A train near Jason’s house just derailed. The local authorities said it is carrying hazardous chemicals and that the local population should evacuate the area. Jason walks out on his front porch and

A train near Jason’s house just derailed. The local authorities said it is carrying hazardous chemicals and that the local population should evacuate the area. Jason walks out on his front porch and doesn’t smell anything unusual so what should Jason do?

comment from post 3

The error in the conclusion of “cigarettes cause the pulse rate to increase” is that it cannot be concluded that cigarettes “cause” the pulse rate to increase.  Linear correlations measure the association and strength between two variables.   Correlations refer to the interdependence or co-relationships between the variables. It reflects the closeness between the x variable which is the independent variable called the predictor and the y variable is the dependent variable, also known as the outcome.  The correlation can be determined through using the simple linear regression.  This is a procedure that provides an estimate of the value of the outcome based on the predictor.  The use of linear correlation and regression is to test the hypothesis of cause and effect, to see whether the two variables are associated and to estimate the value of one variable corresponding to a particular value of the other variable.   

I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE

Discussion – Week 3 COLLAPSE Standardized Coding Systems As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that sp

For suraya

APA Format 3 scholarly references at least one from Walden University Library

Discussion – Week 3

COLLAPSE

Standardized Coding Systems

As a result of the fragmented nature of the health care system, professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past, limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system, therefore, poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent, high-quality care?

According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification.

To prepare:

  • Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.
  • Reflect on the importance of continuity in terminology and coding systems.
  • In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.
  • Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology.

Discussion Board 3

How does the nurse manager or leader play a role in the reengineering of health care?

The responses should be long enough to answer the question fully, usually about 2-3 cited paragraphs (each paragraph with a minimum of 3-5 sentences). A minimum of one reference is required.

Needs to be 100% plagerism free. It will be checked against other posters and previous posters.

apa FORMAT Paper due in 15hrs

1) Write a paper (1,000-1,1~`50 words) that addresses types of health care organizational structure and how each type of structure impacts the process and effectiveness of change. Address the following:

a) Why it is necessary for a health care organization to develop a strategic management model that addresses both the concept of change necessary for the growth and sustainability of the organization, and the processes of changing, that is, how does the organization go about accomplishing change?

b) Differentiate between organizational change and transformational change.

c) Where might an organization obtain examples of leadership models that have proven successful in today’s health care environment?

d) Identify and explain tools and advice that can be utilized to assess leadership effectiveness.

2) Prepare this assignment according to the APA guidelines provide quailty intext citations and references

comment from post 4

Based on the scientific management theory, some routines in healthcare that are inefficient are the amount of patients seen by a provider in a day. Obviously, providers are meant to care for those that are sick but many times, patients are seen as “objects of money” rather that a person in need. Corporate persons are only looking at how much money a provider can bring in a single day. Not how they are helping the patient. According to our lecture, it states, “According to the foundation of this theory, humans are motivated by money, and there should be a separation between managers and the workers.” (GCU.2017). This states that money is the drive for how a healthcare system is run. Corporate tells the healthcare providers how to give medical care rather than what is good for the patient or not. This is very wrong and should be one of the major efforts of change in healthcare.

            Participative decision making exists somewhat in my workplace. Participative decision making theory states that employers encourage ideas or concerns from the employees and therefor can make changes needed according to employee ideas. We have a “change board” in our lounge that we are able to put anonymous concerns and ideas on. Things that we think are needed or can be changed can be put up here. Every month it is read in staff meeting and followed up with management. This is a great idea but rarely works. I have yet to see any changes from the board happen. I know management is busy but if they take the employees ideas and try to work with us then it will improve moral and possible patient outcomes.

I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE

RE:Discussion

Post a description of your selected organization’s mission, vision, and values. Describe how these are evidenced—or perhaps appear to be contradicted—in the words and actions of leaders and others in the organization, noting relevant data or artifacts. In addition, discuss the organization’s culture and its climate, differentiating between the two. Explain why examining these matters is significant to your role as a nurse leader

Research

·      Topic: Moebius Syndrome-Psychological aspects focusing on depression.(about12-15 pages)

·      Abstract

·      Patient Profile and Issue

Name:  Michael E. Pandy

Date of Birth:  6/13/2008

Age:  9

Sex:  Male

Occupation:  Student

Marital Status:  Single

Patient Demographics:  The patient is a 9-year-old, single, male, of Caucasian descent, which lives with his family in Anaheim, California, in a three-bedroom home. 

Familial History and Significant Relationships:  The Patient is in a two-parent home with a brother and sister.  He described his social relations as non-existent because he is socially outcast. He described his relationship with his parents as “close and protective”.  He reported that he currently has a closer relationship with his family than with other students from his school.

Education and Employment History:  The patient reported that he is a third-grade student from Charter elementary school. His parents described him as intelligent with some hearing impairment with speech disorder. The patient is currently attending physical therapy and speech therapy after school three days a week.

Presenting Issue: The patient was diagnosed with Moebius Syndrome in June 2008. He has been experiencing problems with feeding, motor delays, speech, hearing and cleft palate.  

·      Introduction- 1 paragraph- problem/issue and thesis statement

·      Background – depression (4 para) and Moebius (1-2 para)

o   Begin using level headings, Historical, or important background information regarding issue(s)Keep in mind cultural, ethnicity, economic, sex, age, etc. issues

·      Literature Review- 5 Journal articles-min 5 paragraphs

Here are some articles I looked up chose to use or find new ones.

Bogart, K. R., M.A., & Matsumoto, D., PhD. (2010). Living with Moeibus syndrome:

 Adjustment, social competence, and satisfaction with life. The Cleft Palate – Craniofacial Journal, 47(2), 134-42. Retrieved from https://search.proquest.com/docview/204890674?accountid=162765

Anxiety disorders; studies from tufts university, department of psychology provide new data on

anxiety disorders. (2010). Mental Health Weekly Digest, 66. Retrieved from https://search.proquest.com/docview/194639734?accountid=162765

Meyer, Amy Ellwood, B.S.N.., R.N. (2015)

Stock, N. M., M. Sc, Feragen, K. B., PhD., & Rumsey, N., PhD. (2016). Adults’ narratives of

 growing up with a cleft lip and/or palate: Factors associated with psychological adjustment. The Cleft Palate – Craniofacial Journal, 53(2), 222-239. doi:http://dx.doi.org/10.1597/14-269

Locker, D., Jokovic, A., & Tompson, B. (2005). Health-related quality of life of children aged 11

to 14 years with orofacial conditions. The Cleft Palate – Craniofacial Journal, 42(3), 260-6. Retrieved from https://search.proquest.com/docview/204918553?accountid=162765

Many of the groups did not differ with respect to oral symptoms or emotional well-being.

·      Methodology- Population, Methods, Results, Discussion

§  Research strengths

§  Research weaknesses

                          Future research considerations

·      Personal Reflection- 1st person allowed, Personal learning and reflections on patient profile and research being presented

·      Conclusion- 1 para and include call to action

·       Reference-Ten scholarly article citations

Class 1 unit 3 comment 2

Reply to Thread

Guidance and Coaching Role Differences

The role of teaching and coaching as a registered nurse has similarities and differences with the role of guidance and coaching as an advanced practice nurse. The main similarity between the two roles is patient education. Patient education is done by registered nurses and advanced practice nurses to inform patients about medical procedures, treatment choices, and their medical conditions (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 185). Hameric et al. (2014) explains that patient education is often included in guidance and coaching (p. 185). 

Although there are similarities between these two roles, I feel there are more differences than similarities. As a registered nurse when I am teaching and coaching patients I tend to do more teaching and coaching about disease management rather than disease prevention. For example, in the long-term cares setting I may be teaching a patient with congestive heart failure how to lower sodium intake and about the importance of wearing their compression stocking and taking their diuretics to manage their disease. This process follows more closely with the sickness model rather than the wellness model. It would be much more beneficial to teach the patient prior to the congestive heart failure about blood pressure management, low sodium intake, weight loss, and exercise to prevent the congestive heart failure. This would follow more closely with the wellness model. Hamric et al. (2014) describes the advanced practice nurses’ role of guidance and coaching has a holistic approach centered around disease prevention and early interventions (p. 184, 193). I believe this is a very important difference between the role of the registered nurse teaching and coaching and the advanced practice nurse guidance and coaching. 

I feel that the most important difference between these two roles is the use of motivational interviewing. As stated in Hamric et al. (2014) motivational interviewing is a technique used by advanced practice nurses to motivate and empower their patients to improve their own health (p. 186). This is achieved by using active listening and open-ended questioning to better understand the patient’s motivation and use this information to empower the patient to make better health care decisions (Hamric et al, 2014, p. 199-200). As a registered nurse this is not a concept I was familiar with and had not previously learned about in my undergraduate degree. This is a very different way to guide and coach patients. I am so used to correcting patient’s misinformation and teaching them about the “right” way to do something. This is a very interesting concept to me which I look forward to exploring. 

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. (2014). Advanced practice nursing: 

            an integrative approach (5th ed.). St. Louis, MO: Elsevier/Saunders.