Assignment 4 Training Strategy
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
June 17, 2022
Assignment 4 Training Strategy
For a leading medical centre such as Mercy Medical Center, it is essential to have a sound policy and practice standards for the control of drug errors. The nursing staff of the medical centre who will be responsible for implementing the policy on managing medication errors must have a comprehensive understanding of the strategies specified in the policy for it to be appropriately implemented. A staff training program will ensure that the necessary information and skills for implementing the policy guidelines are effectively disseminated. The training curriculum outlined in this study will be administered to a pilot group of 20 pediatric nursing staff members at the medical facility.
Promoting the Buy-In of Nurses
According to Ruddy et al. (2016), technological advances are required for a significant change in medical practice but are not sufficient. When practitioners are modified, systemic alterations in practice occur. According to a study by French-Bravo et al., nurses felt that effective communication with nurse supervisors boosted their support for organizational objectives (2020). Utilizing a range of communication and persuasion techniques, nurse supervisors forged close bonds with nurses. In addition to email, huddles, and staff meetings, nurse managers used data in the form of statistics, facts, and patient feedback comments to explain the rationale for change. In addition to serving as role models for nurses, nurse supervisors influence unit culture by demonstrating characteristics such as approachability and attentiveness. In addition, nurse managers contributed to change by fostering employee engagement and management support through tactics such as listening to nurses' challenges and assisting them individually and as a team. Nurse managers support a staff-led decision-making strategy by supporting employees in comprehending unit objectives, empowering them to drive unit work, and enhancing manager-facilitated peer communication (French-Bravo et al., 2020). Promoting nurse buy-in to the implementation of policy and practice standards will rely heavily on nurse managers, head nurses, and other nursing leadership members.
Early Indicators of Success
Early prediction of policy performance is facilitated by structural indicators, process indicators, and outcome indicators. Structural factors emphasize organizational challenges such as the availability and proper operation of equipment such as automated dispensing machines. Process indicators are concerned with the process of providing care. The efficiency of prescription management and the efficiency of diagnosis management are two process indicators that quantify the policy's success. The purpose of outcome indicators is to accomplish a particular objective. A reduction in readmissions, a decre.
1
6
EXECUTIVE SUMMARY
Jessica Ramos
Capella University
NURS-FPX6212: Health Care Quality Safety Management
Dr. Mary Ellen Cockerham
August 18, 2021
Executive Summary
Medication error being a systematic problem is not a new case. It is something that nurses and other healthcare providers have experienced. The error could be a result of recurring issues of just human error. It could also lead to more severe injuries where the patient could find themselves with a new condition such as itching rashes or skin problems that could either be temporary or permanent. These medication errors could even lead to death in some cases, significantly hurting the patient's family, especially when they know that the death of their loved one could have been prevented. It could make the healthcare provider responsible for the error start doubting themselves and start feeling guilty and ashamed for the action. It could even lead to depression throughout their life. If the deceased's family decides to file a lawsuit against the nurse or the one who was responsible, it could result in them losing their license. Medication errors can also impact the hospital where the healthcare provider is working, and patients even lose trust in the kind of treatment offered in that hospital. The occurrence of medication errors could cause the organization not to achieve its goals and objectives of providing quality care to patients for better results. Since human is to error, a medication error of not greater than 5% is allowed, but currently, it is at 39.5% (Barker et al. 2020)
As a nursing leader, I would recommend using various strategies to help minimize the occurrence of such medication errors in the future. The management should make it their responsibility to establish a safety culture and constantly report the current system and how it is performing. Healthcare providers should understand that humans are to error, and no one is to be blamed or receive a harsh form of punishment. The healthcare provider responsible for the medication error should acknowledge their mistake and report to the nursing leaders or the supervisor in charge to ensure patient safety before things get worse.
Nursing is a vital profession in the healthcare sector, mainly concerned with providing quality care to individuals and families. However, it has been discovered that there is a gap between the expected outcomes and the actual results. As a nursing leader, I will present the matter before other executive leaders to ensure care has been improved. Even though care is the primary concern of nurses, other healthcare providers should also work to ensure quality and safety outcomes. It is the responsibility of every individual in the organization. They should ensure to utilize evidence-based information and apply this knowledge to assess the ability of the entire organization to provide evidence-based care delivery. I will also look at systematic problems and specific medication e ...
1
6
EXECUTIVE SUMMARY
Jessica Ramos
Capella University
NURS-FPX6212: Health Care Quality Safety Management
Dr. Mary Ellen Cockerham
August 18, 2021
Executive Summary
Medication error being a systematic problem is not a new case. It is something that nurses and other healthcare providers have experienced. The error could be a result of recurring issues of just human error. It could also lead to more severe injuries where the patient could find themselves with a new condition such as itching rashes or skin problems that could either be temporary or permanent. These medication errors could even lead to death in some cases, significantly hurting the patient's family, especially when they know that the death of their loved one could have been prevented. It could make the healthcare provider responsible for the error start doubting themselves and start feeling guilty and ashamed for the action. It could even lead to depression throughout their life. If the deceased's family decides to file a lawsuit against the nurse or the one who was responsible, it could result in them losing their license. Medication errors can also impact the hospital where the healthcare provider is working, and patients even lose trust in the kind of treatment offered in that hospital. The occurrence of medication errors could cause the organization not to achieve its goals and objectives of providing quality care to patients for better results. Since human is to error, a medication error of not greater than 5% is allowed, but currently, it is at 39.5% (Barker et al. 2020)
As a nursing leader, I would recommend using various strategies to help minimize the occurrence of such medication errors in the future. The management should make it their responsibility to establish a safety culture and constantly report the current system and how it is performing. Healthcare providers should understand that humans are to error, and no one is to be blamed or receive a harsh form of punishment. The healthcare provider responsible for the medication error should acknowledge their mistake and report to the nursing leaders or the supervisor in charge to ensure patient safety before things get worse.
Nursing is a vital profession in the healthcare sector, mainly concerned with providing quality care to individuals and families. However, it has been discovered that there is a gap between the expected outcomes and the actual results. As a nursing leader, I will present the matter before other executive leaders to ensure care has been improved. Even though care is the primary concern of nurses, other healthcare providers should also work to ensure quality and safety outcomes. It is the responsibility of every individual in the organization. They should ensure to utilize evidence-based information and apply this knowledge to assess the ability of the entire organization to provide evidence-based care delivery. I will also look at systematic problems and specific medication e ...
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
Diabetes Management Policy Proposal
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
May 19, 2022
Click to edit Master title style
Click to edit Master title style
Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action.
Policy Proposal
Diabetes Management
2
Click to edit Master title style
Click to edit Master title style
This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes.
Presentation Outline
Policy on Managing Medication Errors
Need for a Policy
Scope of Policy
Strategies to Resolve Mediation Errors
Role of the Hospital Staff
Positive impact on Working Conditions
Issues in the Application of Strategies
Alterative Perspectives on Mitigating Medication Errors
Stakeholder Participation
3
Click to edit Master title style
Click to edit Master title style
The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at
Policy on Managing Medication Errors then
Need for a Policy followed by
Strategies to Resolve Mediation Errors. Then the
Role of the Hospital Staff and the
Positive impact on Working Conditions. Also, we will look at
Issues in the Application of Strategies and the
Alterative Perspectives on Mitigating Medication Errors and finally,
Stakeholder Participation
Policy on Managing Medication Errors
4
Health practitioners should create and advance engaging policies
Many Healthcare departments require modernization
Healthcare policies should be adjusted to meet defined benchmarks
Key stakeholders are vital for successful implementation of proposed policies
Click to edit Master title style
Click to edit Master title style
When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management.
Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pr.
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Reducing Medication Errors by Nursing StaffProblVannaJoy20
Reducing
Medication
Errors by
Nursing Staff
Problem
• A medical surgical unit manager has had a significant increase in medication
administration errors over the last two months. The errors involve many staff
members and are occurring on all shifts. The budget does not allow for the
purchase of a new administration system.
• Medication errors in hospital settings create a serious threat to patient safety,
and it can be challenging to implement strategies that are effective at reducing
incidents.
• Our goal is to propose an evidence-based plan within the parameters of this unit
to decrease medication administration errors from the nursing staff .
Our Goal
Strengths
•A diverse committee is
most successful at
reducing medication error
rates
(Hanifin & Zielenski,
2020).
•The nurses and managers
were willing to
participate in the error
reduction program
(Johnson et al., 2017).
•Using the HALT method
to check if a nurse was
hungry, angry, lonely, late,
or tired reduced
medication errors by 31%
(Ragau et al., 2018).
•The methods
implemented were
inexpensive and easy to
use (Raja et al., 2019).
Weaknesses
•Nurses were interrupted
during 98% of all
observed medication
administration events
(Johnson et al., 2017).
•There is a significant
connection between
nurse interruptions and
medication errors (Raja
et al., 2019).
•Of all the interruptions
observed on the unit,
39% were from one nurse
to another (Johnson et al.,
2017).
•A nurse with unmet
needs is more likely to
make a medication error
(Ragau et al., 2018).
Opportunities
•A unit observer will
help to identify the
medication errors
(Johnson et al., 2017).
•Evenly distributed
workloads reduce
medication errors
(Raja et al., 2019).
•The HALT method
can be taught at staff
meetings (Ragau et
al., 2018).
•Reminder posters
were effective at
reducing medication
errors (Johnson et al.,
2017).
Threats
•Medication errors can
cause patient injury and
mortality (Johnson et
al., 2017).
•Low patient
satisfaction will cause
the hospital to lose
business (Ragau et al.,
2018).
•Medication errors
diminish the
confidence of the nurse
and lower unit morale
(Ragau et al., 2018).
•Medication errors
increase institutional
costs (Raja et al.,
2019).
Assessment
• Out of all medication administration events on
the unit, 98% had interruptions (Johnson et al.,
2017).
• Nurses were the source of 39% of
interruptions to other nurses during
medication administration (Johnson et al.,
2017).
• Negative emotions and sensations experienced
by nurses contribute to medication
errors (Ragau et al., 2018).
• A multidisciplinary committee is most
effective at reducing medication
errors (Hanifin & Zielenski, 2020).
Diagnosis
SMART
Goal
• Our goal is to appoint a multidisciplinary
committee that will train staff to use
evidence-based interventions, such as
reducing interruptions duri ...
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Reimplementation of a bedside shift report 7 Errors are .docxcarlt3
Reimplementation of a bedside shift report 7
* Errors are in red that must be addressed or more points will continue to come off.
· Clarification about the change process is needed; telehealth in ICU is mentioned but not explained as being relevant to BSR. There are many sentence structural issues. See my feedback throughout.
Change Proposal: Reimplementation of a Bedside Shift Report
The identified clinical problem that is relevant to nurses in the workplace is the bedside shift report (BSR). The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and increase costs in the facility. Also, to have a reduced cost by removing overtime pay and scrubbing off legal errors which result in legal fees (Clark et al., 2020). (*Re-phrase this sentence, avoid slang).
The reimplementation of a bedside shift report is important for the nurse practicing in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Clark et al., 2020).
At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Clark et al., 2020).
According to the study by Gregory et al., (2014), the process of assessing the transformation in practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Gregory et al., 2014).
A study by Dempsey et al., (2014) reveals t.
1
6
EXECUTIVE SUMMARY
Jessica Ramos
Capella University
NURS-FPX6212: Health Care Quality Safety Management
Dr. Mary Ellen Cockerham
August 18, 2021
Executive Summary
Medication error being a systematic problem is not a new case. It is something that nurses and other healthcare providers have experienced. The error could be a result of recurring issues of just human error. It could also lead to more severe injuries where the patient could find themselves with a new condition such as itching rashes or skin problems that could either be temporary or permanent. These medication errors could even lead to death in some cases, significantly hurting the patient's family, especially when they know that the death of their loved one could have been prevented. It could make the healthcare provider responsible for the error start doubting themselves and start feeling guilty and ashamed for the action. It could even lead to depression throughout their life. If the deceased's family decides to file a lawsuit against the nurse or the one who was responsible, it could result in them losing their license. Medication errors can also impact the hospital where the healthcare provider is working, and patients even lose trust in the kind of treatment offered in that hospital. The occurrence of medication errors could cause the organization not to achieve its goals and objectives of providing quality care to patients for better results. Since human is to error, a medication error of not greater than 5% is allowed, but currently, it is at 39.5% (Barker et al. 2020)
As a nursing leader, I would recommend using various strategies to help minimize the occurrence of such medication errors in the future. The management should make it their responsibility to establish a safety culture and constantly report the current system and how it is performing. Healthcare providers should understand that humans are to error, and no one is to be blamed or receive a harsh form of punishment. The healthcare provider responsible for the medication error should acknowledge their mistake and report to the nursing leaders or the supervisor in charge to ensure patient safety before things get worse.
Nursing is a vital profession in the healthcare sector, mainly concerned with providing quality care to individuals and families. However, it has been discovered that there is a gap between the expected outcomes and the actual results. As a nursing leader, I will present the matter before other executive leaders to ensure care has been improved. Even though care is the primary concern of nurses, other healthcare providers should also work to ensure quality and safety outcomes. It is the responsibility of every individual in the organization. They should ensure to utilize evidence-based information and apply this knowledge to assess the ability of the entire organization to provide evidence-based care delivery. I will also look at systematic problems and specific medication e ...
1
6
EXECUTIVE SUMMARY
Jessica Ramos
Capella University
NURS-FPX6212: Health Care Quality Safety Management
Dr. Mary Ellen Cockerham
August 18, 2021
Executive Summary
Medication error being a systematic problem is not a new case. It is something that nurses and other healthcare providers have experienced. The error could be a result of recurring issues of just human error. It could also lead to more severe injuries where the patient could find themselves with a new condition such as itching rashes or skin problems that could either be temporary or permanent. These medication errors could even lead to death in some cases, significantly hurting the patient's family, especially when they know that the death of their loved one could have been prevented. It could make the healthcare provider responsible for the error start doubting themselves and start feeling guilty and ashamed for the action. It could even lead to depression throughout their life. If the deceased's family decides to file a lawsuit against the nurse or the one who was responsible, it could result in them losing their license. Medication errors can also impact the hospital where the healthcare provider is working, and patients even lose trust in the kind of treatment offered in that hospital. The occurrence of medication errors could cause the organization not to achieve its goals and objectives of providing quality care to patients for better results. Since human is to error, a medication error of not greater than 5% is allowed, but currently, it is at 39.5% (Barker et al. 2020)
As a nursing leader, I would recommend using various strategies to help minimize the occurrence of such medication errors in the future. The management should make it their responsibility to establish a safety culture and constantly report the current system and how it is performing. Healthcare providers should understand that humans are to error, and no one is to be blamed or receive a harsh form of punishment. The healthcare provider responsible for the medication error should acknowledge their mistake and report to the nursing leaders or the supervisor in charge to ensure patient safety before things get worse.
Nursing is a vital profession in the healthcare sector, mainly concerned with providing quality care to individuals and families. However, it has been discovered that there is a gap between the expected outcomes and the actual results. As a nursing leader, I will present the matter before other executive leaders to ensure care has been improved. Even though care is the primary concern of nurses, other healthcare providers should also work to ensure quality and safety outcomes. It is the responsibility of every individual in the organization. They should ensure to utilize evidence-based information and apply this knowledge to assess the ability of the entire organization to provide evidence-based care delivery. I will also look at systematic problems and specific medication e ...
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
Diabetes Management Policy Proposal
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
May 19, 2022
Click to edit Master title style
Click to edit Master title style
Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action.
Policy Proposal
Diabetes Management
2
Click to edit Master title style
Click to edit Master title style
This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes.
Presentation Outline
Policy on Managing Medication Errors
Need for a Policy
Scope of Policy
Strategies to Resolve Mediation Errors
Role of the Hospital Staff
Positive impact on Working Conditions
Issues in the Application of Strategies
Alterative Perspectives on Mitigating Medication Errors
Stakeholder Participation
3
Click to edit Master title style
Click to edit Master title style
The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at
Policy on Managing Medication Errors then
Need for a Policy followed by
Strategies to Resolve Mediation Errors. Then the
Role of the Hospital Staff and the
Positive impact on Working Conditions. Also, we will look at
Issues in the Application of Strategies and the
Alterative Perspectives on Mitigating Medication Errors and finally,
Stakeholder Participation
Policy on Managing Medication Errors
4
Health practitioners should create and advance engaging policies
Many Healthcare departments require modernization
Healthcare policies should be adjusted to meet defined benchmarks
Key stakeholders are vital for successful implementation of proposed policies
Click to edit Master title style
Click to edit Master title style
When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management.
Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pr.
Medication Administration Errors at Children's University Hospitals: Nurses P...iosrjce
Medication administration errors(MAE) can threaten patient outcomes and are a dimension of
patient safety directly linked to nursing care. Children are particularly vulnerable to medication errors because
of their unique physiology and developmental needs.
Aims: The present study aims to examine types, stages and causes of medication errors. Barriers of medication
administration errors reporting and its facilitator at pediatric University hospitals from nurses point of view.
Methods: A descriptive study was conducted in Pediatric intensive care units, medical, surgical and urology
ward of children's university hospital at Mansoura University, intensive care units, kidney dialysis at
Abouelrash pediatric hospital and general wards of Elmonaira at Cairo University Hospitals. 80 nurses were
included in the study after fulfilling the criteria of selection. A structured interview questionnaire that consists
of four sections was used.
Results: The highest types of medication errors as reported by studied nurses occurred when the medication is
delivered by the wrong route, the highest stage of medication errors done by nurses was missing of medication
then patient monitoring and administration and the highest cause of medication errors was due to heavy
workload. The results of this study indicated that the strongest perceived barriers to medication administration
errors reporting were fear from consequences of reporting, then managerial factor and then the process of
reporting from the nurse's viewpoint. The nurses agree that identifying benefits of reporting followed agree that
feeling safe about working environment, and agree that good professional relationship with physicians was the
most facilitating factors of reporting medication errors.
Conclusions: It was concluded that medication errors result from interrelated factors, the strongest perceived
barriers to medication administration errors reporting were fear from consequences of reporting, and good
relationship with nurse managers and physicians were the most facilitators of reporting medication errors.
Recommendation: The study recommended that the assessment of medication errors should be done
periodically and in- service training program about medication administrations should be applied
Reducing Medication Errors by Nursing StaffProblVannaJoy20
Reducing
Medication
Errors by
Nursing Staff
Problem
• A medical surgical unit manager has had a significant increase in medication
administration errors over the last two months. The errors involve many staff
members and are occurring on all shifts. The budget does not allow for the
purchase of a new administration system.
• Medication errors in hospital settings create a serious threat to patient safety,
and it can be challenging to implement strategies that are effective at reducing
incidents.
• Our goal is to propose an evidence-based plan within the parameters of this unit
to decrease medication administration errors from the nursing staff .
Our Goal
Strengths
•A diverse committee is
most successful at
reducing medication error
rates
(Hanifin & Zielenski,
2020).
•The nurses and managers
were willing to
participate in the error
reduction program
(Johnson et al., 2017).
•Using the HALT method
to check if a nurse was
hungry, angry, lonely, late,
or tired reduced
medication errors by 31%
(Ragau et al., 2018).
•The methods
implemented were
inexpensive and easy to
use (Raja et al., 2019).
Weaknesses
•Nurses were interrupted
during 98% of all
observed medication
administration events
(Johnson et al., 2017).
•There is a significant
connection between
nurse interruptions and
medication errors (Raja
et al., 2019).
•Of all the interruptions
observed on the unit,
39% were from one nurse
to another (Johnson et al.,
2017).
•A nurse with unmet
needs is more likely to
make a medication error
(Ragau et al., 2018).
Opportunities
•A unit observer will
help to identify the
medication errors
(Johnson et al., 2017).
•Evenly distributed
workloads reduce
medication errors
(Raja et al., 2019).
•The HALT method
can be taught at staff
meetings (Ragau et
al., 2018).
•Reminder posters
were effective at
reducing medication
errors (Johnson et al.,
2017).
Threats
•Medication errors can
cause patient injury and
mortality (Johnson et
al., 2017).
•Low patient
satisfaction will cause
the hospital to lose
business (Ragau et al.,
2018).
•Medication errors
diminish the
confidence of the nurse
and lower unit morale
(Ragau et al., 2018).
•Medication errors
increase institutional
costs (Raja et al.,
2019).
Assessment
• Out of all medication administration events on
the unit, 98% had interruptions (Johnson et al.,
2017).
• Nurses were the source of 39% of
interruptions to other nurses during
medication administration (Johnson et al.,
2017).
• Negative emotions and sensations experienced
by nurses contribute to medication
errors (Ragau et al., 2018).
• A multidisciplinary committee is most
effective at reducing medication
errors (Hanifin & Zielenski, 2020).
Diagnosis
SMART
Goal
• Our goal is to appoint a multidisciplinary
committee that will train staff to use
evidence-based interventions, such as
reducing interruptions duri ...
Importance of Medical Audit
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Reimplementation of a bedside shift report 7 Errors are .docxcarlt3
Reimplementation of a bedside shift report 7
* Errors are in red that must be addressed or more points will continue to come off.
· Clarification about the change process is needed; telehealth in ICU is mentioned but not explained as being relevant to BSR. There are many sentence structural issues. See my feedback throughout.
Change Proposal: Reimplementation of a Bedside Shift Report
The identified clinical problem that is relevant to nurses in the workplace is the bedside shift report (BSR). The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and increase costs in the facility. Also, to have a reduced cost by removing overtime pay and scrubbing off legal errors which result in legal fees (Clark et al., 2020). (*Re-phrase this sentence, avoid slang).
The reimplementation of a bedside shift report is important for the nurse practicing in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Clark et al., 2020).
At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Clark et al., 2020).
According to the study by Gregory et al., (2014), the process of assessing the transformation in practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Gregory et al., 2014).
A study by Dempsey et al., (2014) reveals t.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Offer three strategies for incorporating tracer methods in a healt.docxvannagoforth
Offer three strategies for incorporating tracer methods in a healthcare facility. In your strategies, be sure to involve nursing staff, providers, and healthcare administration.
Peers response:
Rachel Chapman posted
Since implementation in 2004, the Joint Commission has been on a mission to ensure facilities stay in compliance; not just through words but proof. Thus, the inception of the tracer methodology. Over the years, JACHO has revitalized how surveys are completed. Currently, the focus is less on staff interaction but staff intervention (Fay, 2003). Tracer methodology is a system used by The Joint Commission to assess hospital standards and compliance by following patients through a healthcare facility (Siewert, 2018, p 131). Upon survey, there are three areas assessed by tracers: individual tracer activity, system tracer activity, and accreditation-program specific tracer (Facts about tracer methodology, 2019). The introduction and application of tracer methods need to be a continual improvement process, not just eminent with an upcoming survey. The following are three suggestions I feel tracer methodology would be appropriate for my current facility:
1. From an outpatient surgical care management standpoint, I recommend running a report of patient times. Example: check-in, pre-op vitals, nursing assessment, pre-med order time, pre-meds provided, time between pre-med and time to OR, time in holding, time out of the OR, PACU, and recovery. Each of these benchmarks is easily traceable through documentation and can help determine delays in care and ineffective processes. As a supervisor, this information would afford you the opportunity to create process improvement.
2. Durable Medical Equipment (DME) – Proper process flow and communication of DME or rehab supplies is critical to prevent avoidable days. By tracking the ordering system (providers), patient notification, therapist intervention, ordering of supplies, and communication about delivery is an area that is necessary to ensure positive flow. Historically, communication is lacking with rehab and the interdisciplinary coordination team, so this method could help streamline patient care.
3. Pre-Admission planning – Since my facility is non-profit and responsible for housing and transportation for all international patients, tracking individual activity is vital to ensure federal compliance with visas and passports. Generated reports pulled by patient location origin, onset of planning process, delays in care, and follow up appointments will prevent delays in care and ensure patients' needs are met in a timely, and legal, manner. Hospital administration is constantly working with consulates of other countries and a checks and balances system is necessary.
References
Facts about tracer methodology. (2019). Retrieved from https://www.jointcommission.org/facts_about_the_tracer_methodology/
Fay, C. (2003). Educating staff on tracer methodology is a must: survey results depend on ...
Running head ADOPTION OF TECHNOLOGY IN NURSINGADOPTION OF.docxSUBHI7
Running head: ADOPTION OF TECHNOLOGY IN NURSING
ADOPTION OF TECHNOLOGY IN NURSING
Adoption of technology in nursing
Name of student:
Instructors name:
Course title:
Date of submission:
Abstract
This paper will seek to show how a manager can employ Roger’s principles of relative advantage, compatibility, simplicity, triability and observable results to overcome resistance in nursing community. Further the paper will also look at the important roles nurses can play in the implementation of EHR while at the same time evaluating the negative outcomes of not involving nurses in the software creation process.
Key words: Benefits, resistance, adoption of EHR, challenges
Introduction
As electronic health records (EHR) and information systems become more pronounced in the medical industry, it is imperative that nurses become well versed on these technologies and that the concerns of members of the nursing profession are dealt with to eliminate any resistance which nurses might have towards implementation Health information systems. Further, the software development life cycle should seek to include the varying opinions of nurses to ensure that the product created is easy to work with and is an improvement of the previous versions (McGonigle & Mastrian, 2015). This paper will therefore seek to analyse how as a manager one can overcome resistance posed by the nursing community towards adoption of HIT and analyse the ramifications of not involving nurses in the SLDC process.
Body
How I would approach the meeting
As a nursing facilitator who is tasked with ensuring that there is implementation of HIT systems within the hospital, I would approach the meeting using Roger’s five tools to show how the implementation of EHR systems would result to increased efficiency within the areas they serve and the relative advantage these systems would offer like helping them save time and serve a greater number of patients. Further, I would also outline some the features of the software systems which are compatible with the existing innovations and practices (Kaminski, 2016).
Further, I would also seek to find out some of the qualms and doubts which some of the nurses have towards the innovation and seek to find out how I can resolve the resistance offered by members of the nursing body by illustrating observable results in major health institutions where the software has been used and how it has made the whole nursing body to be effective and effective. Further, through training, I would seek to show the simplicity of using the system by outlining how these systems are simple to use and adopting the simplest language in training which would create familiarity among members of the nursing community.
In addition, I would seek to show the triability by allowing the nurses to play around with the technology, offer their suggestions and feedback and illustrate ways in which the software can be further enhanced to make it user fr ...
EvelinAccording to the last report of the American Association o.docxelbanglis
Evelin
According to the last report of the American Association of Nurse Practitioners, the scope of the nurses' practices is not limited by their titles. On the contrary, advanced nursing practice allows nurses to actively participate in clinical diagnoses, interventions, treatment monitoring, prescribing, and examinations physical (Batey & Holland, 2018). At present, the concept of advanced practice nurses has achieved worldwide development, for this reason, the health system prefers advanced practice nurses because they are trained professionals to meet the needs of patients and meet the administrative requirements of the system sanitary (Coulehan & Sheedy, 2017).
Prescribing for advanced practice nurses (APRNs) is a new integration to their responsibilities and duties with the health of patients. The prescribing of these nurses, has demonstrated effectiveness and efficacy, and allows APRNs to approach the integral and efficient management of patients from the viewpoint of other nurses, given that, according to each state, APRNs have the power to prescribe, that is, if APRNs have experience in prescribing, each state can limit this practice (Scudder, 2016).
Regarding the education of APRNs, these nurses should be specially educated to formulate prescription medications, to train about safe practices based on formulas and the combination of controlled medications. On the other hand, the limited APRNs for the formulation of medications, have the option of working interdisciplinary with other professionals to participate in the prescription, this ensures that nurses know the risks and benefits of the prescription (Coulehan & Sheedy, 2017). However, this seems to be a barrier, like the laws in each state, since it does not allow trained APRNs to exercise their knowledge and skills in this regard. Although this practice aims to protect the integrity of patients, it limits the experience and autonomy of nurses with the knowledge and certified education (Batey & Holland, 2018).
Finally, another barrier faced by nurses trained and endorsed by the state, are the regulations of each health institution, since, each hospital can determine the scope of APRNs, that is, hospitals can limit the APRNs to formulate prescriptions of medications, even if, they are accredited and allowed by the state, since, federal and state laws give hospitals autonomy to determine the competencies and functions of each of their workers (Jiao & Murimi, 2018). Likewise, it is possible to affirm that the main consequence of these barriers affects the quality and effective care of patients, since, in some cases, there may be delays in medical care until a certified physician supervises the activities of APRNs, increasing health costs and decreasing patient satisfaction (Batey & Holland, 2018).
Guillermo
The Role of Advanced Practice Nursing in Safe Prescribing
APRNs consist of nurse midwives, nurse anesthetists, clinical nurse specialists, and nurse practitioners. They are all ...
Running head CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MAN.docxtodd271
Running head: CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE
1
CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE 3
Challenges in Utilization and Case Management in Managed Care
Leribeth Inoa
2/23/2019
Managed care refers to the practice of managing some aspects of the medical services i.e. the cost and the quality of the medical services. Managed care can be managed by healthcare providers when providing healthcare services. Utilization management refers to the processes or the activities that are involved in the management of care. for example Uutilization management is relied on in terms of managing the cost in the health plan. It also refers to the routine functions which are utilized for the management of the cost of the medical services. Utilization management is entailing aspects such as prospective, concurrent, and the retrospective review. A prospective review is involving the process of tackling the utilization before its occurrence; con-current review is addressing the utilization as it happens; whereas the retrospective review occurs after the fact. Case management, on the other hand, is relied on in delivering substantial savings. In case of management, trained nurses are relying on the nurses to help in the coordinating the aspects of care like rehabilitation, home care, and health education thus helping in the improvement of the outcomes and the reduction of the expenses (Peter, 2019). Comment by Susan Such: I think I know what you are trying to say but you should rework the sentence. You might indicate that “managed care guidelines are adhered to by providers”. The providers don’t actually manage managed care, but they are subject to the rules of it. Comment by Susan Such: I think you could do better with this in terms of explaining the meaning. Comment by Susan Such: Process as you wrote it is singular, activities is plural. When you then have to figure out to use is or are you have an issue. Both have to be either singular or plural. Comment by Susan Such: End of sentence. Begin the next sentence with Utilization management is relied on…… Comment by Susan Such: This pretty much duplicates the previous sentence Comment by Susan Such: Aspects of utilization management are prospective, concurrent, and retrospective review. Comment by Susan Such: Explain with a bit more details. What is being reviewed?? Comment by Susan Such: In case management specially trained nurses rely on the staff nurses to help…… Comment by Susan Such: Comment by Susan Such: Is this the one paragraph introduction? There should be a paragraph that explains what the paper is intending to accomplish or teach, etc. I would say that the paragraph here is explaining your topic. But you don’t have an introduction.
Challenges in Utilization and Case Management in Managed Care
Utilization management is considered to process which have been well thought-out to help in the controlling of the medical serv.
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
Be prepared to answer the following questionsWhat are the thr.docxjesuslightbody
Be prepared to answer the following questions:
What are the three components of the DRI?
Describe how RDA, AI, and UL influence health?
After reviewing your results on the Interactive DRI, how well are you meeting the RDAs suggested?
What two changes can you make to improve?
.
Based upon our readings concerning the work of Pierre Bourdieu, ple.docxjesuslightbody
Based upon our readings concerning the work of Pierre Bourdieu, please address the following: a) define his concept of "habitus," specifically citing your reading material, and give at least ONE example of this important concept; b) explain the role that habitus plays in creating inequality (economic, political, social, etc.) between people in society; c) give one example recently covered in the news media (within the last year or so), that demonstrates how the accumulation of "cultural capital" can be used to benefit a person, OR, how a lack of cultural capital can harm a person.
.
More Related Content
Similar to Assignment 4 Training StrategyMiatta TeasleyCa.docx
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Offer three strategies for incorporating tracer methods in a healt.docxvannagoforth
Offer three strategies for incorporating tracer methods in a healthcare facility. In your strategies, be sure to involve nursing staff, providers, and healthcare administration.
Peers response:
Rachel Chapman posted
Since implementation in 2004, the Joint Commission has been on a mission to ensure facilities stay in compliance; not just through words but proof. Thus, the inception of the tracer methodology. Over the years, JACHO has revitalized how surveys are completed. Currently, the focus is less on staff interaction but staff intervention (Fay, 2003). Tracer methodology is a system used by The Joint Commission to assess hospital standards and compliance by following patients through a healthcare facility (Siewert, 2018, p 131). Upon survey, there are three areas assessed by tracers: individual tracer activity, system tracer activity, and accreditation-program specific tracer (Facts about tracer methodology, 2019). The introduction and application of tracer methods need to be a continual improvement process, not just eminent with an upcoming survey. The following are three suggestions I feel tracer methodology would be appropriate for my current facility:
1. From an outpatient surgical care management standpoint, I recommend running a report of patient times. Example: check-in, pre-op vitals, nursing assessment, pre-med order time, pre-meds provided, time between pre-med and time to OR, time in holding, time out of the OR, PACU, and recovery. Each of these benchmarks is easily traceable through documentation and can help determine delays in care and ineffective processes. As a supervisor, this information would afford you the opportunity to create process improvement.
2. Durable Medical Equipment (DME) – Proper process flow and communication of DME or rehab supplies is critical to prevent avoidable days. By tracking the ordering system (providers), patient notification, therapist intervention, ordering of supplies, and communication about delivery is an area that is necessary to ensure positive flow. Historically, communication is lacking with rehab and the interdisciplinary coordination team, so this method could help streamline patient care.
3. Pre-Admission planning – Since my facility is non-profit and responsible for housing and transportation for all international patients, tracking individual activity is vital to ensure federal compliance with visas and passports. Generated reports pulled by patient location origin, onset of planning process, delays in care, and follow up appointments will prevent delays in care and ensure patients' needs are met in a timely, and legal, manner. Hospital administration is constantly working with consulates of other countries and a checks and balances system is necessary.
References
Facts about tracer methodology. (2019). Retrieved from https://www.jointcommission.org/facts_about_the_tracer_methodology/
Fay, C. (2003). Educating staff on tracer methodology is a must: survey results depend on ...
Running head ADOPTION OF TECHNOLOGY IN NURSINGADOPTION OF.docxSUBHI7
Running head: ADOPTION OF TECHNOLOGY IN NURSING
ADOPTION OF TECHNOLOGY IN NURSING
Adoption of technology in nursing
Name of student:
Instructors name:
Course title:
Date of submission:
Abstract
This paper will seek to show how a manager can employ Roger’s principles of relative advantage, compatibility, simplicity, triability and observable results to overcome resistance in nursing community. Further the paper will also look at the important roles nurses can play in the implementation of EHR while at the same time evaluating the negative outcomes of not involving nurses in the software creation process.
Key words: Benefits, resistance, adoption of EHR, challenges
Introduction
As electronic health records (EHR) and information systems become more pronounced in the medical industry, it is imperative that nurses become well versed on these technologies and that the concerns of members of the nursing profession are dealt with to eliminate any resistance which nurses might have towards implementation Health information systems. Further, the software development life cycle should seek to include the varying opinions of nurses to ensure that the product created is easy to work with and is an improvement of the previous versions (McGonigle & Mastrian, 2015). This paper will therefore seek to analyse how as a manager one can overcome resistance posed by the nursing community towards adoption of HIT and analyse the ramifications of not involving nurses in the SLDC process.
Body
How I would approach the meeting
As a nursing facilitator who is tasked with ensuring that there is implementation of HIT systems within the hospital, I would approach the meeting using Roger’s five tools to show how the implementation of EHR systems would result to increased efficiency within the areas they serve and the relative advantage these systems would offer like helping them save time and serve a greater number of patients. Further, I would also outline some the features of the software systems which are compatible with the existing innovations and practices (Kaminski, 2016).
Further, I would also seek to find out some of the qualms and doubts which some of the nurses have towards the innovation and seek to find out how I can resolve the resistance offered by members of the nursing body by illustrating observable results in major health institutions where the software has been used and how it has made the whole nursing body to be effective and effective. Further, through training, I would seek to show the simplicity of using the system by outlining how these systems are simple to use and adopting the simplest language in training which would create familiarity among members of the nursing community.
In addition, I would seek to show the triability by allowing the nurses to play around with the technology, offer their suggestions and feedback and illustrate ways in which the software can be further enhanced to make it user fr ...
EvelinAccording to the last report of the American Association o.docxelbanglis
Evelin
According to the last report of the American Association of Nurse Practitioners, the scope of the nurses' practices is not limited by their titles. On the contrary, advanced nursing practice allows nurses to actively participate in clinical diagnoses, interventions, treatment monitoring, prescribing, and examinations physical (Batey & Holland, 2018). At present, the concept of advanced practice nurses has achieved worldwide development, for this reason, the health system prefers advanced practice nurses because they are trained professionals to meet the needs of patients and meet the administrative requirements of the system sanitary (Coulehan & Sheedy, 2017).
Prescribing for advanced practice nurses (APRNs) is a new integration to their responsibilities and duties with the health of patients. The prescribing of these nurses, has demonstrated effectiveness and efficacy, and allows APRNs to approach the integral and efficient management of patients from the viewpoint of other nurses, given that, according to each state, APRNs have the power to prescribe, that is, if APRNs have experience in prescribing, each state can limit this practice (Scudder, 2016).
Regarding the education of APRNs, these nurses should be specially educated to formulate prescription medications, to train about safe practices based on formulas and the combination of controlled medications. On the other hand, the limited APRNs for the formulation of medications, have the option of working interdisciplinary with other professionals to participate in the prescription, this ensures that nurses know the risks and benefits of the prescription (Coulehan & Sheedy, 2017). However, this seems to be a barrier, like the laws in each state, since it does not allow trained APRNs to exercise their knowledge and skills in this regard. Although this practice aims to protect the integrity of patients, it limits the experience and autonomy of nurses with the knowledge and certified education (Batey & Holland, 2018).
Finally, another barrier faced by nurses trained and endorsed by the state, are the regulations of each health institution, since, each hospital can determine the scope of APRNs, that is, hospitals can limit the APRNs to formulate prescriptions of medications, even if, they are accredited and allowed by the state, since, federal and state laws give hospitals autonomy to determine the competencies and functions of each of their workers (Jiao & Murimi, 2018). Likewise, it is possible to affirm that the main consequence of these barriers affects the quality and effective care of patients, since, in some cases, there may be delays in medical care until a certified physician supervises the activities of APRNs, increasing health costs and decreasing patient satisfaction (Batey & Holland, 2018).
Guillermo
The Role of Advanced Practice Nursing in Safe Prescribing
APRNs consist of nurse midwives, nurse anesthetists, clinical nurse specialists, and nurse practitioners. They are all ...
Running head CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MAN.docxtodd271
Running head: CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE
1
CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE 3
Challenges in Utilization and Case Management in Managed Care
Leribeth Inoa
2/23/2019
Managed care refers to the practice of managing some aspects of the medical services i.e. the cost and the quality of the medical services. Managed care can be managed by healthcare providers when providing healthcare services. Utilization management refers to the processes or the activities that are involved in the management of care. for example Uutilization management is relied on in terms of managing the cost in the health plan. It also refers to the routine functions which are utilized for the management of the cost of the medical services. Utilization management is entailing aspects such as prospective, concurrent, and the retrospective review. A prospective review is involving the process of tackling the utilization before its occurrence; con-current review is addressing the utilization as it happens; whereas the retrospective review occurs after the fact. Case management, on the other hand, is relied on in delivering substantial savings. In case of management, trained nurses are relying on the nurses to help in the coordinating the aspects of care like rehabilitation, home care, and health education thus helping in the improvement of the outcomes and the reduction of the expenses (Peter, 2019). Comment by Susan Such: I think I know what you are trying to say but you should rework the sentence. You might indicate that “managed care guidelines are adhered to by providers”. The providers don’t actually manage managed care, but they are subject to the rules of it. Comment by Susan Such: I think you could do better with this in terms of explaining the meaning. Comment by Susan Such: Process as you wrote it is singular, activities is plural. When you then have to figure out to use is or are you have an issue. Both have to be either singular or plural. Comment by Susan Such: End of sentence. Begin the next sentence with Utilization management is relied on…… Comment by Susan Such: This pretty much duplicates the previous sentence Comment by Susan Such: Aspects of utilization management are prospective, concurrent, and retrospective review. Comment by Susan Such: Explain with a bit more details. What is being reviewed?? Comment by Susan Such: In case management specially trained nurses rely on the staff nurses to help…… Comment by Susan Such: Comment by Susan Such: Is this the one paragraph introduction? There should be a paragraph that explains what the paper is intending to accomplish or teach, etc. I would say that the paragraph here is explaining your topic. But you don’t have an introduction.
Challenges in Utilization and Case Management in Managed Care
Utilization management is considered to process which have been well thought-out to help in the controlling of the medical serv.
12Plan for Evaluating the Impact of the Inte.docxmoggdede
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
Similar to Assignment 4 Training StrategyMiatta TeasleyCa.docx (20)
Be prepared to answer the following questionsWhat are the thr.docxjesuslightbody
Be prepared to answer the following questions:
What are the three components of the DRI?
Describe how RDA, AI, and UL influence health?
After reviewing your results on the Interactive DRI, how well are you meeting the RDAs suggested?
What two changes can you make to improve?
.
Based upon our readings concerning the work of Pierre Bourdieu, ple.docxjesuslightbody
Based upon our readings concerning the work of Pierre Bourdieu, please address the following: a) define his concept of "habitus," specifically citing your reading material, and give at least ONE example of this important concept; b) explain the role that habitus plays in creating inequality (economic, political, social, etc.) between people in society; c) give one example recently covered in the news media (within the last year or so), that demonstrates how the accumulation of "cultural capital" can be used to benefit a person, OR, how a lack of cultural capital can harm a person.
.
Based on the documentary and the article, please answer the followin.docxjesuslightbody
Based on the documentary and the article, please answer the following in 2-4 sentences each:
1. Why did blackface develop in the 19th Century?
2. What are the characters described in the documentary and how did they perpetuate specific stereotypes?
3. How did images influence public perceptions of African-Americans?
4. How was the stereotypical characteristics been maintained into the 20th century?
5. How do media representations impact the broader public understanding of African-Americans?
LINK:
https://vt2013group9.wordpress.com/2013/05/02/blackface-how-stereotypes-influenced-the-perception-of-race/
https://www.manhoodraceculture.com/classes/history-4382/ethnic-notions/
.
Based on Case Study Fetal Abnormality and the required topic Reso.docxjesuslightbody
Based on "Case Study: Fetal Abnormality" and the required topic Resources, write a 750-1,000-word reflection that answers the following questions:
What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
How does the theory determine or influence each of their recommendations for action?
What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?
Remember to support your re
.
Bad time to be humble! When andwhy leaders should not be hum.docxjesuslightbody
Bad time to be humble! When and
why leaders should not be humble
Jiang Xu
Guanghua School of Management, Peking University, Beijing, China
Jih-Yu Mao
School of Business Administration, Faculty of Business Administration,
Southwestern University of Finance and Economics, Chengdu, China, and
Ye Zhang
Guanghua School of Management, Peking University, Beijing, China
Abstract
Purpose –Although leader humility is generally considered a positive leadership behavior, this study aims to
examine when the positive influences of leader humility are likely weakened.
Design/methodology/approach – Data were collected from a two-wave survey. Ordinary least squares
regression analyses were conducted to test the hypotheses.
Findings – Although leader humility is positively related to perceived leader support, this relationship is
weakened when the environment is uncertain, resulting in comparatively lower follower performance.
Practical implications – Leaders should be aware that environmental constraints may weaken the desired
outcomes of humility and therefore adapt leadership to situational needs.
Originality/value – Contrasting to predominant research on leader humility, this study examines a critical
boundary condition bywhich its positive influences are compromised. In light of the disruption caused by the
ongoing COVID-19, this study suggests that what usually are considered positive characteristics of leader
humility are likely perceived as little leader support when the environment is uncertain. Findings of this
study echo contingency leadership theories, which suggest that effective leadership should be context-
dependent.
Keywords Leader humility, Environmental uncertainty, Perceived leader support, Follower performance
Paper type Research paper
In the wake of several corporate scandals, managers and scholars have begun to reflect upon
the dark side of leaders’ grandiose characteristics, such as narcissism, hubris, and sense of
entitlement (Boje et al., 2004; Chang and Diddams, 2009; Li and Tang, 2010; Rosenthal and
Pittinsky, 2006). By contrast, virtues such as humility are important managerial
characteristics (Owens et al., 2013). In light of the appeal for “more humility and less
hubris” (Weick, 2001, p. 93), leader humility has received increased attention across various
organizational settings in recent years (e.g. Ou et al., 2018; Swain and Korenman, 2018; Wang
et al., 2018; Wolfteich et al., 2021).
Leader humility is generally viewed as a positive virtue that leads to desirable outcomes for
followers (Wang et al., 2018), teams (Owens and Hekman, 2016), and organizations (Ou et al.,
2018). However, since organizations are embedded in a dynamic, uncertain, and unpredictable
environment, there is no omnipotent leadership: Leadership is not universal and contextual
influences bound its effectiveness. Similarly, leader humility may have its limits. For instance,
Pfeffer (2015) argued that humility might be an overrated leader characterist.
be 3-5 sentences per answerDescribe what is meant by Maslo.docxjesuslightbody
be 3-5 sentences per answer
Describe what is meant by Maslow's self actualization?
List and explain the characteristics of a person who is self-actualized.
What are peak experiences, and discuss the types of people who experience them?
What is intrinsic motivation, and share some examples.
What are your thoughts about Buddhist Psychology?
.
Be sure to complete the topic Physical Development before particip.docxjesuslightbody
Be sure to complete the topic "Physical Development" before participating in this discussion.
Take a moment to review the physical development milestones that occur in infancy and complete the following:
Reflect on the physical milestones.
Select one of the milestones and state the timeframe when it is expected to occur.
Describe why you chose that milestone
What changes in motor and sensory organs occur with that milestone?
What do you feel might be complications of failure to achieve that milestone?
Describe a personal experience that relates to this milestone.
Using an external source, describe what advice should be offered to parents of children for whom this milestone is delayed.
Please be sure to validate your opinions and ideas with citations and references in APA format.
.
BCO 117 IT Software for Business Lecture Reference Notes.docxjesuslightbody
BCO 117 IT Software for Business
Lecture Reference Notes
Cloud
computing
Eras in IT infrastructure evolution
Chapter 5. IT Infrastructure and EmergingTechnologies
Management Information Systems (Kenneth P. Laudon, Jane C. Laudon)
An information technology (IT) paradigm, a model for enabling ubiquitous access to shared pools of configurable resources (such as computer networks, servers, storage, applications and services), which
can be rapidly provisioned with minimal management effort, often over the Internet.
· Computing as a service
· Computing on the Internet
· Business line for computing corporations
Hassan, Qusay (2011).
"Demystifying Cloud Computing"(PDF).
The Journal of Defense Software Engineering.
Cloud computing
Cloud computing
Cloud computing
Cloud computing
www.euruni.edu
Cloud computing examples
Software as a Service
Platform as a Service
Insfrastructure as a Service
Cloud computing examples
Cloud computing examples
https://aws.amazon.com/products/?hp=tile&so-exp=below
Cloud computing examples
Cloud computing examples
Cloud computing examples
www.euruni.edu
Cloud computing examples
Cloud computing examples
Cloud computing examples
www.euruni.edu
Cloud computing success
Key concepts
·
Reliability – reliability of the system, measured in Mean Time Between Failures (MTBF)
·
Availability – uptime of the system or application, measured in parts per million (PPM) of downtime
·
Serviceability – easily restoring the system after a failure, measured in Mean Time To Repair (MTTR)
·
Manageability – the ease with which the entire system can be managed, measured in systems per headcount.
·
Scalability - the ability of an information system to be used or produced in a range of capabilities
·
“Updatability”– a key factor linked to performance, integration with other IS and security
https://software.intel.com/en-us/articles/total-cost-of-ownership-factors-to-consider
Top Benefits of Cloud Computing
http://www.mushibhuiyan.com/category/cloud/
Debate
https://www.forbes.com/sites/louiscolumbus/2013/08/13/idg-cloud-computing-survey-security-integration-challenge-growth/#268d6d3755cb
Debate
https://www.forbes.com/sites/louiscolumbus/2013/08/13/idg-cloud-computing-survey-security-integration-challenge-growth/#268d6d3755cbCloud Computing strategy
https://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=WUW12350USEN
www.euruni.edu
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i.
Authors Anna, Alisa, David & PreslavaThis article is desi.docxjesuslightbody
Authors: Anna, Alisa, David & Preslava
This article is designed to analyze the cryptocurrency market from an economical perspective during the period from 2018 to 2022 with several
instances from other timelines.
Economics & Public Policy
Equilibrium
Supply Shifts
While bitcoin supply is extremely transparent, bitcoin demand is rather
opaque. That said, there are a few quantifiable items that we do know
about bitcoin demand. First, we have a pretty good idea of the number
of bitcoin transactions performed each day. Secondly, and more
importantly, it appears that fluctuations in bitcoin transaction costs
play a major role in determining price corrections. For example, the
number of transactions stopped growing in 2012, about one year
before bitcoin’s 2013 peak and bear market. It began to rise again in
2014 before bitcoin prices began to recover in earnest but have been
stagnating since the end of 2016, perhaps foreshadowing the recent
correction.
Bitcoin’s demand and supply are both considered perfectly inelastic.
The reason is very simple but before that, it is very important to
understand how bitcoin price moves and how bitcoin mining
works.
First thing first, bitcoin has its ultimate quantity of supply which is
known by every buyer/trader/investor, which is only 21 million of
bitcoin. Meanwhile, there are around 18 million bitcoins in
circulation. How then does the quantity of circulation go up? It
depends on the bitcoin miners, as bitcoin miners contribute their
computers’ GPU and electricity to verify the transaction among the
decentralized network, in return, they will be rewarded with bitcoin
from the quantity that is not in circulation (hence the quantity of
the circulating bitcoin goes up). In the long term, the rewards
decrease, while each block is formulated the less the miners can earn.
Published on: 22nd of March 2022 Publisher: Olga Larina
Demand Shifts
The supply inelasticity explains in large part why bitcoin is so volatile. Items with inelastic supply show a greater
response to demand shifts than items with elastic supply. The same is true of demand: the more inelastic the demand, the
greater the price changes in response to small fluctuations in either supply or demand. Bitcoin’s limited and highly
inelastic supply is also a major factor driving its price appreciation, a rise so spectacular that it can only be appreciated
when seen on a log scale. In bitcoin’s first four years, supply grew by roughly 2.5 million coins per year. Even then prices
were rising as the user community grew. Since then supply has continued to grow but the pace has slowed substantially
while demand has occasionally dipped, even on a year-on-year basis. Bitcoin’s limited supply and soaring price make it
difficult to be used as a medium of exchange outside of the cryptocurrency space.
Cryptocurrencys' Impact on the Global Economy
The relationship between bitcoin prices and transaction
costs is even more compelling. This third spike in
t.
Authoritarianism, Populism, and the GlobalRetreat of Democra.docxjesuslightbody
Authoritarianism, Populism, and the Global
Retreat of Democracy: A Curated Discussion
Paul S. Adler1, Amr Adly2, Daniel Erian Armanios3 ,
Julie Battilana4, Zlatko Bodrožić5, Stewart Clegg6,7, Gerald F. Davis8,
Claudine Gartenberg9, Mary Ann Glynn10, Ali Aslan Gümüsay11,12,
Heather A. Haveman13, Paul Leonardi14, Michael Lounsbury15,
Anita M. McGahan16, Renate Meyer17, Nelson Phillips14
and Kara Sheppard-Jones10
Abstract
To the surprise of many in the West, the fall of the USSR in 1991 did not lead to the adoption of liberal democratic govern-
ment around the world and the much anticipated “end of history.” In fact, authoritarianism has made a comeback, and liberal
democracy has been on the retreat for at least the last 15 years culminating in the unthinkable: the invasion of a democratic
European country by an authoritarian regime. But why does authoritarianism continue to spread, not only as an alternative to
liberal democracy, but also within many liberal democracies where authoritarian leaders continue to gain strength and pop-
ularity? In this curated piece, contributors discuss some of the potential contributions of management scholarship to under-
standing authoritarianism, as well as highlight a number of directions for management research in this area.
Keywords
institutional theory, business & society, ethics
Introduction
Michael Lounsbury and Nelson Phillips
Over the past decade, there have been increased calls for man-
agement scholars to do more research that is societally relevant
and important—to, for example, address grand challenges (e.g.,
George et al., 2016) and to examine the role of organizations
and institutions in the production and maintenance of economic
inequality and systemic power imbalances (e.g., Amis et al.,
2020). While historically “such topics have been difficult to
publish in our leading journals,” more recently “business
schools are becoming more oriented to making research and
education more relevant to their broader societies, which will
in turn encourage scholars to pursue under researched topics
of critical importance” (Tihanyi et al., 2022, p. 712). We
believe that recent events in Ukraine demand that management
scholars once again look beyond more traditional management
themes and focus their attention on a topic that is highly socie-
tally relevant and globally important: the rise of authoritarianism
and the threat this poses to democratic governments and the
international rule of law.
When Russia invaded Ukraine in February of this year,
the Western world reacted with shock and disbelief, and as
days, weeks, and now months have passed, this shock has
evolved into a mixture of anger and fear as it has become
apparent that there is seemingly little the West can (or at
least will) do to stop Russian aggression and the growing
humanitarian crisis that has followed the invasion. While
1University of Southern California, Los Angeles, CA, USA
2American University of Cairo, New Cairo, Egypt
3Un.
ASSOCIATE SCIENCE IN NURSINGCLINICAL WORKSHEET MATERNITY NU.docxjesuslightbody
ASSOCIATE SCIENCE IN NURSING
CLINICAL WORKSHEET: MATERNITY NURSING PROCESS CARE PLAN
STUDENT NAME
DATE
Client Initials
Culture/Ethnicity
Support System
Unit
Room/Bed
Religion
Age
Sex
Language
Pre-preg Wt
Pre-preg Ht
Marital Status
Children & Ages
Current Wt
Current Ht
Occupation
G
T
P
A
L
Health Insurance
Current Work Status
Current Medical Diagnosis
Name of Significant Other/Primary Caregiver
Highest Grade Completed
Pain
Rating, Quality & Location
Infant Feeding
Date/Time of Delivery
Delivery Type (Vaginal, Cesarean**, Forceps, Vacuum)
**Reason for Cesarean
Diagnostic procedures
Surgical procedures
Pathophysiology/Psychopathology (List Reference)
Reference
Today’s Assessment
M
Admissions Vital Signs
A
T
Frequency
B
P
U
R
BB
B/P
L
Allergies/Side Effects
E
H
Brief Health History
Diet with Rationale
Time
Flowsheet Notes
Activity Order
Limitations/Prosthetic Device
PERTINENT LABORATORY DATA
Lab Test # 1
Lab Test # 2
Lab Test # 3
Lab Test # 4
Hgb/Hct #1
Hgb/Hct #2
Results
Results
Results
Hgb/Hct #3
.
Rationale for abnormal results
Rationale for abnormal results
Rationale for abnormal results
Rationale for abnormal results
(
2
)
.
INTRAVENOUS SOLUTION #1
INTRAVENOUS SOLUTION #2
Type
Lactate Ringers’ (main IV)
Type
500 ml NS (piggyback)
cc/hr
125
gtts/min
cc/hr
gtts/min
2 milliunits/minute via pump
Additives
Additives
30 U Oxytocin
Rationale for solution
Rationale for solution
.
Medication Name Generic/Trade
Classification
Major Actions
(why taking meds)
Dose/ Route Safe Range
Adverse Effects
Nursing Implications
Assessment Data Subjective/Objective
Nursing Diagnosis
Plan Outcome Criteria (Client Centered)
Interventions (Nurse Centered)
Rationale for Interventions (REFERENCED)
Evaluation
Assessment Data Subjective/Objective
Nursing Diagnosis
Plan Outcome Criteria (Client Centered)
Interventions (Nurse Centered)
Rationale for Interventions (REFERENCED)
Evaluation
Have you received a push notification like this?
Real Message: I just want your $$$
@DrWendyGuess
Hi John. Your order should be arriving on Thursday. Would you like to set up a date & time to install it? Just reply with your preferences. Wendy
Real Message: You care about the customer)
Or …. Has a note like this one
arrived just at the perfect moment?
@DrWendyGuess
Which Would YOU Rather Read?
Welcome. Wondering about the MyTalk.Rocks?
Link -
http://mytalk.rocks
Rock The Speaker
Send A Photo
Share Feedback
Ask Questions?
@DrWendyGuess
What’s better for your LTV/ROI?
@DrWendyGuess
How would it be for your clients
to feel like you’re a mind reader?
@DrWendyGuess
@DrWendyGuess
Part 1: Design Campaign
What am I really delivering?
My guiding principles
Beyond the product…
For Support
To build Community
Improve Productivity.
Assume that you are a Healthcare Quality Specialist at a healthcare .docxjesuslightbody
Assume that you are a Healthcare Quality Specialist at a healthcare facility/organization preparing for an initial Joint Commission International accreditation visit in one year.
Discuss the value that accreditation brings to an organization.
Describe the steps and processes you will initiate and implement over a one-year period in preparation.
Include any key personnel and the risk prevention procedures you would be sure to put in place as well as your performance and quality improvement plans.
Embed course material concepts, principles, and theories (which require supporting citations) in your initial response along with at least three scholarly, peer-reviewed journal articles. Use academic writing standards and APA style guidelines.
.
Assignment
Your healthcare organization’s strategic plan includes the replacement of the information system currently in place for the electronic health record in the hospital and associated provider offices.
Please note: Life cycle of a system and NOT life cycle of a software. Be careful you do not focus on software.
You will prepare an audiovisual (You must use Kaltura) with a transcript (Word file) or PowerPoint presentation (12-20 slides) with speaker notes that address:
Title slide
Include an introduction. What is your topic and what are you going to address in the presentation.
The system life cycle process and the role of employees in each stage of the process.
Identify the process- use a visual or table (if you get it already made then make sure there is appropriate credit on the slide). In the speaker’s notes explain the process steps and how employees are engaged in each step. Key is what is the employee role in each step. The role will change by each step. Be specific.
There is an announcement with directions
How to use Kaltura
How to prepare the transcript from Kaltura
Note: The transcript must be a readable, Word file that matches the narrative or your speaker notes .
The presentation continued
The identification and roles of at least five internal stakeholders employed by the practice.
Identify the stakeholders by role and define how that role contributes to the life cycle process- why are they important to the process. A table is good for this. Note: Patients are not employed by the practice.
Identify the major stakeholders and why their role is important to the project
Once you identified the stakeholders there will be some that have more sway in the project than others- they are the major or power stakeholders. Identify which stakeholders are your major stakeholders and in the speaker note/narration, define why. Do not include the government nor insurance companies.
Project Management Tools
Explain the purpose of a minimum of four key project management tools planned for the project. (See the hints for project tools link.) Word, Excel, Power Point, Teams are not examples of Project management tools.
Consider the following tools (not exclusive):
Scope
Metrics to determine project success
Gantt charts
Budget
Critical pathway
Risks
Develop a Communication Plan for the Project.
Provide a specific, detailed plan with identified tasks and answer the “who, what, when, where, why, and how”. (A table is good for this. Review the information above on the how and what to include.) Do not define what a communication plan is but develop the actual communication plan. You want a specific, detailed plan, not definitions and vague concepts. You need to include in your communication plan:
Identified tasks
Think Who, what, when, why and how.
Communication Plan continued
Think of it as a table with specific details.
Who is doing what, when
Ex. Once a month the man.
ASSIGNMENT Planning an Effective Press ReleaseSelect a topic an.docxjesuslightbody
ASSIGNMENT: Planning an Effective Press Release
Select a topic and company for a mock press release and press conference. Choose one of the following:
1. Tesla
2. Uber
3. Pepsi
4. Instagram
5. Twitter
6. Netflix
7. A current US Senator announcing their bid for the US Presidency
Choose a newsworthy topic for your selected company.
What is new? Newsworthy?
(You can make something up or use real news.)
Prepare a press release to make the announcement and issue to the press.
Audience:
Who will you issue the press release to?
Who is your target audience?
.
Assume an African American character and write from the perspective .docxjesuslightbody
Assume an African American character and write from the perspective of the character. What would be the obstacles faced by people of color during the Great Depression or the war years? Explain the issues in your letter and ask for specific help on those matters. Also in a separate paragraph below your letter, explain why you chose to write what you did. What inspired you to write on the topics, situations or events that were discussed in your letter?
.
Assignment WK 8 Advocating for the Nursing Role in Program Design .docxjesuslightbody
Assignment WK 8 Advocating for the Nursing Role in Program Design and Implementation
As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.
Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
To Prepare:
· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
· Select a healthcare program within your practice and consider the design and implementation of this program.
· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
·
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
·
Who is your target population?
·
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
·
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
·
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
·
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed..
Assignment Title
Students Name
Course Title
Professors Name
Date of Submission
Introduction
Add Presentation Notes and Sources
2
Problem Statement
Analyze and define the problem to include possible political conflicts.
Add Presentation Notes and Sources
3
Risks and Challenges
Identify risks and challenges.
Add Presentation Notes and Sources
4
Alternatives and
Solution
s
Identify and construct policy alternatives and solutions.
Add Presentation Notes and Sources
5
Stakeholders and Key Roles
Identify stakeholders and key roles.
Add Presentation Notes and Sources
6
Identify funding opportunities, challenges, and budget cost factors, to include saving measures.
Funding and Budget
Add Presentation Notes and Sources
7
Criteria
Choose supportive and evaluative criteria.
Add Presentation Notes and Sources
8
Policy Benefits
Identify incentives, subsidies, and potential benefits.
Add Presentation Notes and Sources
9
Conclusion
Draw conclusions in a thorough summary, with lessons learned.
Add Presentation Notes and Sources
10
Sources
Follow the Credit to Authors and Sources Guidelines found in the Strayer Writing Standards (SWS).
.
Assignment WK 9Assessing a Healthcare ProgramPolicy Evaluation.docxjesuslightbody
Assignment: WK 9Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
· Select an existing healthcare program or policy evaluation or choose one of interest to you.
· Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
· Describe the healthcare program or policy outcomes.
· How was the success of the program or policy measured?
· How many people were reached by the program or policy selected?
· How much of an impact was realized with the program or policy selected?
· At what point in program implementation was the program or policy evaluation conducted?
· What data was used to conduct the program or policy evaluation?
· What specific information on unintended consequences was identified?
· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
· Did the program or policy meet the original intent and objectives? Why or why not?
· Would you recommend implementing this program or policy in your place of work? Why or why not?
· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
By Day 7 of Week 10
Submit your completed healthcare program/policy evaluation analysis.
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409875/
https://www.sciencedirect.com/science/article/pii/S0029655418300617
i J LUUU^S
.
Assignment OverviewYou and a few of your fellow learners have be.docxjesuslightbody
Assignment Overview
You and a few of your fellow learners have been assigned to construct a presentation on one of the following groups:
Working with ableism or disability and lookism.
Each person working on the presentation is researching and contributing specific slides that analyze issues of power, privilege, and oppression as they pertain to the chosen group, as well as strategies and approaches for practice when working with these issues. This assignment will ask you to submit the presentation slides that you contributed to the presentation for an individual grade.
By successfully completing this assignment, you will demonstrate your proficiency in the following EPAs and specialized practice behaviors:
EPA Competency 1: Demonstrate Ethical and Professional Behavior.
C1.SP.B: Articulate and provide leadership in the application of the core values and ethical standards of the social work profession through an ethical problem solving model to aid in critical thinking and ethical decision making related to individuals, families, organizations, and communities to guide and inform ethical advanced generalist social work practice.
Related Assignment Criteria:
3. Discuss challenges that may arise from clients' cultures and from differences among people and cultural groups.
EPA Competency 1: Demonstrate Ethical and Professional Behavior.
C1.SP.C: Integrate the ethical and effective use of technology at all levels of advanced generalist social work practice with individuals, families, groups, organizations, and communities.
Related Assignment Criteria:
1. Create slides that address chosen theme(s) related to culturally relevant practice.
EPA Competency 2: Engage Diversity and Difference in Practice.
C2.SP.A: Analyze dimensions and differentiation in diversity and apply the influence of relationships, intervention techniques, and technologies with diverse clients, families, groups, organizations, and communities.
Related Assignment Criteria:
2. Discuss theory applicable to the selected group.
4. Discuss techniques and best practices applicable to the selected group.
Assignment Description
Each learner creates 2–4 slides that discusses the selected group around one or more of the following themes:
Religion and spirituality.
Assignment Instructions
Complete the following:
Create 2–4 slides that address chosen theme (or themes) related to culturally relevant practice.
Discuss theory applicable to the selected group.
Discuss challenges to practice with the selected group.
Discuss techniques and best practices applicable to the selected group.
.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
Assignment 4 Training StrategyMiatta TeasleyCa.docx
1. Assignment 4 Training Strategy
Miatta Teasley
Capella University
NHS-FPX6004 Health Care Law and Policy
Professor Georgena Wiley
June 17, 2022
Assignment 4 Training Strategy
For a leading medical centre such as Mercy Medical Center, it
is essential to have a sound policy and practice standards for the
control of drug errors. The nursing staff of the medical centre
who will be responsible for implementing the policy on
managing medication errors must have a comprehensive
understanding of the strategies specified in the policy for it to
2. be appropriately implemented. A staff training program will
ensure that the necessary information and skills for
implementing the policy guidelines are effectively
disseminated. The training curriculum outlined in this study will
be administered to a pilot group of 20 pediatric nursing staff
members at the medical facility.
Promoting the Buy-In of Nurses
According to Ruddy et al. (2016), technological advances are
required for a significant change in medical practice but are not
sufficient. When practitioners are modified, systemic alterations
in practice occur. According to a study by French-Bravo et al.,
nurses felt that effective communication with nurse supervisors
boosted their support for organizational objectives (2020).
Utilizing a range of communication and persuasion techniques,
nurse supervisors forged close bonds with nurses. In addition to
email, huddles, and staff meetings, nurse managers used data in
the form of statistics, facts, and patient feedback comments to
explain the rationale for change. In addition to serving as role
models for nurses, nurse supervisors influence unit culture by
demonstrating characteristics such as approachability and
attentiveness. In addition, nurse managers contributed to change
by fostering employee engagement and management support
through tactics such as listening to nurses' challenges and
assisting them individually and as a team. Nurse managers
support a staff-led decision-making strategy by supporting
employees in comprehending unit objectives, empowering them
to drive unit work, and enhancing manager-facilitated peer
communication (French-Bravo et al., 2020). Promoting nurse
buy-in to the implementation of policy and practice standards
will rely heavily on nurse managers, head nurses, and other
nursing leadership members.
Early Indicators of Success
Early prediction of policy performance is facilitated by
structural indicators, process indicators, and outcome
indicators. Structural factors emphasize organizational
challenges such as the availability and proper operation of
3. equipment such as automated dispensing machines. Process
indicators are concerned with the process of providing care. The
efficiency of prescription management and the efficiency of
diagnosis management are two process indicators that quantify
the policy's success. The purpose of outcome indicators is to
accomplish a particular objective. A reduction in readmissions,
a decrease in postoperative wound infection rates, and an
increase in patient satisfaction are just a few of the outcome
indicators that can be used to evaluate the efficacy of the policy
(Grol et al., 2013). Important markers of nurses' readiness to
apply practice guidelines are their perceptions of automated
dispensing cabinets (Metsamuuronen et al., 2020).
Understanding their perspectives can assist management in
evaluating the efficacy of programs designed to generate buy-in.
Surveys that include questions on policy and practice standard
changes can be used to evaluate nurses' perceptions of
workplace changes (Norman & Sjetne, 2017).
Impact of Policy and Practice Guidelines
In the event of a pharmaceutical error, the medication error
management policy describes the processes that must be
followed. The coverage extends to the nursing, emergency care,
and medical personnel at Mercy Medical Center (Black County
Partnership, 2015). The policy mandates the establishment of a
multidisciplinary committee by the medical centre. This
committee will analyze any pharmaceutical method
discrepancies and plug any gaps it finds (Weant et al., 2014).
The establishment of a consistent medication error analysis
system and the implementation of automated dispensing
cabinets are two methods for reducing medication errors. The
interdisciplinary committee should identify, prioritize, and
standardize the process of reporting medication errors in order
to develop a uniform framework for the analysis of
pharmaceutical errors. Medication error analysis is facilitated
by the availability of precise data for determining the causes of
medication errors. ADCs are regularly encountered in
4. computerized pharmaceutical management systems in healthcare
settings. These cabinets are used to document difficulties in
pharmaceutical distribution. The cabinets check medical stock
levels and distribute medication (Weant et al., 2014).
Impact of Policy Implementation on Nurses’ Work
Medication mistakes are indicative of a medical centre's
substandard care quality. The proposed policy can help the
medical centre prevent medical malpractice lawsuits, safeguard
its reputation, and save money. (2015) Black County
Partnership. According to Bourcier et al. (2016), automated
dispensing cabinets significantly reduce the amount of time
spent by head nurses on weekly inventories and orders. This
enabled nurses and chief nurses to concentrate on their primary
duties. The policy and standard modifications will increase the
nursing staff's efficiency by decreasing the amount of work and
time spent on pharmaceutical processes, leading to higher job
satisfaction among nursing staff. Medication mistakes are
indicative of a medical centre's substandard care quality. The
proposed policy can help the medical centre prevent medical
malpractice lawsuits, safeguard its reputation, and save money
(Black County Partnership, 2015). According to Bourcier et al.
(2016), automated dispensing cabinets significantly reduce the
amount of time spent by head nurses on weekly inventories and
orders. This enabled nurses and chief nurses to concentrate on
their primary duties. The policy and standard modifications will
increase the nursing staff's efficiency by decreasing the amount
of work and time spent on pharmaceutical processes, leading to
higher job satisfaction among nursing staff.
Concerns Over the Policy
The pilot group will be instructed in two strategies: automated
dispensing cabinet installation and operation and standardized
medication error analysis. Due to the gravity of the error and
the potential for disciplinary action for underreporting,
employees may be hesitant to report errors (the Chu, 2016).
Implementing a systematic method for medication error analysis
may induce fear in the nursing staff. The second approach,
5. establishing automated dispensing cabinets, would be
advantageous for medication management and error prevention;
however, if medical inventory is mismanaged, automated
dispensing cabinets may result in medication retrieval problems
(Weant et al., 2014). This may be a difficult situation for the
nursing personnel.
Interpreting the Policy for Nursing Staff
One of the most challenging aspects of implementing the
policy's rules is deciding whether or not to report an incidence
as a pharmaceutical error. Because there are no standard
definitions for drug errors and it is unclear whether an error
must be reported, unrecognized errors occur. Before a uniform
method for analyzing pharmaceutical errors can be
implemented, medication errors must be precisely characterized.
This would assist nurses in more accurately identifying and
reporting drug mistakes (the Chu, 2016). In the medical and
surgical units at Mercy Medical Centre, the number of
medication errors climbed by fifty per cent between 2015 and
2016. The vast majority of pharmaceutical errors occur during
medication delivery by nursing personnel (Ofusu & Jarrett,
2015). As a result, the policy implementation training program
attempts to acquaint nursing staff with the policy's more
complex aspects, such as the penalties for neglect and the
procedure to be followed when dealing with prescription errors.
The nursing staff will be well-versed in the chain of command
in order to report errors.
Importance of Policy and Practice Guidelines in Nurses’ Work
If prescription errors are treated more effectively, nurses may
experience less stress and greater job fulfilment.
Metsamuuronen et al. (2020) assessed nurses' impressions of
automated dispensing cabinets through an observational study
and an online survey and found that nurses believed automated
dispensing cabinets would make their tasks easier. While saving
time, nurses were able to focus on direct patient care. Another
study, conducted by Zaidan et al. (2016), found that nurses were
6. satisfied with the implementation, believing that the
technologies were easy to use and assisted them in performing
their duties securely.
Role of Nursing Staff in Policy Implementation
Due to their proximity to patients and pharmaceutical processes,
nursing personnel is vital in the execution of a medication error
management policy. A nurse is the last person involved in the
administration of medication. Due to the fact that a nurse is
accountable for physically providing the correct medication to a
patient, any errors in the administration approach can be
identified and corrected (Ofusu & Jarrett, 2015). To ensure that
the policy on preventing medication errors is successfully
implemented, nursing staff must maintain accuracy and
consistency when reporting medication errors. By adhering to
the five rights of drug administration (right dose, right patient,
right time, right medication, and right process), nurses can
avoid making errors. The nursing staff can confirm that there
are no medication administration errors. By accurately
estimating the dosage of pharmaceuticals, eliminating
distractions during medication administration, informing
patients about the side effects of a drug, and continually
updating pharmacological knowledge, nursing staff can
positively contribute to policy implementation (the Chu, 2016).
Training Nursing Staff on the Policy
Nursing personnel are responsible for drug processes, including
prescription and administration. A nurse is a final individual
who can correct pharmaceutical administration problems. Due to
continual diversions and disruptions in their work routine,
nurses are responsible for the vast majority of drug errors,
despite the fact that patient safety is their top priority (Ofusu &
Jarrett, 2015). It is essential to educate nursing personnel on the
policy's concepts because untrained and uneducated
professionals may be unable to anticipate or spot
pharmaceutical errors. The pharmaceutical error management
policy requires the construction of automated dispensing
cabinets and the study of medication errors. Nursing staff must
7. be trained on how to utilize automated dispensing cabinets
safely in order for them to be properly adopted. Although
automated dispensing cabinets were meant to eliminate errors,
their improper use may lead to drug delivery issues (Hamilton-
Griffin, 2016). To apply the second strategy, medication error
analysis, nursing practitioners must be taught new processes
that enable them to reliably and routinely report medication
errors. Reminding nurses during training of the importance of
reporting will motivate them to adhere to the medication
mistake reporting requirements, ensuring that sufficient data is
available to conduct a medication error analysis.
Training Process
Nursing workers will receive a two-hour training on the usage
of automated dispensing cabinets and medication error analysis.
The day before the session, the pilot group will be given a
questionnaire to measure their comprehension of the two
strategies. This workshop will consist of two sessions of one
hour each. Local opinion leaders, who are acknowledged
clinical practitioners in a certain field of medicine, will lead the
first session. The thought leaders will discuss the technical
skills required to operate automated dispensing cabinets and the
methods necessary for pharmaceutical mistake analysis. Due to
the presence of a well-known figure whose qualifications are
well-known, this session by local opinion leaders will have a
huge impact on the nursing staff. The second session will
involve simulation-based training. The employees will be tasked
with operating automated dispensing cabinets and simulating
pharmaceutical error analyses. This course will provide staff
with hands-on experience and an understanding of the
challenges they may encounter when using automated
dispensing cabinets or doing a pharmaceutical error analysis
(Grol et al., 2013).
Training Material for Skill Development
Each participant will receive a handout containing the policy
guidelines, a document outlining the methods to be followed
while conducting a pharmaceutical error analysis, and an
8. instruction manual for operating an automated dispensing
cabinet. The staff will also receive a printed copy of the opinion
leader's topics for future reference. The nursing staff will have
access to a virtual classroom with a log-in ID and password to
access lectures and self-learning tasks in order to maintain
continual education (Grol et al., 2013). The handouts and
virtual learning materials will be designed to help staff
members enhance their critical thinking, attention to detail, and
the confidence required to follow the policy's approaches.
Conclusion
The administration of Mercy Medical Center created a
pharmaceutical error policy in an effort to reduce and avoid
drug errors. It is essential to construct a training program for
hospital workers on the policy's many efforts to ensure its
proper execution. The program will train personnel on how to
prevent pharmaceutical errors, so enhancing patient safety, the
reputation of the medical facility, and the job satisfaction of the
personnel.
9. References
Black County Partnership, NHS Foundation Trust. (2015).
Medication error policy.
https://www.bcpft.nhs.uk/documents/policies/m/973-
medication-errors/file
Bourcier, E., Madelaine, S., Archer, V., Kramp, F., Paul, M., &
Astier, A. (2016). Implementation of automated dispensing
cabinets for management of medical devices in an intensive care
unit: Organizational and financial impact. European Journal of
Hospital Pharmacy, 23(2), 86–90.
https://europepmc.org/article/pmc/6451497
The Chu, R. Z. (2016). Simple steps to reduce medication
errors. Nursing 2016, 46(8), 63–65.
https://doi.org/10.1097/01.nurse.0000484977.05034.9c
Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013).
Improving patient care: The implementation of change in health
care. https://ebookcentral-
proquestcom.library.capella.edu/lib/capella/reader.action?docID
=1153537
Hamilton-Griffin, K. (2016). Developing improvement
strategies on the use of automated dispensing cabinets to reduce
medication errors in a hospital setting (Doctoral dissertation).
ProQuest. (Order No. 10127834)
French‐Bravo, M., Nelson‐Brantley, H. V., Williams, K., Ford,
D. J., Manos, L., & Veazey Brooks, J. (2020). Exploring nurses'
perceptions of nurse managers' communicative relationships
that encourage nurses' decisions to buy into initiatives that
enhance patients' experiences with care. Journal of Nursing
Management, 28(3), 567– 576. https://doi-
org.library.capella.edu/10.1111/jonm.12958
Metsämuuronen, R., Kokki, H., Naaranlahti, T., Kurttila, M., &
Heikkilä, R. (2020). Nurses' perceptions of automated
10. dispensing cabinets — an observational study and an online
survey. BMC Nursing, 19, 1-9. https://doi.org/10.1186/s12912-
020-00420-2
Norman, R. M., & Sjetne, I. S. (2017). Measuring nurses’
perception of work environment: A scoping review of
questionnaires. BMC Nursing, 16(1), 66.
https://doi.org/10.1186/s12912-017-0256-9 Ofusu, R., & Jarrett,
P. (2015). Reducing nurse medicine administration errors.
Nursing Times, 111(20), 12–14.
https://www.nursingtimes.net/Journals/2015/05/10/t/l/q/130515_
Reducing-nursemedicine-administration-errors.pdf
Ruddy, M. P., Thomas-Hemak, L. & Meade, L. (2016). Practice
Transformation. Academic Medicine, 91(5), 624–627.
https://doi.org/10.1097/ACM.0000000000001059
Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies
for reducing medication errors in the emergency department.
Open Access Emergency Medicine, 6, 45–55.
https://doi.org/10.2147/OAEM.S64174
Zaidan, M., Rustom, F., Kassem, N., Al Yafei, S., Peters, L., &
Ibrahim, M. I. M. (2016). Nurses’ perceptions of and
satisfaction with the use of automated dispensing cabinets at the
Heart and Cancer Centers in Qatar: a cross-sectional study.
BMC nursing, 15(1), 4. https://doi.org/10.1186/s12912-015-
0121-7
2 points
QUESTION 2
1. From a statistical perspective how would you describe the
relationship that epidemiologist in the
1950s and 1960s found between the number of years working
(X) and decline in hearing acuity (Y),
for workers that were employed in noisy factories?
12. True
False
1.5 points
QUESTION 5
1. The stapes is next to the _______ window (4 letters)
2 points
QUESTION 6
1. What is the structure in the middle ear and what is the
structure in the inner ear that has nothing
to do with hearing?
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4 points
QUESTION 7
1. Circle the one for each line that does not belong with the
other two.
Pinna Hammer Ossicles
16. ,
2
5 points
QUESTION 9
1. The threshold at which we can perceive sound is ___ decibels
2 points
QUESTION 10
1. Circle the one for each line that does not belong with the
other two.
Sound Pressure Amplitude Frequency
Frequ
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n
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Sound
Pressu
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Ampli
tu
d
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1.5 points
QUESTION 11
1. Circle the one for each line that does not belong with the
other two.
17. Ossicles Middle Ear Inner Ear
Inne
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Middle
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1.5 points
QUESTION 12
1. Humans can use echolocation to judge the distance of
objects.
True
False
1.5 points
QUESTION 13
1. Circle the one for each line that does not belong with the
other two.
Place Code Weaver von Bekesy
18. Place
Co
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Weaver
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Bek
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1.5 points
QUESTION 14
1. What is the function of statocyst, a structure found in
invertebrates?
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4 points
QUESTION 15
1. Based on Article 5, some animals have built-in infrared
sensors, what animals have this, and
19. what do the infrared sensors detect. (4 pts.)
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https://www.tiny.cloud/?utm_campaign=editor_referral&utm_m
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QUESTION 16
1. Retrocochlear dysfunction is a disorder that affects the
cochlea
auditory nerve
auditory canal
tympanic
membrane
2 points
20. QUESTION 17
1. Rainfall has a loudness of ____ decibels.
1
2 points
QUESTION 18
1. What is the difference between place code and temporal code
in regard to explaining how our
brain can code different frequencies.
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10pt
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4 points
QUESTION 19
1. Jumping spiders respond the most to:
low-frequency
sound
middle frequency
sound
21. high-frequency
sound
all of the above
2 points
QUESTION 20
1. Circle the one for each line that does not belong with the
other two.
Square Window Round Window Oval Window
https://www.tiny.cloud/?utm_campaign=editor_referral&utm_m
edium=poweredby&utm_source=tinymce&utm_content=v5
Oval
Win
dow
Square
Windo
w
Round
Windo
w
1.5 points
QUESTION 21
1. Rarely do we hear ________ sounds or tones in nature. (4
letters)
2 points
22. QUESTION 22
1. Deafness caused by damage to the inner ear, especially
cochlear hair cells, is known as:
tinnitus
conductive
deafness
otosclerosis
sensorineural
deafness
2 points
QUESTION 23
1. Jumping spiders have tympanic ears.
True
False
1.5 points
QUESTION 24
1. Sound moves in_________. ( 5 letters)
2 points
QUESTION 25
1. A neural transmitter emitted by hair cells. (9 letters)
2 points
23. QUESTION 26
1. The auditory cortex is found in the ________ lobe (8 letters)
2 points
QUESTION 27
1. Outer hair cells are cylindrical and connect to Type II
auditory nerve fibers
True
False
1.5 points
QUESTION 28
1. Which of the following does not cause conductive hearing
impairments.
ear wax
blockage of the auditory
canal
damage to the ossicles
punctured eardrum
2 points
QUESTION 29
1. Hidden hearing loss is confined to older adults.
True
False
24. 1.5 points
QUESTION 30
1. Distance can be estimated by perceived loudness especially if
source is known
True
False
1.5 points
QUESTION 31
1. The human pinnae provide information about the location of
the sound in a horizontal plane.
True
False
1.5 points
QUESTION 32
1. Based upon the number of decibels, which of the following is
the loudness.
gunfire
jackhammer
gas-powered
lawnmower
concert venue/ club
2 points
25. QUESTION 33
1. Birds, insects, and some mammals are able to detect the
Earth’s magnetic field.
True
False
1.5 points
QUESTION 34
1. Match the structure with where it is found in the ear.
Ear
cana
l
Oval
Win
dow
Pinna
Hair
Cells
Ossicles
Anvil
Outer
e
ar
26. Inner
e
ar
Middl
e
e
ar
6 points
QUESTION 35
1. The ability for animals to detect gravity and the body’s
motion may be one of the
most ancient senses.
True
False
1.5 points
QUESTION 36
1. The scientific name for the visible part of the outer ear is
called the _____. (5 letters)
2 points
QUESTION 37
1. Jumping spiders have good eyesight.
True
False
1.5 points
27. QUESTION 38
1. The Cochlea is located in the _______.
inne
r
e
a
r
oute
r
e
a
r
middl
e
e
ar
2 points
QUESTION 39
1. Circle the one for each line that does not belong with the
other two.
Auditory cortex Occipital Lobe Temporal Lobe
Auditory
Cortex
Temporal
Lobe
28. Occipital
Lobe
1.5 points
QUESTION 40
1. Some animals have built-in infrared sensors
True
False
1.5 points
QUESTION 41
1. Circle the one for each line that does not belong with the
other two.
Tone Decibel loudness
De
c
i
b
e
l
Loud
n
e
s
s
T
1.5 points
29. QUESTION 42
1. Circle the one for each line that does not belong with the
other two.
Pinna Outer Ear Middle Ear
P Outer
E
ar
Middle
Ea
r
1.5 points
QUESTION 43
1. Sound and light travel the same way through the air and
water.
True
False
1.5 points
QUESTION 44
1. Circle the one for each line that does not belong with the
other two.
Cochlea von Bekesy Auditory Canal
Auditory
Canal
Coc
h
30. l
e
a
von
Be
ke
sy
1.5 points
QUESTION 45
1. The Ossicles are made out of _____. (4 letters)
2 points
QUESTION 46
1. Circle the one for each line that does not belong with the
other two.
Frequency Sound Pressure Pitch
Frequency
Sound
Pressu
re
Pitch
1.5 points
QUESTION 47
1. dB is an abbreviation for ______ . (7 letters)