What areas still present challenges?

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Improving the quality of health care delivery and patient safety continues to be a political concern and has been at the heart of reform issues for many years. The American Nurses Association (ANA) and the Institute of Medicine (IOM) have increased awareness of health care quality and safety issues, as well as advocated for health care reform. The documents featured at the ANA and IOM websites listed in this week’s Learning Resources focus on many of the current issues surrounding quality and safety in the health care industry. 

                                              To prepare:

Review this week’s Learning Resources, focusing on the Six Aims for Improvement presented in the landmark report “Crossing the Quality Chasm: The IOM Health Care Quality Initiative.” 

Consider these six aims with regard to your current organization, or one with which you are familiar. In what areas have you seen improvement? What areas still present challenges? As a nurse leader, how can you contribute to improving the organization’s achievement of these aims?

Select one specific quality or safety issue that is presenting a challenge in the organization. Consider at least one quality improvement strategy that could be used to address the issue, as well as which of the six aims for improvement would then be addressed.

Reflect on your professional practice and your experiences with inter-professional collaboration to improve quality and safety. How has inter-professional collaboration contributed to your organization’s efforts to realize the IOM’s six aims for improving health care? Where has inter-professional collaboration been lacking?

Post a description of the quality or safety issue you selected and a brief summary of the impact that this issue has on health care delivery. Describe at least one quality improvement strategy used to address this issue. Then explain which of the six “aims for improvement” are addressed by the strategy. Finally, explain how inter-professional collaboration helps improve quality in this area.

                                           Required Readings

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Chapter 13, “High Quality Health Care” (pp. 273–295)

Chapter 2, “A Visual Overview of Health Care Delivery in the United States” (pp. 13–27) 

These chapters discuss the current state of health care quality, as well as efforts to measure and improve quality.

Chapter 14, “Managing and Governing Health Care Organizations” (pp. 297–309)

This chapter details the vital importance of developing a better understanding of why and how heath care organizations are governed and managed in order to improve accountability.

CHECK THE BOOK,  DOCUMENT, AND MEDIA PRESENTATION VIDEO  ATTACHED BELLOW TO COMPLETE THE DISCUSSION QUESTION

USE REFERENCES

In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?

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 Write a 3–5 page executive summary that examines an organization’s diversity policies and practices. 

To prepare for this assessment, use the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.

  • Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.
    • You may use the health care setting in which you currently work or have worked in the past.
    • Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast. **Central Florida Region**
      • Do not report the name of the facility.

Deliverable: Executive Summary of Organizational Diversity

Read the following scenario:

Scenario:
The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversitywithin your health care organization.
To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.

In the executive summary:

  • Analyze the impact of a diverse workforce on patient outcomes.
    • In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?
    • How is diversity defined in the organization?
  • Analyze how the health care system integrates diversity and multiculturalism into its practices.
    • Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?
    • Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
  • Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
  • Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
    • Are all types of diversity recognized and included?
    • Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.
  • Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
    • What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?

Make your document easy to scan for readers by:

  • Using subheadings to organize content.
  • Using bullet points and phrases for main points, in addition to short, succinct paragraphs.
  • Including a visual, such as a graph, table, or chart.

Additional Requirements

  • Written communication: Written communication should be free of errors that distract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Length: Summary report should be 3–5 pages.
  • Number of resources: Use a minimum of three peer-reviewed resources.
  • Attached is an example of a high graded paper to use as a reference. 

Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug

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Diabetes and Drug Treatments 

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.

· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Select one type of diabetes.

· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.

· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

Write a 2- to 3- page paper that addresses the following:

· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.

· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

Compare these two types of anemia, as well as their potential causes.

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In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

· Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.

· Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.

· Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.

· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

Write

· An explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected (pernicious anemia). explanation at the cellular or molecular level (whenever possible).

· Compare these two types of anemia, as well as their potential causes. 

· Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

Describe the medical mission team’s organizational structure of the mission team and how power is distributed.

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 Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa. 

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario
Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

  • Use bullet points and phrases on the slides.
  • The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

  • Identify the major stakeholders within the health care system that would be affected by the mobilization plan.
  • Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.
  • Describe the medical mission team’s organizational structure of the mission team and how power is distributed.
    • Include one slide of an organizational diagram for the mission.
      • Describe the roles (in the speaker’s notes).
  • Assess how the organizational structure empowers team members.
    • Provide 1–2 examples of how team members will have power.
  • Identify key actions needed to assure quality of care and safety for mission patients and personnel.
  • Evaluate potential power issues that may arise when dealing with a multinational contingent.
    • (Be generic; that is, do not address individual nationalities, races, et cetera.)
    • Consider interactions with health care personnel from other countries.
  • Examine potential multicultural and diversity issues that mission personnel may encounter.
    • Consider that the indigenous population may be hostile to treatment.
    • Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.
  • References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).
  • General formatting: Choose an appropriate theme if using a template.

*Attached is an example of a well graded power point for this assignment to use as reference*

Which ones do you think may pose a challenge for your program(breast cancer in African American women in the USA)?

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Strengths and Barriers to Program Implementation

 As you design your program, it is important to anticipate potential issues related to program implementation. Careful forethought can help you to minimize unnecessary stumbling blocks during implementation.
 

There are strengths and barriers associated with every program. What do you see as the key factors to be aware of for your program? Brainstorm key terms such as community, culture, environment, organization, client, bias, and ethics. Give consideration to the factors you come up with (along with those in the Learning Resources) as you proceed with this Discussion.
 

To prepare:

  • Review      the information presented in the Learning Resources. What are some of the      factors (e.g., community, organization, environmental, ethical) that you      consider strengths or facilitators for your program (breast cancer in      African American women in the USA)?
  • Which      ones do you think may pose a challenge for your program(breast cancer in      African American women in the USA)?
  • How      do these barriers need to be addressed in your program design? 
  • How      might the strengths be leveraged to help overcome the barriers?

     

By tomorrow Wednesday 01/02/19 2 pm post a minimum of 550 words essay in APA format with a minimum of 3 scholarly references from the list of required readings below. (Also see attached file on the previous paper regarding the program on the issue of breast cancer in African American women in the USA). Include the level one header as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Analyze two or more community, client, organization, and/or environmental forces that may facilitate your program and two or more that may pose a challenge for your program (breast cancer in African American women in the USA).

2) Propose a strategy for addressing one of the barriers as a part of your program design (breast cancer in African American women in the USA)?

3) Ask questions of your colleagues regarding how you might address the other challenge.

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

• Chapter 4, “Program Planning: The Big Picture”

• Chapter 5, “Social Marketing, Program Planning, and Implementation”

• Chapter 8, “Identifying Strategies and Activities”

• Chapter 9, “Program Implementation”

Chapter 4 outlines the program planning steps and emphasizes the importance of including your target population and additional stakeholders in the design process. Chapter 5 reemphasizes this focus on the target audience as the authors discuss the use of marketing principles in relation to program development and implementation. Chapter 8 discusses the importance of utilizing strategies that are aligned with the theoretical foundations of a program and presents recommendations for developing suitable activities. In Chapter 9, the authors note that even implementation requires planning; they provide guidance for implementation planning and advise how this can also support evaluation.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

Review Chapter 6, “Selecting the Appropriate Intervention Strategy”

Chapter 8, “Designing Effective Programs”

Review Chapter 6, which discusses the connection between the program hypothesis and service decisions. Chapter 8 addresses how to design elements of a program systematically in order to promote consistency and attend to the necessary details.

Breslau, E.S., Weiss, E.S., Williams, A., Burness, A., & Kapka, D. (2015). The implementation road: Engaging community partnerships in evidence-based cancer control interventions. Health Promotion Practice, 16(1), 40–54 doi: 10.1177/1524839914528705

Buck, H.G., Kolanowski, A., Fick, D., & Baronner, L (2016). Improving rural geriatric care through education: A scalable, collaborative project. The Journal of Continuing Education in Nursing, 47(7), 306-313 doi:10.3928/00220124-20160616-06 

KIDASA Software. (n.d.). Gantt charts. Retrieved December 12, 2011, from http://www.ganttchart.com/Examples.html

This site provides examples of different forms of Gantt charts.

Minb, A., Patel, S., Bruce-Barrett, C., O-Campo, P. (2015). Letting youths choose for themselves: Concept mapping as a participatory approach for program and service planning. Family Community Health, 38(1), 33–43 doi: 10.1097/FCH.0000000000000060

Soong, C.S., Wangm M.P., Mui, M., Viswanath, K., Lam, T.H., & Chan, S.SC. (2015). A “community fit” community-based participatory research program for family health, happiness, and harmony: Design and implementation. JMIR Research Protocols, 4(4), 1–10 doi:10.2196/resprot.4369

Witherspoon, B., Braunlin, K., & Kumar, A.B. (2016). A secure, social media-based “case of the month” module in a neurocritical care unit (2016). American Journal of Critical Care, 25(4), 310–317 doi: http://dx.doi.org/10.4037/ajcc2016203

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Designing Effective Programs” (featuring Dr. Donna Shambley-Ebron, Dr. Debora Dole, and Dr. Rebecca Lee)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

In this week’s videos, Dr. Donna Shambley-Ebron, Dr. Debora Dole, and Dr. Rebecca Lee share experiences related to designing effective programs.

Discuss how this policy might affect health care in the future.

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This assignment introduces policy and how a policy is formed in Congress.  You will learn how policy is developed, what influences policy and the process of policy.  Also, a beginning reading will cover governmental structure:  the federal constitution, the branches of government, the federal budget process and state constitution.  The student will identify and give an overview of a current bill.  Also, the current bill should be correlated to the reading in Chapter 1 and 2 of Porche.  It is important understand the continuum of policy at its inception to instituting policy.

This assignment does not necessarily require a journal or a news article. You can find a current healthcare bill that is being discussed in congress (there are many) by going to https://www.govtrack.us/ or https://www.congress.gov/.

Upon successful completion of this assignment you should be able to: 

  • Define and identify types of policy.
  • Discuss influencing factors to policy decision-making.
  • Explain the components of the policy cycle.
  • Review  the overview of the government structure.
  • Identify the three primary functions of the United States Constitution.
  • Research a current health care bill/policy that is being discussed in Congress.
  • Incorporate the making of a policy reading into the overview of the bill that was chose
  1. Navigate to the threaded discussion and respond to the following:
    1. Read Chapter 1 and 2 of Health policy.
    2. Find a bill regarding policy making in Congress.  this should be a healthcare policy being discussed.
    3. Give an overview of the bill specifies.  Relate this to what you are read in Chapters 1 and 2 of Health Policy.
    4. Discuss how this policy might affect health care in the future.
    5. Make sure this policy is not too broad so you are not able to fully comprehend the impact of passing the policy.
    6. Who are the key players?
    7. What is the next step for the bill?
    8. Be sure to address three of the assignment’s outcomes listed above in your post.

Identify the Leadership Laws as described by Maxwell and Elmore needed to create sound policy.

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Leadership Laws

Introduction

This assignment is intended to introduce different ethical principles individuals’ value.  This will be observed from a Christian perspective.  Also ethical terminology will be reviewed or introduced.

Upon successful completion of this assignment you should be able to: 

  • Define ethical terms
  • Compare and contrast the difference between basic ethics and dilemma ethics.
  • Identify the Leadership Laws as described by Maxwell and Elmore needed to create sound policy.

Resources

Instructions

  1. View the Ethical Decision Making PowerPoint.
  2. Read the essay “Teaching the Virtues” by Christina Hoff Somners at http://forerunner.com/forerunner/X0116_Teaching_the_Virtues.html
  3. Review three Leadership Laws from the Maxwell Leadership Bible (2007). An Index for the Leadership Laws can be found in the back of your Bible. Consider your own personal and professional growth as you decide which laws to review.
  4. Review/ define the ethics vocabulary list found as an attachment in course materials under workshop one. Be prepared to apply the ethical theories and principles to discussions and assignments throughout the course. We need to understand and speak the language of ethics as we participate in ethical discussions.
  5. Review the PowerPoint on ethical decision making models.
  6. Access at least two of the following or other ethical resources online:
    1. Potter Box
    2. Decision Model Based on Moral Development Theory (Kristen Alley Swain)
    3. Hasted’s Bioethical Decision Making Model
    4. Kohlberg & Gilligan
    5. The President’s Council on Bioethics
    6. World Transhumanis Association
    7. American Society of Bioethics and Humanities
    8. NCBC The National Catholic Bioethics Center
    9. Six Step Ethical Decision Making Model
  7. Navigate to the threaded discussion and respond to the following:
    1. Post a two or three paragraph summary of your thoughts/ideas on this material and the integration of personal ethics with organizational and public ethics. 
    2. Compare and contrast the difference between basic ethics and dilemma ethics.
    3. Review of leadership laws
  8. Your initial post is due by the fifth day of the workshop.
  9. Read and respond to at least two of your classmates’ initial postings and any questions you are asked in your initial post by the end of the workshop.
  10. Use this material as you respond to various discussions and prepare work during the remainder of the course.

Ethics Vocabulary List

  • Beneficence
  • Care      Ethics
  • Causitry      approach
  • Deontological      theories
  • Duty
  • Fidelity
  • Justice—distributive      and compensatory
  • Locus of      authority
  • Metaethics
  • Nonmaleficience
  • Normative      Ethics
  • Prima      facie duties or rights
  • Primum      non nocere
  • Review      the three types of ethical dilemmas
    • Right       versus wrong
    • Wrong       versus wrong
    • Right       versus right—primary focus is on this type of dilemma
  • Teleological      theories
  • Utilitarianism
  • Veracity
  • Virtue      theory

Describe and provide rationale for which design you plan to use in your DPI project.

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Module 1 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their reference page

My project is CLABSI prevention

Topic 6 DQ 1

Describe and provide rationale for which design you plan to use in your DPI project. Be sure to describe how your methodology is in line with your project questions.

Topic 6 DQ 2

Describe and provide rationale for which design you plan to use in your DPI project. Be sure to indicate how your design in aligned with the methodology chosen in Topic 1 DQ 1.