FOR Phd isaac newton

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This is a Masters 2 page response to this discussion post needs to be in APA format and have 3 references one being from walden university library.  Please state retrieved from walden universtiy library when placing in references   I will attach a article that is in resources.  The text book is McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: Challenges of design, workflow, and contractual relations. Studies in Health Technology and Informatics, 157, 7–14.

Retrieved from the Walden Library databases.

NURS 6051-7: Transforming Nursing & Healthcare Through Technology

Week 7 Discussion

As the complexity of healthcare increases and becomes more reliant on information technology, it is important that all nurses, especially those in informatics, are familiar with workflow analysis and how a workflow may be influenced by technology (McGonigle & Mastrian, 2015).  Although technology can greatly improve an organization’s safety, quality, and efficiency, implementing new technology without consideration as to how workflow is impacted may lead an opposite effect of more danger and inefficiency instead (McGonigle & Mastrian, 2015). 

Workflow and Vendor Selection

In the two years that I have been at my organization, I was directly involved in the planning and implementation of the introduction of a new technology that would utilize barcode scanning for storing and administering breast milk.  During this project we were asked to map our current and proposed future workflows after receiving education and an overview of the new program we would be using.  Although we were able to outline inefficiencies in the current process, we were only able to correct them in the future state as far as the new technology would allow.  Identifying and outlining the current workflow before a vendor is even selected would have made it possible to design a truly ideal future workflow and see what how different vendors could help us accomplish it and which would work best for our organization (U.S. Department of Health & Human Services, n.d.).  Ideal future state workflows should not have to accommodate a system but rather find a system that best accommodates them, then proposed workflows can be adjusted once an appropriate vendor and program is selected (U.S. Department of Health & Human Services, n.d.).

Concept 2

When I assisted in the planning and implementation of the breast milk scanning system there were team members who had been trained in EQIP processes which is a type of performance improvement tool.  They provided us with a quick overview of how to put together flowcharts and asked us to put them together for our areas current workflow.  Although having the overview of flowcharts and an example to refer to was helpful, it would have also been helpful to understand each of the steps involved in mapping workflow with flowcharts.  Those steps include selecting the process to be evaluated and what team members should be involved, creating a preliminary flowchart, adding detail to it, selecting individuals to observe or interview to assess its correctness, and updating the flowchart based on those interviews and observations (U.S. Department of Health & Human Services, n.d.).   The use of swim-lanes and determining value added versus non-value added steps that can be eliminated would have also been useful training to receive in order to develop the best future state workflow possible (McGonigle & Mastrian, 2015). 

Usability Tools

A last concept that I found very interesting from the U.S. Department of Health and Human Services (n.d.) is the use of usability tools and evaluations.  These tools can be used before purchasing a system to see how well it may work with the needs of an organization or after its purchase to determine what improvements can be made (U.S. Department of Health & Human Services, n.d.).   Usability tools can also be used during the planning and design phase of a project in order to gain access to feedback from frontline users and suggestions for designs and workflow (U.S. Department of Health & Human Services, n.d.).   I feel that using ttols such as this during the optimization phase of the several different IT system builds we have put forth in the last few years could help us to see if the future state we had proposed has been obtained and what improvements we can make to get them closer to fruition.

Article Summary

Saleem, Patterson, Militello, Render, Orshansky, and Asch (2005) performed an observational study in order to determine the barriers and facilitators to health care professionals using computerized clinical reminders (CRs) efficiently and effectively.  During their observations they found barriers with subcategories that involved lack of coordination or confusion between nurses and clinicians; lack of coordination involving paper workarounds during patient intake and examination; addressing CRs while not with the patient which did not allow for optimal answering; perceptions of not enough time, CRs not being a core activity, and documentation being duplicated by CRs; CRs not having appropriate answer selections, freezing requiring them to be abandoned, or differing from clinical judgement of the provider; and limitations to technology such as speed and difficulty finding CRs (Saleem et al., 2005).  The facilitators discovered were limiting the number of CRs that fire, have computers located in efficient spaces, and integrate CRs into the workflow (Saleem et al., 2005).

With the barriers and facilitators identified by Saleem and his colleagues (2005) it would be beneficial for my organization to perform similar observations and record what is found within it.  Recently in my organization there has been much discussion regarding alert fatigue and how alerts may be ignored if staff are inundated by them every shift.  Observations and interviews with front line staff could help us to have an idea of where we still have barriers and workarounds that need to be improved.

Monitoring Technology and Workflow

The addition of technology to improve the quality of care cannot stop at implementation alone but must be monitored to ensure the goals of implementation are being met (McGonigle & Mastrian, 2015).  If technology is implemented and end state workflow is not assessed, there is no way for an organization to know whether the technology is improving care or impeding it by causing potentially dangerous workarounds due to inefficiencies, etc (McGonigle & Mastrian, 2015).  Instead, monitoring of process metrics associated with the system and workflow for potential weaknesses and performance improvement needs should be a continual duty of an organization (McGonigle & Mastrian, 2015).

References

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Saleem, J., Patterson, E., Militello, L., Render, M., Orshansky, G., & Asch, S. (n.d). Exploring barriers and facilitators to the use of computerized clinical reminders. Journal Of The American Medical Informatics Association, 12(4), 438-447.  Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1174889/?tool=pubmed

U.S. Department of Health & Human Services. (n.d.). Workflow assessment for health IT toolkit. Retrieved, June 18, 2012, from http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

comment from post 2

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Correlation is the relationship between two variables (Schwartz, 2015). Linear correlation

can be described as the measure of intensity of association between two random variables

(Statlect.com, 2016). In other words, correlation quantifies the linear association between two

variables (The Math Works, 2016). When describing this relationship several factors have to be

considered. Two variables that have a small or no linear correlation can have a strong nonlinear

association. Also, when there is no correlation between the two variables, the values of the

variables will not have a tendency to decrease or increase in tandem (The Math Works, 2016).

Correlation does not indicate or suggest existence of a statistically significant or casual

relationship between conduct and result. There are set of principles of casual interference that

need to be satisfied to imply cause and effect (Schwartz, 2015). Here the dose-response effect

has to be considered to establish the cause-and effect, i.e., the value of response variable has to

change in a meaningful way with the dose or level of the suspected casual agent. Also, the

hypothesis that there is a casual relationship between number of cigarettes and pulse rate is not

consistent with the current biological or theoretical knowledge. In the given conclusion the error

is that the pulse rate increases as the number of cigarettes smoke increases does not meet the

dose-response criteria, is inconsistent finding, biologically incredible, and has no coherence of

evidence.

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

compare and contrast

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Write an essay that compares and contrasts the ethical dilemmas that an emergency medicine physician may face versusthe ethical dilemmas that another healthcare provider of your choice may experience. Examples of other healthcareproviders include, but are not limited to, nurses, social workers, primary care physicians, or physician specialists.Your paper should be a minimum of three pages, not including the title and reference pages. You must use a minimum ofthree source. All sources used must be referenced; any paraphrased or quoted material musthave accompanying citations. The paper will be formatted in APA style.

Due today

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this assignment, you will select your final topic using the information you prepared in the Identification of Research Topics assignment and create a literature review. To complete this assignment, do the following:

Select one of the three topics from the Identification of Research Topics assignment.

Utilizing the GCU library, locate three additional articles that will complement and support your specific topic of interest.

In a 1,500-2,000-word paper, utilizing the research process, (refer to your text, Understanding Research) include the following:

  1. An introduction to the topic.
  2. An explanation of how the literature review is used in research.
  3. A discussion of the ethical considerations for data collection.
  4. An explanation of what the data reveals in terms of statistical analysis.
  5. An evaluation of whether there is enough information to make a decision on the effectiveness of the specific study.
  6. A summary of the conclusions from the literature review.
  7. Topic: failure to label patients specimens 

teacher Charles

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Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment? What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient? Search the literature to see whether you are able to locate any guidelines to support this teaching.

InstructionsOverview/Description: My specialization is MSN-APRN in Family Nurse Practitioner, Make sure the entire project is centered in one topic only. The final project for NSG6101 consists of the

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Instructions

Overview/Description:

My specialization is MSN-APRN in Family Nurse Practitioner, Make sure the entire project is centered in one topic only.

The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using therequired templateandnot to exceed 8-10 pages (excluding title page/references/appendices).

Criteria: Introduction

  • Background and Significance of Problem
  • Statement of the Problem and Purpose of the Study

Literature Review

  • Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

  • Overview and Guiding Propositions(s) Described in Theory
  • Application of Theory to Your Study’s/Project’s Focus

Methodology

  • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
  • Sampling Strategy
  • Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
  • Extraneous Variables (and plan for how controlled).
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
  • Description of the Intervention
  • Data Collection Procedures
  • Data Analysis Plans
    • Describe plan for data analysis for demographic variables (descriptive statistical tests).
    • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

  • Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed StudyImplications for PracticeReferencesAppendices

  • Informed Consent Letter
    • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).

THIS IS WHAT NEEDS TO BE PRIORITIZED ON RUBRIC:

WEEK 3: Variables are operationally defined

WEEK 4: Quality of the initial posting.

WEEK 7: Description of the instrument is appropriate to address research question.

WEEK 8: Data Analysis plan for demographic variables.

Movie Character Health Assessment Presentation

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In this assignment, you will be creating a PowerPoint presentation based on the application of the functional health assessment of a movie character. To complete this assignment, choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films:

  1. Away From Her
  2. Lorenzo’s Oil
  3. Mask
  4. My Sister’s Keeper
  5. Philadelphia
  6. Rain Man
  7. Steel Magnolias
  8. Stepmom
  9. The Elephant Man
  10. The Mighty
  11. The Tic Code

Directions:

  1. Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.”
  2. Provide an introduction and background overview of the movie character (client).
  3. Assess the client using the “Functional Health Pattern Assessment.”
  4. Based on your “observations” and thoughts, document your assessment, providing examples from the movie.
  5. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client.
  6. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples.
  7. Develop an appropriate nursing diagnosis for the client based on your assessment.
  8. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance.
  9. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices.

In addition to submitting the presentation to the instructor, post your assignment to the Movie Character Health Assessment Presentation Main Forum as directed by instructor. Respond to other students’ posts in a manner that initiates or contributes to discussion. Each person should make at least three substantive comments.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Text book= 1. Physical Examination and Health Assessment

Read Chapters 3-4, and the age-specific information in Chapters 8-28 in Physical Examination and Health Assessment.

Need this assignment by Wednesday. Zero plagiarism and my school uses turn it in.

(500 Words)PC Diversity & Multiculturalism 4.2: Demonstrate an understanding of how one’s perspective toward multiculturalism and diversity impacts an organization.You are the president of a multi h

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(500 Words)

PC Diversity & Multiculturalism 4.2: Demonstrate an understanding of how one’s perspective toward multiculturalism and diversity impacts an organization.

You are the president of a multi hospital system that is growing at a rapid pace. There are strains on resources, and pressures to find new ways to achieve an economic scale in operations. In a meeting with the staff, a suggestion was made to look overseas for two services the system normally did internally.

The first was to consider outsourcing the reading of radiological images to an India-based radiology company. They would have radiologists available 24/7, and the images can be sent to them digitally. There would be a 50% savings and would eliminate the need an on-call radiologist in the hospital. It would also call for a reduction in staff and a reduction in supply acquisition.

The second suggestion was to outsource medical records transcription to a Pakistani company. Voice transcriptions could be sent digitally in real time (as notes were dictated), at a cost of nine cents per line versus the current 22 cents per line that the hospital is paying with a local transcription company. The turnaround time was comparable. The negative aspect is that sometimes language differences could cause errors in transcribing. In addition, the decision to take business away from local companies would impact the local economy.

Weighing all the facts, what choices would you make? Keep in mind you want to move your organization forward, yet at the same time, you want to consider your working relationship with the present providers of these services. Defend your choices!