi Agency for Healthcare Research and Quality http://www.ahrq.gov/qual/

Post a comprehensive response(250-350 words) to the following:

How is quality of care viewed from the perspective of each of the followiing: A patient A health care provider A purchaser

What role can the health care manager play in ensuring quality and safety in a health care setting? Select one of the different methods for improving the delivery of care described in your Learning Resources (this can include the websites identified). Provide a specific example of how that method can help protect a patient from errors of underuse, overuse, or misuse of care.

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

discussion just answer questions, not an essay

 Describe the differences in primary, secondary, and tertiary prevention in public health. Provide one example for each level of public health prevention. For each example provided, explain the relationship between the example provided and the level of prevention. Also discuss the benefits and the potential consequences at each level.
Support your statements with scholarly references and appropriate examples. 

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Co

check the file

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Safeguarding Health Information and Systems

       A new concept for some organizations is to allow nurses to bring in  their own devices known as bring your own devices (BYOD) to use at work.  What are some of the security issues you might encounter if this were  allowed? How would you address these issues? How is this issue addressed  in your practice setting?

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Assignment PICOT Statement Paper

    View Rubric   Due Date:   Feb 22      

Details:
 

Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

Evidence-Based Solution Nursing Intervention Patient Care Health Care Agency Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

You are required to submit this assignment to Turnitin. Please refer   to the directions in the Student Success Center.

  Apply Rubrics

PICOT Statement Paper
                               1
                         Unsatisfactory
                        0.00%                                                     2
                         Less than Satisfactory
                        75.00%                                                     3
                         Satisfactory
                        79.00%                                                     4
                         Good
                        89.00%                                                     5
                         Excellent
                        100.00%                            80.0 %Content     30.0 % Identification of Clinical Problem/Issue                                                   Clinical problem/issue is not identified, and resolution is not addressed.                                                  Clinical problem/issue is identified with little discussion of resolution or patient outcome.                                                  Clinical problem/issue is identified but not  supported with clinical observations or evidence. The identified  problem/issue can be resolved, or a patient outcome shows minimal  improvement.                                                  Clinical problem/issue is identified based  on clinical observation experience or evidence in literature. Articles  are cited to support the need for change in nursing practice. The  identified problem/issue can be resolved, or a patient outcome can be  improved using nursing interventions.                                                  Clinical problem/issue is identified based  on key concepts that define evidence-based practice or clinical  experience. Articles are cited to support the need for change in nursing  practice. The identified problem/issue can be resolved, or a patient  outcome can show a marked improvement through a nursing intervention.   30.0 % Clinical  Problem/Issue, Including Description, Evidence-Based Solution, Nursing  Intervention, Patient Care, Health Care Agency, and Nursing Practice                                                   Clinical problem/issue is not described with  clarity and the corresponding elements are not included.                                                  Clinical problem/issue description includes a  basic understanding of the problem/issue and setting, with few of the  following elements explained: evidence-based solution, nursing  intervention, patient care, health care agency, and nursing practice.                                                  Clinical problem/issue description includes a  basic understanding of the problem/issue, the setting, and the patient  population. The following elements are explained: evidence-based  solution, nursing intervention, patient care, health care agency, and  nursing practice. Minimal rationale is provided to support the  resolution of the clinical problem/issue.                                                  Clinical problem/issue description includes a  thorough understanding of the problem/issue, the setting, the patient  population, and why it is a problem/issue. The following elements are  explained in detail: evidence-based solution, nursing intervention, and  patient care consistent with specific health care agency and nursing  practice. Sound rationale is provided supporting the clinical  problem/issue resolution.                                                  Clinical problem/issue description includes a  developed and thorough explanation of the problem/issue, the setting,  the patient population, and the rationale for why it is a problem/issue.  The identified clinical problem/issue explains the following elements  with detail and clarity: evidence-based solution, nursing intervention,  and improved patient care consistent with specific health care agency  resulting in nursing practice change. Sound rationale is provided in the  discussion of the clinical problem/issue resolution.   10.0 % PICOT Statement Focused on Resolution, Improvement, Application, and Intervention                                                   PICOT statement does not focus on resolution  of a problem/issue, improvement of patient care or application of a  nursing intervention.                                                  PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention.                                                  PICOT statement focuses on the resolution of  a clinical problem/issue that improves patient care through the  application of a nursing intervention.                                                  PICOT statement focuses on the resolution of  a clinical problem/issue, with discussion of improving patient care  through the application of an evidenced-based nursing intervention.                                                  PICOT statement clearly focuses on the  resolution of a clinical problem/issue and aims at improving patient  care through the application of an evidenced-based nursing intervention.   10.0 % PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time                                                   Population, Intervention, Comparison, Outcomes, and Time are not included.                                                  Population, Intervention, Comparison,  Outcomes, and Time are present, but lack detail or are incomplete.                                                  Population, Intervention, Comparison, Outcomes, and Time are present.                                                  Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed.                                                  Population, Intervention, Comparison,  Outcomes, and Time are comprehensive and thoroughly developed with  supporting details.   15.0 %Organization and Effectiveness     5.0 % Presentation                                                   Paper lacks any discernible overall purpose or organizing claim.                                                  Thesis is insufficiently developed or vague. Purpose is not clear.                                                  Thesis is apparent and appropriate to purpose.                                                  Thesis is clear and forecasts the  development of the paper. Thesis is descriptive and reflective of the  arguments and appropriate to the purpose.                                                  Thesis is comprehensive and contains the  essence of the paper. Thesis statement makes the purpose of the paper  clear.   5.0 % Argument Logic and Construction                                                   Statement of purpose is not justified by the  conclusion. The conclusion does not support the claim made. Argument is  incoherent and uses noncredible sources.                                                  Sufficient justification of claims is  lacking. Argument lacks consistent unity. There are obvious flaws in the  logic. Some sources have questionable credibility.                                                  Argument is orderly, but may have a few  inconsistencies. The argument presents minimal justification of claims.  Argument logically, but not thoroughly, supports the purpose. Sources  used are credible. Introduction and conclusion bracket the thesis.                                                   Argument shows logical progressions.  Techniques of argumentation are evident. There is a smooth progression  of claims from introduction to conclusion. Most sources are  authoritative.                                                  Clear and convincing argument that presents a  persuasive claim in a distinctive and compelling manner. All sources  are authoritative.   5.0 % Mechanics of Writing  (includes spelling, punctuation, grammar, language use)                                                   Surface errors are pervasive enough that  they impede communication of meaning. Inappropriate word choice or  sentence construction is used.                                                  Frequent and repetitive mechanical errors  distract the reader. Inconsistencies in language choice (register),  sentence structure, or word choice are present.                                                  Some mechanical errors or typos are present,  but they are not overly distracting to the reader. Correct sentence  structure and audience-appropriate language are used.                                                   Prose is largely free of mechanical errors,  although a few may be present. A variety of sentence structures and  effective figures of speech are used.                                                   Writer is clearly in command of standard, written, academic English.   5.0 %Format      2.0 % Paper Format  (use of appropriate style for the major and assignment)                                                   Template is not used appropriately or documentation format is rarely followed correctly.                                                  Template is used, but some elements are  missing or mistaken; lack of control with formatting is apparent.                                                  Template is used, and formatting is correct, although some minor errors may be present.                                                   Template is fully used; There are virtually no errors in formatting style.                                                  All format elements are correct.    5.0 %Format      3.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)                                                   Sources are not documented.                                                  Documentation of sources is inconsistent or  incorrect, as appropriate to assignment and style, with numerous  formatting errors.                                                  Sources are documented, as appropriate to  assignment and style, although some formatting errors may be present.                                                  Sources are documented, as appropriate to assignment and style, and format is mostly correct.                                                   Sources are completely and correctly  documented, as appropriate to assignment and style, and format is free  of error.     100 % Total Weightage     

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Health assessment Day three discussion two

 Discuss how patients can lower their risk of breast cancer. 

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

PLEASE ANSWER ACCORDING THE ANSWER. WRITE AT LEAST 130 WORDS. REFERENCE (2013-2018). THANKS.

Comment 1

A colleague recently was diagnosed with breast cancer. The American Cancer Society (ACS) has an easy website to navigate for information. There is a search bar for questions that may be posed. One can begin with cancer from A to Z. Breast cancer has many headers such as about, risk and prevention, early diagnosis and prevention, understanding the diagnosis, treating, reconstruction surgery, living as a survivor, and non-cancerous breast conditions. A patient can even find easy reading for those with breast cancer. They have downloadable information under pdfs with similar headings. Related topics, news and stories, and more resources are available. Their site has a handy tool bar and toll-free phone number for those who prefer to use that resource. At the end of their page is another way to approach subjects. For example, to find information about rides to treatment one can just navigate to the bottom of the page, rather than using the search bar. Reach to Recovery is a phenomenal resource, allowing you to speak with a person that has survived breast cancer (Cancer Caregiver Support, n.d.).

Factors that are associated with cancer risk are tobacco use and secondhand smoke, inactivity, obesity, nutrition and diet, alcohol, ultraviolet light, and cancer-associated infections such as HPV. Six infections are listed. I live in Connecticut and it is estimated that there will be 21,240 new cases diagnosed and 6,590 deaths this year. In my state, there is a partnership with Center for Disease Control (CDC). State specific cancer issues are identified and a plan has been developed with goals and strategies for improvement. For example, at St. Francis Hospital, Men’s Health Institute has the goal of providing free services to the underinsured or uninsured and to address the disparities affecting African-Americans. I feel that research and medication and treatment trials will make an enormous impact in the future. The ACS is always trying to raise not only awareness but funding for further research. I think that statistics will change to percentages rather than number of people in diagnosis and mortality because we are living longer. I believe there will be some cures that will decrease certain kinds of cancers in the future as well as people being more aware.

ACS conducts Palliative Care Research. It has come to mean pain relief with treatments and management of side effects; it is not only specific to terminal cancers. According to the website, the ACS is funding more than $26 million for survivorship and quality of life research. Included is the improvement of lives of children with cancer and studies of survivors. The research has the goal of relieving cancer pain and managing side effects. I would imagine a person newly diagnosed would be most worried about prognosis and pain. This research is tantamount to cancer patients (American Cancer Society, 2018).

Comment 2

It was fascinating to learn of “liquid biopsy” as an emerging technology. I learned from the National Cancer Institute that liquid biopsy is “A test done on a sample of blood to look for cancer cells from a tumor that are circulating in the blood or for pieces of DNA from tumor cells that are in the blood. A liquid biopsy may be used to help find cancer at an early stage. It may also be used to help plan treatment or to find out how well treatment is working or if cancer has come back” (NCI, 2018). It is technically known as rapid plasma genotyping, and has a plausable rate of accuracy, according to researches from the study at Dana Farber Cancer Institute, where the study took place. According to the website from Dana Farber Cancer Institute, they are working on not only this technology, but target cancer therapy technology, where they pinpoint the origin of cancer, and create a tumor profile. 

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Cultural health care beliefs of Indian, Turkish, and Vietnamese people.

People of Indian Heritage.

People of Turkish Heritage.

People of Vietnamese Heritage.

1.  How the cultural beliefs of these 3 cultures affect the delivery of nursing care?  

2.  Discuss if there is any similarity in the cultural health care beliefs of these cultures, and if there is any similarity with your cultural health care beliefs.

– APA format

– A minimum of 500 words

– A minimum of 2 evidence based references are required

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Discussion: Unionization and the Nursing Profession

 

Unionization and the Nursing Profession

Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.

To prepare: Review the information in the Learning Resources. Conduct additional research on unionization in health care. Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation? Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience. Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

Post your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another. 

  Required Readings Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 22, “Collective Bargaining, Unionization, and Employment Laws”

Chapter 22 discusses several key topics surrounding unions and collective bargaining in nursing and health care organizations.  Manthous, C. A. (2014). Labor unions in medicine: The intersection of patient advocacy and self–advocacy. Medical care, 52(5), 387–392.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center. Ash, M., Seago, J. A., & Spetz, J. (2014). What do Health Care Unions do?: A Response to Manthous. Medical care, 52(5), 393–397. DOI: 10.1097/MLR.0000000000000124.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center. 

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now

Find an article on a societal factor that is affecting nursing/patient education curriculum. Summarize your article for your classmates in one or two paragraphs. Discuss why you chose the article and what can be learned from this trend – how would you us

Find an article on a societal factor that is affecting nursing/patient education curriculum. Summarize your article for your classmates in one or two paragraphs. Discuss why you chose the article and what can be learned from this trend – how would you use it to improve the quality of nursing/patient education? This article and those posted by your classmates may become the foundation of your paper due in Topic 2. Be sure to include the entire citation in APA format. The article you select cannot be from any of the course materials or supplemental readings. Please note: It is a violation of copyright law to post the entire text of the article to an online discussion board. So be sure to post only the citation information so that the article can be located if someone is interested in reading more. The article should come from a graduate-level journal, like an advanced practice journal or nursing education journal – not an entry-level journal like AJN, RN, Nursing, etc.

"Get 15% discount on your first 3 orders with us"
Use the following coupon
FIRST15

Order Now